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AND MAINTENANCE 94135014 93935323 199691 0 UNINSURE LITIGATION/SETTLEMENT 32970242 32270242 700000 0 FEDERAL INCOME TAXES - UBI 1009456 697056 312400 0 48774864 38740840 10034024 2070243600 1944663815 125579785 0 X 0 0 -28742153 73336310 53209 856023 0 0 0 0 0 0 3257588 3170498 11853850 5846322 558453146 133451426 1771484801 1472428505 307874913 299056296 5312048578 6548573539 875353229 1164646760 32169604 33759067 0 0 341546789 357375297 7413868753 8620071538 786079509 841354031 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2534776670 3429812269 3320856179 4271166300 X 4084786761 4337280957 8225813 11624281 4093012574 4348905238 7413868753 8620071538 X -187585748 470436171 -26957759 X false true X true true true X X 9 SUTTER COAST HOSPITAL 942988520 3 true 0 0 SUTTER BAY HOSPITALS 940562680 3 true 0 0 SUTTER VALLEY HOSPITALS 941156621 3 true 0 0 SUTTER VALLEY MEDICAL FOUNDATION 680273974 3 true 0 0 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE 946068843 3 true 0 0 SUTTER BAY MEDICAL FOUNDATION 941156581 3 true 133430 0 SUTTER HEALTH PACIFIC 990298651 3 true 4200000 0 EAST BAY PERINATAL CENTER 510172285 3 true 0 0 SANSUM CLINIC 956419205 3 true 0 0 9 4333430 0 true false false false true true false false false false false false false false false true true true X true true SCHEDULE A, PART IV, SECTION A, LINE 5A On October 2, 2023 Sansum Clinic joined the not-for-profit Sutter Health system. As a result of this acquisition, the articles of incorporation for Sutter Health were updated in January 2024 to include Sansum Clinic as a supported organization. SCHEDULE A, PART IV, SECTION A, LINE 6 IN 2023, OUR NOT-FOR-PROFIT SUTTER HEALTH NETWORK INVESTED $822 MILLION TO PROVIDE COMMUNITY BENEFIT PRIMARILY TO PEOPLE ACROSS NORTHERN CALIFORNIA, INCLUDING IN SOME OF OUR POOREST COMMUNITIES. A PORTION OF THESE INVESTMENTS INCLUDE GRANTS THAT SUPPORT HEALTH CENTERS AND OTHER COMMUNITY ORGANIZATIONS WHO SHARE OUR GOAL OF IMPROVING OVERALL COMMUNITY HEALTH. THESE PARTNERSHIPS SUPPORT ACCESS TO MEDICAL CARE, MENTAL HEALTH SERVICES AND KEY SOCIAL SERVICES, SUCH AS TRANSITIONAL HOUSING, TRANSPORTATION, MEALS FOR THE HUNGRY, EDUCATION, YOUTH JOB-TRAINING PROGRAMS, RESEARCH AND HEALTH CARE ADVOCACY. SEE SCHEDULE I FOR THE SPECIFIC GRANTS MADE BY THE FILING ORGANIZATION IN CONNECTION WITH THESE EFFORTS. SCHEDULE A, PART IV, SECTION D, LINE 3 SUTTER HEALTH AND ITS SUPPORTED ORGANIZATIONS ARE ALL PART OF AN INTEGRATED HEALTH SYSTEM WITH AN INTERLOCKING GOVERNANCE MODEL. THIS CLOSE AND CONTINUING RELATIONSHIP PROVIDES THE SUPPORTED ORGANIZATIONS' INPUT INTO THE SUPPORTING ORGANIZATION'S INVESTMENT POLICIES AND USE OF ITS INCOME AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINES 3A & 3B PURSUANT TO THE BYLAWS AND INTERLOCKING GOVERNANCE MODEL OF EACH SUPPORTED ORGANIZATION, SUTTER HEALTH IS THE SOLE CORPORATE MEMBER AND HAS THE POWER TO APPOINT OR REMOVE AT LEAST A MAJORITY OF THE DIRECTORS. IN ADDITION, THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS CERTAIN "RESERVED POWERS" WHICH REQUIRE THAT CERTAIN DECISIONS MADE BY SUPPORTED ORGANIZATION BOARDS MUST BE APPROVED BY THE SUTTER HEALTH BOARD OF DIRECTORS BEFORE BEING EFFECTIVE. SUCH DECISIONS INCLUDE, AMONG OTHERS, THE POWER TO APPROVE: - MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION; - AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; - ADOPTION OF OPERATING AND CAPITAL BUDGETS, AS WELL AS STRATEGIC PLANS; - CREATION OR ACQUISITION OF SUBSIDIARY CORPORATIONS; - CREATION OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES; - EXPENDITURES BEYOND APPROVED BUDGETS AND IN EXCESS OF LIMITS ESTABLISHED BY SUTTER HEALTH; AND - LONG-TERM OR MATERIAL AGREEMENTS, INCLUDING AGREEMENTS FOR THE INCURRENCE OF CERTAIN DEBT IN EXCESS OF LIMITS ESTABLISHED BY SUTTER HEALTH, OR THE PURCHASE, SALE, LEASE, DISPOSITION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE OF ANY ASSET IN EXCESS OF LIMITS ESTABLISHED BY SUTTER HEALTH. IN ADDITION, THE BYLAWS OF THE SUPPORTED ORGANIZATIONS STATE THAT THE PRESIDENT, THE CHIEF FINANCIAL OFFICER, AND ALL KEY MEMBERS OF MANAGEMENT SHALL BE EMPLOYEES OF SUTTER HEALTH, THAT THE SUPPORTED ORGANIZATION SHALL CONDUCT ITS OPERATIONS AND ACTIVITIES IN ACCORDANCE WITH SUTTER HEALTH SYSTEM POLICIES, AND THAT THE SUPPORTED ORGANIZATION SHALL PARTICIPATE IN ALL INITIATIVES AND PROGRAMS DEVELOPED AND DESIGNATED FOR IMPLEMENTATION BY SUTTER HEALTH. SUCH PARTICIPATION SHALL BE WITHOUT LIMITATION OR MODIFICATION EXCEPT AS APPROVED BY SUTTER HEALTH IN ITS SOLE DISCRETION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 1450000 false false true 615444 2065444 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: PAID CONSULTANTS WHO PERFORMED LOBBYING ACTIVITIES AND DIRECTLY CONTRIBUTED TO LOBBYING MEASURES. 6287830 31760 597728 6917318 6539859 100000 -352029 6287830 5815002 12746 712111 6539859 5191614 623388 5815002 5034190 5000 227424 75000 5191614 0.00000 0.74440 0.25560 false false 23641963 23641963 141617143 69260215 72356928 43225410 40169117 3056293 1482643317 1348428496 134214821 80356968 14570677 65786291 299056296 ALTERNATIVE INVESTMENTS 1164646760 F 1164646760 0 SELF INSURANCE RESERVE 403752635 TAXABLE BOND LIABILITIES 2727872662 OTHER NONCURRENT LIABILITIES 298186972 3429812269 X SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS: MICHAEL AND JUDITH GAULKE INNOVATION HATCHERY ENDOWMENT FUND - TO SUPPORT THE SUTTER HEALTH INNOVATION HATCHERY to expand on the human-centered approach to designing breakthrough innovations by building a diverse portfolio of projects that are aligned with Sutter Health's mission and patient care goals. The portfolio will span multiple clinical areas with an initial goal of impacting one million patients system wide. SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH AND MANY AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND GENERALLY ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS, ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE STATUTE OF LIMITATIONS FOR TAX YEARS 2020 THROUGH 2022 REMAINS OPEN IN U.S. TAX JURISDICTIONS IN WHICH SUTTER AND ITS AFFILIATES ARE SUBJECT TO TAXATION. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. THERE WERE NO SUCH UNCERTAIN TAX POSITIONS RECOGNIZED FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022. Central America and the Caribbean 0 0 Investments 1101748094 Europe (Including Iceland and Greenland) 0 0 Investments 124185059 Sub-Saharan Africa 0 0 Investments 6307385 North America 0 0 Investments 74794005 0 0 0 0 1307034543 1307034543 true false true true true false SCHEDULE F, PART I, LINE 3, COLUMN (F) ACCOUNTING METHOD THE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS IN COLUMN (F). true MEDSHARE INTERNATIONAL 3240 CLIFTON SPRINGS RD DECATUR GA 30034 582433968 501(c)(3) 345078 195078 FMV inventory donation Program Support AMERICAN NATIONAL RED CROSS 430 17TH ST NW Washington DC 200065310 530196605 501(c)(3) 150000 Program Support LEUKEMIA AND LYMPHOMA SOCIETY 3 INTL DR STE 200 RYE BROOK NY 10573 135644916 501(c)(3) 150000 Program Support MAUI FOOD BANK INC 760 KOLU ST WAILUKU HI 967931438 990315110 501(c)(3) 125000 Program Support BEST BUDDIES INTERNATIONAL INC 100 SE 2ND ST STE 2200 MIAMI FL 331312151 521614576 501(c)(3) 100000 Program Support AMBULATORY SURGERY ACCESS COALITION 312 SUTTER ST 608 SAN FRANCISCO CA 94108 943180356 501(c)(3) 100000 Program Support COALITION FOR COMPASSIONATE CARE OF CA 2530 RVR PLAZA DR 110 SACRAMENTO CA 95833 270419836 501(c)(3) 50000 Program Support POLICY IMPACT 127 UNIVERSITY AVE BERKELEY CA 947101616 364657870 501(c)(3) 50000 Program Support SECOND HARVEST OF SILICON VALLEY 750 CURTNER AVE SAN JOSE CA 95125 942614101 501(c)(3) 33500 Program Support SAN FRANCISCO FOOD BANK 900 PNSYLVNIA AVE SAN FRANCISCO CA 94107 943041517 501(c)(3) 32500 Program Support SALVATION ARMY DBA SALVATION ARMY DEL ORO 30840 HWTHRN BLVD RANCHO PLOS VRD CA 90275 941156347 501(c)(3) 28930 Program Support CALIFORNIA FORWARD 925 L ST STE 600 SACRAMENTO CA 958143763 260566540 501(c)(3) 25000 Program Support FISHER HOUSE FOUNDATION INC 111 RCKVLLE PIKE 420 ROCKVILLE MD 20850 113158401 501(c)(3) 25000 Program Support PHYSICIANS FOR A HEALTHY CALIFORNIA 1201 K ST STE 800 SACRAMENTO CA 958143933 946062822 501(c)(3) 20000 Program Support ALAMEDA COUNTY COMMUNITY FOOD BANK PO BOX 2599 OAKLAND CA 94614 942960297 501(c)(3) 20000 Program Support SECOND HARVEST FOOD BANK OF THE GREATER VALLEY 704 E INDUSTRIAL PARK DR MANTECA CA 95337 680376587 501(c)(3) 18215 Program Support RIVER CITY COMMUNITY SERVICES 3311 E CURTIS DR SACRAMENTO CA 95818 911851398 501(c)(3) 18215 Program Support SECOND HARVEST FOOD BANK OF SANTA CRUZ CNTY 800 OHLONE PKWY WATSONVILLE CA 95076 770326685 501(c)(3) 16500 Program Support MEALS ON WHEELS OF ALAMEDA 1721 BROADWAY STE 201 OAKLAND CA 94612 942651065 501(c)(3) 15000 Program Support ALAINAS VOICE FOUNDATON 4215 SOLANO AVE NAPA CA 945581611 832688584 501(c)(3) 15000 Program Support TRACY INTERFAITH MINISTRIES 311 W GRANT LINE RD TRACY CA 95376 943150638 501(c)(3) 13215 Program Support PLACER FOOD BANK 8284 INDUSTRIAL AVE ROSEVILLE CA 95678 941740316 501(c)(3) 12215 Program Support ROTTS OF FRIENDS ANIMAL RESCUE 34505 COUNTY RD 29 WOODLAND CA 956959349 260723143 501(c)(3) 10000 Program Support DAVIS STREET COMMUNITY CENTER 3081 TEAGARDEN ST SAN LEANDRO CA 94577 943121699 501(c)(3) 10000 Program Support YOLO FOOD BANK 233 HARTER AVE WOODLAND CA 957765917 237111782 501(c)(3) 9215 Program Support ELK GROVE COMMUNITY FOOD BANK PO BOX 1447 ELK GROVE CA 95759 383664737 501(c)(3) 9215 Program Support FOOD BANK OF CONTRA COSTA AND SOLANO 4010 NELSON AVE CONCORD CA 945201200 942418054 501(c)(3) 9215 Program Support INTERFAITH COUNCIL OF AMADOR 12181 AIRPORT RD JACKSON CA 956429526 680363653 501(c)(3) 6715 Program Support REDWOOD EMPIRE FOOD BANK 3990 BRICKWAY BLVD SANTA ROSA CA 95403 680121855 501(c)(3) 6250 Program Support CERES COMMUNITY PROJECT PO BOX 1562 SEBASTOPOL CA 95473 262250997 501(c)(3) 6250 Program Support UNITED METHODIST CHURCH OF LOS BANOS 1031 IOWA AVE LOS BANOS CA 93635 770384534 501(c)(3) 5715 Program Support SALVATION ARMY PO BOX 340699 SACRAMENTO CA 95834 941170408 501(c)(3) 5715 Program Support 32 0 SCHEDULE I, PART I, LINE 2 In order to closely monitor efficiency and effectiveness, the Community Benefit function outlines measurable reporting (quarterly, six-month and/or year-end), program and funding requirements in a Memorandum of Understanding (MOU), Business Services Agreement (BSA), or Joint Venture Agreement for each investment made with a community partner. Where it is determined necessary, additional efforts are made to monitor effectiveness and efficiency of investments, which could include: - Quarterly meetings with community partners - E-mail and telephonic communications with community partners - Continued dialogue with involved hospital staff and community partners throughout duration of program - Site visits with community partners - Bi-annual "outcomes" survey (6-month and/or year-end outcomes) - Review of hospital usage and patient level data - Collection of patient stories and narratives - Collaborative discussions around ad-hoc successes and challenges that arise - Reporting to include year-end financial summary that compares actual expenditures to the funded project's budget, indicating any unused amount of grant funds. At the end of the appropriate reporting period, community benefit analyzes data to ensure community partners have met the objectives outlined in the MOU or BSA. If the community partners did not reach the anticipated outcomes, Community Benefit works to understand what circumstances prevented the organization from meeting the goals to help identify ways to improve or perhaps re-evaluate what success of this program looks like, and makes the determination to continue or terminate funding. We also rely on the governance practices of the recipient organization to monitor the use of the funds. 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UPGRADES ARE CONSIDERED A NECESSARY BUSINESS EXPENSE. SPOUSAL TRAVEL: FOR BOARD MEMBERS, ON CERTAIN OCCASIONS DETERMINED BY THE BOARD CHAIR, A SPOUSE MAY ACCOMPANY THE BOARD MEMBER TO A BOARD FUNCTION. TAXABLE SPOUSAL TRAVEL EXPENSES WILL BE REPORTED AS INCOME ON A FORM W-2 OR 1099 AS APPROPRIATE. SOCIAL CLUB: THE CEO RECEIVES A PAID MEMBERSHIP TO A LOCAL SOCIAL CLUB FOR BUSINESS AND COMMUNITY OUTREACH PURPOSES. SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: 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 INDEPENDENT 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. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: JAMES CONFORTI RECEIVED SEVERANCE PAYMENTS OF $1,599,998. BRIAN DEAN RECEIVED SEVERANCE PAYMENTS OF $255,081. FLO DI BENEDETTO RECEIVED SEVERANCE PAYMENTS OF $262,399. THERESA FREI RECEIVED SEVERANCE PAYMENTS OF $483,547. JEREMY EAVES RECEIVED SEVERANCE PAYMENTS OF $366,606. DAVID CHENEY RECEIVED SEVERANCE PAYMENTS OF $510,003. RISHI SIKKA RECEIVED SEVERANCE PAYMENTS OF $22,034. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: The purpose of the nonqualified retirement plan is to provide Sutter Health executives with a competitive retirement benefit consistent with Sutter Health's overall compensation philosophy for all employees. Contributions are designed taking into consideration lost retirement benefits that would otherwise be obtained through the qualified pension plan and social security benefits. Sutter's plans are designed consistent with competitive industry practices. The retirement plan for Sutter Health employees is a combination of 403(b) employer match contributions and qualified pension plan benefits. Sutter Health executives are generally ineligible for employer match contributions. To ensure a competitive retirement benefit, Sutter Health makes an annual contribution to a non-qualified 457(f) plan for its executives. The formula provides 6% to 12% of base salary plus annual incentive plan award (commensurate with management level). Contributions are also made for a small group of senior level executives whose estimated retirement benefit (social security plus qualified plan benefits plus 457f) falls below 50% - 65% of final 4-year average base salary when retiring at age 65 with 22.5 years of service. Target benefit levels are discounted for years of service less than 22.5 at age 65. Unlike Sutter Health's qualified PENSION plan where employee benefits are guaranteed (i.e., a defined benefit), Sutter's non-qualified plan benefits are not guaranteed by Sutter Health. Investment risk is borne by participants and benefits are not protected should Sutter Health become insolvent. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD, AVERAGE AMOUNT OF SPOT AWARDS TEND TO NOT EXCEED 5% TO 15% OF GROSS ANNUAL SALARY. 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, OPERATING UNIT AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. LONG TERM PERFORMANCE PLANS: SUTTER HEALTH ALSO EMPLOYS A LONG TERM PERFORMANCE PLAN WHICH IS DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL LONG TERM PERFORMANCE 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. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE PRIOR TO PAYMENT. Marcello Vial Family Member of Key Employee 41939 Employment false Mike Marino Family Member of Officer 532678 Employment false X 3995 31760 FMV X BOOKS, TOYS, GAMES 3 5112 FMV 0 false true false PART II, COLUMN (B) Line 9 - Securities - Publicly Traded Column (B) represents the number of shares received. Line 25 - Other Column (B) represents the number of contributions received. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: MISSION: CARING FOR OUR PATIENTS FIRST AND OUR PEOPLE ALWAYS. VISION: TO BE THE MOST COMPREHENSIVE, INTEGRATED AND CONNECTED HEALTH SYSTEM FOR GETTING AND STAYING WELL. VALUES: EXCELLENCE - We deliver high-quality, equitable care and take on the toughest challenges. CURIOSITY - We are constantly learning and creating new ways to advance healthcare. TEAMWORK - We collaborate with humility and solve for ONE Sutter. COMPASSION - We show empathy and understanding in every personal interaction. INCLUSION - We respect our differences and similarities, and cultivate a sense of belonging. INTEGRITY - We earn trust by doing the right thing and delivering on our commitments. FORM 990, PART III, LINE 4 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: Sutter Health is a not-for-profit healthcare system dedicated to providing comprehensive care throughout California. Committed to health equity, community partnerships, and innovative, high-quality patient care, Sutter Health is pursuing a bold new plan to reach more people and make excellent healthcare more connected and accessible. Currently serving nearly 3.4 million patients, thanks to our dedicated team of more than 57,000 employees and clinicians, and 12,000+ affiliated physicians, with a unified focus on expanding care to serve more patients. Sutter Health delivers exceptional and affordable care through its hospitals, medical groups, ambulatory surgery centers, urgent care clinics, telehealth, home health, and hospice services. Dedicated to transforming healthcare, at Sutter Health, getting better never stops. From deploying technology that improves the patient experience to expanding training programs to cultivate the next generation of physicians and healthcare workers, Sutter is working to shape the future of healthcare and be the best place to work, practice medicine and receive care. Grounded in its not-for-profit mission, Sutter Health is also a strong community partner. The integrated health system heavily reinvests in community health programs and partnerships, committing hundreds of millions of dollars annually to help care for some of California's most vulnerable populations and enhance the health and wellness of the communities it serves. The Sutter Health System is the 10th largest not-for-profit health system in the nation and includes: . 57,000+ employees . 12,000+ doctors . 15,000+ nurses . 19 accredited GME programs with 200+ residents . 28 acute care facilities . 300+ clinics, urgent care sites . 315 diagnostic imaging centers . 37 ambulatory surgery centers . 5 mental health and addiction care inpatient units 2023 by the numbers: . 24,901 births . 190,787 discharges . 903,421 hospital emergency room visits . 1,762,989 hospital outpatient visits . 10,028,686 medical foundation visits . 686,099 home health visits . 257,460 hospice visits To view a list of Sutter Health entities, see Form 990, Schedule R. FORM 990, PART VI, LINE 1A THE AFFAIRS AND MANAGEMENT OF SUTTER HEALTH ARE GOVERNED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD AND TO TRANSACT ALL REGULAR BUSINESS DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, WHO SERVES AS CHAIR OF THE COMMITTEE, THE CHAIR OF THE FINANCE COMMITTEE, THE SECRETARY, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CHAIR-ELECT, IF THERE IS AN INDIVIDUAL WITH THAT TITLE WHO IS NOT SERVING ON THE COMMITTEE IN ANOTHER CAPACITY, THE PAST CHAIR, IF SUCH INDIVIDUAL IS STILL SERVING AS A DIRECTOR, AND AT LEAST ONE APPOINTED DIRECTOR OF THE CORPORATION. FORM 990, PART VI, LINE 11B PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT RECEIVES AND PROVIDES TRAINING AND EDUCATION TO APPROPRIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, LEGAL DEPARTMENT, FINANCE, AND THE CFO BEFORE THE RETURN IS FILED. FORM 990, PART VI, LINE 12 PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES. 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. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. THE BOARD MAY CONSULT WITH THE LEGAL AND RISK SERVICES DEPARTMENT AS NECESSARY. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR (OR COMMITTEE CHAIR AS APPLICABLE) MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL LEAVE THE ROOM PRIOR TO THE BOARD'S FINAL DISCUSSION AND VOTE. FORM 990, PART VI, LINE 15 PROCESS FOR DETERMINING TOP MANAGEMENT OFFICIAL COMPENSATION: The compensation for the position of the top management official is determined through a quantitative review of peer equity data and applicable national market salary survey data regressed to entity operating revenue size to ensure the position is both internally equitable and externally competitive/market appropriate. The Compensation Committee of Sutter Health annually reviews and approves compensation, and such approval is recorded in the minutes of Sutter Health. The 2023 Executive compensation approval was completed in MAY 2023. FORM 990, PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY & FINANCIAL STATEMENTS: The Sutter Health system posts its current and past Audited Financial Statements at sutterhealth.org. Other documents are also located at this website including the Annual Report, Mission Statement, history, and links to affiliate websites. The governing documents and conflict of interest policy are not available to the public at this time. FORM 990, PART X, LINE 20 SUTTER HEALTH IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES AND ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS OF WHICH IT IS THE SOLE CORPORATE MEMBER. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THESE SUBSIDIARY ORGANIZATIONS IS REPORTED ON EACH SUBSIDIARY ORGANIZATION'S FORM 990, PART X, BALANCE SHEET AND SCHEDULE K. FORM 990, PART XI, LINE 9 OTHER CHANGES IN FUND BALANCE: PENSION RELATED CHANGES (494,562,698) EQUITY TRANSFER (NET) 485,387,433 PARTNERSHIP INCOME ON BOOKS 15,788,398 Loss on Deconsolidation of an affiliate (5,000,000) OTHER CHANGES IN FUND BALANCE (28,570,891) ---------------- TOTAL $ (26,957,759) ================ SUTTER OUTPATIENT SERVICES LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 454714483 SUPPORT SVCS CA 92847011 15195590 SUTTER HLTH SUTTER SHARED LAB LLC 2950 COLLIER CANYON ROAD LIVERMORE CA 94551 475583986 LAB SERVICES CA 61365086 51915386 SUTTER HLTH SUTTER HEALTH PLAN PRODUCTS ORG LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 821766939 SUPPORT SVCS CA 0 67508154 SUTTER HLTH SUTTER PREF DIR CONTRACTING ENTITY LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 852510442 HLDNG COMPANY CA 3170231 7949947 SUTTER HLTH CALIFORNIA PACIFIC MEDICAL CTR FOUND C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER BH true EAST BAY PERINATAL CENTER 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