SUTTER VISITING NURSE ASSOCIATION AND HOSPICE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE (EIN 94-6068843)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-25
IRS object ID
201302989349301130
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-25T17:10:01-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14370 LA JOLLA VILLAGE DR SUITE 500AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN946068843EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUTTER VISITING NURSE ASSOCIATIONBusinessNameLine1
Business Name Line2AND HOSPICEBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% GREGG DAVISInCareOfName
Name ControlSUTTNameControl
Phone9162866665Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 POWELL STREET SUITE 300AddressLine1
Address Line2SuiteAddressLine2
CityEMERYVILLECity
StateCAState
ZIP Code94608ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREGG DAVISName
TitleCFOTitle
Phone9162866665Phone
Date Signed2013-10-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8585357200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SUTTER CARE AT HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARCIA REISSIGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11900 POWELL STREET STE 300AddressLine1
CityEMERYVILLECity
StateCAState
ZIP Code94608ZIPCode
FieldValueIRS element (for citing)
Gross Receipts200800994GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUTTERHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1908YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees1898TotalNbrEmployees
Total Nbr Volunteers771TotalNbrVolunteers
Total Gross UBI3881905TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2597790ContributionsGrantsPriorYear
Contributions Grants Current Year2304075ContributionsGrantsCurrentYear
Program Service Revenue Prior Year164857304ProgramServiceRevenuePriorYear
Program Service Revenue CY194023897ProgramServiceRevenueCY
Investment Income Prior Year709787InvestmentIncomePriorYear
Investment Income Current Year558868InvestmentIncomeCurrentYear
Other Revenue Prior Year3530794OtherRevenuePriorYear
Other Revenue Current Year3876799OtherRevenueCurrentYear
Total Revenue Prior Year171695675TotalRevenuePriorYear
Total Revenue Current Year200763639TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year276328GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY86851GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year123183002SalariesEtcPriorYear
Salaries Etc Current Year133195729SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2379876TotalFundrsngExpCurrentYear
Other Expense Prior Year52980260OtherExpensePriorYear
Other Expenses Current Year59979416OtherExpensesCurrentYear
Total Expenses Prior Year176439590TotalExpensesPriorYear
Total Expenses Current Year193261996TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4743915RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7501643RevenuesLessExpensesCY
Total Assets BOY51280708TotalAssetsBOY
Total Assets EOY65479710TotalAssetsEOY
Total Liabilities BOY14621818TotalLiabilitiesBOY
Total Liabilities EOY18927654TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY36658890NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY46552056NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense164034904Expense
Grants86851Grants
Revenue194023897Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense164034904TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096125NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1898NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGREGG DAVISNamePerson
Telephone Number7078644665TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14830 BUSINESS CENTER DRIVE SUITE 1AddressLine1
CityFAIRFIELDCity
StateCAState
ZIP Code94534ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MIKE COHILL
SVP SUTTER HEALTH1.040.0X01769123676890
GARY DEPOLO
VICE CHAIR FIN & PLAN/TRUSTEE1.00.0X000X
MIKE DOURGARIAN
TRUSTEE1.00.0X000
TOM DRESE
TRUSTEE1.00.0X000
SARAH KREVANS
COO SUTTER HEALTH1.040.0X01546710974314X
JOHN MESIC MD
TRUSTEE1.00.0X000
CHRISTOPHER PAIGE
TRUSTEE1.00.0X000
MARCIA REISSIG
CEO SUTTER VNA40.00.0X0769182372833X
DOUG WAGEMANN
CHAIR/TRUSTEE1.00.0X000X
GREGG DAVIS
CFO SUTTER VNA40.00.00369583157721X
JOHN ERIKSEN
LEGAL COUNSEL1.040.0023614933357X
ELISE BECKERMAN
HR DIRECTOR SUTTER VNA40.00.00237179111945X
PHILIP CHUANG
IS DIRECTOR SUTTER VNA40.00.0021913218170X
BETSY GORNET
CHIEF HOSPICE EXECUTIVE40.00.00250546124320X
JANICE POTTS
CHIEF CLINICAL & COMP. OFFICER40.00.00210276108398X
MARYELLEN ROTA
HME & PRIVATE DUTY EXECUTIVE40.00.00339732158009X
BRADLEY STUART MD
SENIOR MEDICAL DIRECTOR40.00.0272564033197X
ELIZABETH HENNESSEY
EXEC DIR INTEGRATED CARE MGMT40.00.0277107018175X
FRANK WONG
SIPS DIRECTOR40.00.0200925036608X
ABI KATZ-STEIN
MEDICAL DIRECTOR40.00.0191797027732X
MARK PROVAN
REGIONAL BRANCH ADMINISTRATOR40.00.0215429027739X
KHUE NGUYEN
DIRECTOR STRATEGY/BUSINESS DEV40.00.0184416035342X
ANDREANNA KSIDAKIS
VP ASST GEN COUNSEL CORPSUPT0.00.00390279197783X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1342238TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6337891TotalReportableCompFrmRltdOrgs
Total Other Compensation3112533TotalOtherCompensation
Number Individuals GT100 K208NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REIMBURSEMENT CONCEPT LLC
3236 MAIN STREETWEIRTONWV26062PURCHASED SERVICES1976794
HOMECARE HOMEBASE LP
6688 N CENTRAL EXPRESSWAY STE 1200DALLASTX75206PURCHASED SERVICES1677959
TRANSITIONS INC
1295 COTTER WAYHAYWARDCA94541PLANNING SERVICES1041443
SUTTER CONNECT LLC
PO BOX 254917SACRAMENTOCA95865PURCHASED SERVICES494483
LEGION CONSTRUCTION INC
4750 NORRIS CANYON RD STE JSAN RAMONCA94583CONSTRUCTION SERVICE345451
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Federated Campaigns22470FederatedCampaigns
Fundraising Events97296FundraisingEvents
Related Organizations11000RelatedOrganizations
All Other Contributions2173309AllOtherContributions
Noncash Contributions786759NoncashContributions
Total Contributions2304075TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE621610193985361193985361
RENTAL TO AFFILIATES9000993853638536
FieldValueIRS element (for citing)
Total Program Service Revenue194023897TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column558868TotalRevenueColumn
Exclusion$558,868ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events32249GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events97296CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses37355FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-5106TotalRevenueColumn
Exclusion-$5,106ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenue
UBI - SALES OF DME44619935203223520322
UBI - SIPS621610313065313065
UBI - BILLING SERVICES5419004851848518
FieldValueIRS element (for citing)
Total Other Revenue3881905TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column200763639TotalRevenueColumn
Related Or Exempt Function Income194023897RelatedOrExemptFunctionIncome
Unrelated Business Revenue3881905UnrelatedBusinessRevenue
Exclusion$553,762ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total86851Total
Program Services86851ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2668194Total
Program Services0ProgramServices
Management And General2668194ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total86724777Total
Program Services82672155ProgramServices
Management And General3173418ManagementAndGeneral
Fundraising879204Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3381643Total
Program Services3180095ProgramServices
Management And General174253ManagementAndGeneral
Fundraising27295Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total32684302Total
Program Services27773342ProgramServices
Management And General4586436ManagementAndGeneral
Fundraising324524Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7736813Total
Program Services7240084ProgramServices
Management And General423203ManagementAndGeneral
Fundraising73526Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total226252Total
Program Services48305ProgramServices
Management And General153095ManagementAndGeneral
Fundraising24852Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10776Total
Management And General10776ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total108199Total
Management And General108199ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2044048Total
Program Services1524276ProgramServices
Management And General519772ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total243598Total
Program Services17758ProgramServices
Management And General223334ManagementAndGeneral
Fundraising2506Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5971059Total
Program Services4279639ProgramServices
Management And General1547136ManagementAndGeneral
Fundraising144284Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8059146Total
Management And General8059146ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4670906Total
Program Services3089901ProgramServices
Management And General956394ManagementAndGeneral
Fundraising624611Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3695306Total
Program Services3530335ProgramServices
Management And General158686ManagementAndGeneral
Fundraising6285Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total181728Total
Program Services67007ProgramServices
Management And General114616ManagementAndGeneral
Fundraising105Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total575423Total
Program Services398ProgramServices
Management And General575025ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2413767Total
Program Services2038333ProgramServices
Management And General374343ManagementAndGeneral
Fundraising1091Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total413894Total
Program Services57332ProgramServices
Management And General355503ManagementAndGeneral
Fundraising1059Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES18210635182084272208
PURCHASED SERVICES115174769712238174815957079
SALES TAX185629185629
ICD-10 CHARGEBACK119657119657

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1331917Total
Program Services508428ProgramServices
Management And General795663ManagementAndGeneral
Fundraising27826Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total193261996Total
Program Services164034904ProgramServices
Management And General26847216ManagementAndGeneral
Fundraising2379876Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7092693BOY
EOY10913613EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY6500EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23893756BOY
EOY29154867EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1187673BOY
EOY1419402EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY468730BOY
EOY160912EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26157393LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16306831LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8626760BOY
EOY9850562EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7857259BOY
EOY11110272EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2153837BOY
EOY2863582EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY51280708BOY
EOY65479710EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14241337BOY
EOY18572232EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY380481BOY
EOY355422EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14621818BOY
EOY18927654EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY35864662BOY
EOY45628317EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY544228BOY
EOY673739EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY250000BOY
EOY250000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36658890BOY
EOY46552056EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51280708BOY
EOY65479710EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7501643ReconcilationRevenueExpenses
Reconciliation Unrealized Invest838142ReconciliationUnrealizedInvest
Reconcilation Other Changes1553381ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2218759CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1706047CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1895929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2597790CurrentTaxYearMinus1Year
Current Tax Year2304075CurrentTaxYear
Total10722600Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years133697411CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years149385955CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years162098944CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year164857304CurrentTaxYearMinus1Year
Current Tax Year194023897CurrentTaxYear
Total804063511Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135916170CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years151092002CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years163994873CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year167455094CurrentTaxYearMinus1Year
Current Tax Year196327972CurrentTaxYear
Total814786111Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total
FieldValueIRS element (for citing)
Public Support Total509814786111PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years429543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years731813CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year710137CurrentTaxYearMinus1Year
Current Tax Year558868CurrentTaxYear
Total2476864Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years429543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years731813CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year710137CurrentTaxYearMinus1Year
Current Tax Year558868CurrentTaxYear
Total2476864Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years136535CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years299106CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total435641Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years136099208CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years151521545CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years165025792CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year168165231CurrentTaxYearMinus1Year
Current Tax Year196886840CurrentTaxYear
Total817698616Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99644PublicSupportPercentage509
Prior Year Support Percentage0.97536PriorYearSupportPercentage
Investment Income Percentage0.00303InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00276PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance289521BeginningOfYearBalance
Investment Earnings Or Losses37522InvestmentEarningsOrLosses
Grants Or Scholarships7955GrantsOrScholarships
End Of Year Balance319088EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance312219BeginningOfYearBalance
Investment Earnings Or Losses-12438InvestmentEarningsOrLosses
Other Expenditures10260OtherExpenditures
End Of Year Balance289521EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance283496BeginningOfYearBalance
Investment Earnings Or Losses41680InvestmentEarningsOrLosses
Other Expenditures12957OtherExpenditures
End Of Year Balance312219EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance237854BeginningOfYearBalance
Investment Earnings Or Losses47575InvestmentEarningsOrLosses
Administrative Expenses1933AdministrativeExpenses
End Of Year Balance283496EndOfYearBalance
FieldValueIRS element (for citing)
Current Year Minus4 YearsCurrentYearMinus4Years
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.78350PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.21650TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis280000OtherCostOrOtherBasis
Book Value280000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1517786OtherCostOrOtherBasis
Depreciation876093Depreciation
Book Value641693BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2081104OtherCostOrOtherBasis
Depreciation1369886Depreciation
Book Value711218BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis18178042OtherCostOrOtherBasis
Depreciation14060852Depreciation
Book Value4117190BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4100461OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value4100461BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9850562TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INSURANCE LIABILITIES$134,141
OTHER LIABILITIES$221,281
FieldValueIRS element (for citing)
Total Of Amounts355422TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDSPART V, LINE 4SHIRLEY MAKINSON EARNINGS WILL BE USED TO SUPPORT NEW HOSPICE VOLUNTEER TRAININGS & NURSE PRECEPTOR PROGRAMS/ACTIVITIES
ASC 740 (FIN 48) AUDIT FOOTNOTEPART X, LINE 2THIS 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, 2012 AND 2011, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HUMAN RACENameOfEvent1
Gross Receipts Event145278GrossReceiptsEvent1
Charitable Contributions Event142504CharitableContributionsEvent1
Gross Revenue Event12774GrossRevenueEvent1
Non Cash Prizes Event12773NonCashPrizesEvent1
Other Direct Expenses Event11567OtherDirectExpensesEvent1
Name Of Event2ORINDA GOLFNameOfEvent2
Gross Receipts Event284267GrossReceiptsEvent2
Charitable Contributions Event254792CharitableContributionsEvent2
Gross Revenue Event229475GrossRevenueEvent2
Cash Prizes Event21025CashPrizesEvent2
Non Cash Prizes Event25903NonCashPrizesEvent2
Rent Facility Costs Event211464RentFacilityCostsEvent2
Food And Beverage Event210059FoodAndBeverageEvent2
Other Direct Expenses Event24564OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total129545GrossReceiptsTotal
Charitable Contributions Total97296CharitableContributionsTotal
Gross Revenue Total Events32249GrossRevenueTotalEvents
Cash Prizes Total Events1025CashPrizesTotalEvents
Non Cash Prizes Total Events8676NonCashPrizesTotalEvents
Rent Facility Costs Total Events11464RentFacilityCostsTotalEvents
Food And Beverage Total Events10059FoodAndBeverageTotalEvents
Other Direct Expenses Total Events6131OtherDirectExpensesTotalEvents
Direct Expense Summary Events37355DirectExpenseSummaryEvents
Net Income Summary-5106NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantPATIENT ASSISTANCETypeOfGrant
Number Of Recipients260NumberOfRecipients
Amount Of Cash Grant86851AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferencePART I, LINE 2ReturnReference
Explanation1. VARIOUS DEPARTMENTS OF SUTTER CARE AT HOME (SCAH) REQUEST FUNDING FROM THE FUNDRAISING DEPARTMENT. 2. THE BOARD OF TRUSTEES AND THE EXECUTIVE DIRECTOR APPROVES THE REQUEST. 3. THE APPROVAL IS SENT TO THE REQUESTING DEPARTMENT. 4. THE REQUESTING DEPARTMENT PROVIDES THE FUNDRAISING DEPARTMENT A COPY OF THE INVOICE SUBSTANTIATING THE COSTS INCURRED. 5. THE FUNDRAISING DEPARTMENT FORWARDS THE REQUEST FROM THE REQUESTING DEPARTMENT, THE BOARD TRUSTEE MINUTES APPROVING THE FUNDING AND THE COPY OF THE INVOICE TO THE ACCOUNTANTS TO RELEASE THE FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ELISE BECKERMAN
HR DIRECTOR SUTTER VNA0194466036208065050935780183670349124036208
PHILIP CHUANG
IS DIRECTOR SUTTER VNA01949240228780133001323604934023730200
MIKE COHILL
SVP SUTTER HEALTH0134475003592960650770656898019992024460130438873
GREGG DAVIS
CFO SUTTER VNA030459706409508910150552071690527304056199
JOHN ERIKSEN
LEGAL COUNSEL02097010256320816014263019094026950600
BETSY GORNET
CHIEF HOSPICE EXECUTIVE02048570421680352101129140114060374866042168
SARAH KREVANS
COO SUTTER HEALTH0100664005275460125240951242023072025210240652265
JANICE POTTS
CHIEF CLINICAL & COMP. OFFICER0166895016194027187092814015584031867400
MARCIA REISSIG
CEO SUTTER VNA05013880263790040040353035019798011420150287849
MARYELLEN ROTA
HME & PRIVATE DUTY EXECUTIVE027417005460001096201454580125510497741054600
ELIZABETH HENNESSEY
EXEC DIR INTEGRATED CARE MGMT20685506756802684015095030800295282000
BRADLEY STUART MD
SENIOR MEDICAL DIRECTOR229651036503064100150950181020305761000
FRANK WONG
SIPS DIRECTOR18879401188902420121360244720237533000
ABI KATZ-STEIN
MEDICAL DIRECTOR1912000005970115850161470219529000
MARK PROVAN
REGIONAL BRANCH ADMINISTRATOR1742230134670277390113480163910243168000
KHUE NGUYEN
DIRECTOR STRATEGY/BUSINESS DEV16923701487403050112280241140219758000
ANDREANNA KSIDAKIS
VP ASST GEN COUNSEL CORPSUPT032278106691905790196023017600588062086017

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELEVANT INFORMATION REGARDING COMPENSATION ITEMSPART I, QUESTION 1ATAX 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.
SUPPLEMENTAL COMPENSATION INFORMATIONPART I, QUESTION 3THE 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.
NONQUALIFIED RETIREMENT PLANPART I, QUESTION 4BTHE 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.
NON-FIXED PAYMENTSPART I, QUESTION 7SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions26NumberOfContributions
Noncash Contribs Rptd F990786759NoncashContribsRptdF990
Method Of Determining RevenuesFMV OF STOCKMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, COLUMN (B)COLUMN (B) REPRESENTS THE NUMBER OF SECURITIES RECEIVED.
PART 1, LINE 32BVEHICLE DONATION PROGRAM OPERATED BY CONTRACTOR.THIRD PARTY USED TO SOLICIT, PROCESS OR SELL NONCASH CONTRIBUTIONS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MISSION STATEMENTFORM 990, PART I, LINE 1 AND PART III, LINE 1SUTTER VISITING NURSE ASSOCIATION AND HOSPICE, DOING BUSINESS AS SUTTER CARE AT HOME (SCAH), ENHANCES THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HOME-BASED SERVICES AND PRODUCTS. THE SUTTER CARE AT HOME FOUNDATION SUPPORTS LOCAL HOME HEALTH AND END-OF-LIFE CARE, BEREAVEMENT SUPPORT SERVICES, AND COMMUNITY WELLNESS PROGRAMS PROVIDED BY SUTTER CARE AT HOME.
EXEMPT PURPOSE ACHIEVEMENTSFORM 990, PART III, LINE 4APRIMARY EXEMPT PURPOSE: PROVIDE HEALTH CARE TO PATIENTS IN THEIR HOMES. SERVICE ACCOMPLISHMENTS SUTTER VNA & HOSPICE IS A STATE LICENSED, MEDICARE-CERTIFIED HOME CARE AGENCY THAT PROVIDES A BROAD SPECTRUM OF MULTI-DISCIPLINARY SERVICES AND OFFERS A RANGE OF SPECIALTY PROGRAMS TO RESIDENTS OF NORTHERN CALIFORNIA. SUTTER VNA & HOSPICE PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO REQUIRE THESE SERVICES OUTSIDE OF A HOSPITAL SETTING (PRIMARILY IN THE HOME), FOR WHICH A FEE IS CHARGED TO COVER THE COST OF PROVIDING THESE SERVICES. THESE SERVICES ARE PROVIDED TO MEDICARE, MEDI-CAL, AND PRIVATE INSURANCE PATIENTS. CHARITABLE CARE IS PROVIDED WHEN DEEMED APPROPRIATE. THERE WERE A TOTAL OF 29,340 PATIENTS SERVED IN 2012. THE HEALTH CARE SERVICES PROVIDED BY SUTTER VNA & HOSPICE INCLUDE THE FOLLOWING: - SKILLED NURSING; NURSES WORK WITH PATIENTS WHO HAVE HEART DISEASE, CANCER, DIABETES, OSTOMIES, AIDS, OR OTHER CHRONIC DISEASES AND ILLNESSES, OR WHO HAVE RECENTLY HAD SURGERY OR AN ACUTE CARE EPISODE. - REHABILITATION SERVICES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. PHYSICAL AND OCCUPATIONAL THERAPY IS PROVIDED FOR PATIENTS WITH DIFFICULTIES DUE TO STROKES, AMPUTATION OR FRACTURES, SURGERY, AND FOR PATIENTS WHO ARE PARAPLEGICS OR QUADRIPLEGICS. SPEECH THERAPY IS PROVIDED FOR PATIENTS WITH SPEECH OR SWALLOWING PROBLEMS. - HOME INFUSION THERAPY SERVICES; PROVIDED FOR PATIENTS WHO NEED INTRAVENOUS TREATMENTS. SERVICES INCLUDE HYDRATION, CHEMOTHERAPY, TOTAL PARENTERAL NUTRITION, ANTIBIOTICS, INJECTABLE MEDICATIONS, PAIN MANAGEMENT, AND ENTERAL NUTRITION. - MATERNAL/CHILD CARE SERVICES; PROVIDED TO WOMEN WITH DIFFICULT PREGNANCIES AND NEW MOTHERS NEEDING ASSISTANCE. - PSYCHIATRIC HOME CARE: THIS PROGRAM PROVIDES HOME HEALTH SERVICES WITH FOCUS ON PSYCHIATRIC CARE (ASSESSMENT, TEACHING, REFERRALS AND FOLLOW-UP) BY SPECIALTY TRAINED CLINICIANS. - MEDICAL SOCIAL WORK SERVICES; PROVIDES ASSISTANCE TO PERSONS WHO NEED GUIDANCE IN DEVELOPING SELF-HELP AND PROBLEM SOLVING SKILLS, AND ACCESS TO COMMUNITY RESOURCES. - HOSPICE AND BEREAVEMENT SERVICES; HELPS TERMINALLY ILL PATIENTS AND THEIR FAMILIES WHO NEED SUPPORT AND CARE. SERVICES INCLUDE NURSING CARE, PAIN MANAGEMENT, SYMPTOM CONTROL, AND BEREAVEMENT COUNSELING. - HOME HEALTH AIDES AND VOLUNTEER RESPITE CARE; PROVIDES AID TO PATIENTS WHO CANNOT CARE FOR THEMSELVES; INCLUDES BATHING AND PERSONAL CARE, COMPANIONSHIP, AND RELIEF FOR CAREGIVERS. - RESPIRATORY THERAPY AND DURABLE MEDICAL EQUIPMENT; PROVIDES PATIENTS WITH RESPIRATORY THERAPY SERVICES, EQUIPMENT, AND SUPPLIES, BEDS, WHEELCHAIRS, AND OTHER DURABLE MEDICAL EQUIPMENT. SPECIALTY PROGRAMS: - ADVANCED ILLNESS MANAGEMENT: PROVIDES CARE MANAGEMENT FOR PATIENTS WITH HIGH DISEASE BURDEN, WHOSE HEALTH IS DECLINING AND WHO ARE AT RISK FOR DEATH IN THE NEXT 12 MONTHS. INNOVATIVE PROGRAM DEVELOPED TO PROVIDE HOME-BASED PALLIATIVE CARE AND TRANSITION MANAGEMENT FOR PATIENTS WITH ADVANCED CHRONIC ILLNESS. THIS TEAM BASED DISEASE MANAGEMENT PROGRAM IS GEARED TOWARD REDUCING HEALTH CARE UTILIZATION, LOWERING COSTS AND BETTER MANAGING 30-DAY READMISSIONS. - HEART FAILURE CONTINUUM OF CARE: A PILOT CARE TRANSITION, CARE COORDINATION, AND DISEASE MANAGEMENT PROGRAM WHICH WAS DEVELOPED TO IMPROVE THE QUALITY OF CARE OF HOSPITALIZED ACUTELY DECOMPENSATED HEART FAILURE PATIENTS, BEGINNING WITH THE PATIENT'S INPATIENT STAY AND CONTINUING AFTER DISCHARGE. - TELEMONITORING PROGRAM: PILOTED FOR HOME HEALTH HIGH RISK HEART FAILURE PATIENTS IN THE SF LOCATION, PATIENTS ARE MONITORED FOR KEY PHYSIOLOGIC CHANGES AS WELL AS QUESTIONNAIRE-DRIVEN SUBJECTIVE FINDINGS. DATA AND CLINICAL DECISIONS ARE MANAGED BY A CENTRALIZED TELEMONITORING NURSE WHO IS AN ADJUNCT TO THE CARE TEAM. THE GOAL OF THE PILOT IS TO IMPROVE QUALITY AND EFFICIENCY OF CARE. - FLU AND WELLNESS PROGRAM: THE FLU AND WELLNESS PROGRAM PROVIDES FLU PREVENTION AND HEALTH SCREENING SERVICES. OTHER VACCINATIONS OFFERED INCLUDE PNEUMONIA AND TDAP. WELLNESS SERVICES, WHICH ARE OFFERED YEAR-ROUND, INCLUDE TB TESTING, CHOLESTEROL SCREENINGS, BLOOD PRESSURE AND BODY COMPOSITION CLINICS AND BIOMETRIC SCREENINGS. ALL SERVICES ARE DELIVERED BY LICENSED AND PROFESSIONAL NURSES. - LIFELINE: LIFELINE IS A PERSONAL EMERGENCY MEDICAL RESPONSE SYSTEM THAT ENABLES INDIVIDUALS TO MAINTAIN THEIR INDEPENDENCE BY LIVING IN THEIR OWN HOMES, WHILE GIVING FAMILY MEMBERS PEACE OF MIND THAT HELP IS AVAILABLE FOR THEIR LOVED ONES AT THE PUSH OF A BUTTON. - INTEGRATED CHRONIC CARE MODEL: A CORE CARE MODEL AND SET OF COMPETENCIES FOR ALL CLINICIANS AT SCAH, WITH FOCUS ON EFFECTIVE AND MEANINGFUL ENGAGEMENT BETWEEN PATIENTS AND CLINICIANS TO DRIVE PATIENT-CENTERED, COORDINATED, EVIDENCE-BASED CARE. THE MODEL IS STRUCTURED WITH 4 PILLARS: HIGH TOUCH DELIVERY SYSTEM, THEORY-BASED SELF MANAGEMENT SUPPORT, SPECIALIST OVERSIGHT AND USE OF TECHNOLOGY. COMMUNITY BENEFIT SERVICES IN 2012, SUTTER VNA & HOSPICE PROVIDED $157,879 WORTH OF COMMUNITY BENEFIT. THE COMMUNITY BENEFIT PROGRAMS AND SERVICES PROVIDED IN 2012 INCLUDE THE FOLLOWING: - HOSPICE BEREAVEMENT GROUPS (EX. ADULT GRIEF SUPPORT GROUPS, CHILDREN'S WORKSHOPS, DAUGHTER/MOM LOSS SUPPORT GROUP, ADULT TRAUMATIC LOSS) - BLOOD PRESSURE CLINICS, FLU SHOTS, HEALTH FAIRS, ETC. - PRECEPTORSHIPS AND INTERNSHIPS PROVIDED FOR STUDENTS CHARITABLE ACTIVITY IN 2012, SUTTER VNA & HOSPICE PROVIDED $1,283,140 WORTH OF CHARITY CARE. CHARITY CARE WAS PROVIDED IN THE FORM OF HOME HEALTH SERVICES, HOSPICE SERVICES, RESPIRATORY THERAPY AND DURABLE MEDICAL EQUIPMENT SERVICE AND PRODUCTS, AND HOME INFUSION THERAPY SERVICES. UNPAID COST OF MEDICAID IN 2012, SUTTER VNA & HOSPICE PROVIDED $5,111,685 WORTH OF UNPAID SERVICES TO MEDICAID PATIENTS.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTIONS 6 & 7ATHIS 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.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BSUTTER 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.
DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990FORM 990, PART VI, QUESTION 11BSUTTER 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.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12EMPLOYEES 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.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, QUESTION 15THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19THE 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.
OTHER CHANGES IN FUND BALANCEFORM 990, PART XI, LINE 9EQUITY TRANSFERS (NET) $1,553,381

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ADOLESCENT TREATMENT CENTERS INC
390 40TH STREETOAKLANDCA94609680088443HEALTHCARECA501(C)(3)3SUTTER EBHtrue
ALTA BATES SUMMIT FOUNDATION
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609510160184FUNDRAISINGCA501(C)(3)7SUTTER EBHtrue
CALIFORNIA PACIFIC MEDICAL CTR FOUND
2015 STEINER STREET 2ND FLOORSAN FRANCISCOCA94115942728423FUNDRAISINGCA501(C)(3)7SUTTER WBHtrue
DELTA MEMORIAL HOSPITAL FOUNDATION
3901 LONE TREE WAYANTIOCHCA94509942417022FUNDRAISINGCA501(C)(3)11a - ISUTTER EBHtrue
EAST BAY PERINATAL CENTER
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609510172285HEALTHCARECA501(C)(3)3SUTTER EBHtrue
EDEN MEDICAL CENTER
20103 LAKE CHABOT ROADCASTRO VALLEYCA94546942948100HOSPITALCA501(C)(3)3SUTTER HLTHtrue
MARIN COMMUNITY HEALTH
250 BON AIRE ROADGREENBRAECA94904942994751SUPPORTING ORCA501(C)(3)11b - IISUTTER HLTHtrue
MEMORIAL HOSPITAL FOUNDATION
1800 COFFEE ROAD SUITE 76MODESTOCA95355942290244FUNDRAISINGCA501(C)(3)11a - ISUTTER CVHtrue
MILLS-PENINSULA HEALTH SERVICES
1501 TROUSDALE DRIVEBURLINGAMECA94010941156265HOSPITALCA501(C)(3)3PAMFtrue
MILLS-PENINSULA HOSPITAL FOUNDATION
1501 TROUSDALE DRIVEBURLINGAMECA94010237288765FUNDRAISINGCA501(C)(3)7MPHStrue
PALO ALTO MEDICAL FOUNDATION
2350 EL CAMINO REALMOUNTAIN VIEWCA94040941156581HEALTHCARECA501(C)(3)3SUTTER HLTHtrue
SAMUEL MERRITT UNIVERSITY
450 30TH STREET 2840OAKLANDCA94609942992642UNIVERSITYCA501(C)(3)2SUTTER EBHtrue
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
11815 EDUCATION STAUBURNCA95602942594966FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER CENTRAL VALLEY HOSPITALS
1800 COFFEE ROAD SUITE 76MODESTOCA95355941080917HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER COAST HOSPITAL
800 E WASHINGTON BLVDCRESCENT CITYCA95531942988520HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER DAVIS HOSPITAL FOUNDATION
PO BOX 1617DAVISCA95617680217870FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER EAST BAY HOSPITALS
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609941196176HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER EAST BAY MEDICAL FOUNDATION
3687 MT DIABLO BLVD 200LAFAYETTECA94549942690415HEALTHCARECA501(C)(3)3SUTTER HLTHtrue
SUTTER GOULD MEDICAL FOUNDATION
600 COFFEE ROADMODESTOCA95355941682256HEALTHCARECA501(C)(3)3SUTTER HLTHtrue
SUTTER HEALTH
2200 RIVER PLAZA DRIVESACRAMENTOCA95833942788907SUPPORTING ORCA501(C)(3)11c III-FINAfalse
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RDEWA BEACHHI96706990298651HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER HEALTH PLAN
2200 RIVER PLAZA DRIVESACRAMENTOCA95833461183948HEALTH PLANCAPENDINGPENDINGSUTTER HLTHtrue
SUTTER HEALTH SACRAMENTO SIERRA REGION
PO BOX 160727SACRAMENTOCA95816941156621HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 800HONOLULUHI96813990289310INSURANCE SERHI501(C)(3)11b - IISUTTER HLTHtrue
SUTTER MEDICAL CENTER FOUNDATION
PO BOX 160727SACRAMENTOCA95816942788906FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER MEDICAL CENTER CASTRO VALLEY
2200 RIVER PLAZA DRIVESACRAMENTOCA95833770146047HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER MEDICAL FOUNDATION
2800 L STREET 7TH FLOORSACRAMENTOCA95816680273974HEALTHCARECA501(C)(3)11b - IISUTTER HLTHtrue
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
ONE MEDICAL PLAZAROSEVILLECA95661680040113FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER SOLANO CHARITABLE FOUNDATION
300 HOSPITAL DRIVEVALLEJOCA94589942668262FUNDRAISINGCA501(C)(3)7SUTTER SSRtrue
SUTTER WEST BAY HOSPITALS
2333 BUCHANAN STREETSAN FRANCISCOCA94115940562680HOSPITALCA501(C)(3)3SUTTER HLTHtrue
SUTTER WEST BAY MEDICAL FOUNDATION
2015 STEINER STREET 1ST FLOORSAN FRANCISCOCA94115942948131HEALTHCARECA501(C)(3)3SUTTER HLTHtrue
TRACY HOSPITAL FOUNDATION
1420 N TRACY BLVDTRACYCA95376680318845FUNDRAISINGCA501(C)(3)11a - ISUTTER CVHtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
MAGNETIC IMAGING AF
175 LENNONWLN CKCA94598942953833PATIENT CARECANAN/A
SURG CTR OF ABSMC
3875 TELEGRAPHOAKLANDCA94609470946086OUTPATIENT SURGCANAN/A
ALTA CT SERVICES LP
175 LENNONWLN CKCA94598943083464PATIENT CARECANAN/A
CALIFORNIA PACIFIC ADV IMAGING LLC
PO BOX 6102NOVATOCA94948562311840MRI JOINT VENTURECANAN/A
SAN FRANCISCO ENDOSCOPY CENTER LLC
3000 RIVERCHASEBIRMINGHAMAL35244912160588ENDOSCOPY JVCANAN/A
PRESIDIO SURGERY CENTER LLC
1635 DIVISADEROSFCA94115320144060AMBULATORY SURGCANAN/A
SUTTER FAIRFIELD SURGERY CTR
2700 LOW CTFAIRFIELDCA94533300233892SURGERYCANAN/A
TWIN CITIES SURGICAL HOSPITAL LLC
250 S WACKERCHICAGOIL60606352182617SURGERYCANAN/A
SUTTER AMADOR SURGERY CENTER LLC
2200 RIVER PLAZA DRIVESACRAMENTOCA95833461398093SURGERYCANAN/A
ROSEVILLE ENDOPSCOPY CENTER LLC
4 MEDICAL PLAZA SUITE 210ROSEVILLECA95661870710513ENDOSCOPY JVCANAN/A
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76MODESTOCA95355770287288OFFICE RENTALCANAN/A
MEMORIAL MEDICAL OFFICE BUILDING PRTNR I
1800 COFFEE RD SUITE 76MODESTOCA95355770287288OFFICE RENTALCANAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HEALTH VENTURES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1350 HAWTHORNE STAddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94609ZIPCode
FieldValueIRS element (for citing)
EIN942918780EIN
Primary ActivityHEALTH SERVICEPrimaryActivity
Legal Domicile StateCALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
B128499FMV
EDEN MEDICAL CENTER
C134593FMV
SUTTER EAST BAY HOSPITALS
C269184FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
C134593FMV
SUTTER WEST BAY HOSPITALS
J454707FMV
PALO ALTO MEDICAL FOUNDATION
K80775FMV
SUTTER WEST BAY HOSPITALS
K574121FMV
MILLS-PENINSULA HEALTH SERVICES
L462827FMV
SUTTER CENTRAL VALLEY HOSPITALS
L98505FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
L78476FMV
SUTTER MEDICAL FOUNDATION
L231681FMV
EDEN MEDICAL CENTER
M135490FMV
SUTTER EAST BAY HOSPITALS
M437161FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
M78497FMV
SUTTER MEDICAL FOUNDATION
M238133FMV
MILLS-PENINSULA HEALTH SERVICES
P1279748FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
P8005039FMV
MILLS-PENINSULA HEALTH SERVICES
Q462827FMV
SUTTER HEALTH SACRAMENTO SIERRA REGION
Q8103544FMV
SUTTER MEDICAL FOUNDATION
Q72000FMV
SUTTER MEDICAL CENTER FOUNDATION
C163512FMV

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