2015-11-03T19:22:39-06:00 2014-12-31 ERNST & YOUNG US LLP 2901 DOUGLAS BLVD SUITE 300 ROSEVILLE CA 95661 990 2014-01-01 237288765 MILLS-PENINSULA HOSPITAL FOUNDATION % SHAWNA CHIARAVALOTTI MILL 9162866665 1501 TROUSDALE DRIVE BURLINGAME CA 94010 JOHN LODER PRESIDENT 9162866665 2015-11-02 true CINDY WHITE P01396368 9162181900 2014 2016-03-07 17:11:31Z JOHN LODER 1501 TROUSDAL DRIVE BURLINGAME CA 94010 11676513 false X WWW.SUTTERHEALTH.ORG X 1973 CA SEE SCHEDULE O 18 16 0 50 0 3929853 6107505 2857002 3170590 1369650 2240255 -33550 -104852 8122955 11413498 5604141 5445484 0 0 2154542 2298609 0 0 0 1274097 1698057 9032780 9442150 -909825 1971348 43431662 48413621 3505817 6964643 39925845 41448978 X SEE SCHEDULE O false false 8086577 5445484 3170590 SEE SCHEDULE O 8086577 true true false false false false false false false true true false false false true true false true false false false false false false true true false true true true false false false false false false false false true false false false false true true true false false true X 105 0 true 0 false false false false false true true false false false false X 18 16 false false false false true true true true true false false true true true true true true true true false CA X SHAWNA CHIARAVALOTTI 9162866665 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 X BONNIE J BERTETTA TRUSTEE/CHAIR 1.0 0.0 X X 0 0 0 JAMES R CODY TREASURER/TRUSTEE 1.0 0.0 X X 0 0 0 J BRAD CRAIG TRUSTEE 1.0 0.0 X 0 0 0 JOHN LODER TRUSTEE & PRESIDENT MPH FDN 40.0 0.0 X X 0 265423 24685 ROBERT MERWIN TRUSTEE (PRT-YR)/ CEO MPHS 1.0 40.0 X 0 1192224 113751 GOLNAR YAZDI TRUSTEE/VICE-CHAIR 1.0 0.0 X X 0 0 0 SUSAN l HERMAN TRUSTEE/SECRETARY 1.0 0.0 X X 0 0 0 KIM SCHOKNECHT TRUSTEE 1.0 0.0 X 0 0 0 HARRIET BOROFSKY MD TRUSTEE 1.0 0.0 X 0 0 0 GEORGE H COHEN TRUSTEE 1.0 0.0 X 0 0 0 JILL FLYNN TRUSTEE 1.0 0.0 X 0 0 0 MARGARET HO TRUSTEE 1.0 0.0 X 0 0 0 KEITH B MCWILLIAMS TRUSTEE 1.0 0.0 X 0 0 0 JANET WAGNER TRUSTEE (PRT-YR)/ CEO MPHS 1.0 40.0 X 0 552560 193425 ANDREA P METKUS TRUSTEE 1.0 0.0 X 0 0 0 CAROLE MIDDLETON TRUSTEE 1.0 0.0 X 0 0 0 SCOTT E PETERSON TRUSTEE 1.0 0.0 X 0 0 0 PATTI RUEFF TRUSTEE 1.0 0.0 X 0 0 0 JUDY SWANSON TRUSTEE 1.0 0.0 X 0 0 0 IFTIKHAR HUSSAIN CFO, MPHS, PRT-YR 1.0 40.0 X 0 290326 32291 MARA HOOK VP PHIL, PENNINSULA COASTAL 1.0 40.0 X 0 531749 83818 0 2832282 447970 0 false true false C I PARTNERS DIRECT LLC 4484 MARKET STREET VENTURA CA 93003 DIRECT MAIL 137314 MOS ENTERPRISES INC 11601 WILSHIRE BLVD LOS ANGELES CA 90025 SPEAKER FEES 125000 2 43 605219 5502243 228692 6107505 HOSPITAL SUPPORT 900099 3170590 3170590 3170590 902271 902271 0 0 0 0 0 1337984 1337984 1337984 1337984 138313 605219 262995 -124682 -124682 19850 20 19830 19830 0 0 11413498 3170590 2135403 X 5403256 5403256 42228 42228 0 0 797172 601227 195945 0 757528 551238 206290 0 743909 553557 190352 0 76000 76000 0 13388 13388 0 0 86015 86015 29875 29875 0 332522 164804 167718 0 0 95454 95454 12030 8902 3128 0 38 38 0 0 0 23407 23407 COMMUNITY SUPPORT 742424 742424 PURCHASED SERVICES 227282 227282 DONOR CULTIVATION 18941 18941 ALL OTHER 40681 40681 9442150 8086577 1355573 0 0 0 10833043 15249279 0 0 5780871 5511748 0 0 0 0 0 0 0 0 43556 137448 108039 108039 25774183 26920841 0 0 0 0 0 0 1000009 594265 43431662 48413621 772307 4729560 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2733510 2235083 3505817 6964643 X 6155174 8245773 26942016 26264150 6828655 6939057 39925845 41448978 43431662 48413621 X 1971348 -563692 115477 X false true X true false X 7108844 14350934 8537979 3929853 6107505 40035115 0 0 7108844 14350934 8537979 3929853 6107505 40035115 14025594 26009521 697033 619225 740285 793252 902271 3752066 0 0 43787181 13767262 0.59400 0.58640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8592203 471783 61723 9002263 7581254 1043729 32780 8592203 6698130 222000 724668 63544 7581254 6719626 32296 53792 6698130 6271261 544479 96114 6719626 0.77080 0.22920 false false 0 108039 108039 0 0 0 INSURANCE LIABILITIES 2223519 OTHER LIABILITIES 11564 2235083 X SCHEDULE D, PART V, QUESTION 4 THE ENDOWMENTS ARE USED TO SUPPORT THE PROGRAMS OF MILLS-PENINSULA HEALTH SERVICES. SCHEDULE D PART XIII 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 COMBINED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2014 AND 2013, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. GREENWOOD COMPANY CONSULTANT false CA WOMENS LUNCHEON 743532 605219 138313 5192 58113 80200 119490 0 743532 605219 138313 5192 58113 80200 119490 262995 -124682 19850 20 true 1.00000 19850 20 20 19830 CA true false true false 1.00000 SHAWNA CHIARAVALOTTI 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 false KAREN MALENKOS-SMITH 13058 EVENT PLANNER X true 17865 SCHEDULE G PART III LINE 16 SERVED AS DIRECTOR OF THE WOMEN'S LUNCHEON EVENT DURING WHICH THE RAFFLE TOOK PLACE SCHEDULE G PART III LINE 17B CALIFORNIA MANDATORY DISTRIBUTION AMOUNT UNDER STATE LAW $17,865 true MILLS-PENINSULA HEALTH SERVICES 1501 TROUSDALE DRIVE BURLINGAME CA 94010 941156265 501(c)(3) 4891725 PROGRAM SUPPORT PALO ALTO MEDICAL FOUNDATION 2350 EL CAMINO AVE MOUNTAIN VIEW CA 94040 941156581 501(C)(3) 511531 PROGRAM SUPPORT 2 0 SCHOLARSHIPS 15 42228 SCHEDULE I, PART I, QUESTION 2 1. VARIOUS DEPARTMENTS OF THE HOSPITAL REQUEST FUNDING FROM THE FOUNDATION. 2. THE FOUNDATION BOARD OF TRUSTEES AND THE FOUNDATION EXECUTIVE APPROVE THE HOSPITAL'S REQUEST. 3. THE HOSPITAL PROVIDES THE FOUNDATION A COPY OF THE INVOICE AND/OR OTHER SUPPORTING DOCUMENTATION SUBSTANTIATING THE INCURRED COSTS. 4. THE FOUNDATION FOWARDS TO THE ACCOUNTANTS THE SUPPORTING DOCUMENTS, INCLUDING THE APPROVALS, FOR RECORDING OF THE TRANSACTION ON THE BOOKS AND THE TRANSFER TO THE FUNDS. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES. false true false false false false false true false MARA HOOK VP PHIL, PENNINSULA COASTAL 0 350400 0 156028 0 25321 0 74121 0 9697 0 615567 0 18000 IFTIKHAR HUSSAIN CFO, MPHS, PRT-YR 0 138456 0 115146 0 36724 0 24098 0 8193 0 322617 0 0 JOHN LODER TRUSTEE & PRESIDENT MPH FDN 0 229079 0 33700 0 2644 0 5199 0 19486 0 290108 0 0 ROBERT MERWIN TRUSTEE (PRT-YR)/ CEO MPHS 0 524609 0 576160 0 91455 0 82999 0 30752 0 1305975 0 0 JANET WAGNER TRUSTEE (PRT-YR)/ CEO MPHS 0 313874 0 197846 0 40840 0 179957 0 13468 0 745985 0 0 PART I, QUESTION 3 EXECUTIVE DIRECTOR POSITION EVALUATION AND RESULTING RANGE IS DETERMINED AS FOLLOWS: A.KNOW HOW B.PROBLEM SOLVING C.ACCOUNTABILITY CHECK RESULTING EVALUATION AGAINST: A.SALARY SURVEY DATA FOR BENCHMARK JOBS B.RELATIONSHIP TO LIKE POSITIONS IN OTHER LOCAL SUTTER COMPANIES C.ANECDOTAL INFO FROM MANAGER (CANDIDATE REQUIREMENTS,ETC) D.EXISTING EVALUATIONS OF SUBORDINATES, SUPERVISOR AND PEERS E.OTHER RELEVANT INFORMATION SEE SCHEDULE O NARRATIVE PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. PART I, QUESTION 4B INDIVIDUALS PAID BY SUTTER HEALTH PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403B 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 EARNINGS BEYOND THE 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 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65. TARGET BENEFIT LEVELS VARY BY YEARS OF SERVICE. UNLIKE SUTTER HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. PART 1, QUESTION 7 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% OF GROSS PAY. 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 +/- 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 EMPLOYEES ARE ELIGIBLE FOR A LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL 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 HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S 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. X 14 180732 FMV X 1325 LEATHER BRACELETS 1 35775 FMV X 1100 NAIL POLISHES 1 9900 FMV X PHOTOBOOTH RENTAL 1 1880 FMV X 3 SILVER OVERLAY BRACELETS 1 405 FMV false true false SCHEDULE M LINE 25 THE NUMBER ENTERED IN COLUMN B LINE 25 REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990 PART I LINE 1; PART III LINE 1 MILLS-PENINSULA HOSPITAL FOUNDATION SERVES THE COMMUNITY BY ENCOURAGING FINANCIAL SUPPORT FROM INDIVIDUALS, FOUNDATIONS, AND CORPORATIONS WHO BELIEVE IN QUALITY HEALTH CARE. THE FOUNDATION BOARD OF TRUSTEES AND THE MILLS-PENINSULA BOARD OF DIRECTORS ARE MADE UP OF COMMUNITY LEADERS WHO SERVE WITHOUT COMPENSATION. OUR FIRST AND FOREMOST CONCERN IS TO PROVIDE THE BEST POSSIBLE CARE FOR THE PEOPLE OF THE COMMUNITY WHO SUPPORT US. FORM 990 PART III LINE 4 MILLS-PENINSULA HOSPITAL FOUNDATION SERVES THE COMMUNITY BY ENCOURAGING FINANCIAL SUPPORT FROM THE COMMUNITY AND CORPORATIONS TO ENHANCE THE QUALITY OF HEALTHCARE IN THE REGION. THE FOUNDATION'S PRIMARY METHOD TO DO THIS IS TO RAISE FUNDS IN SUPPORT OF MILLS-PENINSULA HEALTH SERVICES, A RELATED 501(C)(3) HOSPITAL. IN 2014, COMMUNITY SUPPORT MADE IT POSSIBLE FOR THE FOUNDATION TO PURCHASE AN ENDOBRONCHIAL ULTRASOUND, A VITAL TOOL FOR PROVIDING PATIENT CARE AS IT RELATES TO EARLY DETERMINATION OF LUNG CANCER. ADDITIONALLY, STATE OF THE ART OPHTHALMOLOGY SURGICAL EQUIPMENT WAS PURCHASED TO INCREASE ACCURACY OF CATARACT PROCEDURES AND ENABLE BETTER OUTCOMES. MILLS-PENINSULA HOSPITAL FOUNDATION ALSO FUNDED SURGICAL EQUIPMENT SUCH AS AN ATHERECTOMY LASER THAT USES A CATHETER TO EMIT HIGH ENERGY LIGHT TO UNBLOCK AN ARTERY. THIS LASER ENERGY IS USED TO ESSENTIALLY VAPORIZE AND REMOVE ARTERIAL PLAQUE IN BOTH CORONARY AND PERIPHERAL ARTERIES. A NEW DEVICE WAS PURCHASED TO ALLOW PHYSICIANS A BETTER VIEW OF AN ARTERY FROM WITHIN THE ARTERY. USING THIS REAL TIME OPTICAL COHERENCY TOMOGRAPHY CROSSING CATHETER, PHYSICIANS CAN MORE ACCURATELY NAVIGATE THROUGH AN ARTERY. PHILANTHROPIC CONTRIBUTIONS HELPED FUND CARDIOLOGY EQUIPMENT SUCH AS AN ULTRASOUND THAT PROVIDES EXCELLENT IMAGE QUALITY FOR CATHETER INSERTION PURPOSES. WITH IMPROVED IMAGE QUALITY WE CAN DECREASE COMPLICATIONS DURING DIFFICULT VASCULAR ACCESS. THE FOUNDATION ALSO PURCHASED ECG MACHINES AND UPGRADES THAT ALLOW FOR CODING IN THE ELECTRONIC MEDICAL RECORD WHICH WILL IMPROVE PATIENT SAFETY. THE WOMEN'S CENTER RECEIVED FUNDING FOR NEW DIGITAL BREAST TOMOSYNTHESIS EQUIPMENT, A NEW TECHNOLOGY FOR BREAST IMAGING WITH EXPECTED BENEFITS TO INCLUDE IMPROVED DETECTION AND A DECREASE IN CALLBACK RATES. FUNDING WAS ALSO PROVIDED TO SUPPORT SCREENINGS FOR THE UNDERSERVED IN OUR COMMUNITY AS WELL AS HELP OUR SENIOR FOCUS MEDICAL DAY PROGRAM. MILLS PENINSULA HOSPITAL FOUNDATION CONTINUES TO SUPPORT MILLS PENINSULA HEALTH SERVICES WITH THE CONSTRUCTION OF THE NEW HOSPITAL WHICH OPENED ITS DOORS IN MAY 2011. FORM 990 PART V LINE 2A MILLS-PENINSULA HOSPITAL FOUNDATION DOES NOT HAVE EMPLOYEES BUT SHARES THE COSTS OF PERSONNEL, SERVICES, FACILITIES AND EXPENSES WITH ITS PARENTS: SUTTER HEALTH AND MILLS-PENINSULA HEALTH SERVICES. FORM 990 PART VI SEC A LINE 6 & 7A MILLS-PENINSULA HEALTH SERVICES IS THE SOLE MEMBER OF THIS CORPORATION WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990 PART VI SEC A LINE 7B MILLS-PENINSULA HEALTH SERVICES, 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 OR DISSOLUTION OF THIS CORPORATION; B. CONTRACTING WITH ANY UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THIS CORPORATION'S ASSETS OR OPERATIONS. C. CREATION OF A CORPORATION OR AFFILIATE ENTITY WHICH HAS, OR IS PROJECTED TO HAVE DURING THE FIRST YEAR OF ITS CREATION, TOTAL ASSETS OR NET OPERATING REVENUES IN EXCESS OF A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME; OR ACQUISITION OF A CORPORATION OR AFFILIATE ENTITY WHICH HAS TOTAL ASSETS OR NET OPERATING REVENUES IN EXCESS OF A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME. D. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THIS CORPORATION. E. APPROVAL OF OPERATING AND CAPITAL BUDGETS OF THIS CORPORATION, ALTHOUGH THE BOARD IS EMPOWERED TO DEVELOP ITS OWN BUDGET WITHIN THE CORPORATE GUIDELINES AND OBJECTIVES SET BY THE MEMBER FROM TIME TO TIME; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER. F. AGGREGATE EXPENDITURES BY THIS CORPORATION EXCEEDING APPROVED OPERATING OR CAPITAL BUDGETS OF THIS CORPORATION BY MORE THAN A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER. G. PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE AND ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE MEMBER FROM TIME TIME, NOT PREVIOUSLY INCLUDED IN THE CAPITAL BUDGET; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER. H. AGGREGATE UNSECURED BORROWING BY THIS CORPORATION IN EXCESS OF A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME. FOR THE PURPOSE OF THIS SUBPARAGRAPH, THE TERM AGGREGATE BORROWING INCLUDES BUT IS NOT LIMITED TO LEASE AGREEMENTS AND CONTRACTS OF PURCHASE; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER. I. APPOINTMENT OF THE INDEPENDENT AUDITOR AND CORPORATE COUNSEL; OR J. APPROVAL OF TRANSACTIONS OF THIS CORPORATION IN WHICH A TRUSTEE OR OFFICER OF THIS CORPORATION HAS A MATERIAL FINANCIAL INTEREST. FORM 990 PART VI SEC B LINE 11B SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. FORM 990 PART VI SEC B LINE 12C 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 SEC B LINE 15A & 15B THE EXECUTIVE COMMITTEE OF MILLS-PENINSULA HEALTH SERVICES RETAINS DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. OFFICERS AND KEY EMPLOYEES PAID BY SUTTER HEALTH, ARE UNDER THE AUTHORITY OF THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS WHO RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. OFFICERS AND KEY EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. 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. THE COMPENSATION PROCESS WAS LAST COMPLETED IN DECEMBER 2014. FORM 990 PART VI SEC C LINE 19 THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990 PART VII SEC A & PART IX COLUMN (A) MILLS-PENINSULA HOSPITAL FOUNDATION DOES NOT HAVE EMPLOYEES BUT SHARES THE COSTS OF PERSONNEL, SERVICES, FACILITIES AND EXPENSES WITH ITS PARENTS: SUTTER HEALTH AND MILLS-PENINSULA HEALTH SERVICES. FORM 990 PART XI LINE 9 ANNUITY TRUE-UP TEMP $(113,589) CHANGE IN SPLIT INTEREST $ 229,066 --------- TOTAL $ 115,477 ADOLESCENT TREATMENT CENTERS INC 390 40TH STREET OAKLAND CA 94609 680088443 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true BETTER HEALTH EAST BAY FOUNDATION 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 510160184 FUNDRAISING CA 501(C)(3) 7 SUTTER EBH true CALIFORNIA PACIFIC MEDICAL CTR FOUND 2015 STEINER STREET 2ND FLOOR SAN FRANCISCO CA 94115 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER WBH true EAST BAY PERINATAL CENTER 350 HAWTHORNE AVE OAKLAND CA 94609 510172285 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true EDEN MEDICAL CENTER 20103 LAKE CHABOT ROAD CASTRO VALLEY CA 94546 942948100 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true MILLS-PENINSULA HEALTH SERVICES 1501 TROUSDALE DRIVE BURLINGAME CA 94010 941156265 HOSPITAL CA 501(C)(3) 3 PAMF true PALO ALTO MEDICAL FOUNDATION 2350 EL CAMINO REAL MOUNTAIN VIEW CA 94040 941156581 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SAMUEL MERRITT UNIVERSITY 450 30TH STREET 2840 OAKLAND CA 94609 942992642 UNIVERSITY CA 501(C)(3) 2 SUTTER EBH true SUTTER AUBURN FAITH HOSPITAL FOUNDATION 11815 EDUCATION ST AUBURN CA 95602 942594966 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER CENTRAL VALLEY HOSPITALS 1800 COFFEE ROAD SUITE 76 MODESTO CA 95355 941080917 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER COAST HOSPITAL 800 E WASHINGTON BLVD CRESCENT CITY CA 95531 942988520 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER DAVIS HOSPITAL FOUNDATION PO BOX 1617 DAVIS CA 95617 680217870 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER EAST BAY HOSPITALS 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 941196176 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER EAST BAY MEDICAL FOUNDATION 3687 MT DIABLO BLVD 200 LAFAYETTE CA 94549 942690415 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SUTTER GOULD MEDICAL FOUNDATION 600 COFFEE ROAD MODESTO CA 95355 941682256 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SUTTER HEALTH 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942788907 SUPPORTING OR 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 true SUTTER HEALTH SACRAMENTO SIERRA REGION PO BOX 160727 SACRAMENTO CA 95816 941156621 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER INSURANCE SERVICES CORPORATION 745 FORT STREET SUITE 800 HONOLULU HI 96813 990289310 INSURANCE SER HI 501(C)(3) 11C-III-FI SUTTER HLTH true SUTTER MEDICAL CENTER FOUNDATION 2800 L STREET 7TH FLOOR SACRAMENTO CA 95816 942788906 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER MEDICAL CENTER CASTRO VALLEY 20130 LAKE CHABOT RD 103 CASTRO VALLEY CA 94546 770146047 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER MEDICAL FOUNDATION 2800 L STREET 7TH FLOOR SACRAMENTO CA 95816 680273974 HEALTH CARE CA 501(C)(3) 11b - II SUTTER HLTH true SUTTER ROSEVILLE MEDICAL CTR FOUNDATION ONE MEDICAL PLAZA ROSEVILLE CA 95661 680040113 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER SOLANO CHARITABLE FOUNDATION 300 HOSPITAL DRIVE VALLEJO CA 94589 942668262 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER VISITING NURSE ASSOC AND HOSPICE 1900 POWELL ST 300 EMERYVILLE CA 94608 946068843 HEALTH CARE CA 501(C)(3) 9 SUTTER HLTH true SUTTER WEST BAY HOSPITALS 2333 BUCHANAN STREET SAN FRANCISCO CA 94115 940562680 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER WEST BAY MEDICAL FOUNDATION 2015 STEINER STREET 1ST FLOOR SAN FRANCISCO CA 94115 942948131 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true TRACY HOSPITAL FOUNDATION 1420 N TRACY BLVD TRACY CA 95376 680318845 FUNDRAISING CA 501(C)(3) 11a - I SUTTER CVH true MEMORIAL HOSPITAL FOUNDATION 1800 COFFEE ROAD STE 76 MODESTO CA 95355 942290244 FUNDRAISING 501(C)(3) 11a-I SCVH true SUTTER HEALTH PLAN 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 461183948 HEALTH PLAN PENDING PENDING SUTTER HLTH true MAGNETIC IMAGING AFFILIATES 175 LENNON WALNUT CREEK CA 94598 942953833 PATIENT CARE CA SURGERY CENTER OF ABSMC 3875 TELEGRAPH OAKLAND CA 94609 470946086 OUTPATIENT SURG. CA ALTA CT SERVICES LLP 175 LENNON WALNUT CREEK CA 94598 943083464 PATIENT CARE CA CALIFORNIA PACIFIC ADVIMAGING PO BOX 6102 NOVATO CA 94948 562311840 MRI JOINT VENTURE CA SAN FRANCISCO ENDOSCOPY CTR 3000 RIVERCHASE BIRMINGHAM AL 35244 912160588 ENDOSCOPY JV CA PRESIDIO SURGERY CTR 1635 DIVISADERO SAN FRANCISCO CA 94115 320144060 AMBULATORY SURG. CA SUTTER FAIRFIELD SURGERY CTR 2700 LOW CT FAIRFIELD CA 94533 300233892 SURGERY CA TWIN CITIES SURGICAL HOSPITAL 250 S WACKER CHICAGO IL 60606 352182617 SURGERY CA SUTTER AMADOR SURGERY CTR 223 CLINTON RD STE 204 JACKSON CA 95642 461398093 SURGERY CA ROSEVILLE ENDOSCOPY CTR 4 MEDICAL PLAZA STE 210 ROSEVILLE CA 95661 870710513 ENDOSCOPY JV CA MEMORIAL MEDICAL OFFICE BLDG PHASE I 1800 COFFEE RD STE 76 MODESTO CA 95355 770234236 RENTAL PROPERTY CA MEMORIAL MEDICAL OFFICE BLDG PHASE II 1800 COFFEE RD STE 76 MODESTO CA 95355 770287288 RENTAL PROPERTY CA HEALTH VENTURES INC 350 HAWTHORNE ST OAKLAND CA 94609 942918780 HEALTH SERVICES CA NA C CORP true CHARITABLE REMAINDER TRUSTS-12 1501 TROUSDALE DRIVE BURLINGAME CA 94010 CRT MPHF TRUST false true false false false false false false false true true true true false false true true true true MILLS PENINSULA HEALTH SERVICES B 4891725 FMV PALO ALTO MEDICAL FOUNDATION B 511531 FMV MILLS PENINSULA HEALTH SERVICES Q 3168227 FMV