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PHY NETWORK DEV. 40.0 0.0 X 300875 0 33563 LEONARDO R DOMINGUEZ AA, PROF & CARDIAC SVCS, ABSMC 40.0 0.0 X 280500 0 23447 SUSAN SCHULER CRNA-LEAD CERT RN ANESTHETIST 40.0 0.0 X 309853 0 20645 HONG ZHANG REGIONAL DIR-MEDICAL (EH/OM) 40.0 0.0 X 332018 0 10996 ED BERDICK SVP SH Shared Svcs 0.0 40.0 X 0 1638864 269901 BRIAN T HUNTER VP SHARED SVCS SUTTER HEALTH 0.0 40.0 X 0 739122 127712 NICHOLAS ABSTON TECHNICAL STRATEGY & OPS EXEC 0.0 40.0 X 0 425496 56047 2020157 18291750 5428179 1755 true true false TOWERS WATSON DELAWARE INC LOCKBOX 28025 NETWORK PL CHICAGO IL 606731280 CONSULTING SERVICES 8567668 EAST BAY PERINATAL MED ASSOCIATES 350 30TH ST STE 208 OAKLAND CA 94609 PHYSICIANS SERVICES 6829674 PARKING CO OF AMERICA MGMT LLC 523 W 6TH ST STE 528 LOS ANGELES CA 90014 PARKING SERVICES 4838319 ALLIED BARTON SECURITY PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY SERVICES 4299253 EAST BAY REG CRITICAL CARE PULMON 2450 ASHBY AVE 2ND FL BERKELEY CA 94705 MEDICAL SERVICES 3678598 165 829936 2249611 0 600 3079547 PATIENT SERVICE REVENUE 622110 1109999130 1109999130 THE SURGERY CENTER OF ABSMC, LLC 622110 4780645 4780645 MAGNETIC IMAGING AFFILIATES (MIA) 622110 1769487 1769487 RENTAL TO AFFILIATES 900099 1598319 1598319 ALTA CT SERVICES 622110 270767 270767 45014 45014 1118463362 -253427 -253427 0 0 3385842 2663659 722183 0 722183 722183 2876478 364445 2512033 2512033 2512033 0 0 0 CAFETERIA 900099 2165957 2165957 PARKING 900099 1678932 1678932 UBI - LABORATORY 621500 360693 360693 161892 161892 4367474 1128891172 1118463362 522585 6825678 960170 960170 8225 8225 0 0 12791658 12791658 0 351561435 306056598 45504837 12459216 10465741 1993475 154675134 129927112 24748022 31274528 26270604 5003924 3061359 3061359 2043600 2043600 144830 144830 0 0 265730 265730 72939379 67097767 5841612 1276904 124923 1151981 5501215 3581663 1919552 41040427 40457722 582705 0 14024564 14024564 273128 218502 54626 0 161737 45807 115930 10872225 10872225 0 60948083 60948083 11699617 11699617 MEDICAL SUPPLIES 138653818 138653818 PURCHASED SERVICES 116945816 94369767 22576049 HOSPITAL PROVIDER FEES 57886867 57886867 PROFESSIONAL FEES 5363327 1649202 3714125 11346826 10063905 1282921 1118179818 985382882 132796936 0 0 0 49053826 49599888 0 0 179961671 128447609 0 0 0 0 0 0 13575975 11525439 3582810 8790782 1563632612 894203419 668611668 669429193 43490024 4141848 0 0 8411381 8784626 2688499 2688499 46196928 120509604 1015572782 1003917488 181961856 136466410 0 0 0 0 437517428 434748853 0 0 0 0 0 0 0 0 5794462 67673015 625273746 638888278 X 387004020 361824438 539030 448786 2755986 2755986 390299036 365029210 1015572782 1003917488 X 10711354 1518250 -37499430 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 102290983 2399541 3914406 1588198 623089 106393643 89606793 193455 13255208 893686 -129213 102290983 2767473 63856 14902464 -71873000 89606793 2755986 -135044 -146531 2767473 2755986 2755986 0.13000 0.62000 0.25000 false false 25419005 25419005 1152481520 573908516 578573004 4278095 3912022 366073 391337146 302191289 89145857 -9883154 14191592 -24074746 669429193 UNAMORTIZED FINANCING COSTS 2910900 INTERCOMPANY RECEIVABLES 24373979 OTHER RECEIVABLES 90016947 OTHER ASSETS 3207778 120509604 0 INSURANCE LIABILITIES 4199252 THIRD PARTY SETTLEMENTS 60202642 CAPITAL LEASES 833170 OTHER LIABILITIES 2437951 67673015 X 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. true true X true X true X true true true false true true 10323481 10323481 0.00920 322963910 233273269 89690641 0.08020 165447 162883 2564 333452838 233436152 100016686 0.08940 30 47087 3936609 2029092 1907517 0.00170 4 177 454035 454035 0.00050 12 4723 5215207 3040469 2174738 0.00190 1 223743 2400 221343 0.00020 22 4091 5775724 5775724 0.00520 69 56078 15605318 5071961 10533357 0.00950 69 56078 349058156 238508113 110550043 0.09890 474 474 2 149886 56162 93724 0.00010 2 150360 56162 94198 0.00010 false 4872095 252595661 278184622 -25588961 X true true 6 1 ALTA BATES SUMMIT MEDICAL CENTER 350 HAWTHORNE AVENUE OAKLAND CA 94069 www.altabatessummit.org LICENSE 14000028 X X X A 2 SUMMIT CAMPUS 3100 SUMMIT STREET OAKLAND CA 94609 www.altabatessummit.org LICENSE 14000028 X X X A 3 ALTA BATES CAMPUS 2450 ASHBY AVENUE BERKELEY CA 94705 www.altabatessummit.org LICENSE 14000000 X X X A 4 HERRICK CAMPUS 2001 DWIGHT WAY BERKELEY CA 94705 www.altabatessummit.org LICENSE 14000000 X X A 5 MPI CHEMICAL DEPENDENCY RECOVERY HOSP 3012 SUMMIT STREET OAKLAND CA 94609 www.altabatessummit.org/mpi LICENSE 14000023 X A 6 SUTTER DELTA MEDICAL CENTER 3901 LONE TREE WAY ANTIOCH CA 94509 www.sutterdelta.org LICENSE 14000025 X X X A A 16 true false true X X X X X X X X X 13 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C true 13 true SEE PART V, SECTION C false false true X 200. 400. X X X true true X X X true X X X X X true X false X X X X true X X false false SCHEDULE H, PART V, SECTION B, LINE 5 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. 20 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 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 true COMMUNITY HEALTH CENTER NETWORK INC 101 CALLON AVE STE 300 SAN LEANDRO CA 94577 943253662 501(C)(3) 415838 LIFELONG MEDICAL CARE PO BOX 11247 BERKELEY CA 94712 942502308 501(C)(3) 356972 PROGRAM SUPPORT FRIENDS OF FAITH INC 418 30TH STREET OAKLAND CA 94602 943307705 501(C)(3) 9656 LA CLINICA DE LA RAZA 1515 FRUITVALE AVE OAKLAND CA 94601 941744108 501(C)(3) 148000 YOUTH ALIVE 3300 ELM STREET OAKLAND CA 94609 943143254 501(C)(3) 24204 5 PATIENT SUPPORT 4 8225 SCHEDULE I, PART I, LINE 2 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. X true true false true false false false false false true false NICHOLAS ABSTON TECHNICAL STRATEGY & OPS EXEC 0 262386 0 143783 0 19327 0 53474 0 2573 0 481543 0 18104 AARON ADAMS CFO, ABSMC 0 326680 0 130509 0 16218 0 53810 0 6679 0 533896 0 12372 MARK W BEITING REGIONAL VP, HR, EAST BAY 0 201929 0 69279 0 14814 0 11094 0 11096 0 308212 0 0 ED BERDICK SVP SH Shared Svcs 0 793820 0 593527 0 251517 0 248054 0 21847 0 1908765 0 0 THOMAS L BONAS ADMIN DIR ABSMC MENTAL HLTH 199229 0 9093 0 5148 0 4269 0 17519 0 235258 0 0 0 DAVID BRADLEY Regional President, East Bay 0 679664 0 379812 0 99422 0 226653 0 19168 0 1404719 0 84475 GREGORY BROWN VP & REG COUNSEL, EB 0 311501 0 29190 0 5764 0 68121 0 15063 0 429639 0 0 SUSAN C BUMATAY PCE, DELTA 0 251576 0 92239 0 11450 0 36550 0 11184 0 402999 0 0 RONNY CHINN DIR MED PHYSICS & RAD SVCS 267903 0 12160 0 5984 0 5199 0 28266 0 319512 0 0 0 WILLIAM DEWOLF MD DIR. PHY NETWORK DEV. 286110 0 11158 0 3607 0 5199 0 28364 0 334438 0 0 0 LEONARDO R DOMINGUEZ AA, PROF & CARDIAC SVCS, ABSMC 265809 0 11835 0 2856 0 5199 0 18248 0 303947 0 0 0 ADRIENNE EDENS VP & CIO, EAST BAY REGION 0 290733 0 123223 0 23120 0 50246 0 7017 0 494339 0 16495 PAT FRY PRESIDENT & CEO SUTTER HEALTH 0 1523132 0 1687050 0 416185 0 2693377 0 34953 0 6354697 0 396136 JOHN GATES CFO WEST BAY & EAST BAY REGION 0 604705 0 303767 0 150021 0 128539 0 18040 0 1205072 0 51581 JAMES H HICKMAN REGIONAL VP, PHILANTHROPY EB 0 293376 0 115023 0 484 0 51747 0 14994 0 475624 0 0 BRIAN T HUNTER VP SHARED SVCS SUTTER HEALTH 0 444061 0 260859 0 34202 0 113451 0 14261 0 866834 0 32973 VIRGINIA L KOSMIN CNE, ABSMC (PART YEAR) 0 165555 0 72930 0 143567 0 17541 0 4235 0 403828 0 13100 SARAH KREVANS COO, SUTTER HEALTH 0 916159 0 689878 0 156449 0 399554 0 24683 0 2186723 0 142787 STEPHEN H LOCKHART MD REGIONAL VP & CMO, EAST BAY 0 417681 0 227399 0 54101 0 135742 0 15213 0 850136 0 35720 STEPHEN F O'BRIEN MD VP MEDICAL AFFAIRS, ABSMC 0 403689 0 109405 0 7413 0 58209 0 7214 0 585930 0 0 BRION PEARSON VP MEDICAL AFFAIRS, DELTA 267541 0 27091 0 2762 0 5199 0 17989 0 320582 0 0 0 MARY A PELKEY ADMIN DIR, HR, ABSMC 0 213794 0 58209 0 9183 0 29886 0 7277 0 318349 0 8127 JULIE L PETERSON CFO, DELTA 0 253939 0 75097 0 7058 0 29424 0 11129 0 376647 0 6700 JULIE PETRINI COO, ABSMC 0 377827 0 84192 0 44163 0 122886 0 7154 0 636222 0 26435 CHARLES J PROSPER CEO, ABSMC 0 467668 0 229108 0 30590 0 179441 0 18261 0 925068 0 14600 GARY D RAPAPORT CEO, SUTTER DELTA MEDICAL CTR 0 347360 0 207219 0 43853 0 36399 0 12914 0 647745 0 33566 SUSAN SCHULER CRNA-LEAD CERT RN ANESTHETIST 293722 0 0 0 16131 0 5199 0 15446 0 330498 0 0 0 TODD C SMITH REGION VP, STRGY & BUS DEV, EB 0 315796 0 161075 0 40521 0 69721 0 10076 0 597189 0 27073 DORI STEVENS VP PATIENT CARE SERVICES,DELTA 0 244770 0 86913 0 4878 0 53767 0 11021 0 401349 0 0 KRISTA TOUROS AA, FINANCE, ABSMC 0 201589 0 76400 0 56015 0 28967 0 13846 0 376817 0 7446 CAROL A WEIS CNE, ABSMC (PART YEAR) 0 242140 0 77301 0 16518 0 33845 0 10691 0 380495 0 0 HONG ZHANG REGIONAL DIR-MEDICAL (EH/OM) 306699 0 23639 0 1680 0 5199 0 5797 0 343014 0 0 0 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. A CSCDA 2004CD 680164610 130795TE7 2008-05-06 87750717 CONSTRUCT & REFUNDING - 2/17/2004 false false false B CHFFA 2008A 521643828 13033F2L3 2008-05-14 329041638 CONSTRUCT & REFUNDING - 2002, 2004 false false false C CHFFA 2011B 521643828 13033LKW6 2011-02-10 470318145 Construct new facilities. false false false D CHFFA 2011D 521643828 13033LVW4 2011-12-22 331759643 CONSTRUCT & REFUNDING - PRE 2003 false false false A 18180000 0 88924485 8608201 0 0 0 0 0 0 80316284 0 true false true true B 104255000 0 329041638 0 0 0 0 0 0 0 329041638 0 true false true true C 0 0 472888501 0 0 0 0 0 0 472888501 0 0 2012 false false true true D 0 0 334684174 0 0 65070000 0 0 0 145589174 124025000 0 2014 true false true true A false true true true true true 0.00040 0.00040 0.00080 false false false true B false true true true true true 0.01020 0.00070 0.01090 false false false true C false false true true true true 0 false false false true D false false false false false false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true SCHEDULE K REPORTING THE ORGANIZATION'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS, INCLUDING THE ORGANIZATION. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET, AND PART VI HEREIN. WITH THE EXCEPTION OF THIS PORTION OF PART VI, THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE. SCHEDULE K, PART I, COLUMN E The filing organization received bond proceeds in the amount of: $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, PART IV 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) ============ ALTA BATES SUMMIT MED CTR SURG PROP COMP 3875 TELEGRAPH AVE OAKLAND CA 94609 BLDG RENTAL CA 579958 4894879 SUTTER EBH MEDICAL CENTER MAGNETIC IMAGING LLC 350 HAWTHORNE AVE OAKLAND CA 94609 562442446 HEALTHCARE CA 5676980 9216707 SUTTER EBH ADOLESCENT TREATMENT CENTERS INC 390 40TH STREET OAKLAND CA 94609 680088443 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true BETTER HEALTH EAST BAY FOUNDATION 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 510160184 FUNDRAISING CA 501(C)(3) 7 SUTTER EBH true CALIFORNIA PACIFIC MEDICAL CTR FOUND 2015 STEINER STREET 2ND FLOOR SAN FRANCISCO CA 94115 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER WBH true EAST BAY PERINATAL CENTER 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 510172285 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true EDEN MEDICAL CENTER 20103 LAKE CHABOT ROAD CASTRO VALLEY CA 94546 942948100 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true MEMORIAL HOSPITAL FOUNDATION 1800 COFFEE ROAD SUITE 76 MODESTO CA 95355 942290244 FUNDRAISING CA 501(C)(3) 11a - 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