2025-11-14T11:50:02-05:00 2024-12-31 ERNST & YOUNG US LLP 560 MISSION ST STE 1600 SAN FRANCISCO CA 94105 990 2024-01-01 940562680 SUTTER BAY HOSPITALS % KENNETH YOUNG SUTT 9162866665 C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 Jonathan Ma CFO 9162866665 2025-11-11 true true EVA NITTA P01286320 4158948000 2025-11-04 2024 2025-03-06 01:10:19Z X Kevin Manemann Same as C above SACRAMENTO CA 95833 5647708707 false X WWW.SUTTERHEALTH.ORG X 1854 CA SEE SCHEDULE O 15 12 18669 1538 2375864 0 122823446 115125961 4998376651 5482297446 20417243 23339159 20725216 20822535 5162342556 5641585101 12472642 15532618 0 0 2296157641 2556832984 0 0 3216956 2825726490 3084833420 5134356773 5657199022 27985783 -15613921 5798661625 5840804241 2134235839 2136938322 3664425786 3703865919 X SEE SCHEDULE O false false 5073625158 15532618 5482297446 SEE SCHEDULE O 5073625158 true true false false false false false true false true true false false true true true false true false false false false false false true false true true true true true true false false false false false false false true false false true false false false true true true true false false true 1139 0 true 18669 true true true false false false false true true false false false false false false X 15 12 false false true false true true true true true false false true true true true true true true true true true CA X KENNETH YOUNG 9162866665 2300 RIVER PLAZA DRIVE Sacramento CA 95833 X Mark Sevco SH SVP, COO / President SBH 4.0 40.0 X X 0 3326965 328840 James Conforti FORMER INTERIM PRES & CEO, SH 0.0 0.0 X 0 2252729 0 Todd Smith MD SVP, CHF PHYS EX/ASST SEC SBH 4.0 40.0 X X 0 1668636 210133 Janet A Wagner FMR Hospital Area CEO, S Bay 0.0 0.0 X 0 1835784 0 Hamila Kownacki CEO, CPMC 0.0 40.0 X 0 1211654 572217 Kevin Cook President, Silicon Valley 0.0 40.0 X 0 1014176 726657 Brian Dean former SH SVP, CFO 0.0 0.0 X 0 1674629 0 David Clark CEO, ABSMC 0.0 40.0 X 0 1399635 154642 Christina Oh President, San Francisco div. 0.0 40.0 X 0 835362 694024 Tosan Boyo President, East Bay Division 0.0 40.0 X 0 853903 601706 Daniel Peterson CEO, Behavioral Health & SCP 0.0 40.0 X 0 889544 462438 Raju Iyer SH SVP, CFO / CFO SBH (pt-yr) 2.0 40.0 X 0 1278214 33328 Megan Gillespie CEO, SSRRH 0.0 40.0 X 0 570095 483639 Theresa Frei Former CEO, SVMF 0.0 0.0 X 0 1048576 0 David R Quincy FRMR CEO, Ambulatory - SV MKT 0.0 0.0 X 0 1006090 0 Steven R Cummings Executive, Research 40.0 0.0 X 790473 0 167812 Edward Battista SH VP, HR Silicon Valley 0.0 40.0 X 0 618361 276557 Ryan Stice SH VP, CPO/Asst Sec SBH 2.0 40.0 X 0 577536 289031 Harly Neumann SH VP, HR East Bay Division 0.0 40.0 X 0 568500 265825 Gregory Brown SH VP, Legal Ops, Bay/ Sec SBH 2.0 40.0 X 0 547534 284531 Joshua Matthews Clinical Physician 40.0 0.0 X 696298 0 40597 Tina Chen Staff Nurse III 40.0 0.0 X 642385 0 29017 Edward Joson Nurse-Charge 40.0 0.0 X 606309 0 29341 Geri Decoito Nurse-Certified Staff IV 40.0 0.0 X 587960 0 31710 Dominic Nakis SH Interim / SBH CFO (pt-yr) 2.0 40.0 X 0 619278 0 Warren Browner MD Executive Consultant 0.0 40.0 X 0 443340 102412 Jill Kacher Cobb MD Chief Medical Executive 40.0 4.0 X 408053 4864 115203 Thomas Briody Director 2.0 4.0 X 0 0 0 William Brunetti Director 2.0 4.0 X 0 0 0 Theodore Deikel Dir/Chair Fin & Plan 4.0 8.0 X X 0 0 0 Rita Kwan-Feinberg MD Director 2.0 4.0 X 0 0 0 Eric Flowers Director/Chair 4.0 8.0 X X 0 0 0 Janet Garufis Director 2.0 4.0 X 0 0 0 Juli Maxworthy Director 2.0 4.0 X 0 0 0 Yumi Nakagawa Director 2.0 4.0 X 0 0 0 Yvonne Richardson Director 2.0 4.0 X 0 0 0 John Ryan Director 2.0 4.0 X 0 0 0 Arnie Schaffer Director 2.0 4.0 X 0 0 0 Ron Sinha MD Director 2.0 4.0 X 0 0 0 Jane Varner MD Director 2.0 4.0 X 0 0 0 3323425 23797201 5682045 8354 true true false HERRERO BUILDERS INC 2100 OAKDALE AVE SAN FRANCISCO CA 94124 Construction Svcs 28782819 ANESTHESIA CARE ASSOC MG INC PO BOX 884616 LOS ANGELES CA 900884616 PHYSICIAN SERVICES 24622383 UNIVERSAL PROTECTION SVC LP 161 Washington ST STE 600 CONSHOHOCKEN PA 194282083 SECURITY SERVICES 23031323 DONOR NETWORK WEST 12667 ALCOSTA BLVD STE 500 SAN RAMON CA 945834427 Organ Donation svcs 21060280 PACIFIC INPATIENT MEDICAL PO BOX 1230 SUISUN CITY CA 945851230 Physician Services 20419490 535 33 1035856 30731304 24817423 58541345 40278146 115125961 PATIENT SERVICE REVENUE 621110 5432928098 5432928098 HEALTHCARE RELATED JV INCOME 523000 33495930 33495930 RENTAL TO AFFILIATES 531390 15873418 15873418 5482297446 12078211 12078211 0 0 17110993 5052947 12058046 0 12058046 12058046 11082594 812598 144035 490209 10938559 322389 11260948 11260948 378347 1035856 436415 -58068 -58068 14160 0 14160 14160 0 0 0 CAFETERIA 900009 6432533 6432533 PARKING 812930 1850702 1850702 WINERY 621500 292035 292035 233127 233127 8808397 5641585101 5482297446 2375864 41785830 14342331 14342331 1190287 1190287 0 0 523256 523256 0 1757558804 1687745259 68621843 1191702 66314852 63693784 2605118 15950 591220634 567615532 23100647 504455 141215438 135629576 5547339 38523 15725246 8492648 7232598 0 14863226 14863226 0 0 132347 0 94022 38325 0 0 0 0 0 0 1017236 0 1017236 0 386792159 352029066 34763093 0 426865 0 424018 2847 37860190 8249210 29579319 31661 216442096 124777099 91664997 0 0 0 0 0 98313417 93704392 4605056 3969 1967554 1591801 368198 7555 0 0 0 0 2011932 1502419 509238 275 79487782 79487782 0 0 0 329384645 307291285 22093360 0 31381014 19293004 12027185 60825 MEDICAL SUPPLIES 700895942 700895942 SYSTEM ALLOCATION FEE 436386780 221346355 214228417 812008 HOSPITAL FEE 253381226 253381226 PURCHASED SERVICES 252095276 204387357 47275149 432770 226268487 212115577 14076819 76091 5657199022 5073625158 580356908 3216956 0 0 157637539 200706492 2620143 5050640 635850770 643149614 0 0 0 0 0 0 61668657 70933935 25496066 24590083 7608766697 3778082666 3967016688 3830684031 206127089 226950343 0 0 87953965 121476854 4565324 4565324 649725384 712696925 5798661625 5840804241 622557444 640032495 0 0 0 0 1405980544 1364366955 0 0 0 0 0 0 0 0 105697851 132538872 2134235839 2136938322 X 3589685370 3597293885 74740416 106572034 3664425786 3703865919 5798661625 5840804241 X -15613921 7181568 47872486 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 804544 231818740 7070215 23910895 4528685 258271165 199628465 10810762 22395698 1016185 231818740 216763282 -2221967 -12229035 2683845 199628435 201584004 751586 24549933 0 10122241 0 216763282 179842229 2224433 28897640 0 9380298 0 201584004 0.34400 0.44340 0.21260 false true true 260720654 260720654 5799116847 2666182446 3132934402 115345589 45079289 70266300 1196859995 976110844 220749150 236723612 90710087 146013525 3830684031 OTHER RECEIVABLES 522335100 INTERCOMPANY RECEIVABLES 34662794 ROU ASSET FOR OPERATING LEASES 151363172 OTHER ASSETS 4335859 712696925 0 THIRD-PARTY SETTLEMENTS 13048656 INSURANCE LIABILITIES 14223486 OPERATING LEASE LIAB. - NONCURRENT 93409068 OTHER LIABILITIES 11857662 132538872 X SCHEDULE D, PART III, LINE 4 DESCRIPTION OF THE ORGANIZATION'S COLLECTIONS: THE ORGANIZATION HAS ARTWORK BEING DISPLAYED IN PUBLIC PLACES OF THE MEDICAL FACILITY FOR DECORATIVE PURPOSES. SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS AE BENNETT COMMUNITY ENDOWMENT - EARNINGS TO BE USED FOR MENTAL HEALTH, PSYCHOLOGY AND NEUROLOGY PROGRAMS IN THE EAST BAY, AE BENNETT COMMITTEE. BEGEN FAMILY ENDOWMENT - INCOME IS TO BE USED FOR THE GENERAL NEEDS OF ALTA BATES SUMMIT MEDICAL CENTER. Bernard and Laura LOPEZ ENDOWMENT - INCOME IS FOR THE GENERAL SUPPORT OF THE NEWBORN INTENSIVE CARE UNIT. Benioff Lecture Fund Endowment - Earnings support a lectureship series. BENIOFF MEMORIAL ENDOWMENT FUND - PROVIDE A LECTURESHIP IN PERPETUITY THROUGH AN ENDOWMENT. CADENASSO FAMILY ENDOWMENT - INCOME FROM ENDOWMENT IS FOR UNRESTRICTED PURPOSES OF ALTA BATES SUMMIT MEDICAL CENTER. CLOROX CAPITAL ENDOWMENT FUND - INCOME IS TO BE USED FOR CAPITAL EQUIPMENT. DENICOLAI RESEARCH ENDOWMENT - INCOME IS FOR THE GENERAL USE OF REDI (RESEARCH & EDUCATION INSTITUTE). ELAINE MAKAROUNIS ENDOWMENT - TO BE USED FOR CANCER CARE PROGRAMS AND SERVICES. EVELYN STRODE & RALPH A VAN ORSDEL MEMORIAL ENDOWMENT - TO BENEFIT THE ABSMC EMERGENCY DEPARTMENT. HAAS FAMILY QUASI-ENDOWMENT - UNRESTRICTED. HENRY & ELSIE CLAY ENDOWMENT - TO SUPPORT ALTA BATES HOSPITAL IN THE DIAGNOSIS, PREVENTION, AND TREATMENT OF DISEASE. James Condon ENDOWMENT - UNRESTRICTED. JAY ADAMS ENDOWMENT - INCOME IS FOR PALLIATIVE CARE PROGRAMS TO HELP ALLEVIATE THE PAIN AND SUFFERING OF PATIENTS. LIBBEY ENDOWMENT - EARNINGS TO BE USED TO SUPPORT THE PRIORITY NEEDS OF SUTTER DELTA MEMORIAL HOSPITAL. MAKAROUNIS PERM ENDOWMENT - TO PROVIDE CANCER CARE PROGRAMS AND SERVICES. MARION ROSS ENDOWMENT - EARNINGS TO BE USED TO FUND THE CARDIOLOGY PROGRAM AT ALTA BATES. MARKSTEIN ENDOWMENT FUND - INCOME IS FOR MARKSTEIN CANCER EDUCATION AND PREVENTION PROGRAM TO BE USED FOR PROGRAMS, SERVICES, AND EQUIPMENT. OCKELS FAMILY ENDOWMENT - UNRESTRICTED. PROVIDENCE QUASI ENDOWMENT - INCOME TO BE USED FOR PASTORAL CARE, ELDER CARE (I.E. ADULT DAY, LIFELINE), AND ETHICS EDUCATION. SEIM FAMILY ENDOWMENT - UNRESTRICTED. SOUTH UNIT ENDOWMENT FUND - FOR THE GENERAL NEEDS OF THE 5 SOUTH UNIT (EXCLUDING SALARIES). SWEETLAND EDUCATIONAL ENDOWMENT FUND - DRUG EDUCATION FOR CHILDREN AND ADOLESCENT PATIENTS. TURNLEY FAMILY ENDOWMENT - GENERAL NEEDS OF THE ALTA BATES SUMMIT MEDICAL CENTER. WALL HELP - FOR SUPPORT OF CHILDREN'S HOSPICE NEEDS IN BERKELEY. HENRY B. LASKY ENDOWMENT - EARNINGS ARE TO BE USED EQUALLY (SPLIT 50/50) FOR THE GENERAL PURPOSES OF THE CANCER SUPPORT SERVICES PROGRAM AND FOR THE GENERAL PURPOSES OF THE GROVE AT SUTTER SANTA ROSA REGIONAL HOSPITAL. DOZIER ENDOWMENT - UNRESTRICTED. EARL FOGELBERG, MD ENDOWMENT: PERMANENT ENDOWMENT, EARNINGS FROM THE EARL FOGLEBERG, MD ENDOWMENT ARE TO BE USED FOR CANCER TRIALS AND TREATMENT. ALL OTHER ENDOWMENTS ARE HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER BAY HOSPITALS. 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 2021 through 2023 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, 2024 and 2023. GOLF BENEFIT 535250 345250 190000 0 0 137855 5350 2225 11166 CATWALK 2024 450752 347920 102832 0 0 59972 22605 12476 38138 3 428201 342686 85515 0 1670 56155 783 61181 26839 1414203 1035856 378347 0 1670 253982 28738 75882 76143 436415 -58068 N/A N/A 2300 River Plaza Drive SACRAMENTO CA 95833 true true X true X 400. true false true true 41119657 41119657 0.00730 1340316664 970234314 370082350 0.06540 58044481 27003965 31040516 0.00550 1439480802 997238279 442242523 0.07820 76 10175 7827732 472208 7355524 0.00130 5 2 61568431 8916705 52651726 0.00930 31 7 57375823 29349811 28026012 0.00500 1 0 37252950 29127409 8125541 0.00140 92 2903 21220049 17064 21202985 0.00370 205 13087 185244985 67883197 117361788 0.02070 205 13087 1624725787 1065121476 559604311 0.09890 false 1040299076 1317962483 -277663407 X true true SF ENDOSCOPY LLC MEDICAL SERVICES 0.51 0.0 0.472 EHC SURG CNTR LLC MEDICAL SERVICES 0.5356 0.0 0.3786 SURGERY CENTER ABSMC MEDICAL SERVICES 0.5193 0.0 0.4036 DIVISADERO HLDN LLC HOLDING COMPANY 0.51 0.0 0.49 15 1 ALTA BATES CAMPUS 2450 ASHBY AVENUE BERKELEY CA 94705 WWW.ALTABATESSUMMIT.ORG 140000004 X X X C 2 ALTA BATES Summit Medical Center 350 Hawthorne Avenue Oakland CA 94609 WWW.ALTABATESSUMMIT.ORG 140000284 X X X C 3 CPMC - VAN NESS CAMPUS 1101 VAN NESS AVENUE SAN FRANCISCO CA 94109 WWW.CPMC.ORG 220000197 X X X A 4 MILLS-PENINSULA MEDICAL CENTER 1501 TROUSDALE DRIVE BURLINGAME CA 94010 WWW.MILLS-PENINSULA.ORG 220000037 X X X OUTPATIENT SERVICES B 5 CPMC - DAVIES CAMPUS 601 DUBOCE AVENUE SAN FRANCISCO CA 94117 WWW.CPMC.ORG 220000197 X X X A 6 SUTTER DELTA MEDICAL CENTER 3901 LONE TREE WAY ANTIOCH CA 94509 WWW.SUTTERDELTA.ORG 140000258 X X X C 7 EDEN MEDICAL CENTER 20103 LAKE CHABOT ROAD CASTRO VALLEY CA 94546 WWW.EDENMEDICALCENTER.ORG 140000030 X X X OUTPATIENT SERVICES 8 SUTTER SANTA ROSA REGIONAL HOSPITAL 30 MARK WEST SPRINGS ROAD SANTA ROSA CA 954031707 WWW.SUTTERSANTAROSA.ORG 110000005 X X X 9 CPMC - MISSION BERNAL CAMPUS 3555 CESAR CHAVEZ STREET SAN FRANCISCO CA 94110 www.altabatessummit.org 220000070 X X X A 10 ALTA BATES - HERRICK CAMPUS 2001 DWIGHT WAY BERKELEY CA 94704 WWW.ALTABATESSUMMIT.ORG 140000004 X C 11 MILLS HEALTH CENTER 100 SOUTH SAN MATEO DRIVE SAN MATEO CA 94401 WWW.MILLS-PENINSULA.ORG 220000037 X X OUTPATIENT SERVICES B 12 NOVATO COMMUNITY HOSPITAL 180 ROWLAND WAY NOVATO CA 94945 WWW.NOVATOCOMMUNITY.ORG 110000375 X X X 13 SUTTER LAKESIDE HOSPITAL 5176 HILL ROAD LAKEPORT CA 95453 WWW.SUTTERLAKESIDE.ORG 110000094 X X X X 14 SUTTER MATERNITY & SURGERY SANTA CRUZ 2900 CHANTICLEER AVENUE SANTA CRUZ CA 95065 WWW.SUTTERSANTACRUZ.ORG 070000399 X X OUTPATIENT SERVICES B 15 MPI CHEMICAL DEPENDENCY RECOVERY HOSP 3012 SUMMIT STREET OAKLAND CA 94609 WWW.ALTABATESSUMMIT.ORG/MPI 130000232 X C A false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false B false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false C false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false Eden Medical Center 7 false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false SUTTER SANTA ROSA REGIONAL HOSPITAL 8 false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false NOVATO COMMUNITY HOSPITAL 12 false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false SUTTER LAKESIDE HOSPITAL 13 false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 400. 0. X X true true X X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false REPORTING GROUP: A (3, 5, & 9) Part V, Line 3e The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. SCHEDULE H, PART V, LINE 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A, 3, 5, & 9): IN CONDUCTING ITS MOST RECENT CHNA, CALIFORNIA PACIFIC MEDICAL CENTER, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. FOCUS GROUPS WERE CONDUCTED THAT INCLUDED INDIVIDUALS FROM COALITION ORGANIZATIONS REPRESENTING THE ASIAN, BLACK, INDIGENOUS, LATINX, AND PACIFIC ISLANDER COMMUNITIES IN SAN FRANCISCO. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM ORGANIZATIONS SERVING THE FOLLOWING SAN FRANCISCO COUNTY POPULATIONS: UNDERSERVED, LOW-INCOME, UNHOUSED, CHILDREN/YOUTH/FAMILIES, DIVERSE RACIAL/ETHNIC COMMUNITIES, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, SENIORS, PEOPLE WITH DISABILITIES, VIOLENCE SURVIVORS, AND PEOPLE WITH HIV/AIDS. COMMUNITY INPUT WAS OBTAINED BETWEEN JULY and December OF 2021. As part of the primary qualitative data collection process for the 2022 CHNA, focus groups were conducted with the following five groups in order to identify the community's strengths, health needs, and suggested solutions: . AFRICAN AMERICAN HEALTH EQUITY COALITION . ASIAN & PACIFIC ISLANDER HEALTH PARITY COALITION . CHICANO/LATINO/INDGENA HEALTH EQUITY COALITION . FUNDERS (INCLUDING BLUE SHIELD OF CALIFORNIA FOUNDATION, CALIFORNIA HEALTHCARE FOUNDATION, HIRSCH PHILANTHROPY PARTNERS, METTA FUND, NORTHERN CALIFORNIA GRANTMAKERS, THE CALIFORNIA WELLNESS FOUNDATION, AND ZELLERBACH FAMILY FOUNDATION) . INSURERS (INCLUDING ANTHEM, BLUE SHIELD, CANOPY HEALTH, KAISER PERMANENTE, SAN FRANCISCO HEALTH PLAN) The CHNA also utilized key informant interviews conducted by Kaiser Permanente with people from the following 15 organizations: . BAYVIEW YMCA . COMPASS FAMILY SERVICES . GLIDE FOUNDATION . HUCKLEBERRY YOUTH PROGRAMS . KAISER PERMANENTE - GREATER SAN FRANCISCO . LA CASA DE LAS MADRES . LAVENDER YOUTH RECREATION CENTER (LYRIC) . MISSION ECONOMIC DEVELOPMENT AGENCY . NORTH EAST MEDICAL SERVICES (NEMS) . ON LOK 30TH STREET SENIOR CENTER . RICHMOND AREA MULTI-SERVICES, INC. (RAMS) . SAN FRANCISCO AIDS FOUNDATION . SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH . SAN FRANCISCO HUMAN RIGHTS COMMISSION . SAN FRANCISCO UNIFIED SCHOOL DISTRICT FURTHER DETAILS ON THE METHODS AND FINDINGS ARE AVAILABLE IN THE 2022 CHNA AT https://www.sutterhealth.org/about-us/community-benefit/community-health needs-assessment. SCHEDULE H, PART V, LINE 6A & 6B CHNA HOSPITAL COLLABORATORS: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A: 3, 5, & 9): CPMC PARTICIPATES IN A COLLECTIVE NEEDS ASSESSMENT PROCESS AS A MEMBER OF THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), A COLLABORATIVE BODY WHOSE MISSION IS TO IMPROVE COMMUNITY HEALTH AND WELLNESS IN SAN FRANCISCO THROUGH COLLECTIVE IMPACT. SFHIP IS COMPRISED OF MISSION-DRIVEN ANCHOR INSTITUTIONS, HEALTH EQUITY COALITIONS, THE SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH (SFDPH), FUNDERS, AND EDUCATIONAL, FAITH-BASED, HEALTHCARE, AND OTHER SERVICE PROVIDER NETWORKS AND INSTITUTIONS. THE 2022 CHNA PROCESS WAS FACILITATED BY HARDER+COMPANY COMMUNITY RESEARCH, AN INDEPENDENT CALIFORNIA-BASED EVALUATION COMPANY WITH EXPERTISE IN COMMUNITY PARTICIPATION. THE ORIGINAL 2022 CHNA DOCUMENT COLLECTIVELY DEVELOPED BY SFHIP AND PREPARED BY HARDER+COMPANY COMMUNITY RESEARCH CAN BE FOUND AT HTTP://WWW.SFHIP.ORG/. MEMBERSHIP IN SFHIP INCLUDES: . AFRICAN AMERICAN HEALTH EQUITY COALITION . ASIAN AND PACIFIC ISLANDER HEALTH PARITY COALITION . CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION . CHINESE HOSPITAL . DIGNITY HEALTH SAINT FRANCIS MEMORIAL HOSPITAL . DIGNITY HEALTH ST. MARY'S MEDICAL CENTER . INSTITUTO FAMILIAR DE LA RAZA . KAISER PERMANENTE . RAFIKI COALITION . RICHMOND AREA MULTI-SERVICES, INC. . SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM . SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH . SAN FRANCISCO HUMAN SERVICES NETWORK . SAN FRANCISCO UNIFIED SCHOOL DISTRICT . SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER . UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHEDULE H, PART V, LINE 7A, 7B, 10A CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A: 3, 5, & 9): CHNA and implementation strategy AVAILABILITY ONLINE: HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.CPMC.ORG/ABOUT/COMMUNITY/COMMUNITY- NEEDS-ASSESSMENT.HTML OTHER WEBSITE: https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment. SCHEDULE H, PART V, LINE 11 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A: 3, 5, & 9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT CPMC INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: . ACCESS TO CARE . BEHAVIORAL HEALTH . ECONOMIC OPPORTUNITY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. ALTHOUGH NO HOSPITAL CAN ADDRESS ALL ASPECTS OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, CPMC PLANS TO ADDRESS ALL THREE OF THE HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA. AS A MEMBER OF THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), CPMC WILL CONTINUE TO WORK IN COLLABORATION WITH OTHER LOCAL HOSPITALS AND HEALTH PLANS TO IDENTIFY GAPS IN SERVICE AND TO DETERMINE WHERE EFFORTS SHOULD BE COLLECTIVELY REDIRECTED IN ORDER TO MOST EFFECTIVELY IMPROVE THE HEALTH OF SAN FRANCISCO RESIDENTS. FOR MORE INFORMATION ABOUT SFHIP, PLEASE VISIT WWW.SFHIP.ORG. SCHEDULE H, PART V, LINE 15e CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A: 3, 5, & 9): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A: 3, 5, & 9): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16j CALIFORNIA PACIFIC MEDICAL (REPORTING GROUP A: 3, 5, & 9): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22d AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. MILLS PENINSULA MEDICAL CENTER REPORTING GROUP B (4, 11, AND 14) Part V, Line 3e The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. Part V, Line 5 CHNA INPUT FROM KEY ADVISORS REPRESENTING BROAD COMMUNITY INTERESTS: MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B: 4 & 11): IN CONDUCTING ITS MOST RECENT CHNA, MILLS-PENINSULA MEDICAL CENTER DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. LISTED BELOW ARE THE Organizations and individuals serving the MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS WHO provided input: low-income medically underserved - avenidas (senior health needs) - ravenswood family health network (oral health) - san mateo county health (public health) - san mateo county health (maternal/teen health) - roots community health center - San mateo medical center - rotacare free clinics - san mateo medical center - gardner health services low-income medicall underserved minority - Puente de la costa sur (coastside health needs) medically underserved minority - San Mateo County Pride Center (lgbtq+ health needs) - stanford department of psychiatry and behavioral sciences - ravenswodd family health network - dignity health - sequoia hospital - california air resources board/bay area air quality management district - bay area community health advisory council - unity care group low-income - San Mateo county human services agency (basic needs) - Legal aid society of san mateo (social deteriminants of health) - first 5 san amteo county - coastside hope - san mateo department of housing - boys & girls club of the coastside - daly city community service center - samaritan house - puente de la costa sur - second harvest of silicon valley - ymca community resource center medically undersErved - starvista - caminar - san mateo county health - stanford health Care - peninsula family services - community overcoming relationship abuse - edgewood center for children and families - CASa of san mateo county ACTIONABLE INSIGHTS (AI) CONDUCTED PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH AND COMMUNITY-SERVICE EXPERTS, AND FOCUS GROUPS WITH COMMUNITY RESIDENTS, AND FOCUS GROUPS WITH PEOPLE WHO SERVE RESIDENTS. AI RECORDED EACH INTERVIEW AND FOCUS GROUP AS A STANDALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, THEN THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. THE HCC USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AI SOLICITED INPUT FROM MORE THAN 100 COMMUNITY MEMBERS, COMMUNITY LEADERS, COMMUNITY REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. THIS IS A PARTIAL LIST OF FOCUS GROUP PARTICIPATING ORGANIZATIONS. - STARVISTA - CAMINAR - SAN MATEO COUNTY HEALTH - PENINSULA FAMILY SERVICES - ROTACARE FREE CLINICS - RAVENSWOOD FAMILY HEALTH NETWORK - SAN MATEO MEDICAL CENTER - SAMARITAN HOUSE BETWEEN MARCH AND APRIL 2021, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 9 SAN MATEO COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED THE DEPUTY CHIEF OF THE COUNTY HEALTH SYSTEM, COMMUNITY CLINIC MANAGERS, AND CLINICIANS. INTERVIEWS WERE CONDUCTED VIA ZOOM FOR APPROXIMATELY ONE HOUR. PARTICIPANTS WERE ASKED TO COMPLETE A SHORT ONLINE SURVEY PRIOR TO EACH INTERIVIEW. AI ASKED INFORMANTS: - HOW DO YOU SEE THIS NEED PLAYING OUT IN THE COMMUNITY? - WHICH POPULATIONS ARE EXPERIENCING INEQUITIES WITH RESPECT TO THIS NEED? - HOW HAS THIS NEED CHANGED IN THE PAST FEW YEARS; HOW WERE THINGS GOING PRIOR TO THE PANDEMIC, AND HOW ARE THEY GOING NOW? - WHAT IS NEEDED (INCLUDING MODELS/BEST PRACTICES) TO BETTER ADDRESS THIS NEED? SEVEN FOCUS GROUPS IN SAN MATEO AND SANTA CLARA COUNTIES WERE CONDUCTED WITH A TOTAL OF 77 PROFESSIONALS AND COMMUNITY LEADERS FROM APRIL TO JUNE 2021. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANTS. NONPROFIT HOSTS, SUCH AS SAMARITAN HOUSE AND BAY AREA COMMUNIY HEALTH ADVISORY COUNCIL, RECRUITED PARTICIPANTS FOR THE GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY IT SERVES IN SAN MATEO COUNTY, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION. A TOTAL OF 77 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSIONS ACROSS SAN MATEO COUNTY AND SANTA CLARA COUNTY. AI ASKED ALL PARTICIPANTS TO COMPLETE AN ANONYMOUS DEMOGRAPHIC SURVEY. THE RESULTS: - 45 PERCENT WERE WHITE, 25 PERCENT WERE ASIAN, 15 PERCENT WERE AFRICAN ANCESTRY, AND THE REST WERE OF MULTIPLE ETHNICITIES. - 7 PERCENT OF RESPONDENTS WERE AGE 35 OR YOUNGER, AND 10 PERCENT WERE AGE 65 OR OLDER. - 69 PERCENT WERE FEMALE AND 31 PERCENT WERE MALE THE FINDINGS IN MILLS PENINSULA MEDICAL CENTER'S CHNA ARE AVAILABLE AT https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment. SUTTER MATERNITY & SURGERY CENTER, SANTA CRUZ (REPORTING GROUP B: 14): SUTTER MATERNITY & SURGERY CENTER SANTA CRUZ (SMSC), A FACILITY OF MPMC, CONTRACTED WITH ACTIONABLE INSIGHTS (AI) TO COLLECT AND REVIEW SECONDARY QUANTITATIVE (STATISTICAL) DATA FROM OTHER SOURCES AND PRIMARY QUALITATIVE DATA THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. ACTIONABLE INSIGHTS CONDUCTED PRIMARY RESEARCH FOR THIS ASSESSMENT. AI USED TWO STRATEGIES FOR COLLECTING COMMUNITY INPUT: KEY INFORMANT INTERVIEWS WITH HEALTH AND COMMUNITY-SERVICE EXPERTS AND FOCUS GROUPS WITH PROFESSIONALS AND COMMUNITY MEMBERS. PRIMARY RESEARCH PROTOCOLS WERE GENERATED BY AI IN COLLABORATION WITH SMSC, BASED ON A DISCUSSION WITH SMSC ABOUT WHAT IT WISHED TO LEARN DURING THE 2022 CHNA. SMSC SOUGHT TO BUILD UPON PRIOR CHNAS BY FOCUSING THE PRIMARY RESEARCH ON THE COMMUNITY'S PERCEPTIONS OF MENTAL HEALTH AND HOUSING AND HOMELESSNESS, AS WELL AS ITS EXPERIENCE WITH HEALTH CARE ACCESS AND DELIVERY. ALL THREE ISSUES WERE IDENTIFIED AS A MAJOR HEALTH NEEDS IN 2019. RELATIVELY LITTLE TIMELY QUANTITATIVE DATA EXISTS ON THESE SUBJECTS. AI RECORDED EACH INTERVIEW AND FOCUS GROUP AS A STANDALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AFTER WHICH THE TEAM USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. SMSC USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, AI SOLICITED INPUT FROM 26 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN A COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS PARTICIPATED IN FOCUS GROUPS AND/OR KEY INFORMANT INTERVIEWS. LISTED BELOW ARE THE Organizations and individuals serving the MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS WHO provided input: LOW-INCOME, MEDICALLY UNDERSERVED - SANTA CRUZ COMMUNTIY HEALTH (NORTH COUNTY) - CENTRAL CALIFORNIA ALLIANCE FOR HEALTH (HEALTH PLAN) - SALUD PARA LA GENTE (SOUTH COUNTY) MEDICALLY UNDERSERVED - ENCOMPASS COMMUNTIY SERVICES (BEHAVIORAL HEALTH) - JANUS OF SANTA CRUZ (BEHAVIORAL HEALTH) LOW-INCOME, MINORITY - COMMUNITY BRIDGES - LA MANZANA COMMUNITY RESOURCES - COMMUNITY ACTION BOARD OF SANTA CRUZ COUNTY, INC SANTA CRUZ COMMUNITY HEALTH ENCOMPASS COMMUNTIY SERVICES CENTRAL CALIFORNIA ALLIANCE FOR HEALTH SALUD PARA LA GENTE HOUSING MATTERS HEALTH SERVICES AGENCY, COUNTY OF SANTA CRUZ COMMUNITY BRIDGES COMMUNITY ACTION BOARD OF SANTA CRUZ COUNTY KEY INFORMANT INTERVIEWS IN SEPTEMBER 2021, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH SEVEN SANTA CRUZ COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED THE DIRECTOR OF THE COUNTY HEALTH SYSTEM AND LEADERS OF COMMUNITY-BASED ORGANIZATIONS. INTERVIEWS WERE CONDUCTED VIA ZOOM FOR APPROXIMATELY ONE HOUR. PRIOR TO EACH INTERVIEW, PARTICIPANTS WERE ASKED TO COMPLETE A SHORT ONLINE SURVEY AND ASKED TO IDENTIFY UP TO THREE NEEDS FROM A LIST OF NEEDS PRESENTED TO THEM. AI ASKED INFORMANTS: - HOW DO YOU SEE THIS NEED PLAYING OUT IN THE COMMUNITY? WHAT DIFFERENCES, IF ANY, DO YOU SEE BETWEEN NORTH AND SOUTH COUNTY? - WHICH POPULATIONS ARE EXPERIENCING INEQUITIES WITH RESPECT TO THIS NEED? - HOW HAS THIS NEED CHANGED IN THE PAST FEW YEARS, HOW WER REPORTING GROUP: C (1-2, 6, 10, & 15) Part V, Line 3e The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. Part V, Line 5 ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C: 1-2, 10, & 15): IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ALTA BATES SUMMIT MEDICAL CENTER (ABSMC), A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT (PRIMARY DATA) WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. FORTY-THREE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM ORGANIZATIONS SERVING THE FOLLOWING ALAMEDA COUNTY POPULATIONS: CHILDREN/YOUTH/FAMILIES, COMMUNITIES OF COLOR, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, OLDER ADULTS, PEOPLE WITH DISABILITIES, UNHOUSED, AND VIOLENCE SURVIVORS. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: Association of Bay Area Governments, ABode Services, Alameda County Public Health Department, Afghan Coalition, Alameda County Community Food Bank, Alameda County Sheriff's Department, Alameda County Transportation Commission, ALL IN Alameda County, Asian Pacific Environmental Network (APEN) and Greenlining, Asian Health Services, Bay Area Community Health Center/Tiburcio Vasquez Health Center, Building Opportunities for Self-Sufficiency (BOSS), Castro Valley/Hayward/San Leandro/Fremont Unified School Districts, Community Clinic Consortium/Alameda Health Consortium/Federally Qualified Health Centers (La Clnica de la Raza, Lifelong, Axis Community Health Center), Daily Bowl, Day Break Adult Day Center and Alameda County Age-friendly Coalition, East Bay Asian Local Development Corporation (EBALDC)/Berkeley Food and Housing Project (BFHP)/Bay Area Community Services (BACS), East Oakland Collective, Eden Housing Resident Services, Inc., Family Support Services, Fred Finch Youth Center and Lincoln, Health Care Services Agency (HCSA) Office of Homeless Care and Coordination and Everyone Home, HOPE Collaborative, Horizon Services, Project Eden, Latina Center, Livermore Valley Unified School District, National Alliance on Mental Illness (NAMI), Oakland Unified School District, Ombudsman/Empowered Aging, Open Heart Kitchen, Pacific Center for Human Growth, Partnership for Trauma Recovery, Planting Justice, Rubicon, Roots Health Center, Side by Side (TAY), Sparkpoint, St. Vincent de Paul RotaCare Clinic Pittsburg, Tri-Valley Haven, Union City Family Center and Fremont Family Resource Center, Unity Council, Urban Peace Movement, Youth Alive!. TEN FOCUS GROUPS WERE CONDUCTED WITH ALAMEDA COUNTY RESIDENTS FROM UNDERSERVED, LOW-INCOME, SENIOR, UNHOUSED, LGBTQIA+, AND DIVERSE RACIAL/ETHNIC COMMUNITIES (VIETNAMESE, CANTONESE, BLACK/AFRICAN AMERICAN, INDIGENOUS, AND LATINX). COMMUNITY INPUT WAS OBTAINED DURING THE SUMMER AND FALL OF 2021. THE 2022 CHNA WAS A COLLABORATIVE EFFORT OF NONPROFIT HOSPITALS SERVING ALAMEDA AND CONTRA COSTA COUNTIES. AD LUCEM CONSULTING COMPLETED ABSMC'S CHNA. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED BY ASR, THE CONSULTANT HIRED BY KAISER PERMANENTE ALAMEDA AND CONTRA COSTA SERVICE AREAS TO PREPARE THEIR 2022 CHNAS. ASR DELIVERED A SPREADSHEET CONTAINING INDIVIDUAL INTERVIEWEE RESPONSES AND KEY THEMES TO AD LUCEM CONSULTING. THE THEMES WERE FURTHER ANALYZED AND SUMMARIZED BY AD LUCEM CONSULTING. FOCUS GROUPS WERE CONDUCTED BY THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT. FOCUS GROUP RECORDINGS WERE TRANSCRIBED, TRANSLATED INTO ENGLISH AS NEEDED, AND DELIVERED TO AD LUCEM CONSULTING FOR ANALYSIS. FURTHER DETAILS ON THE METHODS AND FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN ABSMC'S CHNA ARE AVAILABLE AT https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C: 6): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER DELTA MEDICAL CENTER (SDMC) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT (PRIMARY DATA) WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. THIRTY-TWO KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM ORGANIZATIONS SERVING THE FOLLOWING CONTRA COSTA COUNTY POPULATIONS: CHILDREN/YOUTH/FAMILIES, COMMUNITIES OF COLOR, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, OLDER ADULTS, PEOPLE WITH DISABILITIES, UNHOUSED, AND VIOLENCE SURVIVORS. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: Association of Bay Area Government, Antioch/Brentwood/Pittsburg Unified School Districts, Asian Pacific Environmental Network (APEN) & Greenlining, Contra Costa County Employment and Human Services, Contra Costa Health Services - Health Care for the Homeless, CoCoKids, Community Clinic Consortium/Alameda Health Consortium/FQHCs (La Clnica de la Raza, Lifelong, Axis Community Health Center), Contra Costa County Transportation Commission, Contra Costa Family Justice Center Department of Conservation and Development, East Bay Asian Local Development Corporation (EBALDC)/Berkeley Food and Housing Project (BFHP)/Bay Area Community Services (BACS), Eden Housing Resident Services, Inc., Ensuring Opportunity, Food Bank of Contra Costa & Solano, Fred Finch Youth Center & Lincoln, Healthy Richmond, Latina Center, Loaves & Fishes of Contra Costa, Monument Crisis Center, National Alliance on Mental Illness (NAMI), Ombudsman/Empowered Aging, Opportunity Junction, Partnership for Trauma Recovery, Rainbow Community Center, Rubicon, Shelter, Inc., Sparkpoint, St. Vincent de Paul RotaCare Clinic Pittsburg, Contra Costa County Behavioral Health, STAND!, Unity Council, Village Community Resource Center (VCRC). NINE FOCUS GROUPS WERE CONDUCTED WITH CONTRA COSTA COUNTY RESIDENTS; PARTICIPANTS WERE BLACK/AFRICAN AMERICAN, LATINX, AND ADULTS OVER THE AGE OF 65 FROM UNDERSERVED, LOW-INCOME, AND DIVERSE RACIAL/ETHNIC COMMUNITIES. COMMUNITY INPUT WAS OBTAINED DURING THE SUMMER AND FALL OF 2021. THE 2022 CHNA WAS A COLLABORATIVE EFFORT OF NONPROFIT HOSPITALS SERVING ALAMEDA AND CONTRA COSTA COUNTIES. AD LUCEM CONSULTING COMPLETED SDMC'S CHNA. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED BY ASR, THE CONSULTANT HIRED BY KAISER PERMANENTE ALAMEDA AND CONTRA COSTA SERVICE AREAS TO PREPARE THEIR 2022 CHNAS. ASR DELIVERED A SPREADSHEET CONTAINING INDIVIDUAL INTERVIEWEE RESPONSES AND KEY THEMES TO AD LUCEM CONSULTING. THE THEMES WERE FURTHER ANALYZED AND SUMMARIZED BY AD LUCEM CONSULTING. FOCUS GROUPS WERE CONDUCTED BY CONTRA COSTA HEALTH SERVICES. FOCUS GROUP RECORDINGS WERE TRANSCRIBED, TRANSLATED INTO ENGLISH AS NEEDED, AND DELIVERED TO AD LUCEM CONSULTING FOR ANALYSIS. FURTHER DETAILS ON THE METHODS AND FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SDMC'S CHNA ARE AVAILABLE AT https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment. Part V, Line 6a ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C: 1-2, 10, & 15) ALTA BATES SUMMIT MEDICAL CENTER WAS PART OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP THAT WORKED WITH THE FOLLOWING PARTNERS: JOHN MUIR HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, UCSF BENIOFF CHILDREN'S HOSPITALS. OTHER PARTNERS INCLUDED KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, AND CONTRA COSTA HEALTH SERVICES. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C: 6) SUTTER DELTA MEDICAL CENTER WAS PART OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP THAT WORKED WITH THE FOLLOWING PARTNERS: JOHN MUIR HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, UCSF BENIOFF CHILDREN'S HOSPITALS. OTHER PARTNERS INCLUDED KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, AND CONTRA COSTA HEALTH SERVICES. Part V, Line 7a, 7b, 10a ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C: 1-2, 10, & 15): CHNA and implementation strategy AVAILABILITY ONLINE: HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.ALTABATESSUMMIT.ORG/ABOUT/COMMUNITYBENEFIT/COMMUNITY-ASSESSMENT .HTML OTHER WEBSITE: https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C: 6): HOSPITAL FACILITY WEBSITE: HTTP://WWW.SUTTERDELTA.ORG/ABOUT/COMMUNITY-NEED.HTML OTHER WEBSITE: https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment Part V, Line 11 ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C: 1-2, 10, & 15): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT ALTA BATES SUMMIT MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - BEHAVIORAL HEALTH - HOUSING AND HOMELESSNESS - HEALTHCARE ACCESS AND DELIVERY DESCRIPTIONS OF THE COMMUNITY BENEFIT PRO REPORTING FACILITY: #7, EDEN MEDICAL CENTER Part V, Line 3e The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. Part V, Line 5 Eden Medical Center (Reporting Facility #7) IN CONDUCTING ITS MOST RECENT CHNA, EDEN MEDICAL CENTER (EMC) DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT (PRIMARY DATA) WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. FORTY-THREE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM ORGANIZATIONS SERVING THE FOLLOWING ALAMEDA COUNTY POPULATIONS: CHILDREN/YOUTH/FAMILIES, COMMUNITIES OF COLOR, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, OLDER ADULTS, PEOPLE WITH DISABILITIES, UNHOUSED, AND VIOLENCE SURVIVORS. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: Association of Bay Area Governments, Abode Services, Alameda County Public Health Department, Afghan Coalition, Alameda County Community Food Bank, Alameda County Sheriff's Department, Alameda County Transportation Commission, ALL IN Alameda County, Asian Pacific Environmental Network (APEN) and Greenlining, Asian Health Services, Bay Area Community Health Center/Tiburcio Vasquez Health Center, Building Opportunities for Self-Sufficiency (BOSS), Castro Valley/Hayward/San Leandro/Fremont Unified School Districts, Community Clinic Consortium/Alameda Health Consortium/Federally Qualified Health Centers (La Clnica de la Raza, Lifelong, Axis Community Health Center), Daily Bowl, Day Break Adult Day Center and Alameda County Age-friendly Coalition, East Bay Asian Local Development Corporation (EBALDC)/Berkeley Food and Housing Project (BFHP)/Bay Area Community Services (BACS), East Oakland Collective, Eden Housing Resident Services, Inc., Family Support Services, Fred Finch Youth Center and Lincoln, Health Care Services Agency (HCSA) Office of Homeless Care and Coordination and Everyone Home, HOPE Collaborative, Horizon Services, Project Eden, Latina Center, Livermore Valley Unified School District, National Alliance on Mental Illness (NAMI), Oakland Unified School District, Ombudsman/Empowered Aging, Open Heart Kitchen, Pacific Center for Human Growth, Partnership for Trauma Recovery, Planting Justice, Rubicon, Roots Health Center, Side by Side (TAY), Sparkpoint, St. Vincent de Paul RotaCare Clinic Pittsburg, Tri-Valley Haven, Union City Family Center and Fremont Family Resource Center, Unity Council, Urban Peace Movement, Youth Alive!. TEN FOCUS GROUPS WERE CONDUCTED WITH ALAMEDA COUNTY RESIDENTS FROM UNDERSERVED, LOW-INCOME, SENIOR, UNHOUSED, LGBTQIA+, AND DIVERSE RACIAL/ETHNIC COMMUNITIES (VIETNAMESE, CANTONESE, BLACK/AFRICAN AMERICAN, INDIGENOUS, AND LATINX). COMMUNITY INPUT WAS OBTAINED DURING THE SUMMER AND FALL OF 2021. THE 2022 CHNA WAS A COLLABORATIVE EFFORT OF NONPROFIT HOSPITALS SERVING ALAMEDA AND CONTRA COSTA COUNTIES. AD LUCEM CONSULTING COMPLETED EMC'S CHNA. THE KEY INFORMANT INTERVIEWS WERE CONDUCTED BY ASR, THE CONSULTANT HIRED BY KAISER PERMANENTE ALAMEDA AND CONTRA COSTA SERVICE AREAS TO PREPARE THEIR 2022 CHNAS. ASR DELIVERED A SPREADSHEET CONTAINING INDIVIDUAL INTERVIEWEE RESPONSES AND KEY THEMES TO AD LUCEM CONSULTING. THE THEMES WERE FURTHER ANALYZED AND SUMMARIZED BY AD LUCEM CONSULTING. FOCUS GROUPS WERE CONDUCTED BY THE ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT. FOCUS GROUP RECORDINGS WERE TRANSCRIBED, TRANSLATED INTO ENGLISH AS NEEDED, AND DELIVERED TO AD LUCEM CONSULTING FOR ANALYSIS. FURTHER DETAILS ON THE METHODS AND FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN EMC'S CHNA ARE AVAILABLE AT https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment. Part V, Line 6 EDEN MEDICAL CENTER (REPORTING FACILITY #7): EDEN MEDICAL CENTER WAS PART OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP THAT WORKED WITH THE FOLLOWING PARTNERS: JOHN MUIR HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, UCSF BENIOFF CHILDREN'S HOSPITALS. OTHER PARTNERS INCLUDED KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, AND CONTRA COSTA HEALTH SERVICES. Part V, Lines 7a, 7b, 10a CHNA and implementation strategy AVAILABILITY ONLINE: HOSPITAL FACILITY'S WEBSITE: EDEN MEDICAL CENTER (REPORTING FACILITY #7): https://www.sutterhealth.org/eden/for-patients/community-health-needs- assessment OTHER WEBSITE: https://www.sutterhealth.org/about-us/community-benefit/community- health-Needs-assessment Part V, Line 11 EDEN MEDICAL CENTER (REPORTING FACILITY #7): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT EDEN MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - BEHAVIORAL HEALTH - HOUSING AND HOMELESSNESS - EDUCATION DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. EDEN MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: - COMMUNITY AND FAMILY SAFETY - FOOD SECURITY - ECONOMIC SECURITY - DISMANTLING STRUCTURAL RACISM - HEALTHCARE ACCESS AND DELIVERY EDEN MEDICAL CENTER WILL FOCUS ON THE TOP THREE HEALTH NEEDS THAT WERE IDENTIFIED AND PRIORITIZED THROUGH THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. THE DECISION TO NOT DIRECTLY ADDRESS THE REMAINING FIVE HEALTH NEEDS, LISTED ABOVE, WAS BASED ON THE MAGNITUDE AND SCALE OF HEALTH NEEDS, RESOURCES AVAILABLE, AND COMMITMENT TO DEVELOPING A FOCUSED STRATEGY IN RESPONSE TO THE NEEDS ASSESSMENT. SCHEDULE H, PART V, LINE 15e METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: EDEN MEDICAL CENTER (FACILITY #7): PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C EDEN MEDICAL CENTER (FACILITY #7): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16j MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: EDEN MEDICAL CENTER (FACILITY #7): THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22d AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: EDEN MEDICAL CENTER (reporting FACILITY #7): THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. REPORTING FACILITY: #8, SUTTER SANTA ROSA REGIONAL HOSPITAL Part V, Line 3e The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. SCHEDULE H, PART V, LINE 5 SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #8): COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH KEY INFORMANT INTERVIEWS, GROUP INTERVIEWS, AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM HEALTH DEPARTMENTS, SCHOOL DISTRICTS, LOCAL NON-PROFITS, AND OTHER REGIONAL PUBLIC AND PRIVATE ORGANIZATIONS AS WELL AS COMMUNITY LEADERS, CLIENTS OF LOCAL SERVICE PROVIDERS, AND OTHER INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND SUB-POPULATIONS THAT FACE UNIQUE BARRIERS TO HEALTH (E.G., RACE/ETHNIC MINORITY POPULATIONS, INDIVIDUALS EXPERIENCING HOMELESSNESS). LISTED BELOW ARE THE Organizations and individuals serving the MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY populations WHO provided input: UNDERSERVED, LOW-INCOME o WEST COUNTY COMMUNITY SERVICES (OLDER ADULTS) o COMMITTEE ON TEMPORARY SHELTER (HOUSING AND HOMELESSNESS) o SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES (COVID IMPACTS) o SONOMA COUNTY OFFICE OF EDUCATION (EDUCATION) o SANTA ROSA CITY SCHOOLS (EDUCATION) o REDWOOD COMMUNTIY HEALTH COALITION (HEALTHCARE) MINORITY POPULATIONS o SONOMA COUNTY OFFICE OF EQUITY (COVID IMPACTS) o POSITIVE IMAGES (LGBTQ+ POPULATION) o SIDE BY SIDE (BEHAVIORAL HEALTH) o SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES (BEHAVIORAL HEALTH) o BUCKELEW PROGRAMS SONOMA COUNTY (BEHAVIORAL HEALTH) o SANTA ROSA COMMUNITY HEALTH (HEALTHCARE) METHODOLOGY FOR COLLECTION AND INTERPRETATION: IN AN EFFORT TO INCLUDE A WIDE RANGE OF COMMUNITY VOICES FROM INDIVIDUALS WITH DIVERSE PERSPECTIVES AND EXPERIENCES AND THOSE WHO WORK WITH OR REPRESENT UNDERSERVED POPULATIONS AND GEOGRAPHIC COMMUNITIES WITHIN THE SUTTER SANTA ROSA REGIONAL HOSPITAL (SSRRH) SERVICE AREA, COMMUNITY INSIGHTS STAFF USED SEVERAL METHODS TO IDENTIFY COMMUNITIES FOR QUALITATIVE DATA COLLECTION ACTIVITIES. IMPORTANTLY, THE INCLUSION OF SERVICE PROVIDERS (THROUGH KEY INFORMANTS AND PROVIDER GROUP INTERVIEWS) AND COMMUNITY MEMBERS (THROUGH FOCUS GROUPS) ALLOWED US TO IDENTIFY HEALTH NEEDS FROM THE PERSPECTIVES OF SERVICE DELIVERY GROUPS AND BENEFICIARIES. COMMUNITY HEALTH INSIGHTS STAFF UTLIZED DATA FROM KEY INFORMANT INTERVIEWS WHICH WERE PROVIDED VIA A DATA SHARING AGREEMENT WITH KAISER PERMANENTE. STAFF ALSO CONDUCTED FOCUS GROUPS WITH COMMUNITY RESIDENTS OR COMMUNITY-FACING SERVICE PROVIDERS AND REVIEWED RESPONSES TO A COMMUNITY SERVICE PROVIDER SURVEY. PRIMARY QUALITATIVE (I.E., COMMUNITY INPUT) DATA WAS ESSENTIAL FOR IDENTIFYING NEEDS THAT HAVE EMERGED SINCE THE PREVIOUS CHNA, SINCE IN ORDER TO BE IDENTIFIED AS A POTENTIAL "HEALTH NEED" AN ISSUE HAD TO BE MENTIONED IN THE QUALITATIVE DATA COLLECTION ACTIVITIES. PRIORITIZED HEALTH NEEDS WERE BASED ON THE PERCENTAGE OF SOURCES THAT IDENTIFIED THE HEALTH NEEED AS EXISTING IN THE COMMUNITY. THE FINDINGS FROM KEY INFORMANT INTERVIEWS and FOCUS GROUPS IN SUTTER SANTA ROSA REGIONAL HOSPITAL'S CHNA ARE AVAILABLE AT: https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment. SCHEDULE H, PART V, LINE 6A & 6B SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #8): SUTTER SANTA ROSA REGIONAL HOSPITAL WORKED WITH BOTH HOSPITAL AND OTHER PARTNER ORGANIZATIONS WITH SIMILAR SERVICE AREAS IN SONOMA COUNTY TO FORM THE SONOMA COUNTY CHNA COLLABORATIVE TO SUPPORT THE 2022 CHNA. THIS GROUP DEVELOPED A COORDINATED APPROACH TO PRIMARY DATA COLLECTION, AND THEN DETERMINED THE LIST OF SIGNIFICANT HEALTH NEEDS BASED ON BOTH PRIMARY AND SECONDARY DATA ANALYSIS. SUTTER SANTA ROSA REGIONAL HOSPITAL THEN COORDINATED WITH THESE PARTNERS TO ENGAGE A BROADER GROUP OF COMMUNITY STAKEHOLDERS TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS (DESCRIBED IN SECTION VI-B). COLLABORATIVE HOSPITAL PARTNERS: . KAISER FOUNDATION HOSPITAL - SANTA ROSA SCHEDULE H, PART V, LINE 7A, 7B, 10A SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #8): CHNA and implementation strategy AVAILABILITY ONLINE: HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERSANTAROSA.ORG/RELATIONS/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment SCHEDULE H, PART V, LINE 11 SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY #8): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SANTA ROSA REGIONAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: . ACCESS TO CARE . BEHAVIORAL HEALTH . ECONOMIC AND HOUSING STABILITY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER SANTA ROSA REGIONAL HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: . INCREASED COMMUNITY CONNECTIONS, INJURY AND DISEASE PREVENTION AND MANAGEMENT, ACCESS TO SPECIALITY AND EXTERNAL CARE, AND ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES - ALTHOUGH SIGNIFICANT ISSUES FACING THE COMMUNITY, IT IS NOT WITHIN THE SCOPE OF SERVICES FOR A HOSPITAL TO ADDRESS. THOUGH NOT MAJOR PRIORITIES FOR SSRRH, WE HAVE AND WILL CONTINUE TO RESPOND TO MODEST REQUESTS FOR FUNDING TO SUPPORT PROGRAMS THAT ADDRESS THESE ISSUES. SCHEDULE H, PART V, LINE 15e METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #8): PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER SANTA ROSA REGIONAL HOSPITAL (HOSPITAL FACILITY #8): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16j MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22d AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. REPORTING FACILITY: #12, NOVATO COMMUNITY HOSPITAL PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, LINE 5 NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY #12): IN CONDUCTING ITS MOST RECENT CHNA, NOVATO COMMUNITY HOSPITAL, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SERVICE PROVIDER SURVEY. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM HEALTH DEPARTMENTS, SCHOOL DISTRICTS, LOCAL NON-PROFITS, AND OTHER REGIONAL PUBLIC AND PRIVATE ORGANIZATIONS AS WELL AS COMMUNITY LEADERS, CLIENTS OF LOCAL SERVICE PROVIDERS, AND OTHER INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND SUB-POPULATIONS THAT FACE UNIQUE BARRIERS TO HEALTH (E.G., RACE/ETHNIC MINORITY POPULATIONS, INDIVIDUALS EXPERIENCING HOMELESSNESS) IN AN EFFORT TO INCLUDE A WIDE RANGE OF COMMUNITY VOICES FROM INDIVIDUALS WITH DIVERSE PERSPECTIVES AND EXPERIENCES AND THOSE WHO WORK WITH OR REPRESENT UNDERSERVED POPULATIONS AND GEOGRAPHIC COMMUNITIES WITHIN THE NCH SERVICE AREA, COMMUNTIY HEALHT INSIGHTS STAFF USED SEVERAL METHODS TO IDENTIFY COMMUNITIES FOR QUALITATIVE DATA COLLECTION ACTIVITIES. FIRST, STAFF REVIEWED THE PARTICIPANT LISTS FROM PREVIOUS CHNA REPORTS IN THE SAME SERVICE AREA. SECOND, THEY EXAMINED REPORTS PUBLISHED BY LOCAL ORGANIZATIONS AND AGENCIES (E.G., COUNTY AND CITY PLANS, COMMUNITY-BASED ORGANIZATIONS) TO IDENTIFY ADDITIONAL HIGH-NEED COMMUNITIES. FINALLY, STAFF RESEARCHED LOCAL NEWS STORIES TO IDENTIFY EMERGING HEALTH NEEDS AND SOCIAL CONDITIONS AFFECTING COMMUNITY HEALTH THAT MAY NOT YET BE INDICATED IN SECONDARY DATA. IMPORTANTLY, THE INCLUSION OF SERVICE PROVIDERS (THROUGH KEY INFORMANTS AND PROVIDER GROUP INTERVIEWS) AND COMMUNITY MEMBERS (THROUGH FOCUS GROUPS) ALLOWED US TO IDENTIFY HEALTH NEEDS FROM THE PERSPECTIVES OF SERVICE DELIVERY GROUPS AND BENEFICIARIES. STAFF ALSO WORKED WITH THE HEALTHY MARIN PARTNERSHIP. LISTED BELOW ARE THE ORGANIZATIONS AND INDIVIDUALS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR MINORITY POPULATIONS WHO PROVIDED INPUT: MEDICALLY UNDERSERVED, LOW-INCOME - MARIN COUNTY HEALTH AND HUMAN SERVICES (PUBLIC HEALTH) - MARIN CITY PEOPLE'S PLAN (MARIN CITY, MARIN COUNTY) - MARIN HEALTH MEDICAL CENTER (ACUTE CARE) - MARIN HEALTH AND HUMAN SERVICES (PUBLIC HEALTH) - REDWOOD COMMUNITY HEALTH COALITION (HEALTHCARE) - MARIN CITY HEALTH AND WELLNESS (HEALTHCARE) MINORITY POPULATIONS - WEST MARIN COMMUNITY SERVICES (RURAL POPULATION, IMMIGRANT, AGRICULTURAL WORKERS) - MARGUERITA C. JOHNSON SENIOR CENTER (OLDER ADULTS, AFRICAN AMERICAN, MARIN CITY) - MULTICULTURAL CENTER OF MARIN (IMMIGRANT, AFRICAN AMERICAN) - INTEGRATED COMMUNITY SERVICES (DISABILITY JUSTICE) THE CONSULTING TEAM DEVELOPED INTERVIEW AND FOCUS GROUP PROTOCOLS, WHICH THE CHNA COLLABORATIVE REVIEWED. PROTOCOLS WERE DESIGNED TO INQUIRE ABOUT HEALTH NEEDS IN THE COMMUNITY, AS WELL AS A BROAD RANGE OF SOCIAL DETERMINANTS OF HEALTH (I.E., SOCIAL, ECONOMIC, AND ENVIRONMENTAL), BEHAVIORAL, AND CLINICAL CARE FACTORS. SOME OF THE IDENTIFIED FACTORS REPRESENTED BARRIERS TO CARE WHILE OTHERS IDENTIFIED SOLUTIONS OR RESOURCES TO IMPROVE COMMUNITY HEALTH. PARTICIPANTS WERE ALSO ASKED TO DESCRIBE ANY NEW OR EMERGING HEALTH ISSUES AND TO PRIORITIZE THE TOP HEALTH CONCERNS IN THEIR COMMUNITY. COMMUNITY HEALTH INSIGHTS CONDUCTED BOTH ONE-ON-ONE INTERVIEWS AND IN GROUP INTERVIEW SESSIONS. SECOND A FOCUS GROUP WAS CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED TO REPRESENT POPULATIONS EXPERIENCING DISPARITIES. ALL QUALITATIVE DATA WERE CODED AND ANALYZED USING QUALITATIVE ANALYTIC SOFTWARE. CONTENT ANALYSIS INCLUDED THEMATIC CODING TO PRIMARY HEALTH NEED CATEGORIES, THE IDENTIFICATION OF SPECIAL POPULATIONS EXPERIENCING HEALTH ISSUES AND THE IDENTIFICATION OF RESOURCES. IN SOME INSTANCES, DATA WERE CODED IN ACCORDANCE WITH THE INTERVIEW QUETSION GUIDE. RESULTS WERE AGGREGATED TO INFORM THE DETERMINATION OF PRIORITIZED SUBJECT HEALTH NEEDS. A WEB-BASED SURVEY WAS ADMINISTERED TO COMMUNITY SERVICE PROVIDERS WHO DELIVERED HEALTH AND SOCIAL SERVICES TO COMMUNITY RESIDENTS OF MARIN COUNTY. A LIST OF COMMUNITY SERVICE PROVIDERS AFFILIATED WITH THE NONPROFIT HOSPITALS WAS USED AS AN INITIAL SAMPLING FRAME. AN EMAIL RECRUITMENT MESSAGE WAS SENT TO THESE COMMUNITY SERVICE PROVIDERS DETAILING THE SURVEY AIMS AND INVITING THEM TO PARTICIPATE. PARTICIPANTS WERE ALSO ENCOURAGED TO FORWARD THE RECRUITMENT MESSAGE TO OTHER COMMUNITY SERVICE PROVIDERS IN THEIR NETWORKS. THE SURVEY WAS DESIGNED USING QUALTRICS, AN ONLINE SURVEY PLATFORM, AND WAS AVAILABLE FOR APPROXIMATELY TWO WEEKS. 25 RESPONDENTS COMPLETED THE SURVEY. IN COMPARISON TO SECONDARY (I.E., QUANTITATIVE) DATA SOURCES, PRIMARY QUALITATIVE (I.E., COMMUNITY INPUT) DATA WAS ESSENTIAL FOR IDENTIFYING NEEDS THAT HAVE EMERGED SINCE THE PREVIOUS CHNA. HEALTH NEED IDENTIFICATION USED QUALITATIVE DATA BASED ON THE NUMBER OF INTERVIEWEES OR GROUPS WHO REFERENCED EACH HEALTH NEED AS A CONCERN, REGARDLESS OF THE NUMBER OF MENTIONS WITHIN EACH TRANSCRIPT. ADDITIONAL DETAILS ON KEY INFORMANTS, COLLABORATIVE PARTNERS AND FOCUS GROUPS CAN BE FOUND IN NOVATO COMMUNITY HOSPITAL'S CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT. SCHEDULE H, PART V, LINE 6A & 6B NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY #12): NOVATO COMMUNITY HOSPITAL CONNECTED WITH BOTH HOSPITAL AND OTHER PARTNER ORGANIZATIONS WITH SIMILAR SERVICE AREAS IN MARIN COUNTY TO SUPPORT THE CHNA. IN MARIN COUNTY, MANY OF THESE PARTNERS WERE ALREADY ENGAGED IN A COLLABORATIVE, THE HEALTHY MARIN PARTNERSHIP (HMP), WHICH WAS FORMED IN 1995 AS A RESULT OF WORKING TOGETHER ON PRIOR CHNAS. THIS GROUP DEVELOPED A COORDINATED APPROACH TO PRIMARY DATA COLLECTION, AND THEN DETERMINED THE LIST OF SIGNIFICANT HEALTH NEEDS BASED ON BOTH PRIMARY AND SECONDARY DATA. NCH THEN ORGANIZED WITH THESE PARTNERS TO ENGAGE A BROADER GROUP OF COMMUNITY STAKEHOLDERS TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS (DESCRIBED IN SECTION VI-B). COLLABORATIVE HOSPITAL PARTNERS: - KAISER FOUNDATION HOSPITAL - SAN RAFAEL - MARIN GENERAL HOSPITAL - SUTTER HEALTH - NOVATO COMMUNITY HOSPITAL ADDITIONAL PARTNERS: - MARIN COUNTY HEALTH AND HUMAN SERVICES - HEALTHY MARIN PARTNERSHIP HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA SCHEDULE H, PART V, LINE 7A, 7B, 10A NOVATO COMMUNITY HOSPITAL (HOSPITAL FACILITY #12): CHNA AND IMPLEMENTATION STRATEGY AVAILABILITY ONLINE: HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.NOVATOCOMMUNITY.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, LINE 11 NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY #12): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT NOVATO COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO CARE 2. BEHAVIORAL HEALTH 3. ECONOMIC AND HOUSING STABILITY DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF NOVATO COMMUNITY HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. NOVATO COMMUNITY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: . INCREASED COMMUNITY CONNECTIONS . ACCESS TO FUNCTIONAL NEEDS SCHEDULE H, PART V, LINE 15E METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16J MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERV REPORTING FACILITY: #13, SUTTER LAKESIDE HOSPITAL Part V, Line 3e The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA. SCHEDULE H, PART V, LINE 5 SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #13): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER LAKESIDE HOSPITAL, A FACILITY OF SUTTER BAY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE COMMUNITY INPUT CAME FROM FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. In total, seven focus groups were conducted with 41 participants, and 19 key informant interviews were held. REPRESENTED RACE/ETHCNICITIES: American Indian, Hispanic, Multi-Race and White. ONE OF THE KEY OBJECTIVES OF THIS ASSESSMENT WAS TO ENGAGE THE COMMUNITY, INCLUDING VULNERABLE POPULATIONS, PHYSICIANS, AND OTHER SERVICE PROVIDERS TO SHARE THEIR PERCEPTIONS ON HEALTH NEEDS FOR LAKE COUNTY RESIDENTS. KEY INFORMANT INTERVIEWS AND FOCUS GROUP DISCUSSIONS HELPED TO DEVELOP A DEEPER UNDERSTANDING FOR THE REASONS BEHIND THE HEALTH DATA SEEN IN THE PREVIOUS SECTIONS. IT SERVED ALSO TO IDENTIFY THE HIGH PRIORITIES FOR LAKE COUNTY STAKEHOLDERS. IN THE CASE OF THE KEY INFORMANTS, THE INTERVIEWS TOUCHED UPON MANY ISSUES THAT WERE SPECIFIC TO THEIR AREA OF WORK, ESPECIALLY WITH VULNERABLE POPULATIONS, WHEREAS THE FOCUS GROUP DISCUSSIONS WITH COMMUNITY MEMBERS FOCUSED ON AGE, RACE AND/OR GENDER ISSUES RELATED TO ACCESSING HEALTHCARE AND BARRIERS TO ACCESS. THE FINDINGS FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEY IN SUTTER LAKESIDE HOSPITAL'S CHNA ARE AVAILABLE AT https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment. SCHEDULE H, PART V, LINE 6A & 6B SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #13): HOPE RISING LAKE COUNTY IS AN ACCOUNTABLE COMMUNITY FOR HEALTH COLLABORATIVE THAT WAS ESTABLISHED IN 2015. HOPE RISING LAKE COUNTY'S VISION IS TO ENSURE THAT LAKE COUNTY IS A HEALTHY PLACE FOR EVERY PERSON TO LIVE, LEARN, ENGAGE AND THRIVE. A FORMAL PARTNERSHIP OF FOURTEEN HEALTH AGENCIES - HEALTH SYSTEMS, COUNTY LEADERS, NON-PROFIT ORGANIZATIONS AND OTHER RELEVANT ORGANIZATIONS OF LAKE COUNTY - THE PURPOSE OF HOPE RISING LAKE COUNTY IS TO MOBILIZE AND INSPIRE COMMUNITY PARTNERSHIPS AND ACTIONS THAT SUPPORT INDIVIDUAL, COLLECTIVE AND COMMUNITY HEALTH. PARTNERING ORGANIZATIONS IN HOPE RISING LAKE COUNTY - ADVENTIST HEALTH CLEAR LAKE - COUNTY OF LAKE BOARD OF SUPERVISORS - LAKE COUNTY HEALTH DEPARTMENT - LAKE COUNTY OFFICE OF EDUCATION - LAKEVIEW HEALTH CENTER - NORTH COAST OPPORTUNITIES - REDWOOD COMMUNITY SERVICES - THE WAY TO WELLVILLE - COUNTY OF LAKE BEHAVIORAL HEALTH - DEPARTMENT OF SOCIAL SERVICES - MENDOCINO COUNTY HEALTH CLINIC - PARTNERSHIP HEALTH PLAN OF CALIFORNIA - SUTTER LAKESIDE HOSPITAL - WOODLAND COMMUNITY COLLEGE SCHEDULE H, PART V, LINE 7A, 7B, 10A SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY #13): CHNA and implementation strategy AVAILABILITY ONLINE: HOSPITAL FACILITY'S WEBSITE: HTTP://WWW.SUTTERLAKESIDE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: https://www.sutterhealth.org/about-us/community-benefit/community- health-needs-assessment. SCHEDULE H, PART V, LINE 11 SUTTER LAKESIDE HOSPITALS (REPORTING FACILITY #13): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT SUTTER LAKESIDE HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - ACCESS TO CARE - HEALTH RISK BEHAVIORS - MENTAL HEALTH DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. SUTTER LAKESIDE HOSPITAL WILL ADDRESS ALL OF THE IDENTIFIED COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA PROCESS. SCHEDULE H, PART V, LINE 15e METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER LAKESIDE HOSPITAL (HOSPITAL FACILITY #13): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER HEALTH WEBSITE AT: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/FINANCIAL-ASSISTANCE.HTML SCHEDULE H, PART V, LINE 16j MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. SCHEDULE H, PART V, LINE 22d AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT. 28 SAN FRANCISCO ENDOSCOPY CENTER 3468 CALIFORNIA STREET SAN FRANCISCO CA 94118 OUTPATIENT SERVICES CALIFORNIA PACIFIC MEDICAL CENTER 2100 WEBSTER STREET SUITE 103 SAN FRANCISCO CA 94115 RAD/LAB/ULTRASOUND SERVICES CALIFORNIA PACIFIC MEDICAL CENTER 3838 CALIFORNIA STREET SUITE 106 SAN FRANCISCO CA 94118 OUTPATIENT SERVICES - LABORATORY/IMAGING CPMC PACIFIC CAMPUS - STANFORD BUILDING 2351 CLAY STREET SAN FRANCISCO CA 94115 OUTPATIENT SERVICES CPMC PACIFIC CAMPUS - ANNEX BUILDING 2340 CLAY STREET SUITE 114A SAN FRANCISCO CA 94115 OUTPATIENT SERVICES VAN NESS CAMPUS MEDICAL OFFICE BUILDING 1100 VAN NESS AVENUE SAN FRANCISCO CA 94109 LAB/OUTPATIENT SERVICES 100 ROWLAND WAY CARE CENTER 100 ROWLAND WAY NOVATO CA 94945 Physical Therapy and SPORTS WELLNESS DIAGNOSTIC CENTER 165 ROWLAND WAY NOVATO CA 94945 OUTPATIENT SERVICES - LABORATORY OAKLAND CARE CENTER 350 30TH STREET OAKLAND CA 94609 OUTPATIENT SERVICES IMAGING SERVICES 1375 SUTTER STREET SAN FRANCISCO CA 94109 OUTPATIENT SERVICES MONTEAGLE MEDICAL CENTER 1580 VALENCIA STREET SAN FRANCISCO CA 94110 OUTPATIENT SERVICES KALMANOVITZ CHILD DEVELOPMENT CENTER 1625 VAN NESS AVENUE SAN FRANCISCO CA 94109 OUTPATIENT SERVICES - CHILD DEVELOPMENT PRESIDIO SURGERY CENTER 1635 DIVISADERO STREET SUITE 200 SAN FRANCISCO CA 94115 OUTPATIENT SERVICES MILLS-PENINSULA SKILLED NURSING FACILITY 1609 TROUSDALE DRIVE BURLINGAME CA 94010 SKILLED NURSING FACILITY SAN LEANDRO SURGERY CENTER 15035 EAST 14TH STREET SAN LEANDRO CA 94578 OUTPATIENT SERVICES SDMC OUTPATIENT SERVICES 3903 LONE TREE WAY ANTIOCH CA 94509 PT/OT/SPEECH SERVICES CPMC Pacific Heights Outpatient Center 2333 Buchanan Street San Francisco CA 94115 Outpatient Services/ RADIATION ONCOLOGY ABSMC INFANT CLINIC 3011 TELEGRAPH AVENUE BERKELEY CA 94705 OUTPATIENT SERVICES ALTA BATES SUMMIT MEDICAL CENTER PT 5700 TELEGRAPH AVENUE OAKLAND CA 94609 OUTPATIENT SERVICES MAGNETIC IMAGING AFFILIATES 5730 TELEGRAPH AVENUE OAKLAND CA 94609 Radiology Services LAFAYETTE WOMEN'S HEALTH CENTER 3595 MT DIABLO BLVD SUITE 350 LAFAYETTE CA 94549 OUTPATIENT SERVICES ALTA BATES SUMMIT MEDICAL CENTER 450 30TH STREET OAKLAND CA 94609 OUTPATIENT/PEDIATRIC SERVICES, NUCLEAR MEDICINE SURGERY CTR OF ALTA BATES SUMMIT MED CTR 3875 TELEGRAPH AVENUE OAKLAND CA 94609 Ambulatory Surgery Center EYEMD LASER AND SURGERY CENTER 481 30TH STREET OAKLAND CA 94609 OUTPATIENT SERVICES MEDICAL CENTER MAGNETIC IMAGING 3000 TELEGRAPH AVENUE OAKLAND CA 94609 OUTPATIENT SERVICES CPMC DEPT OF OPHTHALMOLOGY 711 VAN NESS AVENUE OAKLAND CA 94102 VISION CARE/EYE SURGERY CPMC PACIFIC CAMPUS INST OF HLTH & HEAL 2300 CALIFORNIA STREET SAN FRANCISCO CA 94115 OUTPATIENT SERVICES CPMC COMING HOME HOSPICE 115 DIAMOND STREET SAN FRANCISCO CA 94114 HOSPICE CARE PART I, LINE 3A & 3C FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION, THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENT'S FAMILY INCOME. PART I, LINE 3B SUTTER BAY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE AND THEREFORE, PROVIDES FREE CARE AT HIGH PERCENTAGE OF FPG. THE ORGANIZATION DOES NOT PROVIDE DISCOUNTED CARE. SCHEDULE H, PART I, LINE 6A JOINT COMMUNITY BENEFIT REPORT: THE COMMUNITY BENEFIT REPORT WAS PREPARED ON BEHALF OF TWO BAY AREA ENTITIES: SUTTER BAY HOSPITALS (EIN: 94-0562680) AND SUTTER BAY MEDICAL FOUNDATION (EIN: 68-0273974). PART I, LINE 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. PART I, LINE 7G SUTTER BAY HOSPITALS: THE AMOUNT OF COSTS ASSOCIATED WITH PHYSICIAN CLINICS IS $28,026,012. PART II COMMUNITY BUILDING ACTIVITIES: CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A: 3, 5, & 9): CALIFORNIA PACIFIC MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2024. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B: 4 & 11) MILLS-PENINSULA MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2024. SUTTER MATERNITY & SURGERY CENTER (REPORTING GROUP B: 14) SUTTER MATERNITY & SURGERY CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2024. ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C: 1-2, 10, & 15) ALTA BATES SUMMIT MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2024. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C: 6) SUTTER DELTA MEDICAL CENTER DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2024. EDEN MEDICAL CENTER (REPORTING FACILITY 7) EDEN MEDICAL CENTER FUNDS DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2024. SUTTER SANTA ROSA REGIONAL HOSPITAL (REPORTING FACILITY 8) SUTTER SANTA ROSA REGIONAL HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2024. NOVATO COMMUNITY HOSPITAL (REPORTING FACILITY 12) NOVATO COMMUNITY HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2024. SUTTER LAKESIDE HOSPITAL (REPORTING FACILITY 13) SUTTER LAKESIDE HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2024. PART III, SECTION B - BAD DEBT 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. EFFECTIVE JANUARY 1, 2018, SUTTER ENTITIES IMPLEMENTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU), REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE ACCOUNTING CHANGE MODIFIED BAD DEBT REPORTING, AND AS A RESULT, BAD DEBT IS ONLY REPORTED IN LIMITED SITUATIONS. PART III, LINE 7 MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS. PART III, LINE 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, LINE 9B DEBT COLLECTION POLICY: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF FEDERAL AND 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. AT DISCHARGE 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 210 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. PART VI, LINE 2 CALIFORNIA PACIFIC MEDICAL CENTER (REPORTING GROUP A: 3, 5, & 9) THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B: 4, 11): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER MATERNITY & SURGERY CENTER (REPORTING GROUP B: 14): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. ALTA BATES SUMMIT MEDICAL CENTER (REPORTING GROUP C: 1-2, 10, & 15): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER DELTA MEDICAL CENTER (REPORTING GROUP C: 6): THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. EDEN MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER SANTA ROSA REGIONAL HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. NOVATO COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER LAKESIDE HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS OUTSIDE OF THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER HOSPITALS FOLLOW A SUTTER HEALTH SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. LANGUAGES: THE POLICY SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA. IN ADDITION, ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY INFORMATION PROVIDED TO PATIENTS DURING THE PROVISION OF HOSPITAL SERVICES: A. DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND IDENTIFY THE DEPARTMENT THAT PATIENTS CAN VISIT TO RECEIVE INFORMATION ABOUT, AND ASSISTANCE WITH APPLYING FOR, FINANCIAL ASSISTANCE. B. FINANCIAL ASSISTANCE COUNSELORS: PATIENTS WHO MAY BE UNINSURED PATIENTS SHALL BE ASSIGNED FINANCIAL COUNSELORS, WHO SHALL VISIT WITH THE PATIENTS IN PERSON AT THE HOSPITAL, PROVIDE PATIENTS A FINANCIAL ASSISTANCE APPLICATION, ASSIST WITH THE APPLICATION PROCESS, AND PROVIDE A CONTACT INFORMATION FOR THE PATIENT TO CALL FOR QUESTIONS. C. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITALS SHALL PROVIDE ALL PATIENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. D. APPLICATIONS PROVIDED AT DISCHARGE: AT THE TIME OF DISCHARGE, HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. E. INFORMATION PROVIDE TO PATIENTS AT OTHER TIMES: 1. CONTACT INFORMATION WHICH INCLUDES A PHONE NUMBER AND HOSPITAL DEPARTMENT TO OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE AND ASSISTANCE WITH THE APPLICATION PROCESS. 2. BILLING STATEMENTS: BILLING STATEMENTS PROVIDED TO PATIENTS SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, A PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS ABOUT FINANCIAL ASSISTANCE, AND THE WEBSITE ADDRESS WHERE PATIENTS CAN OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE APPLICATION FOR FINANCIAL ASSISTANCE. 3. UPON REQUEST: HOSPITALS SHALL PROVIDE PATIENTS WITH PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST AND WITHOUT CHARGE. F. PUBLICITY OF FINANCIAL ASSISTANCE INFORMATION 1. PUBLIC POSTING: HOSPITALS SHALL POST COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN A PROMINENT LOCATION IN THE EMERGENCY ROOM, ADMISSIONS AREA, AND ANY OTHER LOCATION IN THE HOSPITAL WHERE THERE IS A HIGH VOLUME OF PATIENT TRAFFIC, INCLUDING BUT NOT LIMITED TO THE WAITING ROOMS, BILLING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS. THESE PUBLIC NOTICES SHALL INCLUDE INFORMATION ABOUT THE RIGHT TO REQUEST AN ESTIMATE OF FINANCIAL RESPONSIBILITY FOR SERVICES. 2. WEBSITE: THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE IN A PROMINENT PLACE ON THE SUTTER HEALTH WEBSITE (WWW.SUTTERHEALTH.ORG) AND ON EACH INDIVIDUAL HOSPITAL'S WEBSITE. PERSONS SEEKING INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL NOT BE REQUIRED TO CREATE AN ACCOUNT OR PROVIDE ANY PERSONAL INFORMATION BEFORE RECEIVING INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. MAIL: PATIENTS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY BE SENT BY MAIL, AT NO COST TO THE PATIENT. 4. ADVERTISEMENTS/PRESS RELEASES: AS NECESSARY AND ON AT LEAST AN ANNUAL BASIS, SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT HOSPITALS IN THE PRINCIPAL NEWSPAPER(S) IN THE COMMUNITIES SERVED BY SUTTER HEALTH, OR WHEN DOING SO IS NOT PRACTICAL, SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THIS INFORMATION, OR USE OTHER MEANS THAT SUTTER HEALTH CONCLUDES WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY TO AFFECTED PATIENTS IN OUR COMMUNITIES. 5. COMMUNITY AWARENESS: SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY (ESPECIALLY THOSE WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. PART VI, LINE 4 COMMUNITY INFORMATION: CALIFORNIA PACIFIC MEDICAL FOUNDATION (REPORTING GROUP A: 3, 5, & 9) THE HOSPITAL SERVICE AREA FOR CALIFORNIA PACIFIC MEDICAL CENTER INCLUDES ALL POPULATIONS RESIDING IN THE CITY AND COUNTY OF SAN FRANCISCO. THERE ARE 13 HOSPITALS IN SAN FRANCISCO COUNTY. SAN FRANCISCO CITY AND COUNTY HAS 815,201 RESIDENTS LIVING WITHIN ITS 46.9 SQUARE MILES OF LAND AREA. IT IS THE 13TH MOST POPULOUS CITY IN THE COUNTRY. SAN FRANCISCO IS THE SECOND MOST DENSELY POPULATED CITY IN THE COUNTRY (AFTER NEW YORK CITY), WITH 18,633 PEOPLE PER SQUARE MILE. BY TOTAL AREA, SAN FRANCISCO IS GEOGRAPHICALLY THE SMALLEST COUNTY IN CALIFORNIA, WHICH CONTRIBUTES TO THE HIGH COST OF LIVING, PROPERTY COSTS, AND THE COROLLARY IMPACT ON HOUSING DISPARITIES. ABOUT 41% FOF SAN FRANCISCANS IDENTIFY AS WHITE, 34% AS ASIAN (34%), 10% AS MIXED RACE, AND 5% AS BLACK. 16% IDENTIFY AS HISPANIC OR LATINO OF ANY RACE. THIS PATTERN HAS CHANGED DRAMATICALLY OVER THE DECADES, WITH INCREASES IN THE PERCENT OF SAN FRANCISCANS IDENTIFYING AS ASIAN AND HISPANIC AND DECREASES IN THE PERCENT IDENTIFYING AS BLACK OR AFRICAN AMERICAN. SAN FRANCISCANS HAVE A MEDIAN AGE OF 38.3 YEARS. 13% ARE UNDER 18 YEARS AND A SIMILAR PROPORTION (16%) ARE AGE 65 AND OVER. SAN FRANCISCO IS THE MOST CHILDLESS MAJOR CITY IN THE U.S. OVERALL LIFE EXPECTANCY IS HIGH IN SAN FRANCISCO, WITH THE TYPICAL RESIDENT LIVING TO 83 YEARS. THIS IS HIGHER THAN THE LIFE EXPECTANCY IN THE U.S. OF 77.3 YEARS AND IN CALIFORNIA OF 80.9 YEARS. HOWEVER, THE AVERAGE LENGTH OF LIFE VARIES WIDELY BY RACE/ETHNICITY. ALMOST HALF OF SAN FRANCISCANS (43%) SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. MORE THAN HALF (59%) OF SAN FRANCISCANS AGE 25 AND OVER HAVE AT LEAST A COLLEGE DEGREE. HOWEVER, RATES OF HIGHER EDUCATION EXPOSE LARGE DISPARITIES BY RACE/ETHNICITY. COVID CASES DISPROPORTIONATELY IMPACTED LATINX PEOPLE, WHILE DEATHS FROM COVID WERE HIGHER IN THE ASIAN, BLACK, AND LATINX COMMUNITIES. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE CALIFORNIA PACIFIC MEDICAL CENTER CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT. MILLS PENINSULA MEDICAL CENTER (MPMC) (REPORTING GROUP B: 4 &11): THE COLLABORATING HOSPITALS RELIED ON THE INTERNAL REVENUE SERVICE'S DEFINITION OF THE COMMUNITY SERVED BY A HOSPITAL AS "THOSE PEOPLE LIVING WITHIN ITS HOSPITAL SERVICE AREA." A HOSPITAL SERVICE AREA COMPRISES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA AND DOES NOT EXCLUDE LOW-INCOME, UNDERSERVED, OR OTHERWISE VULNERABLE POPULATIONS. MPMC AND ITS MPSH CAMPUS ARE LOCATED IN SAN MATEO COUNTY AND SERVE THE ENTIRE COUNTY. SAN MATEO COUNTY COMPRISES 19 CITIES AND MORE THAN TWO DOZEN UNINCORPORATED TOWNS AND AREAS. THE COUNTY HAD APPROXIMATELY 746,752 RESIDENTS IN 2019. THE COUNTY OCCUPIES 455 SQUARE MILES OF LAND ON THE PENINSULA SOUTH OF SAN FRANCISCO, WITH THE SAN FRANCISCO BAY TO THE EAST AND THE PACIFIC OCEAN TO THE WEST. THE COUNTY ALSO INCLUDES NEARLY 58 MILES OF COASTLINE AND 292 SQUARE MILES OF WATER.15 REDWOOD CITY IS THE LARGEST CITY IN THE COUNTY BY AREA, AND DALY CITY IS SAN MATEO COUNTY'S LARGEST CITY BY POPULATION, WITH JUST OVER 106,000 PEOPLE (14% OF THE COUNTY'S TOTAL). THE POPULATION OF THE COUNTY IS SUBSTANTIALLY MORE DENSE THAN THE STATE, WITH 9,206 PEOPLE PER SQUARE MILE COMPARED TO 8,486 PER SQUARE MILE IN CALIFORNIA. THE MEDIAN AGE IN SAN MATEO COUNTY IS 40.3 YEARS OLD. OVER 20% OF THE COUNTY'S RESIDENTS ARE UNDER THE AGE OF 18, AND NEARLY 16% ARE 65 YEARS OR OLDER. SAN MATEO COUNTY ALSO INCLUDES THE FOLLOWING UNINCORPORATED TOWNS AND AREAS, MANY OF WHICH ARE LOCATED IN THE COASTSIDE AREA: BROADMOOR, BURLINGAME HILLS, DEVONSHIRE, EL GRANADA, EMERALD LAKE HILLS, FAIR OAKS, HIGHLANDS/BAYWOOD PARK, LADERA, LA HONDA, LOMA MAR, LOS TRANCOS WOODS/VISTA VERDE, MENLO OAKS, MONTARA, MOSS BEACH, NORTH FAIR OAKS, PALOMAR PARK, PESCADERO, PRINCETON, SAN FRANCISCO INTERNATIONAL AIRPORT, SAN GREGORIO, SOUTH COAST/SKYLINE, SEQUOIA TRACT, SKYLONDA, STANFORD LANDS, AND WEST MENLO PARK. MORE THAN 34% OF RESIDENTS IN SAN MATEO COUNTY ARE FOREIGN-BORN. THIS PERCENTAGE IS HIGHER THAN THE FOREIGN-BORN POPULATIONS STATEWIDE (27%) AND NATIONWIDE (14%). MEDIAN HOUSEHOLD INCOME IS $130,820 IN SAN MATEO COUNTY, FAR HIGHER THAN CALIFORNIA'S MEDIAN OF $82,053. HOUSING COSTS ARE HIGH: IN 2021, THE MEDIAN HOME PRICE WAS $1.6 MILLION AND THE MEDIAN RENT WAS $2,451 IN SAN MATEO COUNTY. IN SAN MATEO COUNTY, 26% OF THE CHILDREN ARE ELIGIBLE FOR FREE OR REDUCED-PRICE LUNCH AND CLOSE TO ONE QUARTER (22%) OF CHILDREN LIVE IN SINGLE-PARENT HOUSEHOLDS. ABOUT 4% OF PEOPLE IN OUR COMMUNITY ARE UNINSURED. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MILLS PENINSULA MEDICAL CENTER'S CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT. SUTTER MATERNITY & SURGERY CENTER SANTA CRUZ (SMSC) (REPORTING GROUP B: 14): THE COLLABORATING HOSPITALS RELIED ON THE IRS' DEFINITION OF THE COMMUNITY SERVED BY A HOSPITAL AS "THOSE PEOPLE LIVING WITHIN ITS HOSPITAL SERVICE AREA." A HOSPITAL SERVICE AREA COMPRISES ALL RESIDENTS IN A DEFINED GEOGRAPHIC AREA AND DOES NOT EXCLUDE LOW-INCOME, UNDERSERVED, OR OTHERWISE VULNERABLE POPULATIONS. SMSC IS LOCATED IN SANTA CRUZ COUNTY AND SERVES THE ENTIRE COUNTY. IN 2020, AN ESTIMATED 270,861 PEOPLE RESIDED IN SANTA CRUZ COUNTY (AN INCREASE OF 3% OR APPROXIMATELY 8,500 PEOPLE SINCE 2010). THE COUNTY OCCUPIES 445 SQUARE MILES OF LAND APPROXIMATELY 35 MILES SOUTHWEST OF SILICON VALLEY, WITH THE PACIFIC OCEAN TO THE WEST. THIS LAND INCLUDES 29 MILES OF COASTLINE, FORMING THE NORTHERN COAST OF MONTEREY BAY, AND MORE THAN 44,000 ACRES OF PARKS. NINETEEN PERCENT OF THE POPULATION IN SANTA CRUZ COUNTY IS UNDER THE AGE OF 18, AND 17 PERCENT IS 65 YEARS OR OLDER. THESE PROPORTIONS ARE SIMILAR TO CALIFORNIA (23 PERCENT ARE UNDER AGE 18, AND 15 PERCENT ARE 65 YEARS OR OLDER). THE MEDIAN AGE IS 38.5 YEARS OLD, SLIGHTLY OLDER THAN THE STATE MEDIAN AGE OF 37.0 YEARS. ALMOST ONE IN FOUR COUNTY RESIDENTS LIVE IN THE CITY OF SANTA CRUZ, MAKING IT THE LARGEST LOCAL MUNICIPALITY BY POPULATION. THE OTHER INCORPORATED CITIES ARE CAPITOLA, SCOTTS VALLEY, AND WATSONVILLE. SANTA CRUZ COUNTY ALSO INCLUDES THE FOLLOWING UNINCORPORATED TOWNS AND AREAS: AMESTI, APTOS, APTOS HILLS-LARKIN VALLEY, BEN LOMOND, BONNY DOON, BOULDER CREEK, BROOKDALE, CORRALITOS, DAVENPORT, DAY VALLEY, FELTON, FREEDOM, INTERLAKEN, LA SELVA BEACH, LIVE OAK, LOMPICO, MOUNT HERMON, PAJARO DUNES, PARADISE PARK, PASATIEMPO, PLEASURE POINT, RIO DEL MAR, SOQUEL, TWIN LAKES, AND ZAYANTE. SANTA CRUZ COUNTY IS ALSO RELATIVELY DIVERSE ETHNICALLY. MORE THAN HALF (54%) OF COMMUNITY MEMBERS ARE NON-LATINO WHITE, AND FOUR PERCENT ARE ASIAN. IN COMPARISON, 35 PERCENT OF CALIFORNIA'S POPULATION ARE NON-LATINO WHITE, AND NEARLY 15 PERCENT ARE ASIAN. ONE THIRD (35%) OF RESIDENTS HAVE LATINO HERITAGE, SOMEWHAT LESS THAN THE STATE PROPORTION (39%). MORE THAN ONE SIXTH (18%) OF SANTA CRUZ COUNTY RESIDENTS ARE FOREIGN-BORN, WHILE IN CALIFORNIA OVERALL MORE THAN ONE IN FOUR (27%) ARE FOREIGN-BORN. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MATERNITY & SURGERY CENTER'S CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT. ALTA BATES SUMMIT MEDICAL CENTER (ABSMC) (REPORTING GROUP C: 1-2, 10, & 15) EACH HOSPITAL PARTICIPATING IN THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP DEFINES ITS SERVICE AREA TO INCLUDE ALL INDIVIDUALS RESIDING WITHIN A DEFINED GEOGRAPHIC AREA SURROUNDING THE HOSPITAL. FOR THIS COLLABORATIVE CHNA, ALAMEDA COUNTY WAS THE OVERALL SERVICE AREA, WITH EACH HOSPITAL ADDING ADDITIONAL FOCUS ON THEIR SPECIFIC SERVICE AREA. ALTA BATES SUMMIT MEDICAL CENTER'S CAMPUSES ARE LOCATED IN THE CITIES OF BERKELEY AND OAKLAND IN THE NORTHERN ALAMEDA COUNTY REGION OF ALAMEDA COUNTY. ALTA BATES SUMMIT MEDICAL CENTER'S HOSPITAL SERVICE AREA INCLUDES 25 ZIP CODES SURROUNDING THE HOSPITAL AND ITS NEIGHBORING COMMUNITIES. AS PREVIOUSLY NOTED, THE HOSPITAL COLLABORATED ON THE 2022 CHNA WITH OTHER HEALTHCARE FACILITIES SERVING ALAMEDA COUNTY. THUS, THE LOCAL DATA GATHERED FOR THE ASSESSMENT REPRESENT RESIDENTS ACROSS THE SERVICE AREAS OF THE PARTICIPATING HOSPITALS, WHICH INCLUDE THE CITIES OF ALAMEDA, ALBANY, BERKELEY, EMERYVILLE, OAKLAND, AND PIEDMONT. BERKELEY AND OAKLAND ARE THE LARGEST CITIES IN NORTHERN ALAMEDA COUNTY. BERKELEY IS HOME TO 121,353 PEOPLE AS WELL AS UNIVERSITY OF CALIFORNIA, BERKELEY WITH A LARGE STUDENT POPULATION. BERKELEY'S OVERALL RACIAL AND ETHNIC COMPOSITION IS MAJORITY WHITE (60%) AND NON-HISPANIC (88%), WITH LESS THAN A QUARTER OF RESIDENTS IDENTIFYING AS ASIAN AND SMALLER POPULATION SEGMENTS IDENTIFYING AS HISPANIC (LATINX) (12%), MULTIRACIAL (8%) AND BLACK/AFRICAN AMERICAN (6%). BERKELEY HAS A HIGHER PERCENTAGE OF RESIDENTS LIVING IN POVERTY THAN ALAMEDA COUNTY (19% VERSUS 9%), THOUGH PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH REACHES BEYOND THE WALLS OF OUR HOSPITALS AND CARE FACILITIES THROUGH OUR COMMUNITY HEALTH INITIATIVES. 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. CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) (REPORTING GROUP A: 3, 5, & 9 CALIFORNIA PACIFIC MEDICAL CENTER (CPMC) PROMOTED COMMUNITY HEALTH IN 2024 THROUGH VARIOUS PROGRAMS AND PARTNERSHIPS. A FEW OF THESE ARE DESCRIBED BELOW. CPMC'S AFRICAN AMERICAN & SISTER TO SISTER BREAST HEALTH PROGRAM OFFERS WOMEN MAMMOGRAPHY SCREENING AND ALL THE SUBSEQUENT BREAST HEALTH DIAGNOSTIC TESTING AND TREATMENT THEY MAY NEED AT NO COST. PARTNERING ORGANIZATIONS SUCH AS HEALTHRIGHT 360, SAN FRANCISCO FREE CLINIC, AND CLINIC BY THE BAY REFER UNINSURED, UNDERINSURED, DISADVANTAGED AND AT-RISK WOMEN FOR MAMMOGRAPHY SERVICES. IN 2024, 150 SERVICES WERE PROVIDED BY CPMC'S AFRICAN AMERICAN & SISTER TO SISTER BREAST HEALTH PROGRAM; AN ADDITIONAL 57 PEOPLE RECEIVED 144 CANCER SCREENINGS THROUGH CPMC'S GRANT TO BAY AREA CANCER CONNECTIONS. CPMC'S MISSION BERNAL WOMEN'S CLINIC PROVIDES A FULL RANGE OF OBSTETRIC AND GYNECOLOGICAL CARE AND SERVED 2,801 PEOPLE WITH 9,686 PATIENT VISITS IN 2024. IN 2021, CPMC TRANSFERRED THE ASSETS OF ITS MISSION BERNAL ADULT CLINIC, MISSION BERNAL PEDIATRIC CINIC, AND MISSION BERNAL PEDIATRIC AFTER-HOURS CLINIC TO MISSION NEIGHBORHOOD HEALTH CENTER (MNHC). CPMC PROVIDES CASH CONTRIBUTIONS TO MNHC TO PARTIALLY FUND ORGANIZATIONAL AND OPERATIONAL COSTS IN ORDER TO ENSURE THE SUCCESSFUL EXPANSION OF ADULT AND PEDIATRIC SERVICES AT WHAT IS NOW MNHC'S MISSION BERNAL CLINIC. IN 2024 MNHC SERVED 5,057 PATIENTS WITH 13,042 ENCOUNTERS. HEALTHFIRST, A CENTER FOR PREVENTION AND EDUCATION LOCATED AT CPMC'S MISSION BERNAL CAMPUS, SERVES PATIENTS IN CHRONIC DISEASE MANAGEMENT BY INTEGRATING COMMUNITY HEALTH WORKERS (CHWS) INTO THE MULTIDISCIPLINARY HEALTHCARE TEAM. IN 2024, HEALTHFIRST SERVED 858 PEOPLE WITH A TOTAL OF 3,201 ENCOUNTERS. CPMC'S KALMANOVITZ CHILD DEVELOPMENT CENTER (KCDC) PROVIDES DIAGNOSIS, EVALUATION, TREATMENT AND COUNSELING FOR CHILDREN AND ADOLESCENTS WITH LEARNING DISABILITIES AND DEVELOPMENTAL OR BEHAVIORAL PROBLEMS CAUSED BY PREMATURITY, AUTISM SPECTRUM DISORDER, EPILEPSY, DOWN SYNDROME, ATTENTION DEFICIT DISORDER, OR CEREBRAL PALSY. BESIDES OPERATING ITS OWN CLINICS, KCDC ALSO EXTENDS ITS SERVICES TO A LARGE NUMBER OF AT-RISK CHILDREN AND BRINGS SERVICES TO THEM IN THEIR COMMUNITY BY PARTNERING WITH LOCAL SCHOOLS AND OTHER COMMUNITY ORGANIZATIONS. IN 2024, A TOTAL OF 18,288 CLINIC VISITS TOOK PLACE AT CPMC. OF THE 1,540 PEOPLE SERVED, 1,439 WERE SEEN AT THE TWO SAN FRANCISCO CLINIC LOCATIONS AND 41 THROUGH OUTREACH AT DE MARILLAC ACADEMY. OF THESE PATIENTS, 589 YOUTH RECEIVED MENTAL HEALTH SERVICES. LIONS EYE FOUNDATION AND CPMC PARTNER TOGETHER TO PROVIDE HIGHLY SPECIALIZED EYE CARE PROCEDURES FREE OF CHARGE TO PEOPLE WITHOUT INSURANCE OR FINANCIAL RESOURCES. THROUGHOUT 2024, 258 INDIVIDUALS WERE SERVED FOR A TOTAL OF 2,220 ENCOUNTERS. PROCEDURES PERFORMED INCLUDED 355 GENERAL SURGICAL PROCEDURES, 83 LASER SURGERIES, 658 INTRAVITREOUS INJECTIONS FOR MACULAR DEGENERATION AND COMPLICATIONS DUE TO DIABETES, AND 2,260 DIAGNOSTIC TESTS (OCTS, B-SCANS, ANGIOGRAMS, ETC.). A KEY PART OF CPMC'S MEDI-CAL PROGRAM IS THE MEDI-CAL MANAGED CARE PARTNERSHIP WITH NORTH EAST MEDICAL SERVICES (NEMS) COMMUNITY CLINIC AND SAN FRANCISCO HEALTH PLAN, A LICENSED COMMUNITY HEALTH PLAN THAT PROVIDES AFFORDABLE HEALTHCARE COVERAGE TO OVER 190,000 LOW- AND MODERATE-INCOME SAN FRANCISCO RESIDENTS. WORKING TOGETHER WITH NEMS, CPMC SERVES AS THE HOSPITAL PARTNER FOR THESE MEDI-CAL BENEFICIARIES WHO SELECT NEMS AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN, PROVIDING THEM WITH INPATIENT SERVICES, HOSPITAL-BASED SPECIALTY AND ANCILLARY SERVICES, AND EMERGENCY CARE. CPMC ALSO PROVIDES ACCESS TO QUALITY SERVICES AT ITS MISSION BERNAL CAMPUS FOR PATIENTS WHO SELECT HILL PHYSICIANS OR BROWN & TOLAND AS THEIR MEDICAL GROUP THROUGH SAN FRANCISCO HEALTH PLAN. IN 2024, 45,757 PERSONS WERE SERVED, INCLUDING 42,705 NEMS ENROLLEES, 914 BROWN & TOLAND ENROLLEES, AND 2,138 HILL PHYSICIANS ENROLLEES. CPMC PROVIDED FREE LAB SERVICES FOR MORE THAN 17,000 OF THESE NEMS PATIENTS IN ORDER TO FURTHER IMPROVE ACCESS AND SUPPORT NEMS AND THEIR PATIENTS. CPMC PARTNERS WITH OPERATION ACCESS AND THE SAN FRANCISCO ENDOSCOPY CENTER TO PROVIDE ACCESS TO DIAGNOSTIC SCREENINGS, SPECIALTY PROCEDURES, AND SURGICAL CARE AT NO COST FOR UNINSURED BAY AREA PATIENTS WHO HAVE LIMITED FINANCIAL RESOURCES. CPMC PHYSICIANS VOLUNTEER THEIR TIME TO PROVIDE THESE FREE SURGICAL SERVICES, WHILE THE HOSPITAL DONATES THE USE OF ITS OPERATING ROOMS. CPMC ALSO PROVIDES GRANT FUNDING TO SUPPORT OPERATION ACCESS'S OPERATING COSTS. IN 2024, OPERATION ACCESS SERVED 19 PEOPLE WITH 21 SURGICAL PROCEDURES COMPLETED BY CPMC MEDICAL VOLUNTEERS. CPMC SUPPORTS SOUTH OF MARKET BAYVIEW CHILD HEALTH CENTER (BCHC), WHICH OFFERS ROUTINE PREVENTATIVE AND URGENT PEDIATRIC CARE IN ONE OF SAN FRANCISCO'S MOST MEDICALLY UNDERSERVED NEIGHBORHOODS, AND ADDRESSES PREVALENT COMMUNITY HEALTH ISSUES SUCH AS WEIGHT CONTROL AND ASTHMA MANAGEMENT. BCHC FOCUSES ON KEEPING INFANTS, CHILDREN AND ADOLESCENTS HEALTHY, AND ON CLOSELY MANAGING THEIR CARE WHEN THEY ARE ILL. IN 2024, 1,128 INDIVIDUALS RECEIVED PRIMARY CARE WITH A TOTAL OF 3,060 ENCOUNTERS. IN 2024, CPMC SUPPORTED ORGANIZATIONS ADDRESSING BEHAVIORAL HEALTH INCLUDING APA FAMILY SUPPORT SERVICES, COMPASS FAMILY SERVICES, AND EDGEWOOD CENTER FOR CHILDREN AND FAMILIES. BY SUPPORTING THESE ORGANIZATIONS, 3,039 PEOPLE WERE SERVED THROUGH 7,685 DIRECT SERVICES INCLUDING BEHAVIORAL HEALTH APPOINTMENTS, CRISIS SERVICES, AND LIFE SKILLS EDUCATION. IN 2024, CPMC SUPPORTED ORGANIZATIONS ADDRESSING ECONOMIC OPPORTUNITY INCLUDING CONARD HOUSE, HAMILTON FAMILIES, HEALTHRIGHT 360, HOMELESS PRENATAL PROGRAM, ICA CRISTO REY ACADEMY, RICHMOND AREA MULTI-SERVICES (RAMS), SIMPLY THE BASICS, ST. ANTHONY FOUNDATION, TENDERLOIN COMMUNITY BENEFIT DISTRICT, AND URBAN ALCHEMY. BY SUPPORTING THESE ORGANIZATIONS, A TOTAL OF 46,762 PEOPLE WERE SERVED. MORE THAN 280 PEOPLE OBTAINED TRANSITIONAL HOUSING AND 2,223 PEOPLE OBTAINED PERMANENT HOUSING. IN ADDITION, 188 PEOPLE WERE ENROLLED IN AN EDUCATION OR JOB TRAINING PROGRAM, 59 HEALTHCARE WORKERS WERE TRAINED, AND 67 PEOPLE OBTAINED EMPLOYMENT. IN 2024, CPMC SUPPORTED ORGANIZATIONS ADDRESSING ACCESS TO CARE INCLUDING BAY AREA CANCER CONNECTIONS, CURRY SENIOR CENTER, MAITRI COMPASSIONATE CARE, OPERATION ACCESS, PLANNED PARENTHOOD, SAN FRANCISCO COMMUNITY HEALTH CENTER, SAN FRANCISCO FREE CLINIC, SAN FRANCISCO VILLAGE, AND SHANTI PROJECT. BY SUPPORTING THESE ORGANIZATIONS, 90,699 PEOPLE WERE SERVED THROUGH 1,153,091 DIRECT SERVICES. ADDITIONALLY, 381,420 HEALTH SCREENINGS WERE PROVIDED, AND MORE THAN 130,805 PATIENTS WERE SEEN BY A SPECIALTY CARE PROVIDER. MILLS PENINSULA MEDICAL CENTER (REPORTING GROUP B: 4 & 11) THE 2022-2024 IMPLEMENTATION STRATEGY FOR MILLS PENINSULA MEDICAL CENTER (MPMC) DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: IN 2024, MILLS-PENINSULA MEDICAL CENTER (MPMC) SUPPORTED SAFETY NET CLINICS, INCLUDING DENTAL CLINICS, SUCH AS DALY CITY YOUTH HEALTH CENTER, RAVENSWOOD FAMILY HEALTH CENTER, ROTACARE BAY AREA, SAMARITAN HOUSE FREE CLINIC OF SAN MATEO, AND SONRISAS DENTAL HEALTH, INC. BY SUPPORTING THESE ORGANIZATIONS, MORE THAN 10,868 PEOPLE WERE SERVED THROUGH 11,958 APPOINTMENTS. OF THOSE SERVED, 597 RECEIVED SPECIALTY CARE SERVICES THROUGH 8,422 APPOINTMENTS AND 228 PEOPLE RECEIVED MENTAL HEALTH SERVICES. ADDITIONALLY, 7,134 HEALTH SCREENINGS WERE PROVIDED. IN 2024, MPMC SUPPORTED ORGANIZATIONS INCLUDING OPERATION ACCESS TO IMPROVE ACCESS TO HEALTHCARE AMONG VULNERABLE POPULATIONS. BY SUPPORTING THIS ORGANIZATION, 39 PEOPLE WERE SERVED, 22 SURGICAL PROCEDURES WERE PERFORMED AND 21 PEOPLE WERE ENROLLED IN HEALTH INSURANCE. IN ADDITION, MPMC PROVIDED SPONSORSHIPS TO SONRISAS DENTAL HEALTH, INC AND TO MISSION HOSPICE. SONRISAS DENTAL HEALTH, INC IS A NONPROFIT DENTAL CENTER DEDICATED TO PROVIDING ACCESS TO QUALITY DENTAL CARE AND ORAL HEALTH EDUCATION TO OUR COMMUNITY. MISSION HOSPICE IS AN INDEPENDENT NONPROFIT ORGANIZATION PROVIDING END-OF-LIFE CARE, GRIEF SUPPORT, AND EDUCATION. IN 2024, MPMC SUPPORTED ORGANIZATIONS TO INCREASE MENTAL/BEHAVIORAL HEALTH SERVICES FOR YOUTH AND OTHER VULNERABLE POPULATIONS INCLUDING CORA'S F PART VI, LINE 6 SUTTER HEALTH IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM DEDICATED TO PROVIDING COMPREHENSIVE, HIGH-QUALITY CARE THROUGHOUT CALIFORNIA. COMMITTED TO INNOVATIVE, HIGH-QUALITY PATIENT CARE AND COMMUNITY PARTNERSHIPS, SUTTER HEALTH IS PURSUING A BOLD NEW PLAN TO REACH MORE PEOPLE AND MAKE EXCELLENT HEALTHCARE MORE CONNECTED AND ACCESSIBLE. CURRENTLY SERVING 3.5 MILLION PATIENTS, THANKS TO OUR DEDICATED TEAM OF APPROXIMATELY 60,000 EMPLOYEES AND CLINICIANS, AND 14,000+ AFFILIATED PHYSICIANS AND ADVANCED PRACTICE CLINICIANS, WITH A UNIFIED FOCUS ON EXPANDING CARE TO SERVE MORE PATIENTS. SUTTER HEALTH DELIVERS EXCEPTIONAL AND AFFORDABLE CARE THROUGH ITS HOSPITALS, MEDICAL GROUPS, AMBULATORY SURGERY CENTERS, URGENT CARE CLINICS, TELEHEALTH, HOME HEALTH, AND HOSPICE SERVICES. DEDICATED TO TRANSFORMING HEALTHCARE, AT SUTTER HEALTH, GETTING BETTER NEVER STOPS. LEARN MORE ABOUT HOW SUTTER HEALTH IS TRANSFORMING HEALTHCARE AT SUTTERHEALTH.ORG AND VITALS.SUTTERHEALTH.ORG. AS PART OF SUTTER HEALTH'S COMMITMENT TO FULFILL ITS NOT-FOR-PROFIT MISSION AND TO HELP SERVE SOME OF THE MOST VULNERABLE IN ITS COMMUNITIES, SUTTER INVESTS ANNUALLY IN COMMUNITY BENEFIT PROGRAMS THAT HELP IMPROVE THE OVERALL HEALTH AND WELLBEING OF THE REGIONS SUTTER SERVES. SUTTER'S INVESTMENTS IN COMMUNITY BENEFIT PROGRAMS AND SERVICES INCREASED TO MORE THAN $1 BILLION IN 2024. THIS INVESTMENT INCLUDES $96 MILLION IN TRADITIONAL CHARITY CARE, WHICH COVERS MEDICALLY NECESSARY CARE TO ELIGIBLE PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY; $665 MILLION IN UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS; AND INVESTMENTS IN COMMUNITY HEALTH PROGRAMS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. IN 2024, SUTTER SHARPENED ITS FOCUS TO ADDRESS PRESSING COMMUNITY NEEDS IN THREE MAIN PRIORITY AREAS: WORKFORCE DEVELOPMENT, ACCESS TO MENTAL HEALTHCARE SERVICES AND SUBSTANCE USE TREATMENT, AND CHRONIC DISEASE PREVENTION. SEE MORE ABOUT HOW SUTTER HEALTH REINVESTS INTO THE COMMUNITY AND WORKS TO ACHIEVE HEALTH EQUITY BY VISITING SUTTERHEALTH.ORG/COMMUNITY-BENEFIT. SUTTER'S CHARITY CARE POLICY FOR HOSPITAL SERVICES IS POSTED ON SUTTER'S WEB SITE AT SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE. PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA true COMMUNITY HEALTH CENTER NETWORK INC 101 CALLAN AVE STE 107 SAN LEANDRO CA 945774584 943253662 501 (c)(3) 930250 PROGRAM SUPPORT NATIVE AMERICAN HEALTH CTR INC 2920 INTERNATIONAL BLVD OAKLAND CA 946012228 237135928 501 (c)(3) 700000 PROGRAM SUPPORT Sutter Bay Medical Foundation 2300 River Plaza Drive Sacramento CA 95833 941156581 501 (c)(3) 680240 PROGRAM SUPPORT MISSION AREA HEALTH ASSOCIATION 240 SHOTWELL ST SAN FRANCISCO CA 941101323 942284365 501 (c)(3) 593525 PROGRAM SUPPORT WELLNESS TOGETHER INC 1382 BLUE OAKS BLVD STE ROSEVILLE CA 956787052 811653329 501 (c)(3) 415000 PROGRAM SUPPORT SENECA FAMILY OF AGENCIES 8945 GOLF LINKS RD OAKLAND CA 946054124 942971761 501 (c)(3) 400000 PROGRAM SUPPORT SOUTH COUNTY COMM HLTH CTR INC 1885 BAY RD E PALO ALTO CA 94303 943372130 501 (c)(3) 375000 PROGRAM SUPPORT ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT 2400 MOORPARK AVE STE 300 SAN JOSE CA 95128 942292491 501 (c)(3) 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CA 950610542 237428303 501 (c)(3) 75000 PROGRAM SUPPORT ABILITYPATH 350 TWIN DOLPHIN DR STE REDWOOD CITY CA 940651408 941156502 501 (c)(3) 75000 PROGRAM SUPPORT SALUD PARA LA GENTE PO BOX 1870 WATSONVILLE CA 950771870 942705747 501 (c)(3) 75000 PROGRAM SUPPORT PENINSULA FAMILY SERVICE 24 SECOND AVE SAN MATEO CA 94401 941186169 501 (c)(3) 75000 PROGRAM SUPPORT SONRISAS DENTAL HEALTH INC 430 NO EL CAMINO REAL SAN MATEO CA 944013710 943390196 501 (c)(3) 75000 PROGRAM SUPPORT PUENTE DE LA COSTA SUR 620 NORTH ST PESCADERO CA 94060 371484262 501 (c)(3) 75000 PROGRAM SUPPORT CURRY SENIOR CENTER 315 TURK ST SAN FRANCISCO CA 941023703 237362588 501 (c)(3) 75000 PROGRAM SUPPORT SAFE AND SOUND 12886 INTERURBAN AVE SO TUKWILA WA 981683318 942455072 501 (c)(3) 75000 PROGRAM SUPPORT HAMILTON FAMILIES 2567 MISSION ST SAN FRANCISCO CA 941102511 943055602 501 (c)(3) 75000 PROGRAM SUPPORT HUMAN INVESTMENT PROJECT INC 800 SO CLAREMONT ST STE SAN MATEO CA 944021450 942154614 501 (c)(3) 75000 PROGRAM 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(c)(3) 50000 PROGRAM SUPPORT SONOMA COUNTY JUNIOR COLLEGE DISTRICT 1501 MENDOCINO AVE SANTA ROSA CA 954014332 946033759 Gov't 50000 PROGRAM SUPPORT LA CLINICA DE LA RAZA INC PO BOX 22210 OAKLAND CA 946232210 941744108 501 (c)(3) 50000 PROGRAM SUPPORT SAINT ANTHONY FOUNDATION 150 GOLDEN GATE AVE SAN FRANCISCO CA 941023810 941513140 501 (c)(3) 50000 PROGRAM SUPPORT JEFFERSON UNION HIGH SCHOOL 350 90TH ST 3RD FLR DALY CITY CA 940151879 943083772 Gov't 50000 PROGRAM SUPPORT SIMPLY THE BASICS 1768 HELANE CT BENICIA CA 945102659 811369151 501 (c)(3) 50000 PROGRAM SUPPORT NARIKA 3155 KEARNEY ST STE FREMONT CA 945382285 943162871 501 (c)(3) 50000 PROGRAM SUPPORT SIENA HOUSE MATERNITY HOME OF SANTA CRUZ CO 108 HIGH ST SANTA CRUZ CA 95060 770518866 501 (c)(3) 50000 PROGRAM SUPPORT OAKLAND PRIDE INC 1423 BROADWAY STE OAKLAND CA 946122054 320303587 501 (c)(3) 50000 PROGRAM SUPPORT SANTA CRUZ LESBIAN AND GAY COMMUNITY CENTER PO BOX 8280 SANTA CRUZ CA 95061 770212967 501 (c)(3) 50000 PROGRAM SUPPORT 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CELEBRATE LIFE BREAST CANCER FOUNDATION PO BOX 367 KENTFIELD CA 949140367 943323358 501 (c)(3) 15000 PROGRAM SUPPORT THE ALLIANCE FOR COMMUNITY WELLNESS 24301 SOUTHLAND DR STE 300 HAYWARD CA 945451546 942297155 501 (c)(3) 15000 PROGRAM SUPPORT MEALS ON WHEELS OF ALAMEDA COUNTY 1721 BROADWAY STE 201 OAKLAND CA 946122124 942651065 501 (c)(3) 15000 PROGRAM SUPPORT MENDOCINO LAKE COMMUNITY COLLEGE 1000 HENSLEY CREEK RD UKIAH CA 954827821 946002711 Gov't 12500 PROGRAM SUPPORT OAKLAND CHINATOWN IMPROVEMENT COUNCIL 638 WEBSTER ST STE 220 OAKLAND CA 946074168 872857332 501 (c)(3) 10000 PROGRAM SUPPORT AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVE DALLAS TX 752315129 135613797 501 (c)(3) 10000 PROGRAM SUPPORT PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST 1380 19TH HOLE DR WINDSOR CA 954927713 342012430 501 (c)(3) 10000 PROGRAM SUPPORT ACTERRA ACTION FOR A HEALTHY PLANET 3921 E BAYSHORE RD STE 208 PALO ALTO CA 943034303 237064937 501 (c)(3) 10000 PROGRAM SUPPORT DONOR NETWORK WEST 12667 ALCOSTA BLVD STE SAN RAMON CA 945834427 943062436 501 (c)(3) 10000 PROGRAM SUPPORT FRIENDS FOR YOUTH 3460 W BAYSHORE RD STE PALO ALTO CA 943034227 942961034 501 (c)(3) 10000 PROGRAM SUPPORT ADOLESCENT COUNSELING SERVICES 1779 WOODSIDE RD STE REDWOOD CITY CA 940613438 510192551 501 (c)(3) 10000 PROGRAM SUPPORT YU-AI KAI-JAPANESE AMERICAN COMMUNITY SENIOR SE 558 NO 4TH ST SAN JOSE CA 95112 942427398 501 (c)(3) 10000 PROGRAM SUPPORT HEALTH TRUST 3180 NEWBERRY DR STE SAN JOSE CA 95118 946050231 501 (c)(3) 10000 PROGRAM SUPPORT CRISIS SUPPORT SERVICES OF ALAMEDA COUNTY PO BOX 3120 OAKLAND CA 94609 941635658 501 (c)(3) 10000 PROGRAM SUPPORT SAN LEANDRO EDUCATION FOUNDATION PO BOX 3149 SAN LEANDRO CA 945780149 263044668 501 (c)(3) 10000 PROGRAM SUPPORT AFGHAN ELDERLY ASSOCIATION 3300 CAPITOL AVE BLDG B FREMONT CA 945381514 943290111 501 (c)(3) 10000 PROGRAM SUPPORT MARIN COMMUNITY CLINIC 9 COMMERCIAL BLVD STE NOVATO CA 949496137 942237120 501 (c)(3) 10000 PROGRAM SUPPORT PAJARO VALLEY COMMUNITY HEALTH TRUST 85 NIELSON ST WATSONVILLE CA 95076 941149702 501 (c)(3) 10000 PROGRAM SUPPORT ABODE SERVICES 40849 FREMONT BLVD FREMONT CA 94538 943087060 501 (c)(3) 10000 PROGRAM SUPPORT FIRST 5 SONOMA COUNTY 5340 SKYLANE BLVD SANTA ROSA CA 954031082 833829813 Gov't 10000 PROGRAM SUPPORT HAYWARD EDUCATION FOUNDATION PO BOX 56444 HAYWARD CA 945456444 942930993 501 (c)(3) 10000 PROGRAM SUPPORT EATING DISORDERS RESOURCE CTR 2542 SO BASCOM AVE STE CAMPBELL CA 950085541 680616393 501 (c)(3) 10000 PROGRAM SUPPORT PACIFIC STROKE ASSOCIATION 3801 MIRANDA AVE BLDG STE A PALO CA 943041207 770500631 501 (c)(3) 9000 PROGRAM SUPPORT NORTHERN CALIFORNIA PLANNED GIVING COUNCIL 2700 E FOOTHILL BLVD STE 209 PASADENA CA 911077111 943233277 501 (c)(3) 8500 PROGRAM SUPPORT ELDER CARE ALLIANCE 1301 MARINA VILLAGE PKWY STE ALAMEDA CA 945011049 943260975 501 (c)(3) 8011 PROGRAM SUPPORT APA HERITAGE FOUNDATION 101 LOMBARD ST STE W SAN FRANCISC CA 941111151 271449069 501 (c)(3) 8000 PROGRAM SUPPORT ANTIOCH CHAMBER OF COMMERCE 101 H ST STE ANTIOCH CA 945091279 941049434 501 (c)(6) 7000 PROGRAM SUPPORT LOS ALTOS ROTARY ENDOWMENT FUND INC PO BOX 794 LOS ALTOS CA 940230794 942575930 501 (c)(3) 6500 PROGRAM SUPPORT GAY PRIDE CELEBRATION COMMITTEE OF SAN JOSE 1346 THE ALAMEDA STE 7 PMB 508 SAN JOSE CA 951265006 770101107 501 (c)(3) 6000 PROGRAM SUPPORT LAKE COUNTY SILVER FOUNDATION PO BOX 966 CLEARLAKE CA 954230966 822888820 501 (c)(3) 6000 PROGRAM SUPPORT 171 2 PATIENT ASSISTANCE 8019 1059067 FMV TRNSPRTN,MD SPLS,RHB Scholarships 32 131220 SCHEDULE I, PART I, LINE 2 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 . Review of quarterly, six-month and/or year-end outcomes reports with community partners . Review of hospital usage and patient level data . Collection of patient/participant stories and narratives . Collaborative discussions around ad-hoc successes and challenges that arise . If any grant funds remained unspent, a year-end financial summary that compares actual expenditures to the funded project's budget is requested. 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. true true false false false false false true false Mark Sevco SH SVP, COO / President SBH 0 1427186 0 1876261 0 23518 0 280857 0 47983 0 3655805 0 0 James Conforti FORMER INTERIM PRES & CEO, SH 0 0 0 0 0 2252729 0 0 0 0 0 2252729 0 0 Todd Smith MD SVP, CHF PHYS EX/ASST SEC SBH 0 783478 0 788917 0 96241 0 157257 0 52876 0 1878769 0 70126 Janet A Wagner FMR Hospital Area CEO, S Bay 0 0 0 0 0 1835784 0 0 0 0 0 1835784 0 0 Hamila Kownacki CEO, CPMC 0 694477 0 463136 0 54041 0 551212 0 21005 0 1783871 0 32872 Kevin Cook President, Silicon Valley 0 754303 0 244934 0 14939 0 693207 0 33450 0 1740833 0 0 Brian Dean former SH SVP, CFO 0 0 0 642751 0 1031878 0 0 0 0 0 1674629 0 0 David Clark CEO, ABSMC 0 529292 0 535355 0 334988 0 121357 0 33285 0 1554277 0 100026 Christina Oh President, San Francisco div. 0 773712 0 0 0 61650 0 660856 0 33168 0 1529386 0 0 Tosan Boyo President, East Bay Division 0 687451 0 145491 0 20961 0 570236 0 31470 0 1455609 0 0 Daniel Peterson CEO, Behavioral Health & SCP 0 475141 0 325577 0 88826 0 419866 0 42572 0 1351982 0 48521 Raju Iyer SH SVP, CFO / CFO SBH (pt-yr) 0 951413 0 300000 0 26801 0 0 0 33328 0 1311542 0 0 Megan Gillespie CEO, SSRRH 0 505937 0 45335 0 18823 0 445449 0 38190 0 1053734 0 0 Theresa Frei Former CEO, SVMF 0 0 0 0 0 1048576 0 0 0 0 0 1048576 0 0 David R Quincy FRMR CEO, Ambulatory - SV MKT 0 0 0 359996 0 646094 0 0 0 0 0 1006090 0 0 Steven R Cummings Executive, Research 656330 0 129199 0 4944 0 141687 0 26125 0 958285 0 129199 0 Edward Battista SH VP, HR Silicon Valley 0 385766 0 192444 0 40151 0 258171 0 18386 0 894918 0 30982 Ryan Stice SH VP, CPO/Asst Sec SBH 0 346300 0 184362 0 46874 0 252538 0 36493 0 866567 0 40112 Harly Neumann SH VP, HR East Bay Division 0 349730 0 177537 0 41233 0 229327 0 36498 0 834325 0 33418 Gregory Brown SH VP, Legal Ops, Bay/ Sec SBH 0 352906 0 151440 0 43188 0 247871 0 36660 0 832065 0 36066 Joshua Matthews Clinical Physician 689298 0 7000 0 0 0 6657 0 33940 0 736895 0 0 0 Tina Chen Staff Nurse III 638048 0 350 0 3987 0 6657 0 22360 0 671402 0 0 0 Edward Joson Nurse-Charge 599692 0 350 0 6267 0 6657 0 22684 0 635650 0 0 0 Geri Decoito Nurse-Certified Staff IV 584076 0 350 0 3534 0 6657 0 25053 0 619670 0 0 0 Dominic Nakis SH Interim / SBH CFO (pt-yr) 0 619278 0 0 0 0 0 0 0 0 0 619278 0 0 Warren Browner MD Executive Consultant 0 368781 0 69615 0 4944 0 79165 0 23247 0 545752 0 0 Jill Kacher Cobb MD Chief Medical Executive 343255 0 63855 0 943 4864 78848 0 36355 0 523256 4864 63855 0 SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: 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 "arms 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 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: JAMES CONFORTI: $1,599,998 JANET WAGNER: $426,752 BRIAN DEAN: $961,380 DAVID CLARK: $153,825 THERESA FREI: $982,821 DAVID R. QUINCY: $526,148 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 and social security benefits. 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 16% of base salary plus annual incentive plan award (commensurate with management level). 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. 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, 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 a long term performance plan which is 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. A CHFFA 2016B 521643828 13032UDW5 2016-08-17 901627093 REFUNDING 2005BC, 2003AB, 2007A true false false B CHFFA 2017A 521643828 13032UNY0 2017-07-06 496319743 REFUND 2004CD,2008A(PARTIAL)2008BC true false false C CHFFA 2018A 521643828 13032URP5 2018-04-04 699997776 CONSTRUCTION, EQUIPMENT false false false A 0 0 902923938 0 0 0 0 0 0 0 902923938 0 2016 false true true true B 0 0 496319743 0 0 0 0 0 0 0 496319743 0 2017 false true true true C 0 0 699997776 0 0 0 0 0 0 0 699997776 0 2019 false false true true A false true true true true true 0.00660 0.00000 0.00660 false false false true B false true true true true true 0.00620 0.00010 0.00630 false false false true C false true true true true true 0.00020 0.00030 0.00050 false false false true A false false false true false false 0 false 0 false true B false false true true false false 0 false 0 false true C false false true true false false 0 false 0 false true A true B true C true SCHEDULE K REPORTING The organization's sole corporate member is a conduit borrower of tax-exempt bond issues that allocates portions of each issue to certain subsidiaries, including the organization. The outstanding bond liability allocated to this organization is reported on Form 990, Part X, Balance Sheet, and Part VI herein. With the exception of this portion of Part VI, the Schedule K for this organization is reporting information for the entire bond issue. SCHEDULE K, PART I, COLUMN E THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $629,448,648 FROM THE 2016B ISSUE, $15,870,248 FROM THE 2017A ISSUE, AND $699,997,776 FROM THE 2018A ISSUE. THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) AND THE PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART II, LINE 7 ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS. SCHEDULE K, PART IV, LINE 2C DATE THE REBATE COMPUTATION PERFORMED CHFFA 2016B - 9/9/2021 CHFFA 2017A - 7/22/2019 CHFFA 2018A - 4/4/2023 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 681311 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 365826 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 17223025 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1516100 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2201922 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 150000 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 29241671 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1499130 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3176525 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 320085 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 307406 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 245000 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 5384422 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 6621469 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1647578 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 158390 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3726537 Indpndt Contractor Arrangement false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3487050 Indpndt Contractor Arrangement false X 7 64932 FMV X 1 40189083 FMV X Bottles of Wine 2 12130 FMV X THE HOLE CAKE 3 4650 FMV X OLIVE OIL 1 576 FMV X Barefoot Bubbly 1 3000 FMV X Unbound Snacks 1 3775 FMV 0 false true false PART I, COLUMN (B) COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: MISSION: CARING FOR OUR PATIENTS FIRST AND OUR PEOPLE ALWAYS. VISION: TO BE THE MOST COMPREHENSIVE, INTEGRATED AND CONNECTED HEALTH SYSTEM FOR GETTING AND STAYING WELL. VALUES: EXCELLENCE - We deliver high-quality, equitable care and take on the toughest challenges. CURIOSITY - We are constantly learning and creating new ways to advance healthcare. TEAMWORK - We collaborate with humility and solve for ONE Sutter. COMPASSION - We show empathy and understanding in every personal interaction. INCLUSION - We respect our differences and similarities, and cultivate a sense of belonging. INTEGRITY - We earn trust by doing the right thing and delivering on our commitments. FORM 990, PART III, LINE 4A Sutter Bay Hospitals (SBH) is a group of medical facilities located in the Greater Bay Area and consists of California Pacific Medical Center, Eden Medical Center, Mills-Peninsula Medical Center, Novato Community Hospital, Sutter Lakeside Hospital, Sutter Santa Rosa Regional Hospital, Eden Medical Center, Alta Bates Summit Medical Center, and Sutter Delta Medical Center. Sutter Bay Hospitals had a total of 484,700 patient days in 2024. California Pacific Medical Center (CPMC) is one of the largest private, community based, not-for-profit, teaching medical centers in California. CPMC is a tertiary referral center providing access to leading edge medicine while delivering the best possible personalized care. It provides a wide variety of services, including acute, post-acute and outpatient hospital care; hospice services; preventive and complementary care; and health education. CPMC comprises four of the oldest hospitals in San Francisco. The Davies Campus, formerly Davies Medical Center, was founded in 1854 to help San Francisco's German-speaking immigrants find work, shelter, food, clothing and health care. The Pacific Campus was founded in 1857 and was the first medical school in the American West. The California Campus was founded in 1875 as the Pacific Dispensary for Women and Children, a hospital run by women, for women. In August 2018, CPMC completed the seismic build of the new Mission Bernal Campus to replace the former facility. The Mission Bernal Campus formerly St. Luke's Campus, was formed in the 1870's and had been providing quality health services to all San Franciscans for over 140 years. In March of 2019, CPMC completed the Van Ness Campus which has replaced inpatient acute care services for both the California Campus and Pacific Campus. Together the Van Ness, Mission Bernal, Davies, and Pacific campuses comprise CPMC's 603 licensed beds. Our award-winning hospital has been recognized by the following organizations: Institute for Healthcare Improvement & American Hospital Association | In 2024 designated as Age-Friendly Health System - Committed to Care Human Rights Campaign | Van Ness campus: 100/100 Score on the Healthcare Quality Index and LGBTQ+ Healthcare Equality Leader Blue Cross Blue Shield Association | Van Ness campus: Blue Plus Distinction Center in cardiac care and spine surgery Blue Cross Blue Shield Association | Mission Bernal campus: Blue Distinction Center in knee and hip replacement Optum Health Networks | Van Ness campus: Adult Transplant Centers of Excellence Network for heart, kidney, liver, and pancreas. Cigna LifeSOURCE | Van Ness Cigna LifeSOURCE Transplant Network at the Designated level for adult heart, kidney, liver and pancreas transplant. California Department of Public Health (CDPH) | Gold status on the CDPH Antimicrobial Stewardship Program honor roll The Centers for Medicare & Medicaid Services (CMS) | Mission Bernal campus: Five stars in the CMS Overall Hospital Quality Star Ratings The Centers for Medicare & Medicaid Services (CMS) | Van Ness campus: Four stars in the CMS Overall Hospital Quality Star Ratings. Davies campus: Three stars in the CMS Overall Hospital Quality Star Ratings and Five stars for skilled nursing facility. U.S. News & World Report | Van Ness campus: High performing in congestive heart failure, colon cancer surgery, leukemia, lymphoma and myeloma treatment, heart attack, stroke care, diabetes, gynecological cancer, hip fracture, kidney failure, and pneumonia. Ranked #32 in the state, ranked #4 in the San Francisco metro, ranked #46 in the nation for gastroenterology and GI surgery specialty, and ranked best hospitals for maternity care. U.S. News & World Report | Davies campus: High performing in stroke care U.S. News & World Report | Mission Bernal campus: High performing in knee and hip replacement, hip fracture, pneumonia, and orthopedics HealthGrades | Van Ness campus: was ranked among America's 250 Best Hospitals for clinical quality, America's Best-in-State hospitals, Top 100 hospitals in the Nation for cardiac care and coronary intervention, Critical care excellence award and five stars recipient for outpatient back and neck surgery, treatment of sepsis, upper gastrointestinal surgeries, GI bleed, heart attack and heart failure. HealthGrades | Davies campus: ranked top 5 hospitals in California for cranial neurosurgery. Five stars recipient for cranial neurosurgery, treatment of sepsis, and stroke. Specialty excellence award in neurosciences, cranial neurosurgery, and stroke care. HealthGrades | Mission Bernal campus: five star recipient for outpatient total knee replacement and treatment of pneumonia, chronic obstructive pulmonary disease, heart failure, sepsis, and heart attack. Also, specialty excellence award in critical care. American Stroke Association | Van Ness and Davies campuses: Lifeline Silver STEMI Receiving Center Recognition, Gold Plus Achievement Stroke, Stroke Honor Roll Elite, Type 2 Diabetes Honor Roll, and 10-year Recognition of Gold Plus Achievement in get with the Guidelines Heart Failure. Newsweek | Van Ness campus: America's Best-in-State Hospital - ranked #19 in California, World's Best Smart Hospitals and World's Best Specialized Hospitals. Newsweek | Davies campus: America's Best-in-State Hospital - ranked #1 in Rehab (standout programs: spinal cord injury and stroke) Leapfrog Group Fall Hospital Safety Grades | Van Ness, Mission Bernal and Davies campuses: "A" grade from the Leapfrog Group for hospital safety Cal Hospital Compare | Van Ness campus: surpassed statewide target for NTSV C-section rates California Maternal Quality Care Collaborative (CMQCC) | Van Ness campus: Quality & Sustainability award for maternity care. American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) | 2024 AACVPR Program Certification American College of Radiology (ACR) | Van Ness campus: Designated as lung cancer screening center and computed tomography - Pediatrics. Pacific Heights Outpatient campus: Designated as a comprehensive breast imaging center. Eden Medical Center (EMC) is part of the Sutter Health network of care, a family of doctors, not-for-profit hospitals and other health care service providers that join resources and share expertise to advance healthcare quality access for patients in more than 100 Northern California cities and towns. The facility has 130 private patient rooms, with an additional 34-bed Universal Care Unit and is home to the Sutter East Bay Neuroscience Institute, a primary Stroke Center, the regional Level II Trauma Center for southern Alameda County, and a wide range of Centers of Excellence including cancer care, advanced imaging services, rehabilitation, and complete surgical and acute-care services. Eden had 8,872 inpatient cases, 43,316 emergency room visits, and 29,754 outpatient visits in 2024. Our award-winning hospital has been recognized by the following organizations: American Heart Association (AHA) - Get with the Guidelines | Stroke GOLD PLUS with Target: Stroke Honor Roll Elite Plus and Target: Type 2 Diabetes Honor Roll. American Stroke Association | Gold Plus recognition for the care of patients experiencing a stroke, from the Get with the Guidelines program. Becker's Hospital Review | 100 great community hospitals. Focused on bringing clinical and academic excellence, personalized and holistic care, and overall improved health to their communities Blue Cross Blue Shield Association Distinction Center | for Maternity Care and Knee and Hip Replacement, meaning it has demonstrated expertise and quality in delivering these specific specialty care. Cal Hospital Compare | Maternity Care Honor Roll for meeting or exceeding a statewide target aimed at reducing C-sections in first-time mothers with low-risk pregnancies. California Department of Public Health (CDPH) | Antimicrobial Stewardship Program Silver Honor Roll. Demonstrate clinical meaningful outcome of a stewardship intervention. California Maternal Quality Care Collaborative (CMQCC) | Early Implementers award and a Quality & Sustainability award from CMQCC for demonstrating a commitment to excellence in maternity care. Castro Valley Light Parade - Holiday Spirit Gold Winner | Chamber of Commerce is hosting the Castro Valley Light Parade, a free event in Castro Valley, on the boulevard from Redwood Road to San Miguel. Healthgrades - America's 100 Best Hospitals for Critical Care Award | Superior clinical outcomes in treating pulmonary embolism, respiratory system failure, sepsis, and diabetic emergencies. Leapfrog Group Spring Hospital Safety Grades | "A" grade from the Leapfrog Group for prioritizing patient safety and helping protect patients from preventable harm and errors. Patient Safety Excellence Award | Top in the nation for providing excellence in patient safety by presenting infections medical errors, and other preventable complications. FORM 990, PART III, LINE 4A (CONTINUED) The Centers for Medicare and Medicaid Services (CMS) | Four Stars, the highest ranking possible, in the CMS Overall Hospital Quality Star Ratings. U.S. News & World Report Best Hospitals | Eden Medical Center in Castro Valley, CA is rated high performing in 4 adult procedures and conditions. It is a general medical and surgical facility. Mills-Peninsula Medical Center (MPMC) was founded by prominent Californian, Elizabeth Mills Reid, in 1908 with just six beds. To meet the growing needs of the community, Mills-Peninsula opened a new 241-bed hospital in 2011. Located in Burlingame, the 450,000 square foot general acute care hospital features 24-hour emergency care, all private patient rooms, and family sleeping accommodations in all medical/surgical, obstetric, intensive care, and neonatal intensive care rooms. Additionally, MPMC's 327,000 sq. ft. San Mateo campus, Mills Health Center, includes 60 inpatient acute psychiatric beds and a wide range of outpatient services including ambulatory surgery, mental health, cancer center, breast center, diagnostic imaging, and therapy services. Our award-winning hospital has been recognized by the following organizations: Healthgrades Triple Crown - Recognized as the only "Triple Crown" award recipient in California for two years in a row (2023, 2024). The Triple Crown includes the Outstanding Patient Experience Award, Patient Safety Excellence Award, and America's 50 Best Hospitals Award. MPMC was also recognized by Healthgrades for specialty clinical quality awards in Surgical Care, Critical Care, Gastrointestinal Care, Stoke Care, Cranial Neurosurgery, and Neurosciences. Five Star Quality Rating from CMS - The highest ranking possible from the Centers for Medicare and Medicaid Services (CMS) The Leapfrog Group for Patient Safety - Achieved an "A" Safety Grade Rating American Diabetes Association and The Leapfrog Group - 1 of 33 hospitals in the nation to receive the Recognized Leader in Caring for People Living with Diabetes Award for a second year in a row (received in 2024 and 2025, based on prior year performance) American College of Surgeons National Surgical Quality Improvement Program - Meritorious status for exemplary outcomes for surgical care in all surgical cases and high-risk cases American Heart Association, American Stroke Association Get With The Guidelines - Stroke Gold Plus Quality Achievement Award with Stroke Elite Honor Roll and Type 2 Diabetes Honor Roll The Joint Commission: Certified Thrombectomy-Capable Stroke Center American College of Emergency Physicians (ACEP): Geriatric Emergency Department Accreditation U.S. News & World Report - Recognized as one of the Best Regional Hospitals in the San Francisco Metro area in 9 types of care: including stroke, maternity care, colon cancer surgery, heart failure, heart attack, hip replacement, hip fracture, pneumonia, and leukemia, lymphoma & myeloma Newsweek - Recognized as one of the World's Best Hospitals - United States Women's Choice Award - Recognized as one of the "Best Hospitals" in Patient Safety, Obstetrics, Heart Care, Minimally Invasive Surgery, Orthopedics, Stroke Care, Women's Services, Mammogram, and Patient Experience Baby Friendly USA - Baby Friendly Hospital designation Sutter Maternity and Surgery Center of Santa Cruz opened in 1996 and offers state-of-the-art maternity and medical/surgical services, combining patient-centered care and family convenience with the safety and security of a licensed and accredited acute care hospital. With 28 licensed beds, doctors and midwives staff our maternity services. The facility has six operating rooms, three procedure suites, 12 birthing suites and 16 medical/surgical patient suites. The hospital is fully accredited by The Joint Commission. Sutter Maternity & Surgery Center has earned recognitions that include: Human Rights Campaign Leader in LGBTQ Healthcare Equality Leapfrog: Top Hospital WHO & UNICEF: Baby-Friendly Hospital designation The Joint Commission: Advanced Perinatal Certification. American Society of Gastroenterology Endoscopy Unit Recognition Surgical Review Corporation: Center of Excellence in Robotic Surgery Surgical Review Corporation: Center of Excellence in Minimally Invasive GYN Surgery CDPH Antimicrobial Stewardship Honor Roll: Gold Status Newsweek, America's Best Maternity Hospital Novato Community Hospital (NCH) has served the Northern Marin and Southern Sonoma communities since 1961. NCH is a 47 bed acute care hospital which operates a 24-hour Emergency Department, inpatient/outpatient surgery, a critical care unit, imaging services, outpatient laboratory, physical therapy and is noted for its orthopedic surgery program. Our award-winning hospital has been recognized by the following organizations: Joint Commission Advanced Certification | Orthopedic Center of Excellence for total hip and total knee replacements Healthgrades | Top 50 Orthopedic Hospital Award nationwide. Healthgrades | Five stars for total knee replacement, outpatient hip replacement, and the treatment of stroke and sepsis California Department of Public Health | Silver status on the CDPH Antimicrobial Stewardship Program Honor Roll Human Rights Campaign | 2024 Healthcare Equality Index LGBTQ+ Healthcare Equality Leader for fifth time Blue Cross Blue Shield Association | Blue Distinction Center for knee and hip replacement surgery The Centers for Medicare & Medicaid Services (CMS) | Five stars in the CMS Overall Hospital Quality Star Ratings. Nationally only 483 hospitals received a rating of five stars this year. Becker's Hospital Review | Top Hospital for Physician Communication U.S. News & World Report | High performing in hip replacement American Stroke Association | Gold plus recognition for the care of patients experiencing a stroke and Target Stroke honor roll, from the Get with the Guidelines program American Stroke Association | Target Type 2 Diabetes honor roll Leapfrog Group Hospital Safety Grades | "A" grade in the Hospital Safety Grades Sutter Santa Rosa Regional Hospital (SSRRH), formerly Sutter Medical Center Santa Rosa, has a long history in Sonoma County dating back to 1866 when the hospital first opened. The 124 bed state-of-the art medical facility opened in 2014 with a full range of five-star personalized care services. Our award-winning hospital has been recognized by the following organizations: Human Rights Campaign | Healthcare Equality Index LGBTQ+ Healthcare Equality Leader for the seventh time American Nurses Credentialing Centers | Pathway to Excellence designated hospital California Department of Public Health (CDPH) | Bronze status on the CDPH Antimicrobial Stewardship Program Honor Roll Green Building Certification Institute | Dating back to 2015 continues to earn designation as Leadership Energy and Environmental Design (LEED) certified "Gold". The Centers for Medicare & Medicaid Services (CMS) | Four Stars in the CMS Overall Hospital Quality Star Ratings U.S. News & World Report | High-Performing in Heart Attack, Hip and Knee Replacement, Maternity Care, Stroke, and Colon Cancer Surgery. Cal Hospital Compare | Maternity Care Honor Roll, Patient Safety Honor Roll, and Opioid Care Honor Roll. American Heart Association | Gold Plus recognition for the care of patients experiencing a stroke and Target Stroke honor roll, at the Elite Plus level, from the Get with the Guidelines program. Also, Target Type 2 Diabetes honor roll. Leapfrog Group Spring Hospital Safety Grades | "A" grade in the Hospital Safety Grades California Maternal Quality Care Collaborative (CMQCC) | Quality & Sustainability Award: NTSV Cesarean Birth Rate (PC-02) for three consecutive years. Healthgrades | One of America's 250 Best Hospitals Healthgrades | Specialty Excellence Award in surgical care, critical care and joint replacement. American College of Surgeons & American Society of Metabolic Surgery's Metabolic & Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) | received meritorious recognition Sutter Lakeside Hospital (Lakeside) is a 25 bed critical access care hospital and is one of only two hospitals that serve the 68,000 residents of Lake County, California. Sutter Lakeside provides a wide variety of services, including acute, post-acute and outpatient hospital care; surgical services; family birth services; preventive care; and primary care and specialty care through two rural health clinics. American Heart Association Sutter Lakeside Hospital received a Get With the Guidelines Gold Plus award for Heart Failure recognizing 2 or more years of excellence in Heart Care Quality Metrics FORM 990, PART III, LINE 4A (CONTINUED) California Maternal Quality Care Collaborative (CMQCC) Quality & Sustainability award from CMQCC for excellence in maternity care. This award recognizes Sutter Lakeside Hospital's engagement in quality improvement projects to improve maternal health outcomes. Society of Hospital Medicine Sutter Lakeside Hospital has received National recognition for glycemic control and optimized care for patients facing glycemic control-related issues. Human Rights Campaign Sutter Lakeside Hospital was recognized on the 2024 Healthcare Equality Index as an LGBTQ+ Healthcare Equality Leader. This two-year designation recognizes healthcare providers who uphold policies and practices dedicated to the equitable treatment and inclusion of LGBTQ+ patients, visitors and employees. Sutter Lakeside Hospital has been recognized for the sixth time in this Healthcare Equality Index. Joint Commission Stroke Center Sutter Lakeside Hospital has been certified as an Acute Stroke Ready Hospital. This certification recognizes excellence in Stroke Care, provides an advanced framework to improve patient outcomes and strengthens community confidence in quality of care. Level IV Trauma Center Sutter Lakeside Hospital serves as a level IV Trauma Center providing advanced trauma life support before transferring patients to a higher level of care. The Centers for Medicare and Medicaid Services (CMS) Sutter Lakeside Hospital earned Five Stars, the highest ranking possible, in the CMS Overall Hospital Quality Star Ratings. Sutter Lakeside Hospital is the only Critical Access Hospital in California to receive this award. Blue Cross Blue Shield Association Sutter Lakeside Hospital has been recognized as a Blue Distinction Center for Maternity Care and is recognized for providing high-quality maternity services. These centers meet rigorous standards in areas such as prenatal care, labor and delivery, postpartum care, and neonatal care. They prioritize safety, patient outcomes, and family-centered care. California Department of Public Health (CDPH) Earned Silver status on the CDPH Antimicrobial Stewardship Program Honor Roll for third year. This designation recognizes top performing hospitals committed to preventing the emergence of antimicrobial resistant infections. Cal Hospital Compare Recognized on the Maternity Care Honor Roll for reducing C-sections in first-time mothers with low-risk pregnancies. Becker's Hospital Review recognizing the best hospitals for staff responsiveness, based on data from the Centers for Medicare & Medicaid Services (CMS). Five Star score in response to the questions: "How quickly did you receive help after pressing the call button?"How quickly did you receive help after asking to use the restroom or a bedpan?" Healthgrades Sutter Lakeside Hospital was awarded Five Stars for heart failure, sepsis and respiratory failure, placing it among the top 15 percent of hospitals nationwide for these services. Alta Bates Summit Medical Center (ABSMC) is located on three campuses in Oakland and Berkeley. It is licensed for 672 acute care beds and 64 psych beds. ABSMC operates Medical Center Magnetic Imaging, a freestanding imaging center, and Alta Bates Perinatal Center. Specialty hospital services include the following: acute rehabilitation, bariatrics, behavioral health, cardiovascular surgery, comprehensive community cancer center, East Bay Advanced Care, Level III NICU. U.S. News & World Report - Alta Bates Summit was ranked one of the best Hospitals in the San Francisco Bay Area region. Alta Bates Summit received "high performer" recognition in Leukemia, Lymphoma & Myeloma, Colon Cancer Surgery, Hip Replacement, Heart Attack, Heart Failure, Gastroenterology and Stroke Care. American College of Surgeons | Meritorious Award for quality of surgical care, National Surgical Quality Improvement Program (ACS NSQIP for ninth time in 14 years). For 11 consecutive years, Alta Bates Summit has earned the American Heart Association/American Stroke Association's (AHA/ASA) Get With The Guidelines Gold Plus Quality Achievement Award. In addition, Alta Bates Summit achieved the Target Stroke Elite Honor Roll Award for the quick treatment of stroke patients with the clot-breaking drug: tissue plasminogen activator, or tPA. ABSMC Named One of America's Best Physical Rehabilitation Centers 2024 ABSMC's Rehabilitation Center has been recognized by Newsweek as one of America's Best Physical Rehabilitation Centers in the U.S. ABSMC's Summit Campus was ranked #8 in California, a tremendous achievement that highlights our quality of care, quality of service, quality of follow-up care and accommodation and amenities. Healthgrades America's 50 & 100 Best Hospitals. ABSMC's Summit Campus in Oakland was named among America's 50 Best Hospitals for overall clinical quality for the second year in a row and our Alta Bates Campus in Berkeley was named among America's 100 Best Hospitals for a third year in a row. Baby-Friendly Hospital Designation: Alta Bate Summit has achieved the Baby-Friendly Designation from Baby-Friendly USA, the independent organization that evaluates hospitals on how well they adhere to the evidence-based practices recommended by the World Health Organization (WHO) and the United Nations International Children's Emergency Fund (UNICEF) for optimal newborn feeding support. ABSMC Awarded High Grades for Outstanding Quality and Safety Alta Bates Summit Medical Center (Summit Campus received an "A" Hospital Safety Grade from The Leapfrog Group, a national nonprofit focused on patient safety. Alta Bates Summit (Alta Bates Campus) earned a "B" grade for prioritizing patient safety and helping protect patients from preventable harm and errors. ABSMC Earn High Marks from CMS for Safe, Equitable Care Centers for Medicare and Medicaid Services (CMS) awarded Alta Bates Summit Medical Center - Alta Bates and Summit Campuses, 4 stars for overall hospital quality. This recognition put our hospital above 1,700 hospitals in the nation. Only 16.4 percent of hospitals evaluated across the nation received a four-star rating. This recognition reflects our dedication to providing top-tier healthcare services to our communities. Sutter Delta Medical Center (SDMC) is located in Antioch, CA. SDMC is licensed for 141 acute care beds and is a designated STEMI receiving center. Specialty hospital services include diagnostic breast health, comprehensive wound care, heart failure, heart attack, and COPD disease management. The hospital is the recipient of many awards and designations including: The Centers for Medicare & Medicaid Services (CMS) Four Stars in the CMS Overall Hospital Quality Star Ratings Leapfrog Group Hospital Safety Grades "B" grade in the Hospital Safety Grades Haelogics Incorporated 2024 Outpatient Wound Care Center of Distinction American College of Cardiology accreditation for the Cardiac Cath Lab American Heart Association STEMI receiving center designation and STEMI Type 2 Diabetes Honor Roll Healthgrades Clinical Excellence award for coronary intervention; Top 10% in the Nation for Coronary Interventional Procedures US News and World Reports High Performer designation in Cardiology: congestive heart failure, heart attack, and COPD US News and World Reports High Performer designation for Maternity Care California Hospital Compare Maternity Honor Roll designation American Heart Association Gold Plus designation for Get With The Guidelines Heart Failure management Human Rights Campaign Leader in LGBTQ Healthcare Equality Sutter Bay Hospitals Clinical programs include: Arthritis Support Services Program Asthma Education P Asthma Management Resource Center Breast Feeding Centers Breast Feeding Support Program Breast Health Centers California Pacific Medical Center Research Institute Cancer Recovery Programs Care Transitions Nurse Program and ED Navigator Program Coming Home Hospice Community Benefits Programs (detailed below) Community Event Donations and Sponsorships Community Health Fairs and Education Community Health Resource Center Comprehensive Stroke Center Diabetes Education Program Diabetes Discharge Program (DDP) Disable Community Health Clinic End-Stage Organ Failure/Transplantation Programs (Heart, Kidney, Liver, Pancreas) Every Woman Counts/Save a Life Sister Forbes Norris MDA/ALDS Center Hand Clinic Hospitalist Program Healthy Families, Medi-Cal and County Enrollments Hospital Quality Assurance CHFT Pledge Infant Follow-Up Program Institute for Health and Healing Irene Swindells Alzheimer's Residential Care Center Labor and Delivery Parent Education/Childbirth Education Program La Clinical Pittsburg Clinic Lions Eye Clinic Low Vision Rehabilitation Center FORM 990, PART III, LINE 4A (CONTINUED) Neonatal Transport Muscular Dystrophy Association Neuromuscular Clinic Pacific Vision Foundation Palliative Care Program Physical and Occupational Therapy Educational Program Psychiatric Evaluation Reimbursement to On-Call Physician Rehabilitation Services (Acute and Outpatient) Rehab Caregivers Support Group Residency Training and Fellowship Programs Sibling Center Smith Kettlewell Eye Research Institute (They are independent of CPMC.) Special Care Nursery-Subsidized Service Special Connections Program Stroke Support Group Program Sub-Acute Care Program Support after Neonatal Death (SAND) Telemedicine Service (Stroke) Tele-Care Program The Parent Share Support Program Visiting Nurses and Hospice of San Francisco Ventricular Assist Device (VAD) program Whitney Newborn ICU Follow-Up Clinic Women's Health Programs Women's Health Resource Center Clinical service offerings include: AIDS & HIV Services Arthritis Bariatric Surgery Services Cancer Services Cardiovascular Services Chronic Disease Services Clinical Laboratory Complementary Medicine Comprehensive Stroke Services Critical Care Services Diabetes Services (Adult & Pediatric) Diagnostic Services/Laboratories Dialysis Services Emergency Services Epilepsy Gastroenterology Disease Services Home Health & Hospice Interventional Endoscopy Services Kalmonovitz Child Development Centers Medical Transport Services Microsurgery and Limb Salvage Services Neonatal Intensive Care Neurology Neuro-oncology Surgery Nuclear Medicine Nutrition and Weight Management Obstetrics & Gynecology Occupational Health Older Adult Services Oncology Services Ophthalmology Organ Transplantation Orthopedics Otolaryngology Outpatient Clinics & Services Pathology Pediatric Emergency Department Pediatric Specialty Services Perioperative Services (OR and Post-Anesthesia Recovery Unit) Pharmacy Physical Medicine & Rehabilitation Services Psychiatry Radiology & Diagnostic Imaging Rehabilitation Services Respiratory Care Surgical Services/Ambulatory Surgery Urgent Care Center Wound Care Women and Infant Services Women's Services Non-clinical services include: ABSMC Nursing Education Administrative Services Care Transitions Nurse Program and ED Navigator Program Chaplaincy Services Charity Care Program Community Health Resource Center Continuing Medical Education Health Ministry Program Health Science Libraries Interpreter Services Interim Care Program for Homeless MPI Patient Assistance Fund Patient Services Research Institute Surgical Training Center Volunteer Services Web Nursery California Pacific Medical Center Foundation Novato Community Hospital Development Office Samuel Merritt College Scholarships and Funding for Professional Education Sutter Lakeside Foundation Thunder Road Transportation Tuition Reimbursement Youth Bridge Career Development Program Community Benefit The medical facilities in Sutter Bay Hospitals (SBH) play integral roles in providing direct health care services as well as monetary grants or sponsorships to non-profit organizations to address the community health needs of vulnerable, underinsured, and uninsured populations in their communities. The community benefit representatives of SBH work collaboratively and in partnerships with a broad and diverse network of community-based non-profits, city and county agencies, physicians, and neighborhood groups to identify local needs, formulate community benefit plans, and take appropriate funding actions. While SBH management sets overall goals for community benefits, each of the facilities medical center administrators are responsible for identifying how local needs are to be addressed. In fiscal year 2024, Sutter Bay Hospitals provided a regional total of $560 million in cost of services and benefits for the poor and underserved: $5,607,267 Community Health Improvement Services, $52,651,726 in Health Professionals Education, $28,026,012 Subsidized Health Services, $8,125,541 in Research, $21,202,985 in Financial and In-Kind Contributions, and $1,748,257 in Community Benefit Operations, while providing $41,119,657 in Financial Assistance with Means-Tested Programs of $31,040,516 and Medicaid $370,082,350. FORM 990, PART VI, LINE 4 2024 Bylaw Amendments: Previous: The officers of the Corporation shall be a Chair, a Chair of the Finance and Planning Committee, a President of the Corporation, a Chief Financial Officer of the Corporation, a Corporate Secretary and any Assistant Secretary(ies). New: The officers of the Corporation shall be a Chair, a President of the Corporation, a Chief Financial Officer of the Corporation, a Corporate Secretary and any Assistant Secretary(ies). The bylaws of Sutter Bay Hospitals have been amended to update the composition of officer positions on the board. The chair of the finance and planning committee position has been eliminated and its responsibilities absorbed by the board. 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 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. 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 12 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 LEGAL AND RISK SERVICES DEPARTMENT 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 "ARMS 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 2024 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN APRIL 2024. 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 THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH OR SUTTER BAY HOSPITALS AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION: - MARK SEVCO - TODD SMITH, MD - JILL KACHER COBB, MD 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 Changes in Net Assets or Fund Balance: Equity Transfers (net) 36,817,576 K-1 Activity (34,170,762) Partnership Income on Books 32,230,499 Annuity True-Up (2,073,944) Change in Split Interest 230,034 Donated Long Live Assets 14,839,083 - - - - - - - - - - TOTAL 47,872,486 -------------------- CALIFORNIA PACIFIC MEDICAL CTR FOUND C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 942728423 FUNDRAISING CA 501(C)(3) 7 SUTTER BH true SUTTER COMMUNITY HEALTH C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 510172285 HEALTHCARE CA 501(C)(3) 3 SUTTER BH true MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2300 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 2300 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 2300 RIVER PLAZA DR SACRAMENTO CA 95833 942594966 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER BAY MEDICAL FOUNDATION C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 941156581 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SUTTER COAST HOSPITAL C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 942988520 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER DAVIS HOSPITAL FOUNDATION C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 680217870 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER HEALTH 2300 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 ALLIANCE C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 461183948 HEALTH PLAN CA 501(C)(4) N/A SUTTER HLTH 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 MEDICAL CENTER FOUNDATION C/O SH TAX 2300 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 2300 RIVER PLAZA DR SACRAMENTO CA 95833 680040113 FUNDRAISING CA 501(C)(3) 7 SUTTER VH true SUTTER VALLEY HOSPITALS C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 941156621 HOSPITAL CA 501(C)(3) 3 SUTTER HLTH true SUTTER VALLEY MEDICAL FOUNDATION C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 680273974 HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH true SUTTER VISITING NURSE ASSOC AND HOSPICE C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 946068843 HEALTHCARE CA 501(C)(3) 10 SUTTER HLTH true TRACY HOSPITAL FOUNDATION C/O SH TAX 2300 RIVER PLAZA DR SACRAMENTO CA 95833 680318845 FUNDRAISING CA 501(C)(3) 12A - 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