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        <PersonNm>RYAN STICE</PersonNm>
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        <PersonNm>HARLY NEUMANN</PersonNm>
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        <PersonNm>GREGORY BROWN</PersonNm>
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        <PersonNm>CATHERINE KRNA</PersonNm>
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        <PersonNm>CHANTEL JOHNSON</PersonNm>
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        <PersonNm>LAWRENCE DEGHETALDI</PersonNm>
        <TitleTxt>FRMR SH VP, GVMNT MD AFFAIRS</TitleTxt>
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        <PersonNm>DOMINIC NAKIS</PersonNm>
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        <PersonNm>CECILIA AVILES</PersonNm>
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        <PersonNm>JILL KACHER COBB MD</PersonNm>
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        <PersonNm>DEBORAH A ESPINOZA</PersonNm>
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        <PersonNm>DARLENE CAUDILLO</PersonNm>
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        <PersonNm>THOMAS BRIODY</PersonNm>
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        <PersonNm>THEODORE DEIKEL</PersonNm>
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        <PersonNm>ERIC FLOWERS</PersonNm>
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        <PersonNm>JANET GARUFIS</PersonNm>
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        <PersonNm>RITA KWAN-FEINBERG MD</PersonNm>
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        <PersonNm>JULI MAXWORTHY</PersonNm>
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        <PersonNm>RON SINHA MD</PersonNm>
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        <PersonNm>JANE VARNER MD</PersonNm>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF THE ORGANIZATION'S COLLECTIONS: THE ORGANIZATION HAS ARTWORK BEING DISPLAYED IN PUBLIC PLACES OF THE MEDICAL FACILITY FOR DECORATIVE PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: SCHERM/TANG ENDOWMENT FUND - FOR THE GENERAL SUPPORT OF THE PALO ALTO DIVISION MEDICAL TECHNOLOGY AND EQUIPMENT FUND. PAWAN TEWARI GOLDMAN SACHS ENDOWMENT - TO SUPPORT THE FOLLOWING PROGRAMS: (1/4) GERIATRIC SUPPORT AND (1/4) PALLIATIVE CARE - THE INTEREST FOR BOTH WILL SUPPORT THE CENTER FOR PALLIATIVE CARE AND GERIATRICS; (1/4) PRE-MEDICINE EDUCATION SCHOLARSHIPS BENEFITTING THE PAFMG MEDICAL SCHOOL SCHOLARSHIP FUND; AND (1/4) BEHAVIORAL HEALTH BENEFITTING THE PAMF BEHAVIORAL HEALTH FUND. COMMUNITY HEALTH CARE ENDOWMENT - TEMP RESTRICTED EARNINGS TO HELP MEET THE NEEDS OF THE UNDERSERVED (MENTAL AND PHYSICAL) WITHIN THE SBMF SERVICE AREA. Board Designated Medical Scholarships Endowment - Earnings to support pre-medical scholarships. Barnholt Endowed Chair Fund - To support the programmatic and other needs of the SBMF Oncology Department as recommended by the Chair, consistent with the charitable purposes of SBMF. PALO ALTO INTERNAL MEDICINE ENDOWMENT - TO SUPPORT THE GENERAL NEEDS OF THE PALO ALTO INTERNAL MEDICINE DEPARTMENT. PAMF B.D. NAGESWARA RAO ENDOWMENT - TO SUPPORT SUTTER BAY MEDICAL FOUNDATION CARDIOLOGY. PAFMG Endowment - To provide annual philanthropic support for capital and programmatic needs at PAMF in perpetuity in accordance with the policies and practices of SBMF's Board of Directors as recommended by the Board of Directors of PAFMG and the PAFMG Chief Executive Officer. PAMF PHYSICIAN WELL-BEING ENDOWMENT - INTEREST, DIVIDENDS, AND EARNINGS FROM THE CORPUS WILL SUPPORT INNOVATIVE SOLUTIONS FOR REDUCING PHYSICIAN BURNOUT AND IMPROVING PATIENT CARE. AMIT K. JHA, MD COMPASSION AND CLINICAL EXCELLENCE ENDOWMENT - INTEREST, DIVIDENDS, AND EARNINGS SUPPORT THE AMIT K. JHA, MD COMPASSION AND CLINICAL EXCELLENCE AWARDS OF SBMF ALAMEDA. THESE ANNUAL AWARDS WILL HONOR INDIVIDUALS AND TEAMS IN THE ALAMEDA DIVISION WHO DELIVER CLINICAL EXCELLENCE TO PATIENTS AND WHO DEMONSTRATE COMPASSION TO PATIENTS AND TO EACH OTHER. IT IS OUR DEEP HOPE THAT THESE AWARDS PROVIDE INSPIRATION FOR OUTSTANDING CARE AND HELPS TO RECOGNIZE THE AMAZING THINGS THE PHYSICIANS AND STAFF OF THE ALAMEDA DIVISION DO EVERY DAY. THE KIMBERLY A, KAREN S, &amp; KRISTINE L KEIL ENDOWMENT - EARNINGS TO SUPPORT THE SUTTER BAY MEDICAL FOUNDATION SURGICAL ONCOLOGY PROGRAM. THE MATTHEW KEIL BLAIR &amp; KEIL P. SCHNEIDER ENDOWMENT - EARNINGS TO SUPPORT THE SUTTER BAY MEDICAL FOUNDATION PEDIATRIC CARDIOLOGY DEPARTMENT. PAMF PALO ALTO DIVISION GENERAL ENDOWMENT FUND - A GENERAL ENDOWMENT FUND WHERE THE EARNINGS WILL SUPPORT GENERAL NEEDS OF THE PALO ALTO DIVISION OF SBMF. MARCUS A KRUPP &amp; DONNA GOODHEART KRUPP ENDOWMENT FUND FOR RESEARCH -EARNINGS TO SUPPORT THE GENERAL NEEDS OF THE PALO ALTO MEDICAL FOUNDATION RESEARCH INSTITUTE. Eugene &amp; Lena Shao Family Endowed Chair in Cardio Medicine - Earnings to support the salary of the Cardiovascular Medicine Chair and may also be used for programmatic support of special clinical care initiatives in the Sutter Health cardiovascular service line at the discretion of the chair holder. THE BETTY A. KEIL ENDOWMENT FUND - EARNINGS TO SUPPORT AND BE DISTRIBUTED 50/50 TO SBMF NURSE NAVIGATION INSTITUTE AND CARDIOVASCULAR SERVICES FUNDS. Sutter Health Innovation Hatchery Endowment - Earnings benefit SH Innovation Hatchery to design innovative projects aligned with Sutter Health's Mission and patient care goals over many clinical areas. BRIAN T. PAASO SCHOLARSHIP ENDOWMENT - EARNINGS TO SUPPORT MEDICAL SCHOLARSHIPS. PHYSICIAN ENDOWMENT - TEMP RESTRICTED EARNINGS TO SUPPORT THE RECRUITMENT AND RETENTION OF PHYSICIANS. DUSTERBERRY ENDOWMENT - TEMP RESTRICTED EARNINGS TO BENEFIT CHILDREN IN THE GEOGRAPHIC AREA OF THE TRI-CITIES AND THE FREMONT UNIFIED SCHOOL DISTRICT AND TO FUND SCHOOL CONFERENCES, NEW PROGRAMS, STUDENT TUITION, AND SCHOLARSHIPS. NURSING SCHOLARSHIP ENDOWMENT - TEMP RESTRICTED EARNINGS TO SUPPORT NURSING EDUCATION SCHOLARSHIPS. THE BLAIR STRATFORD NURSING ENDOWMENT WAS ESTABLISHED BY BLAIR STRATFORD IN HONOR OF DR. RICHARD BABB TO FUND NURSING EDUCATION THROUGH SCHOLARSHIPS FOR QUALIFIED SBMF CANDIDATES IN THE PALO ALTO, CAMINO, SANTA CRUZ, AND PALOMARES DIVISIONS. Florence T. &amp; Harold R. Stevens Endowment - Study of Aging - Temp restricted earnings to support studying the aging process of elderly individuals. THE DR. MILTON SAIER JR. MEDICAL RESEARCH ENDOWMENT FUND - TEMP RESTRICTED EARNINGS TO SUPPORT THE PURCHASE OF EQUIPMENT, SUPPLIES AND OTHER EXPENSES DIRECTLY RELATED TO SUPPORT OF THE MEDICAL RESEARCH MISSION OF THE RESEARCH INSTITUTE. RUSSELL ENDOWMENT - TEMP RESTRICTED EARNINGS TO SUPPORT PROGRAMS AND SERVICES OF THE CLARK-DAVIS PEDIATRIC CENTER. PEDIATRIC ENDOWMENT - TEMP RESTRICTED EARNINGS TO SUPPORT PEDIATRICS. RESEARCH INSTITUTE ENDOWMENT - TEMP RESTRICTED EARNINGS TO SUPPORT RESEARCH. The Dorothy Rhodes Endowment - Temp restricted earnings to support cash awards as part of the Bravo Employee Recognition Program. THOMAS R MITCHELL ENDOWMENT - TEMP RESTRICTED EARNINGS TO SUPPORT THE ESTABLISHMENT AND MAINTENANCE OF A COMPUTERIZED ONCOLOGY DATABASE ALLOWING PHYSICIANS MORE ACCESS FROM OFF-SITE LOCATIONS. MILO FELLOWSHIP ENDOWMENT - TO PROVIDE GRANTS IN AID AND SUPPORT PROMISING POSTDOCTORAL SCIENTISTS ENGAGED IN RESEARCH RELATING TO THE CAUSE, DIAGNOSIS, TREATMENT, AND CURE OF CANCER. EACH GRANT SHALL BE KNOWN AS THE EDITH J MILO MEMORIAL FELLOWSHIP IN THE RESEARCH ON CANCER. THE ETTA AND MICHAEL KILBANE ENDOWMENT FUND - TEMP RESTRICTED EARNINGS TO SUPPORT CANCER RESEARCH AND CANCER PROGRAMS IN RADIATION ONCOLOGY AND MEDICAL ONCOLOGY. HEALTH CARE ENDOWMENT - TEMP RESTRICTED EARNINGS TO FUND HEALTH CARE PROJECTS FOR THE PALO ALTO DIVISION AND MEET THE NEEDS OF THE UNDERSERVED WITHIN THE PALO ALTO DIVISION. THE DOHRMANN FAMILY ENDOWMENT FUND FOR RESEARCH - TEMP RESTRICTED EARNINGS TO SUPPORT RESEARCH. THE GEORGE F. DICK AND KATHRYN M. DICK MEMORIAL ENDOWMENT - TEMP RESTRICTED EARNINGS TO SUPPORT STUDYING THE AGING PROCESS OF ELDERLY INDIVIDUALS. THE LEONARD W. ELY SR., M.D., CHAIR IN RESEARCH ENDOWMENT - TEMP RESTRICTED EARNINGS TO SUPPORT THE SALARY AND BENEFITS OF THE RESEARCH INSTITUTE DIRECTOR. SHOCKLEY ENDOWMENT - UNRESTRICTED INVESTMENT INCOME (USE BY SBMF FOR GENERAL PURPOSES) IN TEMP UNTIL APPROPRIATED FOR EXPENDITURE. REALIZED AND UNREALIZED GAIN/LOSS GOES BACK INTO THE ENDOWMENT CORPUS. ALL OTHER ENDOWMENTS ARE HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER BAY MEDICAL FOUNDATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <Event1Nm>TOAST TO TOWN</Event1Nm>
        <GrossReceiptsEvent1Amt>30200</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>28585</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>1615</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>29732</RentFacilityCostsEvent1Amt>
        <OtherDirectExpensesEvent1Amt>4229</OtherDirectExpensesEvent1Amt>
        <OtherEventsTotalCnt>0</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>0</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>0</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>30200</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>28585</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>1615</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>29732</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>4229</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>33961</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-32346</NetIncomeSummaryAmt>
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          <ZIPCd>95833</ZIPCd>
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        <RecipientEIN>942788907</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>360337</CashGrantAmt>
        <PurposeOfGrantTxt>Research PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT PROGRAM SUPPORT Research</PurposeOfGrantTxt>
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          <AddressLine1Txt>2300 RIVER PLAZA DRIVE</AddressLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5151 CALI AVE STE 100</AddressLine1Txt>
          <CityNm>IRVINE</CityNm>
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      <RecipientTable>
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          <BusinessNameLine1Txt>SECOND HARVEST FOOD BANK SANTA CRUZ COUNTY</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 OHLONE PKWY</AddressLine1Txt>
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          <AddressLine1Txt>1740 17TH AVE</AddressLine1Txt>
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          <ZIPCd>95062</ZIPCd>
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          <AddressLine1Txt>995 MARSH RDSTE 102 PMB214</AddressLine1Txt>
          <CityNm>RDWD CTY</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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          <BusinessNameLine1Txt>ABUNDANT GRACE COASTSIDE WORKER</BusinessNameLine1Txt>
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          <AddressLine1Txt>515 KELLY AVE</AddressLine1Txt>
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          <ZIPCd>940191719</ZIPCd>
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        <CashGrantAmt>7500</CashGrantAmt>
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          <AddressLine1Txt>1156 HIGH ST</AddressLine1Txt>
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          <AddressLine1Txt>1549 LEWISTON DR</AddressLine1Txt>
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          <CityNm>REDWOOD CITY</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
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          <AddressLine1Txt>801 ALMA ST STE 313</AddressLine1Txt>
          <CityNm>PALO ALTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94301</ZIPCd>
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        <RecipientEIN>825036957</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MENTAL HLTH ASSOC FOR CHINESE COMMUNITIES</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3160 CASTRO VLLY</AddressLine1Txt>
          <CityNm>CASTRO VALLEY</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94546</ZIPCd>
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        <RecipientEIN>824322450</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>COMMON ROOTS FARM</BusinessNameLine1Txt>
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          <AddressLine1Txt>301 GOLF CLUB DR</AddressLine1Txt>
          <CityNm>SANTA CRUZ</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>950602124</ZIPCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>NAT'L ALL ON MENTAL ILLNESS OF SANTA CRUZ CO</BusinessNameLine1Txt>
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          <AddressLine1Txt>35 PENNY LN STE 2</AddressLine1Txt>
          <CityNm>WATSONVILLE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>NEW HOPE CHINESE CANCER CARE FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>500 E CALAVERAS BLVD</AddressLine1Txt>
          <CityNm>MILPITAS</CityNm>
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          <AddressLine1Txt>234 E GISH RD STE 200</AddressLine1Txt>
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        <CashGrantAmt>7500</CashGrantAmt>
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          <BusinessNameLine1Txt>ROOTS COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
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          <CityNm>OAKLAND</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <RecipientEIN>262583954</RecipientEIN>
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          <AddressLine1Txt>945 CALIFORNIA DR</AddressLine1Txt>
          <CityNm>BURLINGAME</CityNm>
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        <RecipientEIN>943048383</RecipientEIN>
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      <Total501c3OrgCnt>22</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>97</RecipientCnt>
        <CashGrantAmt>307794</CashGrantAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>MARK SEVCO</PersonNm>
        <TitleTxt>SH SVP, COO/Asst Sec SBMF</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <PersonNm>ELIZABETH VILARDO-MORGAN MD</PersonNm>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS: JAMES CONFORTI RECEIVED SEVERANCE PAYMENTS OF $1,599,998 THERESA FREI RECEIVED SEVERANCE PAYMENTS OF $982,821 BRIAN DEAN RECEIVED SEVERANCE PAYMENTS OF $961,380 LI-MIN J. HU RECEIVED SEVERANCE PAYMENTS OF $528,336 DAVID QUINCY, MD RECEIVED SEVERANCE PAYMENTS OF $526,148 CECILIA AVILES RECEIVED SEVERANCE PAYMENTS OF $370,078 DARLENE CAUDILLO RECEIVED SEVERANCE PAYMENTS OF $120,312 LAWRENCE DEGHETALDI RECEIVED SEVERANCE PAYMENTS OF $119,424</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
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        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00620</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00100</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00720</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K REPORTING</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, COLUMN E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNT OF: $28,573,250 FROM THE 2016B ISSUE AND; $96,964,091 FROM THE 2017A. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuance costs were funded through equity contributions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>DATE THE REBATE COMPUTATION PERFORMED CHFFA 2016B - 9/9/2021 CHFFA 2017A - 7/22/2019</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Lizz Vilardo-Morgan</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FORMER OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>71025</TransactionAmt>
        <TransactionDesc>CHILD IS AN SBMF EMPLOYEE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>13</ContributionCnt>
        <NoncashContributionsRptF990Amt>294086</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV of Stock</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
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      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>71495032</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>fmv</MethodOfDeterminingRevenuesTxt>
      </RealEstateOtherGrp>
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN (B)</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1 AND PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, PROGRAM SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>Sutter Bay Medical Foundation Sutter Bay Medical Foundation (SBMF) is a not-for-profit health care organization that is a pioneer in both multispecialty group practice of medicine and outpatient medicine. Serving communities throughout Northern California, Sutter Health is a regional leader in primary care and specialty care and is a pioneer in advanced patient safety technology. In 1993, Palo Alto Medical Foundation (PAMF) affiliated with Sutter Health, a family of not-for-profit hospitals and physician organizations that share resources and expertise to advance health care quality. In 2016, Sutter began the process of merging Bay Area medical foundations to form SBMF. In August 2017, Sutter West Bay Medical Foundation (SWBMF) and Sutter East Bay Medical Foundation (SEBMF) merged into SBMF. In 2008, the physicians of the former Camino Medical Group, Palo Alto Medical Clinic and Santa Cruz Medical Clinic merged into a single physician group called the Palo Alto Foundation Medical Group (PAFMG) to contract with PAMF to provide physician services and in 2010, a new multispecialty physician group, Peninsula Medical Clinic (PMC), was formed. In 2017 PMC merged into PAFMG, creating a single physician group. In addition, in 2017 as part of the merger of SWBMF and SEBMF into SBMF, East Bay Physicians Medical Group (EBPMG), Sutter Medical Group of the Redwoods, Inc., Physician Foundation Medical Associates, Inc. and Marin Headlands Medical Group, Inc. contracted with SBMF to provide physician services. In 2024, SBMF's 1,831 affiliated physicians and 8,037 employees served 1,264,019 patients through 9,938,298 patient visits, outpatient surgeries, and urgent care visits. SBMF's mission is to enhance the well-being of the people in our communities through compassion, excellence and innovation in health care services, research and education. SBMF has three divisions: 1. Health Care 2. Education 3. Research Health Care Division SBMF's Health Care Division consists of five service areas: 1. Peninsula Area, serving San Mateo, Santa Clara counties 2. South Bay Area, serving Santa Clara County 3. Santa Cruz Area, serving Santa Cruz County 4. East Bay Area, serving Alameda and Contra Costa counties 5. Sonoma and San Francisco Area, serving Sonoma, Marin and San Francisco counties These service areas offer more than 45 medical specialties, a full range of medical services, and state-of-the-art technology. This technology includes the most advanced diagnostic imaging and treatment devices, an electronic health record system, three licensed acute-care facilities, and one accredited home health agency. SBMF's advanced capabilities and emphasis on outpatient care allow physicians and staff to minimize hospitalization of patients, reducing the overall cost of medical care significantly while maintaining the highest quality of care for patients. SBMF continues to expand and integrate services through efforts such as transplant and advanced organ therapies outreach clinics to provide care at all phases of the kidney, liver, and pancreas transplant process for patients across Northern California and Nevada. The teams coordinate care in local communities while the transplant event takes place at Sutter Health's California Pacific Medical Center in San Francisco. As part of its commitment to serving its community, SBMF provides care to medically indigent patients and those enrolled in Medicare, Medi-Cal, and other government programs whose reimbursements fall short of covering the cost of providing care. There are 198 clinics across SBMF's service areas to further its commitment to serving its community, 21 within Peninsula, 24 within South Bay, 18 within Santa Cruz, 17 within East Bay and 105 within Sonoma and San Francisco. Recent Achievements 1. PAMF honored as a Top Ten Percent organization in Clinical Quality by Integrated Health Association Align Measure Perform program (IHA AMP) for our 2023 (most recent) measurement year performance. 2. PAMF honored as a Top Ten Percent organization in Patient Experience by Integrated Health Association Align Measure Perform program (IHA AMP) for our 2023 (most recent) measurement year performance. 3. SBMF achieved Exceptional Performer (top rating) in CMS Quality Payment Program (MIPS) based on our 2023 performance. 4. Palo Alto Medical Foundation was recognized by the Healthcare Equality Index as an LGBTQ+ Healthcare Equality Leader. This recognition showcases healthcare providers who uphold policies and practices dedicated to the equitable treatment and inclusion of LGBTQ+ patients, visitors and employees. 5. Top ASCs in California by US News and World Report (Mountain View, Palo Alto, Fremont and San Carlos) announced March 18, 2025 6. Palo Alto Foundation Medical Group received 4 star rating for its overall 2023 (most recent) care of Medicare Advantage (MA) patients, as publicly reported on the Integrated Healthcare Association's (IHA) website program. 7. California's Office of the Patient Advocate (OPA) awards their top rating (5 stars) to PAMF-PAFMG for patient experience and 5 stars for quality in all 4 counties that we serve. 8. PAMF Scores in Top 10 Percent for multiple domains in the state for patient satisfaction according to our 2024 Patient Assessment Survey. 85% of the domains we score in the top quintile in the State. Participants are over 180 provider groups in California. 9. PAFMG exceeds the 2024 Sutter Best Practice Target on Quality with 64% metrics above 90th percentile performance and is the top-rated physician organization in Sutter. 10. Palo Alto Medical Foundation has earned a 2024 AMGA RIZE to the Challenge award. This award is based on high performance on the campaign measures including top 5 performance on the vaccine bundle measure and top 5 on the zoster and Td/Tdap measures. Research Division In 2024, PAMFRI participated in 54 clinical trials, enrolled 431 patients, and completed 2,915 study-related visits with patients. We received 116 awards and grants from federal agencies, public and private foundations, commercial sponsors, and PAMF Philanthropy awards to support the scientific discoveries and research of PAMFRI investigators and physician-scientists. Our PAMFRI Center for Health Systems Research scientists and researchers have published over 56 manuscripts. Our Clinical Principal Investigators have published numerous articles in prestigious medical journals. PAMFRI's clinical research portfolio covered a wide range of medical and surgical specialties, including oncology, dermatology, endocrinology, cardiovascular, pulmonary, orthopedics, gastroenterology, pain management, and neurology. We conducted research focused on a variety of diseases/health conditions such as COVID-19, diabetes, lung, liver, colorectal, gastric, ovarian, cervical, breast, prostate and other cancers, multiple sclerosis, vitiligo, mental health, and screening trials for multiple cancer types. We also conducted research focused on patient-reported outcomes, physician-patient communication, digital health tools, lean management, physician/clinician wellbeing and burnout (including the use of AI to address these issues), survey administration and data analysis for employees. In addition, PAMFRI researchers have been co-leads in quality improvement evaluation projects in pediatric primary and urgent care. PAMFRI has received sponsorship and funding from numerous prominent organizations, including . National Institute of Diabetes and Digestive and Kidney Diseases . National Institute for Mental Health . National Heart, Lung, and Blood Institute . National Cancer Institute . The National Center for Advancing Translational Sciences . Patient-Centered Outcomes Research Institute . Tobacco-Related Disease Research Program (State of California) . California Breast Cancer Research Program . Genentech, Eisai, Novartis, Eli Lily, Incyte and more . Biotech companies such as Lucira, Atreca, Avail and more . Palo Alto Medical Foundation Philanthropy</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, PROGRAM SERVICES (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>Education Division The Health Education Division provides health education through health promotion classes, support, resources and health information at our in-person or virtual health resource centers. Our programs focus on wellness, healthy lifestyle changes, prenatal/postpartum care, and disease management and are available to all patients and community members. We offer need-based scholarships for education classes when cost is a barrier. Notable achievements in 2024 include: . The Health Education Department provided over 40 unique health focused group classes virtually and in-person. These classes covered topics related to behavior change, disease management, prenatal &amp; postpartum care and stress management. Through strategic marketing efforts in 2024 we increased our outreach by over 1,000 touchpoints meaning more patients and community members received valuable health education resources. We provided more than 12,000 touchpoints to participants in our no-cost group education classes and more than 3,750 touchpoints to participants in our fee-based group education classes in 2024. . With the goal of integrating Health Education Services (both group and individual offerings) to patients and their families across the Greater Silicon Valley division, a robust and successful information campaign was launched in 2024. The Health Education Resource Centers (HERCs) offered many services on an individual level to both patients, staff and community members. We provided more than 37,000 touchpoints to patrons across Greater Silicon Valley in 2024 both in-person and virtually. Our staff attended over 100 internal meetings to promote our services to over 700 staff and providers. We also established 4 new Referral Pathways with clinical departments. All these efforts resulted in a 25% increase in total initial touchpoints compared to 2023, and 80 new providers utilizing our EPIC referral service to connect patients to us. . In 2024, Health Education formed the Equity Ad Hoc (EAH) group to strengthen efforts in providing equitable care. We began by learning what it takes to support diverse populations with health education, reviewed and revised all current class content to both reflect and support our diverse student populations. Additionally, we connected with several Sutter Health entities focused on similar work, such as Sutter's Institute for Advancing Health Equity, Cultural Competency Committee and Sutter Health providers that work with specific populations. EAH team members gathered resources and then accelerated our work by developing and following a strategy to create and offer classes in languages other than English in 2025. . In 2024, the medical librarian filled 1,082 requests for the Greater Silicon Valley and East Bay divisions. 62% were for patient care and 22% for educational purposes. The librarians also delivered 3,310 articles and book chapters which saved approximately 1,040 clinician hours. In addition, 153 reference and instruction sessions were provided via Zoom or MS Teams chat. To support CME regulations for cultural and linguistic competency, 7 librarian-curated bibliographies were provided. Community Benefit In 2024, SBMF provided over $83 million in services for the poor and underserved and nearly $7 million in community benefits for the broader community. In addition, each year PAMF physicians and staff donate hundreds of hours to community service. SBMF provided support to community organizations, prioritizing the 2022 Community Health Needs Assessment's (CHNA) top needs, which included access to care and delivery, behavioral health, and economic security. SBMF's community benefit efforts included a myriad of programs and benefits for the poor and underserved as well as the broader community, including but not limited to: . Monetary support to FQHCs and Community Clinics in Alameda, Santa Clara, San Mateo and Santa Cruz Counties for Access to Care and Behavioral Health initiatives, including the Axis Bridge Mental Health Urgent Care program, a new clinic site for Bay Area Community Health, and Ravenswood Family Health Network's Social Services program . Monetary support for Peninsula Healthcare Connection in Palo Alto, which provides healthcare services and mental health services to medically underserved patients . Youth mental health outreach and collaborations . School-based health and wellness programs . Cost-free health education classes, presentations, and individual support offered both on-site, virtually and in the community focused on perinatal health, disease management, behavioral change, and stress management. On-site graduate medical education for medical residents . Monetary and in-kind support for Cabrillo College's Allied Health Program . Monetary donations and in-kind support to local community groups and organizations . Monetary support of the Healthier Kids Foundation's HealthFirst program which provides universal wellness screening in elementary and middle schools in Santa Clara County . Monetary support of organizations in the East Bay that focus on the mental health services, domestic violence services, financial literacy and economic security . Monetary support of Behavioral Health organizations in Santa Cruz County that provides family counseling programs . Monetary support of culturally responsive, linguistically diverse domestic violence advocacy services . Community organization board memberships Palo Alto Medical Foundation serves the community by encouraging financial support from the community and corporations to enhance the quality of healthcare in the region. In 2024, more than 3,700 individual donors contributed nearly $58 million to fund cutting-edge research and implement programs that fall outside of our annual operations budget. In 2024, philanthropy invested more than $20.5 million to PAMF affiliates to advance patient care. This represents a 39% increase in funds invested over 2023. An additional $38 million has been earmarked for future projects in 2025 and beyond. We continue to partner with senior leaders to invest donor dollars in programs like research and physician well-being as well as advanced imaging tools for cardiology, oncology and women's health, making an immediate impact. Philanthropy is an irreplaceable part of our not-for-profit mission and our fundraising initiatives are local by design-embracing core innovation, expanding accessibility and improving health outcomes in each of the communities we serve. Of the $20.5 million invested, $6.3 million went to support a wide range of programs for cancer, cardiology and vascular services, geriatrics and palliative care, mental health, women's health, pediatrics and research. An additional $14.2 million was invested in capital and medical equipment to facilitate more advanced care and better outcomes for patients. The Grants &amp; Disbursements program uses unrestricted gifts from the community to accelerate new pilot programs and bring innovative technologies to the clinic faster. In 2024 the program funded 7 proposals from across the organization, totaling just over $1 million. For the last nine years, nearly $10 million in philanthropic gifts have been directed toward improving patient care. Donor support also funds other capital requests, various scholarships, endowments and community programs which enhance the level of care throughout the communities we serve. As a not-for-profit network, Sutter Health philanthropy innovates care, creates vital new programs, funds clinical research, and expands access to care for our patients and their families. Specific areas of impact from philanthropy in 2024 included: . PAMF Palo Alto's Ambulatory Surgery Center - continue to improve the Palo Alto clinic and surgery center to increase its capacity to serve more patients, enhance the patient experience, and expand the services available locally. . Advanced Chronic Kidney Disease Transition Management- create a physician-led team to longitudinally follow the most vulnerable chronic kidney disease patients through their transition with the objective goals of improving healthcare equity, patient satisfaction, home dialysis utilization, and reducing hospitalization. This is a unique scenario that improves patient experience and outcomes. . Oncology Care Financial Navigation Program-develop a program to help patients and their families navigate the financial complexities of cancer treatment and care, allowing patients to focus on their health and well-being. . Gastroenterology Program - develop an intestinal ultrasound program for inflammatory bowel disease (IBD) patients. This expertise will bring non-invasive imaging techniques to monitor inflammatory bowel disease, guide clinical decision making as well as create new opportunities for clinical trial participation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 Medical Foundation, Inc. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 6 &amp; 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL &amp; TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: (A) MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATED ENTITY; (B) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY AFFILIATED ENTITY; (C) ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY AFFILIATED ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; (D) ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY AFFILIATED ENTITY; (E) AGGREGATE OPERATING OR CAPITAL EXPENDITURES THAT EITHER EXCEED PREVIOUSLY APPROVED OPERATING OR CAPITAL BUDGETS, OR ARE UNBUDGETED, IF THE AMOUNT IN EXCESS OR THE UNBUDGETED EXPENDITURE IS HIGHER THAN THE SIGNATURE AUTHORITY OF THE PRESIDENT AND CEO OF THE GENERAL MEMBER; (F) LONG-TERM OR MATERIAL AGREEMENTS OF THE CORPORATION OR ANY AFFILIATED ENTITY INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF THE SIGNATURE AUTHORITY OF THE PRESIDENT AND CEO OF THE GENERAL MEMBER; (G) APPOINTMENT OF AN INDEPENDENT AUDITOR BY THE CORPORATION OR ANY AFFILIATED ENTITY; (H) THE HIRING OF INDEPENDENT COUNSEL BY THE CORPORATION OR ANY AFFILIATED ENTITY, UNLESS AT LEAST TWO-THIRDS (2/3) OF THE BOARD IN OFFICE ON THE DAY OF A VOTE DETERMINE THAT A MATERIAL CONFLICT OF INTEREST EXISTS BETWEEN THE CORPORATION AND THE GENERAL MEMBER AND, THEREFORE, THE BOARD MUST ENGAGE INDEPENDENT COUNSEL TO ASSIST IN EXERCISING THE BOARD'S FIDUCIARY DUTIES. TO PRESERVE THE INDEPENDENCE OF COUNSEL RETAINED PURSUANT TO THIS PROVISION, THE GENERAL MEMBER SHALL NOT CLAIM THAT ANY COMMUNICATION BETWEEN SUCH INDEPENDENT COUNSEL AND ANY PERSON ACTING ON BEHALF OF THE CORPORATION, EVEN IF THAT PERSON IS ALSO EXERCISING THE BOARD'S FIDUCIARY DUTIES. TO PRESERVE THE INDEPENDENCE OF COUNSEL RETAINED PURSUANT TO THIS PROVISION, THE GENERAL MEMBER SHALL NOT CLAIM THAT ANY COMMUNICATION BETWEEN SUCH INDEPENDENT COUNSEL AND ANY PERSON ACTING ON BEHALF OF THE CORPORATION, EVEN IF THAT PERSON IS ALSO AN EMPLOYEE, OFFICER OR AGENT OF THE GENERAL MEMBER, CONSTITUTES A WAIVER OF THE ATTORNEY-CLIENT PRIVILEGE OR WORK-PRODUCT PROTECTION; (I) THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE AS THAT TERM IS DEFINED IN CALIFORNIA CORPORATIONS CODE SECTION 150; (J) CONTRACTING WITH ANY THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY AFFILIATED ENTITY; (K) APPROVAL OF BUSINESS PLANS TO DEVELOP MAJOR PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY AFFILIATED ENTITY. MAJOR NEW PROGRAMS AND CLINICAL SERVICES SHALL INCLUDE, BUT NOT BE LIMITED TO: (I) ANY NEW PROGRAMS OR SERVICES THAT REQUIRE APPROVAL AND/OR ADDITIONAL LICENSURE FROM ANY REGULATORY AGENCY, OR (II) ANY OTHER PROGRAMS OR SERVICES THE GENERAL MEMBER DEEMS MAJOR; (L) APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY AFFILIATED ENTITY; (M) ADOPTION OF QUALITY IMPROVEMENT POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; (N) ANY SELF-DEALING TRANSACTION BETWEEN A DIRECTOR OF THE CORPORATION AND THE CORPORATION OR A SUBSIDIARY OF THE CORPORATION; OR (O) REHIRING, CONTRACTING WITH, OR OTHERWISE COMPENSATING A SUTTER HEALTH EXECUTIVE, OR ANY OFFICER OR MEMBER OF MANAGEMENT OF THE CORPORATION OR ANY AFFILIATED ENTITY AFTER THEIR EMPLOYMENT HAS ENDED. ANY AFFILIATED ENTITY AFTER THEIR EMPLOYMENT HAS ENDED. ANY AFFILIATED ENTITY AFTER THEIR EMPLOYMENT HAS ENDED. ANY AFFILIATED ENTITY AFTER THEIR EMPLOYMENT HAS ENDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS USED BY MANAGEMENT &amp;/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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF BOARD MEMBERS: 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 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 COMMON LAW EMPLOYEES: INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID FULLTIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SUTTER HEALTH, A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SUTTER HEALTH AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SUTTER HEALTH EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFERS (NET) $ 131,515,582 K-1 ACTIVITY $ (5,215,142) PARTNERSHIP INCOME ON BOOKS $ 15,718,550 ANNUITY TRUE-UP $ 56,636 CHANGE IN SPLIT INTEREST $ 137,792 DONATED LONG LIVE ASSETS $ 46,145,032 ------------------ TOTAL $ 188,358,450</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:MEDICAL GROUP COMP TOTAL FEES:1541800740</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROF FEES - PHYSICIAN TOTAL FEES:7572168</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:THERAPISTS/OTHER MEDICAL TOTAL FEES:16473963</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:NON-PHYSICIAN MEDICAL TOTAL FEES:946164</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:NURSE REGISTRY FEES TOTAL FEES:2944318</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CALIFORNIA PACIFIC MEDICAL CTR FOUND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
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          <BusinessNameLine1Txt>Sutter BH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Community Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <EIN>510172285</EIN>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SUTTER BH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Memorial Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A-I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sutter VH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mills-Peninsula Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Sutter BH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Auburn Faith Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95833</ZIPCd>
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        <EIN>942594966</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sutter VH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Bay Hospitals</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95833</ZIPCd>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sutter Hlth</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Coast Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95833</ZIPCd>
        </USAddress>
        <EIN>942988520</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sutter Hlth</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Davis Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DRIVE</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95833</ZIPCd>
        </USAddress>
        <EIN>680217870</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sutter VH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2300 RIVER PLAZA DRIVE</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95833</ZIPCd>
        </USAddress>
        <EIN>942788907</EIN>
        <PrimaryActivitiesTxt>Supporting Or</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12C III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Health Pacific</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>91-2301 FT WEAVER RD</AddressLine1Txt>
          <CityNm>EWA BEACH</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96706</ZIPCd>
        </USAddress>
        <EIN>990298651</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sutter Hlth</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Health Alliance</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95833</ZIPCd>
        </USAddress>
        <EIN>461183948</EIN>
        <PrimaryActivitiesTxt>Health Plan</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(4)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sutter Hlth</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Insurance Services Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>745 FORT STREET SUITE 1100</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <EIN>990289310</EIN>
        <PrimaryActivitiesTxt>Insurance Ser</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12C III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sutter Hlth</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sutter Medical Center Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95833</ZIPCd>
        </USAddress>
        <EIN>942788906</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Sutter VH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SUTTER ROSEVILLE MEDICAL CTR FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95833</ZIPCd>
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          <AddressLine1Txt>C/O SH TAX 2300 RIVER PLAZA DR</AddressLine1Txt>
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          <AddressLine1Txt>3875 TELEGRAPH</AddressLine1Txt>
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          <AddressLine1Txt>2300 RIVER PLAZA DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>Auburn Surgical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>2300 RIVER PLAZA DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>ASC Operators LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2300 RIVER PLAZA DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>D E SHAW ALL COUNTRY GLOBAL ALPHA PLUS</BusinessNameLine1Txt>
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          <AddressLine1Txt>1166 AVENUE OF THE AMERICAS - 9TH F</AddressLine1Txt>
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          <BusinessNameLine1Txt>ICG CREDIT OPPORTUNITIES FUND 1A LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>11111 SANTA MONICA BLVD</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
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          <BusinessNameLine1Txt>ICG CREDIT OPPORTUNITIES FUND 2A LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>11111 SANTA MONICA BLVD</AddressLine1Txt>
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          <BusinessNameLine1Txt>MAKENA REAL ESTATE II LP</BusinessNameLine1Txt>
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        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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        </DirectControllingEntityName>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MAKENA STRATEGIC OPPORTUNITIES FUND - SH</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>EHC SURGERY CENTER</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AG Net Lease Realty Fund V-QTE</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 KING ST</AddressLine1Txt>
          <CityNm>TORONTO</CityNm>
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          <ForeignPostalCd>M5X1B8</ForeignPostalCd>
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        <LegalDomicileForeignCountryCd>CA</LegalDomicileForeignCountryCd>
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        </DirectControllingEntityName>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>SUTTER HEALTH DEFERRED COMP PLANS' TRUST</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2300 RIVER PLAZA DRIVE</AddressLine1Txt>
          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <EIN>276851989</EIN>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>NORTHWOOD EUROPE TE FEEDER LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>1819 WAZEE ST 2ND FLOOR</AddressLine1Txt>
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        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHARITABLE REMAINDER TRUSTS (8)</BusinessNameLine1Txt>
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          <CityNm>SACRAMENTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WilSOP Segregated Portfolio 1</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO box 10008</AddressLine1Txt>
          <CityNm>Willow House Cricket Square</CityNm>
          <ProvinceOrStateNm>grand cayman</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-10001</ForeignPostalCd>
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        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
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        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
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</Return>