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ENDOWMENTS NOW INCLUDE ALL ENTITIES OF SUTTER EAST BAY HOSPITAL GROUP - ALTA BATES SUMMIT MEDICAL CENTER, ALTA BATES SUMMIT FOUNDATION, DELTA MEDICAL HOSPITAL FOUNDATION, AND SAMUEL MERRITT UNIVERSITY. LINE 1E INCLUDES AN ADJUSTMENT OF $62,727,459, THE 2012 BEGINNING BALANCES OF THE ADDITIONAL FOUNDATIONS. INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS PART V, LINE 4 ENDOWMENTS ARE FROM FOUR SEPARATE BUT RELATED ORGANIZATIONS. SUTTER EAST BAY HOSPITALS ENDOWMENT WAS DONATED IN THE 1900'S BY SISTER GARCELN OF SAMUEL MERRITT FOR PEOPLE WHO ARE NOT INSURED. SAMUEL MERRITT UNIVERSITY'S ENDOWMENT IS TO BE USED FOR STUDENT SCHOLARSHIPS, AND THE OTHER TWO ENDOWMENTS ARE FROM FUNDRAISING FOUNDATIONS. ASC 740 (FIN48) FOOTNOTE FROM AUDIT 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 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. 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350 HAWTHORNE AVENUE OAKLAND CA 94069

WWW.SUTTERHEALTH.ORG X X X A 2 SUMMIT CAMPUS

3100 SUMMIT STREET OAKLAND CA 94609

WWW.SUTTERHEALTH.ORG X X A 3 ALTA BATES CAMPUS

2450 ASHBY AVENUE BERKELEY CA 94705

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3012 SUMMIT STREET OAKLAND CA 94609

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3901 LONE TREE WAY ANTIOCH CA 94509

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2500 MILVIA STREET BERKELEY CA 94704

OUTPATIENT SERVICES ALTA BATES SUMMIT MEDICAL CENTER

3001 TELEGRAPH AVENUE BERKELEY CA 94705

OUTPATIENT SERVICES ALTA BATES SUMMIT MEDICAL CENTER

3030 TELEGRAPH AVENUE BERKELEY CA 94705

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5730 TELEGRAPH AVENUE BERKELEY CA 94709

OUTPATIENT SERVICES LAFAYETTE WOMEN'S HEALTH CENTER

3595 MT DIABLO BLVD SUITE 350 LAFAYETTE CA 94549

OUTPATIENT SERVICES ALTA BATES SUMMIT MEDICAL CENTER

450 30TH STREET OAKLAND CA 94609

OUTPATIENT SERVICES PEDIATRIC SERVICES NUCLEAR MEDICINE 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 250% OF FPG. PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES APPLIES TO UNINSURED PATIENTS THAT WHOSE FAMILY INCOMES ARE BETWEEN 251% AND 400%. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 350% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S INSURER HAS NOT PROVIDED A DISCOUNT. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAT THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICE DISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDER INSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TO ADMISSION. - PROMPT PAYMENT DISCOUNT: PARTIAL WRITE-OFF AVAILABLE TO UNINSURED PATIENTS WHO PAY PROMPTLY, CONSISTING OF AT LEAST A 10% DISCOUNT FOR THOSE WHO PAY WITHIN 30 DAYS OF FINAL BILLING, OR A 20% DISCOUNT IF 50% OF THE ESTIMATED BILL IS PAID PRIOR TO DISCHARGE. PART I, 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 $435,527. PART II COMMUNITY BUILDING ACTIVITIES ALTA BATES SUMMIT MEDICAL CENTER ALTA BATES SUMMIT MEDICAL CENTER (ABSMC) FUNDED THE FOLLOWING PROGRAM THAT HELPED 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 HELPED SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. IN THE CITY OF OAKLAND, CURRENTLY MORE THAN 50% OF ELIGIBLE STUDENTS DO NOT GRADUATE. ADDITIONALLY, RESEARCH INDICATES THE PAUCITY IN ALAMEDA COUNTY STUDENTS PURSUING CAREERS IN HEALTH CONTRIBUTES TO THE PERPETUATION OF HEALTH INEQUITIES IN OUR COMMUNITY. YOUTH BRIDGE, A YEAR-LONG PROGRAM, PROVIDES A CONTINUUM OF HEALTH AND SCIENCE CAREER DEVELOPMENT SERVICES FOR SCHOOL-AGED YOUTH AND PROVIDES STUDENTS WITH THE TOOLS, TRAINING AND EMPLOYMENT THAT CAN HELP EMPOWER THEM TO COMPLETE HIGH SCHOOL AND PURSUE HIGHER EDUCATION AS WELL AS HELP CLOSE THE GAP IN HEALTH INEQUITIES IN OUR COMMUNITY. YOUTH BRIDGE CONSISTS OF SIX CORE COMPONENTS INCLUDING A SUMMER CAMP AND A YEAR-ROUND MENTORING PROGRAM FOR MIDDLE SCHOOL STUDENTS; A CAREER ACTIVITIES CLASS FOR HIGH SCHOOL STUDENTS; MENTORING AND PAID INTERNSHIPS FOR HIGH SCHOOL AND COLLEGE STUDENTS; ENTRY-LEVEL TRAINING AND APPRENTICESHIPS FOR COLLEGE STUDENTS; AND FAMILY ENGAGEMENT OPPORTUNITIES. EACH OF THESE COMPONENTS IS DESIGNED TO EMPOWER STUDENTS AT EACH STAGE AND PROVIDE TOOLS TO BE SUCCESSFUL IN COMPLETING HIGH SCHOOL AND COLLEGE. YOUTH BRIDGE PROVIDES YOUTH WITH THE OPPORTUNITY TO GAIN MEANINGFUL WORK EXPERIENCE IN THE FAST GROWING FIELD OF HEALTH CARE. YOUTH BRIDGE WORKS WITH STUDENTS CONSIDERED TO BE MOST DISENFRANCHISED IN ALAMEDA COUNTY. ON AVERAGE, THE YOUTH SERVED IS 39% AFRICAN-AMERICAN, 39% LATINO, 20% ASIAN/PACIFIC ISLANDER, 1% CAUCASIAN AND 1% NATIVE AMERICAN. YOUTH BRIDGE IS A COMMUNITY BENEFIT PROGRAM OF ALTA BATES SUMMIT MEDICAL CENTER WITH A CASH CONTRIBUTION OF $55,000. IN 2012, A TOTAL OF 75 EAST BAY YOUTH COMPLETED THE PROGRAM (HIGH SCHOOL AND COLLEGE COMPONENT) AND 50 STUDENTS PARTICIPATED IN YOUTH IN MEDICINE CAMP (MIDDLE SCHOOL COMPONENT). 100% OF ELIGIBLE STUDENTS GRADUATED FROM HIGH SCHOOL. OF THOSE HIGH SCHOOL GRADUATES, 100% ARE CURRENTLY ENROLLED IN UNIVERSITIES OR FOUR-YEAR COLLEGES. A TOTAL OF 10 STUDENTS OBTAINED GAINFUL EMPLOYMENT IN EITHER HEALTH CARE OR EDUCATION-RELATED FIELDS. IN ADDITION, YOUTH BRIDGE WAS AWARDED $70,000 FROM THE CALIFORNIA ENDOWMENT TO WORK WITH EAST OAKLAND YOUNG MEN. YOUTH BRIDGE HAS ALSO WORKED WITH SUTTER MEDICAL CENTER, SACRAMENTO AND THE CALIFORNIA ENDOWMENT TO SUBMIT AN APPLICATION TO REPLICATE THIS PROGRAM IN THE SACRAMENTO REGION. SUTTER DELTA MEDICAL CENTER SUTTER DELTA MEDICAL CENTER (SDMC) 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 DELTA MEDICAL CENTER RUNS A JUNIORS PROGRAM WHERE HIGH SCHOOL STUDENTS PROVIDE, UNDER SUPERVISION, ASSISTANCE TO VARIOUS DEPARTMENTS AND BRING COMFORT TO PATIENTS. 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. PART III, QUESTION 8 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 MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: 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. NEEDS ASSESSMENT PART VI, QUESTION 2 ALTA BATES SUMMIT MEDICAL CENTER THE ALTA BATES SUMMIT MEDICAL CENTER'S CURRENT CHNA IS BASED UPON AN EXTENSIVE COLLECTION OF BOTH QUANTITATIVE AND QUALITATIVE DATA. THE QUANTITATIVE ASSESSMENTS USED TO COMPLETE THE CHNA INCLUDE, THE ALAMEDA COUNTY HEALTH STATUS REPORT, 2008 ENTITLED "LIFE AND DEATH FROM UNNATURAL CAUSES," THE "CITY OF BERKELEY, HEALTH STATUS REPORT 2007," "HEALTHY PEOPLE 2010," AND "THE HEALTH OF ALAMEDA COUNTY CITIES AND PLACES" PREPARED BY ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT AND COMMISSIONED BY ALTA BATES SUMMIT AND OTHER MEMBER HOSPITALS OF THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA. IN ADDITION TO SEEKING QUANTITATIVE ANALYSIS, THE MEDICAL CENTER CONVENED NINE FOCUS GROUPS THROUGHOUT BERKELEY AND OAKLAND SEEKING PERCEPTIONS OF COMMUNITY HEALTH. ABSMC CAREFULLY SELECTED REPRESENTATION NOT ONLY FROM VARIOUS ETHNIC AND CULTURAL BACKGROUNDS, BUT ALSO SOCIOECONOMIC, AGE, GENDER AND THE DISABLED COMMUNITY. HEALTH CARE PROFESSIONALS, COMMUNITY LEADERS AND ELECTED OFFICIALS ALSO PARTICIPATED. ABSMC COLLABORATED WITH MULTIPLE HOSPITALS TO CONDUCT THE CHNA INCLUDING KAISER PERMANENTE, CHILDREN'S HOSPITAL, WASHINGTON HOSPITAL, EDEN MEDICAL CENTER, VALLEY CARE, AND ALAMEDA COUNTY. ABSMC COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION IS BASED ON A SPECIFIC SET OF CRITERIA, INCLUDING: 1) COMMUNITY NEED - ABSMC WILL FOCUS ON CURRENT AND DOCUMENTED COMMUNITY NEEDS; 2) POPULATIONS - VULNERABLE AND AT-RISK POPULATIONS IN ALTA BATES SUMMIT SERVICE AREA; 3) SERVICE CRITERIA - POTENTIAL FOR MAKING A MEASURABLE DIFFERENCE IN HEALTH STATUS; 4) SERVICE PRIORITIES - PREVENTION, EARLY DETECTION AND TREATMENT; 5) COLLABORATION - OPPORTUNITY TO COLLABORATE WITH OTHER COMMUNITY AGENCIES AND ORGANIZATIONS; 6) ABSMC EXPERTISE - HIGHEST PRIORITY GIVEN TO OPTIONS THAT LEVERAGE ALTA BATES SUMMIT'S TALENTS, EXPERTISE AND CAPABILITIES; AND 7) RESOURCES - HIGHEST PRIORITY GIVEN TO OPTIONS THAT LEVERAGE ALTA BATES SUMMIT'S FINANCIAL RESOURCES. SUTTER DELTA MEDICAL CENTER IN COLLABORATION WITH THE CONTRA COSTA COUNTY'S HEALTH SERVICES DEPARTMENT, THE THREE NON-PROFIT HOSPITALS/HEALTH SYSTEMS: JOHN MUIR/MT. DIABLO MEDICAL CENTER, KAISER PERMANENTE, AND SUTTER DELTA MEDICAL CENTER PARTICIPATED IN THE PROCESS OF DEFINING COMMUNITY HEALTH INDICATORS FOR CONTRA COSTA COUNTY. THIS ASSESSMENT WAS AN EXTENSIVE AND COLLABORATIVE COMMUNITY EFFORT THAT COMPILED STATISTICS FROM A BROAD BASE OF LOCAL GROUPS AND GOVERNMENTAL AGENCIES. THIS CHNA REPRESENTS THE MOST COMPREHENSIVE ANALYSIS OF THE TOTAL HEALTH OF CONTRA COSTA COUNTY, AND INCLUDES COMPARISON TABLES OF THE COUNTY AS COMPARED TO THE STATE OF CALIFORNIA, AS WELL AS NATIONAL HEALTHY PEOPLE 2010 GOALS. THE REPORT INCLUDES DATA SPECIFIC TO COMMUNITIES IN EAST CONTRA COSTA COUNTY WHICH ALLOWS SDMC TO SET PRIORITY FOR COMMUNITY BENEFIT PROGRAMMING RELEVANT TO LOCAL POPULATIONS. CONTRA COSTA COUNTY'S RESULTS FOR A NATIONAL STANDARD SET OF SELECTED HEALTH INDICATORS WERE COLLECTED. THESE WERE THEN COMPARED WITH THE NATIONAL HEALTHY PEOPLE 2010 OBJECTIVES AND STATEWIDE HEALTH INDICATOR RESULTS FROM CALIFORNIA. IN 2011, THE US PUBLIC HEALTH SERVICE PUBLISHED RECOMMENDED NATIONAL OBJECTIVES FOR HEALTHY PEOPLE TARGETED FOR THE YEAR 2010. THESE NATIONAL OBJECTIVES ALONG WITH THE RESPECTIVE CALIFORNIA RESULTS THAT ARE AVAILABLE FROM THE BENCHMARKS AGAINST WHICH THE COMMUNITY SERVED IS COMPARED IN THE CONTRA COSTA COUNTY NEEDS ASSESSMENT. FOR EAST CONTRA COSTA COUNTY, WE DERIVE INFORMATION FROM THE COUNTY-WIDE REPORT AND SDMC CONDUCTS SOME OF OUR OWN MORE LOCALIZED STUDIES AND FOCUS GROUPS (INCLUDING GROUPS OF DOCTORS, STAFF, SERVICE CLUBS, CHURCHES, AND OTHER COMMUNITY LEADERS). IN ADDITION TO THE BROADER INFORMATION PROVIDED IN THESE REPORTS, SDMC CONDUCTED TARGETED STUDIES OF EMERGENCY DEPARTMENT VISITS, URGENT CARE CLINIC VISITS (BY UNINSURED PEOPLE), AND HOSPITAL ADMISSIONS AND LENGTH OF STAY BY DIAGNOSTIC CATEGORY. FROM THESE SOURCES OF DATA, THREE PRIORITIES WERE IDENTIFIED: ACCESS TO URGENT HEALTHCARE FOR UNINSURED PEOPLE, BREAST CANCER SCREENING AND DIAGNOSTIC SERVICES AND CHRONIC HEALTH CHALLENGES REQUIRING BEHAVIOR CHANGE INCLUDING DIABETES, HEART DISEASE AND SMOKING. FOR MORE INFORMATION ABOUT THE 2010 COMMUNITY NEEDS ASSESSMENT, INCLUDING QUANTITATIVE AND QUALITATIVE DATA, PLEASE VISIT WWW.HOSPITALCOUNCIL.NET TO SEE THE COMMUNITY HEALTH INDICATORS FOR CONTRA COSTA COUNTY. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, QUESTION 3 ALTA BATES SUMMMIT MEDICAL CENTER AND SUTTER DELTA MEDICAL CENTER FOLLOW A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: 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. COMMUNITY INFORMATION PART VI, QUESTION 4 ALTA BATES SUMMIT MEDICAL CENTER (ABSMC) - ALAMEDA COUNTY AND CONTRA COSTA COUNTY ALTA BATES SUMMIT MEDICAL CENTER'S PRIMARY SERVICE AREA INCLUDES ALAMEDA COUNTY AND CERTAIN ZIP CODES IN CONTRA COSTA COUNTY. ALAMEDA COUNTY IS AN EXCEPTIONALLY LARGE COUNTY RANKING AS THE 7TH MOST POPULOUS COUNTY IN THE STATE WITH A 2010 POPULATION OF 1,510,271 CONSISTING OF 49% MEN AND 51% WOMEN WITH A MEDIAN AGE OF 36.6 YEARS. THE POPULATION DENSITY WAS 2,043.6 PEOPLE PER SQUARE MILE IN 2010 WHICH IS OVER EIGHT TIMES LARGER THAN THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. ALAMEDA'S POPULATION IS DIVERSE WITH 43% BEING WHITE, 26.1% ASIAN AND 22.5% HISPANIC OR LATINO. OVER HALF (63.2%) OF RESIDENTS SPEAK ENGLISH AT HOME WHILE 14.3% SPEAK SPANISH AT HOME (9% OF WHICH DO NOT SPEAK ENGLISH AT ALL) AND 15.2% SPEAK ASIAN OR PACIFIC ISLAND. THE MEDIAN HOUSEHOLD SIZE IS 2.72 PEOPLE WITH A 2010 AVERAGE INCOME OF $69,384 AND A MEDIAN HOUSE VALUE OF $590,900. A LARGE PORTION (85.9%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 40.3% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN ALAMEDA THE POVERTY LEVEL IN 2010 WAS AT 11.4% OF RESIDENTS, BELOW BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 10.8% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% HOWEVER IT WAS RIGHT ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD IS READILY AVAILABLE WITH 364 GROCERY STORES, 5 SUPERCENTERS/CLUB STORES, AND OVER 1,299 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 30.5% OF ADULTS BEING OBESE, 7.8% OF ADULTS WITH DIABETES AND ALMOST THREE IN TEN ADULTS HAVING HIGH BLOOD PRESSURE. FROM 2006 TO 2008 THERE WERE 27,728 DEATHS IN ALAMEDA COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE HEART DISEASE, CANCER AND STROKE. IN 2008 THERE WERE 20,797 BIRTHS HOWEVER THE INFANT MORTALITY RATE WAS 4.5 PER 1,000 BIRTHS. FROM 2006 - 2008 LIFE EXPECTANCY AT BIRTH WAS 81.4 YEARS WHICH IS NEARLY THE SAME AS THE CALIFORNIA LIFE EXPECTANCY. IN 2010 13.3% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS BELOW BOTH THE STATE LEVEL OF 18.5% AND FEDERAL LEVEL OF 15.5%. IN ALAMEDA COUNTY 61.9% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 23.5% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. ACCORDING TO THE U.S. CENSUS BUREAU, CONTRA COSTA COUNTY HAS A POPULATION OF 1,049,025 CONSISTING OF 48.8% MEN AND 51.2% WOMEN WITH A MEDIAN AGE OF 36.4 YEARS. THE POPULATION DENSITY WAS 1,465.2 PEOPLE PER SQUARE MILE IN 2010 WHICH IS OVER SIX TIMES THAT OF THE CALIFORNIA STATE DENSITY OF 239.1. CONTRA COSTA'S POPULATION CONSISTS OF 58.6% WHITE RESIDENTS, 24.4% HISPANIC OR LATINO AND 14.4% ASIAN RESIDENTS. ALMOST THREE QUARTERS (74%) OF RESIDENTS SPEAK ENGLISH WHILE 13.1% SPEAK SPANISH AT HOME (9% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 2.75 PEOPLE WITH A 2010 AVERAGE INCOME OF $78,385 AND A MEDIAN HOUSE VALUE OF $548,200. THE MAJORITY 88.4% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 38.2% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN CONTRA COSTA THE POVERTY LEVEL IN 2010 WAS AT 9% 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% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES ARE CONSISTENT WITH THE SIZE OF THE COUNTY WITH 181 GROCERY STORES, 5 SUPERCENTERS AND CLUB STORES AND 683 FULL SERVICE RESTAURANTS. IN 2007, HEALTH ISSUES IN THIS COUNTY INCLUDED 22.2% OF ADULTS BEING OBESE AND 7.1% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 6,872 DEATHS AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 13,487 BIRTHS WITH 56 INFANT DEATHS OCCURRING THAT YEAR. THE LIFE EXPECTANCY AT BIRTH IS 81.4 YEARS WHICH IS NEARLY THE SAME AS THE CALIFORNIA LIFE EXPECTANCY. IN 2009 17.3% 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 CONTRA COSTA COUNTY 62.4% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 11.3% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SUTTER DELTA MEDICAL CENTER (SDMC) - CONTRA COSTA COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU, CONTRA COSTA COUNTY HAS A POPULATION OF 1,049,025 CONSISTING OF 48.8% MEN AND 51.2% WOMEN WITH A MEDIAN AGE OF 36.4 YEARS. THE POPULATION DENSITY WAS 1,465.2 PEOPLE PER SQUARE MILE IN 2010 WHICH IS OVER SIX TIMES THAT OF THE CALIFORNIA STATE DENSITY OF 239.1. CONTRA COSTA'S POPULATION CONSISTS OF 58.6% WHITE RESIDENTS, 24.4% HISPANIC OR LATINO AND 14.4% ASIAN RESIDENTS. ALMOST THREE QUARTERS (74%) OF RESIDENTS SPEAK ENGLISH WHILE 13.1% SPEAK SPANISH AT HOME (9% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 2.75 PEOPLE WITH A 2010 AVERAGE INCOME OF $78,385 AND A MEDIAN HOUSE VALUE OF $548,200. THE MAJORITY 88.4% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 38.2% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN CONTRA COSTA THE POVERTY LEVEL IN 2010 WAS AT 9% 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% IN APRIL 2010 WHICH WAS BELOW THE CALIFORNIA LEVEL OF 12.4% YET ABOVE THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES ARE CONSISTENT WITH THE SIZE OF THE COUNTY WITH 181 GROCERY STORES, 5 SUPERCENTERS AND CLUB STORES AND 683 FULL SERVICE RESTAURANTS. IN 2007, HEALTH ISSUES IN THIS COUNTY INCLUDED 22.2% OF ADULTS BEING OBESE AND 7.1% OF ADULTS WITH DIABETES. IN 2007 THERE WERE 6,872 DEATHS AND OF THOSE THE THREE LEADING CAUSES WERE CANCER, HEART DISEASE AND STROKE. IN 2007 THERE WERE 13,487 BIRTHS WITH 56 INFANT DEATHS OCCURRING THAT YEAR. THE LIFE EXPECTANCY AT BIRTH IS 81.4 YEARS WHICH IS NEARLY THE SAME AS THE CALIFORNIA LIFE EXPECTANCY. IN 2009 17.3% 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 CONTRA COSTA COUNTY 62.4% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 11.3% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. PROMOTION OF COMMUNITY HEALTH PART VI, QUESTION 5 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. ALTA BATES SUMMIT MEDICAL CENTER HAS FOUR (4) AREAS OF FOCUS: ASTHMA, DIABETES, STROKE AND FALL PREVENTION. BELOW IS A DESCRIPTION OF A FEW OF ABSMC'S COMMUNITY BENEFIT PROGRAMS IN RESPONSE TO THEIR AREAS OF FOCUS. ASTHMA RESOURCE CENTER - THE INCIDENCE OF ASTHMA REMAINS HIGH IN THE COMMUNITIES THAT ALTA BATES SUMMIT MEDICAL CENTER SERVES. THE HOSPITALIZATION AND EMERGENCY DEPARTMENT VISIT RATES FOR ALAMEDA COUNTY RANK 5TH IN THE STATE OF CALIFORNIA FOR ASTHMA. THROUGH THE ASTHMA RESOURCE CENTER, ALL UNINSURED AND UNDERINSURED PATIENTS WHO ARE SEEN IN THE EMERGENCY DEPARTMENT WITH AN ASTHMA DIAGNOSIS ARE CONTACTED BY PHONE AND INVITED TO ATTEND AN INDIVIDUAL SESSION TO ASSIST WITH ASTHMA MANAGEMENT. THE ASTHMA RESOURCE CENTER DOES NOT PROVIDE CLINICAL CARE BUT EXISTS TO PROVIDE EDUCATION AND TOOLS FOR ASTHMA MANAGEMENT. IN 2011, THERE WERE 13,896 ASTHMA HOSPITALIZATIONS AND 32,509 EMERGENCY DEPARTMENT VISITS IN ALAMEDA COUNTY. SINCE THE INCEPTION OF THIS PROGRAM, THERE HAS BEEN A DECLINE IN TOTAL EMERGENCY DEPARTMENT VISITS AND HOSPITAL ADMISSIONS. IN 2012, THERE WERE 404 EMERGENCY DEPARTMENT VISITS FOR THE DIAGNOSIS OF ASTHMA. THIS REPRESENTS A 47% REDUCTION IN VISITS SINCE THE START OF THE PROGRAM IN 2001. OF THESE VISITS, 249 UNINSURED AND UNDERINSURED PATIENTS WERE SERVED. THIS REPRESENTS A 27% REDUCTION SINCE 2001. THE DECLINE IN HOSPITAL ADMISSIONS FOR ASTHMA REMAINS AT 51%. DIABETES RESOURCE PROJECT - THE INCIDENCE OF DIABETES IN THE COMMUNITIES SURROUNDING ALTA BATES SUMMIT MEDICAL CENTER IS STEADILY RISING AS REPRESENTED IN THE 2010 COMMUNITY NEEDS ASSESSMENT, THE HEALTH OF ALAMEDA COUNTY CITIES AND PLACES. DIABETES IS A LEADING CAUSE OF DEATH IN THE COUNTY AND A STRONG CONTRIBUTOR TO MANY OTHER DISEASES, INCLUDING HEART ATTACKS AND STROKES. THE DIABETES RESOURCE PROJECT, INITIATED IN 2009 IN RESPONSE TO COMMUNITY NEED AMONG UNINSURED AND UNDERINSURED COMMUNITY MEMBERS, PROVIDES FREE COMPREHENSIVE DIABETES SELF-MANAGEMENT TRAINING TO PATIENTS WHO COULD NOT OTHERWISE HAVE ACCESS TO THIS SERVICE. THE DIABETES RESOURCE PROJECT EMPLOYS A VARIETY OF STRATEGIES TO REACH THEIR GOALS AND OBJECTIVES, INCLUDING: PROVIDING IN-SERVICES TO EMERGENCY DEPARTMENT MANAGERS, CHARGE NURSE AND CASE MANAGERS; DISTRIBUTING INFORMATIONAL BROCHURES TO EMERGENCY DEPARTMENT STAFF FOR DIABETES PATIENTS; AND CONTACTING PROSPECTIVE PATIENTS VIA LETTER AND PHONE CALL TO OFFER FREE EDUCATIONAL SERVICES. IN ADDITION, A MONTHLY REPORT OF EMERGENCY DEPARTMENT VISITS AND ADMISSIONS OF DIABETES RESOURCE PROJECT PATIENTS ARE TRACKED. IN 2012, ON AVERAGE, 100 UNINSURED OR UNDERINSURED PATIENTS WITH A DIABETES DIAGNOSIS WERE SEEN AT OUR EMERGENCY DEPARTMENT EACH MONTH. THESE PATIENTS OFTEN PRESENT WITH PREVENTABLE HYPOGLYCEMIA OR HYPERGLYCEMIA. MANY PATIENTS BENEFIT FROM DIABETES EDUCATION IN WHICH THEY LEARN THE PROPER USE OF THEIR MEDICATIONS, SELF-MONITORING AND GUIDANCE IN OBTAINING PREVENTATIVE ONGOING MEDICAL CARE. IN 2012, A TOTAL OF 100 UNINSURED OR UNDERINSURED PATIENTS WERE SEEN THROUGH THE DIABETES RESOURCE PROJECT. A 57% REDUCTION IN READMISSIONS WAS DEMONSTRATED THROUGH MONTHLY DATA ANALYSIS. SENIOR FALL PREVENTION AND SCREENING PROJECT - FALLS, PARTICULARLY AMONG SENIORS, WERE IDENTIFIED AS A SIGNIFICANT ISSUE IN OUR COMMUNITY IN THE 2010 COMMUNITY NEEDS ASSESSMENT. THE SENIOR FALL PREVENTION AND SCREENING PROJECT PROVIDES EDUCATION, SCREENING AND APPROPRIATE INTERVENTION FOR INDIVIDUALS AT RISK OF FALLING WHO MAY NOT BE ABLE TO EASILY ACCESS CARE OR INFORMATION. IN 2012, INDIVIDUALS WERE RECOMMENDED TO RECEIVE ONE-ON-ONE PHYSICAL THERAPY, PARTICIPATE IN A FALL PREVENTION CLASS, OR JOIN A COMMUNITY EXERCISE CLASS. FALL PREVENTION CLASSES WERE PERFORMED IN A SERIES OF FOUR WEEKLY SESSIONS AND INCLUDED: A CHECKLIST FOR THE HOME TO PREVENT FALLS, GAIT TRAINING AND EXERCISE AND FUNCTIONAL ACTIVITIES DESIGNED TO IMPROVE BALANCE AND DECREASE FALL RISK. OUTREACH WAS PERFORMED THROUGH HEALTH ACCESS MAILINGS, PARTICIPATING IN THE HEALTH ACCESS ANNUAL FALL PREVENTION CONFERENCE AND VISITS TO TWO COMMUNITY SENIOR CENTERS. THE AVERAGE COST OF HOSPITALIZATION DUE TO A FALL IN ALAMEDA COUNTY IS APPROXIMATELY $37,000. WHILE ABSMC PROVIDES FALL PREVENTION EDUCATION FOR INPATIENTS, THERE WAS CLEARLY A NEED TO ADDRESS THE RISKS FOR PATIENTS IN THE COMMUNITY. A TOTAL OF 188 PEOPLE WERE SERVED THROUGH 20 FALL PREVENTION CLASSES IN 2012. 100% OF PARTICIPANTS IN THE CLASSES IMPROVED IN ONE OR MORE OF THE FOLLOWING AREAS: FUNCTIONAL REACH TEST, 30-SECOND CHAIR STAND TEST, TIMED UP AND GO TEST, OR FREQUENCY OF FALLS OR TRIPS. 100% OF PARTICIPANTS STATE THEY ARE MORE AWARE OF THEIR ENVIRONMENT AND HAVE INCREASED BODY AWARENESS. OF THOSE PARTICIPANTS CONTACTED FOR FOLLOW-UP, 100% HAD NOT FALLEN IN SIX MONTHS FOLLOWING THEIR INTERVENTION. A TOTAL OF 81 FALL RISK SCREENS WERE CONDUCTED AND 14 PARTICIPANTS RECEIVED ONE-ON-ONE PHYSICAL THERAPY BASED ON REFERRALS. STROKE CENTER EDUCATION AND OUTREACH COMMITTEE - IN ALAMEDA COUNTY, STROKE IS THE THIRD LEADING CAUSE OF DEATH. AS REPORTED IN THE 2010 COMMUNITY NEEDS ASSESSMENT, THERE WERE 18,725 STROKE-RELATED HOSPITALIZATIONS IN ALAMEDA COUNTY FROM 2006 THROUGH 2008 AND 1,794 DEATHS FROM STROKE. THE STROKE CENTER EDUCATION AND OUTREACH COMMITTEE, A PROGRAM OF THE ETHNIC HEALTH INSTITUTE (EHI), WAS CREATED TO PROVIDE EDUCATION AND OUTREACH THROUGH OUR COMMUNITY UTILIZING MULTIPLE TOOLS AND VENUES. THE FOCUS OF THIS COMMUNITY BENEFIT PROGRAM IS OUTREACH EFFORTS ON SECONDARY STROKE PREVENTION BY EDUCATING STROKE PATIENTS ABOUT THE WARNING SIGNS AND RISK FACTORS FOR A STROKE. IN 2011, THERE WERE 9,160 STROKE HOSPITALIZATIONS AND 4.047 EMERGENCY DEPARTMENT VISITS IN ALAMEDA COUNTY. DURING 2012, THE COMMITTEE PROVIDED EDUCATION AND OUTREACH NOT ONLY TO COMMUNITY MEMBERS, BUT ALSO TO MEDICAL CENTER STAFF WHO ARE OFTEN OVERLOOKED. THROUGH THE ABSMC FOUNDATION, EHI PURCHASED AND DISTRIBUTED BLOOD PRESSURE CUFFS TO COMMUNITY MEMBERS IN NEED. THIS ALLOWED INDIVIDUALS TO MONITOR THEIR BLOOD PRESSURE AT HOME AND IS CRITICAL TO STROKE PREVENTION EFFORTS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. IN 2012, SUTTER DELTA MEDICAL CENTER CONTRIBUTED MORE THAN $3.9 MILLION FOR COMMUNITY BENEFIT, NOT INCLUDING CHARITY CARE OR SUBSIDY OF MEDI-CAL. THE MEDICAL CENTER PROVIDED SPECIFIC PROGRAMS AND SERVICES IN RESPONSE TO COMMUNITY NEED AND DESIGNED TO SUPPORT COMMUNITY HEALTH IMPROVEMENT THROUGH THREE MAJOR ACTIVITIES: ACCESS TO CARE THROUGH A COMMUNITY CLINIC, BREAST CANCER AND DIAGNOSIS, AND COACHING AND CLASSSES RELATED TO CHRONIC HEALTH CHALLENGES. SUTTER DELTA ON-SITE COMMUNITY CLINIC OPERATES AS A DROP-IN EVENING CLINIC FOR UNINSURED RESIDENTS. IN 2012, THE CLINIC HAD MORE THAN 5,000 VISITS. MEMBERS OF OUR COMMUNITY WERE ABLE TO RECEIVE THE RIGHT CARE IN THE RIGHT PLACE RATHER THAN IN THE EMERGENCY DEPARTMENT. OUR SAVE A LIFE SISTER / EVERY WOMAN COUNTS PROVIDED BREAST CANCER SCREENING AND DIAGNOSTIC SERVICES, FREE-OF-CHARGE, TO 158 EAST CONTRA COSTA COUNTY WOMEN, WHO OTHERWISE MAY NOT HAVE HAD ACCESS TO THESE SERVICES, DUE TO FINANCIAL CHALLENGES. COACHING AND CLASSES WERE OFFERED AT NO CHARGE TO ANY RESIDENT OF EAST CONTRA COSTA COUNTY WITH DIABETES, HYPERTENSION, OR OTHER HEART CONDITION, OR IN NEED OF SMOKING CESSATION COACHING AND SUPPORT. 112 RESIDENTS PARTICIPATED IN THESE CLASSES. AFFILIATED HEALTH CARE SYSTEM PART VI, QUESTION 6 ALTA BATES SUMMIT MEDICAL CENTER AND SUTTER DELTA MEDICAL CENTER ARE 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. 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. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, QUESTION 7 CALIFORNIA FACILITY REPORTING GROUP PART VI, LINE 8 A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) ALTA BATES SUMMIT MEDICAL CENTER (2) SUMMIT CAMPUS (3) ALTA BATES CAMPUS (4) HERRICK CAMPUS (5) MPI CHEMICAL DEPENDENCY RECOVERY HOSP (6) SUTTER DELTA MEDICAL CENTER THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 12(H) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: ADDITIONAL FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL POVERTY GUIDELINES. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 14(G) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: 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. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 18(E) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE ORGANIZATION MADE NO SUCH EFFORTS. 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. true ALAMEDA HEALTH CONSORTIUM 1320 HARBOR BAY PARKWAY ALAMEDA CA 94501 510189590 501(C)(3) 311111 GENERAL SUPPORT LIFELONG MEDICAL CARE PO BOX 11247 BERKELEY CA 94712 942502308 501(C)(3) 62500 GENERAL SUPPORT PHYSICIAN MEDICAL FOUNDATION 2201 BROADWAY OAKLAND CA 94612 300086728 501(C)(3) 125000 GENERAL SUPPORT CHILDREN'S HOSPITAL OAKLAND 2065 KITTRIDGE ST BERKELEY CA 94704 940382330 501(C)(3) 102083 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 426 17TH ST STE 300 OAKLAND CA 94612 135613797 501(C)(3) 60000 GENERAL SUPPORT BAY AREA TUMOR INSTITUTE 400 30TH STREET OAKLAND CA 94609 942176753 501(C)(3) 10000 GENERAL SUPPORT MARCH OF DIMES 1050 SAMSOME STREET SAN FRANCISCO CA 94111 131846366 501(C)(3) 10000 GENERAL SUPPORT OAKLAND METROPOLITAN CHAMBER OF COMMERCE 475 14TH STREET OAKLAND CA 94612 940726580 501(C)(6) 24660 GENERAL SUPPORT ALS ASSOCIATION GOLDEN WEST PO BOX 565 AGOURA HILLS CA 91376 954163338 501(C)(3) 7500 GENERAL SUPPORT LAFAYETTE LIBRARY AND LEARNING CENTER 3491 MT DIABLO BLVD LAFAYETTE CA 94549 260403799 501(C)(3) 15000 GENERAL SUPPORT FRIENDS OF FAITH INC 418 30TH STREET OAKLAND CA 94602 943307705 501(C)(3) 10487 GENERAL SUPPORT YOUTH ALIVE 3300 ELM STREET OAKLAND CA 94609 943143254 501(C)(3) 45251 GENERAL SUPPORT 11 1 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS PART I, LINE 2 PURPOSE IN FULFILLMENT OF OUR MISSION STATEMENT, SUTTER EAST BAY HOSPITALS AIMS TO ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH COMPASSION AND EXCELLENCE. TO THAT END, SUTTER EAST BAY HOSPITALS MAINTAINS A COMMUNITY CONTRIBUTIONS PROGRAM. A BUDGET IS ESTABLISHED EACH YEAR AND IS OVERSEEN BY THE COMMUNITY RELATIONS DEPARTMENT. THE GOAL OF THE PROGRAM IS TO SUPPORT THOSE COMMUNITY-BASED ORGANIZATIONS THAT SHARE A SIMILAR MISSION AS SUTTER EAST BAY HOSPITALS. ELIGIBILITY REQUIREMENTS PROJECTS OR ORGANIZATIONS WISHING TO OBTAIN SUPPORT FROM SUTTER EAST BAY HOSPITALS COMMUNITY CONTRIBUTIONS PROGRAM MUST: * BE A TAX-EXEMPT 501(C)3 NON-PROFIT ORGANIZATION OR PUBLIC ENTITY; * BE LOCATED IN THE EAST BAY AND SERVE ITS POPULATIONS; * PROVIDE SERVICES RELATED TO HEALTH AND HUMAN SERVICES * PREFERABLY BE ORGANIZATIONS THAT HAVE A RELATIONSHIP WITH SUTTER EAST BAY HOSPITALS EMPLOYEES, PHYSICIANS, VOLUNTEERS AND BOARD MEMBERS AREA OF FOCUS * HEALTH * EDUCATION * CIVIC AND COMMUNITY RELATIONS * CULTURE AND THE ARTS TYPE OF SUPPORT * FINANCIAL * TECHNICAL SUPPORT * EQUIPMENT/SUPPLIES DONATION OR OTHER IN-KIND DONATIONS REQUEST PROCESS ALL REQUESTS MUST BE MADE IN WRITING AND DIRECTED TO THE COMMUNITY RELATIONS DEPARTMENT AT LEAST 6 WEEKS PRIOR TO WHEN FUNDING IS NEEDED. SUTTER EAST BAY HOSPITALS DOES NOT FUND REQUESTS FOR * INDIVIDUALS * POLITICAL CONTRIBUTIONS * SPORTS TEAMS OR INDIVIDUALS PARTICIPATING IN A SPORTING EVENT THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES. X true true false true false false false false false true false NICHOLAS ABSTON 0 282359 0 59778 0 961 0 167278 0 2594 0 512970 0 59778 AARON ADAMS 0 340047 0 48750 0 32752 0 146337 0 6838 0 574724 0 65983 VIKI L ARDITO 0 365358 0 39757 0 738 0 49777 0 14609 0 470239 0 60037 MARK W BEITING 0 194466 0 36208 0 6505 0 93578 0 18367 0 349124 0 36208 ED BERDICK 0 898111 0 615049 0 16527 0 859052 0 19046 0 2407785 0 583683 TOM BONAS MD 166392 41500 21669 0 7593 1566 10475 9142 15791 1967 221920 54175 0 13758 DAVID BRADLEY 0 246096 0 50923 0 3921 0 121139 0 12177 0 434256 0 59433 SUSAN C BUMATAY 125134 98145 31801 0 8639 211 4632 51293 11650 4995 181856 154644 0 8629 AMY CELLA 0 275739 0 67023 0 4955 0 196155 0 13598 0 557470 0 67023 WILLIAM DEWOLF MD 275458 0 15675 0 1805 0 15095 0 29350 0 337383 0 0 0 LEONARDO R DOMINGUEZ 226131 50283 27847 0 14572 1465 13370 24225 21991 2546 303911 78519 0 12600 PAT FRY 0 2387975 0 1357150 0 117662 0 2498328 0 32768 0 6393883 0 2250657 JOHN GATES 0 573502 0 203662 0 23567 0 298717 0 16899 0 1116347 0 188989 GLORIA B HARMON 0 293745 0 24280 0 1532 0 30408 0 8871 0 358836 0 33280 JAMES H HICKMAN 0 274307 0 8281 0 15985 0 151073 0 17469 0 467115 0 8281 BRIAN T HUNTER 0 470894 0 65800 0 36359 0 303839 0 17702 0 894594 0 92544 VIRGINIA L KOSMIN 0 267109 0 22873 0 1432 0 124278 0 7380 0 423072 0 22873 SARAH KREVANS 0 1006640 0 527546 0 12524 0 951242 0 23072 0 2521024 0 652265 STEPHEN H LOCKHART MD 0 403353 0 122700 0 6907 0 244609 0 18692 0 796261 0 122700 BONNIE MORGAN 83742 0 0 0 130757 0 12956 0 28112 0 255567 0 0 0 STEPHEN F O'BRIEN MD 0 389659 0 45410 0 6428 0 183118 0 7571 0 632186 0 45410 BRION PEARSON 261928 0 11659 0 1759 0 15095 0 19647 0 310088 0 0 0 MARY A PELKEY 0 223862 0 32110 0 900 0 95668 0 9152 0 361692 0 39910 JULIE L PETERSON 0 210181 0 29711 0 297 0 92652 0 9893 0 342734 0 36021 JULIE PETRINI 0 183335 0 0 0 2734 0 89947 0 4001 0 280017 0 0 CHARLES J PROSPER 0 432216 0 50895 0 6797 0 335358 0 18136 0 843402 0 61675 GARY D RAPAPORT 0 376102 0 177555 0 8250 0 242592 0 15079 0 819578 0 205067 CATHERINE ROSE 209988 16092 27055 0 19350 1733 15095 0 9914 0 281402 17825 0 16092 TODD C SMITH 0 312130 0 86211 0 3404 0 175952 0 11556 0 589253 0 105976 DORI STEVENS 0 228732 0 14008 0 3239 0 106047 0 12822 0 364848 0 0 CAROL A WEIS 0 236339 0 26614 0 4317 0 112056 0 17917 0 397243 0 26614 KATHRYN RAINWATER 0 0 0 0 456430 0 15095 0 0 0 471525 0 0 0 MARY PECK 16979 0 0 0 311179 0 15095 0 32 0 343285 0 0 0 HONG ZHANG 300741 0 8640 0 698 0 15095 0 14087 0 339261 0 0 0 SUSAN SCHULER 268281 0 0 0 27950 0 15095 0 23534 0 334860 0 0 0 STEVEN BILLS 237022 0 0 0 22113 0 15095 0 16845 0 291075 0 0 0 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. A CSCDA 2004CD 680164610 130795TE7 2008-05-06 87750717 CONSTRUCT & REFUNDING - 2/17/2004 false false false B CHFFA 2008A 521643828 13033F2L3 2008-05-14 329041638 CONSTRUCT & REFUNDING - 2002, 2004 false false false C CHFFA 2011B 521643828 13033LKW6 2011-02-10 470318145 CONSTRUCT NEW FACILITIES false false false D CHFFA 2011D 521643828 13033LVW4 2011-12-22 331759643 CONSTRUCT NEW FACILITIES & REFUNDI false false false A 12585000 0 88699880 8301228 0 0 0 0 0 0 80398652 0 true false true true B 81315000 0 329041638 0 0 0 0 0 0 0 329041638 0 true false true true C 474920124 0 474920124 0 0 0 0 0 0 325553395 0 149366729 false false true true D 0 0 336022780 0 0 65070000 0 0 0 124025000 146927780 0 true false true true A false true true true true true 0.00830 0.00830 false false false true B false true true true true true 0.01830 0.01830 false false false true C false false true true true true 0 false false false true D false false true true true true 0.01000 0.00080 0.01080 false false false true A false true false false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true GLOBAL DISCLOSURE 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. SEBH SPECIFIC 0 PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $7,665,967 FROM THE 2004CD ISSUE, $37,460,238 FROM THE 2008A ISSUE, $183,176,559 FROM THE 2011B ISSUE AND $142,664,643 FROM THE 2011D ISSUE. PART I, LINE A, COLUMN (F): THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. PART I, LINE B, COLUMN (F): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2004 AND 2007 ISSUES. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1996THAT WERE USED TO REFUND BONDS ISSUED IN 1985, 1989 AND 1992. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. JENNIFER CUTHBERTSON SEE PART V 62365 SEE PART V false DESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV JAMES G CUTHBERTSON MD IS A TRUSTEE OF SUTTER EAST BAY HOSPITALS (SEBH). HIS DAUGHTER WORKS AS A REGISTERED NURSE FOR ALTA BATES SUMMIT MEDICAL CENTER (ABSMC). MISSION STATEMENT FORM 990, PART I, LINE 1 AND PART III, LINE 1 TO ENHANCE THE HEALTH AND WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH COMPASSION AND EXCELLENCE. SERVICE EXCELLENCE STANDARD C.A.R.I.N.G. CUSTOMER/PATIENTS FIRST ACKNOWLEDGE AND GREET OTHERS REACH OUT TO HELP AND FOLLOW THROUGH INITIATE CONTACT AND COMMUNICATE NURTURE OTHERS GIVE ATTENTION TO DETAIL EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A SUTTER EAST BAY HOSPITALS (SEBH) PROVIDES ACUTE CARE AND EMERGENCY MEDICAL AND SURGICAL SERVICES TO INPATIENTS AND OUTPATIENTS IN THE EAST BAY REGION OF THE SAN FRANCISCO BAY AREA. SEBH CONSISTS OF THE HOSPITAL CAMPUSES OF ALTA BATES MEDICAL CENTER, SUMMIT MEDICAL CENTER AND SUTTER DELTA MEDICAL CENTER. DURING 2002, ALTA BATES MEDICAL CENTER MERGED WITH SUMMIT MEDICAL CENTER (A RELATED 501(C)(3) HOSPITAL), CREATING ALTA BATES SUMMIT MEDICAL CENTER (ABSMC). IN 2009 ABSMC BECAME SUTTER EAST BAY HOSPITALS, AND IN 2010 SUTTER DELTA MEDICAL CENTER, A RELATED 501(C)(3) HOSPITAL, MERGED INTO SEBH. IN 2012, THERE WERE A TOTAL OF 214,054 PATIENT DAYS. ALTA BATES SUMMIT MEDICAL CENTER: ABSMC HAS DEVELOPED STRENGTHS IN SPECIALTY AREAS SUCH AS HIGH-RISK OBSTETRICS, NEONATOLOGY, MENTAL HEALTH, CANCER TREATMENT, REHABILITATION AND CARDIOLOGY. IN 2012, ABSMC CONTRIBUTED MORE THAN $11.8 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES, REACHING MORE THAN 160,000 COMMUNITY MEMBERS. SEVERAL OF THESE PROGRAMS ARE DESCRIBED BELOW. ALSO ATTACHED IS A COMPREHENSIVE LIST OF ALL OF THE MEDICAL CENTER'S COMMUNITY BENEFIT PROGRAMS AND SERVICES. 1. REHABILITATION SERVICES * THE DISABLED COMMUNITY HEALTH CLINIC: FOCUSES ON FOSTERING INDEPENDENCE WITHIN THE DISABLED COMMUNITY. THE PROGRAM FOCUSES ON OUTPATIENT DELIVERY OF CARE, AND SERVICE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THIS PROGRAM ALSO ALLOWS DISABLED PERSONS TO GAIN ACCESS TO NEEDED SUB-SPECIALTIES. * PHYSICAL AND OCCUPATIONAL THERAPY EDUCATIONAL PROGRAM: PROVIDED TO ORGANIZATIONS SUCH AS CHURCHES, SENIOR CENTERS, MULTIPLE SCLEROSIS, POST-POLIO GROUPS, AND HALL OF HEALTH GROUPS. OFFERS EDUCATIONAL SEMINARS YEARLY ON THE TOPICS OF BACK CARE, STAIR CLIMBING, AND AMBULATORY MOBILITY. * STROKE SUPPORT GROUP: FOR STROKE SURVIVORS, FAMILY AND FRIENDS. * ARTHRITIS SUPPORT SERVICES: IN CONJUNCTION WITH THE ARTHRITIS FOUNDATION, REHAB SERVICES OFFERS FREE SUPPORT AND EDUCATION PROGRAMS TO THE COMMUNITY. MONTHLY MEETINGS OF THIS GROUP FEATURE EXPERTS ON MANY TOPICS OF INTEREST TO PEOPLE LIVING WITH ARTHRITIS. * REHAB CAREGIVERS SUPPORT GROUP: OFFERED TO FAMILY MEMBERS AND FRIENDS WHO HAVE SOMEONE WHO HAS BEEN THROUGH THE ACUTE REHABILITATION PROGRAM AT THE HERRICK CAMPUS. THE PROGRAM ADDRESSES THE NEEDS OF CAREGIVERS ASSISTING A PERSON LIVING WITH PHYSICAL DISABILITIES AND NEEDING SUPPORT. 2. RESPIRATORY SERVICES * ADULT ASTHMA EDUCATION: TEACHES PATIENTS TO UNDERSTAND ASTHMA MEDICATIONS AND SELF-MANAGEMENT. MONTHLY THREE HOUR EDUCATIONAL PROGRAMS FOR PATIENTS WITH ASTHMA. * ASTHMA MANAGEMENT RESOURCE CENTER: PROVIDES A SYSTEMIZED APPROACH TO ASTHMA MANAGEMENT FOR PATIENTS. PATIENTS ARE PROVIDED APPROPRIATE EDUCATION, MEDICAL APPLIANCES AND MEDICATION FREE OF CHARGE. PATIENTS ARE REFERRED TO LOCAL COMMUNITY CLINICS FOR ANY FURTHER CLINICAL SERVICES. * ASTHMA SUPPORT GROUP: PROVIDES FREE EDUCATION AND SUPPORT TO PERSONS WITH ASTHMA FOLLOWING PARTICIPATION IN PULMONARY REHABILITATION. THE GROUPS MEET MONTHLY. 3. OLDER ADULT SERVICES VARIOUS PROGRAMS FOCUS ON ENSURING THAT THE BASIC NEEDS OF THE OLDER ADULT POPULATION ARE MET, AND THAT OLDER ADULTS WHO ARE POOR HAVE ACCESS TO HEALTH CARE, WITH AN EMPHASIS ON PREVENTIVE CARE. PROGRAMS MADE AVAILABLE TO OLDER ADULTS INCLUDE HEALTH FAIRS, THE ALZHEIMER CAREGIVER SUPPORT GROUP, AND CAREGIVER TRAINING PROGRAMS. OTHER PROGRAMS INCLUDE: * TELE-CARE PROGRAM: FREE TELEPHONE PROGRAM THAT PROVIDES DAILY REASSURANCE CALLS 365 DAYS A YEAR TO THOSE WHO MAY BE HOME-BOUND, DISABLED, CONVALESCING FROM AN ILLNESS, RETIRED, A WIDOW OR WIDOWER. THE TARGET POPULATION IS OVER 60 YEARS OF AGE. RESIDENTS OF ALAMEDA AND CONTRA COSTA COUNTIES ARE ELIGIBLE TO PARTICIPATE IN THE PROGRAM. * HEALTH ACCESS: PROVIDES ON-GOING MONTHLY LECTURES ON TOPICS OF INTEREST TO SENIORS, SUCH AS, NUTRITION, DIABETES CARE, BLOOD PRESSURE SCREENING, COPING WITH ALZHEIMER'S DISEASE AND OTHERS, FREE OF CHARGE. * LIFELINE: PROVIDES PERSONAL EMERGENCY RESPONSE SERVICES TO OLDER ADULTS, THE FRAIL AND PHYSICALLY CHALLENGED IN THE COMMUNITY. 4. WOMEN AND INFANT SERVICES * NEONATAL INTENSIVE CARE UNIT (NICU): THE UNIT FOCUSES NOT ONLY ON THE MEDICAL NEEDS OF THE BABY, BUT ON ITS DEVELOPMENTAL NEEDS AS WELL. THE NICU, WHICH SERVES A LARGE PERCENTAGE OF UNINSURED, IS BASED ON THE PHILOSOPHY THAT THE FAMILY IS THE PATIENT, NOT JUST THE INFANT AND THAT THE GOAL IS TO DISCHARGE THE MOST COMPETENT PARENT(S) AND MOST COMPETENT INFANT POSSIBLE. * NEONATAL TRANSPORT: PROVIDES A CLINICAL TEAM FOR INFANT TRANSPORT FROM A COMMUNITY HOSPITAL TO ALTA BATES SUMMIT NICU. * BREAST FEEDING SUPPORT PROGRAM: OFFERS LACTATION CONSULTANT AVAILABILITY IN THE HOSPITAL, PARTICIPATION ON THE ALAMEDA BREASTFEEDING TASK FORCE AND COOPERATIVE ENDEAVORS WITH BERKELEY WIC PROGRAMS. * LABOR AND DELIVERY PARENT EDUCATION/CHILDBIRTH EDUCATION PROGRAM: CLASSES AND LECTURES EMPHASIZING WHAT TO EXPECT WHEN PREGNANT, FROM CHANGES IN FAMILY DYNAMICS (BIG BROTHER/BIG SISTER CLASS AND BECOMING A FATHER) TO LECTURES ABOUT PREPARING FOR BREASTFEEDING AND COPING WITH LABOR PAINS. SOME COURSES REQUIRE A FEE, MOST ARE PROVIDED FREE OF CHARGE. * THE PARENT SHARE SUPPORT PROGRAM: NURSES FROM THE ABSMC NURSERY STAFF LEAD SUPPORT GROUP MEETINGS TWICE A MONTH FOR PARENTS WHO HAVE INFANTS IN THE NEWBORN INTENSIVE CARE UNIT (NICU). ALTA BATES SUMMIT ALSO SPONSORS AN ANNUAL NURSERY REUNION FOR ITS NICU "GRADUATES." * INFANT FOLLOW-UP PROGRAM: PROVIDES DEVELOPMENTAL DIAGNOSTIC FOLLOW-UP SERVICES TO APPROXIMATELY 175 INFANTS DISCHARGED EACH YEAR FROM THE NICU. THE PROGRAM OPERATES AN OUTPATIENT CLINIC WEEKLY. DIAGNOSTIC SERVICES INCLUDE DEVELOPMENTAL HISTORY, PSYCHO-SOCIAL ASSESSMENT, NEURO-DEVELOPMENTAL AND PHYSICAL EXAMINATION BY NURSES, A CHILD PSYCHOLOGIST AND PHYSICIAN, AND REFERRAL TO COMMUNITY RESOURCES FOR ON-GOING DEVELOPMENTAL INTERVENTIONS. * SPECIAL CONNECTIONS PROGRAM: SUPPORT GROUP FOR HOSPITALIZED HIGH-RISK ANTEPARTUM WOMEN. WOMEN ARE VISITED IN THE HOSPITAL BY FORMER ANTEPARTUM PATIENTS WHO SHARE CONCERNS AND OFFER ADVICE ON DEALING WITH THE FRUSTRATION OF BEING ON BED REST. * SUPPORT AFTER NEONATAL DEATH (SAND): PROVIDES SUPPORT FOR PARENTS WHO EXPERIENCE FETAL OR NEONATAL DEATH (IN THE EAST BAY). SUPPORT SERVICES INCLUDE HELPING THE PARENTS COPE WITH THE DEATH, ARRANGING BURIAL SERVICES, AND SCHEDULING ON-GOING SUPPORT AND COUNSELING. THE GROUP SUPPORT AND COUNSELING IS ALSO AVAILABLE FOR PARENTS WHO HAVE DELIVERED AT HOSPITALS OTHER THAN ABSMC. 5. ONCOLOGY SERVICES/SUPPORT GROUPS * BREAST CANCER SUPPORT GROUP FOR WOMEN UNDER 40: FOCUSES ON THE SPECIAL NEEDS AND CONCERNS OF YOUNGER WOMEN. PROGRAM IS PROVIDED FREE OF CHARGE. * GUIDED RELAXATION AND VISUALIZATION: INNOVATIVE APPROACH TO REDUCING STRESS AND ANXIETY AND CREATING POSITIVE, LIFE-AFFIRMING IMAGES FOR PEOPLE LIVING WITH CANCER. PROGRAM IS PROVIDED FREE OF CHARGE. * MARKSTEIN CANCER EDUCATION AND PREVENTION CENTER: DEDICATED TO DECREASING THE INCIDENCE OF CANCER THROUGH EARLY DETECTION AND OUTREACH EDUCATION. THE CENTER PROVIDES A VAST ARRAY OF OUTREACH AND EDUCATIONAL ACTIVITIES - INCLUDING BUT NOT LIMITED TO, THE CENTER'S FREE CLINIC OF COMPLIMENTARY THERAPY, BREAST CANCER AND GENERAL CANCER SUPPORT GROUPS AND THE "LOOK GOOD FEEL BETTER" PROGRAM. * COMPREHENSIVE CANCER CENTER OUTREACH EFFORTS: LOCATED AT THE HERRICK CAMPUS OF THE MEDICAL CENTER, OFFERS MORE THAN 18 DIFFERENT COMMUNITY OUTREACH PROGRAMS AND SERVICES, INCLUDING A CANCER RESOURCE CENTER AND SEVERAL SUPPORT GROUPS AND EDUCATION ACTIVITIES. * NEWLY DIAGNOSED BREAST CANCER SUPPORT GROUP: GOAL OF THIS GROUP IS TO SUPPORT THE NEWLY DIAGNOSED PATIENT, PROVIDE INFORMATION, AND A FORUM TO SHARE FEELINGS AND CONCERNS. PROGRAM IS PROVIDED FREE OF CHARGE. * PARTNERS OF WOMEN WITH BREAST CANCER: PROVIDES A SUPPORTIVE ENVIRONMENT FOR PARTNERS OF WOMEN WITH CANCER TO TALK ABOUT THEIR EMOTIONS AND CONCERNS. PROGRAM IS PROVIDED FREE OF CHARGE. * SEXUALITY, INTIMACY AND BREAST CANCER WORKSHOP: OVERALL VIEW OF THE IMPACT BREAST CANCER CAN HAVE ON ONE'S INTIMATE LIFE. PROGRAM IS PROVIDED FREE OF CHARGE. * SUPPORT GROUP FOR FRIENDS AND FAMILY COPING WITH CANCER IN A LOVED ONE: A DROP-IN SUPPORT GROUP FOR SPOUSES, PARTNERS, SIBLINGS, PARENTS, ADULT CHILDREN AND FRIENDS WHO ARE COPING WITH CANCER IN A LOVED ONE. PROGRAM IS PROVIDED FREE OF CHARGE. * LOOK GOOD FEEL...BETTER: TIPS ON WIGS, HEAD COVERINGS AND SKIN CARE FOR WOMEN IN CHEMOTHERAPY. PROGRAM IS PROVIDED FREE OF CHARGE. EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A 6. CHRONIC DISEASE SERVICES * EAST BAY AIDS CENTER: PROVIDES A COMPREHENSIVE PROGRAM OF PRIMARY HIV CARE AND ACCESS TO CLINICAL TRIALS AS WELL AS CONSULTATION AND SUPPORT SERVICES THROUGHOUT THE CONTINUUM OF HIV DISEASE. THIS OUTPATIENT SERVICE IS THE LEADER IN PROVIDING PRIMARY HIV CARE AMONG EAST BAY COMMUNITY HOSPITALS AND CARES FOR OVER 500 PEOPLE EACH YEAR, 20% OF WHOM ARE WOMEN. * ALTA BATES SUMMIT MEDICAL CENTER/CHILDREN'S HOSPITAL JOINT SICKLE CELL PROGRAM: PROVIDES CARE TO PERSONS WHO ARE IMPACTED BY SICKLE CELL, A GENETICALLY INHERITED DISORDER. THE PROGRAM OFFERS A COMPREHENSIVE APPROACH TO INPATIENT AND OUTPATIENT MEDICAL SERVICES, AND ALSO PROVIDES FOR THE SOCIAL AND EDUCATIONAL NEEDS OF ITS PATIENTS. * DIABETES CENTER: PROVIDES CLINICAL SERVICES, DISEASE MANAGEMENT AND EDUCATION FOR PEOPLE WITH DIABETES. SERVICES ALSO INCLUDE: A SPEAKER'S BUREAU, A FREE METER PROGRAM AND OTHER SUPPLIES DONATIONS, SCREENING, AND A SUPPORT GROUP. IN 2009, IMPLEMENTED A NEW PROJECT, AIMED AT INCREASING DIABETES MANAGEMENT BY CAPTURING PATIENTS IN THE ED AND PROVIDING INFORMATION, MEDICATION AND FOLLOW-UP. 7. CARDIOVASCULAR SERVICES SERVICES PROVIDED FREE OR AT A NOMINAL FEE INCLUDE CPR COURSES, CHOLESTEROL SCREENING, BLOOD PRESSURE READINGS AND LECTURES TO LOCAL COMMUNITY GROUPS AND CONFERENCES FOR THE COMMUNITY AND PHYSICIANS. * VASCULAR REHAB EXERCISE EDUCATION: SELF-PACED EXERCISE PROGRAM FOR PEOPLE WHO HAVE LEG PAIN. FREE OF CHARGE. * CARDIAC REHABILITATION PATIENT VISITS: VISITS IN THE HOSPITAL TO NON-REIMBURSED PATIENTS TO PROVIDE PATIENT EDUCATION. * CARDIAC REHABILITATION PHONE SERVICE: PHONE CALLS FROM NON-PATIENTS SEEKING CARDIAC REHAB INFORMATION, WHO FOR VARIOUS REASONS CANNOT COME TO THE MEDICAL CENTER. * CARDIAC REHAB PROGRAM-BERKELEY AND ALBANY YMCA'S: NURSE SUPERVISED EXERCISE CLASSES FOR PATIENTS WHO HAVE HAD CARDIAC PROBLEMS. PATIENTS ARE CLOSELY OBSERVED 3 TIMES A WEEK AT THE YMCA. THIS INCLUDES MONITORING OF BLOOD PRESSURE, HEART RHYTHMS, MEDICATION AND WEIGHT EVALUATION. 8. OTHER SERVICES * TUITION REIMBURSEMENT: EMPLOYEES ARE REIMBURSED FOR PROFESSIONAL EDUCATION. * ABSMC NURSING EDUCATION OFFERS A BROAD SELECTION OF EDUCATIONAL CONFERENCES FOR THE BENEFIT OF THE MEDICAL COMMUNITY. THESE LECTURES ARE FREE AND HELP DISSEMINATE INFORMATION THAT IS PERTINENT TO VARIOUS SEGMENTS OF THE PROFESSIONAL COMMUNITY. * CHAPLAINCY: PROVIDES SEVERAL COMMUNITY OUTREACH AND EDUCATIONAL ACTIVITIES. * ETHNIC HEALTH INSTITUTE (EHI): THE PURPOSE OF THE PROGRAM IS TO ENHANCE THE HEALTH AND WELL BEING OF ALL PEOPLE IN THE COMMUNITY, FOCUSING ON THE UNDESERVED POPULATION WHO EXPERIENCE DISPARITIES IN HEALTHCARE AND DISEASE. EHI PROMOTES COMMUNITY HEALTH AWARENESS, ORGANIZATIONAL ALLIANCES, AND HEALTH PROVIDER TRAINING, RESEARCH AND EDUCATION. EHI WORKS IN PARTNERSHIP WITH MORE THAN FIFTY PUBLIC AND PRIVATE HEALTHCARE INSTITUTIONS, SCHOOL DISTRICTS, UNIVERSITY HEALTH PROGRAMS, AND COMMUNITY BASED HEALTH ORGANIZATIONS. * HEALTH MINISTRY PROGRAM: THE PURPOSE OF THE HEALTH MINISTRY PROGRAM IS TO DEVELOP AND SUPPORT HEALTH MINISTRIES IN CONGREGATIONS AND COMMUNITIES THEY SERVE. THE PROGRAM HELPS TO IDENTIFY HEALTH PROBLEMS AMONG CONGREGATION MEMBERS AND ASSIST IN LOCATING AND/OR PROVIDING HEALTH CARE TO THOSE IN NEED. PARISH NURSES WORK WITH CONGREGATIONS TO PROVIDE SUCH BASIC HEALTH CARE SERVICES AS BLOOD PRESSURE AND BLOOD GLUCOSE SCREENINGS, HEALTH COUNSELING, SUPPORT GROUPS, REFERRALS AND HEALTH INFORMATION. * YOUTH BRIDGE CAREER DEVELOPMENT PROGRAM: SINCE 1989, THE MEDICAL CENTER HAS SPONSORED THE YOUTH BRIDGE MENTORING PROGRAM TARGETING AT-RISK TEEN-AGE STUDENTS AND TEEN PARENTS. THE PURPOSE OF THE PROGRAM IS TO ENCOURAGE YOUNG PEOPLE TO CONTINUE THEIR EDUCATION, TO GIVE THEM AN OPPORTUNITY TO EXPERIENCE A PROFESSIONAL WORKING ENVIRONMENT, TO EXPLORE A VARIETY OF PROFESSIONS AND TO LEARN ABOUT HEALTH CARE CAREERS. * MPI: HOSPITAL-BASED PROGRAM FOR ALCOHOLISM AND DRUG ABUSE TREATMENT INCLUDES DETOXIFICATION, IMPATIENT REHABILITATION, RESIDENTIAL REHABILITATION, DAY TREATMENT, AND MORNING AND EVENING INTENSIVE OUTPATIENT PROGRAMS. MPI PROVIDES SEVERAL COMMUNITY OUTREACH AND EDUCATIONAL ACTIVITIES. * PATIENT ASSISTANCE FUND: FUNDS, CONTRIBUTED TO BY STAFF AND OTHER FUND RAISERS, DESIGNATED FOR SUCH THINGS AS MOTEL VOUCHERS, ARC EQUIPMENT, CASH FOR FOOD, TRANSPORT AND LAB TEST. * SAMUEL MERRITT UNIVERSITY: ASSOCIATED WITH ALTA BATES SUMMIT MEDICAL CENTER. SAMUEL MERRITT UNIVERSITY PROVIDES SEVERAL COMMUNITY OUTREACH AND EDUCATIONAL ACTIVITIES. * HEALTH SCIENCE LIBRARIES: TWO RESOURCE CENTERS FOR HEALTH CARE PROFESSIONALS. * THUNDER ROAD: PROGRAM ASSISTS YOUTH STRUGGLING WITH PROBLEMS RELATED TO THE ABUSE OF DRUGS, ALCOHOL, NICOTINE AND OTHER BEHAVIORAL HEALTH CONDITIONS, TO OVERCOME THOSE PROBLEMS AND BECOME FUNCTIONING MEMBERS OF THEIR RESPECTIVE COMMUNITIES. SUTTER DELTA MEDICAL CENTER SUTTER DELTA'S ADVANCE WOUND CARE CENTER WAS RECOGNIZED AGAIN IN 2012 FOR EXCELLENCE IN WOUND HEALING. THE MEDICAL CENTER'S WOUND CARE CENTER EARNED THE ROBERT A. WARRINER III, MD, CENTER OF EXCELLENCE AWARD FOR ACHIEVING A YEARLY WOUND HEALING RATE OF 94% AND A 95% PATIENT SATISFACTION RATE. THE AWARD WAS GIVEN BY HEALOGICS, INC., THE NATION'S LARGEST PROVIDER OF ADVANCED WOUND CARE SERVICE. THE MEDICAL CENTER WOUND CARE CENTER IS ALSO A MEMBER OF THE HEALOGICS NETWORK, WHICH HAS MORE THAN 500 WOUND CARE CENTERS NATIONWIDE. IN ADDITION, SUTTER DELTA RANKED IN THE TOP 5% OF HOSPITALS NATIONWIDE IN 2012 FOR A 3RD YEAR IN A ROW. SUTTER DELTA MEDICAL CENTER RECEIVED THE EMERGENCY MEDICINE EXCELLENCE AWARD FROM HEALTHGRADES. THIS AWARD MEANS THAT THE MEDICAL CENTER RANKS AMONG THE TOP HOSPITALS NATIONWIDE THAT PROVIDE PATIENTS WITH THE HIGHEST QUALITY CARE FROM THE MOMENT THEY ARE ADMITTED TO THE HOSPITAL FROM THE EMERGENCY DEPARTMENT THROUGH THEIR ENTIRE HOSPITAL STAY, UNTIL DISCHARGE. ALTA BATES SUMMIT MEDICAL CENTER COMMUNITY BENEFIT - 2012 ALL ACTIVITY REPORT TITLE / DEPARTMENT ABSMC/CHILDREN'S HOSPITAL SICKLE CELL PROGRAM ASIAN OUTREACH PROGRAM ASTHMA EDUCATION (ADULT) ASTHMA MANAGEMENT RESOURCE CENTER BERKELEY PRIMARY CARE ACCESS CLINIC CONTRIBUTION CASH DONATIONS AND SPONSORSHIPS CHAPLAINCY SERVICES CLINICAL LAB TUITION REIMBURSEMENT CODE C PRESCRIPTION PROGRAM COMMUNITY BENEFIT PLAN PREPARATION AND IMPLEMENTATION COMPREHENSIVE CANCER CENTER CLASSES COMPREHENSIVE CANCER CENTER SUPPORT GROUPS COMPREHENSIVE CANCER CENTER WORKSHOPS AND PRESENTATIONS DIABETES CENTER DISABLED COMMUNITY HEALTH CENTER EAST BAY AIDS CENTER EAST BAY PERINATAL CLINIC ETHNIC HEALTH INSTITUTE FAMILY RESOURCE CENTERS HEALTH ACCESS PROGRAM HEALTH MINISTRY PROGRAM HEALTH SCIENCE LIBRARIES LIFELINE MARKSTEIN CANCER CENTER RESOURCE CENTER MARKSTEIN CANCER CENTER SCREENINGS MARKSTEIN CANCER CENTER SUPPORT GROUPS MEDICAL ENTITLEMENT HEALTH CARE LEGAL SERVICES MEDICAL ENTITLEMENT SCREENING MEETING ROOMS FREE OF CHARGE TO NON-PROFIT ORGANIZATIONS MPI PATIENT ASSISTANCE FUND PATIENT TRANSPORTATION REDI REGIONAL BEHAVIORAL HEALTH SERVICES REGIONAL REHABILITATION SUPPORT SERVICES REGIONAL STROKE CENTER OUTREACH INITIATIVE SOCIAL SERVICES CASH AND IN-KIND CONTRIBUTIONS SOCIAL SERVICES HOME HEALTH SERVICES SOCIAL SERVICES SNF TRANSFER AGREEMENTS TELE-CARE TUITION REIMBURSEMENT WOMAN AND INFANTS INFANT FOLLOW-UP PROGRAM WOMEN AND INFANTS - NEONATAL TRANSPORT WOMEN AND INFANTS - PARENT EDUCATION AND SUPPORT GROUPS YOUTH BRIDGE CAREER DEVELOPMENT PROGRAM 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. 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 EQUITY TRANSFERS (NET) $(44,937,655) PARTNERSHIP INCOME ON BOOKS NOT ON RETURN 5,399,038 K-1 ORDINARY INCOME (6,268,160) K-1 GUARANTEED PAYMENTS (181,547) K-1 INTEREST INCOME (3,071) K-1 LONG TERM CAPITAL GAIN (33,886) K-1 SECTION 1231 LOSS 2,679 OTHER CHANGES IN FUND BALANCE (4,069) ------------ TOTAL $(46,026,671) ============ ALTA BATES SUMMIT MED CTR SURG PROP COMP 3875 TELEGRAPH AVE OAKLAND CA 94609 BLDG RENTAL CA 566060 4326879 SUTTER EBH MEDICAL CENTER MAGNETIC IMAGING LLC 350 HAWTHORNE AVE OAKLAND CA 94609 562442446 HEALTHCARE CA 6234845 17150295 SUTTER EBH ADOLESCENT TREATMENT CENTERS INC 390 40TH STREET OAKLAND CA 94609 680088443 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true ALTA BATES SUMMIT FOUNDATION 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 510160184 FUNDRAISING CA 501(C)(3) 7 SUTTER EBH true CALIFORNIA PACIFIC MEDICAL CTR FOUND 2015 STEINER STREET 2ND FLOOR SAN FRANCISCO CA 94115 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER WBH true DELTA MEMORIAL HOSPITAL FOUNDATION 3901 LONE TREE WAY ANTIOCH CA 94509 942417022 FUNDRAISING CA 501(C)(3) 11a - 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