2014-10-31T12:37:14-05:00 2013-12-31 ERNST & YOUNG US LLP 4370 LA JOLLA VILLAGE DR STE 500 SAN DIEGO CA 92122 990 2013-01-01 941196176 SUTTER EAST BAY HOSPITALS % TERESA HO SUTT 9162866665 3012 SUMMIT STREET 3RD FLOOR Suite OAKLAND CA 94609 John Gates CFO 9162866665 2014-10-28 true DEBRA HEISKALA P00649485 9162866665 2013 2015-11-30 17:44:51Z DAVID BRADLEY 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 1187691325 false X WWW.SUTTERHEALTH.ORG X 1936 CA SEE SCHEDULE O 18 13 5890 499 565042 5442689 1938458 1230583778 1176121482 5461327 373140 5878962 5204657 1247366756 1183637737 801688 301171 0 0 647334589 627761652 0 0 0 530811482 621264215 1178947759 1249327038 68418997 -65689301 1042901185 1015572782 648774867 625273746 394126318 390299036 X SEE SCHEDULE O false false 1146460075 301171 1176121482 SEE SCHEDULE O 1146460075 true true false false false false false false false true true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false true true true true false false true 1059 0 true 5890 true true true false false false false false false false false false X 18 13 false false false false true true true true true false false false true true true true true true true true true CA X TERESA HO 5108698284 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 CHRISTOPHER BECNEL TRUSTEE, CHAIR 1.0 0.0 X X 0 0 0 DAVID BLACK MD TRUSTEE, VICE CHAIR 1.0 0.0 X X 0 0 0 DAVID BRADLEY Regional President, East Bay 40.0 0.0 X X 0 1178191 230213 MICHAEL DAVIES TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL DIGIACOMO DPM TRUSTEE, CHAIR FIN & PLANNING 1.0 0.0 X X 0 0 0 ERIC DOVICHI MD TRUSTEE 1.0 0.0 X 0 0 0 VINCENT FORTE TRUSTEE 1.0 0.0 X 0 0 0 DAVID L FREY TRUSTEE 1.0 0.0 X 0 0 0 PAT FRY PRESIDENT & CEO SUTTER HEALTH 1.0 40.0 X 0 3989362 2020826 OWEN GARRICK MD TRUSTEE 1.0 0.0 X 0 0 0 ROGER HENRY JR TRUSTEE 1.0 0.0 X 0 0 0 CORNELIUS HOPPER MD TRUSTEE 1.0 0.0 X 0 0 0 SARAH KREVANS COO, SUTTER HEALTH 1.0 40.0 X 0 2264199 372873 DONALD G NELSON TRUSTEE 1.0 0.0 X 0 0 0 ROGER PHELPS MD TRUSTEE, COS 1.0 0.0 X 43599 0 0 JEFFREY B RANDALL MD TRUSTEE 1.0 0.0 X 0 0 0 THEODORE SAENGER TRUSTEE 1.0 0.0 X 0 0 0 ANNETTE M SHAIEB MD TRUSTEE 1.0 0.0 X 0 0 0 GREGORY BROWN VP & REG COUNSEL, EB (PT YEAR) 40.0 0.0 X 0 183990 26645 AMY CELLA VP & REG COUNSEL, EB (PT YEAR) 40.0 0.0 X 0 210701 21455 JOHN GATES CFO WEST BAY & EAST BAY REGION 40.0 0.0 X 0 1090615 103106 NICHOLAS ABSTON REGIONAL CIO, EAST BAY 40.0 0.0 X 0 412489 57553 AARON ADAMS CFO, ABSMC 40.0 0.0 X 0 486937 57641 MARK W BEITING REGIONAL VP, HR, EAST BAY 40.0 0.0 X 0 284225 37344 SUSAN C BUMATAY PCE, DELTA 40.0 0.0 X 0 337178 33427 ADRIENNE EDENS VP & CIO, EAST BAY REGION 40.0 0.0 X 0 326610 31249 JAMES H HICKMAN REGIONAL VP, PHILANTHROPY EB 40.0 0.0 X 0 353121 67899 VIRGINIA L KOSMIN CNE, ABSMC 40.0 0.0 X 0 357431 46451 STEPHEN H LOCKHART MD REGIONAL VP & CMO, EAST BAY 40.0 0.0 X 0 660838 96249 BONNIE MORGAN CHARGE NURSE, DELTA 40.0 0.0 X 180987 0 27864 STEPHEN F O'BRIEN MD VP MEDICAL AFFAIRS, ABSMC 40.0 0.0 X 0 542135 62913 BRION PEARSON VP MEDICAL AFFAIRS, DELTA 40.0 0.0 X 283297 0 31633 MARY A PELKEY ADMIN DIR, HR, ABSMC 40.0 0.0 X 0 291152 34852 JULIE L PETERSON CFO, DELTA 40.0 0.0 X 0 326091 40605 JULIE PETRINI COO, ABSMC 40.0 0.0 X 0 413550 59315 CHARLES J PROSPER CEO, ABSMC 40.0 0.0 X 0 691440 156262 GARY D RAPAPORT CEO, SUTTER DELTA MEDICAL CTR 40.0 0.0 X 0 598547 92592 TODD C SMITH REGION VP, STRGY & BUS DEV, EB 40.0 0.0 X 0 450969 68535 DORI STEVENS VP PATIENT CARE SERVICES,DELTA 40.0 0.0 X 0 323094 45455 KRISTA TOUROS AA, FINANCE, ABSMC 40.0 0.0 X 0 284367 40165 CAROL A WEIS CNE, ABSMC 40.0 0.0 X 0 326851 47120 RONNY CHINN DIR.- MED PHYSICS & RAD SVCS 40.0 0.0 X 304061 0 40760 WILLIAM DEWOLF MD DIR. PHY NETWORK DEV. 40.0 0.0 X 304621 0 41512 LEONARDO R DOMINGUEZ AA, PROF & CARDIAC SVCS, ABSMC 40.0 0.0 X 314011 24631 37719 SUSAN SCHULER CRNA-LEAD CERT RN ANESTHETIST 40.0 0.0 X 314134 0 30132 HONG ZHANG REGIONAL DIR-MEDICAL (EH/OM) 40.0 0.0 X 338962 0 38655 ED BERDICK SVP SH Shared Svcs 0.0 40.0 X 0 1712630 356051 GLORIA B HARMON ADMIN DIRECTOR REHAB SERVICES 0.0 40.0 X 0 161952 11792 BRIAN T HUNTER VP SHARED SVCS SUTTER HEALTH 0.0 40.0 X 0 684882 122790 VIKI L ARDITO VP PATIENT CARE SVCS, ABSMC 0.0 40.0 X 0 240754 0 2083672 19208932 4589653 1906 true true false ADVANCED CLINICAL EMPLOYMENT 28276 STATE HWY 75 ONEONTA AL 35121 STAFFING SERVICES 18759137 EAST BAY PERINATAL MED ASSOC 4996 MILDEN RD MARTINEZ CA 94553 MEDICAL SERVICES 6153608 ALLIED SECURITY HOLDING LLC PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY SERVICES 5542217 PARKING CO OF AMERICA MGMT LLC 160 DEMETER ST EAST PALO ALTTO CA 90241 PARKING SERVICES 5403831 GRANT AND WEBER PO BOX 2999 PHOENIX AZ 85062 COLLECTION AGENCY 5276759 195 24680 1852974 60804 1938458 PATIENT SERVICE REVENUE 622110 1166998883 1166998883 THE SURGERY CENTER OF ABSMC, LLC 622110 4847973 4847973 MAGNETIC IMAGING AFFILIATES (MIA) 622110 2401964 2401964 RENTAL TO AFFILIATES 900099 1479209 1479209 ALTA CT SERVICES 622110 340635 340635 52818 52818 1176121482 334547 334547 0 0 4848313 4053588 794725 0 794725 794725 38593 38593 38593 0 0 0 CAFETERIA 900099 2165958 2165958 PARKING 900099 1678932 1678932 UBI - LABORATORY 621500 444938 444938 120104 120104 4409932 1183637737 1176121482 565042 4974162 301171 301171 0 0 0 10836581 10836581 414498 414498 371905489 344730281 27175208 29620347 26658312 2962035 180907185 162784437 18122748 34077552 30659787 3417765 4046148 4046148 853062 853062 145465 145465 0 0 237182 237182 85744937 85739357 5580 1483005 1483005 21301279 16715203 4586076 37774179 37552207 221972 0 11939832 11939832 794553 793358 1195 0 193323 192979 344 5257846 5257846 0 0 60612356 57937396 2674960 12233998 12233998 MEDICAL SUPPLIES 130038281 130038281 PURCHASED SERVICES 109405318 107950686 1454632 HOSPITAL PROVIDER FEES 76789676 76789676 SYSTEM ALLOCATION 16688079 16688079 45725696 20014184 25711512 1249327038 1146460075 102866963 0 0 0 45575168 49053826 0 0 190113723 179961671 0 0 0 0 0 0 16227743 13575975 4494446 3582810 1517360951 848749283 565220535 668611668 123491255 43490024 0 0 7359520 8411381 2688499 2688499 87730296 46196928 1042901185 1015572782 193875465 181961856 0 0 0 0 440219430 437517428 0 0 0 0 0 0 0 0 14679972 5794462 648774867 625273746 X 391058789 387004020 311543 539030 2755986 2755986 394126318 390299036 1042901185 1015572782 X -65689301 85878 61776141 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 89606793 193455 13255208 893686 -129213 102290983 2767473 63856 14902464 -71873000 89606793 2755986 -135044 -146531 2767473 2755986 2755986 2755986 2755986 0.09000 0.71000 0.20000 false false 0 26074835 26074835 0 773151348 552219872 220931476 0 4278095 3748269 529826 0 360294791 284569952 75724839 0 353561882 8211190 345350692 668611668 0 INSURANCE LIABILITIES 5474072 THIRD PARTY SETTLEMENTS 320390 5794462 X PART V, LINE 1E OTHER EXPENDITURES FOR FACILITIES AND PROGRAMS THE 2011 ENDING BALANCE ONLY INCLUDES ALTA BATES SUMMIT MEDICAL CENTER. ENDOWMENTS NOW INCLUDE ALL ENTITIES OF SUTTER EAST BAY HOSPITAL GROUP - ALTA BATES SUMMIT MEDICAL CENTER, ALTA BATES SUMMIT FOUNDATION, DELTA MEDICAL HOSPITAL FOUNDATION, AND SAMUEL MERRITT UNIVERSITY. LINE 1E INCLUDES AN ADJUSTMENT OF $62,727,459, THE 2012 BEGINNING BALANCES OF THE ADDITIONAL FOUNDATIONS. PART V, LINE 4 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ENDOWMENTS ARE FROM FOUR 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. PART X, LINE 2 ASC 740 (FIN48) FOOTNOTE FROM AUDIT THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE COMBINED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2013 AND 2012, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. true true X true X true X true true false true true 24596956 0 24596956 0.01970 363929795 184253194 179676601 0.14380 490239 971770 -481531 0.00040 389016990 185224964 203792026 0.16310 40 47853 3836018 1410905 2425113 0.00190 4 54 492678 0 492678 0.00040 11 6828 5540690 1725197 3815493 0.00310 1 0 427368 0 427368 0.00030 15 1064 4521070 0 4521070 0.00360 71 55799 14817824 3136102 11681722 0.00930 71 55799 403834814 188361066 215473748 0.17240 3 4 242437 158921 83516 0.00010 3 4 242437 158921 83516 0.00010 false 18171806 0 265552300 323763983 -58211683 X true true 6 1 ALTA BATES SUMMIT MEDICAL CENTER 350 HAWTHORNE AVENUE OAKLAND CA 94069 WWW.SUTTERHEALTH.ORG 140000284 X X X A 2 SUMMIT CAMPUS 3100 SUMMIT STREET OAKLAND CA 94609 WWW.SUTTERHEALTH.ORG 140000284 X X X A 3 ALTA BATES CAMPUS 2450 ASHBY AVENUE BERKELEY CA 94705 WWW.SUTTERHEALTH.ORG 140000004 X X X A 4 HERRICK CAMPUS 2001 DWIGHT WAY BERKELEY CA 94705 WWW.SUTTERHEALTH.ORG 140000004 X X A 5 MPI CHEMICAL DEPENDENCY RECOVERY HOSP 3012 SUMMIT STREET OAKLAND CA 94609 WWW.SUTTERHEALTH.ORG 140000232 X A 6 SUTTER DELTA MEDICAL CENTER 3901 LONE TREE WAY ANTIOCH CA 94509 WWW.SUTTERHEALTH.ORG 140000258 X X X A A true X X X X X X X X X 13 true true true X SEE PART VI X SEE PART VI X X X X X false false true true 200. true 400. true X X X X X true true X X true false X X X X true X X false false 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 Ambulatory Surgery 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 EY MD LASER AND SURGERY CENTER 481 30TH STREET OAKLAND CA 94609 OUTPATIENT SERVICES 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. PART I, LINE 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. PART I, LINE 7G THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $454,911. 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. 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. 2013 OUTCOMES FROM THE YOUTH BRIDGE PROGRAM INCLUDED: - 120 EAST BAY STUDENTS LIVING IN THE MOST AT-RISK ZIP CODES PARTICIPATED IN THE PROGRAM. - OF THESE STUDENTS, 20 WERE HIGH SCHOOL SENIORS; ALL SUCCESSFULLY GRADUATED HIGH SCHOOL AND WERE ACCEPTED AND CURRENTLY ATTENDING 4-YEAR COLLEGES OR UNIVERSITIES. - 120 STUDENTS WERE PROVIDED PAID SUMMER INTERNSHIPS AT ABSMC, EDEN MEDICAL CENTER AND ELSEWHERE IN THE COMMUNITY. - IN ADDITION, 50 MIDDLE SCHOOL STUDENTS PARTICIPATED IN A 5-WEEK YOUTH IN MEDICINE CAMP WITH SAMUEL MERRITT UNIVERSITY. SUTTER DELTA MEDICAL CENTER SUTTER DELTA MEDICAL CENTER (SDMC) FUNDED A JUNIOR VOLUNTEER PROGRAM WHERE VOLUNTEERS PROVIDED COMFORT TO PATIENTS AND HELPED WITH TASKS. 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. PART III, QUESTION 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% AND 89% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013 AND 2012 RESPECTIVELY. 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 33% AS OF 12/31/13 29% AS OF 12/31/12 MEDI-CAL 21% AS OF 12/31/13 23% AS OF 12/31/12 DURING 2013 AND 2012, 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 CHANGES 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 $375 MILLION AND $370 MILLION FOR 2013 AND 2012, RESPECTIVELY. PART III, LINE 7 MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. 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. 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. 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 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: - 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) - 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. 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 ZLP 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 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. ALTA BATES SUMMIT MEDICAL CENTER AND SUTTER DELTA MEDICAL CENTER'S COMMUNITY BENEFIT INITIATIVES ALIGN WITH THE FOLLOWING PILLARS: 1) CONNECT PATIENTS TO THE RIGHT CARE, PLACE AND TIME THROUGH ACCESS TO PRIMARY CARE AND MENTAL HEALTH SERVICES. 2) INVEST IN VULNERABLE AREAS TO ENSURE CAPACITY OF CARE MEETS DEMANDS OF VULNERABLE POPULATIONS. 3) COLLABORATE TO INFLUENCE BEHAVIOR TO UTILIZE PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT AND COMMUNITY SERVICES. 4) BUILD COMMUNITY CAPACITY AND IMPROVE HEALTH. THE 2013- 2015 IMPLEMENTATION 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: ALTA BATES SUMMIT MEDICAL CENTER THE LACK OF ACCESS TO MENTAL HEALTH SERVICES AND TREATMENT FOR SUBSTANCE ABUSE IS AN IDENTIFIED PRIORITY HEALTH NEED FOR ABSMC. MPI TREATMENT SERVICES, INC., A COMMUNITY BENEFIT PROGRAM OF ALTA BATES SUMMIT MEDICAL CENTER, OFFERS A COMPLETE RANGE OF CHEMICAL DEPENDENCE TREATMENT IN FIVE DISTINCT LEVELS OF CARE INCLUDING DETOXIFICATION, INPATIENT REHABILITATION, RESIDENTIAL REHABILITATION, DAY TREATMENT AND MORNING/EVENING INTENSIVE OUTPATIENT PROGRAMS. 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, IN COLLABORATION WITH THE COMMUNITY HEALTH CENTER NETWORK, LA CLINICA, ASIAN HEALTH SERVICES AND LIFELONG, WILL IMPROVE THE CARE TRANSITION FOR TARGETED UNINSURED AND UNDERINSURED PATIENTS BETWEEN ALTA BATES SUMMIT MEDICAL CENTER 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. IN ADDITION, ABSMC WILL ALSO COLLABORATE WITH 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, NOW IN ITS 5TH YEAR, 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 WILL COLLABORATE WITH LIFELONG MEDICAL CARE, THE CITY OF BERKELEY HEALTH DEPARTMENT, AND OTHER PARTNERS TO EXPAND IN SOUTH BERKELEY H2H INITIATIVE IN ORDER TO ADDRESS DISPARITIES IN CARDIOVASCULAR DISEASE, ESPECIALLY IN HYPERTENSIVE HEART DISEASE. WEST OAKLAND IS THE MOST VULNERABLE ZIP CODE IN BOTH ALAMEDA AND CONTRA COSTA COUNTIES AND THERE ARE MORE COMMUNITY MEMBERS FROM WEST OAKLAND WHO RECEIVE NON-URGENT CARE IN THE EMERGENCY DEPARTMENT THAN ANY OTHER ZIP CODE IN THE SERVICE AREA. IN ORDER TO CONNECT PATIENTS TO THE RIGHT CARE, RIGHT PLACE, AND RIGHT TIME THROUGH ACCESS TO PRIMARY CARE, ABSMC WILL COLLABORATE WITH THE WEST OAKLAND HEALTH CENTER, AS APPROPRIATE, TO IMPROVE THE CARE TRANSITION FOR TARGETED UNINSURED AND UNDERINSURED PATIENTS BETWEEN ALTA BATES SUMMIT MEDICAL CENTER AND WEST OAKLAND HEALTH CENTER. INITIATIVE OBJECTIVES AIM TO 1) PROVIDE WARM HANDOFFS; 2) ESTABLISH AND MONITOR COMPLIANCE AND OUTPATIENT HOSPITALIZATION FOLLOW-UP APPOINTMENTS; AND 3) ESTABLISH CARE PLANS FOR PATIENTS AT HIGHEST RISK. WORKING WITH WEST OAKLAND PARTNERS, ALTA BATES SUMMIT WILL DEVELOP AND IMPLEMENT A MODEL THAT REPLICATES BEST PRACTICES OF COMMUNITY ENGAGEMENT AND COMMUNITY CAPACITY BUILDING. THE FOCUS OF THIS PARTNERSHIP WILL BE TO ENHANCE ACCESS TO CARE, CHRONIC DISEASE MANAGEMENT, AND REDUCING HEALTH DISPARITIES. THE 2013 CHNA IDENTIFIED THE LACK OF ACCESS TO BASIC FOOD, SHELTER AND JOBS AS A HEALTH NEED FOR THE COMMUNITY. IN RESPONSE TO THIS NEED, ABSMC IMPLEMENTED A PROGRAM CALLED YOUTH BRIDGE. YOUTH BRIDGE IS A YEAR-ROUND CAREER DEVELOPMENT PROGRAM DESIGNED TO PROVIDE HIGH SCHOOL AND COLLEGE STUDENTS WITH SUPPORT AND GUIDANCE TO COMPLETE HIGH SCHOOL, PURSUE HIGHER EDUCATION, AND ULTIMATELY OBTAIN GAINFUL EMPLOYMENT. THE PROGRAM PROVIDES MENTORS AND PAID SUMMER INTERNSHIPS AT THE MEDICAL CENTER AND THROUGHOUT THE COMMUNITY. IN ADDITION, 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. PART VI, LINE 5 (CONTINUED) SUTTER DELTA MEDICAL CENTER SUTTER DELTA COMMUNITY CLINIC. A COMMUNITY BENEFIT PROGRAM OF SDMC, PROVIDES DROP-IN URGENT CARE FOR UNINSURED EAST COUNTY RESIDENTS SIX EVENINGS A WEEK. IN 2012, MORE THAN 4,500 PATIENTS RECEIVED URGENT CARE THROUGH THE CLINIC. CURRENTLY THE COMMUNITY CLINIC IS OPEN 24 EVENING HOURS A WEEK AND PLANS ARE IN PLACE TO EXPAND THESE HOURS IN THE FUTURE. IN ADDITION, SDMC HAS AN INITIATIVE TO ESTABLISH A STRONGER WORKING RELATIONSHIP WITH LA CLINICA, A FEDERALLY QUALIFIED HEALTH CENTER. THIS COLLABORATION WILL IMPROVE CARE TRANSITIONS FOR TARGETED PATIENTS BETWEEN SDMC AND LA CLINICA, DECREASE NON-URGENT (LEVEL1 AND LEVEL2) EMERGENCY DEPARTMENT VISITS, DECREASE READMISSIONS OF LA CLINICA PATIENTS TO SDMC, AND PROVIDE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED PATIENTS. SDMC, IN COLLABORATION WITH THE DIABETES CENTER OF ALTA BATES SUMMIT MEDICAL CENTER AND THE LOS MEDANOS COMMUNITY HEALTHCARE DISTRICT, WILL PROVIDE A RECURRING SERIES OF FOUR-WEEK CLASS TO APPROXIMATELY 100 - 200 SDMC PATIENTS AND BAY POINT AND PITTSBURG RESIDENTS. 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 WILL HELP PATIENTS LEARN HOW TO: o UNDERSTAND DIABETES DISEASE PROCESS AND TREATMENT OPTIONS; o INCORPORATE NUTRITIONAL MANAGEMENT AND PHYSICAL ACTIVITY IN THEIR LIFESTYLES; o USE MEDICATIONS SAFELY AND FOR MAXIMUM THERAPEUTIC EFFECTIVENESS; o MONITOR BLOOD GLUCOSE, AND OTHER PARAMETERS, AND INTERPRETING THE RESULTS FOR SELF-MANAGEMENT DECISION MAKING; o PREVENT, DETECT AND TREAT ACUTE AND CHRONIC COMPLICATIONS; AND o DEVELOP PERSONAL STRATEGIES THAT ADDRESS PSYCHOSOCIAL ISSUES AND CONCERNS AND PROMOTE HEALTH AND BEHAVIOR CHANGE. SAVE A LIFE SISTER PROVIDES BREAST CANCER SCREENING AND DIAGNOSTIC SERVICES FOR ALL ADULT RESIDENTS OF EAST CONTRA COSTA COUNTY, WHO DUE TO LOW INCOME AND/OR LACK OF HEALTH COVERAGE, DO NOT HAVE ACCESS TO THESE CRITICAL SERVICES. IF CANCER IS DETECTED, A NURSE NAVIGATOR LINKS WOMEN TO TREATMENT SERVICES. IN ADDITION, EDUCATION AND SUPPORT SERVICES ARE OFFERED AS WELL. 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 ALMOST 50,000 PHYSICIANS, EMPLOYEES, AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. IT'S BETTER FOR PATIENTS: WE BELIEVE THIS COMMUNITY-OWNED, NOT-FOR-PROFIT APPROACH TO HEALTH CARE BEST SERVES OUR PATIENTS AND OUR COMMUNITIES -FOR MULTIPLE REASONS. FIRST OF ALL, IT'S GOOD FOR PATIENTS. ACCORDING TO THE JOURNAL OF GENERAL INTERNAL MEDICINE (APRIL 2000), PATIENTS TREATED AT FOR-PROFIT OR GOVERNMENT-OWNED HOSPITALS WERE TWO-TO-FOUR TIMES MORE LIKELY TO SUFFER PREVENTABLE ADVERSE EVENTS THAN PATIENTS TREATED AT NOT-FOR-PROFIT INSTITUTIONS. OUR STOCKHOLDERS ARE OUR COMMUNITIES: INVESTOR-OWNED, FOR-PROFIT HEALTH SYSTEMS HAVE A FINANCIAL INCENTIVE TO AVOID CARING FOR UNINSURED AND UNDERINSURED PATIENTS. THEY ALSO HAVE A FINANCIAL INCENTIVE TO AVOID HARD-TO-SERVE POPULATIONS AND "UNDESIRABLE" GEOGRAPHIC AREAS SUCH AS RURAL AREAS. FOR MANY NORTHERN CALIFORNIA'S UNDERSERVED RURAL LOCALES, SUTTER HEALTH IS THE ONLY PROVIDER OF HOSPITAL AND EMERGENCY MEDICAL SERVICES IN THE COMMUNITY. PROVIDING CHARITY CARE AND SPECIAL PROGRAMS TO COMMUNITIES: OUR COMMUNITIES' SUPPORT HELPS US EXPAND SERVICES, INTRODUCE NEW PROGRAMS AND IMPROVE MEDICAL TECHNOLOGY. ACROSS OUR NETWORK, EVERY SUTTER HOSPITAL, PHYSICIAN ORGANIZATION AND CLINIC HAS A SPECIAL STORY TO TELL ABOUT FULFILLING VITAL COMMUNITY NEEDS. OUR COMMITMENT TO COMMUNITY BENEFIT: MEETING THE HEALTH CARE NEEDS OF OUR COMMUNITIES IS THE CORNERSTONE OF SUTTER HEALTH'S NOT-FOR-PROFIT MISSION. THIS INCLUDES DIRECTLY SERVING THOSE WHO CANNOT AFFORD TO PAY FOR HEALTH CARE AND SUPPORTING PROGRAMS AND SERVICES THAT HELP THOSE IN FINANCIAL NEED. SUTTER HEALTH NOW PROVIDES AN AVERAGE OF MORE THAN $3 MILLION IN CHARITY CARE PER WEEK. IN 2013, OUR NETWORK OF PHYSICIAN ORGANIZATIONS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS INVESTED $901 MILLION IN HEALTH CARE PROGRAMS, SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED. THIS INCLUDES: - THE COST OF PROVIDING CHARITY CARE; - THE UNPAID COSTS OF PARTICIPATING IN MEDI-CAL; AND - INVESTMENTS IN MEDICAL RESEARCH, HEALTH EDUCATION AND COMMUNITY-BASED PUBLIC BENEFIT PROGRAMS SUCH AS SCHOOL-BASED CLINICS AND PRENATAL CARE FOR PATIENTS. SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS CONTINUED TO GROW, REACHING ANOTHER ALL-TIME HIGH OF $166 MILLION IN 2013. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT - CALIFORNIA true COMMUNITY HEALTH CENTER NETWORK 101 CALLON AVE 3RD FLOOR SAN LEANDRO CA 94577 943253662 501(C)(3) 100000 YOUTH ALIVE 3300 ELM STREET OAKLAND CA 94609 943143254 501(C)(3) 71202 GENERAL SUPPORT LIFELONG MEDICAL CARE PO BOX 11247 BERKELEY CA 94712 942502308 501(C)(3) 62500 PROGRAM SUPPORT MARCH OF DIMES 1050 SAMSOME STREET SAN FRANCISCO CA 94111 131846366 501(C)(3) 35000 GENERAL SUPPORT FRIENDS OF FAITH 418 30TH STREET 4TH FLOOR OAKLAND CA 94602 943307705 501(C)(3) 11919 GENERAL SUPPORT OAKLAND METROPOLITAN CHAMBER OF COMMERCE 475 14TH STREET OAKLAND CA 946121903 940726580 501(C)(3) 7800 GENERAL SUPPORT 6 0 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 true true false false false false false true false NICHOLAS ABSTON REGIONAL CIO, EAST BAY 0 292240 0 104958 0 15291 0 55002 0 2551 0 470042 0 100032 AARON ADAMS CFO, ABSMC 0 335651 0 106884 0 44402 0 50725 0 6916 0 544578 0 117377 VIKI L ARDITO VP PATIENT CARE SVCS, ABSMC 0 3662 0 0 0 237092 0 0 0 0 0 240754 0 0 MARK W BEITING REGIONAL VP, HR, EAST BAY 0 201516 0 75909 0 6800 0 23173 0 14171 0 321569 0 75909 ED BERDICK SVP SH Shared Svcs 0 793936 0 765256 0 153438 0 336916 0 19135 0 2068681 0 718832 DAVID BRADLEY Regional President, East Bay 0 675355 0 418602 0 84234 0 214816 0 15397 0 1408404 0 488302 BRIAN T HUNTER VP SHARED SVCS SUTTER HEALTH 0 459691 0 170600 0 54591 0 103780 0 19010 0 807672 0 195964 GREGORY BROWN VP & REG COUNSEL, EB (PT YEAR) 0 106981 0 50105 0 26904 0 18378 0 8267 0 210635 0 0 SUSAN C BUMATAY PCE, DELTA 0 252351 0 66170 0 18657 0 19699 0 13728 0 370605 0 77889 AMY CELLA VP & REG COUNSEL, EB (PT YEAR) 0 4374 0 125434 0 80893 0 18921 0 2534 0 232156 0 158934 RONNY CHINN DIR.- MED PHYSICS & RAD SVCS 255595 0 18240 0 30226 0 11467 0 29293 0 344821 0 0 0 WILLIAM DEWOLF MD DIR. PHY NETWORK DEV. 277963 0 23141 0 3517 0 11467 0 30045 0 346133 0 0 0 LEONARDO R DOMINGUEZ AA, PROF & CARDIAC SVCS, ABSMC 259078 0 17404 0 37529 24631 11467 0 26252 0 351730 24631 0 22500 ADRIENNE EDENS VP & CIO, EAST BAY REGION 0 275205 0 20008 0 31397 0 24267 0 6982 0 357859 0 4385 PAT FRY PRESIDENT & CEO SUTTER HEALTH 0 1568936 0 1958195 0 462231 0 1986744 0 34082 0 6010188 0 2310942 JOHN GATES CFO WEST BAY & EAST BAY REGION 0 602581 0 196871 0 291163 0 84396 0 18710 0 1193721 0 191359 GLORIA B HARMON ADMIN DIRECTOR REHAB SERVICES 0 0 0 0 0 161952 0 11792 0 0 0 173744 0 0 JAMES H HICKMAN REGIONAL VP, PHILANTHROPY EB 0 294017 0 58635 0 469 0 50086 0 17813 0 421020 0 58635 VIRGINIA L KOSMIN CNE, ABSMC 0 269793 0 72730 0 14908 0 38994 0 7457 0 403882 0 85930 SARAH KREVANS COO, SUTTER HEALTH 0 909010 0 875587 0 479602 0 348316 0 24557 0 2637072 0 1312940 STEPHEN H LOCKHART MD REGIONAL VP & CMO, EAST BAY 0 415806 0 154248 0 90784 0 77783 0 18466 0 757087 0 237948 BONNIE MORGAN CHARGE NURSE, DELTA 175186 0 3099 0 2702 0 8144 0 19720 0 208851 0 0 0 STEPHEN F O'BRIEN MD VP MEDICAL AFFAIRS, ABSMC 0 400655 0 112469 0 29011 0 55788 0 7125 0 605048 0 112469 BRION PEARSON VP MEDICAL AFFAIRS, DELTA 264789 0 15778 0 2730 0 11467 0 20166 0 314930 0 0 0 MARY A PELKEY ADMIN DIR, HR, ABSMC 0 212887 0 64289 0 13976 0 27577 0 7275 0 326004 0 72285 JULIE L PETERSON CFO, DELTA 0 234916 0 73465 0 17710 0 26918 0 13687 0 366696 0 79865 JULIE PETRINI COO, ABSMC 0 374330 0 32304 0 6916 0 51725 0 7590 0 472865 0 32304 CHARLES J PROSPER CEO, ABSMC 0 469544 0 195029 0 26867 0 137180 0 19082 0 847702 0 207074 GARY D RAPAPORT CEO, SUTTER DELTA MEDICAL CTR 0 345646 0 203344 0 49557 0 77183 0 15409 0 691139 0 237757 SUSAN SCHULER CRNA-LEAD CERT RN ANESTHETIST 287916 0 0 0 26218 0 11467 0 18665 0 344266 0 0 0 TODD C SMITH REGION VP, STRGY & BUS DEV, EB 0 313775 0 113391 0 23803 0 56286 0 12249 0 519504 0 133746 DORI STEVENS VP PATIENT CARE SERVICES,DELTA 0 240336 0 65012 0 17746 0 31897 0 13558 0 368549 0 57942 KRISTA TOUROS AA, FINANCE, ABSMC 0 200701 0 53718 0 29948 0 22470 0 17695 0 324532 0 53718 CAROL A WEIS CNE, ABSMC 0 243253 0 65937 0 17661 0 32818 0 14302 0 373971 0 78837 HONG ZHANG REGIONAL DIR-MEDICAL (EH/OM) 255090 0 25492 0 58380 0 11467 0 27188 0 377617 0 0 0 PART I, LINE 1A RELEVANT INFORMATION REGARDING COMPENSATION ITEMS TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEE'S WAGES AND TAXED ACCORDINGLY. PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION THE CEO OF THE ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. PART I, LINE 4A & 4B SEVERANCE PAY VIKI ARDITO RECEIVED SEVERANCE PAY IN THE AMOUNT OF $237,092. NONQUALIFIED RETIREMENT PLAN THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403B EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR EARNINGS BEYOND THE PENSION PAY CAP. THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65. TARGET BENEFIT LEVELS VARY BY YEARS OF SERVICE. UNLIKE SUTTER HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. PART I, LINE 7 NON-FIXED PAYMENTS SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE. A 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 NEW FACILITIES & REFUNDI false false false A 15340000 0 88741371 8482181 0 0 0 0 0 0 80259190 0 true false true true B 92525000 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 334386501 0 0 65070000 0 0 0 0 124025000 145291501 true false true true A false true true true true true 0.00960 0.00000 0.00960 false false false true B false true true true true true 0.01830 0.00030 0.01860 false false false true C false false true true true true 0.00000 0.00000 0.00000 false false false true D false false false false false false 0 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true GLOBAL DISCLOSURE PART I, COLUMN (E): 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. Part II, Line 7 Issuance costs were funded through equity contributions. SEBH SPECIFIC 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. PART I, LINE A, COLUMN (F): 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. PART I, LINE B, COLUMN (F): 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. PART III, COLUMN (D): THE BONDS ARE "NEW MONEY" BONDS FOR CONSTRUCTION NOT YET COMPLETED. ALTA EAST BAY PATHOLOGY INC SEE PART V 842002 SEE PART V false SCHEDULE L, PART IV DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS ANNETTE SHAIEB, MD, TRUSTEE OF SUTTER EAST BAY HOSPITALS (SEBH) IS A PART OWNER OF ALTA EAST BAY PATHOLOGY, INC. (AEBP). DURING THE YEAR, SEBH PAID AEBP FOR MEDICAL SERVICES VIA AN ARMS-LENGTH AGREEMENT. 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 (SEBH) PROVIDES ACUTE CARE AND EMERGENCY MEDICAL AND SURGICAL SERVICES TO INPATIENTS AND OUTPATIENTS IN THE EAST BAY REGION OF THE SAN FRANCISCO BAY AREA. SEBH CONSIST OF THE HOSPITAL CAMPUSES OF ALTA BATES MEDICAL CENTER, SUMMIT MEDICAL CENTER AND SUTTER DELTA MEDICAL CENTER. IN 2002, ALTA BATES MEDICAL CENTER MERGED WITH SUMMIT MEDICAL CENTER (A RELATED 501(C)(3) HOSPITAL), CREATING ALTA BATES SUMMIT MEDICAL CENTER (ABSMC). IN 2009, ABSMC BECAME SUTTER EAST BAY HOSPITALS AND IN 2010, SUTTER DELTA MEDICAL CENTER, A RELATED 501(C)(3) HOSPITAL MERGED INTO SEBH. IN 2013, THERE WERE A TOTAL OF 198,727 PATIENT DAYS. ABSMC HAS DEVELOPED STRENGTHS IN SPECIALTY AREAS SUCH AS HIGH-RISK OBSTETRICS, NEONATOLOGY, MENTAL HEALTH, CANCER TREATMENT, REHABILITATION AND CARDIOLOGY. IN 2013, ABSMC CONTRIBUTED MORE THAN $10.6 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES, REACHING MORE THAN 120,000 COMMUNITY MEMBERS. SEVERAL OF THESE PROGRAMS ARE DESCRIBED BELOW. 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 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 NEWBORN INTENSIVE CARE UNIT (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 ON. 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 6. CHRONIC DISEASE SERVICES * EAST BAY AIDS CENTER: PROVIDES A COMPREHENSIVE PROGRAM OF PRIMARY HIV CARE AND ACCESS TO CLINICAL TRAILS AS WELL AS CONSULTATION AND SUPPORT SERVICES THROUGHOUT THE CONTINUUM OF HIV DISEASE. THIS OUTPATIENT SERVICE IS THE LEADER IN PROVIDING PRIMARY HIV CARE AMONG EAST BAY COMMUNITY HOSPITALS AND CARES FOR OVER 500 PEOPLE EACH YEAR, 20% OF WHOM ARE WOMEN. * ALTA BATES SUMMIT MEDICAL CENTER/CHILDREN'S HOSPITAL JOINT SICKLE CELL PROGRAM: PROVIDES CARE TO PERSONS WHO ARE IMPACTED BY SICKLE CELL, A GENETICALLY INHERITED DISORDER. THE PROGRAM OFFERS A COMPREHENSIVE APPROACH TO INPATIENT AND OUTPATIENT MEDICAL SERVICES, AND ALSO PROVIDES FOR THE SOCIAL AND EDUCATIONAL NEEDS OF ITS PATIENTS. * DIABETES CENTER: PROVIDES CLINICAL SERVICES, DISEASE MANAGEMENT AND EDUCATION FOR PEOPLE WITH DIABETES. SERVICES ALSO INCLUDE; A SPEAKER'S BUREAU, A FREE METER PROGRAM AND OTHER SUPPLIES DONATIONS, SCREENING, AND A SUPPORT GROUP. IN 2009, IMPLEMENTED A NEW PROJECT, AIMED AT INCREASING DIABETES MANAGEMENT BY CAPTURING PATIENTS IN THE ED AND PROVIDING INFORMATION, MEDICATION AND FOLLOW-UP. 7. CARDIOVASCULAR SERVICES SERVICES PROVIDED FREE OR AT A NOMINAL FEE INCLUDE CPR COURSES, CHOLESTEROL SCREENING, BLOOD PRESSURE READINGS AND LECTURES TO LOCAL COMMUNITY GROUPS AND CONFERENCES FOR THE COMMUNITY AND PHYSICIANS. * VASCULAR REHAB EXERCISE EDUCATION: SELF-PACED EXERCISE PROGRAM FOR PEOPLE WHO HAVE LEG PAIN FREE OF CHARGE. * CARDIAC REHABILITATION PATIENT VISITS: VISITS IN THE HOSPITAL TO NON-REIMBURSED PATIENTS TO PROVIDE PATIENT EDUCATION. * CARDIAC REHABILITATION PHONE SERVICE: PHONE CALLS FROM NON-PATIENTS SEEKING CARDIAC REHAB INFORMATION, WHO FOR VARIOUS REASONS CANNOT COME TO THE MEDICAL CENTER. * CARDIAC REHAB PROGRAM-BERKELEY AND ALBANY YMCA'S: NURSE SUPERVISED EXERCISE CLASSES FOR PATIENTS WHO HAVE HAD CARDIAC PROBLEMS. PATIENTS ARE CLOSELY OBSERVED 3 TIMES A WEEK AT THE YMCA. THIS INCLUDES MONITORING OF BLOOD PRESSURE, HEART RHYTHMS, MEDICATION AND WEIGHT EVALUATION. 8. OTHER SERVICES * TUITION REIMBURSEMENT: EMPLOYEES ARE REIMBURSED FOR PROFESSIONAL EDUCATION. * ABSMC NURSING EDUCATION OFFERS A BROAD SELECTION OF EDUCATIONAL CONFERENCES FOR THE BENEFIT OF THE MEDICAL COMMUNITY. THESE LECTURES ARE FREE AND HELP DISSEMINATE INFORMATION THAT IS PERTINENT TO VARIOUS SEGMENTS OF THE PROFESSIONAL COMMUNITY. * CHAPLAINCY: PROVIDES SEVERAL COMMUNITY OUTREACH AND EDUCATIONAL ACTIVITIES. * ETHNIC HEALTH INSTITUTE (EHI): THE PURPOSE OF THE PROGRAM IS TO ENHANCE THE HEALTH AND WILL BEING OF ALL PEOPLE IN THE COMMUNITY, FOCUSING ON THE UNDESERVED POPULATION WHO EXPERIENCE DISPARITIES IN HEALTHCARE AND DISEASE. EHI PROMOTES COMMUNITY HEALTH AWARENESS, ORGANIZATIONAL ALLIANCES, AND HEALTH PROVIDER TRAINING, RESEARCH AND EDUCATION. EHI WORKS IN PARTNERSHIP WITH MORE THAN FIFTY PUBLIC AND PRIVATE HEALTHCARE INSTITUTIONS, SCHOOL DISTRICTS, UNIVERSITY HEALTH PROGRAMS, AND COMMUNITY BASED HEALTH ORGANIZATIONS. * HEALTH MINISTRY PROGRAM: THE PURPOSE OF THE HEALTH MINISTRY PROGRAM IS TO DEVELOP AND SUPPORT HEALTH MINISTRIES IN CONGREGATIONS AND COMMUNITIES THEY SERVE. THE PROGRAM HELPS TO IDENTIFY HEALTH PROBLEMS AMONG CONGREGATION MEMBERS AND ASSIST IN LOCATING AND/OR PROVIDING HEALTH CARE TO THOSE IN NEED. PARISH NURSES WORK WITH CONGREGATIONS TO PROVIDE SUCH BASIC HEALTH CARE SERVICES AS BLOOD PRESSURE AND BLOOD GLUCOSE SCREENINGS, HEALTH COUNSELING, SUPPORT GROUPS, REFERRALS AND HEALTH INFORMATION. * YOUTH BRIDGE CAREER DEVELOPMENT PROGRAM: SINCE 1989, THE MEDICAL CENTER HAS SPONSORED THE YOUTH BRIDGE MENTORING PROGRAM TARGETING AT-RISK TEEN-AGE STUDENTS AND TEEN PARENTS. THE PURPOSE OF THE PROGRAM IS TO ENCOURAGE YOUNG PEOPLE TO CONTINUE THEIR EDUCATION, TO GIVE THEM AN OPPORTUNITY TO EXPERIENCE A PROFESSIONAL WORKING ENVIRONMENT, TO EXPLORE A VARIETY OF PROFESSIONS AND TO LEARN ABOUT HEALTH CARE CAREERS. * MPI: HOSPITAL-BASED PROGRAM FOR ALCOHOLISM AND DRUG ABUSE TREATMENT INCLUDES DETOXIFICATION, IMPATIENT REHABILITATION, RESIDENTIAL REHABILITATION, DAY TREATMENT, AND MORNING AND EVENING INTENSIVE OUTPATIENT PROGRAMS. MPI PROVIDES SEVERAL COMMUNITY OUTREACH AND EDUCATIONAL ACTIVITIES. * PATIENT ASSISTANCE FUND: FUNDS, CONTRIBUTED TO BY STAFF AND OTHER FUND RAISERS, DESIGNATED FOR SUCH THINGS AS MOTEL VOUCHERS, ARC EQUIPMENT, CASH FOR FOOD, TRANSPORT AND LAB TEST. * SAMUEL MERRITT COLLEGE: ASSOCIATED WITH ALTA BATES SUMMIT MEDICAL CENTER. SAMUEL MERRITT COLLEGE PROVIDES SEVERAL COMMUNITY OUTREACH AND EDUCATIONAL ACTIVITIES. * HEALTH SCIENCE LIBRARIES: TWO RESOURCE CENTERS FOR HEALTH CARE PROFESSIONALS. * THUNDER ROAD: PROGRAM ASSISTS YOUTH STRUGGLING WITH PROBLEMS RELATED TO THE ABUSE OF DRUGS, ALCOHOL, NICOTINE AND OTHER BEHAVIORAL HEALTH CONDITIONS, TO OVERCOME THOSE PROBLEMS AND BECOME FUNCTIONING MEMBERS OF THEIR RESPECTIVE COMMUNITIES. 9. SUTTER DELTA MEDICAL CENTER SUTTER DELTA WAS NOTED AS ONE OF HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE IN 2013. IT IS RANKED AMONG THE TOP 5% IN THE NATION FOR OVERALL PULMONARY SERVICES. IT IS RANKED #4 IN CALIFORNIA FOR OVERALL PULMONARY SERVICES IN 2013. IT IS ALSO THE FIVE-STAR RECIPIENT IN THE FOLLOWING CATEGORIES: * HIP FRACTURE TREATMENT IN 2013 * TREATMENT OF HEART FAILURE 4 YEARS IN A ROW (2010-2013) * TREATMENT OF STROKE 8 YEARS IN A ROW (2006-2013) * OVERALL PULMONARY SERVICES IN 2013 * TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 YEARS IN A ROW (2010-2013) * TREATMENT OF PNEUMONIA IN 2013 * TREATMENT OF SEPSIS 5 YEARS IN A ROW (2009-2013) ADDITIONALLY TRAVELNURSINGCENTRAL.COM RATED SUTTER DELTA AS TOP RATED HOSPITAL FOR TRAVELING NURSES. HEALOGICS NAMED THE ADVANCE WOUND CARE CENTER A 2013 CENTER OF EXCELLENCE. 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. 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) $63,581,589 PARTNERSHIP INCOME ON BOOKS NOT ON RETURN 5,896,962 K-1 ORDINARY INCOME (7,643,390) K-1 INTEREST INCOME (42,938) K-1 LONG TERM CAPITAL GAIN (325) OTHER CHANGES IN FUND BALANCE (15,757) ------------ 61,776,141 ============ ALTA BATES SUMMIT MED CTR SURG PROP COMP 3875 TELEGRAPH AVE OAKLAND CA 94609 BLDG RENTAL CA 56651 4604246 SUTTER EBH MEDICAL CENTER MAGNETIC IMAGING LLC 350 HAWTHORNE AVE OAKLAND CA 94609 562442446 HEALTHCARE CA 5676980 6556804 SUTTER EBH ADOLESCENT TREATMENT CENTERS INC 390 40TH STREET OAKLAND CA 94609 680088443 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true ALTA BATES SUMMIT 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 DELTA MEMORIAL HOSPITAL FOUNDATION 3901 LONE TREE WAY ANTIOCH CA 94509 942417022 FUNDRAISING CA 501(C)(3) 11a - 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