2015-11-04T17:56:52-06:00 2014-12-31 ERNST & YOUNG US LLP 4370 LA JOLLA VILLAGE DR STE 500 SAN DIEGO CA 92122 990 2014-01-01 770146047 SUTTER MEDICAL CENTER CASTRO VALLEY % CHRIS BOUDREAUX SUTT 9162866665 20103 LAKE CHABOT ROAD CASTRO VALLEY CA 94546 John Gates CFO 9162866665 2015-10-28 true DEBRA HEISKALA P00649485 8585357200 2014 2016-03-07 17:11:31Z DAVID BRADLEY 20103 LAKE CHABOT ROAD CASTRO VALLEY CA 94546 302580050 false X WWW.SUTTERHEALTH.ORG X 1986 CA SEE SCHEDULE O 18 15 1344 71 0 573338 1058693 267225336 300010046 652514 139055 691388 979852 269142576 302187646 9538 80237 0 0 137333562 132928750 0 0 54436 143173630 149923283 280516730 282932270 -11374154 19255376 453043945 440008840 333172107 349771207 119871838 90237633 X SEE SCHEDULE O false false 247551033 17100 300010046 SEE SCHEDULE O 247551033 true true false false false false false false false false true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true X 0 0 true 1344 true false false false false false false false false false false X 18 15 true false false false true true true true true false false true true true true true true true true false CA X CHRIS BOUDREAUX 9162978007 91OO FOOTHILLS BOULEVARD Roseville CA 95747 X CHRISTOPHER BECNEL TRUSTEE, CHAIR 1.0 0.0 X X 0 0 0 DIANA BELL TRUSTEE 1.0 X 0 0 0 DAVID BLACK MD TRUSTEE, VICE CHAIR 1.0 X X 0 0 0 DAVID BRADLEY REGIONAL PRES, East Bay 1.0 40.0 X X 0 1158898 245821 MICHAEL DAVIES TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL DIGIACOMO DPM TRUSTEE, CHAIR F&P 1.0 0.0 X X 0 0 0 ERIC DOVICHI MD TRUSTEE 1.0 0.0 X 0 0 0 ERIC FLOWERS TRUSTEE 1.0 0.0 X 0 0 0 VINCENT FORTE TRUSTEE 1.0 0.0 X 0 0 0 DAVID FREY TRUSTEE 1.0 0.0 X 0 0 0 PAT FRY PRESIDENT & CEO, SUTTER HEALTH 1.0 40.0 X 0 3626367 2728330 OWEN GARRICK MD TRUSTEE 1.0 0.0 X 0 0 0 DAVID HOWARD MD TRUSTEE 1.0 0.0 X 0 0 0 SARAH KREVANS COO, SUTTER HEALTH 1.0 40.0 X 0 1762486 424237 DONALD NELSON TRUSTEE 1.0 0.0 X 0 0 JEFFREY RANDALL MD TRUSTEE 1.0 0.0 X TED SAENGER TRUSTEE 1.0 0.0 X ANNETTE SHAIEB MD TRUSTEE 1.0 0.0 X GREGORY BROWN VP & REG COUNSEL, EAST BAY 1.0 40.0 X 0 346455 83184 JOHN GATES REGIONAL VP FINANCE EAST/WEST 1.0 40.0 X 0 1058493 146579 TERRY GLUBKA CEO 40.0 0.0 X 0 599097 106345 ROSE CORCORAN RN VP PATIENT CARE SERVICES 40.0 0.0 X 0 313843 46198 BRYAN DAYLOR VP ANCILLARY SUPPORT SVCS 40.0 0.0 X 0 339814 48368 CATHERINE MESSMAN ADMINISTRATIVE DIRECTOR FIN 40.0 0.0 X 0 308112 41327 CHERYL HARLESS CNE 40.0 0.0 X 0 313359 51379 DEBORA HENDRICKSON REGIONAL ADMIN DIR. QUALITY 40.0 0.0 X 211539 0 21173 SIDNEY WANETICK VP MEDICAL AFFAIRS 40.0 0.0 X 0 502903 59910 KAREN MANNERING CHARGE NURSE 40.0 0.0 X 308846 0 14855 KATHERINE NAAS NURSE STAFF II 40.0 0.0 X 222958 0 25733 EDGAR REVELO TECH, OPERATING ROOM 40.0 0.0 X 251282 0 26682 LISA ROBINSON NURSE STAFF II 40.0 0.0 X 240437 0 26291 JEFFREY SILVERS PHYSICIAN 40.0 0.0 X 251384 0 11558 ED BERDICK SVP SUTTER SHARED SVCS 0.0 40.0 X 0 1638864 269901 BRIAN HUNTER SH VP, REVENUE CYCLE 0.0 40.0 X 0 739122 127712 1486446 12707813 4505583 473 true true false ALAMEDA ANESTHESIA ASSOC INC PO BOX 5641 PORTLAND OR 972285641 Medical Services 3275368 PACIFIC BRAIN SPINE MEDICAL GROUP 20055 LAKE CHABOT RD STE 110 CASTRO VALLEY CA 94546 Medical Services 1444071 TOWERS WATSON DELAWARE INC 28025 NETWORK PL CHICAGO IL 606731280 Consulting Services 1241824 HEALTHCARE SECURITY SERVICE OF CA 3589 NEVADA STREET DENVER CO 80217 Medical Services 1175620 BAY CHILDRENS PHYSICIANS 6425 CHRISTIE AVE STE 100 EMERYVILLE CA 94608 Medical Services 879942 64 1058693 1058693 PATIENT SERVICE REVENUE 622110 300094683 300094683 EAST BAY RADIATION 622310 -84637 -84637 300010046 123783 123783 0 0 1351576 371724 979852 0 979852 979852 35952 20680 15272 15272 15272 0 0 0 0 302187646 300010046 1118907 79562 79562 675 675 0 0 2963367 2963367 0 89114671 86553356 2561315 2843264 2672668 170596 30467865 28639793 1828072 7539583 7087208 452375 1235386 1235386 0 25099 25099 0 0 54317 54317 17945542 17460691 484851 0 2253891 1637722 616169 7660601 7638598 22003 0 3585592 3585592 43773 41147 2626 0 35475 30215 5260 10340130 10340130 0 26681727 26681727 2168580 2168580 MEDICAL SUPPLIES 24757563 24397007 360556 SYSTEM ALLOCATIONS 20973188 20973188 HOSPITAL PROVIDER FEE 16966330 16966330 PURCHASED SERVICES 11952222 9184764 2767458 3243867 2385268 804163 54436 282932270 247551033 35326801 54436 0 0 7709072 9815987 0 0 53698431 42977875 0 0 0 0 0 0 4292774 4939134 674324 990878 404433131 53008160 365077640 351424971 0 133146 0 0 7940651 465602 0 0 13651053 29261247 453043945 440008840 44567168 60781803 0 0 0 0 287967368 288253210 0 0 0 0 0 0 0 0 637571 736194 333172107 349771207 X 116093531 90237633 3778307 0 0 0 119871838 90237633 453043945 440008840 X 19255376 216733 -2552715 -46553599 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17407749 17407749 290803574 27905938 262897636 371500 100615 270885 56362531 22504931 33857600 39487777 2496676 36991101 351424971 UNAMORTIZED FINANCING COSTS 1969373 INTERCOMPANY RECEIVABLES 10650 OTHER RECEIVABLES 25530689 OTHER ASSETS 1750535 29261247 0 SELF INSURANCE 663794 OTHER LIABILITIES 72400 736194 X PART X, LINE 2 ASC 740 (FIN48) FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND 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, 2014 AND 2013, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. true true X true X true X true true true false true true 7061715 7061715 0.02500 89977062 63344340 23632722 0.08350 39763 2125 37638 0.00010 97078540 63346465 30732075 0.10860 16 20150 341914 17065 324849 0.00110 1 150 389784 389784 0.00140 1 100 395096 65466 329630 0.00120 6 7830 223347 223347 0.00080 24 28230 1350141 82531 1267610 0.00450 24 28230 98428681 63428996 31999685 0.11310 1 13 56167 56167 0.00020 1 1400 333 333 2 1413 56500 56500 0.00020 false 3821808 59443885 72761356 -13317471 X true true 1 1 SUTTER MEDICAL CENTER CASTRO VALLEY 20130 LAKE CHABOT ROAD CASTRO VALLEY CA 945465305 www.edenmedicalcenter.org LICENSE #140000030 X X X OUTPATIENT SERVICES SUTTER MEDICAL CENTER CASTRO VALLEY 1 false false true X X X X X X X X X 13 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C true 13 true SEE PART V, SECTION C false false true X 200. 400. X X X true true X X X true X X X X X true X false X X X X true X X false false SCHEDULE H, PART V, SECTION B, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: IN CONDUCTING ITS MOST RECENT CHNA, SUTTER MEDICAL CENTER CASTRO VALLEY (SMCCV) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (KEY INFORMANTS). KEY INFORMANTS ARE HEALTH AND COMMUNITY EXPERTS FAMILIAR WITH THE POPULATIONS AND GEOGRAPHIC AREAS WITHIN THE SERVICE AREA. TO GAIN A DEEPER UNDERSTANDING OF THE HEALTH ISSUES PERTAINING TO CHRONIC DISEASE AND THE POPULATIONS LIVING IN THESE VULNERABLE COMMUNITIES, INPUT FROM 35 KEY INFORMANT INTERVIEWS WERE CONDUCTED USING A THEORETICALLY GROUNDED INTERVIEW GUIDE. EACH INTERVIEW WAS RECORDED AND CONTENT ANALYSIS WAS CONDUCTED TO IDENTIFY KEY THEMES AND IMPORTANT POINTS PERTAINING TO EACH GEOGRAPHIC AREA. FINDINGS FROM THESE INTERVIEWS WERE USED TO HELP IDENTIFY COMMUNITIES IN WHICH FOCUS GROUPS WOULD MOST APTLY BE PERFORMED. A FULL LISTING OF ALL KEY INFORMANTS INTERVIEWED, INCLUDING NAME, PROFESSIONAL TITLE, DATE OF INTERVIEW, AND A DESCRIPTION OF KNOWLEDGE AND EXPERIENCE IN DETAIL: - LOUIS CHICOINE, EXECUTIVE DIRECTOR FOR ABODE SERVICES WITH EXPERTISE ON HOMELESS POPULATIONS. INTERVIEW DATE: MAR 13, 2013. - MARK FRIEDMAN, CEO AND CHRIS HWANG, EVALUATION & TECHNOLOGY ADMINISTRATOR OF FIRST 5-ALAMEDA WITH EXPERTISE ON CHILDREN AND FAMILIES. INTERVIEW DATE: JANUARY 28, 2013 - MARSHA VAUGHN, CLINICAL DIRECTOR OF COMMUNITY BASED SERVICES FOR BAY AREA YOUTH CENTER WITH EXPERTISE IN FOSTER CARE MENTAL HEALTH SERVICES AND YOUTH SERVICES. INTERVIEW DATE: MARCH 13, 2013 - JAIME JARAMILLO, EXECUTIVE DIRECTOR AND JOAQUIN ALMAGUER, BOARD MEMBER OF CENTRO DE SERVICIOS WITH EXPERTISE IN FAMILY SERVICES. INTERVIEW DATE: MARCH 27, 2013. - DARLENE FUJII, SENIOR MANAGER WITH THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT WITH EXPERTISE IN NUTRITION AND PHYSICAL ACTIVITY. INTERVIEW DATE: JANUARY 10, 2013 - ROSE PADILLA-JOHNSON, EXECUTIVE DIRECTOR FOR DAVIS STREET FAMILY RESOURCE CENTER WITH EXPERTISE IN FAMILY SERVICES, COMMUNITY HEALTH, DENTAL, AND MENTAL HEALTH SERVICES. INTERVIEW DATE: JANUARY 10, 2013. - DR. ZETTIE PAGE, INTERIM CEO, BETHSHEBA ORERO, HIV AND WOMEN'S HEALTH PLANNER, AND AMY O'CALLAGHAN, COMMUNITY HEALTH PROGRAMS PLANNER FOR TRI CITY HEALTH CENTER WITH EXPERTISE IN COMMUNITY HEALTH AND HEALTH EDUCATION. INTERVIEW DATE: MARCH 26, 2013 - CARLOS LONDONO, DIRECTOR OF PROGRAMS FOR TIBURCIO VASQUEZ HEALTH CENTER WITH EXPERTISE IN COMMUNITY HEALTH AND HEALTH EDUCATION. INTERVIEW DATE: FEBRUARY 1, 2013 - SHIRLEY SISK, EXECUTIVE DIRECTOR FOR LOV NEWARK WITH EXPERTISE IN VOLUNTEER COORDINATION AND RECREATION PROGRAMING. INTERVIEW DATE: MARCH 13, 2013 - PAUL MILLER, EXECUTIVE DIRECTOR FOR KIDANGO WITH EXPERTISE IN EARLY EDUCATION, CHILD DEVELOPMENT SERVICES AND FAMILY SERVICES. INTERVIEW DATE: MARCH 26, 2013 - JUDY JONES, HOSPITAL OUTREACH MANAGER WITH FIRST 5 - ALAMEDA WITH EXPERTISE IN PRE- AND POST-NATAL EDUCATION IN AREAS OF NUTRITION, LITERACY AND EARLY LANGUAGE, AND SMOKING CESSATION. INTERVIEW DATE: MARCH 29, 2013 - RODNEY CLARK, EXECUTIVE DIRECTOR FOR SAVE WITH EXPERTISE IN DOMESTIC VIOLENCE. INTERVIEW DATE: APRIL 23, 2013. - SUZAN BATESON, EXECUTIVE DIRECTOR, ALLISON PRATT, DIRECTOR OF POLICY & SERVICES, AND JUSTINE KAPLAN, DIRECTOR OF FOOD AGENCY & NUTRITION FOR ALAMEDA COUNTY COMMUNITY FOOD BANK WITH EXPERTISE ON FOOD ACCESS AND NUTRITION. INTERVIEW DATE: MAY 2, 2013. - DAVID KORTH, NEIGHBORHOOD SERVICES MANAGER FOR HAYWARD NEIGHBORHOOD SERVICES WITH EXPERTISE IN COMMUNITY ORGANIZING. INTERVIEW DATE: MAY 1, 2013. - JANE GARCIA, CEO AND PATRICIA ZAYAS, CHIEF MEDICAL OFFICER FOR LA CLINICA WITH EXPERTISE IN COMMUNITY HEALTH AND MEDICAL CARE. INTERVIEW DATE: APRIL 29, 2013. - MARIELLEN FARIA, CHIEF NURSING OFFICER FOR SAN LEANDRO HOSPITAL WITH EXPERTISE IN COMMUNITY HEALTH, PRIMARY CARE, AND MEDICAL CARE. INTERVIEW DATE: MARCH 13, 2013 - SAFIA ALOCOZY, HEALTH MANAGER FOR CHILD, FAMILY & COMMUNITY SERVICES, INC WITH EXPERTISE IN CHILDREN AND FAMILIES, NUTRITION, AND PERSIAN COMMUNITIES. INTERVIEW DATE: APRIL 24, 2013. - DR. DAMON FRANCIS OF THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT WITH EXPERTISE ON HOMELESS POPULATIONS. INTERVIEW DATE: APRIL 24, 2013. SCHEDULE H, PART V, SECTION B, LINE 6 CHNA HOSPITAL COLLABORATORS: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE REPORT COMMISSIONED BY FIVE LOCAL NON-PROFIT HOSPITALS IN THE EAST BAY - SUTTER MEDICAL CENTER CASTRO VALLEY, ALTA BATES SUMMIT MEDICAL CENTER, ST. ROSE HOSPITAL, WASHINGTON HOSPITAL HEALTHCARE SYSTEM AND CHILDREN'S HOSPITAL & RESEARCH CENTER. The CHNA Core Group, a group representing the collaborating hospitals, members from Alameda County Public Health and the Hospital Council of Northern and Central California worked in partnership to define specific demographic and health status measures for review and analysis and jointly reviewed and discussed the results. The hospitals retained Valley Vision, Inc. to conduct the ten-month assessment process. Valley Vision, Inc. is a non-profit 501(c)(3) consulting firm with over seven years experience in conducting CHNAs. SCHEDULE H, PART V, SECTION B, LINE 7A, 7B AND 10A HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.EDENMEDICALCENTER.ORG/CHNA/SUTTERMEDCENTERCASTROVALLEY_FINAL_CH NA.PDF OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, SECTION B, LINE 11 The following significant health needs were identified in the 2013 Community Health Needs Assessment and are needs that Eden Medical Center intends to address through its implementation strategy: Access to health resources - Inability to address basic health care needs to due to a lack of access to resources to maintain and/or improve one's health, including primary, specialty and preventative care. Health literacy - Inability to improve one's health due to limited health literacy and education, including how to maintain and improve one's health through healthy behaviors such as diet and physical activity. Nutrition - Poor dieting habits resulting from living in an unhealthy food environment with limited access to fresh and healthier foods. Mental health - Issues arising from living in a state of stress; living in a stressful environment due to limited economic resources; safety concerns for self and family. Descriptions of the community benefit programs that address these significant health needs can be found in Part VI. SCHEDULE H, PART V, SECTION B, LINE 13H ELIGIBILITY CRITERIA - OTHER: ADDITIONAL FACTORS USED IN DETERMING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL PROVERTY GUIDELINES. SCHEDULE H, PART V, SECTION B, LINE 16I MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WAS POSTED ON THE HOSPITAL'S FACILITY'S WEBSITE, WAS ATTACHED TO BILLING INVOICES, WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY/WAITING ROOM, WAS POSTED IN THE HOSPITAL'S ADMISSIONS OFFICE, WAS PROVIDED IN WRITING ON ADMISSION TO THE HOSPITAL, AND WAS AVAILABLE ON REQUEST. PATIENTS ELIGIBLE FOR CHARITY CARE ARE TRACKED IN THE HOSPITAL'S LEGACY SYSTEM AND ARE REMINDED 30 DAYS AFTER CHARITY CARE PACKET IS RECEIVED IF PAPERWORK HAS NOT BEEN SUBMITTED. ORGANIZATION USES AN INCOME VALIDATION TOOL TO ALERT PATIENTS THAT THEY MAY BE ELIGIBLE FOR CHARITY CARE. SCHEDULE H, PART V, SECTION B, LINE 22D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR DIFFERENT LEVELS OF ASSISTANCE FOR PATIENTS BASED ON VARIOUS ELIGIBILITY REQUIREMENTS INCLUDING, BUT NOT LIMITED TO (1) FULL CHARITY CARE, (2) PARTIAL CHARITY CARE, (3) SPECIAL CIRCUMSTANCES CHARITY CARE, (4) CATASTROPHIC CHARITY CARE, (5) HIGH COST MEDICAL CHARITY CARE, (6) UNINSURED PATIENT DISCOUNT, AND (7) PROMPT PAYMENT DISCOUNT. THE MAXIMUM AMOUNT BILLED TO THE PATIENT IS CALCULATED DIFFERENTLY DEPENDING ON THE CATEGORY OF FINANCIAL ASSISTANCE FOR WHICH THEY ARE ELIGIBLE. 1 REHABILITATION SERVICES 14207 E 14TH STREET SAN LEANDRO CA 94578 OUTPATIENT REHABILITATION SVCS SCHEDULE H, PART I, LINE 3C FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 200% OF FPG. PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES APPLIES TO UNINSURED PATIENTS THAT WHOSE FAMILY INCOMES ARE BETWEEN 201% AND 400%. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 350% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S INSURER HAS NOT PROVIDED A DISCOUNT. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAT THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICE DISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDER INSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TO ADMISSION. - PROMPT PAYMENT DISCOUNT: PARTIAL WRITE-OFF AVAILABLE TO UNINSURED PATIENTS WHO PAY PROMPTLY, CONSISTING OF AT LEAST A 10% DISCOUNT FOR THOSE WHO PAY WITHIN 30 DAYS OF FINAL BILLING, OR A 20% DISCOUNT IF 50% OF THE ESTIMATED BILL IS PAID PRIOR TO DISCHARGE. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: SUTTER MEDICAL CENTER CASTRO VALLEY (SMCCV) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE 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. THE YOUTH BRIDGE CAREER AND INTERNSHIP PROGRAM IS A COMPREHENSIVE, YEAR-ROUND YOUTH DEVELOPMENT PROGRAM DESIGNED TO ASSIST EAST BAY HIGH SCHOOL STUDENTS BY ENCOURAGING THEM TO COMPLETE THEIR SCHOOLING AND TO PURSUE HIGHER ACADEMIC AND/OR VOCATIONAL GOALS. THE MAJORITY OF STUDENTS INVOLVED IN YOUTH BRIDGE ARE CONSIDERED "HIGH-RISK" STUDENTS. ONE OF THE GOALS OF YOUTH BRIDGE IS TO ENCOURAGE STUDENTS TO "DREAM BEYOND THEIR CIRCUMSTANCE." THE PROGRAM IS DESIGNED TO HELP PARTICIPANTS LEARN TO SET GOALS, MAKE DECISIONS, COMPLETE TASKS, AND BENEFIT FROM OPPORTUNITIES THAT MAY ARISE. A REPRESENTATIVE OF SMCCV PROVIDED ASSISTANCE AND RECOMMENDATIONS ON CURRICULUM OFFERINGS FOR THE CASTRO VALLEY ADULT SCHOOL IN 2014. 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 BAD DEBT AUDIT FOOTNOTE: THE ORGANIZATION MAKES EVERY EFFORT TO QUALIFY THOSE ELIGIBLE FOR CHARITY CARE. 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. 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 FOOTNOTES FOR PATIENT ACCOUNTS RECEIVABLE AND PATIENT SERVICE REVENUES LISTED BELOW. PATIENT ACCOUNTS RECEIVABLE AUDIT FOOTNOTE: SUTTER'S PRIMARY CONCENTRATION OF CREDIT RISK IS PATIENT ACCOUNTS RECEIVABLE, WHICH CONSIST OF AMOUNTS OWED BY VARIOUS GOVERNMENTAL AGENCIES, INSURANCE COMPANIES AND PRIVATE PATIENTS. SUTTER MANAGES THE RECEIVABLES BY REGULARLY REVIEWING ITS PATIENT ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE AMOUNTS. THESE ALLOWANCES ARE ESTIMATED BASED UPON AN EVALUATION OF HISTORICAL PAYMENTS, NEGOTIATED CONTRACTS AND GOVERNMENTAL REIMBURSEMENTS. SUTTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 90% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2014 AND 2013. ADJUSTMENTS AND CHANGES IN ESTIMATES ARE RECORDED IN THE PERIOD IN WHICH THEY ARE DETERMINED. SIGNIFICANT CONCENTRATIONS OF GROSS PATIENT ACCOUNTS RECEIVABLE ARE AS FOLLOWS: MEDICARE 29% AS OF 12/31/14 33% AS OF 12/31/13 MEDI-CAL 27% AS OF 12/31/14 21% AS OF 12/31/13 DURING 2014 AND 2013, CERTAIN AFFILIATES COLLECTED ON ACCOUNTS THAT WERE PREVIOUSLY DEEMED UNCOLLECTIBLE AND RESERVED. SUCH RECOVERIES ARE RECOGNIZED IN THE PERIOD THAT CASH IS RECEIVED AND WERE NOT MATERIAL. DUE TO THE INHERENT VARIABILITY IN THIS AREA OF PATIENT RECEIVABLE COLLECTIONS, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT THE ESTIMATION MAY CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. PATIENT SERVICE REVENUES FOOTNOTE: PATIENT SERVICE REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS AND OTHERS 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 $287 MILLION AND $375 MILLION FOR 2014 AND 2013, RESPECTIVELY. SCHEDULE H, PART III, LINE 7 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 MEDICARE SHORTFALL COMMUNITY BENEFIT AND 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 COLLECTION POLICY FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF 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. 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 30 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: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A COLLABORATIVE REPORT COMMISSIONED BY FIVE LOCAL NON-PROFIT HOSPITALS IN THE EAST BAY-SUTTER MEDICAL CENTER CASTRO VALLEY, ALTA BATES SUMMIT MEDICAL CENTER, ST. ROSE HOSPITAL, WASHINGTON HOSPITAL HEALTHCARE SYSTEM AND CHILDREN'S HOSPITAL & RESEARCH CENTER. THE CHNA CORE GROUP, A GROUP REPRESENTING THE COLLABORATING HOSPITALS, MEMBERS FROM ALAMEDA COUNTY PUBLIC HEALTH AND THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA WORKED IN PARTNERSHIP TO DEFINE SPECIFIC DEMOGRAPHIC AND HEALTH STATUS MEASURES FOR REVIEW AND ANALYSIS AND JOINTLY REVIEWED AND DISCUSSED THE RESULTS. THE HOSPITALS RETAINED VALLEY VISION, INC. TO CONDUCT THE TEN-MONTH ASSESSMENT PROCESS. VALLEY VISION, INC. IS A NON-PROFIT 501(C)(3) CONSULTING FIRM WITH OVER SEVEN YEARS EXPERIENCE IN CONDUCTING CHNAS. THE ASSESSMENT USED A MIXED METHOD DATA COLLECTION APPROACH THAT INCLUDED PRIMARY DATA SUCH AS KEY INFORMANT INTERVIEWS, COMMUNITY FOCUS GROUPS, AND A COMMUNITY ASSETS ASSESSMENT. SECONDARY DATA INCLUDED HEALTH OUTCOMES, DEMOGRAPHIC DATA, BEHAVIORAL DATA, AND ENVIRONMENTAL DATA. THE HEALTH NEEDS IDENTIFIED THROUGH ANALYSIS OF BOTH QUANTITATIVE AND QUALITATIVE DATA ARE AS FOLLOWS: - MENTAL HEALTH: ISSUES ARISING FROM LIVING IN A STATE OF STRESS, LIVING IN A STRESSFUL ENVIRONMENT DUE TO LIMITED ECONOMIC RESOURCES, SAFETY CONCERNS FOR SELF AND FAMILY - ACCESS TO HEALTH RESOURCES: INABILITY TO ADDRESS BASIC HEALTHCARE NEEDS DUE TO A LACK OF ACCESS TO RESOURCES TO MAINTAIN AND/OR IMPROVE ONE'S HEALTH, INCLUDING PRIMARY, SPECIALTY, AND PREVENTATIVE CARE - NUTRITION: POOR DIETING HABITS RESULTING FROM LIVING IN AN UNHEALTHY FOOD ENVIRONMENT WITH LIMITED ACCESS TO FRESH AND HEALTHIER FOODS - DENTAL CARE: ISSUES RESULTING FROM A LACK OF ACCESS TO DENTAL SERVICES - HEALTH LITERACY: INABILITY TO IMPROVE ONE'S HEALTH DUE TO LIMITED HEALTH LITERACY AND EDUCATION, INCLUDING HOW TO MAINTAIN AND IMPROVE ONE'S HEALTH THROUGH HEALTHY BEHAVIORS SUCH AS DIET AND PHYSICAL ACTIVITY - POLLUTION: RESPIRATORY AND RELATED ISSUES RESULTING FROM LIVING IN COMMUNITIES WITH POOR AIR QUALITY DUE TO HOUSING CONDITIONS AND ADJACENCY TO HIGH POLLUTION AREAS SUCH AS MAJOR INTERSTATE HIGHWAYS THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER MEDICAL CENTER CASTRO VALLEY IS AVAILABLE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER MEDICAL CENTER CASTRO VALLEY 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: SUTTER MEDICAL CENTER CASTRO VALLEY'S PRIMARY HOSPITAL SERVICE AREA, OR HSA, IS BASED UPON COMMUNITIES WHERE A SIGNIFICANT PERCENTAGE OF DISCHARGES ORIGINATE, BASED UPON THE PATIENT'S HOME ZIP CODE. THESE ZIP CODES INCLUDED 94541, 94542, 94544, 94545, 94546, 94552, 94577, 94578, 94579, AND 94580. THE HSA INCLUDES A RICHLY DIVERSE POPULATION OF JUST OVER 362,000 RESIDENTS. WHITES, HISPANICS, ASIANS AND BLACKS MAKE UP THE LARGEST MAJORITY OF RESIDENTS WITH WHITES PREDOMINATELY RESIDING IN 94542, 94546, 94552, AND 94577 ZIP CODES; HISPANICS PREDOMINATELY RESIDING IN THE 94541, 94544, 94578 AND 94580 ZIP CODES; AND ASIANS PREDOMINATELY RESIDE IN 94545 AND 94579 ZIP CODES. THE ECONOMIC DIVERSITY OF THE HSA ALSO VARIES FROM ZIP CODE TO ZIP CODE. FOR EXAMPLE, THE MEDIAN INCOME OF RESIDENTS OF 94552 IS $134,256 WHILE THE MEDIAN INCOME OF RESIDENTS IN 94578 IS $52,512. TO IDENTIFY COMMUNITIES OF CONCERN, INPUT FROM THE CHNA TEAM, PRIMARY DATA FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, ALONG WITH DETAILED ANALYSIS OF SECONDARY DATA, HEALTH OUTCOME INDICATORS, AND SOCIO-DEMOGRAPHICS WERE EXAMINED. ZIP CODES WITH RATES THAT CONSISTENTLY EXCEEDED COUNTY, STATE, AND/OR HEALTHY PEOPLE 2020 BENCHMARKS FOR ED UTILIZATION, HOSPITALIZATION, AND MORTALITY WERE CONSIDERED. ZIP CODES WITH RATES THAT CONSISTENTLY FELL IN THE TOP 20% WERE NOTED AND TRIANGULATED WITH PRIMARY AND SOCIO-DEMOGRAPHIC DATA TO IDENTIFY PRELIMINARY COMMUNITIES OF CONCERN. THESE ZIP CODES WERE THEN CONFIRMED WITH EACH CORRESPONDING HOSPITAL CHNA WORKGROUP FOR MODIFICATION, AND IN SOME INSTANCES ADDITIONAL ZIP CODES WERE ADDED. THE COMMUNITIES OF CONCERN ARE HOME TO MORE THAN 250,000 COMMUNITY RESIDENTS. THE AREAS CONSIST OF SIX ZIP CODES, ALL LOCATED IN ALAMEDA COUNTY. ZIP CODE 94541 IS HOME TO THE ALL OR PORTIONS OF HAYWARD, FAIRVIEW, CHERRYLAND, AND ASHLAND, AND IS HOME TO OVER 60,000 RESIDENTS. ZIP CODE 94544 IS THE MOST HEAVILY POPULATED OF ALL THE COMMUNITIES OF CONCERN, AND IS HOME TO PORTIONS OF THE CITIES OF HAYWARD AND UNION CITY. ZIP CODE 94545 SITS TO THE WEST OF 94544, AND IS HOME TO PORTIONS OF THE CITY OF HAYWARD. NORTH OF THE CENTRAL HAYWARD AREA IS SAN LEANDRO ZIP CODE 94578, HOME TO OVER 38,000 RESIDENTS. ADJACENT AND TO THE WEST OF THIS ZIP CODE IS 94579, THE LEAST POPULATED AMONG ALL COMMUNITIES OF CONCERN WITH JUST OVER 20,000 RESIDENTS. TO THE SOUTH OF THIS ZIP CODE IS 94580, THE SAN LORENZO AREA, HOME TO OVER 27,000 RESIDENTS. THERE ARE FIVE HOSPITALS SERVING THE COMMUNITY. THE COMMUNITIES OF CONCERN SIT ADJACENT THE SAN FRANCISCO BAY AND ARE SITUATED ALONG THE INTERSTATE 880, 580, AND HIGHWAY 238 CORRIDORS, WHICH RUN NORTH AND SOUTH THROUGH THE EAST BAY AREA. HIGHWAY 92 AND THE SAN MATEO BRIDGE RUNS EAST AND WEST THROUGH THE AREA, AND CONNECT THE EAST BAY WITH SOUTH BAY AREA. FROM AN ECONOMIC PERSPECTIVE, ZIP CODES 94541 AND 94578 EXCEEDED BENCHMARKS FOR THE PERCENT OF FAMILIES WITH CHILDREN LIVING IN POVERTY. IN 94578, 22.4% OF ALL FAMILIES WITH CHILDREN, OR JUST OVER ONE IN FIVE, LIVED IN POVERTY. FURTHER, WELL OVER ONE-THIRD OF ALL SINGLE-FEMALE HEADED HOUSEHOLDS LIVED IN POVERTY IN THE ZIP CODE COMMUNITIES OF 94544, 94578, AND 94587. ALSO, EACH OF THE SIX COMMUNITIES OF CONCERN EXCEEDED BENCHMARKS FOR HIGH UNEMPLOYMENT RATES. LAST, NEARLY SIX IN TEN RESIDENTS OF 94578 RENTED THEIR RESIDENCE, AN INDICATOR OF ECONOMIC MEANS. ALL COMMUNITIES OF CONCERN WERE HOME TO DIVERSE POPULATIONS, WITH PEOPLES OF COLOR ACCOUNTING FOR THE MAJORITY OF COMMUNITY RESIDENTS. FOR EXAMPLE, NEARLY 9 OF 10 RESIDENTS OF ZIP CODES 94545 AND 94587 WERE NON-WHITE. FURTHER, EACH ZIP CODE EXCEEDED BENCHMARKS FOR THE PERCENT OF THE POPULATION OVER THE AGE OF FIVE THAT SPOKE LIMITED ENGLISH AT HOME, WITH 16.1% OF ALL RESIDENTS OVER THE AGE OF FIVE IN 94544 SPEAKING LIMITED ENGLISH AT HOME. FROM AN EDUCATIONAL PERSPECTIVE, ALL ZIP CODES EXCEEDED BENCHMARKS FOR THE PERCENT OF THE TOTAL POPULATION OVER THE AGE OF 25 WITHOUT A HIGH SCHOOL DIPLOMA. LAST, TWO OF THE ZIP CODE COMMUNITIES OF CONCERN EXCEEDED BENCHMARKS FOR THE PERCENT OF POPULATION THAT HAD NO HEALTH INSURANCE. ZIP CODES 94541 AND 94578 HAD 18.6% AND 18.8%, RESPECTIVELY, OF RESIDENTS WITHOUT HEALTH INSURANCE. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MEDICAL CENTER CASTRO VALLEY CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS- ASSESSMENT.HTML SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. ALL SUTTER MEDICAL CENTER CASTRO VALLEY COMMUNITY BENEFIT INITIATIVES ALIGN WITH THE FOLLOWING PILLARS: 1. CONNECT PATIENTS TO THE RIGHT CARE, PLACE AND TIME THROUGH ACCESS TO PRIMARY CARE AND MENTAL HEALTH SERVICES. 2. INVEST IN VULNERABLE AREAS TO ENSURE CAPACITY OF CARE MEETS DEMANDS OF VULNERABLE POPULATIONS. 3. COLLABORATE TO INFLUENCE BEHAVIOR TO UTILIZE PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT AND COMMUNITY SERVICES. 4. BUILD COMMUNITY CAPACITY AND IMPROVE HEALTH. THE 2013-2015 IMPLEMENTATION STRATEGY FOR SUTTER MEDICAL CENTER CASTRO VALLEY DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: THE LACK OF ACCESS TO HEALTH RESOURCES IS A PRIORITY HEALTH NEED FOR SUTTER MEDICAL CENTER CASTRO VALLEY. THE EMERGENCY DEPARTMENT UTILIZATION AND CARE INITIATIVE WILL FUNCTION TO ESTABLISH STRONGER WORKING RELATIONSHIPS WITH WINTON WELLNESS CENTER AND TIBURCIO HEALTH CENTER. THE GOALS OF THE INITIATIVE ARE TO IMPROVE CARE TRANSITIONS OF TARGETED PATIENTS BETWEEN SMCCV AND THESE HEALTH CENTERS, DECREASE LEVEL 1 AND LEVEL 2 EMERGENCY DEPARTMENT VISITS, DECREASE READMISSION OF PATIENTS FROM THESE CLINICS AND PROVIDE ACCESS FOR UNINSURED AND UNDERINSURED PATIENTS. IN JUNE OF 2014, SMCCV ENTERED INTO A CARE TRANSITIONS COLLABORATION WITH TIBURCIO VASQUEZ HEALTH CENTER. COMMUNITY BENEFIT DOLLARS FUNDED THE PLACEMENT OF A NURSE PRACTITIONER TO EXPAND CAPACITY FOR PATIENTS REFERRED FROM SMCCV. IN ADDITION, A NEW CARE TRANSITIONS NURSE AND MEDICAL ASSISTANT WERE PLACED AT TIBURCIO FOR THE PURPOSE OF ENSURING CONNECTION TO A MEDICAL HOME AND A PRIMARY CARE FOLLOW UP APPOINTMENT FOR BOTH INPATIENTS AND THOSE VISITING THE EMERGENCY DEPARTMENT. DUE TO ISSUES WITH EPIC ACCESS AND OTHER LOGISTICS, THERE WERE CHALLENGES WITH START UP. SINCE PROGRAM INCEPTION, 515 PATIENTS HAVE BEEN IDENTIFIED AND APPOINTMENTS REQUESTED. HOWEVER, ONLY 50% OF PATIENTS ACTUALLY KEPT THE APPOINTMENTS. LOOKING TO THE FUTURE, WE ARE WORKING TO INCREASE BOTH PATIENTS CONTACTED AND APPOINTMENT ATTENDANCE RATES. TRANSPORTATION CAN BE A CHALLENGE FOR THOSE WHO ARE DISCHARGED FROM THE HOSPITAL AND HAVE NO MEANS OF RETURNING HOME. SMCCV PLANS TO ALLOCATE FUNDING TO SUPPORT THE TAXI VOUCHER PROGRAM. THIS PROGRAM BRIDGES THE TRANSPORTATION GAP FOR THE INDIGENT AND ALLOWS PATIENTS THE ABILITY TO RETURN HOME SAFELY. ACCESS TO MEDICAL TREATMENT FOR UNDERSERVED POPULATIONS CAN BE A CHALLENGE. EVEN MORE CHALLENGING IS THE COST OF MEDICATIONS TO ENSURE THEIR RECOVERY. WITHOUT PRESCRIBED MEDICATIONS, PATIENTS MAY EXPERIENCE SLOW RECOVERY TIME, RELAPSE, COMPLICATIONS, AND POSSIBLE READMISSION. IMPROVING ACCESS TO NEEDED MEDICATIONS IMPROVES PATIENT OUTCOMES. THROUGH AN AGREEMENT WITH WALGREENS AND SAFEWAY, SMCCV PROVIDES FUNDING FOR PRESCRIPTION DRUGS FOR UP TO THE FIRST THREE DAYS OF A PATIENT'S DISCHARGE FOR PEOPLE WHO WOULD OTHERWISE BE UNABLE TO PAY FOR THEIR PRESCRIPTIONS. A TOTAL OF 71 COMMUNITY MEMBERS BENEFITTED FROM THIS PROGRAM IN 2014. SMCCV CONTINUES TO SUPPORT PROFESSIONAL EDUCATION TO ENSURE HEALTH CARE WORKERS RECEIVE THE SKILLS, TRAINING AND EXPERIENCE THEY NEED TO BUILD A SUSTAINABLE WORKFORCE AND IMPROVE ACCESS TO HEALTH CARE. WORKING WITH PROFESSIONAL EDUCATION INSTITUTIONS SUCH AS SAMUEL MERRITT NURSING SCHOOL AND TOURO UNIVERSITY, THE PRECEPTORSHIP AND INTERNSHIP PROGRAMS ALLOW STUDENTS THE ABILITY TO WORK ALONGSIDE STAFF AND GAIN VALUABLE CLINIC EXPERIENCE IN A MULTI-DISCIPLINARY ENVIRONMENT. EDUCATION AND TRAINING MANAGED THROUGH SMCCV LED TO JOB PLACEMENT IN THE COMMUNITY FOR APPROXIMATELY 60% OF THE TRANSITION TO PRACTICE STUDENTS. IN ADDITION, SMCCV EXPANDED ITS EFFORTS IN COLLABORATION WITH ALTA BATES SUMMIT'S YOUTH BRIDGE PROGRAM AND PROVIDED MENTORING AND PAID SUMMER INTERNSHIP PLACEMENTS FOR NINE HIGH SCHOOL STUDENTS FROM SOME OF THE MOST VULNERABLE ZIP CODES IN OUR COMMUNITIES. SMCCV CONTINUES TO WORK TO IMPROVE HEALTH DRIVERS THAT IMPACT MENTAL HEALTH (SAFETY). THE VIOLENCE/INJURY PREVENTION EDUCATION AND REDUCTION PROGRAMS AT SUTTER MEDICAL CENTER CASTRO VALLEY IS COORDINATED BY THE TRAUMA DEPARTMENT STAFF IN COLLABORATION WITH LOCAL FIRST RESPONDERS, SMCCV STAFF, CITY AND GOVERNMENT AGENCIES TO REDUCE UNINTENTIONAL INJURY, REDUCE INJURY FROM MOTOR VEHICLE ACCIDENTS AND REDUCE VIOLENCE IN YOUTH TO IMPROVE SAFETY IN THE COMMUNITY. THESE THREE PROGRAMS INCLUDE INJURY PREVENTION EDUCATION, "EVERY 15 MINUTES" PROGRAM FOR JUNIOR AND SENIOR HIGH SCHOOL STUDENTS, AND CAUGHT IN THE CROSSFIRE PROGRAM, A GANG DIVERSION PROGRAM. THROUGH CONTINUED EDUCATION AND AWARENESS ACTIVITIES, FAMILY MEMBERS AND SENIORS WILL BEGIN TO HAVE A GREATER SENSE OF AWARENESS ON HOW TO REDUCE FALLS, STUDENTS WILL HAVE A BETTER UNDERSTANDING OF THE RAMIFICATIONS OF DRUNK DRIVING AND POOR DECISIONS, AND YOUTH INVOLVED IN VIOLENCE WILL HAVE THE OPPORTUNITY TO TURN AWAY FROM VIOLENCE. THESE ACTIONS INCREASE SAFETY AND REDUCE STRESS NOT ONLY WITHIN FAMILIES, BUT IN THE COMMUNITIES WHERE WE LIVE. THE 2014 EVERY 15 MINUTES PROGRAM VIDEO, WHICH HIGHLIGHTS THE DANGERS OF DRINKING AND DRIVING, HAS REACHED OVER 600,000 PEOPLE ON YOUTUBE. THE MOCK CRASH AND ASSEMBLY WERE CARRIED OUT IN FRONT OF 1,500 HIGH SCHOOL JUNIORS AND SENIORS. AN EDUCATIONAL FALL PREVENTION FAIR WAS OFFERED FREE TO COMMUNITY SENIORS AND OFFERED INFORMATION ON HOW TO PREVENT A FALL INCLUDING MEDICATION MANAGEMENT AND EXERCISE. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: SUTTER MEDICAL CENTER CASTRO VALLEY 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 2014 COMMITMENT OF $767 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 2014, SUTTER HEALTH INVESTED $535 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 2014, SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS WAS $91 MILLION. OUR CHARITY CARE INVESTMENT REPRESENTED AN AVERAGE OF NEARLY $1.8 MILLION PER WEEK. - 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 false MARCH OF DIMES FULFILLMENT CENTER PO BOX 1657 WILKESBARRES PA 187021657 131846366 501(C)(3) 14213 GENERAL SUPPORT FIRST CAMERA 2472 3RD STREET SAN FRANCISCO CA 94107 943151948 7500 GENERAL SUPPORT AVIA PARTNERS INC PO BOX 742962 LOS ANGELES CA 900742962 943022728 6432 GENERAL SUPPORT 1 2 X true true false true false false false false false true false DAVID BRADLEY REGIONAL PRES, East Bay 0 679664 0 379812 0 99422 0 226653 0 19168 0 1404719 0 84475 GREGORY BROWN VP & REG COUNSEL, EAST BAY 0 311501 0 29190 0 5764 0 68121 0 15063 0 429639 0 0 PAT FRY PRESIDENT & CEO, SUTTER HEALTH 0 1523132 0 1687050 0 416185 0 2693377 0 34953 0 6354697 0 396136 JOHN GATES REGIONAL VP FINANCE EAST/WEST 0 604705 0 303767 0 150021 0 128539 0 18040 0 1205072 0 51581 KAREN MANNERING CHARGE NURSE 204722 0 8367 0 95757 0 5199 0 9656 0 323701 0 0 0 KATHERINE NAAS NURSE STAFF II 158169 0 4736 0 60053 0 4459 0 21274 0 248691 0 0 0 EDGAR REVELO TECH, OPERATING ROOM 135763 0 0 0 115519 0 5026 0 21656 0 277964 0 0 0 LISA ROBINSON NURSE STAFF II 160006 0 0 80431 0 4809 0 21482 0 266728 0 0 0 JEFFREY SILVERS PHYSICIAN 251190 0 0 194 0 5028 0 6530 0 262942 0 0 0 TERRY GLUBKA CEO 0 358148 0 208009 0 32940 0 89865 0 16480 0 705442 0 29000 ROSE CORCORAN RN VP PATIENT CARE SERVICES 0 209382 0 89893 0 14568 0 30499 0 15699 0 360041 0 9913 BRYAN DAYLOR VP ANCILLARY SUPPORT SVCS 0 240540 0 80072 0 19202 0 33461 0 14907 0 388182 0 14331 CATHERINE MESSMAN ADMINISTRATIVE DIRECTOR FIN 0 219816 0 75931 0 12365 0 30176 0 11151 0 349439 0 11590 CHERYL HARLESS CNE 0 229743 0 82970 0 646 0 30472 0 20907 0 364738 0 0 DEBORA HENDRICKSON REGIONAL ADMIN DIR. QUALITY 194900 0 15847 0 792 0 4231 0 16942 0 232712 0 0 0 SIDNEY WANETICK VP MEDICAL AFFAIRS 0 338500 0 108548 0 55855 0 52810 0 7100 0 562813 0 54500 ED BERDICK SVP SUTTER SHARED SVCS 0 793820 0 593527 0 251517 0 248054 0 21847 0 1908765 0 0 BRIAN HUNTER SH VP, REVENUE CYCLE 0 444061 0 260859 0 34202 0 113451 0 14261 0 866834 0 32973 SARAH KREVANS COO, SUTTER HEALTH 0 916159 0 689878 0 156449 0 399554 0 24683 0 2186723 0 142787 PART I, LINE 1A RELEVANT INFORMATION REGARDING COMPENSATION ITEMS: 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 EMPLOYEE'S WAGES AND TAXED ACCORDINGLY. PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THE 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 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. PLEASE SEE SCHEDULE O'S PART VI, LINE 15 DISCLOSURE FOR FURTHER DETAILS ON COMPENSATION PROCEDURES. PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. 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 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% 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 ALSO EMPLOYS 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. A CHFFA 2011B 521643828 13033LKW6 2011-02-10 470318145 Construction. false false false A 0 0 472888501 0 0 0 0 0 0 472888501 0 0 2012 false false true true A false false true true true true 0.00370 0.00040 0.00410 false false 0.00000 false true A false true false false false false 0 false 0 false true A true SCHEDULE K REPORTING THE ORGANIZATION'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 AMOUNT OF: $287,141,586. SCHEDULE K, PART II, LINE 7 ISSUANCE COSTS FROM PROCEEDS ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: WE 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 EXEMPT PURPOSE ACHIEVEMENTS: SUTTER MEDICAL CENTER, CASTRO VALLEY IS A STATE-OF-THE-ART FACILITY THAT REPLACED THE OLD EDEN MEDICAL CENTER IN DECEMBER 2012. SUTTER MEDICAL CENTER, CASTRO VALLEY BRINGS TOGETHER PATIENT-CENTERED CARE, TECHNOLOGY AND SOPHISTICATED DESIGN IN A LEED-CERTIFIED SUSTAINABLE AND SEISMICALLY-SAFE BUILDING. THE FACILITY HAS 130 PRIVATE PATIENT ROOMS, WITH AN ADDITIONAL 34-BED UNIVERSAL CARE UNIT AND IS HOME TO THE SUTTER EAST BAY NEUROSCIENCE INSTITUTE, A PRIMARY STROKE CENTER, THE REGIONAL LEVEL II TRAUMA CENTER FOR SOUTHERN ALAMEDA COUNTY, AND A WIDE RANGE OF CENTERS OF EXCELLENCE INCLUDING CANCER CARE, ADVANCED IMAGING SERVICES, REHABILITATION AND COMPLETE SURGICAL AND ACUTE-CARE SERVICES. OUR AWARD-WINNING HOSPITAL WAS RECENTLY NAMED A TOP PERFORMER IN KEY QUALITY MEASURES BY THE JOINT COMMISSION. SUTTER MEDICAL CENTER, CASTRO VALLEY IS PART OF THE SUTTER HEALTH NETWORK OF CARE, A FAMILY OF DOCTORS, NOT-FOR-PROFIT HOSPITALS AND OTHER HEALTH CARE SERVICE PROVIDERS THAT JOIN RESOURCES AND SHARE EXPERTISE TO ADVANCE HEALTH CARE QUALITY AND ACCESS FOR PATIENTS IN MORE THAN 100 NORTHERN CALIFORNIA CITIES AND TOWNS. THERE WERE 216,111 PATIENT DAYS IN 2014. FORM 990, PART VI, LINE 1A THE AFFAIRS AND MANAGEMENT OF SUTTER MEDICAL CENTER CASTRO VALLEY (SMCCV) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SMCCV DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF AT LEAST FIVE (5) BOARD MEMBERS INCLUDING THE CORPORATION'S CHAIR WHO SERVES AS CHAIR OF THE COMMITTEE, THE VICE CHAIR, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, AN ADDITIONAL DIRECTOR AND THE PRESIDENT OF THE CORPORATION. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, LINE 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 DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. FORM 990, PART VI, LINE 11B DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. FORM 990, PART VI, LINE 12 DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION. FORM 990, PART VI, 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. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN DECEMBER OF 2014. FORM 990, PART VI, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN 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) (41,960,680) PARTNERSHIP INCOME ON BOOKS (10,208) CHANGE IN INTEREST/AUDIT ADJUSTMENT (4,667,125) K-1 INTEREST INCOME (223) K-1 ORDINARY INCOME 84,637 ----------- TOTAL (46,553,599) =========== 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 3012 SUMMIT STREET 3RD FLOOR 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 MEMORIAL HOSPITAL FOUNDATION 1800 COFFEE ROAD SUITE 76 MODESTO CA 95355 942290244 FUNDRAISING CA 501(C)(3) 11a - I SUTTER CVH true MILLS-PENINSULA HEALTH SERVICES 1501 TROUSDALE DRIVE BURLINGAME CA 94010 941156265 HOSPITAL CA 501(C)(3) 3 PAMF true MILLS-PENINSULA HOSPITAL FOUNDATION 1501 TROUSDALE DRIVE BURLINGAME CA 94010 237288765 FUNDRAISING CA 501(C)(3) 7 MPHS 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) 11B - II 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 PLAN 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 461183948 HEALTH PLAN CA PENDING PENDING 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 PO BOX 160727 SACRAMENTO CA 95816 942788906 FUNDRAISING CA 501(C)(3) 7 SUTTER SSR true SUTTER MEDICAL FOUNDATION 2800 L STREET 7TH FLOOR SACRAMENTO CA 95816 680273974 HEALTHCARE 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 HEALTHCARE 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 MAGNETIC IMAGING AF 175 LENNON 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 175 LENNON 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 912165231 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 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 I 1800 COFFEE RD SUITE 76 MODESTO CA 95355 770234236 OFFICE RENTAL CA NA MEMORIAL MEDICAL OFFICE BUILDING PRTNR I 1800 COFFEE RD SUITE 76 MODESTO CA 95355 770287288 OFFICE RENTAL CA NA HEALTH VENTURES INC 350 HAWTHORNE ST OAKLAND CA 94609 942918780 HEALTH SERVICES CA NA C CORP true false false true false false false false false false false false true true false false false false false false SUTTER MEDICAL FOUNDATION l 151025 FMV SUTTER WEST BAY HOSPITALS l 993351 FMV BETTER HEALTH EAST BAY FOUNDATION c 1043898 FMV SUTTER EAST BAY MEDICAL FOUNDATION m 2600606 FMV