SUTTER VALLEY MEDICAL FOUNDATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SUTTER VALLEY MEDICAL FOUNDATION (EIN 68-0273974)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202323189349317777
Schema version: 2022v5.0
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)
Return	2023-11-14T18:42:54-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 MISSION ST STE 1600	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	680273974	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER VALLEY MEDICAL FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KENNETH YOUNG	InCareOfNm
Business Name Control	SUTT	BusinessNameControlTxt
Phone	9162866665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O SH TAX 2200 RIVER PLAZA DR	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DOMINIC NAKIS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9162866665	PhoneNum
Signature	2023-11-06	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DOMINIC	PersonFirstNm
Person Last	NAKIS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN
Phone	4158948000	PhoneNum
Preparation	2023-11-03	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TODD SMITH MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	SAME AS C ABOVE	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,855,885,976	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUTTERHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1992	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	4703	TotalEmployeeCnt
Total Volunteers	31	TotalVolunteersCnt
Total Gross UBI	$42,983	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,585,249	PYContributionsGrantsAmt
CY Contributions Grants	$14,558,582	CYContributionsGrantsAmt
PY Program Service Revenue	$1,780,807,669	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,835,027,600	CYProgramServiceRevenueAmt
PY Investment Income	$2,624,471	PYInvestmentIncomeAmt
CY Investment Income	$1,494,500	CYInvestmentIncomeAmt
PY Other Revenue	$104,710	PYOtherRevenueAmt
CY Other Revenue	$112,270	CYOtherRevenueAmt
PY Total Revenue	$1,807,122,099	PYTotalRevenueAmt
CY Total Revenue	$1,851,192,952	CYTotalRevenueAmt
PY Grants And Similar Paid	$42,140	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$30,683	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$458,470,465	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$437,885,505	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$345,699	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,267,625,352	PYOtherExpensesAmt
CY Other Expenses	$1,301,410,174	CYOtherExpensesAmt
PY Total Expenses	$1,726,137,957	PYTotalExpensesAmt
CY Total Expenses	$1,739,326,362	CYTotalExpensesAmt
PY Revenues Less Expenses	$80,984,142	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$111,866,590	CYRevenuesLessExpensesAmt
Total Assets BOY	$666,026,093	TotalAssetsBOYAmt
Total Assets EOY	$722,732,834	TotalAssetsEOYAmt
Total Liabilities BOY	$414,838,314	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$424,771,019	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$251,187,779	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$297,961,815	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,625,668,903	ExpenseAmt
Grant	$30,683	GrantAmt
Revenue	$1,835,027,600	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$1,625,668,903	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1112	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4703	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KENNETH YOUNG	PersonNm
Phone	9162866665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2300 RIVER PLAZA DR	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Sarah Krevans
CEO Emeritus, Sutter Health	2.0	40.0	Yes (X)	$0	$5,124,807	$275,603
Thomas Warner
Pres. & CEO SH (PT-YR)	2.0	40.0	Yes (X)	$0	$194,285	$3,265,142
James Conforti
SH SVP, Interim CEO	4.0	40.0	Yes (X)	$0	$2,919,261	$226,992	Yes (X)
Theresa Frei
SH INT COO & PRES/CEO, SVMF	4.0	40.0	Yes (X)	$0	$1,497,664	$115,619	Yes (X)
Jeff Szczesny
SH VP, HR Ops	0.0	40.0		$0	$907,254	$89,637		Yes (X)
Gary Zufelt
FND AREA CEO, NORTH VALLEY	0.0	40.0		$0	$847,172	$94,305			Yes (X)
Todd Smith MD
FND AREA CEO, SOUTH VALLEY	0.0	40.0		$0	$751,751	$88,823			Yes (X)
Patrina White
CEO, SSCD/SWC	0.0	40.0		$0	$714,656	$98,210		Yes (X)
Suheir Haddad
CFO FOUNDATION, SVMF	2.0	40.0		$0	$625,807	$84,305	Yes (X)
Peter Hull MD
SME SRMC/Chair	4.0	40.0	Yes (X)	$0	$482,723	$53,918	Yes (X)
Michael D Marino
VP, HR, SH FOUNDATIONS	0.0	40.0		$0	$478,079	$47,900			Yes (X)
Ali Layeghi
Manager, Dosimetry	40.0	0.0		$400,795	$0	$23,851				Yes (X)
Jonathan K Bareng
Medical Physicist III	40.0	0.0		$358,517	$0	$24,933				Yes (X)
Sy Fangyan Z
Executive, Quality	40.0	1.0		$330,929	$5,422	$31,457				Yes (X)
Benjamin Kirk
DEPUTY GEN COUNS, SEC	2.0	40.0		$0	$317,494	$37,403	Yes (X)
Jennifer S Glass
Medical Physicist III	40.0	0.0		$275,140	$0	$29,760				Yes (X)
Chuan Wu
Chief Physicist	40.0	0.0		$269,019	$0	$29,654				Yes (X)
Penny Westfall
Former SH VP, CLO, SH	0.0	40.0		$0	$198,372	$487		Yes (X)
Thomas Blinn
Frmr CEO, Valley Area FOUNDAT.	0.0	0.0		$0	$128,537	$0		Yes (X)
I-Mei Hsiu MD
DIRECTOR & SH BOARD	2.0	9.0	Yes (X)	$0	$27,500	$0
David Adkins MD
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
Timothy Byrd
Director	2.0	2.0	Yes (X)	$0	$0	$0
Viva Ettin MD
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
Bronwyn Fields RN
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
Dan Flores
Chair Finance & Planning	4.0	4.0	Yes (X)	$0	$0	$0	Yes (X)
Maria Pallavicini
Director	2.0	2.0	Yes (X)	$0	$0	$0
Gail Russell MD
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
Fatima Seward
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0
Kurt Shuler MD
DIRECTOR	2.0	3.0	Yes (X)	$0	$0	$0
Jerry Tokunaga
DIRECTOR	2.0	2.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,634,400	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$15,220,784	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,617,999	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	799	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Sutter North Medical Group
969 PLUMAS ST	YUBA CITY	CA	95991	Physician Services	$43,511,766
CT BRAYTON AND SONS INC
PO BOX 95	ESCALON	CA	953200095	Construction SVCS	$3,982,288
WFC BUILDERS INC
6050 WAREHOUSE WY	SACRAMENTO	CA	958264922	Construction SVCS	$2,728,308
ADVANCED BUILDING MAINTENANCE
1804 TRIBUTE RD STE K	SACRAMENTO	CA	958154313	Janitorial SVCS	$2,530,178
HEALTHCARE LOGISTICS MGMT INC
PO BOX 749469	LOS ANGELES	CA	900749469	Medical Courier SVCS	$1,962,044

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	77	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$250	FederatedCampaignsAmt
Fundraising	$21,900	FundraisingAmt
Related Organizations	$688,582	RelatedOrganizationsAmt
Government Grants	$13,273,512	GovernmentGrantsAmt
All Other Contributions	$574,338	AllOtherContributionsAmt
Noncash Contributions	$9,498	NoncashContributionsAmt
Total Contributions	$14,558,582	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621110	$1,829,981,363	$1,829,981,363
HEALTHCARE RELATED JV INCOME	621110	$2,651,554	$2,651,554
RENTAL TO AFFILIATES	621110	$1,285,423	$1,285,423
GUARANTEED PAYMENT JV INCOME	621110	$1,109,260	$1,109,260

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,835,027,600	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,580,726	TotalRevenueColumnAmt
Exclusion	$1,580,726	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$77,043	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,164	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$71,879	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,879	TotalRevenueColumnAmt
Exclusion	$71,878	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$4,597,902	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$114,111	SecuritiesAmt
Other	$4,570,017	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$114,111	SecuritiesAmt
Other	$27,885	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$86,226	TotalRevenueColumnAmt
Exclusion	-$86,226	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$1,140	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$21,900	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$3,732	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,592	TotalRevenueColumnAmt
Exclusion	-$2,592	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	SFSC ADMIN FEE	Desc
Business	541610	BusinessCd
Total Revenue Column	$42,983	TotalRevenueColumnAmt
Unrelated Business Revenue	$42,983	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$42,983	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,851,192,952	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,835,027,600	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$42,983	UnrelatedBusinessRevenueAmt
Exclusion	$1,563,786	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$22,683	TotalAmt
Program Services	$22,683	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$8,000	TotalAmt
Program Services	$8,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$269,836,467	TotalAmt
Program Services	$252,732,238	ProgramServicesAmt
Management And General	$16,913,076	ManagementAndGeneralAmt
Fundraising	$191,153	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,422,535	TotalAmt
Program Services	$12,580,628	ProgramServicesAmt
Management And General	$841,907	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$130,760,291	TotalAmt
Program Services	$122,499,714	ProgramServicesAmt
Management And General	$8,197,795	ManagementAndGeneralAmt
Fundraising	$62,782	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,866,212	TotalAmt
Program Services	$22,369,242	ProgramServicesAmt
Management And General	$1,496,970	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,186,539	TotalAmt
Program Services	$146,018	ProgramServicesAmt
Management And General	$1,040,521	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$572,494	TotalAmt
Program Services	$572,494	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,000	TotalAmt
Management And General	$1,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$278,252	TotalAmt
Management And General	$278,252	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$733,569,167	TotalAmt
Program Services	$717,810,474	ProgramServicesAmt
Management And General	$15,758,693	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$147,320	TotalAmt
Management And General	$147,320	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,413,522	TotalAmt
Program Services	$1,242,544	ProgramServicesAmt
Management And General	$7,167,686	ManagementAndGeneralAmt
Fundraising	$3,292	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$36,042,124	TotalAmt
Program Services	$21,142,716	ProgramServicesAmt
Management And General	$14,899,408	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$53,041,013	TotalAmt
Program Services	$50,289,801	ProgramServicesAmt
Management And General	$2,751,212	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,962,774	TotalAmt
Program Services	$1,857,322	ProgramServicesAmt
Management And General	$104,846	ManagementAndGeneralAmt
Fundraising	$606	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$118,978	TotalAmt
Program Services	$98,021	ProgramServicesAmt
Management And General	$20,932	ManagementAndGeneralAmt
Fundraising	$25	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,941,498	TotalAmt
Program Services	$5,941,498	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$37,906,080	TotalAmt
Program Services	$34,475,266	ProgramServicesAmt
Management And General	$3,430,814	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,265,489	TotalAmt
Program Services	$1,280,090	ProgramServicesAmt
Management And General	$1,985,399	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CAPITATED SERVICES	$147,407,486	$147,407,486
SYSTEM ALLOCATIONS	$127,713,084	$92,094,638	$35,567,520	$50,926
MEDICAL SUPPLIES	$95,350,815	$95,350,815
PURCHASED SERVICES	$35,658,277	$33,788,574	$1,863,290	$6,413

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,834,262	TotalAmt
Program Services	$11,958,641	ProgramServicesAmt
Management And General	$845,119	ManagementAndGeneralAmt
Fundraising	$30,502	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,739,326,362	TotalAmt
Program Services	$1,625,668,903	ProgramServicesAmt
Management And General	$113,311,760	ManagementAndGeneralAmt
Fundraising	$345,699	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$181,527,424	BOYAmt
EOY	$216,174,759	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$95,566	BOYAmt
EOY	$114,101	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$93,365,511	BOYAmt
EOY	$106,564,738	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$618,605	BOYAmt
EOY	$661,140	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$496,448	BOYAmt
EOY	$419,029	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$813,414,566	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$546,490,738	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$269,199,090	BOYAmt
EOY	$266,923,828	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$511,874	BOYAmt
EOY	-$1,385,538	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$24,647,530	BOYAmt
EOY	$25,857,391	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,687,245	BOYAmt
EOY	$21,687,245	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$73,876,800	BOYAmt
EOY	$85,716,141	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$666,026,093	BOYAmt
EOY	$722,732,834	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$193,316,258	BOYAmt
EOY	$214,977,676	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$147,446,550	BOYAmt
EOY	$145,636,185	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$74,075,506	BOYAmt
EOY	$64,157,158	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$414,838,314	BOYAmt
EOY	$424,771,019	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$248,816,337	BOYAmt
EOY	$295,695,172	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,371,442	BOYAmt
EOY	$2,266,643	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$251,187,779	BOYAmt
EOY	$297,961,815	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$666,026,093	BOYAmt
EOY	$722,732,834	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$111,866,590	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,972,856	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$63,119,698	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (true)	AccountantCompileOrReviewInd
Acct Compile Or Review Basis		AcctCompileOrReviewBasisGrp
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Revenues Included	$115,482	RevenuesIncludedAmt

Field	Value	IRS element (for citing)
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$207,299	BeginningYearBalanceAmt
Contributions	$2,980	ContributionsAmt
Investment Earnings Or Losses	-$3,866	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,221	OtherExpendituresAmt
End Year Balance	$203,192	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$223,522	BeginningYearBalanceAmt
Contributions	-$13,123	ContributionsAmt
Investment Earnings Or Losses	-$100	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,000	OtherExpendituresAmt
End Year Balance	$207,299	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$217,076	BeginningYearBalanceAmt
Contributions	$5,796	ContributionsAmt
Investment Earnings Or Losses	$4,650	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,000	OtherExpendituresAmt
End Year Balance	$223,522	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$144,711	BeginningYearBalanceAmt
Contributions	$67,800	ContributionsAmt
Investment Earnings Or Losses	$5,460	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$895	GrantsOrScholarshipsAmt
End Year Balance	$217,076	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$113,025	BeginningYearBalanceAmt
Contributions	$29,320	ContributionsAmt
Investment Earnings Or Losses	$2,366	InvestmentEarningsOrLossesAmt
End Year Balance	$144,711	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,677,545	OtherCostOrOtherBasisAmt
Book Value	$38,677,545	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$353,246,955	OtherCostOrOtherBasisAmt
Depreciation	$192,508,625	DepreciationAmt
Book Value	$160,738,330	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$97,571,329	OtherCostOrOtherBasisAmt
Depreciation	$78,035,584	DepreciationAmt
Book Value	$19,535,745	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$299,710,073	OtherCostOrOtherBasisAmt
Depreciation	$258,638,891	DepreciationAmt
Book Value	$41,071,182	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,208,664	OtherCostOrOtherBasisAmt
Depreciation	$17,307,638	DepreciationAmt
Book Value	$6,901,026	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$266,923,828	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$6,191,294
NOTES RECEIVABLE	$1,641,587
OTHER RECEIVABLES	$3,262,935
OTHER ASSETS	$74,620,325

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$85,716,141	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INSURANCE LIABILITIES	$1,027,834
CAPITAL LEASES	$71,000
OTHER LIABILITIES	$63,058,324

Field	Value	IRS element (for citing)
Total Liability	$64,157,158	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART III, LINE 4	DESCRIPTION OF THE ORGANIZATION'S COLLECTIONS: THE ORGANIZATION HAS ARTWORK BEING DISPLAYED IN PUBLIC PLACES OF THE MEDICAL FACILITY FOR DECORATIVE PURPOSES.
SCHEDULE D, PART V, LINE 4	THE INTENTIONS FOR THE ENDOWMENT FUNDS ARE AS FOLLOWS: DR. HUDLIN MEDICAL SCHOLARSHIP ENDOWMENT - THE EARNINGS OF THE ENDOWMENT ARE TO BE SPENT FOR THE PURPOSE OF PROVIDING SCHOLARSHIP SUPPORT FOR DISADVANTAGED HIGH SCHOOL STUDENTS PURSUING MEDICAL CAREERS. CHILDRENS BRAIN HEALTH ENDOWMENT - TO SUPPORT THE GENERAL NEEDS RELATED TO THE PSYCHOLOGICAL ASSESSMENT OF CHILDREN.
SCHEDULE D, PART X, LINE 2	ASC 740 AUDIT 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 2019 THROUGH 2021 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, 2022 AND 2021.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Generosity Gala	Event1Nm
Gross Receipts Event1	$23,040	GrossReceiptsEvent1Amt
Charitable Contri Event1	$21,900	CharitableContriEvent1Amt
Gross Revenue Event1	$1,140	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$265	NonCashPrizesEvent1Amt
Food And Beverage Event1	$252	FoodAndBeverageEvent1Amt
Entertainment Event1	$106	EntertainmentEvent1Amt
Other Direct Expenses Event1	$3,109	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$23,040	GrossReceiptsTotalAmt
Charitable Contributions Tot	$21,900	CharitableContributionsTotAmt
Gross Revenue Total Events	$1,140	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$265	NonCashPrizesTotalEventsAmt
Food And Beverage Total Events	$252	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$106	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$3,109	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$3,732	DirectExpenseSummaryEventsAmt
Net Income Summary	-$2,592	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Indiv Hospital Tailored Policy	Yes (X)	IndivHospitalTailoredPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,297,514	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,297,514	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,492,367	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,185,460	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,306,907	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,300,646	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$632,376	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$668,270	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,090,527	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,817,836	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,272,691	NetCommunityBenefitExpnsAmt
Total Expense	0.02430	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$239,913	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$239,913	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,795,711	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,793,679	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,002,032	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$545,167	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$545,167	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,085,573	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$250,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,835,573	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,666,364	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,588,846	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,077,518	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,756,891	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,406,682	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,350,209	NetCommunityBenefitExpnsAmt
Total Expense	0.02660	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$10,221,963	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,823,163	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,601,200	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	STANISLAUS SURG HOSP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.31	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.4567	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	OtherOtherDesc
TWIN CITIES SURGICAL HOSPITAL
1	455 PLUMAS BLVD	YUBA CITY	CA	959915074	HTTPS://WWW.SUTTERHEALTH.ORG/SSHNV	LICENSE #550000989	Yes (X)	Yes (X)	OUTPATIENT SERVICES
STANISLAUS SURGICAL HOSPITAL
2	1421 OAKDALE ROAD	MODESTO	CA	953553356	WWW.STANISLAUSSURGICAL.COM/	LICENSE #030000695	Yes (X)	Yes (X)	OUTPATIENT SERVICES

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Other MethodOtherMethodInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Asset Level CriteriaAssetLevelCriteriaInd	No Emergency CareNoEmergencyCareInd
TWIN CITIES SURGICAL HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	22	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (true)	22	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	400.	0.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
STANISLAUS SURGICAL HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (true)	19	Yes (true)	SEE PART V, SECTION C	false	Yes (true)	Yes (X)	100	350.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	false	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	TWIN CITIES SURGICAL HOSPITAL (FACILITY 1): THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5	TWIN CITIES SURGICAL HOSPITAL (FACILITY 1): CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: INPUT FROM THE COMMUNITY SERVED WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E.,MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WAS COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. TWIN CITIES SURGICAL HOSPITAL KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JANUARY 3, 2022, AND MARCH 8, 2022. THE FOLLOWING COMMUNITY HEALTH EXPERTS, KEY INFORMANTS, AND FOCUS GROUPS, REPRESENTING THE RESIDENTS OF SUTTER COUNTY, YUBA COUNTY, LINDA COUNTY, PUNJABI COUNTY, LOW-INCOME RESIDENTS AT RISK RESIDENTS, CHILDREN, ADOLESCENTS, MEDI-CAL RECIPIENTS, AND OTHERS, ALL CONTRIBUTED INPUT TO THE CHNA: -SUTTER COUNTY DEPARTMENT OF PUBLIC HEALTH -YUBA COUNTY HEALTH AND HUMAN SERVICES DIVISION -YUBA SUTTER HEALTHCARE COUNCIL -ADVENTIST HEALTH AND RIDEOUT STAFF -PEACH TREE HEALTH -HARMONY HEALTH -SUTTER CARE AT HOME -SUTTER MEDICAL FOUNDATION -ANTHEM BLUE CROSS -SUTTER COUNTY BOARD OF SUPERVISORS THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN TWIN CITIES SURGICAL HOSPITAL'S CHNA ARE AVAILABLE AT HTTP://WWW.SUTTERSURGICALHOSPITALNORTHVALLEY.ORG/ ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT.HTML
SCHEDULE H, PART V, SECTION B, LINES 6A	TWIN CITIES SURGICAL HOSPITAL (FACILITY 1): CHNA HOSPITAL COLLABORATORS: WORKING COLLABORATIVELY, RIDEOUT MEMORIAL HOSPITAL (RMH), DBA ADVENTIST HEALTH AND RIDEOUT, AND TWIN CITIES SURGICAL HOSPITAL, DBA SUTTER SURGICAL HOSPITAL NORTH VALLEY (SSHNV) CONTRACTED WITH COMMUNITY HEALTH INSIGHTS TO CONDUCT A CHNA FOR THEIR MUTUAL SERVICE AREAS.
SCHEDULE H, PART V, SECTION B, LINE 7A, 7B, AND 10A	TWIN CITIES SURGICAL HOSPITAL (FACILITY 1): REPORTING ORG WEBSITE: HTTP://WWW.SUTTERSURGICALHOSPITALNORTHVALLEY.ORG/ABOUT-US/ COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 11	TWIN CITIES SURGICAL HOSPITAL (FACILITY 1): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT TWIN CITIES SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES 2. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 3. ACTIVE LIVING AND HEALTHY EATING 4. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 5. ACCESS TO FUNCTIONAL NEEDS 6. INJURY AND DISEASE PREVENTION AND MANAGEMENT 7. INCREASED COMMUNITY CONNECTIONS 8. SAFE AND VIOLENCE-FREE ENVIRONMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH ADDITIONAL CRITICAL EFFORTS ON BEHALF OF TWIN CITIES SURGICAL HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. TWIN CITIES SURGICAL HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS TO SPECIALTY AND EXTENDED CARE: SUTTER SURGICAL HOSPITAL - NORTH VALLEY PLANS TO SEEK OUT OPPORTUNITIES FOR COMMUNITY BENEFIT PROGRAMS THAT ADDRESS SPECIALTY AND EXTENDED CARE WITH LOCAL COMMUNITY BENEFIT ORGANIZATIONS.
SCHEDULE H, PART V, SECTION B, LINE 15E	TWIN CITIES SURGICAL HOSPITAL (FACILITY 1): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C	TWIN CITIES SURGICAL HOSPITAL (FACILITY 1): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J	TWIN CITIES SURGICAL HOSPITAL (FACILITY 1): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 22D	TWIN CITIES SURGICAL HOSPITAL (FACILITY 1): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
SCHEDULE H, PART V, SECTION B, LINE 3	STANISLAUS SURGICAL HOSPITAL (FACILITY 2): STANISLAUS SURGICAL HOSPITAL WAS SOLD TO AN UNRELATED THIRD PARTY EFFECTIVE JUNE 1, 2022. QUESTIONS 3 THROUGH 11 WERE LEFT BLANK BECAUSE UNDER TREASURY REGULATION SECTION 1.501(R)-3(D)(4), A HOSPITAL ORGANIZATION IS NOT REQUIRED TO MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO A HOSPITAL FACILITY IN A TAXABLE YEAR IF BEFORE THE END OF THAT TAXABLE YEAR, THE HOSPITAL ORGANIZATION TRANSFERS ALL OWNERSHIP OF THE HOSPITAL FACILITY TO ANOTHER ORGANIZATION OR OTHERWISE CEASES ITS OPERATION OF THE HOSPITAL FACILITY.
SCHEDULE H, PART V, SECTION B, LINE 15E	STANISLAUS SURGICAL HOSPITAL (FACILITY 2): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY SUBMIT CHARITY CARE APPLICATION TO THE COLLECTIONS SUPERVISOR.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, AND 16C	STANISLAUS SURGICAL HOSPITAL (FACILITY 2): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY WERE PREVIOUSLY AVAILABLE ON THE STANISLAUS SURGICAL HOSPITAL WEBSITE AT: HTTPS://STANISLAUSSURGICAL.COM/FINANCIAL-ASSISTANCE AS OF 6/1/2022 SUTTER HEALTH NO LONGER OWNS OR OPERATES STANISLAUS SURGICAL HOSPITAL. THESE DOCUMENTS WERE REMOVED FROM THE WEBSITE AFTER THIS DATE.
SCHEDULE H, PART V, SECTION B, LINE 16J	STANISLAUS SURGICAL HOSPITAL (FACILITY 2): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA (ENGLISH & SPANISH). DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED THE FINANCIAL ASSISTANCE POLICY IS POSTED IN SEVERAL PROMINENT LOCATIONS WITHIN THE HOSPITAL, INCLUDING, BUT NOT LIMITED TO THE BILLING OFFICE, ADMISSIONS OFFICE, AND PATIENT WAITING AREA. HOSPITAL PROVIDES PATIENTS, IN A TIMELY MANNER, A COPY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST.

Field	Value	IRS element (for citing)
Facility	80	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (80 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SUTTER MED CARE CT & AMBULATORY SURG CT
460 Plumas	Yuba City	CA	95991	Outpatient Services/Surgery Center
Modesto Urgent Care
600 Coffee Road	Modesto	CA	95355	Urgent Care
Stockton Medical Plaza I
2545 West Hammer Lane	Stockton	CA	95209	Urgent Care/Surgery Center/ Outpatient Services
Stockton Medical Plaza II
2505 West Hammer Lane	Stockton	CA	95209	Urgent Care/Surgery Center/ Outpatient Services
Stockton Surgery Center
8011 Don Avenue	Stockton	CA	95209	Surgery Center
Patterson Care Center
801 E Street	Patterson	CA	95363	Lab/Outpatient Services
Turlock Care Center
3100 W Christoffersen Parkway	Turlock	CA	95382	Urgent Care/Radiology/ Laboratory
Briggsmore Specialty Center
1409 E Briggsmore	Modesto	CA	95355	Outpatient Services
Sutter Imaging Sacramento
3161 L Street	Sacramento	CA	95816	Imaging
Sutter Roseville Cancer Center
8 Medical Plaza Drive	ROSEVILLE	CA	95661	Outpatient Services
3 Medical Plaza Care Center
3 MEDICAL PLAZA DRIVE	ROSEVILLE	CA	95661	Outpatient Services
Sutter Imaging Roseville Parkway
1640 East Roseville Parkway	ROSEVILLE	CA	95661	Imaging
Sutter Imaging Roseville II
2 Medical Plaza Drive	ROSEVILLE	CA	95661	Imaging
Sutter Medical Plaza - Sutter Place
2020 SUTTER PLACE	Davis	CA	95616	Outpatient Services
Sutter Urgent Care Fairfield
2702 Low Court	Fairfield	CA	94534	Outpatient Services
Sutter Yuba City Medical Center
480 Plumas	Yuba City	CA	95991	Outpatient Services
Sutter Medical Plaza Vacaville
770 Mason Street	Vacaville	CA	95687	Outpatient Services
Sutter Medical Plaza Vallejo
100 Hospital Drive	Vallejo	CA	94589	Outpatient Services
Sutter Amador Surgery Center
223 Clinton Road	Jackson	CA	95642	Outpatient Services
Sutter Fairfield Surgery Center
2700 Low Court	Fairfield	CA	94534	Surgery Center
Urgent CareLabRadiologyCardiology
440 Plumas	Yuba City	CA	95991	Urgent Care/Lab/Radiology/ Cardiology
Auburn Gastroenterology & Neurology
11795 Education Street	Auburn	CA	95602	Gastroenterology and Neurology
ROSEVILLE - FAMILY PRACTICE AND PHY TH
568 N SUNRISE AVE	ROSEVILLE	CA	95661	Outpatient Services and Physical Therapy
GRASS VALLEY FAMILY PRACTICE & PHY TH
10058 WOLF ROAD	GRASS VALLEY	CA	95949	Outpatient Services and PHYSICAL THERAPY
Sutter Medical Foundation PHY TH
420 B St	Yuba City	CA	95991	Physical Therapy
Sutter Fairfield Diagnostic Imaging CTR
2700 Low Court	Fairfield	CA	94534	Diagnostic Imaging Center
Sutter Medical Plaza Folsom
2575 E BIDWELL ST	FOLSOM	CA	95630	Outpatient Services
Fort Sutter Surgery Center
2801 K ST	SACRAMENTO	CA	95816	Outpatient Services
Sutter Medical Plaza Roseville
3100 DOUGLAS BLVD	ROSEVILLE	CA	95661	Outpatient Services
Alhambra Medical Office & Urgent Care
1201 ALHAMBRA BLVD	SACRAMENTO	CA	95816	Outpatient Services
635 Anderson Road Care Center
635 ANDERSON RD	Davis	CA	95616	Outpatient Services
West Sacramento Walk-In Care
2055 Town Center Plaza	West Sacramento	CA	95691	Outpatient Services
Natomas Walk-In Care
2860 Del Paso Road	Sacramento	CA	95834	Outpatient Services
West Roseville Care Center
2050 Blue Oaks Boulevard	Roseville	CA	95747	Outpatient Services
Davis Walk-In Care
4647 2nd Street	Davis	CA	95618	Outpatient Services
Sutter Medical Plaza Elk Grove
8170 LAGUNA BLVD	ELK GROVE	CA	95758	Outpatient Services
Sutter Elk Grove Surgery Center
8200 LAGUNA BLVD	ELK GROVE	CA	95758	Ambulatory Surgery Center
Sutter Imaging RosevillePET
2241 Douglas Boulevard	Roseville	CA	95661	Imaging
Sutter Medical Plaza Natomas
2951 Benefit Way	SACRAMENTO	CA	95834	Outpatient Services
Sutter Medical Plaza Lincoln
685 TWELVE BRIDGES DR	LINCOLN	CA	95648	Outpatient Services
Sutter Imaging Folsom I
1655 Creekside Drive	FOLSOM	CA	95630	Diagnostic Imaging Center
Sutter Imaging Folsom II
1661 Creekside Drive	FOLSOM	CA	95630	Diagnostic Imaging Center
Sutter Medical Plaza Woodland
475 PIONEER AVE	WOODLAND	CA	95776	Outpatient Services
Sutter Medical Plaza Dixon
125 N LINCOLN ST	DIXON	CA	95620	Outpatient Services
Bell Road Medical Offices
3320 BELL RD	AUBURN	CA	95603	Outpatient Services
Sutter Medical Plaza Greenback Lab
5767 GREENBACK LANE	SACRAMENTO	CA	95825	Laboratory
Sutter Medical Plaza Greenhaven Lab
7420 GREENHAVEN DR	SACRAMENTO	CA	95831	Laboratory
Sutter Imaging Auburn
3123 Professional Drive	Auburn	CA	95603	Diagnostic Imaging Center
Sutter Imaging Carmichael
6620 Coyle Avenue	Carmichael	CA	95608	Diagnostic Imaging Center
Procedure Center
550 B St	Yuba City	CA	95991	Procedure Center
400 Plumas Care Center
400 Plumas	Yuba City	CA	95991	Outpatient Services
Davis Internal MED AND GASTROENTEROLOGY
2068 John Jones Road	Davis	CA	95616	Internal Medicine and GASTROENTEROLOGY
L STREET MEDICAL NEUROLOGY
2800 L Street	SACRAMENTO	CA	95819	Neurology
470 Plumas Care Center
470 Plumas	Yuba City	CA	95991	Orthopedics & Podiatry
Sutter Obstetrics and Gynecology
969 Plumas	Yuba City	CA	95991	Obstetrics
Sutter Advanced Dermatology & LASER CTR
350 Del Norte	Yuba City	CA	95991	Dermatology
Sacramento - Midtown Walk-In Care
1360 16th Street	Sacramento	CA	95814	Outpatient Services
Sacramento - Loehmanns PL WALK-IN CARE
2537 Fair Oaks Boulevard	Sacramento	CA	95825	Outpatient Services
Roseville - Foothills Walk-In Care
4010 Foothills Boulevard	ROSEVILLE	CA	95747	Outpatient Services
El Dorado Hills Walk-In Care
3919 Park Drive	El Dorado Hills	CA	95762	Outpatient Services
Elk Grove Walk-In Care
4810 Elk Grove Boulevard	ELK GROVE	CA	95758	Outpatient Services
Citrus Heights Walk-In Care
5406 Sunrise Boulevard	Citrus Heights	CA	95610	Outpatient Services
Roseville Walk-In Care
781 Pleasant Grove Boulevard	Roseville	CA	95678	Outpatient Services
Folsom Walk-In Care
2766 East Bidwell Street	FOLSOM	CA	95630	Outpatient Services
Vacaville Walk-in Care
2060 Harbison Drive	Vacaville	CA	95687	Outpatient Services
Sutter Gould CARD STOCKTON CARE CTR
1801 East March Lane	Stockton	CA	95210	Cardiology
Radiation Oncology Services-Vacaville
200 Bella Vista Road	Vacaville	CA	95687	Outpatient Services
Ceres Care Center Lab
2516 Whitmore Avenue	Ceres	CA	95307	Outpatient Services
Tracy Care Center
445 W Eaton Ave	Tracy	CA	95376	Outpatient Services
Sutter Medical Plaza Jackson
100 Mission Blvd	Jackson	CA	95642	Laboratory
Sutter Medical Plaza Brownsville
16911 Willow Glen Road	Brownsville	CA	95919	Outpatient Services
Fairmont Specialty Center
918 South Fairmont Ave	Lodi	CA	95240	Outpatient Surgery
Palmer Drive Care Center
3581 Palmer Drive	Cameron Park	CA	95682	Cancer Services
Eye Care Center
1011 Sylvan Avenue	Modesto	CA	95350	Outpatient Services
Sutter Imaging 29th Street
1020 29th Street Ste 120	SACRAMENTOS	CA	95816	Imaging
Sutter Imaging South
8118 Timberlake Way Ste 110	SACRAMENTO	CA	95823	Diagnostic Imaging Center
Sutter Phys & Hand Therapy Elk Grove
9280 West Stockton Blvd Ste 116	ELK GROVE	CA	95758	Outpatient Rehab./Phys.Therapy
Sutter Physical & Hand Therapy Auburn
11930 Heritage Oak Place Ste 9	AUBURN	CA	95602	Outpatient Rehab./Phys.Therapy
Behavioral Health Center
3425 Coffee Road	MODESTO	CA	95355	Behavioral Healthcare
Manteca Care Center
165 St Dominics Drive	MANTECA	CA	95337	Weight Loss Center & Out SVCS

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINES 3A & 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: SUTTER VALLEY MEDICAL FOUNDATION OWNS 100% OF TWIN CITIES SURGICAL HOSPITAL, WHICH PROVIDES PREDOMINANTLY ELECTIVE SURGERIES AND DOES NOT PROVIDE EMERGENCY CARE. FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THIS FACILITY USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION TWIN CITIES SURGICAL HOSPITAL HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENT'S FAMILY INCOME.
SCHEDULE H, PART I, LINE 3B	SUTTER VALLEY MEDICAL FOUNDATION IS COMMITTED TO PROVIDING CHARITY CARE. TWIN CITIES SURGICAL HOSPITAL PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG, SO IT DOES NOT PROVIDE DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
SCHEDULE H, PART I, SECTION 7G	FINANCIAL ASSISTANCE/OTHER COMMUNITY BENEFITS AT COST RELATED TO SUBSIDIZED HEALTH SERVICES: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $1,002,032.
SCHEDULE H, PART II	SUTTER VALLEY MEDICAL FOUNDATION (SVMF) DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT FOR 2022.
SCHEDULE H, PART III, LINE 4 - BAD DEBT	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. EFFECTIVE JANUARY 1, 2018, SUTTER ENTITIES IMPLEMENTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU), REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE ACCOUNTING CHANGE MODIFIED BAD DEBT REPORTING, AND AS A RESULT, BAD DEBT IS ONLY REPORTED IN LIMITED SITUATIONS.
SCHEDULE H, PART III, LINE 7	MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS.
SCHEDULE H, PART III, LINE 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.
SCHEDULE H, PART III, LINE 9B	DEBT COLLECTION POLICY: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF FEDERAL AND 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. AT DISCHARGE 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 210 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.
SCHEDULE H, PART VI, LINE 2	THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER HOSPITALS FOLLOW A SUTTER HEALTH SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. LANGUAGES: THE POLICY SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA. IN ADDITION, ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. INFORMATION PROVIDED TO PATIENTS DURING THE PROVISION OF HOSPITAL SERVICES: A. DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND IDENTIFY THE DEPARTMENT THAT PATIENTS CAN VISIT TO RECEIVE INFORMATION ABOUT, AND ASSISTANCE WITH APPLYING FOR, FINANCIAL ASSISTANCE. B. FINANCIAL ASSISTANCE COUNSELORS: PATIENTS WHO MAY BE UNINSURED PATIENTS SHALL BE ASSIGNED FINANCIAL COUNSELORS, WHO SHALL VISIT WITH THE PATIENTS IN PERSON AT THE HOSPITAL, PROVIDE PATIENTS A FINANCIAL ASSISTANCE APPLICATION, ASSIST WITH THE APPLICATION PROCESS, AND PROVIDE A CONTACT INFORMATION FOR THE PATIENT TO CALL FOR QUESTIONS. C. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITALS SHALL PROVIDE ALL PATIENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. D. APPLICATIONS PROVIDED AT DISCHARGE: AT THE TIME OF DISCHARGE, HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. E. INFORMATION PROVIDED TO PATIENTS AT OTHER TIMES: 1. CONTACT INFORMATION WHICH INCLUDES A PHONE NUMBER AND HOSPITAL DEPARTMENT TO OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE AND ASSISTANCE WITH THE APPLICATION PROCESS. 2. BILLING STATEMENTS: BILLING STATEMENTS PROVIDED TO PATIENTS SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, A PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS ABOUT FINANCIAL ASSISTANCE, AND THE WEBSITE ADDRESS WHERE PATIENTS CAN OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE APPLICATION FOR FINANCIAL ASSISTANCE. 3. UPON REQUEST: HOSPITALS SHALL PROVIDE PATIENTS WITH PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST AND WITHOUT CHARGE. F. PUBLICITY OF FINANCIAL ASSISTANCE INFORMATION 1. PUBLIC POSTING: HOSPITALS SHALL POST COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN A PROMINENT LOCATION IN THE EMERGENCY ROOM, ADMISSIONS AREA, AND ANY OTHER LOCATION IN THE HOSPITAL WHERE THERE IS A HIGH VOLUME OF PATIENT TRAFFIC, INCLUDING BUT NOT LIMITED TO THE WAITING ROOMS, BILLING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS. THESE PUBLIC NOTICES SHALL INCLUDE INFORMATION ABOUT THE RIGHT TO REQUEST AN ESTIMATE OF FINANCIAL RESPONSIBILITY FOR SERVICES. 2. WEBSITE: THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE IN A PROMINENT PLACE ON THE SUTTER HEALTH WEBSITE (WWW.SUTTERHEALTH.ORG) AND ON EACH INDIVIDUAL HOSPITAL'S WEBSITE. PERSONS SEEKING INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL NOT BE REQUIRED TO CREATE AN ACCOUNT OR PROVIDE ANY PERSONAL INFORMATION BEFORE RECEIVING INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. MAIL: PATIENTS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY BE SENT BY MAIL, AT NO COST TO THE PATIENT. 4. ADVERTISEMENTS/PRESS RELEASES: AS NECESSARY AND ON AT LEAST AN ANNUAL BASIS, SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT HOSPITALS IN THE PRINCIPAL NEWSPAPER(S) IN THE COMMUNITIES SERVED BY SUTTER HEALTH, OR WHEN DOING SO IS NOT PRACTICAL, SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THIS INFORMATION, OR USE OTHER MEANS THAT SUTTER HEALTH CONCLUDES WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY TO AFFECTED PATIENTS IN OUR COMMUNITIES. 5. COMMUNITY AWARENESS: SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY (ESPECIALLY THOSE WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4	THE DEFINITION OF THE COMMUNITY SERVED WAS THE PRIMARY SERVICE AREA JOINTLY SHARED BY RIDEOUT MEMORIAL HOSPITAL (RMH) AND TWIN CITIES SURGICAL HOSPITAL, DBA SUTTER SURGICAL HOSPITAL NORTH VALLEY (SSHNV). THIS AREA WAS DEFINED BY FIVE ZIP CODES: 95901, 95953, 95961, 95991, AND 95993. THIS SERVICE AREA WAS DESIGNATED BECAUSE THE MAJORITY OF PATIENTS SERVED BY BOTH RMH AND SSHNV RESIDED IN THESE ZIP CODES. RMH IS LOCATED IN MARYSVILLE, CA, AND SSHNV IS LOCATED IN YUBA CITY, CA. SEPARATED BY THE FEATHER RIVER, THESE CITIES ARE LOCATED ADJACENT TO ONE ANOTHER AND ARE PART OF THE YUBA CITY METROPOLITAN STATISTICAL AREA AS DESIGNATED BY THE US OFFICE OF MANAGEMENT AND BUDGET,8 WHICH IS LOCATED APPROXIMATELY 40 MILES DUE NORTH OF CALIFORNIA'S CAPITAL-SACRAMENTO. THE SERVICE AREA IS HOME TO OVER 147,000 COMMUNITY RESIDENTS AND ENCOMPASSES PORTIONS OF BOTH SUTTER AND YUBA COUNTIES. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. COMMUNITIES OF CONCERN ARE GEOGRAPHIC AREAS WITHIN THE SERVICE AREA THAT HAVE THE GREATEST CONCENTRATION OF POOR HEALTH OUTCOMES AND ARE HOME TO MORE MEDICALLY UNDERSERVED, LOW-INCOME, AND DIVERSE POPULATIONS AT GREATER RISK FOR POORER HEALTH. COMMUNITIES OF CONCERN ARE IMPORTANT TO THE OVERALL CHNA METHODOLOGY BECAUSE, AFTER THE SERVICE AREA IS ASSESSED MORE BROADLY, THEY ALLOW FOR A FOCUS ON THOSE PORTIONS OF THE REGION LIKELY EXPERIENCING THE GREATEST HEALTH DISPARITIES. GEOGRAPHIC COMMUNITIES OF CONCERN WERE IDENTIFIED USING A COMBINATION OF PRIMARY AND SECONDARY DATA SOURCES. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED FOUR ZIP CODES THAT MET THE CRITERIA TO BE CLASSIFIED AS A COMMUNITY OF CONCERN. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED FOUR COMMUNITIES THAT MET THE CRITERIA FOR CLASSIFICATION AS A COMMUNITY OF CONCERN. THESE COMMUNITIES ARE MARYSVILLE, LIVE OAK, OLIVEHURST AND SOUTH YUBA CITY.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: -BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; -SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND -PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. THE 2022-2024 IMPLEMENTATION STRATEGY FOR TWIN CITIES SURGICAL HOSPITAL (SSHNV) DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW. PROGRAMS ADDRESSING: ACCESS TO MENTAL/BEHAVIORAL/SUBSTANCE ABUSE SERVICES FIT QUEST PROGRAM THE FIT QUEST PROGRAM IS A COMPREHENSIVE CHILDREN'S WELLNESS PROGRAM FOCUSING ON IMPROVING NUTRITION, FITNESS, AND MENTAL WELLNESS. THE ON-SITE SCHOOL PROGRAM, GEARED TOWARD 5TH AND 6TH GRADE STUDENTS, TEACHES STUDENTS EASY WAYS TO INCORPORATE HEALTHY CHOICES INTO DAILY LIVING. THE CURRICULUM IS DESIGNED TO IMPROVE OVERALL HEALTH IN A FUN AND MEANINGFUL WAY. THE FIT QUEST PROGRAM IS INCREDIBLY IMPACTFUL, REACHING OVER 40 SCHOOLS IN YUBA AND SUTTER COUNTY, PROVIDING SCHOOL ASSEMBLIES AND AN EXPANDED CURRICULUM FOCUS ON NUTRITION, PHYSICAL ACTIVITY AND MENTAL WELLNESS. THE EXPANDED CURRICULUM AND ROLE MODELING OF AND INTERACTIONS WITH THE NATURALISTS IN CHOOSING TO DRINK WATER, AND STAYING ACTIVE HAVE IMPACTED OVER 2,400 STUDENTS. SPECIALISTS HAVE BEEN ENGAGED THROUGHOUT THE PROCESS ATTENDING ASSEMBLIES AND PROVIDING GUIDANCE AND SUGGESTIONS AT PLANNING MEETINGS FOR CONTINUED ENHANCEMENTS IN THE FIT QUEST PROGRAM. THIS PROGRAM ADDRESSES MULTIPLE PRIORITIZED SIGNIFICANT HEALTH NEEDS, SUCH AS ACCESS TO MENTAL/BEHAVIORAL/SUBSTANCE ABUSE SERVICES; ACCESS TO DISEASE AND INJURY THROUGH KNOWLEDGE, ACTION AND ACCESS TO RESOURCES; AND ACTIVE LIVING AND HEALTHY EATING. THE GOAL OF FIT QUEST IS TO TEACH CHILDREN HEALTHY LESSONS ABOUT THE IMPORTANCE OF PHYSICAL FITNESS, MENTAL WELLNESS AND NUTRITIOUS EATING. IN 2022, THE PROGRAM SERVED 1,945 INDIVIDUALS WITH 2,009 SERVICES. FIT QUEST FAMILY CAMP FIT QUEST FAMILY CAMP IS A FUN-FILLED WEEKEND FOR THE WHOLE FAMILY, WHERE BOTH KIDS AND PARENTS EXPERIENCE HEALTHY COOKING CLASSES; GARDENING; LOW-ROPES CHALLENGE COURSE; WORKSHOPS ON NUTRITION, MENTAL WELLNESS AND PHYSICAL ACTIVITY; NATURALIST-LED HIKES AND GAMES; SWIMMING; AND AN EVENING PROGRAM. THE PROGRAM IS AVAILABLE FOR UP TO 24 FAMILIES ANNUALLY AND HAS COMPONENTS LED BY A PE SPECIALIST, REGISTERED DIETICIAN, PSYCHOLOGIST AND REGISTERED YOGA THERAPIST. THIS PROGRAM ADDRESSES MULTIPLE PRIORITIZED SIGNIFICANT HEALTH NEEDS, SUCH AS ACCESS TO MENTAL/BEHAVIORAL/SUBSTANCE ABUSE SERVICES; ACCESS TO DISEASE AND INJURY THROUGH KNOWLEDGE, ACTION AND ACCESS TO RESOURCES; AND ACTIVE LIVING AND HEALTHY EATING. THE GOAL OF THE PROGRAM IS TO TEACH CHILDREN AND THEIR FAMILIES HEALTHY LESSONS ABOUT THE IMPORTANCE OF PHYSICAL FITNESS, MENTAL WELLNESS AND NUTRITIOUS EATING. IN 2022, THE PROGRAM SERVED 25 FAMILIES. VICTIM SUPPORT SERVICES THE LIV ON FOUNDATION SEEKS TO FILL GAPS FOR VICTIM SERVICES IN YUBA-SUTTER COUNTIES BY PROVIDING WEEKLY SUPPORT GROUPS AND CREATING A STATEWIDE DIRECTORY OF RESOURCES. BARRIERS FOR VICTIMS TO ESCAPE UNSAFE HOME ENVIRONMENTS INCLUDE NOT HAVING ENOUGH TIME TO SAFELY RETRIEVE PERSONAL BELONGINGS WITH LAW ENFORCEMENT ASSISTANCE AND FINDING PET-FRIENDLY ACCOMMODATIONS. LIV ON WILL PROVIDE SECURITY FOR SAFE RETRIEVAL OF BELONGINGS FOR UP TO AN HOUR AND PET-FRIENDLY LODGING ASSISTANCE FOR VICTIMS. ALSO, AS PART OF AN EARLY INTERVENTION AND PREVENTION, YEARLY EDUCATIONAL WORKSHOPS WILL BE PROVIDED FOR AREA YOUTH IN PARTNERSHIP WITH LOCAL SCHOOL DISTRICTS. THE GOAL OF THE PROGRAM IS TO CONNECT VICTIMS OF DOMESTIC VIOLENCE TO SUPPORT SERVICES AND REMOVE BARRIERS FOR VICTIMS TO SEEK SAFE ENVIRONMENTS. IN ADDITION, THE PROGRAM SEEKS TO PREVENT DOMESTIC VIOLENCE SITUATIONS THROUGH EDUCATION WITH YOUTH. IN 2022, THE PROGRAM SERVED 71 INDIVIDUALS WITH 139 SERVICES. COUNSELING FOR PEOPLE EXPERIENCING OR AT-RISK FOR HOMELESSNESS FUNDING WILL ALLOW CLIENTS EXPERIENCING OR AT-RISK FOR HOMELESSNESS, WHOM DO NOT HAVE CALIFORNIA HEALTH AND WELLNESS AND BLUE SHIELD TO HAVE ACCESS TO COUNSELING WITH LICENSED MENTAL HEALTH PROFESSIONALS. COUNSELING IS OFFERED AT TWO LOCATIONS IN A PRIVATE OFFICE ALLOWING CLIENTS TO WORK ONE ON ONE WITH A COUNSELOR. COUNSELORS DETERMINE THE FREQUENCY OF COUNSELING SERVICES WITH EACH CLIENT AND HELP TO CONNECT THEM WITH ANY NEEDED OUTSIDE RESOURCES THE COUNSELOR DETERMINES IS NEEDED. THE GOAL IS TO PROVIDE COUNSELING SERVICES TO ALL CLIENTS REQUESTING ASSISTANCE WHO ARE EXPERIENCING OR AT-RISK FOR HOMELESSNESS. BY PROVIDING COUNSELING WITH LICENSED MENTAL HEALTH PROFESSIONALS, CLIENTS CAN OVERCOME PERSONAL CONCERNS AND BETTER THEIR QUALITY OF LIFE, WITH THE GOAL OF REINTEGRATING INTO THE COMMUNITY. IN 2022, THE PROGRAM SERVED 65 INDIVIDUALS WITH 116 SERVICES. HARM REDUCTION COALITION THE YUBA SUTTER HEALTHCARE COUNCIL CREATED A HARM REDUCTION COALITION (HRC) TO HELP WITH OPIOID CRISIS IN THE COMMUNITY. THE HRC IS ASSEMBLED OF COMMUNITY STAKEHOLDERS TO DEVELOP A PLAN FOR ADDRESSING OPIOID USAGE AMONG CLIENTS AND REDUCING DEATHS RELATED TO SUBSTANCE USE. THE GOALS OF THE PROGRAM ARE TO PARTNER WITH COMMUNITY ORGANIZATIONS TO DEVELOP A RESPONSE PLAN AND EDUCATE THE COMMUNITY. IN 2022, THE PROGRAM PROVIDED 33 SERVICES. PROGRAMS ADDRESSING: ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD PREVENTION AND DIVERSION PROGRAM THE PREVENTION AND DIVERSION PROGRAM IS A COLLABORATION WITH SUTTER YUBA HOMELESS CONSORTIUM, SALVATION ARMY OF YUBA CITY, AND BRIDGES TO HOUSING. THE PROGRAM IS DESIGNED TO ASSIST INDIVIDUALS AND FAMILIES IN THE YUBA SUTTER AREA NOT ELIGIBLE FOR GOVERNMENT EVICTION ASSISTANCE. REFERRALS ARE RECEIVED FROM THE COORDINATED ENTRY SYSTEM MANAGED BY SYHC OR DIRECTLY TO THE AGENCIES. THESE INDIVIDUALS MUST DISPLAY FINANCIAL NEED THROUGH COMMUNICATION BY A LANDLORD OR UTILITY COMPANY. PARTICIPANTS OF THE PROGRAM ARE AT RISK OF BEING EVICTED FROM THEIR CURRENT HOUSING THE PREVENTION AND DIVERSION PROGRAM WILL PROVIDE FINANCIAL ASSISTANCE OF DEPOSITS, RENT, UTILITIES, OR OTHER COSTS TO KEEP A CLIENT REMAINING IN CURRENT HOUSING OR WHEN CURRENT HOUSING IS NO LONGER AN OPTION, PAY DEPOSIT AND/OR RENT TO MOVE CLIENT TO AN ALTERNATIVE HOUSING SITUATION. THE GOAL OF THE PROGRAM IS TO PREVENT HOMELESS THROUGH CONNECTING INDIVIDUALS WITH FINANCIAL ASSISTANCE OR OTHER COMMUNITY RESOURCES. IN 2022, THE PROGRAM SERVED 375 INDIVIDUALS WITH 133 SERVICES. FOOD RESCUE PROGRAM IN PARTNERSHIP WITH SUTTER HEALTH, YUBA SUTTER FOOD BANK WILL EXPAND THE FOOD RESCUE PROGRAM THROUGH REPLACEMENT OF A DECOMMISSIONED TRUCK. DISTRIBUTION TARGETS PARTS OF COUNTIES VAPID OF FRESH FRUIT, VEGETABLES, AND OTHER HEALTHFUL WHOLE FOODS, USUALLY FOUND IN IMPOVERISHED AREAS. FOOD IS ALSO DISTRIBUTED TO OVER 30 PARTNER AGENCIES WHO SUPPORT FOOD ACCESS IN YUBA AND SUTTER COUNTY THROUGH A VARIETY OF PROGRAMS, INCLUDING FOOD PANTRIES AND HOT MEALS. THE GOAL OF THE PROGRAM IS TO RECOVER AN ESTIMATED 83,000 POUNDS OF SURPLUS FOOD FOR DISTRIBUTION TO NEARLY 8,000 PEOPLE WHO HAVE LIMITED ACCESS TO HEALTHY FOODS WILL IMPROVE THEIR OVERALL HEALTH AND WELL BEING. IN 2022, THE PROGRAM SERVED 5,689 INDIVIDUALS WITH 1,002,536 POUNDS OF FOOD. PROGRAMS ADDRESSING: ACTIVE LIVING AND HEALTHY EATING FIT QUEST PROGRAM THE FIT QUEST PROGRAM IS A COMPREHENSIVE CHILDREN'S WELLNESS PROGRAM FOCUSING ON IMPROVING NUTRITION, FITNESS, AND MENTAL WELLNESS. THE ON-SITE SCHOOL PROGRAM, GEARED TOWARD 5TH AND 6TH GRADE STUDENTS, TEACHES STUDENTS EASY WAYS TO INCORPORATE HEALTHY CHOICES INTO DAILY LIVING. THE CURRICULUM IS DESIGNED TO IMPROVE OVERALL HEALTH IN A FUN AND MEANINGFUL WAY. THE FIT QUEST PROGRAM IS INCREDIBLY IMPACTFUL, REACHING OVER 40 SCHOOLS IN YUBA AND SUTTER COUNTY, PROVIDING SCHOOL ASSEMBLIES AND AN EXPANDED CURRICULUM FOCUS ON NUTRITION, PHYSICAL ACTIVITY AND MENTAL WELLNESS. THE EXPANDED CURRICULUM AND ROLE MODELING OF AND INTERACTIONS WITH THE NATURALISTS IN CHOOSING TO DRINK WATER, AND STAYING ACTIVE HAVE IMPACTED OVER 2,400 STUDENTS. SPECIALISTS HAVE BEEN ENGAGED THROUGHOUT THE PROCESS ATTENDING ASSEMBLIES AND PROVIDING GUIDANCE AND SUGGESTIONS AT PLANNING MEETINGS FOR CONTINUED ENHANCEMENTS IN THE FIT QUEST PROGRAM. THIS PROGRAM ADDRESSES MULTIPLE PRIORITIZED SIGNIFICANT HEALTH NEEDS, SUCH AS ACCESS TO MENTAL/BEHAVIORAL/SUBSTANCE ABUSE SERVICES; ACCESS TO DISEASE AND INJURY THROUGH KNOWLEDGE,
SCHEDULE H, PART VI, LINE 6	SUTTER SURGICAL HOSPITAL - NORTH VALLEY IS AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE SYSTEM THAT IS COMMITTED TO DELIVERING INNOVATIVE, HIGH-QUALITY, EQUITABLE PATIENT CARE AND HELPING TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES. SUTTER HEALTH IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE SYSTEM THAT IS COMMITTED TO DELIVERING INNOVATIVE, HIGH-QUALITY, EQUITABLE PATIENT CARE AND HELPING TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES. OUR 65,000 EMPLOYEES AND ASSOCIATED CLINICIANS SERVE MORE THAN 3 MILLION PATIENTS IN CALIFORNIA THROUGH OUR HOSPITALS, PRIMARY AND SPECIALTY CARE CENTERS, CLINICS AND HOME HEALTH SERVICES. LEARN MORE ABOUT HOW WE'RE TRANSFORMING HEALTHCARE AT SUTTERHEALTH.ORG AND VITALS.SUTTERHEALTH.ORG SUTTER HEALTH'S TOTAL INVESTMENT IN COMMUNITY BENEFIT IN 2022 WAS $899 MILLION. THIS AMOUNT INCLUDES TRADITIONAL CHARITY CARE AND UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS. THIS AMOUNT ALSO INCLUDES INVESTMENTS IN COMMUNITY HEALTH PROGRAMS TO ADDRESS PRIORITIZED HEALTH NEEDS AS IDENTIFIED BY REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS. AS PART OF SUTTER HEALTH'S COMMITMENT TO FULFILL ITS NOT-FOR-PROFIT MISSION AND HELP SERVE SOME OF THE MOST VULNERABLE IN ITS COMMUNITIES, THE SUTTER HEALTH SYSTEM HAS IMPLEMENTED CHARITY CARE POLICIES TO HELP PROVIDE ACCESS TO MEDICALLY NECESSARY CARE FOR ELIGIBLE PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2022, SUTTER HEALTH INVESTED $82 MILLION IN CHARITY CARE. SUTTER'S CHARITY CARE POLICIES FOR HOSPITAL SERVICES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. UNINSURED PATIENTS ARE ELIGIBLE FOR FULL CHARITY CARE FOR MEDICALLY NECESSARY HOSPITAL SERVICES IF THEIR FAMILY INCOME IS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL ("FPL"). 2. INSURED PATIENTS ARE ELIGIBLE FOR HIGH MEDICAL COST CHARITY CARE FOR MEDICALLY NECESSARY HOSPITAL SERVICES IF THEIR FAMILY INCOME IS AT OR BELOW 400% OF THE FPL AND THEY INCURRED OR PAID MEDICAL EXPENSES AMOUNTING TO MORE THAN 10% OF THEIR FAMILY INCOME OVER THE LAST 12 MONTHS. (SUTTER HEALTH'S FINANCIAL ASSISTANCE POLICY DETERMINES THE CALCULATION OF A PATIENT'S FAMILY INCOME.) OVERALL, SINCE THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, GREATER NUMBERS OF PREVIOUSLY UNINSURED PEOPLE NOW HAVE MORE ACCESS TO HEALTHCARE COVERAGE THROUGH THE MEDI-CAL AND MEDICARE PROGRAMS. THE PAYMENTS FOR PATIENTS WHO ARE COVERED BY MEDI-CAL DO NOT COVER THE FULL COSTS OF PROVIDING CARE. IN 2022, SUTTER HEALTH INVESTED $615 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS. THROUGH COMMUNITY BENEFIT INVESTMENTS, SUTTER HELPS LOCAL COMMUNITIES ACCESS PRIMARY, MENTAL HEALTH AND ADDICTION CARE, AND BASIC NEEDS SUCH AS HOUSING, JOBS AND FOOD. SEE MORE ABOUT HOW SUTTER HEALTH REINVESTS INTO THE COMMUNITY AND WORKS TO ACHIEVE HEALTH EQUITY BY VISITING SUTTERHEALTH.ORG/COMMUNITY-BENEFIT.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SUTTER VALLEY HOSPITALS
2200 RIVER PLAZA DR SACRAMENTOCA	SACRAMENTO	CA	95833	941156621	501(C)3	$9,783	PROGRAM SUPPORT
WELLSPACE HEALTH
777 12TH ST STE 250	SACRAMENTO	CA	95814	941713704	501(C)3	$7,900	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIP	GrantTypeTxt
Recipient	8	RecipientCnt
Cash Grant	$8,000	CashGrantAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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 MONITO 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 SUCCESS 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 EACH YEAR/REPORTING PERIOD, COMMUNITY BENEFIT ANALYZES FULL-YEAR DATA TO ENSURE COMMUNITY PARTNERS MET THE OBJECTIVES OUTLINED IN THE MOU OR BSA. IF THE COMMUNITY PARTNERS DID NOT REACH THE ANTICIPATED OUTCOMES, COMMUNITY BENEFIT WORKS TO UNDERSTAND THAT 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Sarah Krevans
CEO Emeritus, Sutter Health	$0	$1,980,063	$0	$2,749,625	$0	$395,119	$0	$242,765	$0	$32,838	$0	$5,400,410	$0	$362,776
James Conforti
SH SVP, Interim CEO	$0	$1,501,356	$0	$988,152	$0	$429,753	$0	$193,665	$0	$33,327	$0	$3,146,253	$0	$235,967
Theresa Frei
SH INT COO & PRES/CEO, SVMF	$0	$964,911	$0	$412,501	$0	$120,252	$0	$86,365	$0	$29,254	$0	$1,613,283	$0	$99,950
Jeff Szczesny
SH VP, HR Ops	$0	$335,841	$0	$403,335	$0	$168,078	$0	$64,065	$0	$25,572	$0	$996,891	$0	$46,905
Gary Zufelt
FND AREA CEO, NORTH VALLEY	$0	$537,359	$0	$239,625	$0	$70,188	$0	$69,465	$0	$24,840	$0	$941,477	$0	$52,405
Todd Smith MD
FND AREA CEO, SOUTH VALLEY	$0	$509,436	$0	$227,205	$0	$15,110	$0	$51,965	$0	$36,858	$0	$840,574	$0	$0
Patrina White
CEO, SSCD/SWC	$0	$536,248	$0	$103,501	$0	$74,907	$0	$67,765	$0	$30,445	$0	$812,866	$0	$47,443
Suheir Haddad
CFO FOUNDATION, SVMF	$0	$438,325	$0	$136,301	$0	$51,181	$0	$55,265	$0	$29,040	$0	$710,112	$0	$42,176
Peter Hull MD
SME SRMC/Chair	$0	$409,060	$0	$30,885	$0	$42,778	$0	$33,165	$0	$20,753	$0	$536,641	$0	$33,746
Michael D Marino
VP, HR, SH FOUNDATIONS	$0	$369,312	$0	$75,933	$0	$32,834	$0	$28,165	$0	$19,735	$0	$525,979	$0	$26,506
Ali Layeghi
Manager, Dosimetry	$354,377	$0	$41,805	$0	$4,613	$0	$5,065	$0	$18,786	$0	$424,646	$0	$0	$0
Jonathan K Bareng
Medical Physicist III	$297,480	$0	$57,778	$0	$3,259	$0	$4,938	$0	$19,995	$0	$383,450	$0	$0	$0
Sy Fangyan Z
Executive, Quality	$277,934	$5,412	$52,189	$0	$806	$10	$4,614	$90	$26,246	$507	$361,789	$6,019	$0	$0
Benjamin Kirk
DEPUTY GEN COUNS, SEC	$0	$282,118	$0	$34,890	$0	$486	$0	$4,683	$0	$32,720	$0	$354,897	$0	$0
Thomas Warner
Pres. & CEO SH (PT-YR)	$0	$190,661	$0	$0	$0	$3,624	$0	$3,260,621	$0	$4,521	$0	$3,459,427	$0	$0
Jennifer S Glass
Medical Physicist III	$259,343	$0	$15,000	$0	$797	$0	$4,305	$0	$25,455	$0	$304,900	$0	$0	$0
Chuan Wu
Chief Physicist	$253,541	$0	$15,000	$0	$478	$0	$4,209	$0	$25,445	$0	$298,673	$0	$0	$0
Penny Westfall
Former SH VP, CLO, SH	$0	$0	$0	$0	$0	$198,372	$0	$0	$0	$487	$0	$198,859	$0	$0
Thomas Blinn
Frmr CEO, Valley Area FOUNDAT.	$0	$0	$0	$0	$0	$128,537	$0	$0	$0	$0	$0	$128,537	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	THE FOLLOWING INDIVIDUALS RECEIVED Severance PAYMENTS DURING THE YEAR: James Conforti: $ 92,308 Penny Westfall: $ 20,006 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CHFFA 2016B
A	521643828	13032UDW5	2016-08-17	$901,627,093	Refund 2005BC, 2003AB, 2007A	Yes (true)	false	false
CHFFA 2017A
B	521643828	13032UNY0	2017-07-06	$496,319,743	Refund 2004CD, 2008A (pt), 2008BC	Yes (true)	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$902,923,938	$0	$0	$0	$0	$0	$0	$0	$902,923,938	$0	2016	false	Yes (true)	Yes (true)	Yes (true)
B	$0	$0	$496,319,743	$0	$0	$0	$0	$0	$0	$0	$496,319,743	$0	2017	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00880	0.00010	0.00890	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00480	0.00010	0.00490	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K:	The organization's sole corporate member is a conduit borrower of tax-exempt bond issues that allocates portions of each issue to certain subsidiaries, including the organization. The outstanding bond liability allocated to this organization is reported on Form 990, Part X, Balance Sheet, and Part VI herein. With the exception of this portion of Part VI, the Schedule K for this organization is reporting information for the entire bond issue.
SCHEDULE K, PART I, COLUMN E	THE ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNT OF: $53,216,412 FROM THE 2016B ISSUE AND; $117,119,861 FROM THE 2017A ISSUE. THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) AND THE PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART II, LINE 7	ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.
SCHEDULE K, PART IV, LINE 2C	DATE REBATE COMPUTATION WAS PERFORMED 2016B ISSUE: 9/9/2021 2017A ISSUE: 7/22/2019

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR
Substanital contributor	$348,917	Payment in ordinary business	false
SUBSTANTIAL CONTRIBUTOR
Substanital contributor	$43,511,766	Payment in ordinary business	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 & PART III, LINE 1	MISSION STATEMENT: WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES.
FORM 990, PART III, LINE 4A	Sutter Valley Medical Foundation (SVMF) is a community based, not-for-profit medical organization serving Central and Northern California communities and supporting the Sutter Health-affiliated hospitals. SVMF has care centers located in Amador, Placer, Sacramento, San Joaquin, Solano, Stanislaus, Sutter, Yolo, and Yuba Counties. Our mission is to enhance the health and well-being of people in the communities we serve through not-for-profit commitment to compassion and excellence in health care. We value excellence and quality, caring and compassion, honesty and integrity, teamwork, and community. Sutter Valley Medical Foundation is aligned with physician and mid-level providers of Gould Medical Group, Sutter Medical Group and Sutter North Medical Group. We offer a full range of primary care and specialty care medical services, including ambulatory surgery, urgent and walk-in care clinics and state of the art imaging, lab and cardiology technology. In addition, we operate the Twin Cities Surgical Hospital in Yuba County, as well as Rural Health Clinics in Amador and Yuba Counties and the Maino Community Health Library in Stanislaus County. In 2015, Sutter Medical Foundation changed its name to Sutter Valley Medical Foundation and in 2016, Sutter Gould Medical Foundation merged into Sutter Valley Medical Foundation. In 2022, the Foundation provided more than $45 million in charity care and community benefits and provided patient services of 6.4 million patient visits. The Foundation also provides community support through donations and participation in various not-for profit community programs including, but not limited to, the following: . American Cancer Society . American Heart Association . Fitquest program supporting student wellness thought schools in Sutter, Yuba, Sacramento, and Placer Counties . Girls on The Run . Health Careers Academy program for high school students . Kiwanis . Look Good Feel Better program supporting women receiving cancer treatment . March of Dimes . National Diabetes Society . Rotary . Salvation Army . Soroptimist . Sponsor of support groups for disease related education including but not limited to diabetes, childbirth education, autism, and Parkinson's . Tats Off, tattoo removal program . United Way STANISLAUS SURGICAL HOSPITAL WAS SOLD TO AN UNRELATED THIRD PARTY EFFECTIVE JUNE 1, 2022.
FORM 990, PART VI, LINE 1A	THE AFFAIRS AND MANAGEMENT OF SUTTER VALLEY MEDICAL FOUNDATION (SVMF) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SVMF DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTOR. THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CORPORATION'S CHAIR WHO SHALL SERVE AS CHAIR OF THE COMMITTEE, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, THE CHIEF OPERATING OFFICER OF THE GENERAL MEMBER (IF THIS POSITION IS OCCUPIED) AND TWO ADDITIONAL DIRECTORS. IF THE POSITION OF THE CHIEF OPERATING OFFICER OF THE GENERAL MEMBER IS NOT OCCUPIED, THEN THE PRESIDENT AND CEO OF THE GENERAL MEMBER MAY APPOINT EITHER A DESIGNATED DIRECTOR OR AN APPOINTED DIRECTOR AS A MEMBER. AT LEAST ONE EXECUTIVE COMMITTEE MEMBER SHALL BE A PHYSICIAN DIRECTOR.
FORM 990, PART VI, LINE 6 & 7A	CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: 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.
FORM 990, PART VI, LINE 7B	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: 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.
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 PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED.
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 OFFICE OF THE GENERAL COUNSEL 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, LINES 15A & 15B	PROCESS FOR DETERMINING COMPENSATION: 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. TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), (C) TOTAL DIRECT CASH (BASE SALARY + ANNUAL INCENTIVE + LONG TERM INCENTIVE) AND (D) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH, ADJUSTED TO THE CALIFORNIA MARKET. THIS METHOD IS MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO AN ANNUAL REVIEW BY THE COMPENSATION COMMITTEE OR A DELEGATED SUB-COMMITTEE.? APPROVAL IS RECORDED IN THE MINUTES. THE 2022 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN FEBRUARY 2022.
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 VII, SECTION A	COMPENSATION OF BOARD MEMBERS: THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION. -WARNER THOMAS -THERESA FREI -PETER HULL -SARAH KREVANS -JAMES CONFORTI INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID FULL-TIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SUTTER HEALTH, A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SUTTER HEALTH AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SUTTER HEALTH EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN FUND BALANCE: GAIN/(LOSS) ON HEALTH CARE INVESTMENTS $ 13,387,967 HEALTHCARE RELATED JV INCOME (2,651,554) GUARANTEED PAYMENT JV INCOME (1,109,260) EQUITY TRANSFERS (NET) (74,975,700) STOCK AND OTHER ITEMS 2,228,849 -------------- TOTAL: $ (63,119,698)
FORM 990 PART IX LINE 11G	DESCRIPTION:MED. GROUP COMPENSATION TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:PROF FEE - PHYSICIAN TOTAL FEES:7317207
FORM 990 PART IX LINE 11G	DESCRIPTION:NON-PHYSICIAN MEDICAL TOTAL FEES:163212
FORM 990 PART IX LINE 11G	DESCRIPTION:THERAPISTS/OTHER MEDICAL TOTAL FEES:918855
FORM 990 PART IX LINE 11G	DESCRIPTION:NURSE REGISTRY FEES TOTAL FEES:681654

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	TWIN CITIES SURGICAL HOSPITAL LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2200 RIVER PLAZA DRIVE	AddressLine1Txt
City	SACRAMENTO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95833	ZIPCd

Field	Value	IRS element (for citing)
EIN	352182617	EIN
Primary Activities	SURGERY	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$31,206,462	TotalIncomeAmt
End Of Year Assets	$17,017,207	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER VMF	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	Yes (true)
EAST BAY PERINATAL CENTER
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	510172285	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes (true)
MEMORIAL HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942290244	FUNDRAISING	CA	501(C)(3)	12A - I	SUTTER VH	Yes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	237288765	FUNDRAISING	CA	501(C)(3)	7	SUTTER BH	Yes (true)
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	940562680	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER COAST HOSPITAL
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER DAVIS HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680217870	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER HEALTH
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942788907	SUPPORTING OR	CA	501(C)(3)	12C III-FI	NA	false
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RD	EWA BEACH	HI	96706	990298651	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH PLAN
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	461183948	HEALTH PLAN	CA	501(C)(4)	N/A	SUTTER HLTH	Yes (true)
SUTTER MEDICAL CENTER FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	942788906	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680040113	FUNDRAISING	CA	501(C)(3)	7	SUTTER VH	Yes (true)
SUTTER VALLEY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	941156621	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER VISITING NURSE ASSOC AND HOSPICE
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	946068843	HEALTHCARE	CA	501(C)(3)	10	SUTTER HLTH	Yes (true)
TRACY HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR	SACRAMENTO	CA	95833	680318845	FUNDRAISING	CA	501(C)(3)	12A - I	SUTTER VH	Yes (true)
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 1100	HONOLULU	HI	96813	990289310	INSURANCE SVC	HI	501(C)(3)	12C III-FI	SUTTER HLTH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	OwnershipOwnershipPct	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SURG CTR OF ABSMC
3875 TELEGRPH	OAKLND	CA	94609	470946086	PATIENT CARE	CA	SUTTER BAY HOSP
CA PACIFIC ADV IMAG
PO BOX 6102	NOVATO	DE	94598	562311840	PATIENT CARE	DE	SUTTER BAY HOSP
SF ENDOSCOPY CENTER
2200 RIVER PLZ	SACRAMENTO	CA	95833	912160588	PATIENT CARE	CA	SUTTER BAY HOSP
SUT FAIRFIELD SURG
2200 RIVER PLZ	SACRAMENTO	CA	95833	300233892	PATIENT CARE	CA	SUTTER VMF	RELATED	$3,383,564	$4,701,192	false	$0	0.79500
SUT AMADOR SURG CTR
2200 RIVER PLZ	SACRAMENTO	CA	95833	461398093	PATIENT CARE	CA	NA
ROSEVILLE ENDOSCOPY
2200 RIVER PLZ	SACRAMENTO	CA	95833	870710513	PATIENT CARE	CA	NA
STANISLAUS SRG HOSP
1421 OAKDALE ROAD	MODESTO	CA	95355	911754157	PATIENT CARE	CA	NA
MEMORIAL MED BLDG 1
1800 COFFEE RD 76	MODESTO	CA	95355	770234236	OFFICE RENTAL	CA	SUTTER VH
MAGNETIC IMAGING AF
2125 OAK GROVE	WLN CK	CA	94598	473696091	PATIENT CARE	CA	SUTTER BAY HOSP
ASC OPTRS-SNTA ROSA
2200 RIVER PLZ	SACRAMENTO	CA	95833	263386169	CARE MANAGEMENT	CA	SUTTER BMF
ASC OPTRS-SLO LLC
2200 RIVER PLZ	SACRAMENTO	CA	95833	272673776	CARE MANAGEMENT	CA	SUTTER HEALTH
ICG CREDIT OPP FUND
11111 SANTA MONICA	LOS ANGELES	CA	90025	814220441	INVESTMENTS	CA	SUTTER HEALTH
CARLSBAD SURG CTR
6121 PASEO DEL NORTE	CARLSBAD	CA	92011	201413484	PATIENT CARE	CA	SOS
COAST CTR FOR ORTH
3444 KEARNY VILLA RD	SAN DIEGO	CA	92123	330839637	PATIENT CARE	CA	SOS
OTAY LAKES SURG CTR
955 LANE AVE	CHULA VISTA	CA	91914	200794766	PATIENT CARE	CA	SOS
MADISON INTL GLOBAL
410 PARK AVE	NEW YORK	NY	10022	981310251	INVESTMENTS	NY	SUTTER HEALTH
DIVISADERO HLDS LLC
1635 DIVISADERO	SAN FRANCISCO	CA	94115	320621050	OUTPATIENT SURG	CA	SUTTER BAY HOSP
Auburn Surgery Center LP
148 MAPLE ST	AUBURN	CA	95603	364123623	patient care	CA	SUTTER HEALTH						0.44570
ASC OPERATORS LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	208970704	CARE MANAGEMENT	CA	SUTTER HEALTH						0.45000
PENINSULA ENDOSCOPY
1720 El Camino Real Suite 100	Burlingame	CA	94010	271905059	PATIENT CARE	CA	SUTTER BAY HOSP
South Placer Surgery Center
8 Medical Plaza Drive Suite 100	Roseville	CA	95661	421540694	Patient Care	CA	SUTTER HEALTH
Sacramento Surgery Center Associates LP
1800 Tribute Road Suite 100	SACRAMENTO	CA	95815	680516588	Patient Care	CA	SUTTER HEALTH
Fort Sutter Surgery Center
2801 K STREET	SACRAMENTO	CA	95816	680116391	Patient Care	CA	SUTTER HEALTH
Sutter Alhambra Surgery Center
1201 Alhambra Blvd Suite 110	SACRAMENTO	CA	95816	631221949	Patient Care	CA	SUTTER HEALTH
D E SHAW ALL COUNTRY GLOBAL ALPHA PLUS
1166 AVENUE OF THE AMERICAS - 9TH F	NEW YORK	NY	10036	882890454	Investment	DE	SHRP
ICG CREDIT OPPORTUNITIES FUND 1A LP
11111 SANTA MONICA BLVD SUITE 2100	LOS ANGELES	CA	90025	825045573	Investment	DE	SHRP
ICG CREDIT OPPORTUNITIES FUND 2A LP
11111 SANTA MONICA BLVD SUITE 2100	LOS ANGELES	CA	90025	852303976	Investment	DE	SHRP
MAKENA REAL ESTATE II LP
2755 Sand Hill Road Suite 200	MENLO PARK	CA	94025	981298071	Investment		SHRP							CJ
D E SHAW ALL COUNTRY GLOBAL ALPHA LL
1166 AVENUE OF THE AMERICAS - 9TH F	NEW YORK	NY	10036	832024364	Investment	DE	SUTTER HEALTH
ICG SPECIAL OPPORTUNITIES FUND I LP
11111 SANTA MONICA BLVD SUITE 2100	LOS ANGELES	CA	90025	863196460	Investment	DE	SUTTER HEALTH

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Direct Controlling NADirectControllingNACd
SUTTER HEALTH DEFERRED COMP PLANS' TRUST
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	276851989	RABBI TRUST	CA	NA	TRUST	Yes (true)
NORTHWOOD EUROPE TE FEEDER LP
1819 WAZEE ST 2ND FLOOR	DENVER	CO	80202	981272216	HOLDING COMPANY		NA	C CORP	Yes (true)	CJ
LYXSOP SEGREGATED PORTFOLIO 1
					INVESTMENT		NA	C CORP	Yes (true)	CJ	PO BOX 10008 WILLOW HOUSE	CRICKET SQUARE	GRAND CAYMAN	CJ
LYXSOP SEGREGATED PORTFOLIO 2
					INVESTMENT		NA	C CORP	Yes (true)	CJ	PO BOX 10008 WILLOW HOUSE	CRICKET SQUARE	GRAND CAYMAN	CJ
AQR REAL RETURN OFFSHORE FUND LP
				980700570	INVESTMENT		NA	c corp	Yes (true)	CJ	89 NEXUS WAY	CAMANA BAY	GRAND CAYMAN	CJ	KY1-9009
BRIGADE LEVERAGED CAPITAL STRUCTURE OFFS
				981020330	INVESTMENT			C Corp	Yes (true)	CJ	ONE NEXUS WAY	CAMANA BAY	GRAND CAYMAN	CJ	KY1-9005	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Sutter Health Plan
S	$119,770,262	FMV
Sutter Insurance Services Corporation
P	$4,396,378	FMV
Sutter Bay Hospitals
R	$355,145	FMV
Sutter Bay Medical Foundation
S	$1,264,345	FMV
Sutter Valley Hospitals
Q	$4,104,719	FMV
Sutter Valley Hospitals
R	$60,581,949	FMV
Sutter Visiting Nurse Association and Hospice
R	$783,898	FMV
Sutter Fairfield Surgery Center LLC
Q	$73,869	FMV
Sutter Valley Hospitals
J	$479,327	FMV
Sutter Fairfield Surgery Center LLC
J	$798,631	FMV
Sutter Valley Hospitals
K	$9,918,927	FMV
Tracy Hospital Foundation
K	$119,058	FMV
Sutter Medical Center Foundation
Q	$151,962	FMV
Sutter Medical Center Foundation
C	$176,348	FMV