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SUTTER BAY HOSPITALS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SUTTER BAY HOSPITALS (EIN 94-0562680)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-26
IRS object ID
201122999349300427
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-10-26T11:58:49-04:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1178 S RIO GRANDE STREET SUITE 400AddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code84101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN940562680EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUTTER WEST BAY HOSPITALSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSUTTNameControl
Phone9162866665Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJOHN GATESName
TitleCOOTitle
Phone9162866665Phone
Date Signed2011-10-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8013503300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA PACIFIC MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARTIN BROTMAN MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1646129191GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUTTERHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1854YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body35NbrVotingMembersGoverningBody
Nbr Independent Voting Members29NbrIndependentVotingMembers
Total Nbr Employees8786TotalNbrEmployees
Total Nbr Volunteers1291TotalNbrVolunteers
Total Gross UBI2067119TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year45464974ContributionsGrantsPriorYear
Contributions Grants Current Year33710172ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1194089890ProgramServiceRevenuePriorYear
Program Service Revenue CY1542831482ProgramServiceRevenueCY
Investment Income Prior Year-2270393InvestmentIncomePriorYear
Investment Income Current Year9541135InvestmentIncomeCurrentYear
Other Revenue Prior Year8565541OtherRevenuePriorYear
Other Revenue Current Year6728834OtherRevenueCurrentYear
Total Revenue Prior Year1245850012TotalRevenuePriorYear
Total Revenue Current Year1592811623TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1658071GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1836582GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year606222788SalariesEtcPriorYear
Salaries Etc Current Year736482501SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year344988TotalFundrsngExpCurrentYear
Other Expense Prior Year478846674OtherExpensePriorYear
Other Expenses Current Year665272592OtherExpensesCurrentYear
Total Expenses Prior Year1086727533TotalExpensesPriorYear
Total Expenses Current Year1403591675TotalExpensesCurrentYear
Revenues Less Expenses Prior Year159122479RevenuesLessExpensesPriorYear
Revenues Less Expenses CY189219948RevenuesLessExpensesCY
Total Assets BOY1452243769TotalAssetsBOY
Total Assets EOY1510104441TotalAssetsEOY
Total Liabilities BOY562074957TotalLiabilitiesBOY
Total Liabilities EOY574175255TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY890168812NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY935929186NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1315021288Expense
Grants1836582Grants
Revenue1542831482Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense1315021288TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961201NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees8786NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members35NbrVotingGoverningBodyMembers
Number Independent Voting Members29NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHENRY YUNamePerson
Telephone Number4156007310TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 7999AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94120ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (46 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RT REV MARC ANDRUS
DIRECTOR1.0X000
DAMIAN AUGUSTYN MD
DIRECTOR1.0X000
MARTIN BROTMAN MD
REGIONAL PRESIDENT, WEST BAY40.0X025359241751747X
BILL BRUNETTI
DIRECTOR1.0X000
THEODORE DEIKEL
DIRECTOR1.0X000
THOMAS JOHN DIETZ PHD
DIRECTOR1.0X000
ROY EISENHARDT
DIRECTOR1.0X000
PETER FULCHIRON
VICE CHAIR/DIRECTOR1.0X000X
PAT FRY
PRESIDENT & CEO, SUTTER HEALTH1.0X026996362088912
FRANK HERRINGER
DIRECTOR1.0X000
JORDAN HOROWITZ MD
DIRECTOR1.0X1706300
PETER JACOBI
DIRECTOR1.0X000
JOAN C KAHR
DIRECTOR1.0X000
RON KAUFMAN
DIRECTOR1.0X000
KURT KUNZEL MD
DIRECTOR1.0X2750000
STEVEN LEVENBERG DO
DIRECTOR1.0X000
TOM LINCOLN
DIRECTOR1.0X000
ALASTAIR MACTAGGART
DIRECTOR1.0X000
ANTHONY MILES
DIRECTOR1.0X000
SCOTT MINICK
DIRECTOR1.0X000
TIM MURPHY MD
DIRECTOR1.0X150000
CYNTHIA NESTLE
DIRECTOR1.0X000
DENNIS O'CONNELL
DIRECTOR1.0X000
STEVEN OLIVER
DIRECTOR1.0X000
ROBERT OSORIO MD
DIRECTOR1.0X000
JAMES PALLESCHI MD
DIRECTOR1.0X000
DIANE PEGE MD
DIRECTOR1.0X000
ROBERT A ROSENFELD
DIRECTOR1.0X000
TERRI SLAGLE MD
DIRECTOR1.0X1495000
LEO SOONG
FINANCE CHAIR/DIRECTOR1.0X000X
ROSS E STROMBERG JD
DIRECTOR1.0X000
ROBERT M TOMASELLO
CHAIR/DIRECTOR1.0X000X
MICHAEL VALAN MD
DIRECTOR1.0X000
ANTHONY G WAGNER
DIRECTOR1.0X000
DEBORAH WYATT MD
DIRECTOR1.0X000
MICHAEL DUNCHEON
VP, REGIONAL COUNSEL WBR40.0026543486707X
JOHN GATES
REGIONAL VP FINANCE, WEST BAY40.00728158399937XX
JACK BAILEY
EXECUTIVE VP/ADMINISTRATOR40.0897884020662X
TONI BRAYER MD
REGIONAL VP & CMO, WEST BAY40.00576844174182X
WARREN BROWNER MD
CEO, SAN FRANCISCO HOSPITALS40.00770292442862X
GRANT DAVIES
EXEC VP, CPMC & CAO, WB40.00624392185409X
LINDA ISAACS
REG. VP, HR, WEST BAY40.00402932119116X
ALLAN PONT MD
VP MEDICAL AFFAIRS40.0051874698866X
CHRISTOPHER WILLRICH
REG. VP, STRATEGY&BUS DEV, WB40.00423286130385X
SEAN TOWNSEND
VP QUALITY40.0751941016989X
STEVEN CUMMINGS
DIRECTOR CRCLE40.0492352026921X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2203190TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9545644TotalReportableCompFrmRltdOrgs
Total Other Compensation5542695TotalOtherCompensation
Number Individuals GT100 K1705NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARAMARK
2500 WARRENVILLE ROADDOWNERS GROVEIL60515MANAGEMENT SERVICES17957405
PACIFIC INPATIENT MEDICAL GROUP INC
PO BOX 1230SUISUN CITYCA94585UTILIZATION SERVICES6536985
ANESTHESIA AND ANALGESIA MEDICAL GR
837 5TH STREET 2ND FLOORSANTA ROSACA95404ANESTHESIA SERVICES5327013
AUXILIO
27401 LOS ALTOS SUITE 100MISSION VIEJOCA92691PRINTER SVC MGMT3402364
D KELLY CONSTRUCTION INC
55 LAFAYETTE STREETSAN FRANCISCOCA94103CONSTRUCTION3389544
FieldValueIRS element (for citing)
Number Of Contractors GT100 K152NumberOfContractorsGT100K
Fundraising Events17709FundraisingEvents
Related Organizations12104776RelatedOrganizations
Government Grants19827158GovernmentGrants
All Other Contributions1760529AllOtherContributions
Noncash Contributions13500NoncashContributions
Total Contributions33710172TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE62211015311345711531134571
CA PACIFIC ADVANCED IMAGING62151218486511848651
SAN FRAN ENDOSCOPY CTR62149839216993921699
PRESIDIO SURGERY CENTER LLC62149359265615926561
FieldValueIRS element (for citing)
Total Program Service Revenue1542831482TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7737288TotalRevenueColumn
Exclusion$7,737,288ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real14688714Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real13304731Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1383983Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1383983TotalRevenueColumn
Exclusion$1,383,983ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities41511487Securities
Other287333Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities39787244Securities
Other207729Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1724243Securities
Other79604Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1803847TotalRevenueColumn
Exclusion$1,803,847ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events33211GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events17709CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses15364FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column17847TotalRevenueColumn
Exclusion$17,847ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming5150GrossIncomeGaming
Gaming Direct Expenses2500GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column2650TotalRevenueColumn
Exclusion$2,650ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
UBI - LABORATORY621500262955262955
UBI - PARKING81293018041641804164
CAFETERIA9000993257235$3,257,235
FieldValueIRS element (for citing)
Total Other Revenue5324354TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1592811623TotalRevenueColumn
Related Or Exempt Function Income1542831482RelatedOrExemptFunctionIncome
Unrelated Business Revenue2067119UnrelatedBusinessRevenue
Exclusion$14,202,850ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1836332Total
Program Services1836332ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total250Total
Program Services250ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total958897Total
Program Services0ProgramServices
Management And General958897ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total494080367Total
Program Services474082824ProgramServices
Management And General19827597ManagementAndGeneral
Fundraising169946Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total38828902Total
Program Services37282569ProgramServices
Management And General1531782ManagementAndGeneral
Fundraising14551Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total162361713Total
Program Services150280877ProgramServices
Management And General12027066ManagementAndGeneral
Fundraising53770Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total40252622Total
Program Services38802782ProgramServices
Management And General1434264ManagementAndGeneral
Fundraising15576Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6644313Total
Program Services5179545ProgramServices
Management And General1403669ManagementAndGeneral
Fundraising61099Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2037309Total
Program Services242660ProgramServices
Management And General1794649ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total84700Total
Program Services14657ProgramServices
Management And General70043ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total627644Total
Program Services0ProgramServices
Management And General627644ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16127146Total
Program Services15686545ProgramServices
Management And General440601ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total409487Total
Program Services409477ProgramServices
Management And General0ManagementAndGeneral
Fundraising10Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total169492396Total
Program Services169077587ProgramServices
Management And General408628ManagementAndGeneral
Fundraising6181Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total16353620Total
Program Services0ProgramServices
Management And General16353620ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13707380Total
Program Services13490418ProgramServices
Management And General216962ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1403422Total
Program Services1086412ProgramServices
Management And General313697ManagementAndGeneral
Fundraising3313Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total692123Total
Program Services600939ProgramServices
Management And General91184ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total23691234Total
Program Services23691234ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total80368655Total
Program Services80349571ProgramServices
Management And General19084ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total9963392Total
Program Services9956233ProgramServices
Management And General7159ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES9929604993695803558685313393
PROFESSIONAL FEES-PHYSICIANS674354096399155934438500
BAD DEBT373509723735097200
REPAIRS & MAINTENANCE22166975216973884695870
SYSTEM ALLOCATION FEES211049960211049960

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total76315370Total
Program Services76214654ProgramServices
Management And General93567ManagementAndGeneral
Fundraising7149Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1403591675Total
Program Services1315021288ProgramServices
Management And General88225399ManagementAndGeneral
Fundraising344988Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY56566852BOY
EOY82045309EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY200601BOY
EOY399739EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY208647222BOY
EOY197248328EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13871713BOY
EOY14589638EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3261305BOY
EOY4035606EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1692573826LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec741495660LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY908941346BOY
EOY951078166EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY185836527BOY
EOY183970682EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5186655BOY
EOY5320918EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY69731548BOY
EOY71416055EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1452243769BOY
EOY1510104441EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY186550786BOY
EOY189729837EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY335260418BOY
EOY334770632EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY40263753BOY
EOY49674786EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY562074957BOY
EOY574175255EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY869058127BOY
EOY913463129EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY21110685BOY
EOY22466057EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY890168812BOY
EOY935929186EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1452243769BOY
EOY1510104441EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses189219948ReconcilationRevenueExpenses
Reconcilation Other Changes-143459574ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis169781890OtherCostOrOtherBasis
Book Value169781890BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis722837820OtherCostOrOtherBasis
Depreciation393973431Depreciation
Book Value328864389BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis44243267OtherCostOrOtherBasis
Depreciation24833953Depreciation
Book Value19409314BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis426833039OtherCostOrOtherBasis
Depreciation319644402Depreciation
Book Value107188637BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis328877810OtherCostOrOtherBasis
Depreciation3043874Depreciation
Book Value325833936BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings951078166TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INSURANCE LIABILITIES$22,154,794
3RD PARTY SETTLEMENTS$7,141,520
OTHER LIABILITIES$20,378,472
FieldValueIRS element (for citing)
Total Of Amounts49674786TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierASC 740 (FIN48) FOOTNOTE FROM AUDITIdentifier
Return ReferencePART X, LINE 2ReturnReference
ExplanationTHIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: DEFERRED INCOME TAX ASSETS, WHICH AS OF DECEMBER 31, 2010 AND 2009 WERE FULLY RESERVED, REFLECT THE NET TAX EFFECT OF TEMPORARY DIFFERENCES BETWEEN THE CARRYING AMOUNTS OF ASSETS AND THE LIABILITIES FOR FINANCIAL REPORTING AND THE AMOUNTS USED FOR INCOME TAX PURPOSES. AS OF DECEMBER 31, 2010 AND 2009, SUTTER HAD DEFERRED TAX ASSETS OF $13 (MILLION) RELATING PRINCIPALLY TO NET OPERATING LOSS CARRYOVERS. AS OF DECEMBER 31, 2010 AND 2009, SUCH DEFERRED TAX ASSETS WERE OFFSET BY A VALUATION ALLOWANCE OF $13 (MILLION). THE VALUATION ALLOWANCE DID NOT CHANGE IN 2010 OR 2009. FEDERAL NET OPERATING LOSS CARRYOVERS TOTALED $32 (MILLION) AT DECEMBER 31, 2010 AND WILL EXPIRE BETWEEN 2015 AND 2030.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event143065GrossReceiptsEvent1
Charitable Contributions Event117709CharitableContributionsEvent1
Gross Revenue Event125356GrossRevenueEvent1
Rent Facility Costs Event16120RentFacilityCostsEvent1
Food And Beverage Event15035FoodAndBeverageEvent1
Other Direct Expenses Event12659OtherDirectExpensesEvent1
Name Of Event2TREE OF LIGHTSNameOfEvent2
Gross Receipts Event27855GrossReceiptsEvent2
Gross Revenue Event27855GrossRevenueEvent2
Other Direct Expenses Event21550OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total50920GrossReceiptsTotal
Charitable Contributions Total17709CharitableContributionsTotal
Gross Revenue Total Events33211GrossRevenueTotalEvents
Rent Facility Costs Total Events6120RentFacilityCostsTotalEvents
Food And Beverage Total Events5035FoodAndBeverageTotalEvents
Other Direct Expenses Total Events4209OtherDirectExpensesTotalEvents
Direct Expense Summary Events15364DirectExpenseSummaryEvents
Net Income Summary17847NetIncomeSummary

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense20427264TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense20427264NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense197425628TotalCommunityBenefitExpense
Direct Offsetting Revenue166032789DirectOffsettingRevenue
Net Community Benefit Expense31392839NetCommunityBenefitExpense
Percent Of Total Expense0.02240PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense12096943TotalCommunityBenefitExpense
Direct Offsetting Revenue5617437DirectOffsettingRevenue
Net Community Benefit Expense6479506NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense229949835TotalCommunityBenefitExpense
Direct Offsetting Revenue171650226DirectOffsettingRevenue
Net Community Benefit Expense58299609NetCommunityBenefitExpense
Percent Of Total Expense0.04160PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5765954TotalCommunityBenefitExpense
Direct Offsetting Revenue18436DirectOffsettingRevenue
Net Community Benefit Expense5747518NetCommunityBenefitExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense41891519TotalCommunityBenefitExpense
Direct Offsetting Revenue4792612DirectOffsettingRevenue
Net Community Benefit Expense37098907NetCommunityBenefitExpense
Percent Of Total Expense0.02640PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense11320006TotalCommunityBenefitExpense
Direct Offsetting Revenue7842238DirectOffsettingRevenue
Net Community Benefit Expense3477768NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense22740306TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense22740306NetCommunityBenefitExpense
Percent Of Total Expense0.01620PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense3187241TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3187241NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense84905026TotalCommunityBenefitExpense
Direct Offsetting Revenue12653286DirectOffsettingRevenue
Net Community Benefit Expense72251740NetCommunityBenefitExpense
Percent Of Total Expense0.05150PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense314854861TotalCommunityBenefitExpense
Direct Offsetting Revenue184303512DirectOffsettingRevenue
Net Community Benefit Expense130551349NetCommunityBenefitExpense
Percent Of Total Expense0.09310PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense17730TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense17730NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense3600TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3600NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense61206TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense61206NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense19075TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense19075NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense46503TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense46503NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense148114TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense148114NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$9,673,901BadDebtExpenseAmount
Amount Reimbursed By Medicare314411867AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare377034527CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-62622660MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities8NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (8 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospital
CPMC-PACIFIC CAMPUS HOSPITAL
12333 BUCHANAN STREETSAN FRANCISCOCA94115XXX
CPMC-CALIFORNIA WEST CAMPUS HOSPITAL
23700 CALIFORNIA STREETSAN FRANCISCOCA94118XX
CPMC-CALIFORNIA EAST CAMPUS HOSPITAL
33698 CALIFORNIA STREETSAN FRANCISCOCA94118XX
CPMC-DAVIES CAMPUS HOSPITAL
445 CASTRO STREETSAN FRANCISCOCA94114XXX
CPMC-ST LUKE'S CAMPUS HOSPITAL
53555 CESAR CHAVEZ STREETSAN FRANCISCOCA94110XXX
SUTTER MEDICAL CENTER SANTA ROSA
63325 CHANATE ROADSANTA ROSACA95404XXX
SUTTER LAKESIDE HOSPITAL
75176 HILL ROAD EASTLAKEPORTCA95463XXXX
NOVATO COMMUNITY HOSPITAL
8180 ROWLAND WAYNOVATOCA94945XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (8 entries)

Hospital Facility NumberHospitalFacilityNumber
CPMC-PACIFIC CAMPUS HOSPITAL
1
CPMC-CALIFORNIA WEST CAMPUS HOSPITAL
2
CPMC-CALIFORNIA EAST CAMPUS HOSPITAL
3
CPMC-DAVIES CAMPUS HOSPITAL
4
CPMC-ST LUKE'S CAMPUS HOSPITAL
5
SUTTER MEDICAL CENTER SANTA ROSA
6
SUTTER LAKESIDE HOSPITAL
7
NOVATO COMMUNITY HOSPITAL
8

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities23NumberOfOtherFacilities

Other Facilities OtherFacilities (23 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 100SAN FRANCISCOCA94115OUTPATIENT SERVICES-MRI
CALIFORNIA PACIFIC MEDICAL CENTER
2323 SACRAMENTO STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES-PSYCHIATRY
CALIFORNIA PACIFIC MEDICAL CENTER
1625 VAN NESS AVENUESAN FRANCISCOCA94109OUTPATIENT SERVICES - CHILD DEVELOPMENT
CALIFORNIA PACIFIC MEDICAL CENTER
1580 VALENCIA STREET SUITE 440443SAN FRANCISCOCA94110OUTPATIENT SERVICES - CHILD DEVELOPMENT
CALIFORNIA PACIFIC MEDICAL CENTER
3838 CALIFORNIA STREET SUITE 106SAN FRANCISCOCA94118OUTPATIENT SERVICES - LABORATORY/IMAGING
CALIFORNIA PACIFIC MEDICAL CENTER
101 NORTH EL CAMINO SUITE 1SAN MATEOCA94402OUTPATIENT SERVICES - HAND THERAPY
SUTTER MED CNTR SANTA ROSA-PERINATAL CNT
3327 CHANATE ROADSANTA ROSACA95404OUTPATIENT SERVICES
SMC SANTA ROSA-SPORTS & ORTHOPEDIC REHAB
4729 HOEN AVE SUITE ASANTA ROSACA95405OUTPATIENT SERVICES
TERRA LINDA HEALTH PLAZA
4000 CIVIC CENTER DRSAN RAFAELCA94903OUTPATIENT SERVICES
PHYSICAL THERAPY & SPORT FITNESS
100 ROWLAND WAY 310NOVATOCA94945OUTPATIENT SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET 4TH FLOORSAN FRANCISCOCA94115CHRONIC DIALYSIS
CALIFORNIA PACIFIC MEDICAL CENTER
2323 SACRAMENTO STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2340 CLAY STREET SUITE 114ASAN FRANCISCOCA94115OUTPATIENT SERVICES - HEART FAILURE/TRANSPLANT CLINIC
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET 6TH FLOOR SUITESAN FRANCISCOCA94115IES OUTPATIENT SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2340 CLAY STREET 4TH FLOORSAN FRANCISCOCA94115OUTPATIENT SERVICES - LIVER, PANCREAS & KIDNEY TRANSPLANT CLINIC
CALIFORNIA PACIFIC MEDICAL CENTER
2340 CLAY STREET 5TH FLOOR SUITESAN FRANCISCOCA94115OUTPATIENT SERVICES - OPHTHAMOLOGY CLINIC
CALIFORNIA PACIFIC MEDICAL CENTER
2360 CLAY STREETSAN FRANCISCOCA94115OUTPATIENT SERVICES - PT, OT & CARDIAC REHAB
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 502SAN FRANCISCOCA94115OUTPATIENT SERVICES - PULMONARY FUNCTION SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2100 WEBSTER STREET SUITE 103SAN FRANCISCOCA94115OUTPATIENT SERVICES - RAD/LAB/ULTRASOUND SERVICES
CALIFORNIA PACIFIC MEDICAL CENTER
2351 CLAY STREET SUITE 150SAN FRANCISCOCA94115OUTPATIENT SERVICES-ALS
SUTTER LAKESIDE FAMILY MEDICINE CLINIC
5176 HILL ROAD EASTLAKEPORTCA95453RURAL HEALTH CLINIC
SUTTER LAKESIDE OUTPATIENT DRAW STATION
5132 HILL ROAD EASTLAKEPORTCA95453OUTPATIENT SERVICES
SUTTER LAKESIDE UPPER LAKE COMM CLINIC
750 OLD LUCERNE ROADUPPER LAKECA95485RURAL HEALTH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, QUESTION 3CTO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 350% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S INSURER HAS NOT PROVIDED A DISCOUNT. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAN THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICE DISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDER INSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TO ADMISSION. - PROMPT PAYMENT DISCOUNT: PARTIAL WRITE-OFF AVAILABLE TO UNINSURED PATIENTS WHO PAY PROMPTLY, CONSISTING OF AT LEAST A 10% DISCOUNT FOR THOSE WHO PAY WITHIN 30 DAYS OF FINAL BILLING, OR A 20% DISCOUNT IF 50% OF THE ESTIMATED BILL IS PAID PRIOR TO DISCHARGE.
PART I, QUESTION 7COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
PART IICOMMUNITY BUILDING ACTIVITIES - COMMUNITY SUPPORT (F3) - DONATION OF MEETING SPACE FOR LOCAL NON-PROFITS @ SUTTER LAKESIDE HOSPITAL - ENABLING PATIENTS TO VOTE PROGRAM - COALITION BUILDING (F6) - PROJECT HOMELESS CONNECT - UNIVERSITY OF SAN FRANCISCO, BOARD OF TRUSTEES PARTICIPATION - COMMUNITY HEALTH IMPROVEMENT ADVOCACY (F7) - AUTISM STATE SENATE TASK FORCE PARTICIPATION - FIRST FIVE COMMISSION PARTICIPATION - SONOMA HEALTH ALLIANCE PARTICIPATION - WORKFORCE DEVELOPMENT (F8) - GALILEO HEALTH ACADEMY - CITY WITHIN SPEAKER SERIES - HIRING PARTNER WITH WORKLINK - IMMACULATE CONCEPTION ACADEMY WORK STUDY PROGRAM - JVS FOSTER YOUTH HEALTHCARE CAREER EXPLORATION PROGRAM - LIFE LEARNING ACADEMY - PACIFIC EPILEPSY PROGRAM - ST. LUKE'S SUMMER YOUTH INTERNSHIPS PROGRAM - HEALTH OCCUPATIONS CLASS - CLEAR LAKE HIGH SCHOOL - HEALTHCARE WORKFORCE DEVELOPMENT ROUNDTABLE - SANTA ROSA JUNIOR COLLEGE PHARMACY TECH PROGRAM ADVISORY COMMITTEE PARTICIPATION
PART III, QUESTION 4THE ORGANIZATION MAKES EVERY EFFORT TO QUALIFY THOSE ELIGIBLE FOR CHARITY CARE. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. 1. 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. SIGNIFICANT CONCENTRATIONS OF GROSS PATIENT ACCOUNTS RECEIVABLE ARE AS FOLLOWS: MEDICARE 28% AS OF 12/31/10 27% AS OF 12/31/09 MEDI-CAL 20% AS OF 12/31/10 20% AS OF 12/31/09 DURING 2010 AND 2009, 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 PAYORS AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT PROGRAMS WITH THIRD-PARTY PAYORS. 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. 2. 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. 3. 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 7MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. THEREFORE THE AMOUNT REFLECTED ON THE COST REPORT WILL LIKELY DIFFER FROM ACTUAL COSTS WHICH MAY BE REFLECTED IN THE COMMUNITY BENEFIT REPORT AND ON THIS FORM.
PART III, QUESTION 8COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT OF $62,622,660.
PART III, QUESTION 9BCOLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 30 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS.
NEEDS ASSESSMENT:SUTTER WEST BAY HOSPITALS PARTICIPATE IN COLLABORATIVE NEEDS ASSESSMENT PROCESSES EVERY THREE YEARS, WHICH INCLUDES QUANTITATIVE AND QUALITATIVE DATA. AVAILABLE DATA FROM STATE AND COUNTY HEALTH OFFICES IS UTILIZED AS WELL AS COMMUNITY MEMBER INPUT THROUGH VARIOUS ADVISORY BOARDS. THE NEEDS ASSESSMENTS HELP TO FOCUS COMMUNITY BENEFIT EFFORTS TOWARD THE GREATEST HEALTH RELATED NEEDS.
PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE:SUTTER WEST BAY HOSPITALS FOLLOWS A SUTTER HEALTH SYSTEMWIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW PATIENT EDUCATION FOR ELIGIBILITY ASSISTANCE. COMMUNICATION 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. NOTIFICATION 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.
COMMUNITY INFORMATION:SUTTER WEST BAY HOSPITALS SERVES A DIVERSE GEOGRAPHICAL AREA SERVING BOTH URBAN AND RURAL AREAS. THE SERVICE AREA INCLUDES SAN FRANCISCO, THE EIGHTH DENSEST CITY IN THE UNITED STATES AND ALSO ONE OF THE MOST ETHNICALLY DIVERSE IN THE WORLD. IT ALSO INCLUDES LAKE COUNTY, A RURAL AREA WITH POCKETS OF IMPOVERISHED COMMUNITY MEMBERS, WHICH MAKES IT ONE OF THE 25 MOST IMPOVERISHED COUNTIES IN THE STATE. SUTTER WEST BAY HOSPITALS ALSO PROVIDES HEALTH CARE TO SONOMA AND MARIN COUNTIES, A MIX OF RURAL AND URBAN COMMUNITIES INCLUDING AREAS WHERE RESIDENTS FACE PARTICULAR CHALLENGES IN ACCESSING HEALTH CARE, BOTH GEOGRAPHICALLY AND SOCIOECONOMICALLY.
PROMOTION OF COMMUNITY HEALTH:SUTTER HEALTH'S MISSION READS: WE 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 CARE FACILITIES. OUR AFFILIATES FURTHER THEIR TAX EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST THROUGH 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 - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS EXAMPLES OF SUTTER WEST BAY HOSPITALS' SPECIFIC ACTIVITIES INCLUDE: - SAN FRANCISCO COUNTY: - PARTICIPATION IN HEALTHY SAN FRANCISCO, A HEALTH ACCESS PROGRAM FOR THE UNINSURED IN SAN FRANCISCO COUNTY - ST. LUKE'S HEALTH CARE CENTER AND HEALTH FIRST, CENTER AND PROGRAM FOCUSED ON REDUCING HEALTH DISPARITIES IN ADULT DIABETES AND PEDIATRIC ASTHMA - AFRICAN AMERICAN BREAST HEALTH AND SISTER-TO-SISTER BREAST HEALTH PROGRAMS AIMED AT REDUCING BREAST HEALTH DISPARITIES IN UNDERSERVED COMMUNITIES - KALMANOVITZ CHILD DEVELOPMENT CENTER, OFFERING MULTIDISCIPLINARY ASSESSMENT AND TREATMENT PROGRAMS TO HELP CHILDREN WITH SPECIAL NEEDS MEET THEIR POTENTIAL, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES - TRAINING PROGRAMS FOR PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS - COLLABORATION AND PARTNERSHIP WITH COMMUNITY-BASED PROGRAMS SUCH AS THE LIONS EYE FOUNDATION, SAN FRANCISCO PROJECT HOMELESS CONNECT, OPERATION ACCESS, AND THE HEP B FREE CAMPAIGN - LAKE COUNTY - MEDICAL CARE THROUGH A MOBILE HEALTH SERVICES UNIT SERVING THE UNDERSERVED IN REMOTE AREAS OF LAKE COUNTY - FREE MAMMOGRAMS FOR UNDERSERVED PATIENTS THROUGH THE MEDICAL IMAGING DEPARTMENT - CLINICAL TRAINING PROGRAMS FOR NURSES AND OTHER HEALTH PROFESSIONALS - MARIN COUNTY - HEALTH EXPRESS TRANSPORTATION TO MEDICAL APPOINTMENTS FOR SENIORS - ROTACARE CLINIC FOR THE UNINSURED - COMMUNITY DIABETES PROJECT FOCUSED ON PREVENTING TYPE 2 DIABETES IN AT-RISK YOUTHS - PARTICIPATION IN TEENS AND LEADERS CONNECT, A PROGRAM CONNECTING YOUTH AND COMMUNITY LEADERS THROUGH MENTORING RELATIONSHIPS - NOVATO YOUTH PARTNERSHIP, PROVIDING EPISODIC CARE FOR UNINSURED CHILDREN IN THE NOVATO UNIFIED SCHOOL DISTRICT - KALMANOVITZ CHILD DEVELOPMENT CENTER, MARIN COUNTY SATELLITE - SONOMA COUNTY - TRANSPORTATION TO MEDICAL APPOINTMENTS FOR INDIGENT PATIENTS AND THEIR FAMILIES - PARTICIPATION IN THE HEALTHY KIDS OF SONOMA PROGRAM - HEALTHCARE WORKFORCE DEVELOPMENT ROUNDTABLE/SUMMER CAREER INSTITUTE TO PROVIDE EXPOSURE TO AND PROMOTE CAREERS IN HEALTH CARE FOR UNDERSERVED YOUTH - FAMILY MEDICINE RESIDENCY PROGRAM AND PROFESSIONAL TRAINING/PRECEPTORSHIPS FOR OTHER HEALTH PROFESSIONALS - PARTICIPATION IN THE SONOMA COUNTY FLU CONSORTIUM TO PROVIDE FREE FLU VACCINES TO COMMUNITY - FREE CAFETERIA MEALS FOR INDIGENT PATIENTS AND FAMILIES, LOW-INCOME BREAST-FEEDING MOTHERS OF PEDIATRIC PATIENTS, ETC. - FREE PRESCRIPTION MEDICATIONS FOR INDIGENT PATIENTS - PARTICIPATION IN ANNUAL LATINO HEALTH FORUM - PARTICIPATION BY HOSPITAL LEADERS IN LOCAL NON-PROFIT BOARDS AND COMMITTEES (E.G., AMERICAN HEART ASSOCIATION, AMERICA RED CROSS, CENTER FOR WELL BEING, SANTA ROSA JUNIOR COLLEGE TECH PROGRAM) - DONATIONS OF MEDICATIONS TO THIRD WORLD COUNTRIES - ALL WEST BAY REGION COUNTIES - PARTICIPATION IN LOCAL COMMUNITY HEALTH COLLABORATIVE TO DETERMINE COMMUNITY HEALTH NEEDS - CASH SPONSORSHIPS FOR COMMUNITY ORGANIZATIONS AND THEIR EVENTS - HEALTH EDUCATION MATERIALS AND CLASSES FOR THE COMMUNITY - DONATION OF MEETING SPACE TO COMMUNITY ORGANIZATIONS
AFFILIATED HEALTH CARE SYSTEM:SUTTER WEST BAY HOSPITALS IS PART OF SUTTER HEALTH, A NOT-FOR-PROFIT SYSTEM OF PHYSICIANS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS. SERVING PATIENTS AND THEIR FAMILIES IN MORE THAN 100 NORTHERN CALIFORNIA CITIES AND TOWNS, SUTTER HEALTH AFFILIATES JOIN RESOURCES AND SHARE EXPERTISE TO ADVANCE HEALTH CARE QUALITY AND ACCESS. SUTTER-AFFILIATED HOSPITALS ARE REGIONAL LEADERS IN CARDIAC CARE, WOMEN'S AND CHILDREN'S SERVICES, CANCER CARE, ORTHOPEDICS, AND ADVANCED PATIENT SAFETY TECHNOLOGY. SUTTER HEALTH HOSPITALS PLAN AND DELIVER COMMUNITY BENEFIT SERVICES LOCALLY WITH A FOCUS ON COLLABORATING WITHIN THEIR COMMUNITY TO MEET IDENTIFIED NEEDS. IN 2010, SUTTER HEALTH AFFILIATES PROVIDED $751 MILLION IN SERVICES TO THE POOR* AND BROADER COMMUNITY**. SUTTER HEALTH FOLLOWS THE NATIONAL STANDARDS FOR COMMUNITY BENEFIT REPORTING AS OUTLINED IN CHA'S A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT 2008. * 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.
STATE FILING OF COMMUNITY BENEFIT REPORTCA,990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (48 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
100 MONTGOMERY STSAN FRANCISCOCA94104135613797501(C)(3)20000GENERAL DONATION
APA FAMILY SERVICES
657 JACKSON STSAN FRANCISCOCA94133943164091501(C)(3)25750GENERAL DONATION
ASIAN & PACIFIC ISLANDER WELLNESS CENTER
730 POLK STSAN FRANCISCOCA94109942897258501(C)(3)27500GENERAL DONATION
ASIAN WEEK FOUNDATION
564 MARKET ST 320SAN FRANCISCOCA94104201719535501(C)(3)40000GENERAL DONATION
BAYVIEW HUNTER'S POINT MULTIPURPOSE SR SVCS
1706 YOSEMITESAN FRANCISCOCA94124948264774501(C)(3)43000GENERAL DONATION
CHINESE AMERICAN VOTERS
838 GRANT STSAN FRANCISCOCA94108942502267501(C)(3)14000GENERAL DONATION
CLINIC BY THE BAY
4877 MISSION STSAN FRANCISCOCA94112262593712501(C)(3)25000GENERAL DONATION
COMMUNITY CENTER PROJECT OF SAN FRANCISCO
1800 MARKET STSAN FRANCISCOCA94102943236718501(C)(3)15000GENERAL DONATION
COMMUNITY CHAPLAINCY INC
PO BOX 38631SACRAMENTOCA95838200241444501(C)(3)10000GENERAL DONATION
COMMUNITY INITIATIVES
354 PINE STSAN FRANCISCOCA94104943255070501(C)(3)8000GENERAL DONATION
CURRY SENIOR CENTER
333 TURK STSAN FRANCISCOCA94102237362588501(C)(3)20000GENERAL DONATION
EPISCOPAL CHARITIES
1055 TAYLOR STSAN FRANCISCOCA94108943345498501(C)(3)25000GENERAL DONATION
GLIDE
330 ELLIS STSAN FRANCISCOCA94112362167731501(C)(3)10000GENERAL DONATION
HOSPITAL COUNCIL OF CENTRAL AND NORTHERN CA
1625 E SHAW AVEFRESNOCA93710861174825501(C)(3)59000GENERAL DONATION
INSTITUTO LABORAL DE LA RAZA
2947 16TH STSAN FRANCISCOCA94103942890401501(C)(3)12000GENERAL DONATION
KIMOCHI
1715 BUCHANAN STSAN FRANCISCOCA94115237117402501(C)(3)25000GENERAL DONATION
LAGUNA HONDA HOSPITAL
731 B LIGGETT AVESAN FRANCISCOCA94129946065339501(C)(3)27500GENERAL DONATION
LATINA BREAST CANCER AGENCY
6 MONTEREY BLVDSAN FRANCISCOCA94131010628124501(C)(3)35000GENERAL DONATION
LIONS EYE FOUNDATON
PO BOX 7999SAN FRANCISCOCA94120941676055501(C)(3)15400GENERAL DONATION
LIVABLE CITY
995 MARKET ST 1550SAN FRANCISCOCA94103943350190501(C)(3)10000GENERAL DONATION
MARCH OF DIMES
1050 SANSOME STSAN FRANCISCOCA94111131846366501(C)(3)27000GENERAL DONATION
MISSION NEIGHBORHOOD CENTER
240 SHOTWELL STSAN FRANCISCOCA94131941408150501(C)(3)10000GENERAL DONATION
NAACP
1290 FILLMORE STSAN FRANCISCOCA94115237177411501(C)(3)20000GENERAL DONATION
PATIENT ASSISTANCE FOUNDATION
2100 WEBSTER STSAN FRANCISCOCA94115943096109501(C)(3)500000GENERAL DONATION
SAN FRANCISCO CLINIC CONSORTIUM
1550 BRYANT STSAN FRANCISCOCA94103942897258501(C)(3)14000GENERAL DONATION
SAN FRANCISCO CLINIC CONSORTIUM
1550 BRYANT STSAN FRANCISCOCA94103134317995501(C)(3)9000GENERAL DONATION
SAN FRANCISCO FOOD BANK
900 PENNSYLVANIASAN FRANCISCOCA94107943041517501(C)(3)17500GENERAL DONATION
SAN FRANCISCO INTERFAITH COUNCIL
PO BOX 29055SAN FRANCISCOCA94129943152098501(C)(3)10000GENERAL DONATION
SAN FRANCISCO SENIOR CENTER
890 BEACH STSAN FRANCISCOCA94109941212136501(C)(3)60000GENERAL DONATION
SELF HELP FOR THE ELDERLY
407 SANSOME STSAN FRANCISCOCA94118941750717501(C)(3)10000GENERAL DONATION
SF CHAMBER OF COMMERCE
235 MONTGOMERY STSAN FRANCISCOCA94104940834950501(C)(6)10000GENERAL DONATION
SF PROJECT HOMELESS CONNECT
25 VAN NESS 340SAN FRANCISCOCA94102204331462501(C)(3)10000GENERAL DONATION
SOUTH OF MARKET HEALTH CENTER
551 MINNA STSAN FRANCISCOCA94103237304921501(C)(3)31906GENERAL DONATION
SPUR
654 MISSION STSAN FRANCISCOCA94105942502267501(C)(3)10000GENERAL DONATION
ST ANTHONY'S FOUNDATION
150 GOLDEN GATE AVESAN FRANCISCOCA94102941513140501(C)(3)90000GENERAL DONATION
TENDERLOIN NEIGHBORHOOD DEVELOPMENT CORP
201 EDDY STSAN FRANCISCOCA94102942761808501(C)(3)10000GENERAL DONATION
UC BERKELEY SCHOOL OF PUBLIC HEALTH
417 UNIVERSITY HALLBERKELEYCA94720946090626501(C)(3)50000GENERAL DONATION
UNITED WAY
1208 MASON STSAN FRANCISCOCA94108941312348501(C)(3)8000GENERAL DONATION
WOMEN'S COMMUNITY CLINIC
2166 HAYES ST 104SAN FRANCISCOCA94117943213100501(C)(3)65000GENERAL DONATION
HEALTHY MARIN PARTNERSHIP
99 MONTECILLO RDSAN RAFAELCA94903941312348501(C)(3)25000GENERAL DONATION
HOMEWARD BOUND OF MARIN
1385 HAMILTON PKYNOVATOCA94949680011405501(C)(3)7167GENERAL DONATION
ROTACARE CLINIC OF SAN RAFAEL
PO BOX 6316SAN RAFAELCA94903770328723501(C)(3)10000GENERAL DONATION
AMERICAN HEART ASSOCIATION
1400 N DUTTON AVESANTA ROSACA95401135613797501(C)(3)12500GENERAL DONATION
NORTHERN CALIFORNIA CENTER FOR WELL-BEING
365 TESCONI CIRCLESANTA ROSACA95401931144835501(C)(3)50000GENERAL DONATION
SONOMA COUNTY DEPT OF HEALTH
3313 CHANATE RDSANTA ROSACA95404946000539501(C)(3)50000GENERAL DONATION
SANTA ROSA MEMORIAL HOSPITAL
1164 MONTGOMERY DRSANTA ROSACA95402941231005501(C)(3)18750GENERAL DONATION
SOUTHWEST COMMUNITY HEALTH CENTERS
3569 ROUND BARN CIRCLESANTA ROSACA95403680365296501(C)(3)6400GENERAL DONATION
MENDOCINO LAKE COMMUNITY COLLEGE
1000 HENSLEY CREEK RDUKIAHCA95482946002711501(C)(3)20000GENERAL DONATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants48TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferencePART I, QUESTION 2ReturnReference
ExplanationCOMMUNITY HEALTH PROGRAM GRANTEES SIGN A CONTRACT WITH 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

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JACK BAILEY
11154001485820637762000206620918546000
TONI BRAYER MD
0423512015176701565015750801667407510260152905
MARTIN BROTMAN MD
015176940100640001183001734000017747042876710667161
WARREN BROWNER MD
053194702281950101500427558015304012131540161566
GRANT DAVIES
0453400016498406008016863601677308098010130427
MICHAEL DUNCHEON
022010504191103418075667011040035214100
PAT FRY
014505760123395001511002058620030292047885480973771
JOHN GATES
0507458017217004853003869820129550112809500
LINDA ISAACS
02871510110600051810112702064140522048081148
ALLAN PONT MD
04284840832360702609304105825061761200
CHRISTOPHER WILLRICH
03104050112420046101138580165270553671082623
SEAN TOWNSEND
253847042485007324404280165610768930000
STEVEN CUMMINGS
4520770378990237604280264930519273000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELEVANT INFORMATION REGARDING COMPENSATION ITEMSPART I, QUESTION 1ADISCRETIONARY SPENDING ACCOUNT: EXECUTIVES AND KEY EMPLOYEES PAID BY SUTTER WEST BAY HOSPITALS (FKA CPMC) RECEIVE UP TO $12,000 PER YEAR IN NON-ACCOUNTABLE DOLLARS THAT ARE ADDED TO THEIR COMPENSATION AS TAXABLE WAGES. HOUSING ALLOWANCE: NEW EMPLOYEES RELOCATING FROM OUT OF THE AREA MAY RECEIVE TEMPORARY HOUSING BENEFITS WHICH ARE ADDED TO THEIR COMPENSATION AS TAXABLE WAGES. FIRST-CLASS TRAVEL: OFFICERS PAID BY SUTTER HEALTH MAY UPGRADE TO FIRST-CLASS TRAVEL FOR FLIGHTS GREATER THAN FOUR HOURS IN DURATION. TRAVEL FOR COMPANIONS: OFFICERS AND KEY EMPLOYEES PAID BY SUTTER HEALTH ARE ELIGIBLE TO BRING A COMPANION ON ONE BUSINESS TRIP PER CALENDAR YEAR AND HAVE THE COST OF THE AIRFARE AND MEALS PAID FOR BY SUTTER HEALTH. THE COST IS ADDED TO EMPLOYEE'S 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.
SUPPLEMENTAL COMPENSATION INFORMATIONPART I, QUESTION 3THE CEO OF THE ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH. 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.
SEVERANCE PAYMENTSPART I, QUESTION 4ANAME: JACK BAILEY PAYMENT: $577,240
NONQUALIFIED RETIREMENT PLANPART I, QUESTION 4BTHE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE ADDITIONAL DEFERRED COMPENSATION BENEFITS TO THE PARTICIPANTS, WHO ARE MEMBERS OF A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES, BY PROVIDING FOR THE PAYMENT OF DEFERRED COMPENSATION AFTER THE COMPLETION OF THE SPECIFIED NUMBER OF YEARS OF SERVICE. ANNUALLY, SUTTER HEALTH MAKES A CONTRIBUTION TO EACH PARTICIPANT'S ACCOUNT BASED ON 4% OF BASE PAY. THERE IS AN ADDITIONAL CONTRIBUTION FOR EXECUTIVES WHOSE PENSION ELIGIBLE EARNINGS WERE GREATER THAN THE PENSION PAY CAP IN THE PREVIOUS YEAR. THE CALCULATION IS AS FOLLOWS: * PENSION ELIGIBLE EARNINGS * LESS PENSION PAYCAP AMOUNT * TIMES A SPECIFIC % BASED ON YEARS OF SERVICE THE PENSION RESTORATION PLAN IS DESIGNED TO HELP MAXIMIZE EACH PARTICIPANT'S RETIREMENT POTENTIAL BY PROVIDING A TARGETED BENEFIT THAT, ALONG WITH EACH PARTICIPANT'S OTHER RETIREMENT INCOME, PROVIDES: * 65% OF FINAL 4-YEAR AVERAGE SALARY IF PARTICIPANT RETIRES AT AGE 65 WITH 22.5 YEARS OF SERVICE. * 50% OF FINAL 4-YEAR AVERAGE SALARY IF PARTICIPANT RETIRES AT AGE 65 WITH 15 YEARS OF SERVICE. SINCE IT IS A TARGETED BENEFIT, ANNUAL CONTRIBUTION AMOUNTS VARY BASED ON ASSUMPTIONS MADE TAKING INTO ACCOUNT EACH PARTICIPANTS' AGE, YEARS OF SERVICE, AND OTHER RETIREMENT ACCOUNT BALANCES. NAME AND AMOUNT FOR 2010: MARTIN BROTMAN MD $1,370,936 WARREN BROWNER MD $231,800 JOHN GATES $267,700 PAT FRY $1,127,856 GRANT DAVIES $29,500 TONI BRAYER $26,900 LINDA ISAACS $19,200 CHRISTOPHER WILLRICH $19,600
NON-FIXED PAYMENTSPART I, QUESTION 7SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLAN (LTPP) Sutter Health also employs long term performance plans which are designed to focus on longer term strategic objectives of the organization. Sutters 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 Healths overall Mission, Vision, and Values, Sutters long term incentive plan approach also incorporates a CEO discretionary component. This unique feature allows the President & CEO the ability 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 and are reviewed by the Compensation Committee.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CHFFA 2007A
52164382813033FQ372007-05-01153078860CONSTRUCT & EQUIP FACILITYfalsefalsefalse
CHFFA 2008A
52164382813033F2L32008-05-1455943275REFUNDING - 5/1/07falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetired
165813667129506071269703482011falsefalsetruetrue
55943275truefalsetruetrue10342803

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruefalsetrue0.039400.000000.03940true
0.003700.000000.00370true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsetruefalse
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSEE SCHEDULE OIdentifier

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DAMIAN AUGUSTYN MD
DIRECTOR155412SEE PART Vfalse
DAMIAN AUGUSTYN MD
DIRECTOR435445SEE PART Vfalse
MARTIN BROTMAN MD
DIRECTOR155412SEE PART Vfalse
MARTIN BROTMAN MD
DIRECTOR435445SEE PART Vfalse
MARTIN BROTMAN MD
DIRECTOR45967SEE PART Vfalse
JORDAN HOROWITZ MD
DIRECTOR148503SEE PART Vfalse
TERRI SLAGLE
DIRECTOR1778986SEE PART Vfalse
ROY EISENHARDT
DIRECTOR6310855SEE PART Vfalse
JAMES PALLESCHI MD
DIRECTOR237420SEE PART Vfalse
STEVEN LEVENBERG DO
DIRECTOR237420SEE PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationDAMIAN AUGUSTYN, MD, DIRECTOR & CHIEF OF STAFF OF SUTTER WEST BAY HOSPITALS (SWBH), WAS ALSO A SHAREHOLDER OF PACIFIC INTERNAL MEDICINE ASSOCIATES (PIMA). DURING THE YEAR, PIMA PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. DAMIAN AUGUSTYN, MD, DIRECTOR & CHIEF OF STAFF OF SUTTER WEST BAY HOSPITALS (SWBH), WAS ALSO A GENERAL PARTNER AND BOARD MEMBER OF PANMED PROPERTIES, LLP. DURING THE YEAR, SWBH OWNED 5.48% IN PANMED WHO PROVIDED RENTAL SERVICES TO SWBH. MARTIN BROTMAN, MD, DIRECTOR & PRESIDENT/CEO OF SUTTER WEST BAY HOSPITALS (SWBH), WAS ALSO A SHAREHOLDER OF PACIFIC INTERNAL MEDICINE ASSOCIATES (PIMA). DURING THE YEAR, PIMA PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. MARTIN BROTMAN, MD, DIRECTOR & PRESIDENT/CEO OF SUTTER WEST BAY HOSPITALS (SWBH), WAS ALSO A GENERAL PARTNER AND BOARD MEMBER OF PANMED PROPERTIES, LLP. DURING THE YEAR, SWBH OWNED 5.48% IN PANMED WHO PROVIDED RENTAL SERVICES TO SWBH. MARTIN BROTMAN, MD, DIRECTOR & PRESIDENT/CEO OF SUTTER WEST BAY HOSPITALS (SWBH), HAS A SON WHO WORKED AS A LICENSED STAFF CHILDCARE WORKER IN SWBH'S CHILD DEVELOPMENT CENTER. JORDAN HOROWITZ, MD, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH) WAS ALSO A SHAREHOLDER PHYSICIAN IN CALIFORNIA PACIFIC MEDICAL GROUP (CPMG). DURING THE YEAR, CPMG PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. TERRI SLAGLE, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH) WAS ALSO A SHAREHOLDER PHYSICIAN OF PEDIATRIX MEDICAL GROUP. DURING THE YEAR, PEDIATRIX MEDICAL GROUP PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT. ROY EISENHARDT, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH) IS A PARTIAL OWNER OF PROPERTY THAT IS RENTED TO SWBH. JAMES PALLESCHI, MD, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH) WAS ALSO A SHAREHOLDER PHYSICIAN IN SUTTER MEDICAL GROUP OF THE REDWOODS (SMGR). DURING THE YEAR, SMGR PROVIDED SERVICES ENTERED INTO VIA AN ARMS-LENGTH AGREEMENT. STEVEN LEVENBERG DO, DIRECTOR OF SUTTER WEST BAY HOSPITALS (SWBH) WAS ALSO PRESIDENT AND SHAREHOLDER PHYSICIAN IN SUTTER MEDICAL GROUP OF THE REDWOODS. DURING THE YEAR, SMGR PROVIDED SERVICES TO SWBH VIA AN ARMS-LENGTH AGREEMENT.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MISSION STATEMENTFORM 990, PART I, LINE 1 AND PART III, LINE 1WE ENHANCE THE WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO COMPASSION, EXCELLENCE, INNOVATION AND A FULL CONTINUM OF HEALTH CARE SERVICES.
EXEMPT PURPOSE ACHIEVEMENTSFORM 990, PART III, LINE 4AGENERAL 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 THE MEDICAL CENTER'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 HEALTH, A NOT-FOR-PROFIT NETWORK OF DOCTORS, HOSPITALS, AND OTHER HEALTHCARE SERVICE PROVIDERS. NOVATO FACILITY IS LOCATED AT 180 ROWLAND WAY AND IS A 47-BED ACUTE CARE HOSPITAL NOTED FOR ITS TECHNOLOGY AND PERSONALIZED CARE IN A BEAUTIFUL SETTING, WHICH IS CONDUCIVE TO HEALING. 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) WAS FOUNDED IN 1945 AS A 30-BED PRIVATE FACILITY CALLED LAKESIDE COMMUNITY HOSPITAL. THE HOSPITAL WAS DONATED TO THE COMMUNITY IN 1966 AND A NON-PROFIT CORPORATION WAS FORMED. IN 1992, THE HOSPITAL AFFILIATED WITH SUTTER HEALTH AND CHANGED ITS NAME TO SUTTER LAKESIDE HOSPITAL. LAKESIDE IS A 25-BED CRITICAL ACCESS HOSPITAL. IT IS LOCATED IN RURAL LAKEPORT, CALIFORNIA AND IS ONE OF ONLY TWO HOSPITALS THAT SERVE THE 64,000 RESIDENTS OF LAKE COUNTY. IT PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; SURGICAL SERVICES; PREVENTIVE CARE; AND HEALTH EDUCATION. 2010 PATIENT ACTIVITY TOTAL ACUTE CARE DISCHARGES (INC. PSYCH, REHAB) 39,048 ER VISITS: IP (ADMITTED) 18,482 OP (DISCHARGED FROM ER) 120,878 TOTAL ER VISITS 139,360 DELIVERIES 8,404 TRANSPLANTS 298 SNF DISCHARGES 2,008 ALZHEIMER'S DISCHARGES 12 SUBACUTE DISCHARGES 101 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, LIVER/PANCREAS) - FORBES NORRIS MDA/ALDS CENTER - HAND CLINIC - HOSPITALIST PROGRAM - INSTITUTE FOR HEALTH AND HEALING - IRENE SWINDELLS ALZHEIMER'S RESIDENTIAL CARE CENTER - LION'S EYE CLINIC - MUSCULAR DYSTROPHY ASSOCIATION NEUROMUSCULAR CLINIC - PACIFIC VISION FOUNDATION - PALLIATIVE CARE PROGRAM - PEDIATRIC SPECIALTY SERVICES - REHABILITATION SERVICES (ACUTE AND OUTPATIENT) - SIBLING CENTER - SMITH KETTLEWELL EYE RESEARCH INSTITUTE (THEY ARE INDEPENDENT OF CPMC.) - SUB-ACUTE CARE PROGRAM - TELEMEDICINE SERVICE (STROKE) - VISITING NURSES AND HOSPICE OF SAN FRANCISCO - WHITNEY NEWBORN ICU FOLLOW-UP CLINIC - WOMEN'S HEALTH RESOURCE CENTER - WOMEN'S SERVICES CLINICAL SERVICE OFFERINGS INCLUDE: - AIDS & HIV SERVICES - ALZHEIMER'S - ARTHRITIS - BARIATRIC SURGERY SERVICES - CANCER SERVICES - CARDIOVASCULAR SERVICES - CLINICAL LABORATORY - COMPLEMENTARY MEDICINE - COMPREHENSIVE STROKE SERVICES - CRITICAL CARE SERVICES - DIABETES SERVICES (ADULT & PEDIATRIC) - DIAGNOSTIC SERVICES/LABORATORIES - DIALYSIS SERVICES - EMERGENCY SERVICES - EPILEPSY - GASTROENTEROLOGY DISEASE SERVICES - HOME HEALTH & HOSPICE - INTERVENTIONAL ENDOSCOPY SERVICES - KALMONOVITZ CHILD DEVELOPMENT CENTERS - MEDICAL TRANSPORT SERVICES - MICROSURGERY AND LIMB SALVAGE SERVICES - NEONATAL INTENSIVE CARE - NEUROLOGY - NEURO-ONCOLOGY SURGERY - NUCLEAR MEDICINE - NUTRITION AND WEIGHT MANAGEMENT - OBSTETRICS & GYNECOLOGY - OCCUPATIONAL HEALTH - OPHTHALMOLOGY - ORGAN TRANSPLANTATION - ORTHOPEDICS - OTOLARYNGOLOGY - OUTPATIENT CLINICS & SERVICES - PATHOLOGY - PEDIATRIC EMERGENCY DEPARTMENT - PEDIATRIC SERVICES/PROGRAMS - PERIOPERATIVE SERVICES (OR AND POST-ANESTHESIA RECOVERY UNIT) - PHARMACY - PHYSICAL MEDICINE & REHABILITATION SERVICES - PSYCHIATRY - RADIOLOGY & DIAGNOSTIC IMAGING - RESPIRATORY CARE - RESIDENCY TRAINING AND FELLOWSHIP PROGRAMS - SURGICAL SERVICES/AMBULATORY SURGERY - URGENT CARE CENTER - VENTRICULAR ASSIST DEVICE (VAD) PROGRAM - WOMEN'S HEALTH PROGRAMS - WOUND CARE NON-CLINICAL SERVICES INCLUDE: - ADMINISTRATIVE SERVICES - CHAPLAINCY SERVICES - CHARITY CARE PROGRAM - COMMUNITY HEALTH RESOURCE CENTER - CONTINUING MEDICAL EDUCATION - INTERPRETER SERVICES - PATIENT SERVICES - RESEARCH INSTITUTE - SURGICAL TRAINING CENTER - VOLUNTEER SERVICES - WEB NURSERY - CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION - NOVATO COMMUNITY HOSPITAL DEVELOPMENT OFFICE - SUTTER LAKESIDE FOUNDATION
EXEMPT PURPOSE ACHIEVEMENTSFORM 990, PART III, LINE 4ACOMMUNITY BENEFITS THE FOUR MEDICAL CENTERS IN SUTTER WEST BAY HOSPITALS 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. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IN 2010, CPMC PROVIDED A TOTAL OF $161.2 MILLION IN COMMUNITY BENEFITS: $100.4 MILLION IN THE COSTS OF SERVICES AND CASH TO THE POOR AND UNDERSERVED IN SAN FRANCISCO; AND, $60.8 MILLION FOR THE COSTS OF SERVICES AND CASH TO THE BROADER COMMUNITY. 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. YEAR 2010 IS THE LAST YEAR OF THE TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT FOR THE 2008-2010 PERIOD. THE CONSORTIUM IDENTIFIED THREE 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) - HEALTH FIRST: A CENTER FOR PREVENTION AND EDUCATION (CHRONIC DISEASE MANAGEMENT) 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) 3. 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 TO AT-RISK CHILDREN SUTTER MEDICAL CENTER OF SANTA ROSA (SMCSR) SMCSR SERVES SONOMA COUNTY, AS WELL AS OTHER COUNTIES IN THE NORTH BAY. IN 2010, SMCSR PROVIDED A TOTAL OF $19.5 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS: $11.1 MILLION IN THE COSTS OF SERVICES AND CASH TO THE POOR AND UNDERSERVED IN SONOMA COUNTY AND $8.4 MILLION IN COSTS OF SERVICES 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. OVER 35% 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 SMCSR'S HEALTHCARE WORKFORCE DEVELOPMENT PROGRAM IS DESIGNED TO ENHANCE FUTURE WORKFORCE DIVERSITY BY PROVIDING INTERNSHIP OPPORTUNITIES FOR HIGH SCHOOL STUDENTS THROUGH A COLLABORATION WITH LOCAL HEALTHCARE AND EDUCATION PARTNERS. THE SUMMER HEALTH CAREER INSTITUTE IS LOCATED AT SANTA ROSA COMMUNITY 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 2010, NOVATO PROVIDED A TOTAL OF $6.7 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS: $6.6 MILLION IN HEALTHCARE COSTS OF SERVICES AND CASH TO THE POOR AND UNDERSERVED IN SONOMA COUNTY AND $101,000 IN COSTS OF SERVICES AND CASH TO THE BROADER COMMUNITY. 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 2010: 1. IMPROVING ACCESS TO CARE FOR THE UNDERSERVED, DISABLED, UNINSURED, AND UNDERINSURED. 2. INTERVENING IN CHILDHOOD OBESITY WITH DIABETES PREVENTION AMONG YOUTH AGED 10 TO 14. 3. PROVIDING EXPERTISE AND LEADERSHIP IN PLANNING COMMUNITY DISASTER RESPONSE. SUTTER LAKESIDE HOSPITAL (LAKESIDE) IN 2010, LAKESIDE PROVIDED A TOTAL OF $8.1 MILLION IN QUANTIFIABLE COMMUNITY BENEFITS: $7.8 MILLION IN HEALTHCARE SERVICES AND CASH FOR THE POOR AND UNDERSERVED AND $275,000 IN THE COSTS OF SERVICES AND CASH FOR PROGRAMS SERVING 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 SPONSORING AND FUNDING PROGRAMS THAT PROVIDE FREE PREVENTIVE CARE SCREENINGS AND TESTS, SUCH AS MAMMOGRAMS, SEASONAL AND H1N1 FLU VACCINATIONS.
EXEMPT PURPOSE ACHIEVEMENTSFORM 990, PART III, LINE 4ACPMC RESEARCH INSTITUTE THE CALIFORNIA PACIFIC MEDICAL CENTER AND ITS RESEARCH INSTITUTE (CPMCRI) HAVE MADE A MAJOR COMMITMENT OF SPACE AND FUNDING TO ENHANCE ITS RESEARCH PROGRAMS. CPMC NOW RANKS IN THE TOP 25 OF ALL INDEPENDENT MEDICAL CENTERS IN THE US IN NATIONAL INSITUTE OF HEALTH (NIH) 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. TWO YEARS AGO CPMCRI DEVELOPED A 42,000 SQUARE FOOT LAB FACILITY IN THE CHINA BASIN AREA OF SAN FRANCISCO, AND RECENTLY ADDED AN ADDITIONAL 19,000 S.F. AT THAT FACILITY TO PROVIDE SPACE TO RECRUIT ADDITIONAL SCIENTISTS AND TO HOLD ADVANCED TRAINING IN SURGERY. 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. MIND-BODY MEDICINE RESEARCHERS IN THE BEHAVIORAL SCIENCES AT CALIFORNIA PACIFIC HAVE BEEN MAKING GREAT STRIDES IN UNDERSTANDING SOME OF THE BASICS OF THE MIND-BODY CONNECTION. THEIR STUDIES HAVE DEMONSTRATED THE EFFECTIVENESS OF BEHAVIORAL INTERVENTIONS INCLUDING COUNSELING, GUIDED IMAGERY, YOGA AND MEDITATION, AND GROUP THERAPY IN THE TREATMENT OF BREAST CANCER. UNDERSTANDING THE IMPACT OF ILLNESS ON HUMANS, PATIENTS AND THEIR FAMILIES, AS WELL AS HOW PERSONAL ATTITUDES AND PSYCHOSOCIAL ATTRIBUTES INFLUENCE THE COURSE OF DISEASE ARE IMPORTANT OUTCOMES OF THESE RESEARCHERS. CLOSE TIES WITH THE INSTITUTE FOR HEALTH AND HEALING AND THE HEALTH AND HEALING CLINIC AT CALIFORNIA PACIFIC MEDICAL CENTER PROVIDE SCIENTISTS WITH THE OPPORTUNITY TO CONDUCT RIGOROUS TRIALS EVALUATING A VARIETY OF COMPLEMENTARY APPROACHES. AMONG THE PRACTICES STUDIED ARE REMOTE HEALING FOR PERSONS WITH AIDS, TIBETAN AND CHINESE HERBAL THERAPY FOR BREAST CANCER, AND THE USE OF JIN SHIN JYTSU AS AN ADJUVANT THERAPY FOR ICU PATIENTS. "CRCLE" THE CENTER FOR RESEARCH IN CLINICAL EXCELLENCE (CRCLE) IS A PROGRAM DEDICATED TO PERFORMING CLINICAL RESEARCH AND DATA COLLECTION TO MEASURE AND IMPROVE THE QUALITY OF HEALTH CARE AT CPMC. CRCLE IS MODELED AFTER SUCCESSFUL PROGRAMS AT PREMIER INSTITUTIONS NATIONWIDE, INCLUDING THE ROCHESTER EPIDEMIOLOGY PROJECT AT THE MAYO CLINIC. CRCLE GOES ONE STEP BEYOND THESE PROGRAMS, HOWEVER, BY UTILIZING COLLECTED DATA TO ENHANCE THE CLINICAL ACTIVITIES OF SELECT CLINICAL SERVICE LINES AT CPMC, SUCH AS BREAST HEALTH AND RENAL TRANSPLANT. THE ACRONYM CRCLE SUGGEST A SYSTEM WHOSE COMPONENTS ARE INTERRELATED AND INTERDEPENDENT. WITHIN THE CENTERS FOR RESEARCH IN CLINICAL EXCELLENCE (CRCLE) AT CALIFORNIA PACIFIC, THE ACRONYM STANDS FOR A PROGRAM IN WHICH RESEARCHERS AND CLINICIANS WORK TOGETHER TO SEARCH FOR CLUES IN PATIENTS' MEDICAL HISTORIES, DIAGNOSTIC STUDIES, AND RESPONSES TO TREATMENT THAT CAN BE USED TO IMPROVE CARE. PHYSICIAN-INVESTIGATORS CHOSEN FOR THE CRCLE PROGRAM APPLY RIGOROUS RESEARCH METHODS AND DATA COLLECTION TECHNIQUES TO THEIR STUDIES. EACH CRCLE PROJECT STUDIES A COHORT OF PATIENTS, WHO HAVE AGREED TO PARTICIPATE AND ARE CARED FOR AT THE MEDICAL CENTER. THEY RECEIVE INTENSIVE DIAGNOSTIC WORK-UPS, TREATMENT AND FOLLOW-UP CARE. PATIENT OUTCOMES SUCH AS HOSPITALIZATION, METASTASIS OF A TUMOR, COMPLICATIONS OF TREATMENT OR DEATH ARE ASSESSED AT PREDETERMINED INTERVALS. BIOLOGICAL SPECIMENS, SUCH AS BLOOD OR TISSUE, ARE COLLECTED AND STORED FOR POTENTIAL FUTURE ANALYSES. SINCE ITS INCEPTION, THE CRCLE PROGRAM HAS FUNDED SIX PROJECTS: BRACES (BARIATRIC RESEARCH AND COHORT EVALUATION STUDY), BHIVE (BIOBANK FOR HIV EVALUATIONS), THE BREAST HEALTH STUDY, DGE (DELAYED GASTRIC EMPTYING), RKIVE (BIO-ARCHIVE IN RECIPIENTS OF KIDNEY TRANSPLANTS), AND THE BRAIN TUMOR TISSUE BANK. IN ADDITION TO ASSISTANCE WITH FUNDING, CRCLE PROVIDES METHODOLOGICAL AND TECHNICAL EXPERTISE. BY PROVIDING SOME INITIAL MOMENTUM, CRCLE WILL BE ABLE TO ENSURE THAT NEW AND POTENTIALLY BREAKTHROUGH PROJECTS GET OFF TO THE BEST POSSIBLE START. AS PART OF THIS PROGRAM, CPMC OFFERS PERIODIC COURSES ON RESEARCH METHODS TO INTERESTED STAFF. THESE COURSES INCLUDE TRAINING IN QUALITY IMPROVEMENT METHODOLOGIES, WITH AN EMPHASIS ON RESEARCH DESIGN AND PRESENTATION EFFECTIVENESS. 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, 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 CALIFORNIA PACIFIC ARE OF THE HIGHEST CALIBER WITH CALIFORNIA PACIFIC MEDICAL CENTER'S PHYSICIANS EMBRACING THE ROLE OF EDUCATORS AS WELL AS CLINICIANS. CALIFORNIA PACIFIC MEDICAL CENTER 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. CALIFORNIA PACIFIC ALSO OFFERS TRAINING IN PEDIATRICS, SURGERY, ORTHOPEDIC SURGERY, AND PLASTIC SURGERY TO UCSF RESIDENTS. IN ADDITION, CALIFORNIA PACIFIC MEDICAL CENTER IS A TRAINING SITE FOR OPERATING ROOM NURSING STUDENTS, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS AND SURGICAL TECHNOLOGISTS. CALIFORNIA PACIFIC MEDICAL CENTER 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. CALIFORNIA PACIFIC MEDICAL CENTER'S PHYSICIANS PRESENT CONTINUING MEDICAL EDUCATION LECTURES AT HOSPITALS THROUGHOUT NORTHERN CALIFORNIA.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTIONS 6 & 7ATHIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
DESC CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BSUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS, IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL.
DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990FORM 990, PART VI, QUESTION 11ASUTTER 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, OFFICE OF THE GENERAL COUNSEL, AND HUMAN RESOURCES. ADDITIONALLY, THE CHIEF FINANCIAL OFFICER SIGNS OFF ON THIS DATA BEFORE THE RETURN GOES TO THE PREPARATION STAGE. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT AND THE AFFILIATE WITH THE CHIEF FINANCIAL OFFICER GIVING HIS/HER APPROVAL BEFORE THE RETURN IS FILED.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12EACH INDIVIDUAL BOARD MEMBER AND OFFICER HAS TO SIGN AN ACKNOWLEDGEMENT FORM THAT THEY HAVE READ THE POLICY. ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL OFFICERS AND BOARD MEMBERS. 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 TRUSTEE 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 TRUSTEE TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED TRUSTEE SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, QUESTION 15THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO 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. ALL OFFICERS OF THE ORGANIZATION (I.E., CEO, CFO, COO) UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL ANNUALLY. KEY EMPLOYEES AND OTHER EXECUTIVES OF SUTTER HEALTH WHO ARE CONSIDERED DISQUALIFIED PERSONS FOR FORM 990 REPORTING PURPOSES ARE HANDLED IN THE SAME MANNER.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLICFORM 990, PART VI, QUESTION 19THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES.
HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONFORM 990, PART VIITHE FOLLOWING BOARD MEMBER/OFFICER OF THE ORGANIZATION IS A FULL-TIME (40 HOURS PER WEEK) EMPLOYEE OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARY IS REPORTED HEREIN. THIS INDIVIDUAL RECEIVED NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBER/OFFICER OF THIS ORGANIZATION. PAT FRY
OTHER CHANGES IN FUND BALANCEFORM 990, PART XI, LINE 5CHANGE IN UNREALIZED GAIN/(LOSS) ON INVESTMENTS $ 8,759,521 EQUITY TRANSFERS (NET) (152,618,862) PARTNERSHIP INCOME BOOKED ON RETURN 11,166,811 K-1 ORDINARY INCOME (11,696,911) K-1 INTEREST INCOME (425,462) K-1 ORDINARY DIVIDENDS (980,165) K-1 SHORT-TERM CAPITAL GAIN 2,218,348 K-1 LONG-TERM CAPITAL GAIN 234,150 K-1 SECTION 1231 LOSS 690 K-1 RENTAL INCOME (112,153) CHANGE IN SPLIT INTEREST 33,750 OTHER CHANGES IN FUND BALANCE (2,514) PRIOR PERIOD ADJUSTMENT (36,777) ------------ $(143,459,574) ==============
COMPILATION, REVIEW AND AUDIT OF INDEPENDENT ACCOUNTANTFORM 990, PART XII, QUESTION 2ANNUALLY THE SUTTER HEALTH SYSTEM HAS AN AUDIT OF COMBINED BALANCE SHEETS AND STATEMENTS OF OPERATIONS PERFORMED BY INDEPENDENT AUDITORS. AN AUDIT COMMITTEE SELECTS THE AUDITORS AND REVIEWS RESULTS.
SCHEDULE K SUPPLEMENTAL INFORMATIONSCHEDULE K, PART VGLOBAL 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 SUBSIDIARY ORGANIZATIONS. THE ORGANIZATION IS ONLY REPORTING THE AMOUNT IT HAS BEEN ALLOCATED. PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH AN EQUITY CONTRIBUTION. SWBH SPECIFIC 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 WERE ISSUED IN 2007 TO REFUND BONDS ISSUED IN 1996, WHICH WERE USED TO REFUND BONDS ISSUED IN 1985, 1989, 1990 AND 1991 FOR CONSTRUCTION. PART IV, LINE 5, COLUMN (A): INVESTMENTS OF UNEXPENDED PROCEEDS CONTINUE TO BE MONITORED BY THE CORPORATE MEMBER OF THE ORGANIZATION AND ITS ARBITRAGE CONSULTANTS (THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A. AND BLX GROUP) FOR COMPLIANCE WITH YIELD RESTRICTIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

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ADOLESCENT TREATMENT CENTERS INC
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ALTA BATES SUMMIT FOUNDATION
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DELTA MEMORIAL HOSPITAL FOUNDATION
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EAST BAY PERINATAL CENTER
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EDEN MEDICAL CENTER
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MARIN COMMUNITY HEALTH
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SAMUEL MERRITT UNIVERSITY
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SUTTER AUBURN FAITH HOSPITAL FOUNDATION
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SUTTER CENTRAL VALLEY HOSPITALS
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SUTTER COAST HOSPITAL
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SUTTER DAVIS HOSPITAL FOUNDATION
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SUTTER EAST BAY HOSPITALS
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SUTTER GOULD MEDICAL FOUNDATION
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SUTTER HEALTH
2200 RIVER PLAZA DRIVESACRAMENTOCA95833942788907SUPPORTING ORCA501(C)(3)11c III-FINA
SUTTER HEALTH PACIFIC
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SUTTER HEALTH SACRAMENTO SIERRA REGION
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SUTTER INSURANCE SERVICES CORPORATION
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SUTTER MEDICAL FOUNDATION
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SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
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TRACY HOSPITAL FOUNDATION
1420 N TRACY BLVDTRACYCA95376680318845FUNDRAISINGCA501(C)(3)11a - ISUTTER CVH

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102NOVATOCA94948562311840MRI JOINT VENTURECARELATED1849857895216false$0true0.51000
SAN FRANCISCO ENDOSCOPY CENTER LLC
730 DISTELLOS ALTOSCA94022912160588ENDOSCOPY JVCARELATED39233694207618false$0false0.51000
PRESIDIO SURGERY CENTER LLC
1635 DIVISADEROSFCA94115320144060AMBULATORY SURGCARELATED59274353682016false$0true0.51000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgtrueSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION
C12104776
CATHEDRAL HEIGHTS LLC
L154330
CALIFORNIA PACIFIC ADVANCED IMAGING LLC
R1728900
SAN FRANCISCO ENDOSCOPY CENTER LLC
R3955381
PRESIDIO SURGERY CENTER LLC
R5348267