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THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501 (C) (3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE COMBINED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. 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1700 COFFEE ROAD MODESTO CA 95355

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520 WEST I STREET LOS BANOS CA 93635

WWW.SUTTERHEALTH.ORG X X X A 3 SUTTER TRACY COMMUNITY HOSPITAL

1420 N TRACY BLVD TRACY CA 95376

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1401 SPANOS COURT MODESTO CA 95355

OUTPATIENT SERVICES PULMONARY REHAB SERVICES

1329 SPANOS COURT B3 MODESTO CA 95355

OUTPATIENT SERVICES MMC-PULMONARY REHAB SERVICES

1800 COFFEE ROAD SUITE 28 MODESTO CA 95355

OUTPATIENT SERVICES MMC-WOUND CLINIC

1329 SPANOS COURT B5 MODESTO CA 95355

OUTPATIENT SERVICES SUTTER TRACY HOSPITAL RADIOLOGY SERVICES

441 W EATON AVENUE TRACY CA 95376

OUTPATIENT SERVICES SUTTER TRACY HOSPITAL IMAGING CENTER

1530 BESSIE AVENUE SUITE 109 TRACY CA 95376

OUTPATIENT SERVICES MHLB-RURAL HEALTH CLINIC

400 WEST I STREET SUITE C LOS BANOS CA 93635

RURAL HEALTH CLINIC PART I, QUESTION 3C TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 200% OF FPG. PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES APPLIES TO UNINSURED PATIENTS THAT WHOSE FAMILY INCOMES ARE BETWEEN 201% AND 400%. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: - SPECIAL CIRCUMSTANCES CHARITY CARE: FOR UNINSURED PATIENTS WHO DO NOT MEET THE FINANCIAL ASSISTANCE CRITERIA SET FORTH BY THE ORGANIZATION, A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, ELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE ORGANIZATION'S CHARITY CARE ELIGIBILITY CRITERIA. - CATASTROPHIC CHARITY CARE: PARTIAL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 30% OF THE PATIENT'S FAMILY INCOME. PATIENTS THAT MEET THE CRITERIA WILL RECEIVE A FULL WRITE-OFF OF UNDISCOUNTED CHARGES THAT EXCEED 30% OF THEIR FAMILY INCOME. - HIGH MEDICAL COST CHARITY CARE (FOR INSURED PATIENTS): PARTIAL WRITE-OFF OF THE HOSPITAL'S UNDISCOUNTED CHARGES FOR PATIENTS WHOSE FAMILY INCOME IS LESS THAN 350% OF FPG, MEDICAL EXPENSES EXCEED 10% OF THE PATIENT'S FAMILY INCOME, AND THE PATIENT'S INSURE HAS NOT PROVIDED A DISCOUNT. - UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAT THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICE DISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDER INSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TO ADMISSION. - PROMPT PAYMENT DISCOUNT: PARTIAL WRITE-OFF AVAILABLE TO UNINSURED PATIENTS WHO PAY PROMPTLY, CONSISTING OF AT LEAST A 10% DISCOUNT FOR THOSE WHO PAY WITHIN 30 DAYS OF FINAL BILLING, OR A 20% DISCOUNT IF 50% OF THE ESTIMATED BILL IS PAID PRIOR TO DISCHARGE. PART I, QUESTION 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. PART II COMMUNITY BUILDING ACTIVITIES MEMORIAL MEDICAL CENTER MEMORIAL MEDICAL CENTER (MMC) DOES NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES REPORTED IN 2012. MEMORIAL HOSPITAL LOS BANOS MEMORIAL HOSPITAL LOS BANOS (MHLB) FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT THE COMMUNITY ASSETS BY OFFERING EXPERTISE AND RESOURCES OF SUTTER HEALTH. A. MONTHLY SENIOR CITIZENS DINNER: THE LOCAL SENIOR CITIZENS GROUP HOLDS A MONTHLY DINNER FOR THE SENIORS OF THE COMMUNITY. ON OCCASION, EMPLOYEES WILL DONATE THEIR TIME TO HELP PREPARE AND SERVE MEALS. B. LOS BANOS HIGH SCHOOL: MHLB DONATED T-SHIRTS TO THE NEW LOS BANOS HIGH SCHOOL FOR THE PRESIDENTS FITNESS CHALLENGE. SUTTER TRACY COMMUNITY HOSPITAL SUTTER TRACY COMMUNITY HOSPITAL (STCH) FUNDED THE FOLLOWING PROGRAM THAT HELPED ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THIS PROGRAM HELPED SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. A. SCHOOL TOURS: THE RESOURCE CENTER PROVIDED TOURS TO SCHOOL-AGED CHILDREN. THIS EDUCATIONAL ACTIVITY EXPOSED CHILDREN TO THE DIFFERENT DEPARTMENTS IN A HOSPITAL SETTING AND ENCOURAGED CAREERS IN THE MEDICAL FIELD. PART III, QUESTION 2 METHODOLOGY FOR CALCULATING BAD DEBT (AT COST) THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. PART III, QUESTION 3 METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE. PART III, QUESTION 4 THE ORGANIZATION MAKES EVERY EFFORT TO QUALIFY THOSE ELIGIBLE FOR CHARITY CARE. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. AUDIT FOOTNOTE THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. PROVISION FOR BAD DEBTS IS LISTED ON A SEPARATE LINE ITEM IN THE FINANCIAL STATEMENTS. THE AUDIT DOES INCLUDE FOOTNOTES FOR PATIENT ACCOUNTS RECEIVABLE AND PATIENT SERVICE REVENUES LISTED BELOW. PATIENT ACCOUNTS RECEIVABLE AUDIT FOOTNOTE: SUTTER'S PRIMARY CONCENTRATION OF CREDIT RISK IS PATIENT ACCOUNTS RECEIVABLE, WHICH CONSIST OF AMOUNTS OWED BY VARIOUS GOVERNMENTAL AGENCIES, INSURANCE COMPANIES AND PRIVATE PATIENTS. SUTTER MANAGES THE RECEIVABLES BY REGULARLY REVIEWING ITS PATIENT ACCOUNTS AND CONTRACTS AND BY PROVIDING APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE AMOUNTS. THESE ALLOWANCES ARE ESTIMATED BASED UPON AN EVALUATION OF HISTORICAL PAYMENTS, NEGOTIATED CONTRACTS AND GOVERNMENTAL REIMBURSEMENTS. SUTTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 89% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. ADJUSTMENTS AND CHANGES IN ESTIMATES ARE RECORDED IN THE PERIOD IN WHICH THEY ARE DETERMINED. SIGNIFICANT CONCENTRATIONS OF GROSS PATIENT ACCOUNTS RECEIVABLE ARE AS FOLLOWS: MEDICARE 27% AS OF 12/31/11 29% AS OF 12/31/12 MEDI-CAL 21% AS OF 12/31/11 23% AS OF 12/31/12 DURING 2011 AND 2012, CERTAIN AFFILIATES COLLECTED ON ACCOUNTS THAT WERE PREVIOUSLY DEEMED UNCOLLECTIBLE AND RESERVED. SUCH RECOVERIES ARE RECOGNIZED IN THE PERIOD THAT CASH IS RECEIVED AND WERE NOT MATERIAL. DUE TO THE INHERENT VARIABILITY IN THIS AREA OF PATIENT RECEIVABLE COLLECTIONS, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. PATIENT SERVICE REVENUES FOOTNOTE: PATIENT SERVICE REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT PROGRAMS WITH THIRD-PARTY PAYERS. ESTIMATED SETTLEMENTS UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, PRIMARILY AS A RESULT OF FINAL COST REPORT SETTLEMENTS WITH GOVERNMENTAL AGENCIES. SUTTER HAD NO CHANGES IN ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES IN 2012. PART III, QUESTION 7 MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. PART III, QUESTION 8 COSTING 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. PART III, QUESTION 9B COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 30 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS. NEEDS ASSESSMENT PART VI, QUESTION 2 MEMORIAL MEDICAL CENTER IN COLLABORATION WITH THE STANISLAUS COUNTY'S PUBLIC HEALTH DEPARTMENT, HEALTH SERVICES AGENCY, ANTHEM BLUE CROSS, DOCTORS MEDICAL CENTER, KAISER PERMANENTE, STANISLAUS COUNTY CHILDREN AND FAMILIES COMMISSION, STANISLAUS COUNTY COMMUNITY SERVICES AGENCY, STANISLAUS COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES, STANISLAUS COUNTY DEPARTMENT OF AGING AND VETERANS SERVICES, MEMORIAL MEDICAL CENTER (MMC) WAS ABLE TO ASSIST IN THE PROCESS TO COMPILE AND CREATE THE STANISLAUS COUNTY COMMUNITY HEALTH ASSESSMENT. THIS REPORT REFLECTS THE CURRENT ISSUES FACING OUR COMMUNITY TODAY AND IS A DIRECT RESULT OF THE PAST THREE YEARS OF DATA COLLECTION AND ANALYSIS. THE DATA FOR THIS REPORT INCLUDED SECONDARY (PRE-EXISTING) DATA AND WAS COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO: THE U.S. CENSUS; FEDERAL, STATE AND LOCAL GOVERNMENT AGENCIES; ACADEMIC INSTITUTIONS; ECONOMIC DEVELOPMENT GROUPS; HEALTH CARE INSTITUTIONS; AND COMPUTERIZED SOURCES THROUGH ONLINE DATABASES AND THE INTERNET. ADDITIONALLY, THE FACE-TO-FACE SELF-ADMINISTERED SURVEYS ENABLED THE ASSESSMENT TO REACH DIVERSE GROUPS INCLUDING THOSE WHO DID NOT HAVE A TELEPHONE, ONLY USED CELL PHONES, LIVED IN RURAL AREAS, HAD LOWER INCOMES, AND MAY NOT HAVE BEEN AVAILABLE TO ANSWER A TELEPHONE SURVEY. SURVEYS WERE AVAILABLE IN SPANISH AND ENGLISH. THE RESULTS OF THE CHNA HELPED IDENTIFY FIVE PRIORITY NEEDS: 1) INCREASE MENTAL HEALTH SERVICES IN OUR COMMUNITY 2) ADDRESS OBESITY ISSUES IN RELATION TO GOOD HEALTH PRACTICES 3) IDENTIFY AND SUPPORT HEART DISEASE PREVENTION AND TREATMENT PROGRAMS 4) IMPROVE AWARENESS OF CANCER SIGNS, SYMPTOMS AND TREATMENT IN OUR COMMUNITY 5) INCREASE AND CONTINUE TO SUPPORT EDUCATION AND TRAINING FOR HEALTH CAREER OPPORTUNITIES MEMORIAL HOSPITAL LOS BANOS MEMORIAL HOSPITAL LOS BANOS (MHLB) PARTICIPATES IN ACTIVITIES TO IDENTIFY COMMUNITY NEEDS SUCH AS FOCUS GROUPS. THE FOCUS GROUPS CONSIST OF MEMBERS FROM LOCAL AND COUNTY GOVERNMENT AGENCIES, NOT FOR PROFIT AGENCIES, SERVICE CLUBS AND VOLUNTEER CLERGY. THE PURPOSE OF THE GROUP IS TO IDENTIFY AND PRIORITIZE THE UNMET HEALTHCARE NEEDS OF THE COMMUNITY. AGENCIES REPRESENTED IN THE FOCUS GROUP INCLUDE THE MERCED COUNTY HEALTH DEPARTMENT, THE LOS BANOS UNIFIED SCHOOL DISTRICT, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, LOS BANOS POLICE DEPARTMENT AND EMPLOYEES FROM THE HOSPITAL THAT WORK DIRECTLY WITH THESE AGENCIES. THE INFORMATION FROM THE NEEDS ASSESSMENT IS PRESENTED TO THE ADMINISTRATIVE GROUP OF THE HOSPITAL AND A PLAN IS DEVELOPED FOR ALLOCATION OF THE FUNDS FOR COMMUNITY BENEFITS. THE FINAL APPROVAL FOR ALLOCATION OF LARGE DONATIONS IS MADE BY THE GOVERNING BOARD. SUTTER TRACY COMMUNITY HOSPITAL EVERY THREE YEARS, A COMMUNITY HEALTH NEEDS ASSESSMENT IS PERFORMED TO GATHER DATA REGARDING THE HEALTH OF SAN JOAQUIN RESIDENTS. THIS REPORT IS COMMISSIONED BY THE SAN JOAQUIN COUNTY COMMUNITY HEALTH ASSESSMENT COLLABORATIVE (SJCCHAC) AND MANDATED BY THE STATE OF CALIFORNIA. THE COLLABORATIVE INCLUDES A WIDE RANGE OF HEALTH CARE PROFESSIONALS, AND SUTTER TRACY COMMUNITY HOSPITAL IS A PROUD AND LOYAL MEMBER OF THIS COLLABORATIVE EFFORT. MEMBERS OF SJCCHAC INCLUDE DAMERON HOSPITAL, COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN, SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES, SAN JOAQUIN OFFICE OF EDUCATION, ST. JOSEPH'S MEDICAL CENTER, ST. MARY'S INTERFAITH COMMUNITY SERVICES, FIRST 5 OF SAN JOAQUIN, COMMUNITY MEDICAL CENTERS, INC., UNIVERSITY OF THE PACIFIC, HEALTH PLAN OF SAN JOAQUIN, KAISER PERMANENTE AND THE BREASTFEEDING COALITION OF SAN JOAQUIN COUNTY. THE MOST RECENT CHNA INCLUDES SURVEYED RESIDENTS IN EACH CITY OF SAN JOAQUIN COUNTY VIA TWO METHODS, FACE-TO-FACE AND TELEPHONE INTERVIEWS. IN TRACY, TELEPHONE SURVEYS WERE CONDUCTED RANDOMLY WHILE THE FACE-TO-FACE SURVEYS WERE TARGETED IN AREAS SERVING UNDERSERVED POPULATIONS. THOSE AREAS INCLUDE THE TRACY FAMILY PRACTICE, A LOCAL COMMUNITY CLINIC, ALONG WITH THE SUTTER TRACY HEALTH CONNECTIONS RESOURCE CENTER, A COMMUNITY HEALTH AND SOCIAL SERVICE RESOURCE CENTER. WITH THE INCREASED IMPACT ON ACCESS TO CARE RESULTING FROM THE ECONOMIC RECESSION, THE FOCUS OF 2011 WAS TO IMPROVE THE LEVEL OF HEALTH SERVICES TO THE UNINSURED AND UNDERINSURED IN THE COMMUNITY THROUGH VARIOUS ACCESS TO CARE ACTIVITIES. ADDITIONAL FOCUS WAS PLACED ON PROVIDING PREVENTIVE HEALTH INFORMATION AND SCREENINGS, ALONG WITH SUPPORTING PRENATAL AND YOUTH CARE, AND THE SOCIAL/EMOTIONAL HEALTH OF THE COMMUNITY. STCH USES THE FINDINGS OF THIS CHNA AS THE GUIDE TO TAILORING THE COMMUNITY BENEFIT PROGRAMS FOR SERVICE AREA RESIDENTS. THE FULL REPORT IS AVAILABLE ONLINE AT WWW.HEALTHIERSANJOAQUIN.ORG. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, QUESTION 3 MEMORIAL MEDICAL CENTER, MEMORIAL HOSPITAL LOS BANOS AND SUTTER TRACY HOSPITAL FOLLOW A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATIONS INFORM AND EDUCATE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS) B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION" 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION" B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS. 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS. COMMUNITY INFORMATION PART VI, QUESTION 4 MEMORIAL MEDICAL CENTER - STANISLAUS COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU, STANISLAUS COUNTY HAS A POPULATION OF 514,453 CONSISTING OF 49.5% MEN AND 50.5% WOMEN WITH A MEDIAN AGE OF 31.7 YEARS. THE POPULATION DENSITY WAS 344.2 PEOPLE PER SQUARE MILE IN 2010 WHICH IS OVER THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. STANISLAUS'S POPULATION CONSISTS OF 65.6% WHITE RESIDENTS, 41.9% HISPANIC OR LATINO, AND 5.1% ASIAN. A LITTLE OVER HALF (67.6%) OF RESIDENTS SPEAK ENGLISH AT HOME WHILE 23.6% SPEAK SPANISH (12% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 3.06 PEOPLE WITH A 2010 AVERAGE INCOME OF $51,094 AND A MEDIAN HOUSE VALUE OF $285,200. THREE QUARTERS (75.3%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 16.3% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN STANISLAUS THE POVERTY LEVEL IN 2010 WAS AT 16.4% OF RESIDENTS, ABOVE BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 18% IN APRIL 2010 WHICH WAS FAR ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. . FOOD SUPPLIES CONSIST OF 133 GROCERY STORES, 113 CONVENIENCE STORES (WITH GAS) AND 282 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 25.4% OF ADULTS BEING OBESE, 10% OF ADULTS WITH DIABETES AND 24.6% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 3,631 DEATHS IN STANISLAUS COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE HEART DISEASE, CANCER AND CHRONIC LOWER RESPIRATORY DISEASE. IN 2007 THERE WERE 8,827 BIRTHS AS WELL AS 53 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 77.1 YEARS, CONSISTENT WITH THE AVERAGE NUMBER OF YEARS IN CALIFORNIA LIFE EXPECTANCY. IN 2010 28.7% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS ABOVE BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN STANISLAUS COUNTY 43.7% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 19.8% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. MEMORIAL HOSPITAL LOS BANOS - MERCED COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU, MERCED COUNTY HAS A POPULATION OF 259,793 CONSISTING OF 50.3% MEN AND 49.7% WOMEN WITH A MEDIAN AGE OF 29 YEARS. THE POPULATION DENSITY WAS 132.2 PEOPLE PER SQUARE MILE IN 2010 WHICH IS HALF THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. MERCED'S POPULATION IS QUITE DIVERSE WITH 58% WHITE RESIDENTS, 54.9% HISPANIC OR LATINO AND 7.4% ASIAN. HALF OF THE RESIDENTS (54.8%) SPEAK ENGLISH AT HOME WHILE 35.1% SPEAK SPANISH AT HOME (14% OF WHICH DO NOT SPEAK ENGLISH AT ALL). THE MEDIAN HOUSEHOLD SIZE IS 3.36 PEOPLE WITH A 2010 AVERAGE INCOME OF $43,844 AND A MEDIAN HOUSE VALUE OF $241,000. OVER HALF (67%) OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 12.5% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN MERCED THE POVERTY LEVEL IN 2010 WAS AT 21.8% OF RESIDENTS, FAR ABOVE BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 19.5% IN APRIL 2010 WHICH WAS ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 58 GROCERY STORES, 53 CONVENIENCE STORES (WITH GAS) AND 100 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 28.7% OF ADULTS BEING OBESE, 7.5% OF ADULTS WITH DIABETES AND 20.6% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 1,441 DEATHS IN MERCED COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE HEART DISEASE, CANCER AND STROKE. IN 2007 THERE WERE 4,652 BIRTHS AS WELL AS 32 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 77.4 YEARS WHICH WAS A LITTLE BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010 31.6% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS FAR ABOVE BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN MERCED COUNTY 32% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 30.7% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. SUTTER TRACY COMMUNITY HOSPITAL - SAN JOAQUIN COUNTY ACCORDING TO THE 2010 U.S. CENSUS BUREAU, SAN JOAQUIN COUNTY HAD A POPULATION OF 685,306 CONSISTING OF 49.8% MEN AND 50.2% WOMEN WITH A MEDIAN AGE OF 31.9 YEARS. THE POPULATION DENSITY WAS 492.6 PEOPLE PER SQUARE MILE IN 2010 WHICH IS TWICE AS MUCH AS THE CALIFORNIA STATE DENSITY OF 239.1 PEOPLE PER SQUARE MILE. SAN JOAQUIN'S POPULATION CONSISTS OF 51% WHITE RESIDENTS, 38.69% HISPANIC OR LATINO AND 14.4% ASIAN. OVER HALF OF RESIDENTS (66.3%) SPEAK ENGLISH AT HOME AND 21.2% SPEAK SPANISH. THE MEDIAN HOUSEHOLD SIZE IS 3.07 PEOPLE WITH A 2010 AVERAGE INCOME OF $54,341 AND A MEDIAN HOUSE VALUE OF $318,600. A HIGH PERCENTAGE 76.7% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A HIGH SCHOOL DEGREE OR HIGHER WHILE 17.5% OF RESIDENTS 25 YEARS OF AGE OR OLDER HAVE A BACHELOR'S DEGREE OR HIGHER. IN SAN JOAQUIN THE POVERTY LEVEL IN 2010 WAS AT 16% OF RESIDENTS, ABOVE BOTH THE CALIFORNIA STATE LEVEL OF 13.7% AND THE FEDERAL POVERTY LEVEL OF 15.1%.THE UNEMPLOYMENT RATE WAS AT 17.6% IN APRIL 2010 WHICH WAS ABOVE BOTH THE CALIFORNIA LEVEL OF 12.4% AND THE FEDERAL LEVEL OF 9.9%. FOOD SUPPLIES CONSIST OF 156 GROCERY STORES, 135 CONVENIENCE STORES (WITH GAS) AND 349 FULL SERVICE RESTAURANTS. IN 2010, HEALTH ISSUES IN THIS COUNTY INCLUDED 25% OF ADULTS BEING OBESE, 6.4% OF ADULTS WITH DIABETES AND 28.8% OF ADULTS WITH HIGH BLOOD PRESSURE. IN 2007 THERE WERE 4,633 DEATHS IN SAN JOAQUIN COUNTY AND OF THOSE THE THREE LEADING CAUSES WERE HEART DISEASE, CANCER AND STROKE. IN 2007 THERE WERE 11,600 BIRTHS AS WELL AS 62 INFANT DEATHS THAT SAME YEAR. IN 2008 THE LIFE EXPECTANCY AT BIRTH WAS 77.5 YEARS WHICH WAS BELOW THE CALIFORNIA LIFE EXPECTANCY. IN 2010 28.2% OF RESIDENTS WERE WITHOUT ANY HEALTH INSURANCE WHICH WAS FAR ABOVE BOTH THE STATE LEVEL OF 18.5% AND THE FEDERAL LEVEL OF 15.5%. IN SAN JOAQUIN COUNTY 44.9% OF RESIDENTS HAVE EMPLOYMENT-BASED HEALTH INSURANCE WHILE 18.1% OF RESIDENTS ARE COVERED BY PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. PROMOTION OF COMMUNITY HEALTH PART VI, QUESTION 5 SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS OF MEMORIAL MEDICAL CENTER'S COMMUNITY BENEFIT ACTIVITIES IN 2012: MMC WAS FOCUSED ON INCREASING MENTAL AND BEHAVIORAL HEALTH PREVENTIVE AND TREATMENT SERVICES. IN ADDITION, MMC IS COMMITTED TO SUPPORTING INITIATIVES TO INCREASE THE PREVALENCE OF PROTECTIVE FACTORS THAT CAN REDUCE THE NEED FOR SUCH SERVICES. MMC SUPPORTED MENTAL HEALTH PROGRAMS FOR THE HEALTH SERVICES AGENCY OF STANISLAUS COUNTY THROUGH GRANTS. MMC PARTNERS WITH HEALTHWAYS TO PROVIDE CASE MANAGEMENT PROGRAMS FOR PATIENTS WITH DIABETES TO BETTER MANAGE THEIR DISEASE AND DECREASE THE NUMBER OF HOSPITAL BED DAYS AND EMERGENCY ROOM VISITS. HEALTHWAYS CONTACTS PATIENTS REGULARLY TO DISCUSS THEIR HEALTH AND HEALTHCARE PRACTICES, AND PATIENTS ARE ENCOURAGED TO COMMUNITY WITH THEIR PHYSICIANS REGULARLY. MMC CONTINUES TO SUPPORT THE STANISLAUS COUNTY OFFICE OF EDUCATION'S AFTER SCHOOL PROGRAM WHERE PARTICIPANTS CAN LEARN HEALTHY HABITS AND ACTIVITIES THAT COMBAT AND DECREASE THE INCIDENCE OF CHILDHOOD OBESITY. THE PROGRAM TITLED "DEAL ME IN," PROVIDED STUDENTS A FUN AND ENGAGING WAY TO DO AN HOUR OF AEROBIC ACTIVITY, WITHOUT EXCLUDING STUDENTS WHO MAY NOT HAVE THE SKILLS TO DO ORGANIZED GAMES. IN 2012, MMC PROVIDED $15,000 TO THE SCOE AFTER SCHOOL PROGRAM AND $2,500 IN-KIND DONATIONS FOR STAFF, MEALS AND CONFERENCE CENTER USE. APPROXIMATELY 30 SCHOOL SITES AND 2,500 STUDENTS PARTICIPATED IN "DEAL ME IN." MMC IS FOCUSED ON PROVIDING HEART EDUCATION AND TRAINING FOR CARDIOVASCULAR DISEASE, THE #1 CAUSE OF DEATH IN STANISLAUS COUNTY. THESE PROGRAMS ARE AIMED AT REDUCING THE AVERAGE LENGTH OF STAY AND MORTALITY FOR PATIENTS WITH A CLINICAL PRESENTATION OF MYOCARDIAL INFARCTION. MMC PROVIDED EDUCATIONAL PROGRAMS AND SCREENINGS IN THE COMMUNITY EMPHASIZING HEART HEALTH TO BOTH MEN AND WOMEN. COMMUNITY EDUCATIONAL PROGRAMS WERE HELD AT THE SUTTER HEALTH EDUCATION AND CONFERENCE CENTER AND MARTIN PETERSON EVENT CENTER. SPEAKER FEES, MEALS, STAFF AND OVERHEAD COSTS TO SUPPORT THESE PROGRAMS WERE APPROXIMATELY $10,000. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS OF MEMORIAL HOSPITAL LOS BANOS'S COMMUNITY BENEFIT ACTIVITIES IN 2012: MHLB SPONSORS THE RELAY FOR LIFE WALK THROUGH THE AMERICAN CANCER SOCIETY WHICH RAISES FUNDS TO FURTHER RESEARCH AND THE DEVELOPMENT OF THE SEVERAL PROGRAMS OFFERED BY THE AMERICAN CANCER SOCIETY. MHLB SUPPORTS THE SOROPTIMIST PROGRAMS WHICH IMPROVE THE LIVES OF WOMEN AND GIRLS IN LOCAL COMMUNITIES AND THROUGHOUT THE WORLD. MHLB ALSO PROVIDES CONFERENCE ROOMS AS A MEETING SPACE FOR LOCAL NOT FOR PROFITS AT NO COST TO THE ORGANIZATION. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND IS RUN BY A COMMUNITY BOARD. A FEW HIGHLIGHTS OF SUTTER TRACY COMMUNITY HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES IN 2012: ACCESS TO CARE RELATED ACTIVITIES - HEALTH INSURANCE ENROLLMENT ASSISTANCE - INDIGENT CARE - UN-REIMBURSED MEDICAL CARE AND CHARITY CARE - RESOURCE AND REFERRAL SERVICE AND THE PAPRX PROGRAM THROUGH HEALTHY CONNECTIONS RESOURCE CENTER - WORKFORCE DEVELOPMENT PROGRAMS - SAN JOAQUIN DELTA COLLEGE NURSING PROGRAM EXPANSION AND CSUS NURSING SCHOLARSHIPS, INTERNSHIPS AND CLINICAL ROTATIONS - FINANCIAL AND IN-KIND SUPPORT OF FREE AND LOW COST HEALTH CLINICS - PROGRAMS AS HIGHLIGHTED IN THE TRACY HOSPITAL FOUNDATION GRANT REPORT SUPPORT OF CHRONIC DISEASES & GENERAL COMMUNITY HEALTH EDUCATION - GRANT FUNDING DIABETES EDUCATION AND SUPPORT GROUPS (BOTH THROUGH SUTTER TRACY COMMUNITY HOSPITAL AND THE TRACY HOSPITAL FOUNDATION) - IN-KIND DONATIONS SUPPORTING VARIOUS LOCAL COMMUNITY SUPPORT GROUPS - COMMUNITY HEALTH & RESOURCE FAIR - CHILDREN'S HEALTH & SAFETY FAIR - SMOKING CESSATION CLASSES - PROSTATE CANCER SCREENING - FREE FLU SHOTS FOR THE COMMUNITY - TARGETING THE UNDERSERVED - CANCER SUPPORT SERVICES PRENATAL AND YOUTH CARE - LACTATION EDUCATION AND CONSULTATION - HEALTHY CONNECTIONS RESOURCE CENTER PROGRAMS - P.R.I.C.E PARENTING CLASSES - PARENT & ME PLAYGROUPS - TEEN SUPPORT GROUP AFFILIATED HEALTH CARE SYSTEM PART VI, QUESTION 6 MEMORIAL MEDICAL CENTER, MEMORIAL HOSPITAL LOS BANOS AND SUTTER TRACY COMMUNITY HOSPITAL ARE AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF 48,000 PHYSICIANS, EMPLOYEES, AND VOLUNTEERS WHO CARE FOR MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. IT'S BETTER FOR PATIENTS: WE BELIEVE THIS COMMUNITY-OWNED, NOT-FOR-PROFIT APPROACH TO HEALTH CARE BEST SERVES OUR PATIENTS AND OUR COMMUNITIES - FOR MULTIPLE REASONS. FIRST OF ALL, IT'S GOOD FOR PATIENTS. ACCORDING TO THE JOURNAL OF GENERAL INTERNAL MEDICINE (APRIL 2000), PATIENTS TREATED AT FOR-PROFIT OR GOVERNMENT-OWNED HOSPITALS WERE TWO-TO-FOUR TIMES MORE LIKELY TO SUFFER PREVENTABLE ADVERSE EVENTS THAN PATIENTS TREATED AT NOT-FOR-PROFIT INSTITUTIONS. OUR STOCKHOLDERS ARE OUR COMMUNITIES: INVESTOR-OWNED, FOR-PROFIT HEALTH SYSTEMS HAVE A FINANCIAL INCENTIVE TO AVOID CARING FOR UNINSURED AND UNDERINSURED PATIENTS. THEY ALSO HAVE A FINANCIAL INCENTIVE TO AVOID HARD-TO-SERVE POPULATIONS AND "UNDESIRABLE" GEOGRAPHIC AREAS SUCH AS RURAL AREAS. FOR MANY NORTHERN CALIFORNIA'S UNDERSERVED RURAL LOCALES, SUTTER HEALTH IS THE ONLY PROVIDER OF HOSPITAL AND EMERGENCY MEDICAL SERVICES IN THE COMMUNITY. PROVIDING CHARITY CARE AND SPECIAL PROGRAMS TO COMMUNITIES: OUR COMMUNITIES' SUPPORT HELPS US EXPAND SERVICES, INTRODUCE NEW PROGRAMS AND IMPROVE MEDICAL TECHNOLOGY. ACROSS OUR NETWORK, EVERY SUTTER HOSPITAL, PHYSICIAN ORGANIZATION AND CLINIC HAS A SPECIAL STORY TO TELL ABOUT FULFILLING VITAL COMMUNITY NEEDS. OUR COMMITMENT TO COMMUNITY BENEFIT: MEETING THE HEALTH CARE NEEDS OF OUR COMMUNITIES IS THE CORNERSTONE OF SUTTER HEALTH'S NOT-FOR-PROFIT MISSION. THIS INCLUDES DIRECTLY SERVING THOSE WHO CANNOT AFFORD TO PAY FOR HEALTH CARE AND SUPPORTING PROGRAMS AND SERVICES THAT HELP THOSE IN FINANCIAL NEED. SUTTER HEALTH NOW PROVIDES $2.9 MILLION IN CHARITY CARE PER WEEK. IN 2012, OUR NETWORK OF PHYSICIAN ORGANIZATIONS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS INVESTED $795 MILLION IN HEALTH CARE PROGRAMS, SERVICES AND BENEFITS FOR THE POOR AND UNDERSERVED. THIS INCLUDES: - THE COST OF PROVIDING CHARITY CARE - THE UNPAID COSTS OF PARTICIPATING IN MEDI-CAL - INVESTMENTS IN MEDICAL RESEARCH, HEALTH EDUCATION AND COMMUNITY-BASED PUBLIC BENEFIT PROGRAMS SUCH AS SCHOOL-BASED CLINICS AND PRENATAL CARE FOR PATIENTS. SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS CONTINUED TO GROW, REACHING ANOTHER ALL-TIME HIGH OF $153 MILLION IN 2012 - OR AN AVERAGE OF NEARLY $3 MILLION PER WEEK. * SERVICES FOR THE POOR AND UNDERSERVED INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED, AS WELL AS THE COSTS OF PUBLIC PROGRAMS TREATING MEDI-CAL AND INDIGENT BENEFICIARIES. COSTS ARE COMPUTED BASED ON A RELATIONSHIP OF COSTS TO CHARGES. SERVICES FOR THE POOR AND UNDERSERVED ALSO INCLUDE THE COST OF OTHER SERVICES FOR INDIGENT POPULATIONS, AND CASH DONATIONS ON BEHALF OF THE POOR AND NEEDY. ** BENEFITS FOR THE BROADER COMMUNITY INCLUDE COSTS OF PROVIDING THE FOLLOWING SERVICES: HEALTH SCREENINGS AND OTHER HEALTH-RELATED SERVICES, TRAINING HEALTH PROFESSIONALS, EDUCATING THE COMMUNITY WITH VARIOUS SEMINARS AND CLASSES, THE COST OF PERFORMING MEDICAL RESEARCH AND THE COSTS ASSOCIATED WITH PROVIDING FREE CLINICS AND COMMUNITY SERVICES. BENEFITS FOR THE BROADER COMMUNITY ALSO INCLUDE CONTRIBUTIONS SUTTER HEALTH MAKES TO COMMUNITY AGENCIES TO FUND CHARITABLE ACTIVITIES. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, QUESTION 7 CALIFORNIA FACILITY REPORTING GROUP PART VI, QUESTION 8 A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) MEMORIAL MEDICAL CENTER (2) MEMORIAL HOSPITAL LOS BANOS (3) SUTTER TRACY COMMUNITY HOSPITAL THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 12(H) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: ADDITIONAL FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDES HOUSEHOLD SIZE, WHICH IS PART OF THE FEDERAL POVERTY GUIDELINES. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 14(G) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WAS POSTED ON THE HOSPITAL'S FACILITY'S WEBSITE, WAS ATTACHED TO BILLING INVOICES, WAS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY/WAITING ROOM, WAS POSTED IN THE HOSPITAL'S ADMISSIONS OFFICE, WAS PROVIDED IN WRITING ON ADMISSION TO THE HOSPITAL, AND WAS AVAILABLE ON REQUEST. PATIENTS ELIGIBLE FOR CHARITY CARE ARE TRACKED IN THE HOSPITAL'S LEGACY SYSTEM AND ARE REMINDED 30 DAYS AFTER CHARITY CARE PACKET IS RECEIVED IF PAPERWORK HAS NOT BEEN SUBMITTED. ORGANIZATION USES AN INCOME VALIDATION TOOL TO ALERT PATIENTS THAT THEY MAY BE ELIGIBLE FOR CHARITY CARE. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 18(E) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE ORGANIZATION MADE NO SUCH EFFORTS. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 20(D) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR DIFFERENT LEVELS OF ASSISTANCE FOR PATIENTS BASED ON VARIOUS ELIGIBILITY REQUIREMENTS INCLUDING, BUT NOT LIMITED TO (1) FULL CHARITY CARE, (2) PARTIAL CHARITY CARE, (3) SPECIAL CIRCUMSTANCES CHARITY CARE, (4) CATASTROPHIC CHARITY CARE, (5) HIGH COST MEDICAL CHARITY CARE, (6) UNINSURED PATIENT DISCOUNT, AND (7) PROMPT PAYMENT DISCOUNT. THE MAXIMUM AMOUNT BILLED TO THE PATIENT IS CALCULATED DIFFERENTLY DEPENDING ON THE CATEGORY OF FINANCIAL ASSISTANCE FOR WHICH THEY ARE ELIGIBLE. AMOUNT BILLED TO THE PATIENT IS CALCULATED DIFFERENTLY DEPENDING ON THE CATEGORY OF FINANCIAL ASSISTANCE FOR WHICH THEY ARE ELIGIBLE. true AMERICAN HEART ASSOCIATION 1710 GILBRETH RD BURLINGAME CA 94010 941219116 501(C)(3) 12505 GENERAL SUPPORT CA STATE UNIVERSITY STANISLAUS FDN ONE UNIVERSITY CIRCLE TURLOCK CA 95382 770492209 501(C)(3) 16000 GENERAL SUPPORT AMERICAN CANCER SOCIETY 1720 S AMPHLETT BLVD SAN MATEO CA 94402 941170350 501(C)(3) 6950 GENERAL SUPPORT MARCH OF DIMES 4201 W SHAW AVE STE 105 FRESNO CA 93722 131846366 501(C)(3) 12000 GENERAL SUPPORT STANISLAUS COUNTY OFFICE OF EDUCATION 1100 H ST MODESTO CA 95354 946002388 GOVERNMENT 31800 GENERAL SUPPORT LOS BANOS CHAMBER OF COMMERCE 503 J ST LOS BANOS CA 93635 941586786 501(C)(6) 5500 GENERAL SUPPORT STANISLAUS ECONOMIC DEVELOPMENT 1010 10TH ST MODESTO CA 95354 710899774 501(C)(6) 105000 GENERAL SUPPORT MIRACLE LEAGUE OF STANISLAUS COUNTY 4307 MCNUTTY AVE DENAIR CA 95315 261683004 501(C)(3) 200000 GENERAL SUPPORT 6 2 X true true false true false false false false false true false DAVID P BENN 0 668795 0 364191 0 4579 0 620783 0 19081 0 1677429 0 446390 LAWRENCE DEMPSEY 0 310121 0 51631 0 2043 0 23452 0 6468 0 393715 0 51631 PATRICK FRY 0 2387976 0 1457150 0 17662 0 2498328 0 32768 0 6393884 0 2250657 GARY HARRELL 0 247739 0 0 0 12322 0 119892 0 13246 0 393199 0 0 JOE HIRT 0 343246 0 100565 0 6359 0 190342 0 18532 0 659044 0 120165 SARAH KREVANS 0 1006640 0 527546 0 12524 0 951242 0 23072 0 2521024 0 652265 PATRICK ANDERSON 0 257131 0 56784 0 20134 0 182862 0 7235 0 524146 0 56784 JAMES E CONFORTI 0 553935 0 223323 0 35511 0 506487 0 19544 0 1338800 0 252129 SUSAN C DONKER 0 248519 0 84616 0 1731 0 158865 0 18445 0 512176 0 95416 DARYN KUMAR 0 367192 0 89304 0 26204 0 169389 0 18585 0 670674 0 83572 RICHARD LISZEWSKI 0 262719 0 153784 0 4613 0 191221 0 16286 0 628623 0 153784 STEPHEN MITCHELL 0 351143 0 45815 0 1644 0 153370 0 7443 0 559415 0 67182 SANDRA PROCTOR 0 280367 0 58205 0 1278 0 123446 0 13040 0 476336 0 50309 DAVID M THOMPSON 0 348113 0 190948 0 8733 0 237415 0 19894 0 805103 0 209489 ASIT R GOKLI MD 0 372053 0 68495 0 10198 0 233600 0 18674 0 703020 0 68495 JENNIFER A SVIHUS 0 207624 0 47700 0 278 0 125038 0 17859 0 398499 0 47700 ERIC DALTON 0 232548 0 35637 0 224 0 91119 0 7296 0 366824 0 44587 KATHLEEN VAN SLYKE 254326 0 14797 0 6914 0 25000 0 13934 0 314971 0 0 0 THEODORE A MATSON 0 185812 0 40846 0 3003 0 73245 0 11930 0 314836 0 40846 RELEVANT INFORMATION REGARDING COMPENSATION ITEMS PART I, QUESTION 1A TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEE'S WAGES AND TAXED ACCORDINGLY. SUPPLEMENTAL COMPENSATION INFORMATION PART I, QUESTION 3 THE CEO OF THE ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. NONQUALIFIED RETIREMENT PLAN PART I, QUESTION 4B THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403B EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR EARNINGS BEYOND THE PENSION PAY CAP. THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65. TARGET BENEFIT LEVELS VARY BY YEARS OF SERVICE. UNLIKE SUTTER HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. NON-FIXED PAYMENTS PART I, QUESTION 7 SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE. A CSCDA 2003AB 680164610 130795EE3 2007-05-01 101118867 CONSTRUCTION & REFUNDING - 1/30/20 false false false B CSCDA 2004CD 680164610 130795TE7 2008-05-06 87750717 CONSTRUCTION & REFUNDING - 2/17/20 false false false C CHFFA 2007A 521643828 13033FQ37 2007-05-01 790998316 NEW CONSTRUCTION false false false D CHFFA 2008A 521643828 13033F2L3 2008-05-14 329041638 CONSTRUCTION & REFUNDING - 2/17/20 false false false A 0 0 105087726 8604737 0 0 0 0 0 0 96482989 0 true false true true B 12585000 0 88699880 8301228 0 0 0 0 0 0 80398652 0 true false true true C 0 0 858347460 0 55398317 0 0 0 0 771593452 584502 30771189 2011 false false true true D 81315000 0 329041638 0 0 0 0 0 0 329041638 0 0 true false true true A false false true true true true 0.00320 0.00320 false false false true B false true true true true true 0.00830 0.00830 false false false true C false true true true true true 0.00720 0.00720 false false false true D false true true true true true 0.01830 0.01830 false false false true A true false false 0 false 0 false true B false true false false 0 false 0 false true C true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true GLOBAL DISCLOSURE 0 PART I, COLUMN (E): THE ORGANIZATION'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET. WITH THE EXCEPTION OF PART I, COLUMN(F) AND PART III, AS APPLICABLE, THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE. PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. SCVH SPECIFIC 0 (1) PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNT OF: $14,262,949 FROM THE 2003AB ISSUE, $42,136,293 FROM THE 2004CD ISSUE, $21,663,823 FROM THE 2007A ISSUE AND $58,581,713 FROM THE 2008A ISSUE. (1) PART I, LINE A, COLUMN (F): THE INITIAL BONDS ISSUED IN 2003 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE "NEW MONEY" BONDS. (1) PART I, LINE B, COLUMN (F): THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE "NEW MONEY" BONDS. (1) 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 2004 ISSUE. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. (2) PART I, COLUMN (E): THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNT OF: $53,263,026 FROM THE 2012A ISSUE. A CSCDA 2012A 680164610 1307956K8 2012-07-11 132681869 REFUND - 2002 false false false A 0 0 132681869 0 0 0 0 0 0 0 132681869 0 true false true true A 0 A false true false false 0 false 0 false true A true MISSION STATEMENT FORM 990, PART I, LINE 1 AND PART III, LINE 1 SUTTER CENTRAL VALLEY HOSPITALS PROVIDE HIGH-QUALITY, COMPASSIONATE CARE TO EACH PATIENT, WHILE EXERCISING PRUDENT FISCAL RESPONSIBILITY. SUTTER CENTRAL VALLEY HOSPITALS IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS TO MAINTAIN AND IMPROVE THE HEALTH STATUS OF THE COMMUNITIES OF GREATER STANISLAUS COUNTY, SAN JOAQUIN AND MERCED COUNTY. WE EXTEND SELECTED SERVICES TO OTHER COMMUNITIES WHENEVER THIS WILL MEET A CRITICAL NEED AND WHEN IT WILL ENHANCE THE PRODUCTIVITY OF LOCAL RESOURCES. WE PURSUE OUR MISSION BY PROVIDING AND PROMOTING EFFECTIVE HEALTH CARE SERVICES AND BY FOSTERING AN INTEGRATED SYSTEM OF CARE IN PARTNERSHIP WITH PHYSICIANS, OTHER HEALTH CARE PROVIDERS AND PAYERS. WE PROVIDE ACCESS TO A FULL CONTINUUM OF CARE, BUILT UPON A CORE OF SOPHISTICATED HOSPITAL-BASED SERVICES. EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A SUTTER CENTRAL VALLEY HOSPITALS MEMORIAL MEDICAL CENTER GENERAL DESCRIPTION: MEMORIAL MEDICAL CENTER IS AN ACUTE CARE FACILITY LOCATED IN MODESTO, CALIFORNIA, 90 MILES SOUTH OF SACRAMENTO IN STANISLAUS COUNTY. CENTRALLY LOCATED TO SERVE OUR IMMEDIATE COUNTY AND OUTLYING AREAS, MEMORIAL WAS ESTABLISHED IN 1970. MEMORIAL MEDICAL CENTER IS CURRENTLY LICENSED FOR 423 ACUTE CARE BEDS AND IS A SUTTER HEALTH AFFILIATE. SERVICES AVAILABLE AT MEMORIAL MEDICAL CENTER INCLUDE: IN-PATIENT AND OUT-PATIENT SURGERY OBSTETRICS AND PERINATAL CARE PEDIATRICS ONCOLOGY CONGESTIVE HEART FAILURE PROGRAM CANCER CENTER VNA (HOME HEALTH AND IV THERAPY) CARDIAC CATHETERIZATION LABORATORY CARDIAC REHABILITATION CRITICAL CARE 24-HOUR EMERGENCY TREATMENT MAJOR TRAUMA PATIENT RECEIVING CENTER BARIATRIC SURGERY TELEMETRY LABORATORY PULMONARY REHABILITATION MODERN FAMILY BIRTHING CENTER MEDICAL LIBRARY ACCESS NUTRITIONAL SUPPORT SERVICES PASTORAL CARE PATIENT AND COMMUNITY EDUCATION RESPIRATORY THERAPY DIAGNOSTIC IMAGING RADIATION ONCOLOGY DIABETES TREATMENT PROGRAM LACTATION ASSISTANCE PROGRAM SOCIAL SERVICES COMMUNITY BENEFIT PROGRAMS 2012: MMC COMMUNITY BENEFIT AND ECONOMIC VALUE FOR 2012 THE TOTAL ECONOMIC VALUE OF COMMUNITY BENEFIT SERVICES WAS $57,685,627 FOR 2012. THESE EXPENDITURES REPRESENT ACTUAL DIRECT AND INDIRECT NON-REIMBURSED COSTS OF GOODS AND SERVICES. IN 2012, MEMORIAL PROVIDED $12,775,290 IN COMMUNITY BENEFIT FOR CHARITY CARE. FOR SERVICES TO MEDI-CAL PATIENTS, MEMORIAL HAD A SHORTFALL OF $38,432,072. MEMORIAL MEDICAL CENTER EXPENDED $1,326,709 IN COMMUNITY BENEFITS REGARDING MEDICALLY INDIGENT ADULTS. SUMMARY OF COMMUNITY BENEFIT EXPENDITURES FOR THE POOR AND UNDERSERVED = $52,534,071 THE EXPENDITURES FOR RESEARCH, EDUCATION AND TRAINING TOTALED $1,798,379. MEMORIAL PROVIDES SUPPORT TO THE COMMUNITY BY ASSISTING NON-PROFIT AGENCIES WITH CASH AND IN-KIND DONATIONS. IN 2012, MEMORIAL MEDICAL CENTER PROVIDED $1,246,322 IN CASH AND IN-KIND DONATIONS AND $2,106,855 IN SUBSIDIZED HEALTH SERVICES. SUMMARY OF COMMUNITY BENEFIT CONTRIBUTIONS FOR THE BROADER COMMUNITY: $5,151,556. A SAMPLING OF 2012 COMMUNITY BENEFIT PROGRAMS: MENTAL HEALTH SERVICES MEMORIAL IN CONJUNCTION WITH SUTTER HEALTH WAS ABLE TO COMBINE RESOURCES TO BRING A LARGE GRANT TO THE HEALTH SERVICES AGENCY FOR ADULT MENTAL HEALTH PROGRAMS IN OUR COMMUNITY. THIS IS AN IDENTIFIED NEED BY THE COMMUNITY NEEDS ASSESSMENT AND IS GROSSLY UNDERSERVED IN OUR AREA. COMBATING OBESITY MEMORIAL HAS JOINED WITH STANISLAUS COUNTY OFFICE OF EDUCATION "AFTER SCHOOL" PROGRAM TO SUPPORT HEALTHY NUTRITION AND TO LEARN ACTIVITIES TO COMBAT AND ULTIMATELY DECREASE THE INCIDENCE OF CHILDHOOD OBESITY. ADULT OBESITY IS ON THE RISE, AS WELL. THE SUPPORT GROUP FOR WEIGHT LOSS SURGERY IS OPEN TO ALL PATIENTS REGARDLESS OF WHERE SURGERY WAS PERFORMED. MEMORIAL PROVIDES SPEAKERS INCLUDING DIETITIANS, PHYSICIANS, NURSING SUPPORT, AND FITNESS EXPERTS TO HELP PATIENTS CONTINUE ON THEIR PATH TO SUCCESS. HEART DISEASE PREVENTION AND TREATMENT PROGRAMS MEMORIAL PROVIDES THE ONLY CARDIAC REHAB PROGRAM IN THE COUNTY. A LONG STANDING HEART COALITION OF STANISLAUS COUNTY MEMBER, MEMORIAL IS ONE OF OUR COUNTY'S RESOURCES FOR HEART EDUCATION AND PREVENTING HEART DISEASE. ALONG WITH PARTNER SUTTER GOULD MEDICAL GROUP, WE PROVIDE TWICE A YEAR, FREE TO THE COMMUNITY EDUCATIONAL HEAT (HEART EDUCATION AND TRAINING) SEMINARS TO THE PUBLIC. WITH PERIODIC HEALTH SCREENINGS WHICH ARE OPEN TO THE COMMUNITY, WE ARE ABLE TO DIRECT AT-RISK PATIENTS TO APPROPRIATE RESOURCES. WE ALSO SUPPORT THE MENDED HEARTS SUPPORT GROUP. IMPROVING CANCER AWARENESS AS CANCER IS THE SECOND LEADING CAUSE OF DEATH IN OUR COMMUNITY, MEMORIAL IS COMMITTED TO INFORMING AND ADVISING THE PEOPLE OF STANISLAUS COUNTY TO BETTER UNDERSTAND SIGNS, SYMPTOMS, TREATMENT AND PREVENTION OF CANCER. MEMORIAL MEDICAL CENTER HAS CREATED THE "CANCER REPORT" WITH SUTTER GOULD ONCOLOGISTS TO INFORM OUR PUBLIC OF ALL THE DIFFERENT TYPES OF CANCER, TREATMENT MODALITIES AND PREVENTION AS CANCER TOUCHES ALL OF OUR LIVES. THIS PROGRAM IS AVAILABLE ON PUBLIC TELEVISION FOR THE COMMUNITY TO EASILY ACCESS AND LEARN ABOUT THIS SERIOUS DISEASE. MEMORIAL ALSO OFFERS COMPLEMENTARY THERAPIES TO CANCER PATIENTS, FAMILY AND THE COMMUNITY AT LARGE. EDUCATION AND TRAINING FOR HEALTH CAREERS AS THE COMMUNITY INCREASES IN UNEMPLOYMENT AND DECREASES IN AVAILABLE JOBS, MEMORIAL CONTINUES TO SUPPORT OUR CAREER OPPORTUNITIES IN NURSING, PHARMACY, CLINICAL LAB, RESPIRATORY THERAPY, RADIOLOGY AND RADIATION THERAPY, PHYSICAL THERAPY, EMERGENCY MEDICAL TECH, PHLEBOTOMY AND OTHER DEPARTMENTS. IN ADDITION TO SERVING AS A SITE FOR TRAINING PROGRAMS, MEMORIAL'S SUPERVISORS AND STAFF MEMBERS ARE ACTIVELY INVOLVED IN THE CREATION AND TEACHING OF LOCAL COLLEGE LEVEL PROGRAMS FOR NURSING, RESPIRATORY THERAPY, RADIOLOGY, LAB AND PHARMACOLOGY. PEOPLE SERVED: THROUGH THESE PROGRAMS AND OTHERS, WE WERE ABLE TO SERVE 24,305 PEOPLE AT MEMORIAL MEDICAL CENTER. EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A MEMORIAL HOSPITAL LOS BANOS GENERAL DESCRIPTION: MEMORIAL HOSPITAL LOS BANOS (MHLB) IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL INCORPORATED UNDER CALIFORNIA LAW TO PROVIDE HEALTH CARE SERVICES WITHIN FINITE RESOURCES, TO CITIZENS OF LOS BANOS AND THE SURROUNDING GEOGRAPHICAL AREAS. WE PROVIDE HIGH QUALITY COMPASSIONATE CARE AND EXERCISE PRUDENT FISCAL RESPONSIBILITY. MHLB OPENED IN 1967 AND IS PART OF THE SUTTER CENTRAL VALLEY REGION. THE ORGANIZATION AFFILIATED WITH SUTTER HEALTH IN 1996 AND IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. SERVICES AVAILABLE AT MEMORIAL HOSPITAL LOS BANOS INCLUDE: MAJOR SERVICES INCLUDE 24 HOUR EMERGENCY CARE, BONE DENSITY TESTING, CLINICAL LABORATORY, COMMUNITY EDUCATION, EICU ELECTRONIC INTENSIVE CARE UNIT, GENERAL SURGERY, MAMMOGRAPHY, MRI (MAGNETIC RESONANCE IMAGING), OBSTETRICS/GYNECOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PEDIATRICS, RADIOLOGY SERVICES, RURAL HEALTH CLINIC, SAME-DAY SURGERY, AND ULTRASONAGRAPHY. COMMUNITY BENEFIT PROGRAMS 2012: MHLB COMMUNITY BENEFIT AND ECONOMIC VALUE FOR 2012: THE TOTAL ECONOMIC VALUE OF COMMUNITY BENEFIT SERVICES WAS $1,695,023 FOR 2012. THESE EXPENDITURES REPRESENT ACTUAL DIRECT AND INDIRECT NON-REIMBURSED COSTS OF GOODS AND SERVICES. IN 2012, MHLB PROVIDED $1,439,478 IN COMMUNITY BENEFIT FOR CHARITY CARE. MEMORIAL HOSPITAL LOS BANOS EXPENDED $117,632 IN COMMUNITY BENEFITS REGARDING MEDICALLY INDIGENT ADULTS. SUMMARY OF COMMUNITY BENEFIT EXPENDITURES FOR THE POOR AND UNDERSERVED = $1,557,110. MHLB CONTRIBUTED $2,850 IN COMMUNITY BUILDING ACTIVITIES FOR THE BROADER COMMUNITY. THE EXPENDITURES FOR RESEARCH, EDUCATION AND TRAINING TOTALED $27,242. MHLB PROVIDES SUPPORT TO THE COMMUNITY BY ASSISTING NON-PROFIT AGENCIES WITH CASH AND IN-KIND DONATIONS. IN 2012, MEMORIAL HOSPITAL LOS BANOS PROVIDED $107,821 IN CASH AND IN-KIND DONATIONS. SUMMARY OF COMMUNITY BENEFIT CONTRIBUTIONS FOR THE BROADER COMMUNITY: $137,913. MEMORIAL HOSPITAL LOS BANOS IS A COMMUNITY-BASED, NOT-FOR PROFIT HOSPITAL. WE ARE COMMITTED TO ENHANCING THE HEALTH OF OUR COMMUNITY IS MANY WAYS. ADDITIONALLY, HOSPITAL MANAGERS VOLUNTEER IN COMMUNITY SERVICE PROJECTS. COMMUNITY BENEFIT PROGRAMS FOR 2012 INCLUDED: * CLINICAL ROTATION SITE FOR NURSING, RESPIRATORY AND RADIOLOGY STUDENTS * CLINICAL INSTRUCTOR FOR THE MERCED NURSING PROGRAM * WORK SITE FOR THE SUMMER YOUTH PROGRAM IN LOS BANOS. * WORK EXPERIENCE POSITIONS FOR ROP STUDENTS FOR HIGH SCHOOL STUDENTS INTERESTED IN HEALTH CAR CAREERS * FREEDOM FROM SMOKING CLASS SERIES IN COOPERATION WITH THE AMERICAN LUNG ASSOCIATION * PROVIDED FREE USE OF EDUCATION ROOM FOR HEALTH AND WELLNESS ACTIVITIES * CAR SEAT SAFETY CLASSES AND INSPECTIONS * BREAST-FEEDING SUPPORT CLASSES AND CONSULTATIONS * CHILDBIRTH CLASSES FOR PARENTS (ENGLISH AND SPANISH) * DIABETES SUPPORT GROUP * SUPPORT OF THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, MARCH OF DIMES AND MUSCULAR DYSTROPHY ASSOCIATION WITH BOTH CORPORATE AND EMPLOYEE INVOLVEMENT. * PARTNERING WITH THE MERCED COUNTY SHERIFFS DEPARTMENT AND RIGGS AMBULANCE AS SPONSORS OF THE LOST CHILD AND FIRST AID BOOTH AT THE MERCED COUNTY SPRING FAIR. * PROVIDE CPR AND FIRST AIDE TRAINING CLASSES PEOPLE SERVED: THROUGH THESE PROGRAMS AND OTHERS, WE WERE ABLE TO SERVE 2,574 PEOPLE AT MEMORIAL HOSPITAL LOS BANOS. EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A SUTTER TRACY COMMUNITY HOSPITAL (STCH) GENERAL DESCRIPTION: SUTTER TRACY COMMUNITY HOSPITAL OPENED IN 1948. THE AREA'S ONLY FULL-SERVICE MEDICAL CENTER WITHIN A 15-MILE RADIUS, SUTTER TRACY COMMUNITY HOSPITAL IS AN 81-BED ACUTE-CARE FACILITY THAT SERVES MORE THAN 90,000 RESIDENTS. THE STATE-OF-THE-ART FACILITY FEATURES THE LATEST MEDICAL TECHNOLOGY AND DIAGNOSTIC EQUIPMENT AND OFFERS A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT SERVICES. THE HOSPITAL'S MEDICAL STAFF INCLUDES MORE THAN 96 ACTIVE PHYSICIANS AND 60 CONSULTING PHYSICIANS REPRESENTING NEARLY EVERY MEDICAL SPECIALTY. SEVERAL PERFORM HIGH-TECH PROCEDURES UNAVAILABLE ELSEWHERE IN THE AREA, SUCH AS TOTAL LAPAROSCOPIC HYSTERECTOMIES, SENTINEL NODE BIOPSY FOR BREAST CANCER, AND THE INTERSTIM PROCEDURE FOR OVERACTIVE BLADDER. SERVICES AVAILABLE AT SUTTER TRACY COMMUNITY HOSPITAL INCLUDE: * THE AREA'S ONLY 24-HOUR EMERGENCY DEPARTMENT WITH 24-HOUR PHYSICIAN COVERAGE * FAMILY CENTERED MATERNITY CARE * A NEW 10,000 SQUARE FOOT, HIGH TECH OUTPATIENT SURGICAL CENTER * NEWLY REMODELED AND EXPANDED EMERGENCY AND OBSTETRICS DEPARTMENTS * STATE-OF-THE ART IMAGING SERVICES OFFERING STEREOTACTIC BREAST BIOPSY, DIGITAL MAMMOGRAPHY WITH COMPUTER AIDED DETECTION (CAD), DIGITAL 64-SLICE CT SCANNER, 3-D ULTRASOUND, AND A COMPLETELY DIGITAL DEPARTMENT UTILIZING THE CUTTING EDGE PICTURE ARCHIVE & COMMUNICATION SYSTEM (PACS) * ADVANCED MAGNETIC RESONANCE IMAGING (MRI) SCANNERS, INCLUDING CLOSED AND OPEN MRI, BREAST MRI AND A NEUROVASCULAR ARRAY COIL MRI, THE ONLY ONE AVAILABLE IN THE AREA * HIGH TECH PATIENT SAFETY SYSTEMS, SUCH AS THE ELECTRONIC INTENSIVE CARE UNIT (EICU) AND THE ELECTRONIC MEDICATION ADMINISTRATION PROGRAM (EMAP) * DIALYSIS SERVICES - INPATIENT * PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY * PAIN MANAGEMENT * CONTINENCE & WOUND CARE CENTER * MEDICAL, SURGICAL AND CRITICAL CARE UNITS * "ONE STOP" COMMUNITY HEALTH INFORMATION AND RESOURCE CENTER* * COMMUNITY EDUCATION AND HEALTH FAIRS * SUPPORT GROUPS *HEALTHY CONNECTIONS RESOURCE CENTER IN 2005, SUTTER TRACY COMMUNITY HOSPITAL LAUNCHED HEALTHY CONNECTIONS RESOURCE CENTER TO PROVIDE COMMUNITY MEMBERS WITH A CENTRAL LOCATION TO OBTAIN COST-FREE INFORMATION AND SUPPORT ON A VARIETY OF HEALTHY-RELATED TOPICS. HEALTHY CONNECTIONS PROVIDES RESOURCES AND INFORMATION ABOUT HEALTH, PARENTING EDUCATION AND SUPPORT GROUPS, HEALTH INSURANCE AND ADVOCACY FOR SENIOR CITIZENS, AND HEALTH INSURANCE ENROLLMENT SERVICES. LOCATED IN DOWNTOWN TRACY, COUNTY AND NON-PROFIT AGENCIES ARE NOW DELIVERING SERVICES IN ONE CONVENIENT LOCATION, UTILIZING SHARED OFFICE SPACE AND EQUIPMENT. COMMUNITY BENEFIT PROGRAMS 2012: STCH COMMUNITY BENEFIT AND ECONOMIC VALUE FOR 2012 THE TOTAL ECONOMIC VALUE OF COMMUNITY BENEFIT SERVICES WAS $18,153,888 FOR 2012. THESE EXPENDITURES REPRESENT ACTUAL DIRECT AND INDIRECT NON-REIMBURSED COSTS OF GOODS AND SERVICES. IN 2012, STCH PROVIDED $2,085,448 IN COMMUNITY BENEFIT FOR CHARITY CARE. FOR SERVICES TO MEDI-CAL PATIENTS, STCH HAD A SHORTFALL OF $14,855,415. SUTTER TRACY COMMUNITY HOSPITAL EXPENDED $514,560 FOR OTHER BENEFITS FOR THE POOR AND UNDERSERVED POPULATIONS. SUMMARY OF COMMUNITY BENEFIT EXPENDITURES FOR THE POOR AND UNDERSERVED = $17,455,423. STCH CONTRIBUTED $296,317 IN SUBSIDIZED HEALTH SERVICES FOR THE BROADER COMMUNITY. THE EXPENDITURES FOR RESEARCH, EDUCATION AND TRAINING TOTALED $121,044. STCH PROVIDES SUPPORT TO THE COMMUNITY BY ASSISTING NON-PROFIT AGENCIES WITH CASH AND IN-KIND DONATIONS. IN 2012, SUTTER TRACY COMMUNITY HOSPITAL PROVIDED $281,104 IN CASH AND IN-KIND DONATIONS. SUMMARY OF COMMUNITY BENEFIT CONTRIBUTIONS FOR THE BROADER COMMUNITY: $698,465. PROGRAMS AND SERVICES THE HOSPITAL PROVIDES NUMEROUS CLASSES AND SERVICES, AS WELL AS DISSEMINATES INFORMATION REGARDING HEALTH MATTERS, TO THE PUBLIC ON A REGULAR BASIS. CLASSES ARE EITHER FREE OR LOW-FEE, DIABETES MANAGEMENT, FIRST AID, CHILDBIRTH, ACCEPTANCE OF A NEW SIBLING, BREASTFEEDING, CHILD SEAT SAFETY AND SMOKING CESSATION CLASSES. BEREAVEMENT AND STROKE SUPPORT GROUPS ARE ALSO AVAILABLE. THE HOSPITAL ALSO DISSEMINATES GENERAL HEALTH INFORMATION TO THE COMMUNITY AT LARGE THROUGH THE PUBLISHING AND FREE DISTRIBUTION OF THE QUARTERLY YOUR HEALTH NEWSLETTER AND THROUGH THEIR WEB SITE WHICH PROVIDES A HEALTH INFORMATION LIBRARY AND HEALTH RELATED RESOURCES. THE HOSPITAL HOLDS AN ANNUAL CHILDREN'S HEALTH & SAFETY FAIR AND COMMUNITY HEALTH & RESOURCE FAIR TO PROMOTE EDUCATION AND PREVENTION SERVICES FOR THE ENTIRE COMMUNITY. * INFORMATION, REFERRAL AND HELP ACCESSING HOSPITAL AND COMMUNITY RESOURCES * CASE MANAGEMENT FOR THOSE WITH MULTIPLE NEEDS * ASSISTANCE WITH POST-PARTUM DEPRESSION * LACTATION AND NEW BABY SUPPORT * LOW OR NO COST HEALTH INSURANCE ENROLLMENT FOR FAMILIES * MOMMY & ME SUPPORT GROUP FOR MOTHERS WITH INFANTS AND TODDLERS * PARENT & ME PLAY GROUPS - AGES 0 - 5 * PRENATAL CARE AWARENESS * COMPUTER ACCESS TO RELIABLE HEALTH INFORMATION ON THE WEB * MEDI-CARE INFORMATION AND ASSISTANCE * SENIOR SAFETY PARTNERSHIP - OFFERING FREE HOME SAFETY INSPECTIONS TO SENIORS * FAMILY SUCCESS TEAMS - LOCAL AND COUNTY AGENCY REPRESENTATIVES ASSIST CLIENTS IN CREATING A CASE PLAN WITH ACHIEVABLE TIME LINES AND TOOLS FOR SUCCESS * P.R.I.C.E. PARENTING CLASSES * MENTAL HEALTH COUNSELING FOR CHILDREN AND FAMILIES THROUGH TRACY MENTAL HEALTH * PAPRX - MEDICATION ASSISTANCE PROGRAM * SELF-PACED ENGLISH AS A SECOND LANGUAGE (ESL) COMPUTER TUTORING * CANCER SUPPORT SERVICES - INCLUDING ADVOCACY, CASE MANAGEMENT AND FINANCIAL ASSISTANCE * WORKSHOPS FOR CHILDCARE PROVIDERS * FOSTER PARENT SUPPORT * NON-PROFIT CAPACITY BUILDING - TOOLS AND RESOURCES AVAILABLE TO ASSIST LOCAL AGENCIES, INCLUDING BOOKS ON GRANT WRITING AND SUCCESSFUL NON-PROFIT MANAGEMENT AND ACCESS TO THE FOUNDATION CENTER ONLINE DATABASE WITH INFORMATION ON OVER 800,000 FUNDERS NATIONWIDE PEOPLE SERVED: THROUGH THESE PROGRAMS AND OTHERS, WE WERE ABLE TO SERVE 16,337 PEOPLE AT SUTTER TRACY COMMUNITY HOSPITAL. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTIONS 6 & 7A THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990 FORM 990, PART VI, QUESTION 11B SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM. DESCRIPTION OF PROCESS TO MONITOR TRASACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12 EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, QUESTION 15 THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. OTHER CHANGES IN FUND BALANCE FORM 990, PART XI, LINE 9 K-1 RENTAL INCOME $ (52,725) K-1 INTEREST INCOME (354) PARTNERSHIP INCOME ON BOOKS NOT ON RETURN (134,271) EQUITY TRANSFERS (NET) (209,968,311) EQUIPMENT NASFR 345,535 -------------- TOTAL $(209,810,127) ============== ADOLESCENT TREATMENT CENTERS INC 390 40TH STREET OAKLAND CA 94609 680088443 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true ALTA BATES SUMMIT FOUNDATION 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 510160184 FUNDRAISING CA 501(C)(3) 7 SUTTER EBH true CALIFORNIA PACIFIC MEDICAL CTR FOUND 2015 STEINER STREET 2ND FLOOR SAN FRANCISCO CA 94115 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER WBH true DELTA MEMORIAL HOSPITAL FOUNDATION 3901 LONE TREE WAY ANTIOCH CA 94509 942417022 FUNDRAISING CA 501(C)(3) 11a - I SUTTER EBH true EAST BAY PERINATAL CENTER 3012 SUMMIT STREET 3RD FLOOR OAKLAND CA 94609 510172285 HEALTHCARE CA 501(C)(3) 3 SUTTER EBH true EDEN MEDICAL CENTER 20103 LAKE CHABOT ROAD CASTRO VALLEY CA 94546 942948100 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true MARIN COMMUNITY HEALTH 250 BON AIRE ROAD GREENBRAE CA 94904 942994751 SUPPORTING OR CA 501(C)(3) 11b - 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