MILLS-PENINSULA HEALTH SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MILLS-PENINSULA HEALTH SERVICES (EIN 94-1156265)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-19
IRS object ID
201142929349301114
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)
EIN941156265EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MILLS-PENINSULA HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMILLNameControl
Phone9162866665Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11501 TROUSDALE DRIVEAddressLine1
CityBURLINGAMECity
StateCAState
ZIP Code94010ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameIFTIKHAR HUSSAINName
TitleCFOTitle
Phone9162866665Phone
Date Signed2011-10-07DateSigned

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 PersonROBERT W MERWINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11501 TROUSDALE DRIVEAddressLine1
CityBURLINGAMECity
StateCAState
ZIP Code94010ZIPCode
FieldValueIRS element (for citing)
Gross Receipts578177254GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SUTTERHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1921YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees2616TotalNbrEmployees
Total Nbr Volunteers700TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7406471ContributionsGrantsPriorYear
Contributions Grants Current Year7723218ContributionsGrantsCurrentYear
Program Service Revenue Prior Year512234005ProgramServiceRevenuePriorYear
Program Service Revenue CY557899448ProgramServiceRevenueCY
Investment Income Prior Year11508057InvestmentIncomePriorYear
Investment Income Current Year6902609InvestmentIncomeCurrentYear
Other Revenue Prior Year2629786OtherRevenuePriorYear
Other Revenue Current Year2938642OtherRevenueCurrentYear
Total Revenue Prior Year533778319TotalRevenuePriorYear
Total Revenue Current Year575463917TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year873288GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY943361GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year257581125SalariesEtcPriorYear
Salaries Etc Current Year273070407SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year218666646OtherExpensePriorYear
Other Expenses Current Year226412026OtherExpensesCurrentYear
Total Expenses Prior Year477121059TotalExpensesPriorYear
Total Expenses Current Year500425794TotalExpensesCurrentYear
Revenues Less Expenses Prior Year56657260RevenuesLessExpensesPriorYear
Revenues Less Expenses CY75038123RevenuesLessExpensesCY
Total Assets BOY834271800TotalAssetsBOY
Total Assets EOY932579964TotalAssetsEOY
Total Liabilities BOY568233646TotalLiabilitiesBOY
Total Liabilities EOY574755522TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY266038154NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY357824442NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense451877374Expense
Grants943361Grants
Revenue558729659Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense451877374TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
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
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096322NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2616NumberOfEmployees
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 Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
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 PersonNELSON YEENamePerson
Telephone Number6506523803TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11501 TROUSDALE DRIVEAddressLine1
CityBURLINGAMECity
StateCAState
ZIP Code94010ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ADRIAN BELLAMY
DIRECTOR1.0X000
AUGUST BENZ
DIRECTOR1.0X000
JORDAN BLOOM
DIRECTOR1.0X000
LAURA BROWN
DIRECTOR1.0X000
SHEILA BURNS
VICE CHAIR/DIRECTOR1.0X000X
CEIL CIRILLO
DIRECTOR1.0X000
FRED CONCKLIN
DIRECTOR1.0X000
DAVID DRUKER MD
SVP REGIONAL EXECUTIVE1.0X02927390450030
KEITH DUNCAN MD
DIRECTOR1.0X000
RICHARD ELWOOD
DIRECTOR1.0X000
JAMES FERRARA MD
DIRECTOR1.0X000
JOSEPH LACY MD
DIRECTOR1.0X000
LARRY MAY
DIRECTOR1.0X000
ROBERT MERWIN
CEO, MILLS PENINSULA HLTH SVCS40.0X0882238404581X
RICHARD MORGAN MD
SECRETARY/DIRECTOR1.0X000X
TAK POON MD
DIRECTOR1.0X000
BRIAN ROACH MD
DIVISION PRESIDENT PAMF & MPD1.0X0278627124370
JOHN ROOT
DIRECTOR1.0X000
ANDREW ROSENBERG MD
DIRECTOR1.0X000
JOHN RYAN
DIRECTOR1.0X000
HOWARD SALVAY MD
DIRECTOR1.0X000
SARKIS SARKISIAN
DIRECTOR1.0X000
MARGARET TAYLOR
CHAIR/DIRECTOR1.0X000X
LEE TING
CHAIR F&P/DIRECTOR1.0X000X
REV PAUL WATERMULDER
DIRECTOR1.0X000
JEFF GERARD
REG. PRES PENINSULA-COASTAL1.00972294465572X
IFTIKHAR HUSSAIN
CFO, MILLS PENINSULA HLTH SVCS40.00380950127659X
DOLORES GOMEZ
VP ACUTE SERVICES, MPHS40.00352483113306X
ROBERT HORTOP
VP STRATEGIC DVLPMT, MPHS40.0029435288528X
FORREST MALAKOFF
ADMINISTRATOR, MPSF40.0023761873623X
RICHARD K NICHOLS
ADMINISTRATOR SMSC SANTA CRUZ40.00293575108918X
CARRIE OWEN-PLIETZ
COO, MILLS PENINSULA HLTH SVCS40.00415152143495X
SHELBY SPEAS
VP AMBULATORY SERVICES, MPHS40.0035167030781X
MICHAEL WOOD MD
CMO, MILLS PENINSULA HLTH SVCS40.00446037126497X
DANIEL BECKER
MEDICAL DIRECTOR40.0317105026721X
GAIUS T JURADO
STAFF NURSE II40.0264173019973X
MARGIE O'CLAIR
VP MARKETING40.0241689026467X
JOHN LODER
PRES. OF MP FOUNDATION40.0235183026229X
SHEILA LITTRELL
DIR OF ONCOLOGY PROGRAMS40.0228920025928X
GORDON HUNT
SVP & CMO, SUTTER HEALTH1.001266022759889X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1287070TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9098408TotalReportableCompFrmRltdOrgs
Total Other Compensation3142567TotalOtherCompensation
Number Individuals GT100 K707NumberIndividualsGT100K
Formers ListedtrueFormersListed
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
MILLS PENINSULA MEDICAL GROUP
577 AIRPORT BLVD SUITE 300BURLINGAMECA94010ADMIN MEDICAL SVCS3717984
CAREFUSION SOLUTIONS LLC
25082 NETWORK PLCHICAGOIL606731250MEDICAL SERVICES2250471
CALIFORNIA ADVANCE IMAGING
PO BOX 6102NOVATOCA949486102MEDICAL SERVICES1879741
CROSS COUNTRY TRAVELERS CORP
PO BOX 50941LOS ANGELESCA900740941REGISTRY1379754
AFFILIATED COMPUTER SERVICES INC
PO BOX 201322DALLASTX753201322COLLECTION SERVICES1345912
FieldValueIRS element (for citing)
Number Of Contractors GT100 K62NumberOfContractorsGT100K
Related Organizations6256173RelatedOrganizations
Government Grants616577GovernmentGrants
All Other Contributions850468AllOtherContributions
Total Contributions7723218TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code622110BusinessCode
Total Revenue Column557899448TotalRevenueColumn
Related Or Exempt Function Income557899448RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue557899448TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6901386TotalRevenueColumn
Exclusion$6,901,386ExclusionAmount

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)
Real4821768Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2713337Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2108431Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2108431TotalRevenueColumn
Exclusion$2,108,431ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1223Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1223Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1223TotalRevenueColumn
Exclusion$1,223ExclusionAmount

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
AUXILIARY ACTIVITY900099185432185432
FOOD SERVICES722310643399643399
PARKING REVENUE81293013801380
FieldValueIRS element (for citing)
Total Other Revenue830211TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column575463917TotalRevenueColumn
Related Or Exempt Function Income558729659RelatedOrExemptFunctionIncome
Exclusion$9,011,040ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total874461Total
Program Services874461ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total68900Total
Program Services68900ProgramServices

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)
Total2383716Total
Program Services0ProgramServices
Management And General2383716ManagementAndGeneral
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)
Total170049232Total
Program Services159846278ProgramServices
Management And General10202954ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9026639Total
Program Services9026639ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total78276623Total
Program Services73580026ProgramServices
Management And General4696597ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13334197Total
Program Services12534145ProgramServices
Management And General800052ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1227921Total
Program Services1215642ProgramServices
Management And General12279ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total333551Total
Program Services330215ProgramServices
Management And General3336ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54826Total
Program Services54278ProgramServices
Management And General548ManagementAndGeneral
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)
Total122055Total
Program Services0ProgramServices
Management And General122055ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14250489Total
Program Services1425049ProgramServices
Management And General12825440ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total387900Total
Program Services131886ProgramServices
Management And General256014ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total57747114Total
Program Services52680970ProgramServices
Management And General5066144ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7804285Total
Program Services7672394ProgramServices
Management And General131891ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9977886Total
Program Services9678549ProgramServices
Management And General299337ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total418061Total
Program Services271740ProgramServices
Management And General146321ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total66961Total
Program Services0ProgramServices
Management And General66961ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total262980Total
Program Services262980ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

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

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total30894345Total
Program Services27187024ProgramServices
Management And General3707321ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total4507197Total
Program Services4056477ProgramServices
Management And General450720ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES348990463228161826174280
REGIONAL & SYSTEM ALLOCATION206066311906113415454970
PATIENT AR BD W/O135934941257398210195120
REPAIRS & MAINTENANCE870675780537506530070
ALL OTHER EXPENSES205505271900923715412900

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total500425794Total
Program Services451877374ProgramServices
Management And General48548420ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17154673BOY
EOY12284258EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY56981699BOY
EOY60925588EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9720246BOY
EOY7227242EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2765481BOY
EOY3037470EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1026762342LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec263778229LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY577531461BOY
EOY762984113EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY164524541BOY
EOY63133976EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5593699BOY
EOY22987317EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY834271800BOY
EOY932579964EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY49743431BOY
EOY51870969EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY506725173BOY
EOY511413963EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11765042BOY
EOY11470590EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY568233646BOY
EOY574755522EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY265685959BOY
EOY357450473EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY352195BOY
EOY373969EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY266038154BOY
EOY357824442EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY834271800BOY
EOY932579964EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses75038123ReconcilationRevenueExpenses
Reconcilation Other Changes16748165ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance6271261BeginningOfYearBalance
Investment Earnings Or Losses544479InvestmentEarningsOrLosses
Other Expenditures96114OtherExpenditures
End Of Year Balance6719626EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5797262BeginningOfYearBalance
Investment Earnings Or Losses544040InvestmentEarningsOrLosses
Other Expenditures70041OtherExpenditures
End Of Year Balance6271261EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6910971BeginningOfYearBalance
Investment Earnings Or Losses-865337InvestmentEarningsOrLosses
Other Expenditures248372OtherExpenditures
End Of Year Balance5797262EndOfYearBalance
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Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis11852348OtherCostOrOtherBasis
Book Value11852348BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis310952884OtherCostOrOtherBasis
Depreciation135414757Depreciation
Book Value175538127BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3446473OtherCostOrOtherBasis
Depreciation2953330Depreciation
Book Value493143BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis161379479OtherCostOrOtherBasis
Depreciation123207095Depreciation
Book Value38172384BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis539131158OtherCostOrOtherBasis
Depreciation2203047Depreciation
Book Value536928111BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings762984113TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INSURANCE LIABILITIES$2,354,308
THIRD PARTY SETTLEMENTS$123,936
OTHER LIABILITIES$8,992,346
FieldValueIRS element (for citing)
Total Of Amounts11470590TotalOfAmounts

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 H IRS990ScheduleH

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Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

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OtherXOther
Free Other Percentage350.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
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 Expense7993476TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense7993476NetCommunityBenefitExpense
Percent Of Total Expense0.01600PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense35920876TotalCommunityBenefitExpense
Direct Offsetting Revenue25505913DirectOffsettingRevenue
Net Community Benefit Expense10414963NetCommunityBenefitExpense
Percent Of Total Expense0.02080PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense633935TotalCommunityBenefitExpense
Direct Offsetting Revenue505304DirectOffsettingRevenue
Net Community Benefit Expense128631NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense44548287TotalCommunityBenefitExpense
Direct Offsetting Revenue26011217DirectOffsettingRevenue
Net Community Benefit Expense18537070NetCommunityBenefitExpense
Percent Of Total Expense0.03710PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1232889TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1232889NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense285388TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense285388NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
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Direct Offsetting Revenue3665447DirectOffsettingRevenue
Net Community Benefit Expense1970244NetCommunityBenefitExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

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Total Community Benefit Expense1401054TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1401054NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8555022TotalCommunityBenefitExpense
Direct Offsetting Revenue3665447DirectOffsettingRevenue
Net Community Benefit Expense4889575NetCommunityBenefitExpense
Percent Of Total Expense0.00980PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense53103309TotalCommunityBenefitExpense
Direct Offsetting Revenue29676664DirectOffsettingRevenue
Net Community Benefit Expense23426645NetCommunityBenefitExpense
Percent Of Total Expense0.04690PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense852TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense852NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense7973TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense7973NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense8825TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense8825NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,683,837BadDebtExpenseAmount
Amount Reimbursed By Medicare90539702AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare120452954CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-29913252MedicareSurplusOrShortfall

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 Facilities5NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
PENINSULA MEDICAL CENTER
11501 TROUSDALE DRIVEBURLINGAMECA94010XXX
MILLS HEALTH CENTER
2100 S SAN MATEO DRIVESAN MATEOCA94401X
MILLS PENINSULA EXTENDED CARE
3101 S SAN MATEO DRIVESAN MATEOCA94401X
SUTTER MATERNITY SURGERY SANTA CRUZ
42900 CHANTICLEER AVENUESANTA CRUZCA95065XXOUTPATIENT SERVICES
MENLO PARK SURGICAL HOSPITAL
5570 WILLOW ROADMENLO PARKCA94025XXOUTPATIENT SERVICES

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber
PENINSULA MEDICAL CENTER
1
MILLS HEALTH CENTER
2
MILLS PENINSULA EXTENDED CARE
3
SUTTER MATERNITY SURGERY SANTA CRUZ
4
MENLO PARK SURGICAL HOSPITAL
5

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MILLS-PENINSULA HEALTH CENTER
100 S SAN MATEO DRIVESAN MATEOCA94401CHRONIC DIALYSIS END STAGE RENAL DISEASE
BURLINGAME DIALYSIS CENTER
1720 EL CAMINO REALBURLINGAMECA94010END STAGE RENAL DISEASE
MILLS-PENINSULA HEALTH SERVICES
1600 TROUSDALE DRIVEBURLINGAMECA94010OUTPATIENT SERVICES PSYCH. SERVICES
MILLS PENINSULA SKILLED NURSING FACILITY
101 S SAN MATEO DRIVESAN MATEOCA94401SKILLED NURSING
MILLS PENINSULA SKILLED NURSING FACILITY
1609 TROUSDALE DRIVEBURLINGAMECA940104520SKILLED NURSING

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 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 350% OF FPG. PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES APPLIES TO UNINSURED PATIENTS WHOSE FAMILY INCOMES ARE BETWEEN 351% AND 500%. 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 IICOMMUNITY BUILDING ACTIVITIES - ENVIRONMENTAL IMPROVEMENTS - WORKFORCE DEVELOPMENT - SAFETY NET PARTNERSHIPS
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 $29,913,252.
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:MILLS-PENINSULA HEALTH SERVICES' PROCESS FOR ASSESSING THE NEEDS OF ITS LOCAL COMMUNITY INCLUDES PARTICIPATING IN COLLABORATIVE NEEDS ASSESSMENT PROCESSES IN BOTH SAN MATEO COUNTY AND SANTA CRUZ COUNTY. IN SAN MATEO COUNTY, THE ASSESSMENT OCCURS EVERY THREE YEARS. IN SANTA CRUZ COUNTY, THE SURVEY IS CONDUCTED ANNUALLY. BOTH PROJECTS INCLUDE QUANTITATIVE AND QUALITATIVE DATA. AVAILABLE DATA FROM STATE AND COUNTY HEALTH OFFICES IS UTILIZED AS WELL AS COMMUNITY MEMBER INPUT THROUGH VARIOUS ADVISORY BOARDS. THE NEEDS ASSESSMENT PROCESS HELPS TO FOCUS COMMUNITY BENEFIT EFFORTS TOWARD THE GREATEST HEALTH RELATED NEEDS.
PATIENT EDUCATION FOR ELIGIBILITY FOR ASSISTANCE:MILLS-PENINSULA HEALTH SERVICES FOLLOWS A SUTTER HEALTH SYSTEMWIDE 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. EMERGENCY SERVICES. IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION" B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS: 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. 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:MILLS-PENINSULA HEALTH SERVICES PROVIDES CARE TO POPULATIONS IN SAN MATEO, SANTA CLARA AND SANTA CRUZ COUNTIES. SANTA CRUZ COUNTY HAS THE HIGHEST PERCENTAGE OF HISPANICS AT 35% OF THE POPULATION. SAN MATEO COUNTY ASIAN AND HISPANIC POPULATIONS ARE GROWING AT A FASTER RATE THAN OTHER DEMOGRAPHIC GROUPS ON THE SAN FRANCISCO PENINSULA. IN BOTH COMMUNITIES, THE HOSPITALS ARE KEY PARTNERS IN THE STATE'S HEALTHY KIDS PROGRAMS.
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 EXAMPLES OF MILLS-PENINSULA HEALTH SERVICES SPECIFIC ACTIVITIES INCLUDE: - OPEN MEDICAL STAFF - THE SANTA CRUZ COMMUNITY BOARD AND COMMUNITY ADVISORY COMMITTEE PROVIDE DIRECT INPUT TO MANAGEMENT REGARDING THE HEALTH NEEDS OF THE COMMUNITY - SANTA CRUZ MATERNITY AND SURGERY CENTER SPONSORS AN ANNUAL SENIOR HEALTH FAIR THAT SERVES MORE THAN 300 ELDERS WITH SCREENINGS AND EDUCATION AND ALSO HOSTS AN ANNUAL PROSTATE CANCER HEALTH AWARENESS DAY - MILLS-PENINSULA HEALTH SERVICES AND SUTTER MATERNITY AND SURGERY CENTER IN SANTA CRUZ ARE MAJOR FINANCIAL SUPPORTERS OF THE "HEALTHY KIDS" PROGRAM IN SANTA CRUZ AND SANTA MATEO COUNTIES - IN PARTNERSHIP WITH THE CENTRAL COAST ALLIANCE FOR HEALTH, MILLS-PENINSULA HEALTH SERVICES PROVIDES AN ANNUAL SCHOLARSHIP GRANT THROUGH UCSC TO A GRADUATING SENIOR WHO IS ENTERING MEDICAL SCHOOL AND IS PLANNING TO RETURN TO THE CENTRAL COAST TO PRACTICE PRIMARY CARE MEDICINE - MILLS-PENINSULA OFFERS AN ANNUAL GRANTS PROGRAM FOR QUALIFYING COMMUNITY-BASED NON-PROFIT ORGANIZATIONS. IN 2010, $300,000 WAS PROVIDED IN GRANTS OF $2,000 TO $5,000. - BOTH SANTA CRUZ MATERNITY AND SURGERY CENTER AND MILLS-PENINSULA OFFER A BROAD MENU OF HEALTH EDUCATION AND SCREENING EVENTS TO PROMOTE HEALTH AWARENESS AND EARLY DETECTION. - MILLS-PENINSULA'S AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE PROVIDES A BROAD MENU OF HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS THROUGHOUT THE YEAR FOR PEOPLE OF COLOR, INCLUDING THE ANNUAL SOUL STROLL FOR HEALTH EVENT THAT DRAWS ABOUT 2,500 PEOPLE EACH YEAR FOR A HEALTH FAIR AND WALK.
AFFILIATED HEALTH CARE SYSTEM:MILLS-PENINSULA HEALTH SERVICES 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 (41 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MED SHARE - INV OBSOL
3240 CLIFTON SPRING ROADDECATURGA30034582433968501(C)(3)175842GENERAL DONATION
COMMUNITY GATEPATH
875 STANTON ROADBURLINGAMECA94010941156502501(C)(3)43500GENERAL DONATION
BURLINGAME CITY
850 BURLINGAME AVEBURLINGAMECA9401094600030426000GENERAL DONATION
PAL CARE INC
945 CALIF DRBURLINGAMECA94010943048383501(C)(3)25500GENERAL DONATION
AMERICAN RED CROSS
85 SECOND STSAN FRANCISCOCA94105943045430501(C)(3)25000GENERAL DONATION
NOTRE DAME DE NAMUR UNIVERSITY
1500 RALSTON AVEBELMONTCA94002941156646501(C)(3)25000GENERAL DONATION
SAN FRANCISCO FNDT
225 BUSH ST 500SAN FRANCISCOCA94104010679337501(C)(3)25000GENERAL DONATION
CALIF ADVANCED IMAGUG
PO BOX 6102NOVATOCA948486102941700729501(C)(3)22817GENERAL DONATION
MID PENINSULA BOYS & GIRLS CLUB
200 N QUEBEC STSAN MATEOCA94401941431583501(C)(3)21500GENERAL DONATION
HOSPITAL CONSORTIUM
1600 TROUSDALE DRBURLINGAMECA94010942637032501(C)(3)20000GENERAL DONATION
MENTAL HEALTH ASSN
2686 SPRING STREDWOOD CITYCA94063946034112501(C)(3)20000GENERAL DONATION
NORTH PENINSULA NEIGHBORHOOD SERVICE CENTER
600 LINDEN AVES SAN FRANCISCOCA94080942298841501(C)(3)20000GENERAL DONATION
PUENTE DELA COSTA
PO BOX 554PESCADEROCA94060371484262501(C)(3)20000GENERAL DONATION
WOMENS RECOVERY
1450 CHAPIN AVEBURLINGAMECA94010237079003501(C)(3)20000GENERAL DONATION
COMMUNITY OVERCOMING
840 HINCKLEY ROAD 215BURLINGAMECA94010942481188501(C)(3)15000GENERAL DONATION
FAMILY SVC AGENCY
24 SECOND AVESAN MATEOCA94401941186169501(C)(3)30000GENERAL DONATION
MARCH OF DIMES
PO BOX 1657WILKESBARREPA187031657131846366501(C)(3)15000GENERAL DONATION
SHELTER NETWORK
1660 S AMPHLETT BLVDSAN MATEOCA94402770160469501(C)(3)15000GENERAL DONATION
LEGAL AIDS OF SAN MATEO COUNTY
521 E 5TH AVESAN MATEOCA94402941451894501(C)(3)12000GENERAL DONATION
MED SHARE INTERNATIONAL
3240 CLIFTON SPRING ROADDECATURGA30034582433968501(C)(3)10400GENERAL DONATION
ADVOCATE FOR CHILDREN
1515 S EL CAMINO REALSAN MATEOCA94402043849393501(C)(3)10000GENERAL DONATION
BCE FOUNDATION
PO BOX 17730BURLINGAMECA94010942722072501(C)(3)10000GENERAL DONATION
BREAST CANCER CO
390 CAMBRIDGE AVEPALO ALTOCA94306770417605501(C)(3)10000GENERAL DONATION
CENTER INDEP DISABLE
1515 S EL CAMINO REALSAN MATEOCA94402942581080501(C)(3)10000GENERAL DONATION
COASTSIDE MEDICAL & DENTAL
645 CORREAS STHALF MOON BAYCA94019942935784501(C)(3)10000GENERAL DONATION
DOELGER SENIOR CTR
101 LAKE MERCED BLVDDALY CITYCA94015942844797501(C)(3)10000GENERAL DONATION
EDGEWOOD CTR CHILDREN
1801 VICENTE STSAN FRANCISCOCA94116941186168501(C)(3)10000GENERAL DONATION
FAMILY CAREGIVER ALLIANCE
180 MONTGOMERY STSAN FRANCISCOCA94104942687079501(C)(3)10000GENERAL DONATION
MISSION HOSPICE
1900 OFARRELL ST 200SAN MATEOCA94403942567162501(C)(3)10000GENERAL DONATION
NAMI SAN MATEO COUNTY
1037 ALAMEDA LAS PULGASBELMONTCA94002942650681501(C)(3)10000GENERAL DONATION
PARCA
800 AIRPORT BLVD 320BURLINGAMECA94010941650851501(C)(3)10000GENERAL DONATION
PENINSULA CLERGY NETWORK
PO BOX 312SAN MATEOCA94401731723866501(C)(3)10000GENERAL DONATION
PENINSULA JEWISH
2440 CARLMONT DRBELMONTCA94002943227262501(C)(3)10000GENERAL DONATION
RAPE TRAUMA SVC
1860 EL CAMINO REALBURLINGAMECA94010943215045501(C)(3)10000GENERAL DONATION
ROTOCARE COASTSIDE CLINIC
PO BOX 18430SAN JOSECA95158770328723501(C)(3)10000GENERAL DONATION
SAN MATEO CITY
2645 ALAMEDA LAS PULGASSAN MATEOCA9440394600042210000GENERAL DONATION
SELF HELP FOR THE ELDERLY
407 SANSOME STSAN FRANCISCOCA94111941750717501(C)(3)10000GENERAL DONATION
SONRISAS
210 SAN MATEO DRHALF MOON BAYCA94019943390196501(C)(3)10000GENERAL DONATION
VISTA CTR FOR THE BLIND & VISUALLY IMPAIRED
2470 EL CAMINO REALPALO ALTOCA94306941196206501(C)(3)10000GENERAL DONATION
SAN MATEO POLICE ASSOC
2000 S DELAWARE STSAN MATEOCA94403311593896501(C)(3)8500GENERAL DONATION
ALZHEIMER'S ASSOC
2024 DELA VINA STSANTA BARBARACA9310510000GENERAL DONATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants38TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients48NumberOfRecipients
Amount Of Cash Grant68900AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferencePART I, LINE 2ReturnReference
ExplanationTHE 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 (18 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
DAVID DRUKER MD
021350050780457011928044061409416033774200565132
JEFF GERARD
06139530353400049410447307018265014378660331232
DOLORES GOMEZ
028866806310007150967900165160465789057246
ROBERT HORTOP
023635605380004196082120064080382880050349
IFTIKHAR HUSSAIN
0281549099007039401111760164830508609072575
FORREST MALAKOFF
01974660394000752067263063600311241034168
ROBERT MERWIN
05551750319660074030387854016727012868190288231
RICHARD K NICHOLS
0238145054100013300969240119940402493051282
CARRIE OWEN-PLIETZ
03286170814000513501286130148820558647061845
BRIAN ROACH MD
026759201000001035011537608994040299700
SHELBY SPEAS
03006590503000711021120096610382451044686
MICHAEL WOOD MD
036434508070009920124486020110572534061256
GORDON HUNT
08007720454748010502075129908590020259110507631
DANIEL BECKER
292327022800019780110050157160343826000
GAIUS T JURADO
263944000229011005089680284146000
MARGIE O'CLAIR
216100023100024890108520156150268156000
JOHN LODER
212046020300028370105600156690261412000
SHEILA LITTRELL
209800016420027000102790156490254848000

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: DAVID DRUKER MD $122,700 JEFF GERARD $101,700 ROBERT MERWIN $135,200 IFTIKHAR HUSSAIN $15,700 DOLORES GOMEZ $14,900 FORREST MALAKOFF $7,200 SHELBY SPEAS $13,200 MICHAEL WOOD MD $21,600 ROBERT HORTOP $10,700 CARRIE OWEN-PLIETZ $20,100 RICHARD K NICHOLS $10,200 GORDAN HUNT $331,900
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 (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CSCDA 2005A
680164610130911U242005-10-1910141675REFUNDING - 7/18/1995falsefalsefalse
CSCDA 2005BC
680164610130795EG82007-05-012244487REFUNDING - 7/18/1995falsefalsefalse
CHFFA 2007A
52164382813033FQ372007-05-01495319456CONSTRUCT & EQUIP FACILITYfalsefalsefalse
CHFFA 2008A
52164382813033F2L32008-05-145730952REFUNDING - 7/18/1995, 5/1/2007falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionAmount RetiredAmountRetired
103641661055130truefalsetruetrue
2278156167429truefalsetruetrue
536525653falsefalsetruetrue423194554368611292011
5730952truefalsetruetrue866762

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngaged
true
true
truefalsefalsefalsefalsetrue
true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSEE SCHEDULE OIdentifier

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MISSION STATEMENTFORM 990, PART I, LINE 1 AND PART III, LINE 1MILLS-PENINSULA HEALTH SERVICES IS DEDICATED TO PRESERVING AND IMPROVING THE HEALTH STATUS OF OUR FELLOW RESIDENTS IN SAN MATEO COUNTY AND OTHERS WHO SEEK CARE FROM US. WE DELIVER EXCELLENT SERVICE AND CARE WITH COMPASSION AND RESPECT. BY PROVIDING FOR DISEASE PREVENTION AND MANAGEMENT. WE EMPOWER PEOPLE TO TAKE A GREATER ROLE IN THEIR OWN HEALTH AND WELLNESS. EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A MILLS PENINSULA HEALTH SERVICES, A NOT FOR PROFIT CORPORATION WITH 2,500 EMPLOYEES, OPERATES TWO COMMUNITY HEALTH FACILITIES WITH A TOTAL OF 265 LICENSE BEDS. SMSC WITH 30 AND MENLO PARK SURGICAL HOSPITAL WITH 16 LICENSE BEDS. VISITING NURSE ASSOCIATION (VNA) OF SANTA CRUZ COUNTY PROVIDES HOME HEALTH CARE SERVICES TO THE SICK AND HOME BOUND IN SANTA CRUZ COUNTY. THE MEDICAL CENTER PENINSULA CAMPUS IN BURLINGAME IS AN ACUTE CARE HOSPITAL. THE HEALTH CENTER MILLS CAMPUS IN SAN MATEO PROVIDES A WIDE RANGE OF OUTPATIENT SERVICES, INCLUDING SURGERY, REHABILITATION AND DIAGNOSTICS. IT ALSO IS HOME TO MILLS PENINSULA'S INPATIENT REHABILITATION PROGRAM. SUTTER MATERNITY SURGERY CENTER BASED IN SANTA CRUZ IS A NOT-FOR-PROFIT HOSPITAL HAS 30 LICENSED BEDS. SMSC SPECIALIZES IN SURGICAL, MEDICAL AND OBSTETRICAL SERVICES. MENLO PARK SURGERY HOSPITAL BASED IN MENLO PARK IS A NOT FOR PROFIT HOSPITAL THAT ACCOMMODATES BOTH INPATIENT & OUTPATIENT PROCEDURES. VNA PROVIDES HOME HEALTH CARE SERVICES TO THE SICK AND HOME BOUND IN SANTA CRUZ COUNTY. THIS PURPOSE IS CARRIED ON BY PROVIDING SKILLED NURSING, HOME HEALTH AIDES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS AND SOCIAL SERVICES TO THOSE HOME BOUND INDIVIDUALS. VNA OF SANTA CRUZ COUNTY WORKS IN COOPERATION WITH OTHER AGENCIES IN SANTA CRUZ COUNTY IN THE PROMOTION OF HEALTH AND THE PREVENTION OF DISEASE. MILLS PENINSULA HEALTH SERVICES IS AN AFFILIATE OF SUTTER HEALTH. ONE OF THE LARGEST NOT FOR PROFIT HEALTH ORGANIZATIONS IN NORTHERN CALIFORNIA. WE ARE A HEALTH CARE ORGANIZATION WITH DEEP ROOTS IN SAN MATEO COUNTY. MILLS HEALTH CENTER, FOUNDED BY PROMINENT CALIFORNIAN ELIZABETH MILLS REID, OPENED IN 1908 IN SAN MATEO WITH SIX BEDS. PENINSULA MEDICAL CENTER DEVELOPED THROUGH CREATION OF A PUBLIC HOSPITAL DISTRICT. OPENED ITS DOORS FOUR MILES NORTH IN BURLINGAME IN 1954. MILLS PENINSULA HEALTH SERVICES IS DEDICATED TO PRESERVING AND IMPROVING THE HEALTH STATUS OF OUR FELLOW RESIDENTS IN SAN MATEO COUNTY AND OTHERS WHO SEEK CARE FROM US. WE DELIVER EXCELLENT SERVICE AND CARE WITH COMPASSION AND RESPECT. BY PROVIDING EDUCATION FOR DISEASE PREVENTION AND MANAGEMENT, WE EMPOWER PEOPLE TO TAKE A GREATER ROLE IN THEIR OWN HEALTH AND WELLNESS. THROUGH INTEGRATION WITH OUR MEDICAL STAFF AND MEDICAL GROUP, WE MAKE OUR HEALTH SERVICES EASILY ACCESSIBLE. WHEN APPROPRIATE, WE COLLABORATE WITH OTHER ORGANIZATIONS TO FURTHER OUR GOAL OF IMPROVING THE HEALTH AND QUALITY OF LIFE FOR THE PEOPLE WE SERVE. IN ORDER TO CONTINUE TO IDENTIFY AND RESPOND TO CHANGING COMMUNITY NEEDS, MILLS PENINSULA HEALTH SERVICES ARE COMMITTED TO MAINTAINING A STABLE FINANCIAL BASE. AS A MEMBER OF SUTTER HEALTH, OUR ABILITY TO SERVE OUR COMMUNITY IS ENHANCED BY ALLOWING US TO PARTICIPATE IN A NORTHERN CALIFORNIA HEALTH CARE SYSTEM. VISION: MILLS PENINSULA HEALTH SERVICES WILL TAKE THE INITIATIVE TO MEET OR EXCEED THE REALISTIC EXPECTATIONS OF ALL OUR (CUSTOMERS' PATIENTS, PHYSICIANS, PAYERS). THIS WILL BE ACHIEVED BY PROVIDING A COMPETENT, ATTENTIVE, RESPECTFUL AND EFFICIENT TEAM OF EMPLOYEES, PHYSICIANS AND MANAGERS WHOSE PRIMARY FOCUS IS ON THE PATIENT. THROUGH CONTINUOUS IMPROVEMENT AND LIVING OUR VALUES, OUR MISSION WILL BE ACHIEVED. VALUES: MILLS PENINSULA IS COMMITTED TO CREATING AN ENVIRONMENT IN WHICH INDIVIDUALS' (PATIENTS, PHYSICIANS AND EMPLOYEES) DIFFERENCES ARE ACKNOWLEDGED, UNDERSTOOD, ACCEPTED AND RESPONDED TO WITH SENSITIVITY. AS AN EMPLOYER, MILLS PENINSULA CONTINUALLY STRIVES TO CREATE AN ENVIRONMENT IN WHICH EMPLOYEES AND PHYSICIANS CAN DEVELOP THEIR POTENTIAL FOR WORK SATISFACTIONS AND CONTRIBUTION TO THE ORGANIZATION AND COMMUNITY. MILLS PENINSULA WILL BE KNOWN BY THE FOLLOWING CHARACTERISTICS: CULTURALLY AWARE OF THE DIFFERENT VALUES, TRADITIONS, LANGUAGES, LIFE STYLES AND EXPECTATIONS OF OUR PATIENTS AND FELLOW EMPLOYEES. ATTENTIVE TO THE MEDICAL AND PERSONAL NEEDS OF OUR PATIENTS, THEIR FAMILIES AND OUR CO-WORKERS. RESPECTFUL OF THE INDIVIDUAL AND ALTERNATIVE MODES OF TREATMENT AND HEALING, AND TREAT ALL INDIVIDUALS WITH DIGNITY AND FAIRNESS, COMMUNICATION IS OPEN, HONEST AND BASED UPON THE INTEREST LEVEL OF THE INDIVIDUAL. EMPATHETIC TO OTHERS' EXPERIENCES, CONDITIONS AND HEALING PROCESSES.
EXEMPT PURPOSE ACHIEVEMENTS (CONTINUED)MILLS PENINSULA HEALTH SERVICES, A NOT-FOR-PROFIT CORPORATION WITH 2500 EMPLOYEES, OPERATES TWO COMMUNITY HEALTH FACILITIES WITH A TOTAL OF 403 INPATIENT BEDS. THE PENINSULA MEDICAL CENTER IN BURLINGAME IS AN ACUTE CARE HOSPITAL. THE MILLS HEALTH CENTER LOCATED IN SAN MATEO PROVIDES A WIDE RANGE OF OUTPATIENT SERVICES, INCLUDING SURGERY, REHABILITATION AND DIAGNOSTICS. IT ALSO IS HOME TO MILLS PENINSULA'S INPATIENT REHABILITATION PROGRAM. MILLS PENINSULA HEALTH SERVICES IS AN AFFILIATE OF SUTTER HEALTH, ONE OF THE LARGEST NOT FOR PROFIT HEALTH ORGANIZATION IN NORTHERN CALIFORNIA. MILLS PENINSULA HEALTH SERVICES IS DEDICATED TO PRESERVING AND IMPROVING THE HEALTH STATUS OF OUR FELLOW RESIDENTS IN SAN MATEO COUNTY AND OTHERS WHO SEEK CARE FROM US. WE DELIVER EXCELLENT SERVICES AND CARE WITH COMPASSION AND RESPECT. BY PROVIDING EDUCATION FOR DISEASE PREVENTION AND MANAGEMENT, WE EMPOWER PEOPLE TO TAKE A GREATER ROLE IN THEIR OWN HEALTH AND WELLNESS. MILLS PENINSULA HEALTH SERVICES HAVE SUPPORTED AND SPONSORED VARIOUS COMMUNITY EVENTS THROUGHOUT THE YEAR. EVENTS SUCH AS SOUL STROLL, AMERICAN HEART WALK, BC SUNDAY (BREAST CANCER) SCREENING FOR THE PEOPLE WHO CAN'T AFFORD IT, WE HAVE A COMMUNITY SERVICES PROGRAM EMERGENCY MEDICAL SERVICES FOR THE INDIGENTS OFFERED TO THE UNDER PRIVILEGE. WE ALSO HAVE A COMMUNITY SERVICE PROGRAM AFRICAN/AMERICAN PROGRAM FOR THE BLACK COMMUNITY TO SCREEN FOR PROSTATE CANCER, DIABETES AND VARIOUS CAUSES. IN ADDITION TO THE TRADITIONAL INPATIENT SERVICES AT PENINSULA MEDICAL CENTER, WE HAVE A BARIATRIC SURGERY UNIT, AN EMERGENCY DEPARTMENT THAT SERVES THE COMMUNITY AND VARIOUS CHARITABLE DONATIONS TO SUPPORT SAN MATEO COMMUNITY. BARIATRIC SURGERY PROGRAM OFFERS COMPREHENSIVE SERVICES FOR PATIENTS WHO HAVE BMI OF 40 OR A BMI OF 35 WITH TWO OBESITY RELATED CO MORBIDITIES AND HAVE TRIED TRADITIONAL WEIGHT LOSS METHODS UNSUCCESSFULLY. SINCE 2006, THE PROGRAM HAS BEEN RECOGNIZED AS A "CENTER OF EXCELLENCE": BY THE AMERICAN SOCIETY OF METABOLIC & BARIATRIC SURGERY. IF ALL ROUX-EN-Y GASTRIC BYPASS, LAP BAND AND VERTICAL SLEEVE GASTRECTOMY PROCEDURES, 99.9% OF THEM ARE PERFORMED LAPARASCOPICALLY. THE BARIATRIC TEAM INCLUDES A MEDICAL DIRECTOR, A BARIATRIC CERTIFIED RN, PROGRAM DIRECTOR, AND REGISTERED DIETICIANS IN BOTH THE INPATIENT AND OUTPATIENT SETTINGS. PRE-OP AND POST OPERATIVE EDUCATION, SUPPORT GROUP MEETINGS AND SPECIAL EVENTS ARE DESIGNED TO ASSIST MANAGEMENT AND ONGOING COMMUNICATIONS WITH THE SURGEONS PROVIDE PATIENTS WITH A STRUCTURED AND COORDINATED CONTINUUM OF CARE. MILLS PENINSULA HEALTH SERVICES ALSO OFFERS A PERSONALIZED EXERCISE PROGRAM DEVELOPED BY THE EXERCISE PHYSIOLOGIST. BEHAVIORAL HEALTH SERVICES - MOVED FROM PENINSULA MEDICAL CENTER TO MILLS HEALTH CENTER PROVIDES SERVICES FOR THE ASSESSMENT AND TREATMENT OF PATIENTS WITH PSYCHIATRIC AND /OR SUBSTANCE-DEPENDENCE DISORDERS. THE 24 HOUR EMERGENCY SERVICE AND THE SCHEDULED INTAKE SERVICES PROVIDE PATIENT ASSESSMENT AND REFERRAL TO THE APPROPRIATE TYPE AND LEVEL OF SERVICE. PATIENTS WHOSE ASSESSED NEEDS ARE NOT MET BY PROGRAMS IN THIS FACILITY ARE REFERRED ELSEWHERE FOR TREATMENT. ALL MENTAL HEALTH PROGRAMS OFFER A SPECIAL TRACK FOR THE DUALLY DIAGNOSED PATIENT, AND THERE IS CLOSE COORDINATION BETWEEN MENTAL HEALTH AND CHEMICAL DEPENDENCY TO ENSURE APPROPRIATE CARE. MILLS PENINSULA HEALTH SERVICES OFFER PSYCHIATRIC EMERGENCY SERVICES 24 HOURS SEVEN DAYS PER WEEK, CRISIS INTERVENTION AND ASSESSMENT FOR PSYCHIATRIC AND CHEMICAL DEPENDENCY EMERGENT AND URGENT CONDITIONS OF ALL AGES. MENTAL HEALTH PROGRAM FOR ADULT AND ADOLESCENT INPATIENT 24 HOURS SEVEN DAYS PER WEEK, ASSESSMENT AND TREATMENT FOR VOLUNTARY AND INVOLUNTARY PATIENT 13 YEARS OLD AND ABOVE. CHEMICAL DEPENDENCY PROGRAMS CONSIST OF ACUTE DETOXIFICATION, 24 HOURS SEVEN DAYS PER WEEK INTENSIVE MEDICAL MANAGEMENT OF ACUTE CHEMICAL DEPENDENCY DETOXIFICATION. INPATIENT REHABILITATION OFFERS 24 HOURS SEVEN DAYS PER WEEK OF INTENSIVE STRUCTURED CHEMICAL DEPENDENCY PROGRAM PROVIDED IN GROUP AND INDIVIDUAL MODALITIES BY MULTIDISCIPLINARY TREATMENT TEAM. THE PROGRAM INVOLVED PATIENT AND FAMILY/SIGNIFICANT OTHER PARTICIPATION. CANCER CENTER/RADIATION ONCOLOGY: THIS SERVICE IS AT THE DOROTHY E. SCHNEIDER CANCER CENTER AT MILLS: THE PURPOSE IS TO PROVIDE DISEASE MANAGEMENT WITH AN EMPHASIS ON CANCER TO ANYONE 18 YEARS OF AGE OR OLDER IN THE OUTPATIENT SETTING. THE CANCER CENTER STAFF PARTICIPATES IN RELATED HEALTH CARE ACTIVITIES IN SUPPORT OF MILLS PENINSULA'S MISSION AND COMMUNITY WE SERVE. THE CANCER CENTER IS COMPRISED OF THREE SECTIONS/AREAS: THE INFUSION CENTER, RADIATION ONCOLOGY AND ONCOLOGY ADMINISTRATION. THE INFUSION CENTER PROVIDES CARE FOR OUTPATIENTS WHO NEED CHEMOTHERAPY, TRANSFUSIONS OF BLOOD PRODUCTS, SAMPLING FROM CENTRAL VENOUS ACCESS DEVICES, THERAPEUTIC PHLEBOTOMY, INJECTIONS OR INFUSION OF INTRAVENOUS FLUIDS TO PATIENTS 18 YEARS AND OLDER WHO HAVE CANCERS, AS WELL AS NON-CANCER CONDITIONS. THE SERVICE IS AVAILABLE MONDAY THROUGH FRIDAY. THE RADIATION ONCOLOGY SECTION IS UNDER THE DIRECTION OF BOARD CERTIFIED RADIATION ONCOLOGIST. TREATMENTS ARE ADMINISTERED BY A RADIATION THERAPIST, WHO IS LICENSED NATIONALLY AND BY THE STATE OF CALIFORNIA, AND WHOSE TREATMENTS ARE DIRECTLY MONITORED BY THE RADIATION ONCOLOGISTS. THE RADIATION ONCOLOGY DEPARTMENT PROVIDES EXTERNAL BEAM THERAPY AND HIGH DOSE RATE BACHYTHERPY TO PATIENTS 18 YEARS AND OLDER FOR PRIMARY AND METASTATIC CANCERS, AS WELL AS CERTAIN BENIGN CONDITIONS. THE EXTERNAL BEAM THERAPY IS DELIVERED WITHIN THE DEPARTMENT AT MILLS HEALTH CENTER, AND PATIENTS WHO RECEIVE HIGH DOSE IODINE TREATMENTS ARE ADMITTED TO THE RECOVERY CARE INN AT MILLS HEALTH CENTER. THE DEPARTMENT HAS BEEN ADEQUATELY DESIGNED AND SHIELDED TO ACHIEVE THE REQUIRED DEGREE OF RADIATION PROTECTION FOR INDIVIDUALS IN THE IMMEDIATE ENVIRONMENT.
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.
DESC 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 THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THIS CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THIS CORPORATION; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THIS ARTICLE; D. ADOPTION OF CAPITAL BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THIS ARTICLE; 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, LEGAL, 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 STMT 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. DAVID DRUKER MD JEFF GERARD BRIAN ROACH MD ROBERT MERWIN GORDON HUNT
OTHER CHANGES IN FUND BALANCEFORM 990, PART XI, LINE 5CHANGE IN UNREALIZED GAIN/(LOSS) ON INVESTMENTS $ 100,260 EQUITY TRANSFERS (NET) 16,638,701 PRIOR PERIOD ADJUSTMENTS 9,204 ----------- $ 16,748,165 ===========
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 K, PART VGLOBAL 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. MPHS SPECIFIC PART I, LINE B, COLUMN (F): THE INITIAL BONDS ISSUED IN 2005 WERE REFUNDING BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL REFUNDING BONDS. PART I, LINE D, 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 2007 ISSUE. PART III, COLUMN (C): ISSUED TO CONSTRUCT AND EQUIP A NEW HOSPITAL THAT WAS NOT SUBSTANTIALLY COMPLETE IN 2010 AND, THUS, NOT YET OCCUPIED. PART IV, LINE 5, COLUMN (C): 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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MILLS-PENINSULA HOSPITAL FOUNDATION
B2553580
MILLS-PENINSULA HOSPITAL FOUNDATION
c5420356

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