2014-10-29T14:00:10-05:00 2013-12-31 346565596 ERNST & YOUNG US LLP 2901 DOUGLAS BLVD STE 300 ROSEVILLE CA 95661 990 2013-01-01 237288765 MILLS-PENINSULA HOSPITAL FOUNDATION MILL 9162866665 1501 Trousdale Drive Burlingame CA 94010 JOHN LODER PRESIDENT 2014-10-22 true Cindy White P01396368 9162181900 2013 2015-11-30 17:44:51Z JOHN LODER 1501 Trousdale Drive Burlingame CA 94010 8284660 false X WWW.SUTTERHEALTH.ORG X 1973 CA SEE SCHEDULE O. 20 18 0 50 0 0 8537979 3929853 2752895 2857002 1430139 1369650 -105250 -33550 12615763 8122955 9628500 5604141 0 0 2040145 2154542 0 0 0 1252625 1274097 12921270 9032780 -305507 -909825 46009544 43431662 6976906 3505817 39032638 39925845 X SEE SCHEDULE O. false false 7910924 5604141 2857002 SEE SCHEDULE O 7910924 true true false false false false false false true true false false false true true false true false false false false false false true true false true true true false false false false false false false false true false false false false true true true false false true X 93 0 true 0 false false false false false true true false false false false X 20 18 false false false false true true true true true false false true true true true true true true true false CA X Michael Zielenski 9162866665 2200 River Plaza Drive Sacramento CA 95833 BONNIE J BERTETTA TRUSTEE/VICE-CHAIR 1.00 0.00 X X 0 0 0 JAMES R CODY TREASURER/TRUSTEE 1.00 0.00 X X 0 0 0 JOHN LODER TRUSTEE & PRESIDENT MPH FDN 40.00 0.00 X X 0 243948 28019 MARY D CHIGOS SECRETARY/TRUSTEE 1.00 0.00 X X 0 0 0 PEGGY BORT JONES CHAIR/TRUSTEE 1.00 0.00 X X 0 0 0 STEVEN M MCLAUGHLIN CHAIR EMERITUS/TRUSTEE 1.00 0.00 X X 0 0 0 ANDREA P METKUS TRUSTEE 1.00 0.00 X 0 0 0 CAROLE J MIDDLETON TRUSTEE 1.00 0.00 X 0 0 0 DAYNA A SUMIYOSHI TRUSTEE 1.00 0.00 X 0 0 0 GEORGE M COHEN MD TRUSTEE 1.00 0.00 X 0 0 0 GOLNAR YAZDI TRUSTEE 1.00 0.00 X 0 0 0 HARRIET B BOROFSKY MD TRUSTEE 1.00 0.00 X 0 0 0 J BRAD CRAIG TRUSTEE 1.00 0.00 X 0 0 0 JILL FLYNN TRUSTEE 1.00 0.00 X 0 0 0 JOHN RUTGERS TRUSTEE 1.00 0.00 X 0 0 0 KEITH MCWILLIAMS TRUSTEE 1.00 0.00 X 0 0 0 KIM SCHOKNECHT TRUSTEE 1.00 0.00 X 0 0 0 MARGARET HO TRUSTEE 1.00 0.00 X 0 0 0 ROBERT MERWIN TRUSTEE & CEO MPHS 1.00 40.00 X 0 925956 178053 SCOTT PETERSON TRUSTEE 1.00 0.00 X 0 0 0 SUSAN L HERMAN TRUSTEE 1.00 0.00 X 0 0 0 IFTIKHAR HUSSAIN CFO, MPHS 1.00 40.00 X 0 448889 62887 MARA HOOK VP PHIL, PENNINSULA COASTAL 40.00 0.00 X 0 499831 84530 0 2118624 353489 0 false true false FAMILY SERVICE AGENCY OF SAN MATEO 24 SECOND AVENUE SAN MATEO CA 94401 CONSULTING SERVICES 269214 1 407163 2500 3520190 111433 3929853 HOSPITAL SUPPORT 900099 2857002 2857002 0 0 0 0 0 0 0 0 2857002 793252 793252 0 0 0 0 0 576398 576398 0 576398 576398 91580 407163 160806 -69226 -69226 36575 899 35676 35676 0 0 0 0 0 0 0 0 0 8122955 2857002 0 1336100 X 5564841 5564841 39300 39300 0 0 743779 560958 182821 0 666850 505827 161023 0 743913 566090 177823 0 56130 56130 0 18338 18338 0 0 86184 86184 21750 0 21750 0 0 297995 158075 139920 0 0 128344 128344 4960 4960 0 253 253 0 0 0 15638 15638 COMMUNITY SUPPORT 484751 484751 PURCHASED SERVICES 75719 75719 REPAIRS & MAINTENANCE 29686 29686 DONOR CULTIVATION 31012 31012 23337 70 23267 0 9032780 7910924 1121856 0 0 14203414 10833043 7033470 5780871 0 0 0 0 5525 43556 108039 108039 0 0 22747973 25774183 0 0 0 0 2019162 1000009 46009544 43431662 4471792 772307 0 0 2505114 2733510 6976906 3505817 X 5107316 6155174 27452748 26942016 6472574 6828655 39032638 39925845 46009544 43431662 X -909825 2092617 2 -289587 X false true X true false X 5577618 7108844 14350934 8537979 3929853 39505228 0 0 5577618 7108844 14350934 8537979 3929853 39505228 14274906 25230322 667027 697033 619225 740285 793252 3516822 0 0 43022050 12810743 0.58640 0.60820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7581254 1043729 32780 8592203 6698130 222000 724668 63544 7581254 6719626 32296 53792 6698130 6271261 544479 96114 6719626 5797262 544040 70041 6271261 0.79480 0.20520 false false 0 108039 108039 0 0 0 0 0 0 OTHER LIABILITIES 2725607 INSURANCE LIABILITIES 7903 2733510 X Schedule D, Part V, Line 4, Intended uses of endowment funds THE ENDOWMENTS ARE USED TO SUPPORT THE PROGRAMS OF MILLS-PENINSULA HEALTH SERVICES. Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501 (C) (3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS FOR-PROFIT SUBSIDIARIES AND 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. WOMEN'S LUNCHEON 498743 407163 91580 53635 37945 69226 0 0 498743 407163 91580 0 0 0 53635 37945 69226 160806 -69226 36575 899 true 1 36575 0 0 0 899 899 35676 CA true false true false 0 1 MICHAEL ZIELENSKI 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 false KAREN MALENKOS-SMITH 13058 SERVED AS DIRECTOR OF THE WOMEN'S LUNCHEON EVENT DURING WHICH THE RAFFLE TOOK PLACE. X true 32918 Schedule G, Part III, Line 17b, Distributions required under state law STATE=CALIFORNIA,MANDATORY DISTRIBUTION AMOUNT=32918; true MILLS PENINSULA HEALTH SERVICES 1501 TROUSDALE DRIVE BURLINGAME CA 94010 941156265 501(C)(3) 5564841 CAPITAL IMPROVEMENT & PROGRAM SUPPORT 1 0 SCHOLARSHIPS 12 37700 PATIENT ASSISTANCE 1 1600 Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds 1. VARIOUS DEPARTMENTS OF THE HOSPITAL REQUEST FUNDING FROM THE FOUNDATION. 2. THE FOUNDATION BOARD OF TRUSTEES AND THE FOUNDATION EXECUTIVE APPROVE THE HOSPITAL'S REQUEST. 3. THE HOSPITAL PROVIDES THE FOUNDATION A COPY OF THE INVOICE AND/OR OTHER SUPPORTING DOCUMENTATION SUBSTANTIATING THE INCURRED COSTS. 4. THE FOUNDATION FORWARDS TO THE ACCOUNTANTS THE SUPPORTING DOCUMENTS, INCLUDING THE APPROVALS, FOR RECORDING OF THE TRANSACTION ON THE BOOKS AND THE TRANSFER TO THE FUNDS. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES. false true false false false false false true false JOHN LODER TRUSTEE & PRESIDENT MPH FDN 0 219247 0 16400 0 8301 0 10978 0 17041 0 271967 0 0 IFTIKHAR HUSSAIN CFO, MPHS 0 322652 0 109042 0 17195 0 45094 0 17793 0 511776 0 109042 MARA HOOK VP PHIL, PENNINSULA COASTAL 0 347467 0 130623 0 21741 0 72683 0 11847 0 584361 0 146323 ROBERT MERWIN TRUSTEE & CEO MPHS 0 522869 0 314511 0 88576 0 153927 0 24126 0 1104009 0 381387 SCHEDULE J, PART I, LINE 3, ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION EXECUTIVE DIRECTOR POSITION EVALUATION AND RESULTING RANGE IS DETERMINED AS FOLLOWS: A. KNOW HOW B. PROBLEM SOLVING C. ACCOUNTABILITY CHECK RESULTING EVALUATION AGAINST: A: SALARY SURVEY DATA FOR BENCHMARK JOBS B: RELATIONSHIP TO LIKE POSITIONS IN OTHER LOCAL SUTTER COMPANIES C: ANECDOTAL INFO FROM MANAGER(CANDIDATE REQUIREMENTS, ETC) D. EXISTING EVALUATIONS OF SUBORDINATES, SUPERVISOR AND PEERS E. OTHER RELEVANT INFORMATION Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan INDIVIDUALS PAID BY SUTTER HEALTH PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403B EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR EARNINGS BEYOND THE PENSION PAY CAP. THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65. TARGET BENEFIT LEVELS VARY BY YEARS OF SERVICE. UNLIKE SUTTER HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. 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 EMPLOYEES ARE ELIGIBLE FOR A LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE. X 12 68586 MARKET VALUE X 1 884 COST X STATIONARY USED FOR EVENT 1 41963 MARKET VALUE 0 false false false Schedule M, Part I, Explanations of reporting method for number of contributions SECURITIES - PUBLICLY TRADED: NUMBER OF INDIVIDUAL CONTRIBUTIONS OF STOCKS OTHER: 1 CONTRIBUTION OF 5000 CARDS AND ENVELOPES AND 5000 GIFT TAG STICKERS USED FOR WOMEN'S LUNCHEON EVENT. FOOD INVENTORY: 1 DONATION OF ITEM USED FOR WOMEN'S LUNCHEON EVENT. Schedule M, part I, column (b), Line 9, Number of contributions or items contributed. NUMBER OF INDIVIDUAL CONTRIBUTIONS OF STOCKS Schedule M, part I, column (b), Line other, Number of contributions or items contributed. OTHER=STATIONARY USED FOR EVENT : 1 CONTRIBUTION OF 5000 CARDS AND ENVELOPES AND 5000 GIFT TAG STICKERS USED FOR WOMEN'S LUNCHEON EVENT. Schedule M, part I, column (b), Line 19, Number of contributions or items contributed. 1 DONATION OF ITEM USED FOR WOMEN'S LUNCHEON EVENT. FORM 990, PART I, LINE 1, ORGANIZATION'S MISSION MILLS-PENINSULA HOSPITAL FOUNDATION SERVES THE COMMUNITY BY ENCOURAGING FINANCIAL SUPPORT FROM INDIVIDUALS, FOUNDATIONS, AND CORPORATIONS WHO BELIEVE IN QUALITY HEALTH CARE. THE FOUNDATION BOARD OF TRUSTEES AND THE MILLS-PENINSULA BOARD OF DIRECTORS ARE MADE UP OF COMMUNITY LEADERS WHO SERVE WITHOUT COMPENSATION. OUR FIRST AND FOREMOST CONCERN IS TO PROVIDE THE BEST POSSIBLE CARE FOR THE PEOPLE OF THE COMMUNITY WHO SUPPORT US. FORM 990, PART III, LINE 4, PROGRAM SERVICE ACCOMPLISHMENTS MILLS-PENINSULA HOSPITAL FOUNDATION SERVES THE COMMUNITY BY ENCOURAGING FINANCIAL SUPPORT FROM THE COMMUNITY AND CORPORATIONS TO ENHANCE THE QUALITY OF HEALTHCARE IN THE REGION. THE FOUNDATION'S PRIMARY METHOD TO DO THIS IS TO RAISE FUNDS IN SUPPORT OF MILLS-PENINSULA HEALTH SERVICES, A RELATED 501(C)(3) HOSPITAL. IN 2013, COMMUNITY SUPPORT MADE IT POSSIBLE FOR THE FOUNDATION TO PURCHASE A NEW PET/CT SCANNER FOR THE CANCER CENTER. ADDITIONALLY, STATE OF THE ART OPHTHALMOLOGY SURGICAL EQUIPMENT WAS PURCHASED TO ENHANCE EFFICIENCIES IN PROCEDURES AND FOR USE IN RETINAL EYE SURGERY. MILLS-PENINSULA HOSPITAL FOUNDATION ALSO FUNDED SURGICAL EQUIPMENT SUCH AS OPERATING ROOM TABLES, EQUIPMENT FOR USE IN SINUS SURGERY, LAPAROSCOPES, SCOPES FOR LARYNGOSOPY PROCEDURES, AND EQUIPMENT TO HELP WITH HYSTERECTOMIES. PHILANTHROPIC CONTRIBUTIONS HELPED FUND RADIOLOGY EQUIPMENT SUCH AS VIDEO/AUDIO GOGGLES FOR USE DURING AN MRI AND EQUIPMENT TO FACILITATE BETTER IMAGES FOR PHYSICIANS. THE WOMEN'S CENTER RECEIVED FUNDING FOR A NEW STATE-OF-THE-ART ULTRASOUND UNIT OFFERING THE LATEST IN IMAGE QUALITY AND SUPPORT IN SCREENINGS FOR THE UNDERSERVED IN OUR COMMUNITY. ADDITIONALLY, THE FOUNDATION COMMITTED TO PURCHASING DIGITAL BREAST TOMOSYNTHESIS EQUIPMENT, A NEW TECHNOLOGY FOR BREAST IMAGING WITH EXPECTED BENEFITS TO INCLUDE IMPROVED DETECTION AND A DECREASE IN CALLBACK RATES. MILLS PENINSULA HOSPITAL FOUNDATION CONTINUES TO SUPPORT MILLS PENINSULA HEALTH SERVICES WITH THE CONSTRUCTION OF THE NEW HOSPITAL WHICH OPENED ITS DOORS IN MAY 2011. FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION MILLS-PENINSULA HOSPITAL FOUNDATION SERVES THE COMMUNITY BY ENCOURAGING FINANCIAL SUPPORT FROM INDIVIDUALS, FOUNDATIONS, AND CORPORATIONS WHO BELIEVE IN QUALITY HEALTH CARE. THE FOUNDATION BOARD OF TRUSTEES AND THE MILLS-PENINSULA BOARD OF DIRECTORS ARE MADE UP OF COMMUNITY LEADERS WHO SERVE WITHOUT COMPENSATION. OUR FIRST AND FOREMOST CONCERN IS TO PROVIDE THE BEST POSSIBLE CARE FOR THE PEOPLE OF THE COMMUNITY WHO SUPPORT US. FORM 990, PART V, LINE 2A, SHARED COSTS MILLS-PENINSULA HOSPITAL FOUNDATION DOES NOT HAVE EMPLOYEES BUT SHARES THE COSTS OF PERSONNEL, SERVICES, FACILITIES AND EXPENSES WITH ITS PARENTS: SUTTER HEALTH AND MILLS PENINSULA HEALTH SERVICES. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders MILLS-PENINSULA HEALTH SERVICES IS THE SOLE MEMBER OF THIS CORPORATION WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body MILLS-PENINSULA HEALTH SERVICES IS THE SOLE MEMBER OF THIS CORPORATION WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders MILLS-PENINSULA HEALTH SERVICES, AS THE SOLE MEMBER OF THE ORGANIZATION, IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OR DIRECTORS: A. MERGER, CONSOLIDATION OR DISSOLUTION OF THIS CORPORATION; B. CONTRACTING WITH ANY UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THIS CORPORATION'S ASSETS OR OPERATIONS; C. CREATION OF A CORPORATION OR AFFILIATE ENTITY WHICH HAS, OR IS PROJECTED TO HAVE DURING THE FIRST YEAR OF ITS CREATION, TOTAL ASSETS OR NET OPERATING REVENUES IN EXCESS OF A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME; OR ACQUISITION OF A CORPORATION OR AFFILIATE ENTITY WHICH HAS TOTAL ASSETS OR NET OPERATING REVENUES IN EXCESS OF A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME; D. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THIS CORPORATION; E. APPROVAL OF OPERATING AND CAPITAL BUDGETS OF THIS CORPORATION, ALTHOUGH THE BOARD IS EMPOWERED TO DEVELOP ITS OWN BUDGET WITHIN THE CORPORATE GUIDELINES AND OBJECTIVES SET BY THE MEMBER FROM TIME TO TIME; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER; F. AGGREGATE EXPENDITURES BY THIS CORPORATION EXCEEDING APPROVED OPERATING OR CAPITAL BUDGETS OF THIS CORPORATION BY MORE THAN A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER; G. PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE AND ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE MEMBER FROM TIME TO TIME, NOT PREVIOUSLY INCLUDED IN THE CAPITAL BUDGET; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER; H. AGGREGATE UNSECURED BORROWING BY THIS CORPORATION IN EXCESS OF A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME. FOR THE PURPOSE OF THIS SUBPARAGRAPH, THE TERM AGGREGATE BORROWING INCLUDES BUT IS NOT LIMITED TO LEASE AGREEMENTS AND CONTRACTS OF PURCHASE; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER; I. APPOINTMENT OF THE INDEPENDENT AUDITOR AND CORPORATE COUNSEL; OR J. APPROVAL OF TRANSACTIONS OF THIS CORPORATION IN WHICH A TRUSTEE OR OFFICER OF THIS CORPORATION HAS A MATERIAL FINANCIAL INTEREST. OFFICER OF THIS CORPORATION HAS A MATERIAL FINANCIAL INTEREST. Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION. Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official THE EXECUTIVE COMMITTEE OF MILLS-PENINSULA HEALTH SERVICES RETAINS DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING INTEGRITY AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees OFFICERS AND KEY EMPLOYEES PAID BY SUTTER HEALTH, ARE UNDER THE AUTHORITY OF THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS WHO RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. Form 990, Part VI, Sec C, Line 19, Required documents available to the 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 VII, SECTION A, SHARED COSTS MILLS PENINSULA HOSPITAL FOUNDATION DOES NOT HAVE EMPLOYEES BUT SHARES THE COSTS OF PERSONNEL, SERVICES, FACILITIES AND EXPENSES WITH ITS PARENTS: SUTTER HEALTH AND MILLS PENINSULA HEALTH SERVICES. FORM 990, PART IX, COLUMN (A), SHARED COSTS MILLS PENINSULA HOSPITAL FOUNDATION DOES NOT HAVE EMPLOYEES BUT SHARES THE COSTS OF PERSONNEL, SERVICES, FACILITIES AND EXPENSES WITH ITS PARENTS: SUTTER HEALTH AND MILLS PENINSULA HEALTH SERVICES. Form 990 , Part XI, Line 9, Other changes in net assets or fund balances ANNUITY TRUE-UP TEMP - -530266; CHANGE IN SPLIT-INTEREST TEMP - 240679; Schedule M, part I, column (b), Line other, Number of contributions or items contributed. OTHER=STATIONARY USED FOR EVENT : 1 CONTRIBUTION OF 5000 CARDS AND ENVELOPES AND 5000 GIFT TAG STICKERS USED FOR WOMEN'S LUNCHEON EVENT. Schedule M, part I, column (b), Line 19, Number of contributions or items contributed. 1 DONATION OF ITEM USED FOR WOMEN'S LUNCHEON EVENT. ADOLESCENT TREATMENT CENTERS INC 390 40TH STREET OAKLAND CA 94609 680088443 HEALTH CARE 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 CENTER FOUNDATION 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) 11 - Type I SUTTER EBH true EAST BAY PERINATAL CENTER 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 510172285 HEALTH CARE 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 HEALTH true MEMORIAL HOSPITAL FOUNDATION 1800 COFFEE ROAD SUTIE 76 MODESTO CA 95355 942290244 FUNDRAISING CA 501(C)(3) 11 - Type I SCVH true MILLS-PENINSULA HEALTH SERVICES 1501 TROUSDALE DRIVE BURLINGGAME CA 94010 941156265 HOSPITAL CA 501(C)(3) 3 PAMF true PALO ALTO MEDICAL FOUNDATION 2350 EL CAMINO REAL MOUNTAIN VIEW CA 94040 941156581 HEALTH CARE CA 501(C)(3) 3 SUTTER HEALTH true SAMUEL MERRITT UNIVERSITY 450 30TH STREET OAKLAND CA 94609 942992642 UNIVERSITY CA 501(C)(3) 2 SUTTER EBH true SUTTER AUBURN FAITH HOSPITAL FOUNDATION 11815 EDUCATION ST AUBURN CA 95602 942594966 FUNDRAISING CA 501(C)(3) 7 SHSSR true SUTTER CENTRAL VALLEY HOSPITALS 1800 COFFEE ROAD SUTIE 76 MODESTO CA 95355 941080917 HOSPITAL CA 501(C)(3) 3 SUTTER HEALTH true SUTTER COAST HOSPITAL 800 E WASHINGTON BLVD CRESCENT CITY CA 95531 942988520 HOSPITAL CA 501(C)(3) 3 SUTTER HEALTH true SUTTER DAVIS HOSPITAL FOUNDATION PO BOX 1617 DAVIS CA 95617 680217870 FUNDRAISING CA 501(C)(3) 7 SHSSR true SUTTER EAST BAY HOSPITALS 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 941196176 HOSPITAL CA 501(C)(3) 3 SUTTER HEALTH true SUTTER EAST BAY MEDICAL FOUNDATION 3687 MT DIABLO BLVD LAFAYETTE CA 94549 942690415 HEALTH CARE CA 501(C)(3) 3 SUTTER HEALTH true SUTTER GOULD MEDICAL FOUNDATION 600 COFFEE ROAD MODESTO CA 95355 941682256 HEALTH CARE CA 501(C)(3) 3 SUTTER HEALTH true SUTTER HEALTH 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942788907 SUPPORTING ORGANIZATION CA 501(C)(3) 11 - Type III - FI NA false SUTTER HEALTH PACIFIC 91-2301 FT WEAVER ROAD EWA BEACH HI 96706 990298651 HOSPITAL CA 501(C)(3) 3 SUTTER HEALTH true SUTTER HEALTH PLAN 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 461183948 HEALTH PLAN CA 501(C)(3) 9 SUTTER HEALTH true SUTTER HEALTH SACRAMENTO SIERRA REGION PO BOX 160727 SACRAMENTO CA 95816 941156621 HOSPITAL CA 501(C)(3) 3 SUTTER HEALTH true SUTTER INSURANCE SERVICES CORPORATION 745 FORT STREET SUITE 1100 HONOLULU HI 96813 990289310 INSURANCE SERVICES HI 501(C)(3) 11 - Type II SUTTER HEALTH true SUTTER MEDICAL CENTER CASTRO VALLEY 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 770146047 HOSPITAL CA 501(C)(3) 3 SUTTER HEALTH true SUTTER MEDICAL CENTER FOUNDATION PO BOX 160727 SACRAMENTO CA 95816 942788906 FUNDRAISING CA 501(C)(3) 7 SHSSR true SUTTER MEDICAL FOUNDATION 2800 L STREET 7TH FLOOR SACRAMENTO CA 95816 680273974 HEALTH CARE CA 501(C)(3) 11 - Type II SUTTER HEALTH true SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION ONE MEDICAL PLAZA ROSEVILLE CA 95661 680040113 FUNDRAISING CA 501(C)(3) 7 SHSSR true SUTTER SOLANO CHARITABLE FOUNDATION 300 HOSPITAL DRIVE VALLEJO CA 94589 942668262 FUNDRAISING CA 501(C)(3) 7 SHSSR true SUTTER VISITING NURSE ASSOCIATION AND HOSPICE 1900 POWELL ST 300 EMERYVILLE CA 94608 946068843 HEALTH CARE CA 501(C)(3) 9 SUTTER HEALTH true SUTTER WEST BAY HOSPITALS 2333 BUCHANAN STREET SAN FRANCISCO CA 94115 940562680 HOSPITAL CA 501(C)(3) 3 SUTTER HEALTH true SUTTER WEST BAY MEDICAL FOUNDATION 2015 STEINER STREET 1ST FLOOR SAN FRANCISCO CA 94115 942948131 HEALTH CARE CA 501(C)(3) 3 SUTTER HEALTH true TRACY HOSPITAL FOUNDATION 1420 N TRACY BLVD TRACY CA 95376 680318845 FUNDRAISING CA 501(C)(3) 11 - 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