SUTTER EAST BAY HOSPITALS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SUTTER EAST BAY HOSPITALS (EIN 94-1196176)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-04
IRS object ID: 201523089349301942
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-04T17:17:56-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941196176	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUTTER EAST BAY HOSPITALS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CHRIS BOUDREAUX	InCareOfNm
Business Name Control	SUTT	BusinessNameControlTxt
Phone	9162866665	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3012 SUMMIT STREET 3RD FLOOR	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94609	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John Gates	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9162966665	PhoneNum
Signature	2015-10-28	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID BRADLEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3012 SUMMIT STREET 3RD FLOOR	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94609	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,131,919,276	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUTTERHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1936	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	5642	TotalEmployeeCnt
Total Volunteers	885	TotalVolunteersCnt
Total Gross UBI	$522,585	TotalGrossUBIAmt
PY Contributions Grants	$1,938,458	PYContributionsGrantsAmt
CY Contributions Grants	$3,079,547	CYContributionsGrantsAmt
PY Program Service Revenue	$1,176,121,482	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,118,463,362	CYProgramServiceRevenueAmt
PY Investment Income	$373,140	PYInvestmentIncomeAmt
CY Investment Income	$2,258,606	CYInvestmentIncomeAmt
PY Other Revenue	$5,204,657	PYOtherRevenueAmt
CY Other Revenue	$5,089,657	CYOtherRevenueAmt
PY Total Revenue	$1,183,637,737	PYTotalRevenueAmt
CY Total Revenue	$1,128,891,172	CYTotalRevenueAmt
PY Grants And Similar Paid	$301,171	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$968,395	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$627,761,652	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$562,761,971	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$621,264,215	PYOtherExpensesAmt
CY Other Expenses	$554,449,452	CYOtherExpensesAmt
PY Total Expenses	$1,249,327,038	PYTotalExpensesAmt
CY Total Expenses	$1,118,179,818	CYTotalExpensesAmt
PY Revenues Less Expenses	-$65,689,301	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,711,354	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,015,572,782	TotalAssetsBOYAmt
Total Assets EOY	$1,003,917,488	TotalAssetsEOYAmt
Total Liabilities BOY	$625,273,746	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$638,888,278	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$390,299,036	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$365,029,210	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$985,382,882	ExpenseAmt
Grant	$968,395	GrantAmt
Revenue	$1,118,463,362	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$985,382,882	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	996	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5642	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHRIS BOUDREAUX	PersonNm
Phone	9162978007	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER BECNEL
TRUSTEE, CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DIANA BELL
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DAVID BLACK MD
TRUSTEE, VICE CHAIR	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID BRADLEY
Regional President, East Bay	40.0	0.0	Yes (X)	Yes (X)	$0	$1,158,898	$245,821
MICHAEL DAVIES
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL DIGIACOMO DPM
TRUSTEE, CHAIR FIN & PLANNING	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ERIC DOVICHI MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ERIC FLOWERS
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
VINCENT FORTE
TRUSTEE	1.0	40.0	Yes (X)		$0	$0	$0
DAVID L FREY
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PAT FRY
PRESIDENT & CEO SUTTER HEALTH	1.0	40.0	Yes (X)		$0	$3,626,367	$2,728,330
OWEN GARRICK MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DAVID HOWARD MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
SARAH KREVANS
COO, SUTTER HEALTH	1.0	40.0	Yes (X)		$0	$1,762,486	$424,237
DONALD G NELSON
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JEFFREY B RANDALL MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
THEODORE SAENGER
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ANNETTE M SHAIEB MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
GREGORY BROWN
VP & REG COUNSEL, EB	40.0	0.0		Yes (X)	$0	$346,455	$83,184
JOHN GATES
CFO WEST BAY & EAST BAY REGION	40.0	0.0		Yes (X)	$0	$1,058,493	$146,579
AARON ADAMS
CFO, ABSMC	40.0	0.0			$0	$473,407	$60,489	Yes (X)
MARK W BEITING
REGIONAL VP, HR, EAST BAY	40.0	0.0			$0	$286,022	$22,190	Yes (X)
THOMAS L BONAS
ADMIN DIR ABSMC MENTAL HLTH	40.0	0.0			$213,470	$0	$21,788	Yes (X)
SUSAN C BUMATAY
PCE, DELTA	40.0	0.0			$0	$355,265	$47,734	Yes (X)
ADRIENNE EDENS
VP & CIO, EAST BAY REGION	40.0	0.0			$0	$437,076	$57,263	Yes (X)
JAMES H HICKMAN
REGIONAL VP, PHILANTHROPY EB	40.0	0.0			$0	$408,883	$66,741	Yes (X)
VIRGINIA L KOSMIN
CNE, ABSMC (PART YEAR)	40.0	0.0			$0	$382,052	$21,776	Yes (X)
STEPHEN H LOCKHART MD
REGIONAL VP & CMO, EAST BAY	40.0	0.0			$0	$699,181	$150,955	Yes (X)
STEPHEN F O'BRIEN MD
VP MEDICAL AFFAIRS, ABSMC	40.0	0.0			$0	$520,507	$65,423	Yes (X)
BRION PEARSON
VP MEDICAL AFFAIRS, DELTA	40.0	0.0			$297,394	$0	$23,188	Yes (X)
MARY A PELKEY
ADMIN DIR, HR, ABSMC	40.0	0.0			$0	$281,186	$37,163	Yes (X)
JULIE L PETERSON
CFO, DELTA	40.0	0.0			$0	$336,094	$40,553	Yes (X)
JULIE PETRINI
COO, ABSMC	40.0	0.0			$0	$506,182	$130,040	Yes (X)
CHARLES J PROSPER
CEO, ABSMC	40.0	0.0			$0	$727,366	$197,702	Yes (X)
GARY D RAPAPORT
CEO, SUTTER DELTA MEDICAL CTR	40.0	0.0			$0	$598,432	$49,313	Yes (X)
TODD C SMITH
REGION VP, STRGY & BUS DEV, EB	40.0	0.0			$0	$517,392	$79,797	Yes (X)
DORI STEVENS
VP PATIENT CARE SERVICES,DELTA	40.0	0.0			$0	$336,561	$64,788	Yes (X)
KRISTA TOUROS
AA, FINANCE, ABSMC	40.0	0.0			$0	$334,004	$42,813	Yes (X)
CAROL A WEIS
CNE, ABSMC (PART YEAR)	40.0	0.0			$0	$335,959	$44,536	Yes (X)
RONNY CHINN
DIR MED PHYSICS & RAD SVCS	40.0	0.0			$286,047	$0	$33,465		Yes (X)
WILLIAM DEWOLF MD
DIR. PHY NETWORK DEV.	40.0	0.0			$300,875	$0	$33,563		Yes (X)
LEONARDO R DOMINGUEZ
AA, PROF & CARDIAC SVCS, ABSMC	40.0	0.0			$280,500	$0	$23,447		Yes (X)
SUSAN SCHULER
CRNA-LEAD CERT RN ANESTHETIST	40.0	0.0			$309,853	$0	$20,645		Yes (X)
HONG ZHANG
REGIONAL DIR-MEDICAL (EH/OM)	40.0	0.0			$332,018	$0	$10,996		Yes (X)
ED BERDICK
SVP SH Shared Svcs	0.0	40.0			$0	$1,638,864	$269,901			Yes (X)
BRIAN T HUNTER
VP SHARED SVCS SUTTER HEALTH	0.0	40.0			$0	$739,122	$127,712			Yes (X)
NICHOLAS ABSTON
TECHNICAL STRATEGY & OPS EXEC	0.0	40.0			$0	$425,496	$56,047			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,020,157	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$18,291,750	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,428,179	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1755	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TOWERS WATSON DELAWARE INC
LOCKBOX 28025 NETWORK PL	CHICAGO	IL	606731280	CONSULTING SERVICES	$8,567,668
EAST BAY PERINATAL MED ASSOCIATES
350 30TH ST STE 208	OAKLAND	CA	94609	PHYSICIANS SERVICES	$6,829,674
PARKING CO OF AMERICA MGMT LLC
523 W 6TH ST STE 528	LOS ANGELES	CA	90014	PARKING SERVICES	$4,838,319
ALLIED BARTON SECURITY
PO BOX 828854	PHILADELPHIA	PA	191828854	SECURITY SERVICES	$4,299,253
EAST BAY REG CRITICAL CARE PULMON
2450 ASHBY AVE 2ND FL	BERKELEY	CA	94705	MEDICAL SERVICES	$3,678,598

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	165	CntrctRcvdGreaterThan100KCnt
Related Organizations	$829,936	RelatedOrganizationsAmt
Government Grants	$2,249,611	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$600	NoncashContributionsAmt
Total Contributions	$3,079,547	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$1,109,999,130	$1,109,999,130
THE SURGERY CENTER OF ABSMC, LLC	622110	$4,780,645	$4,780,645
MAGNETIC IMAGING AFFILIATES (MIA)	622110	$1,769,487	$1,769,487
RENTAL TO AFFILIATES	900099	$1,598,319	$1,598,319
ALTA CT SERVICES	622110	$270,767	$270,767

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,014	TotalRevenueColumnAmt
Related Or Exempt Func Income	$45,014	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,118,463,362	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$253,427	TotalRevenueColumnAmt
Exclusion	-$253,427	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,385,842	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,663,659	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$722,183	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$722,183	TotalRevenueColumnAmt
Exclusion	$722,183	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,876,478	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$364,445	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$2,512,033	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,512,033	TotalRevenueColumnAmt
Exclusion	$2,512,033	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	900099	$2,165,957	$2,165,957
PARKING	900099	$1,678,932	$1,678,932
UBI - LABORATORY	621500	$360,693		$360,693

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$161,892	TotalRevenueColumnAmt
Unrelated Business Revenue	$161,892	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,367,474	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,128,891,172	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,118,463,362	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$522,585	UnrelatedBusinessRevenueAmt
Exclusion	$6,825,678	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$960,170	TotalAmt
Program Services	$960,170	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$8,225	TotalAmt
Program Services	$8,225	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,791,658	TotalAmt
Management And General	$12,791,658	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$351,561,435	TotalAmt
Program Services	$306,056,598	ProgramServicesAmt
Management And General	$45,504,837	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,459,216	TotalAmt
Program Services	$10,465,741	ProgramServicesAmt
Management And General	$1,993,475	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$154,675,134	TotalAmt
Program Services	$129,927,112	ProgramServicesAmt
Management And General	$24,748,022	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,274,528	TotalAmt
Program Services	$26,270,604	ProgramServicesAmt
Management And General	$5,003,924	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,061,359	TotalAmt
Management And General	$3,061,359	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,043,600	TotalAmt
Management And General	$2,043,600	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$144,830	TotalAmt
Management And General	$144,830	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$265,730	TotalAmt
Management And General	$265,730	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$72,939,379	TotalAmt
Program Services	$67,097,767	ProgramServicesAmt
Management And General	$5,841,612	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,276,904	TotalAmt
Program Services	$124,923	ProgramServicesAmt
Management And General	$1,151,981	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,501,215	TotalAmt
Program Services	$3,581,663	ProgramServicesAmt
Management And General	$1,919,552	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$41,040,427	TotalAmt
Program Services	$40,457,722	ProgramServicesAmt
Management And General	$582,705	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,024,564	TotalAmt
Program Services	$14,024,564	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$273,128	TotalAmt
Program Services	$218,502	ProgramServicesAmt
Management And General	$54,626	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$161,737	TotalAmt
Program Services	$45,807	ProgramServicesAmt
Management And General	$115,930	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,872,225	TotalAmt
Program Services	$10,872,225	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$60,948,083	TotalAmt
Program Services	$60,948,083	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,699,617	TotalAmt
Program Services	$11,699,617	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$138,653,818	$138,653,818
PURCHASED SERVICES	$116,945,816	$94,369,767	$22,576,049
HOSPITAL PROVIDER FEES	$57,886,867	$57,886,867
PROFESSIONAL FEES	$5,363,327	$1,649,202	$3,714,125

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,346,826	TotalAmt
Program Services	$10,063,905	ProgramServicesAmt
Management And General	$1,282,921	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,118,179,818	TotalAmt
Program Services	$985,382,882	ProgramServicesAmt
Management And General	$132,796,936	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$49,053,826	BOYAmt
EOY	$49,599,888	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$179,961,671	BOYAmt
EOY	$128,447,609	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,575,975	BOYAmt
EOY	$11,525,439	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,582,810	BOYAmt
EOY	$8,790,782	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,563,632,612	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$894,203,419	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$668,611,668	BOYAmt
EOY	$669,429,193	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$43,490,024	BOYAmt
EOY	$4,141,848	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,411,381	BOYAmt
EOY	$8,784,626	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,688,499	BOYAmt
EOY	$2,688,499	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$46,196,928	BOYAmt
EOY	$120,509,604	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,015,572,782	BOYAmt
EOY	$1,003,917,488	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$181,961,856	BOYAmt
EOY	$136,466,410	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$437,517,428	BOYAmt
EOY	$434,748,853	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,794,462	BOYAmt
EOY	$67,673,015	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$625,273,746	BOYAmt
EOY	$638,888,278	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$387,004,020	BOYAmt
EOY	$361,824,438	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$539,030	BOYAmt
EOY	$448,786	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,755,986	BOYAmt
EOY	$2,755,986	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$390,299,036	BOYAmt
EOY	$365,029,210	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,015,572,782	BOYAmt
EOY	$1,003,917,488	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,711,354	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,518,250	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$37,499,430	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$102,290,983	BeginningYearBalanceAmt
Contributions	$2,399,541	ContributionsAmt
Investment Earnings Or Losses	$3,914,406	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,588,198	GrantsOrScholarshipsAmt
Other Expenditures	$623,089	OtherExpendituresAmt
End Year Balance	$106,393,643	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$89,606,793	BeginningYearBalanceAmt
Contributions	$193,455	ContributionsAmt
Investment Earnings Or Losses	$13,255,208	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$893,686	GrantsOrScholarshipsAmt
Other Expenditures	-$129,213	OtherExpendituresAmt
End Year Balance	$102,290,983	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,767,473	BeginningYearBalanceAmt
Contributions	$63,856	ContributionsAmt
Investment Earnings Or Losses	$14,902,464	InvestmentEarningsOrLossesAmt
Other Expenditures	-$71,873,000	OtherExpendituresAmt
End Year Balance	$89,606,793	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,755,986	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$135,044	InvestmentEarningsOrLossesAmt
Other Expenditures	-$146,531	OtherExpendituresAmt
End Year Balance	$2,767,473	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,755,986	BeginningYearBalanceAmt
End Year Balance	$2,755,986	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.13000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.62000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.25000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,419,005	OtherCostOrOtherBasisAmt
Book Value	$25,419,005	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,152,481,520	OtherCostOrOtherBasisAmt
Depreciation	$573,908,516	DepreciationAmt
Book Value	$578,573,004	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,278,095	OtherCostOrOtherBasisAmt
Depreciation	$3,912,022	DepreciationAmt
Book Value	$366,073	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$391,337,146	OtherCostOrOtherBasisAmt
Depreciation	$302,191,289	DepreciationAmt
Book Value	$89,145,857	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	-$9,883,154	OtherCostOrOtherBasisAmt
Depreciation	$14,191,592	DepreciationAmt
Book Value	-$24,074,746	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$669,429,193	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
UNAMORTIZED FINANCING COSTS	$2,910,900
INTERCOMPANY RECEIVABLES	$24,373,979
OTHER RECEIVABLES	$90,016,947
OTHER ASSETS	$3,207,778

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$120,509,604	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INSURANCE LIABILITIES	$4,199,252
THIRD PARTY SETTLEMENTS	$60,202,642
CAPITAL LEASES	$833,170
OTHER LIABILITIES	$2,437,951

Field	Value	IRS element (for citing)
Total Liability	$67,673,015	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 1E	OTHER EXPENDITURES FOR FACILITIES AND PROGRAMS: THE 2014 OTHER EXPENDITURES FOR FACILITIES AND PROGRAMS REPRESENT THE CONSOLIDATION OF ALTA BATES SUMMIT MEDICAL CENTER, BETTER HEALTH EAST BAY FOUNDATION, AND SAMUEL MERRITT UNIVERSITY ENDOWMENT EXPENSES FOR THE VARIOUS SUPPORTED PROGRAMS.
SCHEDULE D, PART V, LINE 4	INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: ENDOWMENTS ARE FROM THREE SEPARATE BUT RELATED ORGANIZATIONS. SUTTER EAST BAY HOSPITALS ENDOWMENT WAS DONATED IN THE 1900'S BY SISTER GARCELN OF SAMUEL MERRITT FOR PEOPLE WHO ARE NOT INSURED. SAMUEL MERRITT UNIVERSITY'S ENDOWMENT IS TO BE USED FOR STUDENT SCHOLARSHIPS, AND THE OTHER TWO ENDOWMENTS ARE FROM FUNDRAISING FOUNDATIONS AND THE OTHER ENDOWMENT IS FROM BETTER HEALTH EAST BAY FOUNDATION.
SCHEDULE D, PART X, LINE 2	FIN 48 (ASC 740) FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND 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 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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,323,481	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,323,481	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$322,963,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$233,273,269	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,690,641	NetCommunityBenefitExpnsAmt
Total Expense	0.08020	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,564	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$333,452,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$233,436,152	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$100,016,686	NetCommunityBenefitExpnsAmt
Total Expense	0.08940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	47087	PersonsServedCnt
Total Community Benefit Expns	$3,936,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,029,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,907,517	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	177	PersonsServedCnt
Total Community Benefit Expns	$454,035	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$454,035	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	4723	PersonsServedCnt
Total Community Benefit Expns	$5,215,207	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,040,469	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,174,738	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$223,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$221,343	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	4091	PersonsServedCnt
Total Community Benefit Expns	$5,775,724	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,775,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	69	ActivitiesOrProgramsCnt
Persons Served	56078	PersonsServedCnt
Total Community Benefit Expns	$15,605,318	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,071,961	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,533,357	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	69	ActivitiesOrProgramsCnt
Persons Served	56078	PersonsServedCnt
Total Community Benefit Expns	$349,058,156	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$238,508,113	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,550,043	NetCommunityBenefitExpnsAmt
Total Expense	0.09890	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$474	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$474	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$149,886	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,162	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$93,724	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$150,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,162	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$94,198	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,872,095	BadDebtExpenseAmt
Reimbursed By Medicare	$252,595,661	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$278,184,622	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,588,961	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
ALTA BATES SUMMIT MEDICAL CENTER
1	350 HAWTHORNE AVENUE	OAKLAND	CA	94069	www.altabatessummit.org	LICENSE 14000028	Yes (X)	Yes (X)	Yes (X)	A
SUMMIT CAMPUS
2	3100 SUMMIT STREET	OAKLAND	CA	94609	www.altabatessummit.org	LICENSE 14000028	Yes (X)	Yes (X)	Yes (X)	A
ALTA BATES CAMPUS
3	2450 ASHBY AVENUE	BERKELEY	CA	94705	www.altabatessummit.org	LICENSE 14000000	Yes (X)	Yes (X)	Yes (X)	A
HERRICK CAMPUS
4	2001 DWIGHT WAY	BERKELEY	CA	94705	www.altabatessummit.org	LICENSE 14000000	Yes (X)	Yes (X)		A
MPI CHEMICAL DEPENDENCY RECOVERY HOSP
5	3012 SUMMIT STREET	OAKLAND	CA	94609	www.altabatessummit.org/mpi	LICENSE 14000023	Yes (X)			A
SUTTER DELTA MEDICAL CENTER
6	3901 LONE TREE WAY	ANTIOCH	CA	94509	www.sutterdelta.org	LICENSE 14000025	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	16	FacilityNum
First Licensed CY Or PY	Yes (true)	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	ALTA BATES SUMMIT MEDICAL CENTER (A, 1-5): IN CONDUCTING ITS MOST RECENT CHNA, ALTA BATES SUMMIT MEDICAL CENTER, A FACILITY OF SUTTER EAST BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (KEY INFORMANTS). 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: NAME & TITLE: SUTTER COMMUNITY BENEFIT TEAM AGENCY: ALTA BATES SUMMIT MEDICAL CENTER AREA OF EXPERTISE: COMMUNITY HEALTH DATE: 10/25/2012 NAME & TITLE: DARLENE FUJII, SENIOR MANAGER AGENCY: ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT NUTRITION SERVICES AREA OF EXPERTISE: NUTRITION, PHYSICAL ACTIVITY DATE: 1/10/2013 NAME & TITLE: MARK FRIEDMAN, CEO; CHRIS HWANG, EVALUATION & TECHNOLOGY ADMINISTRATOR AGENCY: FIRST 5 ALAMEDA AREA OF EXPERTISE: CHILDREN AND FAMILIES DATE: 1/28/2013 NAME & TITLE: LOUIS CHICOINE, EXECUTIVE DIRECTOR AGENCY: ABODE SERVICES AREA OF EXPERTISE: HOMELESS POPULATION DATE: 3/13/2013 NAME & TITLE: MICHELLE OPPEN, PROGRAM MANAGER, COORDINATED SCHOOL HEALTH AGENCY: HEALTH AND WELLNESS, OAKLAND UNIFIED SCHOOL DISTRICT AREA OF EXPERTISE: PUBLIC SCHOOL SYSTEM, HEALTH AND WELLNESS DATE: 3/22/2013 NAME & TITLE: BRENDA GOLDSTEIN, PSYCHOLOGICAL SYSTEMS DIRECTOR AGENCY: LIFE LONG MEDICAL CARE AREA OF EXPERTISE: PUBLIC HEALTH, COMMUNITY HEALTH DATE: 3/22/2013 NAME & TITLE: OLIS SIMMONS, PRESIDENT & CEO; CAROL DORHAM-KELLEY, HEALTH AND WELLNESS DIRECTOR AGENCY: YOUTH UPRISING AREA OF EXPERTISE: OAKLAND YOUTH DATE: 3/29/2013 NAME & TITLE: JUDY JONES, HOSPITAL OUTREACH MANAGER AGENCY: FIRST 5 ALAMEDA AREA OF EXPERTISE: PRE AND POST NATAL EDUCATION IN AREAS OF NUTRITION, LITERACY AND EARLY LANGUAGE, SMOKING CESSATION DATE: 3/29/2013 NAME & TITLE: MARSHA VAUGHN, CLINICAL DIRECTOR, COMMUNITY BASED SERVICES AGENCY: BAY AREA YOUTH CENTER AREA OF EXPERTISE: FOSTER CARE, MENTAL HEALTH SERVICES AND YOUTH SERVICES DATE: 3/30/2013 NAME & TITLE: JANET BERREMAN, MD, MPH, DIRECTOR OF PUBLIC HEALTH, HEALTH OFFICER; KATE CLAYTON, MPH, HEALTH PROMOTION CHIEF; TASHA TERVALON, MSW, PROGRAM SUPPORT, CHIEF; LYN DAILEY, BSN, PHN, FAMILY HEALTH CHIEF; JOSE DUCOS, MD, MPH, EPIDEMIOLOGIST/MANAGER AGENCY: BERKELEY PUBLIC HEALTH AREA OF EXPERTISE: PUBLIC HEALTH, COMMUNITY HEALTH DATE: 4/8/2013 NAME & TITLE: ALLISON DELGADO, PROGRAM DIRECTOR AGENCY: HAWTHORNE FAMILY RESOURCE CENTER AREA OF EXPERTISE: HEALTH EDUCATION, NUTRITION EDUCATION, FAMILY SERVICES DATE: 4/9/2013 NAME & TITLE: RODNEY CLARK, EXECUTIVE DIRECTOR AGENCY: SAVE AREA OF EXPERTISE: DOMESTIC VIOLENCE DATE: 4/23/2013 NAME & TITLE: DR. DAMON FRANCIS AGENCY: ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT AREA OF EXPERTISE: HOMELESS POPULATION DATE: 4/24/2013 NAME & TITLE: JANE GARCIA, CEO; PATRICIA ZAYAS, CHIEF MEDICAL OFFICER AGENCY: LA CLINICA AREA OF EXPERTISE: COMMUNITY HEALTH, MEDICAL CARE DATE: 4/29/2013 NAME & TITLE: SUZAN BATESON, EXECUTIVE DIRECTOR; ALLISON PRATT, DIRECTOR OF POLICY & SERVICES; JUSTINE KAPLAN, DIRECTOR OF FOOD AGENCY & NUTRITION AGENCY: ALAMEDA COUNTY COMMUNITY FOOD BANK AREA OF EXPERTISE: FOOD ACCESS, NUTRITION DATE: 5/2/2013 NAME & TITLE: TERRIE LIGHT, EXECUTIVE DIRECTOR; SONIA SAJJA, HEALTHCARE COORDINATOR AGENCY: BERKELEY FOOD AND HOUSING AREA OF EXPERTISE: HOMELESS POPULATION DATE: 5/6/2013 THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN ABSMC'S CHNA ARE AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER DELTA MEDICAL CENTER (A,6): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER DELTA MEDICAL CENTER, A FACILITY OF SUTTER EAST BAY HOSPITAL, 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 18 KEY INFORMANTS WAS COLLECTED DURING INTERVIEWS 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: NAME & TITLE: WANDA SESSION, ASSISTANT TO HEALTH SERVICES DIRECTOR AGENCY: CONTRA COSTA HEALTH AREA OF EXPERTISE: COMMUNITY HEALTH, SOCIAL SERVICES DATE: 6/19/13 NAME & TITLE: RHONDA JAMES, MA, MFT, EXECUTIVE DIRECTOR AGENCY: CONTRA COSTA CRISIS CENTER AREA OF EXPERTISE: COMMUNITY MEMBERS IN CRISIS, REFERRAL SERVICES DATE: 8/20/13 NAME & TITLE: CONTRA COSTA CRISIS CENTER STAFF (9 TOTAL KEY INFORMANTS IN GROUP INTERVIEW) AGENCY: CONTRA COSTA CRISIS CENTER AREA OF EXPERTISE: COMMUNITY MEMBERS IN CRISIS, REFERRAL SERVICES DATE: 8/20/13 NAME & TITLE: DAVID GERSON, EXECUTIVE DIRECTOR AGENCY: LOAVES AND FISHES AREA OF EXPERTISE: NUTRITION DELIVERY TO VULNERABLE POPULATIONS DATE: 8/1/13 NAME & TITLE: WADE MEYER, DIRECTOR OF PROGRAMS; TECH TRAN, LEAD CASE MANAGER AGENCY: RAINBOW COMMUNITY CENTER AREA OF EXPERTISE: LGBT COMMUNITY MEMBERS DATE: 8/20/13 NAME & TITLE: WILLIAM J. SHRYER, DCSW, LCSW, CLINICAL DIRECTOR AGENCY: DIABLO BEHAVIORAL HEALTH CARE AREA OF EXPERTISE: COMMUNITY BEHAVIORAL HEALTH DATE: 8/16/13 NAME & TITLE: MARTHA ROSALES, LMFT, CENTER DIRECTOR AGENCY: ANTIOCH FIRST 5 CENTER AREA OF EXPERTISE: PARENTS AND CHILDREN DATE: 8/15/13 NAME & TITLE: JUDITH JONES GERMANY, INTERIM EXECUTIVE DIRECTOR/PROGRAM DIRECTOR AGENCY: MENTAL HEALTH CONSUMER CONCERNS, INC. AREA OF EXPERTISE: COMMUNITY BEHAVIORAL HEALTH DATE: 9/4/13 NAME & TITLE: RAZ MOGHBEL, ACTING DIRECTOR OF CONTRA COSTA AGENCY: WIC AREA OF EXPERTISE: WOMEN, INFANTS, AND CHILDREN DATE: 9/4/13 THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER DELTA MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFFIT/COMMUNITY-NEEDS-ASSESSMENT.H TML
SCHEDULE H, PART V, SECTION B, LINE 6A	(A, 1-6) A GROUP OF FIVE NONPROFIT HOSPITALS, ALL SERVING PORTIONS OF ALAMEDA AND CONTRA COSTA COUNTIES, COLLABORATED TO SPONSOR AND PARTICIPATE IN THE CHNA. THE HOSPITALS INCLUDED ALTA BATES SUMMIT MEDICAL CENTER, CHILDREN'S HOSPITAL AND RESEARCH CENTER OF OAKLAND, SUTTER MEDICAL CENTER CASTRO VALLEY, ST. ROSE HOSPITAL, AND WASHINGTON HOSPITAL HEALTHCARE SYSTEM.
SCHEDULE H, PART V, SECTION B, LINE 7A, 7B AND 10A	ALTA BATES SUMMIT MEDICAL CENTER (A, 1-5): FILING ORGANIZATION WEBSITE: HTTP://WWW.ALTABATESSUMMIT.ORG/ABOUT/communitybenefit/community-assessment .html OTHER ORGANIZATION WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER DELTA MEDICAL CENTER (A, 6): FILING ORGANIZATION WEBSITE: HTTP://WWW.SUTTERDELTA.ORG/ABOUT/INDEX.HTML OTHER ORGANIZATION WEBISTE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML
SCHEDULE H, PART V, SECTION B, LINE 11	Alta Bates Summit Medical Center (A, 1-4): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT ALTA BATES SUMMIT MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: LACK OF ACCESS TO MENTAL HEALTH SERVICES/TREATMENT - AREA EXPERTS AND COMMUNITY MEMBERS CONSISTENTLY REPORTED THE IMMENSE STRUGGLE SERVICE AREA RESIDENTS HAD IN MAINTAINING POSITIVE MENTAL HEALTH AND IN ACCESSING TREATMENT FOR MENTAL ILLNESS. MENTAL HEALTH ISSUES WERE THE NUMBER ONE MOST COMMONLY REPORTED HEALTH ISSUE, ACCORDING TO KEY INFORMANTS AND COMMUNITY MEMBERS. IN ADDITION, ALL ZIP CODE COMMUNITIES OF CONCERN EXCEEDED BOTH COUNTY AND STATE BENCHMARKS FOR ED VISITS AND HOSPITALIZATIONS DUE TO SUBSTANCE ABUSE ISSUES. IT IS NOTABLE THAT ALAMEDA COUNTY HAD A COUNTY RATE THAT WAS ONE AND ONE-HALF TIMES THE STATE RATE. LIMITED ACCESS TO QUALITY PRIMARY HEALTH CARE SERVICES - LACK OF ACCESS TO HEALTH CARE WAS MENTIONED CONSISTENTLY BY KEY INFORMANTS AND COMMUNITY MEMBERS AS A MAJOR BARRIER TO HEALTHY LIVING, RANKING SECOND IN FREQUENCY MENTIONED IN THE QUALITATIVE DATA. SPECIFICALLY, ADEQUATE ACCESS TO HEALTH CARE (PRIMARY AND SPECIALTY), ACCESS TO HEALTH INSURANCE, AND A LACK OF ACCESS TO AFFORDABLE, CULTURALLY COMPETENT, HIGH QUALITY HEALTH CARE WERE STRESSED. COMMUNITY MEMBERS EMPHASIZED THE DIFFICULTIES THEY HAD WITH GAINING ACCESS TO CARE IN A TIMELY FASHION, INDICATING THAT MOST OF THE TIME SPENT ACCESSING CARE FOR HEALTH PROBLEMS IS REACTIVE AND NOT PREVENTATIVE, LARGELY DUE TO AFFORDABILITY AND EASE OF ACCESS. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. Alta Bates Summit Medical Center/Adolescent Treatment Center (A, 5): THE FOLLOWING SIGNIFICANT HEALTH NEED WAS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT THUNDER ROAD ADOLESCENT TREATMENT CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: LACK OF ACCESS TO MENTAL HEALTH SERVICES/TREATMENT - AREA EXPERTS AND COMMUNITY MEMBERS CONSISTENTLY REPORTED THE IMMENSE STRUGGLE SERVICE AREA RESIDENTS HAD IN MAINTAINING POSITIVE MENTAL HEALTH AND IN ACCESSING TREATMENT FOR MENTAL ILLNESS. MENTAL HEALTH ISSUES WERE THE NUMBER ONE MOST COMMONLY REPORTED HEALTH ISSUE, ACCORDING TO KEY INFORMANTS AND COMMUNITY MEMBERS. IN ADDITION, ALL ZIP CODE COMMUNITIES OF CONCERN EXCEEDED BOTH COUNTY AND STATE BENCHMARKS FOR ED VISITS AND HOSPITALIZATIONS DUE TO SUBSTANCE ABUSE ISSUES. IT IS NOTABLE THAT ALAMEDA COUNTY HAD A COUNTY RATE THAT WAS ONE AND ONE-HALF TIMES THE STATE RATE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. Sutter Delta Medical Center (A, 6): THE FOLLOWING SIGNIFICANT HEALTH NEED WAS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND IS A NEED THAT SUTTER DELTA MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: LACK OF ACCESS TO PRIMARY CARE HEALTH SERVICES LACK OF ACCESS TO HEALTH CARE WAS MENTIONED CONSISTENTLY BY KEY INFORMANTS AND COMMUNITY MEMBERS AS A MAJOR BARRIER TO HEALTHY LIVING. SPECIFICALLY, LACK OF PRIMARY CARE PROVIDERS, LONG WAIT TIMES, COST OF CARE, UNDER OR UNINSURED STATUS AND LACK OF TRANSPORTATION TO/FROM PROVIDERS WERE STRESSED. COMMUNITY MEMBERS EMPHASIZED THE DIFFICULTIES THEY HAD WITH GAINING ACCESS TO CARE IN A TIMELY FASHION, INDICATING THAT MOST OF THE TIME SPENT ACCESSING CARE FOR HEALTH PROBLEMS IS REACTIVE AND NOT PREVENTATIVE, LARGELY DUE TO AFFORDABILITY AND EASE OF ACCESS. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF SUTTER DELTA MEDICAL CENTER.
SCHEDULE H, PART V, SECTION B, LINE 13H	(A, 1-6) ELIGIBILITY CRITERIA - OTHER: ADDITIONAL FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL POVERTY GUIDELINES.
SCHEDULE H, PART V, SECTION B, LINE 16I	(A, 1-6) 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	(A, 1-6) 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.

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SDMC Outpatient Services
3903 Lone Tree Way	Antioch	CA	94509	PT/OT/Speech Services
ABSMC Ambulatory Surgery
2450 Ashby Avenue	BERKELEY	CA	94704	Ambulatory Surgery
ABSMC Antepartum Testing Unit
2450 Ashby Avenu	BERKELEY	CA	94704	Outpatient Services
ABSMC Clinical Lab
2450 Ashby Avenue	BERKELEY	CA	94704	Lab Services
ABSMC Cell Therapy Lab
2500 Milvia Street	BERKELEY	CA	94704	LAB SERVICES
Herrick Campus Skilled Nursing Facility
2001 Dwight Way	BERKELEY	CA	94705	Skilled Nursing Facility
Alta Bates Summit Medical Center
3001 Telegraph Avenue	BERKELY	CA	94705	Outpatient Services
ABSMC Infant Clinic
3011 Telegraph Avenue	BERKELY	CA	94705	OUTPATIENT SERVICES
ABSMC Cardiac Rehab
3030 Telegraph Avenue	BERKELY	CA	94705	Outpatient Services
ABSMC Orthopedic Services
5700 Telegraph Avenue	Berkeley	CA	94709	Outpatient Services
ABSMC Radiology
5730 Telegraph Avenue	Berkeley	CA	94709	Outpatient Services
Lafayette Women's Health Center
3595 Mt Diablo Blvd Suite 350	Lafayette	CA	94549	Outpatient Services
ABSMC Bariatric Surgery
3012 Summit Street	Oakland	CA	94609	Outpatient Services
Summit Campus Skilled Nursing Facility
3100 Summit Street	Oakland	CA	94609	Skilled Nursing Facility
Summit Campus Clinical Lab
350 Hawthorne Ave	Oakland	CA	94609	Lab Services
Alta Bates Summit Medical Center
450 30th Street	Oakland	CA	94609	Outpatient Services Pediatric Services Nuclear Medicine
MAGNETIC IMAGING AFFILIATES
2125 OAK GROVE ROAD	WALNUT CREEK	CA	94598	OUTPATIENT SERVICES
ALTA CT SERVICES
175 LENNON LANE	WALNUT CREEK	CA	94598	OUTPATIENT SERVICES
SURGERY CENTER OF ALTA BATES SUMMIT MC
3875 TELEGRAPH AVENUE	OAKLAND	CA	94609	OUTPATIENT SERVICES
EYEMD LASER AND SURGERY CENTER
481 30TH STREET	OAKLAND	CA	94609	OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	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 INSURE 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 I, LINE 7G	THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $571,855.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES: ALTA BATES SUMMIT MEDICAL CENTER: ALTA BATES SUMMIT MEDICAL CENTER (ABSMC) 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. YOUTH BRIDGE, A PROGRAM OF ALTA BATES SUMMIT MEDICAL CENTER, IS A YEAR-ROUND CAREER DEVELOPMENT PROGRAM FOR STUDENTS, FROM 6TH GRADE THROUGH COLLEGE, THAT EMPOWERS AT-RISK EAST BAY YOUTH TO COMPLETE HIGH SCHOOL, GAIN MEANINGFUL EMPLOYMENT EXPERIENCE, LEARN ABOUT HEALTH-RELATED CAREERS, AND PURSUE FURTHER ACADEMIC AND VOCATIONAL EDUCATION. YOUTH BRIDGE HAS SERVED MORE THAN 1200 EAST BAY YOUTH SINCE INCEPTION 24 YEARS AGO, ENCOURAGING AND SUPPORTING THESE CHILDREN IN THEIR TRANSITION FROM ADOLESCENCE TO ADULTHOOD: EVIDENCE DOCUMENTS THE BROAD NEED FOR COMPREHENSIVE YOUTH DEVELOPMENT PROGRAMS SUCH AS YOUTH BRIDGE. YOUTH DEVELOPMENT RESEARCH INDICATES THAT SUPPORTIVE RELATIONSHIPS BETWEEN YOUNG PEOPLE AND CARING ADULTS IS ONE OF THE LEADING INDICATORS IN PREDICTING WHETHER YOUNG PEOPLE WILL MAKE A SAFE AND HEALTHY TRANSITION INTO ADULTHOOD, REGARDLESS OF THEIR ECONOMIC CIRCUMSTANCES OR OTHER RISK FACTORS. WHILE THERE ARE A FEW PROGRAMS IN OUR COMMUNITY SIMILAR TO YOUTH BRIDGE, NONE ARE AS COMPREHENSIVE OR YEAR ROUND. YOUTH BRIDGE IS THE ONLY PROGRAM OFFERING SERVICES RELATIVE TO HEALTH CAREER EXPLORATION FOR DISENFRANCHISED CHILDREN AND IS THE ONLY PROGRAM THAT ALLOWS CHILDREN TO ENTER AT ANY TIME BETWEEN 6TH GRADE AND COLLEGE. YOUTH BRIDGE BRINGS HOPE AND LIFE-CHANGING ACADEMIC AND CAREER OPPORTUNITIES TO THOSE WHO NEED IT MOST. IN 2014, 125 AT-RISK YOUTH FROM THE TWO MOST VULNERABLE COMMUNITIES IN ALAMEDA AND CONTRA COSTA COUNTY, EAST AND WEST OAKLAND, PARTICIPATED IN THE YOUTH BRIDGE PROGRAM. A TOTAL OF 75 HIGH SCHOOL AND COLLEGE STUDENTS, INCLUDING STUDENTS RETURNING FOR 2ND AND 3RD YEARS, PARTICIPATED IN A HEALTH CAREER ACTIVITIES CLASS FOR FOUR MONTHS, RECEIVED MENTORSHIP PLACEMENT FOLLOWED BY PAID SUMMER INTERNSHIPS. A TOTAL OF 50 MIDDLE SCHOOL STUDENTS PARTICIPATED IN A FIVE-WEEK SUMMER YOUTH IN MEDICINE PROGRAM. IN COLLABORATION WITH SAMUEL MERRITT UNIVERSITY, THESE STUDENTS WERE EXPOSED TO INTERACTIVE TRAINING LABS AND VARIOUS HEALTH PROFESSIONS, WHILE ALSO ENGAGING IN FUN SUMMER ACTIVITIES. THE NEAR AND LONG-TERM POSITIVE IMPACTS OF A PROGRAM LIKE YOUTH BRIDGE AND ITS MAJOR PARTNERS (THE HOSPITAL, SCHOOLS, AND COMMUNITY) ARE SIGNIFICANT. THESE IMPACTS SHOW THE FAR REACHING EFFECTS OF PROVIDING ACADEMIC AND PERSONAL SUPPORTS FOR STUDENTS ON AN INDIVIDUAL LEVEL, (AT-RISK STUDENTS ARE MORE ENGAGED IN LEARNING) WHICH CAN LEAD TO BETTER ACADEMIC AND PERSONAL OUTCOMES. ABSMC SUPPORTS A PHARMACEUTICAL WASTE RECYCLING PROGRAM TO HELP EDUCATE THE PUBLIC ABOUT THE PROPER DISPOSAL OF MEDICATIONS.
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. METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE: AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE. SCHEDULE H, PART III, LINE 4 AUDIT FOOTNOTE: THE ORGANIZATION 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	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 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: ALTA BATES SUMMIT MEDICAL CENTER: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMMISSIONED BY FIVE LOCAL NONPROFIT HOSPITALS IN THE EAST BAY-ALTA BATES SUMMIT MEDICAL CENTER, SUTTER MEDICAL CENTER CASTRO VALLEY, CHILDREN'S HOSPITAL AND RESEARCH CENTER OF OAKLAND, ST. ROSE HOSPITAL, AND WASHINGTON HOSPITAL HEALTHCARE SYSTEM. THESE HOSPITALS RETAINED VALLEY VISION, INC., TO LEAD THE ASSESSMENT PROCESS OVER TEN MONTHS. VALLEY VISION (HTTP://WWW. VALLEYVISION.ORG) IS A NONPROFIT 501 (C)(3) CONSULTING FIRM WITH OVER SEVEN YEARS OF EXPERIENCE IN CONDUCTING CHNAS. THE ORGANIZATION'S MISSION IS TO IMPROVE QUALITY OF LIFE THROUGH THE DELIVERY OF RESEARCH ON IMPORTANT TOPICS SUCH AS HEALTH CARE, ECONOMIC DEVELOPMENT, AND SUSTAINABLE ENVIRONMENTAL PRACTICES. THE CHNA PROVIDED NECESSARY INFORMATION FOR THE ALTA BATES SUMMIT MEDICAL CENTER COMMUNITY HEALTH IMPROVEMENT PLAN, IDENTIFIED COMMUNITIES AND SPECIFIC GROUPS WITHIN THESE COMMUNITIES EXPERIENCING HEALTH DISPARITIES, ESPECIALLY AS THESE DISPARITIES RELATE TO CHRONIC DISEASE, AND FURTHER IDENTIFIED CONTRIBUTING FACTORS THAT CREATE BOTH BARRIERS AND OPPORTUNITIES FOR THESE POPULATIONS TO LIVE HEALTHIER LIVES. THE CHNA DEFINED HEALTH NEEDS AS A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER. A HEALTH DRIVER IS A BEHAVIORAL, ENVIRONMENTAL, AND /OR CLINICAL FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS, THAT IMPACT HEALTH. PRIMARY DATA COLLECTION FOR THE ASSESSMENT INCLUDED INPUT FROM MORE THAN 195 MEMBERS OF THE HOSPITAL SERVICE AREA, EXPERT INTERVIEWS WITH 35 KEY INFORMANTS, AND FOCUS GROUP INTERVIEWS WITH 169 COMMUNITY MEMBERS. IN ADDITION, A COMMUNITY HEALTH ASSESSMENT COLLECTED DATA ON MORE THAN 309 ASSETS IN THE GREATER EAST BAY AREA. SECONDARY DATA INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, HEALTH INSURANCE STATUS, AND HOUSING ARRANGEMENT (OWN OR RENT). BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE SERVICE AREA SUCH AS CRIME RATES, POLLUTION, ACCESS TO PARKS, AND AVAILABILITY OF HEALTHY FOOD. THE HEALTH NEEDS IDENTIFIED THROUGH ANALYSIS OF BOTH QUANTITATIVE AND QUALITATIVE DATA ARE AS FOLLOWS: - LACK OF ACCESS TO MENTAL HEALTH SERVICES/TREATMENT - SAFETY AS A HEALTH ISSUE - LIMITED ACCESS TO QUALITY PRIMARY HEALTH CARE SERVICES - LACK OF ACCESS TO AFFORDABLE, HEALTHY FOOD - LACK OF SAFE PLACES TO BE PHYSICALLY ACTIVE - LACK OF ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES - POLLUTION AS A HEALTH ISSUE - LIMITED ACCESS TO BASIC NEEDS: FOOD, HOUSING, JOBS - LIMITED ACCESS TO AFFORDABLE, SAFE, AND RELIABLE TRANSPORTATION THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR ALTA BATES SUMMIT MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER DELTA MEDICAL CENTER: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMMISSIONED BY FIVE LOCAL NONPROFIT HOSPITALS IN THE EAST BAY -ALTA BATES SUMMIT MEDICAL CENTER, SUTTER MEDICAL CENTER CASTRO VALLEY, CHILDREN'S HOSPITAL AND RESEARCH CENTER OF OAKLAND, ST. ROSE HOSPITAL, AND WASHINGTON HOSPITAL HEALTHCARE SYSTEM. THESE HOSPITALS RETAINED VALLEY VISION, INC., TO LEAD THE ASSESSMENT PROCESS OVER TEN MONTHS. VALLEY VISION (WWW.VALLEYVISION.ORG) IS A NONPROFIT 501(C) (3) CONSULTING FIRM WITH OVER SEVEN YEARS OF EXPERIENCE IN CONDUCTING CHNAS. THE ORGANIZATION'S MISSION IS TO IMPROVE QUALITY OF LIFE THROUGH THE DELIVERY OF RESEARCH ON IMPORTANT TOPICS SUCH AS HEALTH CARE, ECONOMIC DEVELOPMENT, AND SUSTAINABLE ENVIRONMENTAL PRACTICES. THE CHNA PROVIDED NECESSARY INFORMATION FOR THE DEVELOPMENT OF THE SUTTER DELTA MEDICAL CENTER COMMUNITY HEALTH IMPROVEMENT PLAN, IDENTIFIED COMMUNITIES AND SPECIFIC GROUPS WITHIN THESE COMMUNITIES EXPERIENCING HEALTH DISPARITIES, ESPECIALLY AS THESE DISPARITIES RELATE TO CHRONIC DISEASE, AND FURTHER IDENTIFIED CONTRIBUTING FACTORS THAT CREATE BOTH BARRIERS AND OPPORTUNITIES FOR THESE POPULATIONS TO LIVE HEALTHIER LIVES. THE CHNA DEFINED HEALTH NEEDS AS A POOR HEALTH OUTCOME AND ITS ASSOCIATED DRIVER. A HEALTH DRIVER IS A BEHAVIORAL, ENVIRONMENTAL, AND /OR CLINICAL FACTOR, AS WELL AS MORE UPSTREAM SOCIAL ECONOMIC FACTORS, THAT IMPACT HEALTH. PRIMARY DATA COLLECTION FOR THE ASSESSMENT INCLUDED INPUT FROM 89 MEMBERS OF THE HOSPITAL SERVICE AREA, EXPERT INTERVIEWS WITH 18 KEY INFORMANTS, AND FOCUS GROUP INTERVIEWS WITH 71 COMMUNITY MEMBERS. IN ADDITION, A COMMUNITY HEALTH ASSESSMENT COLLECTED DATA ON MORE THAN 68 ASSETS IN THE GREATER EAST BAY AREA. SECONDARY DATA INCLUDED HEALTH OUTCOME DATA, SOCIO-DEMOGRAPHIC DATA, AND BEHAVIORAL AND ENVIRONMENTAL DATA AT THE ZIP CODE OR CENSUS TRACT LEVEL. HEALTH OUTCOME DATA INCLUDED EMERGENCY DEPARTMENT (ED) VISITS, HOSPITALIZATION, AND MORTALITY RATES. SOCIO-DEMOGRAPHIC DATA INCLUDED DATA ON RACE AND ETHNICITY, POVERTY (FEMALE-HEADED HOUSEHOLDS, FAMILIES WITH CHILDREN, PEOPLE OVER 65 YEARS OF AGE), EDUCATIONAL ATTAINMENT, HEALTH INSURANCE STATUS, AND HOUSING ARRANGEMENT (OWN OR RENT). BEHAVIORAL AND ENVIRONMENTAL DATA HELPED DESCRIBE GENERAL LIVING CONDITIONS OF THE SERVICE AREA SUCH AS CRIME RATES, POLLUTION, ACCESS TO PARKS, AND AVAILABILITY OF HEALTHY FOOD. THE HEALTH NEEDS IDENTIFIED THROUGH ANALYSIS OF BOTH QUANTITATIVE AND QUALITATIVE DATA ARE AS FOLLOWS: - LACK OF ACCESS TO BEHAVIORAL HEALTH SERVICES - LACK OF ACCESS TO PRIMARY CARE HEALTH SERVICES - LACK OF ACCESS TO AFFORDABLE, HEALTHY FOOD - SAFETY AS A HEALTH ISSUE-MENTAL HEALTH, CRIME, VIOLENCE - LACK OF ACCESS TO DENTAL CARE AND PREVENTATIVE SERVICES - POLLUTION AS A HEALTH ISSUE - LACK OF ACCESS TO BASIC NEEDS SUCH AS FOOD, HOUSING, JOBS THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER DELTA MEDICAL CENTER 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: ALTA BATES SUMMIT MEDICAL CENTER AND SUTTER DELTA MEDICAL CENTER FOLLOW 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: ALTA BATES SUMMIT MEDICAL CENTER (ABSMC) - ALAMEDA COUNTY AND CONTRA COSTA COUNTY: THE ALTA BATES SUMMIT MEDICAL CENTER PRIMARY SERVICE AREA IS (OR HOSPITAL SERVICE AREA) IS COMPRISED OF 24 ZIP CODES. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED COMMUNITIES OF CONCERN IN THE SERVICE AREA THAT WERE LIVING WITH A HIGH BURDEN OF DISEASE. FIVE HOSPITALS SERVICE THIS AREA. ZIP CODES WITH RATES THAT CONSISTENTLY EXCEEDED COUNTY, STATE, OR HEALTHY PEOPLE 2020 BENCHMARKS FOR ED UTILIZATION, HOSPITALIZATION, AND MORTALITY WERE IDENTIFIED AS PRELIMINARY COMMUNITIES OF CONCERN, PARTICULARLY THOSE ZIP CODES WITH RATES THAT CONSISTENTLY FELL IN THE TOP 20%. THESE ZIP CODES WERE THEN CONFIRMED WITH THE HOSPITAL CHNA WORKGROUP FOR MODIFICATION, AND IN SOME INSTANCES ADDITIONAL ZIP CODES WERE ADDED. THE ALTA BATES SUMMIT MEDICAL CENTER COMMUNITIES OF CONCERN ARE HOME TO MORE THAN 330,000 COMMUNITY RESIDENTS. THE AREA CONSISTS OF 12 ZIP CODES, ALL LOCATED IN ALAMEDA COUNTY AND IN THE CITIES OF BERKELEY, OAKLAND, AND EMERYVILLE. THE COMMUNITIES OF CONCERN SIT ADJACENT TO THE SAN FRANCISCO BAY AND ARE SITUATED ALONG THE INTERSTATE 80, 880, 580, 980 CORRIDORS, WHICH RUN NORTH AND SOUTH THROUGH THE EAST BAY AREA. COMMUNITIES OF CONCERN ZIP CODE COMMUNITY/AREA COUNTY POPULATION 94601 OAKLAND ALAMEDA 50,294 94603 OAKLAND ALAMEDA 31,403 94605 OAKLAND ALAMEDA 39,016 94606 OAKLAND ALAMEDA 36,672 94607 OAKLAND ALAMEDA 24,978 94608 OAKLAND ALAMEDA 28,018 94609 EMERYVILLE ALAMEDA 20,596 94612 OAKLAND ALAMEDA 29,287 94621 OAKLAND ALAMEDA 29,870 94702 BERKELEY ALAMEDA 15,979 94703 BERKELEY ALAMEDA 19,846 94710 BERKELEY ALAMEDA 6,948 TOTAL COMMUNITIES OF CONCERN POPULATION 332,907 AN ONLINE RESOURCE, CALLED THE HEALTH NEEDS MAP, DEVELOPED BY VALLEY VISION SHOWING EMERGENCY ROOM, HOSPITALIZATION, AND MORTALITY RATES FOR A NUMBER OF DISEASES AND HEALTH INDICATORS AT THE ZIP CODE LEVEL FOR THE SERVICE AREA, IS AVAILABLE AT HTTP://WWW.HEALTHNEEDSMAP.COM. THE HEALTH NEEDS MAP GIVES USERS SEVERAL POINTS OF VIEW OF AN AREA'S HEALTH STATUS. EACH ZIP CODE IS ASSIGNED A COMMUNITY HEALTH VULNERABILITY INDEX (CHVI). A HIGHER NUMBER RANKING REFLECTS THOSE AREAS WITH THE LEAST MODELED BARRIERS, OR LESS VULNERABILITY. A LOWER NUMBER RANKING INDICATES THE AREAS WITH MORE MODELED BARRIERS, OR HIGHER VULNERABILITY. THE CHNA ALONG WITH THE HEALTH NEEDS MAP WILL BE USED TO GUIDE THE ONGOING WORK OF ALTA BATES SUMMIT MEDICAL CENTER IN STRATEGICALLY FOCUSING COMMUNITY BENEFIT AND SYSTEM RESOURCES TO ADDRESS HEALTH NEEDS IN THE COMMUNITY. BOTH THE LEVEL OF POVERTY AND EDUCATION SIGNIFICANTLY INFLUENCE THE HEALTH STATUS OF A COMMUNITY. AS NOTED EARLIER, THESE 12 ZIP CODES ARE HOME TO MORE THAN 330,000 RESIDENTS, MANY OF WHO LIVE IN POVERTY. 11 OUT OF THE 12 ZIP CODES IN THIS AREA EXCEEDED BENCHMARKS FOR THE PERCENTAGE OF FAMILIES WITH CHILDREN LIVING IN POVERTY, WITH THE HIGHEST PERCENT IN 94607, AT 39.3%, FOLLOWED BY 94621 AT 34%, AND 94601 AT 33.4%. THESE FIGURES ARE MORE THAN TWICE THE NATIONAL BENCHMARK. SIMILARLY, 11 OUT OF THE 12 ZIP CODES FOR THE AREA EXCEEDED THE NATIONAL BENCHMARK PERCENTAGE OF 31.2% OF FEMALE-HEADED HOUSEHOLDS IN POVERTY, WITH THE HIGHEST PERCENTAGE FOUND IN 94710 AT 64.7%, 94621 AT 52.6%, AND 94607 AT 48.6%. AN EXAMINATION OF THE PERCENTAGE OF RESIDENTS IN THE AREA OVER AGE 25 WITHOUT A HIGH SCHOOL DIPLOMA SHOWED THAT EIGHT OF THE 12 ZIP CODES EXCEEDED THE NATIONAL BENCHMARK AND 6 OF THE 12 ALSO EXCEEDED THE STATE BENCHMARK. THE HIGHEST PERCENTAGE OF RESIDENTS WITH NO HIGH SCHOOL DIPLOMA WAS FOUND IN ZIP CODE 94621 AT 40.5%, FOLLOWED BY 94601 AT 39.8%, AND 94603 AT 37.5%, WHICH ARE VIRTUALLY DOUBLE THE STATE BENCHMARK OF 19.4%. IN ADDITION, IN 11 OF THE 12 ZIP CODES MORE THAN 50% OF THE POPULATION IS RENTING THEIR PLACE OF RESIDENCE. ALSO, TEN OF THE COMMUNITIES OF CONCERN EXCEEDED THE NATIONAL BENCHMARK FOR PERCENT UNEMPLOYED. KEY INFORMANTS STRESSED THAT MANY COMMUNITY MEMBERS WERE UNEMPLOYED PRIOR TO THE RECENT RECESSION, MAKING THE ECONOMIC DOWNTURN EVEN MORE DIFFICULT. POVERTY WAS RANKED THIRD BY KEY INFORMANTS AND COMMUNITY MEMBERS AS A MAJOR CAUSE OF ILL HEALTH FOR THE AREA. ALL COMMUNITIES OF CONCERN WERE HOME TO DIVERSE POPULATIONS. 11 OF THE 12 ZIP CODES HAD MORE THAN 50% OF THEIR RESIDENTS REPORTING AS NON-WHITE OR OF HISPANIC ORIGIN AND SIX OF THE 12 ZIPS HAD MORE THAN 80%. FURTHER, HALF OF THE COMMUNITIES OF CONCERN EXCEEDED BENCHMARKS FOR THE PERCENT OF THE POPULATION OVER THE AGE OF FIVE WITH LIMITED ENGLISH PROFICIENCY AT HOME; THE HIGHEST RATE WAS IN 94601, IN WHICH 29.3% OF ALL RESIDENTS OVER THE AGE OF FIVE HAD LIMITED ENGLISH PROFICIENCY AT HOME. THE PERCENT OF UNINSURED RESIDENTS IN THE COMMUNITIES OF CONCERN WAS HIGHER THAN BOTH THE NATIONAL AND STATE BENCHMARKS AT 16.3% AND 21.6%, RESPECTIVELY. THE HIGHEST PERCENT UNINSURED WAS SEEN IN ZIP CODE 94607, WHICH SHOWED THAT 50.4% OF RESIDENTS WERE UNINSURED. LACK OF ACCESS TO HEALTH CARE WAS MENTIONED CONSISTENTLY BY KEY INFORMANTS AND COMMUNITY MEMBERS AS A MAJOR BARRIER TO HEALTHY LIVING, RANKING SECOND IN FREQUENCY MENTIONED IN THE QUALITATIVE DATA OF THE CHNA. SPECIFICALLY, ADEQUATE ACCESS TO HEALTH CARE (PRIMARY AND SPECIALTY), ACCESS TO HEALTH INSURANCE, AND A LACK OF ACCESS TO AFFORDABLE, CULTURALLY COMPETENT, HIGH QUALITY HEALTH CARE WERE STRESSED. COMMUNITY MEMBERS STRESSED THE DIFFICULTIES THEY HAD WITH GAINING ACCESS TO CARE IN A TIMELY FASHION, INDICATING THAT MOST OF THE TIME SPENT ACCESSING CARE FOR HEALTH PROBLEMS IS REACTIVE AND NOT PREVENTIVE, LARGELY DUE TO AFFORDABILITY AND EASE OF ACCESS. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE ALTA BATES SUMMIT MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER DELTA MEDICAL CENTER (SDMC) - CONTRA COSTA COUNTY: THE SUTTER DELTA MEDICAL CENTER SERVICE AREA IS HOME TO MORE THAN 278,000 COMMUNITY RESIDENTS. THE AREA CONSISTS OF SIX CONTRA COSTA COUNTY ZIP CODES WITH THE MAJORITY OF COMMUNITY MEMBERS LIVING IN THE CITIES OF ANTIOCH, PITTSBURG, BRENTWOOD AND OAKLEY. THESE COMMUNITIES ARE SITUATED ALONG THE INTERSTATE 4 AND 160 CORRIDORS AND MANY RESIDE ON THE BAY. FIVE HOSPITALS SERVICE THIS AREA. SERVICE AREA ZIP CODE COMMUNITY/AREA COUNTY POPULATION 94509 ANTIOCH CONTRA COSTA 62,439 94513 BRENTWOOD CONTRA COSTA 54,605 94531 ANTIOCH CONTRA COSTA 40,290 94548 KNIGHTSEN CONTRA COSTA 412 94561 OAKLEY CONTRA COSTA 36,515 94565 PITTSBURG CONTRA COSTA 84,641 TOTAL POPULATION IN SERVICE AREA 278,902 BOTH THE LEVEL OF POVERTY AND EDUCATION SIGNIFICANTLY INFLUENCE THE HEALTH STATUS OF A COMMUNITY. AS NOTED EARLIER, THESE SIX ZIP CODES ARE HOME TO MORE THAN 278,000 RESIDENTS, MANY OF WHO LIVE IN POVERTY. THE PERCENTAGES OF FAMILIES IN ZIP CODES 94509 AND 94565 LIVING IN POVERTY WITH CHILDREN HAD RATES OF 20% AND 21% RESPECTIVELY, CONSIDERABLY ABOVE THE NATIONAL RATE OF 15.1 %. SIMILARLY, THESE TWO ZIP CODES ALSO HAD HIGH PERCENTAGES OF FEMALE-HEADED HOUSEHOLDS LIVING IN POVERTY, WITH THE HIGHEST FOUND IN 94509 AT 35%, FOLLOWED BY 94565 AT 33%. THESE COMPARED TO THE NATIONAL PERCENT OF 31.2%. AN EXAMINATION OF THE PERCENTAGE OF RESIDENTS IN THE AREA OVER AGE 25 WITHOUT A HIGH SCHOOL DIPLOMA SHOWED THAT THE SAME TWO ZIP CODES EXCEEDED THE NATIONAL BENCHMARK. IN ADDITION, ALL ZIP CODES HAD MORE THAN 20% OF THE POPULATION RENTING THEIR PLACE OF RESIDENCE. ALSO, SIX OF THE ZIP CODES EXCEEDED THE NATIONAL BENCHMARK FOR PERCENT UNEMPLOYED, WITH THE HIGHEST RATE IN 94509 AT 14%, FOLLOWED BY 94565 AT 12%. ALL SIX COMMUNITIES WERE HIGHLY DIVERSE. ZIP CODE 94565 HAD 80% OF THEIR RESIDENTS REPORTING AS NON-WHITE OR OF HISPANIC ORIGIN. THE LEAST DIVERSE AREA WAS ZIP CODE 94548 AT 20%. FURTHER, 14% OF RESIDENTS OF ZIP CODE 94565 OVER THE AGE OF FIVE HAD LIMITED ENGLISH PROFICIENCY AT HOME COMPARED TO THE NATIONAL BENCHMARK OF 8.7%. THE PERCENT OF UNINSURED RESIDENTS WAS BELOW THE STATE AND NATIONAL BENCHMARKS. THE HIGHEST PERCENT UNINSURED WAS FOUND IN ZIP CODES 94509 AND 94565 AT 16%, FOLLOWED BY 94548 AT 14%. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER DELTA MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML
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. THE 2013- 2015 IMPLEMENTATION STRATEGIES FOR ALTA BATES SUMMIT MEDICAL CENTER AND SUTTER DELTA MEDICAL CENTER DEFINE A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY THEY SERVE. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: THE LIMITED ACCESS TO QUALITY PRIMARY HEALTH CARE SERVICES IS AN IDENTIFIED PRIORITY HEALTH NEED FOR ABSMC. IN ORDER TO CONNECT PATIENTS TO THE RIGHT CARE, RIGHT PLACE AND TIME THROUGH ACCESS TO PRIMARY CARE, ALTA BATES SUMMIT MEDICAL CENTER, IN COLLABORATION WITH THE COMMUNITY HEALTH CENTER NETWORK, LA CLINICA, ASIAN HEALTH SERVICES AND LIFELONG, PARTNER ON THE ED UTILIZATION AND CARE TRANSITIONS INITIATIVE. THIS INITIATIVE IMPROVES THE CARE TRANSITION FOR TARGETED UNINSURED AND UNDERINSURED PATIENTS BETWEEN ABSMC AND EACH OF THESE THREE LOCAL HEALTH CENTERS. THE OBJECTIVES OF THIS PROGRAM AIM TO PROVIDE WARM HANDOFFS, ESTABLISH AND MONITOR COMPLIANCE AND OUTPATIENT HOSPITALIZATIONS FOLLOW-UP APPOINTMENTS, AND ESTABLISH CARE PLANS FOR PATIENTS WHO ARE HIGHEST-RISK. THROUGH COLLABORATION WITH THREE OF THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, ALONG WITH THE COMMUNITY HEALTH CENTER NETWORK (CHCN), CARE TRANSITIONS REGISTERED NURSES (CTRN) WERE PLACED IN EACH OF THE THREE CLINICS. THE PRIMARY ROLE OF THE NURSE IS TO PROVIDE WARM HANDOFFS FOR BOTH INPATIENTS AND PATIENTS VISITING THE ED, TO PROVIDE TELEPHONIC CLINICAL ASSESSMENT, INCLUDING MEDICATION RECONCILIATION, AND TO ENSURE THAT PATIENTS MAKE APPROPRIATE FOLLOW-UP APPOINTMENTS. IN 2014, A TOTAL OF 3,477 PATIENTS WERE CONTACTED FOLLOWING A HOSPITAL STAY OR ED VISIT. OF THOSE, 2,391 HAD APPOINTMENTS AND ON AVERAGE, 75% OF THOSE APPOINTMENTS WERE KEPT. AN EVALUATION BY CHCN INDICATED A 17% DECREASE IN EMERGENCY DEPARTMENT VISITS WITHIN 30 DAYS, A 32% INCREASE IN FOLLOW-UP APPOINTMENTS AND A 17% DECREASE IN READMISSIONS WITHIN 30 DAYS. A TOTAL OF 84 CARE PLANS WERE DEVELOPED FOR THE HIGHEST AT-RISK PATIENTS AND FIVE COHORTS OF PATIENTS WERE TRACKED. WHILE THERE WAS AN INCREASE IN THE NUMBER OF VISITS BY THESE PATIENTS, THERE WAS A REDUCTION IN THE NUMBER OF NON-URGENT VISITS TO THE ED. IN ADDITION, TWO ED NAVIGATORS, ONE FROM LA CLINICA AND ANOTHER FROM LIFELONG, FUNDED BY ABSMC, WERE PLACED IN EACH OF THE MEDICAL CENTER'S EDS. THE PRIMARY GOAL OF THESE NON-CLINICAL WORKERS IS TO ASSIST WITH MAKING FOLLOW-UP APPOINTMENTS WITH A PRIMARY CARE PHYSICIAN AT A CLINIC HOME, ASSIST WITH ELIGIBILITY ENROLLMENT AND PROVIDE LINKAGES TO COMMUNITY RESOURCES, SUCH AS SHELTER, FOOD OR TRANSPORTATION SERVICES. THE PROGRAM WAS LAUNCHED IN DECEMBER 2014. ABSMC COLLABORATES WITH THE EXISTING HEART2HEART (H2H) HYPERTENSION AND HEART DISEASE INITIATIVE IN SOUTH BERKELEY. THIS IS A PROGRAM THAT TARGETS A SPECIFIC SOUTH BERKELEY NEIGHBORHOOD SELECTED FOR BOTH ITS ASSETS AND CHALLENGES. H2H, USES A COMMUNITY-BASED APPROACH TO ADDRESS HEALTH INEQUITIES IN HIGH BLOOD PRESSURE AND HEART DISEASE. H2H ACTIVITIES INCLUDE MONTHLY MOBILE HEALTH VAN EVENTS, BLOOD-PRESSURE SCREENINGS AND EDUCATION IN PARTNERSHIP WITH LOCAL BUSINESSES, NATIONAL DRUG TAKE-BACK DAYS, AND MINI-GRANTS FOR LOCAL ORGANIZATIONS. THE PROGRAM SEEKS TO EMPOWER RESIDENTS AND BUILD COMMUNITY COHESION AND CAPACITY. ABSMC COLLABORATES WITH LIFELONG MEDICAL CARE, THE CITY OF BERKELEY HEALTH DEPARTMENT, AND OTHER PARTNERS TO EXPAND THE H2H INITIATIVE IN ORDER TO ADDRESS DISPARITIES IN CARDIOVASCULAR DISEASE, ESPECIALLY IN HYPERTENSIVE HEART DISEASE. ABSMC UNDERWROTE A COMMUNITY ENGAGEMENT POSITION FOR H2H TO TRAIN HEALTH ADVOCATES TO LEAD COMMUNITY BUILDING EFFORTS, PROVIDE HEALTH PROMOTION MESSAGES TO INDIVIDUALS AND COMMUNITY GROUPS, AND LINK RESIDENTS TO HEALTH SERVICES AND HEALTH INSURANCE AS APPROPRIATE. THE INTERIM CARE PROGRAM IS A NEW COMMUNITY BENEFIT PROGRAM DESIGNED TO PROVIDE HOMELESS PATIENTS TEMPORARY HOUSING AFTER THEIR HOSPITAL DISCHARGE. THIS ALLOWS PATIENTS TO RECUPERATE IN A CLEAN AND STABLE ENVIRONMENT. PATIENTS MAY STAY UP TO SIX WEEKS, ARE PROVIDED THREE MEALS A DAY, AND HAVE ACCESS TO SUPPORT SERVICES, SUCH AS SUBSTANCE ABUSE COUNSELING AND OTHER WRAP-AROUND SERVICES. THIS PILOT PROJECT IS IN COLLABORATION WITH LIFELONG MEDICAL, INC. AND SECURES TWO SHELTER BEDS IN BERKELEY AND THREE IN OAKLAND. DURING THE ICP'S FIRST FULL YEAR OF OPERATION, 228 HOMELESS INPATIENTS WERE REFERRED FROM ALTA BATES SUMMIT MEDICAL CENTER. OF THOSE, 86 ENTERED A SHELTER. THE AVERAGE LENGTH OF STAY AT THE SHELTER WAS 27 DAYS. ONLY THREE OF THESE PATIENTS WERE READMITTED WITHIN A 30 DAY TIME PERIOD AND ONLY 18 WERE READMITTED DURING THAT YEAR. THE PROGRAM WAS SO SUCCESSFUL, IT WAS EXPANDED FROM FIVE SHELTER BEDS TO SEVEN AND THEN ULTIMATELY TO TEN, IN THREE DIFFERENT SHELTERS LOCATED IN BERKELEY AND OAKLAND. SUTTER DELTA MEDICAL CENTER: SUTTER DELTA COMMUNITY CLINIC. A COMMUNITY BENEFIT PROGRAM OF SDMC, PROVIDES DROP-IN URGENT CARE FOR UNINSURED EAST COUNTY. THE DELTA COMMUNITY CLINIC ALLOWS UNINSURED PATIENTS, WHO MAY OTHERWISE HAVE LIMITED ACCESS TO HEALTH CARE DUE TO DOCUMENTATION STATUS, ACCESS TO URGENT CARE. INSTEAD OF GOING TO THE ED FOR URGENT CARE, THESE PATIENTS CAN GET CARE AT THE COMMUNITY CLINIC ON A SLIDING FEE SCALE. A TOTAL OF 3,490 PATIENTS WERE SEEN IN 2014. THIS IS A DECREASE FROM 2015, DUE IN LARGE PART TO THE AFFORDABLE CARE ACT AND INCREASED ELIGIBILITY FOR MANY OF OUR VULNERABLE COMMUNITY MEMBERS. PROGRAM HOURS WERE NOT EXPANDED IN 2014. HOWEVER, THAT GOAL WILL BE CARRIED ON THROUGH 2015. WE ANTICIPATE EXPANDING HOURS FROM 24 HOURS, 6 DAYS EACH WEEK TO 32 HOURS, 4 DAYS EACH WEEK. SDMC IMPLEMENTED A CONGESTIVE HEART FAILURE PROGRAM IN JULY 2014 CALLED HEALTHY HEART. THE PROGRAM IS DESIGNED TO PREVENT PATIENTS' AVOIDABLE READMISSION AFTER A DIAGNOSIS OF CONGESTIVE HEART FAILURE. AFTER BEING DISCHARGED FROM THE MEDICAL CENTER, PATIENTS CAN BE SEEN BY A CLINICIAN AT THE COMMUNITY CLINIC AND RECEIVE AN EVALUATION OF THEIR DIET, MEDICATIONS, WEIGHT AND OTHER RISK FACTORS IN ORDER TO PREVENT HOSPITAL READMISSION. DURING THE LAST 6 MONTHS OF 2014, 63 PATIENTS WERE CONTACTED WITHIN SEVEN DAYS OF DISCHARGE. FIFTY-THREE PATIENTS HAD TELEPHONE CONSULTATIONS AND TEN PATIENTS HAD FACE- TO-FACE APPOINTMENTS. DURING THOSE CONSULTATIONS, THAT LASTED BETWEEN 1-2 HOURS, BOTH THE PATIENT AND FAMILY/CAREGIVERS RECEIVED EXTENSIVE EDUCATION CENTERED ON LIFESTYLE MODIFICATION CRITICAL TO AVOID READMISSION. THIS INCLUDED SESSIONS ON HEALTHY EATING, WEIGHT, MEDICATION RECONCILIATION, AND ANY OTHER LIFESTYLE CHANGES DEALING WITH THEIR PRIMARY DIAGNOSIS CONCERNS. OF THE 63 PATIENTS, FEWER THAN 15% WERE READMITTED WITHIN A 30 DAY TIME PERIOD. THE PROGRAM IS STAFFED BY A NURSE PRACTITIONER (NP) AND IS OPEN TO PATIENTS 20 HOURS EACH WEEK. SDMC, IN COLLABORATION WITH THE DIABETES CENTER OF ALTA BATES SUMMIT MEDICAL CENTER AND THE LOS MEDANOS COMMUNITY HEALTHCARE DISTRICT, PROVIDES A RECURRING SERIES OF FOUR-WEEK CLASS TO APPROXIMATELY 100 - 200 SDMC PATIENTS AND BAY POINT AND PITTSBURG RESIDENTS FOCUSED ON DIABETES EDUCATION. THE GOAL OF THIS PROGRAM IS TO SUPPORT INDIVIDUALS WITH DIABETES TO IMPROVE THE MANAGEMENT OF THEIR DISEASE AND TO AVOID UNNECESSARY EMERGENCY DEPARTMENT VISITS OR HOSPITALIZATIONS. THIS SERIES HELPS PATIENTS LEARN HOW TO: - UNDERSTAND DIABETES DISEASE PROCESS AND TREATMENT OPTIONS; - INCORPORATE NUTRITIONAL MANAGEMENT AND PHYSICAL ACTIVITY IN THEIR LIFESTYLES; - USE MEDICATIONS SAFELY AND FOR MAXIMUM THERAPEUTIC EFFECTIVENESS; - MONITOR BLOOD GLUCOSE, AND OTHER PARAMETERS, AND INTERPRET THE RESULTS FOR SELF-MANAGEMENT DECISION MAKING; - PREVENT, DETECT AND TREAT ACUTE AND CHRONIC COMPLICATIONS; AND - DEVELOP PERSONAL STRATEGIES THAT ADDRESS PSYCHOSOCIAL ISSUES AND CONCERNS AND PROMOTE HEALTH AND BEHAVIOR CHANGE. IN 2014, FOUR, 2-HOUR CLASSES WERE OFFERED MONTHLY AT SUTTER DELTA WITH A TOTAL OF 206 PATIENT VISITS. 90% OF PARTICIPANTS ANSWERED "VERY GOOD" TO QUESTIONS REGARDING OVERALL SATISFACTION AND USEFULNESS OF CLASS INFORMATION. 95% OF PARTICIPANTS ANSWERED "VERY CONFIDENT" OR "CONFIDENT" TO THE ASSESSMENT OF THEIR ABILITY TO MANAGE THEIR DIABETES FOLLOWING THE CLASS SERIES. 80% OF PARTICIPANTS SUCCEEDED IN REACHING THEIR
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: ALTA BATES SUMMIT MEDICAL CENTER AND SUTTER DELTA MEDICAL CENTER ARE 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

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COMMUNITY HEALTH CENTER NETWORK INC
101 CALLON AVE STE 300	SAN LEANDRO	CA	94577	943253662	501(C)(3)	$415,838
LIFELONG MEDICAL CARE
PO BOX 11247	BERKELEY	CA	94712	942502308	501(C)(3)	$356,972	PROGRAM SUPPORT
FRIENDS OF FAITH INC
418 30TH STREET	OAKLAND	CA	94602	943307705	501(C)(3)	$9,656
LA CLINICA DE LA RAZA
1515 FRUITVALE AVE	OAKLAND	CA	94601	941744108	501(C)(3)	$148,000
YOUTH ALIVE
3300 ELM STREET	OAKLAND	CA	94609	943143254	501(C)(3)	$24,204

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	PATIENT SUPPORT	GrantTypeTxt
Recipient	4	RecipientCnt
Cash Grant	$8,225	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: PURPOSE IN FULFILLMENT OF OUR MISSION STATEMENT, SUTTER EAST BAY HOSPITALS AIMS TO ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH COMPASSION AND EXCELLENCE. TO THAT END, SUTTER EAST BAY HOSPITALS MAINTAINS A COMMUNITY CONTRIBUTIONS PROGRAM. A BUDGET IS ESTABLISHED EACH YEAR AND IS OVERSEEN BY THE COMMUNITY RELATIONS DEPARTMENT. THE GOAL OF THE PROGRAM IS TO SUPPORT THOSE COMMUNITY-BASED ORGANIZATIONS THAT SHARE A SIMILAR MISSION AS SUTTER EAST BAY HOSPITALS. ELIGIBILITY REQUIREMENTS FOR PROJECTS OR ORGANIZATIONS WISHING TO OBTAIN SUPPORT FROM SUTTER EAST BAY HOSPITALS COMMUNITY CONTRIBUTIONS PROGRAM MUST BE: - A TAX-EXEMPT 501(C)(3) NON-PROFIT ORGANIZATION OR PUBLIC ENTITY - BE LOCATED IN THE EAST BAY AND SERVE ITS POPULATIONS - PROVIDE SERVICES RELATED TO HEALTH AND HUMAN SERVICES - PREFERABLY ORGANIZATIONS THAT HAVE A RELATIONSHIP WITH SUTTER EAST BAY HOSPITALS EMPLOYEES, PHYSICIANS, VOLUNTEERS AND BOARD MEMBERS AREA OF FOCUS - HEALTH - EDUCATION - CIVIC AND COMMUNITY RELATIONS - CULTURE AND THE ARTS TYPE OF SUPPORT: - FINANCIAL - TECHNICAL SUPPORT - EQUIPMENT/SUPPLIES DONATION OR OTHER IN-KIND DONATIONS REQUEST PROCESS: ALL REQUESTS MUST BE MADE IN WRITING AND DIRECTED TO THE COMMUNITY RELATIONS DEPARTMENT AT LEAST 6 WEEKS PRIOR TO WHEN FUNDING IS NEEDED. SUTTER EAST BAY HOSPITALS DOES NOT FUND REQUESTS FOR: - INDIVIDUALS - POLITICAL CONTRIBUTIONS - SPORTS TEAMS OR INDIVIDUALS PARTICIPATING IN A SPORTING EVENT THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NICHOLAS ABSTON
TECHNICAL STRATEGY & OPS EXEC	$0	$262,386	$0	$143,783	$0	$19,327	$0	$53,474	$0	$2,573	$0	$481,543	$0	$18,104
AARON ADAMS
CFO, ABSMC	$0	$326,680	$0	$130,509	$0	$16,218	$0	$53,810	$0	$6,679	$0	$533,896	$0	$12,372
MARK W BEITING
REGIONAL VP, HR, EAST BAY	$0	$201,929	$0	$69,279	$0	$14,814	$0	$11,094	$0	$11,096	$0	$308,212	$0	$0
ED BERDICK
SVP SH Shared Svcs	$0	$793,820	$0	$593,527	$0	$251,517	$0	$248,054	$0	$21,847	$0	$1,908,765	$0	$0
THOMAS L BONAS
ADMIN DIR ABSMC MENTAL HLTH	$199,229	$0	$9,093	$0	$5,148	$0	$4,269	$0	$17,519	$0	$235,258	$0	$0	$0
DAVID BRADLEY
Regional President, East Bay	$0	$679,664	$0	$379,812	$0	$99,422	$0	$226,653	$0	$19,168	$0	$1,404,719	$0	$84,475
GREGORY BROWN
VP & REG COUNSEL, EB	$0	$311,501	$0	$29,190	$0	$5,764	$0	$68,121	$0	$15,063	$0	$429,639	$0	$0
SUSAN C BUMATAY
PCE, DELTA	$0	$251,576	$0	$92,239	$0	$11,450	$0	$36,550	$0	$11,184	$0	$402,999	$0	$0
RONNY CHINN
DIR MED PHYSICS & RAD SVCS	$267,903	$0	$12,160	$0	$5,984	$0	$5,199	$0	$28,266	$0	$319,512	$0	$0	$0
WILLIAM DEWOLF MD
DIR. PHY NETWORK DEV.	$286,110	$0	$11,158	$0	$3,607	$0	$5,199	$0	$28,364	$0	$334,438	$0	$0	$0
LEONARDO R DOMINGUEZ
AA, PROF & CARDIAC SVCS, ABSMC	$265,809	$0	$11,835	$0	$2,856	$0	$5,199	$0	$18,248	$0	$303,947	$0	$0	$0
ADRIENNE EDENS
VP & CIO, EAST BAY REGION	$0	$290,733	$0	$123,223	$0	$23,120	$0	$50,246	$0	$7,017	$0	$494,339	$0	$16,495
PAT FRY
PRESIDENT & CEO SUTTER HEALTH	$0	$1,523,132	$0	$1,687,050	$0	$416,185	$0	$2,693,377	$0	$34,953	$0	$6,354,697	$0	$396,136
JOHN GATES
CFO WEST BAY & EAST BAY REGION	$0	$604,705	$0	$303,767	$0	$150,021	$0	$128,539	$0	$18,040	$0	$1,205,072	$0	$51,581
JAMES H HICKMAN
REGIONAL VP, PHILANTHROPY EB	$0	$293,376	$0	$115,023	$0	$484	$0	$51,747	$0	$14,994	$0	$475,624	$0	$0
BRIAN T HUNTER
VP SHARED SVCS SUTTER HEALTH	$0	$444,061	$0	$260,859	$0	$34,202	$0	$113,451	$0	$14,261	$0	$866,834	$0	$32,973
VIRGINIA L KOSMIN
CNE, ABSMC (PART YEAR)	$0	$165,555	$0	$72,930	$0	$143,567	$0	$17,541	$0	$4,235	$0	$403,828	$0	$13,100
SARAH KREVANS
COO, SUTTER HEALTH	$0	$916,159	$0	$689,878	$0	$156,449	$0	$399,554	$0	$24,683	$0	$2,186,723	$0	$142,787
STEPHEN H LOCKHART MD
REGIONAL VP & CMO, EAST BAY	$0	$417,681	$0	$227,399	$0	$54,101	$0	$135,742	$0	$15,213	$0	$850,136	$0	$35,720
STEPHEN F O'BRIEN MD
VP MEDICAL AFFAIRS, ABSMC	$0	$403,689	$0	$109,405	$0	$7,413	$0	$58,209	$0	$7,214	$0	$585,930	$0	$0
BRION PEARSON
VP MEDICAL AFFAIRS, DELTA	$267,541	$0	$27,091	$0	$2,762	$0	$5,199	$0	$17,989	$0	$320,582	$0	$0	$0
MARY A PELKEY
ADMIN DIR, HR, ABSMC	$0	$213,794	$0	$58,209	$0	$9,183	$0	$29,886	$0	$7,277	$0	$318,349	$0	$8,127
JULIE L PETERSON
CFO, DELTA	$0	$253,939	$0	$75,097	$0	$7,058	$0	$29,424	$0	$11,129	$0	$376,647	$0	$6,700
JULIE PETRINI
COO, ABSMC	$0	$377,827	$0	$84,192	$0	$44,163	$0	$122,886	$0	$7,154	$0	$636,222	$0	$26,435
CHARLES J PROSPER
CEO, ABSMC	$0	$467,668	$0	$229,108	$0	$30,590	$0	$179,441	$0	$18,261	$0	$925,068	$0	$14,600
GARY D RAPAPORT
CEO, SUTTER DELTA MEDICAL CTR	$0	$347,360	$0	$207,219	$0	$43,853	$0	$36,399	$0	$12,914	$0	$647,745	$0	$33,566
SUSAN SCHULER
CRNA-LEAD CERT RN ANESTHETIST	$293,722	$0	$0	$0	$16,131	$0	$5,199	$0	$15,446	$0	$330,498	$0	$0	$0
TODD C SMITH
REGION VP, STRGY & BUS DEV, EB	$0	$315,796	$0	$161,075	$0	$40,521	$0	$69,721	$0	$10,076	$0	$597,189	$0	$27,073
DORI STEVENS
VP PATIENT CARE SERVICES,DELTA	$0	$244,770	$0	$86,913	$0	$4,878	$0	$53,767	$0	$11,021	$0	$401,349	$0	$0
KRISTA TOUROS
AA, FINANCE, ABSMC	$0	$201,589	$0	$76,400	$0	$56,015	$0	$28,967	$0	$13,846	$0	$376,817	$0	$7,446
CAROL A WEIS
CNE, ABSMC (PART YEAR)	$0	$242,140	$0	$77,301	$0	$16,518	$0	$33,845	$0	$10,691	$0	$380,495	$0	$0
HONG ZHANG
REGIONAL DIR-MEDICAL (EH/OM)	$306,699	$0	$23,639	$0	$1,680	$0	$5,199	$0	$5,797	$0	$343,014	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, 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.
SCHEDULE J, 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. SEE SCHEDULE O NARRATIVE PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH.
SCHEDULE J, PART I, LINE 4B	NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER 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.
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CSCDA 2004CD
A	680164610	130795TE7	2008-05-06	$87,750,717	CONSTRUCT & REFUNDING - 2/17/2004	false	false	false
CHFFA 2008A
B	521643828	13033F2L3	2008-05-14	$329,041,638	CONSTRUCT & REFUNDING - 2002, 2004	false	false	false
CHFFA 2011B
C	521643828	13033LKW6	2011-02-10	$470,318,145	Construct new facilities.	false	false	false
CHFFA 2011D
D	521643828	13033LVW4	2011-12-22	$331,759,643	CONSTRUCT & REFUNDING - PRE 2003	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Substantial CompletionSubstantialCompletionYr
A	$18,180,000	$0	$88,924,485	$8,608,201	$0	$0	$0	$0	$0	$0	$80,316,284	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$104,255,000	$0	$329,041,638	$0	$0	$0	$0	$0	$0	$0	$329,041,638	$0	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$472,888,501	$0	$0	$0	$0	$0	$0	$472,888,501	$0	$0	false	false	Yes (true)	Yes (true)	2012
D	$0	$0	$334,684,174	$0	$0	$65,070,000	$0	$0	$0	$145,589,174	$124,025,000	$0	Yes (true)	false	Yes (true)	Yes (true)	2014

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00040	0.00040	0.00080	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.01020	0.00070	0.01090	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0			false	false	false	Yes (true)
D	false	false	false	false	false	false	0			false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: $7,665,967 from the 2004CD issue; $37,460,238 from the 2008A issue; $183,176,559 from the 2011B issue and $142,664,643 from the 2011D issue.
SCHEDULE K, PART I, LINE A, COLUMN (F) (CSCDA 2004CA)	THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS.
SCHEDULE K, PART I, LINE B, COLUMN (F) (CHFFA 2008A)	THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2004 AND 2007 ISSUES. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1996 THAT WERE USED TO REFUND BONDS ISSUED IN 1985, 1989 AND 1992. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION.
SCHEDULE K, PART II, LINE 7	ISSUANCE COSTS FROM PROCEEDS

Schedule L IRS990ScheduleL

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	MISSION STATEMENT: TO ENHANCE THE HEALTH AND WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH COMPASSION AND EXCELLENCE. SERVICE EXCELLENCE STANDARD C.A.R.I.N.G. - CUSTOMER/PATIENTS FIRST - ACKNOWLEDGE AND GREET OTHERS - REACH OUT TO HELP AND FOLLOW THROUGH - INITIATE CONTACT AND COMMUNICATE - NURTURE OTHERS - GIVE ATTENTION TO DETAIL
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS: SUTTER EAST BAY HOSPITALS CONTINUE TO BE COMMITTED PARTNERS WITH THE COMMUNITIES WE SERVE. IN 2014, THE EAST BAY PROVIDED $154.1 MILLION IN COMMUNITY BENEFIT, INCLUDING MORE THAN $39 MILLION IN PROGRAMS AND SERVICES FOR THE MOST VULNERABLE MEMBERS OF OUR COMMUNITY AND $43 MILLION IN FINANCIAL ASSISTANCE TO PATIENTS WHO COULD NOT OTHERWISE AFFORD CARE. OUR PROGRAMS RANGE FROM ACCESS TO CARE AND CHRONIC DISEASE MANAGEMENT INITIATIVES TO CARE DEVELOPMENT PROGRAMS FOR THE YOUTH. ALTA BATES SUMMIT MEDICAL CENTER DURING 2002, ALTA BATES MEDICAL CENTER MERGED WITH SUMMIT MEDICAL CENTER (A RELATED 501(C)(3) HOSPITAL), CREATING ALTA BATES SUMMIT MEDICAL CENTER (ABSMC). THIS ORGANIZATION CONSISTS OF TWO NON-PROFIT HOSPITALS PROVIDING ACUTE CARE AND EMERGENCY MEDICAL AND SURGICAL SERVICES TO INPATIENTS AND OUTPATIENTS OF THE SAN FRANCISCO BAY AREA. ABSMC HAS DEVELOPED STRENGTHS IN SPECIALTY AREAS SUCH AS HIGH-RISK OBSTETRICS, NEONATOLOGY, MENTAL HEALTH, CANCER TREATMENT, REHABILITATION AND CARDIOLOGY. ABSMC IS LOCATED ON THREE CAMPUSES IN OAKLAND AND BERKELEY. IT IS LICENSED FOR 851 ACUTE CARE BEDS AND 93 PSYCH BEDS. IT OPERATES A FREESTANDING IMAGING CENTER, THUNDER ROAD, AN ADOLESCENT TREATMENT CENTER, AND SAMUEL MERRITT UNIVERSITY, A FULLY-ACCREDITED AND PRIVATE HEALTH SCIENCES INSTITUTION WITH 1,300 STUDENTS. IN 2014, ABSMC HAD 32,000 DISCHARGES, 191,000 OUTPATIENT VISITS, 91,000 VISITS TO ITS EMERGENCY DEPARTMENTS; 6,500 BABIES WERE BORN AT ABSMC. SPECIALTY HOSPITAL SERVICES INCLUDE THE FOLLOWING: ACUTE REHABILITATION, BARIATRICS, BEHAVIORAL HEALTH, CARDIOVASCULAR SURGERY, COMPREHENSIVE COMMUNITY CANCER CENTER, EAST BAY AIDS CLINIC, LEVEL III NICU. 1. REHABILITATION SERVICES - THE DISABLED COMMUNITY HEALTH CLINIC: FOCUSES ON FOSTERING INDEPENDENCE WITHIN THE DISABLED COMMUNITY. THE PROGRAM FOCUSES ON OUTPATIENT DELIVERY OF CARE, AND SERVICE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THIS PROGRAM ALSO ALLOWS DISABLED PERSONS TO GAIN ACCESS TO NEEDED SUB-SPECIALTIES. - PHYSICAL AND OCCUPATIONAL THERAPY EDUCATIONAL PROGRAM: PROVIDED TO ORGANIZATIONS SUCH AS CHURCHES, SENIOR CENTERS, MULTIPLE SCLEROSIS, POST-POLIO GROUPS, AND HALL OF HEALTH GROUPS. OFFERS EDUCATIONAL SEMINARS YEARLY ON THE TOPICS OF BACK CARE, STAIR CLIMBING, AND AMBULATORY MOBILITY. - STROKE SUPPORT GROUP: FOR STROKE SURVIVORS, FAMILY AND FRIENDS. - ARTHRITIS SUPPORT SERVICES: IN CONJUNCTION WITH THE ARTHRITIS FOUNDATION, REHAB SERVICES OFFERS FREE SUPPORT AND EDUCATION PROGRAMS TO THE COMMUNITY. MONTHLY MEETINGS OF THIS GROUP FEATURE EXPERTS ON MANY TOPICS OF INTEREST TO PEOPLE LIVING WITH ARTHRITIS. - REHAB CAREGIVERS SUPPORT GROUP: OFFERED TO FAMILY MEMBERS AND FRIENDS WHO HAVE SOMEONE WHO HAS BEEN THROUGH THE ACUTE REHABILITATION PROGRAM AT THE HERRICK CAMPUS. THE PROGRAM ADDRESSES THE NEEDS OF CAREGIVERS ASSISTING A PERSON LIVING WITH PHYSICAL DISABILITIES AND NEEDING SUPPORT. 2. RESPIRATORY SERVICES - ADULT ASTHMA EDUCATION: TEACHES PATIENTS TO UNDERSTAND ASTHMA MEDICATIONS AND SELF-MANAGEMENT. MONTHLY THREE HOUR EDUCATIONAL PROGRAMS FOR PATIENTS WITH ASTHMA. - ASTHMA MANAGEMENT RESOURCE CENTER: PROVIDES A SYSTEMIZED APPROACH TO ASTHMA MANAGEMENT FOR PATIENTS. PATIENTS ARE PROVIDED APPROPRIATE EDUCATION, MEDICAL APPLIANCES AND MEDICATION FREE OF CHARGE. PATIENTS ARE REFERRED TO LOCAL COMMUNITY CLINICS FOR ANY FURTHER CLINICAL SERVICES. - ASTHMA SUPPORT GROUP: PROVIDES FREE EDUCATION AND SUPPORT TO PERSONS WITH ASTHMA FOLLOWING PARTICIPATION IN PULMONARY REHABILITATION. THE GROUPS MEET MONTHLY. 3. OLDER ADULT SERVICES VARIOUS PROGRAMS FOCUS ON ENSURING THAT THE BASIC NEEDS OF THE OLDER ADULT POPULATION ARE MET, AND THAT OLDER ADULTS WHO ARE POOR HAVE ACCESS TO HEALTH CARE, WITH AN EMPHASIS ON PREVENTIVE CARE. PROGRAMS MADE AVAILABLE TO OLDER ADULTS INCLUDE HEALTH FAIRS, THE ALZHEIMER CAREGIVER SUPPORT GROUP, AND CAREGIVER TRAINING PROGRAMS. OTHER PROGRAMS INCLUDE: - TELE-CARE PROGRAM: FREE TELEPHONE PROGRAM THAT PROVIDES DAILY REASSURANCE CALLS 365 DAYS A YEAR TO THOSE WHO MAY BE HOME-BOUND, DISABLED, CONVALESCING FROM AN ILLNESS, RETIRED, A WIDOW OR WIDOWER. THE TARGET POPULATION IS OVER 60 YEARS OF AGE. RESIDENTS OF ALAMEDA AND CONTRA COSTA COUNTIES ARE ELIGIBLE TO PARTICIPATE IN THE PROGRAM. - HEALTH ACCESS: PROVIDES ON-GOING MONTHLY LECTURES ON TOPICS OF INTEREST TO SENIORS, SUCH AS, NUTRITION, DIABETES CARE, BLOOD PRESSURE SCREENING, COPING WITH ALZHEIMER'S DISEASE AND OTHERS, FREE OF CHARGE. - LIFELINE: PROVIDES PERSONAL EMERGENCY RESPONSE SERVICES TO OLDER ADULTS, THE FRAIL AND PHYSICALLY CHALLENGED IN THE COMMUNITY. 4. WOMEN AND INFANT SERVICES - NEONATAL INTENSIVE CARE UNIT (NICU): THE UNIT FOCUSES NOT ONLY ON THE MEDICAL NEEDS OF THE BABY, BUT ON ITS DEVELOPMENTAL NEEDS AS WELL. THE NICU, WHICH SERVES A LARGE PERCENTAGE OF UNINSURED, IS BASED ON THE PHILOSOPHY THAT THE FAMILY IS THE PATIENT, NOT JUST THE INFANT AND THAT THE GOAL IS TO DISCHARGE THE MOST COMPETENT PARENT(S) AND MOST COMPETENT INFANT POSSIBLE. - NEONATAL TRANSPORT: PROVIDES A CLINICAL TEAM FOR INFANT TRANSPORT FROM A COMMUNITY HOSPITAL TO ALTA BATES SUMMIT NICU. - BREAST FEEDING SUPPORT PROGRAM: OFFERS LACTATION CONSULTANT AVAILABILITY IN THE HOSPITAL, PARTICIPATION ON THE ALAMEDA BREASTFEEDING TASK FORCE AND COOPERATIVE ENDEAVORS WITH BERKELEY WOMEN INFANT AND CHILDREN'S (WIC) PROGRAMS. - LABOR AND DELIVERY PARENT EDUCATION/CHILDBIRTH EDUCATION PROGRAM: CLASSES AND LECTURES EMPHASIZING WHAT TO EXPECT WHEN PREGNANT, FROM CHANGES IN FAMILY DYNAMICS (BIG BROTHER/BIG SISTER CLASS AND BECOMING A FATHER) TO LECTURES ABOUT PREPARING FOR BREASTFEEDING AND COPYING WITH LABOR PAINS. SOME COURSES REQUIRE A FEE, MOST ARE PROVIDED FREE OF CHARGE. - THE PARENT SHARE SUPPORT PROGRAM: NURSES FROM THE ABSMC NURSERY STAFF LEAD SUPPORT GROUP MEETINGS TWICE A MONTH FOR PARENTS WHO HAVE INFANTS IN THE NICU. ALTA BATES SUMMIT ALSO SPONSORS AN ANNUAL NURSERY REUNION FOR ITS NICU "GRADUATES." - INFANT FOLLOW-UP PROGRAM: PROVIDES DEVELOPMENTAL DIAGNOSTIC FOLLOW-UP SERVICES TO APPROXIMATELY 175 INFANTS DISCHARGED EACH YEAR FROM THE NICU. THE PROGRAM OPERATES AN OUTPATIENT CLINIC WEEKLY. DIAGNOSTIC SERVICES INCLUDE DEVELOPMENTAL HISTORY, PSYCHO-SOCIAL ASSESSMENT, NEURO-DEVELOPMENTAL AND PHYSICAL EXAMINATION BY NURSES, A CHILD PSYCHOLOGIST AND PHYSICIAN, AND REFERRAL TO COMMUNITY RESOURCES FOR ON-GOING DEVELOPMENTAL INTERVENTIONS - SPECIAL CONNECTIONS PROGRAM: SUPPORT GROUP FOR HOSPITALIZED HIGH-RISK ANTEPARTUM WOMEN. WOMEN ARE VISITED IN THE HOSPITAL BY FORMER ANTEPARTUM PATIENTS WHO SHARE CONCERNS AND OFFER ADVICE ON DEALING WITH THE FRUSTRATION OF BEING ON BED REST. - SUPPORT AFTER NEONATAL DEATH (SAND): PROVIDES SUPPORT FOR PARENTS WHO EXPERIENCE FETAL OR NEONATAL DEATH (IN THE EAST BAY.) SUPPORT SERVICES INCLUDE HELPING THE PARENTS COPE WITH THE DEATH, ARRANGING BURIAL SERVICES, AND SCHEDULING ON-GOING SUPPORT AND COUNSELING. THE GROUP SUPPORT AND COUNSELING IS ALSO AVAILABLE FOR PARENTS WHO HAVE DELIVERED AT HOSPITALS OTHER THAN ABSMC. 5. ONCOLOGY SERVICES/SUPPORT GROUPS - BREAST CANCER SUPPORT GROUP FOR WOMEN UNDER 40: FOCUSES ON THE SPECIAL NEEDS AND CONCERNS OF YOUNGER WOMEN. PROGRAM IS PROVIDED FREE OF CHARGE. - GUIDED RELAXATION AND VISUALIZATION: INNOVATIVE APPROACH TO REDUCING STRESS AND ANXIETY AND CREATING POSITIVE, LIFE-AFFIRMING IMAGES FOR PEOPLE LIVING WITH CANCER. PROGRAM IS PROVIDED FREE OF CHARGE. - MARKSTEIN CANCER EDUCATION AND PREVENTION CENTER: DEDICATED TO DECREASING THE INCIDENCE OF CANCER THROUGH EARLY DETECTION AND OUTREACH EDUCATION. THE CENTER PROVIDES A VAST ARRAY OF OUTREACH AND EDUCATIONAL ACTIVITIES - INCLUDING BUT NOT LIMITED TO, THE CENTER'S FREE CLINIC OF COMPLIMENTARY THERAPY, BREAST CANCER AND GENERAL CANCER SUPPORT GROUPS AND THE "LOOK GOOD FEEL BETTER" PROGRAM. - COMPREHENSIVE CANCER CENTER OUTREACH EFFORTS: LOCATED AT THE HERRICK CAMPUS OF THE MEDICAL CENTER, OFFERS MORE THAN 18 DIFFERENT COMMUNITY OUTREACH PROGRAMS AND SERVICES, INCLUDING A CANCER RESOURCE CENTER AND SEVERAL SUPPORT GROUPS AND EDUCATION ACTIVITIES. - NEWLY DIAGNOSED BREAST CANCER SUPPORT GROUP: GOAL OF THIS GROUP IS TO SUPPORT THE NEWLY DIAGNOSED PATIENT, PROVIDE INFORMATION, AND A FORUM TO SHARE FEELINGS AND CONCERNS. PROGRAM IS PROVIDED FREE OF CHARGE. - PARTNERS OF WOMEN WITH BREAST CANCER: PROVIDES A SUPPORTIVE ENVIRONMENT FOR PARTNERS OF WOMEN WITH CANCER TO TALK ABOUT THEIR EMOTIONS AND CONCERNS. PROGRAM IS PROVIDED FREE OF CHARGE. - SEXUALITY, INTIMACY AND BREAST CANCER WORKSHOP: OVERALL VIEW OF THE IMPACT BREAST CANCER CAN HAVE ON ONE'S INTIMATE LIFE. PROGRAM IS PROVIDED FREE OF CHARGE. - SUPPORT GROUP FOR FRIENDS AND FAMILY COPING WITH CANCER IN A LOVED ONE: A DROP-IN SUPPORT GROUP FOR SPOUSES, PARTNERS, SIBLINGS, PARENTS, ADULT CHILDREN AND FRIENDS WHO ARE COPING WITH CANCER IN A LOVED ONE. PROGRAM IS PROVIDED FREE OF CHARGE. - LOOK GOOD...FEEL BETTER: TIPS ON WIGS, HEAD COVERINGS AND SKIN CARE FOR WOMEN IN CHEMOTHERAPY. PROGRAM IS PROVIDED FREE OF CHARGE.
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS CONTINUED: COMMUNITY BENEFIT PROGRAMS (55): - ASTHMA EDUCATION CLASS (ADULT) - ASTHMA MANAGEMENT RESOURCE CENTER - ALTA BATES CAMPUS - ASTHMA MANAGEMENT RESOURCE CENTER - SUMMIT CAMPUS - CASH DONATIONS AND SPONSORSHIPS - ED UTILIZE/CARE TRANSITIONS RNCT LIFELONG, AHS, LA CLINICA - HEART-2-HEART COLLABORATION - INTERIM CARE PROGRAM FOR HOMELESS - LIFELONG PARTNERSHIP - LIFELONG AT HERRICK-BERKELEY PRIMARY CARE ACCESS CLINIC - PATIENT NAVIGATION PROGRAM WITH LA CLINICA - PATIENT NAVIGATION PROGRAM WITH LIFELONG - PROJECT RESPECT WITH LIFELONG - LIFELONG WEST OAKLAND PANEL MANAGEMENT FOR HYPERTENSION - CLINICAL LAB TUITION REIMBURSEMENT - CODE C PRESCRIPTION PROGRAM - COMMUNITY BENEFIT PLAN PREPARATION AND IMPLEMENTATION - COMPREHENSIVE CANCER CENTER CLASSES - COMPREHENSIVE CANCER CENTER SUPPORT GROUPS - COMPREHENSIVE CANCER CENTER WORKSHOPS AND PRESENTATIONS - DIABETES CENTER (37092) - DIABETES CENTER EDUCATION AND OUTREACH AND SUPPORT GROUPS - DIABETES CENTER IN-KIND CONTRIBUTIONS - DIABETES RESOURCE PROJECT - DISABLED COMMUNITY HEALTH CENTER - EAST BAY AIDS CENTER EDUCATION AND OUTREACH - ETHNIC HEALTH INSTITUTE - FAMILY RESOURCE CENTERS - HEALTH ACCESS PROGRAM - HEALTH SCIENCE LIBRARIES - HOSPITAL QUALITY ASSURANCE CHFT PLEDGE - LEASED SPACED USED AS COMMUNITY BENEFIT - MARKSTEIN CANCER CENTER RESOURCE CENTER - MARKSTEIN CANCER CENTER SCREENINGS - MARKSTEIN CANCER CENTER SUPPORT GROUPS - MEDICAL ENTITLEMENT DIVERSIFIED SERVICES - MEETING ROOMS FREE OF CHARGE TO NON-PROFIT ORGANIZATIONS - MPI - PATIENT ASSISTANCE FUND - PATIENT TRANSPORTATION - PHARMACEUTICAL DELIVERY - PHARMACEUTICAL WASTE RECYCLING - PRESCHOOL COMMUNICATION PROGRAM - REDI (IRS REPORTABLE) - REDI (PHARM-NON-IRS) - REGIONAL BEHAVIORAL HEALTH SERVICES - REGIONAL REHABILITATION SUPPORT SERVICES - SOCIAL SERVICES CASH AND IN-KIND CONTRIBUTIONS - SOCIAL SERVICES HOME HEALTH SERVICES - SOCIAL SERVICES SNF TRANSFER AGREEMENTS - TELE-CARE - WEST OAKLAND SAN PABLO CORRIDOR PARTNERSHIP - WOMAN AND INFANTS - INFANT FOLLOW-UP PROGRAM - WOMAN AND INFANTS - NEONATAL INTENSIVE CARE UNIT - WOMAN AND INFANTS - NEONATAL TRANSPORT - WOMAN AND INFANTS - PARENT EDUCATION AND SUPPORT GROUPS - YOUTH BRIDGE CAREER DEVELOPMENT PROGRAM SUTTER DELTA MEDICAL CENTER SUTTER DELTA IS LOCATED IN ANTIOCH. IT IS LICENSED FOR 145 ACUTE CARE BEDS AND OPERATES A LEVEL II TRAUMA CENTER THAT TREATED 2,000 PATIENTS IN 2014. IN 2014, SUTTER DELTA MEDICAL CENTER HAD 7,700 DISCHARGES, 20,000 OUTPATIENT VISITS, 56,000 VISITS TO ITS EMERGENCY DEPARTMENT; 1,000 BABIES WERE BORN AT SUTTER DELTA MEDICAL CENTER. SPECIALTY HOSPITAL SERVICES INCLUDE BREAST HEALTH, A COMMUNITY CLINIC, A WOUND CARE CENTER AND A LEVEL II NICU. - ASTHMA MANAGEMENT RESOURCE CENTER: PROVIDES A SYSTEMIZED APPROACH TO ASTHMA MANAGEMENT FOR PATIENTS. PATIENTS ARE PROVIDED APPROPRIATE EDUCATION, MEDICAL APPLIANCES AND MEDICATION FREE OF CHARGE. PATIENTS ARE REFERRED TO LOCAL COMMUNITY CLINICS FOR ANY FURTHER CLINICAL SERVICES. - CARE TRANSITIONS NURSE PROGRAM AND ED NAVIGATOR PROGRAM: WORKING CLOSELY WITH ABSMC CASE MANAGEMENT, REGISTERED NURSES, FUNDED BY COMMUNITY BENEFIT CONTRIBUTIONS, ARE PLACED AT EACH OF THREE LOCAL HEALTH CENTERS. THE PRIMARY ROLE OF THE NURSES IS TO ENSURE FOLLOW UP APPOINTMENTS FOR INPATIENTS AND PATIENTS AFTER AN EMERGENCY DEPARTMENT VISIT, AND TO PROVIDE TELEPHONIC ASSESSMENT AS NEEDED AFTER DISCHARGE, INCLUDING MEDICATION RECONCILIATION. THE ED NAVIGATOR IS AN ADJUNCT TO THIS INITIATIVE PROVIDING NON-CLINICAL ASSISTANCE WITH LINKAGES TO COMMUNITY RESOURCES. - LA CLINICA PITTSBURG CLINIC: EXPANSION TO STAY OPEN FOUR EVENINGS A WEEK TO EXPAND ACCESS AND TREATED UNDERSERVED. - COMMUNITY EVENT DONATIONS AND SPONSORSHIPS: CASH CONTRIBUTIONS TO SUPPORT COMMUNITY EVENTS. - COMMUNITY HEALTH FAIRS AND EDUCATION: EDUCATION AND SCREENINGS AT HEALTH FAIRS SUCH AS BLOOD PRESSURE, GLUCOSE, PULMONARY SCREENINGS, ETC. - EVERY WOMAN COUNTS/SAVE A LIFE SISTER: BREAST EXAMS, MAMMOGRAMS, AND OTHER PROCEDURES FOR UNINSURED AND UNDERINSURED WOMEN. - HEALTHY FAMILIES, MEDI CAL AND COUNTY ENROLLMENTS: PATIENTS APPROVED FOR MEDI-CAL FOR THE FIRST TIME, INCLUDING SOCIAL WORK AND DIVERSIFIED HEALTHCARE RESOURCES HOURS FOR ENROLLING PATIENTS. - HOSPITAL QUALITY ASSURANCE CHFT PLEDGE: PLEDGE PAYMENT TO CALIFORNIA HOSPITAL CHARITABLE FOUNDATION TRUST (CHFT). CHFT HAS ESTABLISHED A GRANT FUND FOR THE SPECIFIC PURPOSE OF AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS INDEPENDENT HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA. - OTHER HEALTH PROFESSIONAL EDUCATION: CLINICAL EXPERIENCE FOR DIETICIANS, PHYSICAL THERAPISTS, PHARMACISTS, SOCIAL SERVICES, ETC. - PAYMENT TO PHYSICIANS FOR TREATING UNINSURED PATIENTS: PAYMENT TO PHYSICIANS FOR UNINSURED PATIENTS SEEN IN THE ER/HOSPITAL. - PSYCHIATRIC EVALUATION REIMBURSEMENT TO ON CALL PHYSICIAN: REIMBURSEMENT TO ON-CALL PHYSICIAN FOR PSYCHIATRIC EVALUATION IN THE DELTA EMERGENCY DEPARTMENT FOR PATIENTS WHO DO NOT QUALIFY UNDER INSURANCE OR ANY OTHER PROGRAMS. - SCHOLARSHIPS AND FUNDING FOR PROFESSIONAL EDUCATION: SCHOLARSHIPS DONATED TO THE COMMUNITY FOR STUDENTS PURSUING CAREERS IN THE MEDICAL FIELD. - SDMC COMMUNITY EDUCATION ROOMS: HOURS USED BY COMMUNITY GROUPS IN THE COMMUNITY EDUCATION AND CONFERENCE ROOMS. - SPECIAL CARE NURSERY SUBSIDIZED SERVICE: A SERVICE LINE (NEONATAL CARE) OPERATING AT A NEGATIVE MARGIN THAT IS NEEDED IN THE COMMUNITY AND IS NOT BEING DUPLICATED BY ANOTHER PROVIDER. - TRANSPORTATION: TAXI AND BUS EXPENSES FOR PATIENTS WHO DO NOT HAVE OTHER TRANSPORTATION OPTIONS TO GET HOME AFTER BEING TREATED. COMMUNITY BENEFIT PROGRAMS (16) - ASTHMA MANAGEMENT RESOURCE CENTER - DELTA - ED UTILIZATION AND CARE TRANSITIONS PILOT PROJECT - EXPANSION OF LA CLINICA PITTSBURG CLINIC - COMMUNITY EVENT DONATIONS AND SPONSORSHIPS - COMMUNITY HEALTH FAIRS AND EDUCATION - EVERY WOMAN COUNTS/SAVE A LIFE SISTER - HEALTHY FAMILIES, MEDI-CAL AND COUNTY ENROLLMENTS - HOSPITAL QUALITY ASSURANCE CHFT PLEDGE - OTHER HEALTH PROFESSIONAL EDUCATION - PAYMENT TO PHYSICIANS FOR TREATING UNINSURED PATIENTS - PSYCHIATRIC EVALUATION REIMBURSEMENT TO ON-CALL PHYSICIAN - SCHOLARSHIPS AND FUNDING FOR PROFESSIONAL EDUCATION - SDMC COMMUNITY CLINIC - SDMC COMMUNITY EDUCATION ROOMS - SPECIAL CARE NURSERY-SUBSIDIZED SERVICE - TRANSPORTATION AWARDS AND ACCOMPLISHMENTS ABSMC: - 2014 HIGH PERFORMING RANKING FOR 6 SPECIALTIES (US NEWS & WORLD REPORT) - 2014 "A" HOSPITAL SAFETY SCORE (THE LEAPFROG GROUP) - 2014 TOP 100 QUALITY, PATIENT SAFETY & EFFICIENCY (THE SAFECARE GROUP) - 2014 TOP 2% OF US INPATIENT REHABILITATIONS FACILITIES (UNIFORM DATA SYSTEM FOR MEDICAL REHABILITATION) - 2014 GOLD PLUS QUALITY ACHIEVEMENT AWARD & TARGET STROKE HONOR ROLL (AHA / AMERICAN STROKE ASSOCIATION) - 2014 ALAMEDA COUNTY EMS PROFESSIONAL PARTNER AWARD SUTTER DELTA MEDICAL CENTER: - 2014 HIGH PERFORMING RANKING IN 2 SPECIALTIES (US NEWS & WORLD REPORT) - 2014 MEDICAL EXCELLENCE: TOP 10% HOSPITALS IN THE NATION FOR NEUROLOGY AND STROKE CARE (CARECHEX)
FORM 990, PART VI, LINE 1A	THE AFFAIRS AND MANAGEMENT OF SUTTER EAST BAY HOSPITALS (SEBH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SEBH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF AT LEAST FIVE BOARD MEMBERS INCLUDING SEBH'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 SEBH. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, LINES 6 & 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	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 LEADERS 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) ($ 37,573,762) PARTNERSHIP INCOME ON BOOKS NOT ON RETURN $ 6,867,853 K-1 ORDINARY INCOME ($ 6,865,913) K-1 INTEREST INCOME ($ 2,281) K-1 LONG TERM CAPITAL GAIN $ 1,113 OTHER CHANGES IN FUND BALANCE $ 60,081 ERROR SUSPENSE $ 13,479 ------------ ($ 37,499,430) ============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	EINEIN
ALTA BATES SUMMIT MED CTR SURG PROP COMP
3875 TELEGRAPH AVE	OAKLAND	CA	94609	BLDG RENTAL	CA	$579,958	$4,894,879	SUTTER EBH
MEDICAL CENTER MAGNETIC IMAGING LLC
350 HAWTHORNE AVE	OAKLAND	CA	94609	HEALTHCARE	CA	$5,676,980	$9,216,707	SUTTER EBH	562442446

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ADOLESCENT TREATMENT CENTERS INC
390 40TH STREET	OAKLAND	CA	94609	680088443	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes (true)
BETTER HEALTH EAST BAY FOUNDATION
3012 SUMMIT STREET 3RD FLOOR	OAKLAND	CA	94609	510160184	FUNDRAISING	CA	501(C)(3)	7	SUTTER EBH	Yes (true)
CALIFORNIA PACIFIC MEDICAL CTR FOUND
2015 STEINER STREET 2ND FLOOR	SAN FRANCISCO	CA	94115	942728423	FUNDRAISING	CA	501(C)(3)	7	SUTTER WBH	Yes (true)
EAST BAY PERINATAL CENTER
3012 SUMMIT STREET 3RD FLOOR	OAKLAND	CA	94609	510172285	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes (true)
EDEN MEDICAL CENTER
20103 LAKE CHABOT ROAD	CASTRO VALLEY	CA	94546	942948100	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
MEMORIAL HOSPITAL FOUNDATION
1800 COFFEE ROAD SUITE 76	MODESTO	CA	95355	942290244	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER CVH	Yes (true)
MILLS-PENINSULA HEALTH SERVICES
1501 TROUSDALE DRIVE	BURLINGAME	CA	94010	941156265	HOSPITAL	CA	501(C)(3)	3	PAMF	Yes (true)
MILLS-PENINSULA HOSPITAL FOUNDATION
1501 TROUSDALE DRIVE	BURLINGAME	CA	94010	237288765	FUNDRAISING	CA	501(C)(3)	7	MPHS	Yes (true)
PALO ALTO MEDICAL FOUNDATION
2350 EL CAMINO REAL	MOUNTAIN VIEW	CA	94040	941156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SAMUEL MERRITT UNIVERSITY
450 30TH STREET 2840	OAKLAND	CA	94609	942992642	UNIVERSITY	CA	501(C)(3)	2	SUTTER EBH	Yes (true)
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
11815 EDUCATION ST	AUBURN	CA	95602	942594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER CENTRAL VALLEY HOSPITALS
1800 COFFEE ROAD SUITE 76	MODESTO	CA	95355	941080917	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER COAST HOSPITAL
800 E WASHINGTON BLVD	CRESCENT CITY	CA	95531	942988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER DAVIS HOSPITAL FOUNDATION
PO BOX 1617	DAVIS	CA	95617	680217870	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER EAST BAY MEDICAL FOUNDATION
3687 MT DIABLO BLVD 200	LAFAYETTE	CA	94549	942690415	HEALTHCARE	CA	501(C)(3)	11B - II	SUTTER HLTH	Yes (true)
SUTTER GOULD MEDICAL FOUNDATION
600 COFFEE ROAD	MODESTO	CA	95355	941682256	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	942788907	SUPPORTING OR	CA	501(C)(3)	11c III-FI	NA	false
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RD	EWA BEACH	HI	96706	990298651	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER HEALTH PLAN
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	461183948	HEALTH PLAN	CA	PENDING	PENDING	SUTTER HLTH	Yes (true)
SUTTER HEALTH SACRAMENTO SIERRA REGION
PO BOX 160727	SACRAMENTO	CA	95816	941156621	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (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	Yes (true)
SUTTER MEDICAL CENTER FOUNDATION
PO BOX 160727	SACRAMENTO	CA	95816	942788906	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER MEDICAL CENTER CASTRO VALLEY
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	770146047	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER MEDICAL FOUNDATION
2800 L STREET 7TH FLOOR	SACRAMENTO	CA	95816	680273974	HEALTHCARE	CA	501(C)(3)	11b - II	SUTTER HLTH	Yes (true)
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
ONE MEDICAL PLAZA	ROSEVILLE	CA	95661	680040113	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER SOLANO CHARITABLE FOUNDATION
300 HOSPITAL DRIVE	VALLEJO	CA	94589	942668262	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes (true)
SUTTER VISITING NURSE ASSOC AND HOSPICE
1900 POWELL ST 300	EMERYVILLE	CA	94608	946068843	HEALTHCARE	CA	501(C)(3)	9	SUTTER HLTH	Yes (true)
SUTTER WEST BAY HOSPITALS
2333 BUCHANAN STREET	SAN FRANCISCO	CA	94115	940562680	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
SUTTER WEST BAY MEDICAL FOUNDATION
2015 STEINER STREET 1ST FLOOR	SAN FRANCISCO	CA	94115	942948131	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes (true)
TRACY HOSPITAL FOUNDATION
1420 N TRACY BLVD	TRACY	CA	95376	680318845	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER CVH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
MAGNETIC IMAGING AF
175 LENNON	WLN CK	CA	94598	942953833	PATIENT CARE	CA	SUTTER EBH	RELATED	$1,769,507	$2,023,450	false	$0	0.73001
SURG CTR OF ABSMC
3875 TELEGRAPH	OAKLAND	CA	94609	470946086	OUTPATIENT SURG	CA	SUTTER EBH	RELATED	$4,782,792	$4,484,693	false	$0	0.51100
ALTA CT SERVICES LP
175 LENNON	WLN CK	CA	94598	943083464	PATIENT CARE	CA	SUTTER EBH	RELATED	$270,775	$696,064	false	$0	0.83765
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102	NOVATO	CA	94948	562311840	MRI JOINT VENTURE	CA	NA
SAN FRANCISCO ENDOSCOPY CENTER LLC
3000 RIVERCHASE	BIRMINGHAM	AL	35244	912160588	ENDOSCOPY JV	CA	NA
PRESIDIO SURGERY CENTER LLC
1635 DIVISADERO	SF	CA	94115	320144060	AMBULATORY SURG	CA	NA
SUTTER FAIRFIELD SURGERY CTR
2700 LOW CT	FAIRFIELD	CA	94533	300233892	SURGERY	CA	NA
TWIN CITIES SURGICAL HOSPITAL LLC
250 S WACKER	CHICAGO	IL	60606	352182617	SURGERY	CA	NA
SUTTER AMADOR SURGERY CENTER LLC
2200 RIVER PLAZA DRIVE	SACRAMENTO	CA	95833	461398093	SURGERY	CA	NA
ROSEVILLE ENDOSCOPY CENTER LLC
4 MEDICAL PLAZA SUITE 210	ROSEVILLE	CA	95661	870710513	ENDOSCOPY JV	CA	NA
MEMORIAL MEDICAL OFFICE BUILDING I
1800 COFFEE RD SUITE 76	MODESTO	CA	95355	770287288	OFFICE RENTAL	CA	NA
MEMORIAL MEDICAL OFFICE BUILDING II
1800 COFFEE RD SUITE 76	MODESTO	CA	95355	770287288	OFFICE RENTAL	CA	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH VENTURES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	350 HAWTHORNE ST	AddressLine1Txt
City	OAKLAND	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94609	ZIPCd

Field	Value	IRS element (for citing)
EIN	942918780	EIN
Primary Activities	HEALTH SERVICES	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Controlled Organization	Yes (true)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SUTTER WEST BAY HOSPITALS
l	$1,227,676	FMV
MILLS PENINSULA HEALTH SERVICES
m	$69,180	FMV
SUTTER WEST BAY HOSPITALS
m	$82,606	FMV
BETTER HEALTH EAST BAY FOUNDATION
r	$300,020	FMV
SUTTER EAST BAY MEDICAL FOUNDATION
j	$623,890	FMV
SAMUEL MERRIT UNIVERSITY
r	$738,996	FMV
ADOLESCENT TREATMENT CENTERS
r	$1,247,000	FMV
EAST BAY PERINATAL CENTER
r	$1,745,000	FMV
SUTTER EAST BAY MEDICAL FOUNDATION
l	$11,246,678	FMV