SUTTER VALLEY MEDICAL FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SUTTER VALLEY MEDICAL FOUNDATION (EIN 68-0273974)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-19
IRS object ID
201142929349301014
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)
Timestamp2011-10-19T16:35:46-05:00Timestamp
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)
EIN680273974EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 L STREET 7TH FLOORAddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code95816ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN GOWERName
TitleCFOTitle
Phone9162866665Phone
Date Signed2011-10-10DateSigned

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 PersonSARAH KREVANSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12800 L STREET 7TH FLOORAddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code95816ZIPCode
FieldValueIRS element (for citing)
Gross Receipts614846634GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUTTERHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees2766TotalNbrEmployees
Total Nbr Volunteers28TotalNbrVolunteers
Total Gross UBI222115TotalGrossUBI
Net Unrelated Business Txbl Income-42166NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5141380ContributionsGrantsPriorYear
Contributions Grants Current Year5238263ContributionsGrantsCurrentYear
Program Service Revenue Prior Year500034860ProgramServiceRevenuePriorYear
Program Service Revenue CY604530145ProgramServiceRevenueCY
Investment Income Prior Year98356InvestmentIncomePriorYear
Investment Income Current Year450430InvestmentIncomeCurrentYear
Other Revenue Prior Year56379OtherRevenuePriorYear
Other Revenue Current Year2243565OtherRevenueCurrentYear
Total Revenue Prior Year505330975TotalRevenuePriorYear
Total Revenue Current Year612462403TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year96685GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY207431GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year116636650SalariesEtcPriorYear
Salaries Etc Current Year148921888SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year148101TotalFundrsngExpCurrentYear
Other Expense Prior Year410563785OtherExpensePriorYear
Other Expenses Current Year487628216OtherExpensesCurrentYear
Total Expenses Prior Year527297120TotalExpensesPriorYear
Total Expenses Current Year636757535TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-21966145RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-24295132RevenuesLessExpensesCY
Total Assets BOY336585528TotalAssetsBOY
Total Assets EOY357571057TotalAssetsEOY
Total Liabilities BOY95232633TotalLiabilitiesBOY
Total Liabilities EOY106645909TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY241352895NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY250925148NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense573569251Expense
Grants207431Grants
Revenue604530145Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense573569251TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096393NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2766NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSUSAN GOWERNamePerson
Telephone Number9164546880TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12800 L STREET 7TH FLOORAddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code95816ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM AU MD
TRUSTEE2.0X000
ED BONNER
TRUSTEE2.0X000
ANN COUSINEAU
TRUSTEE2.0X000
JOHN DIMICHELE
TRUSTEE2.0X000
MIKE DOURGARIAN
CHAIR/TRUSTEE2.0X000X
DAN FLORES
VICE-CHAIR/TRUSTEE2.0X000X
PAT FRY
TRUSTEE&PRES/CEO SUTTER HEALTH2.0X026996362088912
DENNIS HINZ CPA
TRUSTEE2.0X000
GARY HOOPER
TRUSTEE2.0X000
SCOTT HOWELL
TRUSTEE2.0X000
DAN KENNEDY MD
CHIEF OF STAFF/TRUSTEE2.0X000
RICHARD KRAMER
CHAIR FIN & PLANNING/TRUSTEE2.0X000X
SARAH KREVANS
TRUSTEE & REG. PRES SACSIERRA2.0X01428383666550X
PAT FONG KUSHIDA
TRUSTEE2.0X000
MARION LEFF MD
TRUSTEE2.0X000
MIKE NEWELL
TRUSTEE2.0X000
WILLIAM PENDERGAST
TRUSTEE2.0X000
MIKE SLATER CPA
TRUSTEE2.0X000
JOAN SMITH-MACLEAN MD
TRUSTEE2.0X000
SCOTT SYPHAX
TRUSTEE2.0X000
SUSAN GOWER
CFO, SUTTER MEDICAL FOUNDATION40.0028644898481X
PENNY WESTFALL
SECR. & REG. COUNSEL SACSIERRA40.00342912109456X
CAROL APPENZELLER
ADMINSTRATOR, SMF SOLANO40.0025645480438X
TOM BLINN
CEO, SUTTER MEDICAL FOUNDATION40.00778497474757X
GLEN GROVES
SMF SOLANO FINANCE EXECUTIVE40.0026600078274X
LESLIE PRATT
DIRECTOR CLINICAL OPERATIONS40.0171711020851X
ERIC RASMUSSEN
DIRECTOR GROWTH & DEVELOPMENT40.0196218027045X
JOHN RAY
EXECUTIVE, SMF WEST DIVISION40.00519810194563X
CHRIS ROGERS
EXEC DIRECTOR, SMF NORTH BAY40.0027581690616X
THERESA RUIZ
FINANCE EXECUTIVE, SMF NORTH40.0017925463485X
JEFF SPRAGUE
CFO, SUTTER HEALTH SAC SIERRA40.00586098212282X
DAVID YAMAMOTO
CEO, SMF NORTH40.00431581162378X
GARY ZUFELT
COO, SUTTER MEDICAL FOUNDATION40.00427665147617X
TERESA WILSON
SR DIR MANAGED CARE & QUALITY40.0178550025662X
MICHAEL MARINO
ADMIN DIR, HR, SMF40.0178220065206X
KAREN GRIMMER
REGIONAL DIRECTOR, FINANCE40.0168158020671X
KEVIN ENGLE
DIRECTOR OF OPERATIONS40.0165098010936X
LISA BYNUM
DIRECTOR, CONTRACTS40.0158424025055X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1216379TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8478554TotalReportableCompFrmRltdOrgs
Total Other Compensation4663235TotalOtherCompensation
Number Individuals GT100 K93NumberIndividualsGT100K
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
SUTTER MEDICAL GROUP
2800 L STREET SUITE 630SACRAMENTOCA95816MEDICAL SERVICES108521145
SUTTER NORTH MEDICAL GROUP
969 PLUMAS STREET SUITE 203YUBA CITYCA95991MEDICAL SERVICES29790879
SUTTER WEST MEDICAL GROUP
1801 HANOVER DRIVE SUITE FDAVISCA95616MEDICAL SERVICES25713356
SOLANO REGIONAL MEDICAL GROUP
PO BOX 255668SACRAMENTOCA95865MEDICAL SERVICES23104843
RAD ASSOCIATES OF SACRAMENTO MEDICA
PO BOX 160008SACRAMENTOCA95826RADIOLOGICAL SVCS21005333
FieldValueIRS element (for citing)
Number Of Contractors GT100 K378NumberOfContractorsGT100K
Federated Campaigns5267FederatedCampaigns
Fundraising Events75056FundraisingEvents
Related Organizations4841806RelatedOrganizations
Government Grants2367GovernmentGrants
All Other Contributions313767AllOtherContributions
Noncash Contributions4434NoncashContributions
Total Contributions5238263TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE622110597606329597606329
ROSEVILLE ENDOSCOPY62211013822291382229
SUTTER FAIFIELD SURGERY CENTER62211050913755091375
TWIN CITIES SURGICAL HOSPITAL622110450212450212
FieldValueIRS element (for citing)
Total Program Service Revenue604530145TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column456507TotalRevenueColumn
Exclusion$456,507ExclusionAmount

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)
Real4377794Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2349079Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2028715Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2028715TotalRevenueColumn
Exclusion$2,028,715ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other6077Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-6077Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6077TotalRevenueColumn
Exclusion-$6,077ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events20835GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events75056CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses29075FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-8240TotalRevenueColumn
Exclusion-$8,240ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming975GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column975TotalRevenueColumn
Exclusion$975ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenue
UBI - SFSC ADMIN FEE5416101899718997
UBI - SFSC INTEREST INCOME52599071187118
UBI - TWIN CITIES MANAGEMENT FEE541900196000196000
FieldValueIRS element (for citing)
Total Other Revenue222115TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column612462403TotalRevenueColumn
Related Or Exempt Function Income604530145RelatedOrExemptFunctionIncome
Unrelated Business Revenue222115UnrelatedBusinessRevenue
Exclusion$2,471,880ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total207431Total
Program Services207431ProgramServices

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)
Total367929Total
Program Services0ProgramServices
Management And General367929ManagementAndGeneral
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)
Total97777395Total
Program Services83503214ProgramServices
Management And General14196917ManagementAndGeneral
Fundraising77264Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3544334Total
Program Services3076425ProgramServices
Management And General466263ManagementAndGeneral
Fundraising1646Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total39153699Total
Program Services32764216ProgramServices
Management And General6360336ManagementAndGeneral
Fundraising29147Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8078531Total
Program Services7043647ProgramServices
Management And General1034884ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total880445Total
Program Services49797ProgramServices
Management And General830648ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total437793Total
Program Services125064ProgramServices
Management And General312729ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42404Total
Program Services4500ProgramServices
Management And General24104ManagementAndGeneral
Fundraising13800Fundraising

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)
Total74946Total
Program Services0ProgramServices
Management And General74946ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9542352Total
Program Services9295070ProgramServices
Management And General247282ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total928399Total
Program Services527935ProgramServices
Management And General400464ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4136008Total
Program Services3497796ProgramServices
Management And General638212ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10518064Total
Program Services1538299ProgramServices
Management And General8979765ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total25289272Total
Program Services24358460ProgramServices
Management And General930812ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total701277Total
Program Services506685ProgramServices
Management And General194270ManagementAndGeneral
Fundraising322Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total144542Total
Program Services91474ProgramServices
Management And General53068ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total6269144Total
Program Services4211144ProgramServices
Management And General2058000ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

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

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23833604Total
Program Services18613616ProgramServices
Management And General5219988ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5833335Total
Program Services5367968ProgramServices
Management And General465367ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PSA EXPENSE2001880152000283971596180
CAPITATED PURCHASED SERVICES835698738356987300
PURCHASED SERVICES51564138356077651594261413759
SUPPLIES EXPENSE27441983270667933751900
BAD DEBT191138491911384900

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total17118773Total
Program Services13399833ProgramServices
Management And General3706777ManagementAndGeneral
Fundraising12163Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total636757535Total
Program Services573569251ProgramServices
Management And General63040183ManagementAndGeneral
Fundraising148101Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY30769903BOY
EOY30691628EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY21005BOY
EOY71790EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY43313327BOY
EOY44713144EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3970395BOY
EOY3977259EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3129009BOY
EOY2309846EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis343350646LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec122948299LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY219993039BOY
EOY220402347EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3783233BOY
EOY3434606EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13075704BOY
EOY15242122EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18529913BOY
EOY36728315EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY336585528BOY
EOY357571057EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY50134767BOY
EOY59490025EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY41538386BOY
EOY40352479EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3559480BOY
EOY6803405EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY95232633BOY
EOY106645909EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY241008346BOY
EOY250395465EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY344549BOY
EOY529683EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY241352895BOY
EOY250925148EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY336585528BOY
EOY357571057EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-24295132ReconcilationRevenueExpenses
Reconcilation Other Changes33867385ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUTTER HEALTH SACRAMENTO SIERRA REGIONBusinessNameLine1
FieldValueIRS element (for citing)
EIN941156621EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis17332421OtherCostOrOtherBasis
Book Value17332421BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis173706110OtherCostOrOtherBasis
Depreciation37150748Depreciation
Book Value136555362BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis28543211OtherCostOrOtherBasis
Depreciation14959144Depreciation
Book Value13584067BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis88718930OtherCostOrOtherBasis
Depreciation66978938Depreciation
Book Value21739992BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35049974OtherCostOrOtherBasis
Depreciation3859469Depreciation
Book Value31190505BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings220402347TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
INTERCOMPANY RECEIVABLES25164215
CAPITATION RECEIVABLES2990694
GOODWILL2225876
NOTES RECEIVABLE1188786
UNAMORTIZED FINANCING COSTS523290
OTHER RECEIVABLES3946342
OTHER ASSETS689112
FieldValueIRS element (for citing)
Total Book Value Other Assets36728315TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INSURANCE LIABILITIES$272,479
OTHER LIABILITIES$6,530,926
FieldValueIRS element (for citing)
Total Of Amounts6803405TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierASC 740 (FIN48) AUDIT FOOTNOTEIdentifier
Return ReferencePART X, LINE 2ReturnReference
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 G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event195891GrossReceiptsEvent1
Charitable Contributions Event175056CharitableContributionsEvent1
Gross Revenue Event120835GrossRevenueEvent1
Non Cash Prizes Event15198NonCashPrizesEvent1
Rent Facility Costs Event19360RentFacilityCostsEvent1
Food And Beverage Event18517FoodAndBeverageEvent1
Other Direct Expenses Event16000OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total95891GrossReceiptsTotal
Charitable Contributions Total75056CharitableContributionsTotal
Gross Revenue Total Events20835GrossRevenueTotalEvents
Non Cash Prizes Total Events5198NonCashPrizesTotalEvents
Rent Facility Costs Total Events9360RentFacilityCostsTotalEvents
Food And Beverage Total Events8517FoodAndBeverageTotalEvents
Other Direct Expenses Total Events6000OtherDirectExpensesTotalEvents
Direct Expense Summary Events29075DirectExpenseSummaryEvents
Net Income Summary-8240NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1791580TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1791580NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense50113869TotalCommunityBenefitExpense
Direct Offsetting Revenue17508763DirectOffsettingRevenue
Net Community Benefit Expense32605106NetCommunityBenefitExpense
Percent Of Total Expense0.05120PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense188739TotalCommunityBenefitExpense
Direct Offsetting Revenue8471DirectOffsettingRevenue
Net Community Benefit Expense180268NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense52094188TotalCommunityBenefitExpense
Direct Offsetting Revenue17517234DirectOffsettingRevenue
Net Community Benefit Expense34576954NetCommunityBenefitExpense
Percent Of Total Expense0.05430PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense524084TotalCommunityBenefitExpense
Direct Offsetting Revenue31515DirectOffsettingRevenue
Net Community Benefit Expense492569NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense131008TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense131008NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense2030TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2030NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense86604TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense86604NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense743726TotalCommunityBenefitExpense
Direct Offsetting Revenue31515DirectOffsettingRevenue
Net Community Benefit Expense712211NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense52837914TotalCommunityBenefitExpense
Direct Offsetting Revenue17548749DirectOffsettingRevenue
Net Community Benefit Expense35289165NetCommunityBenefitExpense
Percent Of Total Expense0.05540PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense112355TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense112355NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense112355TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense112355NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$10,266,211BadDebtExpenseAmount
Amount Reimbursed By Medicare2436851AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare2587171CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-150320MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUTTER SURGICAL HOSPITAL NORTH VALLEYBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1455 PLUMAS BOULEVARDAddressLine1
CityYUBA CITYCity
StateCAState
ZIP Code95991ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
OtherOUTPATIENT SERVICESOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SUTTER SURGICAL HOSPITAL NORTH VALLEYBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities65NumberOfOtherFacilities

Other Facilities OtherFacilities (65 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
AMADOR CARDIO-INVASIVE & LAB
815 COURT STREETJACKSONCA95642CARDIOLOGY
AUBURN-AMC FAMILY PRACTICE & ORTHOPEDICS
3133 PROFESSIONAL DRIVEAUBURNCA95603FAMILY PRACTICE AND ORTHOPEDICS
AUBURN-GASTROENTEROLOGY & NEUROLOGY
11795 EDUCATION STREETAUBURNCA95602GASTREOENTEROLOGY AND NEUROLOGY
AUBURN-MRI
11815 EDUCATION STREETAUBURNCA95602MRI
AUBURN-OCCUPATIONAL MEDICINE
13300 AIRPORT BOULEVARDAUBURNCA95602OCCUPATIONAL MEDICINE
AUBURN-PARKHILL FAMILY PRACTICE
404 AUBURN-FOLSOM ROADAUBURNCA95603FAMILY PRACTICE
AUBURN-PHYSICAL THERAPY
11930 HERITAGE OAKS PLACEAUBURNCA95603PHYSICAL THERAPY
CLINICAL LAB
2715 K STREETSACRAMENTOCA95816LABORATORY SERVICES
DAVIS-ALLERGY CENTER
1970 LAKE BOULEVARDDAVISCA95616ALLERGY TESTING
DAVIS INTERNAL MEDICINE&GASTROENTEROLOGY
2068 JOHN JONES WAYDAVISCA95616INTERNAL MEDICINE AND GASTROENTEROLOGY
DAVIS-PHYSICAL THERAPY
1340 LAKE BOULEVARDDAVISCA95616PHYSICAL THERAPY
DAVIS MED OFFICE BLDG & ANESTHESIOLOGY
1801 HANOVER DRIVEDAVISCA95616MEDICAL OFFICE BUILDING AND ANESTHESIOLOGY
DAVIS PATIENT SERVICE CENTERS
2020 SUTTER PLACEDAVISCA95616PATIENT SERVICE CENTERS
ELK GROVE PHYSICAL THERAPY
9280 W STOCKTON BOULEVARDELK GROVECA95758PHYSICAL THERAPY
EXPRESS CLINIC-PLACERVILLE ROAD
10470 OLD PLACERVILLE ROADSACRAMENTOCA95827EXPRESS CLINIC
EXPRESS CLINIC-GREENHAVEN
980 FLORIN ROADSACRAMENTOCA95831EXPRESS CLINIC
EXPRESS CLINIC-NATOMAS
2751 DEL PASO ROADSACRAMENTOCA95835EXPRESS CLINIC
FOLSOM PATIENT SERVICE CENTERS
2575 E BIDWELL STREETFOLSOMCA95630PATIENT SERVICE CENTERS
FORT SUTTER PATIENT SERVICE CENTERS
1020 29TH STREETSACRAMENTOCA95816PATIENT SERVICE CENTERS
FORT SUTTER PATIENT SERVICE CENTERS
2801 K STREETSACRAMENTOCA95816PATIENT SERVICE CENTERS
GRASS VLY FAMILY PRACTICE & PHYS THERAPY
10058 WOLF ROADGRASS VALLEYCA95949FAMILY PRACTICE AND PHYSICAL THERAPY
L STREET-MEDICAL NEUROLOGY
5275 F STREETSACRAMENTOCA95819NEUROLOGY
LINCOLN PHYSICAL THERAPY
965 ORCHARD CREEK LANELINCOLNCA95648PHYSICAL THERAPY
NORTHEAST SACRAMENTO PATIENT SVC CENTERS
3100 DOUGLAS BOULEVARDROSEVILLECA95661PATIENT SERVICE CENTERS
NORTHEAST SACRAMENTO PATIENT SVC CENTERS
5767 GREENBACK LANESACRAMENTOCA95841PATIENT SERVICE CENTERS
NORTHEAST SACRAMENTO PATIENT SVC CENTERS
83 SCRIPPS DRIVESACRAMENTOCA95825PATIENT SERVICE CENTERS
OCCUPATIONAL HEALTH
1014 NORTH MARKET BOULEVARDSACRAMENTOCA95834OCCUPATIONAL HEALTH
PLACER AREA PATIENT SERVICE CENTERS
1160 SUNSET BOULEVARDROCKLINCA95765PATIENT SERVICE CENTERS
PLACER AREA PATIENT SERVICE CENTERS
3288 BELL ROADAUBURNCA95603PATIENT SERVICE CENTERS
PLACER AREA PATIENT SERVICE CENTERS
685 TWELVE BRIDGES DRIVELINCOLNCA95648PATIENT SERVICE CENTERS
RANCHO CORDOVA PATIENT SERVICE CENTERS
11121 SUN CENTER DRIVERANCHO CORDOVACA95670PATIENT SERVICE CENTERS
ROCKLIN FAMILY PRACTICE
1160 SUNSET BOULEVARDROCKLINCA95765FAMILY PRACTICE
ROSEVILLE FAMILY PRACTICE & PHYS THERAPY
568 N SUNRISE AVENUEROSEVILLECA95661FAMILY PRACTICE AND PHYSICAL THERAPY
ROSEVILLE EXPRESS CLINIC
4004 FOOTHILLS BOULEVARDROSEVILLECA95747EXPRESS CLINIC
ROSEVILLE PATIENT SERVICE CENTERS
MEDICAL PLAZA DRIVEROSEVILLECA95661PATIENT SERVICE CENTERS
SACRAMENTO AREA PATIENT SERVICE CENTERS
1201 ALHAMBRA BOULEVARDSACRAMENTOCA95816PATIENT SERVICE CENTERS
SACRAMENTO AREA PATIENT SERVICE CENTERS
1625 STOCKTON BOULEVARDSACRAMENTOCA95816PATIENT SERVICE CENTERS
SACRAMENTO AREA PATIENT SERVICE CENTERS
5301 F STREETSACRAMENTOCA95819PATIENT SERVICE CENTERS
SACRAMENTO AREA PATIENT SERVICE CENTERS
8170 LAGUNA BOULEVARDELK GROVECA95758PATIENT SERVICE CENTERS
SACRAMENTO CARDIO-INVASIVE
2575 E BIDWELL STREETFOLSOMCA95630CARDIOLOGY
SACRAMENTO PATIENT SERVICE CENTERS
2800 L STREETSACRAMENTOCA95816PATIENT SERVICE CENTERS
SMUD OCCUPATIONAL HEALTH
1708 59TH STREETSACRAMENTOCA95819OCCUPATIONAL HEALTH
WINTERS FAMILY PRACTICE
111 EAST GRANT AVENUEWINTERSCA95694FAMILY PRACTICE
WOODLAND PATIENT SERVICES CENTER
475 PIONEER AVENUEWOODLANDCA95776PATIENT SERVICES CENTER
YOLO AREA PATIENT SERVICES CENTER
125 N LINCOLN STREETDIXONCA95620PATIENT SERVICES CENTER
YOLO AREA PATIENT SERVICES CENTER
2210 DEL PASO ROADSACRAMENTOCA95831PATIENT SERVICES CENTER
YOLO AREA PATIENT SERVICES CENTER
635 ANDERSON ROADDAVISCA95616PATIENT SERVICES CENTER
YOLO AREA PATIENT SERVICES CENTER
7420 GREENHAVEN DRIVESACRAMENTOCA95831PATIENT SERVICES CENTER
MED OFFICE BLDG AMBULATORY SURGERY CTR
460 PLUMASYUBA CITYCA95991OUTPATIENT SERVICES
URGENT CARELABRADIOLOGYCARDIOLOGY
440 PLUMASYUBA CITYCA95991URGENT CARE/LAB/RADIOLOGY/ CARDIOLOGY
MEDICAL OFFICE BUILDING
480 PLUMASYUBA CITYCA95991OUTPATIENT SERVICES
OBSTETRICS
969 PLUMASYUBA CITYCA95991OBSTETRICS
HOME HEALTHHOSPICE
400 PLUMASYUBA CITYCA95991HOME HEALTH/HOSPICE
DERMATOLOGY
350 DEL NORTEYUBA CITYCA95991DERMATOLOGY
ORTHOPEDICS
470 PLUMASYUBA CITYCA95991ORTHOPEDICS
PHYSICAL THERAPY
420 B STREETYUBA CITYCA95991PHYSICAL THERAPY
PROCEDURE CENTER
550 B STREETYUBA CITYCA95991PROCEDURE CENTER
OBSTETRICS
924 CHESTNUTYUBA CITYCA95991OBSTETRICS
SUTTER FAIRFIELD DIAGNOSTIC IMAGING CTR
2700 LOW COURT 1ST FLRFAIRFIELDCA94534DIAGNOSTIC IMAGING CENTER
MEDICAL OFFICE BUILDING
2702 LOW COURTFAIRFIELDCA94534OUTPATIENT SERVICES
CARE CENTER AND CALL CENTER
2450 MARTIN ROADFAIRFIELDCA94533OUTPATIENT SERVICES
SUTTER FAIRFIELD SURGERY CENTER
2700 LOW COURT 2ND FLOORFAIRFIELDCA94534SURGERY CENTER
VACAVILLE CARE CENTER
770 MASON STREETVACAVILLECA95687OUTPATIENT SERVICES
RIO VISTA CARE CENTER
690 MAIN STREETRIO VISTACA94571OUTPATIENT SERVICES
VALLEJO CARE CENTER
100 HOSPITAL DRIVE 2ND FLOORVALLEJOCA94589OUTPATIENT SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, QUESTION 3CTO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 200% OF FPG. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. 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 THAN 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 7COSTING METHODOLOGY USED: COST TO CHARGE RATION UTILIZING WORKSHEET 2 METHODOLOGY. PART II COMMUNITY BUILDING ACTIVITIES N/A
PART III, QUESTION 4THE 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. 1. 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. SIGNIFICANT CONCENTRATIONS OF GROSS PATIENT ACCOUNTS RECEIVABLE ARE AS FOLLOWS: MEDICARE 28% AS OF 12/31/10 27% AS OF 12/31/09 MEDI-CAL 20% AS OF 12/31/10 20% AS OF 12/31/09 DURING 2010 AND 2009, 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 PAYORS AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT PROGRAMS WITH THIRD-PARTY PAYORS. 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. 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. 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 7MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. THEREFORE THE AMOUNT REFLECTED ON THE COST REPORT WILL LIKELY DIFFER FROM ACTUAL COSTS WHICH MAY BE REFLECTED IN THE COMMUNITY BENEFIT REPORT AND ON THIS FORM.
PART III, QUESTION 8COSTING METHODOLOGY MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT OF $150,320.
PART III, QUESTION 9BCOLLECTION 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:SUTTER MEDICAL FOUNDATION RESIDES WITHIN THE SUTTER HEALTH SACRAMENTO SIERRA REGION, WHICH (SHSSR) PARTICIPATES IN A COLLABORATIVE COMMUNITY NEEDS ASSESSMENT (CNA) - KAISER PERMANENTE, MERCY, UC DAVIS HEALTH SYSTEM - PROCESS EVERY THREE YEARS TO HELP TARGET AREAS OF NEED WITHIN THE COMMUNITIES SERVED. RESULTS FROM THE CNA ASSIST SHSSR WITH IDENTIFYING AREAS OF FOCUS AND ARE UTILIZED TO DRAFT A THREE-YEAR PLAN TO ADDRESS IDENTIFIED NEEDS. THE INTERACTIVE CNA WEB SITE CAN BE SEEN AT WWW.HEALTHYLIVINGMAP.COM
PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE:SUTTER MEDICAL FOUNDATION FOLLOWS A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW PATIENT EDUCATION FOR ELIGIBILITY ASSISTANCE. COMMUNICATION 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. 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. NOTIFICATION 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:THE AFFILIATES IN THE SUTTER HEALTH SACRAMENTO SIERRA REGION SERVE PLACER, SACRAMENTO, YOLO, SOLANO, YUBA, SUTTER AND AMADOR COUNTIES. THE COUNTIES INCLUDE BOTH RURAL AND URBAN COMMUNITIES THAT ARE VERY DIVERSE - FROM COMMUNITIES SERVING A HIGH PERCENTAGE OF MIGRANT FARM WORKERS (YOLO), AN URBAN CITY THAT WAS NAMED THE MOST DIVERSE CITY IN THE UNITED STATES (SACRAMENTO), TO A COUNTY WITH THE HIGHEST PER CAPITA INCOME IN THE STATE (PLACER COUNTY). THE PERCENT ELIGIBLE FOR MEDI-CAL DEMONSTRATES THE VAST DIFFERENCE OF THESE COUNTIES. IN 2006, CALIFORNIA HAD 17.8% ELIGIBLE FOR MEDI-CAL. DURING THE SAME YEAR, PLACER HAD 8%, YOLO HAD 13% AND SACRAMENTO HAD 19% ELIGIBLE. MAJORITY OF THE HEALTH INDICATORS AND DEMOGRAPHIC DATA FOR THESE THREE COUNTIES FOLLOWS THIS TREND.
PROMOTION OF COMMUNITY HEALTH:SUTTER HEALTH'S MISSION READS: WE 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 CARE FACILITIES. OUR AFFILIATES FURTHER THEIR TAX EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST THROUGH 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 - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS SUTTER MEDICAL FOUNDATION SPECIFIC ACTIVITIES INCLUDE: - WORKING COLLABORATIVELY WITH COMMUNITY SAFETY NET CLINICS TO HELP ENSURE UNDER AND UNINSURED HAVE ACCESS TO PRIMARY CARE SERVICE - BUILDING RELATIONSHIPS WITH COUNTY AND CITY HEALTH DEPARTMENTS TO MOVE COMMUNITY HEALTH INITIATIVES BEYOND THE TRADITIONAL PUBLIC HEALTH TACTICS
AFFILIATED HEALTH CARE SYSTEM:SUTTER MEDICAL FOUNDATION, WHICH IS PART OF SUTTER HEALTH, A NOT-FOR-PROFIT SYSTEM OF PHYSICIANS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS. SERVING PATIENTS AND THEIR FAMILIES IN MORE THAN 100 NORTHERN CALIFORNIA CITIES AND TOWNS, SUTTER HEALTH AFFILIATES JOIN RESOURCES AND SHARE EXPERTISE TO ADVANCE HEALTH CARE QUALITY AND ACCESS. SUTTER-AFFILIATED HOSPITALS ARE REGIONAL LEADERS IN CARDIAC CARE, WOMEN'S AND CHILDREN'S SERVICES, CANCER CARE, ORTHOPEDICS, AND ADVANCED PATIENT SAFETY TECHNOLOGY. SUTTER HEALTH HOSPITALS PLAN AND DELIVER COMMUNITY BENEFIT SERVICES LOCALLY WITH A FOCUS ON COLLABORATING WITHIN THEIR COMMUNITY TO MEET IDENTIFIED NEEDS. IN 2010, SUTTER HEALTH AFFILIATES PROVIDED $751 MILLION IN SERVICES TO THE POOR* AND BROADER COMMUNITY**. SUTTER HEALTH FOLLOWS THE NATIONAL STANDARDS FOR COMMUNITY BENEFIT REPORTING AS OUTLINED IN CHA'S A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT 2008. * 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.
STATE FILING OF COMMUNITY BENEFIT REPORTCA,990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
SUTTER DAVIS FOUNDATION
2000 SUTTER PLACEDAVISCA95616680217870501(C)(3)16000GENERAL DONATION
SUTTER SOLANO CHARITABLE FOUNDATION
300 HOSPITAL DRIVEVALLEJOCA94589942668262501(C)(3)17851PROGRAM SUPPORT
YUBA CITY UNIFIED
750 PALORA AVEYUBA CITYCA95991946002768126681PROGRAM SUPPORT
SHADY CREEK OUTDOOR EDUCATION
970 KLAMATH LANEYUBA CITYCA95993680239809501(C)(3)15000GENERAL DONATION
MARYSVILLE JOINT UNIFIED SCHOOL DISTRICT
1919 B STMARYSVILLECA959019500PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferencePART I, LINE 2ReturnReference
Explanation1. VARIOUS DEPARTMENTS OF THE HOSPITAL REQUEST FUNDING FROM THE FOUNDATION. 2. THE BOARD OF TRUSTEES AND THE EXECUTIVE DIRECTOR APPROVES THE HOSPITALS REQUEST. 3. THE APPROVAL IS SENT TO THE REQUESTING DEPARTMENT. 4. THE REQUESTING DEPARTMENT PROVIDES THE FOUNDATION A COPY OF THE INVOICE SUBSTANTIATING THE COSTS INCURRED. 5. THE FOUNDATION FORWARDS THE REQUEST FROM THE HOSPITAL, THE BOARD OF TRUSTEES MINUTES APPROVING THE FUNDING AND THE COPY OF THE INVOICE TO THE ACCOUNTANTS TO RELEASE THE FUNDS. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES.Explanation

Schedule J IRS990ScheduleJ

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 (20 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
CAROL APPENZELLER
022022303560006310693860110520336892042323
TOM BLINN
049408902736620107460459728015029012532540202089
PAT FRY
014505760123395001511002058620030292047885480973771
SUSAN GOWER
0232017050300041310864900119910384929046050
GLEN GROVES
022646403630003236071896063780344274043995
SARAH KREVANS
081387206020720124390645775020775020949330533801
LESLIE PRATT
15429901741200077100131410192562000
ERIC RASMUSSEN
17880601741200088100182350223263000
JOHN RAY
0335423017601308374018109701346607143730168630
CHRIS ROGERS
022167305380003430741880164280366432039140
THERESA RUIZ
014833403080001200529510105340242739025539
JEFF SPRAGUE
042857101568050722019502801725407983800142002
PENNY WESTFALL
026661907629300010159507861045236800
DAVID YAMAMOTO
0269563015362808390014591501646305939590111820
GARY ZUFELT
027227901549740412013113301648405752820102291
TERESA WILSON
153223025300027080170176450204212000
MICHAEL MARINO
159705016400021150546250105810243426000
KAREN GRIMMER
15310301505500075500131210188829000
KEVIN ENGLE
15509209200080607413035230176034000
LISA BYNUM
14391901450500071130179420183479000

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: JEFF SPRAGUE $36,700 PAT FRY $1,127,856 SARAH KREVANS $149,800 PENNY WESTFALL $15,200 TOM BLINN $224,700 SUSAN GOWER $8,200 GARY ZUFELT $12,300 CHRIS ROGERS $8,300 JOHN RAY $23,900 CAROL APPENZELLER $7,600 THERESA RUIZ $5,400 DAVID YAMAMOTO $15,500 GLEN GROVES $7,800 MICHAEL MARINO $6,100
NON-FIXED PAYMENTSPART I, QUESTION 7SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CSCDA 2003AB
521598225130911NE62007-05-0116278513RENOVATION & EXPANSION OF FACILITYfalsefalsefalse
CSCDA 2004CD
680164610130795TE72008-05-0611403068REFUNDING - 2/17/2004falsefalsefalse
CHFFA 2008A
52164382813033F2L32008-05-1415965405REFUNDING - 2/17/2004falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetired
168460041354095truefalsetruetrue
114834971011293truefalsetruetrue949923
15965405falsefalsetruetrue2414644

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruefalsetrue0.000000.000000.00000true
falsetruetruefalsetrue0.001390.000000.00139true
falsetruetruefalsetrue0.000570.000000.00057true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsetruefalse
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSEE SCHEDULE OIdentifier

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MARION LEFF MD
TRUSTEE108521145SEE PART Vfalse
THERESA RUIZ
KEY EMPLOYEE30982SEE PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationMARION LEFF, MD. - TRUSTEE OF SUTTER MEDICAL FOUNDATION, IS ALSO A MEMBER AND A SHAREHOLDER OF SUTTER MEDICAL GROUP (SMG). DURING THE YEAR, SMG PROVIDED MEDICAL SERVICES TO SMF VIA A PHYSICIAN SERVICES AGREEMENT. THERESA RUIZ - KEY EMPLOYEE, HAS A FAMILY MEMBER WHO WORKS AS A MEDICAL ASSISTANT FOR SMF-NORTH.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MISSION STATEMENTFORM 990, PART I, LINE 1 AND PART III, LINE 1WE ENHANCE THE HEALTH AND WELL BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES.
EXEMPT PURPOSE ACHIEVEMENTSFORM 990, PART III, LINE 4ASUTTER MEDICAL FOUNDATION (SMF) IS A COMMUNITY BASED, NOT-FOR-PROFIT MEDICAL ORGANIZATION SERVING NORTHERN CALIFORNIA COMMUNITIES AND SUPPORTING THE FOLLOWING CHARITABLE ORGANIZATIONS: SUTTER MEDICAL CENTER OF SACRAMENTO, SUTTER AUBURN FAITH HOSPITAL, SUTTER DAVIS HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO HOSPITAL AND SUTTER AMADOR HOSPITAL. WITH CARE CENTERS LOCATED IN SACRAMENTO, YOLO, SUTTER, YUBA, SOLANO, PLACER AND AMADOR COUNTIES WE DO OUR PART TO ENSURE THE HEALTH AND WELL BEING OF OUR COMMUNITIES. OUR MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH NOT FOR PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE. WE VALUE EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK AND COMMUNITY. SUTTER MEDICAL FOUNDATION IS ALIGNED WITH PHYSICIANS AND MID-LEVEL PROVIDERS OF SUTTER MEDICAL GROUP AND SUTTER NORTH MEDICAL GROUP OFFERING PRIMARY CARE AND SPECIALTY CARE TO OUR PATIENTS. OFFERING A FULL RANGE OF MEDICAL SERVICES, SUTTER MEDICAL FOUNDATION PROVIDES AMBULATORY SURGERY, URGENT CARE CLINICS, HOME HEALTH, HOSPICE AND STATE OF THE ART IMAGING AND CARDIOLOGY TECHNOLOGY. IN ADDITION, WE OPERATE A RURAL HEALTH CLINIC IN THE COMMUNITY OF BROWNSVILLE, YUBA COUNTY. THE FOUNDATION PROVIDED MORE THAN $35 MILLION IN UNDER AND UNREIMBURSED PATIENT CARE ALONG WITH A VARIETY OF COMMUNITY HEALTH PROGRAMS. FOCUS ON CHILDHOOD OBESITY SUTTER MEDICAL FOUNDATION HAS PARTNERED WITH YUBA CITY UNIFIED SCHOOL DISTRICT TO ENHANCE THE PHYSICAL EDUCATION PROGRAMS FOR STUDENTS K-5. THE PARTNERSHIP INCLUDES DEDICATED TEACHING STAFF FOR PHYSICAL EDUCATION AND PARENT EDUCATION SEMINARS TO ASSIST PARENTS AND GUARDIANS IN MAKING HEALTHY CHOICES FOR THEIR FAMILIES. THE SUTTER HEALTH POWER KIDS TRAVEL NORTHERN CALIFORNIA EDUCATING YOUTH ABOUT THE IMPORTANCE OF PHYSICAL FITNESS AND NUTRITION. APPEARING AT HEALTH FAIRS, PARADES AND COMMUNITY EVENTS THE POWER KIDS ARE POPULAR EDUCATORS AMONG STUDENT PRE-SCHOOL THRU THIRD GRADE. SUPPORT GROUPS SUTTER MEDICAL FOUNDATION PROVIDES A VARIETY OF FREE SUPPORT GROUPS TO OUR PATIENTS AND THE COMMUNITIES WE SERVE. PATIENTS CAN RECEIVE SUPPORT FOR BREAST CANCER, DIABETES, AUTISM AND PARKINSON'S. SCHOOL BASED HEALTH CLINIC ON A MONTHLY BASIS SUTTER NORTH PROVIDERS ALTERNATE AS VOLUNTEERS AT SCHOOL BASED HEALTH CLINICS TO PROVIDE ACUTE MEDICAL CARE TO CHILDREN AT NO COST TO THEIR FAMILIES. SUTTER NORTH MEDICAL FOUNDATION MANAGES ALL OF THE FUNDS FOR THE SCHOOL BASED HEALTH CLINICS AND ALLOWS TIME FOR EMPLOYEES TO BECOME INVOLVED AS VOLUNTEERS. PINK OCTOBER & WOMEN'S HEALTH SCREENING DAY SUTTER MEDICAL FOUNDATION HOSTS WOMEN'S HEALTH SCREENING DAY ANNUALLY AND JOINS FORCES WITH THE YUBA-SUTTER PINK OCTOBER COMMITTEE TO INCREASE AWARENESS OF EARLY DETECTION OF BREAST CANCER. WOMEN'S HEALTH SCREENING DAY PROVIDES RECTAL, CLINICAL BREAST, PAP AND BONE DENSITY SCREENINGS AT A FREE OR MINIMAL COST TO WOMEN WHO EITHER ARE UNDER OR NOT INSURED. SEVEN PROVIDERS OF SUTTER NORTH MEDICAL GROUP, IN YUBA CITY AND THE RURAL COMMUNITY OF BROWNSVILLE, DONATE THEIR TIME TO THE WOMEN'S HEALTH SCREENING DAY AND MORE THAN 185 WOMEN RECEIVED THE SERVICE. IN ADDITION, SUTTER MEDICAL FOUNDATION PROVIDED MORE 300 MAMMOGRAMS FOR UNDER AND NON INSURED WOMEN. THE SCREENING FEE FOR THE WOMEN WAS A MINIMAL $30 COST PER PATIENT. PROSTATE SCREENING FOR MEN IN SEPTEMBER 2008, SUTTER NORTH MEDICAL FOUNDATION HOSTED A PROSTATE-SCREENING DAY FOR THE NON-INSURED AND UNDER-INSURED MEN. THE SCREENINGS ARE HELD AT OUR YUBA CITY CAMPUS WITH PROVIDERS DONATING THEIR TIME. THE SCREENING INCLUDES AN EDUCATIONAL CAMPAIGN AROUND THE IMPORTANCE OF REGULAR EXAMS AND SCREENINGS. MORE THAN 90 EXAMS WERE PROVIDED FOR THE LOW COST FEE OF $15. 2010 COMMUNITY SPONSORED EVENTS IN 2010, SUTTER MEDICAL FOUNDATION DONATED TO SEVERAL VARIOUS COMMUNITY EVENTS. WE MAKE IT OUR POLICY TO SUPPORT LOCAL AND NATIONAL NOT-FOR-PROFIT ORGANIZATIONS AND PUBLIC INSTITUTIONS IN NEED OF ASSISTANCE. MOREOVER, OUR EMPLOYEES MAKE EVERY EFFORT TO DONATE THEIR TIME TO LOCAL CAUSES AND YOU WILL FIND MANAGEMENT, PROVIDERS AND STAFF VOLUNTEERING WITH THE AMERICAN CANCER SOCIETY, UNITED WAY, MARCH OF DIMES, NATIONAL DIABETES SOCIETY, AMERICAN HEART ASSOCIATION, KIWANIS, ROTARY, SOROPTIMIST, GIRLS ON THE RUN, CHAMBER OF COMMERCE AND IN COMMUNITY SCHOOLS AND RELIGIOUS ORGANIZATIONS. TATTOO REMOVAL PROGRAM THE TATTOO REMOVAL PROGRAM (TATS OFF) REMOVES VISIBLE GANG TATTOOS FROM THE FACE, NECK, HANDS OR WRISTS (AND ANKLES FOR WOMEN), ELIMINATING THE STIGMA OF A PAST LIFESTYLE. IT NORMALLY TAKES FROM THREE TO TEN LASER TREATMENTS TO COMPLETE THE REMOVAL OF EACH DESIGN. THESE SESSIONS ARE SCHEDULED ONE MONTH APART TO FACILITATE PROPER HEALING BEFORE THE NEXT TREATMENT. THE OBJECTIVE IS TO MAKE IT EASIER FOR PEOPLE TO BEGIN A NEW LIFE, OBTAIN EMPLOYMENT AND ESCAPE BEING NEGATIVELY AND INACCURATELY STEREOTYPED.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTIONS 6 & 7ATHIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BSUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS, IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL.
DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990FORM 990, PART VI, QUESTION 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 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 COMPENSATION COMMITTEE 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.
HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONFORM 990, PART VIITHE 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. SARAH KREVANS PAT FRY
OTHER CHANGES IN FUND BALANCEFORM 990, PART XI, LINE 5CHANGE IN UNREALIZED GAIN/(LOSS) ON INVESTMENTS $ 13,299,884 K-1 ORDINARY INCOME (6,446,297) K-1 GUARANTEED PAYMENTS (477,519) K-1 INTEREST INCOME (836) K-1 SECTION 1231 LOSS 6,077 NORTH BAY ASSET TRANSFER TO SWBMF (13,222,217) CHANGE IN UNREALIZED GAIN/(LOSS) 30,721 CHANGE IN SPLIT INTEREST 4.469 EQUITY TRANSFERS (NET) 39,319,940 PRIOR PERIOD ADJUSTMENTS 1,353,163 ------------- $ 33,867,385 ============
COMPILATION, REVIEW AND AUDIT OF INDEPENDENT ACCOUNTANTFORM 990, PART XII, 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.
SCHEDULE K SUPPLEMENTAL INFORMATIONSCHEDULE KGLOBAL DISCLOSURE 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 SUBSIDIARY ORGANIZATIONS. THE ORGANIZATION IS ONLY REPORTING THE AMOUNT IT HAS BEEN ALLOCATED. PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH AN EQUITY CONTRIBUTION. SMF SPECIFIC PART I, LINE A, COLUMN (F): THE INITIAL BONDS ISSUED IN 2003 WERE NEW MONEY BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE "NEW MONEY" BONDS. PART I, LINE B, COLUMN (F): THE INITIAL BONDS ISSUED IN 2004 WERE NEW MONEY BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE "NEW MONEY" BONDS. PART I, LINE C, COLUMN (F): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2004 ISSUE. PART IV, LINE 5, COLUMN (B): INVESTMENTS OF UNEXPENDED PROCEEDS CONTINUE TO BE MONITORED BY THE CORPORATE MEMBER OF THE ORGANIZATION AND ITS ARBITRAGE CONSULTANTS (THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A. AND BLX GROUP) FOR COMPLIANCE WITH YIELD RESTRICTIONS.

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SUTTER SURGICAL HOSPITAL NORTH VALLEY LLC
B536316
SUTTER SURGICAL HOSPITAL NORTH VALLEY LLC
K3582
SUTTER FAIRFIELD SURGERY CENTER LLC
A767814
SUTTER FAIRFIELD SURGERY CENTER LLC
R4082400
SUTTER FAIRFIELD SURGERY CENTER LLC
N3635337
SUTTER SURGICAL HOSPITAL NORTH VALLEY LLC
A24667
SUTTER SURGICAL HOSPITAL NORTH VALLEY LLC
J3401710
SUTTER SURGICAL HOSPITAL NORTH VALLEY LLC
L639351
SUTTER SURGICAL HOSPITAL NORTH VALLEY LLC
N36798

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