SUTTER VALLEY MEDICAL FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SUTTER VALLEY MEDICAL FOUNDATION (EIN 68-0273974)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-31
- IRS object ID
- 201303049349300960
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-31T11:59:34-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4370 LA JOLLA VILLAGE DR SUITE 500 | AddressLine1 |
| City | SAN DIEGO | City |
| State | CA | State |
| ZIP Code | 92122 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680273974 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTER MEDICAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % SUSAN GOWER | InCareOfName |
| Name Control | SUTT | NameControl |
| Phone | 9162866665 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 L STREET 7TH FLOOR | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 95816 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeff Sprague | Name |
| Title | CFO | Title |
| Phone | 9162866665 | Phone |
| Date Signed | 2012-10-18 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8585357200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES CONFORTI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 L STREET 7TH FLOOR | AddressLine1 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 95816 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 735938944 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SUTTERHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2957 | TotalNbrEmployees |
| Total Nbr Volunteers | 34 | TotalNbrVolunteers |
| Total Gross UBI | 242624 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5932919 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 727970 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 673622775 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 734396613 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 624090 | InvestmentIncomePriorYear |
| Investment Income Current Year | 392151 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 337312 | OtherRevenuePriorYear |
| Other Revenue Current Year | 252204 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 680517096 | TotalRevenuePriorYear |
| Total Revenue Current Year | 735768938 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 210327 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 150501 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 164585384 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 185051409 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 46200 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 344806 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 518774697 | OtherExpensePriorYear |
| Other Expenses Current Year | 557405147 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 683570408 | TotalExpensesPriorYear |
| Total Expenses Current Year | 742653257 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3053312 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6884319 | RevenuesLessExpensesCY |
| Total Assets BOY | 342252769 | TotalAssetsBOY |
| Total Assets EOY | 346424436 | TotalAssetsEOY |
| Total Liabilities BOY | 96902087 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 102618122 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 245350682 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 243806314 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 668442377 | Expense |
| Grants | 150501 | Grants |
| Revenue | 734396613 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 668442377 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | true | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 315 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2957 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SUSAN GOWER | NamePerson |
| Telephone Number | 9164546880 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 L STREET 7TH FLOOR | AddressLine1 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 95816 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (40 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| JAMES CONFORTI | |||||||||
| REGIONAL PRESIDENT, SHSSR | 2.0 | 40.0 | X | X | 0 | 812769 | 526031 | ||
| ANN COUSINEAU | |||||||||
| CREDENTIALING CHAIR/TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JOHN DIMICHELE | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| MIKE DOURGARIAN | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| PAT FRY | |||||||||
| PRESIDENT & CEO, SUTTER HEALTH | 2.0 | 40.0 | X | 0 | 3862787 | 2531096 | |||
| SEAN HENNESEY MD | |||||||||
| COS/TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| DENNIS HINZ CPA | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| GARY HOOPER | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| SCOTT HOWELL | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| PETER HULL MD | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| RICHARD KRAMER | |||||||||
| CHAIR/TRUSTEE | 2.0 | 0.0 | X | X | 0 | 0 | 0 | ||
| SARAH KREVANS | |||||||||
| COO, SUTTER HEALTH | 2.0 | 40.0 | X | 0 | 1546710 | 974314 | |||
| PAT FONG KUSHIDA | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| MARION LEFF MD | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JERRY MAY PHD | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JOSEPH MENDEZ | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| MIKE NEWELL | |||||||||
| CHAIR FIN & PLANNING/TRUSTEE | 2.0 | 0.0 | X | X | 0 | 0 | 0 | ||
| PAT PATHIPATI | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| SCOTT SYPHAX | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| HELEN THOMSON | |||||||||
| TRUSTEE | 2.0 | 0.0 | X | 0 | 0 | 0 | |||
| JEFF SPRAGUE | |||||||||
| CFO, SHSSR | 2.0 | 40.0 | X | 0 | 628965 | 315527 | |||
| PENNY WESTFALL | |||||||||
| VP & REG. COUNSEL SAC SIERRA | 2.0 | 40.0 | X | 0 | 401368 | 216200 | |||
| MICHAEL D MARINO | |||||||||
| DIRECTOR HR, SMF | 0.0 | 40.0 | X | 0 | 229661 | 85175 | |||
| TOM BLINN | |||||||||
| CEO, SUTTER MEDICAL FOUNDATION | 40.0 | 0.0 | 0 | 793356 | 348243 | X | |||
| KEVIN ENGLE | |||||||||
| DIRECTOR OF OPERATIONS | 40.0 | 0.0 | 173416 | 0 | 13151 | X | |||
| THERESA FREI | |||||||||
| COO SMF | 40.0 | 0.0 | 90290 | 0 | 66796 | X | |||
| SUSAN GOWER | |||||||||
| CFO, SMF CENTRAL | 40.0 | 0.0 | 0 | 324646 | 123566 | X | |||
| GLEN GROVES | |||||||||
| FINANCE EXECUTIVE SMF WEST | 40.0 | 0.0 | 0 | 281906 | 117250 | X | |||
| LESLIE PRATT | |||||||||
| DIRECTOR CLINICAL OPERATIONS | 40.0 | 0.0 | 181989 | 0 | 26066 | X | |||
| ERIC RASMUSSEN | |||||||||
| DIRECTOR GROWTH & DEVELOPMENT | 40.0 | 0.0 | 221584 | 0 | 34033 | X | |||
| JOHN RAY | |||||||||
| EXECUTIVE, SMF WEST DIVISION | 40.0 | 0.0 | 0 | 408283 | 157159 | X | |||
| THERESA RUIZ | |||||||||
| FINANCE EXECUTIVE, SMF NORTH | 40.0 | 0.0 | 0 | 216189 | 87704 | X | |||
| TERESA WILSON | |||||||||
| SENIOR DIRECTOR MANAGED CARE | 40.0 | 0.0 | 189454 | 0 | 26779 | X | |||
| DAVID YAMAMOTO | |||||||||
| CEO, SMF NORTH | 40.0 | 0.0 | 0 | 442678 | 169959 | X | |||
| GARY ZUFELT | |||||||||
| COO, SMF CENTRAL | 40.0 | 0.0 | 0 | 568067 | 266242 | X | |||
| SUHEIR HADDAD | |||||||||
| FINANCE ADMIN SMF CENTRAL | 40.0 | 0.0 | 0 | 239276 | 112705 | X | |||
| ROSETTA LI | |||||||||
| REGIONAL FINANCE DIRECTOR | 40.0 | 0.0 | 182099 | 0 | 31365 | X | |||
| LISA BYNUM | |||||||||
| DIRECTOR, CONTRACTS | 40.0 | 0.0 | 169409 | 0 | 30452 | X | |||
| PAMELA ADDY | |||||||||
| REGIONAL OPERATIONS DIRECTOR | 40.0 | 0.0 | 168719 | 0 | 29898 | X | |||
| DOLORES NORTHHEIMER | |||||||||
| REGIONAL ADMIN DIRECTOR | 40.0 | 0.0 | 156592 | 0 | 24016 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1533552 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 10756661 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 6313727 | TotalOtherCompensation |
| Number Individuals GT100 K | 173 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SUTTER MEDICAL GROUP | |||||
| 2800 L STREET SUITE 630 | SACRAMENTO | CA | 95816 | MEDICAL SERVICES | 278259760 |
| SUTTER NORTH MEDICAL GROUP | |||||
| 969 PLUMAS STREET SUITE 203 | YUBA CITY | CA | 95991 | MEDICAL SERVICES | 34905126 |
| SUTTER CONNECT | |||||
| PO BOX 255448 | SACRAMENTO | CA | 95865 | MANAGEMENT SERVICES | 22750671 |
| RAD ASSOCIATES OF SACRAMENTO MEDICA | |||||
| PO BOX 160008 | SACRAMENTO | CA | 95816 | RADIOLOGICAL SVCS | 13869578 |
| CENTRAL ANESTHESIA SERVICE EXCHANGE | |||||
| PO BOX 660910 | SACRAMENTO | CA | 95866 | ANESTHESIA SVCS | 2996899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 198 | NumberOfContractorsGT100K |
| Federated Campaigns | 742 | FederatedCampaigns |
| Fundraising Events | 59891 | FundraisingEvents |
| Related Organizations | 36810 | RelatedOrganizations |
| Government Grants | 15010 | GovernmentGrants |
| All Other Contributions | 615517 | AllOtherContributions |
| Noncash Contributions | 2479 | NoncashContributions |
| Total Contributions | 727970 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | 716575642 | 716575642 |
| ROSEVILLE ENDOSCOPY | 622110 | 1730338 | 1730338 |
| SUTTER FAIFIELD SURGERY CENTER | 622110 | 3691933 | 3691933 |
| TWIN CITIES SURGICAL HOSPITAL | 622110 | 905348 | 905348 |
| ASC OPERATORS LLC | 622110 | 6489398 | 6489398 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5003954 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5003954 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 734396613 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 391439 | TotalRevenueColumn |
| Exclusion | $391,439 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 144696 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 144696 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 288 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 712 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 712 | TotalRevenueColumn |
| Exclusion | $712 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 33343 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 59891 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 25022 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8321 | TotalRevenueColumn |
| Exclusion | $8,321 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 1259 | GrossIncomeGaming |
| Gaming Direct Expenses | 0 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1259 | TotalRevenueColumn |
| Exclusion | $1,259 | ExclusionAmount |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|
| UBI - SFSC ADMIN FEE | 541610 | 24286 | 24286 |
| UBI - SFSC INTEREST INCOME | 525990 | 6746 | 6746 |
| UBI - TWIN CITIES MANAGEMENT FEE | 541900 | 211592 | 211592 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 242624 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 735768938 | TotalRevenueColumn |
| Related Or Exempt Function Income | 734396613 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 242624 | UnrelatedBusinessRevenue |
| Exclusion | $401,731 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150501 | Total |
| Program Services | 150501 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3891858 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 3891858 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112371598 | Total |
| Program Services | 100272944 | ProgramServices |
| Management And General | 12005626 | ManagementAndGeneral |
| Fundraising | 93028 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6534406 | Total |
| Program Services | 5635685 | ProgramServices |
| Management And General | 893493 | ManagementAndGeneral |
| Fundraising | 5228 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52164255 | Total |
| Program Services | 44989747 | ProgramServices |
| Management And General | 7132769 | ManagementAndGeneral |
| Fundraising | 41739 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10089292 | Total |
| Program Services | 8701642 | ProgramServices |
| Management And General | 1379577 | ManagementAndGeneral |
| Fundraising | 8073 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 328958 | Total |
| Management And General | 328958 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 740561 | Total |
| Program Services | 226430 | ProgramServices |
| Management And General | 514131 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159273 | Total |
| Management And General | 159273 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46200 | Total |
| Fundraising | 46200 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165234 | Total |
| Management And General | 165234 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6473881 | Total |
| Program Services | 6473881 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 424785 | Total |
| Program Services | 414778 | ProgramServices |
| Management And General | 9807 | ManagementAndGeneral |
| Fundraising | 200 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5166159 | Total |
| Program Services | 4362292 | ProgramServices |
| Management And General | 803867 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16583018 | Total |
| Program Services | 15245844 | ProgramServices |
| Management And General | 1337174 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25419368 | Total |
| Program Services | 24248554 | ProgramServices |
| Management And General | 1170814 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1262121 | Total |
| Program Services | 1005068 | ProgramServices |
| Management And General | 251944 | ManagementAndGeneral |
| Fundraising | 5109 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 341052 | Total |
| Program Services | 136078 | ProgramServices |
| Management And General | 204564 | ManagementAndGeneral |
| Fundraising | 410 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7270570 | Total |
| Program Services | 7270570 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28049650 | Total |
| Program Services | 22378338 | ProgramServices |
| Management And General | 5671312 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6329378 | Total |
| Program Services | 5744616 | ProgramServices |
| Management And General | 584762 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL GROUP COMPENSATION | 252387483 | 252367809 | 19674 | |
| PURCHASED SERVICES | 60871287 | 26141988 | 34720844 | 8455 |
| CAPITATED SERVICES | 89977111 | 89977111 | ||
| MEDICAL SUPPLIES | 26036260 | 26036260 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29418998 | Total |
| Program Services | 26662241 | ProgramServices |
| Management And General | 2620393 | ManagementAndGeneral |
| Fundraising | 136364 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 742653257 | Total |
| Program Services | 668442377 | ProgramServices |
| Management And General | 73866074 | ManagementAndGeneral |
| Fundraising | 344806 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42384629 | BOY |
| EOY | 31892439 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142546 | BOY |
| EOY | 150512 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46505254 | BOY |
| EOY | 60500624 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3494828 | BOY |
| EOY | 4329541 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2500511 | BOY |
| EOY | 2056215 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 380327373 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 170521133 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 212692107 | BOY |
| EOY | 209806240 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3309504 | BOY |
| EOY | 3411345 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15140184 | BOY |
| EOY | 20787957 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2225876 | BOY |
| EOY | 2225876 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13857330 | BOY |
| EOY | 11263687 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 342252769 | BOY |
| EOY | 346424436 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52336682 | BOY |
| EOY | 59041912 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38986634 | BOY |
| EOY | 37668551 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5578771 | BOY |
| EOY | 5907659 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96902087 | BOY |
| EOY | 102618122 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 244684326 | BOY |
| EOY | 242989592 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 666356 | BOY |
| EOY | 816722 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245350682 | BOY |
| EOY | 243806314 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 342252769 | BOY |
| EOY | 346424436 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -6884319 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -26680 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 5366631 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTER HEALTH SACRAMENTO SIERRA REGION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941156621 | EIN |
| Type Of Organization | 03 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $18,244,631 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 18244631 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 17351671 | OtherCostOrOtherBasis |
| Book Value | 17351671 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 181167519 | OtherCostOrOtherBasis |
| Depreciation | 52155183 | Depreciation |
| Book Value | 129012336 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35469624 | OtherCostOrOtherBasis |
| Depreciation | 20391269 | Depreciation |
| Book Value | 15078355 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 124773814 | OtherCostOrOtherBasis |
| Depreciation | 92593972 | Depreciation |
| Book Value | 32179842 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21564745 | OtherCostOrOtherBasis |
| Depreciation | 5380709 | Depreciation |
| Book Value | 16184036 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 209806240 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENT IN HEALTH CARE JVS | Description |
| Book Value | 20787957 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 20787957 | TotalOfBookValueProgramRelated |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INSURANCE LIABILITIES | $475,313 |
| OTHER LIABILITIES | $5,432,346 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5907659 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740 (FIN48) AUDIT FOOTNOTE | Identifier |
| Return Reference | PART X, LINE 2 | ReturnReference |
| Explanation | THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501 (C) (3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE COMBINED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2012 AND 2011, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Agreement Ref Fundraising | true | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Individual | CATHERINE CONNOLLY | NameOfIndividual |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 L STREET 7TH FLOOR | AddressLine1 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 95816 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | DIRECT MAIL CONSULTANT | Activity |
| Fundraiser Control Of Funds | false | FundraiserControlOfFunds |
| Gross Receipts | 74823 | GrossReceipts |
| Amount Retained By Contractor | 46200 | AmountRetainedByContractor |
| Net To Organization | 28623 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 74823 | TotalGrossReceipts |
| Total Retained By Contractors | 46200 | TotalRetainedByContractors |
| Total Net To Organization | 28623 | TotalNetToOrganization |
| Licensed States | CA | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF EVENT | NameOfEvent1 |
| Gross Receipts Event1 | 90749 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 57883 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 32866 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 400 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 3923 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 8976 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 9011 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 2712 | OtherDirectExpensesEvent1 |
| Name Of Event2 | SPAGHETTI FEED | NameOfEvent2 |
| Gross Receipts Event2 | 2485 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 2008 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 477 | GrossRevenueEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 93234 | GrossReceiptsTotal |
| Charitable Contributions Total | 59891 | CharitableContributionsTotal |
| Gross Revenue Total Events | 33343 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 400 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 3923 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 8976 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 9011 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 2712 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 25022 | DirectExpenseSummaryEvents |
| Net Income Summary | 8321 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3047775 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3047775 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 63915777 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21048000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 42867777 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05620 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 79692 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37239 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 42453 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 67043244 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 21085239 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 45958005 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06030 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 5053 | PersonsServed |
| Total Community Benefit Expense | 248214 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4800 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 243414 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 426378 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 45435 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 380943 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 6884362 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5232476 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1651886 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 124534 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 124534 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 667 | PersonsServed |
| Total Community Benefit Expense | 98162 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 98162 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 30 | NumberOfActivitiesOrPrograms |
| Persons Served | 5720 | PersonsServed |
| Total Community Benefit Expense | 7781650 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5282711 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2498939 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 30 | NumberOfActivitiesOrPrograms |
| Persons Served | 5720 | PersonsServed |
| Total Community Benefit Expense | 74824894 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26367950 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 48456944 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06360 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 138000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 138000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 5528 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5528 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 143528 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 143528 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $11,365,094 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 2477529 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 3742251 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1264722 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| TWIN CITIES SURGICAL | ||
| OUTPATIENT SERVICES | 0.51470 | 0.09350 |
| SUTTER AMADOR SURG | ||
| SURGERY | 0.73000 | 0.27000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTER SURGICAL HOSPITAL NORTH VALLEY | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 455 PLUMAS BLVD | AddressLine1 |
| City | YUBA CITY | City |
| State | CA | State |
| ZIP Code | 95991 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SUTTERHEALTH.ORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Other | OUTPATIENT SERVICES | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUTTER SURGICAL HOSPITAL NORTH VALLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Identifying Process | X | IdentifyingProcess |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 66 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (66 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MEDICAL OFFICE BUILDING | ||||
| 2702 LOW COURT | FAIRFIELD | CA | 94534 | OUTPATIENT SERVICES |
| MEDICAL OFFICE BUILDING | ||||
| 480 PLUMAS | YUBA CITY | CA | 95991 | OUTPATIENT SERVICES |
| SUTTER FAIRFIELD SURGERY CENTER | ||||
| 2700 LOW COURT 2ND FLOOR | FAIRFIELD | CA | 94534 | SUTTER FAIRFIELD SURGERY CENTER |
| AUBURN AMC FAMILY PRACTICE & ORTHOPEDICS | ||||
| 3133 PROFESSIONAL DRIVE | AUBURN | CA | 95603 | FAMILY PRACTICE AND ORTHOPEDICS |
| URGENT CARELABRADIOLOGYCARDIOLOGY | ||||
| 440 PLUMAS | YUBA CITY | CA | 95991 | URGENT CARE, LAB, RADIOLOGY AND CARDIOLOGY |
| MEDICAL OFFICE BLDG-AMBULATORY SURG CTR | ||||
| 460 PLUMAS | YUBA CITY | CA | 95991 | OUTPATIENT SERVICES AND SURGERY CENTER |
| CARE CENTER AND CALL CENTER | ||||
| 2450 MARTIN ROAD | FAIRFIELD | CA | 94533 | OUTPATIENT SERVICES AND CALL CENTER |
| AMADOR CARDIO INVASIVE AND LAB | ||||
| 815 COURT STREET | JACKSON | CA | 95642 | CARDIOLOGY |
| AUBURN GASTROENTEROLOGY & NEUROLOGY | ||||
| 11795 EDUCATION STREET | AUBURN | CA | 95602 | GASTROENTEROLOGY AND NEUROLOGY |
| CLINICAL LAB | ||||
| 2715 K STREET | SACRAMENTO | CA | 95816 | LAB SERVICES |
| ROSEVILLE FAMILY PRACTICE & PHYS THERAPY | ||||
| 568 N SUNRISE AVE | ROSEVILLE | CA | 95661 | OUTPATIENT SERVICES AND PHYSICAL THERAPY |
| ELK GROVE - PHYSICAL THERAPY | ||||
| 9280 W STOCKTON BLVD | ELK GROVE | CA | 95758 | PHYSICAL THERAPY |
| GRASS VLY FAMILY PRACTICE & PHYS THERAPY | ||||
| 10058 WOLF ROAD | GRASS VALLEY | CA | 95949 | OUTPATIENT SERVICES AND PHYSICAL THERAPY |
| AUBURN PHYSICAL THERAPY | ||||
| 11930 HERITAGE OAKS PLACE | AUBURN | CA | 95603 | PHYSICAL THERAPY |
| DAVIS - PHYSICAL THERAPY | ||||
| 1340 LAKE BLVD | DAVIS | CA | 95616 | PHYSICAL THERAPY |
| LINCOLN PHYSICAL THERAPY | ||||
| 965 ORCHARD CREEK LANE | LINCOLN | CA | 95648 | PHYSICAL THERAPY |
| PHYSICAL THERAPY | ||||
| 420 B ST | YUBA CITY | CA | 95991 | PHYSICAL THERAPY |
| AUBURN OCCUPATIONAL MEDICINE | ||||
| 1330 AIRPORT BLVD | AUBURN | CA | 95602 | OCCUPATIONAL MEDICINE |
| OCCUPATIONAL HEALTH | ||||
| 1014 NORTH MARKET BLVD | SACRAMENTO | CA | 95834 | OCCUPATIONAL HEALTH |
| SUTTER FAIRFIELD DIAGNOSTIC IMAGING CTR | ||||
| 2700 LOW COURT 1ST FLOOR | FAIRFIELD | CA | 94534 | DIAGNOSTIC IMAGING CENTER |
| ROSEVILLE PATIENT SERVICE CENTERS | ||||
| MEDICAL PLAZA DRIVE | ROSEVILLE | CA | 95661 | OUTPATIENT SERVICES |
| DAVIS MEDICAL OFFICE BLDG ANESTHESIOLOGY | ||||
| 1801 HANOVER DR | DAVIS | CA | 95616 | OUTPATIENT SERVICES AND ANESTHESIOLOGY |
| DAVIS PATIENT SERVICE CENTERS | ||||
| 2020 SUTTER PLACE | DAVIS | CA | 95616 | OUTPATIENT SERVICES |
| SACRAMENTO AREA PATIENT SERVICE CENTERS | ||||
| 5301 F ST | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| FORT SUTTER PATIENT SERVICE CENTERS | ||||
| 1020 29TH STREET | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| FOLSOM PATIENT SERVICE CENTERS | ||||
| 2575 E BIDWELL ST | FOLSOM | CA | 95630 | OUTPATIENT SERVICES |
| SACRAMENTO AREA PATIENT SERVICE CENTERS | ||||
| 1625 STOCKTON BLVD | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| FORT SUTTER PATIENT SERVICE CENTERS | ||||
| 2801 K ST | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| NORTHEAST SAC PATIENT SERVICE CENTERS | ||||
| 3100 DOUGLAS BLVD | ROSEVILLE | CA | 95661 | OUTPATIENT SERVICES |
| NORTHEAST SAC PATIENT SERVICE CENTERS | ||||
| 83 SCRIPPS DR | SACRAMENTO | CA | 95825 | OUTPATIENT SERVICES |
| SACRAMENTO AREA PATIENT SERVICE CENTERS | ||||
| 1201 ALHAMBRA BLVD | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| SACRAMENTO AREA PATIENT SERVICE CENTERS | ||||
| 2725 CAPITOL AVE | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| YOLO AREA PATIENT SERVICE CENTERS | ||||
| 635 ANDERSON RD | DAVIS | CA | 95616 | OUTPATIENT SERVICES |
| SACRAMENTO AREA PATIENT SERVICE CENTERS | ||||
| 8170 LAGUNA BLVD | ELK GROVE | CA | 95758 | OUTPATIENT SERVICES |
| YOLO AREA PATIENT SERVICE CENTERS | ||||
| 2210 DEL PASO RD | SACRAMENTO | CA | 95831 | OUTPATIENT SERVICES |
| PLACER AREA PATIENT SERVICE CENTERS | ||||
| 1160 SUNSET BLVD | ROCKLIN | CA | 95765 | OUTPATIENT SERVICES |
| PLACER AREA PATIENT SERVICE CENTERS | ||||
| 685 TWELVE BRIDGES DR | LINCOLN | CA | 95648 | OUTPATIENT SERVICES |
| RANCHO CORDOVA - PATIENT SERVICE CENTERS | ||||
| 11121 SUN CENTER DR | RANCHO CORDOVA | CA | 95670 | OUTPATIENT SERVICES |
| WOODLAND PATIENT SERVICES CENTER | ||||
| 475 PIONEER AVE | WOODLAND | CA | 95776 | OUTPATIENT SERVICES |
| YOLO AREA PATIENT SERVICE CENTERS | ||||
| 125 N LINCOLN ST | DIXON | CA | 95620 | OUTPATIENT SERVICES |
| PLACER AREA PATIENT SERVICE CENTERS | ||||
| 3288 BELL RD | AUBURN | CA | 95603 | OUTPATIENT SERVICES |
| NORTHEAST SAC PATIENT SERVICE CENTERS | ||||
| 5767 GREENBACK LANE | SACRAMENTO | CA | 95814 | OUTPATIENT SERVICES |
| YOLO AREA PATIENT SERVICE CENTERS | ||||
| 7420 GREENHAVEN DR | SACRAMENTO | CA | 95831 | OUTPATIENT SERVICES |
| ROCKLIN - FAMILY PRACTICE | ||||
| 1160 SUNSET BLVD | ROCKLIN | CA | 95765 | OUTPATIENT SERVICES |
| AUBURN PARKHILL FAMILY PRACTICE | ||||
| 404 AUBURN-FOLSOM ROAD | AUBURN | CA | 95603 | FAMILY PRACTICE |
| VACAVILLE CARE CENTER | ||||
| 770 MASON STREET | VACAVILLE | CA | 95687 | OUTPATIENT SERVICES |
| RIO VISTA CARE CENTER | ||||
| 690 MAIN STREET | RIO VISTA | CA | 94571 | OUTPATIENT SERVICES |
| VALLEJO CARE CENTER | ||||
| 100 HOSPITAL DRIVE 2ND FLOOR | VALLEJO | CA | 94589 | OUTPATIENT SERVICES |
| SACRAMENTO CARDIO-INVASIVE | ||||
| 2575 E BIDWELL ST | FOLSOM | CA | 95630 | CARDIO-INVASIVE |
| SACRAMENTO PATIENT SERVICE CENTERS | ||||
| 2800 L ST | SACRAMENTO | CA | 95816 | OUTPATIENT SERVICES |
| SMUD OCCUPATIONAL HEALTH | ||||
| 1708 59TH ST | SACRAMENTO | CA | 95816 | OCCUPATIONAL HEALTH |
| WINTERS - FAMILY PRACTICE | ||||
| 111 EAST GRANT AVE | WINTERS | CA | 95694 | OUTPATIENT SERVICES |
| PROCEDURE CENTER | ||||
| 550 B ST | YUBA CITY | CA | 95991 | PROCEDURE CENTER |
| HOME HEALTHHOSPICE | ||||
| 400 PLUMAS | YUBA CITY | CA | 95991 | HOME HEALTH/HOSPICE |
| DAVIS INTERNAL MEDICINE GASTROENTEROLOGY | ||||
| 2068 JOHN JOES WAY | DAVIS | CA | 95616 | INTERNAL MEDICINE AND GASTROENTEROLOGY |
| L STREET MEDICAL NEUROLOGY | ||||
| 5275 F ST | SACRAMENTO | CA | 95819 | NEUROLOGY |
| ROSEVILLE EXPRESS CLINIC | ||||
| 4004 FOOTHILLS BLVD | ROSEVILLE | CA | 95747 | OUTPATIENT SERVICES |
| EXPRESS CLINIC - PLACERVILLE ROAD | ||||
| 10470 OLD PLACERVILLE RD | SACRAMENTO | CA | 95827 | OUTPATIENT SERVICES |
| EXPRESS CLINIC - GREENHAVEN | ||||
| 980 FLORIN RD | SACRAMENTO | CA | 95831 | OUTPATIENT SERVICES |
| EXPRESS CLINIC - NATOMAS | ||||
| 2751 DEL PASO RD | SACRAMENTO | CA | 95835 | OUTPATIENT SERVICES |
| OTHOPEDICS | ||||
| 470 PLUMAS | YUBA CITY | CA | 95991 | OTHOPEDICS |
| OBSTETRICS | ||||
| 924 CHESTNUT | YUBA CITY | CA | 95991 | OBSTETRICS |
| OBSTETRICS | ||||
| 969 PLUMAS | YUBA CITY | CA | 95991 | OBSTETRICS |
| AUBURN MRI | ||||
| 11815 EDUCATION STREET | AUBURN | CA | 95602 | MRI |
| DAVIS ALLERGY CENTER | ||||
| 1970 LAKE BLVD | DAVIS | CA | 95616 | ALLERGY TESTING |
| DERMATOLOGY | ||||
| 350 DEL NORTE | YUBA CITY | CA | 95991 | DERMATOLOGY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, QUESTION 3C | TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 200% OF FPG. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. THE ORGANIZATION WILL SUBTRACT 30% OF THE FAMILY INCOME FROM THE ALLOWABLE MEDICAL EXPENSES TO DETERMINE THE AMOUNT BY WHICH THE ALLOWABLE MEDICAL EXPENSE EXCEED THE AVAILABLE INCOME: THIS AMOUNT IS THEN ELIGIBLE FOR A CHARITY CARE WRITE-OFF. | |
| PART I, QUESTION 7 | COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. | |
| PART I, QUESTION 7G | THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $4,911,277. | |
| PART II | SUTTER MEDICAL FOUNDATION FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. A) SUTTER MEDICAL FOUNDATION MADE A DONATION OF $138,000 TO THE YUBA CITY REDEVELOPMENT AGENCY. THE DONATION WAS MADE IN LIEU OF PAYING PROPERTY TAXES TO YUBA COUNTY FOR LAND THAT SUTTER NORTH MEDICAL FOUNDATION PURCHASED FROM YUBA CITY/SUTTER COUNTY TO BUILD MEDICAL OFFICE BUILDINGS. THROUGH REDEVELOPMENT, A PROJECT AREA RECEIVES FOCUSED ATTENTION AND FINANCIAL INVESTMENT TO REVERSE DETERIORATING TRENDS, CREATE JOBS, REVITALIZE THE BUSINESS CLIMATE, REHABILITATE AND ADD TO HOUSING, RAISE PROPERTY VALUES AND GAIN ACTIVE PARTICIPATION AND INVESTMENT BY CITIZENS WHICH WOULD NOT OTHERWISE OCCUR. B) SUTTER MEDICAL FOUNDATION STAFF ALSO PARTICIPATE ON NATIONAL AND LOCAL NOT FOR PROFIT BOARDS INCLUDING GIRLS ON THE RUN, HOMESTART AND THE AMADOR COUNTY IMMUNIZATION COALITION. | COMMUNITY BUILDING ACTIVITIES |
| PART III, QUESTION 2 | METHODOLOGY FOR CALCULATING BAD DEBT (AT COST) THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. | |
| PART III, QUESTION 3 | METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE. | |
| PART III, QUESTION 4 | THE ORGANIZATION MAKES EVERY EFFORT TO QUALIFY THOSE ELIGIBLE FOR CHARITY CARE. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. AUDIT FOOTNOTE THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. PROVISION FOR BAD DEBTS IS LISTED ON A SEPARATE LINE ITEM IN THE FINANCIAL STATEMENTS. THE AUDIT DOES INCLUDE FOOTNOTES FOR PATIENT ACCOUNTS RECEIVABLE AND PATIENT SERVICE REVENUES LISTED BELOW. PATIENT ACCOUNTS RECEIVABLE AUDIT FOOTNOTE: SUTTER'S PRIMARY CONCENTRATION OF CREDIT RISK IS PATIENT ACCOUNTS RECEIVABLE, WHICH CONSIST OF AMOUNTS OWED BY VARIOUS GOVERNMENTAL AGENCIES, INSURANCE COMPANIES AND PRIVATE PATIENTS. SUTTER MANAGES THE RECEIVABLES BY REGULARLY REVIEWING ITS PATIENT ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE AMOUNTS. THESE ALLOWANCES ARE ESTIMATED BASED UPON AN EVALUATION OF HISTORICAL PAYMENTS, NEGOTIATED CONTRACTS AND GOVERNMENTAL REIMBURSEMENTS. SUTTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 89% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. ADJUSTMENTS AND CHANGES IN ESTIMATES ARE RECORDED IN THE PERIOD IN WHICH THEY ARE DETERMINED. SIGNIFICANT CONCENTRATIONS OF GROSS PATIENT ACCOUNTS RECEIVABLE ARE AS FOLLOWS: MEDICARE 27% AS OF 12/31/11 29% AS OF 12/31/12 MEDI-CAL 21% AS OF 12/31/11 23% AS OF 12/31/12 DURING 2011 AND 2012, CERTAIN AFFILIATES COLLECTED ON ACCOUNTS THAT WERE PREVIOUSLY DEEMED UNCOLLECTIBLE AND RESERVED. SUCH RECOVERIES ARE RECOGNIZED IN THE PERIOD THAT CASH IS RECEIVED AND WERE NOT MATERIAL. DUE TO THE INHERENT VARIABILITY IN THIS AREA OF PATIENT RECEIVABLE COLLECTIONS, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. PATIENT SERVICE REVENUES FOOTNOTE: PATIENT SERVICE REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT PROGRAMS WITH THIRD-PARTY PAYERS. ESTIMATED SETTLEMENTS UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, PRIMARILY AS A RESULT OF FINAL COST REPORT SETTLEMENTS WITH GOVERNMENTAL AGENCIES. SUTTER HAD NO CHANGES IN ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES IN 2012. | |
| PART III, QUESTION 7 | MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. THEREFORE THE AMOUNT REFLECTED ON THE COST REPORT WILL LIKELY DIFFER FROM ACTUAL COSTS WHICH MAY BE REFLECTED IN THE COMMUNITY BENEFIT REPORT AND ON THIS FORM. | |
| PART III, QUESTION 8 | COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT. | |
| PART III, QUESTION 9B | COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 30 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. | |
| PART V, SECTION B, QUESTION 12H | ADDITIONAL FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL POVERTY GUIDELINES. | BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: |
| PART V, SECTION B, QUESTION 14G | A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WAS POSTED ON THE HOSPITAL'S FACILITY'S WEBSITE, WAS ATTACHED TO BILLING INVOICES, WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY/WAITING ROOM, WAS POSTED IN THE HOSPITAL'S ADMISSIONS OFFICE, WAS PROVIDED IN WRITING ON ADMISSION TO THE HOSPITAL, AND WAS AVAILABLE ON REQUEST. PATIENTS ELIGIBLE FOR CHARITY CARE ARE TRACKED IN THE HOSPITAL'S LEGACY SYSTEM AND ARE REMINDED 30 DAYS AFTER CHARITY CARE PACKET IS RECEIVED IF PAPERWORK HAS NOT BEEN SUBMITTED. ORGANIZATION USES AN INCOME VALIDATION TOOL TO ALERT PATIENTS THAT THEY MAY BE ELIGIBLE FOR CHARITY CARE. PART V, SECTION B, QUESTION 18E THE ORGANIZATION MADE NO SUCH EFFORTS. | MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: |
| PART V, SECTION B, QUESTION 20D | THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR DIFFERENT LEVELS OF ASSISTANCE FOR PATIENTS BASED ON VARIOUS ELIGIBILITY REQUIREMENTS INCLUDING, BUT NOT LIMITED TO (1) FULL CHARITY CARE, (2) PARTIAL CHARITY CARE, (3) SPECIAL CIRCUMSTANCES CHARITY CARE, (4) CATASTROPHIC CHARITY CARE, (5) HIGH COST MEDICAL CHARITY CARE, (6) UNINSURED PATIENT DISCOUNT, AND (7) PROMPT PAYMENT DISCOUNT. THE MAXIMUM AMOUNT BILLED TO THE PATIENT IS CALCULATED DIFFERENTLY DEPENDING ON THE CATEGORY OF FINANCIAL ASSISTANCE FOR WHICH THEY ARE ELIGIBLE. | AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: |
| NEEDS ASSESSMENT | SUTTER MEDICAL FOUNDATION AND SUTTER SURGICAL HOSPITAL, NORTH VALLEY (SSHNV) UTILIZE THE SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) CHNA AS A TOOL TO GUIDE THEIR COMMUNITY BENEFIT EFFORTS. HOWEVER, SMF & SSHNV, THAT SERVE SUTTER AND YUBA COUNTIES, WERE NOT REQUIRED TO PARTICIPATE IN A CHNA, BUT THEY DO UTILIZE LOCAL PUBLIC HEALTH DATA AND COLLABORATE WITH OTHER ORGANIZATIONS TO ADDRESS THEIR COMMUNITIES' HEALTH NEEDS. SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) INCLUDES SUTTER AMADOR HOSPITAL (SAH), SUTTER AUBURN FAITH HOSPITAL (SAFH), SUTTER DAVIS HOSPITAL (SDH), SUTTER MEDICAL CENTER, SACRAMENTO (SMCS), SUTTER ROSEVILLE MEDICAL CENTER (SRMC), SUTTER SOLANO MEDICAL CENTER (SSMC), SUTTER MEDICAL FOUNDATION (SMF) AND SUTTER SURGICAL HOSPITAL NORTH VALLEY. EVERY THREE YEARS, SHSSR PARTNERS WITH KAISER PERMANENTE, UC DAVIS HEALTH SYSTEM, AND DIGNITY HEALTH TO CONDUCT A COMMUNITY NEEDS ASSESSMENT (CNA) TO HELP GUIDE OUR COMMUNITY BENEFIT PROGRAMS. WITH THIS VALUABLE INFORMATION, WE IDENTIFY PRIORITY NEEDS WE WANT TO ADDRESS IN OUR COMMUNITIES. OVER THE COURSE OF 2009, 15 FOCUS GROUPS WITH 134 COMMUNITY MEMBERS WERE CONDUCTED IN VARIOUS SETTINGS THROUGHOUT THE REGION. ANOTHER 12 COMMUNITY MEMBERS WERE INTERVIEWED VIA ONE-ON-ONE INTERVIEWS. ALL FOCUS GROUPS WITH COMMUNITY MEMBERS WERE RECORDED AND TRANSCRIBED, AND THOSE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH WERE TRANSLATED. ALL TRANSCRIPTIONS WERE ANALYZED FOR COMMON THEMES AND RESULTS THAT ADDRESSED THE STUDY OBJECTIVES. A TOTAL OF 20 SERVICE PROVIDERS WERE INTERVIEWED AS WELL. THESE INCLUDED PUBLIC HEALTH EXPERTS, COUNTY PUBLIC HEALTH OFFICERS, HEALTH CARE AND SOCIAL SERVICE PRACTITIONERS, PHYSICIANS SERVING THE POOR AND UNINSURED, AND OTHER MEMBERS OF COMMUNITY-BASED ORGANIZATIONS ASSISTING THE UNINSURED. ADDITIONALLY, SECONDARY DATA FOR THE YEARS 2006, 2007 AND 2008 WERE COLLECTED AT THE ZIP CODE LEVEL. THE CNA IS AN IN-DEPTH STUDY OF THE GREATER SACRAMENTO REGION THAT IDENTIFIES HEALTH PRIORITIES, HEALTH DISPARITIES AND BARRIERS TO HEALTH CARE FOR VULNERABLE AND UNDERSERVED POPULATIONS. ALTHOUGH THE SHSSR COMMUNITY BENEFIT PRIORITY AREAS ARE DETERMINED FROM THIS PROCESS, WE ARE FOCUSED ON CREATING AND IMPROVING ACCESS TO PRIMARY AND MENTAL HEALTH CARE SERVICES MORE THAN EVER BECAUSE THE NEED IS MORE PRONOUNCED THAN EVER. WE ARE WORKING TO INCREASE ACCESS BY USING A BEST PRACTICE APPROACH, LOOKING AT 'THE WHOLE PERSON,' AND UTILIZING STRATEGIC COLLABORATIONS THAT VARY IN NATURE AND SCOPE FROM COUNTY TO COUNTY. THIS WAY, WE ARE ABLE TO USE PROGRAMS THAT MAY HAVE ORIGINATED IN ONE COUNTY, AND MODIFYING THEM TO WORK IN OTHER COUNTIES. BY INVESTING IN PROGRAMS THAT INCREASE ACCESS TO PREVENTATIVE CARE AND BY HELPING PEOPLE FIND A 'MEDICAL HOME,' WE ARE INVESTING IN THE HEALTH OF THE 'WHOLE PERSON' AND ENSURING THEIR ONGOING SUCCESS AND LONG-TERM SUSTAINABILITY OF OUR HEALTH CARE SYSTEM. SACRAMENTO SIERRA REGION'S PRIORITY NEEDS ARE: - ENSURING ACCESS TO PRIMARY CARE AND MENTAL HEALTH SERVICES - IMPROVING THE LIVES OF FAMILIES AND CHILDREN - CONNECTING WITH OUR SENIOR RESIDENTS - PREPARING OUR COMMUNITY FOR HEALTH FUTURES WE CREATED A PLATFORM AND TOOL TO MAKE THIS IMPORTANT HEALTH INFORMATION ACCESSIBLE TO OUR COMMUNITY PARTNERS AND THE GENERAL PUBLIC. LOG ON TO WWW.HEALTHYLIVINGMAP.COM AND LEARN ABOUT THE UNMET HEALTH NEEDS IN OUR REGION. | PART VI, QUESTION 2 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | SUTTER MEDICAL FOUNDATION AND SUTTER SURGICAL HOSPITAL, NORTH VALLEY FOLLOW A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS) B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION" 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION" B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS. 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS. | PART VI, QUESTION 3 |
| COMMUNITY INFORMATION | SUTTER MEDICAL FOUNDATION AND SUTTER SURGICAL HOSPITAL, NORTH VALLEY'S PRIMARY SERVICE AREAS INCLUDE AMADOR COUNTY, PLACER COUNTY, SACRAMENTO COUNTY, SOLANO COUNTY, SUTTER COUNTY, YOLO COUNTY AND YUBA COUNTY. AMADOR COUNTY ACCORDING TO THE 2012 U.S. CENSUS BUREAU THE POPULATION OF AMADOR COUNTY IS 38,091 AND CONSISTED OF 54.5% MEN AND 45.5% WOMEN WITH A MEDIAN AGE OF 42.7 YEARS. THE POPULATION DENSITY WAS 63 PEOPLE PER SQUARE MILE IN 2010 WHICH IS FAR BELOW THAT OF THE CALIFORNIA STATE DENSITY OF 239.1. AMADOR'S POPULATION CONSISTS OF 87% WHITE RESIDENTS, 12.5% HISPANIC OR LATINO AND 2.5% BLACK NON-HISPANIC. THE MAJORITY OF RESIDENTS SPEAK ENGLISH AT HOME (92.4%) WHILE 5% SPEAK SPANISH. THE MEDIAN HOUSE HOLD SIZE IS 2.31 PEOPLE WITH A 2010 AVERAGE INCOME OF $54,758 AND A MEDIAN HOUSE VALUE OF $341,400. THE MAJORITY (87.4%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 19% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN AMADOR THE POVERTY LEVEL IN 2010 WAS AT 8% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 13.4% IN APRIL 2010 WHICH WAS ABOVE THE CALIFORNIA LEVEL OF 12.4% AS WELL AS THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES ARE CONSISTENT WITH THE SIZE OF THE COUNTY WITH 12 GROCERY STORES AND 38 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 11.2% OF ADULTS BEING OBESE AND 5.8% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 389 DEATHS AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND ACCIDENTAL. IN 2007 THERE WERE 294 BIRTHS WITH ONLY 1 INFANT DEATH OCCURRING THAT YEAR. THE LIFE EXPECTANCY AT BIRTH IS 78.5 YEARS WHICH IS NEARLY THE SAME AS THE CALIFORNIA LIFE EXPECTANCY. IN 2009 27.9% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS ABOVE BOTH THE STATE LEVEL OF 18.5% AND FEDERAL LEVEL OF 15.5%. IN AMADOR COUNTY 51.6% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 10.5% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. PLACER COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU PLACER COUNTY HAD A POPULATION OF 348,342 AND CONSISTED OF 48.8% MEN AND 51.2% WOMEN WITH A MEDIAN AGE OF 38 YEARS. THE POPULATION DENSITY WAS 132.2 PEOPLE PER SQUARE MILE IN 2010 WHICH IS HALF THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. PLACER'S POPULATION CONSISTS OF 83.5% WHITE RESIDENTS, 12.8% HISPANIC OR LATINO AND 5.9% ASIAN. THE MAJORITY OF RESIDENTS (89.4%) SPEAK ENGLISH AT HOME WHILE 5.9% SPEAK SPANISH AT HOME (7% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSE HOLD SIZE IS 2.58 PEOPLE WITH A 2010 AVERAGE INCOME OF $74,477 AND A MEDIAN HOUSE VALUE OF $427,600. NEARLY ALL (93%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 34.1% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN PLACER THE POVERTY LEVEL IN 2010 WAS AT 6.6% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 11.4% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 55 GROCERY STORES, 74 CONVENIENCE STORES (WITH GAS) AND 299 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 17.3% OF ADULTS BEING OBESE, 5.7% OF ADULTS WITH DIABETES AND 21.1% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 2,502 DEATHS IN PLACER COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 4,054 BIRTHS AS WELL AS 23 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 80.9 YEARS WHICH WAS RIGHT AT THE CALIFORNIA LIFE EXPECTANCY. IN 2010 15% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS AVERAGE WITH BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN PLACER COUNTY 67.3% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 3.5% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SACRAMENTO COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU SACRAMENTO COUNTY HAD A POPULATION OF 1,418,788 AND CONSISTED OF 49% MEN AND 51% WOMEN WITH A MEDIAN AGE OF 33.8 YEARS. THE POPULATION DENSITY WAS 1,470.8 PEOPLE PER SQUARE MILE IN 2010 WHICH IS NEARLY SIX TIMES THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SACRAMENTO'S POPULATION CONSISTS OF 57.5% WHITE RESIDENTS, 21.6% HISPANIC OR LATINO AND 14.3% ASIAN. THREE QUARTERS (75.6%) OF RESIDENTS SPEAK ENGLISH AT HOME AND 10% SPEAK SPANISH. THE MEDIAN HOUSE HOLD SIZE IS 2.69 PEOPLE WITH A 2010 AVERAGE INCOME OF $56,439 AND A MEDIAN HOUSE VALUE OF $324,200. A HIGH PERCENTAGE (85.1%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 27.8% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SACRAMENTO THE POVERTY LEVEL IN 2010 WAS AT 13.9% OF RESIDENTS, RIGHT AT THE CALIFORNIA STATE LEVEL OF 13.7% AND JUST BELOW THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 12.4% IN APRIL 2010 WHICH WAS EXACTLY AT THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 255 GROCERY STORES, 10 SUPERCENTERS AND CLUB STORES, 233 CONVENIENCE STORES (WITH GAS) AND 922 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 20.8% OF ADULTS BEING OBESE, 6.4% OF ADULTS WITH DIABETES AND 25.3% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 9,548 DEATHS IN SACRAMENTO COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 22,119 BIRTHS AS WELL AS 127 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 78.4 YEARS WHICH WAS BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010 17.6% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS BELOW THE STATE LEVEL OF 18.5% YET RIGHT ABOVE THE FEDERAL LEVEL OF 15.5%. IN SACRAMENTO COUNTY 56.7% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 17.6% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. | PART VI, QUESTION 4 |
| COMMUNITY INFORMATION (CONTINUED) | SOLANO COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU SOLANO COUNTY HAD A POPULATION OF 413,344 AND CONSISTED OF 49.9% MEN AND 50.1% WOMEN WITH A MEDIAN AGE OF 33.9 YEARS. THE POPULATION DENSITY WAS 203 PEOPLE PER SQUARE MILE IN 2010 WHICH IS JUST UNDER THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SOLANO'S POPULATION CONSISTS OF 51% WHITE RESIDENTS, 24% HISPANIC OR LATINO, 14.6% ASIAN AND 14.7 BLACK NON-HISPANIC. THREE QUARTERS (75.4%) OF RESIDENTS SPEAK ENGLISH AT HOME WHITE 12.1% SPEAK SPANISH. THE MEDIAN HOUSE HOLD SIZE IS 2.86 PEOPLE WITH A 2010 AVERAGE INCOME OF $68,409 AND A MEDIAN HOUSE VALUE OF $389,800. A HIGH PERCENTAGE (85.8%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 24% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SOLANO THE POVERTY LEVEL IN 2010 WAS AT 10.4% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 11.8% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 78 GROCERY STORES, 91 CONVENIENCE STORES (WITH GAS) AND 221 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 20.9% OF ADULTS BEING OBESE, 6.4% OF ADULTS WITH DIABETES AND 21.9% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 2,774 DEATHS IN SOLANO COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 5,849 BIRTHS AS WELL AS 41 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 78.5 YEARS WHICH WAS BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010 20.3% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS ABOVE BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN SOLANO COUNTY 53.9% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 15.7% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SUTTER COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU SUTTER COUNTY HAD A POPULATION OF 94,737 AND CONSISTED OF 49.6% MEN AND 50.4% WOMEN WITH A MEDIAN AGE OF 34.1 YEARS. THE POPULATION DENSITY WAS 157.3 PEOPLE PER SQUARE MILE IN 2010 WHICH IS WELL BELOW THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SUTTER'S POPULATION CONSISTS OF 61% WHITE RESIDENTS, 28.8% HISPANIC OR LATINO, AND 14.4% ASIAN. A LITTLE OVER HALF (69.7%) OF RESIDENTS SPEAK ENGLISH AT HOME WHILE 17.7% SPEAK SPANISH (14% OF WHICH DO NOT SPEAK ENGLISH AT ALL) AND 10.9% SPEAK INDO-EUROPEAN. THE MEDIAN HOUSE HOLD SIZE IS 2.95 PEOPLE WITH A 2010 AVERAGE INCOME OF $50,944 AND A MEDIAN HOUSE VALUE OF $262,200. OVER THREE QUARTERS (78.4%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 18.7% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SUTTER THE POVERTY LEVEL IN 2010 WAS AT 14.3% OF RESIDENTS, ABOVE THE CALIFORNIA STATE LEVEL OF 13.7% YET BELOW THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 21% IN APRIL 2010 WHICH WAS FAR ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 21 GROCERY STORES, 19 CONVENIENCE STORES (WITH GAS) AND 61 FULL SERVICE RESTAURANTS. IN 2008, HEALTH ISSUES IN THIS COUNTY INCLUDED 25.3% OF ADULTS BEING OBESE AND 7.9% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 690 DEATHS IN SUTTER COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE HEART DISEASE, CANCER AND STROKE. IN 2007 THERE WERE 1,497 BIRTHS AS WELL AS 9 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 77.7 YEARS WHICH WAS RIGHT AT THE CALIFORNIA LIFE EXPECTANCY. IN 2010 22.8% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS ABOVE BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN SUTTER COUNTY 47.1% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 24.4% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. YOLO COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU YOLO COUNTY HAD A POPULATION OF 200,849 AND CONSISTED OF 48.8% MEN AND 51.2% WOMEN WITH A MEDIAN AGE OF 29.5 YEARS. THE POPULATION DENSITY WAS 197.9 PEOPLE PER SQUARE MILE IN 2010 WHICH IS WELL BELOW THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. YOLO'S POPULATION CONSISTS OF 63.2% WHITE RESIDENTS, 30.3% HISPANIC OR LATINO, AND 13% ASIAN. A LITTLE OVER HALF (67.9%) OF RESIDENTS SPEAK ENGLISH AT HOME WHILE 19.4% SPEAK SPANISH. THE MEDIAN HOUSE HOLD SIZE IS 2.7 PEOPLE WITH A 2010 AVERAGE INCOME OF $57,077 AND A MEDIAN HOUSE VALUE OF $391,300. A LARGE MAJORITY (84.3%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 37.8% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN YOLO THE POVERTY LEVEL IN 2010 WAS AT 17.1% OF RESIDENTS, ABOVE BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 12.8% IN APRIL 2010 WHICH WAS ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 40 GROCERY STORES, 40 CONVENIENCE STORES (WITH GAS) AND 123 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 13.9% OF ADULTS BEING OBESE AND 8.3% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 1,111 DEATHS IN YOLO COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 2,522 BIRTHS AS WELL AS 12 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 79.2 YEARS WHICH WAS RIGHT BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010 20% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS ABOVE BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN YOLO COUNTY 65.6% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 8.3% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. YUBA COUNTY ACCORDING TO THE 2011 U.S. CENSUS BUREAU YUBA COUNTY HAD A POPULATION OF 72,578 AND CONSISTED OF 50.4% MEN AND 49.6% WOMEN WITH A MEDIAN AGE OF 31 YEARS. THE POPULATION DENSITY WAS 114.2 PEOPLE PER SQUARE MILE IN 2010 WHICH IS WELL BELOW THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. YUBA'S POPULATION CONSISTS OF 79.5% WHITE RESIDENTS, 25.9% HISPANIC OR LATINO, AND 7.2% ASIAN. A LITTLE OVER THREE QUARTERS (78.1%) OF RESIDENTS SPEAK ENGLISH AT HOME WHILE 13.1% SPEAK SPANISH. THE MEDIAN HOUSE HOLD SIZE IS 2.93 PEOPLE WITH A 2010 AVERAGE INCOME OF $46,807 AND A MEDIAN HOUSE VALUE OF $224,200. A LITTLE OVER THREE QUARTERS (76.9%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 12.5% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN YUBA THE POVERTY LEVEL IN 2010 WAS AT 20% OF RESIDENTS, ABOVE BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 11.8% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 13 GROCERY STORES, 15 CONVENIENCE STORES (WITH GAS) AND 29 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 27.4% OF ADULTS BEING OBESE AND 7.2% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 551 DEATHS IN YUBA COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 1,351 BIRTHS OF WHICH 5 INFANT DEATHS OCCURRED. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 75.5 YEARS WHICH WAS RIGHT BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010 27.7% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS ABOVE BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN YUBA COUNTY 40.1% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 24.7% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. | PART VI, QUESTION 4 |
| PROMOTION OF COMMUNITY HEALTH | SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS OF SUTTER MEDICAL FOUNDATION & SUTTER SURGICAL HOSPITAL, NORTH VALLEY'S PROGRAMS IN 2012: GIRLS ON THE RUN IS A LIFE CHANGING, EXPERIENTIAL LEARNING PROGRAM FOR GIRLS AGE EIGHT TO THIRTEEN YEARS OLD. THIS PROGRAM'S GOAL IS TO ENCOURAGE POSITIVE EMOTIONAL, SOCIAL, MENTAL, SPIRITUAL AS WELL AS PHYSICAL DEVELOPMENT. THIS YEAR, SMF PROVIDED CPR TRAINING FOR THEIR VOLUNTEERS FROM THE CENTER FOR EXCELLENCE IN EDUCATION. RELAY FOR LIFE CELEBRATES CANCER SURVIVORSHIP AND ASSISTS IN RAISING MONEY FOR RESEARCH AND PROGRAMS OF THE AMERICAN CANCER SOCIETY. THIS EVENT OFFERS PUBLIC HEALTH EDUCATION AS WELL AS HAS A DOCTOR ON SITE DURING THE EVENT. IN ADDITION TO RELAY FOR LIFE, SMF PARTNERED WITH AMERICAN CANCER SOCIETY FOR THE BLOSSOM BALL FUNDRAISING EVENT BY PROVIDING CATERING AS WELL AS STAFF HOURS. DURING THE MONTH OF OCTOBER SMF SUPPORTED "PINK OCTOBER" WHICH RAISES AWARENESS FOR BREAST CANCER. SMF STAFF DONATED HUNDREDS OF HOURS TO SCHEDULING PATIENTS, PREPARING PATIENT PAPERWORK, REGISTRATION, SCREENING DAYS, PERFORMING MAMMOGRAPHY, INTERPRETATION, AND POSITIVE MAMMOGRAPHY FOLLOW-UPS. SMF SPONSORS THE YUBA CITY EDUCATION FOUNDATION'S "HAVE A HEART FOR KIDS 5K" WHICH HELPS KIDS OVERCOME BARRIERS TO LEARNING THROUGH PROVIDING COLLEGE SCHOLARSHIPS, MINI-GRANTS FOR TEACHERS AND A PROBLEM SOLVING FUND. SMF PROVIDES MEETING ROOMS AT NO COST TO ORGANIZATIONS, GROUPS AND COUNCILS SUCH AS MULTIPLE SCLEROSIS SUPPORT GROUP, DIABETES SUPPORT GROUPS, PARKINSON'S SUPPORT GROUPS, GIRLS ON THE RUN COUNCIL, CAPITAL AUTISM AND BRIDGING THE GAP. | PART VI, QUESTION 5 |
| AFFILIATED HEALTH CARE SYSTEM | SUTTER MEDICAL FOUNDATION IS AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF 48,000 PHYSICIANS, EMPLOYEES, AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. IT'S BETTER FOR PATIENTS: WE BELIEVE THIS COMMUNITY-OWNED, NOT-FOR-PROFIT APPROACH TO HEALTH CARE BEST SERVES OUR PATIENTS AND OUR COMMUNITIES - FOR MULTIPLE REASONS. FIRST OF ALL, IT'S GOOD FOR PATIENTS. ACCORDING TO THE JOURNAL OF GENERAL INTERNAL MEDICINE (APRIL 2000), PATIENTS TREATED AT FOR-PROFIT OR GOVERNMENT-OWNED HOSPITALS WERE TWO-TO-FOUR TIMES MORE LIKELY TO SUFFER PREVENTABLE ADVERSE EVENTS THAN PATIENTS TREATED AT NOT-FOR-PROFIT INSTITUTIONS. OUR STOCKHOLDERS ARE OUR COMMUNITIES: INVESTOR-OWNED, FOR-PROFIT HEALTH SYSTEMS HAVE A FINANCIAL INCENTIVE TO AVOID CARING FOR UNINSURED AND UNDERINSURED PATIENTS. THEY ALSO HAVE A FINANCIAL INCENTIVE TO AVOID HARD-TO-SERVE POPULATIONS AND "UNDESIRABLE" GEOGRAPHIC AREAS SUCH AS RURAL AREAS. FOR MANY NORTHERN CALIFORNIA'S UNDERSERVED RURAL LOCALES, SUTTER HEALTH IS THE ONLY PROVIDER OF HOSPITAL AND EMERGENCY MEDICAL SERVICES IN THE COMMUNITY. PROVIDING CHARITY CARE AND SPECIAL PROGRAMS TO COMMUNITIES: OUR COMMUNITIES' SUPPORT HELPS US EXPAND SERVICES, INTRODUCE NEW PROGRAMS AND IMPROVE MEDICAL TECHNOLOGY. ACROSS OUR NETWORK, EVERY SUTTER HOSPITAL, PHYSICIAN ORGANIZATION AND CLINIC HAS A SPECIAL STORY TO TELL ABOUT FULFILLING VITAL COMMUNITY NEEDS. OUR COMMITMENT TO COMMUNITY BENEFIT: MEETING THE HEALTH CARE NEEDS OF OUR COMMUNITIES IS THE CORNERSTONE OF SUTTER HEALTH'S NOT-FOR-PROFIT MISSION. THIS INCLUDES DIRECTLY SERVING THOSE WHO CANNOT AFFORD TO PAY FOR HEALTH CARE AND SUPPORTING PROGRAMS AND SERVICES THAT HELP THOSE IN FINANCIAL NEED. SUTTER HEALTH NOW PROVIDES $2.9 MILLION IN CHARITY CARE PER WEEK. IN 2012, OUR NETWORK OF PHYSICIAN ORGANIZATIONS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS INVESTED $795 MILLION IN HEALTH CARE PROGRAMS, SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED. THIS INCLUDES: - THE COST OF PROVIDING CHARITY CARE - THE UNPAID COSTS OF PARTICIPATING IN MEDI-CAL - INVESTMENTS IN MEDICAL RESEARCH, HEALTH EDUCATION AND COMMUNITY-BASED PUBLIC BENEFIT PROGRAMS SUCH AS SCHOOL-BASED CLINICS AND PRENATAL CARE FOR PATIENTS. SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS CONTINUED TO GROW, REACHING ANOTHER ALL-TIME HIGH OF $153 MILLION IN 2012 - OR AN AVERAGE OF NEARLY $3 MILLION PER WEEK. * SERVICES FOR THE POOR AND UNDERSERVED INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED, AS WELL AS THE COSTS OF PUBLIC PROGRAMS TREATING MEDI-CAL AND INDIGENT BENEFICIARIES. COSTS ARE COMPUTED BASED ON A RELATIONSHIP OF COSTS TO CHARGES. SERVICES FOR THE POOR AND UNDERSERVED ALSO INCLUDE THE COST OF OTHER SERVICES FOR INDIGENT POPULATIONS, AND CASH DONATIONS ON BEHALF OF THE POOR AND NEEDY. ** BENEFITS FOR THE BROADER COMMUNITY INCLUDE COSTS OF PROVIDING THE FOLLOWING SERVICES: HEALTH SCREENINGS AND OTHER HEALTH-RELATED SERVICES, TRAINING HEALTH PROFESSIONALS, EDUCATING THE COMMUNITY WITH VARIOUS SEMINARS AND CLASSES, THE COST OF PERFORMING MEDICAL RESEARCH AND THE COSTS ASSOCIATED WITH PROVIDING FREE CLINICS AND COMMUNITY SERVICES. BENEFITS FOR THE BROADER COMMUNITY ALSO INCLUDE CONTRIBUTIONS SUTTER HEALTH MAKES TO COMMUNITY AGENCIES TO FUND CHARITABLE ACTIVITIES. | PART VI, QUESTION 6 |
| STATE FILING OF COMMUNITY BENEFIT REPORT | CALIFORNIA | PART VI, QUESTION 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| YUBA CITY EDUCATION FOUNDATION | |||||||
| 750 PALORA AVE | YUBA CITY | CA | 95991 | 680455068 | 501(C)(3) | 62500 | GENERAL SUPPORT |
| YUBA CITY UNIFIED SCHOOL DISTRICT | |||||||
| 750 PALORA AVE | YUBA CITY | CA | 95991 | 946002768 | GOVERNMENT | 50046 | GENERAL SUPPORT |
| AMERICAN DIABETES ASSOCIATION | |||||||
| PO BOX 930850 | ATLANTA | GA | 31193 | 131623888 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| SHADY CREEK OUTDOOR EDUCATION | |||||||
| 970 KLAMATH LANE | YUBA CITY | CA | 95993 | 680239809 | 501(C)(3) | 10075 | GENERAL SUPPORT |
| FREMONT RIDEOUT FOUNDATION | |||||||
| 989 PLUMAS ST | YUBA CITY | CA | 95991 | 237366330 | 501(C)(3) | 5400 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS | Identifier |
| Return Reference | PART I, LINE 2 | ReturnReference |
| Explanation | 1. VARIOUS DEPARTMENTS OF THE HOSPITAL REQUEST FUNDING FROM THE FOUNDATION. 2. THE BOARD OF TRUSTEES AND THE EXECUTIVE DIRECTOR APPROVES THE HOSPITALS REQUEST. 3. THE APPROVAL IS SENT TO THE REQUESTING DEPARTMENT. 4. THE REQUESTING DEPARTMENT PROVIDES THE FOUNDATION A COPY OF THE INVOICE SUBSTANTIATING THE COSTS INCURRED. 5. THE FOUNDATION FORWARDS THE REQUEST FROM THE HOSPITAL, THE BOARD OF TRUSTEES MINUTES APPROVING THE FUNDING AND THE COPY OF THE INVOICE TO THE ACCOUNTANTS TO RELEASE THE FUNDS. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOM BLINN | ||||||||||||||
| CEO, SUTTER MEDICAL FOUNDATION | 0 | 536533 | 0 | 243088 | 0 | 13735 | 0 | 330119 | 0 | 18124 | 0 | 1141599 | 0 | 240034 |
| JAMES CONFORTI | ||||||||||||||
| REGIONAL PRESIDENT, SHSSR | 0 | 553935 | 0 | 223323 | 0 | 35511 | 0 | 506487 | 0 | 19544 | 0 | 1338800 | 0 | 252129 |
| KEVIN ENGLE | ||||||||||||||
| DIRECTOR OF OPERATIONS | 135656 | 0 | 18186 | 0 | 19574 | 0 | 10474 | 0 | 2677 | 0 | 186567 | 0 | 0 | 0 |
| THERESA FREI | ||||||||||||||
| COO SMF | 74078 | 0 | 0 | 0 | 16212 | 0 | 62796 | 0 | 4000 | 0 | 157086 | 0 | 0 | 0 |
| PAT FRY | ||||||||||||||
| PRESIDENT & CEO, SUTTER HEALTH | 0 | 2387975 | 0 | 1457150 | 0 | 17662 | 0 | 2498328 | 0 | 32768 | 0 | 6393883 | 0 | 2250657 |
| SUSAN GOWER | ||||||||||||||
| CFO, SMF CENTRAL | 0 | 259859 | 0 | 59647 | 0 | 5140 | 0 | 110023 | 0 | 13543 | 0 | 448212 | 0 | 70747 |
| GLEN GROVES | ||||||||||||||
| FINANCE EXECUTIVE SMF WEST | 0 | 225969 | 0 | 51709 | 0 | 4228 | 0 | 103774 | 0 | 13476 | 0 | 399156 | 0 | 59889 |
| SARAH KREVANS | ||||||||||||||
| COO, SUTTER HEALTH | 0 | 1006640 | 0 | 527546 | 0 | 12524 | 0 | 951242 | 0 | 23072 | 0 | 2521024 | 0 | 652265 |
| LESLIE PRATT | ||||||||||||||
| DIRECTOR CLINICAL OPERATIONS | 162540 | 0 | 19449 | 0 | 0 | 0 | 10992 | 0 | 15074 | 0 | 208055 | 0 | 0 | 0 |
| ERIC RASMUSSEN | ||||||||||||||
| DIRECTOR GROWTH & DEVELOPMENT | 197430 | 0 | 22099 | 0 | 2055 | 0 | 13384 | 0 | 20649 | 0 | 255617 | 0 | 0 | 0 |
| JOHN RAY | ||||||||||||||
| EXECUTIVE, SMF WEST DIVISION | 0 | 313878 | 0 | 87509 | 0 | 6896 | 0 | 143222 | 0 | 13937 | 0 | 565442 | 0 | 99259 |
| THERESA RUIZ | ||||||||||||||
| FINANCE EXECUTIVE, SMF NORTH | 0 | 177562 | 0 | 38469 | 0 | 158 | 0 | 75812 | 0 | 11892 | 0 | 303893 | 0 | 45963 |
| JEFF SPRAGUE | ||||||||||||||
| CFO, SHSSR | 0 | 482177 | 0 | 145875 | 0 | 913 | 0 | 295366 | 0 | 20161 | 0 | 944492 | 0 | 191647 |
| PENNY WESTFALL | ||||||||||||||
| VP & REG. COUNSEL SAC SIERRA | 0 | 330146 | 0 | 70200 | 0 | 1022 | 0 | 208887 | 0 | 7313 | 0 | 617568 | 0 | 84800 |
| TERESA WILSON | ||||||||||||||
| SENIOR DIRECTOR MANAGED CARE | 168568 | 0 | 20886 | 0 | 0 | 0 | 11443 | 0 | 15336 | 0 | 216233 | 0 | 0 | 0 |
| DAVID YAMAMOTO | ||||||||||||||
| CEO, SMF NORTH | 0 | 303344 | 0 | 137002 | 0 | 2332 | 0 | 151493 | 0 | 18466 | 0 | 612637 | 0 | 137002 |
| GARY ZUFELT | ||||||||||||||
| COO, SMF CENTRAL | 0 | 369027 | 0 | 146476 | 0 | 52564 | 0 | 247662 | 0 | 18580 | 0 | 834309 | 0 | 158487 |
| SUHEIR HADDAD | ||||||||||||||
| FINANCE ADMIN SMF CENTRAL | 0 | 190389 | 0 | 45500 | 0 | 3387 | 0 | 95406 | 0 | 17299 | 0 | 351981 | 0 | 45500 |
| ROSETTA LI | ||||||||||||||
| REGIONAL FINANCE DIRECTOR | 162376 | 0 | 19723 | 0 | 0 | 0 | 10999 | 0 | 20366 | 0 | 213464 | 0 | 0 | 0 |
| LISA BYNUM | ||||||||||||||
| DIRECTOR, CONTRACTS | 150257 | 0 | 18161 | 0 | 991 | 0 | 10232 | 0 | 20220 | 0 | 199861 | 0 | 0 | 0 |
| PAMELA ADDY | ||||||||||||||
| REGIONAL OPERATIONS DIRECTOR | 151345 | 0 | 17374 | 0 | 0 | 0 | 10191 | 0 | 19707 | 0 | 198617 | 0 | 0 | 0 |
| DOLORES NORTHHEIMER | ||||||||||||||
| REGIONAL ADMIN DIRECTOR | 139857 | 0 | 16735 | 0 | 0 | 0 | 9458 | 0 | 14558 | 0 | 180608 | 0 | 0 | 0 |
| MICHAEL D MARINO | ||||||||||||||
| DIRECTOR HR, SMF | 0 | 185812 | 0 | 40846 | 0 | 3003 | 0 | 73245 | 0 | 11930 | 0 | 314836 | 0 | 40846 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELEVANT INFORMATION REGARDING COMPENSATION ITEMS | PART I, QUESTION 1A | TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEE'S WAGES AND TAXED ACCORDINGLY. |
| SUPPLEMENTAL COMPENSATION INFORMATION | PART I, QUESTION 3 | THE CEO OF THE ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. |
| NONQUALIFIED RETIREMENT PLAN | PART I, QUESTION 4B | 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. |
| NON-FIXED PAYMENTS | PART I, QUESTION 7 | SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| CSCDA 2003AB | ||||||||
| A | 680164610 | 130911NE6 | 2007-05-01 | 101118867 | CONSTRUCT & REFUNDING - 1/30/2003 | false | false | false |
| CSCDA 2004CD | ||||||||
| B | 680164610 | 130795TE7 | 2008-05-06 | 87750717 | CONSTRUCT & REFUNDING - 2/17/2004 | false | false | false |
| CHFFA 2008A | ||||||||
| C | 521643828 | 13033F2L3 | 2008-05-14 | 329041638 | CONSTRUCT & REFUNDING - 2/17/2004 | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 105087726 | 8604737 | 0 | 0 | 0 | 0 | 0 | 0 | 96482989 | 0 | true | false | true | true |
| B | 12585000 | 0 | 88699880 | 8301228 | 0 | 0 | 0 | 0 | 0 | 0 | 80398652 | 0 | true | false | true | true |
| C | 81315000 | 0 | 329041638 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 329041638 | 0 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | true | true | true | true | true | 0.00320 | 0.00320 | false | false | false | true |
| B | false | true | true | true | true | true | 0.00830 | 0.00830 | false | false | false | true |
| C | false | true | true | true | true | true | 0.01830 | 0.01830 | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Rebate Not Due YetRebateNotDueYet |
|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||
| A | true | false | false | false | 0 | false | true | |
| 0 | ||||||||
| B | false | false | false | false | 0 | false | true | true |
| 0 | ||||||||
| C | false | false | false | false | 0 | false | true | true |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
| C | true |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GLOBAL DISCLOSURE | 0 | PART I, COLUMN (E): THE ORGANIZATION'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET. WITH THE EXCEPTION OF PART I, COLUMN (F), THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE. PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. |
| SMF SPECIFIC | 0 | PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $16,846,004 FROM THE 2003AB ISSUE, $11,483,497 FROM THE 2004CD ISSUE AND $15,965,405 FROM THE 2008A ISSUE. PART I, LINE A, COLUMN (F): THE INITIAL BONDS ISSUED IN 2003 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. PART I, LINE B, COLUMN (F): THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. PART I, LINE C, COLUMN (F): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2004 ISSUE. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | VICKY LUCAS | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE PART V | Relationship |
| Amount Of Transaction | 29196 | AmountOfTransaction |
| Description Of Transaction | SEE PART V | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | THERESA RUIZ - KEY EMPLOYEE, HAS A FAMILY MEMBER WHO WORKS AS A MEDICAL ASSISTANT FOR SMF-NORTH. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MISSION STATEMENT | FORM 990, PART I, LINE 1 AND PART III, LINE 1 | WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. |
| EXEMPT PURPOSE ACHIEVEMENTS | FORM 990, PART III, LINE 4A | SUTTER MEDICAL FOUNDATION (SMF) IS A COMMUNITY BASED, NOT-FOR-PROFIT MEDICAL ORGANIZATION SERVING NORTHERN CALIFORNIA COMMUNITIES AND SUPPORTING THE FOLLOWING CHARITABLE ORGANIZATIONS: SUTTER MEDICAL CENTER OF SACRAMENTO, SUTTER AUBURN FAITH HOSPITAL, SUTTER DAVIS HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO HOSPITAL AND SUTTER AMADOR HOSPITAL. WITH CARE CENTERS LOCATED IN SACRAMENTO, YOLO, SUTTER, YUBA, SOLANO, PLACER AND AMADOR COUNTIES WE DO OUR PART TO ENSURE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. OUR MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH NOT FOR PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE. WE VALUE EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK AND COMMUNITY. SUTTER MEDICAL FOUNDATION IS ALIGNED WITH PHYSICIANS AND MID-LEVEL PROVIDERS OF SUTTER MEDICAL GROUP AND SUTTER NORTH MEDICAL GROUP OFFERING PRIMARY CARE AND SPECIALTY CARE TO OUR PATIENTS. OFFERING A FULL RANGE OF MEDICAL SERVICES, SUTTER MEDICAL FOUNDATION PROVIDES AMBULATORY SURGERY, URGENT CARE CLINICS, HOME HEALTH, HOSPICE AND STATE OF THE ART IMAGING AND CARDIOLOGY TECHNOLOGY. IN ADDITION, WE OPERATE A RURAL HEALTH CLINIC IN THE COMMUNITY OF BROWNSVILLE, YUBA COUNTY. A TOTAL OF 4,080,580 PATIENTS WERE SERVED IN 2012. THE FOUNDATION PROVIDED MORE THAN $47.5 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT PROGRAMMING. FOCUS ON CHILDHOOD OBESITY AND HEALTH EDUCATION SUTTER MEDICAL FOUNDATION HAS PARTNERED WITH YUBA CITY UNIFIED SCHOOL DISTRICT TO ENHANCE THE PHYSICAL EDUCATION PROGRAMS FOR STUDENTS K-5. THE PARTNERSHIP INCLUDES DEDICATED TEACHING STAFF FOR PHYSICAL EDUCATION AND FAMILY EDUCATION PROGRAMS TO ASSIST PARENTS AND GUARDIANS IN MAKING HEALTHY CHOICES FOR THEIR FAMILIES. SMF ALSO PROVIDES PHYSICALS FOR THE FOOTBALL PLAYERS AT MARYSVILLE HIGH SCHOOL. THE SUTTER HEALTH POWER KIDS TRAVEL NORTHERN CALIFORNIA EDUCATING YOUTH ABOUT THE IMPORTANCE OF PHYSICAL FITNESS AND NUTRITION. APPEARING AT HEALTH FAIRS, PARADES AND COMMUNITY EVENTS THE POWER KIDS ARE POPULAR EDUCATORS AMONG STUDENT PRE-SCHOOL THRU THIRD GRADE. IN ADDITION, SMF RUNS THE KIDSHAPE PROGRAM, WHICH EVOLVED INTO THE BESTRONG PROGRAM IN 2012. BESTRONG IS A PROGRAM DESIGNED FOR THE ENTIRE FAMILY AND TARGETS CHILDREN WITH A HIGH BMI OR WHO ARE AT RISK FOR BECOMING OBESE. CLASS PARTICIPANTS LEARN ABOUT ADOPTING A HEALTHIER LIFESTYLE THROUGH INTERACTIVE GAMES, PHYSICAL ACTIVITIES, COOKING DEMONSTRATIONS AND DISCUSSIONS ABOUT FOOD CHOICES AND BEHAVIORS. SUPPORT GROUPS SUTTER MEDICAL FOUNDATION PROVIDES A VARIETY OF FREE SUPPORT GROUPS TO OUR PATIENTS AND THE COMMUNITIES WE SERVE. PATIENTS CAN RECEIVE SUPPORT FOR DIABETES, CHILDBIRTH EDUCATION, AUTISM AND PARKINSON'S. LOOK GOOD, FEEL BETTER "LOOK GOOD FEEL BETTER" IS A NATIONWIDE PROGRAM THAT IS DESIGNED FOR WOMEN WHO ARE GOING THROUGH CANCER TREATMENT. THE PROGRAM SHOWS SURVIVORS HOW TO USE MAKE-UP, SCARVES AND WIGS THAT WILL HELP THEM LOOK LIKE THEIR PRE-TREATMENT SELVES. PINK OCTOBER & WOMEN'S HEALTH SCREENING DAY SUTTER MEDICAL FOUNDATION HOSTS WOMEN'S HEALTH SCREENING DAY ANNUALLY AND JOINS FORCES WITH THE YUBA-SUTTER PINK OCTOBER COMMITTEE TO INCREASE AWARENESS OF EARLY DETECTION OF BREAST CANCER. WOMEN'S HEALTH SCREENING DAY PROVIDES RECTAL, CLINICAL BREAST, PAP AND BONE DENSITY SCREENINGS AT A FREE OR MINIMAL COST TO WOMEN WHO EITHER ARE UNDER OR NOT INSURED. PROVIDERS FROM SUTTER NORTH MEDICAL GROUP, IN YUBA CITY AND THE RURAL COMMUNITY OF BROWNSVILLE, DONATE THEIR TIME TO THE WOMEN'S HEALTH SCREENING DAY. IN TOTAL, THE 2012 WOMEN'S HEALTH SCREENING EVENT SAW 233 PATIENTS - 37 MORE THAN IN 2011. IN ADDITION, SUTTER MEDICAL FOUNDATION PROVIDED LOW-COST MAMMOGRAMS FOR 312 UNINSURED/UNDERINSURED WOMEN DURING THE MONTH OF OCTOBER IN HONOR OF "PINK OCTOBER" 2012 COMMUNITY SPONSORED EVENTS IN 2012, SUTTER MEDICAL FOUNDATION DONATED TO SEVERAL VARIOUS COMMUNITY EVENTS. WE MAKE IT OUR POLICY TO SUPPORT LOCAL AND NATIONAL NOT-FOR-PROFIT ORGANIZATIONS AND PUBLIC INSTITUTIONS IN NEED OF ASSISTANCE. MOREOVER, OUR EMPLOYEES MAKE EVERY EFFORT TO DONATE THEIR TIME TO LOCAL CAUSES AND YOU WILL FIND MANAGEMENT, PROVIDERS AND STAFF VOLUNTEERING WITH THE AMERICAN CANCER SOCIETY, UNITED WAY, MARCH OF DIMES, NATIONAL DIABETES SOCIETY, AMERICAN HEART ASSOCIATION, KIWANIS, ROTARY, SOROPTIMIST, GIRLS ON THE RUN, CHAMBER OF COMMERCE AND IN COMMUNITY SCHOOLS AND RELIGIOUS ORGANIZATIONS. TATTOO REMOVAL PROGRAM THE TATTOO REMOVAL PROGRAM (TATS OFF) REMOVES VISIBLE GANG TATTOOS FROM THE FACE, NECK, HANDS OR WRISTS (AND ANKLES FOR WOMEN), ELIMINATING THE STIGMA OF A PAST LIFESTYLE. IT NORMALLY TAKES FROM THREE TO TEN LASER TREATMENTS TO COMPLETE THE REMOVAL OF EACH DESIGN. THESE SESSIONS ARE SCHEDULED ONE MONTH APART TO FACILITATE PROPER HEALING BEFORE THE NEXT TREATMENT. THE OBJECTIVE IS TO MAKE IT EASIER FOR PEOPLE TO BEGIN A NEW LIFE, OBTAIN EMPLOYMENT AND ESCAPE BEING NEGATIVELY AND INACCURATELY STEREOTYPED. |
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, QUESTIONS 6 & 7A | THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. |
| DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | FORM 990, PART VI, QUESTION 7B | SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. |
| DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990 | FORM 990, PART VI, QUESTION 11B | SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, QUESTION 12 | 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. |
| PROCESS FOR DETERMINING COMPENSATION | FORM 990, PART VI, QUESTION 15 | THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY LEADERS OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, QUESTION 19 | 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. |
| OTHER CHANGES IN FUND BALANCE | FORM 990, PART XI, LINE 9 | GAIN/(LOSS) ON HEALTH CARE INVESTMENTS $ 11,991,591 K-1 ORDINARY INCOME (12,675,486) K-1 GUARANTEED PAYMENTS (141,531) K-1 INTEREST INCOME (10,103) K-1 SECTION 1231 288 CHANGE IN SPLIT INTEREST 857 EQUITY TRANSFERS (NET) 5,084,167 STOCK PAID IN SURPLUS 1,117,107 OTHER CHANGES IN FUND BALANCE (259) TOTAL ---------- 5,366,631 ========== |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ADOLESCENT TREATMENT CENTERS INC | ||||||||||
| 390 40TH STREET | OAKLAND | CA | 94609 | 680088443 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER EBH | true |
| ALTA BATES SUMMIT FOUNDATION | ||||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | 510160184 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER EBH | true |
| CALIFORNIA PACIFIC MEDICAL CTR FOUND | ||||||||||
| 2015 STEINER STREET 2ND FLOOR | SAN FRANCISCO | CA | 94115 | 942728423 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER WBH | true |
| DELTA MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 3901 LONE TREE WAY | ANTIOCH | CA | 94509 | 942417022 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER EBH | true |
| EAST BAY PERINATAL CENTER | ||||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | 510172285 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER EBH | true |
| EDEN MEDICAL CENTER | ||||||||||
| 20103 LAKE CHABOT ROAD | CASTRO VALLEY | CA | 94546 | 942948100 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| MARIN COMMUNITY HEALTH | ||||||||||
| 250 BON AIRE ROAD | GREENBRAE | CA | 94904 | 942994751 | SUPPORTING OR | CA | 501(C)(3) | 11b - II | SUTTER HLTH | true |
| MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 1800 COFFEE ROAD SUITE 76 | MODESTO | CA | 95355 | 942290244 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER CVH | true |
| MILLS-PENINSULA HEALTH SERVICES | ||||||||||
| 1501 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | 941156265 | HOSPITAL | CA | 501(C)(3) | 3 | PAMF | true |
| MILLS-PENINSULA HOSPITAL FOUNDATION | ||||||||||
| 1501 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | 237288765 | FUNDRAISING | CA | 501(C)(3) | 7 | MPHS | true |
| PALO ALTO MEDICAL FOUNDATION | ||||||||||
| 2350 EL CAMINO REAL | MOUNTAIN VIEW | CA | 94040 | 941156581 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SAMUEL MERRITT UNIVERSITY | ||||||||||
| 450 30TH STREET 2840 | 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 | SUTTER SSR | true |
| SUTTER CENTRAL VALLEY HOSPITALS | ||||||||||
| 1800 COFFEE ROAD SUITE 76 | MODESTO | CA | 95355 | 941080917 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER COAST HOSPITAL | ||||||||||
| 800 E WASHINGTON BLVD | CRESCENT CITY | CA | 95531 | 942988520 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER DAVIS HOSPITAL FOUNDATION | ||||||||||
| PO BOX 1617 | DAVIS | CA | 95617 | 680217870 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | true |
| SUTTER EAST BAY HOSPITALS | ||||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | 941196176 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER EAST BAY MEDICAL FOUNDATION | ||||||||||
| 3687 MT DIABLO BLVD 200 | LAFAYETTE | CA | 94549 | 942690415 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER GOULD MEDICAL FOUNDATION | ||||||||||
| 600 COFFEE ROAD | MODESTO | CA | 95355 | 941682256 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER HEALTH | ||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 942788907 | SUPPORTING OR | CA | 501(C)(3) | 11c III-FI | NA | false |
| SUTTER HEALTH PACIFIC | ||||||||||
| 91-2301 FT WEAVER RD | EWA BEACH | HI | 96706 | 990298651 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER HEALTH PLAN | ||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 461183948 | HEALTH PLAN | CA | PENDING | PENDING | SUTTER HLTH | true |
| SUTTER HEALTH SACRAMENTO SIERRA REGION | ||||||||||
| PO BOX 160727 | SACRAMENTO | CA | 95816 | 941156621 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER INSURANCE SERVICES CORPORATION | ||||||||||
| 745 FORT STREET SUITE 800 | HONOLULU | HI | 96813 | 990289310 | INSURANCE SER | HI | 501(C)(3) | 11b - II | SUTTER HLTH | true |
| SUTTER MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 160727 | SACRAMENTO | CA | 95816 | 942788906 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | true |
| SUTTER MEDICAL CENTER CASTRO VALLEY | ||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 770146047 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER ROSEVILLE MEDICAL CTR FOUNDATION | ||||||||||
| ONE MEDICAL PLAZA | ROSEVILLE | CA | 95661 | 680040113 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | true |
| SUTTER SOLANO CHARITABLE FOUNDATION | ||||||||||
| 300 HOSPITAL DRIVE | VALLEJO | CA | 94589 | 942668262 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER SSR | true |
| SUTTER VISITING NURSE ASSOC AND HOSPICE | ||||||||||
| 1900 POWELL ST 300 | EMERYVILLE | CA | 94608 | 946068843 | HEALTHCARE | CA | 501(C)(3) | 9 | SUTTER HLTH | true |
| SUTTER WEST BAY HOSPITALS | ||||||||||
| 2333 BUCHANAN STREET | SAN FRANCISCO | CA | 94115 | 940562680 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| SUTTER WEST BAY MEDICAL FOUNDATION | ||||||||||
| 2015 STEINER STREET 1ST FLOOR | SAN FRANCISCO | CA | 94115 | 942948131 | HEALTHCARE | CA | 501(C)(3) | 3 | SUTTER HLTH | true |
| TRACY HOSPITAL FOUNDATION | ||||||||||
| 1420 N TRACY BLVD | TRACY | CA | 95376 | 680318845 | FUNDRAISING | CA | 501(C)(3) | 11a - I | SUTTER CVH | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAGNETIC IMAGING AF | |||||||||||||
| 175 LENNON | WLN CK | CA | 94598 | 942953833 | PATIENT CARE | CA | NA | N/A | |||||
| SURG CTR OF ABSMC | |||||||||||||
| 3875 TELEGRAPH | OAKLAND | CA | 94609 | 470946086 | OUTPATIENT SURG | CA | NA | N/A | |||||
| ALTA CT SERVICES LP | |||||||||||||
| 175 LENNON | WLN CK | CA | 94598 | 943083464 | PATIENT CARE | CA | NA | N/A | |||||
| CALIFORNIA PACIFIC ADV IMAGING LLC | |||||||||||||
| PO BOX 6102 | NOVATO | CA | 94948 | 562311840 | MRI JOINT VENTURE | CA | NA | N/A | |||||
| SAN FRANCISCO ENDOSCOPY CENTER LLC | |||||||||||||
| 3000 RIVERCHASE | BIRMINGHAM | AL | 35244 | 912160588 | ENDOSCOPY JV | CA | NA | N/A | |||||
| PRESIDIO SURGERY CENTER LLC | |||||||||||||
| 1635 DIVISADERO | SF | CA | 94115 | 320144060 | AMBULATORY SURG | CA | NA | N/A | |||||
| SUTTER FAIRFIELD SURGERY CTR | |||||||||||||
| 2700 LOW CT | FAIRFIELD | CA | 94533 | 300233892 | SURGERY | CA | SUTTER MED FDN | RELATED | 3691933 | 1738568 | false | true | 0.82500 |
| TWIN CITIES SURGICAL HOSPITAL LLC | |||||||||||||
| 250 S WACKER | CHICAGO | IL | 60606 | 352182617 | SURGERY | CA | SUTTER MED FDN | RELATED | 915349 | 4935728 | false | false | 0.51470 |
| SUTTER AMADOR SURGERY CENTER LLC | |||||||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | 461398093 | SURGERY | CA | NA | N/A | |||||
| ROSEVILLE ENDOPSCOPY CENTER LLC | |||||||||||||
| 4 MEDICAL PLAZA SUITE 210 | ROSEVILLE | CA | 95661 | 870710513 | ENDOSCOPY JV | CA | NA | N/A | |||||
| MEMORIAL MEDICAL OFFICE BUILDING PRTNR I | |||||||||||||
| 1800 COFFEE RD SUITE 76 | MODESTO | CA | 95355 | 770287288 | OFFICE RENTAL | CA | NA | N/A | |||||
| MEMORIAL MEDICAL OFFICE BUILDING PRTNR I | |||||||||||||
| 1800 COFFEE RD SUITE 76 | MODESTO | CA | 95355 | 770287288 | OFFICE RENTAL | CA | NA | N/A | |||||
| TWIN CITIES HOSP PROPERTIES LP | |||||||||||||
| 30 S WACKER | CHICAGO | IL | 60606 | NO ACTIVITY | CA | NA | 0.99900 | ||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH VENTURES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 HAWTHORNE ST | AddressLine1 |
| City | OAKLAND | City |
| State | CA | State |
| ZIP Code | 94609 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942918780 | EIN |
| Primary Activity | HEALTH SERVICE | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Controlled Org | true | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SUTTER VISITING NURSE ASSOC AND HOSPICE | ||
| L | 238133 | FMV |
| SUTTER VISITING NURSE ASSOC AND HOSPICE | ||
| M | 231681 | FMV |
| SUTTER VISITING NURSE ASSOC AND HOSPICE | ||
| P | 72000 | FMV |
| SUTTER HEALTH SACRAMENTO SIERRA REGION | ||
| P | 18244631 | FMV |
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