SUTTER BAY HOSPITALS: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- SUTTER BAY HOSPITALS (EIN 94-0562680)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201903189349314215
- Schema version
- 2018v3.1
- 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 K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T17:43:49-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 4365 EXECUTIVE DR STE 1600 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 940562680 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTER BAY HOSPITALS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CARLA WHITE-SNYDER | 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 | JOHN GATES | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2019-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBRA HEISKALA | PreparerPersonNm |
| PTIN | P00649485 | PTIN |
| Phone | 8585357200 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 164.57.159.254 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 68127220193185000042 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C8EB7D7F4A43AD7C11A3CC780D94EAED606DA475 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E896B98FB98B5A3E35CCCF104B19DB8B21B988AC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JULIE PETRINI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7999 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95833 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,130,686,472 | 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 | 1854 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 21 | VotingMembersIndependentCnt |
| Total Employee | 17688 | TotalEmployeeCnt |
| Total Volunteers | 2312 | TotalVolunteersCnt |
| Total Gross UBI | $2,836,098 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $50,706,494 | PYContributionsGrantsAmt |
| CY Contributions Grants | $57,859,329 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,965,658,835 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,031,425,860 | CYProgramServiceRevenueAmt |
| PY Investment Income | $27,196,580 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,171,397 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,882,869 | PYOtherRevenueAmt |
| CY Other Revenue | $21,390,919 | CYOtherRevenueAmt |
| PY Total Revenue | $3,059,444,778 | PYTotalRevenueAmt |
| CY Total Revenue | $4,118,847,505 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,906,799 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,809,279 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,365,717,344 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,956,858,515 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $855,930 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,450,459,159 | PYOtherExpensesAmt |
| CY Other Expenses | $2,121,140,286 | CYOtherExpensesAmt |
| PY Total Expenses | $2,820,083,302 | PYTotalExpensesAmt |
| CY Total Expenses | $4,084,808,080 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $239,361,476 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $34,039,425 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,548,225,034 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,925,387,137 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,302,346,677 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,722,211,267 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,245,878,357 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,203,175,870 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,567,232,126 | ExpenseAmt |
| Grant | $6,809,279 | GrantAmt |
| Revenue | $4,031,425,860 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $3,567,232,126 | 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 | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| 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 | Yes (true) | 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| 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 | 1563 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 17688 | 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 | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 21 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 | CARLA WHITE-SNYDER | PersonNm |
| Phone | 9162866665 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9100 FOOTHILLS BOULEVARD | AddressLine1Txt |
| City | ROSEVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (51 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER BECNEL | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DIANA BELL | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID BLACK MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM BRUNETTI | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD CARY HILL MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| SAMUEL CHOI MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES CONFORTI | ||||||||||
| SH SVP/COO, ASST SECRETARY SBH | 4.0 | 40.0 | Yes (X) | $0 | $1,323,800 | $482,604 | Yes (X) | |||
| THEODORE DEIKEL | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| EMIL ROY EISENHARDT | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| ERIC FLOWERS | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| OWEN GARRICK MD | ||||||||||
| DIRECTOR | 2.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL GAULKE | ||||||||||
| DIRECTOR SH BOARD | 2.0 | 12.0 | Yes (X) | $0 | $27,500 | $0 | ||||
| JEFF GERARD | ||||||||||
| PRES SBH/SH SVP STRAT(PT-YR) | 4.0 | 40.0 | Yes (X) | $0 | $1,316,875 | $340,849 | Yes (X) | |||
| KATHERINE HSIAO MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $1,500 | $0 | ||||
| STEVEN KATZNELSON MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| SARAH KREVANS | ||||||||||
| PRES & CEO SH, ASST SEC SBH | 4.0 | 40.0 | Yes (X) | $0 | $2,850,301 | $1,935,821 | Yes (X) | |||
| RICHARD LEVY PHD | ||||||||||
| CHAIR FINANCE & PLANNING | 4.0 | 4.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DENNIS O'CONNELL | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN OLIVER | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| UMESH PADVAL | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN RYAN | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| RON SINHA MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARGARET TAYLOR | ||||||||||
| DIRECTOR | 2.0 | 3.0 | Yes (X) | $0 | $0 | $0 | ||||
| JANE VARNER MD | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| ANTHONY WAGNER | ||||||||||
| CHAIR | 4.0 | 8.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JOHN GATES | ||||||||||
| CFO, SH BAY AREA | 2.0 | 40.0 | $0 | $912,557 | $101,036 | Yes (X) | ||||
| KAREN HALL | ||||||||||
| CLO, BAY AREA, SECRETARY | 2.0 | 40.0 | $0 | $605,697 | $85,464 | Yes (X) | ||||
| JULIE A PETRINI | ||||||||||
| CEO, BAY AREA HOSPITALS | 2.0 | 40.0 | $0 | $969,062 | $177,706 | Yes (X) | ||||
| ANNE BARR | ||||||||||
| VP, INFO & OPS INTEGRATION, SH | 0.0 | 40.0 | $0 | $570,235 | $78,837 | Yes (X) | ||||
| WARREN BROWNER MD | ||||||||||
| CEO, CPMC | 0.0 | 40.0 | $0 | $1,091,791 | $184,897 | Yes (X) | ||||
| STEPHEN GRAY | ||||||||||
| CEO, EMC | 0.0 | 40.0 | $0 | $489,285 | $109,509 | Yes (X) | ||||
| MAYNARD L JENKINS III | ||||||||||
| SH VP, HR, BAY AREA | 0.0 | 40.0 | $0 | $513,726 | $72,609 | Yes (X) | ||||
| GERALD KOZAI | ||||||||||
| CEO, ABSMC (PART-YEAR) | 0.0 | 40.0 | $0 | $280,855 | $74,336 | Yes (X) | ||||
| CYNTHIA LEE | ||||||||||
| VP, STRATEGY & BUS DEV | 0.0 | 40.0 | $0 | $571,661 | $79,609 | Yes (X) | ||||
| CHARLES PROSPER | ||||||||||
| CEO, ABSMC (PART-YEAR) | 0.0 | 40.0 | $0 | $831,559 | $86,926 | Yes (X) | ||||
| MICHAEL PURVIS | ||||||||||
| CEO, SSRRH & NCH | 0.0 | 40.0 | $0 | $571,607 | $109,833 | Yes (X) | ||||
| DORI STEVENS | ||||||||||
| CEO, SUTTER DELTA MEDICAL CTR | 0.0 | 40.0 | $0 | $598,650 | $49,917 | Yes (X) | ||||
| JANET A WAGNER | ||||||||||
| CEO, MPHS | 0.0 | 40.0 | $0 | $645,077 | $130,937 | Yes (X) | ||||
| STEVEN R CUMMINGS | ||||||||||
| EXEC DIR, SF COORDINATING CTR | 40.0 | 0.0 | $503,018 | $0 | $34,920 | Yes (X) | ||||
| TRACEY GAJDACS | ||||||||||
| CLINICAL NURSE II | 40.0 | 0.0 | $475,577 | $0 | $23,877 | Yes (X) | ||||
| KAREN JEU | ||||||||||
| PRESIDENT, CPMC FOUNDATION | 40.0 | 8.0 | $428,111 | $0 | $41,766 | Yes (X) | ||||
| ROBERT B MURPHY | ||||||||||
| STAFF PHYSICIAN, COMM CLINIC | 40.0 | 0.0 | $439,652 | $0 | $38,023 | Yes (X) | ||||
| SAMAREH H RAD | ||||||||||
| COORDINATOR, TRANSFER CTR RN | 40.0 | 0.0 | $499,748 | $0 | $38,854 | Yes (X) | ||||
| BRIAN ALEXANDER | ||||||||||
| CEO, SRMC | 0.0 | 40.0 | $0 | $523,023 | $94,395 | Yes (X) | ||||
| MICHAEL COHILL | ||||||||||
| FORMER CEO SMCS | 0.0 | 0.0 | $0 | $605,821 | $0 | Yes (X) | ||||
| GRANT DAVIES | ||||||||||
| CEO, VALLEY AREA HOSPITALS | 0.0 | 40.0 | $0 | $1,196,023 | $200,743 | Yes (X) | ||||
| VERNON GIANG MD | ||||||||||
| CME, CPMC | 0.0 | 40.0 | $0 | $512,317 | $57,925 | Yes (X) | ||||
| THERESA C GLUBKA | ||||||||||
| CEO, SSCD | 0.0 | 40.0 | $0 | $683,911 | $116,280 | Yes (X) | ||||
| RAJIT HUNDAL MD | ||||||||||
| CME, MPHS | 0.0 | 40.0 | $0 | $510,938 | $55,446 | Yes (X) | ||||
| HAMILA KOWNACKI | ||||||||||
| COO, CPMC | 0.0 | 40.0 | $0 | $440,806 | $49,432 | Yes (X) | ||||
| HENRY YU | ||||||||||
| CFO HOSPITAL - WEST BAY | 0.0 | 40.0 | $0 | $508,085 | $62,053 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,346,106 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $19,152,662 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,914,604 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6549 | 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 |
|---|---|---|---|---|---|
| RIGHTSOURCING INC | |||||
| 999 STEWART AVE STE 100 | BETHPAGE | NY | 117143632 | STAFFING SERVICES | $67,452,339 |
| DONOR NETWORK WEST | |||||
| 12667 ALCOSTA BLVD STE 500 | SAN ROMAN | CA | 94585 | ORGAN DONATION SVCS | $12,201,120 |
| PACIFIC INPATIENT MEDICAL GROUP IN | |||||
| 9 JEFFREY CT | NOVATO | CA | 949451739 | PHYSICIAN SERVICES | $12,119,108 |
| CROTHALL LAUNDRY SERVICES INC | |||||
| 13028 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | LAUNDRY SERVICES | $11,346,254 |
| HURON CONSULTING GROUP INC | |||||
| 3005 MOMENTUM PL | CHICAGO | IL | 606895330 | CONSULTING SERVICES | $8,113,400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 509 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $510,572 | FundraisingAmt |
| Related Organizations | $33,121,050 | RelatedOrganizationsAmt |
| Government Grants | $1,874,771 | GovernmentGrantsAmt |
| All Other Contributions | $22,352,936 | AllOtherContributionsAmt |
| Total Contributions | $57,859,329 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $3,990,660,507 | $3,990,660,507 |
| HEALTHCARE RELATED JV INCOME | 900099 | $26,783,363 | $26,783,363 |
| RENTAL TO AFFILIATES | 900099 | $13,981,990 | $13,981,990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,031,425,860 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,403,686 | TotalRevenueColumnAmt |
| Exclusion | $4,403,686 | 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 | $16,666,251 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,589,531 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,076,720 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,076,720 | TotalRevenueColumnAmt |
| Exclusion | $11,076,720 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,132,213 | SecuritiesAmt |
| Other | $6,680,568 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $6,045,070 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,132,213 | SecuritiesAmt |
| Other | $635,498 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,767,711 | TotalRevenueColumnAmt |
| Exclusion | $3,767,711 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $266,945 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $510,572 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $199,676 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,269 | TotalRevenueColumnAmt |
| Exclusion | $67,269 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $36,720 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $4,690 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,030 | TotalRevenueColumnAmt |
| Exclusion | $32,030 | ExclusionAmt |
| 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 (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 900099 | $7,378,802 | $7,378,802 | |
| PARKING | 812930 | $2,330,696 | $2,330,696 | |
| LABORATORY | 621500 | $307,143 | $307,143 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $198,259 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $198,259 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,214,900 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,118,847,505 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,031,425,860 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,836,098 | UnrelatedBusinessRevenueAmt |
| Exclusion | $26,726,218 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,150,599 | TotalAmt |
| Program Services | $6,150,599 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $658,680 | TotalAmt |
| Program Services | $658,680 | 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 | $98,213 | TotalAmt |
| Program Services | $98,213 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,242,712,923 | TotalAmt |
| Program Services | $1,127,994,361 | ProgramServicesAmt |
| Management And General | $114,267,800 | ManagementAndGeneralAmt |
| Fundraising | $450,762 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,411,437 | TotalAmt |
| Program Services | $128,358,354 | ProgramServicesAmt |
| Management And General | $13,053,083 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,851,302 | TotalAmt |
| Program Services | $427,389,039 | ProgramServicesAmt |
| Management And General | $43,226,860 | ManagementAndGeneralAmt |
| Fundraising | $235,403 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,784,640 | TotalAmt |
| Program Services | $92,389,337 | ProgramServicesAmt |
| Management And General | $9,395,303 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,987,003 | TotalAmt |
| Program Services | $7,875,102 | ProgramServicesAmt |
| Management And General | $17,111,901 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,011,919 | TotalAmt |
| Program Services | $6,011,919 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,131 | TotalAmt |
| Management And General | $336,131 | 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 | $903,243 | TotalAmt |
| Management And General | $903,243 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,989,902 | TotalAmt |
| Program Services | $219,781,526 | ProgramServicesAmt |
| Management And General | $26,208,376 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,957,110 | TotalAmt |
| Management And General | $1,923,007 | ManagementAndGeneralAmt |
| Fundraising | $34,103 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,841,418 | TotalAmt |
| Program Services | $31,162,098 | ProgramServicesAmt |
| Management And General | $3,663,593 | ManagementAndGeneralAmt |
| Fundraising | $15,727 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,818,203 | TotalAmt |
| Program Services | $104,754,005 | ProgramServicesAmt |
| Management And General | $81,064,198 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,250,612 | TotalAmt |
| Program Services | $63,649,132 | ProgramServicesAmt |
| Management And General | $2,601,480 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,585,715 | TotalAmt |
| Program Services | $1,849,397 | ProgramServicesAmt |
| Management And General | $731,000 | ManagementAndGeneralAmt |
| Fundraising | $5,318 | 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 | $1,007,997 | TotalAmt |
| Program Services | $862,934 | ProgramServicesAmt |
| Management And General | $145,063 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,804,404 | TotalAmt |
| Program Services | $60,804,404 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,740,332 | TotalAmt |
| Program Services | $246,742,661 | ProgramServicesAmt |
| Management And General | $33,997,671 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,380,906 | TotalAmt |
| Program Services | $22,241,354 | ProgramServicesAmt |
| Management And General | $9,139,552 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $431,637,682 | $431,637,682 | ||
| SYSTEM ALLOCATION FEE | $258,469,102 | $148,163,533 | $110,212,246 | $93,323 |
| PURCHASED SERVICES | $181,467,456 | $147,679,045 | $33,788,411 | |
| TAXES - UBI RELATED | $739,052 | $9,758 | $729,294 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,212,099 | TotalAmt |
| Program Services | $290,968,993 | ProgramServicesAmt |
| Management And General | $14,221,812 | ManagementAndGeneralAmt |
| Fundraising | $21,294 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,084,808,080 | TotalAmt |
| Program Services | $3,567,232,126 | ProgramServicesAmt |
| Management And General | $516,720,024 | ManagementAndGeneralAmt |
| Fundraising | $855,930 | 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 | $5,686,239 | BOYAmt |
| EOY | $6,053,048 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,161 | BOYAmt |
| EOY | $202,555 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $356,005,025 | BOYAmt |
| EOY | $515,344,026 | 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 | $39,697,404 | BOYAmt |
| EOY | $60,721,460 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,718,305 | BOYAmt |
| EOY | $15,849,164 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,261,246,929 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,573,402,532 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,696,745,063 | BOYAmt |
| EOY | $4,687,844,397 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,295,944 | BOYAmt |
| EOY | $106,993,333 | 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 | $16,303,728 | BOYAmt |
| EOY | $29,546,604 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,980,359 | BOYAmt |
| EOY | $4,565,324 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,580,806 | BOYAmt |
| EOY | $498,267,226 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,548,225,034 | BOYAmt |
| EOY | $5,925,387,137 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $518,660,948 | BOYAmt |
| EOY | $845,862,335 | 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 | $1,754,142,515 | BOYAmt |
| EOY | $2,829,957,224 | 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 | $29,543,214 | BOYAmt |
| EOY | $46,391,708 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,302,346,677 | BOYAmt |
| EOY | $3,722,211,267 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,229,026,060 | BOYAmt |
| EOY | $2,184,635,565 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,852,297 | BOYAmt |
| EOY | $15,784,319 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,755,986 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,245,878,357 | BOYAmt |
| EOY | $2,203,175,870 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,548,225,034 | BOYAmt |
| EOY | $5,925,387,137 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $34,039,425 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$9,425,461 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$67,316,451 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| 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 | false | FederalGrantAuditRequiredInd |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $97,476,962 | BeginningYearBalanceAmt |
| Contributions | $36,236,977 | ContributionsAmt |
| Investment Earnings Or Losses | $5,925,287 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $507,850 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $139,131,376 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $92,793,529 | BeginningYearBalanceAmt |
| Contributions | $5,507,832 | ContributionsAmt |
| Investment Earnings Or Losses | $15,840,643 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,105,457 | GrantsOrScholarshipsAmt |
| Other Expenditures | $13,559,585 | OtherExpendituresAmt |
| End Year Balance | $97,476,962 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $83,834,470 | BeginningYearBalanceAmt |
| Contributions | $5,657,867 | ContributionsAmt |
| Investment Earnings Or Losses | $6,530,863 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,229,671 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $92,793,529 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $76,169,704 | BeginningYearBalanceAmt |
| Contributions | $3,852,741 | ContributionsAmt |
| Investment Earnings Or Losses | -$4,742,895 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $732,385 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $74,547,165 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $56,482,750 | BeginningYearBalanceAmt |
| Contributions | $16,122,121 | ContributionsAmt |
| Investment Earnings Or Losses | $3,568,844 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,011 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $76,169,704 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.35930 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.51230 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.12840 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $240,751,233 | OtherCostOrOtherBasisAmt |
| Book Value | $240,751,233 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,674,200,353 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,722,619,263 | DepreciationAmt |
| Book Value | $1,951,581,090 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,762,832 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,022,832 | DepreciationAmt |
| Book Value | $34,740,000 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,031,445,738 | OtherCostOrOtherBasisAmt |
| Depreciation | $773,310,809 | DepreciationAmt |
| Book Value | $258,134,929 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,251,086,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,449,628 | DepreciationAmt |
| Book Value | $2,202,637,145 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,687,844,397 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $356,200,174 |
| INTERCOMPANY RECEIVABLES | $121,001,209 |
| OTHER ASSETS | $21,065,843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $498,267,226 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| 3RD PARTY SETTLEMENTS | $26,690,516 |
| INSURANCE LIABILITIES | $11,897,940 |
| OTHER LIABILITIES | $7,803,252 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $46,391,708 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART V, LINE 1B, COLUMN (B) | FormAndLineReferenceDesc |
| Explanation | ON MARCH 1, 2018, SUTTER EAST BAY HOSPITALS MERGED INTO SUTTER BAY HOSPITALS. THE 2018 CONTRIBUTIONS HAVE BEEN ADJUSTED TO REFLECT THE ENDOWMENTS HISTORICALLY HELD BY SUTTER EAST BAY HOSPITALS. SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: THE FOLLOWING ENDOWMENTS ARE HELD AT MILLS-PENINSULA HOSPITAL FOUNDATION AND CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION FOR THE BENEFIT OF SUTTER BAY HOSPITALS: ELLIS PERMANENT ENDOWMENT INCOME TO BE USED TO PROVIDE SCHOLARSHIPS AND GRANTS TO NEEDY GIRLS SEEKING CAREERS IN MEDICAL AND ALLIED FIELDS. REID PERMANENT ENDOWMENT EARNINGS TO SUPPORT FREE BEDS, CLINICS, AND MEDICAL SERVICES TO THE POOR AND NEEDY. MALMQUIST PERMANENT ENDOWMENT - INCOME TO SUPPORT THE HOSPITAL'S HEALTH CARE SERVICES RELATED TO ARTHRITIS, UNTIL AND UNLESS SUCH A USE WOULD NOT BE POSSIBLE AT THE HOSPITALS, IN WHICH CASE, THE FOUNDATION'S BOARD OF TRUSTEES MAY CHOOSE ANOTHER USE FOR THE INCOME AND MAY, IF NECESSARY AND IN THE BEST INTERESTS OF THE HOSPITALS EXPEND THE PRINCIPAL. BARSHAD PERMANENT ENDOWMENT - INCOME TO BE USED TO BENEFIT THE SENIOR FOCUS PROGRAM. COAKLEY PERMANENT ENDOWMENT - INCOME SHALL BE USED TO SUPPORT ANY PURPOSE EXCEPT CONSTRUCTION OR GENERAL EXPENSES OF MILLS PENINSULA MEDICAL CENTER. RAFFO PERMANENT ENDOWMENT - TO SUPPORT CANCER AND CARDIAC CARE, BUT NOT FOR ANIMAL RESEARCH. RUPPART PERMANENT ENDOWMENT - INCOME USED TO SUPPORT PURPOSES DEEMED MOST APPROPRIATE BY THE BOARD OF TRUSTEES OF MILLS PENINSULA HOSPITAL FOUNDATION AND THE PRINCIPAL IS TO BE MAINTAINED IN ITS ENTIRELY. DESIRED, BUT NOT MANDATORY IS THAT THE INCOME BE USED TO FUND CARE AND MAINTAIN THE SPECIAL CARE UNIT AND SHORT STAY SURGICAL RECOVERY UNIT. ZIELINSKY PERMANENT ENDOWMENT - FUND INCOME, BUT NO PART OF THE PRINCIPAL OR APPRECIATION (REALIZED OR UNREALIZED), SHALL BE USED TO FURTHER THE GENERAL OBJECTS AND PURPOSES OF THE MILLS PENINSULA HOSPITAL FOUNDATION. MCKAY PERMANENT ENDOWMENT - INCOME ONLY (INTEREST), BUT NO PART OF THE FUND PRINCIPAL OR APPRECIATION (REALIZED OR UNREALIZED), SHALL BE USED TO FURTHER THE GENERAL OBJECTS AND PURPOSES OF MILLS PENINSULA HOSPITAL FOUNDATION. DISTINGUISHED ENDOWED CHAIR IN CARDIOLOGY- QUASI ENDOWMENT - SUPPORT THE WORK OF CPMC'S ATRIAL FIBRILLATION & ARRHYTHMIA PROGRAM'S SR. MEDICAL DIRECTOR. PROGRAM IN MEDICINE & HUMANS QUASI-ENDOWMENT EARNINGS SUPPORT PROGRAMS IN MEDICINE & HUMAN VALUES. ROSENBERG/NICHOLS OVARIAN/REPRODUCTIVE CANCER QUASI-ENDOWMENT - ANNUAL RELEASE OF 5% WILL GO TO SUPPORT OVARIAN/REPRODUCTIVE CANCER RECOVERY PROGRAM GENERAL EXPENSES. MCCLELLAND FUND - DIVISION OF CARDIOLOGY QUASI-ENDOWMENT - FOR THE GENERAL USE BY THE DIVISION OF CARDIOLOGY. PAYDEN CENTER FOR MELANOMA RESEARCH & TREATMENT QUASI-ENDOWMENT - SUPPORT THE MELANOMA CENTER IN ITS EFFORTS WITH RESEARCH, EDUCATION, PATIENT CARE, SALARY SUPPORT & EQUIPMENT PURCHASE. CHAIR IN MELANOMA RESEARCH AND TREATMENT QUASI-ENDOWMENT - SUPPORT THE MELANOMA CENTER IN EFFORTS WITH RESEARCH & EDUCATION, PATIENT CARE, SALARY SUPPORT & EQUIPMENT PURCHASE. RAY DOLBY CHAIR IN BRAIN HEALTH RESEARCH QUASI-ENDOWMENT - SUPPORT A CHAIR AT THE CPMC RAY DOLBY BRAIN HEALTH CENTER. CHAIR IN BREAST HEALTH SERVICES QUASI-ENDOWMENT - SUPPORT A CHAIR IN BREAST HEALTH SERVICES. ST. LUKE'S ENDOWMENT - TO SUPPORT ST. LUKE'S GENERAL OPERATIONS. H. SMITH ENDOWED CHAIR ENDOWMENT - ENDOWED CHAIR AT CPMCRI. WILLIAM GREENBACH ENDOWMENT - CANCER RESEARCH AT CPMCRI. CANCER RESEARCH CPMCRI G.BRUSH ENDOWMENT - CANCER RESEARCH AT CPMCRI. M. WILCOX ENDOWMENT - FOR EQUIPMENT; REFURBISHING OF ROOMS/ACCOMMODATIONS & FOR EDUCATION OF STAFF & PATIENTS RELATED TO CANCER RESEARCH. BASSO-KLEISER/GUEST FUND IN CARDIOLOGY ENDOWMENT - SUPPORT A CHAIR IN CARDIOLOGY. F. GERBODE HEART RESEARCH ENDOWMENT - HEART RESEARCH. HEART RESEARCH EDUCATIONAL ENDOWMENT - HEART RESEARCH, EDUCATION AND/OR PROGRAM DEVELOPMENT. IN MEMORY OF RUTH MARY PRITCHARD JENKINS ENDOWMENT - SUPPORT THE CARE FOR CLERGY & THEIR FAMILIES IN THE HOSPITAL. BIOETHICS ENDOWMENT - PROGRAM IN MEDICINE & HUMAN VALUES. CPMC PMHV SENIOR SCHOLAR ENDOWMENT - SUPPORT RESEARCH, EDUCATION AND SCHOLARSHIP INITIATIVES IN CLINICAL ETHICS. M. HAIM ENDOWMENT - SUPPORT THE MICHAEL HAIM, M.D. MEMORIAL LECTURE IN DERMATOLOGY, SUBJECT CHOSEN BY THE CHIEF OF DEPARTMENT. J. GAMBLE TEACHING ENDOWMENT - DEPARTMENT OF MEDICINE TEACHING FUND. NOBLE ENDOWED CHAIR - SUSTAIN & ENHANCE EDUCATION OF RESIDENTS, WHILE CONTRIBUTING TO THE EXCELLENCE OF PATIENT CARE THROUGH AN ENDOWED CHAIR. CPMCF BROTHERTON PERINATAL MENTAL HEALTH ENDOWMENT - TO FUND PERINATAL MENTAL HEALTH CARE AT CPMC'S VALENCIA AND CESAR CHAVEZ CAMPUS. CPMCRI C&A FINLEY ENDOWED CHAIR NEURO RESEARCH - ENDOWED CHAIR AT CPMCRI. WATKINS BURBANK LOAN & SCHOLARSHIP ENDOWMENT - TO SUPPORT THE NURSING EDUCATION ACTIVITIES AT ST. LUKE'S. JOHN N CALLANDER ORTHOPEDIC ENDOWMENT - PRIORITY NEEDS OF THE CPMC'S ORTHOPEDIC DEPARTMENT. C. HUGHEY TRUST ENDOWMENT - SUPPORT PATIENT CARE FOR CRIPPLED CHILDREN'S PROGRAM. CPMC A. MORRISON CHILD DEVELOPMENT ENDOWMENT - GENERAL USE FOR THE CHILD DEVELOPMENT DEPARTMENT. CMPCF TAKAHASHI SENIOR SERVICE ENDOWMENT - TOMOYE TAKAHASHI ENDOWMENT FUND TO BENEFIT SENIOR SERVICES. MARGARET H. PAGE ENDOWMENT - PROGRAM AND CAPITAL SUPPORT. ST. LUKE'S ENDOWMENT - TO SUPPORT ST. LUKE'S GENERAL OPERATIONS. SF POLYCLINIC ENDOWMENT - PROVIDE CARE OF MEDICALLY INDIGENT PATIENTS AND SUBSIDIZE PROGRAMS OF INTEREST TO THE PRIMARY PHYSICIAN. THERE IS AN ENDOWMENT THAT WAS DONATED IN THE 1900'S BY SISTER GARCELN OF SAMUEL MERRITT FOR PEOPLE WHO ARE NOT INSURED. ADDITIONALLY, ENDOWMENTS ARE HELD FOR THE BENEFIT OF SUTTER BAY HOSPITALS BY BETTER HEALTH EAST BAY FOUNDATION, A FUNDRAISING FOUNDATION. SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE FROM AUDIT: 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, THE LEGAL ENTITY, 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 2015 THROUGH 2017 REMAIN 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. AT DECEMBER 31, 2018 AND 2017, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. 2017, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $427,643 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $250,393 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $177,250 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $24,360 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $65,766 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $480 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $17,583 | OtherDirectExpensesEvent1Amt |
| Event2 | CATWALK | Event2Nm |
| Gross Receipts Event2 | $276,689 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $205,039 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $71,650 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $28,513 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $13,182 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $1,400 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $8,842 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $73,185 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $55,140 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $18,045 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $12,235 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $17,382 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $9,933 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $777,517 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $510,572 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $266,945 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $65,108 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $96,330 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,880 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $36,358 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $199,676 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $67,269 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $36,720 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $4,690 | NonCashPrizesOtherGamingAmt |
| Volunteer Labor Other Gaming | Yes (true) | VolunteerLaborOtherGamingInd |
| Volunteer Labor Other Gaming | 0.75000 | VolunteerLaborOtherGamingPct |
| Gross Revenue Total Gaming | $36,720 | GrossRevenueTotalGamingAmt |
| Non Cash Prizes Total Gaming | $4,690 | NonCashPrizesTotalGamingAmt |
| Direct Expense Summary Gaming | $4,690 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $32,030 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CA | StatesWhereGamingConductedCd |
| Licensed | Yes (true) | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (true) | GamingWithNonmembersInd |
| Member Of Other Entity | false | MemberOfOtherEntityInd |
| Gaming Own Facility | 0.33000 | GamingOwnFacilityPct |
| Gaming Other Facility | 0.66000 | GamingOtherFacilityPct |
| Individual With Books | SEE SCH G PART IV | IndividualWithBooksNm |
| Cntrct With3rd Prty For Game Rev | false | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | SEE SCH G PART IV | GamingManagerPersonNm |
| Charitable Distribution Rqr | Yes (true) | CharitableDistributionRqrInd |
| Distributed | $33,048 | DistributedAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE G, PART III, LINE 14 | NAME: EVA VATHIS NAME: CYNTHIA GREGORY ADDRESS: 30 MARK WEST SPRINGS RD ADDRESS: NOVATO COMMUNITY HOSPITAL SANTA ROSA, CA 95403 180 ROWLAND WAY NOVATO, CA 94945 |
| SCHEDULE G, PART III, LINE 16 | NAME: EVA VATHIS SERVICES PROVIDED: COORDINATES SUTTER GOLF INVITATIONAL, CATWALK FOR A CURE. GAMING COMPENSATION: $0 POSITION: EMPLOYEE OF SUTTER BAY HOSPITALS NAME: CYNTHIA GREGORY SERVICES PROVIDED: COORDINATES NCH GOLF EVENT. GAMING COMPENSATION: $533 POSITION: EMPLOYEE OF SUTTER BAY HOSPITALS |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| 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 | $47,132,675 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,132,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $924,131,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $730,750,161 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $193,381,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04740 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,932,441 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,987,578 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,944,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,004,196,642 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $751,737,739 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $252,458,903 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06180 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 81 | ActivitiesOrProgramsCnt |
| Persons Served | 80907 | PersonsServedCnt |
| Total Community Benefit Expns | $8,393,800 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $523,835 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,869,965 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 490 | PersonsServedCnt |
| Total Community Benefit Expns | $40,800,802 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,739,998 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,060,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 39 | ActivitiesOrProgramsCnt |
| Persons Served | 63926 | PersonsServedCnt |
| Total Community Benefit Expns | $109,143,762 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $73,297,475 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,846,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 132 | PersonsServedCnt |
| Total Community Benefit Expns | $17,561,067 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,081,656 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,479,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 110 | ActivitiesOrProgramsCnt |
| Persons Served | 59049 | PersonsServedCnt |
| Total Community Benefit Expns | $17,674,022 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $163,293 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,510,729 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 254 | ActivitiesOrProgramsCnt |
| Persons Served | 204504 | PersonsServedCnt |
| Total Community Benefit Expns | $193,573,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $91,806,257 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $101,767,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02490 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 254 | ActivitiesOrProgramsCnt |
| Persons Served | 204504 | PersonsServedCnt |
| Total Community Benefit Expns | $1,197,770,095 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $843,543,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $354,226,099 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08670 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 495 | PersonsServedCnt |
| Total Community Benefit Expns | $18,005 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,005 | NetCommunityBenefitExpnsAmt |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $564 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $564 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $12,813 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,813 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $11,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,250 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 335 | PersonsServedCnt |
| Total Community Benefit Expns | $135,162 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $119,162 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 830 | PersonsServedCnt |
| Total Community Benefit Expns | $177,794 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $161,794 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $831,389,470 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,017,223,892 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$185,834,422 | 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 (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| SF Endoscopy LLC | |||
| MEDICAL SERVICES | 0.51 | 0.0 | 0.472 |
| SL SURGERY CENTER | |||
| MEDICAL SERVICES | 0.4503 | 0.0 | 0.465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 19 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (19 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTA BATES SUMMIT MEDICAL CENTER | ||||||||||||
| 1 | 350 HAWTHORNE AVENUE | OAKLAND | CA | 94609 | WWW.ALTABATESSUMMIT.ORG | LICENSE #140000284 | Yes (X) | Yes (X) | Yes (X) | C | ||
| ALTA BATES CAMPUS | ||||||||||||
| 2 | 2450 ASHBY AVENUE | BERKELEY | CA | 94705 | WWW.ALTABATESSUMMIT.ORG | LICENSE #140000004 | Yes (X) | Yes (X) | Yes (X) | C | ||
| CPMC - PACIFIC CAMPUS | ||||||||||||
| 3 | 2333 BUCHANAN STREET | SAN FRANCISCO | CA | 94115 | WWW.CPMC.ORG | LICENSE #220000197 | Yes (X) | Yes (X) | Yes (X) | A | ||
| CPMC - CALIF WEST CAMPUS | ||||||||||||
| 4 | 3700 CALIFORNIA STREET | SAN FRANCISCO | CA | 94118 | WWW.CPMC.ORG | LICENSE #220000197 | Yes (X) | Yes (X) | Yes (X) | A | ||
| MILLS PENINSULA MEDICAL CENTER | ||||||||||||
| 5 | 1501 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | WWW.MILLS-PENINSULA.ORG | LICENSE #220000037 | Yes (X) | Yes (X) | Yes (X) | B | OUTPATIENT SERVICES | |
| CPMC - ST LUKE'S CAMPUS | ||||||||||||
| 6 | 3555 CESAR CHAVEZ STREET | SAN FRANCISCO | CA | 94110 | WWW.CPMC.ORG | LICENSE #220000070 | Yes (X) | Yes (X) | Yes (X) | A | ||
| CPMC - DAVIES CAMPUS | ||||||||||||
| 7 | 601 DUBOCE AVENUE | SAN FRANCISCO | CA | 94117 | WWW.CPMC.ORG | LICENSE #220000197 | Yes (X) | Yes (X) | Yes (X) | A | ||
| SUTTER DELTA MEDICAL CENTER | ||||||||||||
| 8 | 3901 LONE TREE WAY | ANTIOCH | CA | 94509 | WWW.SUTTERDELTA.ORG | LICENSE #140000258 | Yes (X) | Yes (X) | Yes (X) | C | ||
| EDEN MEDICAL CENTER | ||||||||||||
| 9 | 20103 LAKE CHABOT ROAD | CASTRO VALLEY | CA | 94546 | WWW.EDENMEDICALCENTER.ORG | LICENSE #140000030 | Yes (X) | Yes (X) | Yes (X) | OUTPATIENT SERVICES | ||
| CPMC - MISSION BERNAL CAMPUS | ||||||||||||
| 10 | 3555 CESAR CHAVEZ STREET | SAN FRANCISCO | CA | 94110 | WWW.ALTABATESSUMMIT.ORG | LICENSE #220000070 | Yes (X) | Yes (X) | Yes (X) | A | ||
| SUTTER SANTA ROSA REGIONAL HOSPITAL | ||||||||||||
| 11 | 30 MARK WEST SPRINGS ROAD | SANTA ROSA | CA | 95403 | WWW.SUTTERSANTAROSA.ORG | LICENSE #110000005 | Yes (X) | Yes (X) | Yes (X) | |||
| SUMMIT CAMPUS | ||||||||||||
| 12 | 3100 SUMMIT STREET | OAKLAND | CA | 94609 | WWW.ALTABATESSUMMIT.ORG | LICENSE #140000284 | Yes (X) | Yes (X) | Yes (X) | C | ||
| ALTA BATES - HERRICK CAMPUS | ||||||||||||
| 13 | 2001 DWIGHT WAY | BERKELEY | CA | 94704 | WWW.ALTABATESSUMMIT.ORG | LICENSE #140000004 | Yes (X) | Yes (X) | Yes (X) | C | ||
| MILLS HEALTH CENTER | ||||||||||||
| 14 | 100 SOUTH SAN MATEO DRIVE | SAN MATEO | CA | 94401 | WWW.MILLS-PENINSULA.ORG | LICENSE #220000037 | Yes (X) | Yes (X) | B | OUTPATIENT SERVICES | ||
| NOVATO COMMUNITY HOSPITAL | ||||||||||||
| 15 | 180 ROLAND WAY | NOVATO | CA | 94945 | WWW.NOVATOCOMMUNITY.ORG | LICENSE #110000375 | Yes (X) | Yes (X) | Yes (X) | |||
| SUTTER LAKESIDE HOSPITAL | ||||||||||||
| 16 | 5176 HILL ROAD | LAKEPORT | CA | 95463 | WWW.SUTTERLAKESIDE.ORG | LICENSE #110000094 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
| SUTTER MATERNITY & SURGERY SANTA CRUZ | ||||||||||||
| 17 | 2900 CHANTICLEER AVENUE | SANTA CRUZ | CA | 95065 | WWW.SUTTERSANTACRUZ.ORG | LICENSE #070000399 | Yes (X) | Yes (X) | B | OUTPATIENT SERVICES | ||
| MPI CHEMICAL DEPENDENCY RECOVERY HOSP | ||||||||||||
| 18 | 3012 SUMMIT STREET | OAKLAND | CA | 94609 | WWW.ALTABATESSUMMIT.ORG/MPI | LICENSE #130000232 | Yes (X) | C | ||||
| MENLO PARK SURGICAL HOSPITAL | ||||||||||||
| 19 | 570 WILLOW ROAD | MENLO PARK | CA | 94025 | WWW.PAMF.ORG/MPSH | LICENSE #220000276 | Yes (X) | Yes (X) | B | OUTPATIENT SERVICES | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (7 entries)
| 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 | Paper Copy Public InspectionPaperCopyPublicInspectionInd | 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 | FacilityFacilityNum |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 16 | 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 | |
| B | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 16 | 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 | |
| C | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 16 | 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 | |
| EDEN MEDICAL CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 16 | 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 | 9 |
| SUTTER SANTA ROSA REGIONAL HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 16 | 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 | 11 |
| NOVATO COMMUNITY HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 16 | 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 | 15 |
| SUTTER LAKESIDE HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 16 | 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 | 16 |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| REPORTING FACILITY: A, (3-4, 6-7, 10) | SCHEDULE H, PART V, LINE 3E 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, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): IN CONDUCTING ITS MOST RECENT CHNA, CALIFORNIA PACIFIC MEDICAL CENTER, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE GOALS OF THE COMMUNITY ENGAGEMENT COMPONENT OF THE CHNA WERE TO: - IDENTIFY SAN FRANCISCANS HEALTH PRIORITIES, ESPECIALLY THOSE OF VULNERABLE POPULATIONS; - OBTAIN DATA ON POPULATIONS FOR WHICH WE HAVE LITTLE QUANTITATIVE DATA; - BUILD RELATIONSHIPS BETWEEN THE COMMUNITY AND SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP); - MEET THE REGULATORY REQUIREMENTS INCLUDING THE IRS RULES FOR CHARITABLE 501(C)(3) HOSPITALS, PUBLIC HEALTH ACCREDITATION BOARD REQUIREMENTS FOR THE SAN FRANCISCO HEALTH DEPARTMENT, AND SAN FRANCISCOS PLANNING CODE REQUIREMENTS FOR A HEALTH CARE SERVICES MASTER PLAN. WE WORKED WITH COMMUNITY PARTNERS TO CO-HOST COMMUNITY MEETINGS WITH TARGET POPULATIONS. TARGET POPULATIONS WERE SELECTED BASED ON FOUR FACTORS: 1) THE POPULATION HAS KNOWN HEALTH DISPARITIES; 2) LITTLE INFORMATION DESCRIBING THE HEALTH OF THE POPULATION WAS AVAILABLE; 3) THE POPULATION WAS NOT INCLUDED IN A RECENT HEALTH ASSESSMENT; AND 4) THE POPULATION WAS REACHABLE THROUGH AN EXISTING COMMUNITY GROUP. WHERE POSSIBLE, WE JOINED EXISTING MEETINGS IN AN EFFORT TO INCREASE EFFICIENCY AND FACILITATE PARTICIPATION BY RESIDENTS. SUCCESSFUL COMMUNITY ENGAGEMENT WOULD NOT HAVE BEEN POSSIBLE WITHOUT THE CONTRIBUTIONS OF THESE COMMUNITY PARTNERS: - ASIAN AMERICANS ADVANCING JUSTICE ASIAN LAW CAUCUS - AFRICAN AMERICAN ART AND CULTURE COMPLEX - ASOCIACIN MAYAB - CARECEN - FILIPINO AMERICAN DEVELOPMENT FOUNDATION - INSTITUTO FAMILIAR DE LA RAZA - LARKIN STREET YOUTH SERVICES - SF LGBT COMMUNITY CENTER - NATIVE AMERICAN HEALTH CENTER - ON LOK 30TH STREET SENIOR CENTER - SWORDS TO PLOWSHARES - TRANSITIONS CLINIC WE FACILITATED ALL MEETINGS USING TWO TECHNOLOGY OF PARTICIPATION TECHNIQUES - THE FOCUSED CONVERSATION METHOD AND THE CONSENSUS WORKSHOP METHOD. THE MAIN QUESTION WE ASKED OF PARTICIPANTS WAS, WHAT ACTIONS CAN WE TAKE - INCLUDING RESIDENTS, COMMUNITY GROUPS, AND SFHIP - TO IMPROVE HEALTH? PARTICIPANTS WERE ALSO ASKED ABOUT THE ASSETS AND BARRIERS WHICH EXIST IN THEIR COMMUNITIES REGARDING HEALTH. IN TOTAL, 127 PARTICIPANTS ATTENDED 11 MEETINGS BETWEEN JULY 1 AND OCTOBER 2, 2015. PARTICIPANTS CAME FROM A VARIETY OF BACKGROUNDS. THE ETHNIC GROUPS WITH THE LARGEST REPRESENTATION IN THE MEETINGS WERE LATINO (23 PERCENT), BLACK/AFRICAN AMERICAN (15 PERCENT), WHITE (17 PERCENT), AND ASIAN (12 PERCENT). OTHER SELF-REPORTED ETHNICITIES INCLUDED ARAB, FILIPINO, JEWISH, MIDDLE EASTERN, AND NATIVE AMERICAN. THE MAJORITY OF PARTICIPANTS WERE FEMALE (59 PERCENT). AT THE MEETING WE IDENTIFIED THESE COMMUNITY HEALTH PRIORITIES: ACCESS TO HEALTHY FOODS AND PHYSICAL ACTIVITY OPPORTUNITIES, SAFE AND AFFORDABLE HOUSING, HEALTH EDUCATION AND EMPOWERMENT, ECONOMIC OPPORTUNITIES, CLEAN AND SAFE PARKS, RESTROOMS, AND OTHER SHARED ENVIRONMENTS, AND ACCESS TO HEALTH CARE SERVICES THAT ARE CULTURALLY AND LINGUISTICALLY APPROPRIATE. FURTHER DETAILS ON THE METHODS AND FINDINGS ARE AVAILABLE IN APPENDIX BS "2016 CHNA COMMUNITY ENGAGEMENT" SECTION. HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B CHNA HOSPITAL COLLABORATORS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): AS A MEMBER OF SFHIP, CPMC PARTICIPATES IN A COLLECTIVE NEEDS ASSESSMENT PROCESS TO ENSURE THAT OUR COMMUNITY BENEFIT INVESTMENTS ARE RESPONSIVE TO REAL COMMUNITY HEALTH NEEDS. SFHIPS SAN FRANCISCO COMMUNITY HEALTH NEEDS ASSESSMENT 2016 SERVES AS THE FOUNDATION FOR CPMCS COMMUNITY HEALTH NEEDS ASSESSMENT 20162018. THE PROCESSES AND FINDINGS DESCRIBED WITHIN THIS DOCUMENT REFER TO THOSE OF SFHIPS 2016 NEEDS ASSESSMENT. THE ORIGINAL 2016 CHNA DOCUMENT COLLECTIVELY DEVELOPED BY SFHIP AND PREPARED BY SFDPH CAN BE FOUND AT WWW.SFHIP.ORG. SFHIP IS A COLLABORATIVE BODY WHOSE MISSION IS TO EMBRACE COLLECTIVE IMPACT AND TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO. MEMBERSHIP IN SFHIP INCLUDES: - SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH - AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL - ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION - CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION - HUMAN SERVICES NETWORK - DIGNITY HEALTH SAINT FRANCIS MEMORIAL HOSPITAL - DIGNITY HEALTH ST. MARYS MEDICAL CENTER - SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER - KAISER PERMANENTE - CHINESE HOSPITAL - SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM - METTA FUND - SAN FRANCISCO FOUNDATION FAITHS PROGRAM - SAN FRANCISCO UNIFIED SCHOOL DISTRICT - SAN FRANCISCO MAYORS OFFICE - UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTES COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM A COMPLETE LISTING OF HOSPITALS AND PARTNERS WHO COLLABORATED ON THE CHNA IS AVAILABLE FOR DOWNLOAD AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 7A, 7B, & 10A CHNA AVAILABILITY ONLINE: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CPMC.ORG/ABOUT/COMMUNITY/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT CPMC INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO CARE 2. HEALTHY EATING AND PHYSICAL ACTIVITY 3. BEHAVIORAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, CPMC 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 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - ECONOMIC BARRIERS TO HEALTH - RACIAL HEALTH INEQUITIES - SAFETY AND VIOLENCE - HOUSING STABILITY AND HOMELESSNESS - SUBSTANCE ABUSE AS A MEMBER OF THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), CPMC WILL CONTINUE TO WORK IN COLLABORATION WITH OTHER LOCAL HOSPITALS AND HEALTH PLANS TO IDENTIFY GAPS IN SERVICE AND TO DETERMINE WHERE EFFORTS SHOULD BE COLLECTIVELY REDIRECTED IN ORDER TO MOST EFFECTIVELY IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. FOR MORE INFORMATION ABOUT SFHIP, PLEASE VISIT WWW.SFHIP.ORG. SCHEDULE H, PART V, LINE 15E CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 3-4, 6-7, & 10): 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, LINES 16A, 16B, & 16C CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3-4, 6-7, & 10): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A, 3-4, 6-7, & 10): MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS 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 HE |
| REPORTING FACILITY: B, (5, 14, 17, 19) | SCHEDULE H, PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE, PART V, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: REPORTING GROUP B, 5, 14, 17, & 19: MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL: IN CONDUCTING ITS MOST RECENT CHNA, MILLS PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE HEALTHY COMMUNITY COLLABORATIVE CONTRACTED WITH APPLIED SURVEY RESEARCH (ASR) TO CONDUCT THE PRIMARY RESEARCH. THEY USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS AND COMMUNITY SERVICE EXPERTS, FOCUS GROUPS WITH PROFESSIONALS, AND RESIDENT FOCUS GROUPS. ACROSS THE FOCUS GROUPS WITH PROFESSIONALS AND KEY INFORMANT INTERVIEWS, ASR CONSULTED WITH 38 COMMUNITY REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTHCARE FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED POPULATIONS. IN THE LIST BELOW, THE NUMBER IN PARENTHESES INDICATES THE NUMBER OF PARTICIPANTS FROM EACH SECTOR. - SAN MATEO COUNTY HEALTH DEPARTMENT (1) - SAN MATEO COUNTY HEALTH & HOSPITAL SYSTEM (5) - SAN MATEO COUNTY SUPERVISORS OR COMMISSIONERS (3) - OTHER SAN MATEO COUNTY EMPLOYEES (3) - NONPROFIT AGENCIES (22) - FAITH-BASED LEADERS (2) - BUSINESS SECTOR (2) ASR CONDUCTED KEY INFORMANT INTERVIEWS WITH 29 SAN MATEO COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS WHO HAD COUNTYWIDE EXPERTISE. THESE EXPERTS INCLUDED THE PUBLIC HEALTH OFFICER, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. ASR INTERVIEWED INFORMANTS IN PERSON OR BY TELEPHONE, AND ASKED THEM TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENCIES, HOW ACCESS TO HEALTHCARE HAS CHANGED IN THE POST-AFFORDABLE CARE ACT ENVIRONMENT, THE IMPACT OF THE PHYSICAL ENVIRONMENT ON HEALTH, AND THE EFFECT OF THE USE OF NEW TECHNOLOGIES FOR HEALTH-RELATED ACTIVITIES. THE FINDINGS IN MILLS PENINSULA MEDICAL CENTERS CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER MATERNITY & SURGERY CENTER, SANTA CRUZ: SUTTER MATERNITY & SURGERY CENTER SANTA CRUZ (SMSC), A FACILITY OF MPMC, CONTRACTED WITH APPLIED SURVEY RESEARCH (ASR) TO FACILITATE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN 2016. ASR USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, A FOCUS GROUP WITH HEALTH CARE PROFESSIONALS, AND TELEPHONE SURVEYS WITH 700 RANDOMLY SELECTED RESIDENTS AS PART OF THE YEARLY COMMUNITY ASSESSMENT PROJECT. APPLIED SURVEY RESEARCH CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH THREE SANTA CRUZ COUNTY HEALTH EXPERTS. THESE INCLUDED, THE HEALTH SERVICES AGENCY DIRECTOR, AND TWO COMMUNITY CLINIC DIRECTORS. THESE EXPERTS WERE SELECTED IN-PART FOR THEIR COUNTYWIDE EXPERIENCE AND EXPERTISE AND WERE INTERVIEWED BY PHONE FOR APPROXIMATELY ONE HOUR. EACH PARTICIPANT WAS ASKED TO IDENTIFY THE TOP HEALTH NEEDS OF THEIR CONSTITUENCIES, HOW ACCESS TO HEALTHCARE HAS CHANGED POST-AFFORDABLE CARE ACT, THE IMPACT OF THE PHYSICAL ENVIRONMENT ON HEALTH, AND THE EFFECT OF THE USE OF NEW TECHNOLOGIES ON HEALTH-RELATED INTERVENTIONS. IN ADDITION, ONE FOCUS GROUP WITH STAKEHOLDERS WAS CONDUCTED IN JUNE 2016. THE QUESTIONS WERE THE SAME AS THOSE FOR KEY INFORMANTS. EACH INTERVIEW AND THE FOCUS GROUP WAS THEN SUMMARIZED AS A STAND-ALONE PIECE OF DATA. WHEN ALL DATA COLLECTION HAD BEEN CONDUCTED, ASR ANALYZED THE DATA AND TABULATED ALL HEALTH NEEDS THAT WERE MENTIONED, ALONG WITH HEALTH DRIVERS DISCUSSED. ASR THEN MADE A LIST OF ALL THE CONDITIONS THAT HAD BEEN MENTIONED, COUNTED HOW MANY GROUPS OR INFORMANTS LISTED THE CONDITION AND HOW MANY TIMES THEY HAD BEEN PRIORITIZED BY A FOCUS GROUP. THE FINDINGS IN SUTTER MATERNITY & SURGERY CENTERS CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 6 REPORTING GROUP B, 5, 14, 17, & 19: MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL: THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY CONSISTS OF REPRESENTATIVES FROM NONPROFIT HOSPITALS, COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES, PUBLIC AGENCIES, AND COMMUNITY BASED ORGANIZATIONS, AND WAS CREATED TO IDENTIFY AND ADDRESS THE SHARED HEALTH NEEDS OF THE COMMUNITY. SINCE ITS FORMATION IN 1995, THE HCC HAS CONDUCTED PRIOR COMMUNITY HEALTH ASSESSMENTS FOR SAN MATEO COUNTY (1995, 1998, 2001, 2004, 2008, 2011, AND 2013), AND THIS REPORT MARKS THE EIGHTH SUCH ASSESSMENT. THE ORGANIZATIONS THAT COLLABORATED ON THE 2016 CHNA ARE MILLS-PENINSULA MEDICAL CENTER, DIGNITY HEALTH SEQUOIA HOSPITAL, SAN MATEO COUNTY HEALTH DEPARTMENT, HOSPITAL CONSORTIUM OF SAN MATEO COUNTY, KAISER PERMANENTE SAN MATEO AREA, PENINSULAR HEALTH CARE DISTRICT, SAN MATEO COUNTY HUMAN SERVICES AGENCY, SETON MEDICAL CENTER AND SETON COASTSIDE, LUCILE PACKARD CHILDRENS HOSPITAL STANFORD, AND STANFORD HEALTH CARE. SUTTER MATERNITY & SURGERY SANTA CRUZ: SUTTER MATERNITY & SURGERY CENTER COLLABORATED WITH LOCAL HEALTH OFFICIALS, COUNTY HEALTH DEPARTMENT REPRESENTATIVES, AND COMMUNITY BENEFIT ORGANIZATIONS TO CONDUCT THIS COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, LINES 7A, 7B, & 10A REPORTING GROUP B, 5, 14, 17, & 19: REPORTING FACILITY WEBSITES: MILLS PENINSULA MEDICAL CENTER HTTP://WWW.MILLS-PENINSULA.ORG/COMMUNITY/NEEDS-ASSESSMENT.HTML MENLO PARK SURGICAL HOSPITAL HTTP://WWW.PAMF.ORG/MPSH/COMMUNITY SUTTER MATERNITY & SURGERY SANTA CRUZ HTTP://WWW.SUTTERSANTACRUZ.ORG/COMMUNITY/ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 REPORTING GROUP B, 5, 14, 17, & 19: MILLS PENINSULA MEDICAL CENTER THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THE MILLS PENINSULA MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - HEALTH CARE AND DELIVERY - DENTAL/ORAL HEALTH - BEHAVIORAL HEALTH - WELL BEING DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MPMC 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 IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ALZHEIMERS DISEASE AND DEMENTIA - INDIRECTLY THROUGH OTHER ORGANIZATIONS 2. ARTHRITIS - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 3. BIRTH OUTCOME - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 4. CANCER - INDIRECTLY THROUGH OTHER ORGANIZATIONS 5. CHILDHOOD OBESITY - INDIRECTLY THROUGH OTHER ORGANIZATIONS 6. CLIMATE CHANGE - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 7. COMMUNICABLE DISEASES - INDIRECTLY THROUGH OTHER ORGANIZATIONS 8. DIABETES - INDIRECTLY THROUGH OTHER ORGANIZATIONS 9. FITNESS, DIET & NUTRITION - INDIRECTLY THROUGH OTHER ORGANIZATIONS 10. HEART DISEASE AND STROKE - INDIRECTLY THROUGH OTHER ORGANIZATIONS 11. HOUSING AND HOMELESSNESS - INDIRECTLY THROUGH OTHER ORGANIZATIONS 12. INCOME AND EMPLOYMENT - INDIRECTLY THROUGH OTHER ORGANIZATIONS 13. RESPIRATORY CONDITIONS - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 14. SEXUALLY TRANSMITTED DISEASES INDIRECTLY THROUGH OTHER ORGANIZATIONS 15. TRANSPORTATION AND TRAFFIC - INDIRECTLY THROUGH OTHER ORGANIZATIONS 16. UNINTENDED INJURIES - OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THIS NEED 17. VIOLENCE AND ABUSE - INDIRECTLY THROUGH OTHER ORGANIZATIONS MENLO PARK SURGICAL HOSPITAL THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MENLO PARK SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - HEALTH CARE AND DELIVERY - ORAL/DENTAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF MENLO PARK SURGICAL HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MPSH 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 IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS |
| REPORTING FACILITY: C, (1, 2, 8, 12, 13, & 18) | SCHEDULE H, PART V, LINE 3E 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, LINE 5 REPORTING FACILITY: C, (1, 2, 8, 12, 13, & 18) ALTA BATES SUMMIT MEDICAL CENTER: IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ALTA BATES SUMMIT MEDICAL CENTER (ABSMC), A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH TWO MAIN MECHANISMS: KEY INFORMANT INTERVIEWS WITH COMMUNITY HEALTH EXPERTS AND SERVICE PROVIDERS AND FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS. INSTRUMENTS USED IN PRIMARY DATA COLLECTION INCLUDED A PARTICIPANT INFORMED CONSENT, AN INTERVIEW QUESTION GUIDE, A PROJECT SUMMARY SHEET, AND A REFLECTION SHEET. 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. THE INTERVIEW QUESTION GUIDE WAS USED FOR BOTH THE KEY INFORMANT AND FOCUS GROUP INTERVIEWS. THE PROJECT SUMMARY SHEET WAS GIVEN TO PARTICIPANTS TO PROVIDE THEM WITH INFORMATION ABOUT THE PROJECT AS WELL AS CONTACT INFORMATION FOR THE CHNA STAFF. AFTER THE INTERVIEW OR FOCUS GROUP WAS CONDUCTED THE FACILITATOR CAPTURED THE MAIN FINDINGS IN A REFLECTION SHEET. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH AREA SERVICE PROVIDERS AND EXPERTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WHO WERE FAMILIAR WITH THE POPULATIONS IN THE HOSPITAL SERVICE AREA (HSA). PRIMARY DATA COLLECTION BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE ABSMC HSA, INCLUDING INPUT FROM THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT AND THE BERKELEY CITY PUBLIC HEALTH DEPARTMENT. FINDINGS FROM THE AREA-WIDE INFORMANTS WERE COMBINED WITH QUANTITATIVE DATA SHOWING LOCATIONS OF POPULATIONS EXPERIENCING DISPARITIES, TO IDENTIFY AND INTERVIEW KEY INFORMANTS WITH KNOWLEDGE ABOUT THESE SPECIFIC POPULATIONS AND LOCATIONS. THESE TARGETED PRIMARY DATA SOURCES WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE NEEDS OF PARTICULAR GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS EXPERIENCING DISPARITIES. A TOTAL OF 15 KEY INFORMANT INTERVIEWS WERE DONE WITH 24 SERVICE PROVIDERS. THE KEY INFORMANT INTERVIEWS WERE USED TO IDENTITY ADDITIONAL KEY SERVICE PROVIDERS TO INCLUDE IN THE ASSESSMENT, AS WELL AS IDENTIFY SPECIFIC POPULATIONS THAT SHOULD BE INCLUDED IN THE FOCUS GROUP INTERVIEWS. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE HSA IDENTIFIED AS LOCATIONS WHERE RESIDENTS EXPERIENCE A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS IN THE ABSMC HSA, AS WELL AS DIRECT OUTREACH FROM CHI TO ACQUIRE INPUT FOR A SPECIAL POPULATION GROUP. A TOTAL OF SIX FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH A TOTAL OF 71 COMMUNITY MEMBERS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN ABSMC'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C, 8: SUTTER DELTA MEDICAL CENTER: IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SUTTER DELTA MEDICAL CENTER (SDMC), A FACILITY OF SUTTER EAST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (KEY INFORMANTS). INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH TWO MAIN MECHANISMS: KEY INFORMANT INTERVIEWS WITH COMMUNITY HEALTH EXPERTS AND SERVICE PROVIDERS, AND FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS. INSTRUMENTS USED IN PRIMARY DATA COLLECTION INCLUDED A PARTICIPANT INFORMED CONSENT, AN INTERVIEW QUESTION GUIDE, A PROJECT SUMMARY SHEET, AND A REFLECTION SHEET. 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. THE INTERVIEW QUESTION GUIDE WAS USED FOR BOTH THE KEY INFORMANT AND FOCUS GROUP INTERVIEWS. THE PROJECT SUMMARY SHEET WAS GIVEN TO PARTICIPANTS TO PROVIDE THEM WITH INFORMATION ABOUT THE PROJECT AND CONTACT INFORMATION FOR CHNA STAFF. AFTER THE INTERVIEW OR FOCUS GROUP WAS CONDUCTED, THE FACILITATOR CAPTURED THE MAIN FINDINGS BY COMPLETING A REFLECTION SHEET. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH AREA SERVICE PROVIDERS AND EXPERTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WHO WERE FAMILIAR WITH THE POPULATIONS IN THE HSA. PRIMARY DATA COLLECTION BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SDMC HSA, INCLUDING INPUT FROM THE CONTRA COSTA COUNTY PUBLIC HEALTH DEPARTMENT. FINDINGS FROM THE AREA-WIDE INFORMANTS WERE COMBINED WITH QUANTITATIVE DATA SHOWING LOCATIONS OF POPULATIONS EXPERIENCING DISPARITIES, TO IDENTIFY AND INTERVIEW KEY INFORMANTS WITH KNOWLEDGE ABOUT THESE SPECIFIC POPULATIONS AND LOCATIONS. THESE TARGETED PRIMARY DATA SOURCES WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE NEEDS OF PARTICULAR GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS EXPERIENCING DISPARITIES. A TOTAL OF EIGHT KEY INFORMANT INTERVIEWS WERE COMPLETED WITH 16 SERVICE PROVIDERS. THE KEY INFORMANT INTERVIEWS WERE USED TO IDENTIFY ADDITIONAL KEY SERVICE PROVIDERS TO INCLUDE IN THE ASSESSMENT, AS WELL AS TO IDENTIFY SPECIFIC POPULATIONS THAT SHOULD BE INCLUDED IN THE FOCUS GROUP INTERVIEWS. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE HSA IDENTIFIED AS LOCATIONS IN WHICH RESIDENTS EXPERIENCED A DISPARATE AMOUNT OF POOR SOCIO-ECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS IN THE SDMC HSA, AS WELL AS DIRECT OUTREACH FROM CHVI TO ACQUIRE INPUT FOR A SPECIAL POPULATION GROUP. THREE FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH A TOTAL OF 38 COMMUNITY MEMBERS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER DELTA MEDICAL CENTER'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C, 1, 2, 8, 12, 13, & 18: SCHEDULE H, PART V, LINE 6A SUTTER HEALTH EAST BAY REGION-AFFILIATED HOSPITALS, INCLUDING SUTTER ALTA BATES MEDICAL CENTER (THREE CAMPUSES) IN BERKELEY AND OAKLAND, EDEN MEDICAL CENTER, CASTRO VALLEY, AND SUTTER DELTA MEDICAL CENTER, ANTIOCH, HAVE CONTRACTED WITH COMMUNITY HEALTH INSIGHTS TO CONDUCT THE CHNAS. REPORTING GROUP C, 1, 2, 8, 12, 13, & 18: SCHEDULE H, PART V, LINES 7A, 7B, & 10A ALTA BATES SUMMIT MEDICAL CENTER FILING ORGANIZATION WEBSITE: HTTP://WWW.ALTABATESSUMMIT.ORG/ABOUT/COMMUNITYBENEFIT/COMMUNITY-ASSESSMENT .HTML OTHER ORGANIZATION WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C, 8: SUTTER DELTA MEDICAL CENTER FILING ORGANIZATION WEBSITE: HTTP://WWW.SUTTERDELTA.ORG/ABOUT/COMMUNITY-NEED.HTML OTHER ORGANIZATION WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C, 1, 2, 8, 12, 13, & 18: SCHEDULE H, PART V, LINE 11 ALTA BATES SUMMIT MEDICAL CENTER THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT ALTA BATES SUMMIT MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES - HEALTH EDUCATION AND HEALTH LITERACY - ACCESS TO BASIC NEEDS, SUCH AS HOUSING AND EMPLOYMENT - ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES/HERRICK CAMPUS 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 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - SAFE AND VIOLENCE-FREE ENVIRONMENT - ACCESS TO AFFORDABLE, HEALTHY FOOD ALTA BATES SUMMIT MEDICAL CENTER DOES NOT HAVE THE RESOURCES AND/OR EXPERTISE TO RESPOND TO THESE COMMUNITY NEEDS AT THIS TIME. THE MEDICAL CENTER IS A COLLABORATIVE PARTNER TO NUMEROUS COMMUNITY ORGANIZATIONS AND ON OCCASION WILL SPONSOR PROGRAMS AND INITIATIVES THAT ADDRESS THE NEEDS LISTED ABOVE. HOWEVER, THESE NEEDS WILL NOT BE THE AREA OF FOCUS FOR 2016-2018. REPORTING GROUP C, 8: SUTTER DELTA MEDICAL CENTER THE FOLLOWING SIGNIFICANT HEALTH |
| REPORTING FACILITY: #9, EDEN MEDICAL CENTER | SCHEDULE H, PART V, LINE 3E EDEN MEDICAL CENTER (FACILITY #9): 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, LINE 5 EDEN MEDICAL CENTER (FACILITY #9): IN CONDUCTING ITS MOST RECENT CHNA, EDEN MEDICAL CENTER (EMC) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITALS SERVICE AREA. INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH TWO MAIN MECHANISMS: KEY INFORMANT INTERVIEWS WITH COMMUNITY HEALTH EXPERTS AND SERVICE PROVIDERS, AND FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS. INSTRUMENTS USED IN PRIMARY DATA COLLECTION INCLUDED A PARTICIPANT INFORMED CONSENT, AN INTERVIEW QUESTION GUIDE, A PROJECT SUMMARY SHEET, AND A REFLECTION SHEET. 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. THE INTERVIEW QUESTION GUIDE WAS USED FOR BOTH THE KEY INFORMANT AND FOCUS GROUP INTERVIEWS. THE PROJECT SUMMARY SHEET WAS GIVEN TO PARTICIPANTS TO PROVIDE THEM WITH INFORMATION ABOUT THE PROJECT AND CONTACT INFORMATION FOR CHNA STAFF. AFTER THE INTERVIEW OR FOCUS GROUP WAS CONDUCTED, THE FACILITATOR CAPTURED THE MAIN FINDINGS BY COMPLETING A REFLECTION SHEET. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH AREA SERVICE PROVIDERS AND EXPERTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WHO WERE FAMILIAR WITH THE POPULATIONS IN THE HSA. PRIMARY DATA COLLECTION BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS, INCLUDING INPUT FROM THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT. FINDINGS FROM THE AREA-WIDE INFORMANTS WERE COMBINED WITH QUANTITATIVE DATA SHOWING LOCATIONS OF POPULATIONS EXPERIENCING DISPARITIES, TO IDENTIFY AND INTERVIEW KEY INFORMANTS WITH KNOWLEDGE ABOUT THESE SPECIFIC POPULATIONS AND LOCATIONS. THESE TARGETED PRIMARY DATA SOURCES WERE SELECTED BASED ON THEIR KNOWLEDGE OF THE NEEDS OF PARTICULAR GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS EXPERIENCING DISPARITIES. A TOTAL OF 14 KEY INFORMANT INTERVIEWS WERE COMPLETED WITH 19 SERVICE PROVIDERS. THE KEY INFORMANT INTERVIEWS WERE USED TO IDENTIFY ADDITIONAL KEY SERVICE PROVIDERS TO INCLUDE IN THE ASSESSMENT, AS WELL AS TO IDENTIFY SPECIFIC POPULATIONS THAT SHOULD BE INCLUDED IN THE FOCUS GROUP INTERVIEWS. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE HSA IDENTIFIED AS LOCATIONS IN WHICH RESIDENTS EXPERIENCED A DISPARATE AMOUNT OF POOR SOCIO-ECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS IN THE SUTTER MEDICAL CENTER, CASTRO VALLEY HEALTH SERVICE AREA, AS WELL AS DIRECT OUTREACH FROM CHVI TO ACQUIRE INPUT FOR A SPECIAL POPULATION GROUP. FOUR FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH A TOTAL OF 44 COMMUNITY MEMBERS. SCHEDULE H, PART V, LINE 6 EDEN MEDICAL CENTER (FACILITY #9): THIS CHNA WAS CONDUCTED BY COMMUNITY HEALTH INSIGHTS, ON BEHALF OF EDEN MEDICAL CENTER OVER A PERIOD OF 8 MONTHS, BEGINNING IN MAY OF 2015 AND CONCLUDING IN DECEMBER OF 2015. THE DATA USED TO CONDUCT THE CHNA WERE BOTH IDENTIFIED AND ORGANIZED USING THE WIDELY RECOGNIZED ROBERT WOOD JOHNSON FOUNDATIONS COUNTY HEALTH RANKINGS MODEL AND A DEFINED SET OF DATA COLLECTION AND ANALYTIC STAGES WERE DEVELOPED. THE DATA THAT WERE COLLECTED AND ANALYZED INCLUDED BOTH PRIMARY, OR QUALITATIVE, DATA, AND SECONDARY, OR QUANTITATIVE DATA. SCHEDULE H, PART V, LINES 7A, 7B, & 10A HOSPITAL FACILITY'S WEBSITE: EDEN MEDICAL CENTER (FACILITY #9): HTTPS://WWW.SUTTERHEALTH.ORG/EDEN/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSE SSMENT OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 EDEN MEDICAL CENTER (FACILITY #9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT EDEN MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES. PRIMARY CARE RESOURCES INCLUDE COMMUNITY CLINICS, PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, INTERNISTS, NURSE PRACTITIONERS, PHARMACISTS, TELEPHONE ADVICE NURSES, AND SIMILAR. PRIMARY CARE SERVICES ARE TYPICALLY THE FIRST POINT OF CONTACT WHEN AN INDIVIDUAL SEEKS HEALTHCARE AND ARE THE FRONT LINE IN THE PREVENTION AND TREATMENT OF COMMON DISEASES AND INJURIES IN A COMMUNITY. - ACCESS TO AFFORDABLE, HEALTHY FOOD. EATING A HEALTHY DIET IS IMPORTANT FOR ONES OVERALL HEALTH AND WELL-BEING. WHEN ACCESS TO HEALTHY FOODS IS CHALLENGING FOR COMMUNITY RESIDENTS, MANY TURN TO UNHEALTHY FOODS THAT ARE CONVENIENT, AFFORDABLE, AND READILY AVAILABLE. COMMUNITIES EXPERIENCING SOCIAL VULNERABILITY AND POOR HEALTH OUTCOMES OFTEN ARE OVERLOADED WITH FAST FOOD AND OTHER ESTABLISHMENTS WHERE UNHEALTHY FOOD IS SOLD. - ACCESS TO MENTAL, BEHAVIORAL, AND SUBSTANCE ABUSE SERVICES. INDIVIDUAL HEALTH AND WELL-BEING ARE INSEPARABLE FROM INDIVIDUAL MENTAL AND EMOTIONAL OUTLOOK. COPING WITH DAILY LIFE STRESSORS IS CHALLENGING FOR MANY PEOPLE, ESPECIALLY WHEN OTHER SOCIAL, FAMILIAL AND ECONOMIC CHALLENGES ALSO OCCUR. ADEQUATE ACCESS TO MENTAL, BEHAVIORAL AND SUBSTANCE ABUSE SERVICES HELPS COMMUNITY MEMBERS TO OBTAIN ADDITIONAL SUPPORT WHEN NEEDED. - ACCESS TO BASIC NEEDS, SUCH AS HOUSING AND EMPLOYMENT. ACCESS TO AFFORDABLE AND CLEAN HOUSING, STABLE EMPLOYMENT, QUALITY EDUCATION, AND ADEQUATE FOOD FOR HEALTH MAINTENANCE ARE VITAL FOR SURVIVAL. MASLOWS HIERARCHY OF NEEDS SAYS THAT ONLY WHEN MEMBERS OF A SOCIETY HAVE THEIR BASIC PHYSIOLOGICAL AND SAFETY NEEDS MET CAN THEY THEN BECOME ENGAGED MEMBERS OF SOCIETY AND SELF-ACTUALIZE OR LIVE TO THEIR FULLEST POTENTIAL, INCLUDING THEIR HEALTH. - ACCESS TO TRANSPORTATION AND MOBILITY. HAVING ACCESS TO TRANSPORTATION SERVICES TO SUPPORT INDIVIDUAL MOBILITY IS A NECESSITY OF DAILY LIFE. WITHOUT TRANSPORTATION, INDIVIDUALS STRUGGLE TO ATTAIN THEIR BASIC NEEDS, INCLUDING THOSE THAT PROMOTE AND SUPPORT A HEALTHY LIFE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. EDEN MEDICAL CENTER 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 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - HEALTH EDUCATION AND HEALTH LITERACY - SAFE AND VIOLENCE FREE ENVIRONMENT - ACCESS TO SPECIALTY CARE EDEN MEDICAL CENTER DOES NOT HAVE THE RESOURCES AND/OR EXPERTISE TO RESPOND TO THESE COMMUNITY NEEDS AT THIS TIME. THE MEDICAL CENTER IS A COLLABORATIVE PARTNER TO NUMEROUS COMMUNITY ORGANIZATIONS AND ON OCCASION WILL SPONSOR PROGRAMS AND INITIATIVES THAT ADDRESS THE NEEDS LISTED ABOVE. HOWEVER, THESE NEEDS WILL NOT BE THE AREA OF FOCUS FOR 2016-2018. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: EDEN MEDICAL CENTER (FACILITY #9): 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, LINES 16A, 16B, & 16C EDEN MEDICAL CENTER (FACILITY #9): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: EDEN MEDICAL CENTER (FACILITY #9): THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS 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 |
| REPORTING FACILITY #11, SUTTER SANTA ROSA REGIONAL HOSPITAL | SCHEDULE H, PART V, LINE 3E 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, LINE 5 SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER SANTA ROSA REGIONAL HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS AND LEADERS THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS IDENTIFIED BY THE SC CHNA COLLABORATIVE AS HAVING VALUABLE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE INTERVIEWED. INTERVIEWEES INCLUDED REPRESENTATIVES FROM THE LOCAL PUBLIC HEALTH DEPARTMENT, AS WELL AS MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, CHRONICALLY DISEASED, AND MINORITY POPULATIONS. OTHER INDIVIDUALS FROM VARIOUS SECTORS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE ALSO CONSULTED. A TOTAL OF 21 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING THIS NEEDS ASSESSMENT. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT, SEE APPENDIX C OF THE CHNA. ADDITIONALLY, FIVE FOCUS GROUPS WERE CONDUCTED THROUGHOUT SONOMA COUNTY, REACHING 64 RESIDENTS. THESE GROUPS WERE INTENTIONALLY SAMPLED TO REACH RESIDENTS IN SPECIFIC GEOGRAPHIC REGIONS IDENTIFIED AS AREAS OF HIGH CONCERN IN THE PORTRAIT OF SONOMA COUNTY REPORT. THESE SUBPOPULATIONS INCLUDED RESIDENTS IN PETALUMA, THE BOYES HOT SPRINGS IN SONOMA VALLEY, CLOVERDALE, ROSELAND IN SOUTHWEST SANTA ROSA, AND THE RUSSIAN RIVER AREA. FOCUS GROUPS WERE MONOLINGUAL, AND THE LANGUAGE OF FACILITATION WAS SELECTED TO ENCOURAGE PARTICIPATION FROM THE TARGET POPULATION FOR EACH CONVERSATION. THE SC CHNA COLLABORATIVE WORKED CLOSELY WITH COMMUNITY ORGANIZATIONS TO ENSURE THAT THE LOCATION AND LANGUAGE OF FACILITATION SELECTED WAS APPROPRIATE AND CONVENIENT FOR RESIDENTS IN EACH COMMUNITY. GROUPS IN CLOVERDALE AND THE BOYES HOT SPRINGS IN SONOMA VALLEY WERE CONDUCTED IN SPANISH; ALL OTHERS WERE CONDUCTED IN ENGLISH. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, SURVEY, AND FOCUS GROUPS IN SUTTER SANTA ROSA REGIONAL HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): THE SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES (DHS), ALONG WITH KFH-SANTA ROSA, ST. JOSEPH HEALTH-SONOMA COUNTY, AND SUTTER HEALTH, SONOMA COUNTY, FORM THE SC CHNA COLLABORATIVE, WHICH WORKED TOGETHER WITH PARTNERS AT HEALDSBURG DISTRICT HOSPITAL, PALM DRIVE HOSPITAL, AND SONOMA VALLEY HOSPITAL ON THE 2016 CHNA PROCESS. SCHEDULE H, PART V, LINES 7A, 7B, & 10A CHNA AVAILABILITY ONLINE: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERSANTAROSA.ORG/RELATIONS/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SANTA ROSA REGIONAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ECONOMIC AND HOUSING INSECURITY 2. ACCESS TO HEALTH CARE 3. OBESITY AND DIABETES 4. ACCESS TO EDUCATION 5. ORAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER SANTA ROSA REGIONAL 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 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - EARLY CHILDHOOD DEVELOPMENT - THE PRIMARY ISSUE WITHIN THIS IDENTIFIED PRIORITY IS ADVERSE CHILDHOOD EXPERIENCE, OR ACES. SSRRH DOES NOT HAVE ANY EXPERTISE OR STRATEGIC ACTIVITY IN THIS AREA. THERE ARE MANY ROBUST PROGRAMS AND AGENCIES COUNTY-WIDE THAT ARE ADDRESSING THESE ISSUES AND WE WILL CONSIDER SMALL REQUESTS FOR SUPPORT. - MENTAL HEALTH - THOUGH A SIGNIFICANT ISSUE IN OUR COMMUNITY, IT IS NOT WITHIN THE SCOPE OF THE HOSPITALS SERVICES TO PROVIDE MENTAL HEALTH PROGRAMS NOR DO WE HAVE THIS EXPERTISE. THOUGH NOT A MAJOR PRIORITY FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. - SUBSTANCE ABUSE - THOUGH A SIGNIFICANT ISSUE IN OUR COMMUNITY, IT IS NOT WITHIN THE SCOPE OF THE HOSPITALS SERVICES TO PROVIDE SUBSTANCE ABUSE TREATMENT OR PREVENTION PROGRAMS NOR DO WE HAVE THIS EXPERTISE. THOUGH NOT A MAJOR PRIORITY FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. - VIOLENCE AND UNINTENTIONAL INJURY - THERE ARE SEVERAL PROGRAMS IN THE COMMUNITY THAT ARE WORKING, SEPARATELY AND COLLABORATIVELY TO ADDRESS THIS ISSUE, PARTICULARLY IN THE AREAS OF DOMESTIC AND GANG VIOLENCE. THOUGH NOT A MAJOR PRIORITY FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): 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, LINES 16A, 16B, & 16C SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #11): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS 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, LINE 22D 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. |
| REPORTING FACILITY: #15, NOVATO COMMUNITY HOSPITAL | SCHEDULE H, PART V, LINE 3E 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, LINE 5 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): IN CONDUCTING ITS MOST RECENT CHNA, NOVATO COMMUNITY HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS AND LEADERS THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS IDENTIFIED BY THE MARIN COUNTY CHNA COLLABORATIVE AS HAVING VALUABLE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE INTERVIEWED. INTERVIEWEES INCLUDED REPRESENTATIVES FROM THE LOCAL PUBLIC HEALTH DEPARTMENT AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. OTHER INDIVIDUALS FROM VARIOUS SECTORS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE ALSO CONSULTED. A TOTAL OF 20 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING THIS NEEDS ASSESSMENT. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT, SEE APPENDIX C OF THE CHNA. ADDITIONALLY, EIGHT FOCUS GROUPS WERE CONDUCTED THROUGHOUT MARIN COUNTY. THESE GROUPS WERE INTENTIONALLY SAMPLED TO REACH SPECIFIC SUBPOPULATIONS OF THE COUNTY THAT WERE IDENTIFIED AS HIGH-RISK POPULATIONS BY THE MARIN COUNTY CHNA COLLABORATIVE. THESE SUBPOPULATIONS INCLUDED YOUTH, ADULTS IN RECOVERY FROM SUBSTANCE ABUSE, INDIVIDUALS EXPERIENCING HOMELESSNESS, AND RESIDENTS IN MARIN CITY, NOVATO, SAN GERONIMO, CANAL, AND WEST MARIN. FOCUS GROUPS WERE MONOLINGUAL, CONDUCTED IN EITHER ENGLISH OR SPANISH. COMMUNITY PARTNERS PROVIDED INVALUABLE ASSISTANCE IN RECRUITING AND ENROLLING FOCUS GROUP PARTICIPANTS. MANY INDIVIDUALS WHO PARTICIPATED IN FOCUS GROUPS IDENTIFIED AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, CHRONICALLY DISEASED, AND MINORITY POPULATIONS. FOR MORE INFORMATION ABOUT SPECIFIC POPULATIONS REACHED IN FOCUS GROUPS, SEE APPENDIX C OF THE CHNA. ADDITIONAL DETAILS ON KEY INFORMANTS, COLLABORATIVE PARTNERS AND FOCUS GROUPS CAN BE FOUND IN NOVATO COMMUNITY HOSPITAL'S CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): PARTNER HOSPITALS HAVE WORKED CLOSELY TOGETHER THROUGHOUT THE CHNA PROCESS TO ENSURE THE CHNA COMPLIED WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT AND INCLUDED DATA ON WHICH TO BUILD EFFECTIVE IMPLEMENTATION STRATEGIES. MEMBERS OF THE MARIN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVE INCLUDE: HEALTHY MARIN PARTNERSHIP -TERI ROCKAS, PROJECT MANAGER HEALTH EDUCATION & PROMOTION, MEMBER OUTREACH, KAISER PERMANENTE MARIN GENERAL HOSPITAL - JAMIE MAITES, DIRECTOR OF COMMUNICATIONS KAISER PERMANENTE - SAN RAFAEL - CARL CAMPBELL, PUBLIC AFFAIRS DIRECTOR - JEANNIE DULBERG, COMMUNITY BENEFIT MANAGER - MOLLY BERGSTROM, COMMUNITY BENEFIT MANAGER NOVATO COMMUNITY HOSPITAL - MARY STREBIG APR, MANAGER, COMMUNITY RELATIONS, COMMUNITY BENEFIT, & COMMUNICATIONS MARIN COUNTY HEALTH & HUMAN SERVICES - ROCHELLE EREMAN, MS, MPH, COMMUNITY EPIDEMIOLOGY PROGRAM CHIEF - KATHY KOBLICK, MPH, PUBLIC HEALTH DIVISION DIRECTOR CONSULTANTS - HARDER+COMPANY COMMUNITY RESEARCH WAS INSTRUMENTAL IN SUPPORTING THE COMMUNITY HEALTH NEED PRIORITIZATION PROCESS BY PRESENTING EXTENSIVE DATA IN A USEFUL WAY AND FACILITATING A MEANINGFUL CONVERSATION THAT RESULTED IN ESTABLISHMENT OF COMMUNITY PRIORITIES ON WHICH FUTURE DECISIONS CAN BE BASED. SCHEDULE H, PART V, LINES 7A, 7B, & 10A CHNA AVAILABILITY ONLINE: NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT NOVATO COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO HEALTH CARE: WITH THE IMPLEMENTATION OF THE ACA, MANY ADULTS IN MARIN COUNTY ARE ABLE TO OBTAIN INSURANCE COVERAGE AND ACCESS REGULAR HEALTH CARE. WHILE MARIN COUNTY SCORES BETTER THAN THE CALIFORNIA STATE AVERAGE ON MANY INDICATORS MEASURING HEALTH CARE ACCESS, THE COUNTY CONTINUES TO WORK TOWARDS PROVIDING AFFORDABLE AND CULTURALLY COMPETENT CARE FOR ALL RESIDENTS. LOWER-INCOME RESIDENTS FACE THE GREATEST CHALLENGES; MANY PROVIDERS THAT SEE LOW-INCOME PATIENTS ARE AT CAPACITY, AND PUBLIC INSURANCE IS NOT ACCEPTED BY MANY PHYSICIANS IN THE COUNTY. IN ADDITION TO BARRIERS IN OBTAINING AFFORDABLE CARE, MARIN RESIDENTS HAVE NOTABLY LOW UTILIZATION RATES FOR CHILDHOOD VACCINATIONS COMPARED TO CALIFORNIA AS A WHOLE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF NOVATO COMMUNITY HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. NOVATO COMMUNITY 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 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - OBESITY AND DIABETES: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - EDUCATION: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - ECONOMIC AND HOUSING INSECURITY: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - MENTAL HEALTH: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - SUBSTANCE ABUSE: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - ORAL HEALTH: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED - VIOLENCE AND UNINTENTIONAL INJURY: NOVATO COMMUNITY HOSPITAL DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THIS NEED SCHEDULE H, PART V, LINE 15E 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, LINES 16A, 16B, & 16C NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #15): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS 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, LINE 22D 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. |
| REPORTING FACILITY: #16, SUTTER LAKESIDE HOSPITAL | SCHEDULE H, PART V, LINE 3E 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, LINE 5 SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #16): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER LAKESIDE HOSPITAL, A FACILITY OF SUTTER WEST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE COMMUNITY INPUT - USING A WIDLELY DISTRIBUTED SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS - SOLICITED OPINIONS ABOUT HELATH CONCERNS AND SUGGESTIONS FOR IMPROVEMENT, AND VALIDATED AND ENRICHED THE STATISTICAL DATA. A SURVEY WAS DEVELOPED IN ENGLISH AND SPANISH THAT SOLICITED PEOPLES OPINIONS ABOUT MOST IMPORTANT HEALTH NEEDS, BARRIERS TO ACCESS, AND SUGGESTIONS FOR COMMUNITY HEALTH IMPROVEMENTS. CERTAIN QUESTIONS THAT SERVE AS MARKERS FOR ACCESS TO SERVICES WERE ALSO INCLUDED. THE SURVEY WAS DISTRIBUTED IN HARD COPY BY MEMBERS OF THE COLLABORATIVE TO LOCATIONS WHERE THE GROUPS OF INTEREST WOULD BEST BE REACHED, SUCH AS AT BRANCHES OF PUBLIC LIBRARIES, LAUNDROMATS, CHURCHES, NAIL SALONS, AND FAMILY RESOURCE CENTERS THROUGHOUT THE COUNTY, AS WELL AS PROMOTED THROUGH EFFORTS SUCH AS AT THE 2-DAY VALLEY FIRE "REBUILD EXPO" IN MIDDLETOWN AND OVER THE AIR ON KPFZ'S "SENIOR MOMENTS" SHOW. THE SURVEY WAS ALSO AVAILABLE BY ONLINE (ENGLISH ONLY) AND NOTICES ABOUT THE ELECTRONIC VERSION WERE POSTED ON THE COUNTY'S AND VARIOUS ORGANIZATIONS WEBSITES AND IN NEWSLETTERS. ALL OF THE ELECTRONIC AND HARD-COPY SURVEY DATA WERE CLEANED, CODED, AND ENTERED INTO AN EXCEL SPREADSHEET AND ANALYZED USING SPSS VERSION 20.0. THREE COMMUNITIES - CLEARLAKE, LAKEPORT AND KELSEYVILLE - ENSURED GEOGRAPHIC REPRESENTATION AT THE 6 COMMUNITY FOCUS GROUPS THAT WERE CONDUCTED. KEY COMMUNITY-BASED ORGANIZATIONS AND SOCIAL CLUBS WERE IDENTIFIED BY THE COLLABORATIVE AND INVITED TO HOST A FOCUS GROUP. IN EACH CASE, THE FOCUS GROUPS WERE CO-SCHEDULED DURING A TIME THE PARTICIPANTS WERE ALREADY MEETING THERE FOR OTHER PURPOSES (E.G., YOUNG MOTHERS ATTENDING A MOTHER-WISE PARENTING MEETING) TO FACILITATE ACCESS AND PROMOTE ATTENDANCE. ALTHOUGH THE PARTICIPANTS CONSTITUTED A CONVENIENCE SAMPLE, THERE WAS THE EXPECTATION THAT IN THE AGGREGATE THE GROUPS WOULD BE DIVERSE AND INCLUDE THE POPULATIONS OF HIGHEST INTEREST. A COMMON SET OF STRUCTURED KEY QUESTIONS WAS USED FOR ALL GROUPS. THE QUESTIONS WERE GENERALLY OPEN-ENDED; PROMPTING WITH INFORMATION OR DATA WAS LIMITED TO REDUCE THE POTENTIAL FOR BIAS OR LEADING OF PARTICIPANTS TO ANY CONCLUSIONS. PARTICIPANTS WERE NOT ASKED TO "VOTEOTEHRWISE RANK THE ITEMS THEY IDENTIFIED AS NEEDS, PROBLEMS OR SOLUTIONS. THE FOCUS GROUP DATA WERE RECORDED ON A FLIP CHART OR NOTEBOOK BY THE FACILITATOR DURING THE MEETINGS THEN TRANSFERRED TO WRITTEN SUMMARY FORMATS WHERE THE NOTES WERE THEN CODED FOR ANALYSIS. A $20 SAFEWAY GIFT CARD WAS OFFERED IN MOST GROUPS IN APPRECIATION FOR PARTICIPATION. THE AGENCIES AND ORGANIZATIONS THAT SPONSORED THE COMMUNITY MEETINGS HELPED TO PUBLICIZE THE SESSIONS AND PROMOTE ATTENDANCE. TELEPHONE INTERVIEWS USING A STRUCTURED SET OF QUESTIONS (WITH ADDITIONAL, PERSONALIZED QUESTIONS TO OBTAIN MORE IN-DEPTH INFORMATION) WERE CONDUCTED WITH 12 OF THE 16 INVITED INDIVIDUALS WHO AGREED TO PARTICIPATE IN A KEY INFORMANT INTERVIEW (ATTACHMENT 3). THE INTERVIEWS PROVIDED AN INFORMED PERSPECTIVE FROM THOSE WHO WORK DIRECTLY WITH THE PUBLIC AND/OR DETERMINE SOME OF THE POLICIES THAT AFFECT THE COMMUNITYS HEALTH. THESE INDIVIDUALS WERE ABLE TO OFFER INFORMATION ABOUT LOCAL RESOURCES AND GAPS IN SERVICES, HIGH-PRIORITY HEALTH NEEDS, AND SUGGESTIONS FOR POSITIVE CHANGE. THE INTERVIEWS ALSO FOCUSED THE NEEDS ASSESSMENT ON PARTICULAR ISSUES OF CONCERN WHERE INDIVIDUALS WITH CERTAIN EXPERTISE COULD CONFIRM OR DISPUTE PATTERNS IN THE DATA AND IDENTIFY DATA AND OTHER STUDIES THE COLLABORATIVE MIGHT NOT OTHERWISE BE AWARE OF. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEY IN SUTTER LAKESIDE HOSPITAL'S CHNA ARE AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINES 6A & 6B SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #16): THE COLLABORATIVE INCLUDED THE TWO LAKE COUNTY HOSPITALS, ST. HELENA CLEAR LAKE AND SUTTER LAKESIDE. SCHEDULE H, PART V, LINES 7A, 7B, & 10A CHNA AVAILABILITY ONLINE: SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #16): - HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERLAKESIDE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, LINE 11 SUTTER LAKESIDE HOSPITALS (HOSPITAL FACILITY #16): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT SUTTER LAKESIDE HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO HEALTHCARE SERVICES 2. COMMUNITY HEALTH EDUCATION 3. ALCOHOL AND DRUG ABUSE PREVENTION AND SERVICES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER LAKESIDE 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 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: - HOUSING AND HOMELESSNESS SUTTER LAKESIDE HOSPITAL WILL LOOK TO SUPPORT HOUSING AND HOMELESSNESS INITIATIVES AS OPPORTUNITIES ARISE WITH OUR COMMUNITY PARTNERS. HOWEVER, HOUSING AND HOMELESSNESS WILL NOT BE ONE OF SUTTER LAKESIDES PRIMARY FOCUSES. - MENTAL HEALTH WHILE SUTTER LAKESIDE SUPPORTS ORGANIZATIONS THAT ADDRESS THE STATE OF MENTAL HEALTH IN LAKE COUNTY, MENTAL HEALTH WILL NOT BE ONE OF SUTTER LAKESIDES PRIMARY FOCUSES. SCHEDULE H, PART V, LINE 15E 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, LINES 16A, 16B, & 16C SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #16): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS 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, LINE 22D 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 46 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (46 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CALIFORNIA CAMPUS - ALZHEIMERS RES CARE | ||||
| 3773 SACRAMENTO STREET | SAN FRANCISCO | CA | 94118 | SKILLED NURSING FACILITY |
| CPMC - BREAST HEALTH CENTER | ||||
| 3698 CALIFORNIA STREET | SAN FRANCISCO | CA | 94118 | OUTPATIENT SERVICES - MAMMOGRAPHY |
| SUTTER LAKESIDE FAMILY MEDICAL CLINIC | ||||
| 5176 HILL ROAD EAST | LAKEPORT | CA | 95453 | RURAL HEALTH CLINIC |
| SAN FRANCISCO ENDOSCOPY CENTER | ||||
| 3468 CALIFORNIA ST | SAN FRANCISCO | CA | 94118 | OUTPATIENT SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2100 WEBSTER STREET SUITE 103 | SAN FRANCISCO | CA | 94115 | RAD/LAB/ULTRASOUND SERVICES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 3838 CALIFORNIA STREET SUITE 106 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - LABORATORY/IMAGING |
| CPMC PACIFIC CAMPUS - STANFORD BUILDING | ||||
| 2351 CLAY STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - AMBULATORY SURGERY & CANCER |
| CPMC PACIFIC CAMPUS - ANNEX BUILDING | ||||
| 2340 CLAY STREET SUITE 114A | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - HEART TRANSPLANT CLINIC |
| CPMC PACIFIC CAMPUS - ANNEX BUILDING | ||||
| 2340 CLAY STREET 4TH FLOOR | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - LIVER, PANCREAS, KIDNEY TRANSPLANT CLINIC |
| CPMC PACIFIC CAMPUS - ANNEX BUILDING | ||||
| 2340 CLAY STREET 5TH FLOOR | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES OPTHAMOLOGY CLINIC |
| 100 ROWLAND WAY CARE CENTER | ||||
| 100 ROWLAND WAY | NOVATO | CA | 94945 | OUTPATIENT SERVICES |
| DIAGNOSTIC CENTER | ||||
| 165 ROWLAND WAY | NOVATO | CA | 94945 | OUTPATIENT SERVICES - LABORATORY |
| CPMC PACIFIC CAMPUS - STANFORD BUILDING | ||||
| 2351 CLAY STREET SUITE 600 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - IES |
| CALIFORNIA PACIFIC MEDICAL CENTER | ||||
| 2360 CLAY STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES - PT, OT & CARDIAC REHAB |
| IMAGING SERVICES | ||||
| 1375 SUTTER STREET | SAN FRANCISCO | CA | 94119 | OUTPATIENT SERVICES |
| MONTEAGLE MEDICAL CENTER | ||||
| 1580 VALENCIA STREET | SAN FRANCISCO | CA | 94110 | OUTPATIENT SERVICES |
| KALMANOVITZ CHILD DEVELOPMENT CENTER | ||||
| 1625 VAN NESS | SAN FRANCISCO | CA | 94109 | OUTPATIENT SERVICES - CHILD DEVELOPMENT |
| SAN MATEO SATELLITE HAND THERAPY CLINIC | ||||
| 101 NORTH EL CAMINO | SAN MATEO | CA | 94401 | OUTPATIENT SERVICES - HAND THERAPY |
| TERRA LINDA HEALTH PLAZA | ||||
| 4000 CIVIC CENTER DRIVE | SAN RAFAEL | CA | 94903 | OUTPATIENT SERVICES |
| PRESIDIO SURGERY CENTER | ||||
| 1635 DIVISADERO STREET SUITE 200 | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES |
| MILLS-PENINSULA SKILLED NURSING FACILITY | ||||
| 1609 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | SKILLED NURSING FACILITY |
| FITNESS AND THERAPY CENTER | ||||
| 1875 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | CARDIAC REHABILITATION, PHYSICAL AND OCCUPATIONAL THERAPY |
| REHABILITATION SERVICES | ||||
| 14207 E 14TH STREET | SAN LEANDRO | CA | 94578 | OUTPATIENT REHAB SERVICES |
| SAN LEANDRO SURGERY CENTER | ||||
| 15035 EAST 14TH STREET | SAN LEANDRO | CA | 94578 | OUTPATIENT SERVICES |
| MENTAL HEALTH CENTER | ||||
| 2323 SACRAMENTO STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES |
| CPMC PACIFIC CAMPUS - INSTIT OF HEALTH | ||||
| 2300 CALIFORNIA STREET | SAN FRANCISCO | CA | 94115 | OUTPATIENT SERVICES |
| EDEN MEDICAL CENTER OUTPATIENT REHAB | ||||
| 1375 141ST AVENUE | SAN LEANDRO | CA | 94578 | OUTPATIENT SERVICES |
| AMBULATORY CARE CLINIC | ||||
| 20126 STANTON AVENUE | CASTRO VALLEY | CA | 94546 | OUTPATIENT SERVICES |
| SDMC OUTPATIENT SERVICES | ||||
| 3903 LONE TREE WAY | ANTIOCH | CA | 94509 | PT/OT/SPEECH SERVICES |
| ABSMC AMBULATORY SURGERY | ||||
| 2450 ASHBY AVENUE | BERKELEY | CA | 94704 | AMBULATORY SURGERY |
| ABSMC ANTEPARTUM TESTING UNIT | ||||
| 2450 ASHBY AVENUE | BERKELEY | CA | 94704 | OUTPATIENT SERVICES |
| ABSMC CLINICAL LAB | ||||
| 2450 ASHBY AVENUE | BERKELEY | CA | 94704 | LAB SERVICES |
| BERKELEY CARE CENTER | ||||
| 2500 MILVIA STREET | BERKELEY | CA | 94704 | LAB SERVICES, IMAGING, URGENT CARE |
| ABSMC INFANT CLINIC | ||||
| 3011 TELEGRAPH AVENUE | BERKELEY | CA | 94705 | OUTPATIENT SERVICES |
| ABSMC CARDIAC REHAB | ||||
| 3030 TELEGRAPH AVENUE | BERKELEY | CA | 94705 | OUTPATIENT SERVICES |
| ALTA BATES SUMMIT MEDICAL CENTER PT | ||||
| 5700 TELEGRAPH AVENUE | BERKELEY | CA | 94709 | OUTPATIENT SERVICES |
| ABSMC RADIOLOGY | ||||
| 5730 TELEGRAPH AVENUE | BERKELEY | CA | 94709 | OUTPATIENT SERVICES |
| LAFAYETTE WOMEN'S HEALTH CENTER | ||||
| 3595 MT DIABLO BLVD SUITE 350 | LAFAYETTE | CA | 94549 | OUTPATIENT SERVICES |
| ABSMC BARIATRIC SURGERY | ||||
| 3012 SUMMIT STREET | OAKLAND | CA | 94609 | OUTPATIENT SERVICES |
| SUMMIT CAMPUS CLINICAL LAB | ||||
| 350 HAWTHORNE AVE | OAKLAND | CA | 94609 | LAB SERVICES |
| ALTA BATES SUMMIT MEDICAL CENTER | ||||
| 450 30TH STREET | OAKLAND | CA | 94609 | OUTPATIENT/PEDIATRIC SERVICES, NUCLEAR MEDICINE |
| MAGNETIC IMAGING AFFILIATES | ||||
| 5730 TELEGRAPH AVENUE | OAKLAND | CA | 94609 | OUTPATIENT SERVICES |
| ALTA CT SERVICES | ||||
| 2001 DWIGHT WAY | BERKELEY | CA | 94704 | OUTPATIENT SERVICES |
| SURGERY CTR OF ALTA BATES SUMMIT MEDICAL | ||||
| 3875 TELEGRAPH AVENUE | OAKLAND | CA | 94609 | OUTPATIENT SERVICES |
| EYEMD LASER AND SURGERY CENTER | ||||
| 481 30TH STREET | OAKLAND | CA | 94609 | OUTPATIENT SERVICES |
| MEDICAL CENTER MAGNETIC IMAGING | ||||
| 3000 TELEGRAPH AVENUE | OAKLAND | CA | 94609 | OUTPATIENT SERVICES |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINES 3A & 3C | FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION 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 PATIENTS FAMILY INCOME. SCHEDULE H, PART I, LINE 3B SUTTER BAY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE AND THEREFORE, PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. THE ORGANIZATION 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, LINE 7G | CALIFORNIA PACIFIC MEDICAL CENTER: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $36,319,737. |
| SCHEDULE H, PART II | COMMUNITY BUILDING ACTIVITIES: CALIFORNIA PACIFIC MEDICAL CENTER CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. BUILDING THE SAN FRANCISCO WORKFORCE, ESPECIALLY CREATING OPPORTUNITIES FOR YOUTH, IS A MAJOR FOCUS FOR CPMC. IN 2018, CPMC PROVIDED WORK-READINESS TRAINING AND CAREER EXPLORATION EXPERIENCES TO INDIVIDUALS THROUGH ITS COMMUNITY WORKFORCE PROGRAMS. THESE PARTNERSHIPS HELP EDUCATE AND INSPIRE UNDERSERVED YOUTH TO PURSUE HEALTH CAREERS. THEY INCLUDE: GALILEO HEALTH ACADEMY OFFERS TWO 12-WEEK SPEAKER SERIES THAT TAKE PLACE IN THE SPRING AND FALL OF THE ACADEMIC YEAR FOR HIGH SCHOOL JUNIORS. TWICE A WEEK, CPMC EMPLOYEES PROVIDE LECTURES, DEMONSTRATIONS, TOURS AND ACTIVITIES TO ENHANCE STUDENTS UNDERSTANDING OF THE COMPLEXITIES AND OPPORTUNITIES IN A MODERN, COMPREHENSIVE ACUTE CARE MEDICAL CENTER. CPMC ALSO PROVIDES SIX-WEEK SUMMER INTERNSHIPS FOR GALILEO STUDENTS TO GAIN EXPERIENCE WORKING IN A HOSPITAL ENVIRONMENT. CPMC CONTRIBUTES TO IMMACULATE CONCEPTION ACADEMY WORK STUDY PROGRAM, WHICH PROVIDES A COLLEGE PREPARATORY EDUCATION WITH MEANINGFUL WORK STUDY EXPERIENCE TO STUDENTS COMING FROM FAMILIES WITH LIMITED FINANCIAL MEANS. CPMCS CHILD DEVELOPMENT CENTER IS PART OF THE FIRST 5 CALIFORNIA COALITIONS. FIRST 5 CALIFORNIA REPRESENTS AN IMPORTANT PART OF OUR STATES EFFORT TO NURTURE AND PROTECT OUR MOST PRECIOUS RESOURCE OUR CHILDREN. FIRST 5 CALIFORNIAS SERVICES AND SUPPORT ARE DESIGNED TO ENSURE THAT MORE CHILDREN ARE BORN HEALTHY AND REACH THEIR FULL POTENTIAL. THE NATIONAL COUNCIL ON AGING SENIOR COMMUNITY SERVICE PROGRAM: CREATED IN 1965, SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM IS THE NATIONS OLDEST PROGRAM TO HELP LOW INCOME, UNEMPLOYED INDIVIDUALS AGED 55+ FIND WORK. A CPMC EMPLOYEE SPENDS TIME SUPPORTING TWO PROGRAM PARTICIPANTS. MERITUS COLLEGE FUND HELPS LOW-INCOME SAN FRANCISCO YOUTH COMPLETE A COLLEGE DEGREE AND PREPARE FOR POST-COLLEGE SUCCESS THROUGH A COMBINATION OF SCHOLARSHIPS, COACHING AND CAREER MENTORSHIP. INTERNSHIPS AT CPMC EXPOSE STUDENTS TO A RANGE OF EXPERIENCES LEADING TO INFORMED DECISION-MAKING ABOUT POST COLLEGE OPPORTUNITIES. CPMCS COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE SUPPORTING LEADERSHIP AND CIVIC DEVELOPMENT TRAINING AND COALITION BUILDING ACTIVITIES THROUGH SPONSORSHIPS AND MEMBERSHIPS. MILLS PENINSULA MEDICAL CENTER MILLS PENINSULA MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2018. SUTTER MATERNITY & SURGERY CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. THE ENVIRONMENTAL AWARENESS PROGRAM AT SUTTER MATERNITY & SURGERY CENTER FOCUSES ON REDUCTION OF COMMUNITY ENVIRONMENTAL HAZARDS ALONG WITH THE SHARING IN HEALTH CARE FACILITY ENVIRONMENTAL RESPONSIBILITY, WHICH INCLUDES WASTE REDUCTION, GREEN PURCHASING AND OTHER ECOLOGY INITIATIVES. EDEN MEDICAL CENTER EDEN MEDICAL CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. YOUTH BRIDGE IS A YEAR-ROUND CAREER DEVELOPMENT PROGRAM FOR STUDENTS FROM 6TH GRADE THROUGH COLLEGE THAT EMPOWER AT-RISK EAST BAY YOUTH TO COMPLETE HIGH SCHOOL, GAIN MEANINGFUL EMPLOYMENT EXPERIENCE, LEARN ABOUT HEALTH-RELATED CAREERS AND PURSUE FURTHER ACADEMIC AND VOCATIONAL EDUCATION. YOUTH BRIDGE HAS SERVED MORE THAN 1,200 EAST BAY YOUTH SINCE ITS INCEPTION 26 YEARS AGO, WITH THE GOAL OF ENCOURAGING AND SUPPORTING THESE CHILDREN IN THEIR TRANSITION FROM ADOLESCENCE TO ADULTHOOD. EDEN MEDICAL CENTER PROVIDES FUNDING TO COMMUNITY SUPPORT GROUPS. SUTTER SANTA ROSA REGIONAL HOSPITAL SUTTER SANTA ROSA REGIONAL HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING TO REPORT IN 2018. NOVATO COMMUNITY HOSPITAL NOVATO COMMUNITY HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. NOVATO COMMUNITY HOSPITAL SUPPORTS THE NOVATO FOUNDATION FOR PUBLIC EDUCATION. SUTTER LAKESIDE HOSPITAL SUTTER LAKESIDE HOSPITAL FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. SUTTER LAKESIDE HOSPITAL SUPPORTS WORKFORCE DEVELOPMENT THROUGH VOLUNTEER PROGRAM ADMINSTRATION. ALTA BATES SUMMIT MEDICAL CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. YOUTH BRIDGE, A PROGRAM OF ALTA BATES SUMMIT MEDICAL CENTER, IS A YEAR-ROUND CAREER DEVELOPMENT PROGRAM FOR STUDENTS FROM 6TH GRADE THROUGH COLLEGE THAT EMPOWER AT-RISK EAST BAY YOUTH TO COMPLETE HIGH SCHOOL, GAIN MEANINGFUL EMPLOYMENT EXPERIENCE, LEARN ABOUT HEALTH-RELATED CAREERS AND PURSUE FURTHER ACADEMIC AND VOCATIONAL EDUCATION. YOUTH BRIDGE HAS SERVED MORE THAN 1,200 EAST BAY YOUTH SINCE ITS INCEPTION 27 YEARS AGO, WITH THE GOAL OF ENCOURAGING AND SUPPORTING THESE CHILDREN IN THEIR TRANSITION FROM ADOLESCENCE TO ADULTHOOD. SUTTER DELTA MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2018. |
| SCHEDULE H, PART III, SECTION B - 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 | CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MENLO PARK SURGICAL HOSPITAL (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER MATERNITY & SURGERY CENTER (REPORTING GROUP B): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. EDEN MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER SANTA ROSA REGIONAL HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. NOVATO COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER LAKESIDE HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 2018 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 THE 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. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY 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 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 PROVIDE 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 | COMMUNITY INFORMATION: CALIFORNIA PACIFIC MEDICAL FOUNDATION (REPORTING GROUP A): THE HOSPITAL SERVICE AREA FOR CALIFORNIA PACIFIC MEDICAL CENTER INCLUDES ALL POPULATIONS RESIDING IN THE CITY AND COUNTY OF SAN FRANCISCO. THERE ARE 13 HOSPITALS IN SAN FRANCISCO COUNTY. SAN FRANCISCO IS THE CULTURAL AND COMMERCIAL CENTER OF THE BAY AREA AND IS THE ONLY CONSOLIDATED CITY AND COUNTY JURISDICTION IN CALIFORNIA. AT ROUGHLY 47 SQUARE MILES, IT IS THE SMALLEST COUNTY IN THE STATE, BUT IS THE MOST DENSELY POPULATED LARGE CITY IN CALIFORNIA (WITH A POPULATION DENSITY OF 18,187 RESIDENTS PER SQUARE MILE) AND THE SECOND MOST DENSELY POPULATED MAJOR CITY IN THE U.S., AFTER NEW YORK CITY. BETWEEN 2010 AND 2014, THE POPULATION IN SAN FRANCISCO GREW BY 5 PERCENT TO 845,602, OUTPACING POPULATION GROWTH IN CALIFORNIA (3.9 PERCENT). BY 2030, SAN FRANCISCOS POPULATION IS EXPECTED TO TOTAL NEARLY 970,000. THE PROPORTION OF SAN FRANCISCOS POPULATION THAT IS 65 YEARS AND OLDER IS EXPECTED TO INCREASE FROM 13.7 PERCENT IN 2010 TO 19.9 PERCENT IN 2030. THE PROPORTION OF THE POPULATION 75 YEARS AND OLDER WILL INCREASE FROM 6.9 PERCENT TO 9.8 PERCENT. AT THE SAME TIME, IT IS ESTIMATED THAT THE PROPORTION OF WORKING AGE RESIDENTS (25 TO 64 YEARS OLD) WILL DECREASE FROM 63.4 PERCENT IN 2010 TO 57.7 PERCENT IN 2030. THIS SHIFT COULD HAVE IMPLICATIONS FOR THE PROVISION OF SOCIAL SERVICES. IN THE PAST 50 YEARS, THE MOST NOTABLE ETHNIC SHIFTS HAVE BEEN A STEEP INCREASE IN THE ASIAN AND PACIFIC ISLANDER POPULATION AND A DECREASE IN THE BLACK/AFRICAN AMERICAN POPULATION. BY 2030, GROWTH IS EXPECTED IN THE NUMBER OF MULTI-ETHNIC AND LATINO RESIDENTS, WHILE THE NUMBER OF BLACK/AFRICAN AMERICAN RESIDENTS WILL LIKELY CONTINUE TO DROP. THE WHITE POPULATION IS EXPECTED TO CONTINUE TO INCREASE IN NUMBERS, BUT WILL DECREASE AS A PERCENTAGE OF THE TOTAL POPULATION. CURRENTLY, ABOUT ONE THIRD OF SAN FRANCISCOS POPULATION IS FOREIGN BORN AND 23 PERCENT OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN "VERY WELL." THE MAJORITY OF THE FOREIGN-BORN POPULATION COMES FROM ASIA (64 PERCENT), WHILE 20 PERCENT WERE BORN IN LATIN AMERICA, MAKING CHINESE (MANDARIN, CANTONESE, AND OTHER) (18 PERCENT) AND SPANISH (12 PERCENT) THE MOST COMMON NON-ENGLISH LANGUAGES SPOKEN IN THE CITY. ALTHOUGH SAN FRANCISCO HAS A RELATIVELY SMALL PROPORTION OF HOUSEHOLDS WITH CHILDREN (19 PERCENT) COMPARED TO THE STATE OVERALL (36 PERCENT), THE NUMBER OF SCHOOL-AGED CHILDREN IS PROJECTED TO RISE. AS OF 2013, SAN FRANCISCO WAS HOME TO 58,000 FAMILIES WITH CHILDREN, 29 PERCENT OF WHICH WERE HEADED BY SINGLE PARENTS. THERE WERE APPROXIMATELY 114,000 CHILDREN UNDER THE AGE OF 18. ALTHOUGH THE OVERALL NUMBER OF CHILDREN UNDER 18 DECREASED BY 7 PERCENT IN THE LAST 20 YEARS, THE NUMBER OF SCHOOL-AGED CHILDREN IS PROJECTED TO RISE BY 28 PERCENT BY 2020. FOR A FAMILY OF FOUR, THE FEDERAL POVERTY LEVEL IS $24,250 (2015). ALMOST 1 IN 3 SAN FRANCISCANS (211,000 PEOPLE) LIVE BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. 14 PERCENT OF CHILDREN LIVE IN POVERTY. IN SAN FRANCISCO, THERE IS SIGNIFICANT INEQUALITY IN HOUSEHOLD INCOME BETWEEN RACES: WHITE HOUSEHOLD MEDIAN INCOME IS OVER $100,000, WHILE BLACK/AFRICAN AMERICAN HOUSEHOLD MEDIAN INCOME IS $30,000. THE NEIGHBORHOODS WITH THE GREATEST PROPORTION OF HOUSEHOLDS WITH CHILDREN ARE: SEACLIFF, BAYVIEW HUNTERS POINT, VISITACION VALLEY, OUTER MISSION, EXCELSIOR, TREASURE ISLAND, AND PORTOLA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE CALIFORNIA PACIFIC MEDICAL CENTER CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP B: MILLS PENINSULA MEDICAL CENTER (MPMC) AND MENLO PARK SURGICAL CENTER (MPSC): THE HOSPITAL SERVICE AREA OF MPMC AND MPSC IS DEFINED AS SAN MATEO COUNTY (SMC). THERE ARE FIVE HOSPITALS IN SAN MATEO COUNTY. SPREADING OVER 744 SQUARE MILES, SAN MATEO COUNTY IS LOCATED ON THE SAN FRANCISCO PENINSULA. IT CONTAINS 20 CITIES AND TOWNS, AND IS BORDERED BY THE CITY OF SAN FRANCISCO ON THE NORTH, SAN FRANCISCO BAY ON THE EAST, SANTA CLARA COUNTY OF THE SOUTH, AND THE PACIFIC OCEAN ON THE WEST. SMC IS A MIX OF URBAN AND SUBURBAN INDUSTRIAL, SMALL BUSINESS, AND RESIDENTIAL USE. THE COASTAL AREA IS RENOWNED FOR ITS SIGNIFICANT AGRICULTURAL, FISHING, SMALL BUSINESS AND TOURISM. ACCORDING TO THE US CENSUS THE ESTIMATED POPULATION IN 2014 WAS 744,581. THE COUNTYS POPULATION IS AGING AND THE TREND IS EXPECTED TO INCREASE OVER THE NEXT DECADES. LESS THAN ONE QUARTER (24%) OF THE RESIDENTS ARE UNDER THE AGE OF 20, WHILE 35% ARE BETWEEN THE AGES OF 20 AND 44, AND THE REST 41% OF THE RESIDENTS ARE OVER THE AGE OF 44. THOSE AGED 60 AND OLDER WILL INCREASE FROM 20.0% (IN 2014) TO 30.9%. BY 2050, THE ASIAN/PACIFIC ISLANDER AND HISPANIC SENIORS WILL COMPRISE THE LARGEST PROPORTION OF SENIORS. SMC IS ALSO BECOMING INCREASINGLY DIVERSE. THE US CENSUS ESTIMATES THAT BY 2050, THE WHITE POPULATION WILL DROP FROM 43% TO 22%, THE LATINO POPULATION WILL INCREASE FROM 26% TO 38%, THE ASIAN/PACIFIC ISLANDERS WILL INCREASE FROM 26% TO 32% AND THE AFRICAN-AMERICAN POPULATION WILL EXPERIENCE A SLIGHT INCREASE FROM 3% TO 4%. CURRENTLY, THE CHILD POPULATION IS MORE DIVERSE THAN THE ADULT POPULATION. ONE IN TEN CHILDREN AGED 18 AND YOUNGER LIVE BELOW THE FEDERAL POVERTY LEVEL (FPL) AND 8% OF ALL SMC INDIVIDUALS LIVE BELOW FPL. ACCORDING TO THE 2014 FAMILY SELF-SUFFICIENCY STANDARD (FSSS), A SINGLE PARENT WITH TWO CHILDREN LIVING IN SMC MUST EARN APPROXIMATELY $97,200 ANNUALLY TO MEET THE FAMILYS BASIC NEEDS THE EQUIVALENT OF FIVE FULL-TIME MINIMUM-WAGE JOBS IN SMC. BETWEEN 2013 AND 2014, THERE WAS A 12% DROP IN THE NUMBER OF UNINSURED CALIFORNIANS AGED 18-64 YEARS OLD ACCORDING TO DATA CITED BY THE CALIFORNIA HEALTHCARE FOUNDATION. THE SAN MATEO COUNTY HEALTH SYSTEM REPORTED THAT AS OF MARCH 2016 (BASED ON 2014 CENSUS DATA) AN ESTIMATED 62,000 COUNTY RESIDENTS HAD ENROLLED IN HEALTH INSURANCE COVERAGE, MADE POSSIBLE BY ACA. HOWEVER, AN ESTIMATE OF 50,000 ADULTS REMAIN UNINSURED IN SMC, APPROXIMATING AN UNINSURED RATE OF 7%. SMC NO LONGER INSURES UNDOCUMENTED IMMIGRANTS BECAUSE THEY ARE ELIGIBLE FOR COVERED CA AND WITHOUT SMCS SUBSIDY THE CARE OFFERED THROUGH COVERED CA IS UNAFFORDABLE FOR MOST UNDOCUMENTED IMMIGRANTS. ACCORDING TO THE 2013 HEALTH & QUALITY OF LIFE SURVEY COMMISSIONED BY THE HCC, THE PERCENTAGE OF ADULTS LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL IS INCREASING, FROM 13% IN 2001 TO 19% IN 2013. POVERTY IS MORE PREVALENT AMONG ADULTS WHO ARE LESS EDUCATED (THOSE WITH A HIGH SCHOOL DIPLOMA OR LESS), AND WHO ARE LATINO, AFRICAN AMERICAN, YOUNGER (AGED 18-39), AND WHO LIVE IN SOUTH COUNTY. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MILLS PENINSULA MEDICAL CENTERS CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER MATERNITY & SURGERY SANTA CRUZ (REPORTING GROUP B): BASED ON ANALYSIS OF PATIENT DISCHARGE DATA, SMSCS SERVICE AREA IS CONSIDERED TO BE SANTA CRUZ COUNTY. SANTA CRUZ COUNTY SITS SOUTH OF SAN MATEO COUNTY, WEST OF SANTA CLARA COUNTY, AND NORTH OF MONTEREY COUNTY AND WAS HOME TO APPROXIMATELY 271,804 AND COVERS 445 SQUARE MILES. THERE ARE TWO HOSPITALS IN SANTA CRUZ COUNTY. THE TWO MAJOR CITIES ARE SANTA CRUZ, LOCATED ON THE NORTHERN SIDE OF THE MONTEREY BAY, AND WATSONVILLE, SITUATED IN THE SOUTHERN PART OF THE COUNTY. THE CITY OF SANTA CRUZ, WHICH IS THE COUNTY SEAT, HAD AN ESTIMATED POPULATION OF 63,789 AS OF JANUARY 2015. AS OF JANUARY 2015, THE CITY OF WATSONVILLE HAD AN ESTIMATED POPULATION OF 52,087. THE COUNTY IS 58% WHITE AND 33% LATINO WITH THE REMAINDER OF THE POPULATION COMPRISED OF ASIAN, AFRICAN AMERICAN AND OTHER ETHNIC BACKGROUNDS. THE COUNTY HAS A RELATIVELY MATURE POPULATION WITH 52% OF THE RESIDENTS AGES 35 OR OLDER. MEDIAN FAMILY INCOME WAS $80,788 IN SANTA CRUZ COUNTY IN 2014, HIGHER THAN IN CALIFORNIA ($71,015) AND THE NATION OVERALL ($65,910). THE UNEMPLOYMENT RATE WAS 8.7% FOR THE COUNTY DURING 2014, HIGHER THAN THE STATE OVERALL (7.5%). THE CITY OF WATSONVILLE HAD THE HIGHEST UNEMPLOYMENT RATE AT 11.2% FOR 2014. THE COUNTY OF SANTA CRUZ REPORTED IN 2014 THAT THE FOLLOWING PERCENTAGES BY AGE GROUP LIVED BELOW THE POVERTY LEVEL: 21% UNDER 18 YEARS OF AGE, 17.4% 18 TO 64 YEARS AND 7.4% 65 YEARS AND OVER. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MATERNITY & SURGERY CENTERS CHNA AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T REPORTING GROUP C: ALTA BATES SUMMIT MEDICAL CENTER (ABSMC) THE ABSMC IS LOCATED IN THE EAST BAY AREA OF THE SAN FRANCISCO BAY. THE THREE CAMPUSES PRIMARILY EXIST IN THE MAJOR METROPOLITAN AREAS OF BERKELEY, OAKLAND, AND EMERYVILLE, CALIFORNIA, LOCATED IN ALAMEDA COUNTY. THE LARGER COMMUNITY SERVED BY THE ABSMC WAS DEFINED USING ZIP CODE BOUNDARIES. THE HOSPITAL SERVICE AREA (HSA) INCLUDED A GEOGRAPHIC AREA COMPRISED OF 24 |
| 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. CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A): THE 2016 2018 IMPLEMENTATION STRATEGY FOR CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: CPMCS AFRICAN AMERICAN BREAST HEALTH PROJECT AND SISTER TO SISTER PROGRAMS OFFER WOMEN MAMMOGRAPHY SCREENING AND ALL THE SUBSEQUENT BREAST HEALTH DIAGNOSTIC TESTING AND TREATMENT THEY MAY NEED AT NO COST. PARTNERING ORGANIZATIONS SUCH AS HEALTHRIGHT 360, SAN FRANCISCO FREE CLINIC, CLINIC BY THE BAY, AND THE SAN FRANCISCO CHAPTER OF THE NATIONAL COALITION OF 100 BLACK WOMEN REFER UNINSURED, UNDERINSURED, DISADVANTAGED AND AT-RISK WOMEN FOR MAMMOGRAPHY SERVICES. IN 2018, THE PROGRAM PROVIDED 516 PATIENT VISITS AND 283 MAMMOGRAMS AND OTHER DIAGNOSTIC SCREENINGS. CPMCS BREAST CENTER AT THE ST. LUKES/MISSION BERNAL CAMPUS PROMOTES BREAST HEALTH IN UNDERSERVED COMMUNITIES BY PARTNERING WITH NEIGHBORHOOD CLINICS AND COMMUNITY AGENCIES, INCLUDING SOUTHEAST HEALTH CENTER, MISSION NEIGHBORHOOD HEALTH CENTER, AND LATINA BREAST CANCER AGENCY. INCLUDED IN THE METRICS BELOW ARE SERVICES PROVIDED THROUGH CPMCS GRANT TO LATINA BREAST CANCER AGENCY, ONE OF THE PRINCIPLE ORGANIZATIONS REFERRING WOMEN TO THE ST. LUKES/MISSION BERNAL BREAST CENTER FOR SERVICES, AS WELL AS A GRANT TO SHANTI PROJECT FOR CARE NAVIGATION SERVICES. IN 2018, 516 PATIENT VISITS WERE PROVIDED. THE COMMUNITY HEALTH RESOURCE CENTER (CHRC) COLLABORATES WITH OVER 20 DIFFERENT HEALTH CARE CENTERS IN SAN FRANCISCO, PROVIDING SUPPORTIVE SERVICES TO THOUSANDS OF CLIENTS THROUGH THE MANY FREE OR LOW-COST PROGRAMS, SCREENINGS AND COUNSELING SERVICES THAT ARE AVAILABLE TO ANYONE IN THE COMMUNITY. PROGRAMS INCLUDE DIETITIANS, SOCIAL WORK COUNSELING, NUTRITION GUIDANCE, COMMUNITY HEALTH SCREENINGS, EDUCATIONAL LECTURES INCLUDING MONTHLY WELLNESS EVENTS, HEALTH INFORMATION AND LOCAL RESOURCES, EMPLOYEE AND GROUP WELLNESS PRESENTATIONS, AND SUPPORT GROUPS. IN 2018, CHRC SERVED 300 PATIENTS AND SECURED 3,710 APPOINTMENTS FOR BEHAVIORAL HEALTH/SOCIAL SERVICES. CPMC GRANTS AND SPONSORSHIP PROGRAM IS FOCUSED ON HELPING TO EXPAND THE CITYS SAFETY NET BY MAKING HEALTH CARE SERVICES MORE READILY AVAILABLE TO PUBLICALLY INSURED AND UNINSURED POPULATIONS, AND MAKING THOSE SERVICES CULTURALLY AND LINGUISTICALLY APPROPRIATE. IN 2018, APPROXIMATELY 35,047 PEOPLE WERE SERVED THROUGH SUPPORT OFFERED TO 15 COMMUNITY BASED ORGANIZATIONS FOCUSED ON ADDRESSING ACCESS TO CARE. HEALTHFIRST, A CENTER FOR HEALTH EDUCATION AND DISEASE PREVENTION AFFILIATED WITH ST. LUKES/MISSION BERNAL HEALTH CARE CENTER, SERVES PATIENTS IN CHRONIC DISEASE MANAGEMENT BY INTEGRATING COMMUNITY HEALTH WORKERS (CHWS) INTO THE MULTIDISCIPLINARY HEALTH CARE TEAM. IN 2018, 712 PATIENTS WERE SERVED, 100% OF ASTHMA PATIENTS HAD UP-TO-DATE ASTHMA ACTIONS PLANS, WHICH ARE UPDATED AT LEAST ANNUALLY. 89% OF PATIENTS HAD THEIR A1C LEVEL CONTROLLED (<9%). JOINT VENTURE HEALTH (JVH) IS A PARTNERSHIP BETWEEN UC BERKELEY SCHOOL OF PUBLIC HEALTH, NORTH EAST MEDICAL SERVICES (NEMS), AND CPMC. CPMCS CONTRIBUTION SUPPORTS THE CREATION OF A COST-EFFECTIVE, COMPREHENSIVE DEVELOPMENTAL AND BEHAVIORAL HEALTH SCREENING, TREATMENT AND REFERRAL PROGRAM FOR THE 10,000 CHILDREN AND THEIR FAMILIES WHO HAVE NEMS AS THEIR MEDICAL HOME. IN 2018, SERVICES WERE EXPANDED TO ADDITIONAL NEMS CLINICS IN SAN FRANCISCO. OF THE CHILDREN SCREENED IN 2018, 10,891 SCREENINGS PROVIDED, 16% WERE AT MODERATE TO HIGH RISK FOR DEVELOPMENTAL DELAYS AND PSYCHOSOCIAL ISSUES. ALL WERE CONNECTED TO APPROPRIATE RESOURCES AND EARLY INTERVENTION. CPMCS KALMANOVITZ CHILD DEVELOPMENT CENTER PROVIDES DIAGNOSIS, EVALUATION, TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH LEARNING DISABILITIES AND DEVELOPMENTAL OR BEHAVIORAL PROBLEMS CAUSED BY PREMATURITY, AUTISM SPECTRUM DISORDER, EPILEPSY, DOWN SYNDROME, ATTENTION DEFICIT DISORDER, OR CEREBRAL PALSY. BESIDES OPERATING ITS OWN CLINICS, KCDC ALSO EXTENDS ITS SERVICES TO A LARGE NUMBER OF AT-RISK CHILDREN AND BRINGS SERVICES TO THEM IN THEIR COMMUNITY BY PARTNERING WITH LOCAL SCHOOLS AND OTHER COMMUNITY ORGANIZATIONS. IN 2018, 15,189 CLINIC VISITS WERE PROVIDED. LIONS EYE FOUNDATION AND CPMC PARTNER TOGETHER TO PROVIDE HIGHLY SPECIALIZED EYE CARE PROCEDURES FREE OF CHARGE TO PEOPLE WITHOUT INSURANCE OR FINANCIAL RESOURCES. IN 2018, 2,211 DIAGNOSTIC TESTS WERE PERFORMED, 202 PATIENTS UNDERWENT GENERAL SURGICAL PROCEDURES AND 166 HAD LASER SURGERY. A KEY PART OF CPMCS MEDI-CAL PROGRAM IS THE MEDI-CAL MANAGED CARE PARTNERSHIP WITH NORTH EAST MEDICAL SERVICES (NEMS) COMMUNITY CLINIC AND SAN FRANCISCO HEALTH PLAN (SFHP), A LICENSED COMMUNITY HEALTH PLAN THAT PROVIDES AFFORDABLE HEALTH CARE COVERAGE TO OVER 130,000 LOW- AND MODERATE-INCOME SAN FRANCISCO RESIDENTS. WORKING TOGETHER WITH NEMS, CPMC SERVES AS THE HOSPITAL PARTNER FOR THESE MEDI-CAL BENEFICIARIES WHO SELECT NEMS AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN, PROVIDING THEM WITH INPATIENT SERVICES, HOSPITAL-BASED SPECIALTY AND ANCILLARY SERVICES, AND EMERGENCY CARE. CPMC ALSO PROVIDES ACCESS TO QUALITY SERVICES AT THE ST. LUKES/MISSION BERNAL CAMPUS FOR PATIENTS WHO SELECT HILL PHYSICIANS OR BROWN & TOLAND AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN. IN 2018, CPMC SERVED ONE-THIRD OF SFHPS TOTAL MEMBERSHIP, WHO OTHERWISE MAY HAVE FACED DIFFICULTIES IN ACCESSING A COMPREHENSIVE, COORDINATED CARE NETWORK. CPMC PARTNERS WITH OPERATION ACCESS AND THE SAN FRANCISCO ENDOSCOPY CENTER TO PROVIDE ACCESS TO DIAGNOSTIC SCREENINGS, SPECIALTY PROCEDURES, AND SURGICAL CARE AT NO COST FOR UNINSURED BAY AREA PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. CPMC PHYSICIANS VOLUNTEER THEIR TIME TO PROVIDE THESE FREE SURGICAL SERVICES, WHILE THE HOSPITAL DONATES THE USE OF ITS OPERATING ROOMS. CPMC ALSO PROVIDES A GRANT TO SUPPORT OPERATION ACCESSS OPERATING COSTS. IN 2018, CPMC PROVIDED 56 OR PROCEDURES, 63 GI PROCEDURES, 30 RADIOLOGY PROCEDURES AND 19 SPECIALIST EVALUATIONS. PATIENT SURVEYS SHOWED: 97% VERY SATISFIED OR SATISFIED WITH THEIR EXPERIENCE; 93% REPORTED IMPROVED HEALTH, ABILITY TO WORK AND QUALITY OF LIFE. AS PART OF CPMCS HEALTH PROFESSIONS EDUCATION PROGRAM, CPMC PSYCHIATRY RESIDENTS PROVIDE SERVICES ONE DAY PER WEEK TO PATIENTS IN NEED OF BEHAVIORAL HEALTH SERVICES AT COMMUNITY-BASED ORGANIZATIONS AND PUBLIC INSTITUTIONS, INCLUDING HEALTHRIGHT 360, JEWISH HOME, AND SAN QUENTIN PRISON. IN 2018, PSYCH RESIDENTS PROVIDED FREE SERVICES AS FOLLOWS, 900 PATIENT ENCOUNTERS AT SF FREE CLINIC, HEALTHRIGHT 360 AND THROUGH TELEPSYCHIATRY FOR SAN QUENTIN PRISON. SAN FRANCISCO CHILD ABUSE PREVENTION CENTER AND ITS CHILD ADVOCACY CENTER ENDEAVOR TO PREVENT CHILD ABUSE AND REDUCE ITS DEVASTATING IMPACT BY PROVIDING SUPPORTIVE SERVICES TO CHILDREN AND FAMILIES; EDUCATION FOR CHILDREN, CAREGIVERS AND SERVICE PROVIDERS; AND THROUGH ADVOCACY FOR SYSTEMS IMPROVEMENT AND COORDINATION. IN 2018, THE CAC HAD 12,100 ENCOUNTERS AND 7,582 INDIVIDUALS PARTICIPATED IN SAFER AWARENESS CLASSES. SOUTH OF MARKET BAYVIEW CHILD HEALTH CENTER (BCHC) OFFERS ROUTINE PREVENTATIVE AND URGENT PEDIATRIC CARE IN ONE OF SAN FRANCISCOS MOST MEDICALLY UNDERSERVED NEIGHBORHOODS, AND ADDRESSES PREVALENT COMMUNITY HEALTH ISSUES SUCH AS WEIGHT CONTROL AND ASTHMA MANAGEMENT. BCHC FOCUSES ON KEEPING INFANTS, CHILDREN AND ADOLESCENTS HEALTHY, AND ON CLOSELY MANAGING THEIR CARE WHEN THEY ARE ILL. IN 2018 THE CENTER PROVIDED 2,503 ENCOUNTERS, WITH 769 CONNECTED TO A PRIMARY CARE PHYSICIAN. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B): THE 2016 - 2018 IMPLEMENTATION STRATEGY FOR MILLS PENINSULA MEDICAL CENTER DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: MILLS PENINSULA MEDICAL CENTER PARTNERS WITH SAN MATEO COUNTY TO ESTABLISH AN URGENT CARE SERVICE IN DALY CITY (THE DALY CITY CLINIC). USING A MID-LEVEL PRACTITIONER AS THE PRIMARY CARE PROVIDER, THE TEAM WORKS WITH THE CLINICS' ESTABLISHED PRIMARY CARE TEAMS |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION IS AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF HOSPITALS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WERE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. THE HOSPITALS MISSION IS TO ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WHERE WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTHCARE SERVICES. AT SUTTER HEALTH, WE BELIEVE THERE SHOULD BE NO BARRIERS TO RECEIVING TOP-QUALITY MEDICAL CARE. WE STRIVE TO PROVIDE ACCESS TO EXCELLENT HEALTHCARE SERVICES FOR NORTHERN CALIFORNIANS, REGARDLESS OF ABILITY TO PAY. AS PART OF OUR NOT-FOR-PROFIT MISSION, SUTTER HEALTH INVESTS MILLIONS OF DOLLARS BACK INTO THE COMMUNITIES WE SERVE AND BEYOND. THROUGH THESE INVESTMENTS AND COMMUNITY PARTNERSHIPS, WERE PROVIDING AND PRESERVING VITAL PROGRAMS AND SERVICES, THEREBY IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. OVER THE PAST FIVE YEARS, SUTTER HEALTH HAS COMMITTED NEARLY $4 BILLION TO CARE FOR PATIENTS WHO COULDNT AFFORD TO PAY, AND TO SUPPORT PROGRAMS THAT IMPROVE COMMUNITY HEALTH. OUR 2018 COMMITMENT OF $734 MILLION INCLUDES UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS, TRADITIONAL CHARITY CARE AND INVESTMENTS IN HEALTH EDUCATION AND PUBLIC BENEFIT PROGRAMS. FOR EXAMPLE: IN 2018, SUTTER HEALTH INVESTED $435 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS. MEDI-CAL ACCOUNTED FOR NEARLY 19 PERCENT OF SUTTER HEALTHS GROSS PATIENT SERVICE REVENUES IN 2018. THROUGHOUT OUR HEALTHCARE SYSTEM, WE PARTNER WITH AND SUPPORT COMMUNITY HEALTH CENTERS TO ENSURE THAT THOSE IN NEED HAVE ACCESS TO PRIMARY AND SPECIALTY CARE. WE ALSO SUPPORT CHILDRENS HEALTH CENTERS, FOOD BANKS, YOUTH EDUCATION, JOB TRAINING PROGRAMS AND SERVICES THAT PROVIDE COUNSELING TO DOMESTIC VIOLENCE VICTIMS. EVERY THREE YEARS, SUTTER HEALTH HOSPITALS PARTICIPATE IN A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIES LOCAL HEALTH CARE PRIORITIES AND GUIDES OUR COMMUNITY BENEFIT STRATEGIES. THE ASSESSMENTS HELP ENSURE THAT WE INVEST OUR COMMUNITY BENEFIT DOLLARS IN A WAY THAT TARGETS AND ADDRESS REAL COMMUNITY NEEDS. FOR MORE FACTS AND INFORMATION VISIT WWW.SUTTERHEALTH.ORG. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (114 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH CENTER NETWORK | |||||||
| 101 CALLAN AVE STE 300 | SAN LEANDRO | CA | 94577 | 943253662 | 501(C)(3) | $843,967 | PROGRAM SUPPORT |
| PATIENT ASSISTANCE FOUNDATION | |||||||
| 2100 WEBSTER ST STE 100 | SAN FRANCISCO | CA | 94115 | 942944137 | 501(C)(3) | $504,125 | PROGRAM SUPPORT |
| SAN FRANCISCO MEDICAL CENTER | |||||||
| 229 7TH ST | SAN FRANCISCO | CA | 94103 | 237304921 | 501(C)(3) | $329,166 | PROGRAM SUPPORT |
| SAMARITAN HOUSE | |||||||
| 4031 PACIFIC BLVD | SAN MATEO | CA | 94403 | 237416272 | 501(C)(3) | $300,000 | PROGRAM SUPPORT |
| SANTA CRUZ WOMENS HLTH CENTER | |||||||
| 250 LOCUST ST | SANTA CRUZ | CA | 95060 | 237428303 | 501(C)(3) | $300,000 | PROGRAM SUPPORT |
| PLANNED PARENTHOOD SHASTA DIABLO INC | |||||||
| 2185 PACHECO ST | CONCORD | CA | 94520 | 941575233 | 501(C)(3) | $265,000 | PROGRAM SUPPORT |
| SOUTH COUNTY COMM HLTH CTR INC | |||||||
| 1885 BAY RD | E PALO ALTO | CA | 94303 | 943372130 | 501(C)(3) | $200,000 | PROGRAM SUPPORT |
| NORTHERN CALIFORNIA CENTER FOR WELL BEING | |||||||
| 101 BROOKWOOD AVE STE A | SANTA ROSA | CA | 95404 | 931144835 | 501(C)(3) | $163,818 | PROGRAM SUPPORT |
| TIBURCIO VASQUEZ HEALTH CTR | |||||||
| 33255 9TH ST | UNION CITY | CA | 94587 | 237118361 | 501(C)(3) | $151,598 | PROGRAM SUPPORT |
| JEWISH FAMILY CHILDRENS SVC | |||||||
| 2150 POST ST | SAN FRANCISCO | CA | 94115 | 941156528 | 501(C)(3) | $143,600 | PROGRAM SUPPORT |
| COMMUNITY CLINIC CONSORTIUM | |||||||
| 3720 BARRETT AVE | RICHMOND | CA | 94805 | 200782029 | 501(C)(3) | $125,000 | PROGRAM SUPPORT |
| SALUD PARA LA GENTE | |||||||
| 195 AVIATION WY STE 200 | WATSONVILLE | CA | 95076 | 942705747 | 501(C)(3) | $125,000 | PROGRAM SUPPORT |
| DAVIS STREET COMMUNITY CENTER | |||||||
| 3081 TEAGARDEN ST | SAN | CA | 94577 | 943121699 | 501(C)(3) | $110,000 | PROGRAM SUPPORT |
| EAST BAY ASIAN LOCAL DEVELOPMENT CORP | |||||||
| 1825 SAN PABLO AVE STE 200 | OAKLAND | CA | 94612 | 510171851 | 501(C)(3) | $100,000 | PROGRAM SUPPORT |
| LIFE LONG MEDICAL CARE | |||||||
| PO BOX 11247 | BERKELEY | CA | 94712 | 942502308 | 501(C)(3) | $90,000 | PROGRAM SUPPORT |
| CONTRA COSTA CTY HLTH HOUSING AND HOMELESS | |||||||
| 2400 BISSO LN STE D FLR 2 | CONCORD | CA | 94520 | GOVT | $75,000 | PROGRAM SUPPORT | |
| ICA SAN FRANCISCO WORK STUDY | |||||||
| 3625 24TH ST | SAN FRANCISCO | CA | 94110 | 264450576 | 501(C)(3) | $64,000 | PROGRAM SUPPORT |
| YOUTH ALIVE | |||||||
| 3300 ELM ST | OAKLAND | CA | 94609 | 943143254 | 501(C)(3) | $62,768 | PROGRAM SUPPORT |
| CAMINAR | |||||||
| 2600 SO EL CAMINO REAL STE 200 | SAN MATEO | CA | 94403 | 941639389 | 501(C)(3) | $60,000 | PROGRAM SUPPORT |
| SONOMA COUNTY HEALTH SERVICES DEPT OF ENVIRONMENTA | |||||||
| 3313 CHANATE RD | SANTA ROSA | CA | 95404 | 946000539 | GOVT | $51,250 | PROGRAM SUPPORT |
| ASHBY VILLAGE INC | |||||||
| 1821 CATALINA AVE | BERKELEY | CA | 94707 | 272174330 | 501(C)(3) | $50,000 | PROGRAM SUPPORT |
| PENINSULA FAMILY SERVICE | |||||||
| 24 SECOND AVE | SAN MATEO | CA | 94401 | 941186169 | 501(C)(3) | $50,000 | PROGRAM SUPPORT |
| HLTH IMPROVEMENT PRTNRSHP OF SANTA CRUZ CTY | |||||||
| 1800 GREEN HILLS RD STE 100 | SCOTTS VALLEY | CA | 95066 | 010826156 | 501(C)(3) | $50,000 | PROGRAM SUPPORT |
| MISSION HOSPICE OF SAN MATEO COUNTY | |||||||
| 1670 S AMPHLETT BLVD STE 300 | SAN MATEO | CA | 94402 | 942567162 | 501(C)(3) | $50,000 | PROGRAM SUPPORT |
| REGENTS OF THE UNIV OF CA BERKELEY | |||||||
| 2195 HEARST AVE STE 130 | BERKELEY | CA | 94720 | 946002123 | 501(C)(3) | $50,000 | PROGRAM SUPPORT |
| SAN FRANCISCO GENERAL HOSPITAL FOUNDATION | |||||||
| 2789 25TH ST STE 2028 | SAN FRANCISCO | CA | 94110 | 943189424 | 501(C)(3) | $50,000 | PROGRAM SUPPORT |
| SILICON VALLEY COMMUNITY FNDT | |||||||
| 2440 W EL CAMINO REAL STE 300 | MOUNTAIN VIEW | CA | 94040 | 205205488 | 501(C)(3) | $50,000 | PROGRAM SUPPORT |
| COMMUNITY GATEPATH | |||||||
| 350 TWIN DOLPHIN DR STE 123 | REDWOOD CITY | CA | 94065 | 941156502 | 501(C)(3) | $45,000 | PROGRAM SUPPORT |
| DEMARILLAC ACADEMY | |||||||
| 175 GOLDEN GATE AVE | SAN FRANCISCO | CA | 94102 | 943390330 | 501(C)(3) | $45,000 | PROGRAM SUPPORT |
| HEALTHRIGHT 360 | |||||||
| 1563 MISSION ST | SAN FRANCISCO | CA | 94103 | 946129071 | 501(C)(3) | $45,000 | PROGRAM SUPPORT |
| ALAMEDA POINT COLLABORATIVE | |||||||
| 677 W RANGER AVE | ALAMEDA | CA | 94501 | 943361464 | 501(C)(3) | $40,000 | PROGRAM SUPPORT |
| MARCH OF DIMES | |||||||
| PO BOX 1657 | WILKESBARRE | PA | 18703 | 131846366 | 501(C)(3) | $39,126 | PROGRAM SUPPORT |
| OPERATION ACCESS | |||||||
| 1119 MARKET ST STE 400 | SAN FRANCISCO | CA | 94103 | 943180356 | 501(C)(3) | $35,000 | PROGRAM SUPPORT |
| JEFFERSON HIGH SCHOOL | |||||||
| 6996 MISSION ST | DALY CITY | CA | 94014 | 943083772 | 501(C)(3) | $34,000 | PROGRAM SUPPORT |
| MENDOCINO LAKE COMMUNITY | |||||||
| 1000 HENSLEY CREEK RD | UKIAH | CA | 95482 | 946002711 | 501(C)(3) | $31,625 | PROGRAM SUPPORT |
| UNITED WAY OF SANTA CRUZ CNTY | |||||||
| 4450 CAPITOLA RD STE 106 | CAPITOLA | CA | 95010 | 941422471 | 501(C)(3) | $30,688 | PROGRAM SUPPORT |
| EDGEWOOD CENTER FOR CHILDREN AND FAMILIES | |||||||
| 1801 VICENTE ST | SAN FRANCISCO | CA | 94116 | 941186168 | 501(C)(3) | $30,000 | PROGRAM SUPPORT |
| EXTENDED CHILD CARE COALITION OF SONOMA CTY | |||||||
| 1745 COPPERHILL PKWY STE 5 | SANTA ROSA | CA | 95403 | 942526630 | 501(C)(3) | $30,000 | PROGRAM SUPPORT |
| LA CLINICA DE LA RAZA | |||||||
| 1515 FRUITVALE AVE | OAKLAND | CA | 94601 | 941744108 | 501(C)(3) | $30,000 | PROGRAM SUPPORT |
| ALZHEIMERS DISEASE & RELATED DISORDERS ASSOC | |||||||
| 2290 NO 1ST ST STE 101 | SAN JOSE | CA | 95131 | 942897949 | 501(C)(3) | $26,000 | PROGRAM SUPPORT |
| AMERICAN HEART ASSOCIATION INC | |||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| APA FAMILY SUPPORT SERVICES | |||||||
| 10 NOTTINGHAM PL | SAN FRANCISCO | CA | 94133 | 943164091 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| BAY AREA CANCER CONNECTIONS | |||||||
| 2335 EL CAMINO REAL | PALO ALTO | CA | 94306 | 770417605 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| BURLINGAME CHAMBER OF COMMERCE | |||||||
| 417 CALIFORNIA DR | BURLINGAME | CA | 94010 | 941073698 | 501(C)(6) | $25,000 | PROGRAM SUPPORT |
| COMMUNITY CENTER PROJECT OF SF | |||||||
| 1800 MARKET ST | SAN FRANCISCO | CA | 94102 | 943236718 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| COMPASS FAMILY SERVICES | |||||||
| 49 POWELL ST 3RD FL | SAN FRANCISCO | CA | 94102 | 941156622 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| CURRY SENIOR CENTER | |||||||
| 333 TURK ST | SAN FRANCISCO | CA | 94102 | 237362588 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| DIENTES COMMUNITY DENTAL CARE | |||||||
| 1830 COMMERCIAL WY | SANTA CRUZ | CA | 95065 | 770311752 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| DIST CNCL CONTRA COSTA CTY SCTY OF ST VINC DEPAUL | |||||||
| 2210 GLADSTONE DR | PITTSBURG | CA | 94565 | 941448577 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| EPISCOPAL COMMUNITY SERVICES | |||||||
| 165 8TH ST 3RD FL | SAN FRANCISCO | CA | 94103 | 943096716 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| INDIVIDUALS NOW INC | |||||||
| 2447 SUMMERFIELD RD | SANTA ROSA | CA | 95405 | 941711490 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| KIMOCHI INC | |||||||
| 1715 BUCHANAN ST | SAN FRANCISCO | CA | 94115 | 237117402 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| MAITRI COMPASSIONATE CARE | |||||||
| 401 DUBOCE AVE | SAN FRANCISCO | CA | 94117 | 943189198 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| PORTOLA FAMILY CONNECTIONS | |||||||
| 2565 SAN BRUNO AVE | SAN FRANCISCO | CA | 94134 | 943213689 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| SAFE AND SOUND | |||||||
| 1757 WALLER ST | SAN FRANCISCO | CA | 94117 | 942455072 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| SHANTI PROJECT | |||||||
| 730 POLK ST | SAN FRANCISCO | CA | 94109 | 942297147 | 501(C)(3) | $25,000 | PROGRAM SUPPORT |
| ASIAN AND PACIFIC ISLANDER WELLNESS CENTER | |||||||
| 730 POLK ST 4TH FLR | SAN FRANCISCO | CA | 94109 | 943096109 | 501(C)(3) | $20,000 | PROGRAM SUPPORT |
| MISSION NEIGHBORHOOD HEALTH CENTER | |||||||
| 165 CAPP ST | SAN FRANCISCO | CA | 94110 | 942284365 | 501(C)(3) | $20,000 | PROGRAM SUPPORT |
| NOTRE DAME DE NAMUR UNIVERSITY | |||||||
| 1500 RALSTON AVE | BELMONT | CA | 94002 | 941156646 | 501(C)(3) | $20,000 | PROGRAM SUPPORT |
| PUENTE DE LA COSTA SUR | |||||||
| PO BOX 554 | PESCADERO | CA | 94060 | 371484262 | 501(C)(3) | $20,000 | PROGRAM SUPPORT |
| HOMEWARD BOUND OF MARIN | |||||||
| 1385 NO HAMILTON PKWY | NOVATO | CA | 94949 | 680011405 | 501(C)(3) | $19,294 | PROGRAM SUPPORT |
| LUTHER BURBANK MEMORIAL FNDT | |||||||
| 50 MARK W SPRINGS RD | SANTA | CA | 95403 | 942581084 | 501(C)(3) | $17,225 | PROGRAM SUPPORT |
| COMMUNITY OVERCOMING RELATIONSHIP ABUSE | |||||||
| PO BOX 4245 | BURLINGAME | CA | 94011 | 942481188 | 501(C)(3) | $15,300 | PROGRAM SUPPORT |
| BAY AREA COUNCIL INC | |||||||
| 353 SACRAMENTO ST 10TH FLR | SAN FRANCISCO | CA | 94111 | 237325853 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| BOARD OF TRUSTEES OF THE GLIDE FOUNDATION | |||||||
| 330 ELLIS ST | SAN FRANCISCO | CA | 94102 | 941156481 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| SAN FRANCISCO PUBLIC HEALTH FOUNDATION | |||||||
| 375 LAGUNA HONDA BLVD STE B303 | SAN FRANCISCO | CA | 94116 | 943117093 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| SAN FRANCISCO VILLAGE | |||||||
| 3220 FULTON ST | SAN FRANCISCO | CA | 94118 | 261300020 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| SAN MATEO CHAMBER OF COMMERCE | |||||||
| 1700 SO EL CAMINO REAL STE 108 | SAN MATEO | CA | 94402 | 940838880 | 501(C)(6) | $15,000 | PROGRAM SUPPORT |
| SELF HELP FOR THE ELDERLY | |||||||
| 731 SANSOME ST STE 100 | SAN FRANCISCO | CA | 94111 | 941750717 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| UNIVERSITY OF HAWAII FNDT | |||||||
| 2444 DOLE ST STE 105 | HONOLULU | HI | 96822 | 990085260 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| SAN FRANCISCO PLANNING & URBAN RSRCH ASSOC | |||||||
| 654 MISSION ST | SAN FRANCISCO | CA | 94105 | 941498232 | 501(C)(3) | $13,750 | PROGRAM SUPPORT |
| HOMELESS PRENATAL PROGRAM INC | |||||||
| 2500 18TH ST | SAN FRANCISCO | CA | 94110 | 943146280 | 501(C)(3) | $12,500 | PROGRAM SUPPORT |
| ANTIOCH UNIFIED SCHOOL DISTRICT | |||||||
| 510 G ST | ANTIOCH | CA | 94509 | 861134505 | GOVT | $12,000 | PROGRAM SUPPORT |
| MERITUS COLLEGE FUND | |||||||
| PO BOX 29024 | SAN FRANCISCO | CA | 94129 | 943257076 | 501(C)(3) | $11,250 | PROGRAM SUPPORT |
| HUMAN INVESTMENT PROJECT INC | |||||||
| 369 SO RAILROAD AVE | SAN MATEO | CA | 94401 | 942154614 | 501(C)(3) | $11,000 | PROGRAM SUPPORT |
| PARTNERS & ADVOCATES FOR REMARKABLE CHILDREN | |||||||
| 800 AIRPORT BLVD STE 320 | BURLINGAME | CA | 94010 | 941650851 | 501(C)(3) | $11,000 | PROGRAM SUPPORT |
| SAN MATEO POLICE ACTIVITIES LEAGUE INC | |||||||
| 200 FRANKLIN PKWY | SAN MATEO | CA | 94403 | 311593896 | 501(C)(3) | $10,750 | PROGRAM SUPPORT |
| ADVOCATES FOR CHILDREN | |||||||
| 1515 SO EL CAMINO REAL STE 201 | SAN MATEO | CA | 94402 | 043849393 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| ARTS COUNCIL SANTA CRUZ COUNTY | |||||||
| 7960 SOQUEL DR STE I | APTOS | CA | 95003 | 942600140 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| CABRILLO COLLEGE FOUNDATION | |||||||
| 6500 SOQUEL DR | APTOS | CA | 95003 | 946121953 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| CATHOLIC CHRTIES CYO OF THE ARCHDIOC OF SF | |||||||
| 990 EDDY ST | SAN FRANCISCO | CA | 94109 | 941498472 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| CHINESE HOSPITAL MEDICAL STAFF | |||||||
| 845 JACKSON ST | SAN FRANCISCO | CA | 94133 | 943165001 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| CLEO EULAU CTR FOR CHILDREN AND ADOLESCENTS | |||||||
| 2483 OLD MIDDLEFIELD STE 208 | MOUNTAIN VIEW | CA | 94043 | 770393676 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| CONARD HOUSE INC | |||||||
| 1385 MISSION ST STE 200 | SAN FRANCISCO | CA | 94103 | 941489356 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| EL CENTRO DE LIBERTAD | |||||||
| 500 ALLERTON AVE 3RD FLR | REDWOOD CITY | CA | 94063 | 943189174 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| ELSIE ALLEN HIGH SCHOOL FNDT | |||||||
| 599 BELLEVUE AVE | SANTA ROSA | CA | 95401 | 464580953 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| FRIENDS FOR YOUTH INC | |||||||
| 1741 BROADWAY | REDWOOD CITY | CA | 94063 | 942961034 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| HEAL PROJECT | |||||||
| PO BOX 3051 | HALF MOON BAY | CA | 94019 | 270192940 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| HUCKLEBERRY YOUTH PROGRAMS INC | |||||||
| 3310 GEARY BLVD | SAN FRANCISCO | CA | 94118 | 941687559 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| INSTITUTE ON AGING | |||||||
| 3575 GEARY BLVD | SAN FRANCISCO | CA | 94118 | 942978977 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| JEWISH VOCATIONAL AND CAREER COUNSELING SERVICE | |||||||
| 17 GEARY ST STE 401 | SAN FRANCISCO | CA | 94108 | 942213100 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| LOAVES AND FISHES OF CONTRA COSTA | |||||||
| 835 FERRY ST | MARTINEZ | CA | 94553 | 680018077 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| MEALS ON WHEELS AND SENIOR OUTREACH SERVICES | |||||||
| 1300 CIVIC DR | WALNUT CREEK | CA | 94596 | 680044205 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| MEALS ON WHEELS OF SAN FRANCISCO INC | |||||||
| 1375 FAIRFAX AVE | SAN FRANCISCO | CA | 94124 | 941741155 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| NAACP | |||||||
| 1290 FILLMORE ST STE 109 | SAN FRANCISCO | CA | 94115 | 237177411 | 501(C)(4) | $10,000 | PROGRAM SUPPORT |
| NORTH OF MARKET TENDERLOIN COMMUNITY BENEFIT CORP | |||||||
| 512 ELLIS ST | SAN FRANCISCO | CA | 94109 | 203828997 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| ON LOK SENIOR HEALTH SERVICES | |||||||
| 1333 BUSH ST | SAN FRANCISCO | CA | 94109 | 942162549 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| PACIFIC STROKE ASSOCIATION | |||||||
| 3801 MIRANDA AVE BLDG 6 STE A162 | PALO ALTO | CA | 94304 | 770500631 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| RESTORE WOMENS WELLNESS CTR | |||||||
| 303 W JOAQUIN AVE STE 110 | SAN LEANDRO | CA | 94577 | 463445121 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| ROTACARE BAY AREA INC | |||||||
| 514 VALLEY WY | MILPITAS | CA | 95035 | 770328723 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| SAINT ANTHONY FOUNDATION | |||||||
| 150 GOLDEN GATE AVE | SAN FRANCISCO | CA | 94102 | 941513140 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| SAN FRANCISCO COMMUNITY CLINIC CORP | |||||||
| 1550 BRYANT ST STE 450 | SAN FRANCISCO | CA | 94103 | 942897258 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| SAN FRANCISCO MEDICAL SOCIETY | |||||||
| 2720 TAYLOR ST STE 450 | SAN FRANCISCO | CA | 94133 | 940835165 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| CITY OF SAN MATEO SENIOR CENTER | |||||||
| 2645 ALAMEDA DE LAS PULGAS | SAN MATEO | CA | 94403 | 946000422 | GOVT | $10,000 | PROGRAM SUPPORT |
| STRIDES FOR LIFE FOUNDATION | |||||||
| 1525 ROLLINS RD STE B | BURLINGAME | CA | 94010 | 134285830 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| WOMENS CANCER RESOURCE CENTER | |||||||
| 2908 ELLSWORTH ST | BERKELEY | CA | 94705 | 943131204 | 501(C)(3) | $10,000 | PROGRAM SUPPORT |
| GUM MOON RESIDENCE HALL | |||||||
| 940 WASHINGTON ST | SAN FRANCISCO | CA | 94108 | 941156357 | 501(C)(3) | $7,500 | PROGRAM SUPPORT |
| JEWISH COMMUNITY CTR OF SF | |||||||
| 3200 CALIFORNIA ST | SAN FRANCISCO | CA | 94118 | 943227260 | 501(C)(3) | $7,500 | PROGRAM SUPPORT |
| SAMOAN COMMUNITY DEVELOPMENT CENTER | |||||||
| 2055 SUNNYDALE AVE STE 100 | SAN FRANCISCO | CA | 94134 | 770290646 | 501(C)(3) | $7,500 | PROGRAM SUPPORT |
| SAN MATEO ROTARY FOUNDATIONS | |||||||
| PO BOX 95 | SAN MATEO | CA | 94401 | 237101037 | 501(C)(3) | $7,500 | PROGRAM SUPPORT |
| YOUNG MENS CHRISTIAN ASSN OF SAN FRANCISCO | |||||||
| 360 18TH AVE | SAN FRANCISCO | CA | 94121 | 940997140 | 501(C)(3) | $7,500 | PROGRAM SUPPORT |
| ALAMEDA CTY DPTY SHERIFFS ACTIVITIES LEAGUE | |||||||
| 16378 E 14TH ST STE 204 | SAN LEANDRO | CA | 94578 | 830410537 | 501(C)(3) | $6,500 | PROGRAM SUPPORT |
| KELSEYVILLE UNITED METHODIST CHURCH | |||||||
| 3810 MAIN ST | KELSEYVILLE | CA | 95451 | 346501028 | 501(C)(3) | $6,000 | PROGRAM SUPPORT |
| NEW DAY FOR CHILDREN | |||||||
| PO BOX 439 | ALAMO | CA | 94507 | 270406125 | 501(C)(3) | $6,000 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 111 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | COMMUNITY ASSISTANCE | GrantTypeTxt |
| Recipient | 7 | RecipientCnt |
| Cash Grant | $658,680 | CashGrantAmt |
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 MONITOR EFFECTIVENESS AND EFFICIENCY OF INVESTMENTS, WHICH COULD INCLUDE: - QUARTERLY MEETINGS WITH COMMUNITY PARTNERS - E-MAIL AND TELEPHONIC COMMUNICATIONS WITH COMMUNITY PARTNERS - CONTINUED DIALOGUE WITH INVOLVED HOSPITAL STAFF AND COMMUNITY PARTNERS THROUGHOUT DURATION OF PROGRAM - SITE VISITS WITH COMMUNITY PARTNERS - BI-ANNUAL "OUTCOMES" SURVEY (6-MONTH AND/OR YEAR-END OUTCOMES) - REVIEW OF HOSPITAL USAGE AND PATIENT LEVEL DATA - COLLECTION OF PATIENT STORIES AND NARRATIVES - COLLABORATIVE DISCUSSIONS AROUND AD-HOC SUCCESSES AND CHALLENGES THAT ARISE - REPORTING TO INCLUDE YEAR-END FINANCIAL SUMMARY THAT COMPARES ACTUAL EXPENDITURES TO THE FUNDED PROJECTS 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 WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM MEETING THE GOALS TO HELP IDENTIFY WAYS TO IMPROVE OR PERHAPS RE-EVALUATE WHAT SUCCESS OF THIS PROGRAM LOOKS LIKE, AND MAKES THE DETERMINATION TO CONTINUE OR TERMINATE FUNDING. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (29 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES CONFORTI | ||||||||||||||
| SH SVP/COO, ASST SECRETARY SBH | $0 | $882,157 | $0 | $310,854 | $0 | $130,789 | $0 | $460,359 | $0 | $22,245 | $0 | $1,806,404 | $0 | $113,665 |
| JEFF GERARD | ||||||||||||||
| PRES SBH/SH SVP STRAT(PT-YR) | $0 | $810,129 | $0 | $336,708 | $0 | $170,038 | $0 | $324,677 | $0 | $16,172 | $0 | $1,657,724 | $0 | $152,115 |
| SARAH KREVANS | ||||||||||||||
| PRES & CEO SH, ASST SEC SBH | $0 | $1,678,673 | $0 | $842,240 | $0 | $329,388 | $0 | $1,909,372 | $0 | $26,449 | $0 | $4,786,122 | $0 | $300,989 |
| JOHN GATES | ||||||||||||||
| CFO, SH BAY AREA | $0 | $662,404 | $0 | $161,456 | $0 | $88,697 | $0 | $85,900 | $0 | $15,136 | $0 | $1,013,593 | $0 | $68,409 |
| KAREN HALL | ||||||||||||||
| CLO, BAY AREA, SECRETARY | $0 | $423,138 | $0 | $132,550 | $0 | $50,009 | $0 | $65,830 | $0 | $19,634 | $0 | $691,161 | $0 | $42,746 |
| JULIE A PETRINI | ||||||||||||||
| CEO, BAY AREA HOSPITALS | $0 | $660,698 | $0 | $212,445 | $0 | $95,919 | $0 | $167,780 | $0 | $9,926 | $0 | $1,146,768 | $0 | $0 |
| ANNE BARR | ||||||||||||||
| VP, INFO & OPS INTEGRATION, SH | $0 | $410,490 | $0 | $127,737 | $0 | $32,008 | $0 | $59,422 | $0 | $19,415 | $0 | $649,072 | $0 | $24,125 |
| WARREN BROWNER MD | ||||||||||||||
| CEO, CPMC | $0 | $622,784 | $0 | $356,785 | $0 | $112,222 | $0 | $168,017 | $0 | $16,880 | $0 | $1,276,688 | $0 | $92,119 |
| STEPHEN GRAY | ||||||||||||||
| CEO, EMC | $0 | $383,470 | $0 | $84,794 | $0 | $21,021 | $0 | $86,009 | $0 | $23,500 | $0 | $598,794 | $0 | $14,742 |
| MAYNARD L JENKINS III | ||||||||||||||
| SH VP, HR, BAY AREA | $0 | $380,953 | $0 | $98,545 | $0 | $34,228 | $0 | $57,998 | $0 | $14,611 | $0 | $586,335 | $0 | $27,660 |
| GERALD KOZAI | ||||||||||||||
| CEO, ABSMC (PART-YEAR) | $0 | $257,962 | $0 | $21,500 | $0 | $1,393 | $0 | $68,227 | $0 | $6,109 | $0 | $355,191 | $0 | $0 |
| CYNTHIA LEE | ||||||||||||||
| VP, STRATEGY & BUS DEV | $0 | $433,504 | $0 | $105,267 | $0 | $32,890 | $0 | $61,043 | $0 | $18,566 | $0 | $651,270 | $0 | $26,437 |
| CHARLES PROSPER | ||||||||||||||
| CEO, ABSMC (PART-YEAR) | $0 | $180,350 | $0 | $0 | $0 | $651,209 | $0 | $77,080 | $0 | $9,846 | $0 | $918,485 | $0 | $123,315 |
| MICHAEL PURVIS | ||||||||||||||
| CEO, SSRRH & NCH | $0 | $394,507 | $0 | $122,777 | $0 | $54,323 | $0 | $92,908 | $0 | $16,925 | $0 | $681,440 | $0 | $39,150 |
| DORI STEVENS | ||||||||||||||
| CEO, SUTTER DELTA MEDICAL CTR | $0 | $175,423 | $0 | $60,962 | $0 | $362,265 | $0 | $39,258 | $0 | $10,659 | $0 | $648,567 | $0 | $23,215 |
| JANET A WAGNER | ||||||||||||||
| CEO, MPHS | $0 | $448,358 | $0 | $116,940 | $0 | $79,779 | $0 | $113,861 | $0 | $17,076 | $0 | $776,014 | $0 | $66,955 |
| STEVEN R CUMMINGS | ||||||||||||||
| EXEC DIR, SF COORDINATING CTR | $498,074 | $0 | $0 | $0 | $4,944 | $0 | $14,105 | $0 | $20,815 | $0 | $537,938 | $0 | $0 | $0 |
| TRACEY GAJDACS | ||||||||||||||
| CLINICAL NURSE II | $474,919 | $0 | $0 | $0 | $658 | $0 | $14,105 | $0 | $9,772 | $0 | $499,454 | $0 | $0 | $0 |
| KAREN JEU | ||||||||||||||
| PRESIDENT, CPMC FOUNDATION | $369,564 | $0 | $54,983 | $0 | $3,564 | $0 | $14,105 | $0 | $27,661 | $0 | $469,877 | $0 | $0 | $0 |
| ROBERT B MURPHY | ||||||||||||||
| STAFF PHYSICIAN, COMM CLINIC | $430,395 | $0 | $0 | $0 | $9,257 | $0 | $14,105 | $0 | $23,918 | $0 | $477,675 | $0 | $0 | $0 |
| SAMAREH H RAD | ||||||||||||||
| COORDINATOR, TRANSFER CTR RN | $499,148 | $0 | $600 | $0 | $0 | $0 | $14,105 | $0 | $24,749 | $0 | $538,602 | $0 | $0 | $0 |
| BRIAN ALEXANDER | ||||||||||||||
| CEO, SRMC | $402,963 | $97,552 | $22,508 | $78,744 | $15,651 | $617,418 | $18,255 | |||||||
| MICHAEL COHILL | ||||||||||||||
| FORMER CEO SMCS | $0 | $0 | $0 | $0 | $0 | $605,821 | $0 | $0 | $0 | $0 | $0 | $605,821 | $0 | $0 |
| GRANT DAVIES | ||||||||||||||
| CEO, VALLEY AREA HOSPITALS | $0 | $663,863 | $0 | $239,440 | $0 | $292,720 | $0 | $180,205 | $0 | $20,538 | $0 | $1,396,766 | $0 | $274,829 |
| VERNON GIANG MD | ||||||||||||||
| CME, CPMC | $0 | $424,165 | $0 | $53,379 | $0 | $34,773 | $0 | $44,305 | $0 | $13,620 | $0 | $570,242 | $0 | $29,068 |
| THERESA C GLUBKA | ||||||||||||||
| CEO, SSCD | $0 | $459,643 | $0 | $152,351 | $0 | $71,917 | $0 | $101,080 | $0 | $15,200 | $0 | $800,191 | $0 | $54,879 |
| RAJIT HUNDAL MD | ||||||||||||||
| CME, MPHS | $0 | $394,908 | $0 | $89,175 | $0 | $26,855 | $0 | $43,405 | $0 | $12,041 | $0 | $566,384 | $0 | $0 |
| HAMILA KOWNACKI | ||||||||||||||
| COO, CPMC | $0 | $361,930 | $0 | $44,603 | $0 | $34,273 | $0 | $39,905 | $0 | $9,527 | $0 | $490,238 | $0 | $27,473 |
| HENRY YU | ||||||||||||||
| CFO HOSPITAL - WEST BAY | $0 | $370,589 | $0 | $97,298 | $0 | $40,198 | $0 | $43,105 | $0 | $18,948 | $0 | $570,138 | $0 | $34,029 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THIS ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARM'S LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATIONS OVERALL MISSION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. |
| SCHEDULE J, PART I, LINE 4A | SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: CHARLES PROSPER - $323,743 DORI STEVENS - $130,101 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 HEALTHS 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. SUTTERS 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 457(F)) 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 HEALTHS QUALIFIED PENSION PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTERS 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. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: JULIE A. PETRINI: $ 69,160 CHARLES PROSPER: $ 132,148 |
| 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 BUT THE AMOUNT TENDS TO NOT EXCEED 5% TO 10% 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 LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTERS LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL 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. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTHS OVERALL MISSION, VISION, AND VALUES, SUTTERS LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE PRIOR TO PAYMENT. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CHFFA 2008A | ||||||||
| A | 521643828 | 13033F2L3 | 2008-05-14 | $329,041,638 | REFUNDING 2007, 2004, 2002 | false | false | false |
| CHFFA 2011B | ||||||||
| B | 521643828 | 13033LKW6 | 2011-02-10 | $470,318,145 | CONSTRUCTION, EQUIPMENT | false | false | false |
| CHFFA 2011D | ||||||||
| C | 521643828 | 13033LVW4 | 2011-12-22 | $331,759,643 | CONSTRUCT & REFUNDING | false | false | false |
| CHFFA 2013A | ||||||||
| D | 521643828 | 13033LW52 | 2013-04-24 | $487,683,000 | CONSTRUCTION, EQUIPMENT | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 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 | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $158,610,000 | $118,730,000 | $329,041,638 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $329,041,638 | $0 | Yes (true) | false | Yes (true) | Yes (true) | |
| B | $0 | $0 | $472,888,501 | $0 | $0 | $0 | $0 | $0 | $0 | $472,888,501 | $0 | $0 | false | false | Yes (true) | Yes (true) | 2012 |
| C | $0 | $0 | $334,684,174 | $0 | $0 | $0 | $0 | $0 | $0 | $145,589,174 | $189,095,000 | $0 | Yes (true) | false | Yes (true) | Yes (true) | 2014 |
| D | $0 | $0 | $497,320,472 | $0 | $0 | $0 | $0 | $0 | $0 | $497,320,472 | $0 | $0 | false | false | Yes (true) | Yes (true) | 2014 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 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) | 0.02300 | 0.00160 | 0.02460 | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00000 | 0.00020 | 0.00020 | false | false | false | Yes (true) |
| C | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00980 | 0.00070 | 0.01050 | false | false | false | Yes (true) |
| D | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00000 | 0.00010 | 0.00010 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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 | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| D | false | false | Yes (true) | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K REPORTING | THE ORGANIZATIONS SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS, 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 FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $99,134,554 FROM THE 2008A ISSUE, $470,318,145 FROM THE 2011B ISSUE, $271,768,116 FROM THE 2011D ISSUE, $187,683,000 FROM THE 2013A ISSUE, $9,161,337 FROM THE 2015A ISSUE, $550,000,605 FROM THE 2016A ISSUE, $629,448,648 FROM THE 2016B ISSUE, $100,000,000 FROM THE 2016C ISSUE, $15,870,248 FROM THE 2017A ISSUE, AND $699,997,776 FROM THE 2018A ISSUE. |
| SCHEDULE K, PART I, CHFFA 2008A, COLUMN (F) | THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2002, 2004 AND 2007 ISSUES. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1991 AND 1995 AND TO REFUND BONDS ISSUED IN 1996 THAT WERE USED TO REFUND BONDS ISSUED IN 1985, 1989, 1990, 1991, 1992, AND 1995. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. THE REFUNDED BONDS ISSUED IN 2002 WERE USED TO REFUND BONDS ISSUED IN 1992, WHICH WERE USED TO REFUND BONDS ISSUED IN 1985, 1986 AND 1987. SCHEDULE K, PART II, LINE 7 ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. SCHEDULE K, PART IV, LINE 2C THE REBATE COMPUTATIONS WERE PERFORMED FOR BOND CHFFA 2008A ON 6/20/2018; CHFFA 2011B ON 3/15/2016; AND CHFFA 2011D ON 1/13/2016. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CHFFA 2015A | ||||||||
| A | 521643828 | 13032UAR9 | 2015-11-12 | $204,061,105 | REFUND 2005A & 1994 COPS | false | false | false |
| CHFFA 2016A | ||||||||
| B | 521643828 | 13032UCK2 | 2016-02-03 | $550,000,605 | CONSTRUCTION, EQUIPMENT | false | false | false |
| CHFFA 2016B | ||||||||
| C | 521643828 | 13032UDW5 | 2016-08-17 | $901,627,093 | Refund 2005BC, 2003AB & 2007A | Yes (true) | false | false |
| CHFFA 2016C | ||||||||
| D | 521643828 | 13032UDW5 | 2016-08-17 | $100,000,000 | CONSTRUCTION, EQUIPMENT | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 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 | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $204,061,105 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $204,061,105 | $0 | Yes (true) | false | Yes (true) | Yes (true) | |
| B | $0 | $0 | $550,000,605 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $550,000,605 | $0 | false | false | Yes (true) | Yes (true) | |
| C | $0 | $0 | $902,923,938 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $902,923,938 | $0 | false | Yes (true) | Yes (true) | Yes (true) | |
| D | $0 | $0 | $100,000,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $100,000,000 | $0 | false | false | Yes (true) | Yes (true) | 2016 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 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) | 0.00120 | 0.00000 | 0.00120 | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00000 | 0.00000 | 0.00000 | false | false | false | Yes (true) |
| C | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00240 | 0.00020 | 0.00260 | false | false | false | Yes (true) |
| D | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00000 | 0.00000 | 0.00000 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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 | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| D | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
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 2017A | ||||||||
| A | 521643828 | 13032UNY0 | 2017-07-06 | $496,319,743 | REFUND 2004CD, 2008A, 2008BC | Yes (true) | false | false |
| CHFFA 2018A | ||||||||
| B | 521643828 | 13032URP5 | 2018-04-04 | $699,997,776 | CONSTRUCTION, EQUIPMENT | false | 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 | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $496,319,743 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $496,319,743 | $0 | false | Yes (true) | Yes (true) | Yes (true) | |
| B | $0 | $0 | $699,997,776 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $699,997,776 | $0 | false | false | Yes (true) | Yes (true) | 2019 |
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) | 0.01360 | 0.00030 | 0.01390 | false | false | false | Yes (true) |
| B | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.00060 | 0.00140 | 0.00200 | 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 | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $14,810,352 | INDPNDT CONTRACTOR ARRANGEMENT | false |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $3,258,559 | INDPNDT CONTRACTOR ARRANGEMENT | false |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $728,123 | INDPNDT CONTRACTOR ARRANGEMENT | false |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $258,641 | INDPNDT CONTRACTOR ARRANGEMENT | false |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $228,728 | INDPNDT CONTRACTOR ARRANGEMENT | false |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $184,214 | INDPNDT CONTRACTOR ARRANGEMENT | false |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $180,872 | INDPNDT CONTRACTOR ARRANGEMENT | false |
| ANTHONY WAGNER II | |||
| SEE PART V | $98,213 | SEE PART V | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | ANTHONY WAGNER II IS THE SON OF BOARD CHAIR, ANTHONY WAGNER, AND IS EMPLOYED BY SBH AS AN HR BUSINESS PARTNER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 AND PART III, LINE 1 | MISSION STATEMENT: WE ENHANCE THE 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 2/PART VI, LINE 4 MERGER INFORMATION MARCH 1, 2018: SUTTER EAST BAY HOSPITALS, A RELATED 501(C)(3) ORGANIZATION, MERGED INTO SBH. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: SUTTER BAY HOSPITALS (SBH) IS A GROUP OF MEDICAL FACILITIES LOCATED IN THE SAN FRANCISCO BAY AREA AND CONSISTS OF CALIFORNIA PACIFIC MEDICAL CENTER, EDEN MEDICAL CENTER, MILLS-PENINSULA MEDICAL CENTER, NOVATO COMMUNITY HOSPITAL, SUTTER LAKESIDE HOSPITAL, SUTTER SANTA ROSA REGIONAL HOSPITAL, AND EDEN MEDICAL CENTER. ALTA BATES SUMMIT MEDICAL CENTER AND SUTTER DELTA MEDICAL CENTER JOINED SUTTER BAY HOSPITALS ON MARCH 1ST 2018. SUTTER BAY HOSPITALS HAD A TOTAL OF 457,939 PATIENT DAYS IN 2018. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) IS ONE OF THE LARGEST PRIVATE, COMMUNITY BASED, NOT-FOR-PROFIT, TEACHING MEDICAL CENTERS IN CALIFORNIA. CPMC IS A TERTIARY REFERRAL CENTER PROVIDING ACCESS TO LEADING EDGE MEDICINE WHILE DELIVERING THE BEST POSSIBLE PERSONALIZED CARE. IT PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; HOSPICE SERVICES; PREVENTIVE AND COMPLEMENTARY CARE; AND HEALTH EDUCATION. CPMC COMPRISES FOUR OF THE OLDEST HOSPITALS IN SAN FRANCISCO. THE DAVIES CAMPUS, FORMERLY DAVIES MEDICAL CENTER, WAS FOUNDED IN 1854 TO HELP SAN FRANCISCOS GERMAN-SPEAKING IMMIGRANTS FIND WORK, SHELTER, FOOD, CLOTHING AND HEALTH CARE. THE PACIFIC CAMPUS WAS FOUNDED IN 1857 AND WAS THE FIRST MEDICAL SCHOOL IN THE AMERICAN WEST. THE CALIFORNIA CAMPUS WAS FOUNDED IN 1875 AS THE PACIFIC DISPENSARY FOR WOMEN AND CHILDREN, A HOSPITAL RUN BY WOMEN, FOR WOMEN. THE ST. LUKE'S CAMPUS WAS FORMED IN THE 1870S AND HAD BEEN PROVIDING QUALITY HEALTH SERVICES TO ALL SAN FRANCISCANS FOR OVER 140 YEARS. ST. LUKES CAMPUS CLOSED AUGUST 2018. LASTLY, THE MISSION BERNAL CAMPUS WAS COMPLETED AUGUST 2018 AND IS NOW PROVIDING QUALITY HEALTH SERVICES TO ALL SAN FRANCISCANS. TOGETHER THE DAVIES, CALIFORNIA, PACIFIC, ST. LUKES AND MISSION BERNAL CAMPUSES COMPRISE CPMCS 951 LICENSED BEDS. EDEN MEDICAL CENTER (EMC)- EDEN MEDICAL CENTER IS A STATE-OF-THE-ART FACILITY THAT REPLACED THE OLD EDEN MEDICAL CENTER IN DECEMBER 2012. EDEN MEDICAL CENTER BRINGS TOGETHER PATIENT-CENTERED CARE, TECHNOLOGY AND SOPHISTICATED DESIGN IN A LEED-CERTIFIED SUSTAINABLE AND SEISMICALLY-SAFE BUILDING. THE FACILITY HAS 130 PRIVATE PATIENT ROOMS, WITH AN ADDITIONAL 34-BED UNIVERSAL CARE UNIT AND IS HOME TO THE SUTTER EAST BAY NEUROSCIENCE INSTITUTE, A PRIMARY STROKE CENTER, THE REGIONAL LEVEL II TRAUMA CENTER FOR SOUTHERN ALAMEDA COUNTY, AND A WIDE RANGE OF CENTERS OF EXCELLENCE INCLUDING CANCER CARE, ADVANCED IMAGING SERVICES, REHABILITATION AND COMPLETE SURGICAL AND ACUTE-CARE SERVICES. OUR AWARD-WINNING HOSPITAL WAS RECENTLY NAMED A TOP PERFORMER IN KEY QUALITY MEASURES BY THE JOINT COMMISSION, A DIAGNOSTIC IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY, RECEIVED HOSPITAL SAFETY SCORE A RATING BY THE LEAPFROG GROUP, RECEIVED THE GOLD AWARD FOR ORGAN DONOR REGISTRATION EFFORTS BY THE US DEPARTMENT OF HEALTH & HUMAN SERVICES, AND GET WITH THE GUIDELINES STROKE GOLD, GOLD PLUS ELITE, ELITE PLUS TARGET AWARDS BY THE AMERICAN STROKE ASSOCIATION. EDEN WAS RECOGNIZED AS A TOP 20 HOSPITAL IN BAY AREA FOR PATIENT SATISFACTION BY THE US DEPARTMENT OF HEALTH AND A HIGH PERFORMING HOSPITAL BY THE US NEWS & WORLD REPORT. EDEN ALSO WAS RECOGNIZED BY HEALTH GRADES AS ONE OF AMERICAS 100 BEST HOSPITALS, DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE, PATIENT SAFETY EXCELLENCE AWARD, WOMENS HEALTH EXCELLENCE AWARD, STROKE CARE EXCELLENCE AWARD, CRITICAL CARE EXCELLENCE AWARD, NEUROSCIENCE EXCELLENCE AWARD AND PULMONARY CARE EXCELLENCE AWARD. IN ADDITION, EDEN WAS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION IN THE AREA OF EDUCATION FOR OUR DIABETES SELF-MANAGEMENT PROGRAM. EDEN MEDICAL CENTER IS PART OF THE SUTTER HEALTH NETWORK OF CARE, A FAMILY OF DOCTORS, NOT-FOR-PROFIT HOSPITALS AND OTHER HEALTH CARE SERVICE PROVIDERS THAT JOIN RESOURCES AND SHARE EXPERTISE TO ADVANCE HEALTH CARE QUALITY AND ACCESS FOR PATIENTS IN MORE THAN 100 NORTHERN CALIFORNIA CITIES AND TOWNS. MILLS-PENINSULA MEDICAL CENTER (MPMC) WAS FOUNDED BY PROMINENT CALIFORNIAN ELIZABETH MILLS REID, IN 1908 WITH JUST SIX BEDS. TO MEET THE GROWING NEEDS OF THE COMMUNITY, MILLS-PENINSULA OPENED A NEW 241-BED HOSPITAL IN 2011. LOCATED IN BURLINGAME, THE 450,000 SQUARE FOOT GENERAL ACUTE CARE HOSPITAL FEATURES 24-HOUR EMERGENCY CARE, ALL PRIVATE PATIENT ROOMS, AND FAMILY SLEEPING ACCOMMODATIONS IN ALL MEDICAL/SURGICAL, OBSTETRIC, INTENSIVE CARE, AND NEONATAL INTENSIVE CARE ROOMS AND 60 PSYCHIATRIC BEDS. MPMC ALSO INCLUDES: - MILLS HEALTH CENTER IN SAN MATEO WHICH PROVIDES A WIDE RANGE OF OUTPATIENT SERVICES, INCLUDING SURGERY, REHABILITATION AND DIAGNOSTICS. THE MILLS HEALTH CENTER IS ALSO HOME TO MILLS-PENINSULAS INPATIENT REHABILITATION PROGRAM. - MILLS-PENINSULA SENIOR FOCUS PROGRAM SERVING AS EDUCATOR, SERVICE PROVIDER, AND ADVOCATE FOR ELDERS BOTH IN THE HOSPITAL AND AT HOME IN THE COMMUNITY. OUR AWARD-WINNING HOSPITAL HAS BEEN RECOGNIZED BY THE FOLLOWING ORGANIZATIONS: - HEALTHGRADES AMERICA'S 50 BEST HOSPITALS. MILLS-PENINSULA IS IN THE TOP 1% OF HOSPITALS IN THE NATION FOR PROVIDING OVERALL CLINICAL EXCELLENCE ACROSS A BROAD SPECTRUM OF CONDITIONS AND PROCEDURES CONSISTENTLY FOR SIX OR MORE CONSECUTIVE YEARS. - AMERICAN HEART ASSOCIATION, AMERICAN STROKE ASSOCIATION. STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD. - U.S. NEWS & WORLD REPORT AMONG THE TOP HOSPITALS IN NORTHERN CALIFORNIA METRO AREA - AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM - EXEMPLARY OUTCOMES FOR SURGICAL CARE. - THE JOINT COMMISSION - RECOGNIZED AS TOP PERFORMER FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, SURGICAL CARE AND PERINATAL CARE. - FIVE STAR RATING FROM CMS EARNED FIVE STARS THE HIGHEST RANKING POSSIBLE FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). ONLY 7.87 PERCENT OF THE 3,725 HOSPITALS EVALUATED ACROSS THE U.S. RECEIVED A FIVE-STAR RATING. MENLO PARK SURGICAL HOSPITAL - PALO ALTO MEDICAL FOUNDATIONS MENLO PARK SURGICAL HOSPITAL PROVIDES AN INTIMATE AND CARING ALTERNATIVE TO THE TRADITIONAL SURGICAL EXPERIENCE. OUR 16-BED ACUTE CARE SURGICAL FACILITY IS SITUATED IN THE HEART OF THE PENINSULA, SOUTH OF SAN FRANCISCO. OUR PATIENTS STAY IN SPACIOUS, PRIVATE SUITES THAT OFFER SPECIAL AMENITIES TO BOTH PATIENTS AND VISITORS. IF PATIENTS WISH, THEY MAY HAVE A LOVED ONE STAY WITH THEM IN THEIR ROOM OVERNIGHT. MENLO PARK SURGICAL HOSPITAL ACCOMMODATES BOTH INPATIENT AND OUTPATIENT PROCEDURES AND IS ACCREDITED BY THE JOINT COMMISSION. SUTTER MATERNITY AND SURGERY CENTER OF SANTA CRUZ OPENED IN 1996 AND OFFERS STATE-OF-THE-ART MATERNITY AND MEDICAL/SURGICAL SERVICES, COMBINING PATIENT-CENTERED CARE AND FAMILY CONVENIENCE WITH THE SAFETY AND SECURITY OF A LICENSED AND ACCREDITED ACUTE CARE HOSPITAL. WITH 30 LICENSED BEDS, DOCTORS AND MIDWIVES STAFF OUR MATERNITY SERVICES. THE FACILITY HAS SIX OPERATING ROOMS, THREE PROCEDURE SUITES, 12 BIRTHING SUITES AND 16 MEDICAL/SURGICAL PATIENT SUITES. THE HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION. SUTTER MATERNITY & SURGERY CENTER HAS EARNED RECOGNITIONS THAT INCLUDE: - THE LEAPFROG GROUP TOP HOSPITAL - CENTERS FOR MEDICARE & MEDICAID SERVICES FIVE-STAR QUALITY RATING - HUMAN RIGHTS CAMPAIGN 2017 LEADER IN LGBTQ HEALTHCARE EQUALITY - BABY-FRIENDLY HOSPITAL DESIGNATION: 2017 RE-CERTIFICATION BY THE WORLD HEALTH ORGANIZATION, UNITED NATIONS CHILDRENS FUND - HUMAN RIGHTS CAMPAIGN FOUNDATION | LEADER IN LGBT HEALTHCARE EQUALITY - THE JOINT COMMISSION | RECOGNIZED AS TOP PERFORMER FOR SURGICAL CARE AND PERINATAL CARE NOVATO COMMUNITY HOSPITAL (NCH) HAS SERVED THE NORTHERN MARIN AND SOUTHERN SONOMA COMMUNITIES SINCE 1961. NCH IS A 47 BED ACUTE CARE HOSPITAL WHICH OPERATES A 24-HOUR EMERGENCY DEPARTMENT, INPATIENT/OUTPATIENT SURGERY, A CRITICAL CARE UNIT, IMAGING SERVICES, OUTPATIENT LABORATORY, PHYSICAL THERAPY AND IS NOTED FOR ITS ORTHOPEDIC SURGERY PROGRAM. SUTTER SANTA ROSA REGIONAL HOSPITAL (SSRRH), FORMERLY SUTTER MEDICAL CENTER SANTA ROSA, HAS A LONG HISTORY IN SONOMA COUNTY DATING BACK TO 1866 WHEN THE HOSPITAL FIRST OPENED. THE 84 BED STATE-OF-THE ART MEDICAL FACILITY OPENED IN 2014 WITH A FULL RANGE OF FIVE-STAR PERSONALIZED CARE SERVICES. |
| FORM 990, PART III, LINE 4A (CONTINUED) | SUTTER LAKESIDE HOSPITAL (LAKESIDE) IS A 30 BED CRITICAL ACCESS HOSPITAL AND IS ONE OF ONLY TWO HOSPITALS THAT SERVE THE 64,000 RESIDENTS OF LAKE COUNTY, CALIFORNIA. SUTTER LAKESIDE PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; SURGICAL SERVICES; FAMILY BIRTH SERVICES; PREVENTIVE CARE; AND PRIMARY CARE THROUGH OUR CLINICS AND HEALTH EDUCATION. SUTTER LAKESIDE HOSPITAL (LAKESIDE) IS A 30 BED CRITICAL ACCESS HOSPITAL AND IS ONE OF ONLY TWO HOSPITALS THAT SERVE THE 64,000 RESIDENTS OF LAKE COUNTY, CALIFORNIA. SUTTER LAKESIDE PROVIDES A WIDE VARIETY OF SERVICES, INCLUDING ACUTE, POST-ACUTE AND OUTPATIENT HOSPITAL CARE; SURGICAL SERVICES; FAMILY BIRTH SERVICES; PREVENTIVE CARE; AND PRIMARY CARE THROUGH OUR CLINICS AND HEALTH EDUCATION. ALTA BATES SUMMIT MEDICAL CENTER (ABSMC) IS LOCATED ON THREE CAMPUSES IN OAKLAND AND BERKELEY. IT IS LICENSED FOR 825 ACUTE CARE BEDS AND 68 PSYCH BEDS. ABSMC OPERATES MEDICAL CENTER MAGNETIC IMAGING, A FREESTANDING IMAGING CENTER, AND ALTA BATES PERINATAL CENTER. SPECIALTY HOSPITAL SERVICES INCLUDE THE FOLLOWING: ACUTE REHABILITATION, BARIATRICS, BEHAVIORAL HEALTH, CARDIOVASCULAR SURGERY, COMPREHENSIVE COMMUNITY CANCER CENTER, EAST BAY AIDS CLINIC, LEVEL III NICU. - FIVE STAR RATING FROM CMS THE HIGHEST RANKING POSSIBLE FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). ONLY 7.87 PERCENT OF THE 3,725 HOSPITALS EVALUATED ACROSS THE U.S. RECEIVED A FIVE-STAR RATING. - AMERICAN COLLEGE OF SURGEONS | MERITORIOUS AWARD FOR QUALITY OF SURGICAL CARE, NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (6 YEARS IN A ROW) - FOR EIGHT CONSECUTIVE YEARS, ALTA BATES SUMMIT HAS EARNED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS (AHA/ASA) GET WITH THE GUIDELINES GOLD PLUS QUALITY ACHIEVEMENT AWARD. IN ADDITION, ALTA BATES SUMMIT ACHIEVED THE TARGET STROKE ELITE HONOR ROLL AWARD FOR THE QUICK TREATMENT OF STROKE PATIENTS WITH THE CLOT-BREAKING DRUG: TISSUE PLASMINOGEN ACTIVATOR, OR TPA. - HEALTHGRADES AMERICA'S 250 BEST HOSPITALS. ALTA BATES SUMMIT IS IN THE TOP 5% OF HOSPITALS IN THE NATION FOR PROVIDING OVERALL CLINICAL EXCELLENCE ACROSS A BROAD SPECTRUM OF CONDITIONS AND PROCEDURES CONSISTENTLY FOR SIX OR MORE CONSECUTIVE YEARS. - CALIFORNIA HEALTH AND HUMAN SERVICES HONORED ALTA BATES SUMMIT AS BEING AMONG THE LOWEST CESAREAN SECTION (C-SECTION) RATES IN THE STATE AND REDUCING C-SECTIONS FOR FIRST-TIME MOMS WITH LOW-RISK PREGNANCIES. - ALTA BATES SUMMITS ACUTE REHABILITATION PROGRAM RECEIVED A FULL THREE YEAR CARF ACCREDITATION FOR OUR COMPREHENSIVE INPATIENT PROGRAM, STROKE SPECIALTY PROGRAM, BRAIN INJURY SPECIALTY PROGRAM, SPINAL CORD INJURY SPECIALTY PROGRAM, AND CANCER REHABILITATION SPECIALTY PROGRAMS. - ORTHOPEDIC EXCELLENCE ALTA BATES SUMMITS ORTHOPEDIC PROGRAM RECEIVED A DISEASE SPECIFIC JOINT COMMISSION ACCREDITATION AS A CENTER OF EXCELLENCE FOR HIP AND KNEE REPLACEMENT AT BOTH ASHBY AND SUMMIT CAMPUSES. - ALTA BATES SUMMIT IS THE FIRST HOSPITAL IN NORTHERN CALIFORNIA TO BE DESIGNATED A ROBOTIC HERNIA MENTOR/CASE OBSERVATION SITE BY INTUITIVE SURGICAL, MANUFACTURER OF DA VINCI. THE COMPANY NOW SENDS PHYSICIANS FROM AROUND THE COUNTRY TO ALTA BATES SUMMIT TO LEARN ADVANCED TECHNIQUES, AS WELL AS HOW TO RUN A SAFE, EFFICIENT, PROFITABLE ROBOTICS PROGRAM. - ALTA BATES SUMMIT'S COMPREHENSIVE CANCER CENTER EARNED A THREE-YEAR ACCREDITATION FROM THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS. - U.S. NEWS & WORLD REPORT RECOGNIZED ALTA BATES SUMMIT FOR FOUR "HIGH- PERFORMING" SPECIALTIES: HEART BYPASS SURGERY, HEART FAILURE, COLON CANCER SURGERY & ORTHOPEDICS. - ALTA BATES SUMMIT EARNED THE SOCIETY OF THORACIC SURGEONS (STS) PRESTIGIOUS 3 STAR RATING. THE 3 STAR RATING REPRESENTS THE HIGHEST AWARD FOR HEART SURGERY PRACTICES PARTICIPATING IN STS NATIONAL SPECIALTY DATABASE. - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) | ALTA BATES SUMMITS BREAST HEALTH PROGRAM EARNED A THREE-YEAR ACCREDITATION DESIGNATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), A PROGRAM ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS. SUTTER DELTA MEDICAL CENTER (SDMC) IS LOCATED IN ANTIOCH, CA. SDMC IS LICENSED FOR 145 ACUTE CARE BEDS AND IS A DESIGNATED STEMI RECEIVING CENTER. SPECIALTY HOSPITAL SERVICES INCLUDE BREAST HEALTH, WOUND CARE CENTER, ONCOLOGY, PAIN MANAGEMENT, NEONATAL ICU, DIABETES, HEART FAILURE AND COPD. SUTTER BAY HOSPITALS CLINICAL PROGRAMS INCLUDE: - ARTHRITIS SUPPORT SERVICES PROGRAM - ASTHMA EDUCATION PROGRAM - ASTHMA MANAGEMENT RESOURCE CENTER - BREAST FEEDING CENTERS - BREAST FEEDING SUPPORT PROGRAM - BREAST HEALTH CENTERS - CALIFORNIA PACIFIC MEDICAL CENTER RESEARCH INSTITUTE - CANCER RECOVERY PROGRAMS - CARE TRANSITIONS NURSE PROGRAM AND ED NAVIGATOR PROGRAM - COMING HOME HOSPICE - COMMUNITY BENEFITS PROGRAMS (DETAILED BELOW) - COMMUNITY EVENT DONATIONS AND SPONSORSHIPS - COMMUNITY HEALTH FAIRS AND EDUCATION - COMMUNITY HEALTH RESOURCE CENTER - COMPREHENSIVE STROKE CENTER - DIABETES EDUCATION PROGRAM - DIABETES DISCHARGE PROGRAM (DDP) - DISABLE COMMUNITY HEALTH CLINIC - END-STAGE ORGAN FAILURE/TRANSPLANTATION PROGRAMS (HEART, KIDNEY, LIVER, PANCREAS) - EVERY WOMAN COUNTS/SAVE A LIFE SISTER - FORBES NORRIS MDA/ALDS CENTER - HAND CLINIC - HOSPITALIST PROGRAM - HEALTHY FAMILIES, MEDI CAL AND COUNTY ENROLLMENTS - HOSPITAL QUALITY ASSURANCE CHFT PLEDGE - INFANT FOLLOW-UP PROGRAM - INSTITUTE FOR HEALTH AND HEALING - IRENE SWINDELLS ALZHEIMER'S RESIDENTIAL CARE CENTER - LABOR AND DELIVERY PARENT EDUCATION/CHILDBIRTH EDUCATION PROGRAM - LA CLINICAL PITTSBURG CLINIC - LIONS EYE CLINIC - LOW VISION REHABILITATION CENTER - NEONATAL TRANSPORT - MUSCULAR DYSTROPHY ASSOCIATION NEUROMUSCULAR CLINIC - PACIFIC VISION FOUNDATION - PALLIATIVE CARE PROGRAM - PHYSICAL AND OCCUPATIONAL THERAPY EDUCATIONAL PROGRAM - PSYCHIATRIC EVALUATION REIMBURSEMENT TO ON CALL PHYSICIAN - REHABILITATION SERVICES (ACUTE AND OUTPATIENT) - REHAB CAREGIVERS SUPPORT GROUP - RESIDENCY TRAINING AND FELLOWSHIP PROGRAMS - SIBLING CENTER - SMITH KETTLEWELL EYE RESEARCH INSTITUTE (THEY ARE INDEPENDENT OF CPMC.) - SPECIAL CARE NURSERY SUBSIDIZED SERVICE - SPECIAL CONNECTIONS PROGRAM - STROKE SUPPORT GROUP PROGRAM - SUB-ACUTE CARE PROGRAM - SUPPORT AFTER NEONATAL DEATH (SAND) - TELEMEDICINE SERVICE (STROKE) - TELE-CARE PROGRAM - THE PARENT SHARE SUPPORT PROGRAM - VISITING NURSES AND HOSPICE OF SAN FRANCISCO - VENTRICULAR ASSIST DEVICE (VAD) PROGRAM - WHITNEY NEWBORN ICU FOLLOW-UP CLINIC - WOMEN'S HEALTH PROGRAMS - WOMEN'S HEALTH RESOURCE CENTER |
| FORM 990, PART III, LINE 4A (CONTINUED) | CLINICAL SERVICE OFFERINGS INCLUDE: - AIDS & HIV SERVICES - ALZHEIMER'S (TRANSITIONED TO COMMUNITY PARTNER JULY 2018) - ARTHRITIS - BARIATRIC SURGERY SERVICES - CANCER SERVICES - CARDIOVASCULAR SERVICES - CHRONIC DISEASE SERVICES - CLINICAL LABORATORY - COMPLEMENTARY MEDICINE - COMPREHENSIVE STROKE SERVICES - CRITICAL CARE SERVICES - DIABETES SERVICES (ADULT & PEDIATRIC) - DIAGNOSTIC SERVICES/LABORATORIES - DIALYSIS SERVICES - EMERGENCY SERVICES - EPILEPSY - GASTROENTEROLOGY DISEASE SERVICES - HOME HEALTH & HOSPICE - INTERVENTIONAL ENDOSCOPY SERVICES - KALMONOVITZ CHILD DEVELOPMENT CENTERS - MEDICAL TRANSPORT SERVICES - MICROSURGERY AND LIMB SALVAGE SERVICES - NEONATAL INTENSIVE CARE - NEUROLOGY - NEURO-ONCOLOGY SURGERY - NUCLEAR MEDICINE - NUTRITION AND WEIGHT MANAGEMENT - OBSTETRICS & GYNECOLOGY - OCCUPATIONAL HEALTH - OLDER ADULT SERVICES - ONCOLOGY SERVICES - OPHTHALMOLOGY - ORGAN TRANSPLANTATION - ORTHOPEDICS - OTOLARYNGOLOGY - OUTPATIENT CLINICS & SERVICES - PATHOLOGY - PEDIATRIC EMERGENCY DEPARTMENT - PEDIATRIC SPECIALTY SERVICES - PERIOPERATIVE SERVICES (OR AND POST-ANESTHESIA RECOVERY UNIT) - PHARMACY - PHYSICAL MEDICINE & REHABILITATION SERVICES - PSYCHIATRY - RADIOLOGY & DIAGNOSTIC IMAGING - REHABILITATION SERVICES - RESPIRATORY CARE - SURGICAL SERVICES/AMBULATORY SURGERY - URGENT CARE CENTER - WOUND CARE - WOMEN AND INFANT SERVICES - WOMEN'S SERVICES NON-CLINICAL SERVICES INCLUDE: - ABSMC NURSING EDUCATION - ADMINISTRATIVE SERVICES - CARE TRANSITIONS NURSE PROGRAM AND ED NAVIGATOR PROGRAM - CHAPLAINCY SERVICES - CHARITY CARE PROGRAM - COMMUNITY HEALTH RESOURCE CENTER - CONTINUING MEDICAL EDUCATION - HEALTH MINISTRY PROGRAM - HEALTH SCIENCE LIBRARIES - INTERPRETER SERVICES - INTERIM CARE PROGRAM FOR HOMELESS - MPI - PATIENT ASSISTANCE FUND - PATIENT SERVICES - RESEARCH INSTITUTE - SURGICAL TRAINING CENTER - VOLUNTEER SERVICES - WEB NURSERY - CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION - NOVATO COMMUNITY HOSPITAL DEVELOPMENT OFFICE - SAMUEL MERRITT COLLEGE - SCHOLARSHIPS AND FUNDING FOR PROFESSIONAL EDUCATION - SUTTER LAKESIDE FOUNDATION - THUNDER ROAD - TRANSPORTATION - TUITION REIMBURSEMENT - YOUTH BRIDGE CAREER DEVELOPMENT PROGRAM COMMUNITY BENEFIT THE MEDICAL FACILITIES IN SUTTER BAY HOSPITALS (SBH) PLAY INTEGRAL ROLES IN PROVIDING DIRECT HEALTH CARE SERVICES AS WELL AS MONETARY GRANTS OR SPONSORSHIPS TO NON-PROFIT ORGANIZATIONS TO ADDRESS THE COMMUNITY HEALTH NEEDS OF VULNERABLE, UNDERINSURED, AND UNINSURED POPULATIONS IN THEIR COMMUNITIES. THE COMMUNITY BENEFIT REPRESENTATIVES OF SBH WORK COLLABORATIVELY AND IN PARTNERSHIPS WITH A BROAD AND DIVERSE NETWORK OF COMMUNITY-BASED NON-PROFITS, CITY AND COUNTY AGENCIES, PHYSICIANS, AND NEIGHBORHOOD GROUPS TO IDENTIFY LOCAL NEEDS, FORMULATE COMMUNITY BENEFIT PLANS, AND TAKE APPROPRIATE FUNDING ACTIONS. WHILE SBH MANAGEMENT SETS OVERALL GOALS FOR COMMUNITY BENEFITS, EACH OF THE FACILITIES MEDICAL CENTER ADMINISTRATORS ARE RESPONSIBLE FOR IDENTIFYING HOW LOCAL NEEDS ARE TO BE ADDRESSED. IN FISCAL YEAR 2018, SUTTER BAY HOSPITALS PROVIDED A REGIONAL TOTAL OF $291 MILLION IN COST OF SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED: $5,922,712 COMMUNITY HEALTH IMPROVEMENT SERVICES, $34,092,429 IN HEALTH PROFESSIONALS EDUCATION, $35,332,187 SUBSIDIZED HEALTH SERVICES, $6,479,411 IN RESEARCH, $17,527,533 IN FINANCIAL AND IN-KIND CONTRIBUTIONS, $161,794 IN COMMUNITY BUILDING ACTIVITIES AND $1,883,669 IN COMMUNITY BENEFIT OPERATIONS, WHILE PROVIDING $47,132,675 IN FINANCIAL ASSISTANCE WITH MEANS-TESTED PROGRAMS OF $9,305,004 AND MEDICAID $133,204,513. |
| FORM 990, PART VI, LINE 4 | SIGNIFICANT CHANGES TO BYLAWS: FORMER: EX OFFICIO DIRECTORS INCLUDED THE PRESIDENT OF THE CORPORATION AND CHIEF OPERATING OFFICER OF THE GENERAL MEMBER AND THERE WOULD BE ONE DESIGNATED DIRECTOR. REVISED: IF THERE IS A CHIEF OPERATING OFFICER OF THE GENERAL MEMBER THAT PERSON SHALL BE AN EX OFFICIO DIRECTOR AND UP TO 2 INDIVIDUALS DESIGNATED BY THE PRESIDENT AND CEO OF THE GENERAL MEMBER SHALL BE DESIGNATED DIRECTORS. IF THERE IS NO ONE WITH THE TITLE CHIEF OPERATING OFFICER THEN UP TO THREE INVIDIVUALS SHALL BE DESIGNATED DIRECTORS. 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 ORANY 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 BOARDS 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 DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTERS EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATIONS OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), (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 COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIAS UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY ADJUSTMENTS MAY BE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL ANNUALLY, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. THE 2018 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN DECEMBER 2017. |
| 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 ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| FORM 990, PART VII, SECTION A | COMPENSATION OF BOARD MEMBERS: KATHERINE HSIAO'S COMPENSATION WAS FOR SERVICES PROVIDED AS AN INDEPENDENT CONTRACTOR AND NOT FOR SERVICES PROVIDED AS A BOARD MEMBER OF SBH. 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. - JAMES CONFORTI - SARAH KREVANS - JEFF GERARD INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID FULLTIME 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: EQUITY TRANSFERS (NET) $ (71,816,211) TRANSFER FROM SEBH DUE TO MERGER 5,407,791 PARTNERSHIP INCOME BOOKED ON RETURN 24,376,596 K-1 ACTIVITY (26,919,090) OTHER CHANGES IN NET ASSETS 1,634,463 --------------- TOTAL $ (67,316,451) =============== |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| CATHEDRAL HEIGHTS LLC | |||||||||
| PO BOX 7999 | SAN FRANCISCO | CA | 94120 | 200511266 | RENTAL PROP. | CA | $0 | $0 | NA |
| MEDICAL CENTER MAGNETIC IMAGING LLC | |||||||||
| 350 HAWTHORNE AVE | OAKLAND | CA | 94609 | 562442446 | HEALTHCARE | CA | $827,132 | $593,454 | NA |
| ALTA BATES SUMMIT MED CTR SURG PRPTY CO | |||||||||
| 350 HAWTHORNE AVE | OAKLAND | CA | 94609 | BLDG RENTAL | CA | $1,506 | $40,732 | NA | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| BETTER HEALTH EAST BAY FOUNDATION | ||||||||||
| C/O SH TAX 2200 RIVER PLAZA DR | SACRAMENTO | CA | 95833 | 510160184 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER BH | Yes (true) |
| 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 BH | 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) |
| SAMUEL MERRITT UNIVERSITY | ||||||||||
| 450 30TH STREET STE 2840 | OAKLAND | CA | 94609 | 942992642 | UNIVERSITY | CA | 501(C)(3) | 2 | 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 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 EAST BAY HOSPITALS | ||||||||||
| C/O SH TAX 2200 RIVER PLAZA DR | SACRAMENTO | CA | 95833 | 941196176 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | 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 INSURANCE SERVICES CORPORATION | ||||||||||
| 745 FORT STREET SUITE 1110 | HONOLULU | HI | 96813 | 990289310 | INSURANCE SER | HI | 501(C)(3) | 12C III-FI | 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 SOLANO CHARITABLE FOUNDATION | ||||||||||
| C/O SH TAX 2200 RIVER PLAZA DR | SACRAMENTO | CA | 95833 | 942668262 | 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 VALLEY MEDICAL FOUNDATION | ||||||||||
| C/O SH TAX 2200 RIVER PLAZA DR | SACRAMENTO | CA | 95833 | 680273974 | HEALTHCARE | 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) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (21 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 | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SURGERY CENTER OF ALTA BATES SMC | ||||||||||||||
| 3875 TELEGRAPH | OAKLAND | CA | 94609 | 470946086 | OUTPATIENT SURG | CA | SUTTER BH | RELATED | $6,986,875 | $7,073,176 | false | $0 | Yes (true) | 0.51865 |
| ALTA CT SERVICES LP | ||||||||||||||
| 175 LENNON | WALNUT CREEK | CA | 94598 | 943083464 | PATIENT CARE | CA | SUTTER BH | RELATED | -$288,804 | $67,242 | false | $0 | Yes (true) | 0.83765 |
| CA PACIFIC ADV IMAG | ||||||||||||||
| PO BOX 6102 | NOVATO | CA | 94598 | 562311840 | MRI JOINT VENTURE | DE | SUTTER BH | RELATED | $954,157 | $618,433 | false | $0 | Yes (true) | 0.51000 |
| SAN FRANCISCO ENDOSCOPY CENTER | ||||||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 912160588 | ENDOSCOPY JV | CA | SUTTER BH | RELATED | $4,014,395 | $1,321,664 | false | $0 | Yes (true) | 0.51000 |
| PRESIDIO SURGERY CENTER LLC | ||||||||||||||
| 1635 DIVISADERO | SAN FRANCISCO | CA | 94115 | 320144060 | AMBULATORY SURG | CA | SUTTER BH | RELATED | $10,323,329 | $6,754,516 | false | $0 | Yes (true) | 0.51000 |
| SUTTER FAIRFIELD SURGERY CENTER LLC | ||||||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 300233892 | SURGERY | CA | NA | |||||||
| SUTTER AMADOR SURGERY CENTER LLC | ||||||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 461398093 | SURGERY | CA | NA | |||||||
| ROSEVILLE ENDOSCOPY CENTER | ||||||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 870710513 | ENDOSCOPY JV | CA | NA | |||||||
| STANISLAUS SURGICAL HOSPITAL LLC | ||||||||||||||
| 1421 OAKDALE ROAD | MODESTO | CA | 95355 | 911754157 | SURGERY | CA | NA | |||||||
| MEMORIAL MEDICAL BUILDING 1 | ||||||||||||||
| 1800 COFFEE RD 76 | MODESTO | CA | 95355 | 770234236 | OFFICE RENTAL | CA | NA | |||||||
| MEMORIAL MEDICAL BUILDING 2 | ||||||||||||||
| 1800 COFFEE RD 76 | MODESTO | CA | 95355 | 770287288 | N/A | CA | NA | |||||||
| MAGNETIC IMAGING AFFILIATES LLC | ||||||||||||||
| 2125 OAK GROVE ROAD | WALNUT CREEK | CA | 94598 | 473696091 | PATIENT CARE | CA | SUTTER BH | RELATED | $2,269,705 | $9,624,724 | false | $0 | Yes (true) | 0.80000 |
| ASC OPERATORS - SANTA ROSA LLC | ||||||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 263386169 | N/A | CA | NA | |||||||
| ASC OPERATORS - SAN LUIS OBISPO LLC | ||||||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 272673776 | PATIENT CARE | CA | NA | |||||||
| LA JOLLA ORTHOPEDIC SURGERY CENTER LLC | ||||||||||||||
| 4120 LA JOLLA VILLAGE DRIVE | LA JOLLA | CA | 92037 | 364397467 | OUTPATIENT SURG | CA | SOS | |||||||
| CARLSBAD SURGERY CENTER LLC | ||||||||||||||
| 6121 PASEO DEL NORTE STE 100 | CARLSBAD | CA | 92011 | 201413484 | OUTPATIENT SURG | CA | SOS | |||||||
| COAST CTR FOR ORTHOPEDIC & ARTHROSCOPIC | ||||||||||||||
| 3444 KEARNY VILLA ROAD | SAN DIEGO | CA | 92123 | 330839637 | OUTPATIENT SURG | CA | SOS | |||||||
| OTAY LAKES SURGERY CENTER LLC | ||||||||||||||
| 955 LANE AVE SUITE 100 | CHULA VISTA | CA | 91914 | 200794766 | OUTPATIENT SURG | CA | SOS | |||||||
| ICG CREDIT OPPORTUNITIES FUND LP | ||||||||||||||
| 11111 SANTA MONICA BLVD SUITE 2100 | LOS ANGELES | CA | 90025 | 814220441 | INVESTMENTS | CA | NA | |||||||
| MADISON INTERNATIONAL GLOBAL VALUE REAL | ||||||||||||||
| 410 PARK AVENUE 10TH FLOOR | NEW YORK | NY | 10022 | 981310251 | INVESTMENTS | NY | NA | |||||||
| SAN FRANCISCO PEDIATRIC VENTURE LLC | ||||||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 454474910 | PATIENT CARE | SUTTER BH | RELATED | -$850 | $790,000 | false | $0 | Yes (true) | 0.50000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUTTER HEALTH DEFERRED COMP PLANS' TRUST | |||||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 276851989 | RABBI TRUST | CA | NA | C CORP | Yes (true) | ||||
| NORTHWOOD EUROPE TE FEEDER LP | |||||||||||||
| 1819 WAZEE ST 2ND FLOOR | DENVER | CO | 90202 | 981272216 | HOLDING COMPA | NA | TRUST | Yes (true) | CJ | ||||
| HEALTH VENTURES INC | |||||||||||||
| 350 HAWTHORNE AVE | OAKLAND | CA | 94609 | 942918780 | HEALTH SERVICES | SUTTER BH | C CORP | Yes (true) | $3,711,722 | $3,258,607 | 1.00000 | ||
| 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 | Yes (true) | 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 (25 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BETTER HEALTH EAST BAY FOUNDATION | ||
| M | $1,971,136 | FMV |
| BETTER HEALTH EAST BAY FOUNDATION | ||
| C | $6,590,379 | FMV |
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | ||
| Q | $4,315,542 | FMV |
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | ||
| M | $8,291,047 | FMV |
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | ||
| C | $16,012,522 | FMV |
| EAST BAY PERINATAL CENTER | ||
| R | $1,932,620 | FMV |
| EAST BAY PERINATAL CENTER | ||
| J | $157,164 | FMV |
| HEALTH VENTURES INC | ||
| P | $1,757,278 | FMV |
| MAGNETIC IMAGING AFFILIATES LLC | ||
| J | $351,771 | FMV |
| MILLS PENINSULA HOSPITAL FOUNDATION | ||
| Q | $6,992,348 | FMV |
| MILLS PENINSULA HOSPITAL FOUNDATION | ||
| M | $2,041,060 | FMV |
| MILLS PENINSULA HOSPITAL FOUNDATION | ||
| C | $7,734,158 | FMV |
| SAMUEL MERRITT UNIVERSITY | ||
| P | $417,424 | FMV |
| SAMUEL MERRITT UNIVERSITY | ||
| J | $3,333,330 | FMV |
| SAN FRANCISCO PEDIATRIC VENTURE LLC | ||
| P | $197,500 | FMV |
| SUTTER INSURANCE SERVICES CORPORATION | ||
| P | $29,562,798 | FMV |
| SUTTER BAY MEDICAL FOUNDATION | ||
| Q | $89,001 | FMV |
| SUTTER BAY MEDICAL FOUNDATION | ||
| J | $9,478,835 | FMV |
| SUTTER BAY MEDICAL FOUNDATION | ||
| C | $1,548,150 | FMV |
| SUTTER BAY MEDICAL FOUNDATION | ||
| B | $298,947 | FMV |
| SUTTER BAY MEDICAL FOUNDATION | ||
| K | $287,638 | FMV |
| SUTTER HEALTH PLAN | ||
| S | $64,130,162 | FMV |
| SUTTER VALLEY HOSPITALS | ||
| Q | $336,522 | FMV |
| SUTTER VISITING NURSE ASSOCIATION & HOSPICE | ||
| P | $193,625 | FMV |
| THE SGRY CTR OF ALTA BATES SUMMIT MEDICAL CTR | ||
| J | $544,648 | FMV |