TY 2013 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) James Conforti........................................................................ Regional President, SHSSR	40.0 .......................0.0	X	X	0	1,122,894	209,404
(2) Andrew DeMar MD........................................................................ Trustee, Chief of Staff	2.0 .......................0.0	X	X	145,250	0	0
(3) Mike Dourgarian........................................................................ Trustee	2.0 .......................0.0	X		0	0	0
(4) Patrick Fry........................................................................ President & CEO, Sutter Health	2.0 .......................40.0	X		0	3,989,362	2,020,826
(5) Gary Hooper........................................................................ Trustee	2.0 .......................0.0	X		0	0	0
(6) Scott Howell........................................................................ Trustee	2.0 .......................0.0	X		0	0	0
(7) Peter Hull MD........................................................................ Trustee	2.0 .......................0.0	X		22,731	0	0
(8) Christopher Johnson........................................................................ Trustee	2.0 .......................0.0	X		0	0	0
(9) Richard Kramer........................................................................ Trustee, Chair	4.0 .......................0.0	X	X	0	0	0
(10) Sarah Krevans........................................................................ COO, Sutter Health	2.0 .......................40.0	X		0	2,264,199	372,873
(11) Pat Fong Kushida........................................................................ Trustee	2.0 .......................0.0	X		0	0	0
(12) Marion Leff MD........................................................................ Trustee	2.0 .......................0.0	X		0	0	0
(13) Jerry May PHD........................................................................ Trustee, Vice-Chair	4.0 .......................0.0	X	X	0	0	0
(14) Joseph Mendez........................................................................ Trustee	2.0 .......................0.0	X		0	0	0
(15) Mike Newell........................................................................ Trustee, Chair Finance & Plan.	4.0 .......................0.0	X	X	0	0	0
(16) Pat Pathipati........................................................................ Trustee	2.0 .......................0.0	X		0	0	0
(17) Helen Thomson........................................................................ Trustee	2.0 .......................0.0	X		0	0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Robert Wolfe........................................................................ Trustee	2.0 .......................0.0	X				0	0
(19) Jeffrey Sprague........................................................................ CFO, Sac Sierra Region	40.0 .......................0.0		X			750,274	123,686
(20) Penny Westfall........................................................................ VP & Reg Counsel, SSR	40.0 .......................0.0		X			444,941	66,325
(21) Pat Brady........................................................................ CEO, Sutter Roseville Med. Ctr	40.0 .......................0.0			X		868,373	144,198
(22) Terry Glubka........................................................................ CEO, Sutter Solano Medical Ctr	40.0 .......................0.0			X		625,443	87,558
(23) Mitch Hanna........................................................................ CAO, SAFH	40.0 .......................0.0			X		556,022	89,377
(24) Carrie Owen-Plietz........................................................................ CEO, Sutter Med Ctr Sacramento	40.0 .......................0.0			X		766,323	125,298
(25) Anne Platt........................................................................ CEO, SUTTER AMADOR HOSPITAL	40.0 .......................0.0			X		469,589	77,579
(26) Thomas Ream II........................................................................ Reg CIO, Sac Sierra Region	40.0 .......................0.0			X		341,052	57,804
(27) Randall Ross........................................................................ Admin. Ancillary Svcs. SHSSR	40.0 .......................0.0			X		397,817	44,667
(28) Janet Wagner........................................................................ CAO, Sutter Davis Hospital	40.0 .......................0.0			X		555,334	80,027
(29) Cecilia Hernandez........................................................................ Dir Med Affairs, Med Ctr Sac	40.0 .......................0.0				X	494,378	38,185
(30) Daryn Kumar........................................................................ CEO, Memorial Med. Ctr.	40.0 .......................0.0				X	582,884	75,804
(31) John Mesic MD........................................................................ CMO, Sac Sierra Region	40.0 .......................0.0				X	788,705	93,375
(32) Jeffrey Szczesny........................................................................ Reg VP HR, Sac Sierra Region	40.0 .......................0.0				X	525,317	74,818
(33) Paige Terra........................................................................ Controller, Sac Sierra Region	40.0 .......................0.0				X	491,737	62,519

(A) Name and business address	(B) Description of services	(C) Compensation
PULMONARY MEDICINE ASSOCIATES, 3637 MISSION AVENUE SUITE 7CARMICHAELCA95816	MEDICAL SERVICES	9,494,299
DIAGNOSTIC PATHOLOGY MEDICAL GROUP, 3301 C ST STE 200ESACRAMENTOCA95816	MEDICAL SERVICES	7,702,136
CENTRAL ANESTHESIA SERVICE, PO BOX 660910SACRAMENTOCA95866	MEDICAL SERVICES	4,106,079
TOTAL RENAL CARE INC, PO BOX 2076TACOMAWA98401	MEDICAL SERVICES	3,378,183
SODEXO LAUNDRY SERVICE, DEPARMENT 880328LOS ANGELESCA90088	LAUNDRY SERVICES	2,607,134
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 186

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	5,127,958	5,127,958
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 ....	6,197,670		6,197,670
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	99,264	99,264
7	Other salaries and wages	583,505,999	563,954,140	19,514,617	37,242
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	32,565,685	31,149,114	1,414,522	2,049
9	Other employee benefits .......	218,697,090	209,147,609	9,539,206	10,275
10	Payroll taxes ...........	50,261,778	48,067,456	2,191,148	3,174
11	Fees for services (non-employees):
a	Management ......	4,947,085		4,947,085
b	Legal .........	1,837,937		1,837,937
c	Accounting ...........	165,956		165,956
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	237,111		235,958	1,153
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	75,385,439	75,385,439
12	Advertising and promotion ....	2,105,775	2,104,627		1,148
13	Office expenses .......	19,807,814	9,325,454	10,479,360	3,000
14	Information technology ......	35,492,982	32,290,145	3,202,837
15	Royalties ..	0
16	Occupancy ...........	24,977,396	24,977,396
17	Travel ............	1,347,714	1,128,892	218,531	291
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	920,185	823,912	93,807	2,466
20	Interest ...........	13,344,580	13,343,316	1,264
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	74,748,134	74,248,198	499,936
23	Insurance ..............	13,843,622	13,732,611	111,011
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	MEDICAL SUPPLIES	252,183,872	252,183,872
b	PURCHASED SERVICES	159,384,464	146,292,879	13,091,585
c	HOSPITAL PROVIDER FEES	84,001,298	84,001,298
d	REPAIRS & MAINTENANCE	28,763,961	18,378,960	10,385,001
e	All other expenses	46,064,896	25,725,629	20,304,374	34,893
25	Total functional expenses. Add lines 1 through 24e	1,736,015,665	1,631,488,169	104,431,805	95,691
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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	0	1	0
2	Savings and temporary cash investments .........	65,348,266	2	69,889,638
3	Pledges and grants receivable, net ...........	89,343	3	141,201
4	Accounts receivable, net .............	220,089,829	4	277,199,156
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 ..............	24,540,792	8	25,513,499
9	Prepaid expenses and deferred charges ..........	6,966,081	9	4,388,831
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,082,768,266
b	Less: accumulated depreciation .....	10b	835,467,326	1,148,481,829	10c	1,247,300,940
11	Investments—publicly traded securities ..........	130,023,799	11	62,341,837
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	1,068,446	13	1,057,297
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	57,298,006	15	50,247,431
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,653,906,391	16	1,738,079,830
	17	Accounts payable and accrued expenses .........	241,529,253	17	291,568,856
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	909,439,517	20	939,590,161
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 ..	4,627,048	23	4,660,681
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....................	16,137,709	25	19,657,223
26	Total liabilities. Add lines 17 through 25.........	1,171,733,527	26	1,255,476,921
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	480,907,888	27	480,508,141
28	Temporarily restricted net assets ...........	1,264,976	28	2,094,768
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	482,172,864	33	482,602,909
34	Total liabilities and net assets/fund balances ........	1,653,906,391	34	1,738,079,830

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

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)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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).

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2013

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)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

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

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization SUTTER HEALTH SACRAMENTO SIERRA REGION

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, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization SUTTER HEALTH SACRAMENTO SIERRA REGION

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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

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

(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

(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

(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

(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) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

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 ....	17,651,842	16,233,588	17,264,360	15,654,225	12,421,867
b	Contributions ........	151,996	1,009	1,279	1,668	17,176
c	Net investment earnings, gains, and losses	1,678,960	1,935,574	-456,995	2,004,352	3,223,622
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	335,757	518,329	575,056	395,885	8,350
f	Administrative expenses ....				0	90
g	End of year balance ......	19,147,041	17,651,842	16,233,588	17,264,360	15,654,225

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

66.000 %

Permanent endowment SchDMd Bullet

13.000 %

Temporarily restricted endowment SchDMd Bullet

21.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 .................	0	45,638,905		45,638,905
b	Buildings ................	0	1,018,145,435	463,114,084	555,031,351
c	Leasehold improvements ............	0	13,823,154	7,934,709	5,888,445
d	Equipment ................	0	428,833,172	338,127,500	90,705,672
e	Other .................	0	576,327,600	26,291,033	550,036,567
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					1,247,300,940

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
INSURANCE LIABILITIES		5,075,923
THIRD PARTY SETTLEMENTS		5,736,319
OTHER LIABILITIES		8,844,981






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		19,657,223
2. Liability for uncertain tax positions 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) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference	Explanation
PART V, LINE 4	ENDOWMENTS HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER HEALTH SACRAMENTO SIERRA REGION.
PART X, LINE 2	THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE COMBINED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2013 AND 2012, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.

Return Reference

Explanation

PART V, LINE 4

ENDOWMENTS HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER HEALTH SACRAMENTO SIERRA REGION.

PART X, LINE 2

THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, (PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3)), AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) AND, GENERALLY, ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE COMBINED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2013 AND 2012, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Theme Ball (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	63,696	63,696
2	Less: Contributions . .	38,496	38,496
3	Gross income (line 1 minus line 2) . . .	25,200	25,200
4	Cash prizes . . .
5	Noncash prizes . .	36	36
6	Rent/facility costs . .	775	775
7	Food and beverages .	11,085	11,085
8	Entertainment . . .	500	500
9	Other direct expenses .	11,124	11,124
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		23,520
11	Net income summary. Subtract line 10 from line 3, column (d)...........		1,680

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		50,275,609		50,275,609	2.900 %
b	Medicaid (from Worksheet 3, column a) ....		402,245,908	330,983,342	71,262,566	4.100 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .		76,373,471	30,065,547	46,307,924	2.670 %
d	Total Financial Assistance and Means-Tested Government Programs .		528,894,988	361,048,889	167,846,099	9.670 %
Other Benefits		18	1,568,969		1,568,969	0.090 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	18	1,568,969		1,568,969	0.090 %
f	Health professions education (from Worksheet 5) ..	7	4,955,054	2,415,082	2,539,972	0.150 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	6	361,808		361,808	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	20	8,312,789		8,312,789	0.480 %
j	Total. Other Benefits ..	51	15,198,620	2,415,082	12,783,538	0.740 %
k	Total. Add lines 7d and 7j .	51	544,093,608	363,463,971	180,629,637	10.410 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	1	1,440	1,440
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	1	1,440	1,440

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

11,153,627

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

398,677,093

Enter Medicare allowable costs of care relating to payments on line 5.....

427,835,032

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-29,157,939

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1SUTTER AMADOR SURG C	MEDICAL SERVICES	73.000 %	0 %	27.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?8 Name, address, primary website address, and state license number					Facility reporting group
1	SUTTER GENERAL HOSPITAL 2801 L STREET SACRAMENTO,CA95816 WWW.SUTTERHEALTH.ORG 030000102	X	X	X	A
2	SUTTER ROSEVILLE MEDICAL CENTER ONE MEDICAL PLAZA ROSEVILLE,CA95661 WWW.SUTTERHEALTH.ORG 030000083	X	X	X	A
3	SUTTER MEMORIAL HOSPITAL 5151 F STREET SACRAMENTO,CA95819 WWW.SUTTERHEALTH.ORG 030000102	X	X	X	A
4	SUTTER SOLANO MEDICAL CENTER 300 HOSPITAL DRIVE VALLEJO,CA94589 WWW.SUTTERHEALTH.ORG 110000082	X	X	X	A
5	SUTTER AUBURN FAITH HOSPITAL 11815 EDUCATION STREET AUBURN,CA95602 WWW.SUTTERHEALTH.ORG 030000012	X	X	X	A
6	SUTTER CENTER FOR PSYCHIATRY 7700 FOLSOM STREET SACRAMENTO,CA95826 WWW.SUTTERHEALTH.ORG 030000347	X			A
7	SUTTER AMADOR HOSPITAL 200 MISSION BLVD JACKSON,CA95642 WWW.SUTTERHEALTH.ORG 030000008	X	X	X	A
8	SUTTER DAVIS HOSPITAL 2000 SUTTER PLACE DAVIS,CA95616 WWW.SUTTERHEALTH.ORG 030000124	X	X	X	A

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url): SEE SECTION C

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?27
Name and address		Type of Facility (describe)
1	INFUSION THERAPY CENTER 11710 EDUCATION STREET AUBURN,CA95602	OUTPATIENT SERVICES
2	INFUSIONOSTOMY DEPARTMENT 11710 EDUCATION STREET AUUBURN,CA95602	OUTPATIENT SERVICES
3	WOUND CAREOSTOMY DEPARTMENT 11710 EDUCATION STREET AUBURN,CA95602	OUTPATIENT SERVICES
4	CARDIOPULMONARY REHAB SERVICES 11795 EDUCATION STREET 205 AUBURN,CA95603	OUTPATIENT SERVICES
5	INFUSION SERVICES 2020 SUTTER PLACE DAVIS,CA95616	OUTPATIENT SERVICES
6	CARDIAC REHABILITATION 2030 SUTTER PLACE DAVIS,CA95616	OUTPATIENT SERVICES
7	NUCLEAR MEDICINE 100 MISSION BLVD JACKSON,CA95642	OUTPATIENT SERVICES
8	PEDIATRIC AND CARDIAC CENTER 100 MISSION BLVD JACKSON,CA95642	OUTPATIENT SERVICES
9	DIABETES EDUCATION CLINIC 200 MISSION BLVD JACKSON,CA95642	OUTPATIENT SERVICES
10	JACKSON FAMILY PRACTICE 255 NEW YORK RANCH ROAD STE C JACKSON,CA95642	OUTPATIENT SERVICES
11	SUTTER SLEEP DISORDERS CENTER 1411 SECRET RAVINE PARKWAY STE 150 ROSEVILLE,CA95661	OUTPATIENT SERVICES
12	OUTPATIENT SURGERY DEPARTMENT FOUR MEDICAL PLAZA ROSEVILLE,CA95661	OUTPATIENT SERVICES
13	ANTEPARTUM TESTING UNIT ONE MEDICAL PLAZA ROSEVILLE,CA95661	OUTPATIENT SERVICES
14	WOUND CARE CENTER ONE MEDICAL PLAZA ROSEVILLE,CA95661	OUTPATIENT SERVICES
15	RADIOLOGY SERVICE THREE MEDICAL PLAZA ROSEVILLE,CA95661	OUTPATIENT SERVICES
16	CHILDREN'S OUTPATIENT SERVICE CENTER 1625 STOCKTON BLVD SACRAMENTO,CA95819	OUTPATIENT SERVICES
17	AMBULATORY SURGERY CENTER 2725 CAPITOL AVENUE SACRAMENTO,CA95816	OUTPATIENT SERVICES
18	INFUSION CENTER 1020 29TH STREET STE 690 SACRAMENTO,CA95816	OUTPATIENT SERVICES
19	SUTTER OAKS NURSING CENTER-MIDTOWN 2600 L STREET SACRAMENTO,CA95816	OUTPATIENT SERVICES
20	OUTPATIENT SERVICE CENTER 2800 L STREET SACRAMENTO,CA95816	OUTPATIENT SERVICES
21	NEURO SCIENCE CLINIC 2801 K STREET SACRAMENTO,CA95816	OUTPATIENT SERVICES
22	AUDIOLOGY AND ADULT DIABETES CLINICS 5151 F STREET BUILDING E SACRAMENTO,CA95819	OUTPATIENT SERVICES
23	SUTTER SLEEP DISORDERS CENTER 650 HOWE AVENUE SACRAMENTO,CA95825	OUTPATIENT SERVICES
24	SUTTER CENTER FOR PSYCHIATRY 855 HOWE AVENUE SACRAMENTO,CA95826	OUTPATIENT SERVICES
25	SUTTER SOLANO CANCER CENTER 100 HOSPITAL DRIVE VALLEJO,CA94589	OUTPATIENT SERVICES
26	AMADOR SURGERY CENTER 223 CLINTON RD JACKSON,CA95642	OUTPATIENT SERVICES
27	ROSEVILLE ENDOSCOPY CENTER 4 MEDICAL PLAZA ROSEVILLE,CA95661	ENDOSCOPY

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number
94-1156621

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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	(h) Purpose of grant or assistance
(1) WELLSPACE HEALTH 1820 J ST SACRAMENTO,CA95814	94-1713704	501(C)(3)	2,369,726	GENERAL SUPPORT
(2) LOS RIOS COMMUNITY COLLEGE 3835 FREEPORT BLVD SACRAMENTO,CA95822	94-1576340	501(C)(3)	455,367	GENERAL SUPPORT
(3) COMMUNICARE HEALTH CENTERS PO BOX 1260 DAVIS,CA956171260	94-2188574	501(C)(3)	333,421	GENERAL SUPPORT
(4) LA CLINICA DE LA RAZA 1515 FRUITVALE AVE OAKLAND,CA94601	94-1744108	501(C)(3)	240,457	GENERAL SUPPORT
(5) SENIORS FIRST 11566 D AVE AUBURN,CA95603	68-0430154	501(C)(3)	216,500	GENERAL SUPPORT
(6) AMERICAN HEART ASSOCIATION PO BOX 160126 SACRAMENTO,CA95816	94-1219116	501(C)(3)	150,000	GENERAL SUPPORT
(7) DOWNTOWN SACTO PARTNERSHIP 980 NINTH ST STE 400 SACRAMENTO,CA95814	68-0270320	501(c)(3)	80,000	GENERAL SUPPORT
(8) FIRST RESPONDER SACRAMENTO PO BOX 24 CHICO,CA95927	68-0414838	501(C)(3)	75,999	GENERAL SUPPORT
(9) METROPOLITAN CHAMBER OF SACRAMENTO ONE CAPITOL MALL STE 300 SACRAMENTO,CA95814	94-0824600	501(C)(6)	62,400	GENERAL SUPPORT
(10) GIFTS TO SHARE INC 1231 I ST 400 SACRAMENTO,CA95814	94-2985546	501(C)(3)	54,000	GENERAL SUPPORT
(11) SOLANO COALITION FOR BETTER HEALTH 1 HARBOR DR STE 270 SUISUN CITY,CA94585	94-3189914	501(C)(3)	41,334	GENERAL SUPPORT
(12) SACRAMENTO DISTRICT DENTAL SOCIETY 915 28TH ST SACRAMENTO,CA95816	94-1543470	501(C)(3)	40,000	GENERAL SUPPORT
(13) ARDEN FAIR ASSOCIATES 1689 ARDEN WY STE 1167 SACRAMENTO,CA95815	36-3584120	501(C)(3)	31,620	GENERAL SUPPORT
(14) LATINO LEADERSHIP COUNCIL INC 2945 BELL RD STE 274 AUBURN,CA95603	27-0970476	501(C)(3)	30,000	GENERAL SUPPORT
(15) LIGHTHOUSE COUNSELING & FAMILY RESOURCE CTR 427 A ST STE 400 LINCOLN,CA95648	35-2252834	501(C)(3)	30,000	GENERAL SUPPORT
(16) GATHERING INN PO BOX 297 ROSEVILLE,CA95678	84-1657746	501(c)(3)	25,000	GENERAL SUPPORT
(17) SACRAMENTO AREA EMERGENCY HOUSING CTR 2988 35TH ST SACRAMENTO,CA95817	94-2172933	501(C)(3)	25,000	GENERAL SUPPORT
(18) SACRAMENTO SELF HELP HOUSING PO BOX 188445 SACRAMENTO,CA95818	68-0217383	501(C)(3)	50,000	GENERAL SUPPORT
(19) SALVATION ARMY PO BOX 340699 SACRAMENTO,CA95834	94-1170408	501(C)(3)	25,000	GENERAL SUPPORT
(20) STANFORD SETTLEMENT INC 450 W EL CAMINO AVE SACRAMENTO,CA95833	94-1550842	501(C)(3)	25,000	GENERAL SUPPORT
(21) WOMENS EMPOWERMENT 1400 NO C ST SACRAMENTO,CA95814	03-0520643	501(C)(3)	25,000	GENERAL SUPPORT
(22) AMERICAN CANCER SOCIETY INC 1301 NORTHCREST DR CRESCENT CITY,CA95531	13-1788491	501(C)(3)	21,000	GENERAL SUPPORT
(23) SACRAMENTO REGION TRANSIT DISTRICT PO BOX 688 SACRAMENTO,CA95812	94-1338218	501(C)(3)	20,775	GENERAL SUPPORT
(24) DAVIS FARMERS MARKET ASSOCIATION PO BOX 1813 DAVIS,CA95617	68-0001588	501(C)(3)	40,000	GENERAL SUPPORT
(25) FRANCIS HOUSE OF SACRAMENTO 1422 C ST SACRAMENTO,CA95814	94-2437147	501(C)(3)	20,000	GENERAL SUPPORT
(26) KIDS FIRST 124 MAIN ST ROSEVILLE,CA95678	68-0195225	501(C)(3)	20,000	GENERAL SUPPORT
(27) ROSEVILLE CHAMBER OF COMMERCE 650 DOUGLAS BLVD ROSEVILLE,CA95678	94-1079379	501(C)(6)	20,000	GENERAL SUPPORT
(28) SACRAMENTO COTTAGE HOUSING INC 1217 DEL PASO BLVD STE F1 SACRAMENTO,CA95815	68-0322086	501(C)(3)	20,000	GENERAL SUPPORT
(29) SIERRA COLLEGE FOUNDATION 5000 ROCKLIN RD ROCKLIN,CA95677	23-7241877	501(C)(3)	20,000	GENERAL SUPPORT
(30) AMERICAN DIABETES ASSOCIATION PO BOX 930850 ATLANTA,GA31193	13-1623888	501(C)(3)	15,000	GENERAL SUPPORT
(31) LEUKEMIA AND LYMPHOMA SOCIETY OF THE SOUTH BAY 675 NO FIRST ST STE 1100 SAN JOSE,CA95112	13-5644916	501(C)(3)	15,000	GENERAL SUPPORT
(32) LEED SACRAMENTO DBA CAREER YOUTH CONFERENCE ONE CAPITOL MALL STE 300 SACRAMENTO,CA95814	68-0287387	501(C)(3)	14,540	GENERAL SUPPORT
(33) SAINT JOHNS SHELTER FOR WOMEN & CHILDREN 2443 FAIR OAKS BLVD STE 369 SACRAMENTO,CA95825	68-0132934	501(C)(3)	13,935	GENERAL SUPPORT
(34) FAIRYTALE TOWN INC 3901 LAND PARK DR SACRAMENTO,CA95822	94-1669088	501(C)(3)	12,500	GENERAL SUPPORT
(35) GENERAL CONFERENCE OF SEVENTH DAY ADVENT 12225 ROCK CREEK RD AUBURN,CA95603	68-0260677	501(C)(3)	12,500	GENERAL SUPPORT
(36) SACRAMENTO ASIANPACIFIC CHAMBER OF COMMERCE 2012 H ST STE 202 SACRAMENTO,CA95814	68-0306606	501(C)(6)	11,000	GENERAL SUPPORT
(37) PROTRANSPORT 1 LLC PO BOX 7260 COTATI,CA94931	68-0461114	501(C)(3)	10,746	GENERAL SUPPORT
(38) BOYS AND GIRLS CLUBS OF GREATER SACRAMENTO 5212 LEMON HILL AVE SACRAMENTO,CA95824	68-0338324	501(C)(3)	10,000	GENERAL SUPPORT
(39) CCHAT CENTER SACTO 11100 COLOMA RD RANCHO CORDOVA,CA95670	94-1706320	501(C)(3)	10,000	GENERAL SUPPORT
(40) KVIE INC DBA KVIE CHANNEL 6 2030 W EL CAMINO AVE SACRAMENTO,CA95833	94-1421463	501(c)(3)	10,000	GENERAL SUPPORT
(41) MIDTOWN BUSINESS ASSOCIATION 1722 J ST STE 19 SACRAMENTO,CA95811	68-0413426	501(c)(6)	10,000	GENERAL SUPPORT
(42) SOCIETY FOR THE BLIND INC LOW VISION CLINIC 1238 S ST SACRAMENTO,CA95811	94-1384666	501(C)(3)	10,000	GENERAL SUPPORT
(43) JONQUIL HOLDINGS LLC DBA DAVIS HEALTHCARE CTR 715 POLE LINE RD DAVIS,CA95616	27-5419895	501(C)(3)	9,000	GENERAL SUPPORT
(44) ROSEVILLE JOINT UNION HIGH SCHOOL 1750 CIRBY WY ROSEVILLE,CA95661	94-6002478	GOVT	8,500	GENERAL SUPPORT
(45) SAC ASIAN PACIFIC CHAMBER OF COMMERCE FOUNDATION 2012 H ST STE 202 SACRAMENTO,CA95814	68-0423644	501(C)(3)	8,000	GENERAL SUPPORT
(46) ELK GROVE CHAMBER OF COMMERCE 9401 E STOCKTON BLVD STE 125 ELK GROVE,CA95624	94-1483392	501(C)(6)	7,500	GENERAL SUPPORT
(47) NEHEMIAH COMMUNITY FOUNDATION 640 BERCUT DR STE A SACRAMENTO,CA95811	68-0449972	501(C)(3)	7,500	GENERAL SUPPORT
(48) SIERRA FOREVER FAMILIES 138 NEW MOHAWK RD STE 200 NEVADA CITY,CA95959	68-0002878	501(C)(3)	7,500	GENERAL SUPPORT
(49) YOLO COUNTY OF CHILDREN'S ALLIANCE 600 A ST STE Y DAVIS,CA95616	68-0526185	501(C)(3)	7,500	GENERAL SUPPORT
(50) KINETIC CONCEPTS USA INC PO BOX 301557 DALLAS,TX753031557	74-2152396	501(C)(3)	6,524	GENERAL SUPPORT
(51) LINCOLN CHAMBER OF COMMERCE 511 FIFTH ST LINCOLN,CA95648	94-1506195	501(C)(6)	6,100	GENERAL SUPPORT
(52) MARCH OF DIMES PO BOX 1657 WILKESBARRE,PA187031657	13-1846366	501(C)(3)	5,950	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

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) 2013

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. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2

GRANTS AND ASSISTANCE REQUESTS ARE REVIEWED BY FACILITY ADMINISTRATIVE MANAGEMENT FOR PROPRIETY ON A CASE BY CASE BASIS. ADDITIONAL REQUESTS ARE CONSIDERED AFTER REVIEW OF PREVIOUS FUNDING LEVELS IN ACCORDANCE WITH THE FACILITIES GRANT AND ASSISTANCE POLICIES. RECORDS ARE MAINTAINED THAT DOCUMENT MANAGEMENT'S REVIEW AND APPROVAL FOR ALL GRANTS, CONTRIBUTIONS AND/OR ASSISTANCE PROVIDED THROUGHOUT THE YEAR.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

Yes

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable 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
(1)Pat BradyCEO, Sutter Roseville Med. Ctr	(i) (ii)	0 486,045	0 303,879	0 78,449	0 123,680	0 20,518	0 1,012,571	0 370,986
(2)James ConfortiRegional President, SHSSR	(i) (ii)	0 586,008	0 472,842	0 64,044	0 187,180	0 22,224	0 1,332,298	0 470,876
(3)Patrick FryPresident & CEO, Sutter Health	(i) (ii)	0 1,568,936	0 1,958,195	0 462,231	0 1,986,744	0 34,082	0 6,010,188	0 2,310,942
(4)Terry GlubkaCEO, Sutter Solano Medical Ctr	(i) (ii)	0 349,097	0 235,124	0 41,222	0 77,183	0 10,375	0 713,001	0 262,016
(5)Mitch HannaCAO, SAFH	(i) (ii)	0 298,558	0 219,022	0 38,442	0 69,579	0 19,798	0 645,399	0 246,117
(6)Cecilia HernandezDir Med Affairs, Med Ctr Sac	(i) (ii)	0 234,912	0 139,585	0 119,881	0 28,182	0 10,003	0 532,563	0 165,766
(7)Sarah KrevansCOO, Sutter Health	(i) (ii)	0 909,010	0 875,587	0 479,602	0 348,316	0 24,557	0 2,637,072	0 1,312,940
(8)Daryn KumarCEO, Memorial Med. Ctr.	(i) (ii)	0 415,427	0 137,391	0 30,066	0 56,094	0 19,710	0 658,688	0 151,251
(9)John Mesic MDCMO, Sac Sierra Region	(i) (ii)	0 494,110	0 214,925	0 79,670	0 82,996	0 10,379	0 882,080	0 256,411
(10)Carrie Owen-PlietzCEO, Sutter Med Ctr Sacramento	(i) (ii)	0 473,954	0 257,888	0 34,481	0 104,880	0 20,418	0 891,621	0 257,888
(11)Anne PlattCEO, SUTTER AMADOR HOSPITAL	(i) (ii)	0 268,159	0 162,727	0 38,703	0 56,586	0 20,993	0 547,168	0 178,985
(12)Thomas Ream IIReg CIO, Sac Sierra Region	(i) (ii)	0 228,050	0 84,965	0 28,037	0 45,526	0 12,278	0 398,856	0 96,102
(13)Randall RossAdmin. Ancillary Svcs. SHSSR	(i) (ii)	0 267,716	0 90,085	0 40,016	0 25,867	0 18,800	0 442,484	0 129,170
(14)Jeffrey SpragueCFO, Sac Sierra Region	(i) (ii)	0 490,313	0 178,670	0 81,291	0 102,180	0 21,506	0 873,960	0 224,450
(15)Jeffrey SzczesnyReg VP HR, Sac Sierra Region	(i) (ii)	0 341,626	0 143,533	0 40,158	0 55,986	0 18,832	0 600,135	0 143,533
(16)Paige TerraController, Sac Sierra Region	(i) (ii)	0 325,967	0 131,030	0 34,740	0 43,659	0 18,860	0 554,256	0 141,630
(17)Janet WagnerCAO, Sutter Davis Hospital	(i) (ii)	0 308,374	0 199,092	0 47,868	0 64,086	0 15,941	0 635,361	0 226,393
(18)Penny WestfallVP & Reg Counsel, SSR	(i) (ii)	0 280,365	0 141,088	0 23,488	0 59,062	0 7,263	0 511,266	0 163,188

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
PART I, LINE 1A	TAX INDEMNIFICATION: STANDARD POLICY FOR ALL SUTTER HEALTH EMPLOYEES IS THAT NON-CASH GIFTS AND AWARDS ARE GROSSED-UP FOR TAX PURPOSES. THE AMOUNT OF THE GROSS-UP IS ADDED TO THE EMPLOYEE'S WAGES AND TAXED ACCORDINGLY.
PART I, LINE 3	THE CEO OF THE ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH.
PART I, LINE 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.
PART I, LINE 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number
94-1156621

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CSCDA 2003AB	68-0164610	130911NE6	05-01-2007	101,118,867	CONSTRUCTION & REFUNDING - 1/30/03		X		X		X
B	CSCDA 2004CD	68-0164610	130795TE7	05-06-2008	87,750,717	CONSTRUCTION & REFUNDING - 2/17/04		X		X		X
C	CSCDA 2005A	68-0164610	130911U24	10-19-2005	276,217,522	CONSTRUCTION & REFUNDING - 1995 CO		X		X		X
D	CSCDA 2005BC	68-0164610	130795EG8	05-01-2007	49,994,066	CONSTRUCTION & REFUNDING - 10/19/0		X		X		X
	CHFFA 2007A	52-1643828	13033FQ37	05-01-2007	790,998,316	CONSTRUCT & EQUIP FACILITY		X		X		X
	CHFFA 2008A	52-1643828	13033F2L3	05-14-2008	329,041,638	REFUND - 5/21/02, 2/17/04, 5/01/07		X		X		X
	CSCDA 2008BC	68-0164610	130795TD9	05-14-2008	291,999,417	CONSTRUCT & EQUIP FACILITY		X		X		X
	CSCDA 2011A	68-0164610	1307952Q9	02-10-2011	271,589,951	CONSTRUCT & EQUIP FACILITY		X		X		X
	CSCDA 2011C	68-0164610	1307954U8	12-22-2011	38,777,964	REFUNDING - 1999		X		X		X
	CHFFA 2011D	52-1643828	13033LVW4	12-22-2011	331,759,643	CONSTRUCTION & REFUNDING - 1998 AN		X		X		X
	CSCDA 2012A	68-0164610	1307956K8	07-11-2012	132,681,869	REFUNDING - 2002		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		15,340,000		0		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	105,350,172		88,741,371		286,119,410		52,440,606
4 Gross proceeds in reserve funds . . . . . . . . . . . .	8,916,461		8,482,181		20,579,128		3,436,269
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	0		0		0		0
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		189,282,478		0
11 Other spent proceeds . . . . . . . . . . . . . .	96,433,711		80,259,190		76,257,804		49,004,337
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2008				2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.230 %		0.960 %		0.220 %		0.220 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.010 %		0.030 %		0.020 %		0.040 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.240 %		0.960 %		0.220 %		0.220 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .	X			X		X	X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . .	X				X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

Global Disclosure

PART I, COLUMN (E): THE ORGANIZATION'S SOLE CORPORATE MEMBER IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES THAT ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS, INCLUDING THE ORGANIZATION. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THIS ORGANIZATION IS REPORTED ON FORM 990, PART X, BALANCE SHEET AND PART VI HEREIN. WITH THE EXCEPTION OF THIS PORTION OF PART VI, THE SCHEDULE K FOR THIS ORGANIZATION IS REPORTING INFORMATION FOR THE ENTIRE BOND ISSUE. PART II, LINE 7: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.

Sutter Health Sacramento Sierra Region Specific

PART I, COLUMN (E): (1) THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $73,535,053 FROM THE 2003AB ISSUE; $27,083,893 FROM THE 2004CD ISSUE; $54,143,730 FROM THE 2005A ISSUE AND $11,634,720 FROM THE 2005BC ISSUE. (2) THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $94,562,588 FROM THE 2007A ISSUE; $155,359,968 FROM THE 2008A BOND ISSUE; $121,940,351 FROM THE 2008BC ISSUE AND $271,589,951 FROM THE 2011A ISSUE. (3) THE FILING ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF $25,715,036 FROM THE 2011C ISSUE; $60,474,453 FROM THE 2011D ISSUE AND $79,418,843 FROM THE 2012A ISSUE. PART I-1, LINE A, COLUMN (F): THE INITIAL BONDS ISSUED IN 2003 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. PART I-1, LINE B, COLUMN (F): THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. PART I-1, LINE D, COLUMN (F): THE INITIAL BONDS ISSUED IN 2005 REFUNDED 1995 CERTIFICATES AND WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL REFUNDING BONDS. PART I-2, LINE B, COLUMN (F): THE REFUNDING OCCURRED VIA THE REPAYMENT OF A DRAW ON A TAXABLE LINE OF CREDIT, DRAWN IN SEVERAL INSTALLMENTS BETWEEN APRIL 7 AND APRIL 11, 2008, USED TO REFUND THE 2007, 2004 AND 2002 ISSUES. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1991 AND 1995. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION. THE REFUNDED BONDS ISSUED IN 2002 WERE USED TO REFUND BONDS ISSUED IN 1922, WHICH WERE USED TO REFUND BONDS ISSUED IN 1985, 1986 AND 1987. PART III-3: THE CHFFA 2011D BONDS ARE "NEW MONEY" BONDS FOR CONSTRUCTION NOT YET COMPLETED. PART IV, QUESTION 2C, COLUMN (A): REBATE COMPUTATION WAS CALCULATED BY BLX GROUP ON 10/19/10.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number
94-1156621

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CSCDA 2003AB	68-0164610	130911NE6	05-01-2007	101,118,867	CONSTRUCTION & REFUNDING - 1/30/03		X		X		X
B	CSCDA 2004CD	68-0164610	130795TE7	05-06-2008	87,750,717	CONSTRUCTION & REFUNDING - 2/17/04		X		X		X
C	CSCDA 2005A	68-0164610	130911U24	10-19-2005	276,217,522	CONSTRUCTION & REFUNDING - 1995 CO		X		X		X
D	CSCDA 2005BC	68-0164610	130795EG8	05-01-2007	49,994,066	CONSTRUCTION & REFUNDING - 10/19/0		X		X		X
	CHFFA 2007A	52-1643828	13033FQ37	05-01-2007	790,998,316	CONSTRUCT & EQUIP FACILITY		X		X		X
	CHFFA 2008A	52-1643828	13033F2L3	05-14-2008	329,041,638	REFUND - 5/21/02, 2/17/04, 5/01/07		X		X		X
	CSCDA 2008BC	68-0164610	130795TD9	05-14-2008	291,999,417	CONSTRUCT & EQUIP FACILITY		X		X		X
	CSCDA 2011A	68-0164610	1307952Q9	02-10-2011	271,589,951	CONSTRUCT & EQUIP FACILITY		X		X		X
	CSCDA 2011C	68-0164610	1307954U8	12-22-2011	38,777,964	REFUNDING - 1999		X		X		X
	CHFFA 2011D	52-1643828	13033LVW4	12-22-2011	331,759,643	CONSTRUCTION & REFUNDING - 1998 AN		X		X		X
	CSCDA 2012A	68-0164610	1307956K8	07-11-2012	132,681,869	REFUNDING - 2002		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		15,340,000		0		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	105,350,172		88,741,371		286,119,410		52,440,606
4 Gross proceeds in reserve funds . . . . . . . . . . . .	8,916,461		8,482,181		20,579,128		3,436,269
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	0		0		0		0
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		189,282,478		0
11 Other spent proceeds . . . . . . . . . . . . . .	96,433,711		80,259,190		76,257,804		49,004,337
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2008				2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.230 %		0.960 %		0.220 %		0.220 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.010 %		0.030 %		0.020 %		0.040 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.240 %		0.960 %		0.220 %		0.220 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .	X			X		X	X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . .	X				X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

Global Disclosure

Sutter Health Sacramento Sierra Region Specific

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number
94-1156621

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CSCDA 2003AB	68-0164610	130911NE6	05-01-2007	101,118,867	CONSTRUCTION & REFUNDING - 1/30/03		X		X		X
B	CSCDA 2004CD	68-0164610	130795TE7	05-06-2008	87,750,717	CONSTRUCTION & REFUNDING - 2/17/04		X		X		X
C	CSCDA 2005A	68-0164610	130911U24	10-19-2005	276,217,522	CONSTRUCTION & REFUNDING - 1995 CO		X		X		X
D	CSCDA 2005BC	68-0164610	130795EG8	05-01-2007	49,994,066	CONSTRUCTION & REFUNDING - 10/19/0		X		X		X
	CHFFA 2007A	52-1643828	13033FQ37	05-01-2007	790,998,316	CONSTRUCT & EQUIP FACILITY		X		X		X
	CHFFA 2008A	52-1643828	13033F2L3	05-14-2008	329,041,638	REFUND - 5/21/02, 2/17/04, 5/01/07		X		X		X
	CSCDA 2008BC	68-0164610	130795TD9	05-14-2008	291,999,417	CONSTRUCT & EQUIP FACILITY		X		X		X
	CSCDA 2011A	68-0164610	1307952Q9	02-10-2011	271,589,951	CONSTRUCT & EQUIP FACILITY		X		X		X
	CSCDA 2011C	68-0164610	1307954U8	12-22-2011	38,777,964	REFUNDING - 1999		X		X		X
	CHFFA 2011D	52-1643828	13033LVW4	12-22-2011	331,759,643	CONSTRUCTION & REFUNDING - 1998 AN		X		X		X
	CSCDA 2012A	68-0164610	1307956K8	07-11-2012	132,681,869	REFUNDING - 2002		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		15,340,000		0		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	105,350,172		88,741,371		286,119,410		52,440,606
4 Gross proceeds in reserve funds . . . . . . . . . . . .	8,916,461		8,482,181		20,579,128		3,436,269
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	0		0		0		0
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		0		189,282,478		0
11 Other spent proceeds . . . . . . . . . . . . . .	96,433,711		80,259,190		76,257,804		49,004,337
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2008				2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .	X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.230 %		0.960 %		0.220 %		0.220 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.010 %		0.030 %		0.020 %		0.040 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.240 %		0.960 %		0.220 %		0.220 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .	X			X		X	X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X		X		X
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . .	X				X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

Global Disclosure

Sutter Health Sacramento Sierra Region Specific

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CALIFORNIA EMERGENCY PHYSICIANS	SEE PART V	1,639,767	SEE PART V		No
(2) LIONAKIS INC	SEE PART V	224,913	SEE PART V		No
(3) JENNIFER P NEWELL	SEE PART V	79,448	SEE PART V		No
(4) TEICHERT INC	SEE PART V	817,101	SEE PART V		No
(5) MORAG M THOMSON	SEE PART V	19,816	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART IV

DESCRIPTION OF BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: PETER HULL, MD, TRUSTEE OF SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) IS EMPLOYED BY AND RETAINS OWNERSHIP/PROFIT SHARING IN CALIFORNIA EMERGENCY PHYSICIANS (CEP). DURING THE YEAR, CEP PROVIDED SERVICES TO SHSSR VIA AN ARMS LENGTH AGREEMENT. PATRICK FRY IS A TRUSTEE OF SHSSR. HIS BROTHER IS AN OWNER OF LIONAKIS INC, AN ARCHITECTURAL FIRM. DURING THE YEAR, THE FIRM PROVIDED SERVICES TO SHSSR VIA AN ARMS LENGTH AGREEMENT. MICHAEL NEWELL IS A TRUSTEE OF SHSSR. HIS SPOUSE IS AN RN AT SUTTER DAVIS HOSPITAL WHICH IS PART OF SHSSR. PAT PATHIPATI, TRUSTEE OF SHSSR, IS AN OFFICER OF TEICHERT INC. HELEN THOMSON IS A TRUSTEE OF SUTTER HEALTH SACRAMENTO REGION (SHSSR). HER SISTER IN LAW WORKS AS A PART TIME RN FOR SUTTER DAVIS HOSPITAL, WHICH IS PART OF SHSSR.

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

Return Reference	Explanation
FORM 990, PART I, LINE 1 AND PART III, LINE 1	MISSION - WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. VISION - SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. VALUES - EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK, COMMUNITY AND AFFORDABILITY.
FORM 990, PART III, LINE 4A	SUTTER HEALTH SACRAMENTO SIERRA REGION SUTTER HEALTH SACRAMENTO SIERRA REGION SERVES SACRAMENTO, PLACER, YOLO, SOLANO, YUBA, AND SUTTER COUNTIES WITH COMPREHENSIVE HEALTH CARE. WE STRIVE TO PROVIDE ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALTY SERVICES IN EACH OF OUR COMMUNITIES, AND HAVE A NETWORK OF OVER 1,000 PHYSICIANS LOCALLY AND OVER 3,500 THROUGHOUT THE SUTTER HEALTH SYSTEM. DURING 2013 THE NUMBER OF PATIENT DAYS WAS 312,936. SUTTER AUBURN FAITH HOSPITAL SUTTER AUBURN FAITH HOSPITAL IS CURRENTLY LICENSED FOR 72 ACUTE BEDS. SUTTER AUBURN FAITH HOSPITAL PROVIDES THE FOLLOWING SERVICES: CARDIAC CARE UNIT, CARDIAC CATHETERIZATION/VASCULAR LAB, CARDIOPULMONARY SERVICES, DIAGNOSTIC IMAGING, EMERGENCY DEPARTMENT, ENDOSCOPY SERVICES, FULL LABORATORY, HOME HEALTH/HOSPICE, INFUSION CENTER, INTENSIVE CARE UNIT, NUCLEAR MEDICINE, OUTPATIENT/INPATIENT SURGERY, PHYSICAL THERAPY, RADIOLOGY, SENIOR SERVICES, TELEMETRY AND WOUND CARE. SUTTER AUBURN FAITH HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF MEDICAL AND SURGICAL SPECIALTIES, INCLUDING: ANESTHESIOLOGY BARIATRIC SERVICES CARDIOLOGY CARDIAC CATH LAB DENTISTRY DERMATOLOGY DIAGNOSTIC IMAGING ENDOSCOPY EMERGENCY MEDICINE GASTROENTEROLOGY INFUSION THERAPY INTERNAL MEDICINE LABORATORY NEPHROLOGY NEUROLOGY NUCLEAR MEDICINE OUTPATIENT SURGERY OCCUPATIONAL MEDICINE ONCOLOGY OPHTHALMOLOGY ORAL SURGERY OTOLARYNGOLOGY PALLIATIVE CARE PATHOLOGY PEDIATRICS PLASTIC SURGERY PODIATRY PRIMARY CARE/FAMILY PRACTICE RADIATION ONCOLOGY RADIOLOGY RESPIRATORY THERAPY SOCIAL SERVICES SURGERY TRANSFUSION MEDICINE TELEMETRY UROLOGY WOMEN'S IMAGING CENTER WOUND CARE SUTTER AUBURN FAITH HOSPITAL'S MISSION IS: TO SERVE THE HEALTH CARE NEEDS OF AUBURN AND SURROUNDING FOOTHILL COMMUNITIES. THROUGH PARTNERSHIPS WITH PHYSICIANS, PAYORS, OTHER HEALTH AND HUMAN SERVICES AGENCIES AND WITH OUR EMPLOYEES AND VOLUNTEER LEADERSHIP, SUTTER AUBURN FAITH HOSPITAL SEEKS TO PROVIDE A CONTINUUM OF HEALTH AND WELLNESS SERVICES TO ASSURE A HIGH QUALITY OF LIFE FOR THE PEOPLE LIVING IN OUR SERVICE AREA IN 2013. COMMUNITY BENEFIT PROGRAMS AS THE ONLY HOSPITAL IN ITS SERVICE AREA, SUTTER AUBURN FAITH HOSPITAL HAS BOTH A SIGNIFICANT RESPONSIBILITY TO AND IMPACT ON, THE SIERRA FOOTHILL COMMUNITIES. IN ADDITION TO PROVIDING A BROAD RANGE OF MEDICAL AND PREVENTIVE CARE TO A DIVERSE REGION-RANGING FROM SMALL CITIES TO RUGGED, SPARSELY POPULATED WILDERNESS AREAS-THE HOSPITAL IS THE SECOND LARGEST EMPLOYER IN THE AUBURN AREA. THE HOSPITAL, IN COLLABORATION WITH SUTTER ROSEVILLE MEDICAL CENTER, CREATED A COMMUNITY ADVISORY BOARD AND COMMUNITY PARTNERSHIPS COUNCIL (A SUB-COMMITTEE OF THE ADVISORY GROUP) IN ORDER TO IDENTIFY AND ADDRESS THE NEEDS IN PLACER COUNTY. NOTABLE SERVICE ELEMENTS INCLUDE: * SUTTER AUBURN FAITH HOSPITAL IS FOUNDING PARTNER OF THE NOW COLLABORATIVELY OPERATED HEALTH EXPRESS. HEALTH EXPRESS EXPANDED IN 2007 TO PROVIDE LAST RESORT MEDICALLY-RELATED TRANSPORTATION TO ALL UNDERSERVED POPULATIONS IN SOUTH PLACER COUNTY. WE PARTNER WITH PLACER COUNTY TRANSPORTATION PLANNING AGENCY (PCTPA), KAISER AND SENIORS FIRST, PROVIDING 700 RIDES A MONTH. * THE INTERIM CARE PROGRAM (ICP) PROVIDES A TEMPORARY RESPITE PROGRAM FOR HOMELESS PATIENTS WHO ARE DISCHARGED FROM SUTTER AUBURN FAITH HOSPITAL. THE PROGRAM IS DESIGNED TO GIVE PATIENTS WITHOUT HOUSING ALTERNATIVES, A CLEAN AND SAFE PLACE TO HEAL FOR UP TO SIX WEEKS AND COMPREHENSIVE "WRAPAROUND" SERVICES LIKE SUBSTANCE ABUSE TREATMENT, PERMANENT HOUSING AND MEDICAL CARE IN 2013 * PROMOTORAS: THROUGH A PARTNERSHIP WITH THE LATINO LEADERSHIP COUNCIL, SUTTER ROSEVILLE MEDICAL CENTER OFFERS PROMOTORAS TO SPANISH SPEAKING PATIENTS WHO NEED TRANSLATION AND OTHER CULTURALLY SENSITIVE COMMUNITY SERVICES. * THE T-3 (TRIAGE, TRANSPORT AND TREATMENT) IS A PIONEERING PROGRAM THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY ROOM CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES. THIS PROGRAM COULD BE A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. THE PROGRAM SEEKS TO PROVIDE THOSE WHO CHRONICALLY USE THE EMERGENCY ROOM FOR NON-EMERGENCY CARE WITH A WAY TO GET THE SERVICES THEY NEED FROM A PRIMARY CARE PROVIDER. MOVING THESE PATIENTS FROM THE EMERGENCY ROOM IMPROVES THE PATIENTS' HEALTH BY GETTING THEM THE APPROPRIATE CARE IN THE RIGHT SETTING, REDUCES THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCES COSTS TO OUR HEALTH CARE SYSTEM. * THE FAMILY SUPPORT PROGRAM LINKS PLACER COUNTY RESIDENTS WITH COMMUNITY SUPPORT GROUPS AND SERVICES. SUTTER AUBURN FAITH HOSPITAL AND SUTTER ROSEVILLE MEDICAL CENTER CONTRACT WITH THE PLACER COUNTY DEPARTMENT OF HEALTH TO PROVIDE A PUBLIC HEALTH NURSE IN THE HOSPITAL TO CONNECT WITH PATIENTS AND PROVIDE EDUCATION AND REFERRALS. * THE SENIOR RECREATION AND RESPITE PROGRAM (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS, AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDS. R & R MEETS ONCE A WEEK IN AUBURN, AND FOUR DAYS A WEEK IN LINCOLN. HEALTH EXPRESS PROVIDES TRANSPORTATION FOR PATIENTS WHO NEED TRANSPORT TO AND FROM R & R. * THE SENIOR RESOURCE GUIDE IS A BOOKLET, FREE TO THE PUBLIC, WITH INFORMATION ON A MULTITUDE OF SENIOR SERVICES AVAILABLE IN PLACER COUNTY. THE GUIDE IS UPDATED AND DISTRIBUTED SEMI-ANNUALLY VIA PHYSICIAN OFFICES, SENIOR APARTMENT COMPLEXES, SENIOR CENTERS, SKILLED NURSING FACILITIES, LIBRARIES, MOBILE HOME COMMUNITIES, SENIOR SERVICE PROVIDERS, HOME HEALTH AND HOSPICE AGENCIES AND MANY OTHER SERVICE ORGANIZATIONS AND PUBLIC PLACES. WE ARE ABLE TO PRODUCE THIS GUIDE IN PARTNERSHIP WITH SENIORS FIRST, THE SUTTER AUBURN FAITH HOSPITAL FOUNDATION, SUTTER ROSEVILLE MEDICAL CENTER AND THE SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION. ADDITIONAL COMMUNITY SERVICES * SUTTER AUBURN FAITH HOSPITAL RESPONDS TO MORE THAN 56,000 INPATIENT AND OUTPATIENT VISITS PER YEAR. ITS EMERGENCY DEPARTMENT, WHICH IS STAFFED 24 HOURS A DAY AND IS LINKED TO THE TRAUMA CENTER AT SUTTER ROSEVILLE MEDICAL CENTER. * SUTTER AUBURN FAITH PROVIDES A FULL RANGE OF HOME HEALTH CARE THROUGH ITS AFFILIATED VISITING NURSE ASSOCIATION (VNA), WHICH CONTINUES TO EXPAND ITS PREVENTIVE HEALTH PROGRAMMING THROUGH SUCH OUTREACH EFFORTS AS FLU AND PNEUMONIA CLINICS FOR SENIORS AND PEOPLE WITH CHRONIC HEALTH PROBLEMS. * SUTTER AUBURN FAITH HOSPITAL HAS A 24-HOUR PER DAY OUTPATIENT HOSPICE PROGRAM (MEDICARE CERTIFIED) WHICH USES A TEAM OF MEDICAL PROFESSIONALS AND VOLUNTEERS TO PROVIDE IN-HOME AND CAREGIVER SUPPORT, PAIN MITIGATION, BEREAVEMENT SUPPORT GROUPS (INCLUDING A CHILDREN'S BEREAVEMENT ART PROGRAM) AND CHAPLAINCY ASSISTANCE. INSPIRED BY A GROUP OF LOCAL CITIZENS IN 1981, AND ASSISTED TODAY BY AN ACTIVE COMMUNITY ADVISORY BOARD, HOSPICE SERVICES ARE PROVIDED FREE OF CHARGE REGARDLESS OF INSURANCE COVERAGE OR ABILITY TO PAY. * THE SUTTER AUBURN FAITH HOSPITAL GUILD IS COMPRISED OF 120 VOLUNTEERS WHO PROVIDE HIGHLY SPECIALIZED SKILLS AND EXPERIENCE-BOTH WITHIN THE HOSPITAL AND VIA OUTREACH EFFORTS TO THE COMMUNITY-WHICH WOULD NOT OTHERWISE BE AFFORDABLE. SUTTER AUBURN FAITH HOSPITAL HAS A STRONG TRADITION OF PROVIDING CHARITY AND UNCOMPENSATED CARE TO ITS COMMUNITIES. ADDITIONALLY, OVER THE YEARS, THE HOSPITAL HAS INITIATED AND PROVIDED SUPPORT TO A WIDE RANGE OF HEALTH EDUCATION CLASSES, HEALTH MAINTENANCE PROGRAMS, SPECIALIZED SUPPORT GROUPS, HEALTH FAIRS, AND COOPERATIVE PROGRAMS FOR VULNERABLE POPULATIONS AND COMMUNITY EFFORTS TO IMPROVE THE OVERALL QUALITY OF LIFE FOR LOCAL RESIDENTS. SUTTER AMADOR HOSPITAL SUTTER AMADOR HOSPITAL IS A 52-BED ACUTE CARE HOSPITAL LOCATED IN JACKSON, CALIFORNIA APPROXIMATELY 55 MILES SOUTHEAST OF SACRAMENTO IN AMADOR COUNTY. THE HOSPITAL WAS ESTABLISHED IN THE MID-1800S AND BECAME AFFILIATED WITH SUTTER HEALTH IN 1993. AS ONE OF AMADOR COUNTY'S LARGEST EMPLOYER, SUTTER AMADOR HOSPITAL EMPLOYS OVER 386 INDIVIDUALS. THE PATIENTS ARE SERVED BY MORE THAN 125 ACTIVE MEDICAL STAFF PHYSICIANS AND AN ACTIVE AUXILIARY OF MORE THAN 100 VOLUNTEERS. IN ADDITION, SUTTER AMADOR HOSPITAL IS A UC DAVIS RURAL PRIME SITE FOR MEDICAL STUDENTS AND PARTICIPATES IN THE AMADOR AND CALAVERAS COUNTIES HIGH SCHOOL ROP PROGRAM. SUTTER AMADOR HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. AS A NOT-FOR-PROFIT HOSPITAL, SUTTER AMADOR HOSPITAL ALSO DONATES MANY COMMUNITY SERVICES AND HAS A STRONG TRADITION OF PROVIDING CHARITY AND UNCOMPENSATED CARE TO ITS COMMUNITIES. ADDITIONALLY, OVER THE YEARS, THE HOSPITAL HAS INITIATED AND PROVIDED SUPPORT TO A WIDE RANGE OF HEALTH EDUCATION CLASSES, HEALTH MAINTENANCE PROGRAMS, SPECIALIZED SUPPORT GROUPS, HEALTH FAIRS, AND COOPERATIVE PROGRAMS FOR VULNERABLE POPULATIONS AND COMMUNITY EFFORT
FORM 990, PART III, LINE 4A CONTINUED	SUTTER AMADOR HOSPITAL SUTTER AMADOR HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF COMPREHENSIVE PROGRAMS AND SERVICES, INCLUDING: 24-HOUR EMERGENCY DEPARTMENT WITH FAST TRACK SUTTER MEDICAL FOUNDATION PEDIATRIC CENTER SUTTER MEDICAL FOUNDATION WOMEN'S SERVICES FAMILY BIRTH CENTER INPATIENT AND OUTPATIENT SURGICAL AND MEDICAL CARE CRITICAL CARE WITH EICU CARDIOLOGY CARDIOPULMONARY SERVICES DIAGNOSTIC IMAGING INPATIENT REHABILITATION SERVICES ENDOSCOPY AND INFUSION SUITE GASTROENTEROLOGY SUTTER MEDICAL FOUNDATION LAB PATIENT SERVICE CENTER NEUROLOGY - A CERTIFIED STROKE CENTER NUCLEAR MEDICINE OPHTHALMOLOGY ORTHOPEDICS INPATIENT AND OUTPATIENT HAND AND SPEECH THERAPY OUTPATIENT DIABETES EDUCATION PROGRAM SUTTER MEDICAL FOUNDATION FAMILY PRACTICE OFFICES LOCATED IN JACKSON, PIONEER, PLYMOUTH SLEEP DISORDERS CENTER SURGERY SUTTER AMADOR HOSPITAL'S MISSION IS TO ENHANCE THE HEALTH AND WELL-BEING OF THE RESIDENTS IN THE COMMUNITIES WE SERVE BY PROVIDING COORDINATED, EFFECTIVE, AFFORDABLE AND ACCESSIBLE HEALTH AND WELLNESS SERVICES. SUTTER AMADOR HOSPITAL CONTINUOUSLY STRIVES TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING HEALTH AND WELLNESS SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL. COMMUNITY BENEFIT SUTTER AMADOR HOSPITAL PARTNERED WITH THE AMADOR COUNTY PUBLIC HEALTH DEPT'S TOBACCO REDUCTION OF AMADOR COUNTY (TRAC) PROGRAM TO PROVIDE FREE SMOKING CESSATION CLASSES TO THE PUBLIC ON A QUARTERLY BASIS. SUTTER AMADOR PROVIDED THE ADVERTISING, ROOM SPACE, REFRESHMENTS, INCENTIVE AWARDS AND OTHER NEEDS, WHILE TRAC PROVIDED THE CLASS INSTRUCTOR. THE TOBACCO REDUCTION PROGRAM PROVIDED SMOKING CESSATION COURSES AND RESOURCES TO HELP PEOPLE STOP SMOKING. THE GOALS AND OBJECTIVES OF THIS PROGRAM ARE TO SPREAD TOBACCO AWARENESS, PROMOTE HEALTH AND ENCOURAGE AMADOR COUNTY RESIDENTS TO QUIT SMOKING. THE STRATEGY IS TO OFFER THIS PROGRAM TO AS MANY PEOPLE AS POSSIBLE, TO SPREAD THE HEALTH BENEFITS OF LIVING A TOBACCO FREE LIFE. THE COST OF THIS PROGRAM INCLUDED DONATING CONFERENCE ROOM SPACE, EDUCATOR TIME, REFRESHMENTS AND GIFT CARDS TO PARTICIPANTS WHO COMPLETED THE CLASS. OUTCOMES: 10 - 15 CLASSES ARE COMPLETED EACH QUARTER. SUTTER AMADOR HOSPITAL PARTNERED WITH THE AMADOR ORAL HEALTH TASK FORCE TO HELP ADDRESS ONE OF THE PRIORITY AREAS OF FOCUS IN AMADOR: PROVIDING UNDERINSURED CHILDREN WITH DENTAL CARE. THIS PARTNERSHIP ALLOWED THE ORAL HEALTH TASK FORCE TO OFFER TWICE-YEARLY DENTAL SCREENINGS, DENTAL EDUCATION AND FLUORIDE VARNISH TO UNINSURED/UNDERINSURED CHILDREN IN AMADOR COUNTY. AS A RESULT OF THIS EFFORT, 260 UNDERINSURED AND UNINSURED KINDERGARTENERS RECEIVED DENTAL SCREENINGS. LACK OF ADEQUATE DENTAL CARE WAS IDENTIFIED AS A MAJOR NEED IN AMADOR COUNTY; THEREFORE, SUPPORT OF THE AMADOR ORAL HEALTH TASK FORCE AND OTHER DENTAL RELATED EFFORTS, IS VITAL IN THE QUEST TO SPREAD ORAL HEALTH THROUGHOUT THE COMMUNITY. SAH IS WORKING WITH THE AMADOR-TUOLUMNE COMMUNITY ACTION AGENCY (ATCCA) TO PROVIDE INSURANCE OUTREACH AND EDUCATION TO THE UNDERSERVED POPULATION IN AMADOR COUNTY. WITH THE SUPPORT OF SUTTER AUBURN HOSPITAL AND THE HELP OF A SMALL FEDERAL GRANT, THE ATCCA WILL BE DOING MAJOR OUTREACH TO CONNECT WITH THE UNDERSERVED POPULATION IN AMADOR COUNTY TO EDUCATE THEM ABOUT INSURANCE COVERAGE THROUGH COVERED CALIFORNIA. SUTTER AMADOR HOSPITAL SUPPORTS AMADOR LIFELINE BY FUNDING IN-HOME COMMUNICATOR EQUIPMENT FOR MEDICAL EMERGENCY RESPONSE. FOR 33 YEARS, AMADOR LIFELINE HAS HELPED SENIORS AND OTHERS WITH DISABILITIES, CHRONIC ILLNESSES, IN REHABILITATION OR ON HOSPICE LIVE INDEPENDENTLY IN THEIR HOMES BY OFFERING MEDICAL EMERGENCY RESPONSE AT THE TOUCH OF A BUTTON. THE NOT-FOR-PROFIT PROGRAM RECENTLY RECEIVES FUNDING FROM SUTTER AMADOR HOSPITAL TO FUND THE UPGRADE OF COMMUNICATOR EQUIPMENT THAT IS USED IN CLIENTS' HOMES. THE LIFELINE SYSTEM USES A TWO-WAY VOICE COMMUNICATOR AND WATERPROOF PERSONAL HELP BUTTON THAT CAN BE WORN AS A NECKLACE OR WRISTBAND. IN THE EVENT OF AN EMERGENCY AT HOME, THE WEARER PRESSES THE BUTTON, SENDING A SIGNAL TO THE LIFELINE RESPONSE CENTER DISPATCHER. THE DISPATCHER EVALUATES THE URGENCY OF THE SITUATION AND CALLS EITHER A RESPONDER LISTED ON THE INDIVIDUAL'S CARE PLAN OR EMERGENCY MEDICAL PERSONNEL WHEN NEEDED. SUTTER AMADOR HOSPITAL'S COMMUNITY PARTNERSHIP AND SUPPORT WILL FUND THE PURCHASE OF FIVE TWO-WAY COMMUNICATOR UNITS, WHICH WILL REPLACE AGING UNITS THAT CAN NO LONGER BE REPAIRED. IN ADDITION, LIFELINE HAS INTRODUCED A NEW WIRELESS SOLUTION CALLED HOMESAFE FOR THOSE WHO DO NOT HAVE A HOME PHONE LINE. THE DONATION WILL ALSO SUPPORT THE PURCHASE OF ONE HOMESAFE WIRELESS COMMUNICATOR. AMADOR LIFELINE SERVES BETWEEN 235 - 240 CLIENTS A MONTH, MOST OF WHOM ARE SENIORS. MANNER SAYS THE MAJORITY OF CALLS TO LIFELINE ARE RELATED TO FALLS IN THE HOME. WITHOUT IMMEDIATE HELP AFTER A FALL, ELDERLY INDIVIDUALS MAY SUFFER PAIN, EMOTIONAL DISTRESS, OR SECONDARY MEDICAL PROBLEMS LIKE DEHYDRATION, PNEUMONIA, RENAL FAILURE AND PRESSURE ULCERS. THE PROGRAM IS INVALUABLE IN HELPING COMMUNITY MEMBERS LIVE SAFELY AT HOME AND PREVENTING HOSPITALIZATIONS. LIFELINE REGULARLY PARTNERS WITH SUTTER AMADOR HOSPITAL AND OTHER COMMUNITY ORGANIZATIONS TO LET SENIORS KNOW ABOUT THE SERVICE. MEDICAL ALERT SCAMS ARE AT AN EPIDEMIC LEVEL NATIONALLY, AND LOCALLY, MANY HAVE ALSO FALLEN PREY TO THESE SCAMS. STAFFED BY TWO PROFESSIONALS AND 25 VOLUNTEERS, AMADOR LIFELINE IS THE ONLY LOCAL, NOT-FOR-PROFIT PROGRAM PROVIDING SERVICE EACH DAY TO KEEP THE COMMUNITY'S MOST VULNERABLE RESIDENTS LIVING SAFE AND SECURE IN THEIR OWN HOMES.
FORM 990, PART III, LINE 4A CONTINUED	SUTTER DAVIS HOSPITAL SUTTER DAVIS HOSPITAL IS A TWO-STORY 90,000 SQUARE FOOT ACUTE CARE HOSPITAL LICENSED FOR 48 BEDS THAT SERVES THE HEALTH CARE NEEDS OF RESIDENTS LIVING IN DAVIS, DIXON, WOODLAND AND WINTERS. THE FACILITY IS LOCATED IN THE WESTERN-MOST SECTION OF THE CITY OF DAVIS AT THE CORNER OF HIGHWAY 113 AND COVELL BOULEVARD. AS DAVIS' THIRD LARGEST EMPLOYER, SUTTER DAVIS EMPLOYS APPROXIMATELY 400 INDIVIDUALS WHO PROVIDE ROUND-THE-CLOCK CARE TO THE SICK, THE INJURED AND THOSE RECUPERATING FROM SURGERY PERFORMED IN THE HOSPITAL'S THREE FULLY EQUIPPED OPERATING SUITES. THE PATIENTS ARE SERVED BY A MEDICAL STAFF OF MORE THAN 160; AN ACTIVE AUXILIARY OF MORE THAN 150 PEOPLE AND A GROUP OF APPROXIMATELY 60 STUDENTS SERVE THE HOSPITAL AS VOLUNTEERS. SUTTER DAVIS IS ACCREDITED BY THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS. IT IS MEDICARE CERTIFIED AND ACCEPTS MOST PRIVATE INSURANCE PLANS. AS A NOT-FOR-PROFIT HOSPITAL, SUTTER DAVIS ALSO DONATES MANY COMMUNITY SERVICES. SUTTER DAVIS HOSPITAL SEEKS TO PROVIDE A CONTINUUM OF HEALTH AND WELLNESS SERVICES TO ASSURE A HIGH QUALITY OF LIFE FOR THE PEOPLE LIVING IN OUR SERVICE AREA. SUTTER DAVIS HOSPITAL SERVES THE COMMUNITY THROUGH A VARIETY OF MEDICAL AND SURGICAL SERVICES, INCLUDING: CANCER CARE CARDIAC REHABILITATION DIGITAL MAMMOGRAPHY DIAGNOSTIC IMAGING EMERGENCY SERVICES HEART AND VASCULAR INSTITUTE INFUSION CENTER INTENSIVE CARE NUCLEAR MEDICINE FAMILY BIRTH CENTER COMMUNITY BENEFIT PROGRAMS COMMUNICARE: AS WE PREPARE FOR THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, WE UNDERSTAND THAT NOTHING IS MORE IMPORTANT THAN EXPANDING ACCESS TO CARE AND BUILDING CAPACITY FOR THE UNDERSERVED. CURRENTLY, LIMITED ACCESS TO CARE REMAINS THE TOP PRIORITY IN THE GREATER SACRAMENTO REGION, AND WHILE SUTTER DAVIS HOSPITAL FUNDS AND SUPPORTS MANY INITIATIVES AND ORGANIZATIONS THAT DO AMAZING WORK IN OUR COMMUNITY, THE INVESTMENTS WE PROVIDE TO COMMUNICARE TO EXPAND CAPACITY AND ACCESS TO CARE REMAIN PARAMOUNT. SUTTER DAVIS HOSPITAL HAS BEEN A LONGTIME PARTNER WITH COMMUNICARE AND WILL CONTINUE TO MAKE STRATEGIC INVESTMENTS AND PROVIDE SUPPORT TO THIS CRITICALLY IMPORTANT NETWORK, AS COMMUNICARE MEETS THE NEEDS OF MORE AND MORE PEOPLE THROUGHOUT YOLO COUNTY AND THE SUTTER DAVIS HOSPITAL HSA. COMMUNICARE PROVIDES CARE TO SOME OF THE MOST VULNERABLE POPULATIONS IN OUR REGION. BY CONTINUING TO MAKE STRATEGIC INVESTMENTS IN THIS IMPORTANT HEALTH CENTER, WE ARE ENSURING THE UNDERSERVED HAVE ACCESS TO CARE AND A MEDICAL HOME. THIS FEDERALLY QUALIFIED HEALTH CENTER (FQHC) HAS BEEN PROVIDING HEALTH CARE TO THOSE INDIVIDUALS IN NEED SINCE 1972. COMMUNICARE OFFERS COMPREHENSIVE PRIMARY MEDICAL AND DENTAL SERVICES, SUBSTANCE ABUSE TREATMENT, BEHAVIORAL HEALTH SERVICES, HEALTH EDUCATION AND SUPPORT SERVICES IN YOLO COUNTY AND THE SURROUNDING COMMUNITIES THROUGH FIVE COMMUNITY CLINIC SITES AND OUTREACH PROGRAMS. COMMUNICARE PROVIDES MORE THAN 20,000 BEHAVIORAL HEALTH VISITS EACH YEAR. THE BEHAVIORAL HEALTH DEPARTMENT IS COMPRISED OF FOUR SERVICE CATEGORIES; ADULT SERVICES, ADOLESCENT SERVICES, FAMILY SERVICES AND INTEGRATED BEHAVIORAL HEALTH SERVICES. ADDITIONALLY, COMMUNICARE HEALTH CENTERS ARE DEDICATED TO PROVIDING A PATIENT CENTERED HEALTH HOME FOR ANY INDIVIDUAL WE SERVE REGARDLESS OF THEIR POINT OF ENTRY INTO OUR SYSTEM. THE BEHAVIORAL HEALTH TEAM WORKS CLOSELY WITH OUR MEDICAL, DENTAL AND PERINATAL PROVIDERS TO ENSURE THAT WE ARE TREATING THE ENTIRE INDIVIDUAL. PHYSICAL EXAMINATIONS ARE PROVIDED TO ALL CLIENTS ENTERING OUR BEHAVIORAL HEALTH PROGRAMS. IN ADDITION, MEDICALLY SUPERVISED DETOXIFICATION SERVICES ARE OFFERED FOR OPIATE AND STIMULANT WITHDRAWAL. ONE OF THE BEST AND MOST COST-EFFECTIVE WAYS TO PREVENT DISEASE AND PROMOTE HEALTHY COMMUNITIES IS TO TEACH PEOPLE HOW TO TAKE GOOD CARE OF THEMSELVES AND THEIR FAMILIES. COMMUNICARE HEALTH CENTERS PROVIDES COMPREHENSIVE HEALTH EDUCATION AND OUTREACH SERVICES THROUGHOUT THE COUNTY. COMMUNICARE HEALTH CENTERS REMAINS COMMITTED TO ITS FOUNDING PURPOSE, WHICH IS TO ENSURE THAT HIGH QUALITY HEALTH CARE IS AVAILABLE TO EVERYONE WHO NEEDS IT, AND TO PROVIDE A FULL RANGE OF SERVICES FROM ANNUAL EXAMS TO PEDIATRIC IMMUNIZATIONS TO TREATMENT FOR CHRONIC DISEASES. OVER THE YEARS, COMMUNICARE HAS BEEN ABLE TO EXPAND SERVICES TO INCLUDE DENTAL, EYE CARE AND PERINATAL PROGRAMS THAT MEET THE NEEDS OF OUR COMMUNITY. BY INVESTING IN COMMUNICARE AND SUPPORTING THIS TREMENDOUS ORGANIZATION'S GROWTH AND INNOVATIVE EFFORTS, WE ARE ABLE TO ADDRESS MULTIPLE PRIORITY NEEDS IN EFFECTIVE AND IMPACTFUL WAYS. DAVIS FARMER'S MARKET: SUTTER DAVIS HOSPITAL BECAME THE MAJOR SPONSOR FOR THE DAVIS FARMERS MARKET WITH THE GOAL OF BUILDING PUBLIC AWARENESS ABOUT THE RELATIONSHIP BETWEEN EATING FARM-FRESH, LOCAL FOODS AND GOOD HEALTH. IN ADDITION, SUTTER DAVIS HOSPITAL ALSO SUPPORTS THE FARM TO SCHOOL PROGRAM, WHICH BRINGS LOCALLY GROWN FARM-FRESH FOODS INTO THE LOCAL SCHOOLS. ADDITIONAL COMMUNITY SERVICES * 24-HOUR EMERGENCY SERVICES - OUR EMERGENCY DEPARTMENT IS STAFFED AND EQUIPPED TO CARE FOR MOST EMERGENCY NEEDS AROUND THE CLOCK. * BIRTHING CENTER- THE SELF-CONTAINED BIRTHING CENTER HAS SIX LABOR AND DELIVERY ROOMS AND 12 POSTPARTUM ROOMS, AS WELL AS ITS OWN DIAGNOSTIC CAPABILITIES AND OPERATING SUITE. ALTERNATIVE BIRTHING METHODS ARE ALSO AVAILABLE SUCH AS WATER BIRTHS, MIDWIVES AS WELL AS A VOLUNTEER DOULA PROGRAM. * INTENSIVE CARE UNIT - AN INTENSIVE CARE UNIT IS STAFFED BY SPECIALLY TRAINED NURSES AND DIRECTED BY A BOARD-CERTIFIED CRITICAL CARE INTERNIST FOR AROUND-THE-CLOCK MONITORING OF THE EXTREMELY ILL. * THE HEART AND VASCULAR INSTITUTE AT SUTTER DAVIS HOSPITAL PROVIDES OUR PATIENTS WITH COMPREHENSIVE CARDIAC DIAGNOSTIC, REHABILITATION AND PREVENTION SERVICES. OUR RECENTLY RENOVATED CARDIAC REHABILITATION DEPARTMENT BOOSTS A 12 CHANNEL TELEMETRY SYSTEM AND A GYM WITH CARDIORESPIRATORY EMPHASIS - INCLUDING TREADMILLS, ELLIPTICAL WALKERS, NEUTEPS, BIKES, STRENGTH AND STRETCH TRAINING, AND BALANCE SYSTEM. USING THE LATEST TECHNOLOGY AND RESEARCH AVAILABLE, OUR CARING STAFF PROVIDES PATIENTS WITH AN INDIVIDUALIZED PROGRAM TO ENHANCE THEIR HEALTH AND WELL-BEING THROUGH EXERCISE AND PREVENTION. * CANCER CARE - AS A SATELLITE CARE CENTER OF SUTTER CANCER CENTER IN SACRAMENTO, SUTTER DAVIS HOSPITAL GIVES LOCAL PATIENTS THE ABILITY TO RECEIVE QUALITY CARE, CLOSE TO HOME. OUR RECENTLY EXPANDED INFUSION CENTER PROVIDES INFUSION THERAPY, INCLUDING CHEMOTHERAPY, BLOOD TRANSFUSIONS, INTRAVENOUS INFUSIONS, INJECTIONS AND PATIENT EDUCATION. WE COORDINATE SERVICES WITH OUR LOCAL ONCOLOGISTS AND CANCER SURGEONS TO MAKE SURE PATIENTS WITH CANCER DON'T HAVE TO TRAVEL TO RECEIVE GOOD CARE. * VAUGHN RESOURCE CENTER/CRONAN MEDICAL LIBRARY - PROVIDER AND COMMUNITY-BASED VIDEOTAPES, BROCHURES AND HANDOUTS ARE AVAILABLE IN THIS INFORMATION CENTER. COMPUTER WORKSTATIONS PROVIDE LOCAL RESOURCES FOR SUPPORT GROUPS AND SERVICES; A DATABASE UPDATED MONTHLY WITH FOUR YEARS OF HARD-TO-FIND MEDICAL INFORMATION FROM PERIODICALS, PAMPHLETS AND REFERENCE BOOKS; AND ACCESS TO PROVIDER AND PATIENT EDUCATION INCLUDING BIBLIOMED REFERENCE LIBRARY, MEDICAL HOUSE CALLS AND CLINICAL REFERENCE SYSTEM - ADULT HEALTH ADVISOR. THE RESOURCE CENTER IS STAFFED WEEKDAYS BY VOLUNTEERS. PHONE AND MAILING SERVICE IS AVAILABLE. * SUTTER DAVIS HOSPITAL AUXILIARY - VOLUNTEERS CONTRIBUTE MANY HOURS OF SERVICE TO THE HOSPITAL EACH YEAR THROUGH DIRECT PATIENT CONTACT SERVICES TO THE MORE TRADITIONAL VOLUNTEER ROLES SUCH AS WORKING AT THE INFORMATION DESK AND GIFT SHOP.
FORM 990, PART III, LINE 4A CONTINUED	SUTTER MEDICAL CENTER OF SACRAMENTO (HOSPITAL ORGANIZATION) GENERAL DESCRIPTION SUTTER MEDICAL CENTER, SACRAMENTO (SMCS) HAS TWO ACUTE CARE HOSPITAL CAMPUSES, SUTTER GENERAL AND SUTTER MEMORIAL, AND HAS PROVIDED HEALTH CARE TO RESIDENTS OF SACRAMENTO SINCE 1923. SUTTER MEDICAL CENTER, SACRAMENTO ALSO INCLUDES SUTTER CENTER FOR PSYCHIATRY, PROVIDING PSYCHIATRIC, MENTAL HEALTH AND CHEMICAL DEPENDENCY SERVICES SINCE 1958. WITH 723 LICENSED BEDS, SMCS IS NOT-FOR-PROFIT AND FULLY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. PATIENT SERVICES SERVICES AT BOTH SUTTER GENERAL AND SUTTER MEMORIAL CAMPUSES INCLUDE: 24-HOUR EMERGENCY SERVICES, SURGERY, RESPIRATORY THERAPY, INTENSIVE CARE, DIAGNOSTIC IMAGING, REHABILITATION, CARDIOPULMONARY, OCCUPATIONAL HEALTH, LABORATORY, PHYSICAL THERAPY, HOME HEALTH AND HOSPICE SERVICES. IMPROVING FACILITIES AND ACCESS SUTTER MEDICAL CENTER SACRAMENTO'S MISSION STATEMENT IS: TO EXIST TO PROVIDE PRIMARY, TERTIARY AND A CONTINUUM OF SERVICES TO MEET THE HEALTH CARE NEEDS OF PEOPLE LIVING IN THE GREATER SACRAMENTO AREA AND THROUGHOUT NORTHERN CALIFORNIA, AND TO BE THE PROVIDER OF CHOICE TO OUR PATIENTS, PARTNER OF CHOICE TO PHYSICIANS AND PAYORS, AND THE EMPLOYER OF CHOICE TO OUR STAFF. THE SUTTER HEALTH NETWORK OF PHYSICIANS AND NOT-FOR-PROFIT HOSPITALS WILL INVEST BILLIONS OF DOLLARS OVER TEN YEARS TO REBUILD, REPLACE AND EXPAND MUCH OF NORTHERN CALIFORNIA'S HEALTH CARE INFRASTRUCTURE. LOCALLY, PLANS (OR COMPLETED PROJECTS) INCLUDE: * CONSTRUCTION OF A 10-STORY WOMEN'S AND CHILDREN'S HOSPITAL CAMPUS AT OUR MIDTOWN CAMPUS. OPENING IN 2015, IT WILL FEATURE NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS, THE LATEST LABOR AND DELIVERY SERVICES AND A HELISTOP. A THREE-STORY SPANNING STRUCTURE WILL SEAMLESSLY LINK THE NEW WOMEN'S AND CHILDREN'S CENTER TO SUTTER GENERAL HOSPITAL. * TOTAL REMODELING OF THE SUTTER GENERAL HOSPITAL CAMPUS INCLUDING SPECIALIZED OPERATING ROOMS AND CATH LABS FOR CARDIOVASCULAR AND TRANSPLANT SERVICES. EXPANDED EMERGENCY DEPARTMENT WILL HAVE DEDICATED SERVICES FOR PEDIATRIC PATIENTS. * SUTTER CAPITOL PAVILION, A NEW MEDICAL OFFICE BUILDING FOR SPECIALTY PHYSICIANS AND OUTPATIENT SERVICES CENTER, OPENED IN 2010. THE NEW BUILDING IS CONNECTED TO THE ENTIRE SUTTER MEDICAL CENTER, SACRAMENTO CAMPUS BY A PEDESTRIAN BRIDGE OVER 28TH STREET. * A MULTI-LEVEL PARKING GARAGE, THE SUTTER COMMUNITY GARAGE, OPENED IN 2008 AND PROVIDES 1,100 PARKING SPACES.
FORM 990, PART III, LINE 4A CONTINUED	FACILITIES WITHIN SUTTER MEDICAL CENTER, SACRAMENTO SUTTER GENERAL HOSPITAL IS AN ACUTE CARE FACILITY LICENSED AS A COMMUNITY HOSPITAL. A MAJOR TERTIARY REFERRAL CENTER, IT HOUSES 306 BEDS. SUTTER GENERAL HOSPITAL PROVIDES GENERAL ACUTE MEDICAL CARE AND SURGICAL SERVICES, SUB ACUTE CARE, AND SPECIALTY SERVICES IN NEUROLOGY, NEUROSURGERY, ORTHOPEDIC, SPINE, DIABETES AND ONCOLOGY CARE. OTHER AREAS OF CARE INCLUDE LAPAROSCOPIC SURGERY, DIAGNOSTIC IMAGING, UROLOGY, TELEMETRY, RESPIRATORY, DIALYSIS AND 24-HOUR EMERGENCY SERVICES. IN ADDITION, SUTTER CANCER CENTER, ADJACENT TO SUTTER GENERAL HOSPITAL, IS ONE OF THE LARGEST AND MOST COMPREHENSIVE CENTERS IN CALIFORNIA. SUTTER GENERAL'S SUB ACUTE UNIT PROVIDES SHORT TERM, STEP-DOWN ACUTE CARE WITH PHYSICAL, OCCUPATIONAL, SPEECH AND RESPIRATORY REHABILITATION, IV THERAPY AND WOUND CARE. SUTTER GENERAL HOSPITAL OFFERS SEVERAL EDUCATIONAL AND SUPPORT GROUPS AS PART OF ITS HEALTH CARE SERVICES. HIGHLIGHTS OF NEW PROGRAMS AND SERVICES AT SUTTER GENERAL INCLUDE: COMPUTER-ASSISTED TOTAL JOINT REPLACEMENT; DA VINCI ROBOTIC SURGICAL PROCEDURE; EICU; EXPANDED EPILEPSY PROGRAM; GLIASITE; PROCEDURE TO TREAT BRAIN CANCER; TELEMETRY UNIT; NEW LANGUAGE INTERPRETATION AND TRANSLATION SERVICE; BARIATRIC SURGERY; DEEP BRAIN STIMULATION; ENHANCED NUCLEAR MEDICINE CAPABILITIES; EXPANDED EMERGENCY DEPARTMENT; GAMMA KNIFE RADIOSURGERY; AND 3-DIMENSIONAL ANGIOGRAPHY. SUTTER MEMORIAL HOSPITAL IS A 348-BED ACUTE CARE FACILITY LICENSED AS A COMMUNITY HOSPITAL. ANOTHER MAJOR TERTIARY REFERRAL CENTER, IT PROVIDES GENERAL ACUTE MEDICAL CARE AND SURGICAL SERVICES, WITH SPECIALTY SERVICES IN CARDIAC CARE, MATERNITY, NEONATAL PEDIATRICS, AND ORGAN TRANSPLANTATION. HIGHLIGHTS OF NEW PROGRAMS AND SERVICES AT SUTTER MEMORIAL INCLUDE: LASER ABLATION SURGERY FOR EPILEPSY AND BRAIN LESIONS; OUTPATIENT CONGESTIVE HEART FAILURE CLINIC; ELECTROPHYSIOLOGY LAB; PEDIATRIC LIFESTYLES PROGRAM; INTERVENTIONAL OBSERVATIONAL UNIT; BRACHYTHERAPY TREATMENT FOR CARDIAC PATIENTS; AND VENTRICULAR ASSIST DEVICE PROGRAM. SUTTER CENTER FOR PSYCHIATRY IS A 69-BED ACUTE BEHAVIORAL MEDICINE SPECIALTY HOSPITAL THAT TREATS ADULTS, ADOLESCENTS AND CHILDREN. IT ALSO OFFERS A CRITICAL INCIDENT DEBRIEFING TEAM TO HELP EMPLOYEES OF BUSINESSES COPE AFTER A TRAUMATIC OR VIOLENT EPISODE. SUTTER HEALTH EAP RESOURCES OFFERS CONFIDENTIAL ASSESSMENT, COUNSELING AND REFERRAL SERVICES TO EMPLOYEES OF LARGE AND SMALL BUSINESSES. SUTTER CENTER FOR PSYCHIATRY OFFERS THE ONLY INPATIENT EATING DISORDER PROGRAM IN NORTHERN CALIFORNIA. THIS NEW PROGRAM IS A SIX-BED SPECIALIZED TREATMENT PROGRAM FOR EATING DISORDER PATIENTS. SUTTER INSTITUTE FOR MEDICAL RESEARCH (SIMR): CLINICAL INVESTIGATION IS AN INCREASINGLY IMPORTANT LINK IN COORDINATING THE LATEST ADVANCES IN SCIENCE AND TECHNOLOGY WITH DIAGNOSIS AND TREATMENT. IN ORDER TO BENEFIT FROM THESE ADVANCES AND REMAIN AT THE FOREFRONT OF INNOVATION AND QUALITY IN HEALTHCARE SERVICES, IT IS ESSENTIAL THAT WE PROVIDE A CLINICAL SETTING FOR OUR PHYSICIANS AND HEALTHCARE PROFESSIONALS WHICH ARE COMPLEMENTED BY A COMPREHENSIVE RESEARCH AND DEVELOPMENT PROGRAM. SUTTER HEALTH SACRAMENTO SIERRA REGION SERVICE AREA IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE TO ITS PATIENTS, AND THE SUTTER INSTITUTE FOR MEDICAL RESEARCH SUPPORTS THIS COMMITMENT BY PROVIDING RESEARCH SUPPORT AND EDUCATION PROGRAMS. SIMR HAS A HISTORY OF OVER FIVE DECADES OF COMMITMENT TO MEDICAL RESEARCH. SIMR HAS GAINED RECOGNITION FOR ITS INVESTIGATIVE STUDIES IN THE AREAS OF HEART, CANCER, ORTHOPEDICS, RESPIRATORY, NEUROLOGY, GI/GU AND MANY OTHER AREAS OF MEDICINE. SIMR'S PRIMARY OBJECTIVE IS TO HELP HEALTH PROFESSIONALS CONDUCT RESEARCH IN A CLINICAL SETTING BY PROVIDING MANAGEMENT AND ADMINISTRATIVE RESOURCES OTHERWISE UNAVAILABLE TO THE PRIVATE PRACTITIONER. AT SIMR, SUTTER INVESTIGATORS RECEIVE SUPPORT IN FIVE AREAS. RESEARCH ADMINISTRATIVE SERVICES: SIMR IS THE REGIONAL OVERSIGHT FOR ALL RESEARCH CONDUCTED IN THE SUTTER HEALTH SACRAMENTO SIERRA REGION. SINCE 1996 SIMR'S OFFICE OF RESEARCH ADMINISTRATION (ORA) HAS BEEN CHARGED WITH ASSISTING, GUIDING AND FACILITATING THIS RESEARCH. THE ORA SERVES AS A CLEARINGHOUSE FOR THE REVIEW, ADMINISTRATION, REPORTING AND MONITORING OF ALL RESEARCH ACTIVITY CONDUCTED AT SUTTER AFFILIATES WITHIN THE REGION WHICH INCLUDE SUTTER MEDICAL CENTER (SUTTER GENERAL AND MEMORIAL HOSPITALS, AND SUTTER CENTER FOR PSYCHIATRY), SUTTER DAVIS HOSPITAL, SUTTER AUBURN FAITH HOSPITAL, SUTTER ROSEVILLE MEDICAL CENTER, SUTTER SOLANO, SUTTER YUBA CITY AND SUTTER MEDICAL FOUNDATION. RESEARCH SUPPORT SERVICES: SIMR PROVIDES A VARIETY OF SUPPORT SERVICES TO SUTTER CLINICAL INVESTIGATORS. THE SUPPORT SERVICES INCLUDE A GRANTS PROGRAM THAT FUNDS MERITORIOUS RESEARCH PROJECTS INITIATED BY THEM. THE FUNDS TO FINANCE THESE GRANTS COME FROM DONATIONS AND OTHER PHILANTHROPIC GIFTS MADE TO SUTTER MEDICAL CENTER FOUNDATION. SINCE 1989, SUTTER MEDICAL CENTER FOUNDATION AND SIMR HAVE FUNDED 40 RESEARCH PROJECTS TOTALING APPROXIMATELY $1 MILLION. OTHER SERVICES INCLUDE STATISTICAL ANALYSIS AND CONSULTATION FOR CLINICAL RESEARCH PROJECTS, QUALITY INDICATOR STUDIES, CLINICAL EFFECTIVENESS AND CLINICAL OUTCOMES STUDIES. CLINICAL TRIALS PROGRAM: THE SIMR CLINICAL TRIALS PROGRAM PROVIDES AN ENVIRONMENT FOR BRINGING HEALTH PROFESSIONALS AT SUTTER HEALTH AND CLINICAL TRIAL SPONSORS TOGETHER TO PARTICIPATE IN INNOVATIVE CLINICAL RESEARCH PROGRAMS. OUR PROGRAM OFFERS A STRONG INFRASTRUCTURE FOR CLINICAL INVESTIGATORS WHO WISH TO OFFER THEIR PATIENTS THE LATEST INVESTIGATIVE TREATMENT MODALITIES. WE OFFER A COMPREHENSIVE MANAGEMENT AND CLINICAL SUPPORT SERVICES FOR THE CONDUCT OF CLINICAL RESEARCH AT SUTTER SITES INCLUDING SERVICES SUCH AS EXPERIENCED CLINICAL RESEARCH COORDINATORS, REGULATORY PREPARATION, CONTRACT PREPARATION, STUDY FINANCIAL MANAGEMENT, BILLING COMPLIANCE OVERSIGHT AND QUALITY ASSURANCE AUDITING. THROUGH PARTICIPATION IN CLINICAL TRIALS OF NEW TREATMENT MODALITIES, THE COMMUNITY IS PROVIDED ACCESS TO THE LATEST INNOVATIONS AND DISCOVERIES IN PATIENT CARE AND TREATMENT. SINCE ITS INCEPTION IN 1991, THOUSANDS OF SUTTER PATIENTS HAVE HAD ACCESS TO INVESTIGATIONAL TREATMENT MODALITIES OTHERWISE UNAVAILABLE TO THE PUBLIC. LABORATORY RESEARCH AND TRAINING: THE SIMR RESEARCH AND TRAINING LABORATORY PROVIDE FULLY EQUIPPED AND STAFFED SURGICAL RESEARCH AND TRAINING FACILITIES. THE LABORATORY PROGRAM SUPPORTS RESEARCH AND TRAINING IN AREAS THAT INCLUDE CARDIOLOGY, CARDIOVASCULAR SURGERY, GENERAL SURGERY, NEONATOLOGY, PULMONARY MEDICINE, THORACIC SURGERY AND UROLOGY. EVERY YEAR, DOZENS OF MEDICAL DEVICE COMPANIES UTILIZE THE LABORATORY TO CONDUCT RESEARCH AND DEVELOPMENT, AND HUNDREDS OF HEALTHCARE PROFESSIONALS PARTICIPATE IN RESEARCH AND TRAINING INVOLVING THE LATEST TECHNOLOGY. THE SIMR LABORATORY CONTINUES TO EXPAND ITS AREAS OF SUPPORT AND BROADEN THE SPECTRUM OF SERVICES PROVIDED THE LABORATORY IS HIGHLY ACCREDITED AND HAS A NATIONAL REPUTATION FOR EXCELLENCE. SUTTER HEALTH CENTRAL AREA INSTITUTIONAL REVIEW COMMITTEE (IRC): SUTTER HEALTH SACRAMENTO SIERRA REGION (SHSSR) IS COMMITTED TO PROVIDING THE BEST POSSIBLE HEALTHCARE TO ITS PATIENTS. THE IRC SUPPORTS THIS COMMITMENT BY PROVIDING RESEARCH REGULATORY COMPLIANCE OVERSIGHT AND EDUCATION PROGRAMS TO SUTTER-ALIGNED RESEARCHERS THROUGHOUT THE REGION. THE IRC IS THE ADMINISTRATIVE BODY MANDATED BY FEDERAL LAW TO PROTECT THE RIGHTS AND WELFARE OF HUMAN SUBJECTS PARTICIPATING IN RESEARCH ACTIVITIES CONDUCTED WITHIN INSTITUTIONS AND ORGANIZATIONS AFFILIATED WITH SHSSR. THE IRC'S PRIMARY RESPONSIBILITY IS THE PROTECTION OF SUBJECTS FROM UNDUE RISK AND FROM DEPRIVATION OF PERSONAL RIGHTS AND DIGNITY. AS SUCH THE IRC CONDUCTS REVIEW FOR RESEARCHERS AND ALL RESEARCH ACTIVITY CONDUCTED AT SUTTER AFFILIATES WITHIN THE SHSSR SERVICE AREA AND EDEN MEDICAL CENTER, A SUTTER AFFILIATE. OVER THE YEARS, THE IRC HAS REVIEWED AND APPROVED HUNDREDS OF NEW RESEARCH PROTOCOLS COVERING A WIDE SPECTRUM OF DISEASE AND HEALTHCARE ISSUES. CANCER CONTINUES TO BE A MAJOR AREA OF RESEARCH WITH NUMEROUS ADULT STUDIES, MOST FUNDED BY THE NATIONAL CANCER INSTITUTE THROUGH ITS COOPERATIVE PROJECTS RESEARCH PROGRAM.
FORM 990, PART III, LINE 4A CONTINUED	COMMUNITY PARTNERSHIPS IN 2013, SUTTER MEDICAL CENTER, SACRAMENTO(SMCS) PROVIDED $3 MILLION IN SUPPORT OF CHARITY CARE AND VARIOUS COMMUNITY PROGRAMS. A COMMUNITY BENEFIT COMMITTEE COMPRISED OF LOCAL COMMUNITY LEADERS, HOSPITAL ADMINISTRATORS AND STAFF, AND MEMBERS OF THE SUTTER MEDICAL CENTER FOUNDATION BOARD WORK TO IDENTIFY COMMUNITY NEEDS AND ALLOCATE SMCS COMMUNITY BENEFIT DOLLARS VIA A COMMUNITY GRANTS PROGRAM. BELOW ARE A FEW ORGANIZATIONS THAT SUTTER MEDICAL CENTER, SACRAMENTO HAS PARTNERED WITH OVER THE YEARS: * INTERIM CARE PROGRAM/ICP+ * T-3 PROGRAM (TRIAGE, TRANSPORT, TREATMENT) * T3+ * ED NAVIGATOR PROGRAM * SERIAL INEBRIATE PROGRAM ONE EXAMPLE OF A COLLABORATIVE PROGRAM EXPANDING ACCESS TO HEALTH CARE, MENTAL HEALTH, AND OTHER COMMUNITY SERVICES AND PROGRAMS IS THE INTERIM CARE PROGRAM (ICP). THE ICP IS A COLLABORATIVE OF THE HOSPITAL SYSTEMS, COMMUNITY BASED ORGANIZATIONS AND THE COUNTY GOVERNMENT AND IS A RESPITE CARE SHELTER FOR HOMELESS PATIENTS DISCHARGED FROM HOSPITALS. THE FOUR LOCAL HOSPITALS AND THE COUNTY OF SACRAMENTO PROVIDE ON-GOING FUNDING FOR THE PROGRAM. THE SALVATION ARMY PROVIDES 18 BEDS IN A DESIGNATED WING OF THE SHELTER WHERE CLIENTS HAVE THREE MEALS A DAY AND A SAFE, CLEAN PLACE TO RECOVER FROM THEIR HOSPITALIZATIONS. THE WING IS WHEELCHAIR ACCESSIBLE, HAS SIX ROOMS - EACH WITH THREE HOSPITAL BEDS, AND A PLACE FOR RESIDENTS TO STORE THEIR MEDICATIONS AND WOUND CARE SUPPLIES. ANOTHER COMMUNITY-BASED ORGANIZATION, WELLSPACE HEALTH, FORMERLY THE EFFORT, PROVIDES ON-SITE NURSING AND SOCIAL SERVICES TO SUPPORT CLIENTS IN THEIR RECUPERATION AND HELP THEM MOVE OUT OF HOMELESSNESS. THE WELLSPACE CASE MANAGER LINKS CLIENTS WITH ENTAL HEALTH SERVICES, SUBSTANCE ABUSE RECOVERY, HOUSING WORKSHOPS AND PROVIDES DISABILITY APPLICATION ASSISTANCE. PATIENTS ARE REFERRED FROM THE HOSPITALS TO THE INTERIM CARE PROGRAM WHEN THEY ARE WELL ENOUGH TO GO HOME, BUT NEED ON-GOING REST AND FOLLOW-UP TREATMENT. PATIENTS COME FOR VARIOUS REASONS INCLUDING A WOUND THAT NEEDS TO HEAL, RECOVERY AFTER SURGERY, OR INJURY FROM AN ACCIDENT. CLIENTS CAN STAY IN THE PROGRAM UP TO SIX WEEKS, DEPENDING ON THEIR MEDICAL CONDITION. SUTTER MEDICAL CENTER, SACRAMENTO IS ALSO A PROUD, FOUNDING PARTNER OF T3 (TRIAGE, TRANSPORT AND TREATMENT), A PIONEERING PROGRAM THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY ROOM CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES. THIS PROGRAM COULD BE A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. THE PROGRAM SEEKS TO PROVIDE THOSE WHO CHRONICALLY USE THE EMERGENCY ROOM FOR NON-EMERGENCY CARE WITH A WAY TO GET THE SERVICES THEY NEED FROM A PRIMARY CARE PROVIDER. MOVING THESE PATIENTS FROM THE EMERGENCY ROOM IMPROVES THE PATIENTS' HEALTH BY GETTING THEM THE APPROPRIATE CARE IN THE RIGHT SETTING, REDUCES THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCES COSTS TO OUR HEALTH CARE SYSTEM. IN LATE 2013, SMCS IMPLEMENTED T3+, WHICH IS A PROGRAM THAT PROVIDES INTENSE CASE MANAGEMENT FOR PATIENTS WHO ARE IDENTIFIED FROM AN INPATIENT SETTING. SUTTER MEDICAL CENTER, SACRAMENTO PROVIDES THE SERIAL INEBRIATE PROGRAM. THIS PROGRAM ADDRESSES HEALTH, SAFETY AND HOUSING NEEDS OF CHRONIC HOMELESS ADULTS LIVING ON THE STREETS OF SACRAMENTO. SUTTER MEDICAL CENTER SACRAMENTO'S NAVIGATOR PROGRAM PARTNERED WITH SACRAMENTO SELF HELP HOUSING TO PROVIDE HOUSING AND TREATMENT AND RECOVERY SERVICES TO ENABLE SELF-SUFFICIENCY. MANY GRADUATES HAVE REGAINED HOUSING AND EMPLOYMENT. IN ORDER TO QUALIFY FOR THE SIP PROGRAM, INDIVIDUALS HAVE BEEN ARRESTED, TAKEN TO DETOX CENTERS OR EMERGENCY DEPARTMENTS MORE THAN 25 TIMES IN A 12-MONTH TIME-FRAME.
FORM 990, PART III, LINE 4A CONTINUED	SUTTER ROSEVILLE MEDICAL CENTER SUTTER ROSEVILLE MEDICAL CENTER (SRMC) WAS ESTABLISHED IN 1952 AND AFFILIATED WITH SUTTER HEALTH IN MAY 1993. IN THE MID-90S, SUTTER HEALTH CONSTRUCTED A 315,000-SQUARE-FOOT, 172-BED FACILITY IN THE NORTHEAST AREA OF ROSEVILLE, APPROXIMATELY 20 MILES FROM DOWNTOWN SACRAMENTO. THE HOSPITAL, WHICH HAS EXPANDED TO 328 BEDS, PROVIDES RESIDENTS OF SOUTHERN PLACER AND NORTHEASTERN SACRAMENTO COUNTIES WITH COMPREHENSIVE COMMUNITY HEALTH CARE. THE FACILITY HAS AN EXPANDED HELIPAD ONSITE FOR QUICK ACCESS TO THE HOSPITAL'S LEVEL II TRAUMA CENTER. OTHER SERVICES AVAILABLE AT SUTTER ROSEVILLE MEDICAL CENTER INCLUDE: INPATIENT AND OUTPATIENT SURGERY OBSTETRICS AND PERINATAL CARE NEO NATAL INTENSIVE CARE PEDIATRICS ONCOLOGY FAMILY BIRTH CENTER RESPIRATORY THERAPY SUTTER REHABILITATION INSTITUTE LABORATORY CARDIOPULMONARY SERVICES ACUTE REHABILITATION MEDICAL LIBRARY ACCESS SUTTER CANCER CENTER HOME HEALTH AND HOSPICE CARE CARDIAC CATHETERIZATION LABORATORY NUTRITIONAL SUPPORT SERVICES TELEMETRY PASTORAL CARE LEVEL II TRAUMA CENTER PATIENT AND COMMUNITY EDUCATION CARDIAC REHABILITATION SENIOR SERVICES DIAGNOSTIC IMAGING HOME INFUSION THERAPY IV THERAPY CRITICAL CARE SUB-ACUTE UNIT SOCIAL SERVICES TRAUMA NEURO INTENSIVE CARE UNIT 24-HOUR EMERGENCY TREATMENT NUCLEAR MEDICINE (NATIONALLY RECOGNIZED) BARIATRIC SERVICES WOUND CARE CENTER SUTTER ROSEVILLE MEDICAL CENTER'S MISSION IS: TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE LIVING IN THE COMMUNITIES IT SERVES. SUTTER ROSEVILLE MEDICAL CENTER STRIVES CONTINUOUSLY TO IDENTIFY THE HEALTH CARE NEEDS OF THESE COMMUNITIES AND RESPOND BY PROVIDING WELLNESS, PREVENTIVE, CURATIVE AND RESTORATIVE PROGRAMS AND SERVICES CONSISTENT WITH THE STATED VALUES AND VISION OF THE HOSPITAL. COMMUNITY BENEFIT PROGRAMS SUTTER ROSEVILLE MEDICAL CENTER HAS A HISTORY OF SUPPORTING PROGRAMS AND SERVICES ADDRESSING THE NEEDS OF THE RESIDENTS IN SOUTH PLACER COUNTY. THE HOSPITAL IN COLLABORATION WITH SUTTER AUBURN FAITH HOSPITAL, HAS CREATED A COMMUNITY ADVISORY BOARD AND COMMUNITY PARTNERSHIPS COMMITTEE (A SUB- COMMITTEE OF THE ADVISORY GROUP) IN ORDER TO IDENTIFY AND ADDRESS THE NEEDS IN PLACER COUNTY. SOME OF THE PROGRAMS SUPPORTED BY SRMC INCLUDE: * SUTTER ROSEVILLE MEDICAL CENTER IS PARTNER OF THE NOW COLLABORATIVELY OPERATED HEALTH EXPRESS. HEALTH EXPRESS EXPANDED IN 2007 TO PROVIDE LAST RESORT MEDICALLY-RELATED TRANSPORTATION TO ALL UNDERSERVED POPULATIONS IN SOUTH PLACER COUNTY. * THE INTERIM CARE PROGRAM (ICP) PROVIDES A TEMPORARY RESPITE PROGRAM FOR HOMELESS PATIENTS WHO ARE DISCHARGED FROM SUTTER AUBURN FAITH HOSPITAL. THE PROGRAM IS DESIGNED TO GIVE PATIENTS WITHOUT HOUSING ALTERNATIVES, A CLEAN AND SAFE PLACE TO HEAL FOR UP TO SIX WEEKS AND COMPREHENSIVE "WRAPAROUND" SERVICES LIKE SUBSTANCE ABUSE TREATMENT, PERMANENT HOUSING AND MEDICAL CARE. * PROMOTORAS: THROUGH A PARTNERSHIP WITH THE LATINO LEADERSHIP COUNCIL, SRMC OFFERS PROMOTORAS TO SPANISH SPEAKING PATIENTS WHO NEED TRANSLATION AND OTHER CULTURALLY SENSITIVE COMMUNITY SERVICES. * THE FAMILY SUPPORT PROGRAM LINKS PLACER COUNTY RESIDENTS WITH COMMUNITY SUPPORT GROUPS AND SERVICES. SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER AUBURN FAITH HOSPITAL CONTRACT WITH THE PLACER COUNTY DEPARTMENT OF HEALTH TO PROVIDE A PUBLIC HEALTH NURSE IN THE HOSPITAL TO CONNECT WITH PATIENTS AND PROVIDE EDUCATION AND REFERRALS. * THE T-3 (TRIAGE, TRANSPORT AND TREATMENT) IS A PIONEERING PROGRAM THAT PROVIDES SERVICES TO PATIENTS WHO SEEK EMERGENCY ROOM CARE FOR NEEDS THAT ARE BEST ADDRESSED THROUGH PREVENTIVE MEASURES. THIS PROGRAM COULD BE A MODEL FOR THE KIND OF CHANGE BEING CALLED FOR IN VARIOUS HEALTH CARE REFORM PLANS. THE PROGRAM SEEKS TO PROVIDE THOSE WHO CHRONICALLY USE THE EMERGENCY ROOM FOR NON-EMERGENCY CARE WITH A WAY TO GET THE SERVICES THEY NEED FROM A PRIMARY CARE PROVIDER. MOVING THESE PATIENTS FROM THE EMERGENCY ROOM IMPROVES THE PATIENTS' HEALTH BY GETTING THEM THE APPROPRIATE CARE IN THE RIGHT SETTING, REDUCES THE WAIT FOR THOSE SEEKING CARE FOR REAL MEDICAL EMERGENCIES, AND DRAMATICALLY REDUCES COSTS TO OUR HEALTH CARE SYSTEM. * WELLSPACE HEALTH, FORMERLY THE EFFORT, IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES COMPREHENSIVE MEDICAL CARE INCLUDING PREVENTIVE CARE, TREATMENT FOR MINOR ILLNESSES OR INJURIES, AND MANAGEMENT OF CHRONIC MEDICAL CONDITIONS FOR THOSE WHO ARE PLACER COUNTY MCE MEMBERS, UNINSURED OR MEDI-CAL. THE WELLSPACE HEALTH MEDICAL TEAM INCLUDES FAMILY PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS. THANKS TO INVESTMENTS FROM SRMC, A WELLSPACE HEALTH CLINIC IS NOW LOCATED ON THE CAMPUS OF SRMC AT MOB 5. * THE ED NAVIGATOR PROGRAM AT SUTTER ROSEVILLE MEDICAL CENTER CONNECTS INDIVIDUALS WITH PRIMARY CARE AND OTHER NECESSARY HEALTH AND WELLNESS SERVICES. * THE SENIOR RECREATION AND RESPITE PROGRAM (R & R) IS DESIGNED TO MEET THE NEEDS OF OLDER ADULTS WITH MEMORY OR PHYSICAL IMPAIRMENT. THE PROGRAM PROVIDES RECREATIONAL, SOCIAL AND EDUCATIONAL ACTIVITIES FOR THE PARTICIPANTS, AND RESPITE FOR CAREGIVERS TO ENJOY SOME FREE TIME TO THEMSELVES. THE STAFF IS SUPPORTED BY ITS VALUABLE TEAM OF VOLUNTEERS AND COMPLETED BY PERSONAL CARE AIDS. R & R MEETS ONCE A WEEK IN AUBURN, AND FOUR DAYS A WEEK IN LINCOLN. * THE SENIOR RESOURCE GUIDE IS A BOOKLET, FREE TO THE PUBLIC, WITH INFORMATION ON A MULTITUDE OF SENIOR SERVICES AVAILABLE IN PLACER COUNTY. THE GUIDE IS UPDATED AND DISTRIBUTED SEMI-ANNUALLY VIA PHYSICIAN OFFICES, SENIOR APARTMENT COMPLEXES, SENIOR CENTERS, SKILLED NURSING FACILITIES, LIBRARIES, MOBILE HOME COMMUNITIES, SENIOR SERVICE PROVIDERS, HOME HEALTH AND HOSPICE AGENCIES AND MANY OTHER SERVICE ORGANIZATIONS AND PUBLIC PLACES. WE ARE ABLE TO PRODUCE THIS GUIDE IN PARTNERSHIP WITH SENIORS FIRST, SUTTER ROSEVILLE MEDICAL CENTER, THE SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION, SUTTER AUBURN FAITH HOSPITAL AND THE SUTTER AUBURN FAITH HOSPITAL FOUNDATION. * SUTTER ROSEVILLE MEDICAL CENTER PARTNERS WITH OAKMONT HIGH SCHOOL ON THE OAKMONT HEALTH CAREERS ACADEMY, A THREE-YEAR HIGH SCHOOL PROGRAM, FOR STUDENTS INTERESTED IN EXPLORING AND PREPARING FOR CAREERS IN HEALTH CARE. STUDENTS IN THEIR JUNIOR YEAR EXPERIENCE CAREER OPTIONS THROUGH JOB-SHADOWING PROFESSIONALS AT SUTTER ROSEVILLE MEDICAL CENTER IN MANY AREAS OF HEALTH CARE, FOLLOWED BY A MONTH OFF A HANDS-ON CLINICAL EXPERIENCE ROTATION. STUDENTS IN THEIR SENIOR YEAR PARTICIPATE IN A 100-HOUR INTERNSHIP IN THE HOSPITAL SETTING. OTHER COMMUNITY SERVICES THE HOSPICE PROGRAM WAS ESTABLISHED IN 1984 TO PROVIDE MEDICAL, SOCIAL, EMOTIONAL AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT NO COST BEYOND WHAT INSURANCE, MEDICARE OR OTHER PROVIDERS PAY. THE CHILDREN'S BEREAVEMENT ART GROUP GREW OUT OF HOSPICE IN 1993 TO EXTEND EXISTING BEREAVEMENT SERVICES FOR ADULTS TO MEET THE SPECIAL NEEDS OF CHILDREN. IN 1987, THE HOSPITAL OPENED ITS PASTORAL CARE DEPARTMENT WITH A FULL-TIME CHAPLAIN TO WORK IN COORDINATION WITH THE HOSPITAL'S SOCIAL SERVICE PROGRAM. SUTTER ROSEVILLE MEDICAL CENTER IS AN ACTIVE PARTNER WITH THE SAFE KIDS COALITION OF PLACER COUNTY, WHICH IS COMPRISED OF REPRESENTATIVES FROM LOCAL HEALTH CARE AGENCIES, GOVERNMENT AND PRIVATE AGENCIES IN PLACER COUNTY. ITS GOAL IS TO REDUCE THE INCIDENCE OF INJURY RELATED TO MORBIDITY AND MORTALITY AND ADDRESSES THESE ISSUES THROUGH EDUCATION, TRAINING, ORGANIZATIONAL POLICY, NETWORKING, LEGISLATIVE ADVOCACY AND EVALUATION.
FORM 990, PART III, LINE 4A CONTINUED	SUTTER SOLANO MEDICAL CENTER SUTTER SOLANO MEDICAL CENTER (SSMC) IS A 102 LICENSED BED ACUTE CARE HOSPITAL IN VALLEJO, CALIFORNIA, BETWEEN SACRAMENTO AND SAN FRANCISCO. THE NOT-FOR-PROFIT, COMMUNITY-BASED FACILITY IS FULLY ACCREDITED BY THE JOINT COMMISSION AND PROVIDES A FULL-RANGE OF GENERAL, EMERGENCY AND MEDICAL/SURGICAL SPECIALTIES. THE CARE TEAM AT SSMC INCLUDES 290 STAFF MEMBERS, 690 EMPLOYEES AND 100 VOLUNTEERS. SSMC AFFILIATED WITH SUTTER HEALTH IN 1984 ENSURING THE ABILITY TO CONTINUE PROVIDING AND IMPROVING HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITY. MISSION STATEMENT WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. HOSPITAL SERVICES SSMC'S EMERGENCY DEPARTMENT IS STAFFED 24-HOURS A DAY, 7 DAYS A WEEK BY BOARD-CERTIFIED EMERGENCY MEDICAL PHYSICIANS AND NURSES WHO SPECIALIZE IN EMERGENCY MEDICINE - ADULT AND PEDIATRIC. SSMC IS ONE OF THE ONLY FACILITIES IN THE AREA WITH A HELICOPTER LANDING ZONE FOR ACCESS TO TRANSFER PATIENTS TO A HIGHER LEVEL OF CARE WHEN REQUIRED. ON AVERAGE, SSMC DELIVERS NEARLY 700 BABIES EACH YEAR AND SUPPORTS NEW FAMILIES THROUGH ITS FAMILY BIRTHING CENTER, PRIVATE LABOR/DELIVER/RECOVERY (LDR) SUITES AND A VARIETY OF PRENATAL CLASSES. IN ADDITION TO THE ACUTE CARE FACILITY, SSMC OPERATES A CANCER CENTER, FULLY ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS (ACOS). COMPREHENSIVE CANCER SERVICES INCLUDE CHEMOTHERAPY, INFUSION THERAPY, LABORATORY AND PATHOLOGY, GENETIC TESTING, PAIN MANAGEMENT AND RADIATION THERAPY. PROGRAM SERVICE ACCOMPLISHMENTS SSMC'S SOCIAL WORK SERVICE AND CARE COORDINATORS PLAY KEY ROLES IN HELPING PATIENTS LOCATE THE NECESSARY SERVICES AND EQUIPMENT FOR CARE AFTER HOSPITALIZATION. SSMC'S SURGICAL SERVICES ARE PERFORMED ON BOTH AN INPATIENT AND OUTPATIENT BASIS AND INCLUDE THE LATEST TECHNIQUES IN SUCH AREAS AS CARDIAC, ORTHOPEDIC, GENERAL VASCULAR, ENDOSCOPIC AND OPHTHALMIC SURGERY. OTHER HOSPITAL SERVICES INCLUDE: INPATIENT REHABILITATION SERVICES, DIAGNOSTIC IMAGING SERVICES, RADIATION ONCOLOGY, LABORATORY, DIETARY AND INFUSION THERAPY. CANCER SERVICES AVAILABLE INCLUDE PREVENTION, SCREENING, EDUCATION, LECTURES, THE CANCER RESOURCE LIBRARY, AND TREATMENT INCLUDING PROGRAMS SUCH AS RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY, RESPIRATORY GAITING, CHEMOTHERAPY, INFUSION AND THE PATIENT NAVIGATOR PROGRAM WHICH PROVIDES A NURSE NAVIGATOR TO GUIDE CANCER PATIENTS THROUGH THEIR TREATMENT AND HEALING PROCESS. COMMUNITY BENEFIT PROGRAMS SSMC PARTNERS WITH LA CLINICA DE LA RAZA'S NORTH VALLEJO CLINIC TO IMPROVE ACCESS TO PRIMARY CARE IN VALLEJO FOR OUR MOST VULNERABLE POPULATION-THE LOW-INCOME, UNDERINSURED AND UNINSURED. PRIMARY CARE ACCESS LOWERS THE COST OF HEALTH CARE FOR ALL AS NON-URGENT CONDITIONS CAN NOW BE TREATED EARLY, BEFORE THEY ESCALATE INTO MORE SERIOUS ILLNESSES. SSMC IS AN ACTIVE PARTICIPANT AND FOUNDING MEMBER OF THE SOLANO COALITION FOR BETTER HEALTH. THE COALITION IS COMPRISED OF MAJOR HEALTH ORGANIZATIONS ALONG WITH REPRESENTATIVES FROM BUSINESS, GOVERNMENT, SERVICE PROVIDERS, ETC. FOR THE PURPOSES OF CREATING HEALTHIER COMMUNITIES IN SOLANO COUNTY. SSMC SUPPORTS COALITION EFFORTS TO PROVIDE A COMMUNITY HEALTH OUTREACH SYSTEM. THIS OUTREACH SYSTEM PROVIDES OUTREACH WORKERS AND PUBLIC HEALTH NURSES WHO HELP THE COMMUNITY ACCESS HEALTH SERVICES AND ASSIST RESIDENTS IN LEADING HEALTHIER LIVES. THE TRANSITIONAL CARE PROGRAM (TCP): THE TCP PROVIDES A PLACE TO DISCHARGE AND CONNECT HOMELESS PATIENTS, WHO ARE TRADITIONALLY UNDERSERVED RESIDENTS, WITH RESOURCES AND SUPPORT. SSMC, ALONG WITH OTHER LOCAL HEALTH PROVIDERS, OFFER FUNDING AND SUPPORT TO THE SOLANO COALITION FOR BETTER HEALTH AND THE BENICIA COMMUNITY ACTION COALITION, TO PROVIDE THIS PROGRAM TO SOME OF SOLANO COUNTY'S MOST VULNERABLE RESIDENTS. THIS PROGRAM LINKS HOMELESS ADULTS TO VITAL COMMUNITY SERVICES WHILE GIVING THEM A PLACE TO HEAL, AS WELL AS MEDICAL FOLLOW UP AND CASE MANAGEMENT. THE CLIENTS WHO ARE ENROLLED IN THE TCP ARE INDIVIDUALS WHO OTHERWISE WOULD BE DISCHARGED TO THE STREET OR CARED FOR IN AN INPATIENT SETTING ONLY. IN ADDITION, THE TCP ALLOWS PATIENTS TO FOCUS ON RECOVERY AND DEVELOPING A LONG-TERM PLAN TO GET OFF THE STREETS, ALL WHILE BEING LINKED TO VITAL COMMUNITY AND MEDICAL SERVICES. THE TCP HAS PRODUCED IMPRESSIVE CLIENT OUTCOMES BY PROVIDING "WRAPAROUND" SERVICES INCLUDING CONNECTION TO A MEDICAL HOME, ENROLLMENT IN ELIGIBLE PROGRAMS AND SUPPORT SERVICES FOR CLIENTS. ED NAVIGATOR/CERTIFIED APPLICATION ASSISTANT: THE EMERGENCY DEPARTMENT NAVIGATOR PROGRAM SEEKS TO CONNECT WITH PATIENTS WHO ARE INAPPROPRIATELY ACCESSING CARE AT THE SUTTER SOLANO MEDICAL CENTER EMERGENCY DEPARTMENT AND LINKS ALL NON-URGENT USERS OF THE ED TO IMMEDIATE COMMUNITY RESOURCES AND MEDICAL CARE. MORE SPECIFICALLY, ED NAVIGATORS REACH OUT TO PATIENTS WHO DO NOT HAVE A PRIMARY CARE PROVIDER AND PROVIDE EXTERNAL MANAGEMENT, CONNECTION TO SERVICES (E.G. INSURANCE ENROLLMENT, SUBSTANCE ABUSE TREATMENT, ETC.) AND FOLLOW UP TO ENSURE A PRIMARY CARE PROVIDER IS BEING UTILIZED. ED NAVIGATORS ARE EMPLOYEES OF LA CLINCIA, BUT ARE SUPPORTED THROUGH FUNDING FROM SSMC AND RESIDE IN THE SUTTER SOLANO MEDICAL CENTER EMERGENCY DEPARTMENT. ADDITIONALLY, WE RECENTLY EXPANDED THIS PROGRAM TO INCLUDE A CERTIFIED APPLICATION ASSISTANT, WHO WORKS ALONGSIDE THE ED NAVIGATOR IN THE EMERGENCY ROOM AND PROVIDES EDUCATION, OUTREACH AND INSURANCE ENROLLMENT SERVICES FOR THE PATIENTS WHO NEED IT. SUTTER SOLANO'S COMMUNITY BENEFIT GOALS ARE: * COLLABORATING WITH OTHER COMMUNITY PARTNERS IN RESPONDING TO IDENTIFIED NEEDS TO IMPROVE ACCESS TO HEALTH CARE SERVICES, ESPECIALLY FOR VULNERABLE POPULATIONS, INCLUDING THE UNINSURED, UNDERINSURED AND AT-RISK MOTHERS. * CONTINUE TO PROVIDE SERVICES AND WORK COLLABORATIVELY WITH OTHER SOLANO COUNTY AGENCIES TO ADDRESS PREVENTION, DETECTION AND TREATMENT OF CANCER, A MAJOR RECURRING HEALTH ISSUE IDENTIFIED IN THE COMMUNITY. * COLLABORATE WITH OTHER SOLANO COUNTY AGENCIES TO EXPAND SERVICES TO INCLUDE PRIMARY CARE. OTHER COMMUNITY OFFERINGS INCLUDE NUMEROUS INFORMATIONAL LECTURES, SCREENING AND HEALTH EVENTS, SUPPORT GROUPS, WALK-A-THONS AND FOOD AND CLOTHING DRIVES.
FORM 990, PART III, LINE 4A CONTINUED	SUTTER HEALTH SACRAMENTO SIERRA REGION FREE MAMMOGRAM SCREENING PROGRAM IS OFFERED AT: SUTTER AMADOR HOSPITAL, SUTTER AUBURN FAITH HOSPITAL, SUTTER DAVIS HOSPITAL, SUTTER MEDICAL CENTER SACRAMENTO, SUTTER ROSEVILLE MEDICAL CENTER AND SUTTER SOLANO MEDICAL CENTER. WORKING WITH SUTTER DIAGNOSTIC IMAGING CENTERS THROUGHOUT THE SUTTER HEALTH SACRAMENTO SIERRA REGION, WE OFFER THE OPPORTUNITY FOR UNINSURED WOMEN TO RECEIVE FREE DIGITAL MAMMOGRAMS. IN 2013, AS A RESULT OF ALL OF THE COLLABORATIVE EVENTS THROUGHOUT THE REGION, WE WERE ABLE TO PROVIDE A TOTAL OF 670 FREE AND LOW-COST MAMMOGRAMS. AT MANY OF OUR MAMMOGRAPHY EVENTS, WE HAVE WAITING LISTS AND LONG LINES, DEMONSTRATING THAT ACCESS TO PRIMARY AND PREVENTATIVE CARE CONTINUES TO BE A MAJOR ISSUE IN OUR REGION. OUR GOAL IS NOT ONLY TO SCREEN UNINSURED WOMEN, BUT WE ALSO USE THESE EVENTS AS A CONNECTION POINT FOR THE UNDERSERVED MEMBERS OF OUR COMMUNITY, TO LINK THEM WITH A PRIMARY CARE PROVIDER, FOLLOW UP RESOURCES IF NEEDED, INSURANCE ENROLLMENT INFORMATION AND OTHER KEY SERVICES. WE WILL HAVE TO EXAMINE THE CURRENT MODEL OF THIS PROGRAM IN 2014, AS UNDER THE AFFORDABLE CARE ACT, ALL WOMEN (WITH THE EXCEPTION OF UNDOCUMENTED IMMIGRANTS) WILL HAVE INSURANCE; THEREFORE, WE WILL REASSESS OUR PROCESS MOVING FORWARD, AS THESE EVENTS HAVE TYPICALLY TARGETED THE UNINSURED ONLY. NEW IN 2013, WE ARE INTEGRATING OUR ED NAVIGATORS INTO SOME OF THE SCREENING EVENTS, AS A PILOT PROJECT, TO PROVIDE ONSITE PRIMARY CARE REFERRALS AND OTHER COMMUNITY RESOURCES TO THE WOMEN. ALSO, WE INTEGRATED INSURANCE ENROLLMENT SPECIALISTS FROM COVERED CALIFORNIA TO PROVIDE INSURANCE EDUCATION, OUTREACH AND ENROLLMENT TO THE WOMEN WHO NEED IT MOST.
FORM 990, PART VI, LINES 6 & 7A	THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7B	SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL.
FORM 990, PART VI, LINE 11B	SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION, HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.
FORM 990, PART VI, LINE 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.
FORM 990, PART VI, LINE 15	THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ENSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE) AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH ARE MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. ON THE OTHER HAND, BECAUSE CALIFORNIA'S UNDERLYING COMPENSATION STRUCTURE IS HIGHER THAN NATIONAL DATA (ESPECIALLY IN THE BAY AREA), REGIONAL PAY COMPARISONS AND ADJUSTMENTS ARE MADE. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION WHO ARE SUTTER HEALTH EMPLOYEES UNDERGO A REVIEW AND COMPENSATION COMMITTEE APPROVAL, AND SUCH APPROVAL IS RECORDED IN THE MINUTES.
FORM 990, PART VI, LINE 19	THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART XI, LINE 9	K-1 ORDINARY INCOME $ (475,025) PARTNERSHIP LOSS ON BOOKS 494,231 EQUITY TRANSFERS (NET) (145,676,077) SHARED SERVICE ACCOUNT ADJUSTMENT 1,046,358 ------------- TOTAL (144,610,513) =============

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

SUTTER HEALTH SACRAMENTO SIERRA REGION

Employer identification number

94-1156621

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on 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

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on 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?
(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	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) MEMORIAL HOSPITAL FOUNDATION 1800 COFFEE ROAD SUITE 76 MODESTO,CA95355 94-2290244	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER CVH	Yes
(8) MILLS-PENINSULA HEALTH SERVICES 1501 TROUSDALE DRIVE BURLINGAME,CA94010 94-1156265	HOSPITAL	CA	501(C)(3)	3	PAMF	Yes
(9) MILLS-PENINSULA HOSPITAL FOUNDATION 1501 TROUSDALE DRIVE BURLINGAME,CA94010 23-7288765	FUNDRAISING	CA	501(C)(3)	7	MPHS	Yes
(10) PALO ALTO MEDICAL FOUNDATION 2350 EL CAMINO REAL MOUNTAIN VIEW,CA94040 94-1156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(11) SAMUEL MERRITT UNIVERSITY 450 30TH STREET 2840 OAKLAND,CA94609 94-2992642	UNIVERSITY	CA	501(C)(3)	2	SUTTER EBH	Yes
(12) SUTTER AUBURN FAITH HOSPITAL FOUNDATION 11815 EDUCATION ST AUBURN,CA95602 94-2594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(13) SUTTER CENTRAL VALLEY HOSPITALS 1800 COFFEE ROAD SUITE 76 MODESTO,CA95355 94-1080917	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(14) SUTTER COAST HOSPITAL 800 E WASHINGTON BLVD CRESCENT CITY,CA95531 94-2988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(15) SUTTER DAVIS HOSPITAL FOUNDATION PO BOX 1617 DAVIS,CA95617 68-0217870	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(16) SUTTER EAST BAY HOSPITALS 3012 SUMMIT STREET 3RD FLOOR OAKLAND,CA94609 94-1196176	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(17) SUTTER EAST BAY MEDICAL FOUNDATION 3687 MT DIABLO BLVD 200 LAFAYETTE,CA94549 94-2690415	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(18) SUTTER GOULD MEDICAL FOUNDATION 600 COFFEE ROAD MODESTO,CA95355 94-1682256	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(19) SUTTER HEALTH 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2788907	SUPPORTING OR	CA	501(C)(3)	11c III-FI	NA		No
(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 INSURANCE SERVICES CORPORATION 745 FORT STREET SUITE 800 HONOLULU,HI96813 99-0289310	INSURANCE SER	HI	501(C)(3)	11b - II	SUTTER HLTH	Yes
(23) SUTTER MEDICAL CENTER FOUNDATION PO BOX 160727 SACRAMENTO,CA95816 94-2788906	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(24) SUTTER MEDICAL CENTER CASTRO VALLEY 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 77-0146047	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(25) SUTTER MEDICAL FOUNDATION 2800 L STREET 7TH FLOOR SACRAMENTO,CA95816 68-0273974	HEALTHCARE	CA	501(C)(3)	11b - II	SUTTER HLTH	Yes
(26) SUTTER ROSEVILLE MEDICAL CTR FOUNDATION ONE MEDICAL PLAZA ROSEVILLE,CA95661 68-0040113	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(27) SUTTER SOLANO CHARITABLE FOUNDATION 300 HOSPITAL DRIVE VALLEJO,CA94589 94-2668262	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(28) SUTTER VISITING NURSE ASSOC AND HOSPICE 1900 POWELL ST 300 EMERYVILLE,CA94608 94-6068843	HEALTHCARE	CA	501(C)(3)	9	SUTTER HLTH	Yes
(29) SUTTER WEST BAY HOSPITALS 2333 BUCHANAN STREET SAN FRANCISCO,CA94115 94-0562680	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(30) SUTTER WEST BAY MEDICAL FOUNDATION 2015 STEINER STREET 1ST FLOOR SAN FRANCISCO,CA94115 94-2948131	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(31) 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) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MAGNETIC IMAGING AF 175 LENNON WLN CK,CA94598 94-2953833	PATIENT CARE	CA	NA	N/A
(2) SURG CTR OF ABSMC 3875 TELEGRAPH OAKLAND,CA94609 47-0946086	OUTPATIENT SURG	CA	NA	N/A
(3) ALTA CT SERVICES LP 175 LENNON WLN CK,CA94598 94-3083464	PATIENT CARE	CA	NA	N/A
(4) CALIFORNIA PACIFIC ADV IMAGING LLC PO BOX 6102 NOVATO,CA94948 56-2311840	MRI JOINT VENTURE	CA	NA	N/A
(5) SAN FRANCISCO ENDOSCOPY CENTER LLC 3000 RIVERCHASE BIRMINGHAM,AL35244 91-2160588	ENDOSCOPY JV	CA	NA	N/A
(6) PRESIDIO SURGERY CENTER LLC 1635 DIVISADERO SF,CA94115 32-0144060	AMBULATORY SURG	CA	NA	N/A
(7) SUTTER FAIRFIELD SURGERY CTR 2700 LOW CT FAIRFIELD,CA94533 30-0233892	SURGERY	CA	NA	N/A
(8) TWIN CITIES SURGICAL HOSPITAL LLC 250 S WACKER CHICAGO,IL60606 35-2182617	SURGERY	CA	NA	N/A
(9) SUTTER AMADOR SURGERY CENTER LLC 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 46-1398093	SURGERY	CA	NA	N/A
(10) ROSEVILLE ENDOSCOPY 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 BUILDING	CA	NA	N/A
(12) MEMORIAL MEDICAL OFFICE BUILDING PRTNR 2 1800 COFFEE RD SUITE 76 MODESTO,CA95355 77-0287288	OFFICE BUILDING	CA	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) HEALTH VENTURES INC 350 HAWTHORNE ST OAKLAND,CA94609 94-2918780	HEALTH SERVICES	CA	NA	C CORP			Yes

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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

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 . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SUTTER CENTRAL VALLEY HOSPITALS	L	2,178,468	FMV
(2) SUTTER MEDICAL FOUNDATION	Q	32,707,151	FMV
(3) SUTTER COAST HOSPITAL	L	364,512	FMV
(4) SUTTER VISITING NURSES ASSOCIATION	M	160,996	FMV
(5) SUTTER VISITING NURSES ASSOCIATION	P	8,482,021	FMV
(6) SUTTER VISITING NURSES ASSOCIATION	Q	8,369,626	FMV
(7) SUTTER INSURANCES SERVICES CORPORATION	P	13,865,388	FMV
(8) SUTTER DAVIS HOSPITAL FOUNDATION	C	113,030	FMV
(9) SUTTER MEDICAL CENTER FOUNDATION	C	3,897,259	FMV
(10) SUTTER ROSEVILLE MEDICAL CENTER FOUNDATION	C	107,382	FMV
(11) SUTTER AUBURN FAITH HOSPITAL FOUNDATION	C	162,002	FMV
(12) SUTTER HEALTH (MOORE GRANT)	C	2,000,000	FMV
(13) SUTTER EAST BAY HOSPITALS	M	455,763	FMV

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	9,789
6	Total number of volunteers (estimate if necessary) .............	6	1,150
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,493,926
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	9,454,040	8,201,030
9	Program service revenue (Part VIII, line 2g) .........	1,847,267,442	1,873,497,794
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,932,380	588,430
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,187,585	2,340,647
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,864,841,447	1,884,627,901
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,075,591	5,127,958
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)	887,589,267	891,327,486
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 95,691
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	777,526,860	839,560,221
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,671,191,718	1,736,015,665
19	Revenue less expenses. Subtract line 18 from line 12.......	193,649,729	148,612,236
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,653,906,391	1,738,079,830
21	Total liabilities (Part X, line 26).............	1,171,733,527	1,255,476,921
22	Net assets or fund balances. Subtract line 21 from line 20.....	482,172,864	482,602,909

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,631,488,169 including grants of $ 5,127,958 ) (Revenue $ 1,873,497,794 )
	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 expenses1,631,488,169

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	167,981	16,034,644	3,844,323

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		38,496
d	Related organizations...1d		6,718,416
e	Government grants (contributions)1e		1,057,676

f	All other contributions, gifts, grants, and similar amounts not included above1f		386,442

g	Noncash contributions included in lines 1a-1f:$		8,627
h	Total. Add lines 1a-1f.......			8,201,030
			Business Code
2a	PATIENT SERVICE REVENUE		622110	1,866,341,341	1,866,341,341
b	RENTAL TO AFFILIATES		622110	6,681,429	6,681,429
c	ROSEVILLE ENDOSCOPY		622110	480,180	480,180
d	SUTTER AMADOR SURGERY		622110	-5,156	-5,156
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,873,497,794
3	Investment income (including dividends, interest, and other similar amounts).......			543,910			543,910
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	3,086,081
b	Less: rental expenses	2,245,850
c	Rental income or (loss)	840,231	0
d	Net rental income or (loss).......			840,231			840,231
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		44,520
b	Less: cost or other basis and sales expenses
c	Gain or (loss)		44,520
d	Net gain or (loss)..........			44,520			44,520
8a	Gross income from fundraising events (not including $ 38,496 of contributions reported on line 1c). See Part IV, line 18 ..
	a		25,200
b	Less: direct expenses ...b		23,520
c	Net income or (loss) from fundraising events..			1,680			1,680
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		4,810
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			4,810			4,810
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..			0
Miscellaneous Revenue			Business Code
11a	UBI - LABORATORY		621500	1,398,595		1,398,595
b	UBI - PARKING		812930	94,841		94,841
c	UBI - PHARMACY		446110	490		490
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,493,926
12	Total revenue. See Instructions......			1,884,627,901	1,873,497,794	1,493,926	1,435,151


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			0	1	0
2	Savings and temporary cash investments .........			65,348,266	2	69,889,638
3	Pledges and grants receivable, net ...........			89,343	3	141,201
4	Accounts receivable, net .............			220,089,829	4	277,199,156
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 ..............			24,540,792	8	25,513,499
9	Prepaid expenses and deferred charges ..........			6,966,081	9	4,388,831
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,082,768,266
b	Less: accumulated depreciation .....	10b	835,467,326	1,148,481,829	10c	1,247,300,940
11	Investments—publicly traded securities ..........			130,023,799	11	62,341,837
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			1,068,446	13	1,057,297
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			57,298,006	15	50,247,431
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,653,906,391	16	1,738,079,830
17	Accounts payable and accrued expenses .........			241,529,253	17	291,568,856
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			909,439,517	20	939,590,161
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 ..			4,627,048	23	4,660,681
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....................			16,137,709	25	19,657,223
26	Total liabilities. Add lines 17 through 25.........			1,171,733,527	26	1,255,476,921
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			480,907,888	27	480,508,141
28	Temporarily restricted net assets ...........			1,264,976	28	2,094,768
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			482,172,864	33	482,602,909
34	Total liabilities and net assets/fund balances ........			1,653,906,391	34	1,738,079,830