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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-10-26T11:58:49-04:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 178 S RIO GRANDE STREET SUITE 400 | AddressLine1 |
| City | SALT LAKE CITY | City |
| State | UT | State |
| ZIP Code | 84101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 940562680 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTER WEST BAY HOSPITALS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SUTT | NameControl |
| Phone | 9162866665 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7999 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94120 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN GATES | Name |
| Title | COO | Title |
| Phone | 9162866665 | Phone |
| Date Signed | 2011-10-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8013503300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA PACIFIC MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARTIN BROTMAN MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7999 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1646129191 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SUTTERHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1854 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 35 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 29 | NbrIndependentVotingMembers |
| Total Nbr Employees | 8786 | TotalNbrEmployees |
| Total Nbr Volunteers | 1291 | TotalNbrVolunteers |
| Total Gross UBI | 2067119 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 45464974 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 33710172 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1194089890 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1542831482 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -2270393 | InvestmentIncomePriorYear |
| Investment Income Current Year | 9541135 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8565541 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6728834 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1245850012 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1592811623 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1658071 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1836582 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 606222788 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 736482501 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 344988 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 478846674 | OtherExpensePriorYear |
| Other Expenses Current Year | 665272592 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1086727533 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1403591675 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 159122479 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 189219948 | RevenuesLessExpensesCY |
| Total Assets BOY | 1452243769 | TotalAssetsBOY |
| Total Assets EOY | 1510104441 | TotalAssetsEOY |
| Total Liabilities BOY | 562074957 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 574175255 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 890168812 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 935929186 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1315021288 | Expense |
| Grants | 1836582 | Grants |
| Revenue | 1542831482 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 1315021288 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | true | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 1201 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 8786 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 35 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 29 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | HENRY YU | NamePerson |
| Telephone Number | 4156007310 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7999 | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (46 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| RT REV MARC ANDRUS | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DAMIAN AUGUSTYN MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MARTIN BROTMAN MD | ||||||||
| REGIONAL PRESIDENT, WEST BAY | 40.0 | X | 0 | 2535924 | 1751747 | X | ||
| BILL BRUNETTI | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| THEODORE DEIKEL | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| THOMAS JOHN DIETZ PHD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ROY EISENHARDT | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| PETER FULCHIRON | ||||||||
| VICE CHAIR/DIRECTOR | 1.0 | X | 0 | 0 | 0 | X | ||
| PAT FRY | ||||||||
| PRESIDENT & CEO, SUTTER HEALTH | 1.0 | X | 0 | 2699636 | 2088912 | |||
| FRANK HERRINGER | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JORDAN HOROWITZ MD | ||||||||
| DIRECTOR | 1.0 | X | 17063 | 0 | 0 | |||
| PETER JACOBI | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JOAN C KAHR | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| RON KAUFMAN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| KURT KUNZEL MD | ||||||||
| DIRECTOR | 1.0 | X | 27500 | 0 | 0 | |||
| STEVEN LEVENBERG DO | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| TOM LINCOLN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ALASTAIR MACTAGGART | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ANTHONY MILES | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| SCOTT MINICK | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| TIM MURPHY MD | ||||||||
| DIRECTOR | 1.0 | X | 1500 | 0 | 0 | |||
| CYNTHIA NESTLE | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DENNIS O'CONNELL | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| STEVEN OLIVER | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ROBERT OSORIO MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JAMES PALLESCHI MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DIANE PEGE MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ROBERT A ROSENFELD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| TERRI SLAGLE MD | ||||||||
| DIRECTOR | 1.0 | X | 14950 | 0 | 0 | |||
| LEO SOONG | ||||||||
| FINANCE CHAIR/DIRECTOR | 1.0 | X | 0 | 0 | 0 | X | ||
| ROSS E STROMBERG JD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ROBERT M TOMASELLO | ||||||||
| CHAIR/DIRECTOR | 1.0 | X | 0 | 0 | 0 | X | ||
| MICHAEL VALAN MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| ANTHONY G WAGNER | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| DEBORAH WYATT MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MICHAEL DUNCHEON | ||||||||
| VP, REGIONAL COUNSEL WBR | 40.0 | 0 | 265434 | 86707 | X | |||
| JOHN GATES | ||||||||
| REGIONAL VP FINANCE, WEST BAY | 40.0 | 0 | 728158 | 399937 | X | X | ||
| JACK BAILEY | ||||||||
| EXECUTIVE VP/ADMINISTRATOR | 40.0 | 897884 | 0 | 20662 | X | |||
| TONI BRAYER MD | ||||||||
| REGIONAL VP & CMO, WEST BAY | 40.0 | 0 | 576844 | 174182 | X | |||
| WARREN BROWNER MD | ||||||||
| CEO, SAN FRANCISCO HOSPITALS | 40.0 | 0 | 770292 | 442862 | X | |||
| GRANT DAVIES | ||||||||
| EXEC VP, CPMC & CAO, WB | 40.0 | 0 | 624392 | 185409 | X | |||
| LINDA ISAACS | ||||||||
| REG. VP, HR, WEST BAY | 40.0 | 0 | 402932 | 119116 | X | |||
| ALLAN PONT MD | ||||||||
| VP MEDICAL AFFAIRS | 40.0 | 0 | 518746 | 98866 | X | |||
| CHRISTOPHER WILLRICH | ||||||||
| REG. VP, STRATEGY&BUS DEV, WB | 40.0 | 0 | 423286 | 130385 | X | |||
| SEAN TOWNSEND | ||||||||
| VP QUALITY | 40.0 | 751941 | 0 | 16989 | X | |||
| STEVEN CUMMINGS | ||||||||
| DIRECTOR CRCLE | 40.0 | 492352 | 0 | 26921 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2203190 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 9545644 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 5542695 | TotalOtherCompensation |
| Number Individuals GT100 K | 1705 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ARAMARK | |||||
| 2500 WARRENVILLE ROAD | DOWNERS GROVE | IL | 60515 | MANAGEMENT SERVICES | 17957405 |
| PACIFIC INPATIENT MEDICAL GROUP INC | |||||
| PO BOX 1230 | SUISUN CITY | CA | 94585 | UTILIZATION SERVICES | 6536985 |
| ANESTHESIA AND ANALGESIA MEDICAL GR | |||||
| 837 5TH STREET 2ND FLOOR | SANTA ROSA | CA | 95404 | ANESTHESIA SERVICES | 5327013 |
| AUXILIO | |||||
| 27401 LOS ALTOS SUITE 100 | MISSION VIEJO | CA | 92691 | PRINTER SVC MGMT | 3402364 |
| D KELLY CONSTRUCTION INC | |||||
| 55 LAFAYETTE STREET | SAN FRANCISCO | CA | 94103 | CONSTRUCTION | 3389544 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 152 | NumberOfContractorsGT100K |
| Fundraising Events | 17709 | FundraisingEvents |
| Related Organizations | 12104776 | RelatedOrganizations |
| Government Grants | 19827158 | GovernmentGrants |
| All Other Contributions | 1760529 | AllOtherContributions |
| Noncash Contributions | 13500 | NoncashContributions |
| Total Contributions | 33710172 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | 1531134571 | 1531134571 |
| CA PACIFIC ADVANCED IMAGING | 621512 | 1848651 | 1848651 |
| SAN FRAN ENDOSCOPY CTR | 621498 | 3921699 | 3921699 |
| PRESIDIO SURGERY CENTER LLC | 621493 | 5926561 | 5926561 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1542831482 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7737288 | TotalRevenueColumn |
| Exclusion | $7,737,288 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 14688714 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 13304731 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1383983 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1383983 | TotalRevenueColumn |
| Exclusion | $1,383,983 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 41511487 | Securities |
| Other | 287333 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 39787244 | Securities |
| Other | 207729 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1724243 | Securities |
| Other | 79604 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1803847 | TotalRevenueColumn |
| Exclusion | $1,803,847 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 33211 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 17709 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 15364 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17847 | TotalRevenueColumn |
| Exclusion | $17,847 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 5150 | GrossIncomeGaming |
| Gaming Direct Expenses | 2500 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2650 | TotalRevenueColumn |
| Exclusion | $2,650 | ExclusionAmount |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| UBI - LABORATORY | 621500 | 262955 | 262955 | |
| UBI - PARKING | 812930 | 1804164 | 1804164 | |
| CAFETERIA | 900099 | 3257235 | $3,257,235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5324354 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1592811623 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1542831482 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2067119 | UnrelatedBusinessRevenue |
| Exclusion | $14,202,850 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1836332 | Total |
| Program Services | 1836332 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250 | Total |
| Program Services | 250 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 958897 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 958897 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 494080367 | Total |
| Program Services | 474082824 | ProgramServices |
| Management And General | 19827597 | ManagementAndGeneral |
| Fundraising | 169946 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38828902 | Total |
| Program Services | 37282569 | ProgramServices |
| Management And General | 1531782 | ManagementAndGeneral |
| Fundraising | 14551 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162361713 | Total |
| Program Services | 150280877 | ProgramServices |
| Management And General | 12027066 | ManagementAndGeneral |
| Fundraising | 53770 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40252622 | Total |
| Program Services | 38802782 | ProgramServices |
| Management And General | 1434264 | ManagementAndGeneral |
| Fundraising | 15576 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6644313 | Total |
| Program Services | 5179545 | ProgramServices |
| Management And General | 1403669 | ManagementAndGeneral |
| Fundraising | 61099 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2037309 | Total |
| Program Services | 242660 | ProgramServices |
| Management And General | 1794649 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84700 | Total |
| Program Services | 14657 | ProgramServices |
| Management And General | 70043 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 627644 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 627644 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16127146 | Total |
| Program Services | 15686545 | ProgramServices |
| Management And General | 440601 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 409487 | Total |
| Program Services | 409477 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 10 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169492396 | Total |
| Program Services | 169077587 | ProgramServices |
| Management And General | 408628 | ManagementAndGeneral |
| Fundraising | 6181 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16353620 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 16353620 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13707380 | Total |
| Program Services | 13490418 | ProgramServices |
| Management And General | 216962 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1403422 | Total |
| Program Services | 1086412 | ProgramServices |
| Management And General | 313697 | ManagementAndGeneral |
| Fundraising | 3313 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 692123 | Total |
| Program Services | 600939 | ProgramServices |
| Management And General | 91184 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23691234 | Total |
| Program Services | 23691234 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80368655 | Total |
| Program Services | 80349571 | ProgramServices |
| Management And General | 19084 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9963392 | Total |
| Program Services | 9956233 | ProgramServices |
| Management And General | 7159 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PURCHASED SERVICES | 99296049 | 93695803 | 5586853 | 13393 |
| PROFESSIONAL FEES-PHYSICIANS | 67435409 | 63991559 | 3443850 | 0 |
| BAD DEBT | 37350972 | 37350972 | 0 | 0 |
| REPAIRS & MAINTENANCE | 22166975 | 21697388 | 469587 | 0 |
| SYSTEM ALLOCATION FEES | 21104996 | 0 | 21104996 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76315370 | Total |
| Program Services | 76214654 | ProgramServices |
| Management And General | 93567 | ManagementAndGeneral |
| Fundraising | 7149 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1403591675 | Total |
| Program Services | 1315021288 | ProgramServices |
| Management And General | 88225399 | ManagementAndGeneral |
| Fundraising | 344988 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56566852 | BOY |
| EOY | 82045309 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200601 | BOY |
| EOY | 399739 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208647222 | BOY |
| EOY | 197248328 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13871713 | BOY |
| EOY | 14589638 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3261305 | BOY |
| EOY | 4035606 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1692573826 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 741495660 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 908941346 | BOY |
| EOY | 951078166 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 185836527 | BOY |
| EOY | 183970682 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5186655 | BOY |
| EOY | 5320918 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69731548 | BOY |
| EOY | 71416055 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1452243769 | BOY |
| EOY | 1510104441 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 186550786 | BOY |
| EOY | 189729837 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 335260418 | BOY |
| EOY | 334770632 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40263753 | BOY |
| EOY | 49674786 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 562074957 | BOY |
| EOY | 574175255 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 869058127 | BOY |
| EOY | 913463129 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21110685 | BOY |
| EOY | 22466057 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 890168812 | BOY |
| EOY | 935929186 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1452243769 | BOY |
| EOY | 1510104441 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 189219948 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -143459574 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 169781890 | OtherCostOrOtherBasis |
| Book Value | 169781890 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 722837820 | OtherCostOrOtherBasis |
| Depreciation | 393973431 | Depreciation |
| Book Value | 328864389 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44243267 | OtherCostOrOtherBasis |
| Depreciation | 24833953 | Depreciation |
| Book Value | 19409314 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 426833039 | OtherCostOrOtherBasis |
| Depreciation | 319644402 | Depreciation |
| Book Value | 107188637 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 328877810 | OtherCostOrOtherBasis |
| Depreciation | 3043874 | Depreciation |
| Book Value | 325833936 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 951078166 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INSURANCE LIABILITIES | $22,154,794 |
| 3RD PARTY SETTLEMENTS | $7,141,520 |
| OTHER LIABILITIES | $20,378,472 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 49674786 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740 (FIN48) FOOTNOTE FROM AUDIT | Identifier |
| Return Reference | PART X, LINE 2 | ReturnReference |
| Explanation | THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 43065 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 17709 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 25356 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 6120 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 5035 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 2659 | OtherDirectExpensesEvent1 |
| Name Of Event2 | TREE OF LIGHTS | NameOfEvent2 |
| Gross Receipts Event2 | 7855 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 7855 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 1550 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 50920 | GrossReceiptsTotal |
| Charitable Contributions Total | 17709 | CharitableContributionsTotal |
| Gross Revenue Total Events | 33211 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 6120 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 5035 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 4209 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 15364 | DirectExpenseSummaryEvents |
| Net Income Summary | 17847 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 400. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20427264 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20427264 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01460 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 197425628 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 166032789 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 31392839 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02240 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12096943 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5617437 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6479506 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 229949835 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 171650226 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 58299609 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04160 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5765954 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18436 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5747518 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 41891519 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4792612 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 37098907 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02640 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11320006 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7842238 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3477768 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22740306 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22740306 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01620 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3187241 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3187241 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 84905026 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12653286 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 72251740 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05150 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 314854861 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 184303512 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 130551349 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09310 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17730 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 17730 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3600 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 3600 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 61206 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 61206 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 19075 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 19075 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 46503 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 46503 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 148114 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 148114 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $9,673,901 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 314411867 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 377034527 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -62622660 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 8 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (8 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|
| CPMC-PACIFIC CAMPUS HOSPITAL | ||||||||
| 1 | 2333 BUCHANAN STREET | SAN FRANCISCO | CA | 94115 | X | X | X | |
| CPMC-CALIFORNIA WEST CAMPUS HOSPITAL | ||||||||
| 2 | 3700 CALIFORNIA STREET | SAN FRANCISCO | CA | 94118 | X | X | ||
| CPMC-CALIFORNIA EAST CAMPUS HOSPITAL | ||||||||
| 3 | 3698 CALIFORNIA STREET | SAN FRANCISCO | CA | 94118 | X | X | ||
| CPMC-DAVIES CAMPUS HOSPITAL | ||||||||
| 4 | 45 CASTRO STREET | SAN FRANCISCO | CA | 94114 | X | X | X | |
| CPMC-ST LUKE'S CAMPUS HOSPITAL | ||||||||
| 5 | 3555 CESAR CHAVEZ STREET | SAN FRANCISCO | CA | 94110 | X | X | X | |
| SUTTER MEDICAL CENTER SANTA ROSA | ||||||||
| 6 | 3325 CHANATE ROAD | SANTA ROSA | CA | 95404 | X | X | X | |
| SUTTER LAKESIDE HOSPITAL | ||||||||
| 7 | 5176 HILL ROAD EAST | LAKEPORT | CA | 95463 | X | X | X | X |
| NOVATO COMMUNITY HOSPITAL | ||||||||
| 8 | 180 ROWLAND WAY | NOVATO | CA | 94945 | X | X | X | |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 23 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (23 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET SUITE 100 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES-MRI |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2323 SACRAMENTO STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES-PSYCHIATRY |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 1625 VAN NESS AVENUE | SAN FRANCISCO | CA | 94109 | OUTPATIENT SERVICES - CHILD DEVELOPMENT |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 1580 VALENCIA STREET SUITE 440443 | SAN FRANCISCO | CA | 94110 | OUTPATIENT SERVICES - CHILD DEVELOPMENT |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 3838 CALIFORNIA STREET SUITE 106 | SAN FRANCISCO | CA | 94118 | OUTPATIENT SERVICES - LABORATORY/IMAGING |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 101 NORTH EL CAMINO SUITE 1 | SAN MATEO | CA | 94402 | OUTPATIENT SERVICES - HAND THERAPY |
| SUTTER MED CNTR SANTA ROSA-PERINATAL CNT | ||||
| 3327 CHANATE ROAD | SANTA ROSA | CA | 95404 | OUTPATIENT SERVICES |
| SMC SANTA ROSA-SPORTS & ORTHOPEDIC REHAB | ||||
| 4729 HOEN AVE SUITE A | SANTA ROSA | CA | 95405 | OUTPATIENT SERVICES |
| TERRA LINDA HEALTH PLAZA | ||||
| 4000 CIVIC CENTER DR | SAN RAFAEL | CA | 94903 | OUTPATIENT SERVICES |
| PHYSICAL THERAPY & SPORT FITNESS | ||||
| 100 ROWLAND WAY 310 | NOVATO | CA | 94945 | OUTPATIENT SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET 4TH FLOOR | SAN FRANCISCO | CA | 94115 | CHRONIC DIALYSIS |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2323 SACRAMENTO STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2340 CLAY STREET SUITE 114A | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - HEART FAILURE/TRANSPLANT CLINIC |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET 6TH FLOOR SUITE | SAN FRANCISCO | CA | 94115 | IES OUTPATIENT SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2340 CLAY STREET 4TH FLOOR | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - LIVER, PANCREAS & KIDNEY TRANSPLANT CLINIC |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2340 CLAY STREET 5TH FLOOR SUITE | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - OPHTHAMOLOGY CLINIC |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2360 CLAY STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - PT, OT & CARDIAC REHAB |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET SUITE 502 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - PULMONARY FUNCTION SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2100 WEBSTER STREET SUITE 103 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - RAD/LAB/ULTRASOUND SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2351 CLAY STREET SUITE 150 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES-ALS |
| SUTTER LAKESIDE FAMILY MEDICINE CLINIC | ||||
| 5176 HILL ROAD EAST | LAKEPORT | CA | 95453 | RURAL HEALTH CLINIC |
| SUTTER LAKESIDE OUTPATIENT DRAW STATION | ||||
| 5132 HILL ROAD EAST | LAKEPORT | CA | 95453 | OUTPATIENT SERVICES |
| SUTTER LAKESIDE UPPER LAKE COMM CLINIC | ||||
| 750 OLD LUCERNE ROAD | UPPER LAKE | CA | 95485 | RURAL HEALTH CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, QUESTION 3C | TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 350% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S 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 7 | COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. | |
| PART II | COMMUNITY 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 4 | THE ORGANIZATION MAKES EVERY EFFORT TO QUALIFY THOSE ELIGIBLE FOR CHARITY CARE. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. 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 7 | MEDICARE 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 8 | COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT OF $62,622,660. | |
| PART III, QUESTION 9B | COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 30 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. | |
| 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 REPORT | CA, | 990 SCHEDULE H, PART VI |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (48 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION | |||||||
| 100 MONTGOMERY ST | SAN FRANCISCO | CA | 94104 | 135613797 | 501(C)(3) | 20000 | GENERAL DONATION |
| APA FAMILY SERVICES | |||||||
| 657 JACKSON ST | SAN FRANCISCO | CA | 94133 | 943164091 | 501(C)(3) | 25750 | GENERAL DONATION |
| ASIAN & PACIFIC ISLANDER WELLNESS CENTER | |||||||
| 730 POLK ST | SAN FRANCISCO | CA | 94109 | 942897258 | 501(C)(3) | 27500 | GENERAL DONATION |
| ASIAN WEEK FOUNDATION | |||||||
| 564 MARKET ST 320 | SAN FRANCISCO | CA | 94104 | 201719535 | 501(C)(3) | 40000 | GENERAL DONATION |
| BAYVIEW HUNTER'S POINT MULTIPURPOSE SR SVCS | |||||||
| 1706 YOSEMITE | SAN FRANCISCO | CA | 94124 | 948264774 | 501(C)(3) | 43000 | GENERAL DONATION |
| CHINESE AMERICAN VOTERS | |||||||
| 838 GRANT ST | SAN FRANCISCO | CA | 94108 | 942502267 | 501(C)(3) | 14000 | GENERAL DONATION |
| CLINIC BY THE BAY | |||||||
| 4877 MISSION ST | SAN FRANCISCO | CA | 94112 | 262593712 | 501(C)(3) | 25000 | GENERAL DONATION |
| COMMUNITY CENTER PROJECT OF SAN FRANCISCO | |||||||
| 1800 MARKET ST | SAN FRANCISCO | CA | 94102 | 943236718 | 501(C)(3) | 15000 | GENERAL DONATION |
| COMMUNITY CHAPLAINCY INC | |||||||
| PO BOX 38631 | SACRAMENTO | CA | 95838 | 200241444 | 501(C)(3) | 10000 | GENERAL DONATION |
| COMMUNITY INITIATIVES | |||||||
| 354 PINE ST | SAN FRANCISCO | CA | 94104 | 943255070 | 501(C)(3) | 8000 | GENERAL DONATION |
| CURRY SENIOR CENTER | |||||||
| 333 TURK ST | SAN FRANCISCO | CA | 94102 | 237362588 | 501(C)(3) | 20000 | GENERAL DONATION |
| EPISCOPAL CHARITIES | |||||||
| 1055 TAYLOR ST | SAN FRANCISCO | CA | 94108 | 943345498 | 501(C)(3) | 25000 | GENERAL DONATION |
| GLIDE | |||||||
| 330 ELLIS ST | SAN FRANCISCO | CA | 94112 | 362167731 | 501(C)(3) | 10000 | GENERAL DONATION |
| HOSPITAL COUNCIL OF CENTRAL AND NORTHERN CA | |||||||
| 1625 E SHAW AVE | FRESNO | CA | 93710 | 861174825 | 501(C)(3) | 59000 | GENERAL DONATION |
| INSTITUTO LABORAL DE LA RAZA | |||||||
| 2947 16TH ST | SAN FRANCISCO | CA | 94103 | 942890401 | 501(C)(3) | 12000 | GENERAL DONATION |
| KIMOCHI | |||||||
| 1715 BUCHANAN ST | SAN FRANCISCO | CA | 94115 | 237117402 | 501(C)(3) | 25000 | GENERAL DONATION |
| LAGUNA HONDA HOSPITAL | |||||||
| 731 B LIGGETT AVE | SAN FRANCISCO | CA | 94129 | 946065339 | 501(C)(3) | 27500 | GENERAL DONATION |
| LATINA BREAST CANCER AGENCY | |||||||
| 6 MONTEREY BLVD | SAN FRANCISCO | CA | 94131 | 010628124 | 501(C)(3) | 35000 | GENERAL DONATION |
| LIONS EYE FOUNDATON | |||||||
| PO BOX 7999 | SAN FRANCISCO | CA | 94120 | 941676055 | 501(C)(3) | 15400 | GENERAL DONATION |
| LIVABLE CITY | |||||||
| 995 MARKET ST 1550 | SAN FRANCISCO | CA | 94103 | 943350190 | 501(C)(3) | 10000 | GENERAL DONATION |
| MARCH OF DIMES | |||||||
| 1050 SANSOME ST | SAN FRANCISCO | CA | 94111 | 131846366 | 501(C)(3) | 27000 | GENERAL DONATION |
| MISSION NEIGHBORHOOD CENTER | |||||||
| 240 SHOTWELL ST | SAN FRANCISCO | CA | 94131 | 941408150 | 501(C)(3) | 10000 | GENERAL DONATION |
| NAACP | |||||||
| 1290 FILLMORE ST | SAN FRANCISCO | CA | 94115 | 237177411 | 501(C)(3) | 20000 | GENERAL DONATION |
| PATIENT ASSISTANCE FOUNDATION | |||||||
| 2100 WEBSTER ST | SAN FRANCISCO | CA | 94115 | 943096109 | 501(C)(3) | 500000 | GENERAL DONATION |
| SAN FRANCISCO CLINIC CONSORTIUM | |||||||
| 1550 BRYANT ST | SAN FRANCISCO | CA | 94103 | 942897258 | 501(C)(3) | 14000 | GENERAL DONATION |
| SAN FRANCISCO CLINIC CONSORTIUM | |||||||
| 1550 BRYANT ST | SAN FRANCISCO | CA | 94103 | 134317995 | 501(C)(3) | 9000 | GENERAL DONATION |
| SAN FRANCISCO FOOD BANK | |||||||
| 900 PENNSYLVANIA | SAN FRANCISCO | CA | 94107 | 943041517 | 501(C)(3) | 17500 | GENERAL DONATION |
| SAN FRANCISCO INTERFAITH COUNCIL | |||||||
| PO BOX 29055 | SAN FRANCISCO | CA | 94129 | 943152098 | 501(C)(3) | 10000 | GENERAL DONATION |
| SAN FRANCISCO SENIOR CENTER | |||||||
| 890 BEACH ST | SAN FRANCISCO | CA | 94109 | 941212136 | 501(C)(3) | 60000 | GENERAL DONATION |
| SELF HELP FOR THE ELDERLY | |||||||
| 407 SANSOME ST | SAN FRANCISCO | CA | 94118 | 941750717 | 501(C)(3) | 10000 | GENERAL DONATION |
| SF CHAMBER OF COMMERCE | |||||||
| 235 MONTGOMERY ST | SAN FRANCISCO | CA | 94104 | 940834950 | 501(C)(6) | 10000 | GENERAL DONATION |
| SF PROJECT HOMELESS CONNECT | |||||||
| 25 VAN NESS 340 | SAN FRANCISCO | CA | 94102 | 204331462 | 501(C)(3) | 10000 | GENERAL DONATION |
| SOUTH OF MARKET HEALTH CENTER | |||||||
| 551 MINNA ST | SAN FRANCISCO | CA | 94103 | 237304921 | 501(C)(3) | 31906 | GENERAL DONATION |
| SPUR | |||||||
| 654 MISSION ST | SAN FRANCISCO | CA | 94105 | 942502267 | 501(C)(3) | 10000 | GENERAL DONATION |
| ST ANTHONY'S FOUNDATION | |||||||
| 150 GOLDEN GATE AVE | SAN FRANCISCO | CA | 94102 | 941513140 | 501(C)(3) | 90000 | GENERAL DONATION |
| TENDERLOIN NEIGHBORHOOD DEVELOPMENT CORP | |||||||
| 201 EDDY ST | SAN FRANCISCO | CA | 94102 | 942761808 | 501(C)(3) | 10000 | GENERAL DONATION |
| UC BERKELEY SCHOOL OF PUBLIC HEALTH | |||||||
| 417 UNIVERSITY HALL | BERKELEY | CA | 94720 | 946090626 | 501(C)(3) | 50000 | GENERAL DONATION |
| UNITED WAY | |||||||
| 1208 MASON ST | SAN FRANCISCO | CA | 94108 | 941312348 | 501(C)(3) | 8000 | GENERAL DONATION |
| WOMEN'S COMMUNITY CLINIC | |||||||
| 2166 HAYES ST 104 | SAN FRANCISCO | CA | 94117 | 943213100 | 501(C)(3) | 65000 | GENERAL DONATION |
| HEALTHY MARIN PARTNERSHIP | |||||||
| 99 MONTECILLO RD | SAN RAFAEL | CA | 94903 | 941312348 | 501(C)(3) | 25000 | GENERAL DONATION |
| HOMEWARD BOUND OF MARIN | |||||||
| 1385 HAMILTON PKY | NOVATO | CA | 94949 | 680011405 | 501(C)(3) | 7167 | GENERAL DONATION |
| ROTACARE CLINIC OF SAN RAFAEL | |||||||
| PO BOX 6316 | SAN RAFAEL | CA | 94903 | 770328723 | 501(C)(3) | 10000 | GENERAL DONATION |
| AMERICAN HEART ASSOCIATION | |||||||
| 1400 N DUTTON AVE | SANTA ROSA | CA | 95401 | 135613797 | 501(C)(3) | 12500 | GENERAL DONATION |
| NORTHERN CALIFORNIA CENTER FOR WELL-BEING | |||||||
| 365 TESCONI CIRCLE | SANTA ROSA | CA | 95401 | 931144835 | 501(C)(3) | 50000 | GENERAL DONATION |
| SONOMA COUNTY DEPT OF HEALTH | |||||||
| 3313 CHANATE RD | SANTA ROSA | CA | 95404 | 946000539 | 501(C)(3) | 50000 | GENERAL DONATION |
| SANTA ROSA MEMORIAL HOSPITAL | |||||||
| 1164 MONTGOMERY DR | SANTA ROSA | CA | 95402 | 941231005 | 501(C)(3) | 18750 | GENERAL DONATION |
| SOUTHWEST COMMUNITY HEALTH CENTERS | |||||||
| 3569 ROUND BARN CIRCLE | SANTA ROSA | CA | 95403 | 680365296 | 501(C)(3) | 6400 | GENERAL DONATION |
| MENDOCINO LAKE COMMUNITY COLLEGE | |||||||
| 1000 HENSLEY CREEK RD | UKIAH | CA | 95482 | 946002711 | 501(C)(3) | 20000 | GENERAL DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 48 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS | Identifier |
| Return Reference | PART I, QUESTION 2 | ReturnReference |
| Explanation | COMMUNITY HEALTH PROGRAM GRANTEES SIGN A CONTRACT WITH CALIFORNIA PACIFIC MEDICAL CENTER OUTLINING TERMS AND CONDITIONS OF RECEIVING GRANT FUNDS SPECIFYING OBJECTIVES AND OUTCOMES. EACH AGENCY RECEIVING THE COMMUNITY HEALTH GRANTS ARE REQUIRED TO PREPARE AND SUBMIT OUTCOME-BASED REPORTS AT SIX-MONTHS AND TWELVE-MONTHS. AGENCIES RECEIVING SPONSORSHIP FUNDS GO THROUGH A DIFFERENT PROCESS; THEY ARE REQUESTED TO PROVIDE THE PURPOSE OF THE EVENT PRIOR TO SPONSORSHIP AS WELL AS A BRIEF SUMMARY OF THE OUTCOMES OF EVENT SOON AFTER THE EVENT. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JACK BAILEY | |||||||||||||
| 111540 | 0 | 148582 | 0 | 637762 | 0 | 0 | 0 | 20662 | 0 | 918546 | 0 | 0 | 0 |
| TONI BRAYER MD | |||||||||||||
| 0 | 423512 | 0 | 151767 | 0 | 1565 | 0 | 157508 | 0 | 16674 | 0 | 751026 | 0 | 152905 |
| MARTIN BROTMAN MD | |||||||||||||
| 0 | 1517694 | 0 | 1006400 | 0 | 11830 | 0 | 1734000 | 0 | 17747 | 0 | 4287671 | 0 | 667161 |
| WARREN BROWNER MD | |||||||||||||
| 0 | 531947 | 0 | 228195 | 0 | 10150 | 0 | 427558 | 0 | 15304 | 0 | 1213154 | 0 | 161566 |
| GRANT DAVIES | |||||||||||||
| 0 | 453400 | 0 | 164984 | 0 | 6008 | 0 | 168636 | 0 | 16773 | 0 | 809801 | 0 | 130427 |
| MICHAEL DUNCHEON | |||||||||||||
| 0 | 220105 | 0 | 41911 | 0 | 3418 | 0 | 75667 | 0 | 11040 | 0 | 352141 | 0 | 0 |
| PAT FRY | |||||||||||||
| 0 | 1450576 | 0 | 1233950 | 0 | 15110 | 0 | 2058620 | 0 | 30292 | 0 | 4788548 | 0 | 973771 |
| JOHN GATES | |||||||||||||
| 0 | 507458 | 0 | 172170 | 0 | 48530 | 0 | 386982 | 0 | 12955 | 0 | 1128095 | 0 | 0 |
| LINDA ISAACS | |||||||||||||
| 0 | 287151 | 0 | 110600 | 0 | 5181 | 0 | 112702 | 0 | 6414 | 0 | 522048 | 0 | 81148 |
| ALLAN PONT MD | |||||||||||||
| 0 | 428484 | 0 | 83236 | 0 | 7026 | 0 | 93041 | 0 | 5825 | 0 | 617612 | 0 | 0 |
| CHRISTOPHER WILLRICH | |||||||||||||
| 0 | 310405 | 0 | 112420 | 0 | 461 | 0 | 113858 | 0 | 16527 | 0 | 553671 | 0 | 82623 |
| SEAN TOWNSEND | |||||||||||||
| 253847 | 0 | 424850 | 0 | 73244 | 0 | 428 | 0 | 16561 | 0 | 768930 | 0 | 0 | 0 |
| STEVEN CUMMINGS | |||||||||||||
| 452077 | 0 | 37899 | 0 | 2376 | 0 | 428 | 0 | 26493 | 0 | 519273 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELEVANT INFORMATION REGARDING COMPENSATION ITEMS | PART I, QUESTION 1A | DISCRETIONARY 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 INFORMATION | PART I, QUESTION 3 | THE 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 PAYMENTS | PART I, QUESTION 4A | NAME: JACK BAILEY PAYMENT: $577,240 |
| NONQUALIFIED RETIREMENT PLAN | PART I, QUESTION 4B | THE 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 PAYMENTS | PART I, QUESTION 7 | SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE 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 EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CHFFA 2007A | |||||||
| 521643828 | 13033FQ37 | 2007-05-01 | 153078860 | CONSTRUCT & EQUIP FACILITY | false | false | false |
| CHFFA 2008A | |||||||
| 521643828 | 13033F2L3 | 2008-05-14 | 55943275 | REFUNDING - 5/1/07 | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Capitalized InterestCapitalizedInterest | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired |
|---|---|---|---|---|---|---|---|---|
| 165813667 | 12950607 | 126970348 | 2011 | false | false | true | true | |
| 55943275 | true | false | true | true | 10342803 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | true | true | false | true | 0.03940 | 0.00000 | 0.03940 | true |
| 0.00370 | 0.00000 | 0.00370 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | false | false | false | true | false |
| false | false | false | false | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SEE SCHEDULE O | Identifier |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| DAMIAN AUGUSTYN MD | |||
| DIRECTOR | 155412 | SEE PART V | false |
| DAMIAN AUGUSTYN MD | |||
| DIRECTOR | 435445 | SEE PART V | false |
| MARTIN BROTMAN MD | |||
| DIRECTOR | 155412 | SEE PART V | false |
| MARTIN BROTMAN MD | |||
| DIRECTOR | 435445 | SEE PART V | false |
| MARTIN BROTMAN MD | |||
| DIRECTOR | 45967 | SEE PART V | false |
| JORDAN HOROWITZ MD | |||
| DIRECTOR | 148503 | SEE PART V | false |
| TERRI SLAGLE | |||
| DIRECTOR | 1778986 | SEE PART V | false |
| ROY EISENHARDT | |||
| DIRECTOR | 6310855 | SEE PART V | false |
| JAMES PALLESCHI MD | |||
| DIRECTOR | 237420 | SEE PART V | false |
| STEVEN LEVENBERG DO | |||
| DIRECTOR | 237420 | SEE PART V | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | DAMIAN AUGUSTYN, MD, 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)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MISSION STATEMENT | FORM 990, PART I, LINE 1 AND PART III, LINE 1 | WE ENHANCE THE WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH OUR COMMITMENT TO COMPASSION, EXCELLENCE, INNOVATION AND A FULL CONTINUM OF HEALTH CARE SERVICES. |
| EXEMPT PURPOSE ACHIEVEMENTS | FORM 990, PART III, LINE 4A | GENERAL DESCRIPTION SUTTER WEST BAY HOSPITALS WAS FORMED IN JANUARY 1, 2010. IT CONSISTS OF FOUR HOSPITALS-CALIFORNIA PACIFIC MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER MEDICAL CENTER SANTA ROSA, AND LAKESIDE HOSPITAL. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IS ONE OF THE LARGEST PRIVATE, COMMUNITY BASED, NOT-FOR-PROFIT, TEACHING MEDICAL CENTERS IN CALIFORNIA. CPMC IS A TERTIARY REFERRAL CENTER PROVIDING ACCESS TO LEADING EDGE MEDICINE WHILE DELIVERING THE BEST POSSIBLE PERSONALIZED CARE. IT PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; HOSPICE SERVICES; PREVENTIVE AND COMPLEMENTARY CARE; AND HEALTH EDUCATION. CPMC IS COMPRISED OF THE FOUR OLDEST HOSPITALS IN SAN FRANCISCO. THE DAVIES CAMPUS, FORMERLY DAVIES MEDICAL CENTER, WAS FOUNDED IN 1854 TO HELP SAN FRANCISCO'S GERMAN-SPEAKING IMMIGRANTS FIND WORK, SHELTER, FOOD, CLOTHING AND HEALTH CARE. THE PACIFIC CAMPUS WAS FOUNDED IN 1857 AND WAS THE FIRST MEDICAL SCHOOL IN THE AMERICAN WEST. THE CALIFORNIA CAMPUS WAS FOUNDED IN 1875 AS THE PACIFIC DISPENSARY FOR WOMEN AND CHILDREN, A HOSPITAL RUN BY WOMEN, FOR WOMEN. FINALLY, THE ST. LUKE'S CAMPUS HAS BEEN PROVIDING QUALITY HEALTH SERVICES TO ALL SAN FRANCISCANS FOR OVER 130 YEARS. TOGETHER THE DAVIES, CALIFORNIA, PACIFIC AND ST. LUKE'S CAMPUSES COMPRISE 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 ACHIEVEMENTS | FORM 990, PART III, LINE 4A | COMMUNITY 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 ACHIEVEMENTS | FORM 990, PART III, LINE 4A | CPMC RESEARCH INSTITUTE THE CALIFORNIA PACIFIC MEDICAL CENTER AND ITS RESEARCH INSTITUTE (CPMCRI) HAVE MADE A MAJOR COMMITMENT OF SPACE AND FUNDING TO ENHANCE ITS RESEARCH PROGRAMS. CPMC NOW RANKS IN THE TOP 25 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 RIGHTS | FORM 990, PART VI, QUESTIONS 6 & 7A | THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. |
| DESC CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | FORM 990, PART VI, QUESTION 7B | SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS, IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. |
| DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990 | FORM 990, PART VI, QUESTION 11A | SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, 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 INTEREST | FORM 990, PART VI, QUESTION 12 | EACH 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 COMPENSATION | FORM 990, PART VI, QUESTION 15 | THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO 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 PUBLIC | FORM 990, PART VI, QUESTION 19 | THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. |
| HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION | FORM 990, PART VII | THE 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 BALANCE | FORM 990, PART XI, LINE 5 | CHANGE 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 ACCOUNTANT | FORM 990, PART XII, QUESTION 2 | ANNUALLY 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 INFORMATION | SCHEDULE K, PART V | GLOBAL DISCLOSURE PART I, COLUMN (E): THE ORGANIZATION'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO 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)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| ADOLESCENT TREATMENT CENTERS INC | |||||||||
| 390 40TH STREET | OAKLAND | CA | 94609 | 680088443 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER EBH |
| ALTA BATES SUMMIT FOUNDATION | |||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | 510160184 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER EBH |
| CALIFORNIA PACIFIC MEDICAL CTR FOUND | |||||||||
| 2015 STEINER STREET 2ND FLOOR | SAN FRANCISCO | CA | 94115 | 942728423 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER WBH |
| DELTA MEMORIAL HOSPITAL FOUNDATION | |||||||||
| 3901 LONE TREE WAY | ANTIOCH | CA | 94509 | 942417022 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER EBH |
| EAST BAY PERINATAL CENTER | |||||||||
| 350 HAWTHORNE AVE | OAKLAND | CA | 94609 | 510172285 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER EBH |
| EDEN MEDICAL CENTER | |||||||||
| 20103 LAKE CHABOT ROAD | CASTRO VALLEY | CA | 94546 | 942948100 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH |
| MARIN COMMUNITY HEALTH | |||||||||
| 250 BON AIRE ROAD | GREENBRAE | CA | 94904 | 942994751 | SUPPORTING OR | CA | 501(C)(3) | 11b - II | SUTTER HLTH |
| MILLS-PENINSULA HEALTH SERVICES | |||||||||
| 1501 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | 941156265 | HOSPITAL | CA | 501(C)(3) | 3 | PAMF |
| MILLS-PENINSULA HOSPITAL FOUNDATION | |||||||||
| 1501 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | 237288765 | FUNDRAISING | CA | 501(C)(3) | 11a - I | MPHS |
| PALO ALTO MEDICAL FOUNDATION | |||||||||
| 2350 EL CAMINO REAL | MOUNTAIN VIEW | CA | 94040 | 941156581 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SAMUEL MERRITT UNIVERSITY | |||||||||
| 450 30TH STREET 2840 | OAKLAND | CA | 94609 | 942992642 | UNIVERSITY | CA | 501(C)(3) | 2 | SUTTER EBH |
| SUTTER AUBURN FAITH HOSPITAL FOUNDATION | |||||||||
| 11815 EDUCATION ST | AUBURN | CA | 95602 | 942594966 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR |
| SUTTER CENTRAL VALLEY HOSPITALS | |||||||||
| 1800 COFFEE ROAD SUITE 76 | MODESTO | CA | 95355 | 941080917 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SUTTER COAST HOSPITAL | |||||||||
| 800 E WASHINGTON BLVD | CRESCENT CITY | CA | 95531 | 942988520 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SUTTER DAVIS HOSPITAL FOUNDATION | |||||||||
| PO BOX 1617 | DAVIS | CA | 95617 | 680217870 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER SSR |
| SUTTER EAST BAY HOSPITALS | |||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | 941196176 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SUTTER EAST BAY MEDICAL FOUNDATION | |||||||||
| 3687 MT DIABLO BLVD 200 | LAFAYETTE | CA | 94549 | 942690415 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SUTTER GOULD MEDICAL FOUNDATION | |||||||||
| 600 COFFEE ROAD | MODESTO | CA | 95355 | 941682256 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SUTTER HEALTH | |||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 942788907 | SUPPORTING OR | CA | 501(C)(3) | 11c III-FI | NA |
| SUTTER HEALTH PACIFIC | |||||||||
| 91-2301 FT WEAVER RD | EWA BEACH | HI | 96706 | 990298651 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SUTTER HEALTH SACRAMENTO SIERRA REGION | |||||||||
| PO BOX 160727 | SACRAMENTO | CA | 95816 | 941156621 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SUTTER INSURANCE SERVICES CORPORATION | |||||||||
| 745 FORT STREET SUITE 800 | HONOLULU | HI | 96813 | 990289310 | INSURANCE SER | HI | 501(C)(3) | 11b - II | SUTTER HLTH |
| SUTTER MEDICAL CENTER FOUNDATION | |||||||||
| PO BOX 160727 | SACRAMENTO | CA | 95816 | 942788906 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR |
| SUTTER MEDICAL CENTER CASTRO VALLEY | |||||||||
| 20130 LAKE CHABOT RD 103 | CASTRO VALLEY | CA | 94546 | 770146047 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SUTTER MEDICAL FOUNDATION | |||||||||
| 2800 L STREET 7TH FLOOR | SACRAMENTO | CA | 95816 | 680273974 | HEALTH CARE | CA | 501(C)(3) | 11b - II | SUTTER HLTH |
| SUTTER ROSEVILLE MEDICAL CTR FOUNDATION | |||||||||
| ONE MEDICAL PLAZA | ROSEVILLE | CA | 95661 | 680040113 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER SSR |
| SUTTER SOLANO CHARITABLE FOUNDATION | |||||||||
| 300 HOSPITAL DRIVE | VALLEJO | CA | 94589 | 942668262 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER SSR |
| SUTTER VISITING NURSE ASSOC AND HOSPICE | |||||||||
| 1900 POWELL ST 300 | EMERYVILLE | CA | 94608 | 946068843 | HEALTH CARE | CA | 501(C)(3) | 9 | SUTTER HLTH |
| SUTTER WEST BAY HOSPITALS | |||||||||
| 2333 BUCHANAN STREET | SAN FRANCISCO | CA | 94115 | 940562680 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH |
| SUTTER WEST BAY MEDICAL FOUNDATION | |||||||||
| 2015 STEINER STREET 1ST FLOOR | SAN FRANCISCO | CA | 94115 | 942948131 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH |
| TRACY HOSPITAL FOUNDATION | |||||||||
| 1420 N TRACY BLVD | TRACY | CA | 95376 | 680318845 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER CVH |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CALIFORNIA PACIFIC ADV IMAGING LLC | |||||||||||||
| PO BOX 6102 | NOVATO | CA | 94948 | 562311840 | MRI JOINT VENTURE | CA | RELATED | 1849857 | 895216 | false | $0 | true | 0.51000 |
| SAN FRANCISCO ENDOSCOPY CENTER LLC | |||||||||||||
| 730 DISTEL | LOS ALTOS | CA | 94022 | 912160588 | ENDOSCOPY JV | CA | RELATED | 3923369 | 4207618 | false | $0 | false | 0.51000 |
| PRESIDIO SURGERY CENTER LLC | |||||||||||||
| 1635 DIVISADERO | SF | CA | 94115 | 320144060 | AMBULATORY SURG | CA | RELATED | 5927435 | 3682016 | false | $0 | true | 0.51000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | true | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | |
| C | 12104776 |
| CATHEDRAL HEIGHTS LLC | |
| L | 154330 |
| CALIFORNIA PACIFIC ADVANCED IMAGING LLC | |
| R | 1728900 |
| SAN FRANCISCO ENDOSCOPY CENTER LLC | |
| R | 3955381 |
| PRESIDIO SURGERY CENTER LLC | |
| R | 5348267 |