SUTTER BAY HOSPITALS: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SUTTER BAY HOSPITALS (EIN 94-0562680)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-19
- IRS object ID
- 201222939349300832
- Schema version
- 2011v1.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-19T17:24:46-05:00 | 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 | 940562680 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTER WEST BAY HOSPITALS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % HENRY YU | InCareOfName |
| Name Control | SUTT | NameControl |
| Phone | 9162866665 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7999 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94120 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN GATES | Name |
| Title | COO | Title |
| Phone | 9162866665 | Phone |
| Date Signed | 2012-10-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8013503300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA PACIFIC MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARTIN BROTMAN MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7999 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1644851244 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SUTTERHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1854 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 32 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 25 | NbrIndependentVotingMembers |
| Total Nbr Employees | 8792 | TotalNbrEmployees |
| Total Nbr Volunteers | 1305 | TotalNbrVolunteers |
| Total Gross UBI | 2301677 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 33710172 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 34573903 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1542831482 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1534702744 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 9541135 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14775202 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6728834 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3480969 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1592811623 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1587532818 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1836582 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1671113 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 736482501 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 762546152 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 621768 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 665272592 | OtherExpensePriorYear |
| Other Expenses Current Year | 605287270 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1403591675 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1369504535 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 189219948 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 218028283 | RevenuesLessExpensesCY |
| Total Assets BOY | 1510104441 | TotalAssetsBOY |
| Total Assets EOY | 1563746524 | TotalAssetsEOY |
| Total Liabilities BOY | 574175255 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 561430605 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 935929186 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1002315919 | 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 | 1263244684 | Expense |
| Grants | 1671113 | Grants |
| Revenue | 1534702744 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 1263244684 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | 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 | true | 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 | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | 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 | 945 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 8792 | 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 | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| 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 | 32 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 25 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | 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 | HENRY YU | NamePerson |
| Telephone Number | 4156007310 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7999 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (42 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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| RT REV MARC H ANDRUS | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| DAMIAN AUGUSTYN MD | |||||||||
| DIRECTOR | 1.0 | X | 18321 | 0 | 0 | ||||
| MARTIN BROTMAN MD | |||||||||
| REGIONAL PRESIDENT, WEST BAY | 40.0 | X | 0 | 1374850 | 713389 | X | |||
| WILLIAM L BRUNETTI | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| WILLIAM CARROLL MD | |||||||||
| DIRECTOR | 1.0 | X | 30000 | 0 | 0 | ||||
| THEODORE DEIKEL | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| THOMAS J DIETZ PHD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| ROY EISENHARDT | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| PETER FULCHIRON | |||||||||
| VICE CHAIR/DIRECTOR | 1.0 | X | 0 | 0 | 0 | X | |||
| PAT FRY | |||||||||
| PRESIDENT & CEO, SUTTER HEALTH | 1.0 | X | 0 | 3045216 | 2196089 | ||||
| JORDAN HOROWITZ MD | |||||||||
| DIRECTOR | 1.0 | X | 35400 | 0 | 0 | ||||
| PETER JACOBI | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| JOAN C KAHR PHD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| RONALD H KAUFMAN | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| STEVEN E LEVENBERG DO | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| THOMAS E LINCOLN | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| ALASTAIR A MACTAGGART | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| ANTHONY W MILES | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| SCOTT MINICK | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| TIMOTHY MURPHY MD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| CYNTHIA NESTLE | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| DENNIS J O'CONNELL | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| STEVEN H OLIVER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| ROBERT W OSORIO MD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| ROBERT A ROSENFELD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| TERRI SLAGLE MD | |||||||||
| DIRECTOR | 1.0 | X | 11025 | 0 | 0 | ||||
| LEO C H SOONG | |||||||||
| FINANCE CHAIR/DIRECTOR | 1.0 | X | 0 | 0 | 0 | X | |||
| ROSS E STROMBERG | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| ROBERT M TOMASELLO | |||||||||
| CHAIR/DIRECTOR | 1.0 | X | 0 | 0 | 0 | X | |||
| MICHAEL N VALAN MD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| ANTHONY G WAGNER | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| DEBORAH D WYATT MD | |||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||||
| MICHAEL DUNCHEON | |||||||||
| VP, REGIONAL COUNSEL WEST BAY | 40.0 | 0 | 405094 | 152376 | X | ||||
| JOHN GATES | |||||||||
| REGION VP FINANCE, WEST BAY | 40.0 | 0 | 735733 | 275268 | X | ||||
| WARREN BROWNER MD | |||||||||
| CEO, SAN FRANCISCO HOSP, SWBH | 40.0 | 0 | 815134 | 452253 | X | ||||
| GRANT DAVIES | |||||||||
| EXEC VP, CPMC & CAO, WB | 40.0 | 0 | 688198 | 306792 | X | ||||
| ALLAN PONT MD | |||||||||
| VP MEDICAL AFFAIRS | 40.0 | 0 | 722474 | 146025 | X | ||||
| TONI BRAYER MD | |||||||||
| REGIONAL VP & CMO, WEST BAY | 40.0 | 0 | 599216 | 212759 | X | ||||
| MARK KIMBELL | |||||||||
| CPMC FOUNDATION DIRECTOR | 40.0 | 0 | 472157 | 151094 | X | ||||
| STEVEN R CUMMINGS | |||||||||
| DIRECTOR, CRCLE | 40.0 | 436460 | 0 | 27945 | X | ||||
| CRAIG VERCRUYSSE | |||||||||
| REGIONAL CIO, WEST BAY | 40.0 | 0 | 409900 | 117713 | X | ||||
| JACK BAILEY | |||||||||
| EXEC VP/ADMINISTRATOR, CPMC | 0.0 | 618590 | 0 | 21713 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1149796 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 9267972 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 4773416 | TotalOtherCompensation |
| Number Individuals GT100 K | 1853 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ARAMARK | |||||
| 2500 WARRENVILLE ROAD | DOWNERS GROVE | IL | 60515 | MANAGEMENT SERVICES | 17100378 |
| PACIFIC INPATIENT MEDICAL GROUP INC | |||||
| PO BOX 1230 | SUISUN CITY | CA | 94585 | UTILIZATION SERVICES | 6792853 |
| ANESTHESIA AND ANALGESIA MEDICAL GR | |||||
| 837 5TH STREET 2ND FLOOR | SANTA ROSA | CA | 95404 | ANESTHESIA SERVICES | 5796544 |
| ANGELICA | |||||
| DEPT 6777 | LOS ANGELES | CA | 90084 | LAUNDRY SERVICES | 3367348 |
| AUXILIO | |||||
| 27401 LOS ALTOS STE 100 | MISSION VIEJO | CA | 92691 | PRINTER SVC MGMT | 3012287 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 142 | NumberOfContractorsGT100K |
| Fundraising Events | 45914 | FundraisingEvents |
| Related Organizations | 11371805 | RelatedOrganizations |
| Government Grants | 14308396 | GovernmentGrants |
| All Other Contributions | 8847788 | AllOtherContributions |
| Noncash Contributions | 86954 | NoncashContributions |
| Total Contributions | 34573903 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | 1518237022 | 1518237022 |
| CA PACIFIC ADVANCED IMAGING | 621512 | 1726947 | 1726947 |
| SAN FRAN ENDOSCOPY CENTER | 621498 | 5037640 | 5037640 |
| PRESIDIO SURGERY CENTER LLC | 621493 | 6038377 | 6038377 |
| RENTAL TO AFFILIATES | 900099 | 3662758 | 3662758 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1534702744 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10689412 | TotalRevenueColumn |
| Exclusion | $10,689,412 | 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 | 11573430 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13785834 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -2212404 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2212404 | TotalRevenueColumn |
| Exclusion | -$2,212,404 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 47261406 | Securities |
| Other | 311307 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 43102023 | Securities |
| Other | 384900 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4159383 | Securities |
| Other | -73593 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4085790 | TotalRevenueColumn |
| Exclusion | $4,085,790 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 66309 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 45914 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 43169 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23140 | TotalRevenueColumn |
| Exclusion | $23,140 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 4925 | GrossIncomeGaming |
| Gaming Direct Expenses | 2500 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2425 | TotalRevenueColumn |
| Exclusion | $2,425 | ExclusionAmount |
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 | ExclusionExclusionAmount |
|---|---|---|---|---|
| UBI - LABORATORY | 621500 | 486248 | 486248 | |
| UBI - PARKING | 812930 | 1815429 | 1815429 | |
| CAFETERIA | 900099 | 3292653 | $3,292,653 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 73478 | TotalRevenueColumn |
| Exclusion | $73,478 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5667808 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1587532818 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1534702744 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2301677 | UnrelatedBusinessRevenue |
| Exclusion | $15,954,494 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1670863 | Total |
| Program Services | 1670863 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250 | Total |
| Program Services | 250 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94746 | Total |
| Management And General | 94746 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 507796154 | Total |
| Program Services | 486255508 | ProgramServices |
| Management And General | 21540646 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46421462 | Total |
| Program Services | 44682197 | ProgramServices |
| Management And General | 1739265 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166841946 | Total |
| Program Services | 153361827 | ProgramServices |
| Management And General | 13480119 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41391844 | Total |
| Program Services | 39897843 | ProgramServices |
| Management And General | 1493611 | ManagementAndGeneral |
| Fundraising | 390 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6567126 | Total |
| Program Services | 4331871 | ProgramServices |
| Management And General | 2053605 | ManagementAndGeneral |
| Fundraising | 181650 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4457042 | Total |
| Program Services | 154927 | ProgramServices |
| Management And General | 4302115 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94125 | Total |
| Program Services | 21492 | ProgramServices |
| Management And General | 72633 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 661555 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 661555 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20409760 | Total |
| Program Services | 19387627 | ProgramServices |
| Management And General | 1022133 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3487656 | Total |
| Program Services | 3484795 | ProgramServices |
| Management And General | 2230 | ManagementAndGeneral |
| Fundraising | 631 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176803725 | Total |
| Program Services | 176154285 | ProgramServices |
| Management And General | 643902 | ManagementAndGeneral |
| Fundraising | 5538 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16192706 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 16192706 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15370503 | Total |
| Program Services | 15118400 | ProgramServices |
| Management And General | 252103 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1293557 | Total |
| Program Services | 958119 | ProgramServices |
| Management And General | 332354 | ManagementAndGeneral |
| Fundraising | 3084 | 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 | 657792 | Total |
| Program Services | 556479 | ProgramServices |
| Management And General | 101313 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11170444 | Total |
| Program Services | 11170444 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76152979 | Total |
| Program Services | 76121225 | ProgramServices |
| Management And General | 31754 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11519736 | Total |
| Program Services | 11513676 | ProgramServices |
| Management And General | 6060 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PURCHASED SERVICES | 104837091 | 92663996 | 12154286 | 18809 |
| PROFESSIONAL FEES-PHYSICIANS | 68333931 | 64740180 | 3593751 | 0 |
| REPAIRS & MAINTENANCE | 23038036 | 21532530 | 1503806 | 1700 |
| SYSTEM ALLOCATION FEES | 19702731 | -220122 | 19569289 | 353564 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44536775 | Total |
| Program Services | 39686272 | ProgramServices |
| Management And General | 4794101 | ManagementAndGeneral |
| Fundraising | 56402 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1369504535 | Total |
| Program Services | 1263244684 | ProgramServices |
| Management And General | 105638083 | ManagementAndGeneral |
| Fundraising | 621768 | 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 | 82045309 | BOY |
| EOY | 70103047 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 399739 | BOY |
| EOY | 2333524 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 197248328 | BOY |
| EOY | 196199741 | 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 | 14589638 | BOY |
| EOY | 14314230 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4035606 | BOY |
| EOY | 4406229 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1833729439 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 806823517 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 951078166 | BOY |
| EOY | 1026905922 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 183970682 | BOY |
| EOY | 177768432 | 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 | 5320918 | BOY |
| EOY | 6745744 | 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 | 71416055 | BOY |
| EOY | 64969655 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1510104441 | BOY |
| EOY | 1563746524 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 189729837 | BOY |
| EOY | 190124956 | 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 | 334770632 | BOY |
| EOY | 340300560 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49674786 | BOY |
| EOY | 31005089 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 574175255 | BOY |
| EOY | 561430605 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 913463129 | BOY |
| EOY | 979818227 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22466057 | BOY |
| EOY | 22497692 | 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 | 935929186 | BOY |
| EOY | 1002315919 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1510104441 | BOY |
| EOY | 1563746524 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 218028283 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -151641550 | 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 | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 169781890 | OtherCostOrOtherBasis |
| Book Value | 169781890 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 749848183 | OtherCostOrOtherBasis |
| Depreciation | 432550558 | Depreciation |
| Book Value | 317297625 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 45079983 | OtherCostOrOtherBasis |
| Depreciation | 28960024 | Depreciation |
| Book Value | 16119959 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 445532337 | OtherCostOrOtherBasis |
| Depreciation | 342088770 | Depreciation |
| Book Value | 103443567 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 423487046 | OtherCostOrOtherBasis |
| Depreciation | 3224165 | Depreciation |
| Book Value | 420262881 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1026905922 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INSURANCE LIABILITIES | $5,271,542 |
| 3RD PARTY SETTLEMENTS | $4,922,594 |
| OTHER LIABILITIES | $20,810,953 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 31005089 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740 (FIN48) FOOTNOTE FROM AUDIT | Identifier |
| Return Reference | PART X, LINE 2 | ReturnReference |
| Explanation | 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. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNIVERSARY | NameOfEvent1 |
| Gross Receipts Event1 | 66787 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 35834 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 30953 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 13311 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 750 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 8564 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF TOURNY | NameOfEvent2 |
| Gross Receipts Event2 | 39441 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 10080 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 29361 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 8832 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 7299 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 3611 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 5995 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 0 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 5995 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 802 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 112223 | GrossReceiptsTotal |
| Charitable Contributions Total | 45914 | CharitableContributionsTotal |
| Gross Revenue Total Events | 66309 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 8832 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 20610 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 750 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 12977 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 43169 | DirectExpenseSummaryEvents |
| Net Income Summary | 23140 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 400. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24624802 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24624802 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01800 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 205368207 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 138373293 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 66994914 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04900 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11127041 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6633395 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4493646 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 241120050 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 145006688 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 96113362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07030 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 66 | NumberOfActivitiesOrPrograms |
| Persons Served | 104440 | PersonsServed |
| Total Community Benefit Expense | 3463924 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 60684 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3403240 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 25 | NumberOfActivitiesOrPrograms |
| Persons Served | 1110 | PersonsServed |
| Total Community Benefit Expense | 40311004 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5026128 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35284876 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02580 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 80997 | PersonsServed |
| Total Community Benefit Expense | 34399348 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28443660 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5955688 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1989 | PersonsServed |
| Total Community Benefit Expense | 21848548 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21848548 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01600 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 36 | NumberOfActivitiesOrPrograms |
| Persons Served | 900 | PersonsServed |
| Total Community Benefit Expense | 3690918 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3690918 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 144 | NumberOfActivitiesOrPrograms |
| Persons Served | 189436 | PersonsServed |
| Total Community Benefit Expense | 103713742 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33530472 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 70183270 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05140 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 144 | NumberOfActivitiesOrPrograms |
| Persons Served | 189436 | PersonsServed |
| Total Community Benefit Expense | 344833792 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 178537160 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 166296632 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12170 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 5184 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 5184 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 25138 | PersonsServed |
| Total Community Building Expense | 87691 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 87691 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 100 | PersonsServed |
| Total Community Building Expense | 20084 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 20084 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 105 | PersonsServed |
| Total Community Building Expense | 497306 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 497306 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 25343 | PersonsServed |
| Total Community Building Expense | 610265 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 610265 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $11,887,778 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 299955308 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 359868436 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -59913128 | 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 | 5 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||||||
| 1 | 45 CASTRO STREET | SAN FRANCISCO | CA | 94114 | X | X | X | |
| CPMC-ST LUKE'S CAMPUS | ||||||||
| 2 | 3555 CESAR CHAVEZ STREET | SAN FRANCISCO | CA | 94110 | X | X | X | |
| NOVATO COMMUNITY HOSPITAL | ||||||||
| 3 | 180 ROWLAND WAY | NOVATO | CA | 94945 | X | X | X | |
| SUTTER LAKESIDE HOSPITAL | ||||||||
| 4 | 5176 HILL ROAD | LAKEPORT | CA | 95463 | X | X | X | X |
| SUTTER MEDICAL CENTER SANTA ROSA | ||||||||
| 5 | 3325 CHANATE ROAD | SANTA ROSA | CA | 95404 | X | X | X | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CALIFORNIA PACIFIC MEDICAL CENTER | |||||||||||||||||||
| 1 | true | true | 400. | false | true | X | X | X | X | X | true | true | X | true | false | true | X | false | false |
| CPMC-ST LUKE'S CAMPUS | |||||||||||||||||||
| 2 | true | true | 400. | false | true | X | X | X | X | X | true | true | X | true | false | true | X | false | false |
| NOVATO COMMUNITY HOSPITAL | |||||||||||||||||||
| 3 | true | true | 400. | false | true | X | X | X | X | X | true | true | X | true | false | true | X | false | false |
| SUTTER LAKESIDE HOSPITAL | |||||||||||||||||||
| 4 | true | true | 400. | false | true | X | X | X | X | X | true | true | X | true | false | true | X | false | false |
| SUTTER MEDICAL CENTER SANTA ROSA | |||||||||||||||||||
| 5 | true | true | 400. | false | 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 | 23 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (23 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET SUITE 100 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES-MRI |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2323 SACRAMENTO STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES-PSYCHIATRY |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 1625 VAN NESS AVENUE | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - CHILD DEVELOPMENT |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 1580 VALENCIA STREET SUITE 440 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - CHILD DEVELOPMENT |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 3838 CALIFORNIA STREET SUITE 106 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - LABORATORY/IMAGING |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 101 NORTH EL CAMINO SUITE 1 | SAN MATEO | CA | 94402 | OUTPATIENT SERVICES - HAND THERAPY |
| SUTTER MED CTR SANTA ROSA-PERINATAL CTR | ||||
| 3327 CHANATE ROAD | SANTA ROSA | CA | 95404 | OUTPATIENT SERVICES |
| SMC SANTA ROSA-SPORTS & ORTHOPEDIC REHAB | ||||
| 4729 HORN AVENUE SUITE A | SANTA ROSA | CA | 95405 | OUTPATIENT SERVICES |
| TERRA LINDA HEALTH PLAZA | ||||
| 4000 CIVIC CENTER DRIVE | SAN RAFAEL | CA | 94903 | OUTPATIENT SERVICES |
| PHYSICAL THERAPY & SPORT FITNESS | ||||
| 180 ROWLAND WAY 310 | NOVATO | CA | 94945 | OUTPATIENT SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET 4TH FLOOR | SAN FRANCISCO | CA | 94115 | CHRONIC DIALYSIS |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2323 SACRAMENTO STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2340 CLAY STREET SUITE 114A | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - HEART TRANSPLANT CLINIC |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET SUITE 600 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES-IES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2340 CLAY STREET 4TH FLOOR | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - LIVER, PANCREAS & KIDNEY TRANSPLANT CLINIC |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2340 CLAY STREET 5TH FLOOR | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - OPHTHAMOLOGY CLINIC |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2360 CLAY STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - PT, OT & CARDIAC REHAB |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET SUITE 502 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - PULMONARY |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2100 WEBSTER STREET SUITE 103 | SAN FRANCISCO | CA | 94115 | RAD/LAB/ULTRASOUND SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET SUITE 150 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES-ALS |
| SUTTER LAKESIDE FAMILY MEDICAL CLINIC | ||||
| 5176 HILL ROAD EAST | LAKEPORT | CA | 95453 | RURAL HEALTH CLINIC |
| SUTTER LAKESIDE OUTPATIENT DRAW STATION | ||||
| 5132 HILL ROAD EAST | LAKEPORT | CA | 95453 | OUTPATIENT SERVICES |
| SUTTER LAKESIDE UPPER LAKE COMM CLINIC | ||||
| 750 OLD LUCERNE ROAD | UPPER LAKE | CA | 95485 | RURAL HEALTH CLINIC |
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 400% OF FPG. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 350% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S 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 $25,440. | |
| PART II | CALIFORNIA PACIFIC MEDICAL CENTER CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) FUNDED THE FOLLOWING PROGRAMS THAT HELPED ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELPED SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. A) PROJECT HOME CONNECT: PROJECT HOMELESS CONNECT IS SAN FRANCISCO'S SIGNATURE PROGRAM TO PROVIDE SERVICES TO ITS HOMELESS POPULATION. THE MISSION OF PROJECT HOMELESS CONNECT IS TO PROVIDE A SINGLE LOCATION WHERE NONPROFIT MEDICAL AND SOCIAL SERVICE PROVIDERS COLLABORATE TO SERVE THE HOMELESS OF SAN FRANCISCO WITH COMPREHENSIVE, HOLISTIC SERVICES. CPMC HAD 72 VOLUNTEERS SERVE A TOTAL OF 576 HOURS OF SERVICE FOR THIS EVENT. B) FIRST FIVE COMMISSION - CHILD DEVELOPMENT CENTER (CDC): CPMC'S CDC IS PART OF THE FIRST 5 CALIFORNIA COALITIONS. FIRST 5 CALIFORNIA REPRESENTS AN IMPORTANT PART OF OUR STATE'S EFFORT TO NURTURE AND PROTECT OUR MOST PRECIOUS RESOURCE - OUR CHILDREN. FIRST 5 CALIFORNIA'S SERVICES AND SUPPORT ARE DESIGNED TO ENSURE THAT MORE CHILDREN ARE BORN HEALTHY AND REACH THEIR FULL POTENTIAL. C) GALILEO HEALTH ACADEMY - CITY WITHIN SPEAKER SERIES: THE GALILEO HEALTH ACADEMY OFFERS A 12-WEEK SPEAKER SERIES CALLED "THE CITY WITHIN." TWICE A WEEK, EMPLOYEES OF CPMC PROVIDE LECTURES, DEMONSTRATIONS, TOURS AND ACTIVITIES TO ENHANCE STUDENTS' UNDERSTANDING OF THE COMPLEXITIES AND EMPLOYMENT OPPORTUNITIES IN AN ACUTE CARE MEDICAL CENTER. IN 2011, 80 STUDENTS PARTICIPATED IN THIS PROGRAM. D) IMMACULATE CONCEPTION ACADEMY WORK STUDY PROGRAM: THE IMMACULATE CONCEPTION ACADEMY WORK STUDY PROGRAM PROVIDES STUDENTS WITH CRUCIAL HANDS-ON WORK EXPERIENCE, WHILE EMPOWERING THEM TO TAKE AN ACTIVE PART IN FINANCING THEIR OWN EDUCATION. STUDENTS ACQUIRE DESIRABLE JOB EXPERIENCE AND MARKETABLE SKILLS; DEVELOP A NETWORK OF BUSINESS CONTACTS AND EXPOSURE TO A VARIETY OF CAREER OPPORTUNITIES. E) PACIFIC EPILEPSY PROGRAM: THE PACIFIC EPILEPSY PROGRAM (PEP) PROVIDES PATIENTS WITH AN ALL-INCLUSIVE EPILEPSY TREATMENT PROGRAM AND PLACEMENT OF PEP PATIENTS IN VOLUNTEER POSITIONS WITHIN CPMC. THIS ALLOWS PEP STAFF TO EVALUATE THE PATIENTS' ABILITY TO WORK AND TO MODIFY TREATMENT ACCORDINGLY. F) YEAR UP INTERNS: ALTHOUGH CPMC HAS BEEN PARTICIPATING IN THE YEAR UP PROGRAM FOR THE PAST THREE YEARS, 2011 WAS ITS FIRST REPORTING YEAR. YEAR UP INTERNS ARE ASSIGNED TO CPMC'S IT DEPARTMENT AT THE FOLSOM CAMPUS. EACH INTERN SHADOWS AN EXISTING IT EMPLOYEE TO RECEIVE INSTRUCTION IN INSTALLATION OF COMPUTER EQUIPMENT, PROPER COMPUTER INTERFACE AND ONCE PROFICIENT, TROUBLESHOOT PROBLEMS. G) ENABLING PATIENTS TO VOTE: THIS SERVICE PROVIDES PATIENTS WITH THE OPPORTUNITY TO VOTE IN SAN FRANCISCO ELECTIONS. A VOLUNTEER VISITS CITY HALL TO OBTAIN THE BALLOT AND ASSISTS PATIENTS IN COMPLETING BALLOTS, IF NEEDED. THE VOLUNTEER THEN COLLECTS THE BALLOTS AND RETURNS THEM TO CITY HALL IN A TIMELY MANNER FOR TABULATION. NOVATO COMMUNITY HOSPITAL NOVATO COMMUNITY HOSPITAL (NCH) FUNDED THE FOLLOWING PROGRAMS THAT HELPED ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELPED SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. A) COUNTY OF MARIN EMERGENCY SERVICES: NOVATO COMMUNITY HOSPITAL PARTICIPATES IN THE MEDICAL DISASTER PREPAREDNESS SECTION OF THE MARIN COUNTY DISASTER & CORPS COUNCIL, PER COUNTY REGULATIONS. B) HEALTHY MARIN PARTNERSHIP: IN 1995, THE HEALTHY MARIN PARTNERSHIP WAS FORMED IN RESPONSE TO CALIFORNIA SENATE BILL 697, A LEGISLATIVE MANDATE REQUIRING NOT-FOR-PROFIT HOSPITALS TO COMPLETE A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. NCH PARTICIPATES IN THIS PARTNERSHIP, ALONG WITH OTHER KEY STAKEHOLDERS, TO PRODUCE THE COMMUNITY NEED HEALTH ASSESSMENT. C) MARIN COUNTY HOSPITAL PREPAREDNESS COMMITTEE: THE MARIN COUNTY HOSPITAL PREPAREDNESS COMMITTEE FOLLOWS THE GUIDELINES OF THE NATIONAL HOSPITAL PREPAREDNESS PROGRAM (HPP) PROVIDING LEADERSHIP AND FUNDING THROUGH GRANTS AND COOPERATIVE AGREEMENTS TO STATES, TERRITORIES AND ELIGIBLE MUNICIPALITIES TO IMPROVE SURGE CAPACITY AND ENHANCE COMMUNITY AND HOSPITAL PREPAREDNESS FOR PUBLIC HEALTH EMERGENCIES. THE MARIN ORGANIZATION IS COMPOSED OF NCH AND OTHER COUNTY HOSPITALS AND MEETS REGULARLY TO PLAN HOSPITAL RESPONSE TO NATURAL DISASTERS. THE GROUP PARTICIPATES IN ALL COUNTY AND STATE DRILLS AND OVERSEES A CACHE OF MEDICAL SUPPLIES IN MARIN COUNTY. SUTTER LAKESIDE HOSPITAL SUTTER LAKESIDE HOSPITAL (SLH) FUNDED THE FOLLOWING PROGRAM THAT HELPED ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THIS PROGRAM HELPED SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. A) COMMUNITY SERVICE ORGANIZATION ACTIVITY: SUTTER LAKESIDE HOSPITAL ENCOURAGES STAFF TO PROVIDE ASSISTANCE TO OTHER NON-PROFIT ORGANIZATIONS THAT PROVIDE UNIQUE SERVICES TO THE COMMUNITY THAT WERE NOT PROVIDED BY THE HOSPITAL. PAID STAFF TIME WAS DONATED TO THE LAKE FAMILY RESOURCE CENTER AND ROTARY INTERNATIONAL. IN ADDITION, TWO (2) EMPLOYEE WERE FEMA ICS-300 CERTIFIED (16 HOURS EACH). THIS CERTIFICATION IS ABOVE AND BEYOND ACCREDITATION REQUIREMENTS. THIS DISASTER PREPAREDNESS TRAINING GREATLY BENEFITS THE ENTIRE COMMUNITY IN THE EVENT OF A DISASTER. SUTTER MEDICAL CENTER OF SANTA ROSA SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) FUNDED THE FOLLOWING PROGRAMS THAT HELPED ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELPED SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. A) COMMUNITY COLLABORATIVES: MEMBERS OF SMCSR'S SOCIAL WORK DEPARTMENT PARTICIPATE IN A SPECTRUM OF WORKGROUPS THAT ADDRESS ISSUES IMPACTING INTEGRATE HEALTH CARE DELIVERY TO SPECIFIC UNDERSERVED POPULATIONS (HOMELESS, SUBSTANCE ABUSERS, ELDERLY). B) HEALTHY KIDS: HEALTHY KIDS WAS ESTABLISHED WITH TWO MAJOR GOALS: TO PROVIDE EXPANDED ENROLLMENT ASSISTANCE AND CASE MANAGEMENT TO UNFUNDED AND UNDERFUNDED CHILDREN AND FAMILIES AND TO FUND AND MANAGE AN INSURANCE PROGRAM FOR CHILDREN WHO DO NOT QUALIFY FOR EXISTING PUBLIC HEALTH COVERAGE. HEALTHY KIDS IS A COLLABORATION OF LOCAL HEALTH CARE PROVIDERS, SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES, SONOMA COUNTY OFFICE OF EDUCATION AND KID'S NET. OVER THE PAST FEW YEARS, THE STEERING COMMITTEE OF THIS DYNAMIC COLLABORATIVE WAS CHARGED WITH MITIGATING THE DEVASTATING IMPACT OF STATE BUDGET CUTS AND ENSURING THAT CHILDREN DID NOT LOSE HEALTH COVERAGE OR ACCESS TO MEDICAL HOMES. C) SONOMA HEALTH ALLIANCE: THIS COLLABORATIVE OF LOCAL HEALTH LEADERS COME TOGETHER TO SET LOCAL HEALTH INITIATIVES AND DISCUSS OPPORTUNITIES TO LEVERAGE COLLABORATION TO IMPACT LOCAL HEALTH OUTCOMES. THE SHA HAS SPONSORED MANY PROJECTS OVER THE YEARS, INCLUDING COUNTY-WIDE FLU IMMUNIZATION EFFORTS, SENIOR FALL PREVENTION PROGRAMS, LOCAL CHILDREN'S DENTAL HEALTH SURVEY (2008), ORAL HEALTH TASKFORCE (2011), HEALTHYSONOMA.ORG, AND THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT. D) HEALTHCARE WORKFORCE DEVELOPMENT ROUNDTABLE: THIS GROUP WAS FORMED TO PROMOTE INTEREST IN HEALTH PROFESSIONS AND CREATE OPPORTUNITIES TO PURSUE HEALTH CAREERS FOR DIVERSE POPULATIONS IN SONOMA COUNTY. THIS PROGRAM IS A PARTNERSHIP WITH SANTA ROSA JUNIOR COLLEGE AND HAS BEEN AWARDED MULTIPLE GRANTS OVER THE YEARS TO CONTINUE ITS IMPORTANT OUTREACH, RECRUITMENT AND SUPPORT EFFORTS. SMCSR CONTINUES TO PROVIDE LEADERS TO THIS EFFORT, BOTH IN STRATEGIC PLANNING AND PROVIDING OPPORTUNITIES FOR STUDENTS TO SHADOW STAFF IN A VARIETY OF HEALTH PROFESSIONS WITH THE HOSPITAL SETTING. TODAY, THIS PARTNERSHIP HAS GROWN INTO A ROBUST CONTINUUM OF PROGRAMS AND SERVICES TARGETING HIGH SCHOOL AND COLLEGE STUDENTS OF COLOR. E) NORTH BAY HOSPITALS AND COLLEGES COUNCIL NURSING ADMIN: THIS IS A LOCAL CONSORTIUM ORGANIZED BY THE CALIFORNIA HOSPITALS ASSOCIATION THAT IS WORKING TO ESTABLISH A SUSTAINABLE HEALTHCARE WORKFORCE PIPELINE FOR SONOMA COUNTY. F) SANTA ROSA JUNIOR COLLEGE PHARMACY TECH PROGRAM ADVISORY COMMITTEE: PHARMACY TECHNICIAN IS ONE OF THE MOST HIGH-DEMAND JOBS. SMCSR'S PARTICIPATION IN THIS PROGRAM HELPS TO ENSURE A PIPELINE OF SKILLED PHARMACY TECHS TO MEET THE NEEDS OF OUR COMMUNITY PRESENTLY AND IN THE FUTURE. THE COMMITTEE ADVISES FACULTY IN THE DEVELOPMENT OF CURRICULUM AND IN THE RESOLUTION OF ISSUES IMPACTING THE PHARMACY TECHNICIAN PROGRAM AT SRJC. STUDENTS ALSO ROTATE THROUGH SMCSR'S PHARMACY FOR A PORTION OF THEIR HOSPITAL EXPERIENCE TRAINING. | 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 $59,913,128. | |
| PART III, QUESTION 9B | COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 30 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. | |
| PART V, SECTION B, QUESTION 11H | ADDITIONAL FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL POVERTY GUIDELINES. | BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: |
| PART V, SECTION B, QUESTION 13G | A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WAS POSTED ON THE HOSPITAL'S FACILITY'S WEBSITE, WAS ATTACHED TO BILLING INVOICES, WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY/WAITING ROOM, WAS POSTED IN THE HOSPITAL'S ADMISSIONS OFFICE, WAS PROVIDED IN WRITING ON ADMISSION TO THE HOSPITAL, AND WAS AVAILABLE ON REQUEST. PATIENTS ELIGIBLE FOR CHARITY CARE ARE TRACKED IN THE HOSPITAL'S LEGACY SYSTEM AND ARE REMINDED 30 DAYS AFTER CHARITY CARE PACKET IS RECEIVED IF PAPERWORK HAS NOT BEEN SUBMITTED. ORGANIZATION USES AN INCOME VALIDATION TOOL TO ALERT PATIENTS THAT THEY MAY BE ELIGIBLE FOR CHARITY CARE. | MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: |
| PART V, SECTION B, QUESTION 19 | THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR DIFFERENT LEVELS OF ASSISTANCE FOR PATIENTS BASED ON VARIOUS ELIGIBILITY REQUIREMENTS INCLUDING, BUT NOT LIMITED TO (1) FULL CHARITY CARE, (2) PARTIAL CHARITY CARE, (3) SPECIAL CIRCUMSTANCES CHARITY CARE, (4) CATASTROPHIC CHARITY CARE, (5) HIGH COST MEDICAL CHARITY CARE, (6) UNINSURED PATIENT DISCOUNT, AND (7) PROMPT PAYMENT DISCOUNT. THE MAXIMUM AMOUNT BILLED TO THE PATIENT IS CALCULATED DIFFERENTLY DEPENDING ON THE CATEGORY OF FINANCIAL ASSISTANCE FOR WHICH THEY ARE ELIGIBLE. | AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: |
| NEEDS ASSESSMENT | CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) CPMC IS A FOUNDING MEMBER OF BUILDING A HEALTHIER SAN FRANCISCO (BHSF), A CITY-WIDE COLLABORATIVE OF SAN FRANCISCO NON-PROFIT HOSPITALS, THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, HEALTH PLANS, AND COMMUNITY-BASED HEALTH ORGANIZATIONS. BHSF CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS TO DETERMINE WHERE THE MEMBERS OF THE COLLABORATIVE SHOULD FOCUS EFFORTS TO IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. BASED ON THE 2010 COMMUNITY NEEDS ASSESSMENT, BHSF DEFINED THE FOLLOWING FOUR HEALTH IMPROVEMENT GOALS: 1. IMPROVE ACCESS TO CARE 2. PREVENT CHRONIC DISEASE AND INCREASE WELLNESS 3. REDUCE THE INCIDENCE OF COMMUNICABLE DISEASE 4. ENGAGE IN VIOLENCE PREVENTION AS A MEMBER OF THE BHSF COLLABORATIVE, CPMC IS COMMITTED TO FORWARDING THESE GOALS THROUGH ITS COMMUNITY BENEFIT PROGRAM. FOR MORE INFORMATION ABOUT THE 2010 COMMUNITY NEEDS ASSESSMENT, INCLUDING QUANTITATIVE AND QUALITATIVE DATA, PLEASE VISIT OUR WEBSITE AT WWW.HEALTHMATTERSINSF.ORG. NOVATO COMMUNITY HOSPITAL (NCH) DURING 2011, NOVATO COMMUNITY HOSPITAL REVIEWED ITS COMMUNITY BENEFIT PROGRAMS TO ALIGN ACTIVITIES WITH HEALTH CARE NEEDS IDENTIFIED IN THE 2011 COMMUNITY HEALTH NEEDS ASSESSMENT. SINCE 1995 NOVATO COMMUNITY HOSPITAL HAS PARTICIPATED IN A COALITION CALLED HEALTHY MARIN PARTNERSHIP THAT INCLUDES THE THREE HOSPITALS IN MARIN COUNTY AND OTHER COMMUNITY LEADERS TO CONDUCT THE TRI-ANNUAL NEEDS ASSESSMENT REQUIRED BY SB697. THE COALITION ALSO IDENTIFIES PRIORITY HEALTH NEEDS AND A PLAN FOR MEETING THEM. NCH PARTICIPATES FULLY IN THE PROCESS AND USES THIS DATA TO DEVELOP ITS COMMUNITY BENEFIT APPROACH. AS A RESULT, NCH IS FOCUSING ON THE FOLLOWING COMMUNITY BENEFIT PRIORITIES: - HEALTH CARE SERVICES FOR UNDER-INSURED AND UNINSURED MEMBERS OF OUR COMMUNITY. - UPSTREAM STRATEGIES TO PREVENT ILLNESSES THAT ARE THE LEADING CONTRIBUTORS TO ILLNESS AND DEATH IN MARIN COUNTY - HEART DISEASE, STROKE, AND OTHER CHRONIC CONDITIONS SUCH AS DIABETES: - OBESITY - TOBACCO USE - ALCOHOL USE/BINGE DRINKING - INTERVENTION INTO THE LIVES OF YOUTH AT RISK OF DEVELOPING CHILDHOOD DIABETES. - INFLUENCE POLICIES AND PRACTICES THAT SUPPORT CHANGES AT LOCAL, STATE, AND FEDERAL LEVELS TO FOSTER HEALTHY COMMUNITIES - ECONOMIC, HOUSING, LAND USE, RETAIL, AND HEALTH PLANNING ACTIVITIES THAT SUPPORT CONDITIONS CONDUCIVE TO GOOD HEALTH. A COPY OF THIS REPORT IS AVAILABLE FOR DOWNLOAD AT WWW.HEALTHYMARINPARTNERSHIP.ORG. SUTTER LAKESIDE HOSPITAL (SLH) IN 2009-2010, SUTTER LAKESIDE HOSPITAL, ST. HELENA CLEARLAKE, LAKE COUNTY PUBLIC HEALTH AND OTHER ORGANIZATIONS FORMED A COLLABORATIVE TO PLAN FOR A COMMUNITY NEEDS HEALTH ASSESSMENT (CHNA). THE CHNA ASSISTS THESE ORGANIZATIONS IN DEVELOPING THEIR COMMUNITY BENEFIT PLANS THAT HELP IMPROVE COMMUNITY HEALTH. TWO PRIMARY DATA SOURCES WERE USED IN THE CHNA PROCESS, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH INDICATORS (QUANTITATIVE) AND DATA FROM A COMMUNITY INPUT PROCESS (QUALITATIVE). THE HEALTHY LAKE COUNTY SURVEY WAS DISTRIBUTED ONLINE AND IN VARIOUS LOCATIONS THROUGHOUT LAKE COUNTY IN AN ATTEMPT TO GAIN A BETTER UNDERSTANDING OF THE HEALTH NEEDS OF THOSE WHO LIVE IN COMMUNITY. THESE LOCATIONS INCLUDED PUBLIC LIBRARY BRANCHES, YUBA COLLEGE COFFEE SHOP, SENIOR CENTERS IN MIDDLETOWN AND CLEARLAKE OAKS, LAKEPORT MOVIE THEATERS, CASINOS AND A RESTAURANT. ADDITIONALLY, SURVEYS WERE DISTRIBUTED AT SERVICE SITES FOR HEALTH, MENTAL HEALTH, AND ALCOHOL AND DRUG CLIENTS. OVERALL 869 SURVEYS WERE COMPLETED, 37% ONLINE AND 63% ON PAPER. COMMUNITY FOCUS GROUPS WERE HELD AT THREE LOCATIONS: CLEARLAKE, LAKEPORT AND KELSEYVILLE. THESE LOCATIONS WERE CHOSEN STRATEGICALLY TO ENSURE GEOGRAPHIC REPRESENTATION. KEY COMMUNITY-BASED ORGANIZATIONS WERE IDENTIFIED BY THE COLLABORATIVE AND ASKED TO HOST A FOCUS GROUP. FOCUS GROUPS WERE CO-SCHEDULED AT THE SITES AMONG PARTICIPANTS WHO WERE ALREADY MEETING FOR OTHER PURPOSES (FOR EXAMPLE, YOUNG MOTHERS AT PARENTING CLASS). THIS HELPED TO IMPROVE ACCESS AND ENSURE MAXIMUM ATTENDANCE. ALTHOUGH THE PARTICIPANTS CONSTITUTED A CONVENIENCE SAMPLE, THERE WAS THE EXPECTATION THAT IN THE AGGREGATE THE GROUPS WOULD BE DIVERSE AND INCLUDE POPULATIONS OF HIGHEST INTEREST. THE FOUR PRIORITY AREAS IDENTIFIED BY THE COLLABORATIVE IN THE CHNA ARE SENIOR SUPPORT SERVICES, SUBSTANCE ABUSE, PREVENTATIVE HEALTH AND MENTAL AND EMOTIONAL HEALTH. FOR MORE DETAILS ABOUT THE CHNA, PLEASE VISIT: HTTP://HEALTH.LAKECOUNTYCA.GOV/ASSETS/HEALTH/PUBLIC+HEALTH+DIVISION/HEALTH +NEEDS+ASSESSMENT+DEC+2010.PDF SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) SUTTER MEDICAL CENTER OF SANTA ROSA IS COMMITTED TO COLLABORATING WITH PARTNERS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. EVERY THREE YEARS, SMCSR PARTNERS WITH OTHER LOCAL HEALTH CARE ORGANIZATIONS TO CONDUCT A COMPREHENSIVE HEALTH NEEDS ASSESSMENT FROM WHICH COMMUNITY NEEDS AND PRIORITIES ARE IDENTIFIED. THESE PRIORITIES DRIVE THE COMMUNITY BENEFIT PLANNING SO THAT PREVIOUS HEALTH CARE RESOURCES AND DOLLARS ARE ALLOCATED IN WAYS THAT WILL BE MOST MEANINGFUL TO THE PEOPLE WE SERVE. THIS REPORT CONTINUES TO DRAW ATTENTION TO CHILDREN'S HEALTH ISSUES, ESPECIALLY DENTAL HEALTH, WHICH HAS BEEN IDENTIFIED AS A COMMUNITY HEALTH PRIORITY. TO ACCESS THE COMMUNITY HEALTH NEEDS ASSESSMENT, VISIT WWW.HEALTHYSONOMA.ORG. | PART VI, QUESTION 2 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | CALIFORNIA PACIFIC MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER LAKESIDE HOSPITAL AND SUTTER MEDICAL CENTER OF SANTA ROSA FOLLOW A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATIONS INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS) B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION" 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION" B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS. 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS. | PART VI, QUESTION 3 |
| COMMUNITY INFORMATION | CALIFORNIA PACIFIC MEDICAL CENTER - SAN FRANCISCO COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU THE POPULATION OF SAN FRANCISCO WAS 805,235 AND CONSISTED OF 50.7% MEN AND 49.3% WOMEN WITH A MEDIAN AGE OF 36.5 YEARS. THE POPULATION DENSITY WAS 17,179.1 PEOPLE PER SQUARE MILE IN 2010 WHICH IS OVER SEVENTY-ONE TIMES THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SAN FRANCISCO'S POPULATION CONSISTS OF 48.5% WHITE RESIDENTS, 33.3% ASIAN AND 15.1% HISPANIC OR LATINO. HALF OF THE RESIDENTS (54.3%) SPEAK ENGLISH AT HOME WHILE 12% SPEAK SPANISH. THE MEDIAN HOUSEHOLD SIZE IS 2.31 PEOPLE WITH A 2010 AVERAGE INCOME OF $71,304 AND A MEDIAN HOUSE VALUE OF $785,200. A HIGH PERCENTAGE (85.7%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE OVER HALF (51.2%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SAN FRANCISCO THE POVERTY LEVEL IN 2010 WAS AT 11.9% OF RESIDENTS, RIGHT BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 10.6% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 311 GROCERY STORES, 65 CONVENIENCE STORES (WITH GAS) AND 1,580 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 10.5% OF ADULTS BEING OBESE, 3.7% OF ADULTS WITH DIABETES AND 20.8% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 5,808 DEATHS IN SAN FRANCISCO COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 9,129 BIRTHS AS WELL AS 38 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 85 YEARS WHICH WAS ABOVE THE CALIFORNIA LIFE EXPECTANCY. IN 2010 17.2% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS BELOW THE STATE LEVEL OF 18.5% YET ABOVE THE FEDERAL LEVEL OF 15.5%. IN SAN FRANCISCO COUNTY 62.9% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 10.1% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. NOVATO COMMUNITY HOSPITAL - MARIN COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU, MARIN COUNTY HAS A POPULATION OF 252,409 CONSISTING OF 49.2% MEN AND 50.8% WOMEN WITH A MEDIAN AGE OF 41.3 YEARS. THE POPULATION DENSITY WAS 485.1 PEOPLE PER SQUARE MILE IN 2010 WHICH IS TWICE THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. MARIN'S POPULATION IS PRIMARILY WHITE (80%) WITH 15.5% HISPANIC OR LATINO AND 5.5% ASIAN. A LARGE PORTION OF RESIDENTS (80.5%) SPEAK ENGLISH AT HOME WHILE 9.5% SPEAK SPANISH AT HOME (11% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 2.33 PEOPLE WITH A 2010 AVERAGE INCOME OF $89,268 AND A MEDIAN HOUSE VALUE OF $868,000. NEARLY ALL (91.8%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE OVER HALF (54.1%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN MARIN THE POVERTY LEVEL IN 2010 WAS AT 7% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 8.2% IN APRIL 2010 WHICH WAS BELOW BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 64 GROCERY STORES, 32 CONVENIENCE STORES (WITH GAS) AND 295 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 9.9% OF ADULTS BEING OBESE, 2.8% OF ADULTS WITH DIABETES AND 23% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 1,803 DEATHS IN MARIN COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 2,820 BIRTHS AS WELL AS 8 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 81.1 YEARS WHICH IS NEARLY THE SAME AS THE CALIFORNIA LIFE EXPECTANCY. IN 2010 16.3% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS BELOW THE STATE LEVEL OF 18.5% YET RIGHT ABOUT THE FEDERAL LEVEL OF 15.5%. IN MARIN COUNTY 56.9% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 8.6% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SUTTER LAKESIDE HOSPITAL - LAKE COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU LAKE COUNTY HAD A POPULATION OF 64,665 AND CONSISTED OF 50.2% MEN AND 49.8% WOMEN WITH A MEDIAN AGE OF 42.7 YEARS. THE POPULATION DENSITY WAS 51.5 PEOPLE PER SQUARE MILE IN 2010 WHICH IS FAR BELOW THAT OF THE CALIFORNIA STATE DENSITY OF 239.1. LAKE COUNTY'S POPULATION CONSISTS OF 80.5% WHITE RESIDENTS, 17.1% HISPANIC OR LATINO AND 3.2% AMERICAN INDIAN. A LARGE PORTION OF RESIDENTS (89.8%) SPEAK ENGLISH AT HOME WHILE 7.7% SPEAK SPANISH AT HOME (10% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 2.53 PEOPLE WITH A 2010 AVERAGE INCOME OF $39,491 AND A MEDIAN HOUSE VALUE OF $265,400. THE GREATER PART (86.3%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 16.4% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN LAKE COUNTY THE POVERTY LEVEL IN 2010 WAS AT 19.1% OF RESIDENTS, ABOVE BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 18.4% IN APRIL 2010 WHICH WAS ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 24 GROCERY STORES, 21 CONVENIENCE STORES (WITH GAS) AND 40 FULL SERVICE RESTAURANTS. IN 2007, HEALTH ISSUES IN THIS COUNTY INCLUDED 23.7% OF ADULTS BEING OBESE AND 8.3% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 813 DEATHS AND OF THOSE THE THREE LEADING CAUSES WERE HEART DISEASE, DEMENTIA (INCLUDING ALZHEIMER) AND STROKE. IN 2007 THERE WERE 742 BIRTHS WITH ONLY 2 INFANT DEATHS OCCURRING THAT YEAR. THE LIFE EXPECTANCY AT BIRTH IS 79.3 YEARS WHICH IS NEARLY THE SAME AS THE CALIFORNIA LIFE EXPECTANCY. IN 2009 26.7% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS ABOVE BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN LAKE COUNTY 39.1% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 23.8% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SUTTER MEDICAL CENTER OF SANTA ROSA - SONOMA COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU, SONOMA COUNTY HAS A POPULATION OF 483,878 CONSISTING OF 49.2% MEN AND 50.8% WOMEN WITH A MEDIAN AGE OF 37.5 YEARS. THE POPULATION DENSITY WAS 307.1 PEOPLE PER SQUARE MILE IN 2010 WHICH IS OVER THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SONOMA'S POPULATION CONSISTS OF 76.8% WHITE RESIDENTS, 24.9% HISPANIC OR LATINO, AND 3.8% ASIAN. A LARGE MAJORITY OF RESIDENTS (80.2%) SPEAK ENGLISH AT HOME WHILE 13.8% SPEAK SPANISH. THE MEDIAN HOUSEHOLD SIZE IS 2.52 PEOPLE WITH A 2010 AVERAGE INCOME OF $63,274 AND A MEDIAN HOUSE VALUE OF $524,400. A HIGH PERCENTAGE (86.2%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 31.5% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SONOMA THE POVERTY LEVEL IN 2010 WAS AT 10.3% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%. THE UNEMPLOYMENT RATE WAS AT 10.5% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 130 GROCERY STORES, 92 CONVENIENCE STORES (WITH GAS) AND 468 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 20.7% OF ADULTS BEING OBESE, 6.3% OF ADULTS WITH DIABETES AND 17.1% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 3,781 DEATHS IN SONOMA COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 5,742 BIRTHS AS WELL AS 28 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 80 YEARS WHICH WAS RIGHT AT THE CALIFORNIA LIFE EXPECTANCY. IN 2010 18.2% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS JUST BELOW BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN SONOMA COUNTY 55.2% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 11.1% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. | PART VI, QUESTION 4 |
| PROMOTION OF COMMUNITY 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 CALIFORNIA PACIFIC MEDICAL CENTER'S (CPMC) COMMUNITY BENEFIT ACTIVITIES IN 2011: CPMC UTILIZES COMMUNITY CLINICS, HEALTH PLANS, AND NON-PROFIT PROVIDERS AS WELL AS ADVOCACY GROUPS TO IMPROVE THE HEALTH STATUS OF SAN FRANCISCO RESIDENTS. CPMC PARTNERS WITH COMMUNITY ORGANIZATIONS ON A NUMBER OF PROGRAMS FOCUSED ON PREVENTATIVE HEALTH STRATEGIES. OUR STRATEGY IS TO PARTICIPATE IN HEALTH FAIRS AND EVENTS FOCUSED ON WELLNESS AND PREVENTION, OFFER HEALTH SCREENINGS AND EDUCATION TO OUR COMMUNITIES. CLINICAL PREVENTATIVE CARE, PRIMARY CARE, EMERGENCY SERVICES, AND LONG-TERM AND REHABILITATIVE CARE ARE ALL AVAILABLE THROUGH CPMC'S FOUR CAMPUSES AND PARTNERS. CPMC ALSO PARTNERS WITH ORGANIZATIONS TO PROVIDE GRANTS OR SPONSORSHIPS TO PROVIDE CARE WITHIN SAN FRANCISCO COMMUNITIES. AS A RESULT, IN 2011 CPMC PROVIDED OVER $19 MILLION DOLLARS OF CHARITY CARE TO PROVIDE ACCESS AT THEIR FOUR CAMPUSES. THE BAYVIEW CHILD HEALTH CENTER IS A COMPREHENSIVE, COMMUNITY-BASED CHILD AND ADOLESCENT HEALTH CARE CENTER PROVIDING HIGH-QUALITY PRIMARY CARE AND SERVES AS A HUB FOR ACCESS TO COMMUNITY RESOURCES. THE COMMUNITY HEALTH GRANTS PROGRAM REPRESENTS AN ANNUAL INVESTMENT OF MORE THAN $750,000 IN HEALTH PROMOTIONS. THE AWARDED GRANTS FOCUS ON IMPROVING THE HEALTH OF VULNERABLE POPULATIONS, PARTICULARLY TARGETING THE UNINSURED, CHILDREN AND YOUTH, SENIORS AND UNDERSERVED COMMUNITIES. CPMC'S MEDICAL EDUCATION PROGRAMS PROVIDE HEALTH CARE PROFESSIONALS WITH THE OPPORTUNITY TO RECEIVE WORLD-CLASS TRAINING IN MEDICINE, NURSING AND OTHER ALLIED HEALTH PROFESSIONS. IN ADDITION, CPMC'S RESEARCH INSTITUTE (CPMCRI) BRINGS CLINICIANS AND RESEARCHERS TOGETHER TO DISCOVER EFFECTIVE TREATMENTS AND DIAGNOSTIC TECHNOLOGIES. BIOMEDICAL RESEARCH IS CONDUCTED IN SUCH DIVERSE AREAS AS ARTHRITIS, NEUROBIOLOGY OF PAIN, CARDIOVASCULAR DISEASE, ORGAN TRANSPLANTATION, NEURODEGENERATIVE DISEASES, CANCER, AIDS AND OTHER INFECTIOUS DISEASES. OVER 100 CLINICAL TRAILS ARE CURRENTLY ACTIVE AT CPMC. CPMC ALSO HAS ONE OF THE FEW MEDICAL CENTER-BASED PROGRAMS IN THE UNITED STATES IN WHICH COMPLEMENTARY MEDICINE APPROACHES TO TREATMENT FOR SPECIFIC HEALTH PROBLEMS ARE STUDIED. CPMC PARTNERS WITH 15 LOCAL AGENCIES AND PROGRAM PARTNERS TO BUILD THE SAN FRANCISCO WORKFORCE BY CREATING OPPORTUNITIES FOR YOUTH. CPMC PROVIDES TRAINING OPPORTUNITIES AND EXPOSURE TO HEALTHCARE OPPORTUNITIES TO THE YOUTH THROUGH SPEAKER SERIES, HANDS-ON EXPERIENCE IN THEIR SIMSURG CENTER AND PROVIDING STUDENTS WITH INTERNSHIPS TO GAIN EXPERIENCE IN HEALTH CARE OPERATIONS. EACH YEAR, ALMOST 200 NEW STUDENTS ARE INTRODUCED TO OPPORTUNITIES IN HEALTHCARE. HEALTHFIRST, AN AMBULATORY HEALTH RESOURCE CENTER AT ST. LUKE'S CAMPUS PRESENTS AN UNPRECEDENTED OPPORTUNITY TO ESTABLISH A SPECIALIZED MULTICULTURAL HEALTH CARE FACILITY OFFERING AN ARRAY OF CULTURALLY TAILORED HEALTH EDUCATION, NUTRITION, SOCIAL SERVICES, AND PATIENT NAVIGATION SERVICES IN CONJUNCTION WITH MEDICAL PROVIDERS, AND OTHER HEALTH AND SOCIAL SERVICE ORGANIZATIONS IN THE SOUTH OF MARKET AREA. THE CENTER SERVES AS A HUB OF PREVENTION, EDUCATION, AND CARE COORDINATION ACTIVITIES IN THE NEIGHBORHOODS SURROUNDING ST. LUKE'S HOSPITAL. BREAST CANCER IS THE MOST COMMON CANCER AMONG AFRICAN AMERICAN WOMEN AND A LEADING CAUSE IN THEIR CANCER DEATHS. CPMC IS COMMITTED TO REDUCING BREAST CANCER AND ITS DEVASTATION BY GETTING WOMEN IN EARLIER FOR FIRST-TIME SCREENINGS AND ANNUAL MAMMOGRAMS, AND RAISING AWARENESS THROUGH OUTREACH EDUCATION. CPMC ALSO PARTNERS WITH ORGANIZATIONS SUCH AS AFRICAN-AMERICAN BREAST HEALTH AND SISTER-TO-SISTER. THROUGH CPMC'S HIV/AIDS CASE MANAGEMENT PROGRAM, CPMC IS ACTIVELY WORKING ON REDUCING THE INCIDENCES OF THIS COMMUNICABLE DISEASE. CPMC'S HIV/AIDS CASE MANAGEMENT PROGRAM WAS ESTABLISHED IN 1980 IN RESPONSE TO THE ONSITE OF THE HIV/AIDS EPIDEMIC. CPMC OFFERS SERVICES SUCH AS ENROLLMENT OF PATIENTS IN THE AIDS DRUG ASSISTANCE PROGRAM (ADAP) AND COORDINATION OF CARE TO INCREASE QUALITY OF LIFE. THE OBJECTIVE OF THE PROGRAM IS TO PROMOTE INDEPENDENCE AND MAXIMIZE FUNCTION IN THE HOME ENVIRONMENT, PROVIDING NEEDED SERVICES, AVOIDING CRISES AND LIVING A NORMAL LIFE WITH THE DISEASE. THE PROGRAM INCLUDES A CPMC REGISTER NURSE CASE MANAGER AND A LICENSED CLINICAL SOCIAL WORKER, BOTH SERVE AS RESOURCES FOR MEDICAL, FINANCIAL AND EMOTIONAL ISSUES. HIV/AIDS CASE MANAGEMENT CONTINUES TO BE AVAILABLE TO CPMC PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. CPMC ALSO PARTNERS WITH THE SAN FRANCISCO HEPB FREE CAMPAIGN WHOSE GOAL IS TO SCREEN, VACCINATE AND PROTECT THOSE AT SIGNIFICANT RISK FOR INFECTION WITHIN THE SAN FRANCISCO COMMUNITY. THE CPMC TEAM DEVELOPED A MOBILE PROGRAM THAT BRINGS COMMUNITY EDUCATION AND FREE, CONFIDENTIAL TESTING TO CITY LOCATIONS. THE SAN FRANCISCO HEPB FREE PROGRAM HAS SCREENED ALMOST 4,000 PATIENTS SINCE ITS INCEPTION IN 2008. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS OF NOVATO COMMUNITY HOSPITAL'S (NCH) COMMUNITY BENEFIT ACTIVITIES IN 2011: WHILE MARIN COUNTY IS AMONG THE WEALTHIEST IN THE UNITED STATE, APPROXIMATELY 28% OF RESIDENTS LIVE AT OR BELOW 300% OF THE FEDERAL POVERTY LEVEL AND LACK ACCESS TO BASIC SERVICES, INCLUDING HEALTH CARE. TO ADDRESS THIS NEED, NOVATO COMMUNITY HOSPITAL DONATES CASH AND IN-KIND SERVICES TO COMMUNITY HEALTH CLINICS THAT PROVIDE PRIMARY AND SPECIALTY CARE TO THE UNDERINSURED AND UNINSURED. IN 2011, NCH WORKED TO ACCOMPLISH THIS THROUGH TWO GOALS: PROVIDE GRANTS TO CLINICS FOR DIRECT PATIENT CARE AND FORM PARTNERSHIP AGREEMENTS WITH CLINICS TO PROVIDE IN-KIND INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES. EXAMPLES OF ORGANIZATIONS THAT RECEIVED FUNDING WERE: - A $31,600 GRANT TO HOMEWARD BOUND OF MARIN FOR THE PROVISION OF RESPITE BEDS FOR HOMELESS PATIENTS RECOVERING FROM INPATIENT HOSPITAL STAYS - A $14,064 GRANT TO NOVATO UNIFIED SCHOOL DISTRICT TO PROVIDE COMPENSATION FOR OUTPATIENT PHYSICIAN VISITS FOR UNINSURED K-12 STUDENTS - A $119,958 IN-KIND AGREEMENT WITH ROTOCARE CLINIC TO PROVIDE (CHARITY CARE) LABORATORY SERVICES FOR UNINSURED CLIENTS APPROXIMATELY 1 IN 5 MARIN YOUTH CONSISTENTLY REPORT BEING OVERWEIGHT OR OBESE, A PRIMARY CONTRIBUTOR TO TYPE 2 CHILDHOOD DIABETES. DIFFERENCES IN WEIGHT AMONG SCHOOL-AGE CHILDREN EXIST BETWEEN RACIAL AND ETHNIC GROUPS, WITH A GREATER PERCENTAGE OF MARIN'S ASIAN AND CAUCASIAN CHILDREN BEING AT A HEALTHY WEIGHT COMPARED TO LATINO AND AFRICAN-AMERICAN CHILDREN. TO ADDRESS THIS NEED, NCH FACILITATES A COLLABORATIVE WITH NOVATO UNIFIED SCHOOL DISTRICT, MARIN COMMUNITY CLINIC, MARIN COUNTY HEALTH AND HUMAN SERVICES' NUTRITION WELLNESS PROGRAM AND KAISER PERMANENTE. THE GOAL OF THE COLLABORATIVE IS TO INCREASE COMMUNITY AWARENESS OF YOUTH RISK FOR TYPE 2 DIABETES (WITH A FOCUS ON LATINO AND AFRICAN-AMERICAN YOUTH), EDUCATE YOUNG PEOPLE AT HIGH-RISK FOR TYPE 2 DIABETES, TEACH SELF MANAGEMENT SKILLS AND PROVIDE TECHNICAL EDUCATION IN HEALTH SCIENCES TO STUDENT INTERNS. HIGH SCHOOL SOPHOMORES AND JUNIORS WHO ARE INTERESTED IN HEALTH CAREERS ARE RECRUITED AS INTERNS. THESE INTERNS COMMIT TO MULTI-YEAR TRAINING WITH NCH AND ITS PARTNER AGENCIES. POST-FIRST SEMESTER INTERNS BECOME PEER NUTRITION EDUCATORS AND TEACH YOUNGER AT-RISK CHILDREN AND HIGH SCHOOL PEERS ABOUT TYPE 2 DIABETES. IN 2011, 8 HIGH SCHOOL SOPHOMORES AND JUNIORS WERE TRAINED AS INTERNS. APPROXIMATELY 40 YOUTH AT HIGH RISK FOR TYPE 2 DIABETES ALSO PARTICIPATED IN TWO 2-DAY PREVENTION NOW DAY CAMPS HOSTED AT NCH. THROUGH THIS PROGRAM'S OUTREACH EFFORTS, MORE THAN 100 YOUTH WERE ENGAGED AND EDUCATED ABOUT THE DISEASE. | PART VI, QUESTION 5 |
| PROMOTION OF COMMUNITY HEALTH (CONTINUED) | THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS OF SUTTER LAKESIDE HOSPITAL (SLH) COMMUNITY BENEFIT ACTIVITIES IN 2011: THE SUTTER LAKESIDE MOBILE HEALTH SERVICES UNIT (MHSU) PROVIDES MEDICAL CARE TO UNDERSERVED POPULATIONS EXPERIENCING DIFFICULTY ACCESSING HEALTHCARE SERVICES. THIS INCLUDES A VARIETY OF SERVICES SUCH AS HEALTH SCREENINGS (BASIC VISION, HEARING, BLOOD PRESSURE, DIABETES, SCOLIOSIS, JUST TO NAME A FEW) AND IMMUNIZATIONS. THE MHSU ALSO PROVIDES EDUCATION AND SUPPORT FOR DIABETES, OBESITY, ASTHMA, FAMILY PLANNING AND PREGNANCY. FURTHER, THE MHSU SUPPLIES A VARIETY OF SOCIAL SERVICES REFERRALS INCLUDING MEDI-CAL APPLICATIONS, WELFARE APPLICATION, FOOD PROGRAMS, MENTAL HEALTH, COUNSELING AND WIC. THIS PROGRAM SERVED ALMOST 2,000 PERSONS IN 2011. THE EMERGENCY DEPARTMENT (ED) AT SUTTER LAKESIDE HOSPITAL IS A LEVEL IV TRAUMA CENTER AND IS EDAP-CERTIFIED. AN ONSITE HELIPORT PROVIDES AIR TRANSPORTATION TO AND FROM HARD-TO-REACH MOUNTAIN LOCATIONS AND TRANSPORTS CRITICAL PATIENTS WHO REQUIRE SPECIALIZED CARE TO TRAUMA CENTERS IN NEARBY CITIES. THE ED SERVED OVER 17,900 PERSONS IN 2011. THE FAMILY MEDICINE CLINIC IS A PRIMARY AND PREVENTATIVE CARE CLINIC SERVING ALL POPULATIONS. SUTTER LAKESIDE HOSPITAL OFFERS THE ONLY CLINIC IN THE AREA THAT PROVIDES SERVICES TO MEDI-CAL, WORKERS COMP AND MEDICARE PATIENTS. THIS PROGRAM SERVED OVER 16,000 PATIENTS IN 2011. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS FROM SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) COMMUNITY BENEFIT ACTIVITIES IN 2011: OVER 3,300 PATIENTS WERE SERVED THROUGH A FINANCIAL COUNSELING PROGRAM FOR UNFUNDED PATIENTS TO HELP RELIEVE OR REDUCE THE FINANCIAL BURDEN OF HEALTH CARE COSTS. HEALTHY KIDS IS A LOCALLY DEVELOPED PROGRAM THAT PROVIDES COMPREHENSIVE HEALTH INSURANCE FOR CHILDREN OF LOW INCOME FAMILIES. COUNTYWIDE OUTREACH EFFORTS CONNECT FAMILIES TO HEALTHY KIDS SERVICES THROUGH A CENTRALIZED REFERRAL LINE. CERTIFIED APPLICATION ASSISTORS HELP FAMILIES ENROLL THEIR CHILDREN INTO AN AFFORDABLE HEALTH INSURANCE PROGRAM. SMCSR SUPPORTS THE HEALTHY KIDS SONOMA COUNTY PROGRAM THROUGH A COMMUNITY BENEFIT LEAD HOLDING A SEAT ON THE STEERING COMMITTEE AS WELL AS EITHER SMCSR OR SPMF CONTRIBUTING $25,000 ANNUALLY TO THE PROGRAM. IN 2011 OVER 12,500 APPLICATIONS/RENEWALS FOR INSURANCE COVERAGE WERE PROCESSED, A 24% INCREASE OVER 2010 APPLICATIONS/RENEWALS. HEALTHY KIDS ALSO COMPLETED THE WORK PLAN FOR ORAL HEALTH TASK FORCE, A PROGRAM TO IDENTIFY GAPS AND STRATEGIES TO INCREASE ACCESS TO ORAL HEALTH. OVERALL, SINCE 2003 THE NUMBER OF COMPLETELY UNFUNDED CHILDREN HAS DECREASED SIGNIFICANTLY AS A RESULT OF THESE EFFORTS BUT FOCUS IS STILL NEEDED ON OUTREACH AND RETENTION. SMCSR DONATED OPERATING ROOM TIME AND SUPPLIES FOR ELECTIVE, BUT LIFE-ENHANCING SURGERIES FOR UNINSURED PATIENTS THROUGH OPERATION ACCESS, A NONPROFIT THAT PROVIDES THESE SERVICES TO SEVEN COUNTIES IN THE BAY AREA. SINCE 1993, OPERATION ACCESS HAS SERVED MORE THAN 7,500 LOW INCOME PEOPLE, UNINSURED WORKERS, AND SELF-EMPLOYED PERSONS IN SIX NORTHERN CALIFORNIA COUNTIES. THE STAFF AT OPERATION ACCESS RECRUITS THE MEDICAL PROVIDERS AND HOSPITALS, SCREENS PATIENTS AND CASE MANAGES FROM REFERRAL THROUGH POST-OPERATIVE RECOVERY. IN 2011, THERE WERE 300 PEOPLE REFERRED TO OPERATION ACCESS THAT NEEDED SURGICAL OR SPECIALTY MEDICAL CARE THAT THEY COULD NOT OTHERWISE ACCESS DUE TO LACK OF ANY OR ADEQUATE HEALTH INSURANCE. SMCSR PROVIDED $175,142 IN WAIVED HOSPITAL CHARGES FOR 12 SURGICAL PROCEDURES AND 1 RADIOLOGY PROCEDURE IN 2011. ADDITIONALLY, FOUR OF THEIR SURGEONS DONATED THEIR TIME. AS A RESULT, OPERATION ACCESS SAW A 10% INCREASE IN SERVICES PROVIDED OVER THE PREVIOUS YEAR. SMCSR IS ONE OF THE FOUNDING PARTNERS OF THE HEALTHCARE WORKFORCE DEVELOPMENT (HWDP) PROGRAM. FORMED IN 2001, HWDP IS A CONSORTIUM OF OVER 30 HEALTHCARE PROVIDERS, WHICH ALSO INCLUDES KAISER PERMANENTE AND ST. JOSEPH HEALTH SYSTEMS, THE SONOMA COUNTY OFFICE OF EDUCATION, POST-SECONDARY EDUCATION INSTITUTIONS, LOCAL GOVERNMENT AND COMMUNITY BASED ORGANIZATIONS. FOR THE LAST ELEVEN YEARS, THE ROUNDTABLE HAS BEEN WORKING TO PROMOTE HEALTHCARE CAREERS IN THE COMMUNITY WITH A FOCUS ON INCREASING DIVERSITY IN THE HEALTH PROFESSIONS IN ORDER TO CREATE A MORE CULTURALLY COMPETENT HEALTHCARE WORKFORCE. HWDP HAS BEEN SERVING THE UNDERREPRESENTED, ECONOMICALLY/EDUCATIONALLY DISADVANTAGED POPULATIONS OF SONOMA COUNTY FOR THE LAST SEVEN YEARS BY INTRODUCING LOW SOCIOECONOMIC AND DISADVANTAGED STUDENTS TO THE POSSIBILITIES OF HEALTH PROFESSIONS, REACHING OUT TO BILINGUAL AND BICULTURAL STUDENTS THAT REPRESENT THEIR COMMUNITY'S DEMOGRAPHICS AND SUPPORTING FIRST GENERATION COLLEGE AND COLLEGE BOUND STUDENTS. AS A RESULT, FROM 2010 TO 2011 HWDP SAW A 50% INCREASE OF THE NUMBER OF STUDENTS SERVED BY THE COLLEGE ACADEMIC PREPARATORY PROGRAM AS WELL AS 21 OF 22 STUDENTS GRADUATED FROM THE SUMMER PROGRAM. SMCSR HAS SPONSORED THE SANTA ROSA FAMILY MEDICINE RESIDENCY PROGRAM FOR MORE THAN 40 YEARS. IN A REGION WHERE THE COST OF LIVING OUTPACES THE COMPENSATION FOR PRIMARY CARE PROVIDERS, RECRUITING FAMILY PHYSICIANS FROM OUTSIDE THE AREA IS EXTREMELY CHALLENGING. EACH YEAR, SMCSR GRADUATES 12 FAMILY PHYSICIANS, MANY OF WHOM STAY AND PRACTICE IN SONOMA COUNTY IN COMMUNITY HEALTH CLINICS THAT PRIMARILY SERVE THE POOR AND UNINSURED. EACH YEAR, APPLICATIONS ARE RECEIVED, INTERVIEWS ARE CONDUCTED AND MATCHES ARE MADE TO SELECT THE UPCOMING CLASS OF 12 INTERNS. THE SELECTION CRITERIA INCLUDES AN EMPHASIS ON CULTURAL COMPETENCE AND A PRIMARY INTEREST IN SERVING UNDERSERVED POPULATIONS. THE PROGRAM ALSO PARTNERS WITH UCSF TO PROVIDE FACULTY INSTRUCTORS. THE TOTAL COST (LESS GME REIMBURSEMENT) TO ADMINISTER THE PROGRAM IN 2011 WAS $9,892,483. AS A RESULT, ABOUT 50% OF THE PRACTICING FAMILY MEDICINE PHYSICIANS IN SONOMA COUNTY ARE GRADUATES OF THIS PROGRAM AND ABOUT 75% OF THE DOCTORS WHO STAFF THE FQHC CLINICS ARE ALSO GRADUATES. THIS PROGRAM IS A CRUCIAL ELEMENT IN BUILDING CAPACITY TO MEET THE INCREASING DEMAND FOR PRIMARY CARE DOCTORS. SMCSR FINANCIALLY SUPPORTS THE CENTER FOR WELL BEING, A WELLNESS ORGANIZATION THAT PROVIDES HEALTH EDUCATION, CARDIAC REHABILITATION AND A VARIETY OF SUPPORT SERVICES FOR LOW OR NO COST TO PATIENTS. | PART VI, QUESTION 5 |
| AFFILIATED HEALTH CARE SYSTEM | CALIFORNIA PACIFIC MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER LAKESIDE HOSPITAL AND SUTTER MEDICAL CENTER OF SANTA ROSA ARE AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF 48,000 PHYSICIANS, EMPLOYEES, AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING FOR A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. IT'S BETTER FOR PATIENTS: WE BELIEVE THIS COMMUNITY-OWNED, NOT-FOR-PROFIT APPROACH TO HEALTH CARE BEST SERVES OUR PATIENTS AND OUR COMMUNITIES - FOR MULTIPLE REASONS. FIRST OF ALL, IT'S GOOD FOR PATIENTS. ACCORDING TO THE JOURNAL OF GENERAL INTERNAL MEDICINE (APRIL 2000), PATIENTS TREATED AT FOR-PROFIT OR GOVERNMENT-OWNED HOSPITALS WERE TWO-TO-FOUR TIMES MORE LIKELY TO SUFFER PREVENTABLE ADVERSE EVENTS THAN PATIENTS TREATED AT NOT-FOR-PROFIT INSTITUTIONS. OUR STOCKHOLDERS ARE OUR COMMUNITIES: INVESTOR-OWNED, FOR-PROFIT HEALTH SYSTEMS HAVE A FINANCIAL INCENTIVE TO AVOID CARING FOR UNINSURED AND UNDERINSURED PATIENTS. THEY ALSO HAVE A FINANCIAL INCENTIVE TO AVOID HARD-TO-SERVE POPULATIONS AND "UNDESIRABLE" GEOGRAPHIC AREAS SUCH AS RURAL AREAS. IN MANY OF NORTHERN CALIFORNIA'S UNDERSERVED RURAL LOCALES, SUTTER HEALTH IS THE ONLY PROVIDER OF HOSPITAL AND EMERGENCY MEDICAL SERVICES IN THE COMMUNITY. PROVIDING CHARITY CARE AND SPECIAL PROGRAMS TO COMMUNITIES: OUR COMMUNITIES' SUPPORT HELPS US EXPAND SERVICES, INTRODUCE NEW PROGRAMS AND IMPROVE MEDICAL TECHNOLOGY. ACROSS OUR NETWORK, EVERY SUTTER HOSPITAL, PHYSICIAN ORGANIZATION AND CLINIC HAS A SPECIAL STORY TO TELL ABOUT FULFILLING VITAL COMMUNITY NEEDS. OUR COMMITMENT TO COMMUNITY BENEFIT: MEETING THE HEALTH CARE NEEDS OF OUR COMMUNITIES IS THE CORNERSTONE OF SUTTER HEALTH'S NOT-FOR-PROFIT MISSION. THIS INCLUDES DIRECTLY SERVING THOSE WHO CANNOT AFFORD TO PAY FOR HEALTH CARE AND SUPPORTING PROGRAMS AND SERVICES THAT HELP THOSE IN FINANCIAL NEED. SUTTER HEALTH NOW PROVIDES $2.7 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 (53 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| PATIENT ASSISTANCE FOUNDATION | |||||||
| 2100 WEBSTER ST | SAN FRANCISCO | CA | 94115 | 942944137 | 501(C)(3) | 500000 | GENERAL SUPPORT |
| HOSPITAL COUNCIL OF CENTRAL AND NORTHERN CA | |||||||
| 1625 E SHAW AVE | FRESNO | CA | 93710 | 861174825 | 501(C)(3) | 54804 | GENERAL SUPPORT |
| NORTHERN CALIFORNIA CENTER FOR WELL-BEING | |||||||
| 365 TESCONI CIRCLE | SANTA ROSA | CA | 95401 | 931144835 | 501(C)(3) | 50000 | GENERAL SUPPORT |
| SAN FRANCISCO SENIOR CENTER | |||||||
| 890 BEACH ST | SAN FRANCISCO | CA | 94109 | 941212136 | 501(C)(3) | 50000 | GENERAL SUPPORT |
| SAN FRANCISCO CHAMBER OF COMMERCE | |||||||
| 235 MONTGOMERY ST | SAN FRANCISCO | CA | 94104 | 940834950 | 501(C)(6) | 36000 | GENERAL SUPPORT |
| CHINESE HOSPITAL | |||||||
| 845 JACKSON ST | SAN FRANCISCO | CA | 94133 | 940382780 | 501(C)(3) | 35000 | GENERAL SUPPORT |
| MISSION NEIGHBORHOOD CENTER | |||||||
| 362 CAPP ST | SAN FRANCISCO | CA | 94110 | 941408150 | 501(C)(3) | 35000 | GENERAL SUPPORT |
| ASIAN & PACIFIC ISLANDER WELLNESS CENTER | |||||||
| 730 POLK ST | SAN FRANCISCO | CA | 94109 | 943096109 | 501(C)(3) | 35000 | GENERAL SUPPORT |
| OPERATION ACCESS | |||||||
| 115 SANSOME | SAN FRANCISCO | CA | 94107 | 943180356 | 501(C)(3) | 35000 | GENERAL SUPPORT |
| HOMEWARD BOUND OF MARIN | |||||||
| 1385 HAMILTON PKY | NOVATO | CA | 94949 | 680011405 | 501(C)(3) | 31600 | GENERAL SUPPORT |
| ASIAN WEEK FDN | |||||||
| 564 MARKET ST | SAN FRANCISCO | CA | 94104 | 201719535 | 501(C)(3) | 30500 | GENERAL SUPPORT |
| MAITRI | |||||||
| 401 DUBOCE AVE | SAN FRANCISCO | CA | 94117 | 943189198 | 501(C)(3) | 30300 | GENERAL SUPPORT |
| CATHOLIC CHARITIES | |||||||
| 465 A STREET | SANTA ROSA | CA | 95402 | 942479393 | 501(C)(3) | 30000 | GENERAL SUPPORT |
| MARCH OF DIMES | |||||||
| 1050 SANSOME ST | SAN FRANCISCO | CA | 94111 | 131846366 | 501(C)(3) | 29100 | GENERAL SUPPORT |
| APA FAMILY SERVICES | |||||||
| 657 JACKSON ST | SAN FRANCISCO | CA | 94133 | 943164091 | 501(C)(3) | 26700 | GENERAL SUPPORT |
| EPISCOPAL CHARITIES | |||||||
| 1055 TAYLOR ST | SAN FRANCISCO | CA | 94108 | 943345498 | 501(C)(3) | 26000 | GENERAL SUPPORT |
| BAY AREA COUNCIL | |||||||
| 201 CALIFORNIA ST | SAN FRANCISCO | CA | 94111 | 237325853 | 501(C)(3) | 25000 | GENERAL SUPPORT |
| HEALTHY MARIN PARTNERSHIP | |||||||
| 99 MONTECILLO RD | SAN RAFAEL | CA | 94903 | 941312348 | 501(C)(3) | 25000 | GENERAL SUPPORT |
| EPISCOPAL COMMUNITY SERVICES | |||||||
| 165 8TH ST | SAN FRANCISCO | CA | 94103 | 943096716 | 501(C)(3) | 25000 | GENERAL SUPPORT |
| SAN FRANCISO LBGT COMMUNITY CENTER | |||||||
| 1800 MARKET ST | SAN FRANCISCO | CA | 94102 | 943236718 | 501(C)(3) | 25000 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 1400 N DUTTON AVE | SANTA ROSA | CA | 95401 | 135613797 | 501(C)(3) | 21000 | GENERAL SUPPORT |
| KIMOCHI | |||||||
| 1715 BUCHANAN ST | SAN FRANCISCO | CA | 94115 | 237117402 | 501(C)(3) | 20000 | GENERAL SUPPORT |
| NAACP | |||||||
| 1290 FILLMORE ST | SAN FRANCISCO | CA | 94115 | 237177411 | 501(C)(3) | 20000 | GENERAL SUPPORT |
| NEW VISION SANTA ROSA FOUNDATION | |||||||
| 637 FIRST ST | SANTA ROSA | CA | 95404 | 680074807 | 501(C)(3) | 20000 | GENERAL SUPPORT |
| LAKEPORT FIRE PROTECTION DISTRICT | |||||||
| 445 NO MAIN ST | LAKEPORT | CA | 95453 | 680454069 | 501(C)(3) | 20000 | GENERAL SUPPORT |
| SPUR | |||||||
| 654 MISSION ST | SAN FRANCISCO | CA | 94105 | 941498232 | 501(C)(3) | 20000 | GENERAL SUPPORT |
| MENDOCINO LAKE COMMUNITY COLLEGE | |||||||
| 1000 HENSLEY CREEK RD | UKIAH | CA | 95482 | 946002711 | 501(C)(3) | 20000 | GENERAL SUPPORT |
| SELF HELP FOR THE ELDERLY | |||||||
| 407 SANSOME ST | SAN FRANCISCO | CA | 94105 | 941750717 | 501(C)(3) | 15000 | GENERAL SUPPORT |
| ON LOK DAY SERVICES | |||||||
| 1333 BUSH ST | SAN FRANCISCO | CA | 94109 | 942162549 | 501(C)(3) | 15000 | GENERAL SUPPORT |
| THE ALS ASSOCIATION | |||||||
| ONE EMBARCADERO | SAN FRANCISCO | CA | 94111 | 954163338 | 501(C)(3) | 15000 | GENERAL SUPPORT |
| NOVATO HEALTH PARTNERSHIP PROGRAM | |||||||
| 1015 SEVENTH ST | NOVATO | CA | 94945 | 680112169 | 501(C)(3) | 14064 | GENERAL SUPPORT |
| NEIGHBORHOOD PARKS CO | |||||||
| 451 HAYES ST | SAN FRANCISCO | CA | 94102 | 264715914 | 501(C)(3) | 12500 | GENERAL SUPPORT |
| CHILD PASSENGER SAFETY EVENT | |||||||
| 455 EIGHTH ST | SAN FRANCISCO | CA | 94103 | 942257827 | 501(C)(3) | 11044 | GENERAL SUPPORT |
| SF CRISIS CARE | |||||||
| PO BOX 38631 | SACRAMENTO | CA | 95838 | 200241444 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| PROJECT HOMELESS CONNECT | |||||||
| P O BOX 420404 | SAN FRANCISCO | CA | 94142 | 204331462 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| SAN FRANCISCO ALLIANCE FOR JOBS | |||||||
| 3217 18TH ST | SAN FRANCISCO | CA | 94110 | 452300645 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| BOARD OF TRUSTEES FOR THE GLIDE FOUNDATION | |||||||
| 330 ELLIS ST | SAN FRANCISCO | CA | 94112 | 941156481 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| SANTA ROSA MEMORIAL HOSPITAL | |||||||
| 1165 MONTGOMERY DR | SANTA ROSA | CA | 95404 | 941231005 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| CONARD HOUSE | |||||||
| 1385 MISSION ST | SAN FRANCISCO | CA | 94120 | 941489356 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| MISSION LANGUAGE AND VOCATIONAL SCHOOL | |||||||
| 2929 19TH ST | SAN FRANCISCO | CA | 94110 | 942174237 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| MARIN COMMUNITY CLINICS | |||||||
| P O BOX 1868 | NOVATO | CA | 94948 | 942237120 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| AMERICAN RED CROSS | |||||||
| 85 SECOND ST | SAN FRANCISCO | CA | 94105 | 943045430 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| TRANSFORMATION FOR A LIVABLE CITY | |||||||
| 995 MARKET ST | SAN FRANCISCO | CA | 94103 | 943350190 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| UNIVERSITY OF CA SCHOOL OF PUBLIC HEALTH | |||||||
| 417 UNIVERSITY HALL | BERKELEY | CA | 94720 | 946002123 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| COMMUNITY WORKS WEST | |||||||
| 731 B LIGGETT AVE | SAN FRANCISCO | CA | 94129 | 946065339 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| SAN FRANCISCO CLINIC CONSORTIUM | |||||||
| 1550 BRYANT ST | SAN FRANCISCO | CA | 94103 | 134317995 | 501(C)(3) | 9000 | GENERAL SUPPORT |
| AFRICAN AMERICAN ART & CULTURE COMPLEX | |||||||
| 762 FULTON ST | SAN FRANCISCO | CA | 94102 | 200118582 | 501(C)(3) | 8400 | GENERAL SUPPORT |
| SAN FRANCISCO BUSINESS TIMES | |||||||
| 275 BATTERY ST | SAN FRANCISCO | CA | 94111 | 593089188 | 501(C)(3) | 8250 | GENERAL SUPPORT |
| HEATH EXPRESSWHISTLESTOP | |||||||
| 930 TAMALPIAS AVE | SAN RAFAEL | CA | 94901 | 941422463 | 501(C)(3) | 7751 | GENERAL SUPPORT |
| ASIAN WOMEN'S RESOURCE CENTER | |||||||
| 940 WASHINGTON ST | SAN FRANCISCO | CA | 94108 | 941156357 | 501(C)(3) | 7500 | GENERAL SUPPORT |
| LAKE FAMILY RESOURCE CENTER | |||||||
| 896 LAKEPORT BLVD | LAKEPORT | CA | 95453 | 680353914 | 501(C)(3) | 7000 | GENERAL SUPPORT |
| COMMUNITY INITIATIVES | |||||||
| 384 PINE ST | SAN FRANCISCO | CA | 94104 | 943255070 | 501(C)(3) | 5500 | GENERAL SUPPORT |
| SAN FRANCISCO BUILDING AND CONSTRUCTION | |||||||
| 1188 FRANKLIN ST | SAN FRANCISCO | CA | 94109 | 940348191 | 501(C)(3) | 5400 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 52 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | 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, QUESTION 2 | ReturnReference |
| Explanation | COMMUNITY HEALTH PROGRAM GRANTEES SIGN A CONTRACT WITH CALIFORNIA PACIFIC MEDICAL CENTER OUTLINING TERMS AND CONDITIONS OF RECEIVING GRANT FUNDS SPECIFYING OBJECTIVES AND OUTCOMES. EACH AGENCY RECEIVING THE COMMUNITY HEALTH GRANTS ARE REQUIRED TO PREPARE AND SUBMIT OUTCOME-BASED REPORTS AT SIX-MONTHS AND TWELVE-MONTHS. AGENCIES RECEIVING SPONSORSHIP FUNDS GO THROUGH A DIFFERENT PROCESS; THEY ARE REQUESTED TO PROVIDE THE PURPOSE OF THE EVENT PRIOR TO SPONSORSHIP AS WELL AS A BRIEF SUMMARY OF THE OUTCOMES OF EVENT SOON AFTER THE EVENT. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| 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 | true | 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JACK BAILEY | |||||||||||||
| 0 | 0 | 0 | 0 | 618590 | 0 | 0 | 0 | 21713 | 0 | 640303 | 0 | 0 | 0 |
| MARTIN BROTMAN MD | |||||||||||||
| 0 | 956111 | 0 | 407007 | 0 | 11732 | 0 | 694351 | 0 | 19038 | 0 | 2088239 | 0 | 407007 |
| WARREN BROWNER MD | |||||||||||||
| 0 | 573306 | 0 | 231141 | 0 | 10687 | 0 | 433326 | 0 | 18927 | 0 | 1267387 | 0 | 284481 |
| GRANT DAVIES | |||||||||||||
| 0 | 532318 | 0 | 147058 | 0 | 8822 | 0 | 286798 | 0 | 19994 | 0 | 994990 | 0 | 147058 |
| MICHAEL DUNCHEON | |||||||||||||
| 0 | 341507 | 0 | 56950 | 0 | 6637 | 0 | 134182 | 0 | 18194 | 0 | 557470 | 0 | 56950 |
| PAT FRY | |||||||||||||
| 0 | 1556049 | 0 | 1472283 | 0 | 16884 | 0 | 2163921 | 0 | 32168 | 0 | 5241305 | 0 | 1637694 |
| JOHN GATES | |||||||||||||
| 0 | 523371 | 0 | 177579 | 0 | 34783 | 0 | 258736 | 0 | 16532 | 0 | 1011001 | 0 | 151681 |
| ALLAN PONT MD | |||||||||||||
| 0 | 443913 | 0 | 115572 | 0 | 162989 | 0 | 138895 | 0 | 7130 | 0 | 868499 | 0 | 131772 |
| TONI BRAYER MD | |||||||||||||
| 0 | 439358 | 0 | 158102 | 0 | 1756 | 0 | 194426 | 0 | 18333 | 0 | 811975 | 0 | 185605 |
| MARK KIMBELL | |||||||||||||
| 0 | 345534 | 0 | 82813 | 0 | 43810 | 0 | 132872 | 0 | 18222 | 0 | 623251 | 0 | 82813 |
| STEVEN R CUMMINGS | |||||||||||||
| 404256 | 0 | 29828 | 0 | 2376 | 0 | 5145 | 0 | 22800 | 0 | 464405 | 0 | 0 | 0 |
| CRAIG VERCRUYSSE | |||||||||||||
| 0 | 266764 | 0 | 138452 | 0 | 4684 | 0 | 104581 | 0 | 13132 | 0 | 527613 | 0 | 96187 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 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. HOUSING ALLOWANCE: NEW EMPLOYEES RELOCATING FROM OUT OF THE AREA MAY RECEIVE TEMPORARY HOUSING BENEFITS WHICH ARE ADDED TO THEIR COMPENSATION AS TAXABLE WAGES. 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. |
| SEVERANCE PAYMENTS | PART I, QUESTION 4A | NAME: JACK BAILEY PAYMENT: $600,330 |
| 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 (3 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 | REFUNDING - 5/1/07 | false | false | false |
| CHFFA 2011D | |||||||
| 521643828 | 13033LVW4 | 2011-12-22 | 331759643 | REFUNDING 1998 AND 1999 ISSUES | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 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 | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 857735124 | 0 | 55398 | 0 | 0 | 0 | 0 | 759620124 | 584502 | 42132181 | 2011 | false | false | true | true |
| 66210000 | 0 | 329041638 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 329041638 | 0 | true | false | true | true | |
| 0 | 0 | 331942116 | 0 | 65070000 | 0 | 0 | 0 | 0 | 0 | 124025000 | 142847116 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 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 | |||||||||
| 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 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 |
| 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 L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PANMED PROPERTIES LLP | |||
| SEE PART V | 487810 | SEE PART V | false |
| BROWN TOLLAND MEDICAL GROUP | |||
| SEE PART V | 281701 | SEE PART V | false |
| NORTHERN CALIFORNIA MEDICAL ASSOCIA | |||
| SEE PART V | 927647 | SEE PART V | false |
| SWIG GROUP LLC | |||
| SEE PART V | 6462318 | SEE PART V | false |
| PEDIATRIX MEDICAL GROUP | |||
| SEE PART V | 2335062 | SEE PART V | false |
| SITE OF CARE SYSTEMS | |||
| SEE PART V | 25000 | 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 | DAMIAN AUGUSTYN, MD AND MARTIN BROTMAN, MD, DIRECTORS OF SUTTER WEST BAY HOSPITALS (SWBH), ARE ALSO GENERAL PARTNERS AND BOARD MEMBERS OF PANMED PROPERTIES, LLP. DURING THE YEAR, SWBH OWNED 5.48% IN PANMED WHO PROVIDED RENTAL SERVICES TO SWBH. DAMIAN AUGUSTYN, MD, MARTIN BROTMAN, MD, TERRI SLAGLE MD AND JORDAN HOROWITZ, MD, DIRECTORS OF SUTTER WEST BAY HOSPITALS (SWBH), ARE ALSO MEMBERS OF BROWN & TOLLAND MEDICAL GROUP (BTMG). DURING THE YEAR, BTMG PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. WILLIAM CARROLL, MD, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH) IS ALSO A MEMBER OF NORTHERN CALIFORNIA MEDICAL ASSOCIATES (NCMA). DURING THE YEAR, NCMA PROVIDED MEDICAL SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. ROY EISENHARDT, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH) IS A PARTIAL OWNER OF PROPERTY THAT IS RENTED TO SWBH VIA SWIG GROUP LLC AS COLLECTION AGENT. TERRI SLAGLE, MD, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH) IS ALSO A SHAREHOLDER PHYSICIAN OF PEDIATRIX MEDICAL GROUP. DURING THE YEAR, PEDIATRIX MEDICAL GROUP PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. TERRI SLAGLE, MD, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH) IS ALSO A BOARD MEMBER AND SHAREHOLDER OF SITE OF CARE SYSTEMS (SCS). DURING THE YEAR, SWBH PURCHASED SOFTWARE FROM SCS VIA AN ARMS-LENGTH AGREEMENT. | Explanation |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 75610 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | SPA | 1 | 5500 | FMV |
| X | CASES OF WINE | 1 | 5844 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART I, COLUMN (B) | Identifier |
| Explanation | COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MISSION STATEMENT | FORM 990, PART I, LINE 1 AND PART III, LINE 1 | WE ENHANCE THE WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO COMPASSION, EXCELLENCE, INNOVATION AND A FULL CONTINUM OF HEALTH CARE SERVICES. |
| EXEMPT PURPOSE ACHIEVEMENTS | FORM 990, PART III, LINE 4A | GENERAL DESCRIPTION SUTTER WEST BAY HOSPITALS WAS FORMED IN JANUARY 1, 2010. IT CONSISTS OF FOUR HOSPITALS: CALIFORNIA PACIFIC MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER MEDICAL CENTER SANTA ROSA, AND LAKESIDE HOSPITAL. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IS ONE OF THE LARGEST PRIVATE, COMMUNITY BASED, NOT-FOR-PROFIT, TEACHING MEDICAL CENTERS IN CALIFORNIA. CPMC IS A TERTIARY REFERRAL CENTER PROVIDING ACCESS TO LEADING EDGE MEDICINE WHILE DELIVERING THE BEST POSSIBLE PERSONALIZED CARE. IT PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; HOSPICE SERVICES; PREVENTIVE AND COMPLEMENTARY CARE; AND HEALTH EDUCATION. CPMC IS COMPRISED OF THE FOUR OLDEST HOSPITALS IN SAN FRANCISCO. THE DAVIES CAMPUS, FORMERLY DAVIES MEDICAL CENTER, WAS FOUNDED IN 1854 TO HELP SAN FRANCISCO'S GERMAN-SPEAKING IMMIGRANTS FIND WORK, SHELTER, FOOD, CLOTHING AND HEALTH CARE. THE PACIFIC CAMPUS WAS FOUNDED IN 1857 AND WAS THE FIRST MEDICAL SCHOOL IN THE AMERICAN WEST. THE CALIFORNIA CAMPUS WAS FOUNDED IN 1875 AS THE PACIFIC DISPENSARY FOR WOMEN AND CHILDREN, A HOSPITAL RUN BY WOMEN, FOR WOMEN. FINALLY, THE ST. LUKE'S CAMPUS HAS BEEN PROVIDING QUALITY HEALTH SERVICES TO ALL SAN FRANCISCANS FOR OVER 130 YEARS. TOGETHER THE DAVIES, CALIFORNIA, PACIFIC AND ST. LUKE'S CAMPUSES COMPRISE CPMC'S 1,258 LICENSED ACUTE CARE BEDS AND 25 RESIDENTIAL BEDS. NOVATO COMMUNITY HOSPITAL (NOVATO) HAS SERVED THE NORTHERN MARIN AND SOUTHERN SONOMA COMMUNITIES SINCE 1961. IN 1985, THE HOSPITAL BECAME AN AFFILIATE OF SUTTER. THE NOVATO FACILITY IS LOCATED AT 180 ROWLAND WAY AND IS A 47-BED ACUTE CARE HOSPITAL NOTED FOR ITS ORTHOPEDIC SURGERY PROGRAM. SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) HAS A LONG HISTORY IN SONOMA COUNTY DATING BACK TO 1866 WHEN THE FIRST HOSPITAL OPENED. IN 1996, SMCSR BECAME AN AFFILIATE OF SUTTER HEALTH. SMCSR IS LICENSED TO OPERATE 135 BEDS. SUTTER LAKESIDE HOSPITAL (LAKESIDE) IS A 25-BED CRITICAL ACCESS HOSPITAL AND IS ONE OF ONLY TWO HOSPITALS THAT SERVE THE 64,000 RESIDENTS OF LAKE COUNTY. IN 1992, THE HOSPITAL AFFILIATED WITH SUTTER HEALTH. LAKESIDE PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; SURGICAL SERVICES; PREVENTIVE CARE; AND HEALTH EDUCATION. 2011 PATIENT ACTIVITY TOTAL EMERGENCY ROOM IP (ADMITTED) 18,754 EMERGENCY ROOM OP (NOT ADMITTED) 121,991 TOTAL ER VISITS 140,745 ACUTE DISCHARGES (INCL. PSYCH, REHAB) 37,613 SNF DISCHARGES 1,842 ALZHEIMER DISCHARGES 5 SUB ACUTE DISCHARGES 85 TOTAL DISCHARGES 39,545 DELIVERIES 8,114 TRANSPLANTS 317 SUTTER WEST BAY HOSPITALS MISSION STATEMENT WE ENHANCE THE WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO COMPASSION, EXCELLENCE, INNOVATION AND A FULL CONTINUUM OF HEALTH CARE SERVICES. CLINICAL PROGRAMS INCLUDE: - ASTHMA EDUCATION PROGRAM - BREAST FEEDING CENTERS - BREAST HEALTH CENTERS - CALIFORNIA PACIFIC MEDICAL CENTER RESEARCH INSTITUTE - CANCER RECOVERY PROGRAMS - COMING HOME HOSPICE - COMMUNITY BENEFITS PROGRAMS (DETAILED BELOW) - COMMUNITY HEALTH RESOURCE CENTER - COMPREHENSIVE STROKE CENTER - DIABETES EDUCATION PROGRAM - END-STAGE ORGAN FAILURE/TRANSPLANTATION PROGRAMS (HEART, KIDNEY, LIVER, PANCREAS) - FORBES NORRIS MDA/ALDS CENTER - HAND CLINIC - HOSPITALIST PROGRAM - INSTITUTE FOR HEALTH AND HEALING - IRENE SWINDELLS ALZHEIMER'S RESIDENTIAL CARE CENTER - LION'S EYE CLINIC - MUSCULAR DYSTROPHY ASSOCIATION NEUROMUSCULAR CLINIC - PACIFIC VISION FOUNDATION - PALLIATIVE CARE PROGRAM - PEDIATRIC SPECIALTY SERVICES - REHABILITATION SERVICES (ACUTE AND OUTPATIENT) - SIBLING CENTER - SMITH KETTLEWELL EYE RESEARCH INSTITUTE (THEY ARE INDEPENDENT OF CPMC.) - SUB-ACUTE CARE PROGRAM - TELEMEDICINE SERVICE (STROKE) - VISITING NURSES AND HOSPICE OF SAN FRANCISCO - WHITNEY NEWBORN ICU FOLLOW-UP CLINIC - WOMEN'S HEALTH RESOURCE CENTER - WOMEN'S SERVICES CLINICAL SERVICE OFFERINGS INCLUDE: - AIDS & HIV SERVICES - ALZHEIMER'S - ARTHRITIS - BARIATRIC SURGERY SERVICES - CANCER SERVICES - CARDIOVASCULAR SERVICES - CLINICAL LABORATORY - COMPLEMENTARY MEDICINE - COMPREHENSIVE STROKE SERVICES - CRITICAL CARE SERVICES - DIABETES SERVICES (ADULT & PEDIATRIC) - DIAGNOSTIC SERVICES/LABORATORIES - DIALYSIS SERVICES - EMERGENCY SERVICES - EPILEPSY - GASTROENTEROLOGY DISEASE SERVICES - HOME HEALTH & HOSPICE - INTERVENTIONAL ENDOSCOPY SERVICES - KALMONOVITZ CHILD DEVELOPMENT CENTERS - MEDICAL TRANSPORT SERVICES - MICROSURGERY AND LIMB SALVAGE SERVICES - NEONATAL INTENSIVE CARE - NEUROLOGY - NEURO-ONCOLOGY SURGERY - NUCLEAR MEDICINE - NUTRITION AND WEIGHT MANAGEMENT - OBSTETRICS & GYNECOLOGY - OCCUPATIONAL HEALTH - OPHTHALMOLOGY - ORGAN TRANSPLANTATION - ORTHOPEDICS - OTOLARYNGOLOGY - OUTPATIENT CLINICS & SERVICES - PATHOLOGY - PEDIATRIC EMERGENCY DEPARTMENT - PEDIATRIC SERVICES/PROGRAMS - PERIOPERATIVE SERVICES (OR AND POST-ANESTHESIA RECOVERY UNIT) - PHARMACY - PHYSICAL MEDICINE & REHABILITATION SERVICES - PSYCHIATRY - RADIOLOGY & DIAGNOSTIC IMAGING - RESPIRATORY CARE - RESIDENCY TRAINING AND FELLOWSHIP PROGRAMS - SURGICAL SERVICES/AMBULATORY SURGERY - URGENT CARE CENTER - VENTRICULAR ASSIST DEVICE (VAD) PROGRAM - WOMEN'S HEALTH PROGRAMS - WOUND CARE NON-CLINICAL SERVICES INCLUDE: - ADMINISTRATIVE SERVICES - CHAPLAINCY SERVICES - CHARITY CARE PROGRAM - COMMUNITY HEALTH RESOURCE CENTER - CONTINUING MEDICAL EDUCATION - INTERPRETER SERVICES - PATIENT SERVICES - RESEARCH INSTITUTE - SURGICAL TRAINING CENTER - VOLUNTEER SERVICES - WEB NURSERY - CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION - NOVATO COMMUNITY HOSPITAL DEVELOPMENT OFFICE - SUTTER LAKESIDE FOUNDATION |
| EXEMPT PURPOSE ACHIEVEMENTS | FORM 990, PART III, LINE 4A | COMMUNITY BENEFITS THE FOUR MEDICAL CENTERS IN SUTTER WEST BAY HOSPITALS (SWBH) PLAY INTEGRAL ROLES IN PROVIDING DIRECT HEALTH CARE SERVICES AS WELL AS MONETARY GRANTS OR SPONSORSHIPS TO NON-PROFIT ORGANIZATIONS TO ADDRESS THE COMMUNITY HEALTH NEEDS OF VULNERABLE, UNDERINSURED, AND UNINSURED POPULATIONS IN THEIR COMMUNITIES. THE HOSPITALS' COMMUNITY BENEFIT REPRESENTATIVES WORK COLLABORATIVELY AND IN PARTNERSHIPS WITH A BROAD AND DIVERSE NETWORK OF COMMUNITY-BASED NON-PROFITS, CITY AND COUNTY AGENCIES, PHYSICIANS, AND NEIGHBORHOOD GROUPS TO IDENTIFY LOCAL NEEDS, FORMULATE COMMUNITY BENEFIT PLANS, AND TAKE APPROPRIATE FUNDING ACTIONS. WHILE SUTTER WEST BAY REGIONAL MANAGEMENT SETS OVERALL GOALS FOR COMMUNITY BENEFITS, EACH OF THE AFFILIATES MEDICAL CENTER ADMINISTRATORS ARE RESPONSIBLE FOR IDENTIFYING HOW LOCAL NEEDS ARE TO BE ADDRESSED. IN FISCAL YEAR 2011, SUTTER WEST BAY HOSPITALS PROVIDED A REGIONAL TOTAL OF $96.0 MILLION IN COST OF SERVICES AND CASH TO THE POOR AND UNDERSERVED: $24.6 MILLION IN TRADITIONAL CHARITY CARE, $66.9 MILLION IN THE UNPAID COSTS OF MEDICAID, AND $4.5 MILLION IN COSTS FOR OTHER MEANS-TESTED PROGRAMS. IN ADDITION, THE FOLLOWING ARE HIGHLIGHTS BY HOSPITAL OF QUANTIFIABLE COMMUNITY BENEFITS IN SERVICES AND CASH FOR THE BROADER COMMUNITY. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IN 2011, CPMC PROVIDED $59.7 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY. CPMC SUSTAINS ROBUST MEDICAL, NURSING, AND ALLIED HEALTH PROFESSIONS RESIDENCY PROGRAMS AS WELL AS A RESEARCH INSTITUTE THAT PROVIDE SIGNIFICANT COMMUNITY BENEFIT. CPMC IS A MEMBER OF THE SAN FRANCISCO CHARITY CARE PARTNERSHIP AND BETTER HEALTHY SAN FRANCISCO CONSORTIUMS LED BY THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH. THE CONSORTIUM CONSISTS OF REPRESENTATIVES FROM ALL OF THE CITY'S HOSPITALS AND OTHER HEALTHCARE-RELATED NON-PROFIT STAKEHOLDERS. CONSORTIUM MEMBERS CONDUCT A TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT, AS REQUIRED BY THE STATE, AND COORDINATE EFFORTS TO ADDRESS THE CITY'S HEALTH DISPARITIES IN SPECIFIC AT-RISK NEIGHBORHOODS OR VULNERABLE POPULATIONS. THE CONSORTIUM IDENTIFIED FOUR PRIORITIES OF COMMUNITY HEALTH NEEDS; THESE PRIORITIES GUIDED CPMC'S COMMUNITY BENEFITS STRATEGY: 1. ACCESS CPMC MANAGES OR FUNDS MANY PROGRAMS FOCUSED ON IMPROVING ACCESS TO CARE, INCLUDING THE FOLLOWING: - AFRICAN AMERICAN BREAST HEALTH PROGRAM (CANCER SCREENING & PREVENTION) - BAYVIEW CHILD HEALTH CENTER (PRIMARY CARE FOR LOW-INCOME CHILDREN) - LIONS EYE CLINIC (OUTPATIENT COMPLEX EYE SERVICES FOR LOW-INCOME INDIVIDUALS) 2. CHRONIC DISEASES CPMC FUNDS CHRONIC DISEASE AND HEALTHY LIVING PROGRAMS FOR LOW INCOME POPULATIONS, INCLUDING THE FOLLOWING: - HEALTH CHAMPIONS AT DEMARILLAC ACADEMY (HEALTHY LIFESTYLES) - HEALTHFIRST: A CENTER FOR PREVENTION AND EDUCATION (CHRONIC DISEASE MANAGEMENT) 3. COMMUNICABLE DISEASES CPMC ADMINISTERS OR FUNDS PROGRAMS FOCUSED ON SCREENING AND TREATING COMMUNICABLE DISEASES, INCLUDING THE FOLLOWING: - HEPATITIS B FREE PROGRAM (NO-COST SCREENING & TREATMENT) - VARIOUS HEALTH FAIRS (NO-COST FLU SHOTS) 4. VIOLENCE AND INJURY PREVENTION CPMC'S PEDIATRICS CLINIC AT THE BAYVIEW CHILD HEALTH CENTER IN THE BAYVIEW DISTRICT OF SAN FRANCISCO OFFERS VIOLENCE & CHILDHOOD TRAUMA SERVICES FOR AT-RISK CHILDREN. SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) SMCSR SERVES SONOMA COUNTY, AS WELL AS OTHER COUNTIES IN THE NORTH BAY. IN 2011, SMCSR PROVIDED A TOTAL OF $10.7 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY. SMCSR CONDUCTS A TRI-ANNUAL NEEDS ASSESSMENT IN COLLABORATION WITH KEY STAKEHOLDERS IN THE LOCAL COMMUNITY. COMMUNITY BENEFIT PROGRAMS INVOLVE COLLABORATION WITH A NETWORK OF COMMUNITY ORGANIZATIONS, COUNTY AGENCIES SUCH AS THE SONOMA DEPARTMENT OF HEALTH SERVICES, AND OTHER HOSPITALS IN THE AREA. THE NEEDS ASSESSMENT IDENTIFIED FOUR PRIORITIES IN COMMUNITY HEALTH NEEDS. 1. MEDICAL EDUCATION SMCSR OPERATES THE FAMILY MEDICINE RESIDENCY PROGRAM WHICH TRAINS PRIMARY CARE PHYSICIANS. NEARLY 50% OF LOCAL FAMILY PHYSICIANS ARE GRADUATES OF THIS RESIDENCY PROGRAM, INCLUDING PHYSICIANS WHO STAFF COMMUNITY HEALTH CENTERS CARING FOR LOW-INCOME AND UNDERSERVED FAMILIES. 2. CHILDREN'S HEALTH SMCSR PROVIDES FINANCIAL SUPPORT TO THE HEALTHY KIDS OF SONOMA COUNTY, WHICH IS A COLLABORATIVE THAT PROVIDES 2,300 LOW-INCOME CHILDREN WITH COMPREHENSIVE HEALTH INSURANCE. 3. WORKFORCE DEVELOPMENT THE HEALTHCARE WORKFORCE DEVELOPMENT PROGRAM IS DESIGNED TO ENHANCE FUTURE WORKFORCE DIVERSITY BY PROVIDING INTERNSHIP OPPORTUNITIES FOR HIGH SCHOOL AND COLLEGE STUDENTS THROUGH COLLABORATION WITH LOCAL HEALTHCARE AND EDUCATION PARTNERS. THE SUMMER HEALTH CAREER INSTITUTE IS LOCATED AT SANTA ROSA JUNIOR COLLEGE. 4. WOMEN'S HEALTH ONE OF THE PRIORITIES IS WOMEN'S HEALTH; THESE COMMUNITY BENEFIT ACTIVITIES ARE REPORTED BY SUTTER PACIFIC MEDICAL FOUNDATION, ANOTHER SUTTER WEST BAY HOSPITALS AFFILIATE, IN A DIFFERENT FORM 990. NOVATO COMMUNITY HOSPITAL (NOVATO) NOVATO COMMUNITY HOSPITAL SERVES MARIN COUNTY, AS WELL AS PORTIONS OF SOUTHERN SONOMA COUNTY. IN 2011, NOVATO PROVIDED A TOTAL OF $189 THOUSAND IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY AND 3.9 MILLION IN HEALTHCARE COSTS OF SERVICES AND CASH TO THE POOR. NOVATO IS A MEMBER OF THE HEALTHY MARIN PARTNERSHIP, A NETWORK OF HOSPITALS AND PUBLIC AND PRIVATE ORGANIZATIONS THAT WORKS COLLABORATIVELY TO CONDUCT A TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT AND COORDINATE TARGETED PROGRAMS TO ADDRESS PRIORITY COMMUNITY NEEDS. OTHER NETWORK MEMBERS INCLUDE THE CITY OF NOVATO, COUNTY OF MARIN, NOVATO UNIFIED SCHOOL DISTRICT, MARIN COMMUNITY CLINIC, MARIN GENERAL HOSPITAL, AND OPERATION ACCESS. THREE AREAS OF NEEDS WERE SELECTED BY THE HOSPITAL FOR YEAR 2011: 1. IMPROVING ACCESS TO CARE FOR THE UNDERSERVED, DISABLED, UNINSURED, AND UNDERINSURED. 2. DIABETES PREVENTION AMONG AT-RISK YOUTH AGES 10 TO 14. 3. WORKING WITH THE COMMUNITY TO INFLUENCE POLICY THAT PROMOTES A HEALTHY LIVING. SUTTER LAKESIDE HOSPITAL (LAKESIDE) IN 2011, LAKESIDE PROVIDED A TOTAL OF OVER $3.9 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS AND CASH TO THE BROADER COMMUNITY. THE POPULATION SERVED INCLUDES A HIGH PERCENTAGE OF FAMILIES WHOSE LOW INCOME AFFECTS THEIR ACCESS TO HEALTHCARE. SUTTER LAKESIDE'S COMMUNITY BENEFITS STRATEGY INCLUDES PREVENTIVE CARE, CLINICAL EDUCATION, AND SUBSIDIZING HEALTH SERVICES. LAKESIDE PREVENTIVE CARE INCLUDES THE SPONSORING AND FUNDING PROGRAMS THAT PROVIDE FREE OR LOW-COST PREVENTIVE CARE SCREENINGS AND TESTS, SUCH AS MAMMOGRAMS, SEASONAL AND H1N1 FLU VACCINATIONS. LAKESIDE'S ROLE IN CLINICAL EDUCATION IS TO PROVIDE OPPORTUNITIES FOR STUDENTS FROM MULTIPLE CLINICAL PROGRAMS TO APPLY THEIR LEARNING UNDER THE GUIDANCE AND SUPERVISION OF LAKESIDE'S STAFF. FINALLY, LAKESIDE SUBSIDIZES THE OPERATING COSTS OF HEALTH SERVICES THAT ARE CRUCIAL TO THE HEALTH AND WELLBEING OF THE COMMUNITY, INCLUDING; EMERGENCY DEPARTMENT, RURAL HEALTH CLINICS, PAIN CLINIC AND BIRTH CENTER. |
| EXEMPT PURPOSE ACHIEVEMENTS | FORM 990, PART III, LINE 4A | CPMC RESEARCH INSTITUTE THE CALIFORNIA PACIFIC MEDICAL CENTER AND ITS RESEARCH INSTITUTE (CPMCRI) HAVE MADE A MAJOR COMMITMENT OF SPACE AND FUNDING TO ENHANCE ITS RESEARCH PROGRAMS. CPMC NOW RANKS IN THE TOP 25 PERCENT OF ALL INDEPENDENT MEDICAL CENTERS IN THE U.S. IN NATIONAL INSTITUTE OF HEALTH FUNDING. IN ADDITION TO BUILDING PROGRAMS IN CLINICAL RESEARCH, EPIDEMIOLOGY, BEHAVIORAL MEDICINE, AND PHARMACOKINETICS, CPMCRI HAS GREATLY STRENGTHENED ITS LABORATORY-BASED RESEARCH PROGRAMS. APPROXIMATELY 60 PRINCIPAL INVESTIGATORS, BOTH LABORATORY AND CLINICAL RESEARCHERS, INCLUDING MOLECULAR BIOLOGISTS, IMMUNOLOGISTS, PHARMACOLOGISTS, BIOCHEMISTS, PHYSICISTS, EPIDEMIOLOGISTS, BEHAVIORAL SCIENTISTS, BIOSTATISTICIANS, AND COMPUTER SCIENTISTS WORK WITHIN THE RESEARCH INSTITUTE AND THE MEDICAL CENTER. BIOMEDICAL RESEARCH IS CONDUCTED IN SUCH DIVERSE AREAS AS AGING, ARTHRITIS, EPILEPSY, DIABETES, NEUROBIOLOGY OF PAIN, CARDIOVASCULAR DISEASE, OSTEOPOROSIS, ORGAN TRANSPLANTATION, MECHANISMS OF DRUG ADDICTION, NEURODEGENERATIVE DISEASES (E.G. AMYOTROPHIC LATERAL SCLEROSIS), CANCER, AIDS, HEPATITIS AND OTHER INFECTIOUS DISEASES. SOME OF THESE SCIENTISTS ARE ENGAGED IN RESEARCH THAT WILL HELP US UNDERSTAND THE FUNCTION OF CERTAIN HUMAN CELLS, GENES, PROTEINS AND OTHER FUNDAMENTAL STRUCTURES WITHIN OUR BODIES. OVER 200 CLINICAL TRIALS, PRIMARILY FUNDED BY PHARMACEUTICAL AND BIOTECHNOLOGY COMPANIES, ARE CURRENTLY CONDUCTED AT THE MEDICAL CENTER THROUGH THE CPMCRI OFFICE OF CLINICAL RESEARCH. IN 2005 CPMCRI MOVED INTO A 42,000 SQUARE FOOT LAB FACILITY IN THE CHINA BASIN AREA OF SAN FRANCISCO, AND IN 2009 ADDED AN ADDITIONAL 19,000 SQUARE FEET AT THAT FACILITY TO PROVIDE SPACE TO RECRUIT ADDITIONAL SCIENTISTS AND TO HOLD ADVANCED MEDICAL AND SURGICAL SIMULATION AT THE SIMSURG TRAINING FACILITY. CPMCRI CREATES AN ACTIVE PARTNERSHIP BETWEEN CLINICIANS AND RESEARCHERS, MERGING RESEARCH INSTITUTE INTERESTS WITH THE NEEDS OF THE MEDICAL CENTER AND THE COMMUNITY OF PATIENTS THAT WE SERVE. THIS COMBINED EFFORT IMPROVES HEALTH CARE DELIVERY AND PATIENTS BENEFIT DIRECTLY BY INCREASED ACCESS TO CUTTING EDGE THERAPIES THROUGH AN EXTENSIVE CLINICAL TRIAL PROGRAM. WHEN ASSOCIATED WITH A RESEARCH PROGRAM, PHYSICIANS HAVE KNOWLEDGE AND ACCESS TO MORE EFFECTIVE TREATMENTS AND DIAGNOSTIC TECHNOLOGIES. HEALTH EDUCATION AND TRAINING TWO OF THE FOUR SUTTER WEST BAY HOSPITALS HAVE FORMAL HEALTH EDUCATION AND TRAINING PROGRAMS. SUTTER MEDICAL CENTER AT SANTA ROSA ESTABLISHED ITS FAMILY MEDICINE TRAINING PROGRAM IN 1938. THE SANTA ROSA FAMILY MEDICINE RESIDENCY IS A CRITICAL STRATEGIC HEALTHCARE ASSET THAT ADDRESSES THE GROWING PHYSICIAN SHORTAGE IN SONOMA COUNTY. THE RESIDENCY HAS BEEN THE LARGEST SINGLE SOURCE OF FAMILY PHYSICIANS TO SONOMA COUNTY FOR OVER 70 YEARS; RESIDENCY GRADUATES COMPRISE NEARLY HALF OF FAMILY PHYSICIANS IN SONOMA COUNTY. RESIDENCY GRADUATES FILL POSITIONS IN PRIVATE PRACTICES, COMMUNITY CLINICS, LARGE MEDICAL GROUPS SUCH AS SUTTER MEDICAL GROUP OF THE REDWOODS, THE PERMANENTE MEDICAL GROUP, LOCAL COMMUNITY HEALTH CENTERS, SONOMA COUNTY HEALTH SERVICES AND LEADERSHIP POSITIONS THROUGHOUT THE MEDICAL COMMUNITY. THE THREE-YEAR PROGRAM IS AFFILIATED WITH THE UCSF DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE. CALIFORNIA PACIFIC MEDICAL CENTER PROVIDES A MODEL OF SPECIALTY CARE BY BLENDING EXCELLENCE IN ACADEMICS AND RESEARCH WITH A FOCUS ON PATIENT-CENTERED CARE. CPMC IS A MAJOR TEACHING AFFILIATE OF DARTMOUTH MEDICAL SCHOOL, PROVIDING CLERKSHIPS IN MEDICINE, PSYCHIATRY, NEUROLOGY, PEDIATRICS AND OBSTETRICS-GYNECOLOGY. ADDITIONAL CLERKSHIPS (IN SURGERY AND OBSTETRICS-GYNECOLOGY) ARE PROVIDED FOR STUDENTS FROM UCSF. THE GRADUATE MEDICAL RESIDENCY TRAINING PROGRAMS OFFERED AT CPMC ARE OF THE HIGHEST CALIBER WITH CPMC'S PHYSICIANS EMBRACING THE ROLE OF EDUCATORS AS WELL AS CLINICIANS. CPMC HAS INDEPENDENT RESIDENCY AND FELLOWSHIP PROGRAMS IN INTERNAL MEDICINE, PSYCHIATRY, RADIATION ONCOLOGY, OPHTHALMOLOGY, CARDIOVASCULAR DISEASES, GASTROENTEROLOGY, PULMONARY/CRITICAL CARE MEDICINE, HEPATOLOGY/TRANSPLANT, KIDNEY TRANSPLANT, STOKE, GLAUCOMA, RETINA, SHOULDER AND HAND. CPMC ALSO OFFERS TRAINING IN PEDIATRICS, SURGERY, ORTHOPEDIC SURGERY, AND PLASTIC SURGERY TO UCSF RESIDENTS. IN ADDITION, CPMC IS A TRAINING SITE FOR OPERATING ROOM NURSING STUDENTS, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS AND SURGICAL TECHNOLOGISTS. CPMC OFFERS THE COLLECTIVE EXPERTISE OF THE MEDICAL CENTER PHYSICIANS AND STAFF TO PROVIDE CONSULTATION IN AREAS SUCH AS CARDIAC CARE, EMERGENCY ROOM OPERATIONS, GERIATRIC CARE, MANAGED CARE, NEW THERAPEUTIC APPROACHES TO OLD MEDICAL PROBLEMS, OBSTETRICS, SPECIALTY SERVICES, AND WORKER'S COMPENSATION. CPMC'S PHYSICIANS PRESENT CONTINUING MEDICAL EDUCATION LECTURES AT HOSPITALS THROUGHOUT NORTHERN CALIFORNIA. |
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, QUESTIONS 6 & 7A | THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. |
| DESC CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | FORM 990, PART VI, QUESTION 7B | SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF 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. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, QUESTION 12 | EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, QUESTION 15 | THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC | FORM 990, PART VI, QUESTION 19 | THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION | FORM 990, PART VII | THE FOLLOWING BOARD 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. PAT FRY |
| OTHER CHANGES IN FUND BALANCE | FORM 990, PART XI, LINE 5 | CHANGE IN UNREALIZED GAIN/(LOSS) ON INVESTMENTS $ (11,267,000) EQUITY TRANSFERS (NET) (135,033,959) PARTNERSHIP INCOME BOOKED ON RETURN 12,894,883 K-1 ORDINARY INCOME (12,802,964) K-1 INTEREST INCOME (178,211) K-1 ORDINARY DIVIDENDS (1,295,738) K-1 SHORT-TERM CAPITAL GAIN 297,046 K-1 LONG-TERM CAPITAL GAIN (4,079,383) K-1 RENTAL INCOME (124,314) K-1 OTHER INCOME (73,478) CHANGE IN SPLIT INTEREST 26,366 OTHER CHANGES IN FUND BALANCE 2,516 PRIOR PERIOD ADJUSTMENT (7,314) ------------- TOTAL $(151,641,550) ============= |
| 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. SWBH SPECIFIC PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $165,813,667 FROM THE 2007A ISSUE, $55,943,275 FROM THE 2008A ISSUE AND $47,567,042 FROM THE 2011D ISSUE. PART I, LINE B, COLUMN (F): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2007 ISSUE. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1996 THAT WERE USED TO REFUND BONDS ISSUED IN 1985, 1989, 1990 AND 1991. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHEDRAL HEIGHTS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7999 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200511266 | EIN |
| Primary Activities | RENTAL PROP. | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Total Income | 90986 | TotalIncome |
| EOY Assets | 23783 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWBH | BusinessNameLine1 |
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 HEALTH SACRAMENTO SIERRA REGION | ||||||||||
| PO BOX 160727 | SACRAMENTO | CA | 95816 | 941156621 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER INSURANCE SERVICES CORPORATION | ||||||||||
| 745 FORT STREET SUITE 800 | HONOLULU | HI | 96813 | 990289310 | INSURANCE SER | HI | 501(C)(3) | 11b - II | SUTTER HLTH | true |
| SUTTER MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 160727 | SACRAMENTO | CA | 95816 | 942788906 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | true |
| SUTTER MEDICAL CENTER CASTRO VALLEY | ||||||||||
| 20130 LAKE CHABOT RD 103 | CASTRO VALLEY | CA | 94546 | 770146047 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER MEDICAL FOUNDATION | ||||||||||
| 2800 L STREET 7TH FLOOR | SACRAMENTO | CA | 95816 | 680273974 | HEALTH CARE | CA | 501(C)(3) | 11b - II | SUTTER HLTH | true |
| SUTTER ROSEVILLE MEDICAL CTR FOUNDATION | ||||||||||
| ONE MEDICAL PLAZA | ROSEVILLE | CA | 95661 | 680040113 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | true |
| SUTTER SOLANO CHARITABLE FOUNDATION | ||||||||||
| 300 HOSPITAL DRIVE | VALLEJO | CA | 94589 | 942668262 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | true |
| SUTTER VISITING NURSE ASSOC AND HOSPICE | ||||||||||
| 1900 POWELL ST 300 | EMERYVILLE | CA | 94608 | 946068843 | HEALTH CARE | CA | 501(C)(3) | 9 | SUTTER HLTH | true |
| SUTTER WEST BAY 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 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CALIFORNIA PACIFIC ADV IMAGING LLC | ||||||||||||||
| PO BOX 6102 | NOVATO | CA | 94948 | 562311840 | MRI JOINT VENTURE | CA | NA | RELATED | 1727632 | 765818 | false | $0 | true | 0.51000 |
| SAN FRANCISCO ENDOSCOPY CENTER LLC | ||||||||||||||
| 3000 RIVERCHASE | BIRMINGHAM | AL | 35244 | 912160588 | ENDOSCOPY JV | CA | NA | RELATED | 5039217 | 2141472 | false | $0 | false | 0.51000 |
| PRESIDIO SURGERY CENTER LLC | ||||||||||||||
| 1635 DIVISADERO | SF | CA | 94115 | 320144060 | AMBULATORY SURG | CA | NA | RELATED | 6040176 | 4109061 | false | $0 | true | 0.51000 |
| MAGNETIC IMAGING AF | ||||||||||||||
| 175 LENNON | WLN CK | CA | 94598 | 942953833 | PATIENT CARE | CA | NA | N/A | 0 | 0 | 0.00000 | |||
| SURG CTR OF ABSMC | ||||||||||||||
| 3875 TELEGRAPH | OAKLAND | CA | 94609 | 470946086 | OUTPATIENT SURG | CA | NA | N/A | 0 | 0 | 0.00000 | |||
| ALTA CT SERVICES LP | ||||||||||||||
| 175 LENNON | WLN CK | CA | 94598 | 943083464 | PATIENT CARE | CA | NA | N/A | 0 | 0 | 0.00000 | |||
| SUTTER FAIRFIELD SURGERY CTR | ||||||||||||||
| 2700 LOW CT | FAIRFIELD | CA | 94533 | 300233892 | SURGERY | CA | NA | N/A | 0 | 0 | 0.00000 | |||
| TWIN CITIES SURGICAL HOSPITAL LLC | ||||||||||||||
| 250 S WACKER | CHICAGO | IL | 60606 | 352182617 | SURGERY | CA | NA | N/A | 0 | 0 | 0.00000 | |||
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 | false | 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 | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | 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 (17 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | ||
| K | 6728916 | FMV |
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | ||
| K | 135067 | FMV |
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | ||
| K | 120979 | FMV |
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | ||
| K | 97518 | FMV |
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | ||
| C | 10822317 | FMV |
| CATHEDRAL HEIGHTS LLC | ||
| L | 30000 | FMV |
| CALIFORNIA PACIFIC ADVANCED IMAGING LLC | ||
| R | 1856400 | FMV |
| SAN FRANCISCO ENDOSCOPY CENTER LLC | ||
| R | 4720050 | FMV |
| PRESIDIO SURGERY CENTER LLC | ||
| R | 5154876 | FMV |
| EDEN MEDICAL CENTER | ||
| P | 1525401 | FMV |
| MILLS-PENINSULA HEALTH SERVICES | ||
| P | 636650 | FMV |
| PALO ALTO MEDICAL FOUNDATION | ||
| O | 2247342 | FMV |
| SUTTER EAST BAY HOSPITALS | ||
| P | 2117821 | FMV |
| SUTTER EAST BAY HOSPITALS | ||
| L | 100551 | FMV |
| SUTTER VISITING NURSE ASSOC AND HOSPICE | ||
| O | 91667 | FMV |
| SUTTER VISITING NURSE ASSOC AND HOSPICE | ||
| I | 708685 | FMV |
| SUTTER WEST BAY MEDICAL FOUNDATION | ||
| P | 519615 | FMV |