SUTTER VALLEY HOSPITALS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SUTTER VALLEY HOSPITALS (EIN 94-1156621)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-10-19
IRS object ID: 201202939349300830
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-10-19T16:21:02-05:00	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	941156621	EIN

Name Name

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

Field	Value	IRS element (for citing)
In Care Of Name	% CHRIS BOUDREAUX	InCareOfName
Name Control	SUTT	NameControl
Phone	9162866665	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 160727	AddressLine1
City	SACRAMENTO	City
State	CA	State
ZIP Code	95816	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JEFF SPRAGUE	Name
Title	CFO	Title
Phone	9162866665	Phone
Date Signed	2012-10-18	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	SARAH KREVANS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 160727	AddressLine1
City	SACRAMENTO	City
State	CA	State
ZIP Code	95816	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1767181572	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SUTTERHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1935	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	SEE SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	9717	TotalNbrEmployees
Total Nbr Volunteers	1702	TotalNbrVolunteers
Total Gross UBI	877687	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	10156760	ContributionsGrantsPriorYear
Contributions Grants Current Year	11776343	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1740463495	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1736995053	ProgramServiceRevenueCY
Investment Income Prior Year	10844647	InvestmentIncomePriorYear
Investment Income Current Year	14715598	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1947198	OtherRevenuePriorYear
Other Revenue Current Year	1356886	OtherRevenueCurrentYear
Total Revenue Prior Year	1763412100	TotalRevenuePriorYear
Total Revenue Current Year	1764843880	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	8841296	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5125780	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	790141444	SalariesEtcPriorYear
Salaries Etc Current Year	824021022	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	131201	TotalFundrsngExpCurrentYear
Other Expense Prior Year	761904110	OtherExpensePriorYear
Other Expenses Current Year	730797803	OtherExpensesCurrentYear
Total Expenses Prior Year	1560886850	TotalExpensesPriorYear
Total Expenses Current Year	1559944605	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	202525250	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	204899275	RevenuesLessExpensesCY
Total Assets BOY	1484690593	TotalAssetsBOY
Total Assets EOY	1766717379	TotalAssetsEOY
Total Liabilities BOY	922748120	TotalLiabilitiesBOY
Total Liabilities EOY	1220494168	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	561942473	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	546223211	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	1447262649	Expense
Grants	5125780	Grants
Revenue	1736995053	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	1447262649	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	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	false	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	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	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	928	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	9717	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
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	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	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	true	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	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
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	CHRIS BOUDREAUX	NamePerson
Telephone Number	9166146345	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2700 GATEWAY OAKS DRIVE SUITE 2200	AddressLine1
City	SACRAMENTO	City
State	CA	State
ZIP Code	95833	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ANN COUSINEAU
TRUSTEE	2.0	X	0	0	0
JOHN DIMICHELE
TRUSTEE	2.0	X	0	0	0
MIKE DOURGARIAN
CHAIR/TRUSTEE	4.0	X	0	0	0	X
DANIEL FLORES
TRUSTEE	2.0	X	0	0	0
PATRICK FRY
PRESIDENT & CEO SUTTER HEALTH	2.0	X	0	3045216	2196089
DENNIS HINZ CPA
TRUSTEE	2.0	X	0	0	0
GARY HOOPER
TRUSTEE	2.0	X	0	0	0
SCOTT HOWELL
TRUSTEE	2.0	X	0	0	0
PETER HULL MD
TRUSTEE AND CHIEF OF STAFF	2.0	X	45000	0	0
RICHARD KRAMER
VICE CHAIR/TRUSTEE	2.0	X	0	0	0	X
SARAH KREVANS
REGIONAL PRES, SAC SIERRA REG.	40.0	X	0	1510218	738730	X
PAT FONG KUSHIDA
TRUSTEE	2.0	X	0	0	0
MARION LEFF MD
TRUSTEE	2.0	X	0	0	0
JOSEPH MENDEZ
TRUSTEE	2.0	X	0	0	0
MIKE NEWELL
F & P CHAIR/TRUSTEE	2.0	X	0	0	0	X
PAT PATHIPATI
TRUSTEE (PART YEAR)	2.0	X	0	0	0
WILLIAM PENDERGAST III
TRUSTEE	2.0	X	0	0	0
MIKE SLATER CPA
TRUSTEE	2.0	X	0	0	0
JOAN SMITH-MACLEAN MD
TRUSTEE	2.0	X	0	0	0
SCOTT SYPHAX
TRUSTEE	2.0	X	0	0	0
HELEN THOMSON
TRUSTEE	2.0	X	0	0	0
JEFFREY W SPRAGUE
CFO, SAC SIERRA REGION	40.0		0	611209	214136	X
PENNY WESTFALL
VP & REGIONAL COUNSEL SSR	40.0		0	392561	119922	X
PAT BRADY
CEO, SUTTER ROSEVILLE MED CTR	40.0		0	752267	305953		X
THOMAS GAGEN
CEO, SUTTER MED CTR SACRAMENTO	40.0		0	852035	434057		X
TERRY GLUBKA
CEO, SUTTER SOLANO MED CTR	40.0		0	490521	189205		X
MITCH HANNA
CAO, SAFH	40.0		0	429224	198769		X
CARRIE OWEN-PLIETZ
CEO, SMCS	40.0		0	573046	199644		X
ANNE PLATT
CEO, SUTTER AMADOR HOSPITAL	40.0		0	409259	170405		X
THOMAS REAM II
REG CIO, SAC SIERRA REGION	40.0		0	320872	81922		X
RANDALL ROSS
ADMIN ANCILLARY SVC SSR	40.0		0	364971	115094		X
JANET WAGNER
CAO, SUTTER DAVIS HOSPITAL	40.0		0	425115	180158		X
JOHN MESIC MD
CMO, SAC SIERRA REGION	40.0		0	681802	221270			X
CECILIA HERNANDEZ
DIR MED AFFAIRS, SMCS	40.0		0	432669	118513			X
JEFFREY SZCZESNY
REG VP HR, SAC SIERRA	40.0		0	392631	142429			X
SHELLY MCGRIFF
CNE SUTTER MEDICAL CENTER SAC	40.0		0	390558	114673			X
BARBARA NELSON
CNE SUTTER ROSEVILLE MED CTR	40.0		0	385152	115451			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	45000	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	12459326	TotalReportableCompFrmRltdOrgs
Total Other Compensation	5856420	TotalOtherCompensation
Number Individuals GT100 K	1998	NumberIndividualsGT100K
Formers Listed	false	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
UNGER CONSTRUCTION COMPANY
910 X STREET	SACRAMENTO	CA	95818	CONSTRUCTION	10095023
CHILDRENS SPECIALISTS MED GRP OF SA
5301 F STREET SUITE 313	SACRAMENTO	CA	95819	MEDICAL SERVICES	5233237
REHABCARE CORPORATION
PO BOX 502096	ST LOUIS	MO	63150	MEDICAL SERVICES	4609319
PULMONARY MEDICINE ASSOCIATES
3637 MISSION AVENUE SUITE 7	CARMICHAEL	CA	95608	MEDICAL SERVICES	4528264
CENTRAL ANESTHESIA SERVICE
PO BOX 660910	SACRAMENTO	CA	95866	MEDICAL SERVICES	3995683

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	243	NumberOfContractorsGT100K
Federated Campaigns	30000	FederatedCampaigns
Related Organizations	8197755	RelatedOrganizations
Government Grants	1865363	GovernmentGrants
All Other Contributions	1683225	AllOtherContributions
Noncash Contributions	20870	NoncashContributions
Total Contributions	11776343	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	622110	1729660781	1729660781
RENTAL TO AFFILIATES	900099	6800073	6800073
ROSEVILLE ENDOSCOPY	622110	534199	534199

Field	Value	IRS element (for citing)
Total Program Service Revenue	1736995053	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	14654676	TotalRevenueColumn
Exclusion	$14,654,676	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	2806768	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2327569	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	479199	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	479199	TotalRevenueColumn
Exclusion	$479,199	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	71045	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	10123	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	60922	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	60922	TotalRevenueColumn
Exclusion	$60,922	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	Unrelated Business RevenueUnrelatedBusinessRevenue
UBI - LABORATORY	621500	756635	756635
UBI - PARKING	812930	119669	119669
UBI - PHARMACY	446110	1383	1383

Field	Value	IRS element (for citing)
Total Other Revenue	877687	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1764843880	TotalRevenueColumn
Related Or Exempt Function Income	1736995053	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	877687	UnrelatedBusinessRevenue
Exclusion	$15,194,797	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5125780	Total
Program Services	5125780	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

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	45000	Total
Management And General	45000	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	80439	Total
Program Services	80439	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	546490268	Total
Program Services	519828081	ProgramServices
Management And General	26624664	ManagementAndGeneral
Fundraising	37523	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	21316747	Total
Program Services	20272226	ProgramServices
Management And General	1044521	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	209399046	Total
Program Services	194891266	ProgramServices
Management And General	14493812	ManagementAndGeneral
Fundraising	13968	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	46689522	Total
Program Services	44401735	ProgramServices
Management And General	2287787	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3503096	Total
Program Services	0	ProgramServices
Management And General	3503096	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	5881212	Total
Program Services	2043714	ProgramServices
Management And General	3837498	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	5563	Total
Program Services	2448	ProgramServices
Management And General	3115	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	19925	Total
Program Services	0	ProgramServices
Management And General	19925	ManagementAndGeneral
Fundraising	0	Fundraising

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	738799	Total
Program Services	0	ProgramServices
Management And General	738799	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	95551094	Total
Program Services	67147087	ProgramServices
Management And General	28404007	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2142216	Total
Program Services	1990119	ProgramServices
Management And General	152097	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11083879	Total
Program Services	8867103	ProgramServices
Management And General	2216776	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	28113126	Total
Program Services	28016055	ProgramServices
Management And General	97071	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	34477372	Total
Program Services	31661389	ProgramServices
Management And General	2815983	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1682124	Total
Program Services	1463448	ProgramServices
Management And General	218676	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	1299602	Total
Program Services	1121509	ProgramServices
Management And General	178093	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	26929914	Total
Program Services	26860510	ProgramServices
Management And General	69303	ManagementAndGeneral
Fundraising	101	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	67826079	Total
Program Services	67255606	ProgramServices
Management And General	570473	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12938539	Total
Program Services	12874569	ProgramServices
Management And General	63970	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	231215977	231215977	0	0
PURCHASED SERVICES	142694087	136946964	5673216	73907
COMMUNITY BENEFITS	11437091	11437091	0	0
OTHER EXPENSES	53258108	33759533	19492873	5702

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1559944605	Total
Program Services	1447262649	ProgramServices
Management And General	112550755	ManagementAndGeneral
Fundraising	131201	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	57344188	BOY
EOY	51803407	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	483052	BOY
EOY	108817	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	233022028	BOY
EOY	232563320	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	22440786	BOY
EOY	23049322	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3889611	BOY
EOY	4734403	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1782456281	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	731413411	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	961433259	BOY
EOY	1051042870	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	141942618	BOY
EOY	348487353	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	159776	BOY
EOY	162265	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	63975275	BOY
EOY	54765622	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1484690593	BOY
EOY	1766717379	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	152582164	BOY
EOY	178114078	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	721820038	BOY
EOY	1020387497	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	5621375	BOY
EOY	5086750	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	42724543	BOY
EOY	16905843	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	922748120	BOY
EOY	1220494168	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	560317897	BOY
EOY	544429496	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1624576	BOY
EOY	1793715	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	561942473	BOY
EOY	546223211	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1484690593	BOY
EOY	1766717379	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	204899275	ReconcilationRevenueExpenses
Reconcilation Other Changes	-220618537	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$19,925	OtherActivitiesAmount
Total Lobbying Expenditures IIB	19925	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER ACTIVITIES	Identifier
Return Reference	PART II-B, QUESTION 1I	ReturnReference
Explanation	PAID CONSULTANTS THAT PERFORMED LOBBYING ACTIVITIES.	Explanation

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	17264360	BeginningOfYearBalance
Contributions	1279	Contributions
Investment Earnings Or Losses	-456995	InvestmentEarningsOrLosses
Other Expenditures	575056	OtherExpenditures
End Of Year Balance	16233588	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15654225	BeginningOfYearBalance
Contributions	1668	Contributions
Investment Earnings Or Losses	2004352	InvestmentEarningsOrLosses
Other Expenditures	395885	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	17264360	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12421867	BeginningOfYearBalance
Contributions	17176	Contributions
Investment Earnings Or Losses	3223622	InvestmentEarningsOrLosses
Other Expenditures	8350	OtherExpenditures
Administrative Expenses	90	AdministrativeExpenses
End Of Year Balance	15654225	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15184736	BeginningOfYearBalance
Contributions	1809404	Contributions
Investment Earnings Or Losses	-4191885	InvestmentEarningsOrLosses
Other Expenditures	374000	OtherExpenditures
Administrative Expenses	6388	AdministrativeExpenses
End Of Year Balance	12421867	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.45000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.55000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	44766773	OtherCostOrOtherBasis
Book Value	44766773	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	905332457	OtherCostOrOtherBasis
Depreciation	384838331	Depreciation
Book Value	520494126	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13561913	OtherCostOrOtherBasis
Depreciation	6642982	Depreciation
Book Value	6918931	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	410688059	OtherCostOrOtherBasis
Depreciation	317041144	Depreciation
Book Value	93646915	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	408107079	OtherCostOrOtherBasis
Depreciation	22890954	Depreciation
Book Value	385216125	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1051042870	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
INSURANCE LIABILITIES	$5,466,405
THIRD PARTY SETTLEMENTS	$1,387,515
OTHER LIABILITIES	$10,051,923

Field	Value	IRS element (for citing)
Total Of Amounts	16905843	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS	PART V, LINE 4	ENDOWMENTS HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER HEALTH SACRAMENTO SIERRA REGION.
ASC 740 (FIN48) FOOTNOTE FROM AUDIT	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
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
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	47022564	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	47022564	NetCommunityBenefitExpense
Percent Of Total Expense	0.03030	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	346890225	TotalCommunityBenefitExpense
Direct Offsetting Revenue	262171822	DirectOffsettingRevenue
Net Community Benefit Expense	84718403	NetCommunityBenefitExpense
Percent Of Total Expense	0.05450	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57136105	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28127672	DirectOffsettingRevenue
Net Community Benefit Expense	29008433	NetCommunityBenefitExpense
Percent Of Total Expense	0.01870	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	451048894	TotalCommunityBenefitExpense
Direct Offsetting Revenue	290299494	DirectOffsettingRevenue
Net Community Benefit Expense	160749400	NetCommunityBenefitExpense
Percent Of Total Expense	0.10350	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	1302	PersonsServed
Total Community Benefit Expense	1445767	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1445767	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	10	PersonsServed
Total Community Benefit Expense	5357321	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1232105	DirectOffsettingRevenue
Net Community Benefit Expense	4125216	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	22625	PersonsServed
Total Community Benefit Expense	4520214	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2984055	DirectOffsettingRevenue
Net Community Benefit Expense	1536159	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	389640	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	389640	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	6474793	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	6474793	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	55	NumberOfActivitiesOrPrograms
Persons Served	23937	PersonsServed
Total Community Benefit Expense	18187735	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4216160	DirectOffsettingRevenue
Net Community Benefit Expense	13971575	NetCommunityBenefitExpense
Percent Of Total Expense	0.00910	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	55	NumberOfActivitiesOrPrograms
Persons Served	23937	PersonsServed
Total Community Benefit Expense	469236629	TotalCommunityBenefitExpense
Direct Offsetting Revenue	294515654	DirectOffsettingRevenue
Net Community Benefit Expense	174720975	NetCommunityBenefitExpense
Percent Of Total Expense	0.11260	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$12,276,779	BadDebtExpenseAmount
Amount Reimbursed By Medicare	358314880	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	394127238	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-35812358	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	7	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
SUTTER GENERAL HOSPITAL
1	2801 L STREET	SACRAMENTO	CA	95816	X	X	X
SUTTER ROSEVILLE MEDICAL CENTER
2	ONE MEDICAL PLAZA	ROSEVILLE	CA	95661	X	X	X
SUTTER SOLANO MEDICAL CENTER
3	300 HOSPITAL DRIVE	VALLEJO	CA	94589	X	X	X
SUTTER AUBURN FAITH HOSPITAL
4	11815 EDUCATION STREET	AUBURN	CA	95603	X	X	X
SUTTER CENTER FOR PSYCHIATRY
5	7700 FOLSOM STREET	SACRAMENTO	CA	95826	X
SUTTER AMADOR HOSPITAL
6	200 MISSION BLVD	JACKSON	CA	95642	X	X	X
SUTTER DAVIS HOSPITAL
7	200 SUTTER PLACE	DAVIS	CA	95616	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 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
SUTTER GENERAL HOSPITAL
1	true	true	200.	true	400.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false
SUTTER ROSEVILLE MEDICAL CENTER
2	true	true	200.	true	400.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false
SUTTER SOLANO MEDICAL CENTER
3	true	true	200.	true	400.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false
SUTTER AUBURN FAITH HOSPITAL
4	true	true	200.	true	400.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false
SUTTER CENTER FOR PSYCHIATRY
5	true	true	200.	true	400.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false
SUTTER AMADOR HOSPITAL
6	true	true	200.	true	400.	true	X	X	X	X	X	true	true	X	true	false	true	X	false	false
SUTTER DAVIS HOSPITAL
7	true	true	200.	true	400.	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	19	NumberOfOtherFacilities

Other Facilities OtherFacilities (19 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
INFUSION CENTER
1020 29TH STREET SUITE 690	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
NEURO SCIENCE CLINIC
2801 K STREET	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
SUTTER SLEEP DISORDERS CENTER
1411 SECRET RAVINE PARKWAY SUITE 1	SACRAMENTO	CA	95661	OUTPATIENT SERVICES
SUTTER SLEEP DISORDERS CENTER
650 HOWE AVENUE	SACRAMENTO	CA	95825	OUTPATIENT SERVICES
SUTTER OAKS NURSING CENTER - MIDTOWN
2600 L STREET	SACRAMENTO	CA	95816	OUTPATIENT SERVICES
AUDIOLOGY AND ADULT DIABETES CLINICS
5151 F STREET BUILDING E	SACRAMENTO	CA	95819	OUTPATIENT SERVICES
SUTTER CENTER FOR PSYCHIATRY
855 HOWE AVENUE	SACRAMENTO	CA	95826	OUTPATIENT SERVICES
ANTEPARTUM TESTING UNIT
ONE MEDICAL PLAZA	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
OUTPATIENT SURGERY DEPARTMENT
FOUR MEDICAL PLAZA	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
RADIOLOGY SERVICE
THREE MEDICAL PLAZA	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
WOUND CARE CENTER
ONE MEDICAL PLAZA	ROSEVILLE	CA	95661	OUTPATIENT SERVICES
SUTTER SOLANO CANCER CENTER
100 HOSPITAL DRIVE	VALLEJO	CA	94589	OUTPATIENT SERVICES
CARDIOPULMONARY REHAB SERVICES
11795 EDUCATION STREET 205	AUBURN	CA	95603	OUTPATIENT SERVICES
INFUSION THERAPY CENTER
11710 EDUCATION STREET	AUBURN	CA	95602	OUTPATIENT SERVICES
WOUND CAREOSTOMY DEPARTMENT
11710 EDUCATION STREET	AUBURN	CA	95602	OUTPATIENT SERVICES
NUCLEAR MEDICINE
100 MISSION BLVD	JACKSON	CA	95642	OUTPATIENT SERVICES
JACKSON FAMILY PRACTICE
255 NEW YORK RANCH ROAD SUITE C	JACKSON	CA	95642	OUTPATIENT SERVICES
SUTTER AMADOR PEDIATRIC CENTER
100 MISSION BLVD	JACKSON	CA	95642	OUTPATIENT SERVICES
CARDIAC STRESS TEST LAB
100 MISSION BLVD	JACKSON	CA	95642	OUTPATIENT SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 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 200% OF FPG. PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES APPLIES TO UNINSURED PATIENTS THAT WHOSE FAMILY INCOMES ARE BETWEEN 201% AND 400%. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 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 I, QUESTION 7G	THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $2,188,561.
PART II	AFFILIATES WITHIN THE SACRAMENTO SIERRA REGION DO NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2011.	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 $35,812,358.
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. THE 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	SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) INCLUDES SUTTER AMADOR HOSPITAL (SAH), SUTTER AUBURN FAITH HOSPITAL (SAFH), SUTTER DAVIS HOSPITAL (SDH), SUTTER MEDICAL CENTER, SACRAMENTO (SMCS), SUTTER ROSEVILLE MEDICAL CENTER (SRMC), SUTTER SOLANO MEDICAL CENTER (SSMC) AND SUTTER SURGICAL HOSPITAL NORTH VALLEY. EVERY THREE YEARS, SHSSR PARTNERS WITH KAISER PERMANENTE, UC DAVIS HEALTH SYSTEM, AND DIGNITY HEALTH TO CONDUCT A COMMUNITY NEEDS ASSESSMENT (CNA) TO HELP GUIDE OUR COMMUNITY BENEFIT PROGRAMS. WITH THIS VALUABLE INFORMATION, WE IDENTIFY PRIORITY NEEDS WE WANT TO ADDRESS IN OUR COMMUNITIES. OVER THE COURSE OF 2009, 15 FOCUS GROUPS WITH 134 COMMUNITY MEMBERS WERE CONDUCTED IN VARIOUS SETTINGS THROUGHOUT THE REGION. ANOTHER 12 COMMUNITY MEMBERS WERE INTERVIEWED VIA ONE-ON-ONE INTERVIEWS. ALL FOCUS GROUPS WITH COMMUNITY MEMBERS WERE RECORDED AND TRANSCRIBED, AND THOSE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH WERE TRANSLATED. ALL TRANSCRIPTIONS WERE ANALYZED FOR COMMON THEMES AND RESULTS THAT ADDRESSED THE STUDY OBJECTIVES. A TOTAL OF 20 SERVICE PROVIDERS WERE INTERVIEWED AS WELL. THESE INCLUDED PUBLIC HEALTH EXPERTS, COUNTY PUBLIC HEALTH OFFICERS, HEALTH CARE AND SOCIAL SERVICE PRACTITIONERS, PHYSICIANS SERVING THE POOR AND UNINSURED, AND OTHER MEMBERS OF COMMUNITY-BASED ORGANIZATIONS ASSISTING THE UNINSURED. ADDITIONALLY, SECONDARY DATA FOR THE YEARS 2006, 2007 AND 2008 WERE COLLECTED AT THE ZIP CODE LEVEL. THE CNA IS AN IN-DEPTH STUDY OF THE GREATER SACRAMENTO REGION THAT IDENTIFIES HEALTH PRIORITIES, HEALTH DISPARITIES AND BARRIERS TO HEALTH CARE FOR VULNERABLE AND UNDERSERVED POPULATIONS. ALTHOUGH THE SHSSR COMMUNITY BENEFIT PRIORITY AREAS ARE DETERMINED FROM THIS PROCESS, WE ARE FOCUSED ON CREATING AND IMPROVING ACCESS TO PRIMARY AND MENTAL HEALTH CARE SERVICES MORE THAN EVER BECAUSE THE NEED IS MORE PRONOUNCED THAN EVER. WE ARE WORKING TO INCREASE ACCESS BY USING A BEST PRACTICE APPROACH, LOOKING AT 'THE WHOLE PERSON,' AND UTILIZING STRATEGIC COLLABORATIONS THAT VARY IN NATURE AND SCOPE FROM COUNTY TO COUNTY. THIS WAY, WE ARE ABLE TO USE PROGRAMS THAT MAY HAVE ORIGINATED IN ONE COUNTY, AND MODIFYING THEM TO WORK IN OTHER COUNTIES. BY INVESTING IN PROGRAMS THAT INCREASE ACCESS TO PREVENTATIVE CARE AND BY HELPING PEOPLE FIND A 'MEDICAL HOME,' WE ARE INVESTING IN THE HEALTH OF THE 'WHOLE PERSON' AND ENSURING THEIR ONGOING SUCCESS AND LONG-TERM SUSTAINABILITY OF OUR HEALTH CARE SYSTEM. SACRAMENTO SIERRA REGION'S PRIORITY NEEDS ARE: - ENSURING ACCESS TO PRIMARY CARE AND MENTAL HEALTH SERVICES - IMPROVING THE LIVES OF FAMILIES AND CHILDREN - CONNECTING WITH OUR SENIOR RESIDENTS - PREPARING OUR COMMUNITY FOR HEALTH FUTURES WE CREATED A PLATFORM AND TOOL TO MAKE THIS IMPORTANT HEALTH INFORMATION ACCESSIBLE TO OUR COMMUNITY PARTNERS AND THE GENERAL PUBLIC. LOG ON TO WWW.HEALTHYLIVINGMAP.COM AND LEARN ABOUT THE UNMET HEALTH NEEDS IN OUR REGION.	PART VI, QUESTION 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SACRAMENTO SIERRA REGION FOLLOWS A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS) B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION" 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION" B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS. 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS.	PART VI, QUESTION 3
COMMUNITY INFORMATION	AMADOR COUNTY ACCORDING TO THE 2012 U.S. CENSUS BUREAU THE POPULATION OF AMADOR COUNTY IS 38,091 AND CONSISTED OF 54.5% MEN AND 45.5% WOMEN WITH A MEDIAN AGE OF 42.7 YEARS. THE POPULATION DENSITY WAS 63 PEOPLE PER SQUARE MILE IN 2010 WHICH IS FAR BELOW THAT OF THE CALIFORNIA STATE DENSITY OF 239.1. AMADOR'S POPULATION CONSISTS OF 87% WHITE RESIDENTS, 12.5% HISPANIC OR LATINO AND 2.5% BLACK NON-HISPANIC. THE MAJORITY OF RESIDENTS SPEAK ENGLISH AT HOME (92.4%) WHILE 5% SPEAK SPANISH. THE MEDIAN HOUSEHOLD SIZE IS 2.31 PEOPLE WITH A 2010 AVERAGE INCOME OF $54,758 AND A MEDIAN HOUSE VALUE OF $341,400. THE MAJORITY (87.4%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 19% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN AMADOR THE POVERTY LEVEL IN 2010 WAS AT 8% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 13.4% IN APRIL 2010 WHICH WAS ABOVE THE CALIFORNIA LEVEL OF 12.4% AS WELL AS THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES ARE CONSISTENT WITH THE SIZE OF THE COUNTY WITH 12 GROCERY STORES AND 38 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 11.2% OF ADULTS BEING OBESE AND 5.8% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 389 DEATHS AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND ACCIDENTAL. IN 2007 THERE WERE 294 BIRTHS WITH ONLY 1 INFANT DEATH OCCURRING THAT YEAR. THE LIFE EXPECTANCY AT BIRTH IS 78.5 YEARS WHICH IS NEARLY THE SAME AS THE CALIFORNIA LIFE EXPECTANCY. IN 2009 27.9% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS ABOVE BOTH THE STATE LEVEL OF 18.5% AND FEDERAL LEVEL OF 15.5%. IN AMADOR COUNTY 51.6% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 10.5% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. PLACER COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU PLACER COUNTY HAD A POPULATION OF 348,342 AND CONSISTED OF 48.8% MEN AND 51.2% WOMEN WITH A MEDIAN AGE OF 38 YEARS. THE POPULATION DENSITY WAS 132.2 PEOPLE PER SQUARE MILE IN 2010 WHICH IS HALF THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. PLACER'S POPULATION CONSISTS OF 83.5% WHITE RESIDENTS, 12.8% HISPANIC OR LATINO AND 5.9% ASIAN. THE MAJORITY OF RESIDENTS (89.4%) SPEAK ENGLISH AT HOME WHILE 5.9% SPEAK SPANISH AT HOME (7% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 2.58 PEOPLE WITH A 2010 AVERAGE INCOME OF $74,477 AND A MEDIAN HOUSE VALUE OF $427,600. NEARLY ALL (93%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 34.1% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN PLACER THE POVERTY LEVEL IN 2010 WAS AT 6.6% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 11.4% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 55 GROCERY STORES, 74 CONVENIENCE STORES (WITH GAS) AND 299 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 17.3% OF ADULTS BEING OBESE, 5.7% OF ADULTS WITH DIABETES AND 21.1% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 2,502 DEATHS IN PLACER COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 4,054 BIRTHS AS WELL AS 23 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 80.9 YEARS WHICH WAS RIGHT AT THE CALIFORNIA LIFE EXPECTANCY. IN 2010 15% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS AVERAGE WITH BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN PLACER COUNTY 67.3% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 3.5% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. YOLO COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU YOLO COUNTY HAD A POPULATION OF 200,849 AND CONSISTED OF 48.8% MEN AND 51.2% WOMEN WITH A MEDIAN AGE OF 29.5 YEARS. THE POPULATION DENSITY WAS 197.9 PEOPLE PER SQUARE MILE IN 2010 WHICH IS WELL BELOW THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. YOLO'S POPULATION CONSISTS OF 63.2% WHITE RESIDENTS, 30.3% HISPANIC OR LATINO, AND 13% ASIAN. A LITTLE OVER HALF (67.9%) OF RESIDENTS SPEAK ENGLISH AT HOME WHILE 19.4% SPEAK SPANISH. THE MEDIAN HOUSEHOLD SIZE IS 2.7 PEOPLE WITH A 2010 AVERAGE INCOME OF $57,077 AND A MEDIAN HOUSE VALUE OF $391,300. A LARGE MAJORITY (84.3%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 37.8% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN YOLO THE POVERTY LEVEL IN 2010 WAS AT 17.1% OF RESIDENTS, ABOVE BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 12.8% IN APRIL 2010 WHICH WAS ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. . FOOD SUPPLIES CONSIST OF 40 GROCERY STORES, 40 CONVENIENCE STORES (WITH GAS) AND 123 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 13.9% OF ADULTS BEING OBESE AND 8.3% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 1,111 DEATHS IN YOLO COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 2,522 BIRTHS AS WELL AS 12 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 79.2 YEARS WHICH WAS RIGHT BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010 20% 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 YOLO COUNTY 65.6% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 8.3% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE.	PART VI, QUESTION 4
COMMUNITY INFORMATION (CONTINUED)	SACRAMENTO COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU SACRAMENTO COUNTY HAD A POPULATION OF 1,418,788 AND CONSISTED OF 49% MEN AND 51% WOMEN WITH A MEDIAN AGE OF 33.8 YEARS. THE POPULATION DENSITY WAS 1,470.8 PEOPLE PER SQUARE MILE IN 2010 WHICH IS NEARLY SIX TIMES THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SACRAMENTO'S POPULATION CONSISTS OF 57.5% WHITE RESIDENTS, 21.6% HISPANIC OR LATINO AND 14.3% ASIAN. THREE QUARTERS (75.6%) OF RESIDENTS SPEAK ENGLISH AT HOME AND 10% SPEAK SPANISH. THE MEDIAN HOUSEHOLD SIZE IS 2.69 PEOPLE WITH A 2010 AVERAGE INCOME OF $56,439 AND A MEDIAN HOUSE VALUE OF $324,200. A HIGH PERCENTAGE (85.1%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 27.8% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SACRAMENTO THE POVERTY LEVEL IN 2010 WAS AT 13.9% OF RESIDENTS, RIGHT AT THE CALIFORNIA STATE LEVEL OF 13.7% AND JUST BELOW THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 12.4% IN APRIL 2010 WHICH WAS EXACTLY AT THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 255 GROCERY STORES, 10 SUPERCENTERS AND CLUB STORES, 233 CONVENIENCE STORES (WITH GAS) AND 922 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 20.8% OF ADULTS BEING OBESE, 6.4% OF ADULTS WITH DIABETES AND 25.3% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 9,548 DEATHS IN SACRAMENTO COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 22,119 BIRTHS AS WELL AS 127 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 78.4 YEARS WHICH WAS BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010 17.6% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS BELOW THE STATE LEVEL OF 18.5% YET RIGHT ABOVE THE FEDERAL LEVEL OF 15.5%. IN SACRAMENTO COUNTY 56.7% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 17.6% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SOLANO COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU SOLANO COUNTY HAD A POPULATION OF 413,344 AND CONSISTED OF 49.9% MEN AND 50.1% WOMEN WITH A MEDIAN AGE OF 33.9 YEARS. THE POPULATION DENSITY WAS 203 PEOPLE PER SQUARE MILE IN 2010 WHICH IS JUST UNDER THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SOLANO'S POPULATION CONSISTS OF 51% WHITE RESIDENTS, 24% HISPANIC OR LATINO, 14.6% ASIAN AND 14.7 BLACK NON-HISPANIC. THREE QUARTERS (75.4%) OF RESIDENTS SPEAK ENGLISH AT HOME WHITE 12.1% SPEAK SPANISH. THE MEDIAN HOUSEHOLD SIZE IS 2.86 PEOPLE WITH A 2010 AVERAGE INCOME OF $68,409 AND A MEDIAN HOUSE VALUE OF $389,800. A HIGH PERCENTAGE (85.8%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 24% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SOLANO THE POVERTY LEVEL IN 2010 WAS AT 10.4% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 11.8% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 78 GROCERY STORES, 91 CONVENIENCE STORES (WITH GAS) AND 221 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 20.9% OF ADULTS BEING OBESE, 6.4% OF ADULTS WITH DIABETES AND 21.9% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 2,774 DEATHS IN SOLANO COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 5,849 BIRTHS AS WELL AS 41 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 78.5 YEARS WHICH WAS BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010 20.3% 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 SOLANO COUNTY 53.9% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 15.7% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SUTTER COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU SUTTER COUNTY HAD A POPULATION OF 94,737 AND CONSISTED OF 49.6% MEN AND 50.4% WOMEN WITH A MEDIAN AGE OF 34.1 YEARS. THE POPULATION DENSITY WAS 157.3 PEOPLE PER SQUARE MILE IN 2010 WHICH IS WELL BELOW THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SUTTER'S POPULATION CONSISTS OF 61% WHITE RESIDENTS, 28.8% HISPANIC OR LATINO, AND 14.4% ASIAN. A LITTLE OVER HALF (69.7%) OF RESIDENTS SPEAK ENGLISH AT HOME WHILE 17.7% SPEAK SPANISH (14% OF WHICH DO NOT SPEAK ENGLISH AT ALL) AND 10.9% SPEAK INDO-EUROPEAN. THE MEDIAN HOUSEHOLD SIZE IS 2.95 PEOPLE WITH A 2010 AVERAGE INCOME OF $50,944 AND A MEDIAN HOUSE VALUE OF $262,200. OVER THREE QUARTERS (78.4%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 18.7% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SUTTER THE POVERTY LEVEL IN 2010 WAS AT 14.3% OF RESIDENTS, ABOVE THE CALIFORNIA STATE LEVEL OF 13.7% YET BELOW THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 21% IN APRIL 2010 WHICH WAS FAR ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 21 GROCERY STORES, 19 CONVENIENCE STORES (WITH GAS) AND 61 FULL SERVICE RESTAURANTS. IN 2008, HEALTH ISSUES IN THIS COUNTY INCLUDED 25.3% OF ADULTS BEING OBESE AND 7.9% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 690 DEATHS IN SUTTER COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE HEART DISEASE, CANCER AND STROKE. IN 2007 THERE WERE 1,497 BIRTHS AS WELL AS 9 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 77.7 YEARS WHICH WAS RIGHT AT THE CALIFORNIA LIFE EXPECTANCY. IN 2010 22.8% 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 SUTTER COUNTY 47.1% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 24.4% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE.	PART VI, QUESTION 5
PROMOTION OF COMMUNITY HEALTH	SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS OF SACRAMENTO SIERRA REGION'S COMMUNITY BENEFIT ACTIVITIES IN 2011: SUTTER DAVIS HOSPITAL HAS PARTNERED WITH COMMUNICARE HEALTH CENTERS FOR MORE THAN 15 YEARS TO IMPROVE ACCESS TO CARE FOR THE UNINSURED AND UNDERINSURED RESIDENTS OF YOLO COUNTY. COMMUNICARE IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES GENERAL MEDICINE, PEDIATRICS, IMMUNIZATIONS, WOMEN'S HEALTH SERVICES, PRENATAL CARE, CHRONIC DISEASE MANAGEMENT, VISION CARE, AND HIV SERVICES. EACH YEAR, MORE THAN 23,000 PEOPLE ARE TREATED BY COMMUNICARE'S MEDICAL AND MENTAL HEALTH PROFESSIONALS. THE INTERIM CARE PROGRAM (ICP) IN SACRAMENTO LINKS HOMELESS MEN AND WOMEN TO VITAL COMMUNITY SERVICES WHILE GIVING THEM A PLACE TO HEAL IN A 18-BED SHELTER. THE PROGRAM OFFERS THREE MEALS PER DAY, MEDICAL FOLLOW-UP AND CASE MANAGEMENT. THE MOST INNOVATIVE ASPECT OF THIS PROGRAM IS THE UNIQUE COLLABORATION BETWEEN ALL LOCAL HEALTH CARE SYSTEMS, THE COUNTY OF SACRAMENTO, THE SALVATION ARMY AND THE EFFORT, INC., A LOCAL COMMUNITY CLINIC. THE SOLANO ICP HAS NOW MERGED WITH THE FREQUENT USER GROUP AND IS CALLED THE TRANSITIONAL CARE COLLABORATIVE (TCC) TO COVER ALL THE TRANSITIONAL CARE NEEDS OF UNINSURED AND UNDERINSURED PEOPLE IN SOLANO. THE GROUP IS COMPRISED OF THE COMMUNITY PARTNERS, INCLUDING SUTTER SOLANO MEDICAL CENTER, KAISER PERMANENTE, FAIRFIELD-SUISUN COMMUNITY ACTION COUNCIL, LA CLINICA DE LA RAZA, NORTHBAY HEALTHCARE, SOLANO COALITION FOR BETTER HEALTH AND THE SOLANO COUNTY HEALTH AND SOCIAL SERVICES. SUTTER MEDICAL CENTER, SACRAMENTO IS A FOUNDING PARTNER OF T3, A PROGRAM THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY DEPARTMENT CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES BY PRIMARY CARE PROVIDERS. T3 FOOTHILLS (SERVING SUTTER AUBURN FAITH HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER AND KAISER PERMANENTE) BEGAN IN JANUARY 2011 AND IS SUCCESSFUL SERVING PATIENTS WHO ARE MENTALLY ILL, FREQUENT USERS OF THE EMERGENCY DEPARTMENT AND WHO ARE CURRENTLY HOMELESS. SACRAMENTO SIERRA REGION PARTNERS WITH THE EFFORT, AN ORGANIZATION WHO PROVIDES PRIMARY MEDICAL CARE TO MORE THAN 5,000 PATIENTS EACH YEAR, SERVING THE UNINSURED AND UNDERINSURED OF THE SACRAMENTO AREA. THE EFFORT PARTNERS WITH SUTTER HEALTH IN DELIVERY OF ITS ICP AND T3 PROGRAMS. THE SOCIAL INEBRIATE PROGRAM (SIP) ADDRESSES HEALTH, SAFETY AND HOUSING NEEDS OF CHRONIC HOMELESS ADULTS LIVING ON THE STREETS OF SACRAMENTO. THE PROGRAM CONSISTS OF A PARTNERSHIP BETWEEN SUTTER MEDICAL CENTER, SACRAMENTO, SACRAMENTO'S NAVIGATOR PROGRAM AND SACRAMENTO SELF HELP HOUSING. LA CLINICA, A PARTNERSHIP BETWEEN LA CLINICA NORTH VALLEJO COMMUNITY CLINIC AND SUTTER SOLANO MEDICAL CENTER, SERVES AS AN EMERGENCY DEPARTMENT DIVERSION SITE, SHORTENING WAIT TIMES FOR NONEMERGENCY PATIENTS AND FREEING UP VALUABLE SERVICES TO THOSE TRULY IN NEED OF EMERGENCY DEPARTMENT ATTENTION. LA CLINICA IS A PARTNER IN OUR TRANSITIONAL CARE COLLABORATIVE IN SOLANO AND SERVES AS THE MEDICAL HOME FOR MANY OF THESE CLIENTS. SUTTER MEDICAL CENTER, SACRAMENTO INVESTS IN COMMUNITY-BASED ORGANIZATIONS THROUGH AN ANNUAL COMMUNITY BENEFIT GRANTS PROGRAM. EACH YEAR, LOCAL ORGANIZATIONS ARE GRANTED UP TO $50,000 EACH TO ENSURE ACCESS TO PRIMARY CARE AND MENTAL HEALTH SERVICES, IMPROVE THE LIVES OF MOTHERS AND CHILDREN, PREPARE YOUTH FOR HEALTHY FUTURES AND ASSIST INDIVIDUALS AND FAMILIES MOVING FROM HOMELESSNESS TO SELF-SUFFICIENCY. SUTTER ROSEVILLE MEDICAL CENTER PARTNERS WITH OAKMONT HIGH SCHOOL ON THE OAKMONT HEALTH CARE ACADEMY, A THREE-YEAR HIGH SCHOOL PROGRAM FOR STUDENTS INTERESTED IN EXPLORING AND PREPARING FOR CAREERS IN HEALTH CARE. THE SUTTER CENTER FOR HEALTH PROFESSIONS (SCHP) IS A NURSING PROGRAM THAT CONTINUES TO REACH AND RECRUIT THOSE FROM AT-RISK COMMUNITIES AND PROVIDES STEADY CAREER OPPORTUNITIES TO THOSE WHO MIGHT NOT OTHERWISE HAVE ACCESS TO HEALTH CARE CAREER EDUCATION. IN PARTNERSHIP WITH HILL PHYSICIANS MEDICAL GROUP, SACRAMENTO SIERRA REGION HOSPITALS SUPPORTED SERVICES GIVEN ON A ONE-ON-ONE BASIS TO ASSIST COMMUNITY MEMBERS AND TO ENHANCE PATIENT ACCESS TO CARE. THIS INCLUDES ENROLLMENT ASSISTANCE IN PUBLIC PROGRAMS, TRANSPORTATION PROGRAMS AND VOUCHERS AND MEALS-ON-WHEELS. THE FAMILY SUPPORT PROJECT (FSP) IS A WAY FOR SUTTER AUBURN FAITH HOSPITAL (SAFH) AND SUTTER ROSEVILLE MEDICAL CENTER (SRMC) TO CONNECT WITH NEW FAMILIES IN NEED OF SUPPORT AND EDUCATION. IT SERVES AS A CONNECTOR TO PROVIDE ONGOING SUPPORT AND A CATALYST THAT CONNECTS FAMILIES TO APPROPRIATE MEDICAL AND MENTAL HEALTH CARE. THE WOMEN'S SERVICES OF AMADOR IS THE ONLY CLINIC WITHIN THE COUNTY THAT WILL SEE MEDICARE AND MEDI-CAL PATIENTS. THIS PROGRAM SERVED OVER 10,500 PERSONS IN 2011. SUTTER AMADOR HOSPITAL (SAH) SUPPORTED AMADOR STAR'S ANNUAL CAMP OUT FOR CANCER, AN INSPIRING FAMILY-FRIENDLY EVENT THAT RAISES FUND FOR CANCER SERVICES IN THE COMMUNITY, SUCH AS TRANSPORTATION TO MEDICAL APPOINTMENTS, WIGS AND SCARVES FOR CHEMOTHERAPY PATIENTS AND MUCH MORE. THIS PROGRAM HELPED 1,300 PERSONS IN 2011. SAH SUPPORTS A DIABETES PROGRAM THAT HELPS PEOPLE AND THEIR FAMILIES UNDERSTAND AND MANAGE THIS LIFE-THREATENING DISEASE. SERVICES INCLUDE TRAINING IN THE USE OF BLOOD SUGAR TESTING EQUIPMENT, DIET AND EXERCISE, FOOD SHOPPING AND SYMPTOM CONTROL. THIS PROGRAM IS THE ONLY DIABETES-SPECIFIC PROGRAM WITHIN A 65-MILE RADIUS. THIS PROGRAM SERVED OVER 2,900 PERSONS IN 2011. THE SENIOR RECREATION AND RESPITE PROGRAM, PROVIDED BY SAH AND SUTTER ROSEVILLE MEDICAL CENTER, IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. IN 2010, THE PROGRAM EXPANDED AND TRANSPORTATION IS NOW OFFERED THROUGH HEALTH EXPRESS TO ENSURE THOSE WHO BENEFIT THE MOST FROM THE PROGRAM WILL CONTINUE TO HAVE ACCESS. THE HEALTH EXPRESS PROGRAM, STARTED AT SAFH MORE THAN A DECADE AGO, OFFERS FREE NON-EMERGENCY MEDICAL TRANSPORTATION TO SENIORS AND DISABLED INDIVIDUALS IN AUBURN.	PART VI, QUESTION 5
AFFILIATED HEALTH CARE SYSTEM	SACRAMENTO SIERRA REGION IS 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 A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. IT'S BETTER FOR PATIENTS: WE BELIEVE THIS COMMUNITY-OWNED, NOT-FOR-PROFIT APPROACH TO HEALTH CARE BEST SERVES OUR PATIENTS AND OUR COMMUNITIES - FOR MULTIPLE REASONS. FIRST OF ALL, IT'S GOOD FOR PATIENTS. ACCORDING TO THE JOURNAL OF GENERAL INTERNAL MEDICINE (APRIL 2000), PATIENTS TREATED AT FOR-PROFIT OR GOVERNMENT-OWNED HOSPITALS WERE TWO-TO-FOUR TIMES MORE LIKELY TO SUFFER PREVENTABLE ADVERSE EVENTS THAN PATIENTS TREATED AT NOT-FOR-PROFIT INSTITUTIONS. OUR STOCKHOLDERS ARE OUR COMMUNITIES: INVESTOR-OWNED, FOR-PROFIT HEALTH SYSTEMS HAVE A FINANCIAL INCENTIVE TO AVOID CARING FOR UNINSURED AND UNDERINSURED PATIENTS. THEY ALSO HAVE A FINANCIAL INCENTIVE TO AVOID HARD-TO-SERVE POPULATIONS AND "UNDESIRABLE" GEOGRAPHIC AREAS SUCH AS RURAL AREAS. FOR MANY NORTHERN CALIFORNIA'S UNDERSERVED RURAL LOCALES, SUTTER HEALTH IS THE ONLY PROVIDER OF HOSPITAL AND EMERGENCY MEDICAL SERVICES IN THE COMMUNITY. PROVIDING CHARITY CARE AND SPECIAL PROGRAMS TO COMMUNITIES: OUR COMMUNITIES' SUPPORT HELPS US EXPAND SERVICES, INTRODUCE NEW PROGRAMS AND IMPROVE MEDICAL TECHNOLOGY. ACROSS OUR NETWORK, EVERY SUTTER HOSPITAL, PHYSICIAN ORGANIZATION AND CLINIC HAS A SPECIAL STORY TO TELL ABOUT FULFILLING VITAL COMMUNITY NEEDS. OUR COMMITMENT TO COMMUNITY BENEFIT: MEETING THE HEALTH CARE NEEDS OF OUR COMMUNITIES IS THE CORNERSTONE OF SUTTER HEALTH'S NOT-FOR-PROFIT MISSION. THIS INCLUDES DIRECTLY SERVING THOSE WHO CANNOT AFFORD TO PAY FOR HEALTH CARE AND SUPPORTING PROGRAMS AND SERVICES THAT HELP THOSE IN FINANCIAL NEED. SUTTER HEALTH NOW PROVIDES $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 (69 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
EFFORT INC
1820 J ST	SACRAMENTO	CA	95814	941713704	501(C)(3)	1299208	GENERAL SUPPORT
COMMUNICARE HEALTH CENTERS
POBOX 1260	DAVIS	CA	956171260	942188574	501(C)(3)	1126999	GENERAL SUPPORT
LOS RIOS COMMUNITY COLLEGE
3835 FREEPORT BLVD	SACRAMENTO	CA	95822	941576340	501(C)(3)	359550	GENERAL SUPPORT
SENIOR FIRST
11566 D AVE	AUBURN	CA	95603	680430154	501(C)(3)	200500	GENERAL SUPPORT
RITE AID CORP
POBOX 360321	PITTSBURGH	PA	152506321	231614034	501(C)(3)	156803	GENERAL SUPPORT
VALLEY VISION INC
2320 BROADWAY	SACRAMENTO	CA	95818	943214572	501(C)(3)	150000	GENERAL SUPPORT
3 FOLD COMMUNICATIONS
1722 J ST STE 17	SACRAMENTO	CA	95811	201119447		146250	GENERAL SUPPORT
HEALTH TEACHER INC
5200 MARYLAND WAY	BRENTWOOD	TN	37027	203456491	501(C)(3)	120552	GENERAL SUPPORT
SACRAMENTO SELF HELP HOUSING
POBOX 188445	SACRAMENTO	CA	95818	680217383	501(C)(3)	62500	GENERAL SUPPORT
SACRAMENTO COTTAGE HOUSING INC
1726 PROFESSIONAL DR	SACRAMENTO	CA	95825	680322086	501(C)(3)	56350	GENERAL SUPPORT
GIFTS TO SHARE INC
1231 I ST STE 400	SACRAMENTO	CA	95814	942985546	501(C)(3)	56000	GENERAL SUPPORT
WOMENS EMPOWERMENT
1400 NO C ST	SACRAMENTO	CA	95814	264672343	501(C)(3)	55000	GENERAL SUPPORT
SAC METRO CHAMBER COMMERCE
ONE CAPITOL MALL	SACRAMENTO	CA	95814	940824600	501(C)(3)	55000	GENERAL SUPPORT
AMERICAN HEART ASSN
PO BOX 160126	SACRAMENTO	CA	95816	941219116		50000	GENERAL SUPPORT
STANFORD SETTLEMENT INC
450 W EL CAMINO AVE	SACRAMENTO	CA	95833	941550842	501(C)(3)	50000	GENERAL SUPPORT
PLACER CNTY DEPT HEALTH & HUMAN SVCS
11484 B AVE	AUBURN	CA	95603			45000	GENERAL SUPPORT
FIRST RESPONDER SACRAMENTO
POBOX 24	CHICO	CA	95927	680414838	501(C)(3)	44747	GENERAL SUPPORT
GATHERING INN
POBOX 297	ROSEVILLE	CA	95678	841657746	501(C)(3)	44000	GENERAL SUPPORT
SACRAMENTO NEIGHBORHOOD CENTER
4141 WINTERS ST	SACRAMENTO	CA	95838	274867563	501(C)(3)	39261	GENERAL SUPPORT
FRANCIS HOUSE OF SACRAMENTO
1422 C ST	SACRAMENTO	CA	95814	942437147	501(C)(3)	39000	GENERAL SUPPORT
CTR FOR COMNTY HLTH & WELL BEING INC
1900 T ST	SACRAMENTO	CA	95814	680248303	501(C)(3)	37500	GENERAL SUPPORT
MARCH OF DIMES
1755 CREEKSIDE OAKS	SACRAMENTO	CA	95833	131846366	501(C)(3)	35000	GENERAL SUPPORT
AMERICAN CANCER SOCIETY
1720 SO AMPHLETT BLVD	SAN MATEO	CA	94402	941170350	501(C)(3)	34131	GENERAL SUPPORT
LIGHTHOUSE COUNSELING & FAMILY CTR
427 A ST STE 400	LINCOLN	CA	95648	352252834	501(C)(3)	34100	GENERAL SUPPORT
FAITH IN ACTION
3303 WHITEMARSH LN	FAIRFIELD	CA	94534	680431992	501(C)(3)	33000	GENERAL SUPPORT
WEAVE
POBOX 161389	SACRAMENTO	CA	95816	942493158	501(C)(3)	32500	GENERAL SUPPORT
DAVIS FARMERS MARKET ASSN
POBOX 1813	DAVIS	CA	95617	680001588	501(C)(3)	30200	GENERAL SUPPORT
LATINO LEADERSHIP COUNCIL INC
2945 BELL RD STE 274	AUBURN	CA	95603	270970476	501(C)(3)	30000	GENERAL SUPPORT
FAIRFIELD SUISUN COMNTY ACTION CNCL INC
416 UNION AVE	FAIRFIELD	CA	94533	680041385	501(C)(3)	30000	GENERAL SUPPORT
SACRAMENTO AREA CONGREGATIONS TOGETHER
2510 J ST	SACRAMENTO	CA	95816	943143791	501(C)(3)	27500	GENERAL SUPPORT
PEOPLE REACHING OUT
5299 AUBURN BLVD	SACRAMENTO	CA	95841	942795430	501(C)(3)	27300	GENERAL SUPPORT
UNITED CEREBRAL PALSY OF SACTO
191 LATHROP WAY NO	SACRAMENTO	CA	95815	941507998	501(C)(3)	27250	GENERAL SUPPORT
WIND YOUTH SERVICES
PO BOX 13856	SACRAMENTO	CA	95853	550844444	501(C)(3)	25000	GENERAL SUPPORT
SACRAMENTO LOAVES AND FISHES
POBOX 2161	SACRAMENTO	CA	95812	680189897	501(C)(3)	25000	GENERAL SUPPORT
DOWNTOWN SACTO PARTNERSHIP
980 NINTH ST	SACRAMENTO	CA	95814	680270320	501(C)(3)	25000	GENERAL SUPPORT
SAC ASIAN PACIFIC CHAMBER OF COMMERCE
2012 H ST	SACRAMENTO	CA	95814	680306606	501(C)(3)	25000	GENERAL SUPPORT
PLACER WOMENS CENTER INC
PO BOX 5462	AUBURN	CA	95604	942578871	501(C)(3)	25000	GENERAL SUPPORT
SACRAMENTO FOOD BANK SERVICES
3333 3RD AVE	SACRAMENTO	CA	95817	943315566	501(C)(3)	25000	GENERAL SUPPORT
SACRAMENTO BLACK CHAMBER OF COMMERCE
5770 FREEPORT BLVD	SACRAMENTO	CA	95822	680083646	501(C)(3)	20000	GENERAL SUPPORT
KIDS FIRST
7311 GALILEE RD	ROSEVILLE	CA	95678	680195225	501(C)(3)	20000	GENERAL SUPPORT
SACTO REGION SPORTS EDUCATION FDN
700 UNIVERSITY AVE	SACRAMENTO	CA	95825	680414507	501(C)(3)	20000	GENERAL SUPPORT
PROJECT FIT AMERICA
PO BOX 308	BOYS HOT SPRING	CA	95416	363730823	501(C)(3)	18500	GENERAL SUPPORT
LEED SACTO DBA CAREER YOUTH CONF
10680 WHITE ROCK	RANCHO CORDOVA	CA	95670	680287387	501(C)(3)	18000	GENERAL SUPPORT
UCDAVIS HLTH SYS HLTH SCIENCES ADVANCEMENT
4900 BROADWAY	SACRAMENTO	CA	95820	946036494	501(C)(3)	16134	GENERAL SUPPORT
SAC AREA REGIONAL TECHALLIANCE
3801 POWER INN RD	SACRAMENTO	CA	95826	680332874	501(C)(3)	15000	GENERAL SUPPORT
SAC HISPANIC CHAMBER OF COMMERCE
1491 RIVER PARK DR	SACRAMENTO	CA	95815	942446259	501(C)(3)	15000	GENERAL SUPPORT
ARDEN FAIR ASSOCIATES
1689 ARDEN WAY	SACRAMENTO	CA	95815	363584120	501(C)(3)	14437	GENERAL SUPPORT
RIVER CITY COMMUNITY SERVICES
3311 E CURTIS DR	SACRAMENTO	CA	95818	911851398	501(C)(3)	12500	GENERAL SUPPORT
SOCIETY FOR THE BLIND INC
1238 S ST	SACRAMENTO	CA	95811	941384666	501(C)(3)	12500	GENERAL SUPPORT
WOMEN HEALTH CARE EXEC OF N CALIFORNIA
PO BOX 3634	OAKLAND	CA	94609	203768375	501(C)(3)	10000	GENERAL SUPPORT
HOPE PRODUCTIONS FOUNDATION
2020 HURLEY WY	SACRAMENTO	CA	95825	262365867	501(C)(3)	10000	GENERAL SUPPORT
CAPITAL CITY AIDS
PO BOX 160581	SACRAMENTO	CA	95816	680385175	501(C)(3)	10000	GENERAL SUPPORT
YOLO COUNTY OF CHILDRENS ALLIANCE
600 A ST STE Y	DAVIS	CA	95616	680526185	501(C)(3)	10000	GENERAL SUPPORT
CHILD ADVOCATES OF PLACER CNTY
11641 BLOCKER DR	AUBURN	CA	95603	770620948	501(C)(3)	10000	GENERAL SUPPORT
THEATRE FOR CHILDREN INC
560 RODANTE WY	SACRAMENTO	CA	95864	954047805	501(C)(3)	10000	GENERAL SUPPORT
TIMBERLAKE HOME HEALTH SUPPLY
8322 FERGUSON AVE	SACRAMENTO	CA	95828	942859244	501(C)(3)	9928	GENERAL SUPPORT
AMERICAN DIABETES ASSOCIATION
PO BOX 930850	ATLANTA	GA	31193	131623888	501(C)(3)	9500	GENERAL SUPPORT
SUTTER VNA AND HOSPICE
1900 POWELL ST	EMERYVILLE	CA	94608	946068843	501(C)(3)	9467	GENERAL SUPPORT
PLACER COMMUNITY FOUNDATION
PO BOX 9207	AUBURN	CA	95604	201485011	501(C)(3)	8500	GENERAL SUPPORT
SAINT JOHNS SHELTER WOMEN & CHILDREN
PO BOX 188218	SACRAMENTO	CA	95818	680132934	501(C)(3)	7500	GENERAL SUPPORT
TOTAL RENAL CARE INC
PO BOX 2076	TACOMA	WA	984012076	953372911	501(C)(3)	7188	GENERAL SUPPORT
OAKMONT HIGH SCHOOL
1710 CIRBY WY	ROSEVILLE	CA	956615599	680071586	501(C)(3)	7000	GENERAL SUPPORT
COMMUNITY LINK CAPITAL REGION
909 12TH STREET	SACRAMENTO	CA	95814	941201196	501(C)(3)	6500	GENERAL SUPPORT
VOLUNTEERS OF AMERICA
110 SO UNION ST	ALEXANDRIA	VA	223143324		501(C)(3)	6000	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
100 MONTGOMERY ST	SAN FRANCISCO	CA	94104	135613797	501(C)(3)	5500	GENERAL SUPPORT
HEALTH EDUCATION COUNCIL
3950 INDUSTRIAL BLVD	SACRAMENTO	CA	95691	680242926	501(C)(3)	5500	GENERAL SUPPORT
SAC AREA COMMERCE AND TRADE ORG
400 CAPITOL MALL	SACRAMENTO	CA	95814	942278202	501(C)(3)	5500	GENERAL SUPPORT
AMERICAN LEADERSHIP FORUM MT VALLEY CHAPTER
6507 4TH AVE	SACRAMENTO	CA	95817	911792774	501(C)(3)	5400	GENERAL SUPPORT
FAIRFIELD SUISUN CHAMBER OF COMMERCE
1111 WEBSTER ST	FAIRFIELD	CA	94533	941059185	501(C)(3)	5025	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	66	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS	Identifier
Return Reference	PART I, LINE 2	ReturnReference
Explanation	USE OF FUNDS NOT MONITORED AFTER CONTRIBUTION IS MADE. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES. GRANTS AND ASSISTANCE REQUESTS ARE REVIEWED BY FACILITY ADMINISTRATIVE MANAGEMENT FOR PROPRIETY ON A CASE BY CASE BASIS. ADDITIONAL REQUESTS ARE CONSIDERED AFTER REVIEW OF PREVIOUS FUNDING LEVELS IN ACCORDANCE WITH THE FACILITIES GRANT AND ASSISTANCE POLICIES. RECORDS ARE MAINTAINED THAT DOCUMENT MANAGEMENTS REVIEW AND APPROVAL FOR ALL GRANTS, CONTRIBUTIONS AND/OR ASSISTANCE PROVIDED THROUGHOUT THE YEAR.	Explanation

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 (18 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
PAT BRADY
0	489618	0	252853	0	9796	0	286385	0	19568	0	1058220	0	311604
PATRICK FRY
0	1556049	0	1472283	0	16884	0	2163921	0	32168	0	5241305	0	1637694
THOMAS GAGEN
0	581244	0	267008	0	3783	0	414781	0	19276	0	1286092	0	322739
TERRY GLUBKA
0	337477	0	146986	0	6058	0	185487	0	3718	0	679726	0	167486
MITCH HANNA
0	299203	0	118344	0	11677	0	178665	0	20104	0	627993	0	139994
SARAH KREVANS
0	865473	0	633427	0	11318	0	716220	0	22510	0	2248948	0	706173
CARRIE OWEN-PLIETZ
0	387788	0	125723	0	59535	0	181333	0	18311	0	772690	0	125723
ANNE PLATT
0	275024	0	125939	0	8296	0	150102	0	20303	0	579664	0	139105
THOMAS REAM II
0	237359	0	79245	0	4268	0	69192	0	12730	0	402794	0	86845
RANDALL ROSS
0	264567	0	99734	0	670	0	96986	0	18108	0	480065	0	112969
JEFFREY W SPRAGUE
0	444268	0	166139	0	802	0	194389	0	19747	0	825345	0	195075
JANET WAGNER
0	303161	0	116685	0	5269	0	164771	0	15387	0	605273	0	137712
PENNY WESTFALL
0	306520	0	85209	0	832	0	109405	0	10517	0	512483	0	100409
JOHN MESIC MD
0	498651	0	173855	0	9296	0	206780	0	14490	0	903072	0	214176
CECILIA HERNANDEZ
0	337710	0	88703	0	6256	0	106656	0	11857	0	551182	0	88703
JEFFREY SZCZESNY
0	286623	0	101001	0	5007	0	124309	0	18120	0	535060	0	101001
SHELLY MCGRIFF
0	304088	0	81149	0	5321	0	101418	0	13255	0	505231	0	0
BARBARA NELSON
0	277922	0	105978	0	1252	0	102209	0	13242	0	500603	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 2003AB
680164610	130911NE6	2007-05-01	101118867	REFUNDING - 1/30/03	false	false	false
CSCDA 2004CD
680164610	130795TE7	2008-05-06	87750717	REFUNDING - 2/17/04	false	false	false
CSCDA 2005A
680164610	130911U24	2005-10-19	276217522	REFUNDING - 1995 COPS	false	false	false
CSCDA 2005BC
680164610	130795EG8	2007-05-01	49994066	REFUNDING - 10/19/05	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0	104908272	8604615	0	96303657	true	false	true	true
9915000	88508187	8073060	0	80435127	true	false	true	true
0	284787106	21070840	189282478	74433788	true	false	true	true
0	52179709	3461872	0	48717837	true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	true	true	true	0.00260	0.00010	0.00270	true
false	true	true	true	true	true	0.01600	0.00000	0.01600	true
						0
						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 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
CHFFA 2007A
521643828	13033FQ37	2007-05-01	790998316	CONSTRUCT & EQUIP FACILITY	false	false	false
CHFFA 2008A
521643828	13033F2L3	2008-05-14	329041638	REFUND - 5/21/02, 2/17/04, 5/01/07	false	false	false
CSCDA 2008BC
680164610	130795TD9	2008-05-14	291999417	CONSTRUCT & EQUIP FACILITY	false	false	false
CSCDA 2011A
680164610	1307952Q9	2011-02-10	271589951	CONSTRUCT & EQUIP FACILITY	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0	857735124	55398317	759620124	584502	42132181	2011	false	false	true	true
66210000	329041638	0	0	329041638	0		true	false	true	true
0	306625587	31655776	262221018	11427232	1321561		false	false	true	true
0	276906636	0	72400202	0	204506434		false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	true	true	true	0.00930	0.00000	0.00930	true
						0
false	true	true	true	true	true	0.00570	0.00030	0.00600	true
false	true	true	true	true	true	0.00280	0.00050	0.00330	true

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

Form990 Schedule K Part VI Form990ScheduleKPartVI

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

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CSCDA 2011C
680164610	1307954U8	2011-12-22	38777964	REFUNDING - 1999	false	false	false
CHFFA 2011D
521643828	13033LVW4	2011-12-22	331759643	REFUNDING - 1998 AND 1999	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0	0	38777964	0	0	38777964	0	0	0	0	0	0	true	false	true	true
0	0	331942116	0	0	65070000	0	0	0	0	124025000	142847116	true	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers
0
0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 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

Form990 Schedule K Part VI Form990ScheduleKPartVI

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MANPOWER TEMPORARY SERVICES
SEE PART V	505711	SEE PART V	false
TEICHERT LAND
SEE PART V	248447	SEE PART V	false
JENIFER P NEWELL
SEE PART V	60356	SEE PART V	false
MORAG M THOMSON
SEE PART V	20083	SEE PART V	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV	ReturnReference
Explanation	MICHAEL DOURGARIAN, TRUSTEE OF SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR), IS ALSO THE OWNER OF MANPOWER TEMPORARY SERVICES. DURING THE YEAR, SHSSR PAID MANPOWER TEMPORARY SERVICES VIA AN ARMS-LENGTH AGREEMENT. NARENDRA PATHIPATI, TRUSTEE OF SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR), IS AN OFFICER OF TEICHERT, INCORPORATED. STONEBRIDGE (TEICHERT LAND) IS AN AFFILIATE OF TEICHERT INC. DURING THE YEAR, SHSSR PAID TEICHERT LAND FOR SERVICES RENDERED VIA AN ARMS-LENGTH AGREEMENT. MICHAEL NEWELL IS A TRUSTEE OF SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR). HIS SPOUSE WORKS AS AN RN FOR SUTTER DAVIS HOSPITAL WHICH IS PART OF SHSSR. HELEN MACLEOD THOMSON, TRUSTEE OF SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) HAS A SISTER IN-LAW WHO IS A PER DIEM RN AT SUTTER DAVIS HOSPITAL WHICH IS A PART OF SHSSR.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
MISSION STATEMENT	FORM 990, PART I, LINE 1 AND PART III, LINE 1	MISSION - WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. VISION - SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. VALUES - EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK, COMMUNITY AND AFFORDABILITY.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINE 4A	SUTTER HEALTH SACRAMENTO SIERRA REGION SERVES SACRAMENTO, PLACER, YOLO, SOLANO, YUBA, AND SUTTER COUNTIES WITH COMPREHENSIVE HEALTH CARE. WE STRIVE TO PROVIDE ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALTY SERVICES IN EACH OF OUR COMMUNITIES, AND HAVE A NETWORK OF OVER 1,000 PHYSICIANS LOCALLY AND OVER 3,500 THROUGHOUT THE SUTTER HEALTH SYSTEM. DURING 2011 THE NUMBER OF PATIENT DAYS WAS 317,293. SUTTER AUBURN FAITH HOSPITAL SUTTER AUBURN FAITH HOSPITAL IS CURRENTLY LICENSED FOR 78 ACUTE BEDS. SUTTER AUBURN FAITH HOSPITAL PROVIDES THE FOLLOWING SERVICES: CARDIAC CARE UNIT, CARDIAC CATHETERIZATION/VASCULAR LAB, CARDIOPULMONARY SERVICES, DIAGNOSTIC IMAGING, EMERGENCY DEPARTMENT, ENDOSCOPY SERVICES, FULL LABORATORY, HOME HEALTH/HOSPICE, INFUSION CENTER, INTENSIVE CARE UNIT, NUCLEAR MEDICINE, OUTPATIENT/INPATIENT SURGERY, PHYSICAL THERAPY, PHYSICIAN REFERRAL RADIOLOGY, SENIOR SERVICES, TELEMETRY AND WOUND CARE. SUTTER AUBURN FAITH HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF MEDICAL AND SURGICAL SPECIALTIES, INCLUDING: ANESTHESIOLOGY BARIATRIC SERVICES CARDIOLOGY CARDIAC CATH LAB DENTISTRY DERMATOLOGY DIAGNOSTIC IMAGING EMERGENCY MEDICINE ENDOSCOPY GASTROENTEROLOGY INFUSION THERAPY INTERNAL MEDICINE LABORATORY NEPHROLOGY NEUROLOGY OB/GYN OCCUPATIONAL MEDICINE ONCOLOGY OPHTHALMOLOGY ORAL SURGERY OTOLARYNGOLOGY PATHOLOGY PEDIATRICS PERINATAL PLASTIC SURGERY PODIATRY PRIMARY CARE/FAMILY PRACTICE RADIATION ONCOLOGY RADIOLOGY SURGERY TRANSFUSION MEDICINE UROLOGY WOMEN'S IMAGING CENTER WOUND CARE CENTER SUTTER AUBURN FAITH HOSPITAL'S MISSION IS: TO SERVE THE HEALTH CARE NEEDS OF AUBURN AND SURROUNDING FOOTHILL COMMUNITIES. THROUGH PARTNERSHIPS WITH PHYSICIANS, PAYORS, OTHER HEALTH AND HUMAN SERVICES AGENCIES AND WITH OUR EMPLOYEES AND VOLUNTEER LEADERSHIP, SUTTER AUBURN FAITH HOSPITAL SEEKS TO PROVIDE A CONTINUUM OF HEALTH AND WELLNESS SERVICES TO ENSURE A HIGH QUALITY OF LIFE FOR THE PEOPLE LIVING IN OUR SERVICE AREA. COMMUNITY BENEFIT PROGRAMS AS THE ONLY HOSPITAL IN ITS SERVICE AREA, SUTTER AUBURN FAITH HOSPITAL HAS BOTH A SIGNIFICANT RESPONSIBILITY TO AND IMPACT ON, THE SIERRA FOOTHILL COMMUNITIES. IN ADDITION TO PROVIDING A BROAD RANGE OF MEDICAL AND PREVENTIVE CARE TO A DIVERSE REGION-RANGING FROM SMALL CITIES TO RUGGED, SPARSELY POPULATED WILDERNESS AREAS-THE HOSPITAL IS THE SECOND LARGEST EMPLOYER IN THE AUBURN AREA. THE HOSPITAL, IN COLLABORATION WITH SUTTER ROSEVILLE MEDICAL CENTER, CREATED A COMMUNITY ADVISORY BOARD AND COMMUNITY PARTNERSHIPS COUNCIL (A SUB-COMMITTEE OF THE ADVISORY GROUP) IN ORDER TO IDENTIFY AND ADDRESS THE NEEDS IN PLACER COUNTY. NOTABLE SERVICE ELEMENTS INCLUDE: * SUTTER AUBURN FAITH HOSPITAL IS FOUNDING PARTNER OF THE NOW COLLABORATIVELY OPERATED HEALTH EXPRESS. HEALTH EXPRESS EXPANDED IN 2007 TO PROVIDE LAST RESORT MEDICALLY-RELATED TRANSPORTATION TO ALL UNDERSERVED POPULATIONS IN SOUTH PLACER COUNTY. WE PARTNER WITH PLACER COUNTY TRANSPORTATION PLANNING AGENCY (PCTPA), KAISER AND SENIORS FIRST, PROVIDING 600 RIDES A MONTH. * THE INTERIM CARE PROGRAM (ICP) PROVIDES A TEMPORARY RESPITE PROGRAM FOR HOMELESS PATIENTS WHO ARE DISCHARGED FROM SUTTER AUBURN FAITH HOSPITAL. THE PROGRAM IS DESIGNED TO GIVE PATIENTS WITHOUT HOUSING ALTERNATIVES, A CLEAN AND SAFE PLACE TO HEAL FOR UP TO SIX WEEKS AND COMPREHENSIVE WRAP-AROUND SERVICES LIKE SUBSTANCE ABUSE TREATMENT, PERMANENT HOUSING AND MEDICAL CARE. * THE FAMILY SUPPORT PROGRAM LINKS PLACER COUNTY RESIDENTS WITH COMMUNITY SUPPORT GROUPS AND SERVICES. SUTTER AUBURN FAITH HOSPITAL AND SUTTER ROSEVILLE MEDICAL CENTER CONTRACT WITH THE PLACER COUNTY DEPARTMENT OF HEALTH TO PROVIDE A PUBLIC HEALTH NURSE IN THE HOSPITAL TO CONNECT WITH PATIENTS AND PROVIDE EDUCATION AND REFERRALS. * THE SENIOR RECREATION AND RESPITE PROGRAM (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS, AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDS. R & R MEETS ONCE A WEEK IN AUBURN, AND FOUR DAYS A WEEK IN LINCOLN. HEALTH EXPRESS PROVIDES TRANSPORTATION FOR PATIENTS WHO NEED TRANSPORT TO AND FROM R & R. * THE SENIOR RESOURCE GUIDE IS A BOOKLET, FREE TO THE PUBLIC, WITH INFORMATION ON A MULTITUDE OF SENIOR SERVICES AVAILABLE IN PLACER COUNTY. THE GUIDE IS UPDATED AND DISTRIBUTED SEMI-ANNUALLY VIA PHYSICIAN OFFICES, SENIOR APARTMENT COMPLEXES, SENIOR CENTERS, SKILLED NURSING FACILITIES, LIBRARIES, MOBILE HOME COMMUNITIES, SENIOR SERVICE PROVIDERS, HOME HEALTH AND HOSPICE AGENCIES AND MANY OTHER SERVICE ORGANIZATIONS AND PUBLIC PLACES. WE ARE ABLE TO PRODUCE THIS GUIDE IN PARTNERSHIP WITH SENIORS FIRST, THE SUTTER AUBURN FAITH HOSPITAL FOUNDATION, SUTTER ROSEVILLE MEDICAL CENTER AND THE SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION. ADDITIONAL COMMUNITY SERVICES * SUTTER AUBURN FAITH HOSPITAL RESPONDS TO MORE THAN 56,000 INPATIENT AND OUTPATIENT VISITS PER YEAR. IT'S EMERGENCY DEPARTMENT, WHICH IS STAFFED 24 HOURS A DAY AND IS LINKED TO THE TRAUMA CENTER AT SUTTER ROSEVILLE MEDICAL CENTER. * SUTTER AUBURN FAITH PROVIDES A FULL RANGE OF HOME HEALTH CARE THROUGH ITS AFFILIATED VISITING NURSES ASSOCIATION (VNA), WHICH CONTINUES TO EXPAND ITS PREVENTIVE HEALTH PROGRAMMING THROUGH SUCH OUTREACH EFFORTS AS FLU AND PNEUMONIA CLINICS FOR SENIORS AND PEOPLE WITH CHRONIC HEALTH PROBLEMS. * SUTTER AUBURN FAITH HAS A 24-HOUR PER DAY OUTPATIENT HOSPICE PROGRAM (MEDICARE CERTIFIED) WHICH USES A TEAM OF MEDICAL PROFESSIONALS AND VOLUNTEERS TO PROVIDE IN-HOME AND CAREGIVER SUPPORT, PAIN MITIGATION, BEREAVEMENT SUPPORT GROUPS (INCLUDING A CHILDREN'S BEREAVEMENT ART PROGRAM) AND CHAPLAINCY ASSISTANCE. INSPIRED BY A GROUP OF LOCAL CITIZENS IN 1981, AND ASSISTED TODAY BY AN ACTIVE COMMUNITY ADVISORY BOARD, HOSPICE SERVICES ARE PROVIDED FREE OF CHARGE REGARDLESS OF INSURANCE COVERAGE OR ABILITY TO PAY. THE SAFH GUILD IS COMPRISED OF 120 VOLUNTEERS WHO PROVIDE HIGHLY SPECIALIZED SKILLS AND EXPERIENCE-BOTH WITHIN THE HOSPITAL AND VIA OUTREACH EFFORTS TO THE COMMUNITY-WHICH WOULD NOT OTHERWISE BE AFFORDABLE. SUTTER AUBURN FAITH PARTNERED PLACER COUNTY ELEMENTARY SCHOOLS TO IMPLEMENT HEALTHTEACHER, TO PROVIDE HEALTH EDUCATION CURRICULUM TO APPROXIMATELY 57,000 PUBLIC SCHOOL STUDENTS. TWELVE SCHOOL DISTRICTS HAVE SIGNED UP FOR HEALTHTEACHER'S COMPREHENSIVE K-12 ONLINE HEALTH EDUCATION LESSON PLANS. THE PARTNERSHIP BENEFITS OVER 100 SCHOOLS IN PLACER COUNTY AND NEVADA COUNTY. * THE COMMUNITY BENEFIT GRANTS PROGRAM INVESTS IN COMMUNITY PROGRAMS THAT COLLABORATIVELY WORK TOGETHER TO IMPROVE THE OVERALL HEALTH OF PLACER RESIDENTS. SUTTER AUBURN FAITH HOSPITAL HAS A STRONG TRADITION OF PROVIDING CHARITY AND UNCOMPENSATED CARE TO ITS COMMUNITIES. ADDITIONALLY, OVER THE YEARS, THE HOSPITAL HAS INITIATED AND PROVIDED SUPPORT TO A WIDE RANGE OF HEALTH EDUCATION CLASSES, HEALTH MAINTENANCE PROGRAMS, SPECIALIZED SUPPORT GROUPS, HEALTH FAIRS, AND COOPERATIVE PROGRAMS FOR VULNERABLE POPULATIONS AND COMMUNITY EFFORTS TO IMPROVE THE OVERALL QUALITY OF LIFE FOR LOCAL RESIDENTS.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINE 4A	SUTTER DAVIS HOSPITAL SUTTER DAVIS HOSPITAL IS A TWO-STORY 90,000 SQUARE FOOT ACUTE CARE HOSPITAL LICENSED FOR 48 BEDS THAT SERVES THE HEALTH CARE NEEDS OF RESIDENTS LIVING IN DAVIS, DIXON, WOODLAND AND WINTERS. THE FACILITY IS LOCATED IN THE WESTERN-MOST SECTION OF THE CITY OF DAVIS AT THE CORNER OF HIGHWAY 113 AND COVELL BOULEVARD. AS DAVIS' THIRD LARGEST EMPLOYER, SUTTER DAVIS EMPLOYS APPROXIMATELY 400 INDIVIDUALS WHO PROVIDE ROUND-THE-CLOCK CARE TO THE SICK, THE INJURED AND THOSE RECUPERATING FROM SURGERY PERFORMED IN THE HOSPITAL'S THREE FULLY EQUIPPED OPERATING SUITES. THE PATIENTS ARE SERVED BY A MEDICAL STAFF OF MORE THAN 160; AN ACTIVE AUXILIARY OF MORE THAN 150 PEOPLE AND A GROUP OF APPROXIMATELY 60 STUDENTS SERVE THE HOSPITAL AS VOLUNTEERS. SUTTER DAVIS IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. AS A NOT-FOR-PROFIT HOSPITAL, SUTTER DAVIS ALSO DONATES MANY COMMUNITY SERVICES. SUTTER DAVIS HOSPITAL SEEKS TO PROVIDE A CONTINUUM OF HEALTH AND WELLNESS SERVICES TO ASSURE A HIGH QUALITY OF LIFE FOR THE PEOPLE LIVING IN OUR SERVICE AREA. SUTTER DAVIS HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF MEDICAL AND SURGICAL SERVICES, INCLUDING: CANCER CENTER CARDIAC REHABILITATION DIGITAL MAMMOGRAPHY DIAGNOSTIC IMAGING EMERGENCY SERVICES HEART AND VASCULAR INSTITUTE INFUSION THERAPY INTENSIVE CARE MEDICAL LIBRARY NUCLEAR MEDICINE FAMILY BIRTH CENTER COMMUNITY BENEFIT PROGRAMS SUTTER DAVIS HOSPITAL IS INVOLVED IN TWO MAJOR COMMUNITY BENEFIT PROGRAMS SERVING THE MEDICALLY INDIGENT AND UNDERSERVED POPULATION IN YOLO COUNTY. THE YOLO HEALTH ALLIANCE (YHA) IS A COLLABORATIVE EFFORT AMONG SUTTER DAVIS HOSPITAL, COUNTY OF YOLO, COMMUNICARE HEALTH CENTERS, AND SUTTER MEDICAL GROUP. ESTABLISHED IN 1993 IN RESPONSE TO A REQUEST FOR PROPOSAL FROM THE COUNTY, THE YHA PROVIDES HEALTH CARE TO THE MEDICALLY INDIGENT POPULATION THROUGH INTENSIVE CASE MANAGEMENT AND OUTREACH PROVIDED BY COMMUNICARE. THE YOLO PERINATAL PROGRAM IS A MIDWIFERY PROGRAM THAT PROVIDES PRENATAL CARE AND EDUCATION TO MEDI-CAL ELIGIBLE WOMEN. SUTTER DAVIS HOSPITAL CONTRIBUTES ANNUALLY TO SUPPORT BOTH PROGRAMS. IN 2010 SUTTER DAVIS HOSPITAL BECAME THE MAJOR SPONSOR FOR THE DAVID FARMERS MARKET WITH THE GOAL OF BUILDING PUBLIC AWARENESS ABOUT THE RELATIONSHIP BETWEEN EATING FARM-FRESH, LOCAL FOODS AND GOOD HEALTH. IN ADDITION, SUTTER DAVIS HOSPITAL ALSO SUPPORTS THE FARM TO SCHOOL PROGRAM, WHICH BRINGS LOCALLY GROWN FARM-FRESH FOODS INTO THE LOCAL SCHOOLS. IN ADDITION TO COLLABORATIVE PARTNERSHIPS WITH YOLO COUNTY, SUTTER DAVIS HOSPITAL PARTNERS WITH LOCAL COMMUNITY GROUPS AND SENIOR CENTERS TO PROVIDE FREE ONGOING HEALTH EDUCATION AND HEALTH SCREENINGS. ADDITIONAL COMMUNITY SERVICES * 24-HOUR EMERGENCY SERVICES - OUR EMERGENCY DEPARTMENT IS STAFFED AND EQUIPPED TO CARE FOR MOST EMERGENCY NEEDS AROUND THE CLOCK. * BIRTHING CENTER- THE SELF-CONTAINED BIRTHING CENTER HAS SIX LABOR AND DELIVERY ROOMS AND 12 POSTPARTUM ROOMS, AS WELL AS ITS OWN DIAGNOSTIC CAPABILITIES AND OPERATING SUITE. ALTERNATIVE BIRTHING METHODS ARE ALSO AVAILABLE SUCH AS WATER BIRTHS, MIDWIVES AS WELL AS A VOLUNTEER DOULA PROGRAM. * INTENSIVE CARE UNIT - AN INTENSIVE CARE UNIT IS STAFFED BY SPECIALLY TRAINED NURSES AND DIRECTED BY A BOARD-CERTIFIED CRITICAL CARE INTERNIST FOR AROUND-THE-CLOCK MONITORING OF THE EXTREMELY ILL. * THE HEART AND VASCULAR INSTITUTE AT SUTTER DAVIS HOSPITAL PROVIDES OUR PATIENTS WITH COMPREHENSIVE CARDIAC DIAGNOSTIC, REHABILITATION AND PREVENTION SERVICES. OUR RECENTLY RENOVATED CARDIAC REHABILITATION DEPARTMENT BOOSTS A 12 CHANNEL TELEMETRY SYSTEM AND A GYM WITH CARDIORESPIRATORY EMPHASIS - INCLUDING TREADMILLS, ELLIPTICAL WALKERS, NEUTEPS, BIKES, STRENGTH AND STRETCH TRAINING, AND BALANCE SYSTEM. USING THE LATEST TECHNOLOGY AND RESEARCH AVAILABLE, OUR CARING STAFF PROVIDES PATIENTS WITH AN INDIVIDUALIZED PROGRAM TO ENHANCE THEIR HEALTH AND WELL-BEING THROUGH EXERCISE AND PREVENTION. * SUTTER CANCER CENTER AT DAVIS - AS A SATELLITE CENTER OF SUTTER CANCER CENTER IN SACRAMENTO, SUTTER DAVIS GIVES LOCAL PATIENTS THE ABILITY TO RECEIVE QUALITY CARE, CLOSE TO HOME. OUR RECENTLY EXPANDED INFUSION CENTER PROVIDES INFUSION THERAPY, INCLUDING CHEMOTHERAPY, BLOOD TRANSFUSIONS, INTRAVENOUS INFUSIONS, INJECTIONS AND PATIENT EDUCATION. WE COORDINATE SERVICES WITH OUR LOCAL ONCOLOGISTS AND CANCER SURGEONS TO MAKE SURE PATIENTS WITH CANCER DON'T HAVE TO TRAVEL TO RECEIVE GOOD CARE. * VAUGHN RESOURCE CENTER/CRONAN MEDICAL LIBRARY - PROVIDER AND COMMUNITY-BASED VIDEOTAPES, BROCHURES AND HANDOUTS ARE AVAILABLE IN THIS INFORMATION CENTER. COMPUTER WORKSTATIONS PROVIDE LOCAL RESOURCES FOR SUPPORT GROUPS AND SERVICES; A DATABASE UPDATED MONTHLY WITH FOUR YEARS OF HARD-TO-FIND MEDICAL INFORMATION FROM PERIODICALS, PAMPHLETS AND REFERENCE BOOKS; AND ACCESS TO PROVIDER AND PATIENT EDUCATION INCLUDING BIBLIOMED REFERENCE LIBRARY, MEDICAL HOUSE CALLS AND CLINICAL REFERENCE SYSTEM - ADULT HEALTH ADVISOR. THE RESOURCE CENTER IS STAFFED WEEKDAYS BY VOLUNTEERS. PHONE AND MAILING SERVICE IS AVAILABLE. * SUTTER DAVIS HOSPITAL AUXILIARY - VOLUNTEERS CONTRIBUTE MANY HOURS OF SERVICE TO THE HOSPITAL EACH YEAR THROUGH DIRECT PATIENT CONTACT SERVICES TO THE MORE TRADITIONAL VOLUNTEER ROLES SUCH AS WORKING AT THE INFORMATION DESK AND GIFT SHOP.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINE 4A	SUTTER MEDICAL CENTER OF SACRAMENTO (HOSPITAL ORGANIZATION) GENERAL DESCRIPTION SUTTER MEDICAL CENTER, SACRAMENTO (SMCS) HAS TWO ACUTE CARE HOSPITAL CAMPUSES, SUTTER GENERAL AND SUTTER MEMORIAL, AND HAS PROVIDED HEALTH CARE TO RESIDENTS OF SACRAMENTO SINCE 1923. SUTTER MEDICAL CENTER, SACRAMENTO ALSO INCLUDES SUTTER CENTER FOR PSYCHIATRY, PROVIDING PSYCHIATRIC, MENTAL HEALTH AND CHEMICAL DEPENDENCY SERVICES SINCE 1958, AND SUTTER OAKS MIDTOWN, A 100-BED SKILLED NURSING FACILITY. WITH 823 LICENSED BEDS, SMCS IS NOT-FOR-PROFIT AND FULLY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. SMSC RECEIVED A SUPERIOR RATING FOR OVERALL PATIENT SATISFACTION ON CALHOSPITALCOMPARE.ORG, A CONSUMER ONLINE REPORT CARD. PATIENT SERVICES SERVICES AT BOTH SUTTER GENERAL AND SUTTER MEMORIAL CAMPUSES INCLUDE: 24-HOUR EMERGENCY SERVICES, SURGERY, RESPIRATORY THERAPY, INTENSIVE CARE, DIAGNOSTIC IMAGING, REHABILITATION, CARDIOPULMONARY, OCCUPATIONAL HEALTH, LABORATORY, PHYSICAL THERAPY, HOME HEALTH AND HOSPICE SERVICES. IMPROVING FACILITIES AND ACCESS SUTTER MEDICAL CENTER SACRAMENTO'S MISSION STATEMENT IS: TO EXIST TO PROVIDE PRIMARY, TERTIARY AND A CONTINUUM OF SERVICES TO MEET THE HEALTH CARE NEEDS OF PEOPLE LIVING IN THE GREATER SACRAMENTO AREA AND THROUGHOUT NORTHERN CALIFORNIA, AND TO BE THE PROVIDER OF CHOICE TO OUR PATIENTS, PARTNER OF CHOICE TO PHYSICIANS AND PAYORS, AND THE EMPLOYER OF CHOICE TO OUR STAFF. THE SUTTER HEALTH NETWORK OF PHYSICIANS AND NOT-FOR-PROFIT HOSPITALS WILL INVEST BILLIONS OF DOLLARS OVER TEN YEARS TO REBUILD, REPLACE AND EXPAND MUCH OF NORTHERN CALIFORNIA'S HEALTH CARE INFRASTRUCTURE. LOCALLY, PLANS (OR COMPLETED PROJECTS) INCLUDE: * CONSTRUCT AN 8-STORY WOMEN'S AND CHILDREN'S HOSPITAL CAMPUS IN MIDTOWN SACRAMENTO, FEATURING NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS, THE LATEST LABOR AND DELIVERY SERVICES AND A HELISTOP. * REMODEL SUTTER GENERAL HOSPITAL CAMPUS TO FEATURE ONE ENTIRE FLOOR DEDICATED TO CARDIOVASCULAR AND TRANSPLANT SERVICES. MEDICAL OFFICE BUILDING TO HOUSE AMBULATORY SURGERY, IMAGING SERVICES AND PHYSICIAN OFFICES AND MULTI-LEVEL PARKING GARAGE TO PROVIDE 1,100 PARKING SPACES. FACILITIES WITHIN SUTTER MEDICAL CENTER, SACRAMENTO SUTTER GENERAL HOSPITAL IS AN ACUTE CARE FACILITY LICENSED AS A COMMUNITY HOSPITAL. A MAJOR TERTIARY REFERRAL CENTER, IT HOUSES 306 BEDS. SUTTER GENERAL HOSPITAL PROVIDES GENERAL ACUTE MEDICAL CARE AND SURGICAL SERVICES, SUB ACUTE CARE, AND SPECIALTY SERVICES IN NEUROLOGY, NEUROSURGERY, ORTHOPEDIC, SPINE, DIABETES AND ONCOLOGY CARE. OTHER AREAS OF CARE INCLUDE LAPAROSCOPIC SURGERY, DIAGNOSTIC IMAGING, UROLOGY, TELEMETRY, RESPIRATORY, DIALYSIS AND 24-HOUR EMERGENCY SERVICES. IN ADDITION, SUTTER CANCER CENTER, ADJACENT TO SUTTER GENERAL HOSPITAL, IS ONE OF THE LARGEST AND MOST COMPREHENSIVE CENTERS IN CALIFORNIA. SUTTER GENERAL'S SUB ACUTE UNIT PROVIDES SHORT TERM, STEP-DOWN ACUTE CARE WITH PHYSICAL, OCCUPATIONAL, SPEECH AND RESPIRATORY REHABILITATION, IV THERAPY AND WOUND CARE. SUTTER GENERAL HOSPITAL OFFERS SEVERAL EDUCATIONAL AND SUPPORT GROUPS AS PART OF ITS HEALTH CARE SERVICES. HIGHLIGHTS OF NEW PROGRAMS AND SERVICES AT SUTTER GENERAL INCLUDE: COMPUTER-ASSISTED TOTAL JOINT REPLACEMENT * DA VINCI ROBOTIC SURGICAL PROCEDURE * EICU * EXPANDED EPILEPSY PROGRAM * GLIASITE PROCEDURE TO TREAT BRAIN CANCER * TELEMETRY UNIT * NEW LANGUAGE INTERPRETATION AND TRANSLATION SERVICE * BARIATRIC SURGERY * DEEP BRAIN STIMULATION * ENHANCED NUCLEAR MEDICINE CAPABILITIES * EXPANDED EMERGENCY DEPARTMENT * GAMMA KNIFE RADIOSURGERY * 3-DIMENSIONAL ANGIOGRAPHY. SUTTER MEMORIAL HOSPITAL IS A 346-BED ACUTE CARE FACILITY LICENSED AS A COMMUNITY HOSPITAL. ANOTHER MAJOR TERTIARY REFERRAL CENTER, IT PROVIDES GENERAL ACUTE MEDICAL CARE AND SURGICAL SERVICES, WITH SPECIALTY SERVICES IN CARDIAC CARE, MATERNITY, NEONATAL PEDIATRICS, AND ORGAN TRANSPLANTATION. HIGHLIGHTS OF NEW PROGRAMS AND SERVICES AT SUTTER MEMORIAL INCLUDE: HEALING GARDEN * OUTPATIENT CONGESTIVE HEART FAILURE CLINIC * ELECTROPHYSIOLOGY LAB * PEDIATRIC LIFESTYLES PROGRAM * INTERVENTIONAL OBSERVATIONAL UNIT * BRACHYTHERAPY TREATMENT FOR CARDIAC PATIENTS. SUTTER CENTER FOR PSYCHIATRY IS A 69-BED ACUTE BEHAVIORAL MEDICINE SPECIALTY HOSPITAL THAT TREATS ADULTS, ADOLESCENTS AND CHILDREN. IT ALSO OFFERS A CRITICAL INCIDENT DEBRIEFING TEAM TO HELP EMPLOYEES OF BUSINESSES COPE AFTER A TRAUMATIC OR VIOLENT EPISODE. SUTTER HEALTH EAP RESOURCES OFFERS CONFIDENTIAL ASSESSMENT, COUNSELING AND REFERRAL SERVICES TO EMPLOYEES OF LARGE AND SMALL BUSINESSES. SUTTER CENTER FOR PSYCHIATRY OFFERS THE ONLY INPATIENT EATING DISORDER PROGRAM IN NORTHERN CALIFORNIA. THIS NEW PROGRAM IS A SIX-BED SPECIALIZED TREATMENT PROGRAM FOR EATING DISORDER PATIENTS. SUTTER INSTITUTE FOR MEDICAL RESEARCH (SIMR): CLINICAL INVESTIGATION IS AN INCREASINGLY IMPORTANT LINK IN COORDINATING THE LATEST ADVANCES IN SCIENCE AND TECHNOLOGY WITH DIAGNOSIS AND TREATMENT. IN ORDER TO BENEFIT FROM THESE ADVANCES AND REMAIN AT THE FOREFRONT OF INNOVATION AND QUALITY IN HEALTHCARE SERVICES, IT IS ESSENTIAL THAT WE PROVIDE A CLINICAL SETTING FOR OUR PHYSICIANS AND HEALTHCARE PROFESSIONALS WHICH ARE COMPLEMENTED BY A COMPREHENSIVE RESEARCH AND DEVELOPMENT PROGRAM. SUTTER HEALTH SACRAMENTO SIERRA REGION SERVICE AREA IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE TO ITS PATIENTS, AND THE SUTTER INSTITUTE FOR MEDICAL RESEARCH SUPPORTS THIS COMMITMENT BY PROVIDING RESEARCH SUPPORT AND EDUCATION PROGRAMS. SIMR HAS A HISTORY OF FIVE DECADES OF COMMITMENT TO MEDICAL RESEARCH. SIMR HAS GAINED RECOGNITION FOR ITS INVESTIGATIVE STUDIES IN THE AREAS OF HEART, CANCER, ORTHOPEDICS, RESPIRATORY, NEUROLOGY, GI/GU AND MANY OTHER AREAS OF MEDICINE. SIMR'S PRIMARY OBJECTIVE IS TO HELP HEALTH PROFESSIONALS CONDUCT RESEARCH IN A CLINICAL SETTING BY PROVIDING MANAGEMENT AND ADMINISTRATIVE RESOURCES OTHERWISE UNAVAILABLE TO THE PRIVATE PRACTITIONER. AT SIMR, SUTTER INVESTIGATORS RECEIVE SUPPORT IN FIVE AREAS. RESEARCH ADMINISTRATIVE SERVICES: IN 1996, SUTTER HEALTH SACRAMENTO SIERRA REGION CONSOLIDATED THE ADMINISTRATION OF MEDICAL RESEARCH IN THE SACRAMENTO REGION UNDER THE AUSPICES OF SIMR. FOR THIS PURPOSE, SIMR ESTABLISHED THE OFFICE OF RESEARCH ADMINISTRATION (ORA). THE ORA SERVES AS A CLEARINGHOUSE FOR THE REVIEW, ADMINISTRATION, REPORTING AND MONITORING OF ALL RESEARCH ACTIVITY CONDUCTED AT SUTTER AFFILIATES WITHIN THE REGION, INCLUDING SUTTER MEDICAL CENTER (SUTTER GENERAL AND MEMORIAL HOSPITALS, AND SUTTER CENTER FOR PSYCHIATRY), SUTTER DAVIS HOSPITAL, SUTTER AUBURN FAITH HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO, SUTTER YUBA CITY AND SUTTER MEDICAL FOUNDATION. RESEARCH SUPPORT SERVICES: SIMR PROVIDES A VARIETY OF SUPPORT SERVICES TO SUTTER CLINICAL INVESTIGATORS, INCLUDING A GRANTS PROGRAM FOR FUNDING MERITORIOUS RESEARCH PROJECTS INITIATED BY SUTTER INVESTIGATORS. FUNDS TO FINANCE THESE GRANTS COME FROM DONATIONS AND OTHER PHILANTHROPIC GIFTS MADE TO SUTTER MEDICAL CENTER FOUNDATION. SINCE 1989, SUTTER MEDICAL CENTER FOUNDATION AND SIMR HAVE FUNDED 40 RESEARCH PROJECTS TOTALING APPROXIMATELY $1 MILLION. OTHER SERVICES INCLUDE ASSISTANCE TO INVESTIGATORS WHO ARE SEEKING EXTRAMURAL FUNDING THROUGH PROPOSAL DEVELOPMENT AND PRE-AWARD EXTRAMURALLY-FUNDED RESEARCH PROJECTS; AND STATISTICAL ANALYSIS AND CONSULTATION FOR CLINICAL RESEARCH PROJECTS, QUALITY INDICATOR STUDIES, CLINICAL EFFECTIVENESS AND CLINICAL OUTCOMES STUDIES.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINE 4A	CLINICAL TRIALS PROGRAM: THE SIMR CLINICAL TRIALS PROGRAM PROVIDES AN ENVIRONMENT FOR BRINGING HEALTH PROFESSIONALS AT SUTTER HEALTH AND CLINICAL TRIAL SPONSORS TOGETHER TO PARTICIPATE IN INNOVATIVE CLINICAL RESEARCH PROGRAMS. OUR PROGRAM OFFERS A STRONG INFRASTRUCTURE FOR CLINICAL INVESTIGATORS WHO WISH TO OFFER THEIR PATIENTS THE LATEST INVESTIGATIVE TREATMENT MODALITIES. WE OFFER A COMPREHENSIVE MANAGEMENT AND CLINICAL SUPPORT SERVICES FOR THE CONDUCT OF CLINICAL RESEARCH AT SUTTER SITES INCLUDING SERVICES SUCH AS EXPERIENCED CLINICAL RESEARCH COORDINATORS, REGULATORY PREPARATION, CONTRACT PREPARATION, STUDY FINANCIAL MANAGEMENT, BILLING COMPLIANCE OVERSIGHT AND QUALITY ASSURANCE AUDITING. THROUGH PARTICIPATION IN CLINICAL TRIALS OF NEW TREATMENT MODALITIES, THE COMMUNITY IS PROVIDED ACCESS TO THE LATEST INNOVATIONS AND DISCOVERIES IN PATIENT CARE AND TREATMENT. SINCE ITS INCEPTION IN 1991, THOUSANDS OF SUTTER PATIENTS HAVE HAD ACCESS TO INVESTIGATIONAL TREATMENT MODALITIES OTHERWISE UNAVAILABLE TO THE PUBLIC. LABORATORY RESEARCH AND TRAINING: THE SIMR RESEARCH AND TRAINING LABORATORY PROVIDE FULLY EQUIPPED AND STAFFED SURGICAL RESEARCH AND TRAINING FACILITIES. THE LABORATORY PROGRAM SUPPORTS RESEARCH AND TRAINING IN AREAS THAT INCLUDE CARDIOLOGY, CARDIOVASCULAR SURGERY, GENERAL SURGERY, NEONATOLOGY, PULMONARY MEDICINE, THORACIC SURGERY AND UROLOGY. EVERY YEAR, DOZENS OF MEDICAL DEVICE COMPANIES UTILIZE THE LABORATORY TO DO RESEARCH AND DEVELOPMENT, AND HUNDREDS OF HEALTHCARE PROFESSIONALS RECEIVE TRAINING IN THE LATEST TECHNOLOGY. . IT CONTINUES TO EXPAND ITS AREAS OF SUPPORT AND IS BECOMING MORE GENERIC IN THE SERVICES PROVIDED. THE LABORATORY IS HIGHLY ACCREDITED AND HAS A NATIONAL REPUTATION FOR EXCELLENCE. SUTTER HEALTH CENTRAL AREA INSTITUTIONAL REVIEW COMMITTEE (IRC): SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE TO ITS PATIENTS. THE IRC SUPPORTS THIS COMMITMENT BY PROVIDING RESEARCH REGULATORY OVERSIGHT AND EDUCATION PROGRAMS TO SUTTER-ALIGNED RESEARCHERS THROUGHOUT THE REGION. THE IRC IS THE ADMINISTRATIVE BODY MANDATED BY FEDERAL LAW TO PROTECT THE RIGHTS AND WELFARE OF HUMAN SUBJECTS PARTICIPATING IN RESEARCH ACTIVITIES CONDUCTED WITHIN INSTITUTIONS AND ORGANIZATIONS AFFILIATED WITH SHSSR. THE IRC'S PRIMARY RESPONSIBILITY IS THE PROTECTION OF SUBJECTS FROM UNDUE RISK AND FROM DEPRIVATION OF PERSONAL RIGHTS AND DIGNITY. AS SUCH THE IRC CONDUCTS REVIEW FOR RESEARCHERS AND ALL RESEARCH ACTIVITY CONDUCTED AT SUTTER AFFILIATES WITHIN THE SHSSR SERVICE AREA AND EDEN MEDICAL CENTER. OVER THE YEARS, THE IRC HAS REVIEWED AND APPROVED HUNDREDS OF NEW RESEARCH PROTOCOLS COVERING A WIDE SPECTRUM OF DISEASE AND HEALTHCARE ISSUES. CANCER CONTINUES TO BE A MAJOR AREA OF RESEARCH WITH NUMEROUS ADULT STUDIES, MOST FUNDED BY THE NATIONAL CANCER INSTITUTE THROUGH ITS COOPERATIVE PROJECTS RESEARCH PROGRAM. COMMUNITY PARTNERSHIPS IN 2010, SUTTER MEDICAL CENTER, SACRAMENTO PROVIDED $3 MILLION IN SUPPORT OF CHARITY CARE AND VARIOUS COMMUNITY PROGRAMS. A COMMUNITY BENEFIT COMMITTEE COMPRISED OF LOCAL COMMUNITY LEADERS, HOSPITAL ADMINISTRATORS AND STAFF, AND MEMBERS OF THE SUTTER MEDICAL CENTER FOUNDATION BOARD WORK TO IDENTIFY COMMUNITY NEEDS AND ALLOCATE SMCS COMMUNITY BENEFIT DOLLARS VIA A COMMUNITY GRANTS PROGRAM. LAST YEAR, THE PROGRAMS FUNDED BY SUTTER MEDICAL CENTER, SACRAMENTO CONNECTED MORE THAN 150 CHILDREN WHO HAVE BEEN EXPOSED TO DOMESTIC VIOLENCE TO GROUP COUNSELING SERVICES; LINKED MORE THAN 100 HOMELESS WOMEN TO MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT; AND PROVIDED MORE THAN 600 HOMELESS CHILDREN WITH HEALTH ASSESSMENTS AND SUBSEQUENT CONNECTION TO HEALTH CARE SERVICES. SINCE 2001, THE PROGRAM HAS DISTRIBUTED MUCH-NEEDED DOLLARS TO MORE THAN 50 AGENCIES THAT HAVE IMPROVED ACCESS TO NEEDED MEDICAL, MENTAL HEALTH AND SOCIAL SERVICES FOR SACRAMENTANS, AND ENRICHED THE LIVES OF MORE THAN 30,000 LOCAL YOUTH. BELOW ARE A FEW ORGANIZATIONS THAT SUTTER MEDICAL CENTER, SACRAMENTO HAS PARTNERED WITH OVER THE YEARS. * INTERIM CARE PROGRAM * T-3 PROGRAM (TRIAGE, TRANSPORT, TREATMENT) * SERIAL INEBRIATE PROGRAM * PROJECT FIT ONE EXAMPLE OF A COLLABORATIVE PROGRAM EXPANDING ACCESS TO HEALTH CARE, MENTAL HEALTH, AND OTHER COMMUNITY SERVICES AND PROGRAMS IS THE INTERIM CARE PROGRAM (ICP). THE ICP IS A COLLABORATIVE OF THE HOSPITAL SYSTEMS, COMMUNITY BASED ORGANIZATIONS AND THE COUNTY GOVERNMENT AND IS A RESPITE CARE SHELTER FOR HOMELESS PATIENTS DISCHARGED FROM HOSPITALS. THE FOUR LOCAL HOSPITALS AND THE COUNTY OF SACRAMENTO PROVIDE ON-GOING FUNDING FOR THE PROGRAM. THE SALVATION ARMY PROVIDES 18 BEDS IN A DESIGNATED WING OF THE SHELTER WHERE CLIENTS HAVE THREE MEALS A DAY AND A SAFE, CLEAN PLACE TO RECOVER FROM THEIR HOSPITALIZATIONS. THE WING IS WHEELCHAIR ACCESSIBLE, HAS SIX ROOMS - EACH WITH THREE HOSPITAL BEDS, AND A PLACE FOR RESIDENTS TO STORE THEIR MEDICATIONS AND WOUND CARE SUPPLIES. ANOTHER COMMUNITY-BASED ORGANIZATION, THE EFFORT, PROVIDES ON-SITE NURSING AND SOCIAL SERVICES TO SUPPORT CLIENTS IN THEIR RECUPERATION AND HELP THEM MOVE OUT OF HOMELESSNESS. THE EFFORT CASE MANAGER LINKS CLIENTS WITH MENTAL HEALTH SERVICES, SUBSTANCE ABUSE RECOVERY, HOUSING WORKSHOPS AND PROVIDES DISABILITY APPLICATION ASSISTANCE. PATIENTS ARE REFERRED FROM THE HOSPITALS TO THE INTERIM CARE PROGRAM WHEN THEY ARE WELL ENOUGH TO GO HOME, BUT NEED ON-GOING REST AND FOLLOW-UP TREATMENT. PATIENTS COME FOR VARIOUS REASONS INCLUDING A WOUND THAT NEEDS TO HEAL, RECOVERY AFTER SURGERY, OR INJURY FROM AN ACCIDENT. CLIENTS CAN STAY IN THE PROGRAM UP TO SIX WEEKS, DEPENDING ON THEIR MEDICAL CONDITION. SUTTER MEDICAL CENTER, SACRAMENTO IS ALSO A PROUD, FOUNDING PARTNER OF T3 (TRIAGE, TRANSPORT AND TREATMENT) A PIONEERING PROGRAM THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY ROOM CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES. THIS PROGRAM COULD BE A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. THE PROGRAM SEEKS TO PROVIDE THOSE WHO CHRONICALLY USE THE EMERGENCY ROOM FOR NON-EMERGENCY CARE WITH A WAY TO GET THE SERVICES THEY NEED FROM A PRIMARY CARE PROVIDER. MOVING THESE PATIENTS FROM THE EMERGENCY ROOM IMPROVES THE PATIENTS' HEALTH BY GETTING THEM THE APPROPRIATE CARE IN THE RIGHT SETTING, REDUCES THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCES COSTS TO OUR HEALTH CARE SYSTEM. SUTTER MEDICAL CENTER, SACRAMENTO PROVIDES THE SERIAL INEBRIATE PROGRAM. THIS PROGRAM ADDRESSES HEALTH, SAFETY AND HOUSING NEEDS OF CHRONIC HOMELESS ADULTS LIVING ON THE STREETS OF SACRAMENTO. SUTTER MEDICAL CENTER SACRAMENTO'S NAVIGATOR PROGRAM PARTNERED WITH SACRAMENTO SELF HELP HOUSING TO PROVIDE HOUSING AND TREATMENT AND RECOVERY SERVICES TO ENABLE SELF-SUFFICIENCY. MANY GRADUATES HAVE REGAINED HOUSING AND EMPLOYMENT. IN ORDER TO QUALIFY FOR THE SIP PROGRAM, INDIVIDUALS HAVE BEEN ARRESTED, TAKEN TO DE-TOX CENTERS OR EMERGENCY DEPARTMENTS MORE THAN 25 TIMES IN A 12-MONTH TIME-FRAME. SUTTER MEDICAL CENTER, SACRAMENTO IS VERY CONCERNED WITH THE GROWING CHILDHOOD OBESITY EPIDEMIC AND PARTNERS WITH PROJECT FIT AMERICA TO HELP KEEP LOCAL SCHOOL CHILDREN HEALTHY, WHILE THE CHILDREN'S CENTER PROVIDES A MEDICALLY SOUND, NUTRITIONALLY BALANCED APPROACH TO WEIGHT MANAGEMENT CUSTOMIZED FOR EACH CHILD. PATIENTS REFERRED TO THE PEDIATRIC HEALTHY LIFESTYLES PROGRAM RECEIVE A MEDICAL ASSESSMENT BEFORE BEING PUT ON ANY WEIGHT CONTROL OR EXERCISE PROGRAM. ONCE FITNESS LEVEL AND PHYSICAL CONDITIONS HAVE BEEN ESTABLISHED, A PEDIATRIC DIETITIAN WORKS INDIVIDUALLY WITH EACH CHILD TO PROVIDE A PROGRAM THAT BALANCES A CHILD'S NUTRITIONAL NEEDS WITH A SENSIBLE WEIGHT MANAGEMENT PLAN. CHILDREN ARE THEIR FAMILIES ARE THEN INVITED TO PARTICIPATE IN A SIX WEEK GROUP BEHAVIORAL MANAGEMENT PROGRAM WHICH INCLUDES FOOD AND NUTRITION ACTIVITIES WITH A PEDIATRIC DIETITIAN, EXERCISE/PLAY ACTIVITIES WITH AN EXERCISE PHYSIOLOGIST AND EMOTIONAL/SOCIAL SUPPORT WITH A PEDIATRIC CLINICAL SOCIAL WORKER. ONGOING FOLLOW UP SUPPORT AND ENCOURAGEMENT WITHIN THE COMMUNITY IS AVAILABLE THROUGH A MENTORING PROGRAM CO-SPONSORED BY COMMUNITY PARTNERS.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINE 4A	SUTTER ROSEVILLE MEDICAL CENTER SUTTER ROSEVILLE MEDICAL CENTER (SRMC) WAS ESTABLISHED IN 1952 AND AFFILIATED WITH SUTTER HEALTH IN MAY 1993. IN THE MID-90S, SUTTER HEALTH CONSTRUCTED A 315,000-SQUARE-FOOT, 172-BED FACILITY IN THE NORTHEAST AREA OF ROSEVILLE, APPROXIMATELY 20 MILES FROM DOWNTOWN SACRAMENTO. THE HOSPITAL, WHICH HAS EXPANDED TO 328 BEDS, PROVIDES RESIDENTS OF SOUTHERN PLACER AND NORTHEASTERN SACRAMENTO COUNTIES WITH COMPREHENSIVE COMMUNITY HEALTH CARE. THE FACILITY HAS AN EXPANDED HELIPAD ONSITE FOR QUICK ACCESS TO THE HOSPITAL'S LEVEL II TRAUMA CENTER. OTHER SERVICES AVAILABLE AT SUTTER ROSEVILLE MEDICAL CENTER INCLUDE: INPATIENT AND OUTPATIENT SURGERY RESPIRATORY THERAPY OBSTETRICS AND PERINATAL CARE SUTTER REHABILITATION INSTITUTE NEO NATAL INTENSIVE CARE LABORATORY PEDIATRICS CARDIOPULMONARY SERVICES ONCOLOGY ACUTE REHABILITATION FAMILY BIRTH CENTER MEDICAL LIBRARY ACCESS SUTTER CANCER CENTER HOME HEALTH AND HOSPICE CARE CARDIAC CATHETERIZATION LABORATORY NUTRITIONAL SUPPORT SERVICES TELEMETRY PASTORAL CARE LEVEL II TRAUMA CENTER PATIENT AND COMMUNITY EDUCATION CARDIAC REHABILITATION SENIOR SERVICES DIAGNOSTIC IMAGING HOME INFUSION THERAPY IV THERAPY CRITICAL CARE SUB-ACUTE UNIT SOCIAL SERVICES BREAST HEALTH CENTER 24-HOUR EMERGENCY TREATMENT NUCLEAR MEDICINE (NATIONALLY RECOGNIZED) BARIATRIC SERVICES WOUND CARE CENTER SUTTER ROSEVILLE MEDICAL CENTER'S MISSION IS: TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE LIVING IN THE COMMUNITIES IT SERVES. SUTTER ROSEVILLE MEDICAL CENTER STRIVES CONTINUOUSLY TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING WELLNESS, PREVENTIVE, CURATIVE AND RESTORATIVE PROGRAMS AND SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL. COMMUNITY BENEFIT PROGRAMS SUTTER ROSEVILLE MEDICAL CENTER HAS A HISTORY OF SUPPORTING PROGRAMS AND SERVICES ADDRESSING THE NEEDS OF THE RESIDENTS IN SOUTH PLACER COUNTY. THE HOSPITAL IN COLLABORATION WITH SUTTER AUBURN FAITH HOSPITAL, HAS CREATED A COMMUNITY ADVISORY BOARD AND COMMUNITY PARTNERSHIPS COMMITTEE (A SUB-COMMITTEE OF THE ADVISORY GROUP) IN ORDER TO IDENTIFY AND ADDRESS THE NEEDS IN PLACER COUNTY. SOME OF THE PROGRAMS SUPPORTED BY SRMC INCLUDE: * SUTTER ROSEVILLE MEDICAL CENTER IS PARTNER OF THE NOW COLLABORATIVELY OPERATED HEALTH EXPRESS. HEALTH EXPRESS EXPANDED IN 2007 TO PROVIDE LAST RESORT MEDICALLY-RELATED TRANSPORTATION TO ALL UNDERSERVED POPULATIONS IN SOUTH PLACER COUNTY. * THE FAMILY SUPPORT PROGRAM LINKS PLACER COUNTY RESIDENTS WITH COMMUNITY SUPPORT GROUPS AND SERVICES. SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER AUBURN FAITH HOSPITAL CONTRACT WITH THE PLACER COUNTY DEPARTMENT OF HEALTH TO PROVIDE A PUBLIC HEALTH NURSE IN THE HOSPITAL TO CONNECT WITH PATIENTS AND PROVIDE EDUCATION AND REFERRALS. * THE SENIOR RECREATION AND RESPITE PROGRAM (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS, AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDS. R & R MEETS ONCE A WEEK IN AUBURN, AND FOUR DAYS A WEEK IN LINCOLN. * THE SENIOR RESOURCE GUIDE IS A BOOKLET, FREE TO THE PUBLIC, WITH INFORMATION ON A MULTITUDE OF SENIOR SERVICES AVAILABLE IN PLACER COUNTY. THE GUIDE IS UPDATED AND DISTRIBUTED SEMI-ANNUALLY VIA PHYSICIAN OFFICES, SENIOR APARTMENT COMPLEXES, SENIOR CENTERS, SKILLED NURSING FACILITIES, LIBRARIES, MOBILE HOME COMMUNITIES, SENIOR SERVICE PROVIDERS, HOME HEALTH AND HOSPICE AGENCIES AND MANY OTHER SERVICE ORGANIZATIONS AND PUBLIC PLACES. WE ARE ABLE TO PRODUCE THIS GUIDE IN PARTNERSHIP WITH SENIORS FIRST, SUTTER ROSEVILLE MEDICAL CENTER, THE SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION SUTTER AUBURN FAITH HOSPITAL AND THE SUTTER AUBURN FAITH HOSPITAL FOUNDATION. * SUTTER ROSEVILLE MEDICAL CENTER PARTNERS WITH OAKMONT HIGH SCHOOL ON THE OAKMONT HEALTH CAREERS ACADEMY, A THREE-YEAR HIGH SCHOOL PROGRAM, FOR STUDENTS INTERESTED IN EXPLORING AND PREPARING FOR CAREERS IN HEALTH CARE. STUDENTS IN THEIR JUNIOR YEAR EXPERIENCE CAREER OPTIONS THROUGH JOB-SHADOWING PROFESSIONALS AT SUTTER ROSEVILLE MEDICAL CENTER IN MANY AREAS OF HEALTH CARE, FOLLOWED BY A MONTH OF A HANDS-ON CLINICAL EXPERIENCE ROTATION. STUDENTS IN THEIR SENIOR YEAR PARTICIPATE IN A 100-HOUR INTERNSHIP IN THE HOSPITAL SETTING. SUTTER ROSEVILLE MEDICAL CENTER THEN PRESENTS $7000 IN SCHOLARSHIPS EVERY YEAR TO 10 STUDENTS WHO EXCELS IN THE COURSEWORK AND GO ON TO PURSUE HEALTH-RELATED DEGREES. OTHER COMMUNITY SERVICES THE HOSPICE PROGRAM WAS ESTABLISHED IN 1984 TO PROVIDE MEDICAL, SOCIAL, EMOTIONAL AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT NO COST BEYOND WHAT INSURANCE, MEDICARE OR OTHER PROVIDERS PAY. THE CHILDREN'S BEREAVEMENT ART GROUP GREW OUT OF HOSPICE IN 1993 TO EXTEND EXISTING BEREAVEMENT SERVICES FOR ADULTS TO MEET THE SPECIAL NEEDS OF CHILDREN. IN 1987, THE HOSPITAL OPENED ITS PASTORAL CARE DEPARTMENT WITH A FULL-TIME CHAPLAIN TO WORK IN COORDINATION WITH THE HOSPITAL'S SOCIAL SERVICE PROGRAM. SUTTER ROSEVILLE MEDICAL CENTER PARTNERED PLACER COUNTY ELEMENTARY SCHOOLS TO IMPLEMENT HEALTHTEACHER, TO PROVIDE HEALTH EDUCATION CURRICULUM TO APPROXIMATELY 57,000 PUBLIC SCHOOL STUDENTS. TWELVE SCHOOL DISTRICTS HAVE SIGNED UP FOR HEALTHTEACHER'S COMPREHENSIVE K-12 ONLINE HEALTH EDUCATION LESSON PLANS. THE PARTNERSHIP BENEFITS OVER 100 SCHOOLS IN PLACER COUNTY AND NEVADA COUNTY. SUTTER ROSEVILLE MEDICAL CENTER IS AN ACTIVE PARTNER WITH THE SAFE KIDS COALITION OF PLACER COUNTY, WHICH IS COMPRISED OF REPRESENTATIVES FROM LOCAL HEALTH CARE AGENCIES, GOVERNMENT AND PRIVATE AGENCIES IN PLACER COUNTY. ITS GOAL IS TO REDUCE THE INCIDENCE OF INJURY RELATED TO MORBIDITY AND MORTALITY AND ADDRESSES THESE ISSUE THROUGH EDUCATION, TRAINING, ORGANIZATIONAL POLICY, NETWORKING, LEGISLATIVE ADVOCACY AND EVALUATION.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINE 4A	SUTTER SOLANO MEDICAL CENTER SUTTER SOLANO MEDICAL CENTER (SSMC) IS A 102 LICENSED BED ACUTE CARE HOSPITAL IN VALLEJO, CALIFORNIA, BETWEEN SACRAMENTO AND SAN FRANCISCO. THE NOT-FOR-PROFIT, COMMUNITY-BASED FACILITY IS FULLY ACCREDITED BY THE JOINT COMMISSION AND PROVIDES A FULL-RANGE OF GENERAL, EMERGENCY AND MEDICAL/SURGICAL SPECIALTIES. THE CARE TEAM AT SSMC INCLUDES 290 STAFF MEMBERS, 690 EMPLOYEES AND 100 VOLUNTEERS. SSMC AFFILIATED WITH SUTTER HEALTH IN 1984 AND THIS ENSURED ITS ABILITY TO CONTINUE PROVIDING AND IMPROVING HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITY. MISSION STATEMENT WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. HOSPITAL SERVICES SSMC'S EMERGENCY DEPARTMENT IS STAFFED 24-HOURS A DAY, 7 DAYS A WEEK BY BOARD-CERTIFIED EMERGENCY MEDICAL PHYSICIANS AND NURSES WHO SPECIALIZE IN EMERGENCY MEDICINE - ADULT AND PEDIATRIC. SSMC IS ONE OF THE ONLY FACILITIES IN THE AREA WITH A HELICOPTER LANDING ZONE FOR ACCESS TO TRANSFER PATIENTS TO A HIGHER LEVEL OF CARE WHEN REQUIRED. ON AVERAGE, SSMC DELIVERS NEARLY 1,000 BABIES EACH YEAR AND SUPPORTS NEW FAMILIES THROUGH ITS FAMILY BIRTHING CENTER, PRIVATE LABOR/DELIVER/RECOVERY (LDR) SUITES AND A VARIETY OF PRENATAL CLASSES. IN ADDITION TO THE ACUTE CARE FACILITY, SSMC OPERATES A CANCER CENTER, FULLY ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. COMPREHENSIVE CANCER SERVICES INCLUDE CHEMOTHERAPY, INFUSION THERAPY, LABORATORY AND PATHOLOGY, GENETIC TESTING, PAIN MANAGEMENT AND RADIATION THERAPY. PROGRAM SERVICE ACCOMPLISHMENTS SSMC'S SOCIAL WORK SERVICE AND DISCHARGE PLANNERS PLAY KEY ROLES IN HELPING PATIENTS LOCATE THE NECESSARY SERVICES AND EQUIPMENT FOR CARE AFTER HOSPITALIZATION. SSMC'S SURGICAL SERVICES ARE PERFORMED ON BOTH AN INPATIENT AND OUTPATIENT BASIS AND INCLUDE THE LATEST TECHNIQUES IN SUCH AREAS AS CARDIAC, ORTHOPEDIC, GENERAL VASCULAR, ENDOSCOPIC AND OPHTHALMIC SURGERY. OTHER HOSPITAL SERVICES INCLUDE: INPATIENT REHABILITATION SERVICES, DIAGNOSTIC IMAGING SERVICES, RADIATION ONCOLOGY, LABORATORY, DIETARY AND INFUSION THERAPY. CANCER SERVICES AVAILABLE INCLUDE PREVENTION, SCREENING, EDUCATION, LECTURES, THE CANCER RESOURCE LIBRARY, AND TREATMENT INCLUDING SOPHISTICATED PROGRAMS SUCH AS PROSTATE SEED BRACHYTHERAPY, INTENSITY MODULATED RADIATION THERAPY, RESPIRATORY GAITING. COMMUNITY BENEFIT PROGRAMS SSMC PARTNERS WITH LA CLINICA DE LA RAZA'S NORTH VALLEJO CLINIC TO IMPROVE ACCESS TO PRIMARY CARE IN VALLEJO FOR OUR MOST VULNERABLE POPULATION-THE LOW-INCOME, UNDERINSURED AND UNINSURED. THIS IN TURN LOWERS THE COST OF HEALTH CARE FOR ALL AS NON-URGENT CONDITIONS CAN NOW BE TREATED EARLY, BEFORE THEY ESCALATE INTO MORE SERIOUS ILLNESSES. SSMC IS AN ACTIVE PARTICIPANT AND FOUNDING MEMBER OF THE SOLANO COALITION FOR BETTER HEALTH. THE COALITION IS COMPRISED OF MAJOR HEALTH ORGANIZATIONS ALONG WITH REPRESENTATIVES FROM BUSINESS, GOVERNMENT, SERVICE PROVIDERS, ETC. FOR THE PURPOSES OF CREATING HEALTHIER COMMUNITIES IN SOLANO COUNTY. SSMC SUPPORTS COALITION EFFORTS TO PROVIDE A COMMUNITY HEALTH OUTREACH SYSTEM THAT PROVIDES OUTREACH WORKERS AND PUBLIC HEALTH NURSES TO HELP THE COMMUNITY ACCESS HEALTH SERVICES AND ASSIST RESIDENTS IN LEADING HEALTHIER LIVES. SSMC WAS ALSO A FOUNDER, AS WELL AS A LEADER, IN DEVELOPING THE SOLANO PARTNERSHIP HEALTHPLAN (NOW PARTNERSHIP HEALTHPLAN OF CALIFORNIA); A MEDI-CAL MANAGED CARE ORGANIZATION THAT HAS PROVIDED IMPROVED ACCESS TO MEDI-CAL ENROLLEES. SSMC HAS A TRADITION OF PROVIDING CHARITY CARE AND UNCOMPENSATED CARE TO THOSE IN ITS COMMUNITY WHO LACK THE FINANCIAL MEANS TO PAY FOR SERVICES RENDERED. EACH YEAR, CARE IS PROVIDED WITHOUT COMPENSATION TO MANY OF THESE RESIDENTS IN OUR SERVICE AREA. SUTTER SOLANO'S COMMUNITY BENEFIT GOALS ARE: * COLLABORATING WITH OTHER COMMUNITY PARTNERS IN RESPONDING TO IDENTIFIED NEEDS TO IMPROVE ACCESS TO HEALTH CARE SERVICES, ESPECIALLY FOR VULNERABLE POPULATIONS, INCLUDING THE UNINSURED, UNDERINSURED AND AT-RISK MOTHERS. * CONTINUE TO PROVIDE SERVICES AND WORK COLLABORATIVELY WITH OTHER SOLANO COUNTY AGENCIES TO ADDRESS PREVENTION, DETECTION AND TREATMENT OF CANCER, A MAJOR RECURRING HEALTH ISSUE IDENTIFIED IN THE COMMUNITY. * COLLABORATE WITH OTHER SOLANO COUNTY AGENCIES TO EXPAND SERVICES TO INCLUDE PRIMARY CARE. OTHER COMMUNITY OFFERINGS INCLUDE NUMEROUS INFORMATIONAL LECTURES, SCREENING AND HEALTH EVENTS, SUPPORT GROUPS, WALK-A-THONS AND FOOD AND CLOTHING DRIVES. SUTTER AMADOR HOSPITAL SUTTER AMADOR HOSPITAL IS A 42-BED ACUTE CARE HOSPITAL LOCATED IN JACKSON, CALIFORNIA APPROXIMATELY 55 MILES SOUTHEAST OF SACRAMENTO IN AMADOR COUNTY. THE HOSPITAL WAS ESTABLISHED IN THE MID-1800'S AND BECAME AFFILIATED WITH SUTTER HEALTH IN 1993. AS ONE OF AMADOR COUNTY'S LARGEST EMPLOYER, SUTTER AMADOR HOSPITAL EMPLOYS OVER 320 INDIVIDUALS. THE PATIENTS ARE SERVED BY A MEDICAL STAFF OF MORE THAN 125 ACTIVE MEDICAL STAFF PHYSICIANS AND AN ACTIVE AUXILIARY OF MORE THAN 115 VOLUNTEERS. IN ADDITION, SUTTER AMADOR HOSPITAL IS A UC DAVIS RURAL PRIME SITE FOR MEDICAL STUDENTS AND PARTICIPATES IN THE AMADOR AND CALAVERAS COUNTIES HIGH SCHOOL ROP PROGRAM. SUTTER AMADOR HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. AS A NOT-FOR-PROFIT HOSPITAL, SUTTER AMADOR HOSPITAL ALSO DONATES MANY COMMUNITY SERVICES AND HAS A STRONG TRADITION OF PROVIDING CHARITY AND UNCOMPENSATED CARE TO ITS COMMUNITIES. ADDITIONALLY, OVER THE YEARS, THE HOSPITAL HAS INITIATED AND PROVIDED SUPPORT TO A WIDE RANGE OF HEALTH EDUCATION CLASSES, HEALTH MAINTENANCE PROGRAMS, SPECIALIZED SUPPORT GROUPS, HEALTH FAIRS, AND COOPERATIVE PROGRAMS FOR VULNERABLE POPULATIONS AND COMMUNITY EFFORTS TO IMPROVE THE OVERALL QUALITY OF LIFE FOR LOCAL RESIDENTS. SUTTER AMADOR HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF COMPREHENSIVE PROGRAMS AND SERVICES, INCLUDING: 24-HOUR EMERGENCY DEPARTMENT WITH FAST TRACK PEDIATRIC CENTER WOMEN'S SERVICES FAMILY BIRTH CENTER INPATIENT AND OUTPATIENT SURGICAL AND MEDICAL CARE CRITICAL CARE CARDIOPULMONARY SERVICES DIAGNOSTIC IMAGING INPATIENT REHABILITATION SERVICES ENDOSCOPY AND INFUSION SUITE LABORATORY SERVICES NUCLEAR MEDICINE INPATIENT AND OUTPATIENT HAND AND SPEECH THERAPY OUTPATIENT DIABETES EDUCATION PROGRAM FAMILY PRACTICE OFFICES LOCATED IN JACKSON, PIONEER AND PLYMOUTH SLEEP DISORDERS CENTER SUTTER AMADOR HOSPITAL'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF THE RESIDENTS IN THE COMMUNITIES WE SERVE BY PROVIDING COORDINATED, EFFECTIVE, AFFORDABLE AND ACCESSIBLE HEALTH AND WELLNESS SERVICES. SUTTER AMADOR HOSPITAL CONTINUOUSLY STRIVES TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING HEALTH AND WELLNESS SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINE 4A	SUTTER SENIOR CARE/PACE BACKGROUND SUTTER SENIORCARE (SSC) IS A NON-PROFIT HEALTH PLAN EXCLUSIVELY FOR FRAIL OLDER ADULTS. SSC'S MODEL OF CARE IS KNOWN AS THE "PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY" OR PACE. SSC IS AN AFFILIATE OF SUTTER HEALTH, A NON-PROFIT CORPORATION, WHICH ALSO INCLUDES SUTTER MEDICAL CENTER, SACRAMENTO. SSC CURRENTLY SERVES A 34-ZIP CODE AREA AND HAS TWO SITES. IN 2010 SENIORCARE SERVED OVER 286 FRAIL OLDER ADULTS (AVERAGE AGE 80). SSC WAS ESTABLISHED IN 1992 AS A PACE DEMONSTRATION AND IN 2003 WAS DESIGNATED BY THE STATE AND FEDERAL GOVERNMENT AS A PERMANENT PACE "PROVIDER." THE PACE MODEL WAS PIONEERED BY ON LOK SENIOR HEALTH SERVICES IN SAN FRANCISCO. ON LOK DEVELOPED THE FIRST PACE PROGRAM IN 1983. TODAY THERE ARE OVER 65 PACE PROGRAMS NATIONALLY AND FIVE IN CALIFORNIA. THE PACE MODEL HAS BEEN RECOGNIZED AS A HIGHLY EFFECTIVE MODEL OF COMPREHENSIVE CARE FOR THE FRAIL ELDERLY. PACE PROVIDERS HAVE BEEN ACKNOWLEDGED FOR THEIR SUCCESS IN ENHANCING THE HEALTH AND WELL BEING AND THE QUALITY OF LIFE OF THE FRAIL ELDERS THEY SERVE. SSC/PACE IS TRULY A UNIQUE HEALTH CARE MODEL FOR SEVERAL REASONS DESCRIBED BELOW. MISSION AND PHILOSOPHY OF SUTTER SENIORCARE/PACE THE PACE MODEL SUPPORTS THE WISHES OF FRAIL OLDER ADULTS TO STAY IN THEIR FAMILIAR HOME SURROUNDINGS THROUGHOUT THEIR LIVES IF AT ALL POSSIBLE AS WELL AS TO MAINTAIN THEIR AUTONOMY AS MUCH AS POSSIBLE, MAXIMIZE THEIR LEVEL OF PHYSICAL, SOCIAL AND MENTAL FUNCTIONING AND ENHANCE THEIR QUALITY OF LIFE. SSC DOES THIS BY: * PROVIDING HIGH QUALITY, COMPREHENSIVE, WELL COORDINATED CARE * PROVIDING SUPPORT TO HELP PRESERVE THE COMMUNITY RESIDENCE, FAMILY RELATIONSHIPS AND LIFESTYLE OF FRAIL ELDERS ENROLLED IN THE PROGRAM (PARTICIPANTS) * MAXIMIZING COMMUNICATION AND COORDINATION BETWEEN CARE PROVIDERS TO PROACTIVELY ANTICIPATE PROBLEMS AND TAKE STEPS TO KEEP PARTICIPANTS AS HEALTHY AS POSSIBLE * PREVENTING AND REDUCING INSTITUTIONALIZATION -- HOSPITALIZATION AND SHORT AS WELL AS LONG-TERM NURSING HOME PLACEMENT -- TO THE MAXIMUM EXTENT POSSIBLE. WHAT MAKES SUTTER SENIORCARE/PACE SO UNIQUE? THE FOLLOWING IS A SUMMARY OF SOME OF THE KEY ELEMENTS THAT MAKE SUTTER SENIORCARE/PACE SUCH A UNIQUE AND SUCCESSFUL MODEL OF CARE FOR FRAIL ELDERS. 1. WHO WE CARE FOR: SUTTER SENIORCARE/PACE IS UNIQUE IN THAT WE CANNOT SERVE HEALTHY, ACTIVE SENIORS. UNDER LAW, WE CAN ONLY SERVE THE "FRAIL ELDERLY." IN CALIFORNIA THIS IS DEFINED AS INDIVIDUALS AGE 55 OR OLDER WHO ARE ASSESSED TO BE AS FRAIL AS INDIVIDUALS RESIDING IN NURSING HOMES -- THAT IS, OLDER ADULTS WHO NEED AN INTERMEDIATE OR SKILLED LEVEL OF CARE, BUT CAN SAFELY LIVE AT HOME WITH THE ASSISTANCE OF SUTTER SENIORCARE/PACE STAFF. SENIORS CAN ENROLL IN OUR PROGRAM ONLY AFTER A COMPREHENSIVE ASSESSMENT, CONDUCTED BY OUR INTERDISCIPLINARY TEAM, IS REVIEWED AND APPROVED BY THE STATE OF CALIFORNIA, DEPARTMENT OF HEALTH SERVICES. OUR INTERDISCIPLINARY TEAM INCLUDES: THE PRIMARY CARE PHYSICIAN (PCP), CLINIC AND HOME HEALTH REGISTERED AND LICENSED VOCATIONAL NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, SOCIAL WORKER (MSW), RECREATION THERAPIST, PHARMACIST AND DIETITIAN. ALSO, CONSISTENT WITH MOST PACE PROGRAMS, SSC SERVES PRIMARILY A LOW-INCOME, FRAIL ELDERLY POPULATION. ALL SSC PARTICIPANTS HAVE MULTIPLE, CHRONIC MEDICAL CONDITIONS AND FUNCTIONAL DISABILITIES THAT LIMIT THEIR ABILITY TO FUNCTION INDEPENDENTLY. 2. HOW WE ARE PAID: SSC/PACE IS PAID BY A SET "PER MEMBER PER MONTH" (PMPM) PAYMENT FROM BOTH MEDICARE AND MEDI-CAL. THE PMPM PAYMENT IS SOMETIMES REFERRED TO A "CAPITATED" PAYMENT. THIS MEANS THAT WE CANNOT BILL MEDICARE, MEDI-CAL OR ANY INSURANCE CARRIER FOR THE SERVICES WE PROVIDE OR PAY FOR, INCLUDING ALL HOSPITAL OR NURSING HOME COSTS THAT ARE NEEDED BY PARTICIPANTS. MOST OF OUR PARTICIPANTS ARE DUALLY ELIGIBLE WHICH MEANS THAT WE GET TWO CAPITATED PAYMENTS FOR MOST OF OUR PARTICIPANTS. ENROLLEES NOT ELIGIBLE FOR MEDI-CAL PAY A MONTHLY PAYMENT BASED ON THE PMPM PAYMENT WE RECEIVE FROM MEDI-CAL.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINE 4A	3. OUR COMPREHENSIVE BENEFIT PACKAGE: SSC IS RESPONSIBLE FOR PROVIDING AND/OR PAYING FOR ALL THE CARE THAT OLDER ADULTS PARTICIPATING IN OUR PROGRAM ("PARTICIPANTS") MAY NEED. THIS INCLUDES: * ALL HOSPITAL CARE NEEDED BY PARTICIPANTS * ALL EMERGENCY CARE NEEDED * ALL NURSING HOME CARE - SHORT-TERM/TRANSITIONAL CARE AS WELL AS LONG-TERM, CUSTODIAL CARE * ALL MEDICAL CARE, INCLUDING CARE PROVIDED IN OUR CLINIC BY OUR PRIMARY CARE (EMPLOYED NOT CONTRACTED) PHYSICIANS AND SPECIALTY MEDICAL CARE PROVIDED BY CONTRACTED SPECIALISTS AS WELL AS ALL - INPATIENT AND OUTPATIENT -- MEDICAL PROCEDURES * ALL NECESSARY MEDICATIONS * X-RAYS AND LABORATORY TESTS/PROCEDURES * REHABILITATIVE THERAPIES - PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY-WHICH ARE PROVIDED ON SITE AT OUR ADULT DAY HEALTH CENTERS (ADHCS) * LICENSED NURSING CARE AT OUR CLINICS AND IN THE HOME * DENTAL, PODIATRY AND VISION CARE * PERSONAL CARE PROVIDED AT OUR ADHCS AND IN THE HOME * SOCIAL SERVICES AND PSYCHOLOGICAL COUNSELING * THERAPEUTIC RECREATIONAL ACTIVITIES AND MEALS PROVIDED AT OUR ADHCS * TRANSPORTATION TO OUR ADHCS/CLINICS AND MEDICAL APPOINTMENTS * ALL DURABLE MEDICAL EQUIPMENT (WHEELCHAIRS, WALKERS, ETC.) * IN-HOME HOUSEKEEPING AND CHORE SERVICES (FOR EXAMPLE, LAUNDRY, MEALS PREPARATION) MOST CARE IS PROVIDED AT OUR TWO CO-LOCATED ADULT DAY HEALTH CENTERS AND CLINICS - SITE I AT 7000 FRANKLIN BOULEVARD, SUITE 1020 AND SITE II AT 1234 U STREET - OR IN THE PARTICIPANT'S HOME. 4. A PHILOSOPHY OF CARE THAT EMPHASIZES CONTINUITY OF CARE AND IS BASED ON A "TEAM" MODEL: CONTINUITY OF CARE IS BEST ACCOMPLISHED THROUGH THE PACE MODEL OF CARE FOR SEVERAL REASONS. IN THE PACE MODEL MOST OF THE KEY CARE PROVIDERS ARE LOCATED AT OUR ADHC/CLINIC - INCLUDING THE PRIMARY CARE PHYSICIAN (PCP) -- WHO IS AN EMPLOYEE, NOT A CONTRACTED PHYSICIAN. THIS FACILITATES COMMUNICATION BETWEEN PROVIDERS. EQUALLY IMPORTANT IS THE FACT THAT SUTTER SENIORCARE/PACE TEAM MEMBERS (PHYSICIANS, NURSES, THERAPISTS AND OTHERS) ARE VERY CLOSELY INVOLVED WITH OUR PARTICIPANTS. WE KNOW THEM AND THEIR FAMILY CAREGIVERS VERY WELL. WE ARE IN DAILY CONTACT WITH MOST OF OUR PARTICIPANTS. THIS CONTRIBUTES TO ENABLING OUR STAFF, PARTICULARLY THE PCP, TO MAKE BETTER JUDGMENTS ABOUT CARE DECISIONS. ALSO, THE PACE MODEL IS UNIQUE IN THAT IT RECOGNIZES THAT EVERYONE INVOLVED IN PROVIDING CARE AND SERVICES TO OUR PARTICIPANTS HAS SOMETHING IMPORTANT TO CONTRIBUTE TO CARE DECISIONS. AT SSC WE MAXIMIZE OPPORTUNITIES FOR COMMUNICATION BETWEEN ALL KEY MEMBERS OF OUR INTERDISCIPLINARY TEAM. TEAM MEMBERS MEET EVERY MORNING AT BOTH OF OUR SITES. THIS INCLUDES THE PRIMARY CARE PHYSICIAN (PCP) AND REPRESENTATIVES OF HOME CARE STAFF, CLINIC NURSING STAFF, RECREATION STAFF, REHABILITATION THERAPY STAFF, SOCIAL WORKERS, A REPRESENTATIVE OF THE PERSONAL CARE ATTENDANTS WORKING IN THE ADHC, REPRESENTATIVE OF OUR DRIVERS, MEDICAL RECORDS STAFF, AND ADMINISTRATIVE STAFF. THE TEAM MODEL ENSURES THAT IMPORTANT INFORMATION IS COMMUNICATED AS SOON AS POSSIBLE TO KEY MEMBERS OF THE CARE DELIVERY TEAM - ESPECIALLY THE PCP. THIS IS HOW SSC IS ABLE TO REDUCE FRAGMENTATION, PROVIDE CONTINUITY OF CARE TO OUR PARTICIPANTS AND IDENTIFY PROBLEMS EARLIER. OUR DAILY TEAM MEETINGS ENABLE US TO PROACTIVELY KEEP OUR PARTICIPANTS HEALTHIER LONGER! 5. AN APPROACH TO CARE THAT RECOGNIZES THE WHOLE INDIVIDUAL AND COMPLIMENTS THE TEAM MODEL: ANOTHER PART OF THE TEAM MODEL IS A VIEW THAT RECOGNIZES THAT PHYSICAL AND MENTAL HEALTH AS WELL AS SOCIAL FACTORS PLAY AN IMPORTANT PART IN PROMOTING HEALTH AND WELL BEING OF OUR PARTICIPANTS. THIS IS WHY THE RECREATIONAL ACTIVITIES THAT ARE PROVIDED AT OUR ADHCS ARE SUCH AN IMPORTANT PART OF THE PACE MODEL. THROUGH OUR ACTIVITIES PROGRAMS, WE TRY TO ENHANCE THE QUALITY OF LIFE OF OUR PARTICIPANTS BY PROVIDING THEM WITH OPPORTUNITIES FOR CREATIVE ACTIVITIES AS WELL AS SOCIALIZATION WITH PEERS AND STAFF. WE ALSO HAVE SOCIAL WORKERS ON SITE AT ALL TIMES AS WELL AS CONSULTATION WITH A PSYCHOLOGIST OR PSYCHIATRIST AVAILABLE IF NEEDED TO ASSIST PARTICIPANTS IN COPING WITH THEIR PERSONAL CONCERNS, PSYCHIATRIC AND BEHAVIOR PROBLEMS. 6. A PARTNERSHIP WITH THE PARTICIPANT AND THEIR FAMILY/CAREGIVER: THE SUTTER SENIORCARE/PACE MODEL CANNOT WORK UNLESS THERE IS A PARTNERSHIP BETWEEN THE PARTICIPANT, HIS/HER CAREGIVER/FAMILY AND THE PROGRAM. AS PART OF THIS, PARTICIPANTS AND/OR THEIR FAMILIES ARE ENCOURAGED TO REVIEW AND CONTRIBUTE TO THEIR CARE PLANS WHEN THE PLAN IS DEVELOPED ON ENROLLMENT AND ON A QUARTERLY BASIS WHEN IT IS REVIEWED AND, IF APPROPRIATE, REVISED. ALSO, THE TERM "PARTICIPANT" (RATHER THAN PATIENT OR CLIENT) IS USED TO IDENTIFY SSC ENROLLEES. THIS TERM - "PARTICIPANT" -- HELPS TO EMPHASIZE A MODEL OF MUTUAL RESPONSIBILITY FOR CARE AND WELL BEING. IT IS MEANT TO EMPOWER PARTICIPANTS AND HELP THEM RECOGNIZE THE IMPORTANT ROLE THAT THEY PLAY IN THEIR CARE PLAN. THIS INCLUDES CONTRIBUTING TO MAKING DECISIONS ABOUT CARE AS WELL AS THE PARTICIPANT'S OWN PERSONAL RESPONSIBILITY FOR COMPLYING WITH THEIR PLAN OF CARE.
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.
DESCR 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 THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL.
DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 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. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.
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 STMTS 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 MEMBER OF THE ORGANIZATION IS A FULL-TIME EMPLOYEE (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARY IS REPORTED HEREIN. THIS INDIVIDUAL RECEIVES NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBER OF THIS ORGANIZATION. PATRICK FRY
OTHER CHANGES IN FUND BALANCE	FORM 990, PART XI, LINE 5	CHANGE IN UNREALIZED GAIN/(LOSS) ON INVESTMENTS $ (12,606,803) K-1 ORDINARY INCOME (534,199) K-1 SECTION 1231 GAIN (4,267) PARTNERSHIP LOSS ON BOOKS 521,139 EQUITY TRANSFERS (NET) (207,994,147) OTHER CHANGES IN FUND BALANCE (260) ----------- (220,618,537)
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. SHSSR SPECIFIC (1) PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $73,535,053 FROM THE 2003AB ISSUE, $27,083,893 FROM THE 2004CD ISSUE, $54,143,730 FROM THE 2005A ISSUE AND $11,634,720 FROM THE 2005BC ISSUE. (1) PART I, LINE A, COLUMN (F): THE INITIAL BONDS ISSUED IN 2003 WERE NEW MONEY BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE "NEW MONEY" BONDS. (1) PART I, LINE B, COLUMN (F): THE INITIAL BONDS ISSUED IN 2004 WERE NEW MONEY BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. (1) PART I, LINE D, COLUMN (F): THE INITIAL BONDS ISSUED IN 2005 REFUNDED 1995 CERTIFICATES AND WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL REFUNDING BONDS. (2) PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $94,562,588 FROM THE 2007A ISSUE, $155,359,968 FROM THE 2008A BOND ISSUE, $121,940,351 FROM THE 2008BC ISSUE AND $271,589,951 FROM THE 2011A ISSUE. (2) PART I, LINE B, COLUMN (F): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2007, 2004 AND 2002 ISSUES. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1991 AND 1995. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. THE REFUNDED BONDS ISSUED IN 2002 WERE USED TO REFUND BONDS ISSUED IN 1992, WHICH WERE USED TO REFUND BONDS ISSUED IN 1985, 1986 AND 1987. (3) PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $25,715,036 FROM THE 2011C ISSUE AND $60,474,453 FROM THE 2011D ISSUE.

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 HEALTH SERVICES
1501 TROUSDALE DRIVE	BURLINGAME	CA	94010	941156265	HOSPITAL	CA	501(C)(3)	3	PAMF	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 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	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
EDEN MEDICAL CENTER
P	10238	FMV
SUTTER CENTRAL VALLEY HOSPITALS
P	2432304	FMV
SUTTER EAST BAY HOSPITALS
L	69471	FMV
SUTTER VISITING NURSE ASSOC AND HOSPICE
L	175126	FMV
SUTTER VISITING NURSE ASSOC AND HOSPICE
O	5745975	FMV
SUTTER MEDICAL FOUNDATION
P	14590381	FMV
SUTTER MEDICAL CENTER FOUNDATION
B	1395157	FMV
SUTTER DAVIS HOSPITAL FOUNDATION
B	235050	FMV
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
B	321020	FMV
SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION
B	624617	FMV
SUTTER SOLANO MEDICAL CENTER FOUNDATION
B	76228	FMV
SUTTER MEDICAL CENTER FOUNDATION
C	4701756	FMV
SUTTER DAVIS HOSPITAL FOUNDATION
C	81605	FMV
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C	1347542	FMV
SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION
C	2163988	FMV
SUTTER SOLANO MEDICAL CENTER FOUNDATION
C	127393	FMV