SUTTER EAST BAY MEDICAL FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SUTTER EAST BAY MEDICAL FOUNDATION (EIN 94-2690415)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-18
IRS object ID
201122919349300207
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-10-18T11:10:57-04:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1178 S RIO GRANDE STREET SUITE 400AddressLine1
CitySALT LAKE CITYCity
StateUTState
ZIP Code84101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942690415EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUTTER EAST BAY MEDICAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSUTTNameControl
Phone9162866665Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13687 MT DIABLO BLVD SUITE 200AddressLine1
CityLAFAYETTECity
StateCAState
ZIP Code94549ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWOJTEK NOWAKName
TitleCFOTitle
Phone9162866665Phone
Date Signed2011-10-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8013503300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLEN ALISONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13687 MT DIABLO BLVD STE 200AddressLine1
CityLAFAYETTECity
StateCAState
ZIP Code94549ZIPCode
FieldValueIRS element (for citing)
Gross Receipts93554195GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUTTERHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees303TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year1000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year77074423ProgramServiceRevenuePriorYear
Program Service Revenue CY93438748ProgramServiceRevenueCY
Investment Income Prior Year23270InvestmentIncomePriorYear
Investment Income Current Year26594InvestmentIncomeCurrentYear
Other Revenue Prior Year68604OtherRevenuePriorYear
Other Revenue Current Year79068OtherRevenueCurrentYear
Total Revenue Prior Year77166297TotalRevenuePriorYear
Total Revenue Current Year93545410TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year40000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY37000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13017880SalariesEtcPriorYear
Salaries Etc Current Year15232644SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year73181913OtherExpensePriorYear
Other Expenses Current Year86779069OtherExpensesCurrentYear
Total Expenses Prior Year86239793TotalExpensesPriorYear
Total Expenses Current Year102048713TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9073496RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8503303RevenuesLessExpensesCY
Total Assets BOY30606334TotalAssetsBOY
Total Assets EOY31706773TotalAssetsEOY
Total Liabilities BOY8192127TotalLiabilitiesBOY
Total Liabilities EOY5999843TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22414207NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25706930NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense85971776Expense
Grants37000Grants
Revenue93438748Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense85971776TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961227NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees303NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWOJTEK NOWAKNamePerson
Telephone Number5102046601TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13687 MT DIABLO BLVD SUITE 200AddressLine1
CityLAYFAYETTECity
StateCAState
ZIP Code94549ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHRISTOPHER BECNEL
TRUSTEE1.0X000
ED BERDICK
REGIONAL PRESIDENT EAST BAY1.0X01403417648513X
JAMES G CUTHBERTSON MD
TRUSTEE1.0X000
MICHAEL DAVIES
TRUSTEE1.0X000
DAVID DAVINI
TRUSTEE1.0X000
WILLIAM R DEWOLF MD
TRUSTEE1.0X000
MICHAEL DIGIACOMO DPM
TRUSTEE1.0X000
THOMAS DRESE
TRUSTEE, VICE-CHAIR1.0X000X
VINCENT FORTE
TRUSTEE1.0X000
DAVID L FREY
TRUSTEE1.0X000
OWEN GARRICK MD
TRUSTEE1.0X000
ROGER HENRY JR
TRUSTEE1.0X000
CORNELIUS HOPPER MD
TRUSTEE1.0X000
BARRY HORN MD
TRUSTEE1.0X000
DAHLIA MOODIE
TRUSTEE1.0X000
KENT MYERS
TRUSTEE, CHAIR OF FINANCE1.0X000X
DONALD G NELSON
TRUSTEE1.0X000
JEFFREY B RANDALL MD
TRUSTEE1.0X000
THEODORE SAENGER
TRUSTEE, CHAIR1.0X000X
ANNETTE M SHAIEB MD
TRUSTEE1.0X000
LEN ALISON
CEO SUTTER EAST BAY MED FOUND40.00463754165286X
DAVID BRADLEY
CEO,SUTTER EAST BAY HOSPITALS2.00849776315851X
AMY CELLA
REGIONAL COUNSEL VP EAST BAY1.00313086112227X
WARREN KIRK
CEO, SUTTER EAST BAY HOSPITALS2.001040973214353X
ROBERT PETRINA
REGIONAL CFO, EAST BAY1.00628489193196X
KAREN KALKOWSKI
COO, SUTTER EAST BAY MED FOUND40.0023533982212X
WOJTEK NOWAK
CFO, SUTTER EAST BAY MED FOUND40.0031940590859X
GEORGE M BAUTISTA
ACCOUNTING MANAGER40.0106434019637X
VIOLA LAQUAY
PHYSICIAN & BUSINESS SVCS DIR40.0120809024551X
CATHERINE PROSSER
PATIENT FINANCIAL SVCS DIR40.0118867017794X
JAQUELINE RAYFORD
RN CARE CENTER MANAGER40.0113036019620X
ANGELINA YU
FINANCE DIRECTOR40.0161518015748X
FieldValueIRS element (for citing)
Total Reportable Comp From Org620664TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5254239TotalReportableCompFrmRltdOrgs
Total Other Compensation1919847TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EAST BAY PHYSICIANS MEDICAL GROUP
3687 MT DIABLO BLVDLAFAYETTECA94549MEDICAL SERVICES40511243
SUTTER CONNECT
CARE OF FINANCE DEPT PO BOX 25544SACRAMENTOCA95865MANAGEMENT SERVICES3517468
DOME CONSTRUCTION
2121 OAKDALE AVESAN FRANCISCOCA94124CONSTRUCTION MGMT815243
AEROTEK INC
3689 COLLECTION CENTER DRCHICAGOIL60693STAFFING SERVICES591759
INTL PROGRAMMING AND SYSTEMS INC
1875 SO GRANT ST STE 300SAN MATEOCA944022668CONSULTING499680
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
All Other Contributions1000AllOtherContributions
Total Contributions1000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column93438748TotalRevenueColumn
Related Or Exempt Function Income93438748RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue93438748TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column26594TotalRevenueColumn
Exclusion$26,594ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real87853Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real8785Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real79068Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column79068TotalRevenueColumn
Exclusion$79,068ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column93545410TotalRevenueColumn
Related Or Exempt Function Income93438748RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$105,662ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total37000Total
Program Services37000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10153118Total
Program Services5955409ProgramServices
Management And General4197709ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4987822Total
Program Services2925655ProgramServices
Management And General2062167ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total91704Total
Program Services53790ProgramServices
Management And General37914ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1035966Total
Program Services0ProgramServices
Management And General1035966ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total54112Total
Program Services0ProgramServices
Management And General54112ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total15792Total
Program Services0ProgramServices
Management And General15792ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total40134Total
Program Services0ProgramServices
Management And General40134ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1685862Total
Program Services0ProgramServices
Management And General1685862ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total56454Total
Program Services0ProgramServices
Management And General56454ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total329765Total
Program Services0ProgramServices
Management And General329765ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1701652Total
Program Services1701652ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4497122Total
Program Services4497122ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total50336Total
Program Services29525ProgramServices
Management And General20811ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total51920Total
Program Services30454ProgramServices
Management And General21466ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total471000Total
Program Services0ProgramServices
Management And General471000ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2694937Total
Program Services2694937ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total141426Total
Program Services141426ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL GROUP COMPENSATION405112434051124300
CAPITATED PURCHASED SERVICES126124011261240100
PURCHASED SERVICES11655479642551652299630
PROVISIONS FOR BAD DEBTS3015478301547800
SUPPLIES4187604418441931850

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1970386Total
Program Services1155749ProgramServices
Management And General814637ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total102048713Total
Program Services85971776ProgramServices
Management And General16076937ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3327544BOY
EOY3488225EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4801669BOY
EOY6722830EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY119624BOY
EOY175913EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis27741002LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7339210LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21154408BOY
EOY20401792EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1203089BOY
EOY918013EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30606334BOY
EOY31706773EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6213025BOY
EOY4018131EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1979102BOY
EOY1981712EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8192127BOY
EOY5999843EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22339869BOY
EOY25632592EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY74338BOY
EOY74338EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22414207BOY
EOY25706930EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30606334BOY
EOY31706773EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-8503303ReconcilationRevenueExpenses
Reconcilation Other Changes11796026ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
SUTTER EAST BAY HOSPITALS (FKA ABSMC)
94119617603true$0
SUTTER HEALTH
94278890703true$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2749583OtherCostOrOtherBasis
Book Value2749583BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7649899OtherCostOrOtherBasis
Depreciation657859Depreciation
Book Value6992040BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8112554OtherCostOrOtherBasis
Depreciation3031385Depreciation
Book Value5081169BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8462816OtherCostOrOtherBasis
Depreciation3649967Depreciation
Book Value4812849BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis766150OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value766150BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20401791TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INSURANCE LIABILITIES$11,980
INTERCOMPANY PAYABLES$1,930,794
OTHER LIABITIES$38,938
FieldValueIRS element (for citing)
Total Of Amounts1981712TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) FOOTNOTE FROM AUDITIdentifier
Return ReferencePART XIVReturnReference
ExplanationThis organization was part of a consolidated financial system audit. The ASC 740 audit footnote disclosure for the Sutter system is as follows: Deferred income tax assets, which as of December 31, 2010 and 2009 were fully reserved, reflect the net tax effect of temporary differences between the carrying amounts of assets and the liabilities for financial reporting and the amounts used for income tax purposes. As of December 31, 2010 and 2009, Sutter had deferred tax assets of $13 (million) relating principally to net operating loss carryovers. As of December 31, 2010 and 2009, such deferred tax assets were offset by a valuation allowance of $13 (million). The valuation allowance did not change in 2010 or 2009. Federal net operating loss carryovers totaled $32 (million) at December 31, 2010 and will expire between 2015 and 2030.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
EDEN HOSPITAL FOUNDATION
20103 LAKE CHABOT RDCASTRO VALLEYCA94546942883457501(c)(3)10000COMMUNITY BENEFIT/DONATION
MARCH OF DIMES
6536 TELEGRAPH AVE 201COAKLANDCA94609131846366501(c)(3)9500COMMUNITY BENEFIT/DONATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferencePART I, LINE 2ReturnReference
ExplanationALL CHARITABLE ORGANIZATIONS ARE REPUTABLE AND WELL ESTABLISHED CHARITIES. ALL GRANTS ARE REVIEWED BY THE CEO PRIOR TO FUNDING. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LEN ALISON
0286467017338103906014724501804106290400137987
ED BERDICK
080443705812300177500630154018359020519300493734
DAVID BRADLEY
0590355025404005381030590409947011656270317865
AMY CELLA
024977605950003810097920014307042531300
KAREN KALKOWSKI
0201139031000032000702490119630317551037050
WARREN KIRK
06734780358489090060199631014722012553260465402
WOJTEK NOWAK
026103205800003730801720106870410264050525
ROBERT PETRINA
0456281017090001308017978601341008216850143669
ANGELINA YU
97756006376207252084960177266000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELEVANT INFORMATION REGARDING COMPENSATION ITEMSPART I, QUESTION 1AFIRST-CLASS TRAVEL: OFFICERS PAID BY SUTTER HEALTH MAY UPGRADE TO FIRST-CLASS TRAVEL FOR FLIGHTS GREATER THAN FOUR HOURS IN DURATION. TRAVEL FOR COMPANIONS: OFFICERS AND KEY EMPLOYEES PAID BY SUTTER HEALTH ARE ELIGIBLE TO BRING A COMPANION ON ONE BUSINESS TRIP PER CALENDAR YEAR AND HAVE THE COST OF THE AIRFARE AND MEALS PAID FOR BY SUTTER HEALTH. THE COST IS ADDED TO EMPLOYEE'S WAGES. 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.
SUPPLEMENTAL COMPENSATION INFORMATIONPART I, QUESTION 3THE CEO OF THE ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS 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.
NONQUALIFIED RETIREMENT PLANPART I, QUESTION 4BTHE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE ADDITIONAL DEFERRED COMPENSATION BENEFITS TO THE PARTICIPANTS, WHO ARE MEMBERS OF A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES, BY PROVIDING FOR THE PAYMENT OF DEFERRED COMPENSATION AFTER THE COMPLETION OF THE SPECIFIED NUMBER OF YEARS OF SERVICE. ANNUALLY, SUTTER HEALTH MAKES A CONTRIBUTION TO EACH PARTICIPANT'S ACCOUNT BASED ON 4% OF BASE PAY. THERE IS AN ADDITIONAL CONTRIBUTION FOR EXECUTIVES WHOSE PENSION ELIGIBLE EARNINGS WERE GREATER THAN THE PENSION PAY CAP IN THE PREVIOUS YEAR. THE CALCULATION IS AS FOLLOWS: * PENSION ELIGIBLE EARNINGS * LESS PENSION PAYCAP AMOUNT * TIMES A SPECIFIC % BASED ON YEARS OF SERVICE THE PENSION RESTORATION PLAN IS DESIGNED TO HELP MAXIMIZE EACH PARTICIPANT'S RETIREMENT POTENTIAL BY PROVIDING A TARGETED BENEFIT THAT, ALONG WITH EACH PARTICIPANT'S OTHER RETIREMENT INCOME, PROVIDES: * 65% OF FINAL 4-YEAR AVERAGE SALARY IF PARTICIPANT RETIRES AT AGE 65 WITH 22.5 YEARS OF SERVICE. * 50% OF FINAL 4-YEAR AVERAGE SALARY IF PARTICIPANT RETIRES AT AGE 65 WITH 15 YEARS OF SERVICE. SINCE IT IS A TARGETED BENEFIT, ANNUAL CONTRIBUTION AMOUNTS VARY BASED ON ASSUMPTIONS MADE TAKING INTO ACCOUNT EACH PARTICIPANTS' AGE, YEARS OF SERVICE, AND OTHER RETIREMENT ACCOUNT BALANCES. NAME AND AMOUNT FOR 2010 LEN ALISON 20,800 ED BERDICK 217,500 DAVID BRADLEY 43,000 AMY CELLA 13,400 KAREN KALKOWSKI 13,000 WARREN KIRK 120,100 WOJTEK NOWAK 10,500 ROBERT PETRINA 32,200
NON-FIXED PAYMENTSPART 1, QUESTION 7SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLAN (LTPP) Sutter Health also employs long term performance plans which are designed to focus on longer term strategic objectives of the organization. Sutters 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 Healths overall Mission, Vision, and Values, Sutters long term incentive plan approach also incorporates a CEO discretionary component. This unique feature allows the President & CEO the ability 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 and are reviewed by the Compensation Committee.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonWILLIAM R DEWOLF MDNamePerson
FieldValueIRS element (for citing)
RelationshipTRUSTEERelationship
Amount Of Transaction40511243AmountOfTransaction
Description Of TransactionSEE SCHEDULE L PART VDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF BUSINESS TRANSACTION INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationWILLIAM DEWOLF, TRUSTEE OF SUTTER EAST BAY MEDICAL FOUNDATION (SEBMF), IS ALSO THE PRESIDENT OF EAST BAY PHYSICIANS MEDICAL GROUP (EBPMG). DURING THE YEAR, EBPMG PROVIDED MEDICAL SERVICES TO SEBMF VIA A PHYSICIAN SERVICES AGREEMENT.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MISSION STATEMENT990 PART I, LINE 1 AND PART III, LINE 1THE MISSION OF SUTTER EAST BAY MEDICAL FOUNDATION IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH COMPASSION AND EXCELLENCE.
EXEMPT PURPOSE ACHIEVEMENTS990 PART III, LINE 4ASUTTER EAST BAY MEDICAL FOUNDATION (SEMBF) IS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION COMMITTED TO ENHANCING THE HEALTH AND WELL BEING OF THE COMMUNITIES WE SERVE. SUTTER EAST BAY MEDICAL FOUNDATION (SEBMF) AND EAST BAY PHYSICIANS MEDICAL GROUP (EBPMG) HAVE CREATED AN INTEGRATED HEALTH CARE DELIVERY SYSTEM WORKING IN PARTNERSHIP WITH LOCAL HOSPITALS, COMMUNITY PHYSICIANS, AND HEALTHCARE ORGANIZATIONS. THROUGH DEDICATION TO COMPASSION AND PATIENT CARE EXCELLENCE, OUR FAMILY OF MORE THAN 160 PHYSICIANS AND CLINICIANS IS TRANSFORMING HEALTH CARE IN THE EAST BAY. WITH CARE CENTERS IN ALBANY, ANTIOCH, BERKELEY, BRENTWOOD, CASTRO VALLEY, DUBLIN, OAKLAND, ORINDA AND RICHMOND, SEBMF IS ABLE TO OFFER HIGH QUALITY MEDICAL CARE CLOSE TO YOU AND YOUR FAMILY. WE SEEK TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITY THROUGH A COMMITMENT TO COMPASSION AND EXCELLENCE IN PATIENT CARE, EDUCATION, AND RESEARCH. WE STRIVE TO PROVIDE THE HIGHEST LEVELS OF QUALITY CARE AND SERVICES, AS WELL AS TO IMPROVE HEALTH CARE ACCESS AND AFFORDABILITY THROUGH A MULTIDISCIPLINARY GROUP PRACTICE. AS A PART OF THE SUTTER HEALTH FAMILY OF COMMUNITY BASED, NOT-FOR-PROFIT HOSPITALS AND PHYSICIAN ORGANIZATIONS, SEBMF BENEFITS FROM SHARED RESOURCES AND EXPERTISE TO ADVANCE HEALTH CARE QUALITY TO OUR PATIENTS. SUTTER HEALTH IS ONE OF THE NATIONS' LEADING NOT-FOR-PROFIT NETWORKS OF COMMUNITY BASED HEALTH CARE PROVIDERS. WITH OVER 26 HOSPITALS (INCLUDING ALTA BATES SUMMIT MEDICAL CENTER, EDEN MEDICAL CENTER AND SAN LEANDRO HOSPITAL) AND OVER 3500 CONTRACTING PHYSICIANS IN NORTHERN CALIFORNIA, SUTTER HEALTH ENABLES US TO FOCUS ON LOCAL NEEDS AND, AT THE SAME TIME, BENEFIT FROM PARTICIPATING IN A LARGER NETWORK.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTIONS 6 & 7ATHIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BSUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS, IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OR DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL.
DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990FORM 990, PART VI, QUESTION 11ASUTTER 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, OFFICE OF THE GENERAL COUNSEL, AND HUMAN RESOURCES. ADDITIONALLY, THE CHIEF FINANCIAL OFFICER SIGNS OFF ON THIS DATA BEFORE THE RETURN GOES TO THE PREPARATION STAGE. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT AND THE AFFILIATE WITH THE CHIEF FINANCIAL OFFICER GIVING HIS/HER APPROVAL BEFORE THE RETURN IS FILED.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12EACH INDIVIDUAL BOARD MEMBER AND OFFICER HAS TO SIGN AN ACKNOWLEDGEMENT FORM THAT THEY HAVE READ THE POLICY. ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL OFFICERS AND BOARD MEMBERS. 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 TRUSTEE 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 TRUSTEE TO LEAVE THE ROOM OR NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED TRUSTEE SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, QUESTION 15THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO 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. ALL OFFICERS OF THE ORGANIZATION (I.E., CEO, CFO, COO) UNDERGO A REVIEW AND BOARD APPROVAL ANNUALLY. KEY EMPLOYEES AND OTHER EXECUTIVES OF SUTTER HEALTH WHO ARE CONSIDERED DISQUALIFIED PERSONS FOR FORM 990 REPORTING PURPOSES ARE HANDLED IN THE SAME MANNER.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES.
COMPILATION, REVIEW AND AUDIT OF INDEPENDENT ACCOUNTANTFORM 990, PART XI, QUESTION 2ANNUALLY THE SUTTER HEALTH SYSTEM HAS AN AUDIT OF COMBINED BALANCE SHEETS AND STATEMENTS OF OPERATIONS PERFORMED BY INDEPENDENT AUDITORS. AN AUDIT COMMITTEE SELECTS THE AUDITORS AND REVIEWS RESULTS.
HOURS FOR RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, QUESTION 1A COLUMN BTHE FOLLOWING BOARD MEMBERS/OFFICERS OF THE ORGANIZATION ARE FULL-TIME (40 HOURS PER WEEK) EMPLOYEES OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS/OFFICERS OF THIS ORGANIZATION. ED BERDICK DAVID BRADLEY AMY CELLA WARREN KIRK ROBERT PETRINA
OTHER CHANGES IN FUND BALANCEFORM 990, PART XI, LINE 5CHANGE IN UNREALIZED GAIN/(LOSS) ON INVESTMENTS $ 853 EQUITY TRANSFERS (NET) $ 11,795,173 TOTAL & 11,796,026

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ADOLESCENT TREATMENT CENTERS INC
390 40TH STREETOAKLANDCA94609680088443HEALTHCARECA501(C)(3)3SUTTER EBH
ALTA BATES SUMMIT FOUNDATION
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609510160184FUNDRAISINGCA501(C)(3)11a - ISUTTER EBH
CALIFORNIA PACIFIC MEDICAL CTR FOUND
2015 STEINER STREET 2ND FLOORSAN FRANCISCOCA94115942728423FUNDRAISINGCA501(C)(3)11a - ISUTTER WBH
DELTA MEMORIAL HOSPITAL FOUNDATION
3901 LONE TREE WAYANTIOCHCA94509942417022FUNDRAISINGCA501(C)(3)11a - ISUTTER EBH
EAST BAY PERINATAL CENTER
350 HAWTHORNE AVEOAKLANDCA94609510172285HEALTHCARECA501(C)(3)3SUTTER EBH
EDEN MEDICAL CENTER
20103 LAKE CHABOT ROADCASTRO VALLEYCA94546942948100HOSPITALCA501(C)(3)3SUTTER HLTH
MARIN COMMUNITY HEALTH
250 BON AIRE ROADGREENBRAECA94904942994751SUPPORTING ORCA501(C)(3)11b - IISUTTER HLTH
MILLS-PENINSULA HEALTH SERVICES
1501 TROUSDALE DRIVEBURLINGAMECA94010941156265HOSPITALCA501(C)(3)3PAMF
MILLS-PENINSULA HOSPITAL FOUNDATION
1501 TROUSDALE DRIVEBURLINGAMECA94010237288765FUNDRAISINGCA501(C)(3)11a - IMPHS
PALO ALTO MEDICAL FOUNDATION
2350 EL CAMINO REALMOUNTAIN VIEWCA94040941156581HEALTHCARECA501(C)(3)3SUTTER HLTH
SAMUEL MERRITT UNIVERSITY
450 30TH STREET 2840OAKLANDCA94609942992642UNIVERSITYCA501(C)(3)2SUTTER EBH
SUTTER AUBURN FAITH HOSPITAL FOUNDATION
11815 EDUCATION STAUBURNCA95602942594966FUNDRAISINGCA501(C)(3)7SUTTER SSR
SUTTER CENTRAL VALLEY HOSPITALS
1800 COFFEE ROAD SUITE 76MODESTOCA95355941080917HOSPITALCA501(C)(3)3SUTTER HLTH
SUTTER COAST HOSPITAL
800 E WASHINGTON BLVDCRESCENT CITYCA95531942988520HOSPITALCA501(C)(3)3SUTTER HLTH
SUTTER DAVIS HOSPITAL FOUNDATION
PO BOX 1617DAVISCA95617680217870FUNDRAISINGCA501(C)(3)11a - ISUTTER SSR
SUTTER EAST BAY HOSPITALS
3012 SUMMIT STREET 3RD FLOOROAKLANDCA94609941196176HOSPITALCA501(C)(3)3SUTTER HLTH
SUTTER EAST BAY MEDICAL FOUNDATION
3687 MT DIABLO BLVD 200LAFAYETTECA94549942690415HEALTHCARECA501(C)(3)3SUTTER HLTH
SUTTER GOULD MEDICAL FOUNDATION
600 COFFEE ROADMODESTOCA95355941682256HEALTHCARECA501(C)(3)3SUTTER HLTH
SUTTER HEALTH
2200 RIVER PLAZA DRIVESACRAMENTOCA95833942788907SUPPORTING ORCA501(C)(3)11c III-FINA
SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RDEWA BEACHHI96706990298651HOSPITALCA501(C)(3)3SUTTER HLTH
SUTTER HEALTH SACRAMENTO SIERRA REGION
PO BOX 160727SACRAMENTOCA95816941156621HOSPITALCA501(C)(3)3SUTTER HLTH
SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET SUITE 800HONOLULUHI96813990289310INSURANCE SERHI501(C)(3)11b - IISUTTER HLTH
SUTTER MEDICAL CENTER FOUNDATION
PO BOX 160727SACRAMENTOCA95816942788906FUNDRAISINGCA501(C)(3)7SUTTER SSR
SUTTER MEDICAL CENTER CASTRO VALLEY
20130 LAKE CHABOT RD 103CASTRO VALLEYCA94546770146047HOSPITALCA501(C)(3)3SUTTER HLTH
SUTTER MEDICAL FOUNDATION
2800 L STREET 7TH FLOORSACRAMENTOCA95816680273974HEALTH CARECA501(C)(3)11b - IISUTTER HLTH
SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
ONE MEDICAL PLAZAROSEVILLECA95661680040113FUNDRAISINGCA501(C)(3)11a - ISUTTER SSR
SUTTER SOLANO CHARITABLE FOUNDATION
300 HOSPITAL DRIVEVALLEJOCA94589942668262FUNDRAISINGCA501(C)(3)11a - ISUTTER SSR
SUTTER VISITING NURSE ASSOC AND HOSPICE
1900 POWELL ST 300EMERYVILLECA94608946068843HEALTH CARECA501(C)(3)9SUTTER HLTH
SUTTER WEST BAY HOSPITALS
2333 BUCHANAN STREETSAN FRANCISCOCA94115940562680HOSPITALCA501(C)(3)3SUTTER HLTH
SUTTER WEST BAY MEDICAL FOUNDATION
2015 STEINER STREET 1ST FLOORSAN FRANCISCOCA94115942948131HEALTHCARECA501(C)(3)3SUTTER HLTH
TRACY HOSPITAL FOUNDATION
1420 N TRACY BLVDTRACYCA95376680318845FUNDRAISINGCA501(C)(3)11a - ISUTTER CVH
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgtrueSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.