MILLS-PENINSULA HOSPITAL FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MILLS-PENINSULA HOSPITAL FOUNDATION (EIN 23-7288765)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-24
- IRS object ID
- 201322979349301012
- 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 I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-24T12:00:28-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 346565596 | EIN |
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 STE 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 | 237288765 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILLS-PENINSULA HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MILL | NameControl |
| Phone | 9162866665 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 Trousdale Drive | AddressLine1 |
| City | Burlingame | City |
| State | CA | State |
| ZIP Code | 94010 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | IFTIKHAR HUSSAIN | Name |
| Title | CFO | Title |
| Date Signed | 2013-10-16 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Debra Heiskala | Name |
| PTIN | P00649485 | PTIN |
| Phone | 8585357200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN LODER | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 Trousdale Drive | AddressLine1 |
| City | Burlingame | City |
| State | CA | State |
| ZIP Code | 94010 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12830949 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SUTTERHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | 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 | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 14350934 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8537979 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2435808 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2752895 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 619225 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1430139 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -208100 | OtherRevenuePriorYear |
| Other Revenue Current Year | -105250 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17197867 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12615763 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6140072 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 9628500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1765290 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2040145 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 955537 | OtherExpensePriorYear |
| Other Expenses Current Year | 1252625 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8860899 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12921270 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8336968 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -305507 | RevenuesLessExpensesCY |
| Total Assets BOY | 41914767 | TotalAssetsBOY |
| Total Assets EOY | 46009544 | TotalAssetsEOY |
| Total Liabilities BOY | 4534392 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6976906 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 37380375 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 39032638 | 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 | 11787423 | Expense |
| Grants | 9628500 | Grants |
| Revenue | 2752895 | Revenue |
| Description | SEE SCHEDULE O. | Description |
| Total Program Service Expense | 11787423 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | 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 | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | true | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | true | 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 |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 50 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 | 18 | 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 | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Zielenski | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9162866665 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 River Plaza Drive | AddressLine1 |
| City | Sacramento | City |
| State | CA | State |
| ZIP Code | 95833 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| JAMES R CODY | ||||||||
| TREASURER/TRUSTEE | 1.00 | X | X | 0 | 0 | 0 | ||
| JOHN LODER | ||||||||
| TRUSTEE & PRESIDENT MPH FDN | 40.00 | X | X | 0 | 254736 | 33607 | ||
| MARY D CHIGOS | ||||||||
| SECRETARY/TRUSTEE | 1.00 | X | X | 0 | 0 | 0 | ||
| PEGGY BORT JONES | ||||||||
| VICE CHAIR/TRUSTEE | 1.00 | X | X | 0 | 0 | 0 | ||
| STEVEN M MCLAUGHLIN | ||||||||
| CHAIR/TRUSTEE | 1.00 | X | X | 0 | 0 | 0 | ||
| ANDREA P METKUS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BONNIE J BERTETTA | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| CAROLE J MIDDLETON | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DAYNA A SUMIYOSHI | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| GEORGE M COHEN MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| GOLNAR YAZDI | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| J BRAD CRAIG | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JILL FLYNN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOHN RUTGERS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| KEITH MCWILLIAMS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| KIM SCHOKNECHT | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MARGARET HO | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT MERWIN | ||||||||
| TRUSTEE & CEO MPHS | 1.00 | X | 0 | 1244697 | 436779 | 40.00 | ||
| SCOTT PETERSON | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SUSAN L HERMAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| IFTIKHAR HUSSAIN | ||||||||
| CFO, MPHS | 1.00 | X | 0 | 395167 | 160730 | 40.00 | ||
| MARA HOOK | ||||||||
| VP PHIL, PENNINSULA COASTAL | 40.00 | 0 | 448618 | 230213 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2343218 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 861329 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 300047 | FundraisingEvents |
| All Other Contributions | 8237932 | AllOtherContributions |
| Noncash Contributions | 1255894 | NoncashContributions |
| Total Contributions | 8537979 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HOSPITAL SUPPORT | 900099 | 2752895 | 2752895 |
| 0 | |||
| 0 | |||
| 0 | |||
| 0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2752895 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 740285 | TotalRevenueColumn |
| Exclusion | $740,285 | 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 |
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 |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 689854 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 689854 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 689854 | TotalRevenueColumn |
| Exclusion | $689,854 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 84134 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 300047 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 214303 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -130169 | TotalRevenueColumn |
| Exclusion | -$130,169 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 24667 | GrossIncomeGaming |
| Gaming Direct Expenses | 883 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23784 | TotalRevenueColumn |
| Exclusion | $23,784 | 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 | ExclusionExclusionAmount |
|---|---|---|---|
| SEC LITIGATION SETTLEMENT | 900099 | 1135 | $1,135 |
| 0 | |||
| 0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1135 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12615763 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2752895 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,324,889 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9609368 | Total |
| Program Services | 9609368 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19132 | Total |
| Program Services | 19132 | ProgramServices |
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 | 254736 | Total |
| Program Services | 185960 | ProgramServices |
| Management And General | 68776 | 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 | 1125573 | Total |
| Program Services | 833500 | ProgramServices |
| Management And General | 292073 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 659836 | Total |
| Program Services | 487338 | ProgramServices |
| Management And General | 172498 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17250 | Total |
| Management And General | 17250 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9750 | Total |
| Management And General | 9750 | 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 | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86452 | Total |
| Management And General | 86452 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33188 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 33188 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 255214 | Total |
| Program Services | 104693 | ProgramServices |
| Management And General | 150521 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111602 | Total |
| Management And General | 111602 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 766 | Total |
| Management And General | 766 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20162 | Total |
| Management And General | 20162 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| COMMUNITY SUPPORT | 514192 | 514192 | |
| PURCHASED SERVICES | 157147 | 17131 | 140016 |
| REPAIRS & MAINTENANCE | 20913 | 20913 | |
| DONOR CULTIVATION | 16109 | 16109 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9880 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 9880 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12921270 | Total |
| Program Services | 11787423 | ProgramServices |
| Management And General | 1133847 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4938706 | BOY |
| EOY | 14203414 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5003894 | BOY |
| EOY | 7033470 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23876 | BOY |
| EOY | 5525 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 139887 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 139887 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20992617 | BOY |
| EOY | 22747973 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10955674 | BOY |
| EOY | 2019162 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41914767 | BOY |
| EOY | 46009544 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1898041 | BOY |
| EOY | 4471792 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2636351 | BOY |
| EOY | 2505114 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4534392 | BOY |
| EOY | 6976906 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3072714 | BOY |
| EOY | 5107316 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28280129 | BOY |
| EOY | 27452748 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6027532 | BOY |
| EOY | 6472574 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37380375 | BOY |
| EOY | 39032638 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41914767 | BOY |
| EOY | 46009544 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -305507 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1946170 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 11600 | 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) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7630804 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5577618 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7108844 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14350934 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8537979 | CurrentTaxYear |
| Total | 43206179 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7630804 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5577618 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7108844 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14350934 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8537979 | CurrentTaxYear |
| Total | 43206179 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 14095641 | AmountsSubstContributorsTotal |
| Public Support Total170 | 29110538 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1936897 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 667027 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 697033 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 619225 | CurrentTaxYearMinus1Year |
| Current Tax Year | 740285 | CurrentTaxYear |
| Total | 4660467 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 47866646 | TotalSupport |
| Gross Receipts From Admissions Etc | 12147919 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.60820 | PublicSupportPertcentage170 |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6698130 | BeginningOfYearBalance |
| Contributions | 222000 | Contributions |
| Investment Earnings Or Losses | 724668 | InvestmentEarningsOrLosses |
| Other Expenditures | 63544 | OtherExpenditures |
| End Of Year Balance | 7581254 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6719626 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 32296 | InvestmentEarningsOrLosses |
| Other Expenditures | 53792 | OtherExpenditures |
| End Of Year Balance | 6698130 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6271261 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 544479 | InvestmentEarningsOrLosses |
| Other Expenditures | 96114 | OtherExpenditures |
| End Of Year Balance | 6719626 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5797262 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 544040 | InvestmentEarningsOrLosses |
| Other Expenditures | 70041 | OtherExpenditures |
| End Of Year Balance | 6271261 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6910971 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -865337 | InvestmentEarningsOrLosses |
| Other Expenditures | 248372 | OtherExpenditures |
| End Of Year Balance | 5797262 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.85380 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.14620 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 108039 | OtherCostOrOtherBasis |
| Depreciation | 108039 | Depreciation |
| Book Value | 0 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31848 | OtherCostOrOtherBasis |
| Depreciation | 31848 | Depreciation |
| Book Value | 0 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INSURANCE LIABILITIES | $7,903 |
| OTHER LIABILITIES | $2,497,211 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2505114 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Collections of art - description of collections | Schedule D, Part III, Line 4 | |
| Intended uses of endowment funds | Schedule D, Part V, Line 4 | THE ENDOWMENTS ARE USED TO SUPPORT THE PROGRAMS OF MILLS-PENINSULA HEALTH SERVICES. |
| FIN 48 (ASC 740) footnote | Schedule D, Part X, Line 2 | 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 FOR-PROFIT SUBSIDIARIES AND TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2012 AND 2011, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | WOMEN'S LUNCHEON | NameOfEvent1 |
| Gross Receipts Event1 | 384181 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 300047 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 84134 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 47434 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 36700 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 130169 | OtherDirectExpensesEvent1 |
| Gross Revenue Event2 | 0 | GrossRevenueEvent2 |
| Gross Revenue Other Events | 0 | GrossRevenueOtherEvents |
| Gross Receipts Total | 384181 | GrossReceiptsTotal |
| Charitable Contributions Total | 300047 | CharitableContributionsTotal |
| Gross Revenue Total Events | 84134 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 0 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 0 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 0 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 47434 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 36700 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 130169 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 214303 | DirectExpenseSummaryEvents |
| Net Income Summary | -130169 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 24667 | GrossRevenueOtherGaming |
| Other Direct Expenses Other Gaming | 883 | OtherDirectExpensesOtherGaming |
| Volunteer Labor Other Gaming | true | VolunteerLaborOtherGaming |
| Gross Revenue Total Gaming | 24667 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 0 | CashPrizesTotalGaming |
| Non Cash Prizes Total Gaming | 0 | NonCashPrizesTotalGaming |
| Rent Facility Costs Total Gaming | 0 | RentFacilityCostsTotalGaming |
| Other Direct Expenses Total Gaming | 883 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 883 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 23784 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CA | StatesWhereGamingConducted |
| Licensed | true | Licensed |
| License Suspended Etc | false | LicenseSuspendedEtc |
| Gaming With Nonmembers | true | GamingWithNonmembers |
| Member Of Other Entity | false | MemberOfOtherEntity |
| Percentage Of Gaming Own Facility | 0 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 1 | PercentageOfGamingOthrFacility |
Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL ZIELENSKI | BusinessNameLine1 |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2200 RIVER PLAZA DRIVE | AddressLine1 |
| City | SACRAMENTO | City |
| State | CA | State |
| ZIP Code | 95833 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | false | ContractWith3rdPartyForGamRev |
Gaming Manager Name Business GamingManagerNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAREN MALENKOS-SMITH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Manager Compensation | 12524 | GamingManagerCompensation |
| Gaming Manager Services Provided | SERVED AS DIRECTOR OF THE WOMEN'S LUNCHEON EVENT DURING WHICH THE RAFFLE WAS HELD. | GamingManagerServicesProvided |
| Gaming Manager Is Employee | X | GamingManagerIsEmployee |
| Charitable Distrib Required | false | CharitableDistribRequired |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILLS PENINSULA HEALTH SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 TROUSDALE DR | AddressLine1 |
| City | BURLINGAME | City |
| State | CA | State |
| ZIP Code | 94010 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 941156265 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 9609368 | AmountOfCashGrant |
| Purpose Of Grant | PROGRAM SUPPORT & CAPITAL IMPROVEMENTS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| SCHOLARSHIPS | 9 | 18000 |
| EMPLOYEE ASSISTANCE | 1 | 500 |
| PATIENT ASSISTANCE | 1 | 632 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | 1. VARIOUS DEPARTMENTS OF THE HOSPITAL REQUEST FUNDING FROM THE FOUNDATION. 2. THE FOUNDATION BOARD OF TRUSTEES AND THE FOUNDATION EXECUTIVE APPROVE THE HOSPITAL'S REQUEST. 3. THE HOSPITAL PROVIDES THE FOUNDATION A COPY OF THE INVOICE AND/OR OTHER SUPPORTING DOCUMENTATION SUBSTANTIATING THE INCURRED COSTS. 4. THE FOUNDATION FORWARDS TO THE ACCOUNTANTS THE SUPPORTING DOCUMENTS, INCLUDING THE APPROVALS, FOR RECORDING OF THE TRANSACTION ON THE BOOKS AND THE TRANSFER TO THE FUNDS. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN LODER | ||||||||||||||
| TRUSTEE & PRESIDENT MPH FDN | 0 | 216032 | 0 | 33576 | 0 | 5128 | 0 | 15095 | 0 | 18512 | 0 | 288343 | 0 | 0 |
| ROBERT MERWIN | ||||||||||||||
| TRUSTEE & CEO MPHS | 0 | 901470 | 0 | 337957 | 0 | 5270 | 0 | 416990 | 0 | 19789 | 0 | 1681476 | 0 | 404254 |
| IFTIKHAR HUSSAIN | ||||||||||||||
| CFO, MPHS | 0 | 303535 | 0 | 91140 | 0 | 492 | 0 | 143242 | 0 | 17488 | 0 | 555897 | 0 | 91140 |
| MARA HOOK | ||||||||||||||
| VP PHIL, PENNINSULA COASTAL | 0 | 348215 | 0 | 94380 | 0 | 6023 | 0 | 218552 | 0 | 11661 | 0 | 678831 | 0 | 94097 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION | SCHEDULE J, PART I, LINE 3 | EXECUTIVE DIRECTOR POSITION EVALUATION AND RESULTING RANGE IS DETERMINED AS FOLLOWS: A. KNOW HOW B. PROBLEM SOLVING C. ACCOUNTABILITY CHECK RESULTING EVALUATION AGAINST: A: SALARY SURVEY DATA FOR BENCHMARK JOBS B: RELATIONSHIP TO LIKE POSITIONS IN OTHER LOCAL SUTTER COMPANIES C: ANECDOTAL INFO FROM MANAGER(CANDIDATE REQUIREMENTS, ETC) D. EXISTING EVALUATIONS OF SUBORDINATES, SUPERVISOR AND PEERS E. OTHER RELEVANT INFORMATION |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | INDIVIDUALS PAID BY SUTTER HEALTH PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403B EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR EARNINGS BEYOND THE PENSION PAY CAP. THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65. TARGET BENEFIT LEVELS VARY BY YEARS OF SERVICE. UNLIKE SUTTER HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. |
| Non-fixed payments | Schedule J, Part I, Line 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 EMPLOYEES ARE ELIGIBLE FOR A LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE. |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 40000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | OPINIONS OF EXPERTS | MethodOfDeterminingRevenues |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 18 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1190645 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenues |
Securities Miscellaneous SecuritiesMiscellaneous
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 25249 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 1 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Explanations of reporting method for number of contributions | Schedule M, Part I | SECURITIES - PUBLICLY TRADED: 17 CONTRIBUTIONS ART - WORKS OF ART: 1 PAINTING SECURITIES - MISCELLANEOUS: 1 CONTRIBUTION OF 220 SHARES OF BERRYASSA CALIFORNIA UNIFIED SCHOOL DISTRICT MUNICIPAL BONDS. |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 9 | 17 CONTRIBUTIONS |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 1 | 1 PAINTING |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 12 | 1 CONTRIBUTION OF 220 SHARES OF BERRYASSA CALIFORNIA UNIFIED SCHOOL DISTRICT MUNICIPAL BONDS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 | MILLS-PENINSULA HOSPITAL FOUNDATION SERVES THE COMMUNITY BY ENCOURAGING FINANCIAL SUPPORT FROM INDIVIDUALS, FOUNDATIONS, AND CORPORATIONS WHO BELIEVE IN QUALITY HEALTH CARE. THE FOUNDATION BOARD OF TRUSTEES AND THE MILLS-PENINSULA BOARD OF DIRECTORS ARE MADE UP OF COMMUNITY LEADERS WHO SERVE WITHOUT COMPENSATION. OUR FIRST AND FOREMOST CONCERN IS TO PROVIDE THE BEST POSSIBLE CARE FOR THE PEOPLE OF THE COMMUNITY WHO SUPPORT US. |
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | MILLS-PENINSULA HOSPITAL FOUNDATION SERVES THE COMMUNITY BY ENCOURAGING FINANCIAL SUPPORT FROM INDIVIDUALS, FOUNDATIONS, AND CORPORATIONS WHO BELIEVE IN QUALITY HEALTH CARE. THE FOUNDATION BOARD OF TRUSTEES AND THE MILLS-PENINSULA BOARD OF DIRECTORS ARE MADE UP OF COMMUNITY LEADERS WHO SERVE WITHOUT COMPENSATION. OUR FIRST AND FOREMOST CONCERN IS TO PROVIDE THE BEST POSSIBLE CARE FOR THE PEOPLE OF THE COMMUNITY WHO SUPPORT US. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4 | MILLS-PENINSULA HOSPITAL FOUNDATION SERVES THE COMMUNITY BY ENCOURAGING FINANCIAL SUPPORT FROM THE COMMUNITY AND CORPORATIONS TO ENHANCE THE QUALITY OF HEALTHCARE IN THE REGION. THE FOUNDATION'S PRIMARY METHOD TO DO THIS IS TO RAISE FUNDS IN SUPPORT OF MILLS-PENINSULA HEALTH SERVICES, A RELATED 501(C)(3) HOSPITAL. IN 2012, COMMUNITY SUPPORT MADE IT POSSIBLE FOR THE FOUNDATION TO PURCHASE UPGRADES TO CARDIOLOGY EQUIPMENT SUCH AS TWO NEW ULTRASOUND MACHINES TO PROVIDE THE BEST IN CARDIAC AND VASCULAR IMAGING AND ADDITIONAL DIAGNOSTIC INFORMATION TO PHYSICIANS. MILLS-PENINSULA HOSPITAL FOUNDATION FUNDED SURGICAL EQUIPMENT SUCH AS THE FUSION ENT NAVIGATION SYSTEM USED FOR MAXILLA-FACIAL SURGERY ALLOWING THE PHYSICIAN TO PRECISELY PERFORM SURGERY IN THE LEAST INVASIVE MANNER. PHILANTHROPIC CONTRIBUTIONS ALSO FUNDED AN EYE LASER USED TO PERFORM CORRECTIVE SURGERY FOR GLAUCOMA, MACULAR DEGENERATION AND VARIOUS RETINAL LASER PROCEDURES ALONG WITH OTHER OPERATIVE TELESCOPES, URETEROSCOPES, NEOPROBES, AND RADIATION PROTECTION APRONS. THE WOMEN'S CENTER RECEIVED FUNDING FOR NEW STATE-OF-THE-ART ULTRASOUND UNITS OFFERING THE LATEST IN IMAGE QUALITY. OTHER FUNDING INCLUDED DEFIBRILLATORS, VENTILATORS, AND SPEECH THERAPY SOFTWARE USED BY REHAB THAT SHOWS PATIENTS' SPEECH AND VOICE BEHAVIORS. ADDITIONALLY, PHILANTHROPIC FUNDS HELPED TO IMPLEMENT AND EVALUATE A TRANSITIONAL CARE PROGRAM AIMED AT REDUCING HOSPITAL READMISSIONS FOR PATIENTS AGE 65 AND OLDER. MILLS PENINSULA HOSPITAL FOUNDATION CONTINUES TO SUPPORT MILLS PENINSULA HEALTH SERVICES WITH THE CONSTRUCTION OF THE NEW HOSPITAL WHICH OPENED ITS DOORS IN MAY 2011. |
| SHARED COSTS | FORM 990, PART V, LINE 2A | MILLS-PENINSULA HOSPITAL FOUNDATION DOES NOT HAVE EMPLOYEES BUT SHARES THE COSTS OF PERSONNEL, SERVICES, FACILITIES AND EXPENSES WITH ITS PARENTS: SUTTER HEALTH AND MILLS PENINSULA HEALTH SERVICES. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | MILLS-PENINSULA HEALTH SERVICES IS THE SOLE MEMBER OF THIS CORPORATION WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | MILLS-PENINSULA HEALTH SERVICES IS THE SOLE MEMBER OF THIS CORPORATION WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | MILLS-PENINSULA HEALTH SERVICES, AS THE SOLE MEMBER OF THE ORGANIZATION, IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OR DIRECTORS: A. MERGER, CONSOLIDATION OR DISSOLUTION OF THIS CORPORATION; B. CONTRACTING WITH ANY UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THIS CORPORATION'S ASSETS OR OPERATIONS; C. CREATION OF A CORPORATION OR AFFILIATE ENTITY WHICH HAS, OR IS PROJECTED TO HAVE DURING THE FIRST YEAR OF ITS CREATION, TOTAL ASSETS OR NET OPERATING REVENUES IN EXCESS OF A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME; OR ACQUISITION OF A CORPORATION OR AFFILIATE ENTITY WHICH HAS TOTAL ASSETS OR NET OPERATING REVENUES IN EXCESS OF A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME; D. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THIS CORPORATION; E. APPROVAL OF OPERATING AND CAPITAL BUDGETS OF THIS CORPORATION, ALTHOUGH THE BOARD IS EMPOWERED TO DEVELOP ITS OWN BUDGET WITHIN THE CORPORATE GUIDELINES AND OBJECTIVES SET BY THE MEMBER FROM TIME TO TIME; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER; F. AGGREGATE EXPENDITURES BY THIS CORPORATION EXCEEDING APPROVED OPERATING OR CAPITAL BUDGETS OF THIS CORPORATION BY MORE THAN A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER; G. PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE AND ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE ESTABLISHED BY THE MEMBER FROM TIME TO TIME, NOT PREVIOUSLY INCLUDED IN THE CAPITAL BUDGET; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER; H. AGGREGATE UNSECURED BORROWING BY THIS CORPORATION IN EXCESS OF A DOLLAR AMOUNT TO BE SET BY THE MEMBER FROM TIME TO TIME. FOR THE PURPOSE OF THIS SUBPARAGRAPH, THE TERM AGGREGATE BORROWING INCLUDES BUT IS NOT LIMITED TO LEASE AGREEMENTS AND CONTRACTS OF PURCHASE; THE MEMBER MAY DELEGATE APPROVAL AND/OR GUIDELINE SETTING AUTHORITY TO THE CHIEF EXECUTIVE OFFICER OF THE MEMBER; I. APPOINTMENT OF THE INDEPENDENT AUDITOR AND CORPORATE COUNSEL; OR J. APPROVAL OF TRANSACTIONS OF THIS CORPORATION IN WHICH A TRUSTEE OR OFFICER OF THIS CORPORATION HAS A MATERIAL FINANCIAL INTEREST. OFFICER OF THIS CORPORATION HAS A MATERIAL FINANCIAL INTEREST. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | 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 used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE EXECUTIVE COMMITTEE OF MILLS-PENINSULA HEALTH SERVICES RETAINS DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING INTEGRITY AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | OFFICERS AND KEY EMPLOYEES PAID BY SUTTER HEALTH, ARE UNDER THE AUTHORITY OF THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS WHO RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 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. |
| SHARED COSTS | FORM 990, PART VII, SECTION A | MILLS PENINSULA HOSPITAL FOUNDATION DOES NOT HAVE EMPLOYEES BUT SHARES THE COSTS OF PERSONNEL, SERVICES, FACILITIES AND EXPENSES WITH ITS PARENTS: SUTTER HEALTH AND MILLS PENINSULA HEALTH SERVICES. |
| SHARED COSTS | FORM 990, PART IX, COLUMN (A) | MILLS PENINSULA HOSPITAL FOUNDATION DOES NOT HAVE EMPLOYEES BUT SHARES THE COSTS OF PERSONNEL, SERVICES, FACILITIES AND EXPENSES WITH ITS PARENTS: SUTTER HEALTH AND MILLS PENINSULA HEALTH SERVICES. |
| Other changes in net assets or fund balances | Form 990 , Part XI, Line 9 | CHANGE IN SPLIT INTEREST - 11600; |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 1 | 1 PAINTING |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 12 | 1 CONTRIBUTION OF 220 SHARES OF BERRYASSA CALIFORNIA UNIFIED SCHOOL DISTRICT MUNICIPAL BONDS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (33 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | 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 | HEALTH CARE | CA | 501(C)(3) | 3 | SUTTER EBH | true |
| ALTA BATES SUMMIT FOUNDATION | |||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER EBH | true |
| CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION | |||||||||
| 2015 STEINER STREET 2ND FLOOR | SAN FRANCISCO | CA | 94115 | FUNDRAISING | CA | 501(C)(3) | 7 | SUTTER WBH | true |
| DELTA MEMORIAL HOSPITAL FOUNDATION | |||||||||
| 3901 LONE TREE WAY | ANTIOCH | CA | 94509 | FUNDRAISING | CA | 501(C)(3) | 11 - Type I | SUTTER EBH | true |
| EAST BAY PERINATAL CENTER | |||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | HEALTH CARE | CA | 501(C)(3) | 3 | SUTTER EBH | true |
| EDEN MEDICAL CENTER | |||||||||
| 20103 LAKE CHABOT ROAD | CASTRO VALLEY | CA | 94546 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| MARIN COMMUNITY HEALTH | |||||||||
| 250 BON AIRE ROAD | GREENBRAE | CA | 94904 | SUPPORTING ORGANIZATION | CA | 501(C)(3) | 11 - Type II | SUTTER HEALTH | true |
| MEMORIAL HOSPITAL FOUNDATION | |||||||||
| 1800 COFFEE ROAD SUTIE 76 | MODESTO | CA | 95355 | FUNDRAISING | CA | 501(C)(3) | 11 - Type I | SCVH | true |
| MILLS-PENINSULA HEALTH SERVICES | |||||||||
| 1501 TROUSDALE DRIVE | BURLINGGAME | CA | 94010 | HOSPITAL | CA | 501(C)(3) | 3 | PAMF | true |
| MILLS-PENINSULA HOSPITAL FOUNDATION | |||||||||
| 1501 TROUSDALE DRIVE | BURLINGGAME | CA | 94010 | FUNDRAISING | CA | 501(C)(3) | 7 | MPHS | true |
| PALO ALTO MEDICAL FOUNDATION | |||||||||
| 2350 EL CAMINO REAL | MOUNTAIN VIEW | CA | 94040 | HEALTH CARE | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SAMUEL MERRITT UNIVERSITY | |||||||||
| 450 30TH STREET | OAKLAND | CA | 94609 | UNIVERSITY | CA | 501(C)(3) | 2 | SUTTER EBH | true |
| SUTTER AUBURN FAITH HOSPITAL FOUNDATION | |||||||||
| 11815 EDUCATION ST | AUBURN | CA | 95602 | FUNDRAISING | CA | 501(C)(3) | 7 | SHSSR | true |
| SUTTER CENTRAL VALLEY HOSPITALS | |||||||||
| 1800 COFFEE ROAD SUTIE 76 | MODESTO | CA | 95355 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SUTTER COAST HOSPITAL | |||||||||
| 800 E WASHINGTON BLVD | CRESCENT CITY | CA | 95531 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SUTTER DAVIS HOSPITAL FOUNDATION | |||||||||
| PO BOX 1617 | DAVIS | CA | 95617 | FUNDRAISING | CA | 501(C)(3) | 7 | SHSSR | true |
| SUTTER EAST BAY HOSPITALS | |||||||||
| 3012 SUMMIT STREET 3RD FLOOR | OAKLAND | CA | 94609 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SUTTER EAST BAY MEDICAL FOUNDATION | |||||||||
| 3687 MT DIABLO BLVD | LAFAYETTE | CA | 94549 | HEALTH CARE | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SUTTER GOULD MEDICAL FOUNDATION | |||||||||
| 600 COFFEE ROAD | MODESTO | CA | 95355 | HEALTH CARE | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SUTTER HEALTH | |||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | SUPPORTING ORGANIZATION | CA | 501(C)(3) | 11 - Type III - FI | NA | false |
| SUTTER HEALTH PACIFIC | |||||||||
| 91-2301 FT WEAVER ROAD | EWA BEACH | HI | 96706 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SUTTER HEALTH PLAN | |||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | HEALTH PLAN | CA | 501(C)(3) | 9 | SUTTER HEALTH | true |
| SUTTER HEALTH SACRAMENTO SIERRA REGION | |||||||||
| PO BOX 160727 | SACRAMENTO | CA | 95816 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SUTTER INSURANCE SERVICES CORPORATION | |||||||||
| 745 FORT STREET SUITE 1100 | HONOLULU | HI | 96813 | INSURANCE SERVICES | HI | 501(C)(3) | 11 - Type II | SUTTER HEALTH | true |
| SUTTER MEDICAL CENTER CASTRO VALLEY | |||||||||
| 2200 RIVER PLAZA DRIVE | SACRAMENTO | CA | 95833 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SUTTER MEDICAL CENTER FOUNDATION | |||||||||
| PO BOX 160727 | SACRAMENTO | CA | 95816 | FUNDRAISING | CA | 501(C)(3) | 7 | SHSSR | true |
| SUTTER MEDICAL FOUNDATION | |||||||||
| 2800 L STREET 7TH FLOOR | SACRAMENTO | CA | 95816 | HEALTH CARE | CA | 501(C)(3) | 11 - Type II | SUTTER HEALTH | true |
| SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION | |||||||||
| ONE MEDICAL PLAZA | ROSEVILLE | CA | 95661 | FUNDRAISING | CA | 501(C)(3) | 7 | SHSSR | true |
| SUTTER SOLANO CHARITABLE FOUNDATION | |||||||||
| 300 HOSPITAL DRIVE | VALLEJO | CA | 94589 | FUNDRAISING | CA | 501(C)(3) | 7 | SHSSR | true |
| SUTTER VISITING NURSE ASSOCIATION AND HOSPICE | |||||||||
| 1900 POWELL ST 300 | EMERYVILLE | CA | 94608 | HEALTH CARE | CA | 501(C)(3) | 9 | SUTTER HEALTH | true |
| SUTTER WEST BAY HOSPITALS | |||||||||
| 2333 BUCHANAN STREET | SAN FRANCISCO | CA | 94115 | HOSPITAL | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| SUTTER WEST BAY MEDICAL FOUNDATION | |||||||||
| 2015 STEINER STREET 1ST FLOOR | SAN FRANCISCO | CA | 94115 | HEALTH CARE | CA | 501(C)(3) | 3 | SUTTER HEALTH | true |
| TRACY HOSPITAL FOUNDATION | |||||||||
| 1420 N TRACY BLVD | TRACY | CA | 95376 | FUNDRAISING | CA | 501(C)(3) | 11 - Type I | SCVH | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|
| MAGNETIC IMAGING AFFILIATES | ||||||||||
| 175 LENNON | WALNUT CREEK | CA | 94598 | 942953833 | PATIENT CARE | CA | N/A | false | false | 0 |
| SURGICAL CENTER OF ABSMC | ||||||||||
| 3875 TELEGRAPH | OAKLAND | CA | 94609 | 470946086 | OUTPATIENT SURGERY | CA | N/A | false | false | 0 |
| ALTA CT SERVICES LLP | ||||||||||
| 175 LENNON | WALNUT CREEK | CA | 94598 | 943083464 | PATIENT CARE | CA | N/A | false | false | 0 |
| CALIFORNIA PACIFIC ADV IMAGING | ||||||||||
| PO BOX 6102 | NOVATO | CA | 94948 | 562311840 | MRI JOINT VENTURE | CA | N/A | false | false | 0 |
| SAN FRANCISCO ENDOSCOPY CTR | ||||||||||
| 3000 RIVERCHASE | BIRMINGHAM | AL | 35244 | 912160588 | ENDOSCOPY JV | CA | N/A | false | false | 0 |
| PRESIDIO SURGERY CTR | ||||||||||
| 1635 DIVISADERO | SAN FRANCISCO | CA | 94115 | 320144060 | AMBULATORY SURGERY | CA | N/A | false | false | 0 |
| SUTTER FAIRFIELD SURGERY CTR | ||||||||||
| 2700 LOW CT | FAIRFIELD | CA | 94533 | 300233892 | SURGERY | CA | N/A | false | false | 0 |
| TWIN CITIES SURGICAL HOSPITAL | ||||||||||
| 250 S WACKER | CHICAGO | IL | 60606 | 352182617 | SURGERY | CA | N/A | false | false | 0 |
| SUTTER AMADOR SURGERY CTR | ||||||||||
| 223 CLINTON RD STE 204 | JACKSON | CA | 95642 | 461398093 | SURGERY | CA | N/A | false | false | 0 |
| ROSEVILLE ENDOSCOPY CTR | ||||||||||
| 4 MEDICAL PLAZA STE 210 | ROSEVILLE | CA | 95661 | 870710513 | ENDOSCOPY JV | CA | N/A | false | false | 0 |
| MEMORIAL MEDICAL OFFICE BUILDING PARTNERSHIP PHASE I | ||||||||||
| 1800 COFFEE RD STE 76 | MODESTO | CA | 95355 | 770234236 | RENTAL PROPERTY | CA | N/A | false | false | 0 |
| MEMORIAL MEDICAL OFFICE BUILDING PARTNERSHIP PHASE II | ||||||||||
| 1800 COFFEE RD STE 76 | MODESTO | CA | 95355 | 770287288 | RENTAL PROPERTY | CA | N/A | false | false | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH VENTURES INC | ||||||||||
| 350 HAWTHORNE ST | OAKLAND | CA | 94609 | 942918780 | HEALTH SERVICES | CA | NA | C CORPORATION | 0 | false |
| CHARITABLE REMAINDER TRUSTS 14 | ||||||||||
| 1501 TROUSDALE DRIVE | BURLINGAME | CA | 94010 | CRT | MPHF | TRUST | 0 | false | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | 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 | true | 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 | false | 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 (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MILLS PENINSULA HEALTH SERVICES | ||
| B | 9609368 | FMV |
| MILLS PENINSULA HEALTH SERVICES | ||
| Q | 2752895 | FMV |
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