Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
SUTTER HEALTH
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2200 RIVER PLAZA DRIVE
Suite
Room/suite
City or town, state or country, and ZIP + 4
SACRAMENTO, CA95833
D Employer identification number

94-2788907
E Telephone number

G Gross receipts $ 4,908,842,448
F Name and address of principal officer:
PATRICK FRY
2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SUTTERHEALTH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1981
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 4,809
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 13,649,159
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 1,850,638 809,723
9 Program service revenue (Part VIII, line 2g) ......... 597,695,025 678,606,952
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 144,343,400 110,435,258
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 12,208,724 13,888,350
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 756,097,787 803,740,283
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 5,762,026 2,549,424
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 366,623,758 417,530,045
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 343,767,912 510,734,344
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 716,153,696 930,813,813
19 Revenue less expenses. Subtract line 18 from line 12....... 39,944,091 -127,073,530
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,124,343,949 3,784,610,021
21 Total liabilities (Part X, line 26)............. 774,697,304 879,125,366
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,349,646,645 2,905,484,655
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 882,618,948 including grants of $ 2,549,424 ) (Revenue $ 678,606,952 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet882,618,948
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,058
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
4,809
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJIM REICH2200 RIVER PLAZA DRIVESACRAMENTOCA95833 (916) 286-6665
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) GERALDINE BRINTON........................................................................
BOARD MEMBER (CHAIR)
 12.0
.......................0.0 		X   X       27,500 0 0
(2) MARY BROWN........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(3) PATRICK FRY........................................................................
PRESIDENT & CEO, SUTTER HEALTH
 40.0
.......................11.0 		X   X       3,862,787 0 2,531,096
(4) MIKE GAULKE........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(5) PETER JACOBI........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(6) RICHARD LEVY PHD........................................................................
BOARD MEMBER (CHAIR FINANCE)
 10.0
.......................0.0 		X   X       27,500 0 0
(7) SHARON MCCOLLAM........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(8) TODD MURRAY........................................................................
BOARD MEMBER (SECRETARY)
 7.0
.......................0.0 		X   X       27,500 0 0
(9) DAVID NASAW........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(10) ANDY PANSINI........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(11) MICHAEL ROOSEVELT........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(12) TODD SMITH MD........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(13) JOAN SMITH-MACLEAN MD........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(14) ELIZABETH VILARDO MD........................................................................
BD MEMBER/DIVISION PRES PAMF
 7.0
.......................40.0 		X           619,040 0 380,095
(15) BARRY WILLIAMS........................................................................
BOARD MEMBER
 7.0
.......................0.0 		X           27,500 0 0
(16) FLO DI BENEDETTO........................................................................
SVP & GENERAL COUNSEL/ASST SEC
 40.0
.......................1.0 		    X       1,003,764 0 649,941
(17) ED ERWIN........................................................................
DIR REAL ESTATE SRVCS/ASST SEC
 40.0
.......................0.0 		    X       188,768 0 26,063
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) ROBERT REED........................................................................
SVP & CFO SUTTER HEALTH
 40.0
.......................2.0 		    X       1,773,201 0 1,240,260
(19) PETER ANDERSON........................................................................
SVP STRATEGY & BUS. DVLPMT
 40.0
.......................12.0 		      X     1,020,427 0 567,768
(20) DAVID BENN........................................................................
REG. PRES., CENTRAL VALLEY
 0.0
.......................40.0 		      X     1,037,565 0 639,864
(21) ED BERDICK........................................................................
SVP SHARED SERVICES
 40.0
.......................5.0 		      X     1,529,687 0 878,098
(22) MARTIN BROTMAN........................................................................
REGIONAL PRESIDENT, WEST BAY
 0.0
.......................40.0 		      X     2,765,896 0 546,676
(23) JEFF BURNICH MD........................................................................
SVP, EXEC OFFICER MED NETWORK
 40.0
.......................0.0 		      X     964,357 0 644,593
(24) MIKE COHILL........................................................................
SVP SUTTER HEALTH
 40.0
.......................0.0 		      X     1,769,123 0 676,890
(25) JAMES CONFORTI........................................................................
REGIONAL PRESIDENT, SSR
 0.0
.......................40.0 		      X     812,769 0 526,031
(26) JEFF GERARD........................................................................
REG. PRES, PENINSULA COASTAL
 0.0
.......................40.0 		      X     1,153,472 0 705,023
(27) MIKE HELM........................................................................
SVP HUMAN RESOURCES
 40.0
.......................0.0 		      X     888,342 0 565,819
(28) GORDON HUNT MD........................................................................
SVP & CHIEF MEDICAL OFFICER SH
 40.0
.......................0.0 		      X     1,288,866 0 720,045
(29) SARAH KREVANS........................................................................
COO SUTTER HEALTH
 40.0
.......................11.0 		      X     1,546,710 0 974,314
(30) JONATHAN MANIS........................................................................
SVP & CIO SUTTER HEALTH
 40.0
.......................0.0 		      X     962,364 0 565,474
(31) RICHARD SLAVIN MD........................................................................
PRESIDENT & CEO, PAMF
 0.0
.......................40.0 		      X     1,103,691 0 592,022
(32) CHARLES WIRTH........................................................................
CEO, SUTTER PHYSICIAN SERVICES
 0.0
.......................40.0 		      X     759,967 0 346,136
(33) DAVID BRADLEY........................................................................
REGIONAL PRESIDENT EAST BAY
 0.0
.......................40.0 		      X     1,019,301 0 967,268
(34) JOHN GATES........................................................................
CFO EAST AND WEST BAY REGIONS
 0.0
.......................40.0 		        X   800,731 0 315,616
(35) ROBERT MERWIN........................................................................
CEO, MILLS PENINSULA HEALTH SV
 0.0
.......................40.0 		        X   1,244,697 0 436,779
(36) THOMAS GAGEN........................................................................
CEO, SUTTER MED CTR SACRAMENTO
 0.0
.......................40.0 		        X   942,389 0 72,920
(37) WARREN BROWNER........................................................................
CEO SAN FRANCISCO HOSPITALS
 0.0
.......................40.0 		        X   828,818 0 622,068
(38) FRANCIS MARZONI........................................................................
DIVISION PRESIDENT PAMF
 0.0
.......................40.0 		        X   993,627 0 508,399
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 31,237,859 0 16,699,258
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,215
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ACCENTURE LLP, PO BOX 70629CHICAGOIL606730629 CONSULTING SERVICES 59,765,580
EPIC SYSTEMS CORP, BOX 88314MILWAUKEEWI532880314 EHR TECH SERVICES 17,462,709
DIRECT APPS INC, 1430 BLUE OAKS BLVD STE 270ROSEVILLECA95747 CONSULTING SERVICES 9,294,210
OPTUMINSIGHT INC, PO BOX 88050CHICAGOIL606801050 CONSULTING SERVICES 8,715,117
MEDASSETS INC, PO BOX 405652ATLANTAGA303845652 STRATEGIC STAFFING 8,627,335
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet477
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		809,723
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 809,723
Program Service Revenue Business Code
2a MANAGEMENT SERVICES EXEMPT AFFIL. 900099 672,602,330 672,602,330    
b ASC OPERATORS, LLC GAURANTEED PAYMENTS 900099 1,207,638 1,207,638    
c ASC OPERATORS, LLC ORDINARY INCOME 900099 759,773 759,773    
d ASCO SAN FRANCISCO GUARANTEED PAYMENTS 900099 602,098 602,098    
e ASCO SAN LUIS OBISPO ORDINARY INCOME 900099 435,127 435,127    
f All other program service revenue . 2,999,986 2,818,178 181,808  
g Total. Add lines 2a–2f........MediumBullet 678,606,952
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 78,932,395   272,381 78,660,014
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 33     33
(i) Real (ii) Personal
6a Gross rents 4,680,408  
b Less: rental expenses 3,987,280  
c Rental income or (loss) 693,128 0
d Net rental income or (loss).......MediumBullet 693,128   351 692,777
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 4,132,615,443 2,305
b Less: cost or other basis and sales expenses 4,101,114,885  
c Gain or (loss) 31,500,558 2,305
d Net gain or (loss)..........MediumBullet 31,502,863   -570 31,503,433
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a SUTTER PHYSICIAN SERVICES 621110 7,628,192   7,628,192  
b SURGERY CENTER MANAGEMENT 621400 2,072,674   2,072,674  
c RADIATION PHYSICS SERVICES 541900 1,901,535   1,901,535  
d All other revenue .... 1,592,788   1,592,788  
e Total. Add lines 11a–11d ...... MediumBullet 13,195,189
12 Total revenue. See Instructions......MediumBullet 803,740,283 678,425,144 13,649,159 110,856,257
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 2,549,424 2,549,424
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 13,533,231 0 13,533,231  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 287,847,382 277,889,706 9,957,676  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 34,809,624 34,778,326 31,298  
9 Other employee benefits ....... 56,491,091 46,883,909 9,607,182  
10 Payroll taxes ........... 24,848,717 24,821,185 27,532  
11 Fees for services (non-employees):        
a Management ...... 107,787,858 107,787,858    
b Legal ......... 15,046,555 15,046,555    
c Accounting ........... 2,946,015 2,946,015    
d Lobbying ........... 270,000   270,000  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 7,065,705   7,065,705  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 48,563,118 45,925,091 2,638,027  
12 Advertising and promotion .... 9,039,860 8,789,042 250,818  
13 Office expenses ....... 13,991,944 13,570,767 421,177  
14 Information technology ...... 113,954,807 113,954,807    
15 Royalties .. 0      
16 Occupancy ........... 13,617,882 13,541,821 76,061  
17 Travel ............ 6,874,708 6,558,974 315,734  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 2,101,421 548,547 1,552,874  
20 Interest ........... 6,733,362 6,733,362    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 78,434,204 78,424,788 9,416  
23 Insurance .............. 8,885,798 8,707,265 178,533  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a FEDERAL TAXES 317,621 317,621    
b UNINSURED LITIGATION/STLMNT 26,453,922 26,453,922    
c DEVELOPMENT FEES 18,476,861 18,476,861    
d MEDICAL SUPPLIES 9,318,368 9,318,368    
e All other expenses 20,854,335 18,594,734 2,259,601  
25 Total functional expenses. Add lines 1 through 24e 930,813,813 882,618,948 48,194,865 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 0 1 0
2 Savings and temporary cash investments ......... 94,039,927 2 186,542,672
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 0 4 0
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 1,050,332 8 1,716,508
9 Prepaid expenses and deferred charges .......... 18,287,402 9 60,386,719
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,184,611,666
b Less: accumulated depreciation ..... 10b 518,069,035 589,187,810 10c 666,542,631
11 Investments—publicly traded securities .......... 2,085,228,032 11 2,331,102,678
12 Investments—other securities. See Part IV, line 11 ..... 0 12 32,241,351
13 Investments—program-related. See Part IV, line 11 ..... 4,048,902 13 10,976,579
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 332,501,544 15 495,100,883
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 3,124,343,949 16 3,784,610,021
Liabilities 17 Accounts payable and accrued expenses ......... 269,547,632 17 315,965,115
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 505,149,672 25 563,160,251
26 Total liabilities. Add lines 17 through 25......... 774,697,304 26 879,125,366
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 2,346,297,579 27 2,903,039,483
28 Temporarily restricted net assets ........... 3,349,066 28 2,445,172
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 2,349,646,645 33 2,905,484,655
34 Total liabilities and net assets/fund balances ........ 3,124,343,949 34 3,784,610,021
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
803,740,283
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
930,813,813
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-127,073,530
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
2,349,646,645
5
Net unrealized gains (losses) on investments ...............
5
91,157,996
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
-6,808,911
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
598,562,455
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
2,905,484,655
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
Yes
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
No
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
(A) ADOLESCENT TREATMENT CENTERS INC
  		680088443 03 Yes   Yes   Yes   0
(B) EAST BAY PERINATAL CENTER
  		510172285 03 Yes   Yes   Yes   2,807
(C) EDEN MEDICAL CENTER
  		942948100 03 Yes   Yes   Yes   88,326,521
(D) SUTTER HEALTH PACIFIC
  		990298651 03 Yes   Yes   Yes   2,000,000
(E) MILLS-PENINSULA HEALTH SERVICES
  		941156265 03 Yes   Yes   Yes   28,250,744
(F) PALO ALTO MEDICAL FOUNDATION
  		941156581 03 Yes   Yes   Yes   104,342,125
(G) SAMUEL MERRITT UNIVERSITY
  		942992642 02 Yes   Yes   Yes   834,069
(H) SUTTER CENTRAL VALLEY HOSPITALS
  		941080917 03 Yes   Yes   Yes   39,156,628
(I) SUTTER COAST HOSPITAL
  		942988520 03 Yes   Yes   Yes   10,860,213
(J) SUTTER EAST BAY HOSPITALS
  		941196176 03 Yes   Yes   Yes   70,144,495
(K) SUTTER GOULD MEDICAL FOUNDATION
  		941682256 03 Yes   Yes   Yes   8,554,392
(L) SUTTER HEALTH SACRAMENTO SIERRA REGION
  		941156621 03 Yes   Yes   Yes   187,071,110
(M) SUTTER MEDICAL CENTER CASTRO VALLEY
  		770146047 03 Yes   Yes   Yes   27,676,580
(N) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
  		946068843 09 Yes   Yes   Yes   5,159,213
(O) SUTTER WEST BAY HOSPITALS
  		940562680 03 Yes   Yes   Yes   205,287,176
(P) SUTTER WEST BAY MEDICAL FOUNDATION
  		942948131 03 Yes   Yes   Yes   47,085,120
Total                 824,751,193

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
SUTTER HEALTH
  		Employer identification number

94-2788907
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
SUTTER HEALTH
  		Employer identification number

94-2788907
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
SUTTER HEALTH
  		Employer identification number

94-2788907
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
270,000
j
Total. Add lines 1c through 1i ...............................
270,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
OTHER ACTIVITIES PART II-B, QUESTION 1I PAID CONSULTANTS THAT PERFORMED LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   110,439,888 110,439,888
b Buildings ................   101,365,260 31,396,445 69,968,815
c Leasehold improvements ............   18,081,103 12,477,389 5,603,714
d Equipment ................   738,923,427 473,157,708 265,765,719
e Other .................   215,801,988 1,037,493 214,764,495
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 666,542,631
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INTERCOMPANY RECEIVABLES 297,397,213
(2) NOTES RECEIVABLE - RELATED ORG 1,238,052
(3) DEPOSITS 50,000
(4) OTHER RECEIVABLES 44,482,159
(5) OTHER ASSETS 150,453,862
(6) UNAMORTIZED FINANCING COSTS 1,479,597



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 495,100,883
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
SELF INSURANCE RESERVE 336,964,382
OTHER LIABILITIES 226,195,869







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 563,160,251
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ASC 740 (FIN48) FOOTNOTE FROM AUDIT PART X, LINE 2 THIS ORGANIZATION WAS PART OF A CONSOLIDATED SYSTEM AUDIT, THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER HEALTH AND AFFILIATES COMBINED FINANCIAL STATEMENT IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501 (C) (3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE COMBINED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2012 AND 2011, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number
94-2788907
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ALAMEDA COUNTY FOOD BANK
7900 EDGEWATER DR
OAKLAND,CA94614 		94-2960297 501(C)(3) 25,000       GENERAL SUPPORT
(2) AMBULATORY SURGERY ACCESS
115 SANSOME ST
SAN FRANCISCO,CA94104 		94-3180356 501(C)(3) 100,000       GENERAL SUPPORT
(3) AMERICAN RED CROSS BAY AREA
85 2ND ST
SAN FRANCISCO,CA94105 		53-0196605 501(C)(3) 503,400       GENERAL SUPPORT
(4) BOYS AND GIRLS CLUB OF GREATER SACRAMENTO
5212 LEMON HILL AVE
SACRAMENTO,CA95824 		68-0338324 501(C)(3) 7,500       GENERAL SUPPORT
(5) CALIFORNIA CENTER FOR PUBLIC HLTH ADVOCACY
PO BOX 2309
DAVIS,CA95617 		95-4723901 501(C)(3) 18,750       GENERAL SUPPORT
(6) CALIFORNIA PRIMARY CARE ASSOCIATION
1215 K ST
SACRAMENTO,CA95814 		94-3215565 501(C)(3) 11,250       GENERAL SUPPORT
(7) CENTER FOR HEALTHCARE DECISIONS INC
3400 DATA DR
RANCHO CORDOVA,CA95670 		68-0441958 501(C)(3) 10,000       GENERAL SUPPORT
(8) DISABLED AMERICAN VETERANS
PO BOX 14301
CINCINNATI,OH45250 		31-0263158 501(C)(3) 6,700       GENERAL SUPPORT
(9) EMERGENCY FOOD BANK OF SAN JOAQUIN
7 W SCOTTS AVE
STOCKTON,CA95203 		68-0002165 501(C)(3) 15,000       GENERAL SUPPORT
(10) FISHER HOUSE FOUNDATION INC
111 ROCKVILLE PIKE
ROCKVILLE,MD20850 		11-3158401 501(C)(3) 15,000       GENERAL SUPPORT
(11) FOOD BANK OF SOLANO and CONTRA COSTA COUNTY
PO BOX 6324
CONCORD,CA95424 		94-2418054 501(C)(3) 6,000       GENERAL SUPPORT
(12) FOOD PANTRY OF DAVIS STREET
3081 TEAGARDEN
SAN LEANDRO,CA94577 		94-3121699 501(C)(3) 12,500       GENERAL SUPPORT
(13) GIRL SCOUTS HEART OF CENTRAL CALIFORNA
6601 ELVAS AVE
SACRAMENTO,CA95819 		94-1582429 501(C)(3) 9,116       GENERAL SUPPORT
(14) GOLDEN EMPIRE COUNCIL BSA
PO BOX 13558
SACRAMENTO,CA95853 		23-7627152 501(C)(3) 7,500       GENERAL SUPPORT
(15) MARCH OF DIMES
1050 SANSOME ST
SAN FRANCISCO,CA94111 		13-1846366 501(C)(3) 141,800       GENERAL SUPPORT
(16) MEALS ON WHEELSSENIOR OUTREACH
1300 CIVIC DR
WALNUT CREEK,CA94596 		68-0044205 501(C)(3) 12,500       GENERAL SUPPORT
(17) NATUREBRIDGE
28 GEARY ST STE 650
SAN FRANCISCO,CA94108 		94-2145930 501(C)(3) 42,000       GENERAL SUPPORT
(18) OKIZU FOUNDATION
16 DIGITAL DR
NOVATO,CA94949 		68-0291178 501(C)(3) 26,875       GENERAL SUPPORT
(19) PLACER FOOD BANK
133 CHURCH ST
ROSEVILLE,CA95678 		94-1740316 501(C)(3) 9,000       GENERAL SUPPORT
(20) READING PARTNERS
528 VALLEY WAY
MILPITAS,CA95035 		77-0568469 501(C)(3) 8,333       GENERAL SUPPORT
(21) REDWOOD EMPIRE FOOD BANK
3320 INDUSTRIAL DR
SANTA ROSA,CA95403 		68-0121855 501(C)(3) 10,000       GENERAL SUPPORT
(22) RIVER CATS FOUNDATION INC
400 BALLPARK DR
WEST SACRAMENTO,CA95691 		94-3367617 501(C)(3) 25,500       GENERAL SUPPORT
(23) RIVER CITY FOOD BANK
1322 27TH ST
SACRAMENTO,CA95816 		91-1851398 501(C)(3) 15,000       GENERAL SUPPORT
(24) RIVERS FOR RECOVERY
PO BOX 1730
JACKSON,WY83001 		26-2260491 501(C)(3) 10,000       GENERAL SUPPORT
(25) SALVATION ARMY - MODESTO CITADEL
PO BOX 1663
MODESTO,CA95353 		94-1156347 501(C)(3) 20,000       GENERAL SUPPORT
(26) ST JOHN'S SHELTER FOR WOMEN AND CHILDREN
4410 POWER INN RD
SACRAMENTO,CA95826 		68-0132934 501(C)(3) 5,625       GENERAL SUPPORT
(27) SAN FRANCISCO FOOD BANK
900 PENNSYLVANIA
SAN FRANCISCO,CA94107 		94-3041517 501(C)(3) 32,500       GENERAL SUPPORT
(28) SAN FRANCISCO PROJECT HOMELESS CONNECT
25 VAN NESS AVE
SAN FRANCISCO,CA94102 		20-4331462 501(C)(3) 10,000       GENERAL SUPPORT
(29) SECOND HARVEST FOOD BANK-SANTA CLARA
750 CURTNER AVE
SAN JOSE,CA95125 		94-2614101 501(C)(3) 33,500       GENERAL SUPPORT
(30) SECOND HARVEST FOOD BANK-SANTA CRUZ COUNTY
800 OHLONE PKWY
WATSONVILLE,CA95076 		77-0326685 501(C)(3) 16,500       GENERAL SUPPORT
(31) SEROTONIN SURGE CHARITIES
1955 COWELL BLVD
DAVIS,CA95616 		68-0411254 501(C)(3) 50,000       GENERAL SUPPORT
(32) THE TIDES CENTER - BODY POSITIVE
2417 PROSPECT ST STE A
BERKELEY,CA94704 		94-3213100 501(C)(3) 10,000       GENERAL SUPPORT
(33) TRACY INTERFAITH MINISTRIES
3111 W DONATION LINE RD
TRACY,CA95376 		94-3150638 501(C)(3) 10,000       GENERAL SUPPORT
(34) YOLO COUNTY OF CHILDREN'S ALLIANCE
600 A ST
DAVIS,CA95616 		68-0526185 501(C)(3) 6,000       GENERAL SUPPORT
(35) SUTTER EAST BAY HOSPITALS
350 HAWTHORNE AVE
OAKLAND,CA94609 		94-1196176 501(C)(3) 50,727       GENERAL SUPPORT
(36) SUTTER WEST BAY HOSPITALS
PO BOX 60000
SAN FRANCISCO,CA94160 		94-0562680 501(C)(3) 129,316       GENERAL SUPPORT
(37) EDEN MEDICAL CENTER
20103 LAKE CHABOT
CASTRO VALLEY,CA94546 		94-2948100 501(C)(3) 71,269       GENERAL SUPPORT
(38) MILLS PENINSULA HEALTH SERVICES
1501 TROUSDALE DR
BURLINGAME,CA94010 		94-1156265 501(C)(3) 211,884       GENERAL SUPPORT
(39) SUTTER MEDICAL FOUNDATION
PO BOX 160168
SACRAMENTO,CA95816 		68-0273974 501(C)(3) 50,000       GENERAL SUPPORT
(40) SUTTER HEALTH SACRAMENTO SIERRA REGION
5151 F ST
SACRAMENTO,CA95819 		94-1156621 501(C)(3) 194,504       GENERAL SUPPORT
(41) SUTTER VNA AND HOSPICE
1900 POWELL ST
EMERYVILLE,CA94608 		94-6068843 501(C)(3) 530,345       GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
41
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS PART I, LINE 2 DONATION PAYMENTS WERE UNRESTRICTED AMOUNTS TO THE ORGANIZATIONs. CERTAIN GRANTS ARE MONITORED ON AN INDIVIDUAL BASIS BY REVIEWING EXPENDITURES, PREPARING REPORTS, AND OTHER CONTACT WITH THE GRANTEE TO ENSURE COMPLIANCE WITH GRANT PURPOSE. THE SUTTER HEALTH SYSTEM HAS AN OVERLAP IN LEADERSHIP WHICH MONITORS THE USE OF GRANTS BETWEEN AFFILIATES.
Schedule I (Form 990) 2012


Additional Data


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Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)PETER ANDERSONSVP STRATEGY & BUS. DVLPMT (i)
(ii)		 566,016
0 		438,547
0 		15,864
0 		547,578
0 		20,190
0 		1,588,195
0 		363,028
0
(2)DAVID BENNREG. PRES., CENTRAL VALLEY (i)
(ii)		 668,795
0 		364,191
0 		4,579
0 		620,783
0 		19,081
0 		1,677,429
0 		446,390
0
(3)ED BERDICKSVP SHARED SERVICES (i)
(ii)		 898,111
0 		615,049
0 		16,527
0 		859,052
0 		19,046
0 		2,407,785
0 		583,683
0
(4)MARTIN BROTMANREGIONAL PRESIDENT, WEST BAY (i)
(ii)		 2,185,492
0 		566,520
0 		13,884
0 		528,283
0 		18,393
0 		3,312,572
0 		715,680
0
(5)JEFF BURNICH MDSVP, EXEC OFFICER MED NETWORK (i)
(ii)		 601,664
0 		361,059
0 		1,634
0 		624,537
0 		20,056
0 		1,608,950
0 		407,891
0
(6)MIKE COHILLSVP SUTTER HEALTH (i)
(ii)		 1,344,750
0 		359,296
0 		65,077
0 		656,898
0 		19,992
0 		2,446,013
0 		438,873
0
(7)JAMES CONFORTIREGIONAL PRESIDENT, SSR (i)
(ii)		 553,935
0 		223,323
0 		35,511
0 		506,487
0 		19,544
0 		1,338,800
0 		252,129
0
(8)FLO DI BENEDETTOSVP & GENERAL COUNSEL/ASST SEC (i)
(ii)		 623,765
0 		373,240
0 		6,759
0 		639,711
0 		10,230
0 		1,653,705
0 		373,240
0
(9)ED ERWINDIR REAL ESTATE SRVCS/ASST SEC (i)
(ii)		 166,304
0 		22,464
0 		0
0 		7,721
0 		18,342
0 		214,831
0 		0
0
(10)PATRICK FRYPRESIDENT & CEO, SUTTER HEALTH (i)
(ii)		 2,387,975
0 		1,457,150
0 		17,662
0 		2,498,328
0 		32,768
0 		6,393,883
0 		2,250,657
0
(11)JOHN GATESCFO EAST AND WEST BAY REGIONS (i)
(ii)		 573,502
0 		203,662
0 		23,567
0 		298,717
0 		16,899
0 		1,116,347
0 		188,989
0
(12)JEFF GERARDREG. PRES, PENINSULA COASTAL (i)
(ii)		 710,748
0 		438,439
0 		4,285
0 		686,077
0 		18,946
0 		1,858,495
0 		506,086
0
(13)MIKE HELMSVP HUMAN RESOURCES (i)
(ii)		 549,091
0 		325,988
0 		13,263
0 		542,622
0 		23,197
0 		1,454,161
0 		325,988
0
(14)GORDON HUNT MDSVP & CHIEF MEDICAL OFFICER SH (i)
(ii)		 778,016
0 		501,191
0 		9,659
0 		710,427
0 		9,618
0 		2,008,911
0 		553,210
0
(15)SARAH KREVANSCOO SUTTER HEALTH (i)
(ii)		 1,006,640
0 		527,546
0 		12,524
0 		951,242
0 		23,072
0 		2,521,024
0 		652,265
0
(16)JONATHAN MANISSVP & CIO SUTTER HEALTH (i)
(ii)		 611,545
0 		343,314
0 		7,505
0 		543,330
0 		22,144
0 		1,527,838
0 		343,314
0
(17)ROBERT REEDSVP & CFO SUTTER HEALTH (i)
(ii)		 1,089,525
0 		679,717
0 		3,959
0 		1,220,381
0 		19,879
0 		3,013,461
0 		787,286
0
(18)RICHARD SLAVIN MDPRESIDENT & CEO, PAMF (i)
(ii)		 839,973
0 		257,250
0 		6,468
0 		573,482
0 		18,540
0 		1,695,713
0 		265,800
0
(19)ELIZABETH VILARDO MDBD MEMBER/DIVISION PRES PAMF (i)
(ii)		 487,942
0 		129,606
0 		1,492
0 		360,124
0 		19,971
0 		999,135
0 		0
0
(20)CHARLES WIRTHCEO, SUTTER PHYSICIAN SERVICES (i)
(ii)		 459,903
0 		291,665
0 		8,399
0 		324,561
0 		21,575
0 		1,106,103
0 		318,948
0
(21)ROBERT MERWINCEO, MILLS PENINSULA HEALTH SV (i)
(ii)		 901,470
0 		337,957
0 		5,270
0 		416,990
0 		19,789
0 		1,681,476
0 		404,254
0
(22)DAVID BRADLEYREGIONAL PRESIDENT EAST BAY (i)
(ii)		 695,702
0 		310,663
0 		12,936
0 		953,697
0 		13,571
0 		1,986,569
0 		357,763
0
(23)THOMAS GAGENCEO, SUTTER MED CTR SACRAMENTO (i)
(ii)		 673,279
0 		266,480
0 		2,630
0 		65,852
0 		7,068
0 		1,015,309
0 		315,345
0
(24)WARREN BROWNERCEO SAN FRANCISCO HOSPITALS (i)
(ii)		 590,883
0 		226,622
0 		11,313
0 		602,792
0 		19,276
0 		1,450,886
0 		280,096
0
(25)FRANCIS MARZONIDIVISION PRESIDENT PAMF (i)
(ii)		 777,014
0 		206,535
0 		10,078
0 		494,289
0 		14,110
0 		1,502,026
0 		239,973
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
RELEVANT INFORMATION REGARDING COMPENSATION ITEMS PART I, QUESTION 1A FIRST-CLASS TRAVEL: CERTAIN OFFICERS AND KEY EMPLOYEES OF SUTTER HEALTH MAY UPGRADE TO FIRST-CLASS TRAVEL FOR FLIGHTS GREATER THAN FOUR HOURS IN DURATION. TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEE'S WAGES AND TAXED ACCORDINGLY. SOCIAL CLUB: THE CEO RECEIVES A PAID MEMBERSHIP TO A LOCAL SOCIAL/BUSINESS CLUB. HOUSING ALLOWANCE: ONE (1) INDIVIDUAL, MIKE COHILL, RECEIVED A HOUSING ALLOWANCE. THE BENEFIT WAS REPORTED AS TAXABLE COMPENSATION ON HIS W-2.
SUPPLEMENTAL COMPENSATION INFORMATION PART I, QUESTION 3 THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION.
NONQUALIFIED RETIREMENT PLAN PART I, QUESTION 4B THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403B EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. ADDITIONALLY, QUALIFIED PLAN BENEFITS CAPS HAVE THE EFFECT OF SUBSTANTIALLY REDUCING RETIREMENT BENEFITS THAT ARE OTHERWISE PROVIDED TO ALL EMPLOYEES. THE EFFECT IS THAT EXECUTIVES OFTEN DO NOT RECEIVE THE SAME LEVEL OF RETIREMENT BENEFIT ON AN INCOME REPLACEMENT BASIS AS OTHER EMPLOYEES. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT AND TO ADDRESS THE SHORTFALLS DESCRIBED ABOVE, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA HAS TWO PARTS: (1) 4% TO 7% OF BASE SALARY (COMMENSURATE WITH MANAGEMENT LEVEL), PLUS (2) A CONTRIBUTION STARTING AT 5% (BASED UPON TENURE) FOR EARNINGS BEYOND THE PENSION PAY CAP. THE LATTER OF WHICH IS DESIGNED TO HELP RESTORE LOST PENSION BENEFITS FORFEITED UNDER THE QUALIFIED PLAN FOR EARNINGS OVER THE PENSION PAY CAP LIMIT. CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457F) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65. TARGET BENEFIT LEVELS VARY BY YEARS OF SERVICE. UNLIKE SUTTER HEALTH'S QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT.
NON-FIXED PAYMENTS PART I, QUESTION 7 SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% OF GROSS PAY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD +/- 5% TO THE AWARD PROVIDED THE TOTAL AWARD (FORMULA PORTION PLUS DISCRETIONARY) DOES NOT EXCEED THE MAXIMUM ESTABLISHED FOR ANY GIVEN EXECUTIVE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. TO ENSURE THAT EXTRAORDINARY EFFORTS BY INDIVIDUALS CAN BE RECOGNIZED AND THAT ACTIONS OF LEADERSHIP ARE CONSISTENT WITH SUPPORTING SUTTER HEALTH'S OVERALL MISSION, VISION, AND VALUES, SUTTER'S LONG TERM INCENTIVE PLAN APPROACH ALSO INCORPORATES A COMBINATION OF CEO AND SUTTER HEALTH COMPENSATION COMMITTEE DISCRETION. IN SOME CASES, THE SUTTER HEALTH COMPENSATION COMMITTEE HAS DELEGATED AUTHORITY TO THE PRESIDENT & CEO TO MODIFY INDIVIDUAL AWARDS WITHIN LIMITS THAT HAVE BEEN PRE-APPROVED BY THE SUTTER HEALTH COMPENSATION COMMITTEE. THIS INCLUDES BOTH THE REDUCTION AND INCREASE OF AWARD AMOUNTS. SUCH MODIFICATIONS GENERALLY DO NOT EXCEED +/- 20% AND ARE EMPLOYED JUDICIOUSLY. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Identifier Return Reference Explanation
MISSION STATEMENT FORM 990, PART I, LINE 1 AND PART III, LINE 1 WE ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES.
EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III, LINE 4A SUTTER HEALTH PROVIDES ADMINISTRATIVE AND CONSULTING SERVICES TO ITS AFFILIATES. SUTTER HEALTH AND ITS TAX-EXEMPT AFFILIATES COMPRISE A NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM THAT SHARES RESOURCES AND EXPERTISE TO ADVANCE HEALTH CARE QUALITY. SERVING MORE THAN 100 COMMUNITIES IN NORTHERN CALIFORNIA, THE SUTTER HEALTH SYSTEM IS A REGIONAL LEADER IN CARDIAC CARE, CANCER TREATMENT, ORTHOPEDICS, OBSTETRICS AND NEWBORN INTENSIVE CARE, AND IS A PIONEER IN ADVANCED PATIENT SAFETY TECHNOLOGY. THE SUTTER HEALTH SYSTEM CONSISTS OF: - HOSPITALS, PHYSICIAN CLINICS AND OTHER OUTPATIENT CARE CENTERS IN MORE THAN 100 COMMUNITIES IN NORTHERN CALIFORNIA, SOUTHERN OREGON AND HAWAII - NEARLY 48,000 EMPLOYEES AND ABOUT 5,000 VOLUNTEERS - 24 ACUTE CARE HOSPITALS - FIVE MEDICAL FOUNDATIONS (CLINICS WITH EXCLUSIVE CONTRACTS WITH MEDICAL GROUPS) - FOUR TRAUMA CENTERS - 11 NEONATAL INTENSIVE CARE UNITS - FIVE ACUTE REHABILITATION CENTERS - NINE CANCER CENTERS - EIGHT CARDIAC CENTERS - OCCUPATIONAL HEALTH SERVICES - LONG-TERM CARE CENTERS - BEHAVIORAL HEALTH SERVICES - HOME HEALTH AND HOSPICE SERVICES - MEDICAL RESEARCH CENTERS - EDUCATION CENTERS AND PHYSICIAN TRAINING PROGRAMS - EXPRESS MEDICAL CLINICS AS ONE OF THE NATION'S LEADING NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEMS, WE APPROACH CARE FROM A COMMON MISSION OF ENHANCING THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE. TO HELP CARRY OUT OUR MISSION, WE ARE GUIDED BY SEVEN CORE VALUES: 1. HONESTY AND INTEGRITY 2. EXCELLENCE AND QUALITY 3. COMMUNITY 4. INNOVATION 5. TEAMWORK 6. COMPASSION AND CARING 7. AFFORDABILITY HEADQUARTERED IN SACRAMENTO, A COMMUNITY-BASED BOARD OF DIRECTORS GOVERNS SUTTER HEALTH. TO VIEW A LIST OF SUTTER HEALTH AFFILIATES, PLEASE VIEW FORM 990, SCHEDULE R.
DESCRIBE THE PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW FORM 990 FORM 990, PART VI, QUESTION 11B SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT RECEIVES AND PROVIDES TRAINING AND EDUCATION TO APPROPRIATE 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 REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, LEGAL DEPARTMENT, FINANCE, AND THE CFO BEFORE THE RETURN IS FILED. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12 EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS AND OFFICERS THAT INCLUDES AN ACKNOWLEDGEMENT THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR WILL REVIEW THE STATEMENTS AND MONITOR SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION.
PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, QUESTION 15 THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 SUTTER HEALTH POSTS ITS CURRENT AND PAST FORM 990 AND AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
OTHER CHANGES IN FUND BALANCE FORM 990, PART XI, LINE 9 EQUITY TRANSFERS (NET) $ 566,849,994 K-1 INTEREST (445,867) K-1 DIVIDENDS (111,812) K-1 ORDINARY INCOME (2,458,927) k-1 RENTAL INCOME (436) K-1 GUARANTEED PAYMENTS (3,022,902) K-1 SHORT-TERM CAPITAL GAIN 189,146 K-1 LONG-TERM CAPITAL GAIN (10,166) K-1 SECTION 1231 GAIN (2,305) K-1 ROYALTIES (33) K-1 OTHER INCOME (420,469) PARTNERSHIP INCOME ON BOOKS 3,172,557 PENSION RELATED CHANGES 31,420,138 STOCK AND OTHER ITEMS (96,431) PARTNERSHIP DISTRIBUTED/CAPITAL GAINS 3,500,000 ROUNDING (32) ------------- TOTAL $ 598,562,455 =============
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) SUTTER CONNECT LLC
10470 OLD PLACERVILLE ROAD
SACRAMENTO,CA95827
68-0209157 		MGMT SERVICES CA 134,864,298 73,088,541 SUTTER HLTH
 
(2) SUTTER OUTPATIENT SERVICES LLC
2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
45-4714483 		MED STAFF SVC CA 7,588,520 3,012,039 SUTTER HLTH
 








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) ADOLESCENT TREATMENT CENTERS INC

390 40TH STREET

OAKLAND,CA94609
68-0088443 		HEALTHCARE CA 501(C)(3) 3 SUTTER EBH
 
Yes
 
(2) ALTA BATES SUMMIT FOUNDATION

3012 SUMMIT STREET 3RD FLOOR

OAKLAND,CA94609
51-0160184 		FUNDRAISING CA 501(C)(3) 7 SUTTER EBH
 
Yes
 
(3) CALIFORNIA PACIFIC MEDICAL CTR FOUND

2015 STEINER STREET 2ND FLOOR

SAN FRANCISCO,CA94115
94-2728423 		FUNDRAISING CA 501(C)(3) 7 SUTTER WBH
 
Yes
 
(4) DELTA MEMORIAL HOSPITAL FOUNDATION

3901 LONE TREE WAY

ANTIOCH,CA94509
94-2417022 		FUNDRAISING CA 501(C)(3) 11a - I SUTTER EBH
 
Yes
 
(5) EAST BAY PERINATAL CENTER

3012 SUMMIT STREET 3RD FLOOR

OAKLAND,CA94609
51-0172285 		HEALTHCARE CA 501(C)(3) 3 SUTTER EBH
 
Yes
 
(6) EDEN MEDICAL CENTER

20103 LAKE CHABOT ROAD

CASTRO VALLEY,CA94546
94-2948100 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(7) MARIN COMMUNITY HEALTH

250 BON AIRE ROAD

GREENBRAE,CA94904
94-2994751 		SUPPORTING OR CA 501(C)(3) 11b - II SUTTER HLTH
 
Yes
 
(8) MEMORIAL HOSPITAL FOUNDATION

1800 COFFEE ROAD SUITE 76

MODESTO,CA95355
94-2290244 		FUNDRAISING CA 501(C)(3) 11a - I SUTTER CVH
 
Yes
 
(9) MILLS-PENINSULA HEALTH SERVICES

1501 TROUSDALE DRIVE

BURLINGAME,CA94010
94-1156265 		HOSPITAL CA 501(C)(3) 3 PAMF
 
Yes
 
(10) MILLS-PENINSULA HOSPITAL FOUNDATION

1501 TROUSDALE DRIVE

BURLINGAME,CA94010
23-7288765 		FUNDRAISING CA 501(C)(3) 7 MPHS
 
Yes
 
(11) PALO ALTO MEDICAL FOUNDATION

2350 EL CAMINO REAL

MOUNTAIN VIEW,CA94040
94-1156581 		HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(12) SAMUEL MERRITT UNIVERSITY

450 30TH STREET 2840

OAKLAND,CA94609
94-2992642 		UNIVERSITY CA 501(C)(3) 2 SUTTER EBH
 
Yes
 
(13) SUTTER AUBURN FAITH HOSPITAL FOUNDATION

11815 EDUCATION ST

AUBURN,CA95602
94-2594966 		FUNDRAISING CA 501(C)(3) 7 SUTTER SSR
 
Yes
 
(14) SUTTER CENTRAL VALLEY HOSPITALS

1800 COFFEE ROAD SUITE 76

MODESTO,CA95355
94-1080917 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(15) SUTTER COAST HOSPITAL

800 E WASHINGTON BLVD

CRESCENT CITY,CA95531
94-2988520 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(16) SUTTER DAVIS HOSPITAL FOUNDATION

PO BOX 1617

DAVIS,CA95617
68-0217870 		FUNDRAISING CA 501(C)(3) 7 SUTTER SSR
 
Yes
 
(17) SUTTER EAST BAY HOSPITALS

3012 SUMMIT STREET 3RD FLOOR

OAKLAND,CA94609
94-1196176 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(18) SUTTER EAST BAY MEDICAL FOUNDATION

3687 MT DIABLO BLVD 200

LAFAYETTE,CA94549
94-2690415 		HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(19) SUTTER GOULD MEDICAL FOUNDATION

600 COFFEE ROAD

MODESTO,CA95355
94-1682256 		HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(20) SUTTER HEALTH PACIFIC

91-2301 FT WEAVER RD

EWA BEACH,HI96706
99-0298651 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(21) SUTTER HEALTH PLAN

2200 RIVER PLAZA DRIVE

SACRAMENTO,CA95833
46-1183948 		HEALTH PLAN CA PENDING PENDING SUTTER HLTH
 
Yes
 
(22) SUTTER HEALTH SACRAMENTO SIERRA REGION

PO BOX 160727

SACRAMENTO,CA95816
94-1156621 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(23) SUTTER INSURANCE SERVICES CORPORATION

745 FORT STREET SUITE 800

HONOLULU,HI96813
99-0289310 		INSURANCE SER HI 501(C)(3) 11b - II SUTTER HLTH
 
Yes
 
(24) SUTTER MEDICAL CENTER FOUNDATION

PO BOX 160727

SACRAMENTO,CA95816
94-2788906 		FUNDRAISING CA 501(C)(3) 7 SUTTER SSR
 
Yes
 
(25) SUTTER MEDICAL CENTER CASTRO VALLEY

2200 RIVER PLAZA DRIVE

SACRAMENTO,CA95833
77-0146047 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(26) SUTTER MEDICAL FOUNDATION

2800 L STREET 7TH FLOOR

SACRAMENTO,CA95816
68-0273974 		HEALTHCARE CA 501(C)(3) 11b - II SUTTER HLTH
 
Yes
 
(27) SUTTER ROSEVILLE MEDICAL CTR FOUNDATION

ONE MEDICAL PLAZA

ROSEVILLE,CA95661
68-0040113 		FUNDRAISING CA 501(C)(3) 7 SUTTER SSR
 
Yes
 
(28) SUTTER SOLANO CHARITABLE FOUNDATION

300 HOSPITAL DRIVE

VALLEJO,CA94589
94-2668262 		FUNDRAISING CA 501(C)(3) 7 SUTTER SSR
 
Yes
 
(29) SUTTER VISITING NURSE ASSOC AND HOSPICE

1900 POWELL ST 300

EMERYVILLE,CA94608
94-6068843 		HEALTHCARE CA 501(C)(3) 9 SUTTER HLTH
 
Yes
 
(30) SUTTER WEST BAY HOSPITALS

2333 BUCHANAN STREET

SAN FRANCISCO,CA94115
94-0562680 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(31) SUTTER WEST BAY MEDICAL FOUNDATION

2015 STEINER STREET 1ST FLOOR

SAN FRANCISCO,CA94115
94-2948131 		HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(32) TRACY HOSPITAL FOUNDATION

1420 N TRACY BLVD

TRACY,CA95376
68-0318845 		FUNDRAISING CA 501(C)(3) 11a - I SUTTER CVH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) MAGNETIC IMAGING AF

175 LENNON
WLN CK,CA94598
94-2953833 		PATIENT CARE CA SEBH
  		N/A                
(2) SURG CTR OF ABSMC

3875 TELEGRAPH
OAKLAND,CA94609
47-0946086 		OUTPATIENT SURG CA SEBH
  		N/A                
(3) ALTA CT SERVICES LP

175 LENNON
WLN CK,CA94598
94-3083464 		PATIENT CARE CA SEBH
  		N/A                
(4) CALIFORNIA PACIFIC ADV IMAGING LLC

PO BOX 6102
NOVATO,CA94948
56-2311840 		MRI JOINT VENTURE CA SWBH
  		N/A                
(5) SAN FRANCISCO ENDOSCOPY CENTER LLC

3000 RIVERCHASE
BIRMINGHAM,AL35244
91-2160588 		ENDOSCOPY JV CA SWBH
  		RELATED 184,590 84,701   No 0 Yes   1.800 %
(6) PRESIDIO SURGERY CENTER LLC

1635 DIVISADERO
SF,CA94115
32-0144060 		AMBULATORY SURG CA SWBH
  		N/A                
(7) SUTTER FAIRFIELD SURGERY CTR

2700 LOW CT
FAIRFIELD,CA94533
30-0233892 		SURGERY CA SMF
  		N/A                
(8) TWIN CITIES SURGICAL HOSPITAL LLC

250 S WACKER
CHICAGO,IL60606
35-2182617 		SURGERY CA SMF
  		N/A                
(9) SUTTER AMADOR SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
46-1398093 		SURGERY CA NA
  		RELATED 0 233,849   No 0 Yes   6.000 %
(10) ROSEVILLE ENDOPSCOPY CENTER LLC

4 MEDICAL PLAZA SUITE 210
ROSEVILLE,CA95661
87-0710513 		ENDOSCOPY JV CA NA
  		N/A                
(11) MEMORIAL MEDICAL OFFICE BUILDING PRTNR I

1800 COFFEE RD SUITE 76
MODESTO,CA95355
77-0287288 		OFFICE RENTAL CA NA
  		N/A                
(12) MEMORIAL MEDICAL OFFICE BUILDING PRTNR I

1800 COFFEE RD SUITE 76
MODESTO,CA95355
77-0287288 		OFFICE RENTAL CA NA
  		N/A                
(13) ASC OPERATORS LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
20-8970704 		PATIENT CARE CA NA
  		RELATED 1,967,477 7,576,773   No 0 Yes   6.000 %
(14) ASC OPERATORS - EAST BAY LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
27-1724489 		PATIENT CARE CA NA
  		RELATED 566,448 2,351,583   No 0 Yes   6.000 %
(15) ASC OPERATORS - SAN FRANCISCO LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
27-5447186 		PATIENT CARE CA NA
  		RELATED 768,923 924,083   No 0 Yes   6.000 %
(16) ASC OPERATORS - SAN LUIS OBISPO LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
27-2673776 		PATIENT CARE CA SUTTER HLTH
  		RELATED 681,344 1,208,335   No 0 Yes   51.000 %
(17) ASC OPERATORS - SANTA ROSA LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
26-3386169 		PATIENT CARE CA NA
  		RELATED 441,587 245,065   No 0 Yes   6.000 %
(18) ASC OPERATORS - SOUTH BAY LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
46-1537479 		PATIENT CARE CA NA
  		RELATED 37,332 760,860   No 0 Yes   6.000 %
(19) NORTH BAY REGIONAL SURGERY CENTER

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
20-8633751 		PATIENT CARE CA NA
  		RELATED 645,665 861,604   No 0 Yes   7.066 %
(20) REDDING SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
38-3897570 		SURGERY CA NA
  		                 
(21) AUBURN SURGICAL CENTER LP

3123 PROFESSIONAL DRIVE STE 100
AUBURN,CA95603
36-4123623 		SURGERY CA NA
  		                 
(22) SAN FRANCISCO PEDIATRIC LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
 PATIENT CARE CA SWBH
  		N/A                
(23) FORT SUTTER SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
68-0116391 		SURGERY CA NA
  		N/A                
(24) SUTTER ALHAMBRA SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
63-1221949 		SURGERY CA NA
  		N/A                
(25) SUTTER SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
68-0325118 		SURGERY CA NA
  		N/A                
(26) SACRAMENTO SURGERY CENTER ASSOCIATES LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
68-0516588 		SURGERY CA NA
  		N/A                
(27) SOUTH PLACER SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
42-1540694 		SURGERY CA NA
  		N/A                
(28) GOLDEN GATE ENDOSCOPY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
20-1467388 		ENDOSCOPY JV CA NA
  		N/A                
(29) SUTTER STREET ENDOSCOPY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
91-2053937 		ENDOSCOPY JV CA NA
  		N/A                
(30) WALNUT CREEK ENDOSCOPY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
26-2169304 		ENDOSCOPY JV CA NA
  		N/A                
(31) EAST BAY ENDOSCOPY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
94-3336277 		ENDOSCOPY JV CA NA
  		N/A                
(32) SANTA BARBARA ENDOSCOPY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
91-2165231 		ENDOSCOPY JV CA NA
  		N/A               0 %
(33) SAN LUIS OBISPO SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
77-0109991 		SURGERY CA NA
  		N/A                
(34) SANTA ROSA SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
62-1547691 		SURGERY CA NA
  		N/A                
(35) PENINSULA EYE SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
13-4285230 		SURGERY CA NA
  		N/A                
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HEALTH VENTURES INC

350 HAWTHORNE ST
OAKLAND,CA94609
94-2918780 		HEALTH SERVICE CA SEBH
  		C CORP       Yes  












Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ALTA BATES SUMMIT FOUNDATION

 q 155,431 FMV
(2) ASC OPERATORS EAST BAY LLC

 l 402,257 FMV
(3) ASC OPERATORS EAST BAY LLC

 s 67,320 FMV for PPE
(4) ASC OPERATORS LLC

 l 1,983,074 FMV
(5) ASC OPERATORS LLC

 q 1,379,295 FMV
(6) ASC OPERATORS LLC

 s 385,430 FMV for PPE
(7) ASC OPERATORS SAN FRANCISCO LLC

 l 643,267 FMV
(8) ASC OPERATORS SAN FRANCISCO LLC

 s 89,658 FMV for PPE
(9) ASC OPERATORS SAN LUIS OBISPO LLC

 l 346,175 FMV
(10) ASC OPERATORS SAN LUIS OBISPO LLC

 s 511,024 FMV for PPE
(11) ASC OPERATORS SANTA ROSA LLC

 l 238,672 FMV
(12) ASC OPERATORS SANTA ROSA LLC

 s 193,823 FMV for PPE
(13) CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION

 q 445,689 FMV
(14) EAST BAY PERINATAL CENTER

 q 140,311 FMV
(15) EDEN MEDICAL CENTER

 b 71,269 FMV
(16) EDEN MEDICAL CENTER

 l 10,711,503 FMV
(17) EDEN MEDICAL CENTER

 p 2,555,000 FMV
(18) EDEN MEDICAL CENTER

 q 26,649,758 FMV
(19) EDEN MEDICAL CENTER

 r 85,771,521 FMV/BV for PPE
(20) EDEN MEDICAL CENTER

 s 51,563,864 FMV/BV for PPE
(21) HEALTH VENTURES INC

 q 1,448,386 FMV
(22) MILLS PENINSULA HEALTH SERVICES

 b 211,884 FMV
(23) MILLS PENINSULA HEALTH SERVICES

 l 21,433,820 FMV
(24) MILLS PENINSULA HEALTH SERVICES

 p 5,221,587 FMV
(25) MILLS PENINSULA HEALTH SERVICES

 q 47,788,062 FMV
(26) MILLS PENINSULA HEALTH SERVICES

 r 23,029,157 FMV/BV for PPE
(27) MILLS PENINSULA HEALTH SERVICES

 s 108,235,396 FMV/BV for PPE
(28) NORTH BAY REGIONAL SURGERY CENTER LLC

 l 612,506 FMV
(29) NORTH BAY REGIONAL SURGERY CENTER LLC

 q 1,457,062 FMV
(30) NORTH BAY REGIONAL SURGERY CENTER LLC

 s 254,261 FMV/BV for PPE
(31) PALO ALTO MEDICAL FOUNDATION

 d 1,437,584 FMV
(32) PALO ALTO MEDICAL FOUNDATION

 l 105,952,626 FMV
(33) PALO ALTO MEDICAL FOUNDATION

 m 799,040 FMV
(34) PALO ALTO MEDICAL FOUNDATION

 p 10,028,034 FMV
(35) PALO ALTO MEDICAL FOUNDATION

 q 87,346,077 FMV
(36) PALO ALTO MEDICAL FOUNDATION

 r 93,515,051 FMV/BV for PPE
(37) PALO ALTO MEDICAL FOUNDATION

 s 234,786,921 FMV/BV for PPE
(38) ROSEVILLE ENDOSCOPY CENTER LLC

 l 180,000 FMV
(39) ROSEVILLE ENDOSCOPY CENTER LLC

 q 471,950 FMV
(40) SAMUEL MERRITT UNIVERSITY

 p 69,105 FMV
(41) SAMUEL MERRITT UNIVERSITY

 q 4,038,890 FMV
(42) SAMUEL MERRITT UNIVERSITY

 r 764,964 FMV/BV for PPE
(43) SAMUEL MERRITT UNIVERSITY

 s 154,377 FMV/BV for PPE
(44) SUTTER CENTRAL VALLEY HOSPITALS

 l 49,332,256 FMV
(45) SUTTER CENTRAL VALLEY HOSPITALS

 p 9,391,455 FMV
(46) SUTTER CENTRAL VALLEY HOSPITALS

 q 61,159,323 FMV
(47) SUTTER CENTRAL VALLEY HOSPITALS

 r 29,765,172 FMV/BV for PPE
(48) SUTTER CENTRAL VALLEY HOSPITALS

 s 283,851,597 FMV/BV for PPE
(49) SUTTER COAST HOSPITAL

 l 4,468,453 FMV
(50) SUTTER COAST HOSPITAL

 q 3,706,941 FMV
(51) SUTTER COAST HOSPITAL

 r 10,860,213 FMV/BV for PPE
(52) SUTTER COAST HOSPITAL

 s 9,481,269 FMV/BV for PPE
(53) SUTTER EAST BAY HOSPITALS

 b 50,727 FMV
(54) SUTTER EAST BAY HOSPITALS

 l 46,415,830 FMV
(55) SUTTER EAST BAY HOSPITALS

 p 5,200,353 FMV
(56) SUTTER EAST BAY HOSPITALS

 q 116,851,459 FMV
(57) SUTTER EAST BAY HOSPITALS

 r 64,944,142 FMV/BV for PPE
(58) SUTTER EAST BAY HOSPITALS

 s 156,371,319 FMV/BV for PPE
(59) SUTTER EAST BAY MEDICAL FOUNDATION

 l 11,647,405 FMV
(60) SUTTER EAST BAY MEDICAL FOUNDATION

 m 2,865,023 FMV
(61) SUTTER EAST BAY MEDICAL FOUNDATION

 p 400,000 FMV
(62) SUTTER EAST BAY MEDICAL FOUNDATION

 q 8,966,007 FMV
(63) SUTTER EAST BAY MEDICAL FOUNDATION

 r 39,762,124 FMV/BV for PPE
(64) SUTTER EAST BAY MEDICAL FOUNDATION

 s 10,850,765 FMV/BV for PPE
(65) SUTTER FAIRFIELD SURGERY CENTER LLC

 l 373,409 FMV
(66) SUTTER FAIRFIELD SURGERY CENTER LLC

 q 707,345 FMV
(67) SUTTER GOULD MEDICAL FOUNDATION

 l 25,242,856 FMV
(68) SUTTER GOULD MEDICAL FOUNDATION

 p 6,239,057 FMV
(69) SUTTER GOULD MEDICAL FOUNDATION

 q 20,339,339 FMV
(70) SUTTER GOULD MEDICAL FOUNDATION

 r 2,315,335 FMV/BV for PPE
(71) SUTTER GOULD MEDICAL FOUNDATION

 s 16,772,349 FMV/BV for PPE
(72) SUTTER HEALTH SACRAMENTO SIERRA REGION

 b 194,504 FMV
(73) SUTTER HEALTH SACRAMENTO SIERRA REGION

 l 24,509,799 FMV
(74) SUTTER HEALTH SACRAMENTO SIERRA REGION

 p 16,062,124 FMV
(75) SUTTER HEALTH SACRAMENTO SIERRA REGION

 q 205,574,330 FMV
(76) SUTTER HEALTH SACRAMENTO SIERRA REGION

 r 140,802,010 FMV/BV for PPE
(77) SUTTER HEALTH SACRAMENTO SIERRA REGION

 s 410,321,298 FMV/BV for PPE
(78) SUTTER INSURANCE SERVICES CORPORATION

 q 1,583,558 FMV
(79) SUTTER MEDICAL CENTER - CASTRO VALLEY

 l 906,375 FMV
(80) SUTTER MEDICAL CENTER - CASTRO VALLEY

 p 6,666,000 FMV
(81) SUTTER MEDICAL CENTER - CASTRO VALLEY

 q 2,318,091 FMV
(82) SUTTER MEDICAL CENTER - CASTRO VALLEY

 r 21,010,580 FMV/BV for PPE
(83) SUTTER MEDICAL CENTER - CASTRO VALLEY

 s 7,442,523 FMV/BV for PPE
(84) SUTTER MEDICAL CENTER FOUNDATION

 q 246,290 FMV
(85) SUTTER MEDICAL FOUNDATION

 l 57,757,338 FMV
(86) SUTTER MEDICAL FOUNDATION

 p 2,102,294 FMV
(87) SUTTER MEDICAL FOUNDATION

 q 50,728,876 FMV
(88) SUTTER MEDICAL FOUNDATION

 r 4,690,894 FMV/BV for PPE
(89) SUTTER MEDICAL FOUNDATION

 s 38,960,951 FMV/BV for PPE
(90) SUTTER MEDICAL CENTER FOUNDATION

 r 58,966 FMV/BV for PPE
(91) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

 b 530,345 FMV
(92) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

 l 9,888,131 FMV
(93) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

 p 633,336 FMV
(94) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

 q 24,267,861 FMV
(95) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

 r 4,939,461 FMV/BV for PPE
(96) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

 s 13,230,910 FMV/BV for PPE
(97) SUTTER WEST BAY HOSPITALS

 b 129,316 FMV
(98) SUTTER WEST BAY HOSPITALS

 l 64,331,412 FMV
(99) SUTTER WEST BAY HOSPITALS

 p 9,569,259 FMV
(100) SUTTER WEST BAY HOSPITALS

 q 144,760,466 FMV
(101) SUTTER WEST BAY HOSPITALS

 r 195,717,918 FMV/BV for PPE
(102) SUTTER WEST BAY HOSPITALS

 s 302,852,025 FMV/BV for PPE
(103) SUTTER WEST BAY MEDICAL FOUNDATION

 l 17,763,244 FMV
(104) SUTTER WEST BAY MEDICAL FOUNDATION

 p 775,635 FMV
(105) SUTTER WEST BAY MEDICAL FOUNDATION

 q 13,969,144 FMV
(106) SUTTER WEST BAY MEDICAL FOUNDATION

 r 46,309,485 FMV/BV for PPE
(107) SUTTER WEST BAY MEDICAL FOUNDATION

 s 2,633,819 FMV/BV for PPE
(108) SUTTER HEALTH PACIFIC

 l 696,857 FMV
(109) SUTTER HEALTH PACIFIC

 q 1,195,189 FMV
(110) SUTTER HEALTH PACIFIC

 r 2,000,000 FMV/BV for PPE
(111) SUTTER HEALTH PACIFIC

 s 532,548 FMV/BV for PPE
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


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