2018-04-12T20:47:07-05:00 2017-05-01 ERNST & YOUNG US LLP 560 MISSION ST SUITE 1600 SAN FRANCISCO CA 94105 990 2017-01-01 941080917 SUTTER CENTRAL VALLEY HOSPITALS % CARLA WHITE-SNYDER SUTT 9162866665 C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 PAIGE TERRA CFO 9162866665 2018-04-12 true EVA NITTA P01286320 4158948000 164.57.159.253 68127220181025000013 2018-04-12 P 85868073965687212239AA369D140FAEDE3756F9 C8EB7D7F4A43AD7C11A3CC780D94EAED606DA475 2016 2021-01-29 14:40:06Z X JAMES CONFORTI C/O SH TAX 2200 RIVER PLAZA DRIVE MODESTO CA 95355 227861734 false X WWW.SUTTERHEALTH.ORG X 1947 CA SEE SCHEDULE O X 16 13 0 349 26527 -5845 1078144 188663 769848965 227169886 704908 371913 310566 80304 771942583 227810766 1213473 153181 0 0 330267692 111567090 0 0 25511 373045516 117900067 704526681 229620338 67415902 -1809572 459233145 0 279462277 0 179770868 0 X SEE SCHEDULE O false true 211533184 153181 227169886 SEE SCHEDULE O 211533184 true true false false false false false false false 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1.00000 false true true 0 0 X SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS INTENDED USE: THE FUNDS ARE UNRESTRICTED QUASI ENDOWMENT FUNDS FROM TRACY HOSPITAL FOUNDATION AND ARE INTENDED TO FURTHER THE EXEMPT PURPOSE OF THIS FOUNDATION. UPON MERGER WITH SUTTER VALLEY HOSPITALS, ENDOWMENT FUNDS WERE TRANSFERRED TO SUTTER VALLEY HOSPITALS AND REMAIN INTACT. SCHEDULE D, PART X, LINE 2 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 BASES 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 2014 THROUGH 2016 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, 2017 AND 2016, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. THE TAX CUTS AND JOBS ACT (TAX ACT) WAS ENACTED ON DECEMBER 22, 2017. THE TAX ACT REDUCES THE US FEDERAL CORPORATE TAX RATE FROM 35% TO 21%, REQUIRES COMPANIES TO PAY A ONE-TIME TRANSITION TAX ON EARNINGS OF CERTAIN FOREIGN SUBSIDIARIES THAT WERE PREVIOUSLY TAX DEFERRED, CREATES NEW TAXES ON CERTAIN FOREIGN SOURCED EARNINGS, PROVIDES FOR A NEW EXCISE TAX ON CERTAIN COMPENSATION OF EXEMPT ORGANIZATIONS OVER $1 MILLION, AND REQUIRES THE SEPARATE CALCULATION OF UNRELATED BUSINESS TAXABLE INCOME FOR EACH TRADE OR BUSINESS CARRIED ON. AS OF DECEMBER 31, 2017, WE HAVE NOT COMPLETED OUR ACCOUNTING FOR THE TAX EFFECTS OF ENACTING THE TAX ACT, THEREFORE WE CONTINUE TO ACCOUNT FOR THOSE ITEMS BASED ON OUR EXISTING ACCOUNTING UNDER ASC 740, INCOME TAXES, AND THE PROVISIONS OF THE TAX LAWS THAT WERE IN EFFECT IMMEDIATELY PRIOR TO ENACTMENT. WE WILL CONTINUE TO MAKE AND REFINE OUR CALCULATIONS AS ADDITIONAL ANALYSIS IS COMPLETED. IN ADDITION, OUR ESTIMATES MAY ALSO BE AFFECTED AS WE GAIN A MORE THOROUGH UNDERSTANDING OF THE TAX LAW AS WELL AS RECEIVING GUIDANCE FROM THE INTERNAL REVENUE SERVICE ON HOW THESE PROVISIONS APPLY TO TAX-EXEMPT ORGANIZATIONS AND TAXABLE AFFILIATES. true true X true X 400. true true false true true 0 1724810 0 1724810 0.00750 0 66978344 55404956 11573388 0.05040 0 580874 267996 312878 0.00140 0 69284028 55672952 13611076 0.05930 18 4521 404893 1558 403335 0.00180 1 47 10565 917 9648 2 53 1509709 340950 1168759 0.00510 434 110652 0 110652 0.00050 26 4338 969511 0 969511 0.00420 47 9393 3005330 343425 2661905 0.01160 47 9393 72289358 56016377 16272981 0.07090 1 2 20772 0 20772 0.00000 1 2 20772 0 20772 0.00000 false 1548272 49525775 60142685 -10616910 X true true MEMORIAL MED BLDG 1 OFFICE RENTAL 0.50028 0.2496 3 1 MEMORIAL MEDICAL CENTER 1700 COFFEE ROAD MODESTO CA 953552803 www.memorialmedicalcenter.org LICENSE# 030000061 X X X 2 SUTTER TRACY COMMUNITY HOSPITAL 1420 N TRACY BLVD TRACY CA 953763451 www.suttertracy.org LICENSE# 030000105 X X X 3 MEMORIAL HOSPITAL LOS BANOS 520 WEST I STREET LOS BANOS CA 936353419 WWW.MEMORIALLOSBANOS.ORG LICENSE# 040000177 X X X MEMORIAL MEDICAL CENTER 1 false false true X X X X X X X X X 16 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V X X X X X X X true X false X X X X true X false false SUTTER TRACY COMMUNITY HOSPITAL 2 false false true X X X X X X X X X 16 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V X X X X X X X true X false X X X X true X false false MEMORIAL HOSPITAL LOS BANOS 3 false false true X X X X X X X X X 16 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V X X X X X X X true X false X X X X true X false false REPORTING FACILITY: #1, MEMORIAL MEDICAL CENTER SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL MEDICAL CENTER (FACILITY 1): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL MEDICAL CENTER (MMC), A FACILITY OF SUTTER CENTRAL VALLEY 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 THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENTS AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. AD LUCEM CONSULTING CONDUCTED STAKEHOLDER INTERVIEWS WITH SEVEN INDIVIDUALS REPRESENTING A DIVERSITY OF SECTORS INCLUDING: PUBLIC HEALTH, COMMUNITY BASED ORGANIZATIONS, SAFETY NET, EDUCATION AND GOVERNMENT. THE STAKEHOLDERS WERE IDENTIFIED BY MEMORIAL MEDICAL CENTER (MMC) AND KAISER FOUNDATION HOSPITAL (KFH) MODESTO STAFF. ALL INTERVIEWS WERE CONDUCTED BY TELEPHONE IN ENGLISH AND TOOK APPROXIMATELY 30-45 MINUTES TO COMPLETE. THE INTERVIEWS FOLLOWED A STANDARD SET OF INTERVIEW QUESTIONS AND THE INTERVIEWER TOOK DETAILED NOTES DURING THE CALL. AT THE BEGINNING OF THE INTERVIEW, CONFIDENTIALITY WAS ASSURED AND THE RESPONDENTS WERE INVITED TO SKIP QUESTIONS NOT APPLICABLE TO THE RESPONDENT'S EXPERIENCE. INTERVIEW QUESTIONS WERE DEVELOPED BY AD LUCEM CONSULTING WITH INPUT FROM MMC AND KFH MODESTO. FOR THE COMPLETE LIST OF INTERVIEW QUESTIONS, SEE APPENDIX C OF THE CHNA. QUESTIONS ADDRESSED THE FOLLOWING TOPICS: - TOP THREE HEALTH ISSUES IN STANISLAUS COUNTY - FACTORS THAT CONTRIBUTE TO THE TOP HEALTH ISSUES - IMPACTS ON SPECIFIC POPULATIONS (E.G. LOW INCOME, RACIAL/ETHNIC SUBPOPULATIONS) - SUCCESSFUL STRATEGIES AND COMMUNITY ASSETS TO ADDRESS TOP HEALTH ISSUES - OPPORTUNITIES AND ROLE FOR COMMUNITY AND MMC TO ADDRESS TOP HEALTH ISSUES UPON COMPLETION OF EACH INTERVIEW, RESPONSES WERE GROUPED BY QUESTION AND ANALYZED FOR COMMON THEMES ACROSS ALL RESPONDENTS. DATA WERE THEN CODED AND A SET OF RELEVANT THEMES SELECTED. THE CODES WERE SUBSEQUENTLY QUANTIFIED AND TALLIED FOR THEIR PRESENCE IN RESPONSE TO EACH QUESTION. THE NUMBER OF TIMES EACH THEME OCCURRED WAS TABULATED. THE MOST PROMINENT THEMES WERE IDENTIFIED AND INCLUDED IN EACH RELEVANT TOPIC AREA IN THE HEALTH NEEDS PROFILES AND USED TO INFORM BOTH THE IDENTIFICATION AND HEALTH NEED PRIORITIZATION PROCESS. AD LUCEM CONSULTING CONDUCTED EIGHT COMMUNITY RESIDENT FOCUS GROUPS IN FIVE DIFFERENT GEOGRAPHIC AREAS WITHIN THE MMC SERVICE AREA, INCLUDING CERES, PATTERSON, TURLOCK, HUGHSON AND MODESTO. FOUR GROUPS WERE CONDUCTED IN SPANISH, THREE WERE CONDUCTED IN ENGLISH AND ONE WAS CONDUCTED IN SPANISH AND ENGLISH. PARTICIPANTS WERE MALE AND FEMALE ADULTS WHO REPRESENTED UNDERSERVED, LOW-INCOME, AND VARIED ETHNIC COMMUNITIES. POPULATION GROUPS REPRESENTED INCLUDED PROMOTORAS, COMMUNITY SERVICE AGENCY CLIENTS, AND OLDER ADULTS. PARTICIPANTS WERE RECRUITED FROM COMMUNITIES THROUGHOUT THE MMC SERVICE AREA. MMC AND KFH MODESTO STAFF RECRUITED PARTICIPANTS AND ORGANIZED LOGISTICS FOR THE FOCUS GROUPS, INCLUDING PROVIDING INCENTIVES AND REFRESHMENTS. EACH FOCUS GROUP SESSION AVERAGED 90 MINUTES AND WAS FACILITATED BY AD LUCEM CONSULTING. ALL FOCUS GROUPS WERE RECORDED AND THE MODERATOR OR CO-MODERATOR TOOK NOTES. COMMUNITY RESIDENT PARTICIPANTS WERE PROVIDED WITH A MEAL OR SNACK AND RECEIVED A GIFT CARD IN APPRECIATION OF THEIR PARTICIPATION. A FOCUS GROUP GUIDE WAS USED TO ENSURE CONSISTENCY ACROSS GROUPS. THE FOCUS GROUP QUESTIONS WERE DEVELOPED BY AD LUCEM CONSULTING WITH INPUT FROM MMC AND KFH MODESTO. QUESTIONS WERE OPEN-ENDED AND ADDITIONAL PROBING QUESTIONS WERE USED AS NEEDED TO ELICIT MORE IN-DEPTH RESPONSES AND RICHER DETAILS. THE QUESTIONS WERE TRANSLATED INTO SPANISH BY A NATIVE SPANISH-SPEAKER EXPERIENCED IN TRANSLATION; THE GUIDE WAS MODIFIED SLIGHTLY TO MAINTAIN QUESTION FLOW AND INTENT IN SPANISH. AT THE BEGINNING OF EACH FOCUS GROUP SESSION, PARTICIPANTS WERE WELCOMED AND ASSURED ANONYMITY OF THEIR RESPONSES AND IDENTITY. AN OVERVIEW OF THE DISCUSSION WAS PROVIDED AS WELL AS A REVIEW OF DISCUSSION GROUND RULES, SUCH AS "THERE ARE NO RIGHT OR WRONG ANSWERS." FOR THE COMPLETE LIST OF FOCUS GROUP QUESTIONS, SEE APPENDIX D OF THE CHNA. QUESTIONS ADDRESSED THE FOLLOWING TOPICS: 1. VISION FOR A HEALTHY COMMUNITY 2. TOP THREE HEALTH ISSUES IN STANISLAUS COUNTY 3. FACTORS THAT CONTRIBUTE TO THE TOP HEALTH ISSUES 4 SUCCESSFUL STRATEGIES AND COMMUNITY ASSETS TO ADDRESS TOP HEALTH ISSUES AND RESOURCES NEEDED 5. OPPORTUNITIES TO ENGAGE COMMUNITY MEMBERS IN CREATING A HEALTHY COMMUNITY AUDIO RECORDINGS OF THE FOCUS GROUPS WERE TRANSCRIBED VERBATIM BY A PROFESSIONAL TRANSCRIPTION COMPANY. RESPONSES WERE ANALYZED BY KEY QUESTIONS AND THEMES WERE IDENTIFIED AND CODED ACROSS FOCUS GROUPS IN A SYSTEMATIC MANNER. IN REPORTING THE RESULTS, CARE WAS TAKEN TO ENSURE THAT THE VIEWS OF THE PARTICIPANTS WERE VOICED. THE MOST PROMINENT THEMES WERE IDENTIFIED AND INCLUDED IN EACH RELEVANT TOPIC AREA IN THE HEALTH NEEDS PROFILES AND USED TO INFORM BOTH THE IDENTIFICATION AND HEALTH NEED PRIORITIZATION PROCESS. SCHEDULE H, PART V, SECTION B, LINES 6A MEMORIAL MEDICAL CENTER (FACILITY 1): MEMORIAL MEDICAL CENTER AND KAISER FOUNDATION HOSPITAL - MODESTO COLLABORATED ON THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A MEMORIAL MEDICAL CENTER (FACILITY 1): HTTP://WWW.MEMORIALMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T THE PREVIOUS CHNA IS AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T-ARCHIVE SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL MEDICAL CENTER (FACILITY 1): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MEMORIAL MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - HIGH RATE OF OBESITY: HEALTHY EATING, ACTIVE LIVING, DIABETES - MENTAL HEALTH - ACCESS TO CARE - CANCERS - CARDIO VASCULAR DISEASE/STROKE - SUBSTANCE ABUSE AND TOBACCO DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. MEMORIAL 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: - ASTHMA IS AN IDENTIFIED LOW PRIORITY HEALTH NEED THAT MEMORIAL MEDICAL CENTER IS NOT ADDRESSING. THE RATIONALE FOR THIS IS: THERE ARE RESOURCES AVAILABLE THROUGH OUR SISTER AFFILIATE, SUTTER VALLEY MEDICAL FOUNDATION. THEY OFFER EXPERT PHYSICIAN CARE, AN ANNUAL ASTHMA FAIR AND THEY PARTICIPATE ON THE COMMUNITY ASTHMA COALITION. - VIOLENCE - THIS IS A SIGNIFICANT NEED BUT WAS IDENTIFIED AS A "LOW PRIORITY". THE HOSPITAL HAS DECIDED NOT TO ADDRESS THIS AREA AS OUR CITY OFFICIALS AND LAW ENFORCEMENT AS WELL AS THE COMMUNITY ARE ADDRESSING THIS NEED. WE WILL SUPPORT THEIR ENDEAVORS WHENEVER POSSIBLE. - ECONOMIC SECURITY - ALSO IDENTIFIED AS A "LOW PRIORITY" OF THE HEALTH NEEDS IS A MAJOR CONCERN IN OUR COMMUNITY. AS WITH HEALTH NEEDS ASSOCIATED WITH VIOLENCE, THE HOSPITAL HAS DECIDED NOT TO ADDRESS THIS AREA AS OUR GOVERNMENT PROGRAMS ARE ASSISTING CITIZENS TO PROVIDE BASIC NEEDS, FOOD, SHELTER, ETC. WE WILL SUPPORT THEIR ENDEAVORS WHENEVER POSSIBLE. SCHEDULE H, PART V, SECTION B, LINE 15E MEMORIAL MEDICAL CENTER (FACILITY 1): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE - OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C MEMORIAL MEDICAL CENTER (FACILITY 1): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL MEDICAL CENTER WEBSITE AT: HTTP://WWW.MEMORIALMEDICALCENTER.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, SECTION B, LINE 16J MEMORIAL MEDICAL CENTER (FACILITY 1): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PA REPORTING FACILITY: #2, SUTTER TRACY COMMUNITY HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 5 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 2): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER TRACY COMMUNITY HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF RESIDENTS AND LEADERS THROUGH A COMMUNITY SURVEY, KEY INFORMANT INTERVIEWS, AND FOCUS GROUPS. A COMMUNITY SURVEY WAS ADMINISTERED TO 2,927 RESIDENTS OF SAN JOAQUIN COUNTY IN THE PARTICIPANT'S SELF-IDENTIFIED DOMINANT LANGUAGE (ENGLISH OR SPANISH) OR VERBALLY IN OTHER LANGUAGES (HMONG OR CAMBODIAN). APPROXIMATELY 10% OF SURVEYS WERE ADMINISTERED IN SPANISH. THE SURVEY WAS AVAILABLE ONLINE AND IN A PAPER VERSION. AMONG ALL RESPONDENTS, 19.2% WERE UNDER AGE 25 AND 7.2% WERE OVER AGE 60. RESPONDENTS WERE 71.7% FEMALE, 43.0% IDENTIFIED AS LATINO, AND 26.6% SPOKE SPANISH AT HOME. A TOTAL OF 34 INDIVIDUALS IDENTIFIED BY THE CORE PLANNING GROUP AS HAVING VALUABLE KNOWLEDGE, INFORMATION, AND EXPERTISE WERE INTERVIEWED. INTERVIEWEES INCLUDED REPRESENTATIVES FROM THE LOCAL PUBLIC HEALTH DEPARTMENT, AS WELL AS LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND THOSE WITH A CHRONIC DISEASE. OTHER INDIVIDUALS FROM VARIOUS SECTORS WITH EXPERTISE IN LOCAL HEALTH NEEDS WERE ALSO CONSULTED. TO MAXIMIZE RESOURCES AND STRENGTHEN RELATIONSHIPS, ALL INTERVIEWS WERE CONDUCTED BY MEMBERS OF THE CORE PLANNING GROUP. FOR A COMPLETE LIST OF INDIVIDUALS WHO PROVIDED INPUT, SEE APPENDIX F OF THE CHNA. FOR A SUMMARY OF KEY THEMES RELATED TO HEALTH NEEDS THAT AROSE FROM THESE INTERVIEWS, SEE APPENDIX E OF THE CHNA. ADDITIONALLY, 29 FOCUS GROUPS WERE CONDUCTED THROUGHOUT THE COUNTY, REACHING 348 RESIDENTS. TO MAXIMIZE RESOURCES AND LEVERAGE RELATIONSHIPS WITH COMMUNITY GROUPS AND RESIDENTS, THESE GROUPS WERE FACILITATED BY LOCAL VOLUNTEERS WHO HAD BEEN TRAINED BY MIG STAFF. COMMUNITY PARTNERS PROVIDED INVALUABLE ASSISTANCE IN RECRUITING AND ENROLLING FOCUS GROUP PARTICIPANTS. INDIVIDUALS WHO PARTICIPATED IN FOCUS GROUPS INCLUDED LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, CHRONICALLY DISEASED, AND MINORITY POPULATIONS. PARTICIPANTS ALSO REPRESENTED A BREADTH OF GEOGRAPHIC REGIONS, RACIAL/ETHNIC SUBPOPULATIONS, AND AGE CATEGORIES. FOR MORE INFORMATION ABOUT SPECIFIC POPULATIONS REACHED IN FOCUS GROUPS, SEE APPENDIX F OF THE CHNA. FOR A SUMMARY OF KEY THEMES RELATED TO HEALTH NEEDS THAT AROSE FROM THESE FOCUS GROUPS, SEE APPENDIX E OF THE CHNA. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN THE SUTTER CENTRAL VALLEY HOSPITAL CHNA'S ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SCHEDULE H, PART V, SECTION B, LINES 6A & 6B SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 2): THE SAN JOAQUIN COUNTY CHNA WAS A COLLABORATIVE EFFORT THAT INCLUDED SAN JOAQUIN'S NONPROFIT HOSPITALS AND SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, AS WELL AS MANY PARTNER ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COUNTY. THE PROCESS WAS GUIDED BY A STEERING COMMITTEE THAT SUPPORTED AND PROVIDED INPUT ALONG THE WAY, AND WAS LED BY A CORE PLANNING GROUP THAT WAS RESPONSIBLE FOR PLANNING AND KEY DECISION-MAKING, INCLUDING PROVIDING SUBSTANTIAL ASSISTANCE IN DEVELOPING THE DATA COLLECTION INSTRUMENTS, WORKING ALONGSIDE CONSULTANTS TO COLLECT AND ANALYZE DATA, AND ULTIMATELY PRODUCE THIS REPORT. - CORE PLANNING GROUP MEMBERS - COMMUNITY MEDICAL CENTERS - COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN - DAMERON HOSPITAL ASSOCIATION - DIGNITY HEALTH - ST. JOSEPH'S MEDICAL CENTER - FIRST 5 SAN JOAQUIN - HEALTH NET - HEALTH PLAN OF SAN JOAQUIN - KAISER PERMANENTE - SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - SUTTER TRACY COMMUNITY HOSPITAL SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 2): HTTP://WWW.SUTTERTRACY.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T THE PREVIOUS CHNA IS AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T-ARCHIVE SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 2): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER TRACY COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. OBESITY & DIABETES 2. YOUTH GROWTH AND DEVELOPMENT 3. ECONOMIC SECURITY 4. VIOLENCE AND INJURY 5. ACCESS TO HOUSING 6. ACCESS TO MEDICAL CARE 7. MENTAL HEALTH 8. 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 TRACY 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: - EDUCATION: WHEN FURTHER EVALUATING THE DISPARITIES REGARDING HIGH SCHOOL GRADUATION AND DROP-OUT RATES FOR RESIDENTS IN THE HOSPITAL'S SERVICE AREA, IT WAS FOUND THAT LOCAL RESIDENTS ARE PERFORMING BETTER THAN NEIGHBORS THROUGHOUT THE SAN JOAQUIN COUNTY IN GENERAL. TRACY UNIFIED SCHOOL DISTRICT DATA NOTES A SIGNIFICANT REDUCTION IN DROP-OUT RATES AND AN INCREASE IN GRADUATION RATES WITHIN THE LAST THREE YEARS, AND METRICS ARE BETTER THAN STATE RATES. BASED ON THESE FINDINGS, THERE IS NO NEED FOR THE HOSPITAL TO IMPLEMENT PLANS TO ADDRESS THIS NEED. - SUBSTANCE USE: ALTHOUGH THE HOSPITAL DOES NOT HAVE A SPECIFIC STRATEGY TO CONFRONT THIS HEALTH ISSUE HEAD ON, IT DOES INTEND TO INDIRECTLY ADDRESS THE PRIORITY FINDING THROUGH THE VARIOUS OTHER INTERVENTIONS AS MENTIONED IN THIS REPORT. MANY OF THE STRATEGIES IN THIS PLAN LOOK TO PROVIDE WHOLE-PERSON CARE, AND WILL OFFER REFERRALS TO SUBSTANCE ABUSE RESOURCES TO INDIVIDUALS AS NECESSARY. - ASTHMA/AIR QUALITY: DUE TO LIMITED RESOURCES AND ABILITY TO IMPACT ENVIRONMENTAL POLICIES, THE HOSPITAL DOES NOT INTEND TO DIRECTLY ADDRESS THIS HEALTH ISSUE. HOWEVER, COMMUNITY BENEFIT STAFF WILL REMAIN ENGAGED IN BUILDING AWARENESS, INCREASING PREVENTION, AND GROWING EDUCATIONAL OPPORTUNITIES THROUGH INVOLVEMENT IN THE SAN JOAQUIN COUNTY CHRONIC DISEASE AND OBESITY TASKFORCE - ASTHMA AND COPD SUBCOMMITTEE. SCHEDULE H, PART V, SECTION B, LINE 15E SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 2): 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 TRACY COMMUNITY HOSPITAL (FACILITY 2): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER TRACY COMMUNITY HOSPITAL WEBSITE AT: HTTP://WWW.SUTTERTRACY.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, SECTION B, LINE 16J SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 2): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. 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. ON AN ANNUAL BASIS SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 2): 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 REPORTING FACILITY: #3, MEMORIAL HOSPITAL LOS BANOS SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL HOSPITAL LOS BANOS (FACILITY 3): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL HOSPITAL LOS BANOS DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY MEMORIAL HOSPITAL LOS BANOS; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS REPRESENTED IN THIS PROCESS WERE ASKED TO EVALUATE HEALTH NEEDS SPECIFICALLY IN THE LOS BANOS AREA. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 79 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS OR MEDICALLY UNDERSERVED POPULATIONS. SCHEDULE H, PART V, SECTION B, LINE 6A MEMORIAL HOSPITAL LOS BANOS (FACILITY 3): MEMORIAL HOSPITAL LOS BANOS AND MERCY MEDICAL CENTER MERCED COLLABORATED ON THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A MEMORIAL HOSPITAL LOS BANOS (FACILITY 3): HTTP://WWW.MEMORIALLOSBANOS.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T THE PREVIOUS CHNA IS AVAILABLE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T-ARCHIVE SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL HOSPITAL LOS BANOS (FACILITY 3): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT MEMORIAL HOSPITAL LOS BANOS INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 2. ACCESS TO HEALTHCARE SERVICES 3. MENTAL HEALTH 4. DIABETES 5. INJURY AND VIOLENCE 6. IMMUNIZATION & INFECTIOUS DISEASES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH ADDITIONAL EFFORTS ON BEHALF OF MEMORIAL HOSPITAL LOS BANOS. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MEMORIAL HOSPITAL LOS BANOS 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: - HEART DISEASE AND STROKE - AT THIS TIME MHLB DOES NOT HAVE SPECIFIC STRATEGIES TO INCREASE SERVICES OR PROGRAMS TO ADDRESS THIS NEED. MHLB CURRENTLY HAS PHYSICIANS AND DIAGNOSTIC SERVICES FOCUSED ON HEART DISEASE AND STROKE. - SUBSTANCE ABUSE - WHILE THERE IS NOT A CURRENT STRATEGY TO ADDRESS SUBSTANCE ABUSE, PROGRAMS AND/OR SERVICES OFFERED THROUGH THE MENTAL HEALTH STRATEGIES MAY ADDRESS THIS ISSUE. - ORAL HEALTH - THIS NEED IS CURRENTLY BEING ADDRESSED BY OTHER FACILITIES IN THE COMMUNITY. - RESPIRATORY DISEASES - A RELATIVELY LOW PRIORITY WAS ASSIGNED TO THIS NEED BY THE COMMUNITY. - CANCER - A RELATIVELY LOW PRIORITY WAS ASSIGNED TO THIS NEED AND MHLB CURRENTLY DOES NOT HAVE FACULTY WITH THE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED. - DEMENTIA, INCLUDING ALZHEIMER'S DISEASE - A RELATIVELY LOW PRIORITY WAS ASSIGNED TO THIS NEED. - POTENTIALLY DISABLING CONDITIONS - A RELATIVELY LOW PRIORITY WAS ASSIGNED TO THIS NEED. SCHEDULE H, PART V, SECTION B, LINE 15E MEMORIAL HOSPITAL LOS BANOS (FACILITY 3): 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 MEMORIAL HOSPITAL LOS BANOS (FACILITY 3): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL HOSPITAL LOS BANOS WEBSITE AT: HTTP://WWW.MEMORIALLOSBANOS.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, SECTION B, LINE 16J MEMORIAL HOSPITAL LOS BANOS (FACILITY 3): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. ON AN ANNUAL BASIS SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 22D MEMORIAL HOSPITAL LOS BANOS (FACILITY 3): 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. 3 MHLB RURAL HEALTH CLINIC 400 WEST I STREET SUITE C LOS BANOS CA 93635 RURAL HEALTH CLINIC MEMORIAL SURGERY CENTER 1401 SPANOS COURT MODESTO CA 95355 OUTPATIENT SERVICES SUTTER TRACY HOSPITAL IMAGING CENTER 1530 BESSIE AVENUE SUITE 109 TRACY CA 95376 OUTPATIENT SERVICES SCHEDULE H, PART I, LINE 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 PATIENT'S FAMILY INCOME. SCHEDULE H, PART I, LINE 3B SUTTER CENTRAL VALLEY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE AND THEREFORE, PROVIDES FREE CARE AT A HIGH PERCENTAGE OF FPG. IT DOES NOT PROVIDE DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: MEMORIAL MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2017. SUTTER TRACY 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. SUTTER TRACY COMMUNITY HOSPITAL SUPPORTS COALITION BUILDING EFFORTS ACROSS THE COMMUNITY INCLUDING THE HEALTHIER COMMUNITY COALITION (HCC). THE HCC IS A COALITION CHARGED WITH DEVELOPING THE HEALTH IMPROVEMENT EFFORTS IN SAN JOAQUIN COUNTY. MEMORIAL HOSPITAL LOS BANOS DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2017. SCHEDULE H, PART III, LINE 2 METHODOLOGY FOR CALCULATING BAD DEBT (AT COST): THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE: AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE. SCHEDULE H, PART III, LINE 4 AUDIT FOOTNOTE: THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. PROVISION FOR BAD DEBTS IS LISTED ON A SEPARATE LINE ITEM IN THE FINANCIAL STATEMENTS. THE AUDIT DOES INCLUDE A FOOTNOTE FOR PATIENT SERVICE REVENUES LESS PROVISION FOR BAD DEBTS. PATIENT SERVICE REVENUE FOOTNOTE: PATIENT SERVICE REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT PROGRAMS WITH THIRD-PARTY PAYERS. ESTIMATED SETTLEMENTS UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, PRIMARILY AS A RESULT OF FINAL COST REPORT SETTLEMENTS WITH GOVERNMENTAL AGENCIES. PATIENT SERVICE REVENUES LESS PROVISION FOR BAD DEBTS ARE REPORTED NET OF THE PROVISION FOR BAD DEBTS ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. SUTTER'S SELF-PAY WRITE-OFFS WERE $189 MILLION AND $204 MILLION FOR 2017 AND 2016, RESPECTIVELY. 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 MEMORIAL 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 TRACY COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2016 - 2018 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MEMORIAL HOSPITAL LOS BANOS: 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 HOSPITAL'S SERVICE AREA. IN ADDITION, ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. INFORMATION PROVIDED TO PATIENTS DURING THE PROVISION OF HOSPITAL SERVICES: A. DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND IDENTIFY THE DEPARTMENT THAT PATIENTS CAN VISIT TO RECEIVE INFORMATION ABOUT, AND ASSISTANCE WITH APPLYING FOR, FINANCIAL ASSISTANCE. B. FINANCIAL ASSISTANCE COUNSELORS: PATIENTS WHO MAY BE UNINSURED PATIENTS SHALL BE ASSIGNED FINANCIAL COUNSELORS, WHO SHALL VISIT WITH THE PATIENTS IN PERSON AT THE HOSPITAL, PROVIDE PATIENTS A FINANCIAL ASSISTANCE APPLICATION, ASSIST WITH THE APPLICATION PROCESS, AND PROVIDE A CONTACT INFORMATION FOR THE PATIENT TO CALL FOR QUESTIONS. C. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITALS SHALL PROVIDE ALL PATIENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. D. APPLICATIONS PROVIDED AT DISCHARGE: AT THE TIME OF DISCHARGE, HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. E. INFORMATION PROVIDED TO PATIENTS AT OTHER TIMES: 1. CONTACT INFORMATION WHICH INCLUDES A PHONE NUMBER AND HOSPITAL DEPARTMENT TO OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE AND ASSISTANCE WITH THE APPLICATION PROCESS. 2. BILLING STATEMENTS: BILLING STATEMENTS PROVIDED TO PATIENTS SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, A PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS ABOUT FINANCIAL ASSISTANCE, AND THE WEBSITE ADDRESS WHERE PATIENTS CAN OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE APPLICATION FOR FINANCIAL ASSISTANCE. 3. UPON REQUEST: HOSPITALS SHALL PROVIDE PATIENTS WITH PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST AND WITHOUT CHARGE. F. PUBLICITY OF FINANCIAL ASSISTANCE INFORMATION 1. PUBLIC POSTING: HOSPITALS SHALL POST COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN A PROMINENT LOCATION IN THE EMERGENCY ROOM, ADMISSIONS AREA, AND ANY OTHER LOCATION IN THE HOSPITAL WHERE THERE IS A HIGH VOLUME OF PATIENT TRAFFIC, INCLUDING BUT NOT LIMITED TO THE WAITING ROOMS, BILLING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS. THESE PUBLIC NOTICES SHALL INCLUDE INFORMATION ABOUT THE RIGHT TO REQUEST AN ESTIMATE OF FINANCIAL RESPONSIBILITY FOR SERVICES. 2. WEBSITE: THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE IN A PROMINENT PLACE ON THE SUTTER HEALTH WEBSITE (WWW.SUTTERHEALTH.ORG) AND ON EACH INDIVIDUAL HOSPITAL'S WEBSITE. PERSONS SEEKING INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL NOT BE REQUIRED TO CREATE AN ACCOUNT OR PROVIDE ANY PERSONAL INFORMATION BEFORE RECEIVING INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. MAIL: PATIENTS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY BE SENT BY MAIL, AT NO COST TO THE PATIENT. 4. ADVERTISEMENTS/PRESS RELEASES: AS NECESSARY AND ON AT LEAST AN ANNUAL BASIS, SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT HOSPITALS IN THE PRINCIPAL NEWSPAPER(S) IN THE COMMUNITIES SERVED BY SUTTER HEALTH, OR WHEN DOING SO IS NOT PRACTICAL, SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THIS INFORMATION, OR USE OTHER MEANS THAT SUTTER HEALTH CONCLUDES WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY TO AFFECTED PATIENTS IN OUR COMMUNITIES. 5. COMMUNITY AWARENESS: SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY (ESPECIALLY THOSE WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: MEMORIAL MEDICAL CENTER: SUTTER HEALTH MEMORIAL MEDICAL CENTER IS LOCATED IN MODESTO, CALIFORNIA, AND ITS SERVICE AREA INCLUDES THE CITIES OF CERES, HUGHSON, MODESTO, NEWMAN, OAKDALE, PATTERSON, RIVERBANK, TURLOCK AND WATERFORD. THE SERVICE AREA INCLUDES ALL OF STANISLAUS COUNTY, MAKING STANISLAUS COUNTY DATA A GOOD PROXY FOR DATA FOR THE SHMMC AREA. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. THE DEMOGRAPHICS INCLUDE A TOTAL POPULATION OF 518,321 CITIZENS, WITH 76.51% WHITE (INCLUDING HISPANIC), 2.82% BLACK, 5.28% ASIAN, AND OF THAT POPULATION, 42.5% LATINO. THE POPULATION DENSITY IS MUCH HIGHER IN STANISLAUS COUNTY THAN CALIFORNIA AS A WHOLE. 44.19% LIVE IN POVERTY, 28.32% CHILDREN ARE LIVING IN POVERTY, 10.4% ARE UNEMPLOYED, 17.84% ARE UNINSURED AND 23.59% HAVE NOT GRADUATED FROM HIGH SCHOOL. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA, WITH SOURCES, IS AVAILABLE IN THE MEMORIAL MEDICAL CENTER'S 2016 CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T SUTTER TRACY COMMUNITY HOSPITAL: EACH HOSPITAL PARTICIPATING IN THE SAN JOAQUIN CHNA DEFINES ITS HOSPITAL SERVICE AREA TO INCLUDE ALL INDIVIDUALS RESIDING WITHIN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL. WHILE EACH HOSPITAL SERVES SPECIFIC GEOGRAPHIC REGIONS OF THE COUNTY, FOR THE PURPOSE OF COLLABORATION IN THE CHNA, ALL OF SAN JOAQUIN COUNTY IS INCLUDED. WHEN CONSIDERING THE SPECIFIC SERVICE AREA OF SUTTER TRACY COMMUNITY HOSPITAL, THE LOCATIONS ARE IDENTIFIED BASED ON THE PERCENTAGE OF RESIDENTS ACCESSING THE HOSPITAL AS WELL AS THE GEOGRAPHIC LOCATION OF THE CITIES SITUATED WITHIN A 15 MILE RADIUS OF THE HOSPITAL. THIS INCLUDES THE SAN JOAQUIN COUNTY CITIES OF TRACY, MOUNTAIN HOUSE, BANTA, LATHROP AND MANTECA. THERE ARE FIVE HOSPITALS THAT SERVE THE COMMUNITY. ALTHOUGH TRACY, MANTECA AND LATHROP CITIES SCORE HIGHER THAN SOME OTHER PARTS OF THE COUNTY IN THE HUMAN DEVELOPMENT INDEX (HDI), THEY STILL FALL BELOW THE CALIFORNIA AVERAGE. THE HDI SCORE FOR THIS AREA IS 5.05 COMPARED TO THE CALIFORNIA SCORE OF 5.39. TRACY AND MANTECA HAVE MANY OF THE SAME PRIORITY HEALTH NEEDS AS SAN JOAQUIN COUNTY OVERALL. FURTHER ANALYSIS OF THE DATA REVEALED TEN SPECIFIC COMMUNITIES OF CONCERN, INCLUDING ZIP CODE 95376 (TRACY). ZIP CODE 95376 IS HOME TO 49,859 RESIDENTS. WITHIN THIS ZIP CODE, 62% OF THE POPULATION WERE CONSIDERED NON-WHITE OR HISPANIC. 8.2% WERE UNINSURED AND 13.8% DID NOT HAVE HEALTH INSURANCE. 17% OF INDIVIDUALS OVER THE AGE OF 25 DID NOT HAVE A HIGH SCHOOL DIPLOMA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE HOSPITAL CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T MEMORIAL HOSPITAL LOS BANOS: THE HOSPITAL SERVICE AREA IS DEFINED AS THE GEOGRAPHIC AREA THAT IS SERVED BY THE HOSPITAL. THERE ARE NO HOSPITALS THAT SERVE THE COMMUNITY. MEMORIAL HOSPITAL LOS BANOS IS THE ONLY FULL SERVICE HOSPITAL WITHIN 35 MILES. THE COMMUNITIES THAT FALL WITHIN THIS RANGE ARE THE CITIES OF LOS BANOS, DOS PALOS, AND GUSTINE (WHICH INCLUDES SANTA NELLA). THIS AREA HAS A TOTAL POPULATION OF 57,796 AND 66.3% OF THE RESIDENTS ARE HISPANIC OR LATINO. A TOTAL OF 13.7% OF THE MERCED COUNTY POPULATION AGE 5 OR OLDER LIVE IN A HOME WITH NO PERSON AGE 14 OR OLDER WHO ARE PROFICIENT IN ENGLISH. IN THE MHLB SERVICE AREA 29.3% OF THE RESIDENTS LIVE BELOW THE POVERTY LEVEL AND 35.8% DO NOT HAVE A HIGH SCHOOL EDUCATION. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA, WITH SOURCES, IS AVAILABLE IN THE MEMORIAL HOSPITAL LOS BANOS 2016 CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMEN T 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. MEMORIAL MEDICAL CENTER THE 2016-2018 IMPLEMENTATION STRATEGY FOR MEMORIAL 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. BOYS AND GIRLS CLUBS SAVE AND CHANGE THE LIVES OF CHILDREN AND TEENS, ESPECIALLY THOSE WHO NEED IT MOST BY PROVIDING A SAFE, POSITIVE, AND ENGAGING ENVIRONMENT AND PROGRAMS THAT PREPARE AND INSPIRE THEM TO ACHIEVE GREAT FUTURES. THE HEALTHY LIFE STYLES SERVICES ARE NOW EXPANDED TO STUDENTS RESIDING IN THREE SCHOOL DISTRICTS: MODESTO CITY, STANISLAUS UNION AND SYLVAN UNION SCHOOL DISTRICTS. THROUGHOUT THE 2015 - 2016 SCHOOL YEAR, 978 STUDENTS ATTENDED THE CLUBS EACH DAY WITH 75% OF THOSE STUDENTS ENGAGING IN PHYSICAL ACTIVITY AND 66% DISPLAYING GOOD CITIZENSHIP SKILLS. THE VALLEY CONSORTIUM FOR MEDICAL EDUCATION TRAINS PHYSICIANS IN PRIMARY CARE AT MEMORIAL MEDICAL CENTER'S FACILITIES. THE TRAINING PROGRAM INCREASES ACCESS TO CARE FOR UNINSURED PATIENTS THROUGH THE USE OF THESE MEDICAL INTERNS. IN 2016, THERE WERE 31 PHYSICIANS ENROLLED IN THE TRAINING PROGRAM WHO SAW 26,016 PATIENTS AND DELIVERED 3,524 BABIES. THE STANISLAUS COUNTY OFFICE OF EDUCATION'S PROGRAM, AN EXTRA HELPING OF HEALTHY IN AFTER SCHOOL, IS FOCUSED ON INCREASING KNOWLEDGE OF HEALTHY EATING AND PHYSICAL ACTIVITY BY LESSONS AND CURRICULUM IMPLEMENTED INTO PROGRAMS WITH THE GOAL OF REDUCING OBESITY IN STUDENTS WHO ATTEND AFTER SCHOOL PROGRAMS. IN THE 2015 - 2016 SCHOOL YEAR, 3,500 STUDENTS PARTICIPATED IN THE PROGRAM ON A DAILY BASIS WITH AN EMPHASIS ON PHYSICAL ACTIVITY AND NUTRITION. 24 NUTRITION COURSES WERE PRESENTED. OF THE 38 PROGRAM SITES, 15 HAVE WORKING GARDENS TO HELP STUDENTS UNDERSTAND WHERE FOOD COMES FROM AND MAKE HEALTHIER CHOICES. THE CENTER FOR HUMAN SERVICES SUTTER HEALTH PROMOTORA PROJECT PROMOTES THE PROPER USE OF HEALTH SYSTEMS AND CONCENTRATES ON HEALTH PREVENTION STRATEGIES. IN 2016, THE PROGRAM HAD 3,778 UNIQUE ENCOUNTERS WITH COMMUNITY MEMBERS AND PRESENTED 105 CLASSES. HEALTH SCREENINGS WERE PROVIDED TO 200 INDIVIDUALS, 178 PEOPLE WERE CONNECTED TO MENTAL HEALTH SERVICES AND 450 WERE CONNECTED TO SOCIAL SERVICES. GROWING HEALTHY HABITS, A PROGRAM OF THE MODESTO CITY SCHOOL DISTRICT IS FOCUSED ON INCREASING KNOWLEDGE OF GOOD NUTRITION AND THE IMPORTANCE OF EXERCISE TO STUDENTS ATTENDING AFTER SCHOOL PROGRAMS. IN 2016, 14 AFTER SCHOOL STAFF WERE TRAINED ON THE CURRICULUM AND 40 SESSIONS WERE TAUGHT AT EACH SCHOOL SITE FOR A TOTAL OF 120 LESSONS. ADDITIONALLY, 345 STUDENTS PARTICIPATED IN A RUNNING CLUB AND 101 PARENTS PARTICIPATED IN EDUCATIONAL CLASSES. THE PROTECTING HEALTH AND SLAMMING TOBACCO YOUTH COALITION'S GOAL IS TO REDUCE THE USE OF TOBACCO BY YOUTH IN STANISLAUS COUNTY THROUGH EDUCATION ABOUT THE ADDICTIVE ASPECTS OF TOBACCO AND INCREASING HEALTHY ENVIRONMENTS IN STANISLAUS COUNTY. IN 2016, 4,200 TEENS RECEIVED INFORMATION FROM FORMAL PROGRAM PRESENTATIONS. ADDITIONALLY, THERE WERE 102 PEER PRESENTATIONS REACHING 3,171 STUDENTS. SUTTER TRACY COMMUNITY HOSPITAL THE 2016-2018 IMPLEMENTATION STRATEGY FOR SUTTER TRACY COMMUNITY HOSPITAL 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. THE MOBILE FRESH PROJECT OF THE SECOND HARVEST FOOD BANK AIMS TO INCREASE ACCESS, CONCEPTION AND KNOWLEDGE OF FRESH FRUITS AND VEGETABLES. IN 2016 THE PROGRAM ACHIEVED THE FOLLOWING: - OBJECTIVE 1: MOBILE FRESH HAS SURPASSED THE GOAL OF SERVING 1,000 PARTICIPANTS, SERVING 1,679 PEOPLE (UNDUPLICATED, NOT INCLUDING HOUSEHOLD MEMBERS). - OBJECTIVE 2: PARTICIPANTS HAVE RECEIVED A TOTAL OF 218,299 POUNDS OF SUPPLEMENTAL FOOD, INCLUDING 129,816 POUNDS OF FRESH FRUITS AND VEGETABLES. - OBJECTIVE 3: PARTICIPANTS HAVE RECEIVED 11,606 NUTRITION HANDOUTS. A SAMPLE OF 392 PARTICIPANT'S END OF YEAR SURVEYS SHOWED 99% FELT MOBILE FRESH HAS HELPED THEM ACCESS MORE FRESH PRODUCE, 98% FELT THE FREE FOOD HELPED STRETCH THEIR FOOD BUDGET, 96% FELT EATING FRESH FRUITS AND VEGETABLES HELPED IMPROVE THEIR HEALTH. TRACY VOLUNTEER CAREGIVERS TRANSPORTATION SERVICES PROGRAM HAS A GOAL TO PROVIDE FREE TRANSPORTATION SERVICES TO OUR CLIENTS, SENIORS AND THE CHRONICALLY ILL OR DISABLED IN ORDER FOR THEM TO SUSTAIN AND IMPROVE THEIR QUALITY OF LIFE AND REMAIN INDEPENDENT FOR AS LONG AS POSSIBLE USING SCREENED AND TRAINED VOLUNTEERS FROM THE COMMUNITY. IN 2016, THE PROGRAM HAD 703 ENCOUNTERS, PROVIDED 338 RIDES AND AVERAGED 70 TRIP HOURS PER MONTH. ADDITIONALLY, 18 PRESCRIPTIONS WERE FILLED AND 12 NEW CLIENTS WERE SIGNED UP. COMMUNITY MEDICAL CENTERS TRAUMA INFORMED CARE PROGRAM GOAL IS TO IMPROVE THE CARE CONTROL OF DIABETES FOR PEOPLE AGE 18-75 WHO HAVE EXPERIENCED CHILDHOOD TRAUMA OR ADVERSE CHILDHOOD EXPERIENCES. OUTCOMES FOR 2016 WERE AS FOLLOWS: OBJECTIVE 1: WE WERE SUCCESSFUL IN PROVIDING INITIAL TREATMENT FOR THE ENTIRE TRACY CLINIC STAFF IN THE FORM OF CLINIC WIDE TRAINING ON TIC FOR ALL STAFF INCLUDING MANAGERS, FRONT STAFF, MA'S AND PROVIDERS. WE IDENTIFIED TWO CARE TEAMS WHO RECEIVED A 2-HOUR TRAINING ON TIC. OBJECTIVE 2: 98 HIGH RISK PATIENTS WERE IDENTIFIED, SCREENED WITH ACE INSTRUMENT AND PROVIDED WITH TIC INFORMATION. 65 PRESENTED WITH POSITIVE ACE SCORE AND REFERRED FOR SERVICES. OBJECTIVE 3: 163 MODERATE-RISK PATIENTS WERE IDENTIFIED AND SCHEDULED FOR FOLLOW UP APPOINTMENTS WITH PCP OR BH. 115 WERE PROVIDED TIC INFORMATION AND 89 WERE ASSESSED WITH ACE INSTRUMENT AND REFERRED FOR SERVICES. 62 PATIENTS PRESENTED WITH POSITIVE ACE SCORE AND WERE REFERRED FOR SERVICES. OBJECTIVE 4: 41 OUT OF 65 HIGH RISK PATIENTS PRESENTED WITH DECREASED A1C AFTER TREATMENT. 31 OUT OF 62 MODERATE RISK PATIENTS PRESENTED WITH DECREASED A1C. THE GOAL OF THE SOW A SEED COMMUNITY FOUNDATION'S BRIGHT FUTURE'S YOUTH DEVELOPMENT PROGRAM IS TO IMPROVE OUTCOMES FOR YOUTH AND THEIR FAMILIES BY PROVIDING MORE ACCESS TO MENTAL/BEHAVIORAL HEALTH, SOCIAL/EMOTIONAL DEVELOPMENT AND ACCESS TO SAFE ACTIVITIES. IN 2016, THE PROGRAM HAD 368 ENCOUNTERS, PRESENTED 18 CLASSES, PROVIDED 42 WARM HAND-OFFS, CONNECTED 38 TO MENTAL HEALTH SERVICES AND PROVIDED CASE MANAGEMENT TO 38 PARTICIPANTS. TOTAL UNDUPLICATED SERVED WAS 39% MORE THAN ANTICIPATED (278 VS. 200). GIVE EVERY CHILD A CHANCE'S HEALTHY HORIZON'S PROGRAM AIMS TO EDUCATE YOUTH, STAFF AND STUDENTS ON THE IMPORTANCE OF MAKING HEALTHY CHOICES AND LIVING A HEALTHY LIFESTYLE. IN 2016, THE PROGRAM WAS PRESENTED AT 12 SITES. TRAINING WAS PROVIDED FOR NEARLY 100 STAFF MEMBERS. 80% REPORTED FEELING BETTER PREPARED TO PLAN MEANINGFUL HEALTH LESSONS WITH PHYSICAL ACTIVITY AFTER THE TRAINING. 2,127 STUDENTS WERE SERVED, 837 STUDENTS WERE EVALUATED AND 85 CLASSES WERE PROVIDED. THE MCHENRY HOUSE TRACY FAMILY SHELTER HAS A FAMILY CRISIS INTERVENTION PROGRAM. THE GOAL OF THE PROGRAM IS TO PROVIDE AND MAINTAIN QUALITY SERVICES TO HOMELESS FAMILIES AT THE SHELTER WHO ARE WORKING TO BECOME SELF-SUFFICIENT. IN 2016, THE SHELTER PROVIDED 7,964 NIGHTS OF SHELTER, WHICH AVERAGES 80 DAYS PER FAMILY. 21 NUTRITION CLASSES WERE PROVIDED AND 22 COUNSELING SESSIONS. 35 FAMILIES SUCCESSFULLY COMPLETED THE PROGRAM WHICH MEANS THEY SECURED A JOB, SAVED 90% OF THEIR INCOME, CHILDREN WERE ENROLLED IN SCHOOL AND THE FAMILIES FOUND A PLACE TO LIVE. COALITION OF TRACY CITIZENS TO ASSIST THE HOMELESS HAS A FOCUS OF HELPING TO SUPPORT THE SUSTAINABILITY AND EXPANSION OF EMERSON HOUSE, A SUPPORTIVE LIVING FACILITY FOR HOMELESS ADULTS, SENIOR AND DISABLED MEN IN TRACY. IN 2016, 19 NEW MEN WERE ADMITTED TO THE HOME, 10 WERE CONNECTED TO A PRIMARY CARE PHYSICIAN AND 5 ENROLLED IN HEALTH CARE. THE PROGRAM PROVIDES 35 PRESCRIPTIONS PER MONTH AND CASE MANAGES 19 MEN. MEMORIAL HOSPITAL LOS BANOS THE 2016-2018 IMPLEMENTATION STRATEGY FOR MEMORIAL HOSPITAL LOS BANOS 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. THE HEALTH INSURANCE ENROLLMENT PROGRAM PROVIDES UNINSURED HOSPITAL PATIEN 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, WE'RE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. THE HOSPITAL'S 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, WE'RE 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 MORE THAN $4 BILLION TO CARE FOR PATIENTS WHO COULDN'T AFFORD TO PAY, AND TO SUPPORT PROGRAMS THAT IMPROVE COMMUNITY HEALTH. OUR 2016 COMMITMENT OF $669 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 2016, SUTTER HEALTH INVESTED $388 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS. MEDI-CAL ACCOUNTED FOR 19 PERCENT OF SUTTER HEALTH'S GROSS PATIENT SERVICE REVENUES IN 2016. SUTTER HEALTH HOSPITALS PROUDLY SERVE MORE MEDI-CAL PATIENTS IN OUR NORTHERN CALIFORNIA SERVICE AREA THAN ANY OTHER HEALTHCARE PROVIDER. - 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 CHILDREN'S 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 true VALLEY CONSORTIUM FOR MEDICAL EDUCATION 1400 FLORIDA AVE STE 200 MODESTO CA 95350 270506209 501(C)(3) 124581 GENERAL SUPPORT DENTISTS ORGANIZED FOR VETERANS 35 QUAIL CT STE 304 WALNUT CREEK CA 94596 464819872 501(C)(3) 25000 GENERAL SUPPORT 2 SCHEDULE I, PART I, LINE 2 IN ORDER TO CLOSELY MONITOR EFFICIENCY AND EFFECTIVENESS, THE COMMUNITY BENEFIT FUNCTION OUTLINES MEASURABLE REPORTING (QUARTERLY, SIX-MONTH AND/OR YEAR-END), PROGRAM AND FUNDING REQUIREMENTS IN A MEMORANDUM OF UNDERSTANDING (MOU), BUSINESS SERVICES AGREEMENT (BSA), OR JOINT VENTURE AGREEMENT FOR EACH INVESTMENT MADE WITH A COMMUNITY PARTNER. WHERE IT IS DETERMINED NECESSARY, ADDITIONAL EFFORTS ARE MADE TO MONITOR EFFECTIVENESS AND EFFICIENCY OF INVESTMENTS, WHICH COULD INCLUDE: - QUARTERLY MEETINGS WITH COMMUNITY PARTNERS - E-MAIL AND TELEPHONIC COMMUNICATIONS WITH COMMUNITY PARTNERS - CONTINUED DIALOGUE WITH INVOLVED HOSPITAL STAFF AND COMMUNITY PARTNERS THROUGHOUT DURATION OF PROGRAM - SITE VISITS WITH COMMUNITY PARTNERS - BI-ANNUAL "OUTCOMES" SURVEY (6-MONTH AND YEAR-END OUTCOMES) - REVIEW OF HOSPITAL USAGE AND PATIENT LEVEL DATA - COLLECTION OF PATIENT STORIES AND NARRATIVES - COLLABORATIVE DISCUSSIONS AROUND AD-HOC SUCCESSES AND CHALLENGES THAT ARISE - REPORTING TO INCLUDE YEAR-END FINANCIAL SUMMARY THAT COMPARES ACTUAL EXPENDITURES TO THE FUNDED PROJECT'S BUDGET, INDICATING ANY UNUSED AMOUNT OF GRANT FUNDS. AT THE END OF 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 NOT 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. X true true X X X X true true false false false false false true false JAMES CONFORTI PRESIDENT, SH VALLEY AREA 0 257581 0 265106 0 119739 0 221645 0 7890 0 871961 0 231101 PETER HULL MD TRUSTEE/CME SVH 0 110282 0 0 0 2017 0 42158 0 5932 0 160389 0 0 SARAH KREVANS PRESIDENT & CEO SUTTER HEALTH 0 560576 0 803492 0 74194 0 846170 0 8568 0 2293000 0 432381 PAIGE TERRA CFO VALLEY AREA 0 162342 0 114917 0 10070 0 83092 0 6616 0 377037 0 56283 PENNY WESTFALL CHIEF LEGAL OFFICER, VA/SEC. 0 132157 0 101057 0 12430 0 66545 0 2820 0 315009 0 50518 DOUG ARCHER ADMIN, MHLB 0 83273 0 36459 0 3308 0 33068 0 5676 0 161784 0 15663 GRANT DAVIES CEO, VALLEY AREA HOSPITALS 0 221461 0 206096 0 26329 0 139716 0 7733 0 601335 0 106666 DARYN KUMAR CEO, MEMORIAL MEDICAL CTR. 0 148811 0 106115 0 14974 0 61145 0 5498 0 336543 0 60411 DAVID M THOMPSON CEO, STCH & MHLB 0 127951 0 112977 0 17574 0 74501 0 6677 0 339680 0 61345 ASIT GOKLI MD CMO VALLEY AREA 0 163561 0 127386 0 63458 0 82936 0 5523 0 442864 0 116915 BRUCE R LAVERTY MD CME, MMC 0 110430 0 33300 0 1164 0 44374 0 4578 0 193846 0 9960 JOHN B MESIC MD PHYS EXEC, SH VALLEY AREA 0 197822 0 158187 0 25451 0 115101 0 5452 0 502013 0 69440 JEFFREY D SZCZESNY VP, HR, VALLEY AREA 0 123869 0 91647 0 11214 0 62620 0 6214 0 295564 0 48564 PHILIP YU MD CME, STCH 0 109370 0 51747 0 2148 0 45859 0 5757 0 214881 0 15960 DAVID P BENN FORMER REGIONAL PRESIDENT, CV 0 0 0 87780 0 114178 0 0 0 146 0 202104 0 58520 ERIC DALTON SH VP, SHARED SVCS, FINANCE 0 112493 0 72142 0 4012 0 58676 0 2702 0 250025 0 31564 BETTY LOPEZ VP PATIENT CARE SERVICES 0 96481 0 43298 0 7923 0 38714 0 4210 0 190626 0 25831 SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEES WAGES AND TAXED ACCORDINGLY. 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 SUTTERS 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: DAVID BENN RECEIVED SEVERANCE PAYMENTS OF $110,211 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 AND SOCIAL SECURITY BENEFITS. SUTTERS PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PENSION PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PENSION PLAN AND SOCIAL SECURITY BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR ELIGIBLE EARNINGS BEYOND THE IRS DEFINITION OF INCLUDIBLE COMPENSATION ("PENSION PAY CAP"). THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PENSION PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. 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 INDIVIDUAL RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: JOHN B. MESIC - $19,013 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. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD UP TO 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE 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 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. TRANSFER OF NET ASSETS DUE TO MERGER 2017-05-01 121960673 BOOK VALUE 941156621 SUTTER VALLEY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DR SAC SACRAMENTO CA 95833 501(C)(3) true true false false true true true true true false SCHEDULE N, PART I EFFECTIVE MAY 1, 2017 SUTTER CENTRAL VALLEY HOSPITALS (SCVH) MERGED INTO SUTTER VALLEY HOSPITALS (SVH), A RELATED CALIFORNIA NONPROFIT CORPORATION EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3). SVH IS THE SURVIVING ENTITY. SCHEDULE N, PART I, LINES 2A AND 2B ALL OFFICERS AND TRUSTEES OF SCVH IN 2017 WERE ALSO OFFICERS AND TRUSTEES OF SVH, THE TRANSFEREE ORGANIZATION, BEFORE THE MERGER AND HAVE CONTINUED TO SERVE IN THE SAME ROLES AFTER THE MERGER. SCHEDULE N, PART I, LINE 6C THE FILING ENTITY DID NOT ISSUE ANY TAX EXEMPT BONDS DIRECTLY. THE PARENT'S BOND PROCEEDS WERE USED BY THE FILING ORGANIZATION BUT UPON MERGER, THE LIABILITIES WERE ASSUMED BY THE SURVIVING ENTITY OF THE MERGER. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: SUTTER CENTRAL VALLEY HOSPITALS PROVIDE HIGH-QUALITY, COMPASSIONATE CARE TO EACH PATIENT, WHILE EXERCISING PRUDENT FISCAL RESPONSIBILITY. SUTTER CENTRAL VALLEY HOSPITALS IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS TO MAINTAIN AND IMPROVE THE HEALTH STATUS OF THE COMMUNITIES OF GREATER STANISLAUS COUNTY, SAN JOAQUIN AND MERCED COUNTY. WE EXTEND SELECTED SERVICES TO OTHER COMMUNITIES WHENEVER THIS WILL MEET A CRITICAL NEED AND WHEN IT WILL ENHANCE THE PRODUCTIVITY OF LOCAL RESOURCES. WE PURSUE OUR MISSION BY PROVIDING AND PROMOTING EFFECTIVE HEALTH CARE SERVICES AND BY FOSTERING AN INTEGRATED SYSTEM OF CARE IN PARTNERSHIP WITH PHYSICIANS, OTHER HEALTH CARE PROVIDERS AND PAYERS. WE PROVIDE ACCESS TO A FULL CONTINUUM OF CARE, BUILT UPON A CORE OF SOPHISTICATED HOSPITAL-BASED SERVICES. FORM 990, PART III, LINE 3 SUTTER CENTRAL VALLEY HOSPITALS MERGED INTO SUTTER VALLEY HOSPITALS EFFECTIVE MAY 1ST OF 2017. FORM 990, PART III, LINE 4A EXEMPT PURPOSE ACHIEVEMENTS: SUTTER CENTRAL VALLEY HOSPITALS THE TOTAL BENEFITS WERE $2,077,861, WHICH INCLUDES $49,660 FOR COMMUNITY HEALTH IMPROVEMENT SERVICES, A TOTAL OF $61,463 FOR COMMUNITY BENEFIT OPERATIONS AND COMMUNITY BUILDING ACTIVITIES, $10,775 FOR HEALTH PROFESSIONS EDUCATION, $796,192 FOR SUBSIDIZED HEALTH SERVICES, AND $1,010,037 FOR CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. SUTTER CENTRAL VALLEY HOSPITALS MERGED INTO A RELATED 501(C)(3) TAX-EXEMPT ENTITY, SUTTER VALLEY HOSPITALS (EIN: 94-1156621), EFFECTIVE MAY 1, 2017. MEMORIAL MEDICAL CENTER GENERAL DESCRIPTION: MEMORIAL MEDICAL CENTER IS AN ACUTE CARE FACILITY LOCATED IN MODESTO, CALIFORNIA, 90 MILES SOUTH OF SACRAMENTO IN STANISLAUS COUNTY. CENTRALLY LOCATED TO SERVE OUR IMMEDIATE COUNTY AND OUTLYING AREAS, MEMORIAL WAS ESTABLISHED IN 1970. MEMORIAL MEDICAL CENTER IS CURRENTLY LICENSED FOR 423 ACUTE CARE BEDS AND IS A SUTTER HEALTH AFFILIATE. SERVICES AVAILABLE AT MEMORIAL MEDICAL CENTER INCLUDE: - IN-PATIENT AND OUT-PATIENT SURGERY - TELEMETRY - OBSTETRICS AND PERINATAL CARE - LABORATORY - PEDIATRICS - PULMONARY REHABILITATION - ONCOLOGY - MODERN FAMILY BIRTHING CENTER - CONGESTIVE HEART FAILURE PROGRAM - MEDICAL LIBRARY ACCESS - CANCER CENTER AND CANCER/TUMOR REGISTRY - NUTRITIONAL SUPPORT SERVICES - SOCIAL SERVICES - PASTORAL CARE - CARDIAC CATHETERIZATION LABORATORY - PATIENT AND COMMUNITY - CARDIAC REHABILITATION - EDUCATION RESPIRATORY THERAPY - CRITICAL CARE - DIAGNOSTIC IMAGING - 24-HOUR EMERGENCY TREATMENT - RADIATION ONCOLOGY - MAJOR TRAUMA PATIENT RECEIVING CENTER - DIABETES TREATMENT PROGRAM - BARIATRIC SURGERY - LACTATION ASSISTANCE PROGRAM MEMORIAL PROVIDES SUPPORT TO THE COMMUNITY BY ASSISTING NON-PROFIT AGENCIES WITH CASH AND IN-KIND DONATIONS. IN 2017, MEMORIAL MEDICAL CENTER PROVIDED $671,276 IN CASH AND IN-KIND DONATIONS AND $756,647 IN SUBSIDIZED HEALTH SERVICES. IN SUMMARY, A TOTAL OF $1,392,389 WAS CONTRIBUTED TO BENEFIT THE BROADER COMMUNITY, AND $156,361 WAS INVESTED TO SUPPORT THE POOR AND UNDERSERVED. A SAMPLING OF 2017 COMMUNITY BENEFIT PROGRAMS: COMBATING OBESITY MEMORIAL HAS JOINED WITH STANISLAUS COUNTY OFFICE OF EDUCATION "AFTER SCHOOL" PROGRAM TO SUPPORT HEALTHY NUTRITION AND TO LEARN ACTIVITIES TO COMBAT AND ULTIMATELY DECREASE THE INCIDENCE OF CHILDHOOD OBESITY. ADULT OBESITY IS ON THE RISE AS WELL. THE SUPPORT GROUP FOR WEIGHT LOSS SURGERY IS OPEN TO ALL PATIENTS REGARDLESS OF WHERE SURGERY WAS PERFORMED. HEART DISEASE PREVENTION AND TREATMENT PROGRAMS MEMORIAL PROVIDES THE ONLY CARDIAC REHAB PROGRAM IN THE COUNTY. A LONG STANDING HEART COALITION OF STANISLAUS COUNTY MEMBER, MEMORIAL IS ONE OF OUR COUNTYS RESOURCES FOR HEART EDUCATION AND PREVENTING HEART DISEASE. ALONG WITH PARTNER SUTTER GOULD MEDICAL GROUP, WE PROVIDE TWICE A YEAR, FREE TO THE COMMUNITY EDUCATION HEAT (HEART EDUCATION AND TRAINING) SEMINARS TO THE PUBLIC. WITH PERIODIC HEALTH SCREENING, WHICH IS OPEN TO THE COMMUNITY, WE ARE ABLE TO DIRECT AT-RISK PATIENTS TO APPROPRIATE RESOURCES. WE ALSO SUPPORT THE MENDED HEART SUPPORT GROUP. IMPROVING CANCER AWARENESS AS CANCER IS THE SECOND LEADING CAUSE OF DEATH IN OUR COMMUNITY, MEMORIAL IS COMMITTED TO INFORMING AND ADVISING THE PEOPLE OF STANISLAUS COUNTY TO BETTER UNDERSTAND SIGNS, SYMPTOMS, TREATMENT AND PREVENTION OF CANCER. MEMORIAL ALSO OFFERS COMPLEMENTARY THERAPIES TO CANCER PATIENTS, FAMILY AND THE COMMUNITY AT LARGE. WE PROVIDE PREVENTION PROGRAMS AND ENCOURAGE EARLY SCREENING. EDUCATION AND TRAINING FOR HEALTH CAREERS AS THE COMMUNITY INCREASES IN UNEMPLOYMENT AND DECREASES IN AVAILABLE JOBS, MEMORIAL CONTINUES TO SUPPORT OUR CAREER OPPORTUNITIES IN NURSING, PHARMACY, CLINICAL LAB, RESPIRATORY THERAPY, RADIOLOGY AND RADIATION THERAPY, PHYSICAL THERAPY, EMERGENCY MEDICAL TECH, PHLEBOTOMY AND OTHER DEPARTMENTS. IN ADDITION TO SERVING AS A SITE FOR TRAINING PROGRAMS, MEMORIALS SUPERVISORS AND STAFF MEMBERS ARE ACTIVELY INVOLVED IN THE CREATION AND TEACHING OF LOCAL COLLEGE LEVEL PROGRAMS FOR NURSING, RESPIRATORY THERAPY, RADIOLOGY, LAB AND PHARMACOLOGY. PEOPLE SERVED THROUGH THESE PROGRAMS AND OTHERS, WE WERE ABLE TO SERVE 3,538 PEOPLE AT MEMORIAL MEDICAL CENTER. MEMORIAL HOSPITAL LOS BANOS GENERAL DESCRIPTION: MEMORIAL HOSPITAL LOS BANOS (MHLB) IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL INCORPORATED UNDER CALIFORNIA LAW TO PROVIDE HEALTH CARE SERVICES WITHIN FINITE RESOURCES, TO CITIZENS OF LOS BANOS AND THE SURROUNDING GEOGRAPHICAL AREAS. WE PROVIDE HIGH QUALITY COMPASSIONATE CARE AND EXERCISE PRUDENT FISCAL RESPONSIBILITY. MHLB OPENED IN 1967 AND IS PART OF THE SUTTER CENTRAL VALLEY REGION. THE ORGANIZATION AFFILIATED WITH SUTTER HEALTH IN 1996 AND IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. SERVICES AVAILABLE AT MEMORIAL HOSPITAL LOS BANOS INCLUDE: MAJOR SERVICES INCLUDE 24 HOUR EMERGENCY CARE, BONE DENSITY TESTING, CLINICAL LABORATORY, COMMUNITY EDUCATION, EICU ELECTRONIC INTENSIVE CARE UNIT, GENERAL SURGERY, MAMMOGRAPHY, MRI (MAGNETIC RESONANCE IMAGING), OBSTETRICS/GYNECOLOGY, OTOLARYNGOLOGY, PEDIATRICS, RADIOLOGY SERVICES, RURAL HEALTH CLINIC, SAME-DAY SURGERY AND ULTRASONOGRAPHY. COMMUNITY BENEFIT PROGRAMS 2017 MHLB CONTRIBUTED $20,148 FOR COMMUNITY HEALTH IMPROVEMENT SERVICES. THE EXPENDITURES FOR RESEARCH, EDUCATION AND TRAINING TOTALED $10,775. MHLB PROVIDES SUPPORT TO THE COMMUNITY BY ASSISTING NON-PROFIT AGENCIES WITH CASH AND IN-KIND DONATIONS, AND IN 2017 THAT AMOUNT TOTALED $19,678. IN SUMMARY, $40,365 OF COMMUNITY BENEFIT CONTRIBUTIONS BENEFITTED THE POOR AND UNDERSERVED, AND $38,806 SUPPORTED THE BROADER COMMUNITY. MEMORIAL HOSPITAL LOS BANOS IS A COMMUNITY-BASED, NOT-FOR PROFIT HOSPITAL. WE ARE COMMITTED TO ENHANCING THE HEALTH OF OUR COMMUNITY IN MANY WAYS. ADDITIONALLY, HOSPITAL MANAGERS VOLUNTEER IN COMMUNITY SERVICE PROJECTS. COMMUNITY BENEFIT PROGRAMS FOR 2017 INCLUDED: - CLINICAL ROTATION SITE FOR NURSING AND RADIOLOGY STUDENTS - SUPPORTS CLINICAL INSTRUCTOR FOR THE MERCED NURSING PROGRAM - PROVIDED FREE USE OF EDUCATION ROOM FOR HEALTH AND WELLNESS ACTIVITIES - CAR SEAT SAFETY CLASSES AND INSPECTIONS - BREAST-FEEDING SUPPORT CLASSES AND CONSULTATIONS - CHILDBIRTH CLASSES FOR PARENTS (ENGLISH AND SPANISH) - DIABETES SUPPORT GROUP - SUPPORT OF THE AMERICAN CANCER SOCIETY AND MARCH OF DIMES WITH BOTH CORPORATE AND EMPLOYEE INVOLVEMENT - PARTNERED WITH COMMUNITY AGENCIES TO HELP IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITIES. COMMUNITY AGENCIES SUPPORTED IN 2017 INCLUDED THE SALVATION ARMY, MANNA MINISTRIES, LOS BANOS PARKS AND RECREATION DEPARTMENT, LOS BANOS UNIFIED SCHOOL DISTRICT AND VALLEY CRISIS CENTER - PROVIDED CPR AND FIRST AID TRAINING CLASSES - PROVIDED FINANCIAL SUPPORT FOR LIVE YOUR DREAM, SELF-ESTEEM EVENT FOR JUNIOR HIGH SCHOOL GIRLS. THE EVENT WAS SPONSORED BY THE LOCAL SOROPTIMIST ORGANIZATION - CONTRIBUTED TO LOCAL AGENCY TO PROVIDE WINTER PACKS AND MOBILE SHOWER FOR THE HOMELESS POPULATION PEOPLE SERVED: THROUGH THESE PROGRAMS AND OTHERS, WE WERE ABLE TO SERVE 506 PEOPLE AT MEMORIAL HOSPITAL LOS BANOS. FORM 990, PART III, LINE 4A (CONTINUED) SUTTER TRACY COMMUNITY HOSPIAL GENERAL DESCRIPTION: SINCE 1948, SUTTER TRACY COMMUNITY HOSPITAL (STCH) CONTINUES TO BE THE ONLY FULL-SERVICE, ACUTE CARE HOSPITAL WITHIN A 15-MILE RADIUS GEOGRAPHICALLY. LOCATED IN TRACY, CALIFORNIA, STCH STAFF HAS THE OPPORTUNITY TO DELIVER CULTURALLY COMPETENT CARE TO THE DIVERSE POPULATION WITHIN ITS SERVICE AREA. AS A STATE-OF-THE-ART FACILITY, IT FEATURES THE LATEST MEDICAL TECHNOLOGY AND DIAGNOSTIC EQUIPMENT AND OFFERS A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT SERVICES ON PAR WITH MANY LARGER, URBAN HOSPITALS. ADDITIONALLY, SUTTER TRACY IS COMMITTED TO BRINGING THE BEST AND BRIGHTEST PHYSICIANS AND THE LATEST ADVANCES IN MEDICINE TO THE COMMUNITY. IT IS AFFILIATED WITH MANY REMARKABLE, LOCAL PHYSICIANS WHO ARE AT THE FOREFRONT OF THEIR FIELD. SERVICES AND MEDICAL DEPARTMENTS: - CARDIOVASCULAR SERVICES - COMMUNITY BENEFIT - CONTINENCE - DIAGNOSTIC IMAGING - DIALYSIS - EMERGENCY SERVICES - FAMILY BIRTH CENTER - LABORATORY SERVICES - OUTPATIENT LACTATION PROGRAM - PAIN MEDICINE - PHARMACY - REHABILITATION / PHYSICAL THERAPY - RESPIRATORY CARE - SOCIAL SERVICES - SPECIALTY CARE - SPIRITUAL SERVICES - SURGICAL SERVICES - WOUND OSTOMY CARE SUTTER TRACY COMMUNITY HOSPITAL COMMUNITY BENEFIT AND ECONOMIC VALUE FOR 2017 THE HOSPITAL IS FOCUSED IN DELIVERING A VARIETY OF COMMUNITY BENEFIT PROGRAMS THAT ARE IMPACTFUL TO BRING ABOUT COMMUNITY HEALTH IMPROVEMENT AND THAT PROVIDE ESSENTIAL SERVICES TO THE POOR AND UNDERSERVED. THE PROGRAMS AND SERVICES IN 2017 ARE PART OF THE HOSPITALS IMPLEMENTATION PLAN TO ADDRESS COMMUNITY HEALTH NEEDS AS PRIORITIZED IN THE SAN JOAQUIN COUNTYS COMMUNITY HEALTH NEEDS ASSESSMENT. AT SUTTER TRACY COMMUNITY HOSPITAL, 60% OF THE TOTAL $449,606 OF COMMUNITY BENEFIT EXPENDITURES IN 2017, WERE IN THE FORM OF GRANTS TO COMMUNITY BASED ORGANIZATIONS DEDICATED TO ADDRESSING IDENTIFIED COMMUNITY NEEDS AND SOCIAL DETERMINANTS OF HEALTH. $319,084 WAS REINVESTED INTO THE COMMUNITY VIA CASH AND IN-KIND DONATIONS TO HELP EXPAND HEALTH ACCESS, IMPROVE COMMUNITY HEALTH EDUCATION, AND SUPPORT COMMUNITY INITIATIVES THAT FOCUS ON AIDING THE POOR, VULNERABLE AND UNDERSERVED IN THE HOSPITALS SERVICE AREA. TO IMPLEMENT AND DELIVER EFFECTIVE COMMUNITY BENEFIT SERVICES, $40,981 WAS SPENT IN COMMUNITY BENEFIT OPERATIONS AND IN ADDITION, $20,482 WAS DEDICATED TOWARDS COMMUNITY BUILDING ACTIVITIES. SUBSIDIZED HEALTH SERVICES TOTALED, $39,546, AND COMMUNITY HEALTH IMPROVEMENT SERVICES AMOUNTED TO $29,513. IN SUMMARY OF THE TOTAL INVESTMENT $321,809 WAS INVESTED IN SERVICES THAT DIRECTLY TARGETED THE POOR AND UNDERSERVED WITHIN THE HOSPITALS SERVICE AREA AND THE REMAINING, $127,796 SUPPORTED NEEDS FOR THE BROADER COMMUNITY. BELOW IS A LIST OF ALL THE HOSPITALS COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR 2017, EXCLUDING MEDI-CAL SHORTFALLS AND CHARITY CARE WHICH ARE ADDRESSED ABOVE. COMMUNITY HEALTH IMPROVEMENT SERVICES COMMUNITY HEALTH EDUCATION: - BREAK FREE FROM SMOKING A SMOKING CESSATION COURSE, AVAILABLE FOR THE BROADER COMMUNITY TO ASSIST INDIVIDUALS TO BREAK THEIR TOBACCO ADDICTIONS FOR GOOD. - CAR SEAT SAFETY LOW INCOME PATIENTS NEEDING ASSISTANCE WITH A CAR SEAT FOR THEIR INFANT, ARE PROVIDED WITH ONE FOR FREE AND ARE EDUCATED ON THE PROPER INSTALLATION, USAGE AND SAFETY GUIDELINES. - CPR CLASSES 2 YEAR AMERICAN HEART ASSOCIATION CERTIFICATION COURSE, TO ENSURE THAT THE COMMUNITY CAN RESPOND IN EMERGENCY SITUATIONS. COMMUNITY BASED CLINICAL SERVICES: - FLU CLINIC FREE FLU SHOTS FOR ANYONE MEETING THE AGE CRITERIA FOR THE VACCINE. OPEN TO THE PUBLIC, BUT TARGETED MARKETING TO ENCOURAGE VULNERABLE, UNDER-SERVED POPULATIONS TO ATTEND. HEALTH CARE SUPPORT SERVICES: - CANCER SUPPORT SERVICES A REGISTERED NURSE TRAINED IN CANCER SUPPORT PROVIDES COMPLIMENTARY, ONGOING CASE MANAGEMENT SERVICES TO PATIENTS FOR AS LONG AS SERVICES ARE NEEDED. SERVICES INCLUDE RESOURCE AND REFERRAL HELP IN ADDITION TO EMOTIONAL SUPPORT. - HEALTH INSURANCE ENROLLMENT ASSISTANCE PROGRAM INSURANCE ENROLLMENT HELP FOR UNINSURED INPATIENTS. - OUTPATIENT PRESCRIPTION ASSISTANCE PROGRAM PAYMENT OF MEDICATIONS FOR THOSE UNABLE TO PAY AND WOULD OTHERWISE GO WITHOUT TAKING THEIR NEEDED PRESCRIPTIONS. - TAXI FARES FOR PATIENTS TRANSPORTATION ASSISTANCE FOR POOR AND HOMELESS PATIENTS NEEDING TO TRANSFER TO ANOTHER FACILITY OR DISCHARGED TO HOME. SUBSIDIZED HEALTH SERVICES HOSPITAL OUTPATIENT SERVICES: - INDIGENT CARE - PHYSICIAN PAYMENTS TO CARE FOR UNINSURED. SUBSIDIZED CONTINUING CARE: - SUBSIDIZED DISEASE MANAGEMENT PROGRAM SUBSIDIZED LABORATORY COSTS AND PAYMENT OF PHARMACISTS TIME OF PROVIDING MEDICATION MANAGEMENT AND SUPPORT TO CHRONICALLY DISEASED PATIENTS. FINANCIAL AND IN KIND CONTRIBUTIONS CASH DONATIONS: - AMERICAN CANCER SOCIETY SUPPORT OF CANCER PATIENT SERVICES AND CANCER RESEARCH. - AMERICAN RED CROSS EMERGENCY RELIEF SERVICES. - BOYS & GIRLS CLUB - SUPPORT OF LOCAL YOUTH PROGRAMS AND ACTIVITIES. - CATHOLIC CHARITIES FUNDRAISING EVENT SPONSORSHIP. - HOSPITAL QUALITY ASSURANCE TO SUPPLEMENT ESSENTIAL SERVICES FOR MEDI-CAL AND UNINSURED PATIENTS. - PREGNANCY RESOURCE CENTER - ROTARY CLUB OF TRACY - TRACY AFRICAN AMERICAN ASSOCIATION CASH DONATION TO SUPPORT SCHOLARSHIPS FOR YOUTH. - TRACY CHAMBER OF COMMERCE DONATION TO SUPPORT LATINO YOUTH SCHOLARSHIPS. - TRACY SUNRISE ROTARY CLUB SUPPORT OF FUNDRAISER EVENT OF SERVICE GROUP THAT ASSISTS COMMUNITY IN MANY WAYS. - UNEED2 SUPPORT OF AN AT RISK YOUTH TECHNOLOGY PROGRAM. - WOMENS CENTER OF SAN JOAQUIN DONATION TO PROVIDE FURNISHINGS AT LOCAL DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN GRANTS: - BOYS & GIRLS CLUB OF TRACY FUNDING TO SUPPORT HEALTH AND FITNESS PROGRAMS AT EACH OF THE 6 SITES. - CHILDREN AT RISK RESOURCES, INC. "CARR" COMMUNITY BASED DIABETES EDUCATION CLASSES - COALITION OF TRACY CITIZENS TO ASSIST THE HOMELESS SUPPORT OF THE EMERSON HOUSE SHELTER FOR MEN. - COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN COUNTY (CPFSJ) FUNDING OF RESOURCE CENTER SERVICES WHICH PROVIDE RESOURCE AND REFERRAL, CASE MANAGEMENT, INSURANCE ENROLLMENT ASSISTANCE, AND OTHER SOCIAL SERVICE SUPPORT. - EMERGENCY FOOD BANK DELIVERING FRESH PRODUCE TO LOW INCOME NEIGHBORHOODS. - GIVE EVERY CHILD A CHANCE SUPPORT OF AFTER SCHOOL FITNESS AND NUTRITIONAL PROGRAMS FOR ELEMENTARY SCHOOL AGED YOUTH. - HOLISTIC APPROACH TO RECOVERY AND TRANSITIONS "HART" NO COST PARENTING CLASSES FOR LOW-INCOME FAMILIES - MCHENRY HOUSE TRACY FAMILY SHELTER SUPPORT OF THE ONLY FAMILY SHELTER IN TRACY. - SECOND HARVEST FOOD BANK FUNDING FOR THE MOBILE FRESH PROGRAM THAT DELIVERS FRESH PRODUCE TO UNDERSERVED COMMUNITIES. - SOW A SEED COMMUNITY FOUNDATION YOUTH DEVELOPMENT AND MENTORING PROGRAMS. - TRACY COMMUNITY CONNECTIONS CENTER GRANT FUNDING TO SUPPORT INCREASED SERVICES FOR HOMELESS AND THOSE AT-RISK OF BEING HOMELESS. - TRACY INTERFAITH MINISTRIES PROVIDING BASIC HYGIENE PRODUCTS TO THE MOST VULNERABLE CHILDREN IN THE COMMUNITY. - TRACY VOLUNTEER CAREGIVERS TRANSPORTATION ASSISTANCE FOR SENIORS IN NEED. - COMMUNITY BENEFIT PARTNERSHIP STRATEGY (CBPS) - CATHOLIC CHARITIES HOMECOMING PROJECT: PROVIDING IN-HOME, CONTINUUM OF CARE SERVICES TO HIGH-RISK PATIENTS WITHIN 48 HOURS POST DISCHARGE. - CBPS - FAMILY RESOURCE AND REFERRAL CENTER: COMMUNITY BASED HEALTH INSURANCE ENROLLMENT ASSISTANCE. - CBPS - GOSPEL CENTER RESCUE MISSION INC.: RESPITE AND TRANSITIONAL CARE TO HOMELESS UPON HOSPITAL DISCHARGE. - CBPS - ST. MARY'S DINING ROOM: SUPPORT OF THE MEDICAL AND DENTAL CLINIC SERVICES FOR UNINSURED, POOR AND UNDERSERVED. IN KIND DONATIONS: - FOOD SERVICE/ COMMUNITY SERVICE SET UP FOOD COSTS FOR COMMUNITY BENEFIT EVENTS. - HOUSEKEEPING/COMMUNITY SERVICE SET UP SET-UP COSTS FOR COMMUNITY BENEFIT EVENTS. FORM 990, PART III, LINE 4A (CONTINUED) COMMUNITY BUILDING ACTIVITIES COALITION BUILDING: - COMMUNITY BENEFIT DEDICATED STAFF COSTS RELATED TO MEETINGS, SEMINARS AND CONFERENCES AT BOTH A LOCAL AND COUNTY LEVEL THAT INCREASE COLLABORATIVE EFFORTS. - HEALTHIER COMMUNITIES COALITION MEMBERSHIP AND FEES RELATED TO THE SAN JOAQUIN COUNTY HEALTH COLLABORATIVE. COMMUNITY BENEFIT OPERATIONS ASSIGNED STAFF: - COMMUNITY BENEFIT PROGRAM COORDINATION & EXECUTION SALARY COSTS FOR DEDICATED PROFESSIONALS IN THE AREA OF COMMUNITY BENEFIT WHO OVERSEE ALL HOSPITAL ACTIVITIES AND PROGRAMS COMMUNITY NEEDS/HEALTH ASSETS ASSESSMENT: - COMMUNITY BENEFITS PROGRAM ASSESSMENT & REPORTING SALARY COSTS FOR DEDICATED STAFF INVOLVED WITH COMMUNITY - HEALTH NEEDS ASSESSMENT PROCESS AND WHO COMPLETE MANDATED, REGULATORY REPORTS. OTHER RESOURCES: - COMMUNITY HEALTH ADVISORY COUNCIL EXPENSES RELATED TO THE MEETINGS FOR THIS GROUP THAT REVIEW COMMUNITY GRANT APPLICATIONS AND PROVIDE ADVICE ON THE HOSPITALS COMMUNITY BENEFIT IMPLEMENTATION PLAN AND STRATEGY. THROUGH THESE EFFORTS IT IS ANTICIPATED THAT BOTH DIRECTLY AND INDIRECTLY, THE HEALTH OF AN UNDETERMINED AMOUNT OF PEOPLE ARE POSITIVELY IMPACTED. ON OUTPUTS THAT COULD BE MEASURED, SUTTER TRACY COMMUNITY HOSPITAL WAS ABLE TO SERVE 3,264 PEOPLE, WITH APPROXIMATELY 77% (2,513) OF THOSE CONSIDERED AS UNDERSERVED MEMBERS OF THE COMMUNITY. FORM 990, PART V, LINE 1 & 2 AT THE BEGINNING OF 2017, IN PREPARATION FOR THE MERGER, ALL SCVH EMPLOYEES WERE TRANSFERRED TO AND PAID BY SUTTER VALLEY HOSPITALS, A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, LINE 1B THE AFFAIRS AND MANAGEMENT OF SUTTER CENTRAL VALLEY HOSPITALS (SCVH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF SCVH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OR DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF THE SCVH'S CHAIR WHO SERVES AS CHAIR OF THE COMMITTEE, THE VICE CHAIR, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, AN ADDITIONAL DIRECTOR AND THE PRESIDENT OF SCVH. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, LINES 6 & 7A DESCRIPTION OF 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 DESCRIBE CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & THE TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. REQUIRING APPROVAL. FORM 990, PART VI, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, 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 DESCRIPTION OF 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 AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION. 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 "ARM'S LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), (C) TOTAL DIRECT CASH (BASE SALARY + ANNUAL INCENTIVE + LONG TERM INCENTIVE) AND (D) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH. THIS METHOD IS MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO AN ANNUAL REVIEW BY THE COMPENSATION COMMITTEE OR A DELEGATED SUB-COMMITTEE. APPROVAL IS RECORDED IN THE MINUTES. EXECUTIVE COMPENSATION REVIEW WAS LAST COMPLETED IN DECEMBER 2016. FORM 990, PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO THE GENERAL PUBLIC: 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 THE COMPENSATION BEING REPORTED IS AN ESTIMATE FOR THE PERIOD 1/1/17 TO 4/30/17. FULL 2017 COMPENSATION WILL BE REPORTED ON SUTTER VALLEY HOSPITALS 12/31/17 FORM 990. THE FOLLOWING BOARD MEMBER OF SUTTER CENTRAL VALLEY HOSPITALS IS A FULL-TIME EMPLOYEE (40 HOURS PER WEEK) OF SUTTER HEALTH AND HIS SUTTER HEALTH SALARY IS REPORTED HEREIN. THE FOLLOWING INDIVIDUAL RECEIVED NO COMPENSATION FOR HIS SERVICE AS A BOARD MEMBER OF THIS ORGANIZATION. - PETER HULL FORM 990, PART XI, LINE 9 OTHER CHANGES IN FUND BALANCE: K-1 RENTAL INCOME $(33,337) PARTNERSHIP INCOME $(88,351) EQUITY TRANSFERS (NET) $(55,977,603) TRANSFER TO SUTTER VALLEY HOSPITALS FOR MERGER $(121,960,673) -------------- TOTAL $(178,059,964) ADOLESCENT TREATMENT CENTERS INC C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680088443 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true BETTER HEALTH EAST BAY FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 510160184 FUNDRAISING CA 501(C)(3) 7 SUTTER EBH 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 true EAST BAY PERINATAL CENTER C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 510172285 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true EDEN MEDICAL CENTER C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942948100 HEALTHCARE CA 501(C)(3) 10 SUTTER HLTH true MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942290244 FUNDRAISING CA 501(C)(3) 12A - 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II SUTTER HLTH 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 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 true SUTTER INSURANCE SERVICES CORPORATION 745 FORT STREET SUITE 1100 HONOLULU HI 96813 990289310 INSURANCE SER HI 501(C)(3) 12C III-FI SUTTER HLTH 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 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 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 true SUTTER VALLEY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 941156621 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER VALLEY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680273974 HEALTHCARE CA 501(C)(3) 12B - II SUTTER HLTH 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 true SUTTER WEST BAY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942948131 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH 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 true MAGNETIC IMAGING AFFILIATES LLC 175 LENNON WALNUT CREEK CA 94598 942953833 PATIENT CARE CA NA SURGERY CENTER OF ALTA BATES SMC 3875 TELEGRAPH OAKLAND CA 94609 470946086 OUTPATIENT SURG CA NA ALTA CT SERVICES LP 175 LENNON WALNUT CREEK CA 94598 943083464 PATIENT CARE CA NA CALIFORNIA PACIFIC ADV IMAGING LLC PO BOX 6102 NOVATO CA 94598 562311840 MRI JOINT VENTURE DE NA SAN FRANCISCO ENDOSCOPY CENTER 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 912160588 ENDOSCOPY JV CA NA PRESIDIO SURGERY CENTER LLC 1635 DIVISADERO SAN FRANCISCO CA 94115 320144060 AMBULATORY SURG CA NA 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 SUTTER CVH RELATED 11189 false true MEMORIAL MEDICAL BUILDING 2 1800 COFFEE RD 76 MODESTO CA 95355 770287288 OFFICE RENTAL CA SUTTER CVH RELATED 22124 false true MAGNETIC IMAGING AFFILIATES LLC 2125 OAK GROVE ROAD WALNUT CREEK CA 94598 473696091 PATIENT CARE CA NA ASC OPERATORS - 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