MILLS-PENINSULA HEALTH SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MILLS-PENINSULA HEALTH SERVICES (EIN 94-1156265)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-10-19
IRS object ID: 201202939349300720
Schema version: 2011v1.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-10-19T12:56:42-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	178 S RIO GRANDE STREET SUITE 400	AddressLine1
City	SALT LAKE CITY	City
State	UT	State
ZIP Code	84101	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	941156265	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MILLS-PENINSULA HEALTH SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% NELSON YEE	InCareOfName
Name Control	MILL	NameControl
Phone	9162866665	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1501 TROUSDALE DRIVE	AddressLine1
City	BURLINGAME	City
State	CA	State
ZIP Code	94010	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	IFTIKHAR HUSSAIN	Name
Title	CFO	Title
Phone	9162866665	Phone
Date Signed	2012-10-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	8013503300	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBERT W MERWIN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1501 TROUSDALE DRIVE	AddressLine1
City	BURLINGAME	City
State	CA	State
ZIP Code	94010	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	577408717	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SUTTERHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1921	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	SEE SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	25	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	21	NbrIndependentVotingMembers
Total Nbr Employees	2682	TotalNbrEmployees
Total Nbr Volunteers	720	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	7723218	ContributionsGrantsPriorYear
Contributions Grants Current Year	8059727	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	557899448	ProgramServiceRevenuePriorYear
Program Service Revenue CY	545788304	ProgramServiceRevenueCY
Investment Income Prior Year	6902609	InvestmentIncomePriorYear
Investment Income Current Year	17224607	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2938642	OtherRevenuePriorYear
Other Revenue Current Year	3837743	OtherRevenueCurrentYear
Total Revenue Prior Year	575463917	TotalRevenuePriorYear
Total Revenue Current Year	574910381	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	943361	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	910607	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	273070407	SalariesEtcPriorYear
Salaries Etc Current Year	273262306	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	226412026	OtherExpensePriorYear
Other Expenses Current Year	247161714	OtherExpensesCurrentYear
Total Expenses Prior Year	500425794	TotalExpensesPriorYear
Total Expenses Current Year	521334627	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	75038123	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	53575754	RevenuesLessExpensesCY
Total Assets BOY	932579964	TotalAssetsBOY
Total Assets EOY	893446200	TotalAssetsEOY
Total Liabilities BOY	574755522	TotalLiabilitiesBOY
Total Liabilities EOY	569917701	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	357824442	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	323528499	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	482855533	Expense
Grants	910607	Grants
Revenue	547391097	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	482855533	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	373	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2682	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	25	NbrVotingGoverningBodyMembers
Number Independent Voting Members	21	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	NELSON YEE	NamePerson
Telephone Number	6506523803	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1501 TROUSDALE DRIVE	AddressLine1
City	BURLINGAME	City
State	CA	State
ZIP Code	94010	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ADRIAN BELLAMY
VICE CHAIR/DIRECTOR	1.0	X	X	0	0	0
AUGUST BENZ
DIRECTOR	1.0	X		0	0	0
JORDAN BLOOM
DIRECTOR	1.0	X		0	0	0
LAURA BROWN
DIRECTOR	1.0	X		0	0	0
SHEILA BURNS
CHAIR/DIRECTOR	1.0	X	X	0	0	0
CEIL CIRILLO
DIRECTOR	1.0	X		0	0	0
KEITH DUNCAN MD
MEDICAL OFFICER/DIRECTOR	1.0	X		0	0	0
RICHARD ELWOOD
DIRECTOR	1.0	X		0	0	0
JAMES FERRARA MD
DIRECTOR	1.0	X		0	0	0
JEFF GERARD
REG. PRES, PENINSULA COASTAL	1.0	X		0	1098963	576027
JOSEPH LACY MD
DIRECTOR	1.0	X		0	0	0
STEVEN MCLAUGHLIN
DIRECTOR	1.0	X		0	0	0
ROBERT MERWIN
CEO, MILLS PENINSULA HLTH SVCS	40.0	X	X	0	847603	507285
RICHARD MORGAN MD
SECRETARY/DIRECTOR	1.0	X	X	0	0	0
TAK POON MD
DIRECTOR	1.0	X		0	0	0
BRIAN ROACH MD
DIVISION PRESIDENT PAMF-MILLS	1.0	X		0	516826	206955
JOHN ROOT
DIRECTOR	1.0	X		0	0	0
ANDREW ROSENBERG MD
DIRECTOR	1.0	X		0	0	0
JOHN RYAN
DIRECTOR	1.0	X		0	0	0
HOWARD SALVAY MD
DIRECTOR	1.0	X		0	0	0
SARKIS SARKISIAN
DIRECTOR	1.0	X		0	0	0
RICHARD SLAVIN
PRESIDENT & CEO, PAMF	1.0	X		0	842265	324909
MARGARET TAYLOR
DIRECTOR	1.0	X		0	0	0
LEE TING
CHAIR F&P/DIRECTOR	1.0	X	X	0	0	0
REV PAUL WATERMULDER
DIRECTOR	1.0	X		0	0	0
IFTIKHAR HUSSAIN
CFO, MILLS PENINSULA HLTH SVCS	40.0		X	0	398004	134845
DOLORES GOMEZ
VP ACUTE SERVICES, MPHS	40.0			0	446870	132317	X
ROBERT HORTOP
VP STRATEGIC DVLPMT, MPHS	40.0			0	331468	93028	X
FORREST MALAKOFF
ADMIN-MENLO PARK SENIOR FOCUS	40.0			0	258022	55733	X
RICHARD K NICHOLS
ADMIN, SM&SC SANTA CRUZ	40.0			0	347429	105432	X
CARRIE OWEN-PLIETZ
COO, MILLS PENINSULA HLTH SVCS	40.0			0	573046	199644	X
SHELBY SPEAS
VP AMBULATORY SVCS, MPHS	40.0			0	176391	11912	X
MICHAEL WOOD MD
CMO, MILLS PENINSULA HLTH SVCS	40.0			0	479930	123996	X
YONIS MUDEY
REGISTERED NURSE	40.0			377414	0	10017		X
VICKI L WHITE
CNE, MPHS	40.0			0	364498	101753		X
PATRICIA M RYAN
VP, AMBULATORY SRVCS, MILLS	40.0			0	337615	94269		X
DANIEL BECKER
MEDICAL DIRECTOR	40.0			322448	0	26708		X
GAIUS JURADO
STAFF NURSE II	40.0			273244	0	20140		X
GORDON HUNT
SVP & CMO, SUTTER HEALTH	0.0			0	2577109	617227			X
SHEILA LITTRELL
DIRECTOR ONCOLOGY, MPHS	0.0			243452	0	26453			X
MARGIE O'CLAIR
VP MARKETING, MPHS	0.0			221878	0	25608			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1438436	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	9596039	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3394258	TotalOtherCompensation
Number Individuals GT100 K	688	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MILLS PENINSULA MEDICAL GROUP
500 AIRPORT BLVD SUITE 100	BURLINGAME	CA	94010	ADMIN MEDICAL SVCS	3033453
BOGARD CONSTRUCTION INC
350 CORAL ST	SANTA CRUZ	CA	95060	CONSTRUCTION	2582390
CAREFUSION SOLUTIONS LLC
25082 NETWORK PL	CHICAGO	IL	606731250	MEDICAL SERVICES	2349118
CROSS COUNTRY TRAVELER CORP
PO BOX 50941	LOS ANGELES	CA	900740941	STAFFING SERVICES	2171710
PENINSULA PATHOLOGISTS MEDICAL
2620 SOUTHWICK BLVD	TOLEDO	OH	43614	MEDICAL SERVICES	1382234

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	104	NumberOfContractorsGT100K
Related Organizations	6432436	RelatedOrganizations
Government Grants	490880	GovernmentGrants
All Other Contributions	1136411	AllOtherContributions
Total Contributions	8059727	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	622110	544281398	544281398
RENTAL TO AFFILIATES	900099	1506906	1506906

Field	Value	IRS element (for citing)
Total Program Service Revenue	545788304	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4132960	TotalRevenueColumn
Exclusion	$4,132,960	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4537741	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2302791	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2234950	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2234950	TotalRevenueColumn
Exclusion	$2,234,950	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	13287192	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	195545	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	13091647	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	13091647	TotalRevenueColumn
Exclusion	$13,091,647	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
AUXILIARY ACTIVITY	900099	632932	632932
FOOD SERVICES	722310	968521	968521
PARKING REVENUE	812930	1340	1340

Field	Value	IRS element (for citing)
Total Other Revenue	1602793	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	574910381	TotalRevenueColumn
Related Or Exempt Function Income	547391097	RelatedOrExemptFunctionIncome
Exclusion	$19,459,557	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	842171	Total
Program Services	842171	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	68436	Total
Program Services	68436	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	174394881	Total
Program Services	163931188	ProgramServices
Management And General	10463693	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8298940	Total
Program Services	7801004	ProgramServices
Management And General	497936	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	77054752	Total
Program Services	72431467	ProgramServices
Management And General	4623285	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13513733	Total
Program Services	12702909	ProgramServices
Management And General	810824	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2682779	Total
Program Services	2655951	ProgramServices
Management And General	26828	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1143734	Total
Program Services	1132297	ProgramServices
Management And General	11437	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	26469	Total
Program Services	26204	ProgramServices
Management And General	265	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	166042	Total
Program Services	0	ProgramServices
Management And General	166042	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19023449	Total
Program Services	17121104	ProgramServices
Management And General	1902345	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	600693	Total
Program Services	204236	ProgramServices
Management And General	396457	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2380653	Total
Program Services	0	ProgramServices
Management And General	2380653	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3683284	Total
Program Services	3683284	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10599837	Total
Program Services	10285857	ProgramServices
Management And General	313980	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	454723	Total
Program Services	295570	ProgramServices
Management And General	159153	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	70654	Total
Program Services	0	ProgramServices
Management And General	70654	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	16662896	Total
Program Services	16662896	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	51816950	Total
Program Services	45598916	ProgramServices
Management And General	6218034	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3951628	Total
Program Services	3556465	ProgramServices
Management And General	395163	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	48201311	44586213	3615098
PURCHASED SERVICES	35581971	32913323	2668648
REGIONAL ALLOCATION	14751841	13645453	1106388
SYSTEM ALLOCATION	8028925	7426756	602169

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	27333875	Total
Program Services	25283833	ProgramServices
Management And General	2050042	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	521334627	Total
Program Services	482855533	ProgramServices
Management And General	38479094	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	12284258	BOY
EOY	24738716	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	60925588	BOY
EOY	64424530	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7227242	BOY
EOY	8316261	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3037470	BOY
EOY	3359950	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1050720531	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	294654429	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	762984113	BOY
EOY	756066102	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	63133976	BOY
EOY	19953686	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	22987317	BOY
EOY	16586955	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	932579964	BOY
EOY	893446200	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	51870969	BOY
EOY	60609764	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	511413963	BOY
EOY	502527821	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	11470590	BOY
EOY	6780116	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	574755522	BOY
EOY	569917701	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	357450473	BOY
EOY	323120597	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	373969	BOY
EOY	407902	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	357824442	BOY
EOY	323528499	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	932579964	BOY
EOY	893446200	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	53575754	ReconcilationRevenueExpenses
Reconcilation Other Changes	-87871697	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6719626	BeginningOfYearBalance
Investment Earnings Or Losses	32296	InvestmentEarningsOrLosses
Other Expenditures	53792	OtherExpenditures
End Of Year Balance	6698130	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6271261	BeginningOfYearBalance
Investment Earnings Or Losses	544479	InvestmentEarningsOrLosses
Other Expenditures	96114	OtherExpenditures
End Of Year Balance	6719626	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5797262	BeginningOfYearBalance
Investment Earnings Or Losses	544040	InvestmentEarningsOrLosses
Other Expenditures	70041	OtherExpenditures
End Of Year Balance	6271261	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6910971	BeginningOfYearBalance
Investment Earnings Or Losses	-865337	InvestmentEarningsOrLosses
Other Expenditures	248372	OtherExpenditures
End Of Year Balance	5797262	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.90000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.10000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11852348	OtherCostOrOtherBasis
Book Value	11852348	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	794830193	OtherCostOrOtherBasis
Depreciation	160195107	Depreciation
Book Value	634635086	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4117451	OtherCostOrOtherBasis
Depreciation	3804026	Depreciation
Book Value	313425	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	207101779	OtherCostOrOtherBasis
Depreciation	127122764	Depreciation
Book Value	79979015	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32818760	OtherCostOrOtherBasis
Depreciation	3532532	Depreciation
Book Value	29286228	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	756066102	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
INSURANCE LIABILITIES	$2,300,747
OTHER LIABILITIES	$4,479,369

Field	Value	IRS element (for citing)
Total Of Amounts	6780116	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS	PART V, QUESTION 4	THE ENDOWMENTS ARE USED TO SUPPORT THE PROGRAMS OF MILLS-PENINSULA HEALTH SERVICES.
ASC 740 (FIN48) AUDIT FOOTNOTE	PART X, LINE 2	THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH 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 FOR-PROFIT SUBSIDIARIES AND 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, 2011 AND 2010, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	350.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10624853	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	10624853	NetCommunityBenefitExpense
Percent Of Total Expense	0.02040	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	43344081	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21290967	DirectOffsettingRevenue
Net Community Benefit Expense	22053114	NetCommunityBenefitExpense
Percent Of Total Expense	0.04230	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	813939	TotalCommunityBenefitExpense
Direct Offsetting Revenue	382459	DirectOffsettingRevenue
Net Community Benefit Expense	431480	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54782873	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21673426	DirectOffsettingRevenue
Net Community Benefit Expense	33109447	NetCommunityBenefitExpense
Percent Of Total Expense	0.06350	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	28048	PersonsServed
Total Community Benefit Expense	796011	TotalCommunityBenefitExpense
Direct Offsetting Revenue	180	DirectOffsettingRevenue
Net Community Benefit Expense	795831	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	86	PersonsServed
Total Community Benefit Expense	332448	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	332448	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	491	PersonsServed
Total Community Benefit Expense	5687186	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3455233	DirectOffsettingRevenue
Net Community Benefit Expense	2231953	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	2658	PersonsServed
Total Community Benefit Expense	1124414	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1124414	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	36	NumberOfActivitiesOrPrograms
Persons Served	31283	PersonsServed
Total Community Benefit Expense	7940059	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3455413	DirectOffsettingRevenue
Net Community Benefit Expense	4484646	NetCommunityBenefitExpense
Percent Of Total Expense	0.00860	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	36	NumberOfActivitiesOrPrograms
Persons Served	31283	PersonsServed
Total Community Benefit Expense	62722932	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25128839	DirectOffsettingRevenue
Net Community Benefit Expense	37594093	NetCommunityBenefitExpense
Percent Of Total Expense	0.07210	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	566	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	566	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	10	PersonsServed
Total Community Building Expense	11696	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	11696	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	10	PersonsServed
Total Community Building Expense	12262	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	12262	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$3,248,394	BadDebtExpenseAmount
Amount Reimbursed By Medicare	85944855	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	118668663	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-32723808	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
MILLS-PENINSULA MEDICAL CENTER
1	1501 TROUSDALE DRIVE	BURLINGAME	CA	94010	X	X	X
MILLS-PENINSULA SKILLED NURSING FACILITY
2	1609 TROUSDALE DRIVE	BURLINGAME	CA	94010	X
SUTTER MATERNITY & SURG CTR SANTA CRUZ
3	2900 CHANTICLEER AVENUE	SANTA CRUZ	CA	95065	X	X		OUTPATIENT SERVICES
MENLO PARK SURGICAL HOSPITAL
4	570 WILLOW ROAD	MENLO PARK	CA	94025	X	X		OUTPATIENT SERVICES

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Medical IndigencyMedicalIndigency	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
MILLS-PENINSULA MEDICAL CENTER
1	true	true	350.	true	500.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false
MILLS-PENINSULA SKILLED NURSING FACILITY
2	true	true	350.	true	500.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false
SUTTER MATERNITY & SURG CTR SANTA CRUZ
3	true	true	350.	true	500.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false
MENLO PARK SURGICAL HOSPITAL
4	true	true	350.	true	500.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MILLS-PENINSULA HEALTH CENTER
100 S SAN MATEO DRIVE	SAN MATEO	CA	94401	CHRONIC DIALYSIS RENAL DISEASE
BURLINGAME DIALYSIS CENTER
1720 EL CAMINO REAL	BURLINGAME	CA	94010	RENAL DISEASE
MILLS-PENINSULA HEALTH SERVICES
1600 TROUSDALE DRIVE	BURLINGAME	CA	94010	PSYCH. SERVICES
MILLS-PENINSULA SKILLED NURSING FACILITY
101 S SAN MATEO DRIVE	SAN MATEO	CA	94401	SKILLED NURSING FACILITY
MILLS-PENINSULA SKILLED NURSING FACILITY
1609 TROUSDALE DRIVE	BURLINGAME	CA	94010	SKILLED NURSING FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PART I, QUESTION 3C	TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 350% OF FPG. PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES APPLIES TO UNINSURED PATIENTS WHOSE FAMILY INCOMES ARE BETWEEN 351% AND 500%. 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 INSURE HAS NOT PROVIDED A DISCOUNT. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAT THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICE DISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDER INSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TO ADMISSION. - PROMPT PAYMENT DISCOUNT: PARTIAL WRITE-OFF AVAILABLE TO UNINSURED PATIENTS WHO PAY PROMPTLY, CONSISTING OF AT LEAST A 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 7	COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
PART II	MILLS-PENINSULA HEALTH SERVICES MILLS-PENINSULA HEALTH SERVICES (MPHS) DOES NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2011. SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ 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. A) ENVIRONMENTAL AWARENESS PROGRAM: THE ENVIRONMENTAL AWARENESS PROGRAM AT SUTTER MATERNITY & SURGERY CENTER FOCUSES ON REDUCTION OF COMMUNITY ENVIRONMENTAL HAZARDS. ALONG WITH THE SHARE IN HEALTH CARE FACILITY ENVIRONMENTAL RESPONSIBILITY WHICH INCLUDES WASTE REDUCTION, GREEN PURCHASING AND OTHER ECOLOGY INITIATIVES. B) MENTORING OF STUDENTS/INTERNSHIPS: SUTTER MATERNITY & SURGERY CENTER TEACHES AND MENTORS STUDENTS FROM ALTERNATIVE PROGRAMS, PROVIDING RETRAINING AND RE-ENTRANCE INTO THE JOB MARKET SPECIFICALLY TO FIND WORK IN THE MEDICAL FIELD. THESE STUDENTS COME FROM THE SHORELINE WORKFORCE DEVELOPMENT SERVICES PROGRAM, WHICH IS SUBSIDIZED BY THE STATE, AND STUDENTS FROM THE REGULAR SHORELINE PROGRAM (8-MONTH SCHOOL TRAINING PROGRAM). THESE STUDENTS WORK ALL OVER THE HOSPITAL IN DIFFERENT SETTINGS.	COMMUNITY BUILDING ACTIVITIES
PART III, QUESTION 4	THE ORGANIZATION MAKES EVERY EFFORT TO QUALIFY THOSE ELIGIBLE FOR CHARITY CARE. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. AUDIT FOOTNOTE THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. PROVISION FOR BAD DEBTS IS LISTED ON A SEPARATE LINE ITEM IN THE FINANCIAL STATEMENTS. THE AUDIT DOES INCLUDE FOOTNOTES FOR PATIENT ACCOUNTS RECEIVABLE AND PATIENT SERVICE REVENUES LISTED BELOW. PATIENT ACCOUNTS RECEIVABLE AUDIT FOOTNOTE: SUTTER'S PRIMARY CONCENTRATION OF CREDIT RISK IS PATIENT ACCOUNTS RECEIVABLE, WHICH CONSIST OF AMOUNTS OWED BY VARIOUS GOVERNMENTAL AGENCIES, INSURANCE COMPANIES AND PRIVATE PATIENTS. SUTTER MANAGES THE RECEIVABLES BY REGULARLY REVIEWING ITS PATIENT ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE AMOUNTS. THESE ALLOWANCES ARE ESTIMATED BASED UPON AN EVALUATION OF HISTORICAL PAYMENTS, NEGOTIATED CONTRACTS AND GOVERNMENTAL REIMBURSEMENTS. SUTTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 90% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011 AND 2010. 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 25% AS OF 12/31/11 28% AS OF 12/31/10 MEDI-CAL 21% AS OF 12/31/11 20% AS OF 12/31/10 DURING 2011 AND 2010, 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 2011. METHODOLOGY FOR CALCULATING BAD DEBT (AT COST) THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE.
PART III, QUESTION 7	MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS.
PART III, QUESTION 8	COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT OF $32,723,808.
PART III, QUESTION 9B	COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 30 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS.
PART V, SECTION B, QUESTION 11H	ADDITIONAL FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL POVERTY GUIDELINES.	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS:
PART V, SECTION B, QUESTION 13G	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.	MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY:
PART V, SECTION B, QUESTION 19	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.	AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS:
NEEDS ASSESSMENT	MILLS-PENINSULA HEALTH SERVICES MILLS-PENINSULA HEALTH SERVICES (MPHS) ASSESSES THE NEEDS OF ITS COMMUNITY BY PARTICIPATING IN A COLLABORATIVE NEEDS ASSESSMENT PROCESS IN BOTH SAN MATEO COUNTY AND SANTA CRUZ COUNTY. IN SAN MATEO COUNTY, THE ASSESSMENT OCCURS EVERY THREE YEARS. BOTH PROJECTS INCLUDE QUANTITATIVE AND QUALITATIVE DATA AND INCLUDES INFORMATION COLLECTED FROM STATE AND COUNTY HEALTH AGENCIES AND COMMUNITY INPUT THROUGH ADVISORY BOARDS. THE NEEDS ASSESSMENT PROCESS HELPS TO FOCUS COMMUNITY BENEFIT EFFORTS TOWARD THE GREATEST HEALTH-RELATED NEEDS FOR RESIDENTS IN SAN MATEO AND SANTA CRUZ COUNTY. SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ SUTTER MATERNITY & SURGERY CENTER WORKS WITH THE UNITED WAY OF SANTA CRUZ COUNTY ON THEIR COMMUNITY ASSESSMENT PROJECT (CAP), A COLLABORATIVE PROJECT TO MEASURE THE QUALITY OF LIFE IN SANTA CRUZ. THE COLLABORATIVE IS MADE UP OF PUBLIC AND PRIVATE HEALTH, EDUCATION, HUMAN SERVICE AND CIVIC ORGANIZATIONS WHO LOOK AT A SERIES OF INDICATORS IN HEALTH, ECONOMY, EDUCATION, PUBLIC SAFETY, THE NATURAL ENVIRONMENT AND SOCIAL ENVIRONMENT OF SANTA CRUZ COUNTY. CAP IDENTIFIED THE FOLLOWING HEALTH-RELATED GOALS IN THEIR MOST RECENT REPORT (SANTA CRUZ COUNTY COMMUNITY ASSESSMENT PROJECT, YEAR 17, 2011; PAGE 68): - BY THE YEAR 2015, ACCESS TO PRIMARY CARE WILL IMPROVE AS MEASURED BY: - 95% OF SANTA CRUZ COUNTY RESIDENTS WILL REPORT HAVING A REGULAR SOURCE OF HEALTH CARE; - LESS THAN 10% WILL REPORT TO THE EMERGENCY DEPARTMENT AS ONE OF THEIR REGULAR SOURCES OF HEALTH CARE; AND - NO SIGNIFICANT DIFFERENCE BETWEEN THE PERCENT OF CAUCASIAN AND LATINO RESIDENTS REPORTING A REGULAR SOURCE OF HEALTH CARE. - BY THE YEAR 2015, 98% OF SANTA CRUZ COUNTY CHILDREN 0 - 17 WILL HAVE COMPREHENSIVE HEALTH CARE COVERAGE AS MEASURED BY THE CAP SURVEY. - BY THE YEAR 2015, THE PREVALENCE OF CHILDHOOD OBESITY IN SANTA CRUZ COUNTY WILL DECREASE AS MEASURED BY: - % OF CHILDREN UNDER 5 YEARS WHO ARE OVERWEIGHT OR OBESE WILL DECREASE FROM 15% TO 12%, AND - % OF CHILDREN 5 TO 19 YEARS WHO ARE OVERWEIGHT OR OBESE WILL DECREASE FROM 26% TO 21%. TO SEE MORE OF THE MOST RECENT CAP, PLEASE VISIT THE WEBSITE AT HTTP://WWW.SANTACRUZCOUNTYCAP.ORG/CAP-17.HTM	PART VI, QUESTION 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	MILLS-PENINSULA HEALTH SERVICES AND SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ 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 INFORMATION	MILLS-PENINSULA HEALTH SERVICES - SAN MATEO COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU THE POPULATION OF SAN MATEO COUNTY WAS 718,451 AND CONSISTED OF 49.2% MEN AND 50.8% WOMEN WITH A MEDIAN AGE OF 36.8 YEARS. THE POPULATION DENSITY WAS 1,602.2 PEOPLE PER SQUARE MILE IN 2010 WHICH IS OVER SIX TIMES THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SAN MATEO'S POPULATION CONSISTS OF 53.4% WHITE RESIDENTS, 25.4% HISPANIC OR LATINO AND 24.8% ASIAN. OVER HALF (58.5%) OF RESIDENTS SPEAK ENGLISH AT HOME WHILE 18.1% SPEAK SPANISH, AND 15.5% SPEAK ASIAN OR PACIFIC ISLANDER AT HOME. THE MEDIAN HOUSEHOLD SIZE IS 2.72 PEOPLE WITH A 2010 AVERAGE INCOME OF $85,648 AND A MEDIAN HOUSE VALUE OF $784,800. A HIGH PERCENTAGE 88.5% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 44% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SAN MATEO 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 17.6% IN APRIL 2010 WHICH WAS ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 171 GROCERY STORES, 114 CONVENIENCE STORES (WITH GAS) AND 703 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 14.4% OF ADULTS BEING OBESE, 4.2% OF ADULTS WITH DIABETES AND 21.6% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 4,536 DEATHS IN SAN MATEO COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 9,914 BIRTHS AS WELL AS 43 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 80.3 YEARS WHICH WAS EXACTLY AT THE CALIFORNIA LIFE EXPECTANCY. IN 2010, 14.3% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS BELOW BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN SAN MATEO COUNTY 66% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 6.1% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ - SANTA CRUZ COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU, SANTA CRUZ HAD A POPULATION OF 262,382 AND CONSISTED OF 49.9% MEN AND 50.1% WOMEN WITH A MEDIAN AGE OF 35 YEARS. THE POPULATION DENSITY WAS 589.4 PEOPLE PER SQUARE MILE IN 2010 WHICH IS TWICE THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SANTA CRUZ'S POPULATION CONSISTS OF 72.5% WHITE RESIDENTS, 32% HISPANIC OR LATINO AND 4.2% ASIAN. ALMOST THREE QUARTERS (72.2%) OF RESIDENTS SPEAK ENGLISH AT HOME WHILE 22.2% SPEAK SPANISH (17% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 2.63 PEOPLE WITH A 2010 AVERAGE INCOME OF $65,253 AND A MEDIAN HOUSE VALUE OF $648,700. A HIGH PERCENTAGE (84.1%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 37.3% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SANTA CRUZ THE POVERTY LEVEL IN 2010 WAS AT 12.7% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 13.5% IN APRIL 2010 WHICH WAS ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 64 GROCERY STORES, 39 CONVENIENCE STORES (WITH GAS) AND 246 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 20% OF ADULTS BEING OBESE, 7% OF ADULTS WITH DIABETES AND 20.4% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 1,598 DEATHS IN SANTA CRUZ COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 3,571 BIRTHS AS WELL AS 19 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 77.1 YEARS WHICH WAS BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010, 22.3% 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 SANTA CRUZ COUNTY 44.7% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 14.6% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE.	PART VI, QUESTION 4
PROMOTION OF COMMUNITY HEALTH	SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS OF MILLS-PENINSULA HEALTH SERVICES' (MPHS) COMMUNITY BENEFIT ACTIVITIES IN 2011: MILLS-PENINSULA HEALTH SERVICES CREATED SENIOR FOCUS IN 1985 TO HELP SENIORS PROTECT THEIR INDEPENDENCE, WITH EDUCATION ABOUT HOW TO STAY HEALTHY AND SERVICES TO ASSIST WHEN CHALLENGES APPEAR. MORE THAN 25 YEARS LATER, SENIOR FOCUS HAS MATURED INTO A TRUSTED RESOURCE FOR FAMILIES AND A HIGHLY REGARDED PARTNER AND ADVISOR FOR LOCAL AGENCIES AND ORGANIZATIONS. REPRESENTING THE BEST CURRENT THINKING ABOUT HEALTHFUL AGING, SENIOR FOCUS SERVES AS EDUCATOR, SERVICE PROVIDER AND ADVOCATE FOR ELDERS IN THE COMMUNITY, IN THE HOSPITAL AND AT HOME. FROM TIME TO TIME, IT IS NECESSARY FOR THE HOSPITAL TO CALL UPON MEDICAL SPECIALISTS TO ASSIST IN THE CARE AND TREATMENT OF PATIENTS IN THE EMERGENCY DEPARTMENT AND/OR LABOR AND DELIVERY. MPHS ASSISTS THOSE PATIENTS WITH FINANCIAL HARDSHIPS TO PAY FOR SERVICES RENDERED. THIS PROGRAM HELPED SUPPORT MORE THAN 475 PERSONS IN 2011. MPHS PARTICIPATES IN NUMEROUS HEALTH FAIRS AT LOCAL SCHOOLS, COMMUNITY COLLEGE AND CHURCHES IN THE COUNTY. SERVICES AT THESE EVENTS INCLUDE BLOOD PRESSURE READINGS, STEP TESTS, BODY COMPOSITIONS AND FLEXIBILITY, CHAIR MASSAGES AND SCHOLARSHIPS. THESE PROGRAMS SERVED MORE THAN 5,400 PERSONS IN 2011. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS OF SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ'S (SM&SC) COMMUNITY BENEFIT ACTIVITIES IN 2011: SM&SC PROVIDES A VARIETY MENTORING, INTERNSHIPS AND PRECEPTORSHIPS FOR STUDENTS LOOKING TO FURTHER THEIR EDUCATION IN THE HEALTH CARE FIELD. SM&SC PARTICIPATES IN A SENIOR HEALTH FAIR, PROSTATE CANCER AWARENESS FAIR AND BREAST CANCER AWARENESS FAIR TO PROVIDE FREE HEALTH SCREENINGS, RESOURCES AND EDUCATION FOR THE COMMUNITY. SM&SC SUPPORTS A VARIETY OF NONPROFIT ORGANIZATIONS SUCH AS THE AMERICAN RED CROSS, THE COMMUNITY FOUNDATION OF SANTA CRUZ COUNTY, BILLY FOUNDATION AND LEADERSHIP SANTA CRUZ COUNTY WITH CASH DONATIONS TO SUPPORT HIGH-RISK YOUTH, SCHOLARSHIPS AND EMERGENCY FUNDING FOR DISASTER RELIEF. SM&SC PROVIDES SPACE AND RESOURCES FOR GROUPS LIKE NARCOTICS ANONYMOUS, OVER EATERS ANONYMOUS AND ALCOHOLICS ANONYMOUS. THESE CRITICAL SELF-HELP RECOVERY PROGRAMS SUPPORT COMMUNITY MEMBERS SUFFERING FROM ADDICTION.	PART VI, QUESTION 5
AFFILIATED HEALTH CARE SYSTEM	MILLS-PENINSULA HEALTH SERVICES AND SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ 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 $2.7 MILLION IN CHARITY CARE PER WEEK. IN 2011, OUR NETWORK OF PHYSICIAN ORGANIZATIONS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS INVESTED A RECORD $756 MILLION IN BENEFITS TO 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. 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 REPORT	CALIFORNIA	PART VI, QUESTION 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (36 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
SANTA CRUZ COUNTY COMMUNITY FOUNDATION
2425 PORTER ST	SOQUEL	CA	95073	942808039	501(C)(3)	140000	GENERAL SUPPORT
COMMUNITY GATEPATH
875 STANTON RD	BURLINGAME	CA	94010	941156502	501(C)(3)	115000	GENERAL SUPPORT
SAMARITAN HOUSE
4031 PACIFIC BLVD	SAN MATEO	CA	94403	237416272	501(C)(3)	115000	GENERAL SUPPORT
HOSPITAL CONSORTIUM
1600 TROUSDALE DR	BURLINGAME	CA	94010	942637032	501(C)(3)	56000	GENERAL SUPPORT
BURLINGAME CITY
850 BURLINGAME AVE	BURLINGAME	CA	94010	946000304		29000	GENERAL SUPPORT
PAL CARE INC
945 CALIFORNIA DR	BURLINGAME	CA	94010	943048383	501(C)(3)	25000	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
100 MONTGOMERY ST	SAN FRANCISCO	CA	94104	135613797	501(C)(3)	20950	GENERAL SUPPORT
MID PENINSULA BOYS & GIRLS CLUB
200 N QUEBEC ST	SAN MATEO	CA	94401	941431583	501(C)(3)	18000	GENERAL SUPPORT
HUMAN INVESTMENT PROJECT
364 S RAILROAD AVE	SAN MATEO	CA	94401	942154614	501(C)(3)	16000	GENERAL SUPPORT
ROTACARE COASTSIDE CLINIC
PO BOX 18430	SAN JOSE	CA	95158	770328723	501(C)(3)	16000	GENERAL SUPPORT
CORA
1633 BAYSHORE HWY	BURLINGAME	CA	94010	942481188	501(C)(3)	15000	GENERAL SUPPORT
PARCA
800 AIRPORT BLVD	BURLINGAME	CA	94010	941650851	501(C)(3)	15000	GENERAL SUPPORT
PENINSULA FAMILY SVC AGENCY
24 SECOND AVE	SAN MATEO	CA	94401	941186169	501(C)(3)	15000	GENERAL SUPPORT
PUENTE DELA COSTA
PO BOX 554	PESCADERO	CA	94060	371484262	501(C)(3)	15000	GENERAL SUPPORT
SHELTER NETWORK
1660 S AMPHLETT BLVD	SAN MATEO	CA	94402	770160469	501(C)(3)	15000	GENERAL SUPPORT
UNITED WAY SANTA CRUZ
PO BOX 1458	CAPITOLA	CA	95010	941422471	501(C)(3)	10500	GENERAL SUPPORT
HOME & HOPE
1720 EL CAMINO REAL	BURLINGAME	CA	94010	943356735	501(C)(3)	10000	GENERAL SUPPORT
SAN MATEO CITY
2645 ALAMEDA LAS PULGAS	SAN MATEO	CA	94403	946000422		13000	GENERAL SUPPORT
CABRILLO COLLEGE ACCRUAL
6500 SOQUEL DR	APTOS	CA	95003	770385111	501(C)(3)	10000	GENERAL SUPPORT
STAR VISTA
610 ELM ST	SAN CARLOS	CA	94070	943094966	501(C)(3)	9500	GENERAL SUPPORT
CASA OF SAN MATEO
1700 EL CAMINO REAL	SAN MATEO	CA	94402	680484676	501(C)(3)	8000	GENERAL SUPPORT
COASTSIDE ADULT DAY HEALTH
645 CORREAS ST	HALF MOON BAY	CA	94019	942435784	501(C)(3)	8000	GENERAL SUPPORT
EDGEWOOD CTR CHILDREN
1801 VICENTE ST	SAN FRANCISCO	CA	94116	941186168	501(C)(3)	8000	GENERAL SUPPORT
FAMILY CONNECTIONS
PO BOX 358	SAN CARLOS	CA	94070	943315163	501(C)(3)	8000	GENERAL SUPPORT
LEGAL AIDS OF SAN MATEO COUNTY
521 E 5TH AVE	SAN MATEO	CA	94402	941451894	501(C)(3)	8000	GENERAL SUPPORT
NOTRE DAME DE NAMUR UNIVERSITY
1500 RALSTON AVE	BELMONT	CA	94002	941156646	501(C)(3)	8000	GENERAL SUPPORT
OMBUDSMAN SVC SMC
711 NEVADA ST	REDWOOD CITY	CA	94061	943397402	501(C)(3)	8000	GENERAL SUPPORT
PENINSULA JEWISH
2440 CARLMONT DR	BELMONT	CA	94002	943227262	501(C)(3)	8000	GENERAL SUPPORT
PLANNED PARENTHOOD MAR MONTE
1746 THE ALAMEDA	SAN JOSE	CA	95126	941583439	501(C)(3)	8000	GENERAL SUPPORT
SENIOR COASTSIDE
535 KELLEY AVE	HALF MOON BAY	CA	94019	943119310	501(C)(3)	8000	GENERAL SUPPORT
SONRISAS
210 SAN MATEO DR	HALF MOON BAY	CA	94019	943390196	501(C)(3)	8000	GENERAL SUPPORT
VISTA CTR FOR THE BLIND & VISUALLY IMPAIRED
2470 EL CAMINO REAL	PALO ALTO	CA	94306	941196206	501(C)(3)	8000	GENERAL SUPPORT
FRIENDS FOR YOUTH
1741 BROADWAY ST	REDWOOD CITY	CA	94063	942961034	501(C)(3)	7500	GENERAL SUPPORT
SAN MATEO COUNTY
1720 EL CAMINO REAL	BURLINGAME	CA	94010	943356735	501(C)(3)	7500	GENERAL SUPPORT
WOMEN CARE
2901 PARK AVE	SOQUEL	CA	95073	770410099	501(C)(3)	7500	GENERAL SUPPORT
BURLINGAME CHAMBER OF COMMERCE
290 CALIFORNIA DR	BURLINGAME	CA	94010	941073698	501(C)(6)	5500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	33	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	57	NumberOfRecipients
Amount Of Cash Grant	68436	AmountOfCashGrant

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JEFF GERARD
0	658710	0	434975	0	5278	0	556451	0	19576	0	1674990	0	456135
DOLORES GOMEZ
0	346419	0	99563	0	888	0	114105	0	18212	0	579187	0	110278
ROBERT HORTOP
0	247764	0	78808	0	4896	0	85942	0	7086	0	424496	0	89508
GORDON HUNT
0	1988650	0	579173	0	9286	0	607893	0	9334	0	3194336	0	682355
IFTIKHAR HUSSAIN
0	303701	0	93851	0	452	0	116747	0	18098	0	532849	0	93851
SHEILA LITTRELL
204152	0	21057	0	18243	0	9957	0	16496	0	269905	0	0	0
FORREST MALAKOFF
0	194021	0	63182	0	819	0	48476	0	7257	0	313755	0	63182
ROBERT MERWIN
0	570826	0	271164	0	5613	0	486829	0	20456	0	1354888	0	338126
RICHARD K NICHOLS
0	250906	0	95061	0	1462	0	92221	0	13211	0	452861	0	105938
MARGIE O'CLAIR
189074	0	25622	0	7182	0	9075	0	16533	0	247486	0	0	0
CARRIE OWEN-PLIETZ
0	387788	0	125723	0	59535	0	181333	0	18311	0	772690	0	125723
BRIAN ROACH MD
0	371616	0	143829	0	1381	0	191135	0	15820	0	723781	0	143829
RICHARD SLAVIN
0	786819	0	50000	0	5446	0	306745	0	18164	0	1167174	0	50000
SHELBY SPEAS
0	176391	0	0	0	0	0	11912	0	0	0	188303	0	0
MICHAEL WOOD MD
0	365064	0	113793	0	1073	0	121924	0	2072	0	603926	0	126951
YONIS MUDEY
377414	0	0	0	0	0	10017	0	0	0	387431	0	0	0
VICKI L WHITE
0	256395	0	75254	0	32849	0	83702	0	18051	0	466251	0	73254
PATRICIA M RYAN
0	249952	0	13320	0	74343	0	87160	0	7109	0	431884	0	13320
DANIEL BECKER
301164	0	19220	0	2064	0	10017	0	16691	0	349156	0	0	0
GAIUS JURADO
272894	0	0	0	350	0	10017	0	10123	0	293384	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CSCDA 2005A
680164610	130911U24	2005-10-19	276217522	REFUNDING - 7/18/1995	false	false	false
CSCDA 2005BC
680164610	130795EG8	2007-05-01	49994066	REFUNDING - 10/19/2005	false	false	false
CHFFA 2007A
521643828	13033FQ37	2007-05-01	790998316	CONSTRUCT & EQUIP FACILITY	false	false	false
CHFFA 2008A
521643828	13033F2L3	2008-05-14	329041638	REFUNDING - 5/1/2007	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Year Of Subst CompletionYearOfSubstCompletion
0	284787106	21070840	0	189282478	74433788	0	true	false	true	true
0	52179709	3461872	0	0	48717837	0	true	false	true	true
0	857735124	0	55398317	759620124	584502	42132181	false	false	true	true	2011
66210000	329041638	0	0	0	329041638	0	true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0
0
0.00930	false	true	true	true	true	true	0.00000	0.00930	true
0

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false
0
false	false	false	false	0	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SEE SCHEDULE O	Identifier
Return Reference	0	ReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
MISSION STATEMENT	FORM 990, PART I, LINE 1 AND PART III, LINE 1	"WE ENHANCE THE WELL-BEING OF THE PEOPLE IN OUR COMMUNITIES THROUGH COMPASSION, EXCELLENCE AND INNOVATION IN HEALTH CARE SERVICES, RESEARCH AND EDUCATION."
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINE 4A	MILLS-PENINSULA HEALTH SERVICES CONTINUES TO BE A COMMITTED PARTNER WITH THE COMMUNITIES WE SERVE. IN ADDITION TO A RECORD OF $35 MILLION IN CHARITY CARE IN 2011 AS WELL AS $5 MILLION IN OTHER COMMUNITY BENEFIT ACTIVITIES, THE HIGHLIGHT OF THE LAST DECADE HAS BEEN THE DEVELOPMENT AND OPENING OF A NEW $640 MILLION HOSPITAL. IN COMPLIANCE WITH CALIFORNIA SENATE BILL 1953, THE NEW FACILITY, OPENED IN MAY 2011, IS CONSTRUCTED TO WITHSTAND AN 8-POINT EARTHQUAKE AND REMAIN OPERATIONAL TO SERVE THE COMMUNITY. IN 2011, MILLS-PENINSULA SERVED 14,812 INPATIENTS, HAD 91,745 PATIENT DAYS, MANAGED 44,738 VISITS TO THE ER, 314,558 OUTPATIENT VISITS AND 10,532 SURGERIES OVERALL. NEARLY 2,000 BABIES WERE BORN AT MILLS-PENINSULA; 103 HEART SURGERIES PERFORMED AND 1,345 PEOPLE TREATED FOR CANCER. OTHER HIGHLIGHTS OF 2011 INCLUDE: MILLS-PENINSULA PARTICIPATES IN THE SAN MATEO COUNTY HOSPITAL CONSORTIUM'S HEALTHY COMMUNITY COLLABORATIVE. PART OF THE COLLABORATIVE'S WORK IS TO CONDUCT COMMUNITY HEALTH ASSESSMENTS EVERY THREE YEARS. OUR COMMUNITY BENEFIT PROGRAMS ARE DESIGNED TO MEET NEEDS IDENTIFIED IN THE ASSESSMENTS. THE PROGRAMS BELOW ARE EXAMPLES OF THE SIGNIFICANT CONTRIBUTION MILLS-PENINSULA PROVIDES IN OUR COMMUNITY. - ONGOING SUPPORT FOR SENIORS THROUGH MILLS-PENINSULA'S SENIOR FOCUS PROGRAM THAT PROVIDES ADULT DAY HEALTH CARE, ALZHEIMER'S DAY CARE RESOURCE CENTER AND EDUCATION - COOPERATIVE PROGRAM WITH SAN MATEO COUNTY AND THE PENINSULA HEALTH CARE DISTRICT TO PROVIDE PREGNANCY AND DELIVERY CARE FOR MEDICAL MOMS - EXPANSION OF MILLS-PENINSULA'S AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE EFFORTS TO PROVIDE SCREENING AND EDUCATION TO UNDERSERVED POPULATIONS - ONGOING SUPPORT FOR SAMARITAN HOUSE, A KEY NON-PROFIT SAFETY NET AGENCY THAT PROVIDES MEDICAL CARE, HOUSING, FOOD AND JOB TRAINING FOR THE UNDERSERVED - GRANTS PROGRAM FOR COMMUNITY NON-PROFITS THAT IN 2011 PROVIDED $377,000 IN FUNDING FOR SPECIAL PROJECTS SENIOR FOCUS: 2011 CONTRIBUTION $1,226,037 THE PROPORTION OF ADULTS AGED 60 AND OLDER IN SAN MATEO COUNTY IS EXPECTED TO ROUGHLY DOUBLE OVER THE NEXT FOUR DECADES. AS THE FASTEST-GROWING POPULATION SEGMENT, THE HEALTH AND SOCIAL NEEDS OF OLDER ADULTS REQUIRE INCREASING ATTENTION. SENIOR FOCUS SERVES OLDER ADULTS AND THEIR FAMILIES IN SAN MATEO COUNTY, PROVIDING SERVICES ACROSS THE SPECTRUM FROM PREVENTION EDUCATION TO MEDICAL DAY CARE. THOUSANDS OF PEOPLE ARE SERVED ANNUALLY. HEALTH EDUCATION CLASSES AND SCREENINGS PROMOTE A HEALTHY LIFESTYLE AND HELP SENIORS PREVENT OR MANAGE DISEASE WHEN IT OCCURS. VOLUNTEER PROGRAMS HELP SENIORS MAINTAIN AN ACTIVE LIFESTYLE AND CONTRIBUTE TO THE NON-PROFITS IN THE COMMUNITY. THE ADULT DAY HEALTH AND ALZHEIMER'S PROGRAMS - ONE OF ONLY TWO IN THE COUNTY - PROVIDE MULTIDISCIPLINARY HEALTH CARE SERVICES IN AN OUTPATIENT SETTING, ALLOWING FRAIL OR IMPAIRED SENIORS TO REMAIN LIVING AT HOME INSTEAD OF IN INSTITUTIONS. CAREGIVER SERVICES INCLUDE CLASSES, SUPPORT GROUPS, ONE TO ONE COUNSELING, REFERRAL TO COMMUNITY RESOURCES AND A CAREGIVER LIBRARY. THE PROGRAMS ALSO PROVIDE LEARNING OPPORTUNITIES TO HEALTH CARE AND SOCIAL SERVICES PROFESSIONALS IN THE COMMUNITY AND THOSE WHO ARE SEEKING CAREERS IN THE FIELD OF AGING. OUR ONGOING GOAL IS TO ENSURE STABILITY OF THE PROGRAMS IN LIGHT OF STATE BUDGET CONSTRAINTS THAT REDUCED STATE FUNDING. OUR EFFORTS ALSO INCLUDE WORKING WITH THE COUNTY AND APPROPRIATE ADVOCACY ORGANIZATIONS TO CREATE AND IMPLEMENT PROGRAM REVISIONS THAT WILL HELP MAKE THE SERVICES SUSTAINABLE. PREGNANCY AND BIRTHING CARE FOR MEDI-CAL MOMS IN SAN MATEO COUNTY: 2011 CONTRIBUTION: $55,000 PRIOR TO THE IMPLEMENTATION OF OUR PROGRAM, MOMS WITH MEDI-CAL COVERAGE WERE UNABLE TO ACCESS COMMUNITY OBSTETRICIANS AND HAD TO DELIVER WITH COUNTY-CONTRACTED DOCTORS AT PACKARD CHILDREN'S HOSPITAL FURTHER SOUTH AND OUTSIDE OUR COUNTY. WITH FINANCIAL SUPPORT FROM THE PENINSULA HEALTH CARE DISTRICT TO THE HEALTH PLAN OF SAN MATEO COUNTY, LOCAL COMMUNITY PHYSICIANS WERE CONTRACTED TO PARTICIPATE. MILLS-PENINSULA FUNDED A MEDICAL DIRECTOR POSITION FOR THE PROGRAM AND PROVIDED ADMINISTRATIVE SUPPORT. OUR GOAL HAS BEEN TO PROVIDE THE OPTION FOR COMMUNITY MOMS TO DELIVER THEIR BABIES AT THEIR LOCAL HOSPITAL RATHER THAN TRAVEL FURTHER SOUTH. WE ARE SUCCEEDING IN THAT GOAL BY COLLABORATING WITH THE SAN MATEO COUNTY HEALTH DEPARTMENT AND THE PENINSULA HEALTH CARE DISTRICT. HEALTH SCREENINGS AND EDUCATION FOR AFRICAN AMERICAN, HISPANIC AND PACIFIC ISLANDER POPULATIONS IN SAN MATEO COUNTY: 2011 CONTRIBUTION $140,000 MILLS-PENINSULA'S AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE (AACHAC) HAS SINCE 1995 PARTNERED PRIMARILY WITH COMMUNITY CHURCHES AND GRASS-ROOTS ORGANIZATIONS TO ADDRESS THE HIGHER INCIDENCE OF CANCER, HEART DISEASE, DIABETES, ASTHMA AND OTHER CHRONIC DISEASES IN THE AFRICAN AMERICAN COMMUNITY WITH EDUCATION AND SCREENINGS FOR EARLY DETECTION. THE COMMITTEE'S OUTREACH ALSO INCLUDES PROVIDING MAMMOGRAMS TO WOMEN WITH NO INSURANCE. IN 2011, THE MILLS-PENINSULA WOMEN'S CENTER PROVIDED $35,345 IN MAMMOGRAPHY SERVICES AS PART OF THIS PROGRAM. THE ASIAN, HISPANIC AND PACIFIC ISLANDER POPULATIONS ARE AMONG THE FASTEST GROWING IN SAN MATEO COUNTY AND AS EVIDENCED IN THE LAST TWO COMMUNITY NEEDS ASSESSMENTS, THESE POPULATIONS ARE MORE LIKELY TO HAVE LIMITED ACCESS TO SCREENINGS THAT CAN PROVIDE EARLY DETECTION AND EDUCATION FOR HEALTHIER LIFESTYLES. IN 2010 AND 2011, THE COMMITTEE SOUGHT TO INCREASE ITS OUTREACH TO EMBRACE THE ASIAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. THE COMMITTEE'S SUCCESSFUL EXPERIENCE IN THE AFRICAN AMERICAN COMMUNITY WAS BASED LARGELY ON THE RELATIONSHIPS COMMITTEE LEADERS ENJOYED WITH THE COMMUNITY ITSELF. THAT SAME APPROACH HAS BEEN APPLIED TO OUTREACH IN THE ASIAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. IN EACH DEMOGRAPHIC, LEADERS ARE BEING IDENTIFIED AND INVITED TO COLLABORATE TO ENSURE CULTURALLY COMPETENT OUTREACH. THE AACHAC HAS ENJOYED EXTRAORDINARY SUCCESS IN ITS WORK. MORE THAN 2,500 PEOPLE HAVE BEEN SCREENED FOR BREAST CANCER, HEART DISEASE, DIABETES AND OTHER HEALTH CONCERNS, AND ANOTHER 10,000 HAVE BEEN REACHED THROUGH ITS EDUCATIONAL PROGRAMS, SOCIAL MEDIA AND INDIVIDUAL CONTACT.
EXEMPT PURPOSE ACHIEVEMENTS (CONTINUED)	FORM 990, PART III, LINE 4A	SUPPORT FOR OUTPATIENT SERVICES FOR PEOPLE WHO HAVE NO INSURANCE: 2011 CONTRIBUTION: $1.3 MILLION AS PART OF CHARITY CARE, MILLS-PENINSULA PROVIDES ONGOING FINANCIAL AND IN-KIND SERVICES FOR SAMARITAN HOUSE, A PRIVATE NONPROFIT ORGANIZATION THAT SERVES MORE THAN 12,000 LOW-INCOME PEOPLE WITHIN SAN MATEO COUNTY WITH A FULL SPECTRUM OF SERVICES INCLUDING A MEDICAL CLINIC WHICH IS STAFFED BY VOLUNTEERS. MILLS-PENINSULA PHYSICIANS VOLUNTEER THEIR TIME AND SERVICES, AND MILLS-PENINSULA PROVIDES IN-KIND SERVICES INCLUDING RADIOLOGY. IN ADDITION TO THESE SERVICES THAT ARE PART OF CHARITY CARE, IN 2011 MILLS-PENINSULA PROVIDED AN ADDITIONAL $100,000 CASH GRANT TO SUPPORT INCREASED MEDICAL CARE NEEDS DURING THE CONTINUING RECESSION. CONTINUED SUPPORT FOR SAFETY NET CLINICS SUCH AS SAMARITAN HOUSE HELPS PROVIDE CARE AT THE APPROPRIATE LEVEL RATHER THAN LEAVING PEOPLE IN NEED WITH NO ALTERNATIVE BUT THE EMERGENCY ROOM. GOOD PRIMARY AND PRENATAL CARE HELPS PEOPLE MAINTAIN HEALTH AND AVOID DISEASE. THE ESSENTIAL WORK OF SAMARITAN HOUSE CONTINUES STRONG EVEN THROUGH FUNDING REDUCTIONS. THE PROGRAM PROVIDES AN ESSENTIAL LAYER OF INFRASTRUCTURE IN THE HEALTH CARE SYSTEM. COMMUNITY GRANTS PROGRAM: 2011 CONTRIBUTION: $377,000 MILLS-PENINSULA'S COMMUNITY GRANTS PROGRAM PROVIDES GRANTS OF $5,000 TO $15,000 EACH YEAR TO HELP WITH SPECIAL HEALTH-RELATED PROJECTS PROPOSED BY LOCAL NONPROFIT ORGANIZATIONS. THIS FUNDING IS PART OF OUR OVERALL GOAL TO HELP CREATE AND SUSTAIN A STRONG SUPPORT SYSTEM FOR THE UNDERSERVED IN OUR COMMUNITY. IN 2011, THE FOLLOWING ORGANIZATIONS RECEIVED FUNDING FOR THEIR PROJECTS: ALZHEIMER'S ASSOCIATION BAY AREA LEGAL AID BREAST CANCER CONNECTIONS CASA DE SAN MATEO COUNTY CHILDRENS' HEALTH COUNCIL CID (CENTER FOR THE INDEPENDENCE OF THE DISABLED) CLEO EULAU CENTER COASTSIDE ADULT DAY HEALTH CENTER COASTSIDE CHILDREN'S SERVICES COMMUNITY LEARNING CENTER CORA (COMMUNITY OVERCOMING RELATIONSHIP ABUSE) EDGEWOOD CENTER FOR CHILDREN & FAMILIES EL CENTRO LA LIBERTAD FAMILY CAREGIVER ALLIANCE FATHERHOOD COLLABORATIVE OF SAN MATEO COUNTY FREEDOM HOUSE, TWBD, INC. FRIENDS FOR YOUTH COMMUNITY GATEPATH HIP HOUSING HOME AND HOPE LEGAL AID SOCIETY MENTAL HEALTH ASSOCIATION OF SAN MATEO COUNTY MID PENINSULA BOY AND GIRLS CLUB MISSION HOSPICE AND HOME CARENAMI OF SAN MATEO COUNTY NORTH PENINSULA NEIGHBORHOOD SERVICES CENTER NOTRE DAME DE NAMUR UNIVERSITY OMBUDSMAN SERVICES OF SAN MATEO COUNTY PARCA (PENINSULA ASSOCIATION FOR RETARDED CHILDREN AND ADULTS) PENINSULA CLERGY NETWORK PENINSULA COMMUNITY SERVICES PENINSULA FAMILY SERVICES PENINSULA JEWISH COMMUNITY CENTER PUENTE DE LA COSTA SUR RAPE TRAUMA SERVICES REBUILDING TOGETHER PENINSULA SAN MATEO COUNTY DENTAL SOCIETY DHF SELF HELP FOR THE ELDERLY SHELTER NETWORK MISSION HOSPICE DOELGER SENIOR CENTER TEEN TALK SEXUALITY EDUCATION VISTA CENTER FOR THE BLIND WRA (WOMEN'S RECOVERY ASSOCIATION) AWARDS AND ACCOMPLISHMENTS - FOR THE SECOND YEAR IN A ROW, MILLS-PENINSULA WAS NAMED ONE OF THE TOP HOSPITALS IN THE NATION BY THE LEAPFROG GROUP. MILLS-PENINSULA WAS ONE OF ONLY 65 HOSPITALS IN THE NATION RECOGNIZED IN 2011, OUT OF A FIELD OF 1,200. THE ACHIEVEMENT IS BASED ON MEASUREMENTS OF PATIENT SAFETY AND QUALITY. SPECIFICALLY, MILLS-PENINSULA WAS HONORED FOR USE OF COMPUTER PHYSICIAN ORDER ENTRY (CPOE) TO PREVENT MEDICATION ERRORS, STANDARDS FOR HIGH-RISK PROCEDURES SUCH AS HEART SURGERY AND PROTOCOLS AND POLICIES TO REDUCE MEDICAL ERRORS. - MILLS-PENINSULA IS ONE OF THREE HOSPITALS AFFILIATED WITH THE SUTTER HEALTH NETWORK OF CARE TO EARN A JULY 2011 "CERTIFICATE OF EXCELLENCE" BY THE RENOWNED CALIFORNIA HOSPITAL ASSESSMENT AND REPORTING TASK FORCE (CHART). AWARDED FOR KEY QUALITY ACHIEVEMENTS IN 50 CATEGORIES, MILLS-PENINSULA ONE OF ONLY 29 HOSPITALS ACROSS CALIFORNIA RECOGNIZED FOR OUTSTANDING CLINICAL PERFORMANCE. - MILLS-PENINSULA EARNED A 2011 WASTE REDUCTION AWARD FROM THE CALIFORNIA DEPARTMENT OF RESOURCES RECYCLING AND RECOVERY. THE AWARD PROGRAM RECOGNIZES ORGANIZATIONS THAT HAVE SIGNIFICANTLY REDUCED THE AMOUNT OF WASTE SENT TO LANDFILLS AND SAVED MONEY IN THE PROCESS. MILLS-PENINSULA PREVENTED MORE THAN 400 TONS OF WASTE FROM BEING SENT TO LANDFILLS AND SAVED $135,000. - THE AMERICAN HEART ASSOCIATION AWARDED MILLS-PENINSULA A STROKE GOLD PLUS AWARD, THE HIGHEST AVAILABLE IN THE AHA'S GET WITH THE GUIDELINES STROKE PREVENTION PROGRAM. THE AWARD RECOGNIZES HOSPITALS THAT HAVE REACHED THE GOAL OF TREATING STROKE PATIENTS WITH 85 PERCENT OR HIGHER COMPLIANCE TO AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION STANDARDS OF CARE FOR AT LEAST 24 CONSECUTIVE MONTHS. - THE AMERICAN DIABETES ASSOCIATION (ADA) AWARDED MILLS-PENINSULA'S OUTPATIENT DIABETES AND NUTRITION SERVICES WITH THE ADA EDUCATION RECOGNITION CERTIFICATE, RECOGNIZING QUALITY DIABETES SELF-MANAGEMENT. THIS IS THE NINTH CONSECUTIVE YEAR THAT THIS DEPARTMENT HAS RECEIVED THE HONOR. - THE BREAST PROGRAM AT THE MILLS-PENINSULA WOMEN'S CENTER RECEIVED A THREE-YEAR BREAST MRI PROGRAM ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR). MILLS-PENINSULA IS ONE OF ONLY 13 FACILITIES IN CALIFORNIA ACCREDITED BY ACR IN BREAST MRI. - U.S. NEWS & WORLD REPORT / MILLS-PENINSULA WAS ONE OF 14 HOSPITALS OUT OF 44 IN THE SAN FRANCISCO METROPOLITAN AREA RANKED IN U.S. NEWS & WORLD REPORT'S "BEST HOSPITALS METRO AREA RANKINGS."
EXEMPT PURPOSE ACHIEVEMENTS (CONTINUED)	FORM 990, PART III, LINE 4A	SUTTER MATERNITY & SURGERY CENTER MISSION STATEMENT WE ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. ORGANIZATION'S PROGRAM/SERVICE ACCOMPLISHMENTS COMMUNITY PROGRAMS SUTTER MATERNITY & SURGERY CENTER (SMSC) OFFERS STATE-OF-THE-ART PERINATAL AND MEDICAL/SURGICAL SERVICES, COMBINING PATIENT CENTER CARE AND FAMILY CONVENIENCE WITH THE SAFETY AND SECURITY OF A LICENSED AND ACCREDITED ACUTE CARE HOSPITAL. WITH 30 LICENSED BEDS, SMSC IS SMALL ENOUGH TO PROVIDE THE UTMOST PERSONAL ATTENTION TO EVERY PATIENT. THE FACILITY HAS SIX OPERATING ROOMS, TWELVE BIRTHING SUITES AND EIGHTEEN MEDICAL/SURGICAL PATIENT SUITES. A JOINT PROJECT OF SUTTER HEALTH AND SANTA CRUZ MEDICAL CLINIC (NOW THE PALO ALTO MEDICAL FOUNDATION), SMSC WAS COMPLETED AND OPENED TO PATIENTS IN MARCH OF 1996. THE HOSPITAL IS FULL ACCREDITED BY THE JOINT COMMISSION. SUTTER MATERNITY & SURGERY CENTER (SMSC) WORKS JOINTLY WITH THE PALO ALTO MEDICAL FOUNDATION SANTA CRUZ (PAMF SANTA CRUZ) TO SUPPORT THE HEALTH NEEDS OF THE MEDICALLY UNDERSERVED IN OUR COMMUNITY AND OUR COMMUNITY PARTNERS IN ADDITION TO PROVIDING HIGH QUALITY MEDICAL CARE TO OUR PATIENTS. SOME OF THESE ACTIVITIES INCLUDE: - SMSC AND PAMF SANTA CRUZ CONTINUE TO BE THE LARGEST PRIVATE SPONSORS OF THE SANTA CRUZ COUNTY HEALTHY KIDS AND HEALTHY FAMILIES PROGRAMS. THESE PROGRAMS IMPROVE THE HEALTH AND WELL-BEING OF LOW-INCOME CHILDREN BY PROVIDING THEM WITH HEALTH INSURANCE, THEREBY ENSURING ACCESS TO COMPREHENSIVE MEDICAL, DENTAL, VISION, AND MENTAL HEALTH SERVICES. SINCE THE PROGRAM'S INCEPTION IN 2004, WE HAVE DONATED OVER $1.4 MILLION TO HEALTHY KIDS AND HEALTHY FAMILIES. - WE ANNUALLY PROVIDE A SCHOLARSHIP TO UCSC HEALTH SCIENCES GRADUATES WHO HAVE BEEN ACCEPTED TO MEDICAL SCHOOL AND EXPRESS THE INTENTION TO RETURN TO THE AREA AND PROVIDE PRIMARY CARE SERVICES TO PATIENTS, INCLUDING MEDI-CAL, MEDICRUZ, AND MEDICARE PATIENTS. THE AWARD IS CO-SPONSORED BY THE CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, SMSC, AND PAMF SANTA CRUZ. - WHILE WE WORK ON A CONTINUOUS BASIS PROVIDING HEALTH SERVICES SUPPORT TO LOCAL COMMUNITY CLINICS, IN 2010 IN CONJUNCTION WITH SUTTER HEALTH, PAMF SANTA CRUZ AND SMSC AWARDED GRANTS TO THE FOLLOWING LOCAL COMMUNITY CLINICS AND PROGRAMS: - SALUD PARA LA GENTE FOR A PROGRAM TO REDUCE PREGNANCY AMONG AT-RISK TEENS - DIENTES COMMUNITY DENTAL CARE TO FUND THE ACQUISITION OF A DIGITAL PANORAMIC X-RAY MACHINE TO BE INTEGRATED INTO THEIR ELECTRONIC HEALTH RECORD (EHR) AND DIGITAL RADIOGRAPHY SYSTEMS - SANTA CRUZ WOMEN'S HEALTH CENTER TO MAINTAIN THEIR CAPACITY TO PROVIDE A MEDICAL HOME FOR LOW-INCOME RESIDENTS WITH CHRONIC CONDITIONS - HOMELESS PERSONS HEALTH PROJECT TO SUPPORT PROJECT CONNECT, A PROGRAM THAT IDENTIFIES "FREQUENT FLYERS" IN EMERGENCY ROOMS AND FINDS THEM A MEDICAL HOME - SMSC AND PAMF SANTA CRUZ CONTINUE TO SUPPORT THE ALLIED HEALTH PROFESSIONAL AND NURSING PROGRAMS AT CABRILLO COLLEGE. THIS INCLUDES SUPPORT FOR THE NURSING, RADIOLOGY TECH, AND MEDICAL ASSISTANT PROGRAMS. - MEDICRUZ IS THE SANTA CRUZ COUNTY HEALTH SERVICES AGENCY INSURANCE PROGRAM FOR INDIGENT CARE, AND THEY UTILIZE PAMF AND SMSC'S DIAGNOSTIC FACILITIES AND BIRTHING PROGRAMS. SMSC PROVIDES THE MEDICRUZ PROGRAM AND IT'S REFERRED PATIENTS' FREE OR DISCOUNTED CARE AND DIAGNOSTIC SERVICES. SMSC CONTINUES TO ENSURE THE AVAILABILITY OF OB AND PEDIATRIC PHYSICIANS FOR COUNTY UNASSIGNED AND INCARCERATED PATIENTS. NEUROLOGY COVERAGE IS ALSO SUPPORTED BY SMSC. - SMSC, IN CONJUNCTION WITH PAMF, PROVIDES COMMUNITY HEALTH EDUCATION AND SCREENING EVENTS FREE TO THE COMMUNITY, INCLUDING THE ANNUAL SENIOR HEALTH FAIR AND PROSTATE CANCER AWARENESS DAY, WHICH ARE PROVIDED AT SMSC. IN THE 2011 SENIOR HEALTH FAIR, 385 SENIORS RECEIVED FREE SCREENINGS IN THE 2011 FAIR, MOST OF WHOM CANNOT AFFORD AN ANNUAL CHECK UP. AT THE 2011 PROSTATE CANCER AWARENESS DAY, 220 MEN RECEIVED PROSTATE CANCER SCREENINGS. WE SUPPORT OUR COMMUNITY HEALTH PARTNERS BY WORKING COLLABORATIVELY WITH THE SAFETY NET CLINICS, THE SANTA CRUZ COUNTY HEALTH SERVICES AGENCY, AND THE HEALTH IMPROVEMENT PARTNERSHIP OF SANTA CRUZ COUNTY (HIPSCC). BELOW ARE ADDITIONAL PROGRAMS THAT SMSC PROVIDES TO THE COMMUNITY. PROGRAM NAME/DETAIL SELF HELP PROGRAMS FOR COMMUNITY MEMBERS WITH A VARIETY OF PROBLEMS INCLUDING ADDICTION, DEPRESSION, ETC, SUCH AS NAR-ANON, WFS, AA, OVER EATERS ANONYMOUS, THE AUGUSTINE FELLOWSHIP, EDRC, DBSA, ART FOR HEALING, AND MINDFUL EATING. NURSING REPRESENTATION ON THE LOCAL COMMUNITY COLLEGE ADVISORY COMMITTEE. PROVIDE MEETING SPACE FOR THE CA ASSOCIATION FOR MARRIAGE AND FAMILY THERAPISTS AND AREA SOCIAL WORKERS. CASH DONATIONS TO DIFFERENT AGENCIES SUCH AS AMERICAN RED CROSS, COMMUNITY FOUNDATION OF SANTA CRUZ COUNTY, BILLY FOUNDATION, LEADERSHIP SANTA CRUZ COUNTY, AND SHC. PROVIDE MEETING SPACE FOR EARLY PREGNANCY NUTRITION (HEALTHY BEGINNINGS), CHILDBIRTH REFRESHER CLASSES, AND CHILDHOOD PREP CLASSES. PROVIDE FREE MEETING SPACE TO LOW INCOME WOMEN IN THE COMMUNITY, TEACHING INFANT CARE AND BREAST FEEDING, INCLUDING VISITS TO THE LACTATION CENTER AND FREE PHONE CONSULTATIONS. PROVIDE FREE MEETING SPACE TO AREA COALITION CONSULTANTS FOR BREASTFEEDING. COMMITTEE PARTICIPATION BY ADMINISTRATOR, DIRECTORS, AND STAFF FOR HEALTH IMPROVEMENT COUNCIL, INDIGENT CARE COMMITTEE, UNITED WAY JOINT STEERING COMMITTEE, COMMUNITY ADVISORY COUNCIL, ACCESS TO CARE, PAJARO VALLEY COMMUNITY HEALTH TRUST, AND UC EXTENSION. PROVIDE FREE MEETING SPACE FOR ORGANIZATION WHO PROVIDES SERVICES TO PEOPLE WITH HEALTH RELATED ISSUES: SANTA CRUZ COUNTY COUNSELING CENTER, SC COUNTY SPECIAL EDUCATION PARENT TEACHER ASSOCIATION, COUNTY YOUTH CONNECTION, HOSPICE, AND ART FOR HEALING. PROVIDE MEETING SPACE FOR CPR INSTRUCTION TO THE COMMUNITY, DAY CARE PROVIDERS, AND FOSTER PARENTS. DONATION OF GOOD USE LINEN, CLOTHING, AND MEDICAL SUPPLIES AND EQUIPMENT TO SHELTERS AND WORLDWIDE. CASH DONATIONS TO DIENTES COMMUNITY DENTAL CLINIC, DIABETES FORUM, SIENNA HOUSE, SECOND HARVEST FOOD BANK, AND WOMENCARE. ENVIRONMENTAL AWARENESS PROGRAM - TO HELP REDUCE COMMUNITY ENVIRONMENTAL HAZARDS, PARTICIPATE IN COMMUNITY WASTER REDUCTION AND SHARPS DISPOSAL PROGRAM, SHARE IN HEALTH CARE FACILITY ENVIRONMENTAL RESPONSIBILITY SUCH AS WASTE REDUCTION, GREEN PURCHASING, AND OTHER ECOLOGY INITIATIVES. MENTORING OF STUDENTS AND INTERNSHIPS - TEACH AND MENTOR STUDENT FROM ALTERNATIVE PROGRAMS RETRAINING AND REENTERING THE JOB MARKET TO FIND WORK IN THE MEDICAL FIELD. PROVIDE MENTORING, PRECEPTORSHIP, AND EDUCATION TO NURSING STUDENTS. PROVIDE SPACE FOR MIDWIVES AND DOULAS, FAMILY PRACTICE AND OBS, ENT AND PLASTIC SURGERY TO PRESENT OPTIONS TO THE LARGER COMMUNITY. STAFF TRAINING AND ATTENDANCE DURING WORK HOURS IN PROGRAMS SUCH AS WIC, BREASTFEEDING COMMUNITY EDUCATION, AHA, EDUCATION FOR CHILD CARE PROVIDERS, BREASTFEEDING EDUCATION (SIENNA HOUSE - HOME FOR UNWED MOTHERS). PROVIDE MEETING SPACE FOR NATIONAL ASSOCIATION FOR THE MENTALLY ILL AND THERAPISTS WHO IN TURN PROVIDE TREATMENT IN THE COMMUNITY AND AREA BOARD VII. PROVIDE SUPPORT AND EDUCATION TO NEW MOTHERS - POST PARTUM WELLNESS PROGRAM AND SECOND BABY AND MOM. OB PHYSICIANS ON-CALL COVERAGE FOR THE COUNTY HEALTH PROGRAM, AS WELL AS PHYSICIAN STIPENDS FOR INDIGENT PATIENTS. FREE SCREENINGS AND EDUCATION THROUGH THE SENIOR HEALTH FAIR, PROSTATE CANCER AWARENESS DAY, AND BREAST CANCER AWARENESS MONTH. PROVIDE MEETING SPACE FOR GROUPS WHO STUDY STRESS MANAGEMENT VIA MEDITATION. TOY DRIVE FOR WORD OF LIFE FOOD PANTRY (DURING CHRISTMAS SEASON). ACCOMPLISHMENTS SMSC CONTINUES TO BE ONE OF THE HIGHEST PERFORMING HOSPITALS IN THE SUTTER HEALTH NETWORK, WITH HIGH PATIENT AND STAFF EVALUATIONS. IN ADDITION TO THE OUTSTANDING SUTTER HEALTH NETWORK PERFORMANCE, SMSC HAS RECEIVED THE FOLLOWING HIGHLY VALUED ACKNOWLEDGEMENTS: - IN 2010, SMSC WAS ONE OF ONLY 450 HOSPITALS NATIONALLY TO RECEIVE JOINT COMMISSION RECOGNITION FOR "TOP PERFORMANCE IN QUALITY MEASURES". - IN 2011, AND FOR THE FOURTH YEAR IN A ROW, SMSC RECEIVED THE PRESS GANEY SUMMIT AWARD FOR SUSTAINING AN OVERALL RANK ABOVE THE 95TH PERCENTILE IN PATIENT SATISFACTION. - IN 2011, AND FOR THE THIRD YEAR IN A ROW, SMSC WAS SELECTED BY MODERN HEALTHCARE MAGAZINE AS ONE OF THE TOP 100 "BEST PLACES TO WORK IN HEALTHCARE." - IN 2011, SMSC RECEIVED THE SUTTER HEALTH PRESIDENT'S AWARD FOR OUTSTANDING PERFORMANCE. - IN 2011, PAMF SANTA CRUZ AND SMSC WERE AWARDED THE "CHILDREN'S CHAMPION AWARD" BY THE CALIFORNIA CHILDREN'S HEALTH INITIATIVES (CCHI) FOR THEIR SUPPORT OF CHILDREN'S HEALTH INSURANCE PROGRAMS. - IN 2011, SMSC RECEIVED THE SANTA CRUZ CHAMBER OF COMMERCE "ORGANIZATION OF THE YEAR" AWARD FOR THEIR CONTRIBUTION TO THE COMMUNITY.
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 RIGHTS	FORM 990, PART VI, QUESTION 7B	SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THIS CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THIS CORPORATION; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THIS ARTICLE; D. ADOPTION OF CAPITAL BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THIS ARTICLE; 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 990	FORM 990, PART VI, QUESTION 11B	SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	FORM 990, PART VI, QUESTION 12	EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, QUESTION 15	THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC	FORM 990, PART VI, QUESTION 19	THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION	FORM 990, PART VII	THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION. JEFF GERARD BRIAN ROACH RICHARD SLAVIN
OTHER CHANGES IN FUND BALANCE	FORM 990, PART XI, LINE 5	CHANGE IN UNREALIZED GAIN/(LOSS) ON INVESTMENTS $ 14,103 EQUITY TRANSFERS (NET) (87,885,800) ------------- (87,871,697)
SCHEDULE K SUPPLEMENTAL INFORMATION	SCHEDULE K, PART VI	GLOBAL DISCLOSURE PART I, COLUMN (E): THE ORGANIZATION'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET. WITH THE EXCEPTION OF PART I(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. MPHS SPECIFIC PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $10,364,166 FROM THE 2005A ISSUE, $2,278,156 FROM THE 2005BC ISSUE, $536,525,653 FROM THE 2007A ISSUE AND $5,730,952 FROM THE 2008A ISSUE. PART I, LINE B, COLUMN (F): THE INITIAL BONDS ISSUED IN 2005 REFUNDED 1995 CERTIFICATES AND WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL REFUNDING BONDS. PART I, LINE D, 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 1995.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
ADOLESCENT TREATMENT CENTERS INC
390 40TH STREET	OAKLAND	CA	94609	680088443	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	true
ALTA BATES SUMMIT FOUNDATION
3012 SUMMIT STREET 3RD FLOOR	OAKLAND	CA	94609	510160184	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER EBH	true
CALIFORNIA PACIFIC MEDICAL CTR FOUND
2015 STEINER STREET 2ND FLOOR	SAN FRANCISCO	CA	94115	942728423	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER WBH	true
DELTA MEMORIAL HOSPITAL FOUNDATION
3901 LONE TREE WAY	ANTIOCH	CA	94509	942417022	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER EBH	true
EAST BAY PERINATAL CENTER
350 HAWTHORNE AVE	OAKLAND	CA	94609	510172285	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	true
EDEN MEDICAL CENTER
20103 LAKE CHABOT ROAD	CASTRO VALLEY	CA	94546	942948100	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	true
MARIN COMMUNITY HEALTH
250 BON AIRE ROAD	GREENBRAE	CA	94904	942994751	SUPPORTING OR	CA	501(C)(3)	11b - II	SUTTER HLTH	true
MILLS-PENINSULA HOSPITAL FOUNDATION
1501 TROUSDALE DRIVE	BURLINGAME	CA	94010	237288765	FUNDRAISING	CA	501(C)(3)	11a - I	MPHS	true
PALO ALTO MEDICAL FOUNDATION
2350 EL CAMINO REAL	MOUNTAIN VIEW	CA	94040	941156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	true
SAMUEL MERRITT UNIVERSITY
450 30TH STREET 2840	OAKLAND	CA	94609	942992642	UNIVERSITY	CA	501(C)(3)	2	SUTTER EBH	true
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
11815 EDUCATION ST	AUBURN	CA	95602	942594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	true
SUTTER CENTRAL VALLEY HOSPITALS
1800 COFFEE ROAD SUITE 76	MODESTO	CA	95355	941080917	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	true
SUTTER COAST HOSPITAL
800 E WASHINGTON BLVD	CRESCENT CITY	CA	95531	942988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	true
SUTTER DAVIS HOSPITAL FOUNDATION
PO BOX 1617	DAVIS	CA	95617	680217870	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER SSR	true
SUTTER EAST BAY HOSPITALS
3012 SUMMIT STREET 3RD FLOOR	OAKLAND	CA	94609	941196176	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	true
SUTTER EAST BAY MEDICAL FOUNDATION
3687 MT DIABLO BLVD 200	LAFAYETTE	CA	94549	942690415	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	true
SUTTER GOULD MEDICAL FOUNDATION
600 COFFEE ROAD	MODESTO	CA	95355	941682256	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	true
SUTTER HEALTH
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942788907	SUPPORTING OR	CA	501(C)(3)	11c III-FI	NA	false
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RD	EWA BEACH	HI	96706	990298651	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	true
SUTTER HEALTH SACRAMENTO SIERRA REGION
PO BOX 160727	SACRAMENTO	CA	95816	941156621	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	true
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 800	HONOLULU	HI	96813	990289310	INSURANCE SER	HI	501(C)(3)	11b - II	SUTTER HLTH	true
SUTTER MEDICAL CENTER FOUNDATION
PO BOX 160727	SACRAMENTO	CA	95816	942788906	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	true
SUTTER MEDICAL CENTER CASTRO VALLEY
20130 LAKE CHABOT RD 103	CASTRO VALLEY	CA	94546	770146047	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	true
SUTTER MEDICAL FOUNDATION
2800 L STREET 7TH FLOOR	SACRAMENTO	CA	95816	680273974	HEALTH CARE	CA	501(C)(3)	11b - II	SUTTER HLTH	true
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
ONE MEDICAL PLAZA	ROSEVILLE	CA	95661	680040113	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	true
SUTTER SOLANO CHARITABLE FOUNDATION
300 HOSPITAL DRIVE	VALLEJO	CA	94589	942668262	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	true
SUTTER VISITING NURSE ASSOC AND HOSPICE
1900 POWELL ST 300	EMERYVILLE	CA	94608	946068843	HEALTH CARE	CA	501(C)(3)	9	SUTTER HLTH	true
SUTTER WEST BAY HOSPITALS
2333 BUCHANAN STREET	SAN FRANCISCO	CA	94115	940562680	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	true
SUTTER WEST BAY MEDICAL FOUNDATION
2015 STEINER STREET 1ST FLOOR	SAN FRANCISCO	CA	94115	942948131	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	true
TRACY HOSPITAL FOUNDATION
1420 N TRACY BLVD	TRACY	CA	95376	680318845	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER CVH	true

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType
MAGNETIC IMAGING AF
175 LENNON	WLN CK	CA	94598	942953833	PATIENT CARE	CA	NA	N/A
SURG CTR OF ABSMC
3875 TELEGRAPH	OAKLAND	CA	94609	470946086	OUTPATIENT SURG	CA	NA	N/A
ALTA CT SERVICES LP
175 LENNON	WLN CK	CA	94598	943083464	PATIENT CARE	CA	NA	N/A
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102	NOVATO	CA	94948	562311840	MRI JOINT VENTURE	CA	NA	N/A
SAN FRANCISCO ENDOSCOPY CENTER LLC
3000 RIVERCHASE	BIRMINGHAM	AL	35244	912160588	ENDOSCOPY JV	CA	NA	N/A
PRESIDIO SURGERY CENTER LLC
1635 DIVISADERO	SF	CA	94115	320144060	AMBULATORY SURG	CA	NA	N/A
SUTTER FAIRFIELD SURGERY CTR
2700 LOW CT	FAIRFIELD	CA	94533	300233892	SURGERY	CA	NA	N/A
TWIN CITIES SURGICAL HOSPITAL LLC
250 S WACKER	CHICAGO	IL	60606	352182617	SURGERY	CA	NA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH VENTURES INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	350 HAWTHORNE ST	AddressLine1
City	OAKLAND	City
State	CA	State
ZIP Code	94609	ZIPCode

Field	Value	IRS element (for citing)
EIN	942918780	EIN
Primary Activity	HEALTH SERVICE	PrimaryActivity
Legal Domicile State	CA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C CORP	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MILLS-PENINSULA HOSPITAL FOUNDATION
B	2435808	FMV
MILLS-PENINSULA HOSPITAL FOUNDATION
C	6069168	FMV