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      <ActivityOrMissionDescription>AT CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION WE DEVELOP RESOURCES THAT SUPPORT SUTTER WEST BAY HOSPITALS (SWBH) IN PROVIDING ACCESS TO THE BEST HEALTH CARE AVAILABLE. THE RESOURCES THAT ARE DEVELOPED GO TOWARD CARING FOR NEW LIFE; EDUCATING AND SUPPORTING CAREGIVERS; ENSURING A HEALTHIER FUTURE THROUGH RESEARCH; NURTURING AND TREATING THOSE WHO ARE ILL; AND, WITH DIGNITY, CARING FOR THOSE WHO ARE DYING. WE BELIEVE THAT THROUGH PHILANTHROPIC SUPPORT OF CALIFORNIA PACIFIC MEDICAL CENTER, THE QUALITY OF LIFE FOR OUR PATIENTS, THEIR FAMILIES, AND THEIR LOVED ONES WILL BE ENHANCED. BECAUSE LIFE IS PRECIOUS, WE ENCOURAGE GIVING TO LIFE AND A LIFETIME OF GIVING.</ActivityOrMissionDescription>
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      <MissionDescription>AT CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION WE DEVELOP RESOURCES THAT SUPPORT SUTTER WEST BAY HOSPITAL'S (SWBH) IN PROVIDING ACCESS TO THE BEST HEALTH CARE AVAILABLE. THE RESOURCES THAT ARE DEVELOPED GO TOWARD CARING FOR NEW LIFE; EDUCATING AND SUPPORTING CAREGIVERS; ENSURING A HEALTHIER FUTURE THROUGH RESEARCH; NURTURING AND TREATING THOSE WHO ARE ILL; AND, WITH DIGNITY, CARING FOR THOSE WHO ARE DYING. WE BELIEVE THAT THROUGH PHILANTHROPIC SUPPORT OF CALIFORNIA PACIFIC MEDICAL CENTER (CPMC), THE QUALITY OF LIFE FOR OUR PATIENTS, THEIR FAMILIES, AND THEIR LOVED ONES WILL BE ENHANCED. BECAUSE LIFE IS PRECIOUS, WE ENCOURAGE GIVING TO LIFE AND A LIFETIME OF GIVING.</MissionDescription>
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      <Description>THE FUNDS WE RAISE IN SUPPORT OF SUTTER WEST BAY REGION (SWBH) HAVE A REAL IMPACT ON THE CARE OUR PATIENTS RECEIVE. THAT'S BECAUSE WHILE HOSPITAL REVENUES TYPICALLY COVER DAY-TO-DAY OPERATING EXPENSES, IT'S CHARITABLE GIFTS THAT ALLOW US TO MAKE CRUCIAL IMPROVEMENTS NOT COVERED BY THE MEDICAL CENTER'S ANNUAL BUDGET. THAT INCLUDES PURCHASING NEW EQUIPMENT, EXPANDING KEY PROGRAMS AND UPGRADING OUR FACILITIES. BY CONTRIBUTING TO OUR ANNUAL PRIORITIES, DONORS FUELED PROGRAMS AND EQUIPMENT PURCHASES THAT OUR PHYSICIANS DESIGNATED AS CRITICALLY NECESSARY IN 2011. THEY HELPED PROVIDE PRIMARY HEALTH CARE SERVICES FOR WOMEN AND CHILDREN IN OUR POOREST NEIGHBORHOODS; OFFERED A COMFORTING RESPITE FOR ALZHEIMER'S PATIENTS AND THOSE NEARING THE END OF LIFE; PURCHASED VITAL TECHNOLOGY MAKING TREATMENT EASIER FOR PATIENTS WITH CANCER OR CARDIAC CONDITIONS - AND MUCH, MUCH MORE. DONORS HELPED SUPPORT THESE ANNUAL PRIORITIES: COMMUNITY HEALTH PROGRAMS AFRICAN AMERICAN BREAST HEALTH &amp; SISTER TO SISTER PROGRAMS $79,391 BAYVIEW CHILD HEALTH CENTER 516,474 CHILD LIFE PROGRAM FOR PEDIATRIC SPECIALTY CENTER 48,102 COMING HOME HOSPICE 124,055 HEPATITIS B FREE SCREENING PROJECT 30,353 INSTITUTE FOR HEALTH AND HEALING 305,489 KALMANOVITZ CHILD DEVELOPMENT CENTER 734,381 WOMEN'S HEALTH RESOURCE CENTER 88,563 EQUIPMENT &amp; EXPANSION BED WARMERS FOR NEWBORNS &amp; BIRTHING BEDS $79,000 CARDIAC 3D MAPPING SYSTEM 246,500 CARDIAC CRYO ABLATION EQUIPMENT 110,000 DIGITAL MAMMOGRAPHY EQUIPMENT 250,000 NEONATAL TRANSPORT GURNEY 146,000 PEDIATRIC TRANSPORT GURNEY 61,500 OF COURSE, OUR NEEDS GO FAR BEYOND THESE ANNUAL PRIORITIES, AND OUR COMPASSIONATE CONTRIBUTORS HAVE MANY OTHER OPTIONS WHEN IT COMES TO SHARING THEIR CHARITABLE SPIRIT. OFTEN TIMES OUR SUPPORTERS OR THEIR FAMILY MEMBERS HAVE BEEN PATIENTS HERE, SO THEY KNOW FIRSTHAND THE IMPACT THEIR GIFTS CAN MAKE, ESPECIALLY IN PROGRAMS LIKE THESE - ALL OF WHICH RECEIVED SIGNIFICANT DONOR SUPPORT LAST YEAR. CHILDREN'S HEALTH AUTISM PROGRAM CHILD LIFE PROGRAM NEONATAL INTENSIVE CARE UNIT PEDIATRIC EMERGENCY DEPARTMENT NEUROSCIENCE FORBES NORRIS MDA/ALS RESEARCH CENTER EPILEPSY VOCATIONAL JOBS PROGRAM MEMORY CLINIC NEUROSURGERY STROKE CENTER ADVANCED CARE PAUL MAY &amp; FRANK STEIN INTERVENTIONAL ENDOSCOPY CENTER BEVERLY &amp; GEORGE JAMES THORACIC ONCOLOGY CENTER BRYAN HEMMING CANCER CARE CENTER ATRIAL FIBRILLATION AND ARRHYTHMIA CARDIOLOGY CENTER FOR DIABETES SERVICES CENTER FOR MELANOMA TREATMENT &amp; RESEARCH EMERGENCY MEDICINE TRANSPLANT PROGRAMS WOMEN'S HEALTH NOTKIN FAMILY BREAST CANCER RECOVERY PROGRAM BREAST HEALTH DIGITAL MAMMOGRAPHY OVARIAN/REPRODUCTIVE CANCER PROGRAM COMMUNITY AND INTEGRATED HEALTH ROBERTA E. NEUSTADTER MINI MEDICAL SCHOOL COMMUNITY HEALTH RESOURCE CENTER IHH PATIENT ASSISTANCE FUND PROGRAM IN MEDICINE &amp; HUMAN VALUES RESEARCH AND EDUCATION BREAST CANCER RESEARCH CLINICAL TRIALS CPMC RESEARCH INSTITUTE DARTMOUTH MEDICAL SCHOOL PARTNERSHIP DEPARTMENT OF MEDICINE TEACHING FUND LIVER BIO-REPOSITORY NURSING EDUCATION</Description>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KAATRI GRIGG</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KIMBERLY NUNES SOLOMON</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LETITIA MOMIROV</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIA C VICENTI-PULETTI</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
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        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARSHALL HAINES</NamePerson>
        <Title>TRUSTEE</Title>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARSTON NAUMAN</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
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        <NamePerson>MARTIN BROTMAN MD</NamePerson>
        <Title>REGIONAL PRESIDENT, WB/TRUSTEE</Title>
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        <NamePerson>MICHAEL COHILL</NamePerson>
        <Title>TRUSTEE</Title>
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      <Form990PartVIISectionA>
        <NamePerson>MICHAEL MURRAY</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>4.00</AverageHoursPerWeek>
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      <Form990PartVIISectionA>
        <NamePerson>MICHAEL ROKEACH</NamePerson>
        <Title>TRUSTEE, COS CPMC</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MRS CAROL N BONNIE</NamePerson>
        <Title>TRUSTEE</Title>
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        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MRS EVAN R PETERS</NamePerson>
        <Title>TRUSTEE</Title>
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      </Form990PartVIISectionA>
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        <NamePerson>MRS GEORGE ETTELSON</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>MRS IRENE FENTON</NamePerson>
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        <NamePerson>MRS MARYANNA G STOCKHOLM</NamePerson>
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        <NamePerson>MRS RICHARD A HORNING</NamePerson>
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      </Form990PartVIISectionA>
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      <Form990PartVIISectionA>
        <NamePerson>MRS SHARMIN E BOCK</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>MRS STEVEN MACGREGOR READ</NamePerson>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
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      </Form990PartVIISectionA>
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        <NamePerson>ROBERT F DARLING</NamePerson>
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      </Form990PartVIISectionA>
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        <NamePerson>ROBERT TOMASELLO</NamePerson>
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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
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        <ManagementAndGeneral>64580</ManagementAndGeneral>
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        <ProgramServices>223303</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
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        <ProgramServices>346607</ProgramServices>
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        <CompReportPrior990RelatedOrgs>82813</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARTIN BROTMAN MD</NamePerson>
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        <CompBasedOnRelatedOrgs>956111</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990RelatedOrgs>407007</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WARREN BROWNER MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>573305</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>231141</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>10687</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990RelatedOrgs>284481</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL COHILL</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>618158</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>410380</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>46465</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>582469</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19383</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1676855</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>503823</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WAYNE KOIKE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>138747</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>24654</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>35596</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>24654</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>223651</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARA HOOK</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>318378</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>104629</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>5452</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11852</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>562296</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>104629</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>First-class or charter travel</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Tax indemnification and gross-up payments</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Health or social club dues or initiation fees</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>DUES PAID FOR THE CONCORDIA-ARGONAUT CLUB OF SAN FRANCISCO FOR MARK KIMBELL AND DICK WATTS.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Arrangement used to establish the top management official's compensation</Identifier>
        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental nonqualified retirement plan</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4b</ReturnReference>
        <Explanation>INDIVIDUALS PAID BY SUTTER HEALTH PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403B EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR EARNINGS BEYOND THE PENSION PAY CAP. THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65. TARGET BENEFIT LEVELS VARY BY YEARS OF SERVICE. UNLIKE SUTTER HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Non-fixed payments</Identifier>
        <ReturnReference>Schedule J, Part I, Line 7</ReturnReference>
        <Explanation>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 EMPLOYEES ARE ELIGIBLE FOR A 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 &amp; 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="11000230" softwareVersion="v2011.1.0">
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>37</NumberOfContributions>
        <NoncashContribsRptdF990>8509826</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>MARKET VALUE</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>AUCTION ITEMS</Description>
        <NumberOfContributions>163</NumberOfContributions>
        <NoncashContribsRptdF990>88332</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>ITEMS USED ON SITE</Description>
        <NumberOfContributions>59</NumberOfContributions>
        <NoncashContribsRptdF990>38909</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>DONOR VALUATION</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Explanations of reporting method for number of contributions</Identifier>
        <ReturnReference>Schedule M, Part I</ReturnReference>
        <Explanation>SECURITIES - PUBLICLY TRADED: THE ORGANIZATION RECEIVED 37 INDIVIDUAL CONTRIBUTIONS OF SECURITIES OTHER: THE ORGANIZATION RECEIVED 163 DONATIONS OF VARIOUS ITEMS TO BE USED FOR THEIR AUCTION OTHER: THE ORGANIZATION RECEIVED 59 CONTRIBUTIONS OF VARIOUS ITEMS TO BE USED ON SITE.</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 9</ReturnReference>
        <Explanation>THE ORGANIZATION RECEIVED 37 INDIVIDUAL CONTRIBUTIONS OF SECURITIES</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line other=AUCTION ITEMS</ReturnReference>
        <Explanation>THE ORGANIZATION RECEIVED 163 DONATIONS OF VARIOUS ITEMS TO BE USED FOR THEIR AUCTION</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line other=ITEMS USED ON SITE</ReturnReference>
        <Explanation>THE ORGANIZATION RECEIVED 59 CONTRIBUTIONS OF VARIOUS ITEMS TO BE USED ON SITE.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000230" softwareVersion="v2011.1.0">
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>SUTTER WEST BAY HOSPITALS IS THE SOLE MEMBER OF THIS CORPORATION WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>SUTTER WEST BAY HOSPITALS IS THE SOLE MEMBER OF THIS CORPORATION WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>SUTTER WEST BAY HOSPITALS 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 THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; (B) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; (C) ADOPTION OF OPERATING BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATES ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THIS CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THIS CORPORATION, IF SUCH OPERATING BUDGETS ARE OUTSIDE THE GUIDELINES ESTABLISHED BY THE MEMBER; (D) ADOPTION OF CAPITAL BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY (ALTHOUGH THE BOARD IS EMPOWERED TO DEVELOP ITS OWN CAPITAL BUDGET OR APPROVE THE CAPITAL BUDGET OF ANY SUBSIDIARY OR AFFILIATE ENTITY WITHIN THE GUIDELINES AND OBJECTIVES SET BY THE MEMBER); (E) AGGREGATE OPERATING EXPENDITURES ON AN ANNUAL BASIS WHICH EXCEED APPROVED OPERATING BUDGETS BY A DOLLAR AMOUNT WHICH IS AT LEAST FIVE PERCENT (5%) OF THE APPROVED OPERATING BUDGET OF THIS CORPORATION OR AGGREGATE CAPITAL EXPENDITURES ON AN ANNUAL BASIS WHICH EXCEED APPROVED CAPITAL BUDGETS BY A DOLLAR AMOUNT WHICH IS AT LEAST TEN PERCENT (10%) OF THIS CORPORATION'S APPROVED CAPITAL BUDGET, PROVIDED THAT ANY OPERATING OR CAPITAL EXPENDITURES WHICH EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY ANY AMOUNT MUST BE APPROVED BY THE MEMBER IF THE FUND BALANCE OR CASH RESERVES OF THIS CORPORATION ARE NOT SUFFICIENT TO COVER THE EXPENDITURES OR IF THE TRANSACTION REQUIRES APPROVAL UNDER ANY OTHER SECTION OF THESE BYLAWS; (F) LONG-TERM BORROWING INCLUDING, BUT NOT LIMITED TO, CAPITALIZED LEASE AGREEMENTS AND INSTALLMENT CONTRACTS HAVING A PRESENT VALUE WHICH EXCEEDS A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE BOARD OF DIRECTORS OF THE MEMBER; (G) PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE BY THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT EQUAL TO (I) TEN (10%) OF THIS CORPORATION'S FUND BALANCE, FOR TRANSACTIONS WHICH ARE IN THE ORDINARY COURSE OF BUSINESS; OR (II) FIVE PERCENT (5%) OF THIS CORPORATION'S FUND BALANCE, FOR TRANSACTIONS WHICH ARE NOT IN THE ORDINARY COURSE OF BUSINESS, IF THE TRANSACTION WAS NOT INCLUDED IN AN APPROVED CAPITAL BUDGET; (H) APPOINTMENT OF AN INDEPENDENT AUDITOR AND APPROVAL OF INDEPENDENT COUNSEL, PROVIDED THAT IN CONFLICT SITUATIONS OCCURRING AMONG THE MEMBER AND ITS SUBSIDIARIES AND AFFILIATES, EACH BOARD OF DIRECTORS SHALL BE ENTITLED TO SELECT ITS OWN INDEPENDENT COUNSEL WITHOUT THE MEMBER'S APPROVAL; (I) THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; (J) CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; (K) APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THIS CORPORATIONS OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; (L) APPROVAL OF STRATEGIC PLANS; OR (M) OTHER MAJOR ACTIVITIES (AS HEREINAFTER DEFINED). "MAJOR ACTIVITIES" SHALL BE THOSE WHICH THE MEMBER BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF THE MEMBER'S BOARD OF DIRECTORS HAS DECLARED MAJOR, BY WRITTEN NOTICE TO THIS CORPORATION, DELIVERED PERSONALLY OR DEPOSITED BY REGISTERED OR CERTIFIED MAIL, RETURN RECEIPT REQUESTED. SUCH NOTICE SHALL SPECIFICALLY IDENTIFY THE MATTER OR MATTERS REQUIRING APPROVAL OF THE MEMBER, AND SHALL REFER TO THIS BYLAW PROVISION GRANTING SUCH APPROVAL RIGHTS TO THE MEMBER. NOTICES RECEIVED PURSUANT TO THIS SECTION SHALL BE RECORDED IN THE MINUTES OF THIS CORPORATION AND SHALL BE FILED WITH THE MINUTES OF THIS CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of top management official</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a</ReturnReference>
        <Explanation>THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARM'S 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of other officers/key employees</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15b</ReturnReference>
        <Explanation>OFFICERS AND KEY EMPLOYEES PAID BY SUTTER HEALTH, ARE UNDER THE AUTHORITY OF THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS WHO RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS PER WEEK TO A RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)</ReturnReference>
        <Explanation>THE FOLLOWING BOARD MEMBERS/OFFICERS OF THE ORGANIZATION ARE FULL-TIME (40-HOURS) EMPLOYEES OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS/OFFICERS OF THIS ORGANIZATION. MARTIN BROTMAN, MD WARREN BROWNER, MD MIKE COHILL</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -14595246;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="11000230" softwareVersion="v2011.1.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADOLESCENT TREATMENT CENTERS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>390 40TH STREET</AddressLine1>
          <City>OAKLAND</City>
          <State>CA</State>
          <ZIPCode>94609</ZIPCode>
        </AddressUS>
        <EIN>680088443</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER EBH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALTA BATES SUMMIT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3012 SUMMIT STREET 3RD FLOOR</AddressLine1>
          <City>OAKLAND</City>
          <State>CA</State>
          <ZIPCode>94609</ZIPCode>
        </AddressUS>
        <EIN>510160184</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER EBH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2015 STEINER STREET 2ND FLOOR</AddressLine1>
          <City>SAN FRANCISCO</City>
          <State>CA</State>
          <ZIPCode>94115</ZIPCode>
        </AddressUS>
        <EIN>942728423</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER WBH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DELTA MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3901 LONE TREE WAY</AddressLine1>
          <City>ANTIOCH</City>
          <State>CA</State>
          <ZIPCode>94509</ZIPCode>
        </AddressUS>
        <EIN>942417022</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER EBH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EAST BAY PERINATAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3012 SUMMIT STREET 3RD FLOOR</AddressLine1>
          <City>OAKLAND</City>
          <State>CA</State>
          <ZIPCode>94609</ZIPCode>
        </AddressUS>
        <EIN>510172285</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER EBH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EDEN MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20103 LAKE CHABOT ROAD</AddressLine1>
          <City>CASTRO VALLEY</City>
          <State>CA</State>
          <ZIPCode>94546</ZIPCode>
        </AddressUS>
        <EIN>942948100</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MARIN COMMUNITY HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>250 BON AIR ROAD</AddressLine1>
          <City>GREENBRAE</City>
          <State>CA</State>
          <ZIPCode>94904</ZIPCode>
        </AddressUS>
        <EIN>942994751</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MILLS-PENINSULA HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1501 TROUSDALE DRIVE</AddressLine1>
          <City>BURLINGGAME</City>
          <State>CA</State>
          <ZIPCode>94010</ZIPCode>
        </AddressUS>
        <EIN>941156265</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PAMF</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MILLS-PENINSULA HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1501 TROUSDALE DRIVE</AddressLine1>
          <City>BURLINGGAME</City>
          <State>CA</State>
          <ZIPCode>94010</ZIPCode>
        </AddressUS>
        <EIN>237288765</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MPHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PALO ALTO MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2350 EL CAMINO REAL</AddressLine1>
          <City>MOUNTAIN VIEW</City>
          <State>CA</State>
          <ZIPCode>94040</ZIPCode>
        </AddressUS>
        <EIN>941156581</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAMUEL MERRITT UNIVERSITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>450 30TH STREET</AddressLine1>
          <City>OAKLAND</City>
          <State>CA</State>
          <ZIPCode>94609</ZIPCode>
        </AddressUS>
        <EIN>942992642</EIN>
        <PrimaryActivities>UNIVERSITY</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER EBH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER AUBURN FAITH HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>11815 EDUCATION ST</AddressLine1>
          <City>AUBURN</City>
          <State>CA</State>
          <ZIPCode>95602</ZIPCode>
        </AddressUS>
        <EIN>942594966</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHSSR</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER CENTRAL VALLEY HOSPITALS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1800 COFFEE ROAD SUTIE 76</AddressLine1>
          <City>MODESTO</City>
          <State>CA</State>
          <ZIPCode>95355</ZIPCode>
        </AddressUS>
        <EIN>941080917</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER COAST HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 E WASHINGTON BLVD</AddressLine1>
          <City>CRESCENT CITY</City>
          <State>CA</State>
          <ZIPCode>95531</ZIPCode>
        </AddressUS>
        <EIN>942988520</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER DAVIS HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1617</AddressLine1>
          <City>DAVIS</City>
          <State>CA</State>
          <ZIPCode>95617</ZIPCode>
        </AddressUS>
        <EIN>680217870</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHSSR</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER EAST BAY HOSPITALS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3012 SUMMIT STREET 3RD FLOOR</AddressLine1>
          <City>OAKLAND</City>
          <State>CA</State>
          <ZIPCode>94609</ZIPCode>
        </AddressUS>
        <EIN>941196176</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER EAST BAY MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3687 MT DIABLO BLVD</AddressLine1>
          <City>LAFAYETTE</City>
          <State>CA</State>
          <ZIPCode>94549</ZIPCode>
        </AddressUS>
        <EIN>942690415</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER GOULD MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>600 COFFEE ROAD</AddressLine1>
          <City>MODESTO</City>
          <State>CA</State>
          <ZIPCode>95355</ZIPCode>
        </AddressUS>
        <EIN>941682256</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2200 RIVER PLAZA DRIVE</AddressLine1>
          <City>SACRAMENTO</City>
          <State>CA</State>
          <ZIPCode>95833</ZIPCode>
        </AddressUS>
        <EIN>942788907</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type III - FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER HEALTH PACIFIC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>91-2301 FT WEAVER ROAD</AddressLine1>
          <City>EWA BEACH</City>
          <State>HI</State>
          <ZIPCode>96706</ZIPCode>
        </AddressUS>
        <EIN>990298651</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER HEALTH SACRAMENTO SIERRA REGION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 160727</AddressLine1>
          <City>SACRAMENTO</City>
          <State>CA</State>
          <ZIPCode>95816</ZIPCode>
        </AddressUS>
        <EIN>941156621</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER INSURANCE SERVICES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>745 FORT STREET SUITE 1100</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990289310</EIN>
        <PrimaryActivities>INSURANCE SERVICES</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER MEDICAL CENTER CASTRO VALLEY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2200 RIVER PLAZA DRIVE</AddressLine1>
          <City>SACRAMENTO</City>
          <State>CA</State>
          <ZIPCode>95833</ZIPCode>
        </AddressUS>
        <EIN>770146047</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUTTER HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUTTER MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
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          <AddressLine1>1900 POWELL ST 300</AddressLine1>
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          <BusinessNameLine1>TRACY HOSPITAL FOUNDATION</BusinessNameLine1>
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          <State>CA</State>
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          <City>WALNUT CREEK</City>
          <State>CA</State>
          <ZIPCode>94598</ZIPCode>
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          <State>CA</State>
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          <City>WALNUT CREEK</City>
          <State>CA</State>
          <ZIPCode>94598</ZIPCode>
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          <City>BIRMINGHAM</City>
          <State>AL</State>
          <ZIPCode>35244</ZIPCode>
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          <City>SAN FRANCISCO</City>
          <State>CA</State>
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      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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  </ReturnData>
</Return>