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SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE FROM AUDIT: 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 AND MANY AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD 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 CONSOLIDATED 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. THE STATUTE OF LIMITATIONS FOR TAX YEARS 2019 THROUGH 2021 REMAINS OPEN IN U.S. TAX JURISDICTIONS IN WHICH SUTTER AND ITS AFFILIATES ARE SUBJECT TO TAXATION. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. THERE WERE NO SUCH UNCERTAIN TAX POSITIONS RECOGNIZED FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. Generosity Gala 4295 3635 660 14 6 6 164 Games Day 14116 14116 3670 1051 0 0 0 0 0 0 0 0 0 0 18411 17751 660 0 14 0 3676 6 1215 4911 -4251 1255 CHATEAU DRIVE SAN JOSE CA 95120 true Sutter Valley Hospitals 2200 RIVER PLAZA DR SACRAMENTO CA 95833 941156621 501(c)(3) 80000 GENERAL SUPPORT 1 0 PATIENT ASSISTANCE 352 134171 FMV SEE PART IV SCHEDULE I, PART I, LINE 2 PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS: IN ORDER TO CLOSELY MONITOR EFFICIENCY AND EFFECTIVENESS, THE COMMUNITY BENEFIT FUNCTION OUTLINES MEASURABLE REPORTING (QUARTERLY, SIX-MONTH AND/OR YEAR-END), PROGRAM AND FUNDING REQUIREMENTS IN A MEMORANDUM OF UNDERSTANDING (MOU), BUSINESS SERVICES AGREEMENT (BSA), OR JOINT VENTURE AGREEMENT FOR EACH INVESTMENT MADE WITH A COMMUNITY PARTNER. WHERE IT IS DETERMINED NECESSARY, ADDITIONAL EFFORTS ARE MADE TO MONITOR EFFECTIVENESS AND EFFICIENCY OF INVESTMENTS, WHICH COULD INCLUDE: - QUARTERLY MEETINGS WITH COMMUNITY PARTNERS - E-MAIL AND TELEPHONIC COMMUNICATIONS WITH COMMUNITY PARTNERS - CONTINUED DIALOGUE WITH INVOLVED HOSPITAL STAFF AND COMMUNITY PARTNERS THROUGHOUT DURATION OF PROGRAM - SITE VISITS WITH COMMUNITY PARTNERS - BI-ANNUAL "OUTCOMES" SURVEY (6-MONTH AND/OR YEAR-END OUTCOMES) - REVIEW OF HOSPITAL USAGE AND PATIENT LEVEL DATA - COLLECTION OF PATIENT STORIES AND NARRATIVES - COLLABORATIVE DISCUSSIONS AROUND AD-HOC SUCCESSES AND CHALLENGES THAT ARISE - REPORTING TO INCLUDE YEAR-END FINANCIAL SUMMARY THAT COMPARES ACTUAL EXPENDITURES TO THE FUNDED PROJECT'S BUDGET, INDICATING ANY UNUSED AMOUNT OF GRANT FUNDS. AT THE END OF THE APPROPRIATE REPORTING PERIOD, COMMUNITY BENEFIT ANALYZES DATA TO ENSURE COMMUNITY PARTNERS MET THE OBJECTIVES OUTLINED IN THE MOU OR BSA. IF THE COMMUNITY PARTNERS DID NOT REACH THE ANTICIPATED OUTCOMES, COMMUNITY BENEFIT WORKS TO UNDERSTAND WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM MEETING THE GOALS TO HELP IDENTIFY WAYS TO IMPROVE OR PERHAPS RE-EVALUATE WHAT SUCCESS OF THIS PROGRAM LOOKS LIKE, AND MAKES THE DETERMINATION TO CONTINUE OR TERMINATE FUNDING. WE ALSO RELY ON THE GOVERNANCE PRACTICES OF THE RECIPIENT ORGANIZATION TO MONITOR THE USE OF THE FUNDS. SCHEDULE I, PART III, LINE 1 DESCRIPTION OF NON-CASH ASSISTANCE: PAYMENTS TO VENDORS ON BEHALF OF PATIENTS FOR ITEMS/SERVICES SUCH AS CAREGIVING SERVICES, FUNERAL SERVICES, MEDICAL SUPPLIES, RENTAL ASSISTANCE, TRANSPORTATION, UTILITIES. true true false false false false false true false SARAH KREVANS CEO Emeritus, Sutter Health 0 1980063 0 2749625 0 395119 0 242765 0 32838 0 5400410 0 362776 Rishi Sikka MD PRES,SH SYS ENTERPRISE 0 18886 0 597184 0 1171386 0 314 0 4989 0 1792759 0 0 Anna Kiger CNO, Asst Sec SVNAH 0 520895 0 249914 0 76643 0 67765 0 18652 0 933869 0 62110 Albert Chan MD SH VP, CDH Officer 0 554808 0 177715 0 69008 0 50065 0 29479 0 881075 0 59442 Romelia Garcia President, SVNAH 0 462719 0 162423 0 10464 0 62665 0 35322 0 733593 0 0 Greg Brown SH VP, Legal Transactions 0 317185 0 102429 0 41250 0 45965 0 28603 0 535432 0 34841 Mark Wheeler CFO, SVNAH 0 340888 0 55026 0 28057 0 41365 0 28405 0 493741 0 22896 Philip Stevens Staff RN II 268492 0 0 0 0 0 4457 0 8732 0 281681 0 0 0 Elise Beckerman Exec, HR, FS Clinical Ops 0 219441 0 49958 0 23352 0 33791 0 20024 0 346566 0 17502 Ann Marie T Torres Hospice Team Nurse 268289 0 0 0 0 0 4454 0 9899 0 282642 0 0 0 David Adams Dep GEN CNSL,SEC SVNAH (pt-yr) 0 288761 0 36393 0 1242 0 4793 0 23008 0 354197 0 0 Robert Grande Wound Care Nurse Lead 344358 0 0 0 0 0 5065 0 9899 0 359322 0 0 0 Carolyn A Goodall SNR Dir, Hospice & Home Health 277644 0 17787 0 4934 0 4609 0 20379 0 325353 0 0 0 Praba Koomson Director, Home Health Nursing 228046 0 23648 0 2048 0 3786 0 11579 0 269107 0 0 0 Frank Wong Director, Home Health Pharmacy 287188 0 29770 0 1242 0 4767 0 28332 0 351299 0 0 0 Patricia A Jellison-LaVine Administrator 200213 0 13118 0 2763 0 3324 0 27811 0 247229 0 0 0 Taylor Bentley Sr. Counsel, Sec SVNAH (pt-yr) 0 146412 0 33772 0 0 0 2430 0 18149 0 200763 0 0 Patrina White CEO, SSCD/SCAH 0 536248 0 103501 0 74907 0 67765 0 30445 0 812866 0 47443 Ursula Boynton MD CME, ABSMC 0 447182 0 50493 0 33011 0 35765 0 29100 0 595551 0 27503 Susan White Senior Director, Quality 227288 0 22893 0 5835 0 3773 0 20091 0 279880 0 0 0 SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THIS 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 ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARM'S LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH. SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: RISHI SIKKA RECEIVED SEVERANCE PAYMENTS OF $830,988. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: 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 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PENSION PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA PROVIDES 6% TO 12% OF BASE SALARY PLUS ANNUAL INCENTIVE PLAN AWARD (COMMENSURATE WITH MANAGEMENT LEVEL). CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457(F)) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65 WITH 22.5 YEARS OF SERVICE. TARGET BENEFIT LEVELS ARE DISCOUNTED FOR YEARS OF SERVICE LESS THAN 22.5 AT AGE 65. UNLIKE SUTTER HEALTH'S QUALIFIED PENSION 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. THE FOLLOWING INDIVIDUAL RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: RISHI SIKKA $379,319. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD, BUT THE AVERAGE AMOUNT OF SPOT AWARDS TEND TO NOT EXCEED 5% TO 15% OF GROSS ANNUAL SALARY. 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, OPERATING UNIT AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. 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 LONG TERM PERFORMANCE 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. 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 BY THE COMPENSATION COMMITTEE PRIOR TO PAYMENT. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2453355 PAYMENT IN ORDINARY BUSINESS false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2852604 PAYMENT IN ORDINARY BUSINESS false FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: SUTTER VISITING NURSE ASSOCIATION AND HOSPICE, DBA SUTTER CARE AT HOME (SCAH), ENHANCES THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HOME-BASED SERVICES AND PRODUCTS. THE SUTTER CARE AT HOME FOUNDATION SUPPORTS LOCAL HOME HEALTH AND END-OF-LIFE CARE, BEREAVEMENT SUPPORT SERVICES, AND COMMUNITY WELLNESS PROGRAMS PROVIDED BY SUTTER CARE AT HOME. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: PRIMARY EXEMPT PURPOSE: PROVIDE HEALTH CARE TO PATIENTS IN THEIR HOMES. SERVICE ACCOMPLISHMENTS: SUTTER VNA & HOSPICE IS A STATE LICENSED, MEDICARE-CERTIFIED HOME CARE AGENCY THAT PROVIDES A BROAD SPECTRUM OF MULTI-DISCIPLINARY SERVICES AND OFFERS A RANGE OF SPECIALTY PROGRAMS TO RESIDENTS OF NORTHERN CALIFORNIA. SUTTER VNA & HOSPICE PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO REQUIRE THESE SERVICES OUTSIDE OF A HOSPITAL SETTING (PRIMARILY IN THE HOME), FOR WHICH A FEE IS CHARGED TO COVER THE COST OF PROVIDING THESE SERVICES. THESE SERVICES ARE PROVIDED TO MEDICARE, MEDI-CAL, AND PRIVATE INSURANCE PATIENTS. CHARITABLE CARE IS PROVIDED WHEN DEEMED APPROPRIATE. THE HEALTH CARE SERVICES PROVIDED BY SUTTER VNA & HOSPICE INCLUDE THE FOLLOWING: - SKILLED NURSING; NURSES WORK WITH PATIENTS WHO HAVE HEART DISEASE, CANCER, DIABETES, OSTOMIES, AIDS, OR OTHER CHRONIC DISEASES AND ILLNESSES, OR WHO HAVE RECENTLY HAD SURGERY OR AN ACUTE CARE EPISODE. - REHABILITATION SERVICES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. PHYSICAL AND OCCUPATIONAL THERAPY IS PROVIDED FOR PATIENTS WITH DIFFICULTIES DUE TO STROKES, AMPUTATION OR FRACTURES, SURGERY, AND FOR PATIENTS WHO ARE PARAPLEGICS OR QUADRIPLEGICS. SPEECH THERAPY IS PROVIDED FOR PATIENTS WITH SPEECH OR SWALLOWING PROBLEMS. - HOME INFUSION THERAPY SERVICES; PROVIDED FOR PATIENTS WHO NEED INTRAVENOUS TREATMENTS. SERVICES INCLUDE HYDRATION, CHEMOTHERAPY, TOTAL PARENTERAL NUTRITION, ANTIBIOTICS, INJECTABLE MEDICATIONS, PAIN MANAGEMENT, AND ENTERAL NUTRITION. - MATERNAL/CHILD CARE SERVICES; PROVIDED TO WOMEN WITH DIFFICULT PREGNANCIES AND NEW MOTHERS NEEDING ASSISTANCE. - PSYCHIATRIC HOME CARE: THIS PROGRAM PROVIDES HOME HEALTH SERVICES WITH FOCUS ON PSYCHIATRIC CARE (ASSESSMENT, TEACHING, REFERRALS AND FOLLOW-UP) BY SPECIALTY TRAINED CLINICIANS. - MEDICAL SOCIAL WORK SERVICES; PROVIDES ASSISTANCE TO PERSONS WHO NEED GUIDANCE IN DEVELOPING SELF-HELP AND PROBLEM SOLVING SKILLS, AND ACCESS TO COMMUNITY RESOURCES. - HOSPICE AND BEREAVEMENT SERVICES; HELPS TERMINALLY ILL PATIENTS AND THEIR FAMILIES WHO NEED SUPPORT AND CARE. SERVICES INCLUDE NURSING CARE, PAIN MANAGEMENT, SYMPTOM CONTROL, AND BEREAVEMENT COUNSELING. - HOME HEALTH AIDES AND VOLUNTEER RESPITE CARE; PROVIDES AID TO PATIENTS WHO CANNOT CARE FOR THEMSELVES; INCLUDES BATHING AND PERSONAL CARE, COMPANIONSHIP, AND RELIEF FOR CAREGIVERS. - RESPIRATORY THERAPY AND DURABLE MEDICAL EQUIPMENT; PROVIDES PATIENTS WITH RESPIRATORY THERAPY SERVICES, EQUIPMENT, AND SUPPLIES, BEDS, WHEELCHAIRS, AND OTHER DURABLE MEDICAL EQUIPMENT. COMMUNITY BENEFIT SERVICES IN 2022, SUTTER VNA & HOSPICE PROVIDED $816,432 WORTH OF COMMUNITY BENEFIT. THE COMMUNITY BENEFIT PROGRAMS AND SERVICES PROVIDED INCLUDE THE FOLLOWING: - HOSPICE BEREAVEMENT GROUPS (EX. ADULT GRIEF SUPPORT GROUPS, CHILDREN'S WORKSHOPS, DAUGHTER/MOM LOSS SUPPORT GROUP, ADULT TRAUMATIC LOSS). - PRECEPTORSHIPS AND INTERNSHIPS PROVIDED FOR STUDENTS. CHARITABLE ACTIVITY IN 2022 SUTTER VNA & HOSPICE PROVIDED $1,991,747 WORTH OF CHARITY CARE. CHARITY CARE WAS PROVIDED IN THE FORM OF HOME HEALTH SERVICES, HOSPICE SERVICES, RESPIRATORY THERAPY AND DURABLE MEDICAL EQUIPMENT SERVICE AND PRODUCTS, AND HOME INFUSION THERAPY SERVICES. UNPAID COST OF MEDICAID IN 2022 SUTTER VNA & HOSPICE PROVIDED $11,054,593 WORTH OF UNPAID SERVICES TO MEDICAID PATIENTS. FORM 990, PART VI, LINE 6 & 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: 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. FORM 990, PART VI, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: 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 AFFILIATED ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY AFFILIATED ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY AFFILIATED 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 AFFILIATED ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES THAT EITHER EXCEED PREVIOUSLY APPROVED OPERATING OR CAPITAL BUDGETS, OR ARE UNBUDGETED, IF THE AMOUNT IN EXCESS OR THE UNBUDGETED EXPENDITURE IS HIGHER THAN THE SIGNATURE AUTHORITY OF THE PRESIDENT AND CEO OF THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS OF THE CORPORATION OR ANY AFFILIATED ENTITY 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 THE SIGNATURE AUTHORITY OF THE PRESIDENT AND CEO OF THE GENERAL MEMBER; G. APPOINTMENT OF AN INDEPENDENT AUDITOR BY THE CORPORATION OR ANY AFFILIATED ENTITY; H. THE HIRING OF INDEPENDENT COUNSEL BY THE CORPORATION OR ANY AFFILIATED ENTITY, UNLESS AT LEAST TWO-THIRDS (2/3) OF THE BOARD IN OFFICE ON THE DAY OF A VOTE DETERMINE THAT A MATERIAL CONFLICT OF INTEREST EXISTS BETWEEN THE CORPORATION AND THE GENERAL MEMBER AND, THEREFORE, THE BOARD MUST ENGAGE INDEPENDENT COUNSEL TO ASSIST IN EXERCISING THE BOARD'S FIDUCIARY DUTIES. TO PRESERVE THE INDEPENDENCE OF COUNSEL RETAINED PURSUANT TO THIS PROVISION, THE GENERAL MEMBER SHALL NOT CLAIM THAT ANY COMMUNICATION BETWEEN SUCH INDEPENDENT COUNSEL AND ANY PERSON ACTING ON BEHALF OF THE CORPORATION, EVEN IF THAT PERSON IS ALSO AN EMPLOYEE, OFFICER OR AGENT OF THE GENERAL MEMBER, CONSTITUTES A WAIVER OF THE ATTORNEY-CLIENT PRIVILEGE OR WORK-PRODUCT PROTECTION; I. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE, AS THAT TERM IS DEFINED IN CALIFORNIA CORPORATIONS CODE SECTION 150; J. CONTRACTING WITH ANY THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY AFFILIATED ENTITY; K. APPROVAL OF BUSINESS PLANS TO DEVELOP MAJOR PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY AFFILIATED ENTITY. MAJOR NEW PROGRAMS AND CLINICAL SERVICES SHALL INCLUDE, BUT NOT BE LIMITED TO: (I) ANY NEW PROGRAMS OR SERVICES THAT REQUIRE APPROVAL AND/OR ADDITIONAL LICENSURE FROM ANY REGULATORY AGENCY, OR (II) ANY OTHER PROGRAMS OR SERVICES THE GENERAL MEMBER DEEMS MAJOR; L. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY AFFILIATED ENTITY; M. ADOPTION OF QUALITY IMPROVEMENT POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; N. ANY SELF-DEALING TRANSACTION BETWEEN A DIRECTOR OF THE CORPORATION AND THE CORPORATION OR A SUBSIDIARY OF THE CORPORATION; OR O. REHIRING, CONTRACTING WITH, OR OTHERWISE COMPENSATING A SUTTER HEALTH EXECUTIVE, OR ANY OFFICER OR MEMBER OF MANAGEMENT OF THE CORPORATION OR ANY AFFILIATED ENTITY AFTER THEIR EMPLOYMENT HAS ENDED. 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. FORM 990, PART VI, LINE 11B PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER 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. 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. FORM 990, PART VI, LINE 12C PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: 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, OFFICERS AND KEY EMPLOYEES. 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. 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. THE BOARD MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR (OR COMMITTEE CHAIR AS APPLICABLE) MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL LEAVE THE ROOM PRIOR TO THE BOARD'S FINAL DISCUSSION AND VOTE. FORM 990, PART VI, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION: 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 INDEPENDENT DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARM'S LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), (C) TOTAL DIRECT CASH (BASE SALARY + ANNUAL INCENTIVE + LONG TERM INCENTIVE) AND (D) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH, ADJUSTED TO THE CALIFORNIA MARKET. THIS METHOD IS MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO AN ANNUAL REVIEW BY THE COMPENSATION COMMITTEE OR A DELEGATED SUB-COMMITTEE. APPROVAL IS RECORDED IN THE MINUTES. THE 2022 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN FEBRUARY 2022. FORM 990, PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY & FINANCIAL STATEMENTS: 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 AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990, PART VII, SECTION A COMPENSATION OF BOARD MEMBERS: THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION. - ALBERT CHAN, MD - ANNA KIGER - ROMELIA GARCIA - URSULA BOYNTON, MD COMMON LAW EMPLOYEES: INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID FULLTIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SUTTER HEALTH, A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SUTTER HEALTH AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SUTTER HEALTH EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION. FORM 990, PART XI, LINE 9 OTHER CHANGE IN NET ASSETS OR FUND BALANCES: EQUITY TRANSFER, RELATED ENTITIES (NET) $ (3,201,712) CHANGE IN SPLIT INTEREST $ (4,364) ----------------- TOTAL $ (3,206,076) CALIFORNIA PACIFIC MEDICAL CTR FOUND C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER BH true EAST BAY PERINATAL CENTER C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 510172285 HEALTHCARE CA 501(C)(3) 3 SUTTER BH true MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942290244 FUNDRAISING CA 501(C)(3) 12A - I SUTTER VH true MILLS-PENINSULA HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 237288765 FUNDRAISING CA 501(C)(3) 7 SUTTER BH true SUTTER AUBURN FAITH HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942594966 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER BAY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 940562680 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER BAY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 941156581 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SUTTER COAST HOSPITAL C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942988520 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER DAVIS HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680217870 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER HEALTH 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 942788907 SUPPORTING OR CA 501(C)(3) 12C III-FI NA false SUTTER HEALTH PACIFIC 91-2301 FT WEAVER RD EWA BEACH HI 96706 990298651 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER HEALTH PLAN C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 461183948 HEALTH PLAN CA 501(C)(4) N/A SUTTER HLTH true SUTTER MEDICAL CENTER FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 942788906 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER ROSEVILLE MEDICAL CTR FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680040113 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER VALLEY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 941156621 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true TRACY HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680318845 FUNDRAISING CA 501(C)(3) 12A - I SUTTER VH true SUTTER INSURANCE SERVICES CORPORATION 745 FORT STREET SUITE 1100 HONOLULU HI 96813 990289310 INSURANCE SER HI 501(C)(3) 12C III-FI SUTTER HLTH true SUTTER VALLEY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO CA 95833 680273974 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SURG CTR OF ABSMC 3875 TELEGRAPH OAKLAND CA 94609 470946086 PATIENT CARE CA SUTTER BAY HOSP CA PACIFIC ADV IMAG PO BOX 6102 NOVATO CA 94598 562311840 PATIENT CARE DE SUTTER BAY HOSP SF ENDOSCOPY CENTER 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 912160588 PATIENT CARE CA SUTTER BAY HOSP SUT FAIRFIELD SURG 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 300233892 PATIENT CARE CA SUTTER VMF SUT AMADOR SURG CTR 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 461398093 PATIENT CARE CA NA ROSEVILLE ENDOSCOPY 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 870710513 PATIENT CARE CA NA STANISLAUS SRG HOSP 1421 OAKDALE ROAD MODESTO CA 95355 911754157 PATIENT CARE CA NA MEMORIAL MED BLDG 1 1800 COFFEE RD 76 MODESTO CA 95355 770234236 OFFICE RENTAL CA SUTTER VH MAGNETIC IMAGING AF 2125 OAK GROVE ROAD WALNUT CREEK CA 94598 473696091 PATIENT CARE CA SUTTER BAY HOSP ASC OPTRS - SNTA ROSA 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 263386169 CARE MANAGEMENT CA SUTTER BMF ASC OPTRS - SLO LLC 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 272673776 CARE MANAGEMENT CA SUTTER HEALTH ICG CREDIT OPP FUND LP 11111 SANTA MONICA BLVD SUITE 2100 LOS ANGELES CA 90025 814220441 INVESTMENTS DE SUTTER HEALTH CARLSBAD SURG CTR 6121 PASEO DEL NORTE STE 100 CARLSBAD CA 92011 201413484 PATIENT CARE CA SOS COAST CTR FOR ORTHO 3444 KEARNY VILLA ROAD SAN DIEGO CA 92123 330839637 PATIENT CARE CA SOS OTAY LAKES SURG CTR 955 LANE AVE SUITE 100 CHULA VISTA CA 91914 200794766 PATIENT CARE CA SOS MADISON INTL GLOBAL 410 PARK AVENUE NEW YORK NY 10022 981310251 INVESTMENTS NY SUTTER HEALTH DIVISADERO HOLD LLC 1635 DIVISADERO SAN FRANCISCO CA 94115 320621050 Outpatient surg CA SUTTER BAY HOSP PENINSULA ENDOSCOPY 1720 El Camino Real Suite 100 Burlingame CA 94010 271905059 PATIENT CARE CA SUTTER BAY HOSP South Placer Surgery Center 8 Medical Plaza Drive Suite 100 Roseville CA 95661 421540694 Patient Care CA SUTTER HEALTH Sacramento Surgery Center Associates LP 1800 Tribute Road Suite 100 SACRAMENTO CA 95815 680516588 Patient Care CA SUTTER HEALTH Fort Sutter Surgery Center 2801 K STREET SACRAMENTO CA 95816 680116391 Patient Care CA SUTTER HEALTH Sutter Alhambra Surgery Center 1201 Alhambra Blvd Suite 110 SACRAMENTO CA 95816 631221949 Patient Care CA SUTTER HEALTH Auburn Surgical Center 148 Maple Street Suite F Auburn CA 95603 364123623 Patient Care CA SUTTER HEALTH ASC Operators LLC 2200 River Plaza Drive SACRAMENTO CA 95833 208970704 Care Management CA SUTTER HEALTH D E SHAW ALL COUNTRY GLOBAL ALPHA PLUS 1166 AVENUE OF THE AMERICAS - 9TH F NEW YORK NY 10036 882890454 Investment DE SHRP ICG CREDIT OPPORTUNITIES FUND 1A LP 11111 SANTA MONICA BLVD SUITE 2100 LOS ANGELES CA 90025 825045573 Investment DE SHRP ICG CREDIT OPPORTUNITIES FUND 2A LP 11111 SANTA MONICA BLVD SUITE 2100 LOS ANGELES CA 90025 852303976 Investment DE SHRP MAKENA REAL ESTATE II LP 2755 Sand Hill Road Suite 200 MENLO PARK CA 94025 981298071 Investment CJ SHRP D E SHAW ALL COUNTRY GLOBAL ALPHA LL 1166 AVENUE OF THE AMERICAS - 9TH F NEW YORK NY 10036 832024364 Investment DE SUTTER HEALTH ICG SPECIAL OPPORTUNITIES FUND I LP 11111 SANTA MONICA BLVD SUITE 2100 LOS ANGELES CA 90025 863196460 Investment DE SUTTER HEALTH SUTTER HEALTH DEFERRED COMP PLANS' TRUST 2200 RIVER PLAZA DRIVE SACRAMENTO CA 95833 276851989 RABBI TRUST CA NA TRUST true NORTHWOOD EUROPE TE FEEDER LP 1819 WAZEE ST 2ND FLOOR DENVER CO 80202 981272216 HOLDING COMPANY CJ NA C CORP true LYXSOP SEGREGATED PORTFOLIO 1 PO BOX 10008 WILLOW HOUSE CRICKET SQUARE GRAND CAYMAN CJ INVESTMENT CJ NA C CORP true LYXSOP SEGREGATED PORTFOLIO 2 PO BOX 10008 WILLOW HOUSE CRICKET SQUARE GRAND CAYMAN CJ INVESTMENT CJ NA C CORP true AQR REAL RETURN OFFSHORE FUND LP 89 NEXUS WAY CAMANA BAY GRAND CAYMAN CJ KY1-9009 980700570 INVESTMENT CJ NA c corp true BRIGADE LEVERAGED CAPITAL STRUCTURE OFFS ONE NEXUS WAY CAMANA BAY GRAND CAYMAN CJ KY1-9005 981020330 INVESTMENT CJ N/A C Corp true false true true false false false false false false true true false false false false true true true true SUTTER INSURANCE SERVICE CORPORATION P 2159095 FMV Sutter Medical Center Foundation Q 129827 FMV Sutter Medical Center Foundation C 216638 FMV Sutter Valley Hospitals S 2740357 FMV Sutter Valley Hospitals B 80000 FMV Sutter Valley Hospitals K 234614 FMV Sutter Valley Medical Foundation S 783898 FMV Sutter Bay Medical Foundation K 80969 FMV