MILLS-PENINSULA HEALTH SERVICES: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MILLS-PENINSULA HEALTH SERVICES (EIN 94-1156265)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-06
IRS object ID: 201603119349300360
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-06T14:29:42-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4370 LA JOLLA VILLAGE DR STE 500	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941156265	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MILLS-PENINSULA HEALTH SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CARLA WHITE-SNYDER	InCareOfNm
Business Name Control	MILL	BusinessNameControlTxt
Phone	9162866665	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN GATES	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2016-11-01	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEBRA HEISKALA	PreparerPersonNm
PTIN	P00649485	PTIN
Phone	8585357200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	JEFF GERARD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O SH TAX 2200 RIVER PLAZA DRIVE	AddressLine1Txt
City	BURLINGAME	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94010	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$659,307,898	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUTTERHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	25	VotingMembersGoverningBodyCnt
Voting Members Independent	23	VotingMembersIndependentCnt
Total Employee	2404	TotalEmployeeCnt
Total Volunteers	728	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,947,766	PYContributionsGrantsAmt
CY Contributions Grants	$4,197,213	CYContributionsGrantsAmt
PY Program Service Revenue	$610,072,012	PYProgramServiceRevenueAmt
CY Program Service Revenue	$646,611,094	CYProgramServiceRevenueAmt
PY Investment Income	$387,602	PYInvestmentIncomeAmt
CY Investment Income	$294,564	CYInvestmentIncomeAmt
PY Other Revenue	$6,508,927	PYOtherRevenueAmt
CY Other Revenue	$7,984,340	CYOtherRevenueAmt
PY Total Revenue	$622,916,307	PYTotalRevenueAmt
CY Total Revenue	$659,087,211	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,476,185	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,634,514	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$259,481,181	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$271,911,466	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$275,872,929	PYOtherExpensesAmt
CY Other Expenses	$334,492,887	CYOtherExpensesAmt
PY Total Expenses	$539,830,295	PYTotalExpensesAmt
CY Total Expenses	$609,038,867	CYTotalExpensesAmt
PY Revenues Less Expenses	$83,086,012	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$50,048,344	CYRevenuesLessExpensesAmt
Total Assets BOY	$781,462,049	TotalAssetsBOYAmt
Total Assets EOY	$771,804,015	TotalAssetsEOYAmt
Total Liabilities BOY	$571,654,201	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$585,451,559	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$209,807,848	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$186,352,456	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$509,129,234	ExpenseAmt
Grant	$2,386,213	GrantAmt
Revenue	$646,611,094	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$509,129,234	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	339	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2404	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	25	GoverningBodyVotingMembersCnt
Independent Voting Member	23	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CARLA WHITE-SNYDER	PersonNm
Phone	9162979847	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9100 FOOTHILLS BLVD	AddressLine1Txt
City	ROSEVILLE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95747	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (53 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER BECNEL
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
DIANA BELL
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
ADRIAN BELLAMY
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
BONNIE BERTETTA
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
DAVID BLACK MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
JORDAN BLOOM
TRUSTEE/CHAIR (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
ROBERT BREMNER
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
ALLAN BRODY MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
WILLIAM BRUNETTI
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
SHEILA BURNS
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
CEIL CIRILLO
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
EILEEN CONSORTI
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
THEODORE DEIKEL
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
KEITH DUNCAN MD
TRUSTEE/SECRETARY (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
LISA DYER MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
EMIL ROY EISENHARDT
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
ERIC FLOWERS
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
RAJU GANDHI MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
OWEN GARRICK MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
MICHAEL GAULKE
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$27,500	$0
JEFF GERARD
REG. PRES PENINSULA COASTAL	1.0	40.0	Yes (X)	$0	$1,503,468	$414,818	Yes (X)
VINITA GUPTA
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
MATTHEW HANSMAN MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD CARY HILL MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
KATHERINE HSIAO MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
STEVEN KATZNELSON MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
SARAH KREVANS
PRESIDENT & COO SUTTER HEALTH	1.0	40.0	Yes (X)	$0	$2,077,694	$496,140	Yes (X)
JOSEPH LACY MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD LEVY MD
TRUSTEE/CHAIR FIN&PLAN (PT YR)	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
DAVID MARCUS MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
TIMOTHY MURPHY MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
DENNIS O'CONNELL
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
STEVEN OLIVER
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
BRIAN ROACH MD
DIV. PRES. PAMF-MPHS (PT YR)	40.0	0.0	Yes (X)	$0	$711,439	$143,202
JOHN ROOT
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
JOHN RYAN
TRUSTEE/CHAIR FIN&PLAN (PT YR)	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
RON SINHA MD
TRUSTEE (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD SLAVIN
PRESIDENT & CEO, PAMF (PT YR)	1.0	40.0	Yes (X)	$0	$1,346,748	$187,063
MARGARET TAYLOR
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ANTHONY WAGNER
TRUSTEE/CHAIR (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JANET WAGNER
CEO, MPHS (PART YEAR)	40.0	0.0	Yes (X)	$0	$689,869	$145,527	Yes (X)
REV PAUL WATERMULDER
TRUSTEE/VICE CHAIR (PART YEAR)	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JOHN GATES
REG. CFO BAY AREA (PART YEAR)	1.0	40.0		$0	$967,966	$183,142	Yes (X)
KAREN HALL
CHIEF LEGAL OFF. BAY AREA/SEC.	1.0	40.0		$0	$588,758	$116,427	Yes (X)
CATHERINE MESSMAN
CFO MPHS, SMSCSC (PART YEAR)	40.0	0.0		$0	$350,755	$54,631	Yes (X)
DOLORES GOMEZ
COO, MPHS	40.0	0.0		$0	$532,117	$85,086		Yes (X)
DANIEL BECKER
MEDICAL DIRECTOR, MPHS	40.0	0.0		$408,202	$0	$34,701			Yes (X)
PATRICIA M RYAN
VP, AMBULATORY SRVCS, MPHS	40.0	0.0		$0	$397,053	$61,459			Yes (X)
VICKI L WHITE
CNE, MPHS	40.0	0.0		$0	$419,628	$46,632			Yes (X)
GAIUS JARUDO
STAFF NURSE II, MPHS	40.0	0.0		$330,612	$0	$24,650			Yes (X)
TRACEY GAJDACS
STAFF NURSE II, MPHS	40.0	0.0		$327,363	$0	$23,836			Yes (X)
ROBERT MERWIN
CEO ACUTE CARE HSPS (FMR OFCR)	40.0	0.0		$0	$674,554	$75,735				Yes (X)
CARRIE OWEN-PLIETZ
CEO SHSSR (FRMR KEY EMPLOYEE)	0.0	40.0		$0	$908,913	$164,454				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,066,177	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,196,462	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,257,503	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	692	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Fastaff Inc
PO Box 11407	BIRMINGHAM	AL	35246	Staffing Services	$5,179,381
MILLS PENINSULA MEDICAL GROUP
533 AIRPORT BLVD STE 400	BURLINGAME	CA	94010	MEDICAL SERVICES	$4,440,713
US NURSING CORP
6399 SO FIDDLERS GREEN CIR STE 100	GREENWOOD VILLAGE	CO	80111	STAFFING SERVICES	$3,856,514
ANESTHESIA CARE ASSOCIATES
643 BAIR ISLAND RD STE 105	REDWOOD CITY	CA	94063	MEDICAL SERVICES	$2,388,152
PENINSULA HOSPITALIST ASSOCIATES IN
839 COWAN RD	BURLINGAME	CA	94010	MEDICAL SERVICES	$1,827,192

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	73	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,297,985	RelatedOrganizationsAmt
Government Grants	$441,739	GovernmentGrantsAmt
All Other Contributions	$457,489	AllOtherContributionsAmt
Total Contributions	$4,197,213	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$644,045,582	$644,045,582
RENTAL TO AFFILIATES	900099	$2,231,722	$2,231,722
PENINSULA ENDOSCOPY CENTER LLC	900099	$333,790	$333,790

Field	Value	IRS element (for citing)
Total Program Service Revenue	$646,611,094	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$196,024	TotalRevenueColumnAmt
Exclusion	$196,024	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,807,559	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$220,687	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,586,872	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,586,872	TotalRevenueColumnAmt
Exclusion	$5,586,872	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$98,540	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$98,540	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$98,540	TotalRevenueColumnAmt
Exclusion	$98,540	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
AUXILIARY ACTIVITY	900099	$722,922	$722,922
FOOD SERVICES	722310	$1,584,660	$1,584,660
PARKING REVENUES	812930	$89,886	$89,886

Field	Value	IRS element (for citing)
Other Revenue Total	$2,397,468	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$659,087,211	TotalRevenueColumnAmt
Related Or Exempt Func Income	$646,611,094	RelatedOrExemptFuncIncomeAmt
Exclusion	$8,278,904	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,634,514	TotalAmt
Program Services	$2,634,514	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,712,625	TotalAmt
Management And General	$2,712,625	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$167,829,300	TotalAmt
Program Services	$144,960,636	ProgramServicesAmt
Management And General	$22,868,664	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,934,839	TotalAmt
Program Services	$7,594,613	ProgramServicesAmt
Management And General	$1,340,226	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$79,681,862	TotalAmt
Program Services	$67,729,583	ProgramServicesAmt
Management And General	$11,952,279	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,752,840	TotalAmt
Program Services	$10,839,914	ProgramServicesAmt
Management And General	$1,912,926	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,408,954	TotalAmt
Management And General	$1,408,954	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$242,146	TotalAmt
Management And General	$242,146	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$74,217	TotalAmt
Management And General	$74,217	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$148,641	TotalAmt
Management And General	$148,641	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,588,769	TotalAmt
Program Services	$26,151,421	ProgramServicesAmt
Management And General	$1,437,348	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$95,400	TotalAmt
Program Services	$95,400	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,931,216	TotalAmt
Program Services	$10,740,761	ProgramServicesAmt
Management And General	$2,190,455	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,527,473	TotalAmt
Program Services	$9,603,293	ProgramServicesAmt
Management And General	$924,180	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,535,176	TotalAmt
Program Services	$13,333,989	ProgramServicesAmt
Management And General	$201,187	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$190,765	TotalAmt
Program Services	$152,612	ProgramServicesAmt
Management And General	$38,153	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$51,335	TotalAmt
Program Services	$47,028	ProgramServicesAmt
Management And General	$4,307	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,496,562	TotalAmt
Program Services	$17,496,562	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$59,774,991	TotalAmt
Program Services	$59,774,991	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,111,148	TotalAmt
Program Services	$3,321,036	ProgramServicesAmt
Management And General	$790,112	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$55,214,255	$54,922,691	$291,564
SYSTEM ALLOCATION FEES	$46,735,786		$46,735,786
PURCHASED SERVICES	$44,628,672	$42,670,249	$1,958,423
HOSPITAL FEES	$29,716,584	$29,716,584

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,020,797	TotalAmt
Program Services	$7,343,357	ProgramServicesAmt
Management And General	$2,677,440	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$609,038,867	TotalAmt
Program Services	$509,129,234	ProgramServicesAmt
Management And General	$99,909,633	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,104,003	BOYAmt
EOY	$20,107,950	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$61,586,590	BOYAmt
EOY	$72,419,397	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,332,309	BOYAmt
EOY	$10,614,549	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,701,459	BOYAmt
EOY	$3,262,369	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,130,528,023	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$493,106,567	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$663,919,244	BOYAmt
EOY	$637,421,456	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,155,476	BOYAmt
EOY	-$496,957	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$7,036,209	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$22,662,968	BOYAmt
EOY	$21,439,042	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$781,462,049	BOYAmt
EOY	$771,804,015	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$59,739,197	BOYAmt
EOY	$77,080,040	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$509,531,173	BOYAmt
EOY	$505,610,069	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,383,831	BOYAmt
EOY	$2,761,450	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$571,654,201	BOYAmt
EOY	$585,451,559	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$209,337,587	BOYAmt
EOY	$185,881,694	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$470,261	BOYAmt
EOY	$470,762	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$209,807,848	BOYAmt
EOY	$186,352,456	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$781,462,049	BOYAmt
EOY	$771,804,015	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$50,048,344	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$16,947	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$73,486,789	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,002,263	BeginningYearBalanceAmt
Contributions	$293,248	ContributionsAmt
Investment Earnings Or Losses	-$465,325	InvestmentEarningsOrLossesAmt
Other Expenditures	$90,288	OtherExpendituresAmt
End Year Balance	$8,739,898	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,592,203	BeginningYearBalanceAmt
Investment Earnings Or Losses	$471,783	InvestmentEarningsOrLossesAmt
Other Expenditures	$61,723	OtherExpendituresAmt
End Year Balance	$9,002,263	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,581,253	BeginningYearBalanceAmt
Contributions	$1,043,730	ContributionsAmt
Other Expenditures	$32,780	OtherExpendituresAmt
End Year Balance	$8,592,203	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,698,130	BeginningYearBalanceAmt
Contributions	$222,000	ContributionsAmt
Investment Earnings Or Losses	$724,667	InvestmentEarningsOrLossesAmt
Other Expenditures	$63,544	OtherExpendituresAmt
End Year Balance	$7,581,253	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,719,626	BeginningYearBalanceAmt
Investment Earnings Or Losses	$32,296	InvestmentEarningsOrLossesAmt
Other Expenditures	$53,792	OtherExpendituresAmt
End Year Balance	$6,698,130	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.77070	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.22930	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,273,482	OtherCostOrOtherBasisAmt
Book Value	$9,273,482	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$813,818,555	OtherCostOrOtherBasisAmt
Depreciation	$284,357,112	DepreciationAmt
Book Value	$529,461,443	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,225,765	OtherCostOrOtherBasisAmt
Depreciation	$3,657,342	DepreciationAmt
Book Value	$568,423	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$239,486,091	OtherCostOrOtherBasisAmt
Depreciation	$192,087,419	DepreciationAmt
Book Value	$47,398,672	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,724,130	OtherCostOrOtherBasisAmt
Depreciation	$13,004,694	DepreciationAmt
Book Value	$50,719,436	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$637,421,456	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INSURANCE LIABILITIES	$1,980,997
OTHER LIABILITIES	$553,950
THIRD PARTY SETTLEMENTS	$226,503

Field	Value	IRS element (for citing)
Total Liability	$2,761,450	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENTS ARE USED TO SUPPORT THE PROGRAMS OF MILLS-PENINSULA HEALTH SERVICES.

SCHEDULE D, PART X, LINE 2

ASC 740 (FIN48) AUDIT FOOTNOTE: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2015 AND 2014, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,444,176	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,444,176	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,794,284	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,917,885	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,876,399	NetCommunityBenefitExpnsAmt
Total Expense	0.09170	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$264,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,294	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$214,890	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,502,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,967,179	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,535,465	NetCommunityBenefitExpnsAmt
Total Expense	0.09780	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	3378	PersonsServedCnt
Total Community Benefit Expns	$226,176	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,822	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$224,354	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	490	PersonsServedCnt
Total Community Benefit Expns	$63,879	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$63,879	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	177	PersonsServedCnt
Total Community Benefit Expns	$8,414,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,061,271	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,353,337	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	1690	PersonsServedCnt
Total Community Benefit Expns	$3,317,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,315,771	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	5735	PersonsServedCnt
Total Community Benefit Expns	$12,022,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,065,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,957,341	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Persons Served	5735	PersonsServedCnt
Total Community Benefit Expns	$105,525,264	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,032,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,492,806	NetCommunityBenefitExpnsAmt
Total Expense	0.10920	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$564	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$564	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$564	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$564	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,104,747	BadDebtExpenseAmt
Reimbursed By Medicare	$102,825,402	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$141,295,088	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$38,469,686	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
MILLS PENINSULA MEDICAL CENTER
1	1501 TROUSDALE DRIVE	BURLINGAME	CA	940104506	www.mills-peninsula.org	LICENSE #220000037	Yes (X)	Yes (X)	Yes (X)	A
MENLO PARK SURGICAL HOSPITAL
2	570 WILLOW ROAD	MENLO PARK	CA	940252617	www.pamf.org/MPHS	LICENSE #220000276	Yes (X)	Yes (X)		A	OUTPATIENT SERVICES
SUTTER MATERNITY & SURGERY SANTA CRUZ
3	2900 CHANTICLEER AVE	SANTA CRUZ	CA	950651816	www.suttersantacruz.org	LICENSE #070000399	Yes (X)	Yes (X)		A	OUTPATIENT SERVICES

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	13	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Care	400.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL (A, 1-2): IN CONDUCTING ITS MOST RECENT CHNA IN 2013, MILLS-PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE HEALTHY COMMUNITY COLLABORATIVE CONVENED A FOCUS GROUP OF 20 LOCAL COMMUNITY LEADERS AND KEY STAKEHOLDERS ON JANUARY 30, 2013. THE PURPOSE OF THIS CONVENING WAS TO ELICIT FEEDBACK AND PRIORITIZATION ON KEY FINDINGS FROM THE CHNA THROUGH A FOCUS GROUP METHOD. THE PARTICIPANTS WERE GIVEN A PRESENTATION ON THE MAJOR HEALTH CONDITIONS IDENTIFIED IN THE 2013 SAN MATEO COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE GROUP PROVIDED REACTIONS TO THESE FINDINGS, AND RATED THE 12 TOP HEALTH NEEDS IN THE COUNTY ACROSS FOUR DIMENSIONS. FOCUS GROUP PARTICIPANTS INCLUDED THE FOLLOWING PEOPLE: - REV. DR. LYNN BOWDISH, PASTOR, COMMUNITY ACTIVIST OF HOLY CHILD-ST. MARTIN EPISCOPAL CHURCH - PAT BROWN, EXECUTIVE DIRECTOR OF REDWOOD CITY 2020 - ERIN CLARK, INTERN FOR PENINSULA HEALTH CARE DISTRICT - KRISTEN DAMBROWSKI, ASSOCIATE EXECUTIVE DIRECTOR OF PENINSULA FAMILY YMCA - CHERYL FAMA, CEO OF PENINSULA HEALTH CARE DISTRICT - KIMBERLY GILLETTE, DIRECTOR OF DALY CITY YOUTH HEALTH CENTER - CAROLE GROOM, SUPERVISOR FOR SAN MATEO COUNTY BOARD OF SUPERVISORS - SAM HERZBERG, SENIOR PLANNER FOR SAN MATEO COUNTY PARKS AND RECREATION - LORI KANDALS, EXECUTIVE DIRECTOR OF CAMINAR - BARBARA LIEDTKE, SOUTH CITY HOME SHARE COORDINATOR FOR HUMAN INVESTMENT PROJECT HOUSING - DAISY LIU, HEALTH EDUCATOR FOR HEALTH PLAN OF SAN MATEO - LEE MICHELSON, CEO OF SEQUOIA HEALTHCARE DISTRICT - SARA LARIOS MITCHELL, CEO OF STAR-VISTA - RON MYERS, SAN MATEO COUNTY FIRE CHIEF - SHARON PETERSON, DIRECTOR OF OPERATIONS FOR SAMARITAN HOUSE - EMILY ROBERTS, CHILD HEALTH & DEVELOPMENT SPECIALIST FOR FIRST 5 SAN MATEO COUNTY - FONCET TAUAALO, INTERN FOR SAN MATEO COUNTY HUMAN SERVICE AGENCY - RITA TIMES, ADVISORY BOARD MEMBER FOR AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY - DEBORAH TORRES, DIRECTOR OF SAN MATEO COUNTY HUMAN SERVICE AGENCY - ART WOLF, SR. DEVELOPMENT OFFICER FOR PENINSULA JEWISH COMMUNITY CENTER. THE CHNA ALSO UTILIZED A NUMBER OF HEALTH AND WELL BEING INDICATORS COLLECTED FROM BOTH PRIMARY AND SECONDARY DATA. INPUT FROM THE COMMUNITY SERVED, OR PRIMARY DATA, WERE COLLECTED THROUGH A TELEPHONE SURVEY OF ADULTS (THE 2013 HEALTH & QUALITY OF LIFE SURVEY), AND INCLUDED BOTH HEALTH AND WELL BEING INDICATORS. HEALTH INDICATORS INCLUDED RISK BEHAVIORS SUCH AS SMOKING, PHYSICAL INACTIVITY, HIGH BLOOD PRESSURE, OVERWEIGHT PREVALENCE, AND PREVENTION SERVICES SUCH AS CANCER SCREENINGS AND ACCESS TO MEDICAL AND DENTAL CARE. THE SURVEY UTILIZED MANY QUESTIONS FROM THE CENTER FOR DISEASE CONTROL AND PREVENTIONS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE SURVEY ALSO COLLECTED QUALITY OF LIFE INDICATORS SUCH AS HOUSING, SOCIAL CAPITAL, CHILDCARE, TRANSPORTATION, AND EDUCATION. MANY OF THE SURVEY QUESTIONS WERE ADMINISTERED IN EARLIER ASSESSMENTS CONDUCTED FOR THE SERVICE AREA, AND THIS ALLOWED FOR TRENDING OVER TIME. THE SURVEY WAS CONDUCTED AMONG A RANDOM SAMPLE OF 1,000 ADULTS RESIDING IN THE SERVICE AREA OF SAN MATEO COUNTY. AN OVERSAMPLING OF AFRICAN AMERICAN, LOW INCOME (THOSE BELOW 400% OF FEDERAL POVERTY LEVEL (FPL), AND RESIDENTS LIVING IN COASTSIDE ZIP CODES WAS CONDUCTED TO ALLOW FOR ANALYSIS OF THESE POPULATIONS. IN TOTAL, 1,724 INTERVIEWS WERE CONDUCTED. THE FINDINGS IN MILLS-PENINSULA MEDICAL CENTERS CHNA ARE AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MATERNITY & SURGERY SANTA CRUZ (A, 3): SMSC, A FACILITY OF MPHS, PARTICIPATED IN A COLLABORATIVE EFFORT TO CONDUCT A COUNTYWIDE COMMUNITY ASSESSMENT. THIS COMMUNITY ASSESSMENT PROJECT (CAP) WAS LED BY APPLIED SURVEY RESEARCH (ASR), UNITED WAY OF SANTA CRUZ COUNTY, AND DOMINICAN HOSPITAL, AND WAS SPONSORED BY A NUMBER OF COMMUNITY STAKEHOLDERS INCLUDING SMSC. THE SANTA CRUZ COUNTY CAP IS CONDUCTED EVERY TWO YEARS AND WAS MOST RECENTLY CONDUCTED IN 2012. THE ASSESSMENT INCLUDES A TEN-STEP COMMUNITY IMPROVEMENT CYCLE, WITH STEPS INCLUDING DATA COLLECTION, COMMUNITY GOAL SETTING, AND ACTION STEPS. THE CAP INCLUDES PRIMARY DATA FROM A REPRESENTATIVE PHONE SURVEY OF SANTA CRUZ COUNTY RESIDENTS AND A VARIETY OF SECONDARY DATA, SYNTHESIZED IN A COMPREHENSIVE REPORT EVALUATING SIX AREAS-- ECONOMY, EDUCATION, HEALTH, PUBLIC SAFETY, THE SOCIAL ENVIRONMENT, AND THE NATURAL ENVIRONMENT. THE 2012 CAP STEERING COMMITTEE ACTIVELY PARTICIPATED IN THE ASSESSMENT PROCESS AND CONSISTED OF INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING NONPROFIT HOSPITALS, COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY AND HUMAN SERVICES DEPARTMENTS, A NONPROFIT HEALTHCARE COALITION, NONPROFIT HEALTHCARE AND COMMUNITY FOUNDATIONS, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS, INDIVIDUALS IN LAW ENFORCEMENT AND EDUCATION, AND OTHER COMMUNITY STAKEHOLDERS. INTERVIEWS WERE HELD WITH THE FOLLOWING PEOPLE: - CALEB BASKIN OF BASKIN & GRANT WITH EXPERTISE IN LAW - DONNA BLITZER OF THE UNIVERSITY OF CALIFORNIA, SANTA CRUZ WITH EXPERTISE IN EDUCATION - SUSAN BRUTSCHY OF APPLIED SURVEY RESEARCH WITH EXPERTISE IN HEALTH RESEARCH - LESLIE CONNER OF SANTA CRUZ WOMEN'S HEALTH CENTER WITH EXPERTISE IN WOMAN'S HEALTH - CHRISTINA CUEVAS OF COMMUNITY FOUNDATION OF SANTA CRUZ COUNTY WITH EXPERTISE IN PHILANTHROPY - KAREN DELANEY OF VOLUNTEER CENTER OF SANTA CRUZ WITH EXPERTISE IN YOUTH, FAMILIES, ELDERLY, AND DISABLED PERSONS. - WILLY ELLIOT-MCCREA OF SECOND HARVEST FOOD BANK WITH EXPERTISE IN FOOD ACCESS - PEGGY FLYNN OF ETR ASSOCIATES WITH EXPERTISE IN EDUCATION, TRAINING & RESEARCH IN HEALTH & WELLNESS - WILL FOREST OF THE COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY WITH EXPERTISE IN EPIDEMIOLOGY - MARY LOU GOEKE OF UNITED WAY OF SANTA CRUZ COUNTY WITH EXPERTISE IN SERVICES FOR CHILDREN AND FAMILIES - DAN HAIFLEY OF O'NEILL SEA ODYSSEY WITH EXPERTISE IN ENVIRONMENTAL ISSUES - CHRISTINE JOHNSON-LYONS OF COMMUNITY ACTION BOARD WITH EXPERTISE IN LOW-INCOME POPULATIONS - SHEBREH KALANTARI-JOHNSON OF FIRST 5 SANTA CRUZ COUNTY WITH EXPERTISE IN YOUTH - BOB KENNEDY OF COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY WITH EXPERTISE IN ENVIRONMENTAL HEALTH AND PUBLIC HEALTH - RAMA KHALSA, COMMUNITY VOLUNTEER WITH EXPERTISE IN COMMUNITY HEALTH - KIRSTEN LISKE OF ECOLOGY ACTION WITH EXPERTISE IN ENVIRONMENTAL ISSUES - ELEANOR LITTMAN OF HEALTH IMPROVEMENT PARTNERSHIP SANTA CRUZ COUNTY WITH EXPERTISE IN HEALTHCARE ACCESS - ELLEN MURTHA OF SANTA CRUZ COMMUNITY VENTURES WITH EXPERTISE IN SOCIAL & ECONOMIC JUSTICE - MADELINE NOYA OF COUNTY OF SANTA CRUZ HUMAN SERVICES DEPARTMENT WITH EXPERTISE IN SOCIAL SERVICES - PAUL O'BRIEN, COMMUNITY VOLUNTEER WITH EXPERTISE IN HOMELESSNESS - MARTINA O'SULLIVAN OF DOMINICAN HOSPITAL WITH EXPERTISE IN COMMUNITY ENGAGEMENT - DOUG PATRICK, COMMUNITY VOLUNTEER WITH EXPERTISE IN DISABLED PERSONS - ROCK PFOTENHAUER OF CABRILLO COLLEGE WITH EXPERTISE IN EDUCATION - RAQUEL RAMIREZ RUIZ OF PAJARO VALLEY COMMUNITY HEALTH TRUST WITH EXPERTISE IN PUBLIC HEALTH AND HEALTHCARE ACCESS - JANET REED, COMMUNITY VOLUNTEER WITH EXPERTISE IN SOCIAL WORK AND YOUTH - JULIE REINHARDT OF IMAGINE SUPPORTED LIVING SERVICES WITH EXPERTISE IN ADULTS WITH DEVELOPMENTAL DISABILITIES - SUSAN ROZARIO OF COUNTY OF SANTA CRUZ SHERRIFF'S OFFICE WITH EXPERTISE IN LAW ENFORCEMENT - LAURA SEGURA OF WOMEN'S CRISIS SUPPORT/DEFENSA DE MUJERES WITH EXPERTISE IN DOMESTIC VIOLENCE AND SEXUAL ASSAULT - ABIGAIL STEVENS OF APPLIED SURVEY RESEARCH WITH EXPERTISE IN HEALTH RESEARCH - BRIAN SPECTOR OF WALDE RUHNKE AND DOST ARCHITECTS, LLP WITH EXPERTISE IN ARCHITECTURE (INCLUDING AFFORDABLE HOUSING, HEALTHCARE, EDUCATION) - SAM STOREY OF COMMUNITY BRIDGES WITH EXPERTISE IN YOUTH, FAMILIES, AND SENIORS - SUSAN TRUE OF FIRST 5 SANTA CRUZ COUNTY WITH EXPERTISE IN YOUTH - MICHAEL WATKINS OF SANTA CRUZ COUNTY OFFICE OF EDUCATION WITH EXPERTISE IN EDUCATION
SCHEDULE H, PART V, SECTION B, LINE 6A	MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL (A, 1-2): THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY WAS FORMED IN 1995 AND IS COMPRISED OF 14 MEMBER ORGANIZATIONS. THE COLLABORATIVE IS A SUBCOMMITTEE OF THE SAN MATEO COUNTY HOSPITAL CONSORTIUM. MEMBERS INCLUDE NONPROFIT HOSPITALS, A MEDICAL FOUNDATION, SAN MATEO COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES AGENCY, A NONPROFIT HEALTHCARE PLAN, COMMUNITY CLINICS, TWO HEALTHCARE DISTRICTS, AND A COMMUNITY FOUNDATION. THE MISSION OF THE COLLABORATIVE IS TO PROMOTE THE HEALTH AND WELL BEING OF RESIDENTS LIVING IN SAN MATEO COUNTY BY IDENTIFYING AND ADDRESSING HEALTH NEEDS. THE HOSPITALS THAT COLLABORATED ON THE 2013 CHNA ARE MILLS-PENINSULA MEDICAL CENTER, SEQUOIA HOSPITAL, KAISER PERMANENTE SAN MATEO, LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD, SAN MATEO MEDICAL CENTER, SETON MEDICAL CENTER AND STANFORD HOSPITAL & CLINICS. SUTTER MATERNITY & SURGERY SANTA CRUZ (A, 3): SUTTER MATERNITY & SURGERY CENTER AND DOMINICAN HOSPITAL WERE TWO HOSPITALS THAT COLLABORATED ON THE COMMUNITY ASSESSMENT PROJECT.
SCHEDULE H, PART V, SECTION B, LINE 7A AND 10A	REPORTING FACILITY WEBSITES: MILLS PENINSULA MEDICAL CENTER (A, 1) HTTP://WWW.MILLS-PENINSULA.ORG/COMMUNITY/NEEDS-ASSESSMENT.HTML MENLO PARK SURGICAL HOSPITAL (A, 2) HTTP://WWW.PAMF.ORG/MPSH/COMMUNITY/ SUTTER MATERNITY & SURGERY SANTA CRUZ (A, 3) HTTP://WWW.SUTTERSANTACRUZ.ORG/COMMUNITY/ASSESSMENT.HTML SCHEDULE H, PART V, SECTION B, LINE 7B (A, 1-3) HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML
SCHEDULE H, PART V, SECTION B, LINE 11	MILLS-PENINSULA HEALTH SERVICES (A, 1) THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MILLS-PENINSULA MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO HEALTH CARE - UNINSURED AND UNDERINSURED COMMUNITY MEMBERS HAVE DIFFICULTY ACCESSING AND ENCOUNTER LONG WAITS FOR NEEDED HEALTH CARE FROM COMMUNITY CLINICS FOR BOTH PRIMARY AND SPECIALTY CARE. HEALTH NEEDS IDENTIFIED BY THE CHNA INCLUDE DIABETES, CARDIOVASCULAR DISEASE, OBESITY, CANCER, ASTHMA AND RESPIRATORY CONDITIONS, STDS/HIV-AIDS AND INFECTIOUS DISEASE. COGNITIVE ISSUES - SUPPORT OF COMMUNITY MEMBERS WITH COGNITIVE ISSUES IS LIMITED FOR BOTH THE PERSON WITH THE CONDITION AND THE CAREGIVER. DENTAL AND ORAL HEALTH - ADULTS ARE VISITING THE DENTIST FOR ROUTINE CHECKUP LESS FREQUENTLY, PARTICULARLY YOUNG ADULTS. THERE HAS BEEN AN INCREASE IN THE NUMBER OF COMMUNITY MEMBERS WHO DO NOT HAVE DENTAL INSURANCE. MENTAL HEALTH - ADULTS REPORT FEELING DEPRESSED IN HIGHER NUMBERS AND 24% OF ADULTS REPORT HAVING A PERIOD LASTING TWO YEARS OR LONGER IN WHICH THEY WERE DEPRESSED ON MOST DAYS. SUBSTANCE ABUSE - DATA INDICATED THAT BINGE DRINKING (CONSUMPTION OF FIVE OR MORE ALCOHOLIC DRINKS) INCREASED SIGNIFICANTLY AMONG MALES AGED 18 TO 24. FELONY AND MISDEMEANOR DUI ARREST S ALSO INCREASED. BIRTHS - RACIAL AND ETHNIC DISPARITIES EXIST AMONG WOMEN THAT RECEIVED ADEQUATE PRENATAL CARE. PACIFIC ISLANDER WOMEN HAVE THE HIGHEST PROPORTIONS OF BIRTHS RECEIVING LESS THAN ADEQUATE PRENATAL CARE. THE PROPORTION OF BIRTHS DELIVERED BY C-SECTION HAS DRAMATICALLY INCREASED. 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 MILLS-PENINSULA HEALTH SERVICES 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. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEED THAT WAS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: - VIOLENCE AND SAFETY THESE SERVICES ARE NOT WITHIN THE SCOPE OF EXPERTISE OF MILLS-PENINSULA HEALTH SERVICES. MENLO PARK SURGICAL HOSPITAL (A, 2) THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MENLO PARK SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO SPECIALTY CARE - A SEGMENT OF SAN MATEO COUNTY'S UNDERSERVED/UNDERINSURED ADULTS REPORT THAT THEY HAVE NEEDED SURGICAL CARE FOR GENERAL, ORTHOPEDIC AND UROLOGIC CONDITIONS. ORAL HEALTH AND DENTAL CARE - MANY UNDERSERVED/UNDERINSURED CHILDREN AND ADULTS IN SAN MATEO COUNTY DO NOT HAVE ACCESS TO NEEDED PREVENTIVE AND INTERVENTIONAL DENTAL CARE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF MENLO PARK SURGICAL HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MENLO PARK SURGICAL HOSPITAL (MPSH) IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: - DIABETES - OBESITY - CARDIOVASCULAR DISEASE, HEART ATTACK AND STROKE - SUBSTANCE ABUSE - VIOLENCE AND SAFETY - CANCER - BIRTHS - COGNITIVE ISSUES - STDS, HIV/AIDS MPSH DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THESE NEEDS AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO FULFILL THIS ROLE. SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ (A, 3) THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER MATERNITY & SURGERY CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO PRIMARY CARE - A SEGMENT OF THE COUNTY'S ADULTS REPORT THAT THEY HAVE NEEDED HEALTHCARE BUT HAVE BEEN UNABLE TO RECEIVE IT. DISPARITIES BETWEEN LATINO AND NON-LATINO RESIDENTS REPORTING A REGULAR SOURCE OF HEALTHCARE ALSO PERSIST. HEALTH INSURANCE AMONG CHILDREN - A SEGMENT OF THE COUNTY'S CHILDREN AGE 0-17 REMAIN WITHOUT HEALTHCARE INSURANCE, AT A GREATER RATE THAN THE STATE AVERAGE. CHILDHOOD OBESITY - ROUGHLY ONE-QUARTER OF LOW-INCOME CHILDREN AGE 5-19 YEARS OLD IN SANTA CRUZ COUNTY ARE OBESE, AN INCREASING TREND THAT REMAINS HIGHER THAN THE STATE AVERAGE. 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. SMSC 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. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: - NUTRITION WHILE NUTRITION IS ADDRESSED WITH A SUBSET OF THE POPULATION THROUGH THE SMSC PEDIATRIC WEIGHT MANAGEMENT PROGRAM'S EDUCATIONAL COMPONENT, SMSC DOES NOT HAVE THE EXPERTISE, NOR DOES SMSC HAVE SUFFICIENT NUTRITIONIST RESOURCES, TO EFFECTIVELY ADDRESS THIS NEED ON A BROADER SCALE IN THE COMMUNITY. - PHYSICAL ACTIVITY WHILE PHYSICAL ACTIVITY IS ADDRESSED WITH A SUBSET OF THE POPULATION THROUGH THE SMSC PEDIATRIC WEIGHT MANAGEMENT PROGRAM'S EDUCATIONAL COMPONENT, SMSC DOES NOT HAVE THE EXPERTISE, NOR DOES SMSC HAVE SUFFICIENT PHYSICAL ACTIVITY RESOURCES, TO EFFECTIVELY ADDRESS THIS NEED ON A BROADER SCALE IN THE COMMUNITY. - DENTAL CARE SMSC DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED, AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO ADDRESS THIS NEED. - DIABETES SMSC DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED, AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO ADDRESS THIS NEED. - ALCOHOL AND DRUG SMSC DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED, AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO ADDRESS THIS NEED.
SCHEDULE H, PART V, SECTION B, LINE 15E	METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE - OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE.
SCHEDULE H, PART V, SECTION B, LINE 16I	MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. 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	AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MILLS-PENINSULA HEALTH CENTER
100 S SAN MATEO DRIVE	SAN MATEO	CA	94401	CHRONIC DIALYSIS RENAL DISEASE
MILLS-PENINSULA SENIOR FOCUS
1720 EL CAMINO REAL	BURLINGAME	CA	94010	MEDICAL DAY CARE
MILLS-PENINSULA SKILLED NURSING FACILITY
1609 TROUSDALE DRIVE	BURLINGAME	CA	94010	SKILLED NURSING FACILITY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENTS FAMILY INCOME.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: MILLS PENINSULA HEALTH SERVICES & MENLO PARK SURGICAL HOSPITAL: MILLS-PENINSULA HEALTH SERVICES AND MENLO PARK SURGICAL HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2015. SUTTER MATERNITY & SURGERY CENTER: SUTTER MATERNITY & SURGERY CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS ROOT CAUSES 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. ENVIRONMENTAL AWARENESS PROGRAM: THE ENVIRONMENTAL AWARENESS PROGRAM AT SUTTER MATERNITY & SURGERY CENTER FOCUSES ON REDUCTION OF COMMUNITY ENVIRONMENTAL HAZARDS ALONG WITH THE SHARING IN HEALTH CARE FACILITY ENVIRONMENTAL RESPONSIBILITY, WHICH INCLUDES WASTE REDUCTION, GREEN PURCHASING AND OTHER ECOLOGY INITIATIVES.
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 $192 MILLION AND $287 MILLION FOR 2015 AND 2014, 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	NEEDS ASSESSMENT: MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL: IN ACCORDANCE WITH LEGISLATIVE REQUIREMENTS, MILLS-PENINSULA MEDICAL CENTER PARTICIPATED IN A COLLABORATIVE EFFORT TO CONDUCT A CHNA OF THE SERVICE AREA-SAN MATEO COUNTY. PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) (WWW.PRCONLINE.COM) CONDUCTED THE ASSESSMENT ON THE BEHALF OF THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY. PRC IS A RESEARCH FIRM DEDICATED TO THE IMPROVEMENT OF HEALTHCARE ACROSS ALL COMMUNITIES. SINCE 1994 PRC HAS CONDUCTED MULTIPLE HEALTH NEEDS ASSESSMENTS WORKING ON THE BEHALF OF NONPROFIT HOSPITALS, HEALTH DEPARTMENTS, FOUNDATIONS, CIVIC ORGANIZATIONS, AND HEALTH PROVIDERS NATION-WIDE. THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY WAS FORMED IN 1995 AND IS COMPRISED OF 14 MEMBER ORGANIZATIONS. THE COLLABORATIVE IS A SUBCOMMITTEE OF THE SAN MATEO COUNTY HOSPITAL CONSORTIUM. MEMBERS INCLUDE NONPROFIT HOSPITALS, A MEDICAL FOUNDATION, SAN MATEO COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES AGENCY, A NONPROFIT HEALTHCARE PLAN, COMMUNITY CLINICS, TWO HEALTHCARE DISTRICTS, AND A COMMUNITY FOUNDATION. THE MISSION OF THE COLLABORATIVE IS TO PROMOTE THE HEALTH AND WELL BEING OF RESIDENTS LIVING IN SAN MATEO COUNTY BY IDENTIFYING AND ADDRESSING HEALTH NEEDS. THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOCUSED ON SAN MATEO COUNTY, AND WAS COMPLETED IN THE FALL OF 2013. THE FULL REPORT CAN BE ACCESSED ON THE INTERNET AT WWW.SMCHEALTH.ORG OR WWW.PLSINFO.ORG. THE PRIMARY OBJECTIVE OF THE CHNA WAS TO UNDERSTAND CURRENT CONDITIONS AND TRENDS OF THE HEALTH STATUS OF RESIDENTS LIVING IN THE SERVICE AREA, AND IDENTIFY AREAS FOR IMPROVEMENT. THE RESULTS WERE INTENDED TO BE A PLANNING TOOL SO THAT KEY STAKEHOLDERS COULD MAKE DATA-DRIVEN RECOMMENDATIONS AND DECISIONS TO IMPROVE HEALTH AMONG SERVICE AREA RESIDENTS. TWO SPECIFIC GOALS HELPED TO GUIDE THE ASSESSMENT AS IT WAS COMPLETED. THESE WERE: - TO PRODUCE A FUNCTIONAL, COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT THAT COULD BE USED FOR STRATEGIC PLANNING OF COMMUNITY PROGRAMS, AND AS A GUIDELINE FOR POLICY AND ADVOCACY EFFORTS; AND - TO PROMOTE COLLABORATIVE EFFORTS IN THE COMMUNITY AND DEVELOP COLLABORATIVE PROJECTS BASED ON THE DATA, COMMUNITY INPUT, IDENTIFIED SERVICE GAPS, AND GROUP CONSENSUS (2013 COMMUNITY HEALTH NEEDS ASSESSMENT) RECOGNIZING THAT HEALTH STATUS WAS NOT EVENLY DISTRIBUTED ACROSS THE SERVICE AREA, A FOCUS OF THE CHNA WAS TO IDENTIFY AND HIGHLIGHT COMMUNITIES AND POPULATIONS THAT WERE EXPERIENCING DISPARITIES. TO THIS END, WHEN AVAILABLE, INDICATORS WERE REPORTED BY RACE/ETHNICITY, GENDER, INCOME, AND REGIONS OF THE COUNTY. THE ASSESSMENT UTILIZED A NUMBER OF HEALTH AND WELL BEING INDICATORS COLLECTED FROM BOTH PRIMARY AND SECONDARY DATA. INPUT FROM THE COMMUNITY SERVED, OR PRIMARY DATA, WERE COLLECTED THROUGH A TELEPHONE SURVEY OF ADULTS (THE 2013 HEALTH & QUALITY OF LIFE SURVEY), AND INCLUDED BOTH HEALTH AND WELL BEING INDICATORS. HEALTH INDICATORS INCLUDED RISK BEHAVIORS SUCH AS SMOKING, PHYSICAL INACTIVITY, HIGH BLOOD PRESSURE, OVERWEIGHT PREVALENCE, AND PREVENTION SERVICES SUCH AS CANCER SCREENINGS AND ACCESS TO MEDICAL AND DENTAL CARE. THE SURVEY UTILIZED MANY QUESTIONS FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE SURVEY ALSO COLLECTED QUALITY OF LIFE INDICATORS SUCH AS HOUSING, SOCIAL CAPITAL, CHILDCARE, TRANSPORTATION, AND EDUCATION. MANY OF THE SURVEY QUESTIONS WERE ADMINISTERED IN EARLIER ASSESSMENTS CONDUCTED FOR THE SERVICE AREA, AND THIS ALLOWED FOR TRENDING OVER TIME. THE SURVEY WAS CONDUCTED AMONG A RANDOM SAMPLE OF 1,000 ADULTS RESIDING IN THE SERVICE AREA OF SAN MATEO COUNTY. AN OVERSAMPLING OF AFRICAN AMERICAN, LOW INCOME (THOSE BELOW 400% OF FEDERAL POVERTY LEVEL (FPL), AND RESIDENTS LIVING IN COASTSIDE ZIP CODES WAS CONDUCTED TO ALLOW FOR ANALYSIS OF THESE POPULATIONS. IN TOTAL, 1,724 INTERVIEWS WERE CONDUCTED. SECONDARY DATA WERE COLLECTED AND REPORTED AS WELL. WHEN AVAILABLE, BENCHMARK COMPARISONS WERE MADE TO HEALTHY PEOPLE 2020 OBJECTIVES. THESE DATA INCLUDED INDICATORS POINTING TO HEALTH STATUS AND QUALITY OF LIFE IN THE SERVICE AREA. EXAMPLES OF HEALTH STATUS INDICATORS INCLUDED YEARS OF POTENTIAL LIFE LOST; INFANT MORTALITY; MORTALITY RATES BY CAUSES SUCH AS CANCER AND CARDIOVASCULAR DISEASE; HOSPITALIZATIONS DUE TO VARIOUS CAUSES; MATERNAL AND CHILD HEALTH SUCH AS LOW BIRTH WEIGHT, CHILDHOOD IMMUNIZATION RATES, AND CHILDHOOD OBESITY; AND INCIDENCE AND PREVALENCE OF COMMUNICABLE DISEASES. EXAMPLES OF QUALITY OF LIFE DATA INCLUDED EDUCATION INDICATORS SUCH AS PRESCHOOL ENROLLMENT AND COLLEGE READINESS, CRIME RATES, PER CAPITA INCOME AND RELATED POVERTY INDICATORS, EMPLOYMENT RATES AND OTHER ECONOMIC INDICATORS, COMMUTING AND TRAVEL INDICATORS, HOUSING AFFORDABILITY, AND HOMELESSNESS ESTIMATES. DATA WERE COLLECTED AND ANALYZED AND PRESENTED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SAN MATEO COUNTY. A 454-PAGE REPORT DETAILS THE FINDINGS AND CAN BE ACCESSED ON THE INTERNET AT WWW.SMCHEALTH.ORG OR WWW.PLSINFO.ORG. THE 2013 SAN MATEO COMMUNITY NEEDS ASSESSMENT IDENTIFIED 12 HEALTH NEEDS. THESE WERE GENERATED FROM THE PRIMARY AND SECONDARY DATA COLLECTED AND ANALYZED IN THE CHNA, AS WELL AS INPUT IN THE FORM OF A COMMUNITY LEADER/KEY STAKEHOLDER FOCUS GROUP. THE 12 HEALTH NEEDS ARE: - OBESITY - CARDIOVASCULAR DISEASE, HEART ATTACK AND STROKE - SUBSTANCE ABUSE (ALCOHOL, TOBACCO, & OTHER DRUGS PROGRAM) - POOR ORAL HEALTH - VIOLENCE - INFECTIOUS DISEASE - DIABETES - POOR MENTAL HEALTH - CANCER - BIRTHS AND PRENATAL CARE - ASTHMA AND RESPIRATORY CONDITIONS - STDS INCLUDING HIV-AIDS THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR MILLS-PENINSULA MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MATERNITY & SURGERY SANTA CRUZ: IN ACCORDANCE WITH THESE LEGISLATIVE REQUIREMENTS, SMSC PARTICIPATED IN A COLLABORATIVE EFFORT TO CONDUCT A COUNTYWIDE COMMUNITY ASSESSMENT. THIS COMMUNITY ASSESSMENT PROJECT (CAP) WAS LED BY APPLIED SURVEY RESEARCH (ASR), UNITED WAY OF SANTA CRUZ COUNTY, AND DOMINICAN HOSPITAL, AND WAS SPONSORED BY A NUMBER OF COMMUNITY STAKEHOLDERS INCLUDING SMSC. THE SANTA CRUZ COUNTY CAP IS CONDUCTED EVERY TWO YEARS AND WAS MOST RECENTLY CONDUCTED IN 2012. THE ASSESSMENT INCLUDES A TEN-STEP COMMUNITY IMPROVEMENT CYCLE, WITH STEPS INCLUDING DATA COLLECTION, COMMUNITY GOAL SETTING, AND ACTION STEPS. THE CAP INCLUDES PRIMARY DATA FROM A REPRESENTATIVE PHONE SURVEY OF SANTA CRUZ COUNTY RESIDENTS AND A VARIETY OF SECONDARY DATA, SYNTHESIZED IN A COMPREHENSIVE REPORT EVALUATING SIX AREAS -- ECONOMY, EDUCATION, HEALTH, PUBLIC SAFETY, THE SOCIAL ENVIRONMENT, AND THE NATURAL ENVIRONMENT. THE 2012 CAP STEERING COMMITTEE ACTIVELY PARTICIPATED IN THE ASSESSMENT PROCESS AND CONSISTED OF INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING NONPROFIT HOSPITALS, COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY AND HUMAN SERVICES DEPARTMENTS, A NONPROFIT HEALTHCARE COALITION, NONPROFIT HEALTHCARE AND COMMUNITY FOUNDATIONS, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS, INDIVIDUALS IN LAW ENFORCEMENT AND EDUCATION, AND OTHER COMMUNITY STAKEHOLDERS. THE 2012 CAP MARKS THE 18TH YEAR OF THE ONGOING PROJECT, WHICH HAS BEEN RECOGNIZED AS ONE OF THE STANDOUT COMMUNITY INDICATOR PROJECTS IN THE NATION, HAVING WON AN AWARD IN THE 2007 COMMUNITY INDICATORS CONSORTIUM INNOVATION AWARDS AND HAVING BEEN PROFILED IN BEST PRACTICES LITERATURE INCLUDING JOURNALS AND BOOKS. THE FULL 220-PAGE SANTA CRUZ CAP REPORT CAN BE ACCESSED ON THE INTERNET AT WWW.APPLIEDSURVEYRESEARCH.ORG AND WWW.UNITEDWAYSC.ORG. A SUMMARY DOCUMENT WAS DRAFTED FOR SUTTER MATERNITY & SURGERY CENTER AND SERVES TO HIGHLIGHT THE PRIORITY HEALTH NEEDS WITHIN THE AREA SERVED BY SMSC, AS DESCRIBED IN THE 2012 CAP. THE 27-PAGE SUMMARY CAN BE DOWNLOADED AT HTTP://WWW.SUTTERSANTACRUZ.ORG/COMMUNITY/ASSESSMENT.HTML THE 2012 CAP UTILIZED A NUMBER OF HEALTH AND WELLBEING INDICATORS COLLECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES. THE ASSESSMENT INCLUDED MORE THAN 100 INDICATORS DECIDED UPON BY TECHNICAL ADVISORY COMMITTEES. THESE COMMITTEES CONSISTED OF LOCAL EXPERTS IN THE SIX AREAS COVERED BY THE REPORT. CRITERIA FOR SELECTED INDICATORS INCLUDED THE NEED TO BE UNDERSTANDABLE TO THE GENERAL USER AND THE PUBLIC, RESPONSIVE TO CHANGE, RELEVANT FOR POLICY DECISIONS, AND UPDATED REGULARLY. PRIMARY DATA IN THE FORM OF COMMUNITY INPUT WERE COLLECTED THROUGH A REPRESENTATIVE 77-QUESTION TELEPHONE SURVEY OF SANTA CRUZ COUNTY ADULTS. THE OBJECTIVE OF THE SURVEY WAS TO MEASURE THE OPINIONS, ATTITUDES, DESIRES, AND NEEDS OF A DEMOGRAPHICALLY REPRESENTATIVE SAMPLE OF THE COUNTY'S RESIDENTS. THE PHONE SURVEY INCLUDED HEALTH INDICATOR QUESTIONS RELATED TO SMOKING, PHYSICAL ACTIVITY, FRUIT AND VEGETABLE CONSUMPTION, DIABETES, OBESITY, AND ACCESS TO MEDICAL AND DENTAL CARE, AMONG OTHERS. THE SURVEY ALSO EXAMINED INDICATORS SUCH AS HOUSING, CHILDCARE, TRANSPORTATION,
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: MILLS-PENINSULA MEDICAL CENTER FOLLOWS A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS). B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION". 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION". B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS: 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: MILLS PENINSULA MEDICAL CENTER (MPMC) AND MENLO PARK SURGICAL CENTER (MPSC): THE HOSPITAL SERVICE AREA OF MPMC AND MPSC IS DEFINED AS SAN MATEO COUNTY. SAN MATEO COUNTY IS LOCATED IN NORTHERN CALIFORNIA AND ENCOMPASSES OVER 448 SQUARE MILES WITH 1,602.2 PERSONS LIVING IN A SQUARE MILE. THE COUNTY IS PART OF THE SAN FRANCISCO-OAKLAND-FREMONT METROPOLITAN STATISTICAL AREA. SEVEN HOSPITALS SERVICE THIS AREA. SAN MATEO COUNTY POPULATION WAS NEARLY 720,000 RESIDENTS IN 2010, AND ITS POPULATION IS PROJECTED TO INCREASE TO NEARLY 800,000 BY 2050. ACCORDING TO THE CALIFORNIA DEPARTMENT OF FINANCE, THE COUNTY WAS THE 14TH MOST POPULOUS OF CALIFORNIA'S 58 TOTAL COUNTIES. ACCORDING TO THE US CENSUS, 34% OF COUNTY RESIDENTS WERE FOREIGN BORN, AND 44.5% OF ALL RESIDENTS OVER THE AGE OF FIVE SPOKE A LANGUAGE OTHER THAN ENGLISH WHILE AT HOME. OF THESE RESIDENTS, 63.8% WERE WHITE, 3.1% BLACK, 0.9% AMERICAN INDIAN, 26.4% ASIAN, 1.6% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, AND 4.3% WERE TWO OR MORE RACES. 25.4% OF RESIDENTS WERE HISPANIC OR LATINO. THE MEDIAN AGE OF COUNTY RESIDENTS IN 2010 WAS 39.3 YEARS. AGE PROJECTIONS INDICATED THAT THE COUNTY WILL SEE A NOTABLE INCREASE AMONG THOSE 60 YEARS AND OLDER, AS THIS SEGMENT OF THE POPULATION IS FORECAST TO ACCOUNT FOR 30% OF THE POPULATION BY 2030. EDUCATION ATTAINMENT IS CORRELATED TO INDIVIDUAL HEALTH. FOR SAN MATEO COUNTY, EDUCATION ATTAINMENT WAS HIGHER THAN THE STATE AVERAGE IN BOTH HIGH SCHOOL AND COLLEGE LEVELS. IN 2009-2010 IT WAS ESTIMATED THAT OVER 9% OF SAN MATEO COUNTY STUDENTS WOULD DROP OUT WITHIN A FOUR-YEAR PERIOD. THIS RATE HAS BEEN IN DECLINE WHEN COMPARED TO PREVIOUS YEARS. HOWEVER, THIS RATE WAS NOT CONSISTENT AMONG ALL RACES AND ETHNICITIES AS BLACKS, HISPANICS, AND PACIFIC ISLANDER STUDENTS DROP OUT AT HIGHER RATES THAN ASIAN, WHITE, AND FILIPINO STUDENTS. SAN MATEO COUNTY BENEFITED FROM THE TECHNOLOGY BOOM IN THE 1990S AND MEDIAN HOUSEHOLD INCOME CONTINUES TO RISE. HOWEVER, LOW INCOME RESIDENTS STRUGGLE TO MAKE ENDS MEET LEAVING THEM VULNERABLE TO A NUMBER OF EMERGENCIES OR CRISES. THE US CENSUS ESTIMATED THAT 7% OF COUNTY RESIDENTS LIVED BELOW 100% OF THE FPL, OR EARN LESS THAN $18,530 ANNUALLY, AND SOME 18.9% OF ALL RESIDENTS LIVED BELOW 200% OF THE FPL. SAN MATEO COUNTY HAS ONE OF THE HIGHEST COSTS OF LIVING IN THE NATION, AND A SINGLE PARENT WITH TWO CHILDREN MUST EARN APPROXIMATELY $78,000 TO MEET BASIC NEEDS. PER CAPITA INCOME FOR COUNTY RESIDENTS WAS $45,346, AND MEDIAN HOUSEHOLD INCOME WAS $87,633. HOWEVER, RESIDENTS WITH HIGH LEVELS OF EDUCATION ATTAINMENT EARNED SIGNIFICANTLY MORE THAN THOSE WITHOUT. FURTHER, MALES IN GENERAL EARNED MORE THAN FEMALES. MOST RESIDENTS REPORTED THAT THE STRENGTH AND GROWTH OF THE LOCAL ECONOMY WAS "FAIR"GOOD." ACCORDING TO THE US CENSUS IN 2010 THE COUNTY HAD SOME 570,786 RESIDENTS OVER THE AGE OF 16, AND 391,664 WERE IN THE LABOR FORCE. THE UNEMPLOYMENT WAS 7.3%. THERE WERE APPROXIMATELY 314,500 WAGE JOBS IN THE COUNTY, WITH THE LARGEST EMPLOYER BEING UNITED AIRLINES WITH 9,600 JOBS. SAN MATEO COUNTY IS THE FOURTH LARGEST EMPLOYER WITH 5,443 JOBS. WHEN ASKED, OVER 40% OF ALL RESIDENTS FELT THAT LOCAL EMPLOYMENT OPPORTUNITIES WERE "FAIR"POOR." THESE RESPONSES WERE PARTICULARLY HIGH AMONG WOMEN, ADULTS WITHOUT EDUCATION BEYOND A HIGH SCHOOL DIPLOMA, THOSE LIVING BELOW 400% FPL, BLACKS, HISPANICS, AND RESIDENTS OF THE COASTSIDE AREA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MILLS-PENINSULA MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MATERNITY & SURGERY SANTA CRUZ: BASED ON ANALYSIS OF PATIENT DISCHARGE DATA, SMSC'S SERVICE AREA WAS CONSIDERED TO BE SANTA CRUZ COUNTY. SANTA CRUZ COUNTY SITS SOUTH OF SAN MATEO COUNTY, WEST OF SANTA CLARA COUNTY, AND NORTH OF MONTEREY COUNTY AND WAS HOME TO 262,382 RESIDENTS IN 2010, WITH AN ESTIMATED INCREASE TO 266,776 IN 2012. THE 445 SQUARE-MILE COUNTY INCLUDES THE CITIES OF SANTA CRUZ (POPULATION 62,041), WATSONVILLE (POPULATION 51,881), SCOTTS VALLEY (POPULATION 11,670), AND CAPITOLA (POPULATION 10,012). THE COUNTY IS ALSO HOME TO 21 UNINCORPORATED TOWNS-AMESTI, APTOS, APTOS HILLS-LARKIN VALLEY, BEN LOMOND, BONNY DOON, BOULDER CREEK, BROOKDALE, CORRALITOS, DAVENPORT, DAY VALLEY, FELTON, FREEDOM, INTERLAKEN, LA SELVA BEACH, LIVE OAK, MOUNT HERMON, OPAL CLIFFS, RIO DEL MAR, SOQUEL, PASATIEMPO, AND TWIN LAKES. THE MAJOR INDUSTRIES IN SANTA CRUZ COUNTY CURRENTLY INCLUDE AGRICULTURE, TOURISM, EDUCATION, AND TECHNOLOGY. THERE ARE TWO HOSPITALS SERVING THE COMMUNITY. THE POPULATION OF SANTA CRUZ COUNTY IS 58.8% WHITE, 32.7% HISPANIC/LATINO, 4.4% ASIAN, 2.6% MULTI-RACE, 1.0% BLACK, AND 0.5% OTHER. INDIVIDUALS AGED 35-59 YEARS OLD MAKE UP THE LARGEST PERCENT OF COUNTY RESIDENTS AT 33.6%, FOLLOWED BY THOSE 20-34 YEARS OLD AT 23.1%, AGES 5-19 AT 19.5%, 60 AND ABOVE AT 18.2%, AND UNDER 5 YEARS OLD AT 5.7%. AMONG SANTA CRUZ COUNTY RESIDENTS, 67.8% SPEAK ENGLISH ONLY, WHILE 32.2% SPEAK A LANGUAGE OTHER THAN ENGLISH, WITH 26.5% SPEAKING SPANISH. EDUCATION ATTAINMENT IS CORRELATED TO INDIVIDUAL HEALTH. IN SANTA CRUZ COUNTY, 84.4% OF THE POPULATION HAVE A HIGH SCHOOL DEGREE OR HIGHER AND 37.4% HAVE A BACHELOR'S DEGREE OR HIGHER. BOTH OF THESE FIGURES EXCEED THE STATE PERCENTAGES OF 80.8% POSSESSING A HIGH SCHOOL DEGREE OR HIGHER AND 30.2% HAVING A BACHELOR'S DEGREE OR HIGHER. WHEN EXAMINING HIGH SCHOOL DROPOUT RATES BY ETHNICITY, DATA SHOWED THAT HISPANIC/LATINO STUDENTS WERE APPROXIMATELY TWICE AS LIKELY TO DROPOUT THAN WHITE STUDENTS, 16.5% AND 8.8% RESPECTIVELY. THE 2010 PER CAPITA INCOME OF SANTA CRUZ COUNTY RESIDENTS WAS $47,409, WHICH SURPASSES THE STATE'S PER CAPITA INCOME OF $42,514, AND THE NATIONAL PER CAPITA INCOME OF $39,937. IT IS NOTABLE THAT THE COUNTY'S PER CAPITA INCOME DECREASED IN BOTH 2009 AND 2010, WHILE THE STATE AND NATIONAL PER CAPITA INCOME SLIGHTLY INCREASED FROM 2009 TO 2010. WHILE THE MEDIAN FAMILY INCOME OF SANTA CRUZ COUNTY FAMILIES DROPPED TO $69,419 IN 2010, AN INCREASE TO $74,928 WAS SEEN IN 2011. THIS MEDIAN FAMILY INCOME IS HIGHER THAN THE STATE AND NATIONAL MEDIAN FAMILY INCOMES, AND THE INCREASE BETWEEN 2010 AND 2011 IN SANTA CRUZ COUNTY WAS NOTABLY GREATER THAN THE INCREASES SEEN AT THE STATE AND NATIONAL LEVELS. IN SANTA CRUZ COUNTY, THE PERCENTAGES OF THOSE LIVING IN POVERTY FALL BELOW THOSE WITHIN THE STATE AND NATION. AMONG INDIVIDUALS UNDER 17 YEARS OLD, 15.5% LIVE BELOW THE POVERTY LEVEL, 16.0% OF THOSE AGES 18-64, AND 7.2% OF THOSE 65 AND OLDER. IT IS NOTABLE THAT THE PERCENTAGE OF 18-64 YEAR OLDS LIVING BELOW THE POVERTY LEVEL WITHIN THE COUNTY HAS INCREASED 4.8% BETWEEN 2005 AND 2011. SELF-SUFFICIENCY INCOME STANDARDS ARE FREQUENTLY USED AS AN ADDITION TO FEDERAL POVERTY LEVEL DATA, AS THEY FACTOR IN COUNTY-SPECIFIC EXPENSE DIFFERENCES, HOUSING, CHILDCARE, TRANSPORTATION, AND FOOD COSTS, AMONG OTHERS. THE 2007 SELF-SUFFICIENCY DATA DISPLAYED BELOW SHOW THE PERCENT OF FAMILIES WHO ARE UNABLE TO SECURE BASIC NEEDS WITHOUT ADDITIONAL PUBLIC OR PRIVATE ASSISTANCE. WITHIN SANTA CRUZ COUNTY, 28.0% OF FAMILIES DID NOT MEET SELF-SUFFICIENCY STANDARDS. WHEN LOOKING AT THE DISPARITIES AMONG DIFFERENT GROUPS, LATINOS WERE TWICE AS LIKELY AS WHITES TO NOT MEET SELF-SUFFICIENCY STANDARDS, AT 46.7% AND 23.2% RESPECTIVELY. AMONG FAMILY TYPES, SINGLE FEMALE-HEADED HOUSEHOLDS WITH CHILDREN WERE THE MOST LIKELY TO NOT MEET SELF-SUFFICIENCY STANDARDS, FOLLOWED BY SINGLE MALE-HEADED HOUSEHOLDS WITH CHILDREN, MARRIED COUPLES WITH CHILDREN, AND FINALLY FAMILIES WITH NO CHILDREN AND NON-FAMILY HOUSEHOLDS. WHEN EXAMINING EDUCATIONAL ATTAINMENT, 58.5% OF INDIVIDUALS WITHOUT A HIGH SCHOOL DIPLOMA DID NOT MEET SELF-SUFFICIENCY STANDARDS, COMPARED TO 38.4% OF THOSE WITH A HIGH SCHOOL DIPLOMA. AS WAS THE TREND BOTH IN CALIFORNIA AND ACROSS THE UNITED STATES, THE UNEMPLOYMENT RATE IN SANTA CRUZ COUNTY REACHED A PEAK IN 2010 AND HAS SINCE BEEN DECREASING. IN 2012, SANTA CRUZ COUNTY DEMONSTRATED AN UNEMPLOYMENT RATE OF 9.9%, LOWER THAN THE STATE RATE OF 10.7%, BUT HIGHER THAN THE NATIONAL RATE OF 8.4%.
SCHEUDLE 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. MILLS PENINSULA MEDICAL CENTER: THE 2013 - 2015 IMPLEMENTATION STRATEGY FOR MILLS-PENINSULA MEDICAL CENTER DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: MILLS-PENINSULA MEDICAL CENTER PARTNERS WITH SAN MATEO COUNTY TO ESTABLISH AN URGENT CARE SERVICE IN DALY CITY (THE DALY CITY CLINIC). USING A MID-LEVEL PRACTITIONER AS THE PRIMARY CARE PROVIDER, THE TEAM WORKS WITH THE CLINICS' ESTABLISHED PRIMARY CARE TEAMS TO PROVIDE URGENT CARE ACCESS WHEN THE PRIMARY CARE TEAM IS UNABLE TO DO SO EITHER BECAUSE OF FULL SCHEDULES OR ABSENCES. THE ANTICIPATED IMPACT OF THIS PARTNERSHIP INCLUDES REDUCTION OF TIME TO THIRD NEXT AVAILABLE APPOINTMENT (TTNAA) FROM THE CURRENT AVERAGE OF 14 DAYS TO LESS THAN 7 DAYS. THE PARTNERSHIP ALSO FUNCTIONS TO REDUCE THE NUMBER OF ESTABLISHED MEDICAL HOME PATIENTS PRESENTING TO THE SAN MATEO MEDICAL CENTER (SMMC) EMERGENCY DEPARTMENT FOR AMBULATORY SENSITIVE CONDITIONS. IN 2015, THE AVERAGE TIME FOR THE TTNAA IS 9 DAYS. DURING 2015, THERE WERE ADDITIONAL PHYSICIAN VACANCIES WITH DELAYS IN RECRUITMENT TO FILL THE VACANT POSITIONS. A NEW NURSE PRACTITIONER STARTED IN OCTOBER WHICH PROVIDED THE NEEDED ACCESS TO PATIENTS. A NEW PHONE SYSTEM WAS PUT IN PLACE, ASSISTING IN A SIGNIFICANT 10% DECREASE ON NO-SHOW APPOINTMENTS. THE NUMBER OF MEDICAL HOME PATIENTS PRESENTING TO THE SMMC EMERGENCY DEPARTMENT AVERAGED 14 PER MONTH. MPMC PARTNERS WITH SAMARITAN HOUSE TO INCREASE ACCESS TO PRIMARY CARE FOR NEW PATIENTS AND INCREASE THE NUMBER OF VISITS FOR EXISTING PATIENTS THROUGH EXPANDING CLINIC PERSONNEL, INCREASE IN PHARMACEUTICALS AND MEDICAL SUPPLIES AND THE EXPANSION OF THE ELECTRONIC SCHEDULING SYSTEM. SAMARITAN HOUSE HAS BEEN SERVING LOW-INCOME INDIVIDUALS AND FAMILIES IN SAN MATEO COUNTY SINCE 1974. IN 2015, SAMARITAN HOUSE EXPERIENCED A LEADERSHIP CHANGE AND A FEW STAFFING CHALLENGES. AS OF MAY 2015, DR. JASON WONG HAS BEEN OVERSEEING THE OPERATIONS OF ALL OF SAMARITAN HOUSE CLINICS. MID-WAY THROUGH THE YEAR, STAFFING CHANGED AND A PART-TIME STAFF MEMBER WAS HIRED SPECIFICALLY TO TREAT DIABETIC PATIENTS AND ONE ADDITIONAL PART- TIME CASE MANAGER WAS HIRED TO PERFORM ON-SITE INCOME VERIFICATION AND PATIENT ELIGIBILITY SCREENING. CAPACITY FOR TOTAL PATIENT VISITS INCREASED BY 27% FOR A TOTAL OF 4,242 PATIENT VISITS. THE CLINIC PROVIDED HEALTHCARE SERVICES FOR AN ADDITIONAL 276 NEW PATIENTS. MPMC PARTNERS WITH OPERATION ACCESS TO PROVIDE STAFF AND FREE ELECTIVE SURGERIES AT THE MILLS HEALTH CENTER OUTPATIENT SURGERY CENTER. OPERATION ACCESS, A NOT-FOR-PROFIT ORGANIZATION, BRINGS TOGETHER MEDICAL PROFESSIONALS AND HOSPITALS TO PROVIDE DONATED OUTPATIENT SURGICAL AND SPECIALTY CARE FOR THE UNINSURED AND UNDERSERVED. IN 2015, MPMC PROVIDED A TOTAL OF 49 SERVICES FOR 35 UNDUPLICATED PATIENTS WHICH INCLUDED 25 OPERATING ROOM PROCEDURES; 4 GASTROENTEROLOGY PROCEDURES; 15 MINOR RADIOLOGY PROCEDURES AND 5 SPECIALIST EVALUATIONS. REFERRAL SOURCES WERE THE SAMARITAN HOUSE MEDICAL CLINICS, SAN MATEO DEPARTMENT OF PUBLIC HEALTH, ROTACARE BAY AREA, AND RAVENSWOOD FAMILY HEALTH CENTER. IN PARTNERSHIP WITH THE AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE (AACHAC), MPMC HELPS INCREASE RESOURCES TO PROVIDE PREVENTIVE SCREENING AND EDUCATION FOR UNDERSERVED AND AT-RISK POPULATIONS IN SAN MATEO COUNTY, INCLUDING AFRICAN AMERICANS, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. SCREENINGS INCLUDE MAMMOGRAPHY, PROSTATE CANCER, HYPERLIPIDEMIA, HYPERTENSION, OBESITY, HEARING AND VISION, AS WELL AS CULTURALLY APPROPRIATE CAREGIVER SUPPORT AND TRAINING AND NUTRITION AND FITNESS EDUCATION. IN 2015, 25 HEALTH-RELATED EVENTS WERE PROVIDED TO OVER 5,500 PEOPLE FROM THE AFRICAN-AMERICAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES IN SAN MATEO COUNTY. THESE EVENTS INCLUDED HEALTH SCREENINGS; SOUL STROLL FOR HEALTH; MENS HEALTH SYMPOSIUM; WOMENS HEALTH CONFERENCE; MENTAL HEALTH AWARENESS DAY; THE ANNUAL "OFF TO A GOOD START" NUTRITION AND PHYSICAL FITNESS DAY; A DIABETES PROGRAM FOR AFRICAN AMERICANS, HISPANIC AND PACIFIC ISLANDERS; THE NOVEMBER CAREGIVER PROGRAM; SUPPORT GROUPS FOR ADULT CHILDREN CARING FOR THEIR AGING PARENTS AND NON-RELATED CAREGIVERS. THE HEALTH SCREENINGS INCLUDED BREAST EXAMS (203); PSAS/DRES (82); BLOOD PRESSURE (1220); LIPID AND GLUCOSE (234); HIV (65) HCV (15); VISION (100) AND DENTAL (16). ALL SCREENINGS AND EVENTS ARE PROVIDED AT VARIOUS COMMUNITY ORGANIZATIONS AND ARE STAFFED BY VOLUNTEERS AND RETIRED NURSES. THE LAB TESTS, PROVIDED BY MPMC, WERE SENT DIRECTLY TO THE COMMUNITY MEMBER AND A SIMILAR PROTOCOL WAS FOLLOWED BY SAN MATEO COUNTY AND THE VISION PROGRAM. DENTAL RESULTS WERE PROVIDED ONSITE. AACHACS SUCCESS WITH THE UNDERSERVED AND COMMUNITIES OF COLOR CONTINUES WITH SPECIAL EMPHASIS ON OPENING DOORS THAT IDENTIFY THOSE WHO ARE THE MOST NEEDY. MPMC CONTINUES TO PROVIDE SUPPORT FOR NOT-FOR-PROFIT ORGANIZATIONS IN SAN MATEO COUNTY THAT PROVIDE A VARIETY OF HEALTH CARE ACCESS AND DELIVERY SERVICES, INCLUDING MENTAL HEALTH, SUBSTANCE ABUSE TREATMENTS, SENIOR PROGRAMS, DISABLED INDIVIDUALS, AND VOILENCE AND ABUSE THROUGH THE ANNUAL COMMUNITY GRANTS PROGRAM. IN 2015, $412,500 WAS PROVIDED IN MONETARY GRANTS TO 35 SAN MATEO COUNTY ORGANIZATIONS. MPMC PARTNERS WITH SONRISAS TO INCREASE ACCESS TO DENTAL HEALTH EDUCATION, SCREENING AND TREATMENT TO UNDERSERVED POPULATIONS OF CHILDREN, YOUTH AND ADULTS IN SAN MATEO COUNTY. IN 2015, SONRISAS PROVIDED SERVICES TO 1,400 YOUNG PATIENTS AND MORE THAN 1,200 ADULT PATIENTS. THE SERVICES INCLUDED ORAL HEALTH SCREENINGS FOR CHILDREN IN THE CABRILLO UNIFIED AND LA HONDA/PESCADERO SCHOOL DISTRICTS; DENTAL HYGIENE INSTRUCTION; DENTAL CLEANING AND OPERATIVE DENTISTRY TO RESTORE FUNCTION AND SAVE TEETH; AND REDUCED THE NUMBER OF PATIENTS SEEKING EMERGENCY DENTAL CARE IN THE COASTSIDE REGION THROUGH EDUCATION AND PROPER HYGIENE TREATMENT. MPMC PARTNERS WITH SAN MATEO COUNTY TO PROVIDE PRENATAL SCREENING AND BIRTHING SERVICES TO WOMEN COVERED BY MEDI-CAL INSURANCE. MPMC FAMILY BIRTH CENTER DELIVERS MORE BABIES THAN ANY OTHER FACILITY IN SAN MATEO COUNTY. IN 2015, THE BIRTH CENTER DELIVERED 2,189 BABIES. MPMC PROVIDED FUNDING TO SEVEN ORGANIZATIONS LOCATED IN SAN MATEO COUNTY TO ASSIST IN MAINTAINING MENTAL HEALTH SUPPORT FOR THE UNINSURED, POOR, AND HOMELESS POPULATIONS. ORGANIZATIONS WHO RECEIVED FUNDING INCLUDED CALIFORNIA CLUBHOUSE AS THEY FOCUS ON YOUNG ADULTS WITH MENTAL ILLNESSES, CAMINAR FOR MENTAL HEALTH FOCUSES ON ADULTS WITH SEVERE MENTAL ILLNESS AND NAMI SAN MATEO COUNTY PROVIDES SUPPORT, EDUCATION AND ADVOCACY FOR PEOPLE WITH MENTAL ILLNESS AND THEIR FAMILIES. MENLO PARK SURGICAL HOSPITAL: MENLO PARK SURGICAL HOSPITAL PARTNERS WITH RAVENSWOOD FAMILY HEALTH CENTER TO SUPPORT THEIR DENTAL PROGRAM. THE DENTAL PROGRAM PROVIDES PREVENTIVE ORAL HEALTH TO THE PEDIATRICS CLINIC AND IN LOCAL ELEMENTARY SCHOOLS, DENTAL SERVICES FOR ADULTS AND CHILDREN, ORAL SURGERY FOR ADULTS, CHILDREN AND DISABLED CHILDREN AND ADULTS AND ORAL SURGERY WITH CONSCIOUS SEDATION AT LUCILE PACKARD'S CHILDREN'S HOSPITAL IN PALO ALTO. FROM JANUARY THROUGH NOVEMBER, 2015, COMPREHENSIVE ORAL HEALTH CARE SERVICES WERE PROVIDED TO 2,161 UNDUPLICATED ADULTS AND 2,926 UNDUPLICATED CHILDREN THROUGH 12,771 DENTAL VISITS. 345 ORAL SURGERY VISITS WERE PROVIDED TO 107 UNDUPLICATED PATIENTS AND THEY SURPASSED THEIR PROPOSED OBJECTIVES TO INCREASE ACCESS TO ORAL SURGERY FOR CHILDREN AND DISABLED ADULTS BY 49%. THERE HAS BEEN AN INCREASE IN DENTAL VISITS BY 4% AS COMPARED TO 2014. ORAL HEALTH CARE SERVICES INCLUDE PREVENTIVE, RESTORATIVE, AND SURGICAL UNDER BOTH SEDATION AND GENERAL ANESTHESIA, EMERGENCY, PERIODONTAL AND PRENATAL. 66% OF THE PATIENTS RECEIVING DENTAL CARE ARE FROM HOUSEHOLDS WITH INCOMES 100% BELOW THE FEDERAL POVERTY LEVEL. THE MAJORITY ARE ETHNIC MINORITIES AND SPEAK A LANGUAGE OTHER THAN ENGLISH. SUTTER MATERNITY & SURGERY SANTA CRUZ: SUTTER MATERNITY & SURGERY CENTER PARTNERS WITH THE PALO ALTO MEDICAL FOUNDATION TO EXPAND ITS OWN PRIMARY CARE PHYSICIAN BASE SERVING SANTA CRUZ COUNTY. SMSC HAS COMMITTED $1.5 MILLION FOR FIVE YEARS TO THE SANTA CRUZ
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 PEOPLE WHO LIVE IN 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 THE PEOPLE IN OUR COMMUNITIES THROUGH COMPASSION, EXCELLENCE AND INNOVATION IN HEALTH CARE SERVICES, RESEARCH AND EDUCATION. OVER THE PAST FIVE YEARS, SUTTER HEALTH HAS COMMITTED NEARLY $4 BILLION TO CARE FOR PATIENTS WHO COULDN'T AFFORD TO PAY, AND TO SUPPORT PROGRAMS THAT IMPROVE COMMUNITY HEALTH. OUR 2015 COMMITMENT OF $843 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: - TO PROVIDE CARE TO MEDI-CAL PATIENTS IN 2015, SUTTER HEALTH INVESTED $712 MILLION MORE THAN THE STATE PAID. SUTTER HEALTH HOSPITALS PROUDLY SERVE MORE MEDI-CAL PATIENTS IN OUR NORTHERN CALIFORNIA SERVICE AREA THAN ANY OTHER HEALTH CARE PROVIDER. - IN 2015, SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS WAS $52 MILLION. - THROUGHOUT OUR HEALTH CARE 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 ADDRESSES REAL COMMUNITY NEEDS.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
SAMARITAN HOUSE
4031 PACIFIC BLVD	SAN MATEO	CA	94403	237416272	501(C)(3)	$500,000	GENERAL SUPPORT
SANTA CRUZ WOMENS HEALTH CENTER
250 LOCUST ST	SANTA CRUZ	CA	95060	237428303	501(C)(3)	$300,000	GENERAL SUPPORT
SALUD PARA LA GENTE
195 AVIATION WY STE 200	WATSONVILLE	CA	95076	942705747	501(C)(3)	$250,000	GENERAL SUPPORT
COMMUNITY GATEPATH
350 TWIN DOLPHIN DR STE 123	REDWOOD CITY	CA	94401	941156502	501(C)(3)	$210,000	GENERAL SUPPORT
PENINSULA FAMILY SERVICE
24 SECOND AVE	SAN MATEO	CA	94402	941186169	501(C)(3)	$210,000	GENERAL SUPPORT
MISSION HOSPICE & HOME CARE INC
1670 SO AMPHLETT BLVD STE 300	SAN MATEO	CA	94403	942567162	501(C)(3)	$210,000	GENERAL SUPPORT
SAN MATEO MEDICAL CENTER
222 W 39TH AVE	SAN MATEO	CA	94303	946000532	501(C)(3)	$206,000	GENERAL SUPPORT
SOUTH COUNTY COMMUNITY HEALTH CENTER
1885 BAY RD	E PALO ALTO	CA	94303	943372130	501(C)(3)	$200,000	GENERAL SUPPORT
CENTER FOR INDEPENDENCE OF THE DISABLED
1515 SO EL CAMINO REAL STE 400	SAN MATEO	CA	94402	942581080	501(C)(3)	$100,000	GENERAL SUPPORT
COMMUNITY FOUNDATION OF SANTA CRUZ COUNTY
7807 SOQUEL DR	APTOS	CA	95003	942808039	501(C)(3)	$100,000	GENERAL SUPPORT
HOSPITAL CONSORTIUM SAN MATEO COUNTY
222 W 39TH AVE	SAN MATEO	CA	94403	942637032	501(C)(3)	$28,000	GENERAL SUPPORT
DIENTES COMMUNITY DENTAL CARE
1830 COMMERCIAL WAY	SANTA CRUZ	CA	95065	770311752	501(C)(3)	$25,000	GENERAL SUPPORT
COASTSIDE MED DENTAL CLINICS
210 SAN MATEO RD STE 104	HALF MOON BAY	CA	94019	943390196	501(C)(3)	$15,000	GENERAL SUPPORT
PUENTE DE LA COSTA SUR
PO BOX 554	PESCADERO	CA	94060	371484262	501(C)(3)	$15,000	GENERAL SUPPORT
HEALTH IMPROVEMENT PSHIP OF SANTA CRUZ CNTY
1800 GREEN HILLS RD STE 100	SCOTTS VALLEY	CA	95066	100826156	501(C)(3)	$12,500	GENERAL SUPPORT
REGENTS OF THE UNIV OF CA
125 HAHN BLDG	SANTA CRUZ	CA	95064	941539563	GOV'T	$10,638	GENERAL SUPPORT
ALZHEIMERS DISEASE & RELATED DISORDERS ASSC
2290 NO 1ST ST STE 101	SAN JOSE	CA	95131	942897949	501(C)(3)	$10,000	GENERAL SUPPORT
CITY OF SAN MATEO SENIOR CENTER
2645 ALAMEDA DE LAS PULGAS	SAN MATEO	CA	94403	946000422	501(C)(3)	$10,000	GENERAL SUPPORT
COMMUNITY GATEPATH
350 TWIN DOLPHIN DR STE 123	REDWOOD CITY	CA	94065	941156502	501(C)(3)	$10,000	GENERAL SUPPORT
NAT ALLIANCE FOR MENTAL ILL SAN MATEO CO
1037 ALAMEDA DE LAS PULGAS	BELMONT	CA	94002	942650681	501(C)(3)	$10,000	GENERAL SUPPORT
OMBUDSMAN SERVICES OF SAN MATEO COUNTY INC
711 NEVADA ST	REDWOOD CITY	CA	94061	943397402	501(C)(3)	$10,000	GENERAL SUPPORT
PENINSULA JEWISH COMMUNITY CTR
2440 CARLMONT DR	BELMONT	CA	94002	943227262	501(C)(3)	$10,000	GENERAL SUPPORT
RAPE TRAUMA SERVICES
1860 EL CAMINO REAL STE 406	BURLINGAME	CA	94010	943215045	501(C)(3)	$10,000	GENERAL SUPPORT
SAINT JAMES COMMUNITY FNDT
825 MONTE DIABLO	SAN MATEO	CA	94401	463224440	501(C)(3)	$10,000	GENERAL SUPPORT
UNITED WAY SANTA CRUZ
PO BOX 1458	CAPITOLA	CA	95010	941186169	501(C)(3)	$9,500	GENERAL SUPPORT
BREAST CANCER EMERGENCY FUND
12 GRACE ST STE 300	SAN FRANCISCO	CA	94103	203203899	501(C)(3)	$8,000	GENERAL SUPPORT
CAMINAR
2600 SO EL CAMINO REAL STE 200	SAN MATEO	CA	94403	941639389	501(C)(3)	$8,000	GENERAL SUPPORT
COASTSIDE ADULT DAY HEALTH CTR
645 CORREAS ST	HALF MOON BAY	CA	94019	942935784	501(C)(3)	$8,000	GENERAL SUPPORT
HEAL PROJECT
PO BOX 3051	HALF MOON BAY	CA	94019	270192940	501(C)(3)	$8,000	GENERAL SUPPORT
HUMAN INVESTMENT PROJECT INC
364 SO RAILROAD AVE	SAN MATEO	CA	94401	942154614	501(C)(3)	$8,000	GENERAL SUPPORT
PLANNED PARENTHOOD MAR MONTE
1746 THE ALAMEDA	SAN JOSE	CA	95126	941583439	501(C)(3)	$8,000	GENERAL SUPPORT
STARVISTA
610 ELM ST STE 212	SAN CARLOS	CA	94070	943094966	501(C)(3)	$8,000	GENERAL SUPPORT
CORA COMMNTY OVERCOMING RELATIONSHIP ABUSE
PO BOX 4245	BURLINGAME	CA	94011	942481188	501(C)(3)	$7,000	GENERAL SUPPORT
DALY CITY PENINSULA PSHIP COLLABORATIVE
111 LAKE MERCED BLVD	DALY CITY	CA	94015	611734338	501(C)(3)	$7,000	GENERAL SUPPORT
PEACE DEVELOPMENT FUND
3221 22ND ST PO BOX 40250	SAN FRANCISCO	CA	94140	422738794	501(C)(3)	$7,000	GENERAL SUPPORT
SAN MATEO POLICE ACTIVITIES LEAGUE
200 FRANKLIN PKWY	SAN MATEO	CA	94403	311503896	501(C)(3)	$7,000	GENERAL SUPPORT
CALIFORNIA UNIV OF SF HOME HEALTHCARE
PO BOX 39000 DEPT 0 1566	SAN FRANCISCO	CA	94139	943281657	501(C)(3)	$5,301	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	37	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	IN ORDER TO CLOSELY MONITOR EFFICIENCY AND EFFECTIVENESS, THE COMMUNITY BENEFIT FUNCTION OUTLINES MEASURABLE REPORTING (QUARTERLY, SIX-MONTH AND/OR YEAR-END), PROGRAM AND FUNDING REQUIREMENTS IN A MEMORANDUM OF UNDERSTANDING (MOU), BUSINESS SERVICES AGREEMENT (BSA), OR JOINT VENTURE AGREEMENT FOR EACH INVESTMENT MADE WITH A COMMUNITY PARTNER. WHERE IT IS DETERMINED NECESSARY, ADDITIONAL EFFORTS ARE MADE TO MONITOR EFFECTIVENESS AND EFFICIENCY OF INVESTMENTS, WHICH COULD INCLUDE: - QUARTERLY MEETINGS WITH COMMUNITY PARTNERS - E-MAIL AND TELEPHONIC COMMUNICATIONS WITH COMMUNITY PARTNERS - CONTINUED DIALOGUE WITH INVOLVED HOSPITAL STAFF AND COMMUNITY PARTNERS THROUGHOUT DURATION OF PROGRAM - SITE VISITS WITH COMMUNITY PARTNERS - BI-ANNUAL "OUTCOMES" SURVEY (6-MONTH AND YEAR-END OUTCOMES) - REVIEW OF HOSPITAL USAGE AND PATIENT LEVEL DATA - COLLECTION OF PATIENT STORIES AND NARRATIVES - COLLABORATIVE DISCUSSIONS AROUND AD-HOC SUCCESSES AND CHALLENGES THAT ARISE - REPORTING TO INCLUDE YEAR-END FINANCIAL SUMMARY THAT COMPARES ACTUAL EXPENDITURES TO THE FUNDED PROJECTS BUDGET, INDICATING ANY UNUSED AMOUNT OF GRANT FUNDS. AT THE END OF EACH YEAR/REPORTING PERIOD, COMMUNITY BENEFIT ANALYZES FULL-YEAR DATA TO ENSURE COMMUNITY PARTNERS MET THE OBJECTIVES OUTLINED IN THE MOU OR BAA. 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN GATES
REG. CFO BAY AREA (PART YEAR)	$0	$633,354	$0	$285,096	$0	$49,516	$0	$163,042	$0	$20,100	$0	$1,151,108	$0	$135,078
JEFF GERARD
REG. PRES PENINSULA COASTAL	$0	$763,104	$0	$627,231	$0	$113,133	$0	$394,192	$0	$20,626	$0	$1,918,286	$0	$406,467
SARAH KREVANS
PRESIDENT & COO SUTTER HEALTH	$0	$1,045,572	$0	$888,993	$0	$143,129	$0	$470,092	$0	$26,048	$0	$2,573,834	$0	$559,293
ROBERT MERWIN
CEO ACUTE CARE HSPS (FMR OFCR)	$0	$19,723	$0	$417,763	$0	$237,068	$0	$74,439	$0	$1,296	$0	$750,289	$0	$195,363
BRIAN ROACH MD
DIV. PRES. PAMF-MPHS (PT YR)	$0	$407,195	$0	$255,845	$0	$48,399	$0	$125,942	$0	$17,260	$0	$854,641	$0	$164,412
RICHARD SLAVIN
PRESIDENT & CEO, PAMF (PT YR)	$0	$806,669	$0	$450,776	$0	$89,303	$0	$174,142	$0	$12,921	$0	$1,533,811	$0	$276,073
JANET WAGNER
CEO, MPHS (PART YEAR)	$0	$400,297	$0	$249,464	$0	$40,108	$0	$128,292	$0	$17,235	$0	$835,396	$0	$121,295
KAREN HALL
CHIEF LEGAL OFF. BAY AREA/SEC.	$0	$357,431	$0	$206,850	$0	$24,477	$0	$99,242	$0	$17,185	$0	$705,185	$0	$107,824
CATHERINE MESSMAN
CFO MPHS, SMSCSC (PART YEAR)	$0	$236,782	$0	$99,818	$0	$14,155	$0	$41,938	$0	$12,693	$0	$405,386	$0	$48,299
DOLORES GOMEZ
COO, MPHS	$0	$354,767	$0	$150,170	$0	$27,180	$0	$73,492	$0	$11,594	$0	$617,203	$0	$54,622
DANIEL BECKER
MEDICAL DIRECTOR, MPHS	$322,392	$0	$27,978	$0	$57,832	$0	$13,792	$0	$20,909	$0	$442,903	$0	$0	$0
PATRICIA M RYAN
VP, AMBULATORY SRVCS, MPHS	$0	$272,969	$0	$107,986	$0	$16,098	$0	$53,992	$0	$7,467	$0	$458,512	$0	$45,686
VICKI L WHITE
CNE, MPHS	$0	$287,970	$0	$113,291	$0	$18,367	$0	$34,092	$0	$12,540	$0	$466,260	$0	$42,927
GAIUS JARUDO
STAFF NURSE II, MPHS	$145,295	$0	$0	$0	$185,317	$0	$13,792	$0	$10,858	$0	$355,262	$0	$0	$0
TRACEY GAJDACS
STAFF NURSE II, MPHS	$131,694	$0	$0	$0	$195,669	$0	$13,792	$0	$10,044	$0	$351,199	$0	$0	$0
CARRIE OWEN-PLIETZ
CEO SHSSR (FRMR KEY EMPLOYEE)	$0	$488,419	$0	$358,753	$0	$61,741	$0	$142,592	$0	$21,862	$0	$1,073,367	$0	$140,475

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 "ARMS 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 4B	NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTHS OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTERS PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN 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 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 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: ROBERT MERWIN - $155,244
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, REGION, 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 PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA 2005BC
A	680164610	130795EG8	2007-05-01	$49,994,066	CONSTRUCT & REFUNDING - 10/19/2005	false	false	false
CHFFA 2007A
B	521643828	13033FQ37	2007-05-01	$790,998,316	CONSTRUCT & EQUIP FACILITY	false	false	false
CHFFA 2008A
C	521643828	13033F2L3	2008-05-14	$329,041,638	REFUNDING - 5/1/2007, 04 & 02	false	false	false
CHFFA 2015A
D	521643828	13032UAR9	2015-11-12	$204,061,105	Refund. 2005A & 1995 certificates	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$0	$0	$52,595,244	$3,464,786	$0	$0	$0	$0	$0	$0	$49,130,458	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$858,694,930	$0	$55,398,317	$0	$0	$0	$0	$783,091,871	$20,204,742	$0	false	false	Yes (true)	Yes (true)	2011
C	$104,255,000	$0	$329,041,638	$0	$0	$0	$0	$0	$0	$0	$329,041,638	$0	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$204,061,105	$0	$0	$0	$0	$0	$0	$0	$204,061,105	$0	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Total Private Business UseTotalPrivateBusinessUsePct	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	false	Yes (true)	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00480	false	false	false	Yes (true)	Yes (true)	0.00480
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.01010	false	false	false	Yes (true)	Yes (true)	0.01070	0.00060
D	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00120	false	false	false	Yes (true)	Yes (true)	0.00120

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K REPORTING	THE ORGANIZATION'S SOLE CORPORATE MEMBER'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS, INCLUDING THE ORGANIZATION. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET, AND PART VI HEREIN. WITH THE EXCEPTION OF THIS PORTION OF PART VI, THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE.
SCHEDULE K, PART I, COLUMN (E)	The filing organization received bond proceeds in the amounts of: $2,244,487 from the 2005BC; $496,754,496 from the 2007A issue; $5,730,952 from the 2008 A issue and $9,161,335 from the 2015A issue.
SCHEDULE K, PART I, LINE B, COLUMN (F) (CSCDA 2005BC)	THE INITIAL BONDS ISSUED IN 2005 REFUNDED 1995 CERTIFICATES AND WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL REFUNDING BONDS.
SCHEDULE K, PART I, LINE C, COLUMN (F) (CHFFA 2008A)	THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2007 ISSUE. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1995.
SCHEDULE K, PART II, LINE 7	ISSUANCE COSTS FROM PROCEEDS: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	MILLS-PENINSULA HEALTH SERVICES' MISSION IS TO ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES.
FORM 990, PART III, LINE 4A	ORGANIZATIONS PROGRAM AND SERVICE ACCOMPLISHMENTS: MILLS-PENINSULA HEALTH SERVICES CONTINUES TO BE A COMMITTED PARTNER WITH THE COMMUNITIES WE SERVE. IN 2015, IT PROVIDED $10 MILLION IN CHARITY CARE AND $6 MILLION IN OTHER COMMUNITY BENEFIT ACTIVITIES. IN 2015, MILLS-PENINSULA HAD A TOTAL OF 68,967 PATIENT DAYS. IT SERVED 13,926 INPATIENTS, MANAGED 48,066 VISITS TO THE ER, HANDLED 475,917 OUTPATIENT VISITS, AND PERFORMED 13,629 OUTPATIENT SURGERIES. THAT SAME YEAR, 2,165 BABIES WERE BORN AT MILLS-PENINSULA. OTHER HIGHLIGHTS: SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ (SMSC), A MPHS 30 BED ACUTE CARE HOSPITAL FACILITY, IS AN AFFILIATE OF SUTTER HEALTH, WHICH IS A NOT-FOR-PROFIT NETWORK OF HEALTH CARE ORGANIZATIONS. THE MISSION STATEMENT OF SUTTER HEALTH IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. IN ADDITION TO BEING AN AFFILIATE OF SUTTER HEALTH, SUTTER MATERNITY & SURGERY CENTER IS AFFILIATED WITH PALO ALTO MEDICAL FOUNDATION (PAMF), A PHYSICIAN GROUP OF MORE THAN 1,345; SERVING APPROXIMATELY 958,351 PATIENTS AT CLOSE TO 52 LOCATIONS. SINCE OPENING IN 1996, SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ HAS PROVIDED TWO SERVICES LINES TO THE COMMUNITY, PERINATAL SERVICES AND SURGICAL SERVICES. THE HOSPITAL SPECIALIZES IN MINIMALLY INVASIVE SURGICAL TECHNIQUES, INCLUDING ROBOTIC-ASSISTED SURGERY, WHEN APPROPRIATE. SUTTER MATERNITY & SURGERY CENTER HAS A ROBUST CHARITY CARE PROGRAM, PROVIDING $1,654,753.13 IN CHARITY CARE IN 2015. EFFECTIVE MAY 1, 2009, SUTTER MATERNITY & SURGERY CENTER CAME UNDER THE OWNERSHIP OF MILLS PENINSULA HEALTH SERVICES. THE SANTA CRUZ COMMUNITY BOARD RETAINS RESPONSIBILITY FOR ENSURING THAT THE CORPORATIONS FACILITIES, CAREGIVERS, RESOURCE ALLOCATION, AND PROCESSES OF CARE ARE RESPONSIVE TO THE CARE DELIVERY AND HEALTH STATUS NEEDS OF THE SANTA CRUZ COMMUNITY. THE SANTA CRUZ COMMUNITY BOARD IS COMPRISED OF 11 VOLUNTEER COMMUNITY MEMBERS, FOUR MEMBERS OF THE MEDICAL STAFF (INCLUDING THE CHIEF OF STAFF WHO IS EX OFFICIO), THE COO OF PAMF, SANTA CRUZ, AND TWO SUTTER HEALTH REPRESENTATIVES. THE HOSPITAL CHIEF ADMINISTRATIVE OFFICER AND THE PRESIDENT OF PAMF, SANTA CRUZ SERVE AS EX OFFICIO MEMBERS. MEMBERS ARE SELECTED TO ENSURE THAT A VARIETY OF PERSPECTIVES ARE AVAILABLE TO ADDRESS ISSUES FACING THE COMMUNITY. PROGRAMS AND ACTIVITIES - THE SANTA CRUZ WOMENS HEALTH CENTER, A LOCAL FQHC COMMUNITY CLINIC, OPENED, IN MAY 2014, A NEW CLINIC IN LIVE OAK, AND EXPANDED THEIR SERVICES TO UNDERSERVED MEN AND CHILDREN. PAMF AND SMSC HAVE AGREED TO SUPPORT THE NEW FACILITY BY INVESTING $1.5 MILLION OVER THE COURSE OF FIVE YEARS TO HELP WITH START-UP AND OPERATION OF THE NEW CLINIC, INCLUDING THE PEDIATRICS PROGRAM. - SMSC AND PAMF HAVE AGREED TO SUPPORT SALUD PARA LA GENTE, ANOTHER FQHC OF SOUTHERN SANTA CRUZ COUNTY AND NORTHERN MONTEREY COUNTY. SALUD IS IN THE PROCESS OF EXPANDING ONE OF THEIR MAIN CLINICS IN DOWNTOWN WATSONVILLE, WHICH WILL ULTIMATELY ALLOW THEM TO INCREASE THEIR NUMBER OF PATIENTS SERVED FROM 26,000 TO ABOUT 36,000. THE DONATION TO SALUD PARA LA GENTE WILL BE $750,000 OVER FIVE YEARS. - SMSC DONATED $25,000 TO DIENTES COMMUNITY DENTAL TO PROVIDE SUPPORT FOR THEIR EQUIPMENT AND INFRASTRUCTURE NEEDS. THIS DONATION WILL HELP PROVIDE DENTAL CARE TO THOUSANDS OF LOW INCOME RESIDENTS IN THE COMMUNITY. - SMSC, IN CONJUNCTION WITH PAMF AND THE CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, PROVIDES A $10,000 SCHOLARSHIP ANNUALLY TO A UCSC HEALTH SCIENCES GRADUATE WHO HAS BEEN ACCEPTED TO MEDICAL SCHOOL AND EXPRESSES THE INTENTION TO RETURN TO THE AREA AND PROVIDE PRIMARY CARE SERVICES TO PATIENTS, INCLUDING MEDI-CAL, MEDICRUZ, AND MEDICARE PATIENTS. - SMSC AND PAMF CONTINUE TO SUPPORT THE ALLIED HEALTH PROFESSIONAL AND NURSING PROGRAMS AT CABRILLO COLLEGE. THIS INCLUDES SUPPORT FOR THE NURSING, RADIOLOGY TECH, AND MEDICAL ASSISTANT PROGRAMS. - SMSC AND PAMF WORK CLOSELY WITH THE SANTA CRUZ COUNTY HEALTH SERVICES AGENCY, THEIR MEDICRUZ PROGRAM, AND LOCAL COMMUNITY CLINICS TO PROVIDE FREE OR DISCOUNTED SERVICES FOR UNDERSERVED PATIENTS THAT NEED TO ACCESS BIRTHING PROGRAMS, MED/SURG SERVICES AND SPECIALIST CARE. - SMSC IS A MEMBER OF THE HEALTH IMPROVEMENT PARTNERSHIP OF SANTA CRUZ COUNTY (HIPSCC), CONSISTING OF ALL COMMUNITY CLINICS, MEDICAL GROUPS AND HOSPITALS IN SANTA CRUZ COUNTY TO ENSURE A SOLID SAFETY NET OF HEALTH CARE SERVICES FOR SANTA CRUZ COUNTY RESIDENTS. MILLS-PENINSULA PARTICIPATES IN THE SAN MATEO COUNTY HOSPITAL CONSORTIUMS HEALTHY COMMUNITY COLLABORATIVE. PART OF THE COLLABORATIVE WORK IS TO CONDUCT COMMUNITY HEALTH ASSESSMENTS EVERY THREE YEARS. OUR COMMUNITY BENEFIT PROGRAMS ARE DESIGNED TO MEET NEEDS IDENTIFIED IN THE ASSESSMENTS. THE PROGRAMS BELOW ARE EXAMPLES OF THE SIGNIFICANT CONTRIBUTION MILLS-PENINSULA PROVIDES IN OUR COMMUNITY. - ONGOING SUPPORT FOR SENIORS THROUGH MILLS-PENINSULAS SENIOR FOCUS PROGRAM THAT PROVIDES ADULT DAY HEALTH CARE, ALZHEIMERS DAY CARE RESOURCE CENTER AND EDUCATION - ONGOING EXPANSION OF MILLS-PENINSULAS AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE EFFORTS TO PROVIDE HEALTH SCREENING AND EDUCATION TO UNDERSERVED POPULATIONS - ONGOING SUPPORT FOR SAMARITAN HOUSE, A KEY NON-PROFIT SAFETY NET AGENCY THAT PROVIDES MEDICAL CARE, HOUSING, FOOD AND JOB TRAINING FOR THE UNDERSERVED - GRANTS PROGRAM FOR COMMUNITY NON-PROFITS THAT IN 2015 PROVIDED $234,500 IN FUNDING FOR SPECIAL PROJECTS SENIOR FOCUS: THE PROPORTION OF ADULTS AGED 60 AND OLDER IN SAN MATEO COUNTY IS EXPECTED TO ROUGHLY DOUBLE OVER THE NEXT FOUR DECADES. AS THE FASTEST-GROWING POPULATION SEGMENT, THE HEALTH AND SOCIAL NEEDS OF OLDER ADULTS REQUIRE INCREASING ATTENTION. SENIOR FOCUS SERVES OLDER ADULTS AND THEIR FAMILIES IN SAN MATEO COUNTY, PROVIDING SERVICES ACROSS THE SPECTRUM FROM PREVENTION EDUCATION TO MEDICAL DAY CARE. THOUSANDS OF PEOPLE ARE SERVED ANNUALLY. HEALTH EDUCATION CLASSES AND SCREENINGS PROMOTE A HEALTHY LIFESTYLE AND HELP SENIORS PREVENT OR MANAGE DISEASE WHEN IT OCCURS. VOLUNTEER PROGRAMS HELP SENIORS MAINTAIN AN ACTIVE LIFESTYLE AND CONTRIBUTE TO THE NON-PROFITS IN THE COMMUNITY. THE ADULT DAY HEALTH AND ALZHEIMER'S PROGRAMS ONE OF ONLY TWO IN THE COUNTY PROVIDE MULTIDISCIPLINARY HEALTH CARE SERVICES IN AN OUTPATIENT SETTING, ALLOWING FRAIL OR IMPAIRED SENIORS TO REMAIN LIVING AT HOME INSTEAD OF IN INSTITUTIONS. CAREGIVER SUPPORT SERVICES INCLUDE CLASSES, SUPPORT GROUPS, ONE TO ONE COUNSELING, REFERRAL TO COMMUNITY RESOURCES AND A CAREGIVER LIBRARY. THE PROGRAMS ALSO PROVIDE LEARNING OPPORTUNITIES TO HEALTH CARE AND SOCIAL SERVICES PROFESSIONALS IN THE COMMUNITY AND THOSE WHO ARE SEEKING CAREERS IN THE FIELD OF AGING. OUR ONGOING GOAL IS TO ENSURE STABILITY OF THE PROGRAMS IN LIGHT OF STATE BUDGET CONSTRAINTS THAT REDUCED STATE FUNDING. SENIOR FOCUS WAS CHOSEN TO PARTICIPATE IN PARTNERSHIP WITH SAN MATEO COUNTY FOR A CMS-SPONSORED DUALS PILOT PROJECT WITH THE GOAL OF PROVIDING MORE EFFICIENT, COORDINATED CARE TO REDUCE INAPPROPRIATE HOSPITALIZATIONS. WE CONTINUE TO WORK WITH THE COUNTY AND APPROPRIATE ADVOCACY ORGANIZATIONS TO ADDITIONALLY CREATE AND IMPLEMENT PROGRAM REVISIONS THAT WILL HELP MAKE SERVICES SUSTAINABLE. HEALTH SCREENINGS AND EDUCATION FOR AFRICAN AMERICAN, HISPANIC AND PACIFIC ISLANDER POPULATIONS IN SAN MATEO COUNTY: MILLS-PENINSULAS AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE (AACHAC) HAS SINCE 1995 PARTNERED PRIMARILY WITH COMMUNITY CHURCHES AND GRASS-ROOTS ORGANIZATIONS TO ADDRESS THE HIGHER INCIDENCE OF CANCER, HEART DISEASE, DIABETES, ASTHMA AND OTHER CHRONIC DISEASES IN THE AFRICAN AMERICAN COMMUNITY WITH EDUCATION AND SCREENINGS FOR EARLY DETECTION. IN 2015, THE COMMITTEE PROVIDED 302 UNINSURED WOMEN WITH MAMMOGRAM SCREENINGS. 36 DIAGNOSTIC MAMMOGRAMS, 40 BREAST ULTRASOUND, 5 U/S BIOPSY & CYST ASP. AND 5 STEREOTACTIC BIOPSY AT MILLS-PENINSULA WOMENS CENTER. THE ASIAN, HISPANIC AND PACIFIC ISLANDER POPULATIONS ARE AMONG THE FASTEST GROWING IN SAN MATEO COUNTY AND AS EVIDENCED IN THE LAST TWO COMMUNITY NEEDS ASSESSMENTS, THESE POPULATIONS ARE MORE LIKELY TO HAVE LIMITED ACCESS TO SCREENINGS THAT CAN PROVIDE EARLY DETECTION AND EDUCATION FOR HEALTHIER LIFESTYLES. THE COMMITTEES GOAL IS TO CONTINUALLY INCREASE ITS OUTREACH TO THE ASIAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. THE COMMITTEES SUCCESSFUL EXPERIENCE IN THE AFRICAN AMERICAN COMMUNITY WAS BASED LARGELY ON THE RELATIONSHIPS COMMITTEE LEADERS ENJOYED WITH THE COMMUNITY ITSELF. THAT SAME APPROACH HAS BEEN APPLIED TO OUTREACH IN THE ASIAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. IN EACH DEMOGRAPHIC SEGMENT, LEADERS ARE BEING IDENTIFIED AND ARE ENCOURAGED TO CONTRIBUTE TO THE DEVELOPMENT OF CULTURALLY COMPETENT OUTREACH PROGRAMS AND SERVICES.
FORM 990, PART III, LINE 4A (CONTINUED)	THE AACHAC HAS ENJOYED EXTRAORDINARY SUCCESS IN ITS WORK. 1,935 PEOPLE WERE SCREENED FOR BREAST CANCER, HEART DISEASE, DIABETES AND OTHER HEALTH CONCERNS, AND ANOTHER 7,500 HAVE BEEN REACHED THROUGH ITS EDUCATIONAL PROGRAMS, SOCIAL MEDIA AND INDIVIDUAL CONTACT. SUPPORT FOR OUTPATIENT SERVICES FOR PEOPLE WHO HAVE NO INSURANCE: AS PART OF CHARITY CARE, MILLS-PENINSULA PROVIDES ONGOING FINANCIAL AND IN-KIND SERVICES FOR SAMARITAN HOUSE, A PRIVATE NONPROFIT ORGANIZATION THAT HELPS SERVE MORE THAN 12,000 LOW-INCOME PEOPLE WITHIN SAN MATEO COUNTY WITH A FULL SPECTRUM OF SERVICES INCLUDING A MEDICAL CLINIC STAFFED BY VOLUNTEERS. MILLS-PENINSULA PHYSICIANS VOLUNTEER THEIR TIME AND SERVICES, AND MILLS-PENINSULA PROVIDES IN-KIND SERVICES INCLUDING RADIOLOGY. IN 2015, THERE WAS A 27% INCREASE, FROM THE PREVIOUS YEAR IN PATIENT VISITS TO SAMARITANS HOUSE HEALTH CLINICS. THE ESSENTIAL WORK OF SAMARITAN HOUSE CONTINUES STRONG EVEN THROUGH FUNDING REDUCTIONS. THE PROGRAM PROVIDES AN ESSENTIAL LAYER OF INFRASTRUCTURE IN THE HEALTH CARE SYSTEM. DENTAL CARE PARTNERSHIPS: THROUGH THE PROVISION OF ONGOING FINANCIAL SUPPORT TO RAVENSWOOD FAMILY HEALTH CENTER (FQHC), MILLS-PENINSULA HELPED INCREASE THE NUMBER OF DENTAL VISITS FOR CHILDREN WITH SPECIAL NEEDS BY 128% SINCE 2014. MILLS-PENINSULAS SUPPORT GAVE SONRISAS COMMUNITY DENTAL CENTER, A NON-PROFIT DENTAL EDUCATION AND TREATMENT CENTER, THE ABILITY TO SERVE 1,337 PATIENTS IN 2015. IT PROVIDED DENTAL SCREENINGS AT SIX ELEMENTARY SCHOOLS, PARTICIPATED IN 14 DENTAL AWARENESS EVENTS, AND PROVIDED TO 78% PATIENTS, WHO FOLLOWED UP ON THEIR TREATMENTS AFTER RECEIVING MAJOR TREATMENTS, WITH PREVENTIVE CARE TREATMENTS. COMMUNITY GRANTS PROGRAM (2015 CONTRIBUTION $212,500): MILLS-PENINSULAS COMMUNITY GRANTS PROGRAM PROVIDES GRANTS OF $5,000 TO $15,000 EACH YEAR TO HELP WITH SPECIAL HEALTH-RELATED PROJECTS PROPOSED BY LOCAL NONPROFIT ORGANIZATIONS. THIS FUNDING IS PART OF OUR OVERALL GOAL TO HELP CREATE AND SUSTAIN A STRONG SUPPORT SYSTEM FOR THE UNDERSERVED IN OUR COMMUNITY. IN 2015, THE FOLLOWING ORGANIZATIONS RECEIVED FUNDING FOR THEIR PROJECTS: ACKNOWLEDGE ALLIANCE ALZHEIMERS ASSOCIATION BAY AREA CANCER CONNECTIONS BAY AREA LEGAL AID BOYS & GIRLS CLUB OF NORTH SAN MATEO COUNTY BREAST CANCER EMERGENCY FUND CALIFORNIA CLUBHOUSE INC. CAMINAR FOR MENTAL HEALTH CASA CENTER FOR INDEPENDENCE OF INDIVIDUALS WITH DISABILITIES CHILD CARE COORDINATING COUNCIL (4CS) COASTSIDE ADULT DAY HEALTH CENTER CORA EL CENTRO DE LIBERTAD FAMILY CONNECTIONS FRIENDS OF YOUTH GATEPATH HEALTH CONNECTED (FORMERLY TEEN TALK SEXUALITY) HIP HOUSING HOME AND HOPE LEGAL AID SOCIETY OF SAN MATEO COUNTY LIFE MOVES (FORMERLY INNVISION SHELTER NETWORK) MID-PENINSULA BOYS AND GIRLS CLUB MISSION HOSPICE & HOME CARE NAMI OF SAN MATEO COUNTY NOTRE DAME DE NAMUR UNIVERSITY OMBUDSMAN SERVICES OF SAN MATEO COUNTY PARCA PENINSULA FAMILY SERVICE PENINSULA JEWISH COMMUNITY CENTER PUENTE DE LA COSTA SUR RAPE TRAUMA SERVICE REBUILDING TOGETHER PENINSULA 2015 AWARDS AND ACCOMPLISHMENTS: - FOR THE FIFTH YEAR IN A ROW, MILLS-PENINSULA RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS STROKE GOLD PLUS AWARD FOR HIGH QUALITY STROKE CARE. THE AWARD RECOGNIZES MILLS-PENINSULA FOR TREATING STROKE PATIENTS WITH 85 PERCENT OR HIGHER COMPLIANCE TO AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION STANDARDS OF CARE FOR AT LEAST TWO CONSECUTIVE YEARS AND ACHIEVING 75 PERCENT OR HIGHER COMPLIANCE WITH SEVEN OF 10 STROKE QUALITY MEASURES IN THE "GET WITH THE GUIDELINES" PROGRAM. FOR THE THIRD YEAR IN A ROW, MILLS-PENINSULA ALSO RECEIVED THE TARGET: STROKE HONOR ROLL RECOGNITION FOR QUICKLY TREATING STROKE PATIENTS WITH TISSUE PLASMINOGEN ACTIVATOR (TPA), THE DRUG THAT BREAKS UP CLOTS THAT CAUSE A STROKE. THE HONOR ROLL DESIGNATION MEANS THAT DURING THE PAST QUARTER, AT LEAST 50 PERCENT OF MILLS-PENINSULAS ELIGIBLE ISCHEMIC STROKE PATIENTS RECEIVED TPA WITHIN 60 MINUTES OF ARRIVAL TO THE HOSPITAL. - THE JOINT COMMISSION NAMED MILLS-PENINSULA HEALTH SERVICES A 2014 TOP PERFORMER ON KEY QUALITY MEASURES. THE TOP PERFORMER PROGRAM RECOGNIZES HOSPITALS FOR IMPROVING PERFORMANCE ON INTERVENTIONS THAT INCREASE THE CHANCES OF HEALTHY OUTCOMES FOR PATIENTS. MILLS-PENINSULA WAS RECOGNIZED FOR EXCELLENCE IN ACCOUNTABILITY MEASURES FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, SURGICAL CARE AND PERINATAL CARE. - HEALTHGRADES RECOGNIZED MILLS-PENINSULA HEALTH SERVICES WITH THE 2015 AMERICAS 50 BEST HOSPITALS AWARD. THE DISTINCTION PLACES MILLS-PENINSULA AMONG THE TOP ONE PERCENT OF NEARLY 4,500 HOSPITALS NATIONWIDE FOR CONSISTENT, YEAR-OVER-YEAR SUPERIOR CLINICAL PERFORMANCE AS MEASURED BY HEALTHGRADES. MILLS-PENINSULA WAS FURTHERED SINGLED OUT BY HEALTHGRADES FOR CLINICAL EXCELLENCE IN CARDIAC CARE. - U.S. NEWS & WORLD REPORT NAMED MILLS-PENINSULA TO ITS LIST OF BEST HOSPITALS IN CALIFORNIA AND THE SAN FRANCISCO METRO AREA FOR HIGH PERFORMANCE IN HEART FAILURE, HIP, KNEE REPLACEMENT. THE ANNUAL U.S. NEWS RANKINGS RECOGNIZE HOSPITALS THAT EXCEL IN TREATING THE MOST CHALLENGING PATIENTS. - MILLS-PENINSULA WAS NAMED TO THE U.S. NEWS & WORLD REPORT LIST OF THE MOST CONNECTED HOSPITALS FOR 2015-16. MILLS-PENINSULA WAS ONE OF 159 MEDICAL CENTERS ACROSS THE COUNTRY RECOGNIZED FOR USE OF DIGITAL TECHNOLOGY IN HEALTH CARE. TO QUALIFY, THE HOSPITALS DEMONSTRATED THE ABILITY TO SHARE DATA WITH PROVIDERS, IMPROVE PATIENT SAFETY THROUGH COMPUTERIZATION AND ENGAGE PATIENTS IN THEIR CARE THROUGH ELECTRONIC ACCESS TO THEIR OWN MEDICAL INFORMATION. - PRESS GANEY RECOGNIZED MENLO PARK SURGICAL HOSPITAL WITH THE 2015 GUARDIAN OF EXCELLENCE AWARD FOR PATIENT SATISFACTION. THIS AWARD IS A NATIONALLY RECOGNIZED SYMBOL OF ACHIEVEMENT IN HEALTH CARE RECOGNIZING TOP-PERFORMING FACILITIES THAT CONSISTENTLY ACHIEVED THE 95TH PERCENTILE OF PERFORMANCE IN PATIENT EXPERIENCE. THIS HONOR IS AWARDED ANNUALLY BASED ON ONE YEAR OF DATA. - MEDICAL VALUE INDEX RANKED MILLS-PENINSULA HEALTH SERVICES NUMBER ONE IN THE BAY AREA FOR VALUE DELIVERED TO PATIENTS. THE MEDICAL VALUE INDEX USES PUBLICLY AVAILABLE CLINICAL AND COST DATA REPORTED TO MEDICARE TO CREATE A SCORE FOR EACH HOSPITAL THAT MEASURES A COMBINATION OF PATIENT SATISFACTION, CLINICAL QUALITY AND PRICE. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES MADE TO ORGANIZATION'S GOVERNING DOCUMENTS BOARD COMPOSITION CHANGES FORMER: THE BOARD OF DIRECTORS SHALL CONSIST OF BETWEEN 7 AND 25 DIRECTORS. REVISED: THE BOARD OF DIRECTORS SHALL CONSIST OF BETWEEN 17 AND 25 DIRECTORS. FORMER: AT LEAST 3 PHYSICIANS SHALL BE MEMBERS OF THE BOARD. REVISED: BETWEEN 3 AND 8 PHYSICIANS SHALL BE MEMBERS OF THE BOARD. FORMER: A MAJORITY OF THE MEMBERS OF THE BOARD SHALL BE BROADLY REPRESENTATIVE OF THE AREAS SERVED BY THE CORPORATION. REVISED: BETWEEN 11 AND 14 INDIVIDUALS FROM THE COMMUNITY SHALL BE NOMINATED BY THE BOARD OF THE CORPORATION AND APPOINTED BY THE GENERAL MEMBER. THESE INDIVIDUALS SHOULD TOGETHER REFLECT A BREADTH OF DIVERSITY AND BE CHOSEN FOR THEIR WILLINGNESS AND ABILITY TO EFFECTIVELY CONTRIBUTE TO AND SUPPORT THE OBJECTIVES OF THE CORPORATION AND THE GENERAL MEMBER. FORMER: NO APPOINTED DIRECTOR MAY SERVE FOR MORE THAN NINE (9) CONSECUTIVE YEARS. REVISED: NO APPOINTED DIRECTOR MAY SERVE FOR MORE THAN TEN (10) CONSECUTIVE YEARS.
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 DESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THIS CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THIS CORPORATION; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THE ORGANIZATION'S BYLAWS; D. ADOPTION OF CAPITAL BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THE ORGANIZATION'S BYLAWS; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL.
FORM 990, PART VI, LINE 11B	DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR THE 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 THE 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, LINE 15	PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES.
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 XI, LINE 9	OTHER CHANGES IN FUND BALANCE: EQUITY TRANSFERS (NET) $ (73,563,776) PARTNERSHIP INCOME ON BOOKS $ 437,712 K-1 ORDINARY INCOME $ (333,790) OTHER CHANGES $ (26,935) =============== $ (73,486,789)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ADOLESCENT TREATMENT CENTERS INC
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	680088443	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes (true)
BETTER HEALTH EAST BAY FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	510160184	FUNDRAISING	CA	501(C)(3)	7	SUTTER EBH	Yes (true)
CALIFORNIA PACIFIC MEDICAL CTR FOUND
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942728423	FUNDRAISING	CA	501(C)(3)	7	SUTTER WBH	Yes (true)
EAST BAY PERINATAL CENTER
3012 SUMMIT STREET 3RD FLOOR	OAKLAND	CA	94609	510172285	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes (true)
EDEN MEDICAL CENTER
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942948100	HEALTHCARE	CA	501(C)(3)	9	SUTTER HLTH	Yes (true)
MEMORIAL HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942290244	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER CVH	Yes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	237288765	FUNDRAISING	CA	501(C)(3)	7	MPHS	Yes (true)
PALO ALTO MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	941156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SAMUEL MERRITT UNIVERSITY
450 30TH STEET SUITE 2820	OAKLAND	CA	94609	942992642	UNIVERSITY	CA	501(C)(3)	2	SUTTER EBH	Yes (true)
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER CENTRAL VALLEY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	941080917	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER COAST HOSPITAL
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER DAVIS HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	680217870	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER EAST BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	941196176	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER EAST BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942690415	HEALTHCARE	CA	501(C)(3)	11B - II	SUTTER HLTH	Yes (true)
SUTTER GOULD MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	941682256	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942788907	SUPPORT. ORG	CA	501(C)(3)	11c III-FI	NA	false
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RD	EWA BEACH	HI	96706	990298651	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH PLAN
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	461183948	HEALTH PLAN	CA	PENDING	PENDING	SUTTER HLTH	Yes (true)
SUTTER HEALTH SACRAMENTO SIERRA REGION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	941156621	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 1100	HONOLULU	HI	96813	990289310	INSURANCE	HI	501(C)(3)	11C III-FI	SUTTER HLTH	Yes (true)
SUTTER MEDICAL CENTER FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942788906	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER MEDICAL CENTER CASTRO VALLEY
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	770146047	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER VALLEY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	680273974	HEALTHCARE	CA	501(C)(3)	11b - II	SUTTER HLTH	Yes (true)
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	680040113	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER SOLANO CHARITABLE FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942668262	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER VISITING NURSE ASSOC AND HOSPICE
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	946068843	HEALTHCARE	CA	501(C)(3)	9	SUTTER HLTH	Yes (true)
SUTTER WEST BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	940562680	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER WEST BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942948131	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
TRACY HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	680318845	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER CVH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MAGNETIC IMAGING AF
2125 OAK GROVE	WLN CK	CA	94598	942953833	PATIENT CARE	CA	NA
SURG CTR OF ABSMC
3875 TELEGRAPH	OAKLAND	CA	94609	470946086	OUTPATIENT SURG	CA	NA
ALTA CT SERVICES LP
2125 OAK GROVE	WLN CK	CA	94598	943083464	PATIENT CARE	CA	NA
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102	NOVATO	CA	94948	562311840	MRI JOINT VENTURE	CA	NA
SAN FRANCISCO ENDOSCOPY CENTER LLC
3000 RIVERCHASE	BIRMINGHAM	AL	35244	912160588	ENDOSCOPY JV	CA	NA
PRESIDIO SURGERY CENTER LLC
1635 DIVISADERO	SF	CA	94115	320144060	AMBULATORY SURG	CA	NA
SUTTER FAIRFIELD SURGERY CTR
2700 LOW CT	FAIRFIELD	CA	94533	300233892	SURGERY	CA	NA
TWIN CITIES SURGICAL HOSPITAL LLC
250 S WACKER	CHICAGO	IL	60606	352182617	SURGERY	CA	NA
SUTTER AMADOR SURGERY CENTER LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	461398093	SURGERY	CA	NA
ROSEVILLE ENDOSCOPY CENTER LLC
4 MEDICAL PLAZA SUITE 210	ROSEVILLE	CA	95661	870710513	ENDOSCOPY JV	CA	NA
MEMORIAL MEDICAL OFFICE BUILDING PRTNR 1
1800 COFFEE RD SUITE 76	MODESTO	CA	95355	770287288	MEDICAL OFFICE	CA	NA
MEMORIAL MEDICAL OFFICE BUILDING PRTNR 2
1800 COFFEE RD SUITE 76	MODESTO	CA	95355	770287288	MEDICAL OFFICE	CA	NA
MAGNETIC IMAGING AFFILIATES LLC
2125 OAK GROVE RD STE 200	WALNUT CREEK	CA	94598	473696091	PATIENT CARE	CA	NA
PENINSULA ENDOSCOPY CENTER LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	271905059	ENDOSCOPY JV	CA	NA

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MILLS PENINSULA HOSPITAL FOUNDATION
C	$3,297,985	FMV
PALO ALTO MEDICAL FOUNDATION
P	$833,030	FMV
PALO ALTO MEDICAL FOUNDATION
S	$7,336,408	FMV
PALO ALTO MEDICAL FOUNDATION
J	$1,977,270	FMV
SUTTER WEST BAY HOSPITALS
P	$72,217	FMV
SUTTER COAST HOSPITAL
P	$108,777	FMV
SUTTER INSURANCE SERVICES CORPORATION
P	$4,147,193	FMV
MILLS PENINSULA HOSPITAL FOUNDATION
P	$3,102,836	FMV