TY 2015 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) CHRISTOPHER BECNEL...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(2) DIANA BELL...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(3) ADRIAN BELLAMY...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(4) BONNIE BERTETTA...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(5) DAVID BLACK MD...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(6) JORDAN BLOOM...................................................................... TRUSTEE/CHAIR (PART YEAR)	1.0 ................. 0.0	X	X
(7) ROBERT BREMNER...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(8) ALLAN BRODY MD...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(9) WILLIAM BRUNETTI...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(10) SHEILA BURNS...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(11) CEIL CIRILLO...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(12) EILEEN CONSORTI...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(13) THEODORE DEIKEL...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(14) KEITH DUNCAN MD...................................................................... TRUSTEE/SECRETARY (PART YEAR)	1.0 ................. 0.0	X	X
(15) LISA DYER MD...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(16) EMIL ROY EISENHARDT...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X
(17) ERIC FLOWERS...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X

(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) RAJU GANDHI MD........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(19) OWEN GARRICK MD........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(20) MICHAEL GAULKE........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	27,500	0
(21) JEFF GERARD........................................................................ REG. PRES PENINSULA COASTAL	1.0 .......................40.0	X	X				0	1,503,468	414,818
(22) VINITA GUPTA........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(23) MATTHEW HANSMAN MD........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(24) RICHARD CARY HILL MD........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(25) KATHERINE HSIAO MD........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(26) STEVEN KATZNELSON MD........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(27) SARAH KREVANS........................................................................ PRESIDENT & COO SUTTER HEALTH	1.0 .......................40.0	X	X				0	2,077,694	496,140
(28) JOSEPH LACY MD........................................................................ TRUSTEE	1.0 .......................0.0	X					0	0	0
(29) RICHARD LEVY MD........................................................................ TRUSTEE/CHAIR FIN&PLAN (PT YR)	1.0 .......................0.0	X	X				0	0	0
(30) DAVID MARCUS MD........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(31) TIMOTHY MURPHY MD........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(32) DENNIS O'CONNELL........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(33) STEVEN OLIVER........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(34) BRIAN ROACH MD........................................................................ DIV. PRES. PAMF-MPHS (PT YR)	40.0 .......................0.0	X					0	711,439	143,202
(35) JOHN ROOT........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(36) JOHN RYAN........................................................................ TRUSTEE/CHAIR FIN&PLAN (PT YR)	1.0 .......................0.0	X	X				0	0	0
(37) RON SINHA MD........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(38) RICHARD SLAVIN........................................................................ PRESIDENT & CEO, PAMF (PT YR)	1.0 .......................40.0	X					0	1,346,748	187,063
(39) MARGARET TAYLOR........................................................................ TRUSTEE	1.0 .......................0.0	X					0	0	0
(40) ANTHONY WAGNER........................................................................ TRUSTEE/CHAIR (PART YEAR)	1.0 .......................0.0	X	X				0	0	0
(41) JANET WAGNER........................................................................ CEO, MPHS (PART YEAR)	40.0 .......................0.0	X	X				0	689,869	145,527
(42) REV PAUL WATERMULDER........................................................................ TRUSTEE/VICE CHAIR (PART YEAR)	1.0 .......................0.0	X	X				0	0	0
(43) JOHN GATES........................................................................ REG. CFO BAY AREA (PART YEAR)	1.0 .......................40.0		X				0	967,966	183,142
(44) KAREN HALL........................................................................ CHIEF LEGAL OFF. BAY AREA/SEC.	1.0 .......................40.0		X				0	588,758	116,427
(45) CATHERINE MESSMAN........................................................................ CFO MPHS, SMSCSC (PART YEAR)	40.0 .......................0.0		X				0	350,755	54,631
(46) DOLORES GOMEZ........................................................................ COO, MPHS	40.0 .......................0.0			X			0	532,117	85,086
(47) DANIEL BECKER........................................................................ MEDICAL DIRECTOR, MPHS	40.0 .......................0.0				X		408,202	0	34,701
(48) PATRICIA M RYAN........................................................................ VP, AMBULATORY SRVCS, MPHS	40.0 .......................0.0				X		0	397,053	61,459
(49) VICKI L WHITE........................................................................ CNE, MPHS	40.0 .......................0.0				X		0	419,628	46,632
(50) GAIUS JARUDO........................................................................ STAFF NURSE II, MPHS	40.0 .......................0.0				X		330,612	0	24,650
(51) TRACEY GAJDACS........................................................................ STAFF NURSE II, MPHS	40.0 .......................0.0				X		327,363	0	23,836
(52) ROBERT MERWIN........................................................................ CEO ACUTE CARE HSPS (FMR OFCR)	40.0 .......................0.0					X	0	674,554	75,735
(53) CARRIE OWEN-PLIETZ........................................................................ CEO SHSSR (FRMR KEY EMPLOYEE)	0.0 .......................40.0					X	0	908,913	164,454

(A) Name and business address	(B) Description of services	(C) Compensation
Fastaff Inc, PO Box 11407 BIRMINGHAM,AL35246	Staffing Services	5,179,381
MILLS PENINSULA MEDICAL GROUP, 533 AIRPORT BLVD STE 400 BURLINGAME,CA94010	MEDICAL SERVICES	4,440,713
US NURSING CORP, 6399 SO FIDDLERS GREEN CIR STE 100 GREENWOOD VILLAGE,CO80111	STAFFING SERVICES	3,856,514
ANESTHESIA CARE ASSOCIATES, 643 BAIR ISLAND RD STE 105 REDWOOD CITY,CA94063	MEDICAL SERVICES	2,388,152
PENINSULA HOSPITALIST ASSOCIATES IN, 839 COWAN RD BURLINGAME,CA94010	MEDICAL SERVICES	1,827,192
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 73

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

MILLS-PENINSULA HEALTH SERVICES

Employer identification number

94-1156265

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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

2015

Name of the organization

MILLS-PENINSULA HEALTH SERVICES

Employer identification number

94-1156265

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization MILLS-PENINSULA HEALTH SERVICES

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	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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization MILLS-PENINSULA HEALTH SERVICES		Employer identification number 94-1156265

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization MILLS-PENINSULA HEALTH SERVICES			Employer identification number 94-1156265
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MILLS-PENINSULA HEALTH SERVICES

Employer identification number

94-1156265

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	9,002,263	8,592,203	7,581,253	6,698,130	6,719,626
b	Contributions ...	293,248		1,043,730	222,000
c	Net investment earnings, gains, and losses	-465,325	471,783		724,667	32,296
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	90,288	61,723	32,780	63,544	53,792
f	Administrative expenses ....
g	End of year balance ......	8,739,898	9,002,263	8,592,203	7,581,253	6,698,130

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

77.070 %

Temporarily restricted endowment SchDMd Bullet

22.930 %

The percentages on 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)

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

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' on 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 ...	9,273,482		9,273,482
b	Buildings	813,818,555	284,357,112	529,461,443
c	Leasehold improvements	4,225,765	3,657,342	568,423
d	Equipment ...	239,486,091	192,087,419	47,398,672
e	Other ...	63,724,130	13,004,694	50,719,436
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				637,421,456

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
INSURANCE LIABILITIES	1,980,997
OTHER LIABILITIES	553,950
THIRD PARTY SETTLEMENTS	226,503
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,761,450
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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

SCHEDULE D, PART V, LINE 4

INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: THE ENDOWMENTS ARE USED TO SUPPORT THE PROGRAMS OF MILLS-PENINSULA HEALTH SERVICES.

SCHEDULE D, PART X, LINE 2

ASC 740 (FIN48) AUDIT FOOTNOTE: 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 CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2015 AND 2014, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MILLS-PENINSULA HEALTH SERVICES

Employer identification number

94-1156265

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 400 %

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: . . . . . . . .

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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? . . . . . .

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)	(b) Persons served (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) . . .			3,444,176		3,444,176	0.570 %
b	Medicaid (from Worksheet 3, column a) . . . . .			89,794,284	33,917,885	55,876,399	9.170 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			264,184	49,294	214,890	0.040 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			93,502,644	33,967,179	59,535,465	9.780 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5	3,378	226,176	1,822	224,354	0.040 %
f	Health professions education (from Worksheet 5) . . .	1	490	63,879		63,879	0.010 %
g	Subsidized health services (from Worksheet 6) . . . .	3	177	8,414,608	5,061,271	3,353,337	0.550 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	20	1,690	3,317,957	2,186	3,315,771	0.540 %
j	Total. Other Benefits . .	29	5,735	12,022,620	5,065,279	6,957,341	1.140 %
k	Total. Add lines 7d and 7j .	29	5,735	105,525,264	39,032,458	66,492,806	10.920 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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	1	564	564
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	1	564	564

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. ......

2,104,747

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).....

102,825,402

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

141,295,088

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

-38,469,686

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

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?3 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (Describe)	Facility reporting group
1	MILLS PENINSULA MEDICAL CENTER 1501 TROUSDALE DRIVE BURLINGAME,CA940104506 www.mills-peninsula.org LICENSE #220000037	X	X	X		A
2	MENLO PARK SURGICAL HOSPITAL 570 WILLOW ROAD MENLO PARK,CA940252617 www.pamf.org/MPHS LICENSE #220000276	X	X		OUTPATIENT SERVICES	A
3	SUTTER MATERNITY & SURGERY SANTA CRUZ 2900 CHANTICLEER AVE SANTA CRUZ,CA950651816 www.suttersantacruz.org LICENSE #070000399	X	X		OUTPATIENT SERVICES	A

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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 Section C)

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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 PART V, SECTION C

Other website (list url): SEE PART V, SECTION C

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400.% and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, LINE 5	MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL (A, 1-2): IN CONDUCTING ITS MOST RECENT CHNA IN 2013, MILLS-PENINSULA MEDICAL CENTER AND MENLO PARK SURGICAL HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. THE HEALTHY COMMUNITY COLLABORATIVE CONVENED A FOCUS GROUP OF 20 LOCAL COMMUNITY LEADERS AND KEY STAKEHOLDERS ON JANUARY 30, 2013. THE PURPOSE OF THIS CONVENING WAS TO ELICIT FEEDBACK AND PRIORITIZATION ON KEY FINDINGS FROM THE CHNA THROUGH A FOCUS GROUP METHOD. THE PARTICIPANTS WERE GIVEN A PRESENTATION ON THE MAJOR HEALTH CONDITIONS IDENTIFIED IN THE 2013 SAN MATEO COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE GROUP PROVIDED REACTIONS TO THESE FINDINGS, AND RATED THE 12 TOP HEALTH NEEDS IN THE COUNTY ACROSS FOUR DIMENSIONS. FOCUS GROUP PARTICIPANTS INCLUDED THE FOLLOWING PEOPLE: - REV. DR. LYNN BOWDISH, PASTOR, COMMUNITY ACTIVIST OF HOLY CHILD-ST. MARTIN EPISCOPAL CHURCH - PAT BROWN, EXECUTIVE DIRECTOR OF REDWOOD CITY 2020 - ERIN CLARK, INTERN FOR PENINSULA HEALTH CARE DISTRICT - KRISTEN DAMBROWSKI, ASSOCIATE EXECUTIVE DIRECTOR OF PENINSULA FAMILY YMCA - CHERYL FAMA, CEO OF PENINSULA HEALTH CARE DISTRICT - KIMBERLY GILLETTE, DIRECTOR OF DALY CITY YOUTH HEALTH CENTER - CAROLE GROOM, SUPERVISOR FOR SAN MATEO COUNTY BOARD OF SUPERVISORS - SAM HERZBERG, SENIOR PLANNER FOR SAN MATEO COUNTY PARKS AND RECREATION - LORI KANDALS, EXECUTIVE DIRECTOR OF CAMINAR - BARBARA LIEDTKE, SOUTH CITY HOME SHARE COORDINATOR FOR HUMAN INVESTMENT PROJECT HOUSING - DAISY LIU, HEALTH EDUCATOR FOR HEALTH PLAN OF SAN MATEO - LEE MICHELSON, CEO OF SEQUOIA HEALTHCARE DISTRICT - SARA LARIOS MITCHELL, CEO OF STAR-VISTA - RON MYERS, SAN MATEO COUNTY FIRE CHIEF - SHARON PETERSON, DIRECTOR OF OPERATIONS FOR SAMARITAN HOUSE - EMILY ROBERTS, CHILD HEALTH & DEVELOPMENT SPECIALIST FOR FIRST 5 SAN MATEO COUNTY - FONCET TAUAALO, INTERN FOR SAN MATEO COUNTY HUMAN SERVICE AGENCY - RITA TIMES, ADVISORY BOARD MEMBER FOR AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY - DEBORAH TORRES, DIRECTOR OF SAN MATEO COUNTY HUMAN SERVICE AGENCY - ART WOLF, SR. DEVELOPMENT OFFICER FOR PENINSULA JEWISH COMMUNITY CENTER. THE CHNA ALSO UTILIZED A NUMBER OF HEALTH AND WELL BEING INDICATORS COLLECTED FROM BOTH PRIMARY AND SECONDARY DATA. INPUT FROM THE COMMUNITY SERVED, OR PRIMARY DATA, WERE COLLECTED THROUGH A TELEPHONE SURVEY OF ADULTS (THE 2013 HEALTH & QUALITY OF LIFE SURVEY), AND INCLUDED BOTH HEALTH AND WELL BEING INDICATORS. HEALTH INDICATORS INCLUDED RISK BEHAVIORS SUCH AS SMOKING, PHYSICAL INACTIVITY, HIGH BLOOD PRESSURE, OVERWEIGHT PREVALENCE, AND PREVENTION SERVICES SUCH AS CANCER SCREENINGS AND ACCESS TO MEDICAL AND DENTAL CARE. THE SURVEY UTILIZED MANY QUESTIONS FROM THE CENTER FOR DISEASE CONTROL AND PREVENTIONS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE SURVEY ALSO COLLECTED QUALITY OF LIFE INDICATORS SUCH AS HOUSING, SOCIAL CAPITAL, CHILDCARE, TRANSPORTATION, AND EDUCATION. MANY OF THE SURVEY QUESTIONS WERE ADMINISTERED IN EARLIER ASSESSMENTS CONDUCTED FOR THE SERVICE AREA, AND THIS ALLOWED FOR TRENDING OVER TIME. THE SURVEY WAS CONDUCTED AMONG A RANDOM SAMPLE OF 1,000 ADULTS RESIDING IN THE SERVICE AREA OF SAN MATEO COUNTY. AN OVERSAMPLING OF AFRICAN AMERICAN, LOW INCOME (THOSE BELOW 400% OF FEDERAL POVERTY LEVEL (FPL), AND RESIDENTS LIVING IN COASTSIDE ZIP CODES WAS CONDUCTED TO ALLOW FOR ANALYSIS OF THESE POPULATIONS. IN TOTAL, 1,724 INTERVIEWS WERE CONDUCTED. THE FINDINGS IN MILLS-PENINSULA MEDICAL CENTERS CHNA ARE AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MATERNITY & SURGERY SANTA CRUZ (A, 3): SMSC, A FACILITY OF MPHS, PARTICIPATED IN A COLLABORATIVE EFFORT TO CONDUCT A COUNTYWIDE COMMUNITY ASSESSMENT. THIS COMMUNITY ASSESSMENT PROJECT (CAP) WAS LED BY APPLIED SURVEY RESEARCH (ASR), UNITED WAY OF SANTA CRUZ COUNTY, AND DOMINICAN HOSPITAL, AND WAS SPONSORED BY A NUMBER OF COMMUNITY STAKEHOLDERS INCLUDING SMSC. THE SANTA CRUZ COUNTY CAP IS CONDUCTED EVERY TWO YEARS AND WAS MOST RECENTLY CONDUCTED IN 2012. THE ASSESSMENT INCLUDES A TEN-STEP COMMUNITY IMPROVEMENT CYCLE, WITH STEPS INCLUDING DATA COLLECTION, COMMUNITY GOAL SETTING, AND ACTION STEPS. THE CAP INCLUDES PRIMARY DATA FROM A REPRESENTATIVE PHONE SURVEY OF SANTA CRUZ COUNTY RESIDENTS AND A VARIETY OF SECONDARY DATA, SYNTHESIZED IN A COMPREHENSIVE REPORT EVALUATING SIX AREAS-- ECONOMY, EDUCATION, HEALTH, PUBLIC SAFETY, THE SOCIAL ENVIRONMENT, AND THE NATURAL ENVIRONMENT. THE 2012 CAP STEERING COMMITTEE ACTIVELY PARTICIPATED IN THE ASSESSMENT PROCESS AND CONSISTED OF INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING NONPROFIT HOSPITALS, COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY AND HUMAN SERVICES DEPARTMENTS, A NONPROFIT HEALTHCARE COALITION, NONPROFIT HEALTHCARE AND COMMUNITY FOUNDATIONS, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS, INDIVIDUALS IN LAW ENFORCEMENT AND EDUCATION, AND OTHER COMMUNITY STAKEHOLDERS. INTERVIEWS WERE HELD WITH THE FOLLOWING PEOPLE: - CALEB BASKIN OF BASKIN & GRANT WITH EXPERTISE IN LAW - DONNA BLITZER OF THE UNIVERSITY OF CALIFORNIA, SANTA CRUZ WITH EXPERTISE IN EDUCATION - SUSAN BRUTSCHY OF APPLIED SURVEY RESEARCH WITH EXPERTISE IN HEALTH RESEARCH - LESLIE CONNER OF SANTA CRUZ WOMEN'S HEALTH CENTER WITH EXPERTISE IN WOMAN'S HEALTH - CHRISTINA CUEVAS OF COMMUNITY FOUNDATION OF SANTA CRUZ COUNTY WITH EXPERTISE IN PHILANTHROPY - KAREN DELANEY OF VOLUNTEER CENTER OF SANTA CRUZ WITH EXPERTISE IN YOUTH, FAMILIES, ELDERLY, AND DISABLED PERSONS. - WILLY ELLIOT-MCCREA OF SECOND HARVEST FOOD BANK WITH EXPERTISE IN FOOD ACCESS - PEGGY FLYNN OF ETR ASSOCIATES WITH EXPERTISE IN EDUCATION, TRAINING & RESEARCH IN HEALTH & WELLNESS - WILL FOREST OF THE COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY WITH EXPERTISE IN EPIDEMIOLOGY - MARY LOU GOEKE OF UNITED WAY OF SANTA CRUZ COUNTY WITH EXPERTISE IN SERVICES FOR CHILDREN AND FAMILIES - DAN HAIFLEY OF O'NEILL SEA ODYSSEY WITH EXPERTISE IN ENVIRONMENTAL ISSUES - CHRISTINE JOHNSON-LYONS OF COMMUNITY ACTION BOARD WITH EXPERTISE IN LOW-INCOME POPULATIONS - SHEBREH KALANTARI-JOHNSON OF FIRST 5 SANTA CRUZ COUNTY WITH EXPERTISE IN YOUTH - BOB KENNEDY OF COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY WITH EXPERTISE IN ENVIRONMENTAL HEALTH AND PUBLIC HEALTH - RAMA KHALSA, COMMUNITY VOLUNTEER WITH EXPERTISE IN COMMUNITY HEALTH - KIRSTEN LISKE OF ECOLOGY ACTION WITH EXPERTISE IN ENVIRONMENTAL ISSUES - ELEANOR LITTMAN OF HEALTH IMPROVEMENT PARTNERSHIP SANTA CRUZ COUNTY WITH EXPERTISE IN HEALTHCARE ACCESS - ELLEN MURTHA OF SANTA CRUZ COMMUNITY VENTURES WITH EXPERTISE IN SOCIAL & ECONOMIC JUSTICE - MADELINE NOYA OF COUNTY OF SANTA CRUZ HUMAN SERVICES DEPARTMENT WITH EXPERTISE IN SOCIAL SERVICES - PAUL O'BRIEN, COMMUNITY VOLUNTEER WITH EXPERTISE IN HOMELESSNESS - MARTINA O'SULLIVAN OF DOMINICAN HOSPITAL WITH EXPERTISE IN COMMUNITY ENGAGEMENT - DOUG PATRICK, COMMUNITY VOLUNTEER WITH EXPERTISE IN DISABLED PERSONS - ROCK PFOTENHAUER OF CABRILLO COLLEGE WITH EXPERTISE IN EDUCATION - RAQUEL RAMIREZ RUIZ OF PAJARO VALLEY COMMUNITY HEALTH TRUST WITH EXPERTISE IN PUBLIC HEALTH AND HEALTHCARE ACCESS - JANET REED, COMMUNITY VOLUNTEER WITH EXPERTISE IN SOCIAL WORK AND YOUTH - JULIE REINHARDT OF IMAGINE SUPPORTED LIVING SERVICES WITH EXPERTISE IN ADULTS WITH DEVELOPMENTAL DISABILITIES - SUSAN ROZARIO OF COUNTY OF SANTA CRUZ SHERRIFF'S OFFICE WITH EXPERTISE IN LAW ENFORCEMENT - LAURA SEGURA OF WOMEN'S CRISIS SUPPORT/DEFENSA DE MUJERES WITH EXPERTISE IN DOMESTIC VIOLENCE AND SEXUAL ASSAULT - ABIGAIL STEVENS OF APPLIED SURVEY RESEARCH WITH EXPERTISE IN HEALTH RESEARCH - BRIAN SPECTOR OF WALDE RUHNKE AND DOST ARCHITECTS, LLP WITH EXPERTISE IN ARCHITECTURE (INCLUDING AFFORDABLE HOUSING, HEALTHCARE, EDUCATION) - SAM STOREY OF COMMUNITY BRIDGES WITH EXPERTISE IN YOUTH, FAMILIES, AND SENIORS - SUSAN TRUE OF FIRST 5 SANTA CRUZ COUNTY WITH EXPERTISE IN YOUTH - MICHAEL WATKINS OF SANTA CRUZ COUNTY OFFICE OF EDUCATION WITH EXPERTISE IN EDUCATION
SCHEDULE H, PART V, SECTION B, LINE 6A	MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL (A, 1-2): THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY WAS FORMED IN 1995 AND IS COMPRISED OF 14 MEMBER ORGANIZATIONS. THE COLLABORATIVE IS A SUBCOMMITTEE OF THE SAN MATEO COUNTY HOSPITAL CONSORTIUM. MEMBERS INCLUDE NONPROFIT HOSPITALS, A MEDICAL FOUNDATION, SAN MATEO COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES AGENCY, A NONPROFIT HEALTHCARE PLAN, COMMUNITY CLINICS, TWO HEALTHCARE DISTRICTS, AND A COMMUNITY FOUNDATION. THE MISSION OF THE COLLABORATIVE IS TO PROMOTE THE HEALTH AND WELL BEING OF RESIDENTS LIVING IN SAN MATEO COUNTY BY IDENTIFYING AND ADDRESSING HEALTH NEEDS. THE HOSPITALS THAT COLLABORATED ON THE 2013 CHNA ARE MILLS-PENINSULA MEDICAL CENTER, SEQUOIA HOSPITAL, KAISER PERMANENTE SAN MATEO, LUCILE PACKARD CHILDREN'S HOSPITAL AT STANFORD, SAN MATEO MEDICAL CENTER, SETON MEDICAL CENTER AND STANFORD HOSPITAL & CLINICS. SUTTER MATERNITY & SURGERY SANTA CRUZ (A, 3): SUTTER MATERNITY & SURGERY CENTER AND DOMINICAN HOSPITAL WERE TWO HOSPITALS THAT COLLABORATED ON THE COMMUNITY ASSESSMENT PROJECT.
SCHEDULE H, PART V, SECTION B, LINE 7A AND 10A	REPORTING FACILITY WEBSITES: MILLS PENINSULA MEDICAL CENTER (A, 1) HTTP://WWW.MILLS-PENINSULA.ORG/COMMUNITY/NEEDS-ASSESSMENT.HTML MENLO PARK SURGICAL HOSPITAL (A, 2) HTTP://WWW.PAMF.ORG/MPSH/COMMUNITY/ SUTTER MATERNITY & SURGERY SANTA CRUZ (A, 3) HTTP://WWW.SUTTERSANTACRUZ.ORG/COMMUNITY/ASSESSMENT.HTML SCHEDULE H, PART V, SECTION B, LINE 7B (A, 1-3) HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML
SCHEDULE H, PART V, SECTION B, LINE 11	MILLS-PENINSULA HEALTH SERVICES (A, 1) THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MILLS-PENINSULA MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO HEALTH CARE - UNINSURED AND UNDERINSURED COMMUNITY MEMBERS HAVE DIFFICULTY ACCESSING AND ENCOUNTER LONG WAITS FOR NEEDED HEALTH CARE FROM COMMUNITY CLINICS FOR BOTH PRIMARY AND SPECIALTY CARE. HEALTH NEEDS IDENTIFIED BY THE CHNA INCLUDE DIABETES, CARDIOVASCULAR DISEASE, OBESITY, CANCER, ASTHMA AND RESPIRATORY CONDITIONS, STDS/HIV-AIDS AND INFECTIOUS DISEASE. COGNITIVE ISSUES - SUPPORT OF COMMUNITY MEMBERS WITH COGNITIVE ISSUES IS LIMITED FOR BOTH THE PERSON WITH THE CONDITION AND THE CAREGIVER. DENTAL AND ORAL HEALTH - ADULTS ARE VISITING THE DENTIST FOR ROUTINE CHECKUP LESS FREQUENTLY, PARTICULARLY YOUNG ADULTS. THERE HAS BEEN AN INCREASE IN THE NUMBER OF COMMUNITY MEMBERS WHO DO NOT HAVE DENTAL INSURANCE. MENTAL HEALTH - ADULTS REPORT FEELING DEPRESSED IN HIGHER NUMBERS AND 24% OF ADULTS REPORT HAVING A PERIOD LASTING TWO YEARS OR LONGER IN WHICH THEY WERE DEPRESSED ON MOST DAYS. SUBSTANCE ABUSE - DATA INDICATED THAT BINGE DRINKING (CONSUMPTION OF FIVE OR MORE ALCOHOLIC DRINKS) INCREASED SIGNIFICANTLY AMONG MALES AGED 18 TO 24. FELONY AND MISDEMEANOR DUI ARREST S ALSO INCREASED. BIRTHS - RACIAL AND ETHNIC DISPARITIES EXIST AMONG WOMEN THAT RECEIVED ADEQUATE PRENATAL CARE. PACIFIC ISLANDER WOMEN HAVE THE HIGHEST PROPORTIONS OF BIRTHS RECEIVING LESS THAN ADEQUATE PRENATAL CARE. THE PROPORTION OF BIRTHS DELIVERED BY C-SECTION HAS DRAMATICALLY INCREASED. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY MILLS-PENINSULA HEALTH SERVICES IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEED THAT WAS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: - VIOLENCE AND SAFETY THESE SERVICES ARE NOT WITHIN THE SCOPE OF EXPERTISE OF MILLS-PENINSULA HEALTH SERVICES. MENLO PARK SURGICAL HOSPITAL (A, 2) THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MENLO PARK SURGICAL HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO SPECIALTY CARE - A SEGMENT OF SAN MATEO COUNTY'S UNDERSERVED/UNDERINSURED ADULTS REPORT THAT THEY HAVE NEEDED SURGICAL CARE FOR GENERAL, ORTHOPEDIC AND UROLOGIC CONDITIONS. ORAL HEALTH AND DENTAL CARE - MANY UNDERSERVED/UNDERINSURED CHILDREN AND ADULTS IN SAN MATEO COUNTY DO NOT HAVE ACCESS TO NEEDED PREVENTIVE AND INTERVENTIONAL DENTAL CARE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH OTHER CRITICAL EFFORTS ON BEHALF OF MENLO PARK SURGICAL HOSPITAL. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MENLO PARK SURGICAL HOSPITAL (MPSH) IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: - DIABETES - OBESITY - CARDIOVASCULAR DISEASE, HEART ATTACK AND STROKE - SUBSTANCE ABUSE - VIOLENCE AND SAFETY - CANCER - BIRTHS - COGNITIVE ISSUES - STDS, HIV/AIDS MPSH DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THESE NEEDS AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO FULFILL THIS ROLE. SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ (A, 3) THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER MATERNITY & SURGERY CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: ACCESS TO PRIMARY CARE - A SEGMENT OF THE COUNTY'S ADULTS REPORT THAT THEY HAVE NEEDED HEALTHCARE BUT HAVE BEEN UNABLE TO RECEIVE IT. DISPARITIES BETWEEN LATINO AND NON-LATINO RESIDENTS REPORTING A REGULAR SOURCE OF HEALTHCARE ALSO PERSIST. HEALTH INSURANCE AMONG CHILDREN - A SEGMENT OF THE COUNTY'S CHILDREN AGE 0-17 REMAIN WITHOUT HEALTHCARE INSURANCE, AT A GREATER RATE THAN THE STATE AVERAGE. CHILDHOOD OBESITY - ROUGHLY ONE-QUARTER OF LOW-INCOME CHILDREN AGE 5-19 YEARS OLD IN SANTA CRUZ COUNTY ARE OBESE, AN INCREASING TREND THAT REMAINS HIGHER THAN THE STATE AVERAGE. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SMSC IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: - NUTRITION WHILE NUTRITION IS ADDRESSED WITH A SUBSET OF THE POPULATION THROUGH THE SMSC PEDIATRIC WEIGHT MANAGEMENT PROGRAM'S EDUCATIONAL COMPONENT, SMSC DOES NOT HAVE THE EXPERTISE, NOR DOES SMSC HAVE SUFFICIENT NUTRITIONIST RESOURCES, TO EFFECTIVELY ADDRESS THIS NEED ON A BROADER SCALE IN THE COMMUNITY. - PHYSICAL ACTIVITY WHILE PHYSICAL ACTIVITY IS ADDRESSED WITH A SUBSET OF THE POPULATION THROUGH THE SMSC PEDIATRIC WEIGHT MANAGEMENT PROGRAM'S EDUCATIONAL COMPONENT, SMSC DOES NOT HAVE THE EXPERTISE, NOR DOES SMSC HAVE SUFFICIENT PHYSICAL ACTIVITY RESOURCES, TO EFFECTIVELY ADDRESS THIS NEED ON A BROADER SCALE IN THE COMMUNITY. - DENTAL CARE SMSC DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED, AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO ADDRESS THIS NEED. - DIABETES SMSC DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED, AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO ADDRESS THIS NEED. - ALCOHOL AND DRUG SMSC DOES NOT HAVE EXPERTISE TO EFFECTIVELY ADDRESS THIS NEED, AND OTHER ORGANIZATIONS IN THE COMMUNITY ARE BETTER EQUIPPED TO ADDRESS THIS NEED.
SCHEDULE H, PART V, SECTION B, LINE 15E	METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE - OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE.
SCHEDULE H, PART V, SECTION B, LINE 16I	MEASURES USED TO PUBLICIZE THE FACILITYS FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITALS SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. ON AN ANNUAL BASIS SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 22D	AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.

Schedule H (Form 990) 2015

Page 8

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?3
Name and address		Type of Facility (describe)
1	MILLS-PENINSULA HEALTH CENTER 100 S SAN MATEO DRIVE SAN MATEO,CA94401	CHRONIC DIALYSIS RENAL DISEASE
2	MILLS-PENINSULA SENIOR FOCUS 1720 EL CAMINO REAL BURLINGAME,CA94010	MEDICAL DAY CARE
3	MILLS-PENINSULA SKILLED NURSING FACILITY 1609 TROUSDALE DRIVE BURLINGAME,CA94010	SKILLED NURSING FACILITY
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

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.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENTS FAMILY INCOME.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: MILLS PENINSULA HEALTH SERVICES & MENLO PARK SURGICAL HOSPITAL: MILLS-PENINSULA HEALTH SERVICES AND MENLO PARK SURGICAL HOSPITAL DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2015. SUTTER MATERNITY & SURGERY CENTER: SUTTER MATERNITY & SURGERY CENTER FUNDS THE FOLLOWING PROGRAMS THAT HELP ADDRESS ROOT CAUSES OF HEALTH PROBLEMS AND IMPACT THE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE (ALSO KNOWN AS COMMUNITY-BUILDING ACTIVITIES). THESE PROGRAMS HELP SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF SUTTER HEALTH. ENVIRONMENTAL AWARENESS PROGRAM: THE ENVIRONMENTAL AWARENESS PROGRAM AT SUTTER MATERNITY & SURGERY CENTER FOCUSES ON REDUCTION OF COMMUNITY ENVIRONMENTAL HAZARDS ALONG WITH THE SHARING IN HEALTH CARE FACILITY ENVIRONMENTAL RESPONSIBILITY, WHICH INCLUDES WASTE REDUCTION, GREEN PURCHASING AND OTHER ECOLOGY INITIATIVES.
SCHEDULE H, Part III, Line 2	METHODOLOGY FOR CALCULATING BAD DEBT (AT COST): THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE.
SCHEDULE H, Part III, Line 3	METHODOLOGY FOR DETERMINING THE AMOUNT OF BAD DEBT LIKELY ATTRIBUTABLE TO CHARITY CARE: AMOUNTS MAY BE INCLUDED IN BAD DEBT PENDING A CHARITY CARE DETERMINATION. UPON ELIGIBILITY THESE AMOUNTS WOULD BE RECLASSIFIED AS CHARITY CARE.
SCHEDULE H, Part III, Line 4	AUDIT FOOTNOTE THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. PROVISION FOR BAD DEBTS IS LISTED ON A SEPARATE LINE ITEM IN THE FINANCIAL STATEMENTS. THE AUDIT DOES INCLUDE A FOOTNOTE FOR PATIENT SERVICE REVENUES LESS PROVISION FOR BAD DEBTS. PATIENT SERVICE REVENUE FOOTNOTE: PATIENT SERVICE REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT PROGRAMS WITH THIRD-PARTY PAYERS. ESTIMATED SETTLEMENTS UNDER THIRD-PARTY REIMBURSEMENT PROGRAMS ARE ACCRUED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, PRIMARILY AS A RESULT OF FINAL COST REPORT SETTLEMENTS WITH GOVERNMENTAL AGENCIES. PATIENT SERVICE REVENUES LESS PROVISION FOR BAD DEBTS ARE REPORTED NET OF THE PROVISION FOR BAD DEBTS ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. SUTTER'S SELF-PAY WRITE-OFFS WERE $192 MILLION AND $287 MILLION FOR 2015 AND 2014, RESPECTIVELY.
Schedule H, Part III, Line 7	MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS.
SCHEDULE H, PART III, LINE 8	COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT.
SCHEDULE H, PART III, LINE 9B	DEBT COLLECTION POLICY: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF FEDERAL AND CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. AT DISCHARGE PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 210 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: MILLS PENINSULA MEDICAL CENTER & MENLO PARK SURGICAL HOSPITAL: IN ACCORDANCE WITH LEGISLATIVE REQUIREMENTS, MILLS-PENINSULA MEDICAL CENTER PARTICIPATED IN A COLLABORATIVE EFFORT TO CONDUCT A CHNA OF THE SERVICE AREA-SAN MATEO COUNTY. PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) (WWW.PRCONLINE.COM) CONDUCTED THE ASSESSMENT ON THE BEHALF OF THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY. PRC IS A RESEARCH FIRM DEDICATED TO THE IMPROVEMENT OF HEALTHCARE ACROSS ALL COMMUNITIES. SINCE 1994 PRC HAS CONDUCTED MULTIPLE HEALTH NEEDS ASSESSMENTS WORKING ON THE BEHALF OF NONPROFIT HOSPITALS, HEALTH DEPARTMENTS, FOUNDATIONS, CIVIC ORGANIZATIONS, AND HEALTH PROVIDERS NATION-WIDE. THE HEALTHY COMMUNITY COLLABORATIVE OF SAN MATEO COUNTY WAS FORMED IN 1995 AND IS COMPRISED OF 14 MEMBER ORGANIZATIONS. THE COLLABORATIVE IS A SUBCOMMITTEE OF THE SAN MATEO COUNTY HOSPITAL CONSORTIUM. MEMBERS INCLUDE NONPROFIT HOSPITALS, A MEDICAL FOUNDATION, SAN MATEO COUNTY HEALTH DEPARTMENT AND HUMAN SERVICES AGENCY, A NONPROFIT HEALTHCARE PLAN, COMMUNITY CLINICS, TWO HEALTHCARE DISTRICTS, AND A COMMUNITY FOUNDATION. THE MISSION OF THE COLLABORATIVE IS TO PROMOTE THE HEALTH AND WELL BEING OF RESIDENTS LIVING IN SAN MATEO COUNTY BY IDENTIFYING AND ADDRESSING HEALTH NEEDS. THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOCUSED ON SAN MATEO COUNTY, AND WAS COMPLETED IN THE FALL OF 2013. THE FULL REPORT CAN BE ACCESSED ON THE INTERNET AT WWW.SMCHEALTH.ORG OR WWW.PLSINFO.ORG. THE PRIMARY OBJECTIVE OF THE CHNA WAS TO UNDERSTAND CURRENT CONDITIONS AND TRENDS OF THE HEALTH STATUS OF RESIDENTS LIVING IN THE SERVICE AREA, AND IDENTIFY AREAS FOR IMPROVEMENT. THE RESULTS WERE INTENDED TO BE A PLANNING TOOL SO THAT KEY STAKEHOLDERS COULD MAKE DATA-DRIVEN RECOMMENDATIONS AND DECISIONS TO IMPROVE HEALTH AMONG SERVICE AREA RESIDENTS. TWO SPECIFIC GOALS HELPED TO GUIDE THE ASSESSMENT AS IT WAS COMPLETED. THESE WERE: - TO PRODUCE A FUNCTIONAL, COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT THAT COULD BE USED FOR STRATEGIC PLANNING OF COMMUNITY PROGRAMS, AND AS A GUIDELINE FOR POLICY AND ADVOCACY EFFORTS; AND - TO PROMOTE COLLABORATIVE EFFORTS IN THE COMMUNITY AND DEVELOP COLLABORATIVE PROJECTS BASED ON THE DATA, COMMUNITY INPUT, IDENTIFIED SERVICE GAPS, AND GROUP CONSENSUS (2013 COMMUNITY HEALTH NEEDS ASSESSMENT) RECOGNIZING THAT HEALTH STATUS WAS NOT EVENLY DISTRIBUTED ACROSS THE SERVICE AREA, A FOCUS OF THE CHNA WAS TO IDENTIFY AND HIGHLIGHT COMMUNITIES AND POPULATIONS THAT WERE EXPERIENCING DISPARITIES. TO THIS END, WHEN AVAILABLE, INDICATORS WERE REPORTED BY RACE/ETHNICITY, GENDER, INCOME, AND REGIONS OF THE COUNTY. THE ASSESSMENT UTILIZED A NUMBER OF HEALTH AND WELL BEING INDICATORS COLLECTED FROM BOTH PRIMARY AND SECONDARY DATA. INPUT FROM THE COMMUNITY SERVED, OR PRIMARY DATA, WERE COLLECTED THROUGH A TELEPHONE SURVEY OF ADULTS (THE 2013 HEALTH & QUALITY OF LIFE SURVEY), AND INCLUDED BOTH HEALTH AND WELL BEING INDICATORS. HEALTH INDICATORS INCLUDED RISK BEHAVIORS SUCH AS SMOKING, PHYSICAL INACTIVITY, HIGH BLOOD PRESSURE, OVERWEIGHT PREVALENCE, AND PREVENTION SERVICES SUCH AS CANCER SCREENINGS AND ACCESS TO MEDICAL AND DENTAL CARE. THE SURVEY UTILIZED MANY QUESTIONS FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE SURVEY ALSO COLLECTED QUALITY OF LIFE INDICATORS SUCH AS HOUSING, SOCIAL CAPITAL, CHILDCARE, TRANSPORTATION, AND EDUCATION. MANY OF THE SURVEY QUESTIONS WERE ADMINISTERED IN EARLIER ASSESSMENTS CONDUCTED FOR THE SERVICE AREA, AND THIS ALLOWED FOR TRENDING OVER TIME. THE SURVEY WAS CONDUCTED AMONG A RANDOM SAMPLE OF 1,000 ADULTS RESIDING IN THE SERVICE AREA OF SAN MATEO COUNTY. AN OVERSAMPLING OF AFRICAN AMERICAN, LOW INCOME (THOSE BELOW 400% OF FEDERAL POVERTY LEVEL (FPL), AND RESIDENTS LIVING IN COASTSIDE ZIP CODES WAS CONDUCTED TO ALLOW FOR ANALYSIS OF THESE POPULATIONS. IN TOTAL, 1,724 INTERVIEWS WERE CONDUCTED. SECONDARY DATA WERE COLLECTED AND REPORTED AS WELL. WHEN AVAILABLE, BENCHMARK COMPARISONS WERE MADE TO HEALTHY PEOPLE 2020 OBJECTIVES. THESE DATA INCLUDED INDICATORS POINTING TO HEALTH STATUS AND QUALITY OF LIFE IN THE SERVICE AREA. EXAMPLES OF HEALTH STATUS INDICATORS INCLUDED YEARS OF POTENTIAL LIFE LOST; INFANT MORTALITY; MORTALITY RATES BY CAUSES SUCH AS CANCER AND CARDIOVASCULAR DISEASE; HOSPITALIZATIONS DUE TO VARIOUS CAUSES; MATERNAL AND CHILD HEALTH SUCH AS LOW BIRTH WEIGHT, CHILDHOOD IMMUNIZATION RATES, AND CHILDHOOD OBESITY; AND INCIDENCE AND PREVALENCE OF COMMUNICABLE DISEASES. EXAMPLES OF QUALITY OF LIFE DATA INCLUDED EDUCATION INDICATORS SUCH AS PRESCHOOL ENROLLMENT AND COLLEGE READINESS, CRIME RATES, PER CAPITA INCOME AND RELATED POVERTY INDICATORS, EMPLOYMENT RATES AND OTHER ECONOMIC INDICATORS, COMMUTING AND TRAVEL INDICATORS, HOUSING AFFORDABILITY, AND HOMELESSNESS ESTIMATES. DATA WERE COLLECTED AND ANALYZED AND PRESENTED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SAN MATEO COUNTY. A 454-PAGE REPORT DETAILS THE FINDINGS AND CAN BE ACCESSED ON THE INTERNET AT WWW.SMCHEALTH.ORG OR WWW.PLSINFO.ORG. THE 2013 SAN MATEO COMMUNITY NEEDS ASSESSMENT IDENTIFIED 12 HEALTH NEEDS. THESE WERE GENERATED FROM THE PRIMARY AND SECONDARY DATA COLLECTED AND ANALYZED IN THE CHNA, AS WELL AS INPUT IN THE FORM OF A COMMUNITY LEADER/KEY STAKEHOLDER FOCUS GROUP. THE 12 HEALTH NEEDS ARE: - OBESITY - CARDIOVASCULAR DISEASE, HEART ATTACK AND STROKE - SUBSTANCE ABUSE (ALCOHOL, TOBACCO, & OTHER DRUGS PROGRAM) - POOR ORAL HEALTH - VIOLENCE - INFECTIOUS DISEASE - DIABETES - POOR MENTAL HEALTH - CANCER - BIRTHS AND PRENATAL CARE - ASTHMA AND RESPIRATORY CONDITIONS - STDS INCLUDING HIV-AIDS THE ENTIRE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT FOR MILLS-PENINSULA MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MATERNITY & SURGERY SANTA CRUZ: IN ACCORDANCE WITH THESE LEGISLATIVE REQUIREMENTS, SMSC PARTICIPATED IN A COLLABORATIVE EFFORT TO CONDUCT A COUNTYWIDE COMMUNITY ASSESSMENT. THIS COMMUNITY ASSESSMENT PROJECT (CAP) WAS LED BY APPLIED SURVEY RESEARCH (ASR), UNITED WAY OF SANTA CRUZ COUNTY, AND DOMINICAN HOSPITAL, AND WAS SPONSORED BY A NUMBER OF COMMUNITY STAKEHOLDERS INCLUDING SMSC. THE SANTA CRUZ COUNTY CAP IS CONDUCTED EVERY TWO YEARS AND WAS MOST RECENTLY CONDUCTED IN 2012. THE ASSESSMENT INCLUDES A TEN-STEP COMMUNITY IMPROVEMENT CYCLE, WITH STEPS INCLUDING DATA COLLECTION, COMMUNITY GOAL SETTING, AND ACTION STEPS. THE CAP INCLUDES PRIMARY DATA FROM A REPRESENTATIVE PHONE SURVEY OF SANTA CRUZ COUNTY RESIDENTS AND A VARIETY OF SECONDARY DATA, SYNTHESIZED IN A COMPREHENSIVE REPORT EVALUATING SIX AREAS -- ECONOMY, EDUCATION, HEALTH, PUBLIC SAFETY, THE SOCIAL ENVIRONMENT, AND THE NATURAL ENVIRONMENT. THE 2012 CAP STEERING COMMITTEE ACTIVELY PARTICIPATED IN THE ASSESSMENT PROCESS AND CONSISTED OF INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING NONPROFIT HOSPITALS, COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY AND HUMAN SERVICES DEPARTMENTS, A NONPROFIT HEALTHCARE COALITION, NONPROFIT HEALTHCARE AND COMMUNITY FOUNDATIONS, COMMUNITY CLINICS, COMMUNITY-BASED ORGANIZATIONS, INDIVIDUALS IN LAW ENFORCEMENT AND EDUCATION, AND OTHER COMMUNITY STAKEHOLDERS. THE 2012 CAP MARKS THE 18TH YEAR OF THE ONGOING PROJECT, WHICH HAS BEEN RECOGNIZED AS ONE OF THE STANDOUT COMMUNITY INDICATOR PROJECTS IN THE NATION, HAVING WON AN AWARD IN THE 2007 COMMUNITY INDICATORS CONSORTIUM INNOVATION AWARDS AND HAVING BEEN PROFILED IN BEST PRACTICES LITERATURE INCLUDING JOURNALS AND BOOKS. THE FULL 220-PAGE SANTA CRUZ CAP REPORT CAN BE ACCESSED ON THE INTERNET AT WWW.APPLIEDSURVEYRESEARCH.ORG AND WWW.UNITEDWAYSC.ORG. A SUMMARY DOCUMENT WAS DRAFTED FOR SUTTER MATERNITY & SURGERY CENTER AND SERVES TO HIGHLIGHT THE PRIORITY HEALTH NEEDS WITHIN THE AREA SERVED BY SMSC, AS DESCRIBED IN THE 2012 CAP. THE 27-PAGE SUMMARY CAN BE DOWNLOADED AT HTTP://WWW.SUTTERSANTACRUZ.ORG/COMMUNITY/ASSESSMENT.HTML THE 2012 CAP UTILIZED A NUMBER OF HEALTH AND WELLBEING INDICATORS COLLECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES. THE ASSESSMENT INCLUDED MORE THAN 100 INDICATORS DECIDED UPON BY TECHNICAL ADVISORY COMMITTEES. THESE COMMITTEES CONSISTED OF LOCAL EXPERTS IN THE SIX AREAS COVERED BY THE REPORT. CRITERIA FOR SELECTED INDICATORS INCLUDED THE NEED TO BE UNDERSTANDABLE TO THE GENERAL USER AND THE PUBLIC, RESPONSIVE TO CHANGE, RELEVANT FOR POLICY DECISIONS, AND UPDATED REGULARLY. PRIMARY DATA IN THE FORM OF COMMUNITY INPUT WERE COLLECTED THROUGH A REPRESENTATIVE 77-QUESTION TELEPHONE SURVEY OF SANTA CRUZ COUNTY ADULTS. THE OBJECTIVE OF THE SURVEY WAS TO MEASURE THE OPINIONS, ATTITUDES, DESIRES, AND NEEDS OF A DEMOGRAPHICALLY REPRESENTATIVE SAMPLE OF THE COUNTY'S RESIDENTS. THE PHONE SURVEY INCLUDED HEALTH INDICATOR QUESTIONS RELATED TO SMOKING, PHYSICAL ACTIVITY, FRUIT AND VEGETABLE CONSUMPTION, DIABETES, OBESITY, AND ACCESS TO MEDICAL AND DENTAL CARE, AMONG OTHERS. THE SURVEY ALSO EXAMINED INDICATORS SUCH AS HOUSING, CHILDCARE, TRANSPORTATION,
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: MILLS-PENINSULA MEDICAL CENTER FOLLOWS A SUTTER HEALTH SYSTEM-WIDE CHARITY CARE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. FOR A MORE DETAILED LOOK AT OUR CHARITY CARE POLICIES BY REGION, PLEASE VISIT THE OFFICE OF STATEWIDE AND HEALTH PLANNING'S WEBSITE AT HTTP://SYFPHR.OSHPD.CA.GOV. COMMUNICATIONS OF FINANCIAL ASSISTANCE AVAILABILITY A. INFORMATION PROVIDED TO PATIENTS: 1. PREADMISSION OR REGISTRATION: DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITAL AFFILIATES SHALL PROVIDE: A. ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES (IMPORTANT BILLING INFORMATION FOR UNINSURED PATIENTS). B. PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED WITH A FINANCIAL ASSISTANCE APPLICATION SUBSTANTIALLY SIMILAR TO THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION, "STATEMENT OF FINANCIAL CONDITION". 2. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL PROVIDE THE ABOVE INFORMATION AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. 3. ALL OTHER TIMES: UPON REQUEST, HOSPITAL AFFILIATES SHALL PROVIDE PATIENTS WITH INFORMATION ABOUT THEIR RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES, THE SUTTER HEALTH STANDARDIZED FINANCIAL ASSISTANCE APPLICATION FORM, "STATEMENT OF FINANCIAL CONDITION". B. POSTINGS AND OTHER NOTICES: INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL ALSO BE PROVIDED AS FOLLOWS: 1. BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, INCLUDING BUT NOT LIMITED TO THE EMERGENCY DEPARTMENT, BILLING OFFICES, ADMITTING OFFICE, AND OTHER HOSPITAL OUTPATIENT SERVICE SETTINGS. 2. BY POSTING INFORMATION ABOUT FINANCIAL ASSISTANCE ON THE SUTTER HEALTH WEBSITE AND EACH HOSPITAL AFFILIATE WEBSITE, IF ANY. 3. BY INCLUDING INFORMATION ABOUT FINANCIAL ASSISTANCE IN BILLS THAT ARE SENT TO UNINSURED PATIENTS. 4. BY INCLUDING LANGUAGE ON BILLS SENT TO UNINSURED PATIENTS AS SPECIFICALLY SET FORTH IN THE MANAGEMENT OF PATIENT ACCOUNTS RECEIVABLE, COLLECTION PRACTICES, HOSPITAL AFFILIATE THIRD-PARTY LIENS, AND AFFILIATE DISPUTE INITIATION POLICY (FINANCE POLICY 14-227). C. APPLICATIONS PROVIDED AT DISCHARGE: IF NOT PREVIOUSLY PROVIDED, HOSPITAL AFFILIATES SHALL PROVIDE UNINSURED PATIENTS WITH APPLICATIONS FOR MEDI-CAL, HEALTHY FAMILIES, CALIFORNIA CHILDREN'S SERVICES, OR ANY OTHER POTENTIALLY APPLICABLE GOVERNMENT PROGRAM AT THE TIME OF DISCHARGE. D. LANGUAGES: ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF THE AFFILIATE'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. E. NOTIFICATIONS TO UNINSURED PATIENTS OF ESTIMATED FINANCIAL RESPONSIBILITY: BY LAW, UNINSURED PATIENTS ARE ENTITLED TO RECEIVE AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES. EXCEPT IN THE CASE OF EMERGENCY SERVICES, HOSPITAL AFFILIATES SHALL NOTIFY PATIENTS WHO THE HOSPITAL IDENTIFIES MAY BE UNINSURED PATIENTS THAT THEY MAY OBTAIN AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR HOSPITAL SERVICES, AND PROVIDE ESTIMATES TO THOSE PATIENTS UPON REQUEST. ESTIMATES SHALL BE WRITTEN, AND BE PROVIDED DURING NORMAL BUSINESS HOURS. ESTIMATES SHALL PROVIDE THE PATIENT WITH AN ESTIMATE OF THE AMOUNT THE HOSPITAL AFFILIATE WILL REQUIRE THE PATIENT TO PAY FOR THE HEALTH CARE SERVICES, PROCEDURES, AND SUPPLIES THAT ARE REASONABLY EXPECTED TO BE PROVIDED TO THE PATIENT BY THE HOSPITAL, BASED UPON THE AVERAGE LENGTH OF STAY AND SERVICES PROVIDED FOR THE PATIENT'S DIAGNOSIS.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: MILLS PENINSULA MEDICAL CENTER (MPMC) AND MENLO PARK SURGICAL CENTER (MPSC): THE HOSPITAL SERVICE AREA OF MPMC AND MPSC IS DEFINED AS SAN MATEO COUNTY. SAN MATEO COUNTY IS LOCATED IN NORTHERN CALIFORNIA AND ENCOMPASSES OVER 448 SQUARE MILES WITH 1,602.2 PERSONS LIVING IN A SQUARE MILE. THE COUNTY IS PART OF THE SAN FRANCISCO-OAKLAND-FREMONT METROPOLITAN STATISTICAL AREA. SEVEN HOSPITALS SERVICE THIS AREA. SAN MATEO COUNTY POPULATION WAS NEARLY 720,000 RESIDENTS IN 2010, AND ITS POPULATION IS PROJECTED TO INCREASE TO NEARLY 800,000 BY 2050. ACCORDING TO THE CALIFORNIA DEPARTMENT OF FINANCE, THE COUNTY WAS THE 14TH MOST POPULOUS OF CALIFORNIA'S 58 TOTAL COUNTIES. ACCORDING TO THE US CENSUS, 34% OF COUNTY RESIDENTS WERE FOREIGN BORN, AND 44.5% OF ALL RESIDENTS OVER THE AGE OF FIVE SPOKE A LANGUAGE OTHER THAN ENGLISH WHILE AT HOME. OF THESE RESIDENTS, 63.8% WERE WHITE, 3.1% BLACK, 0.9% AMERICAN INDIAN, 26.4% ASIAN, 1.6% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, AND 4.3% WERE TWO OR MORE RACES. 25.4% OF RESIDENTS WERE HISPANIC OR LATINO. THE MEDIAN AGE OF COUNTY RESIDENTS IN 2010 WAS 39.3 YEARS. AGE PROJECTIONS INDICATED THAT THE COUNTY WILL SEE A NOTABLE INCREASE AMONG THOSE 60 YEARS AND OLDER, AS THIS SEGMENT OF THE POPULATION IS FORECAST TO ACCOUNT FOR 30% OF THE POPULATION BY 2030. EDUCATION ATTAINMENT IS CORRELATED TO INDIVIDUAL HEALTH. FOR SAN MATEO COUNTY, EDUCATION ATTAINMENT WAS HIGHER THAN THE STATE AVERAGE IN BOTH HIGH SCHOOL AND COLLEGE LEVELS. IN 2009-2010 IT WAS ESTIMATED THAT OVER 9% OF SAN MATEO COUNTY STUDENTS WOULD DROP OUT WITHIN A FOUR-YEAR PERIOD. THIS RATE HAS BEEN IN DECLINE WHEN COMPARED TO PREVIOUS YEARS. HOWEVER, THIS RATE WAS NOT CONSISTENT AMONG ALL RACES AND ETHNICITIES AS BLACKS, HISPANICS, AND PACIFIC ISLANDER STUDENTS DROP OUT AT HIGHER RATES THAN ASIAN, WHITE, AND FILIPINO STUDENTS. SAN MATEO COUNTY BENEFITED FROM THE TECHNOLOGY BOOM IN THE 1990S AND MEDIAN HOUSEHOLD INCOME CONTINUES TO RISE. HOWEVER, LOW INCOME RESIDENTS STRUGGLE TO MAKE ENDS MEET LEAVING THEM VULNERABLE TO A NUMBER OF EMERGENCIES OR CRISES. THE US CENSUS ESTIMATED THAT 7% OF COUNTY RESIDENTS LIVED BELOW 100% OF THE FPL, OR EARN LESS THAN $18,530 ANNUALLY, AND SOME 18.9% OF ALL RESIDENTS LIVED BELOW 200% OF THE FPL. SAN MATEO COUNTY HAS ONE OF THE HIGHEST COSTS OF LIVING IN THE NATION, AND A SINGLE PARENT WITH TWO CHILDREN MUST EARN APPROXIMATELY $78,000 TO MEET BASIC NEEDS. PER CAPITA INCOME FOR COUNTY RESIDENTS WAS $45,346, AND MEDIAN HOUSEHOLD INCOME WAS $87,633. HOWEVER, RESIDENTS WITH HIGH LEVELS OF EDUCATION ATTAINMENT EARNED SIGNIFICANTLY MORE THAN THOSE WITHOUT. FURTHER, MALES IN GENERAL EARNED MORE THAN FEMALES. MOST RESIDENTS REPORTED THAT THE STRENGTH AND GROWTH OF THE LOCAL ECONOMY WAS "FAIR"GOOD." ACCORDING TO THE US CENSUS IN 2010 THE COUNTY HAD SOME 570,786 RESIDENTS OVER THE AGE OF 16, AND 391,664 WERE IN THE LABOR FORCE. THE UNEMPLOYMENT WAS 7.3%. THERE WERE APPROXIMATELY 314,500 WAGE JOBS IN THE COUNTY, WITH THE LARGEST EMPLOYER BEING UNITED AIRLINES WITH 9,600 JOBS. SAN MATEO COUNTY IS THE FOURTH LARGEST EMPLOYER WITH 5,443 JOBS. WHEN ASKED, OVER 40% OF ALL RESIDENTS FELT THAT LOCAL EMPLOYMENT OPPORTUNITIES WERE "FAIR"POOR." THESE RESPONSES WERE PARTICULARLY HIGH AMONG WOMEN, ADULTS WITHOUT EDUCATION BEYOND A HIGH SCHOOL DIPLOMA, THOSE LIVING BELOW 400% FPL, BLACKS, HISPANICS, AND RESIDENTS OF THE COASTSIDE AREA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE MILLS-PENINSULA MEDICAL CENTER CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SUTTER MATERNITY & SURGERY SANTA CRUZ: BASED ON ANALYSIS OF PATIENT DISCHARGE DATA, SMSC'S SERVICE AREA WAS CONSIDERED TO BE SANTA CRUZ COUNTY. SANTA CRUZ COUNTY SITS SOUTH OF SAN MATEO COUNTY, WEST OF SANTA CLARA COUNTY, AND NORTH OF MONTEREY COUNTY AND WAS HOME TO 262,382 RESIDENTS IN 2010, WITH AN ESTIMATED INCREASE TO 266,776 IN 2012. THE 445 SQUARE-MILE COUNTY INCLUDES THE CITIES OF SANTA CRUZ (POPULATION 62,041), WATSONVILLE (POPULATION 51,881), SCOTTS VALLEY (POPULATION 11,670), AND CAPITOLA (POPULATION 10,012). THE COUNTY IS ALSO HOME TO 21 UNINCORPORATED TOWNS-AMESTI, APTOS, APTOS HILLS-LARKIN VALLEY, BEN LOMOND, BONNY DOON, BOULDER CREEK, BROOKDALE, CORRALITOS, DAVENPORT, DAY VALLEY, FELTON, FREEDOM, INTERLAKEN, LA SELVA BEACH, LIVE OAK, MOUNT HERMON, OPAL CLIFFS, RIO DEL MAR, SOQUEL, PASATIEMPO, AND TWIN LAKES. THE MAJOR INDUSTRIES IN SANTA CRUZ COUNTY CURRENTLY INCLUDE AGRICULTURE, TOURISM, EDUCATION, AND TECHNOLOGY. THERE ARE TWO HOSPITALS SERVING THE COMMUNITY. THE POPULATION OF SANTA CRUZ COUNTY IS 58.8% WHITE, 32.7% HISPANIC/LATINO, 4.4% ASIAN, 2.6% MULTI-RACE, 1.0% BLACK, AND 0.5% OTHER. INDIVIDUALS AGED 35-59 YEARS OLD MAKE UP THE LARGEST PERCENT OF COUNTY RESIDENTS AT 33.6%, FOLLOWED BY THOSE 20-34 YEARS OLD AT 23.1%, AGES 5-19 AT 19.5%, 60 AND ABOVE AT 18.2%, AND UNDER 5 YEARS OLD AT 5.7%. AMONG SANTA CRUZ COUNTY RESIDENTS, 67.8% SPEAK ENGLISH ONLY, WHILE 32.2% SPEAK A LANGUAGE OTHER THAN ENGLISH, WITH 26.5% SPEAKING SPANISH. EDUCATION ATTAINMENT IS CORRELATED TO INDIVIDUAL HEALTH. IN SANTA CRUZ COUNTY, 84.4% OF THE POPULATION HAVE A HIGH SCHOOL DEGREE OR HIGHER AND 37.4% HAVE A BACHELOR'S DEGREE OR HIGHER. BOTH OF THESE FIGURES EXCEED THE STATE PERCENTAGES OF 80.8% POSSESSING A HIGH SCHOOL DEGREE OR HIGHER AND 30.2% HAVING A BACHELOR'S DEGREE OR HIGHER. WHEN EXAMINING HIGH SCHOOL DROPOUT RATES BY ETHNICITY, DATA SHOWED THAT HISPANIC/LATINO STUDENTS WERE APPROXIMATELY TWICE AS LIKELY TO DROPOUT THAN WHITE STUDENTS, 16.5% AND 8.8% RESPECTIVELY. THE 2010 PER CAPITA INCOME OF SANTA CRUZ COUNTY RESIDENTS WAS $47,409, WHICH SURPASSES THE STATE'S PER CAPITA INCOME OF $42,514, AND THE NATIONAL PER CAPITA INCOME OF $39,937. IT IS NOTABLE THAT THE COUNTY'S PER CAPITA INCOME DECREASED IN BOTH 2009 AND 2010, WHILE THE STATE AND NATIONAL PER CAPITA INCOME SLIGHTLY INCREASED FROM 2009 TO 2010. WHILE THE MEDIAN FAMILY INCOME OF SANTA CRUZ COUNTY FAMILIES DROPPED TO $69,419 IN 2010, AN INCREASE TO $74,928 WAS SEEN IN 2011. THIS MEDIAN FAMILY INCOME IS HIGHER THAN THE STATE AND NATIONAL MEDIAN FAMILY INCOMES, AND THE INCREASE BETWEEN 2010 AND 2011 IN SANTA CRUZ COUNTY WAS NOTABLY GREATER THAN THE INCREASES SEEN AT THE STATE AND NATIONAL LEVELS. IN SANTA CRUZ COUNTY, THE PERCENTAGES OF THOSE LIVING IN POVERTY FALL BELOW THOSE WITHIN THE STATE AND NATION. AMONG INDIVIDUALS UNDER 17 YEARS OLD, 15.5% LIVE BELOW THE POVERTY LEVEL, 16.0% OF THOSE AGES 18-64, AND 7.2% OF THOSE 65 AND OLDER. IT IS NOTABLE THAT THE PERCENTAGE OF 18-64 YEAR OLDS LIVING BELOW THE POVERTY LEVEL WITHIN THE COUNTY HAS INCREASED 4.8% BETWEEN 2005 AND 2011. SELF-SUFFICIENCY INCOME STANDARDS ARE FREQUENTLY USED AS AN ADDITION TO FEDERAL POVERTY LEVEL DATA, AS THEY FACTOR IN COUNTY-SPECIFIC EXPENSE DIFFERENCES, HOUSING, CHILDCARE, TRANSPORTATION, AND FOOD COSTS, AMONG OTHERS. THE 2007 SELF-SUFFICIENCY DATA DISPLAYED BELOW SHOW THE PERCENT OF FAMILIES WHO ARE UNABLE TO SECURE BASIC NEEDS WITHOUT ADDITIONAL PUBLIC OR PRIVATE ASSISTANCE. WITHIN SANTA CRUZ COUNTY, 28.0% OF FAMILIES DID NOT MEET SELF-SUFFICIENCY STANDARDS. WHEN LOOKING AT THE DISPARITIES AMONG DIFFERENT GROUPS, LATINOS WERE TWICE AS LIKELY AS WHITES TO NOT MEET SELF-SUFFICIENCY STANDARDS, AT 46.7% AND 23.2% RESPECTIVELY. AMONG FAMILY TYPES, SINGLE FEMALE-HEADED HOUSEHOLDS WITH CHILDREN WERE THE MOST LIKELY TO NOT MEET SELF-SUFFICIENCY STANDARDS, FOLLOWED BY SINGLE MALE-HEADED HOUSEHOLDS WITH CHILDREN, MARRIED COUPLES WITH CHILDREN, AND FINALLY FAMILIES WITH NO CHILDREN AND NON-FAMILY HOUSEHOLDS. WHEN EXAMINING EDUCATIONAL ATTAINMENT, 58.5% OF INDIVIDUALS WITHOUT A HIGH SCHOOL DIPLOMA DID NOT MEET SELF-SUFFICIENCY STANDARDS, COMPARED TO 38.4% OF THOSE WITH A HIGH SCHOOL DIPLOMA. AS WAS THE TREND BOTH IN CALIFORNIA AND ACROSS THE UNITED STATES, THE UNEMPLOYMENT RATE IN SANTA CRUZ COUNTY REACHED A PEAK IN 2010 AND HAS SINCE BEEN DECREASING. IN 2012, SANTA CRUZ COUNTY DEMONSTRATED AN UNEMPLOYMENT RATE OF 9.9%, LOWER THAN THE STATE RATE OF 10.7%, BUT HIGHER THAN THE NATIONAL RATE OF 8.4%.
SCHEUDLE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. MILLS PENINSULA MEDICAL CENTER: THE 2013 - 2015 IMPLEMENTATION STRATEGY FOR MILLS-PENINSULA MEDICAL CENTER DEFINES A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITY IT SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW: MILLS-PENINSULA MEDICAL CENTER PARTNERS WITH SAN MATEO COUNTY TO ESTABLISH AN URGENT CARE SERVICE IN DALY CITY (THE DALY CITY CLINIC). USING A MID-LEVEL PRACTITIONER AS THE PRIMARY CARE PROVIDER, THE TEAM WORKS WITH THE CLINICS' ESTABLISHED PRIMARY CARE TEAMS TO PROVIDE URGENT CARE ACCESS WHEN THE PRIMARY CARE TEAM IS UNABLE TO DO SO EITHER BECAUSE OF FULL SCHEDULES OR ABSENCES. THE ANTICIPATED IMPACT OF THIS PARTNERSHIP INCLUDES REDUCTION OF TIME TO THIRD NEXT AVAILABLE APPOINTMENT (TTNAA) FROM THE CURRENT AVERAGE OF 14 DAYS TO LESS THAN 7 DAYS. THE PARTNERSHIP ALSO FUNCTIONS TO REDUCE THE NUMBER OF ESTABLISHED MEDICAL HOME PATIENTS PRESENTING TO THE SAN MATEO MEDICAL CENTER (SMMC) EMERGENCY DEPARTMENT FOR AMBULATORY SENSITIVE CONDITIONS. IN 2015, THE AVERAGE TIME FOR THE TTNAA IS 9 DAYS. DURING 2015, THERE WERE ADDITIONAL PHYSICIAN VACANCIES WITH DELAYS IN RECRUITMENT TO FILL THE VACANT POSITIONS. A NEW NURSE PRACTITIONER STARTED IN OCTOBER WHICH PROVIDED THE NEEDED ACCESS TO PATIENTS. A NEW PHONE SYSTEM WAS PUT IN PLACE, ASSISTING IN A SIGNIFICANT 10% DECREASE ON NO-SHOW APPOINTMENTS. THE NUMBER OF MEDICAL HOME PATIENTS PRESENTING TO THE SMMC EMERGENCY DEPARTMENT AVERAGED 14 PER MONTH. MPMC PARTNERS WITH SAMARITAN HOUSE TO INCREASE ACCESS TO PRIMARY CARE FOR NEW PATIENTS AND INCREASE THE NUMBER OF VISITS FOR EXISTING PATIENTS THROUGH EXPANDING CLINIC PERSONNEL, INCREASE IN PHARMACEUTICALS AND MEDICAL SUPPLIES AND THE EXPANSION OF THE ELECTRONIC SCHEDULING SYSTEM. SAMARITAN HOUSE HAS BEEN SERVING LOW-INCOME INDIVIDUALS AND FAMILIES IN SAN MATEO COUNTY SINCE 1974. IN 2015, SAMARITAN HOUSE EXPERIENCED A LEADERSHIP CHANGE AND A FEW STAFFING CHALLENGES. AS OF MAY 2015, DR. JASON WONG HAS BEEN OVERSEEING THE OPERATIONS OF ALL OF SAMARITAN HOUSE CLINICS. MID-WAY THROUGH THE YEAR, STAFFING CHANGED AND A PART-TIME STAFF MEMBER WAS HIRED SPECIFICALLY TO TREAT DIABETIC PATIENTS AND ONE ADDITIONAL PART- TIME CASE MANAGER WAS HIRED TO PERFORM ON-SITE INCOME VERIFICATION AND PATIENT ELIGIBILITY SCREENING. CAPACITY FOR TOTAL PATIENT VISITS INCREASED BY 27% FOR A TOTAL OF 4,242 PATIENT VISITS. THE CLINIC PROVIDED HEALTHCARE SERVICES FOR AN ADDITIONAL 276 NEW PATIENTS. MPMC PARTNERS WITH OPERATION ACCESS TO PROVIDE STAFF AND FREE ELECTIVE SURGERIES AT THE MILLS HEALTH CENTER OUTPATIENT SURGERY CENTER. OPERATION ACCESS, A NOT-FOR-PROFIT ORGANIZATION, BRINGS TOGETHER MEDICAL PROFESSIONALS AND HOSPITALS TO PROVIDE DONATED OUTPATIENT SURGICAL AND SPECIALTY CARE FOR THE UNINSURED AND UNDERSERVED. IN 2015, MPMC PROVIDED A TOTAL OF 49 SERVICES FOR 35 UNDUPLICATED PATIENTS WHICH INCLUDED 25 OPERATING ROOM PROCEDURES; 4 GASTROENTEROLOGY PROCEDURES; 15 MINOR RADIOLOGY PROCEDURES AND 5 SPECIALIST EVALUATIONS. REFERRAL SOURCES WERE THE SAMARITAN HOUSE MEDICAL CLINICS, SAN MATEO DEPARTMENT OF PUBLIC HEALTH, ROTACARE BAY AREA, AND RAVENSWOOD FAMILY HEALTH CENTER. IN PARTNERSHIP WITH THE AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE (AACHAC), MPMC HELPS INCREASE RESOURCES TO PROVIDE PREVENTIVE SCREENING AND EDUCATION FOR UNDERSERVED AND AT-RISK POPULATIONS IN SAN MATEO COUNTY, INCLUDING AFRICAN AMERICANS, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. SCREENINGS INCLUDE MAMMOGRAPHY, PROSTATE CANCER, HYPERLIPIDEMIA, HYPERTENSION, OBESITY, HEARING AND VISION, AS WELL AS CULTURALLY APPROPRIATE CAREGIVER SUPPORT AND TRAINING AND NUTRITION AND FITNESS EDUCATION. IN 2015, 25 HEALTH-RELATED EVENTS WERE PROVIDED TO OVER 5,500 PEOPLE FROM THE AFRICAN-AMERICAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES IN SAN MATEO COUNTY. THESE EVENTS INCLUDED HEALTH SCREENINGS; SOUL STROLL FOR HEALTH; MENS HEALTH SYMPOSIUM; WOMENS HEALTH CONFERENCE; MENTAL HEALTH AWARENESS DAY; THE ANNUAL "OFF TO A GOOD START" NUTRITION AND PHYSICAL FITNESS DAY; A DIABETES PROGRAM FOR AFRICAN AMERICANS, HISPANIC AND PACIFIC ISLANDERS; THE NOVEMBER CAREGIVER PROGRAM; SUPPORT GROUPS FOR ADULT CHILDREN CARING FOR THEIR AGING PARENTS AND NON-RELATED CAREGIVERS. THE HEALTH SCREENINGS INCLUDED BREAST EXAMS (203); PSAS/DRES (82); BLOOD PRESSURE (1220); LIPID AND GLUCOSE (234); HIV (65) HCV (15); VISION (100) AND DENTAL (16). ALL SCREENINGS AND EVENTS ARE PROVIDED AT VARIOUS COMMUNITY ORGANIZATIONS AND ARE STAFFED BY VOLUNTEERS AND RETIRED NURSES. THE LAB TESTS, PROVIDED BY MPMC, WERE SENT DIRECTLY TO THE COMMUNITY MEMBER AND A SIMILAR PROTOCOL WAS FOLLOWED BY SAN MATEO COUNTY AND THE VISION PROGRAM. DENTAL RESULTS WERE PROVIDED ONSITE. AACHACS SUCCESS WITH THE UNDERSERVED AND COMMUNITIES OF COLOR CONTINUES WITH SPECIAL EMPHASIS ON OPENING DOORS THAT IDENTIFY THOSE WHO ARE THE MOST NEEDY. MPMC CONTINUES TO PROVIDE SUPPORT FOR NOT-FOR-PROFIT ORGANIZATIONS IN SAN MATEO COUNTY THAT PROVIDE A VARIETY OF HEALTH CARE ACCESS AND DELIVERY SERVICES, INCLUDING MENTAL HEALTH, SUBSTANCE ABUSE TREATMENTS, SENIOR PROGRAMS, DISABLED INDIVIDUALS, AND VOILENCE AND ABUSE THROUGH THE ANNUAL COMMUNITY GRANTS PROGRAM. IN 2015, $412,500 WAS PROVIDED IN MONETARY GRANTS TO 35 SAN MATEO COUNTY ORGANIZATIONS. MPMC PARTNERS WITH SONRISAS TO INCREASE ACCESS TO DENTAL HEALTH EDUCATION, SCREENING AND TREATMENT TO UNDERSERVED POPULATIONS OF CHILDREN, YOUTH AND ADULTS IN SAN MATEO COUNTY. IN 2015, SONRISAS PROVIDED SERVICES TO 1,400 YOUNG PATIENTS AND MORE THAN 1,200 ADULT PATIENTS. THE SERVICES INCLUDED ORAL HEALTH SCREENINGS FOR CHILDREN IN THE CABRILLO UNIFIED AND LA HONDA/PESCADERO SCHOOL DISTRICTS; DENTAL HYGIENE INSTRUCTION; DENTAL CLEANING AND OPERATIVE DENTISTRY TO RESTORE FUNCTION AND SAVE TEETH; AND REDUCED THE NUMBER OF PATIENTS SEEKING EMERGENCY DENTAL CARE IN THE COASTSIDE REGION THROUGH EDUCATION AND PROPER HYGIENE TREATMENT. MPMC PARTNERS WITH SAN MATEO COUNTY TO PROVIDE PRENATAL SCREENING AND BIRTHING SERVICES TO WOMEN COVERED BY MEDI-CAL INSURANCE. MPMC FAMILY BIRTH CENTER DELIVERS MORE BABIES THAN ANY OTHER FACILITY IN SAN MATEO COUNTY. IN 2015, THE BIRTH CENTER DELIVERED 2,189 BABIES. MPMC PROVIDED FUNDING TO SEVEN ORGANIZATIONS LOCATED IN SAN MATEO COUNTY TO ASSIST IN MAINTAINING MENTAL HEALTH SUPPORT FOR THE UNINSURED, POOR, AND HOMELESS POPULATIONS. ORGANIZATIONS WHO RECEIVED FUNDING INCLUDED CALIFORNIA CLUBHOUSE AS THEY FOCUS ON YOUNG ADULTS WITH MENTAL ILLNESSES, CAMINAR FOR MENTAL HEALTH FOCUSES ON ADULTS WITH SEVERE MENTAL ILLNESS AND NAMI SAN MATEO COUNTY PROVIDES SUPPORT, EDUCATION AND ADVOCACY FOR PEOPLE WITH MENTAL ILLNESS AND THEIR FAMILIES. MENLO PARK SURGICAL HOSPITAL: MENLO PARK SURGICAL HOSPITAL PARTNERS WITH RAVENSWOOD FAMILY HEALTH CENTER TO SUPPORT THEIR DENTAL PROGRAM. THE DENTAL PROGRAM PROVIDES PREVENTIVE ORAL HEALTH TO THE PEDIATRICS CLINIC AND IN LOCAL ELEMENTARY SCHOOLS, DENTAL SERVICES FOR ADULTS AND CHILDREN, ORAL SURGERY FOR ADULTS, CHILDREN AND DISABLED CHILDREN AND ADULTS AND ORAL SURGERY WITH CONSCIOUS SEDATION AT LUCILE PACKARD'S CHILDREN'S HOSPITAL IN PALO ALTO. FROM JANUARY THROUGH NOVEMBER, 2015, COMPREHENSIVE ORAL HEALTH CARE SERVICES WERE PROVIDED TO 2,161 UNDUPLICATED ADULTS AND 2,926 UNDUPLICATED CHILDREN THROUGH 12,771 DENTAL VISITS. 345 ORAL SURGERY VISITS WERE PROVIDED TO 107 UNDUPLICATED PATIENTS AND THEY SURPASSED THEIR PROPOSED OBJECTIVES TO INCREASE ACCESS TO ORAL SURGERY FOR CHILDREN AND DISABLED ADULTS BY 49%. THERE HAS BEEN AN INCREASE IN DENTAL VISITS BY 4% AS COMPARED TO 2014. ORAL HEALTH CARE SERVICES INCLUDE PREVENTIVE, RESTORATIVE, AND SURGICAL UNDER BOTH SEDATION AND GENERAL ANESTHESIA, EMERGENCY, PERIODONTAL AND PRENATAL. 66% OF THE PATIENTS RECEIVING DENTAL CARE ARE FROM HOUSEHOLDS WITH INCOMES 100% BELOW THE FEDERAL POVERTY LEVEL. THE MAJORITY ARE ETHNIC MINORITIES AND SPEAK A LANGUAGE OTHER THAN ENGLISH. SUTTER MATERNITY & SURGERY SANTA CRUZ: SUTTER MATERNITY & SURGERY CENTER PARTNERS WITH THE PALO ALTO MEDICAL FOUNDATION TO EXPAND ITS OWN PRIMARY CARE PHYSICIAN BASE SERVING SANTA CRUZ COUNTY. SMSC HAS COMMITTED $1.5 MILLION FOR FIVE YEARS TO THE SANTA CRUZ
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION IS AFFILIATED WITH SUTTER HEALTH, A NOT-FOR-PROFIT NETWORK OF HOSPITALS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS WHO CARE FOR PEOPLE WHO LIVE IN MORE THAN 100 NORTHERN CALIFORNIA TOWNS AND CITIES. TOGETHER, WE'RE CREATING A MORE INTEGRATED, SEAMLESS AND AFFORDABLE APPROACH TO CARING FOR PATIENTS. THE HOSPITAL'S MISSION IS TO ENHANCE THE WELL-BEING OF THE PEOPLE IN OUR COMMUNITIES THROUGH COMPASSION, EXCELLENCE AND INNOVATION IN HEALTH CARE SERVICES, RESEARCH AND EDUCATION. OVER THE PAST FIVE YEARS, SUTTER HEALTH HAS COMMITTED NEARLY $4 BILLION TO CARE FOR PATIENTS WHO COULDN'T AFFORD TO PAY, AND TO SUPPORT PROGRAMS THAT IMPROVE COMMUNITY HEALTH. OUR 2015 COMMITMENT OF $843 MILLION INCLUDES UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS, TRADITIONAL CHARITY CARE AND INVESTMENTS IN HEALTH EDUCATION AND PUBLIC BENEFIT PROGRAMS. FOR EXAMPLE: - TO PROVIDE CARE TO MEDI-CAL PATIENTS IN 2015, SUTTER HEALTH INVESTED $712 MILLION MORE THAN THE STATE PAID. SUTTER HEALTH HOSPITALS PROUDLY SERVE MORE MEDI-CAL PATIENTS IN OUR NORTHERN CALIFORNIA SERVICE AREA THAN ANY OTHER HEALTH CARE PROVIDER. - IN 2015, SUTTER HEALTH'S COMMITMENT TO DELIVERING CHARITY CARE TO PATIENTS WAS $52 MILLION. - THROUGHOUT OUR HEALTH CARE SYSTEM, WE PARTNER WITH AND SUPPORT COMMUNITY HEALTH CENTERS TO ENSURE THAT THOSE IN NEED HAVE ACCESS TO PRIMARY AND SPECIALTY CARE. WE ALSO SUPPORT CHILDREN'S HEALTH CENTERS, FOOD BANKS, YOUTH EDUCATION, JOB TRAINING PROGRAMS AND SERVICES THAT PROVIDE COUNSELING TO DOMESTIC VIOLENCE VICTIMS. EVERY THREE YEARS, SUTTER HEALTH HOSPITALS PARTICIPATE IN A COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIES LOCAL HEALTH CARE PRIORITIES AND GUIDES OUR COMMUNITY BENEFIT STRATEGIES. THE ASSESSMENTS HELP ENSURE THAT WE INVEST OUR COMMUNITY BENEFIT DOLLARS IN A WAY THAT TARGETS AND ADDRESSES REAL COMMUNITY NEEDS.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA

Schedule H (Form 990) 2015

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," on 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

2015

Open to Public
Inspection

Name of the organization
MILLS-PENINSULA HEALTH SERVICES

Employer identification number
94-1156265

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) SAMARITAN HOUSE 4031 PACIFIC BLVD SAN MATEO,CA94403	23-7416272	501(C)(3)	500,000	GENERAL SUPPORT
(2) SANTA CRUZ WOMENS HEALTH CENTER 250 LOCUST ST SANTA CRUZ,CA95060	23-7428303	501(C)(3)	300,000	GENERAL SUPPORT
(3) SALUD PARA LA GENTE 195 AVIATION WY STE 200 WATSONVILLE,CA95076	94-2705747	501(C)(3)	250,000	GENERAL SUPPORT
(4) COMMUNITY GATEPATH 350 TWIN DOLPHIN DR STE 123 REDWOOD CITY,CA94401	94-1156502	501(C)(3)	210,000	GENERAL SUPPORT
(5) PENINSULA FAMILY SERVICE 24 SECOND AVE SAN MATEO,CA94402	94-1186169	501(C)(3)	210,000	GENERAL SUPPORT
(6) MISSION HOSPICE & HOME CARE INC 1670 SO AMPHLETT BLVD STE 300 SAN MATEO,CA94403	94-2567162	501(C)(3)	210,000	GENERAL SUPPORT
(7) SAN MATEO MEDICAL CENTER 222 W 39TH AVE SAN MATEO,CA94303	94-6000532	501(C)(3)	206,000	GENERAL SUPPORT
(8) SOUTH COUNTY COMMUNITY HEALTH CENTER 1885 BAY RD E PALO ALTO,CA94303	94-3372130	501(C)(3)	200,000	GENERAL SUPPORT
(9) CENTER FOR INDEPENDENCE OF THE DISABLED 1515 SO EL CAMINO REAL STE 400 SAN MATEO,CA94402	94-2581080	501(C)(3)	100,000	GENERAL SUPPORT
(10) COMMUNITY FOUNDATION OF SANTA CRUZ COUNTY 7807 SOQUEL DR APTOS,CA95003	94-2808039	501(C)(3)	100,000	GENERAL SUPPORT
(11) HOSPITAL CONSORTIUM SAN MATEO COUNTY 222 W 39TH AVE SAN MATEO,CA94403	94-2637032	501(C)(3)	28,000	GENERAL SUPPORT
(12) DIENTES COMMUNITY DENTAL CARE 1830 COMMERCIAL WAY SANTA CRUZ,CA95065	77-0311752	501(C)(3)	25,000	GENERAL SUPPORT
(13) COASTSIDE MED DENTAL CLINICS 210 SAN MATEO RD STE 104 HALF MOON BAY,CA94019	94-3390196	501(C)(3)	15,000	GENERAL SUPPORT
(14) PUENTE DE LA COSTA SUR PO BOX 554 PESCADERO,CA94060	37-1484262	501(C)(3)	15,000	GENERAL SUPPORT
(15) HEALTH IMPROVEMENT PSHIP OF SANTA CRUZ CNTY 1800 GREEN HILLS RD STE 100 SCOTTS VALLEY,CA95066	10-0826156	501(C)(3)	12,500	GENERAL SUPPORT
(16) REGENTS OF THE UNIV OF CA 125 HAHN BLDG SANTA CRUZ,CA95064	94-1539563	GOV'T	10,638	GENERAL SUPPORT
(17) ALZHEIMERS DISEASE & RELATED DISORDERS ASSC 2290 NO 1ST ST STE 101 SAN JOSE,CA95131	94-2897949	501(C)(3)	10,000	GENERAL SUPPORT
(18) CITY OF SAN MATEO SENIOR CENTER 2645 ALAMEDA DE LAS PULGAS SAN MATEO,CA94403	94-6000422	501(C)(3)	10,000	GENERAL SUPPORT
(19) COMMUNITY GATEPATH 350 TWIN DOLPHIN DR STE 123 REDWOOD CITY,CA94065	94-1156502	501(C)(3)	10,000	GENERAL SUPPORT
(20) NAT ALLIANCE FOR MENTAL ILL SAN MATEO CO 1037 ALAMEDA DE LAS PULGAS BELMONT,CA94002	94-2650681	501(C)(3)	10,000	GENERAL SUPPORT
(21) OMBUDSMAN SERVICES OF SAN MATEO COUNTY INC 711 NEVADA ST REDWOOD CITY,CA94061	94-3397402	501(C)(3)	10,000	GENERAL SUPPORT
(22) PENINSULA JEWISH COMMUNITY CTR 2440 CARLMONT DR BELMONT,CA94002	94-3227262	501(C)(3)	10,000	GENERAL SUPPORT
(23) RAPE TRAUMA SERVICES 1860 EL CAMINO REAL STE 406 BURLINGAME,CA94010	94-3215045	501(C)(3)	10,000	GENERAL SUPPORT
(24) SAINT JAMES COMMUNITY FNDT 825 MONTE DIABLO SAN MATEO,CA94401	46-3224440	501(C)(3)	10,000	GENERAL SUPPORT
(25) UNITED WAY SANTA CRUZ PO BOX 1458 CAPITOLA,CA95010	94-1186169	501(C)(3)	9,500	GENERAL SUPPORT
(26) BREAST CANCER EMERGENCY FUND 12 GRACE ST STE 300 SAN FRANCISCO,CA94103	20-3203899	501(C)(3)	8,000	GENERAL SUPPORT
(27) CAMINAR 2600 SO EL CAMINO REAL STE 200 SAN MATEO,CA94403	94-1639389	501(C)(3)	8,000	GENERAL SUPPORT
(28) COASTSIDE ADULT DAY HEALTH CTR 645 CORREAS ST HALF MOON BAY,CA94019	94-2935784	501(C)(3)	8,000	GENERAL SUPPORT
(29) HEAL PROJECT PO BOX 3051 HALF MOON BAY,CA94019	27-0192940	501(C)(3)	8,000	GENERAL SUPPORT
(30) HUMAN INVESTMENT PROJECT INC 364 SO RAILROAD AVE SAN MATEO,CA94401	94-2154614	501(C)(3)	8,000	GENERAL SUPPORT
(31) PLANNED PARENTHOOD MAR MONTE 1746 THE ALAMEDA SAN JOSE,CA95126	94-1583439	501(C)(3)	8,000	GENERAL SUPPORT
(32) STARVISTA 610 ELM ST STE 212 SAN CARLOS,CA94070	94-3094966	501(C)(3)	8,000	GENERAL SUPPORT
(33) CORA COMMNTY OVERCOMING RELATIONSHIP ABUSE PO BOX 4245 BURLINGAME,CA94011	94-2481188	501(C)(3)	7,000	GENERAL SUPPORT
(34) DALY CITY PENINSULA PSHIP COLLABORATIVE 111 LAKE MERCED BLVD DALY CITY,CA94015	61-1734338	501(C)(3)	7,000	GENERAL SUPPORT
(35) PEACE DEVELOPMENT FUND 3221 22ND ST PO BOX 40250 SAN FRANCISCO,CA94140	42-2738794	501(C)(3)	7,000	GENERAL SUPPORT
(36) SAN MATEO POLICE ACTIVITIES LEAGUE 200 FRANKLIN PKWY SAN MATEO,CA94403	31-1503896	501(C)(3)	7,000	GENERAL SUPPORT
(37) CALIFORNIA UNIV OF SF HOME HEALTHCARE PO BOX 39000 DEPT 0 1566 SAN FRANCISCO,CA94139	94-3281657	501(C)(3)	5,301	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) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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

SCHEDULE I, PART I, LINE 2

IN ORDER TO CLOSELY MONITOR EFFICIENCY AND EFFECTIVENESS, THE COMMUNITY BENEFIT FUNCTION OUTLINES MEASURABLE REPORTING (QUARTERLY, SIX-MONTH AND/OR YEAR-END), PROGRAM AND FUNDING REQUIREMENTS IN A MEMORANDUM OF UNDERSTANDING (MOU), BUSINESS SERVICES AGREEMENT (BSA), OR JOINT VENTURE AGREEMENT FOR EACH INVESTMENT MADE WITH A COMMUNITY PARTNER. WHERE IT IS DETERMINED NECESSARY, ADDITIONAL EFFORTS ARE MADE TO MONITOR EFFECTIVENESS AND EFFICIENCY OF INVESTMENTS, WHICH COULD INCLUDE: - QUARTERLY MEETINGS WITH COMMUNITY PARTNERS - E-MAIL AND TELEPHONIC COMMUNICATIONS WITH COMMUNITY PARTNERS - CONTINUED DIALOGUE WITH INVOLVED HOSPITAL STAFF AND COMMUNITY PARTNERS THROUGHOUT DURATION OF PROGRAM - SITE VISITS WITH COMMUNITY PARTNERS - BI-ANNUAL "OUTCOMES" SURVEY (6-MONTH AND YEAR-END OUTCOMES) - REVIEW OF HOSPITAL USAGE AND PATIENT LEVEL DATA - COLLECTION OF PATIENT STORIES AND NARRATIVES - COLLABORATIVE DISCUSSIONS AROUND AD-HOC SUCCESSES AND CHALLENGES THAT ARISE - REPORTING TO INCLUDE YEAR-END FINANCIAL SUMMARY THAT COMPARES ACTUAL EXPENDITURES TO THE FUNDED PROJECTS BUDGET, INDICATING ANY UNUSED AMOUNT OF GRANT FUNDS. AT THE END OF EACH YEAR/REPORTING PERIOD, COMMUNITY BENEFIT ANALYZES FULL-YEAR DATA TO ENSURE COMMUNITY PARTNERS MET THE OBJECTIVES OUTLINED IN THE MOU OR BAA. IF THE COMMUNITY PARTNERS DID NOT REACH THE ANTICIPATED OUTCOMES, COMMUNITY BENEFIT WORKS TO UNDERSTAND WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM NOT MEETING THE GOALS TO HELP IDENTIFY WAYS TO IMPROVE OR PERHAPS RE-EVALUATE WHAT SUCCESS OF THIS PROGRAM LOOKS LIKE, AND MAKES THE DETERMINATION TO CONTINUE OR TERMINATE FUNDING.

Schedule I (Form 990) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MILLS-PENINSULA HEALTH SERVICES

Employer identification number

94-1156265

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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1JOHN GATESREG. CFO BAY AREA (PART YEAR)	(i) (ii)	0 ------------- 633,354	0 ------------- 285,096	0 ------------- 49,516	0 ------------- 163,042	0 ------------- 20,100	0 ------------- 1,151,108	0 ------------- 135,078
2JEFF GERARDREG. PRES PENINSULA COASTAL	(i) (ii)	0 ------------- 763,104	0 ------------- 627,231	0 ------------- 113,133	0 ------------- 394,192	0 ------------- 20,626	0 ------------- 1,918,286	0 ------------- 406,467
3SARAH KREVANSPRESIDENT & COO SUTTER HEALTH	(i) (ii)	0 ------------- 1,045,572	0 ------------- 888,993	0 ------------- 143,129	0 ------------- 470,092	0 ------------- 26,048	0 ------------- 2,573,834	0 ------------- 559,293
4ROBERT MERWINCEO ACUTE CARE HSPS (FMR OFCR)	(i) (ii)	0 ------------- 19,723	0 ------------- 417,763	0 ------------- 237,068	0 ------------- 74,439	0 ------------- 1,296	0 ------------- 750,289	0 ------------- 195,363
5BRIAN ROACH MDDIV. PRES. PAMF-MPHS (PT YR)	(i) (ii)	0 ------------- 407,195	0 ------------- 255,845	0 ------------- 48,399	0 ------------- 125,942	0 ------------- 17,260	0 ------------- 854,641	0 ------------- 164,412
6RICHARD SLAVINPRESIDENT & CEO, PAMF (PT YR)	(i) (ii)	0 ------------- 806,669	0 ------------- 450,776	0 ------------- 89,303	0 ------------- 174,142	0 ------------- 12,921	0 ------------- 1,533,811	0 ------------- 276,073
7JANET WAGNERCEO, MPHS (PART YEAR)	(i) (ii)	0 ------------- 400,297	0 ------------- 249,464	0 ------------- 40,108	0 ------------- 128,292	0 ------------- 17,235	0 ------------- 835,396	0 ------------- 121,295
8KAREN HALLCHIEF LEGAL OFF. BAY AREA/SEC.	(i) (ii)	0 ------------- 357,431	0 ------------- 206,850	0 ------------- 24,477	0 ------------- 99,242	0 ------------- 17,185	0 ------------- 705,185	0 ------------- 107,824
9CATHERINE MESSMANCFO MPHS, SMSCSC (PART YEAR)	(i) (ii)	0 ------------- 236,782	0 ------------- 99,818	0 ------------- 14,155	0 ------------- 41,938	0 ------------- 12,693	0 ------------- 405,386	0 ------------- 48,299
10DOLORES GOMEZCOO, MPHS	(i) (ii)	0 ------------- 354,767	0 ------------- 150,170	0 ------------- 27,180	0 ------------- 73,492	0 ------------- 11,594	0 ------------- 617,203	0 ------------- 54,622
11DANIEL BECKERMEDICAL DIRECTOR, MPHS	(i) (ii)	322,392 ------------- 0	27,978 ------------- 0	57,832 ------------- 0	13,792 ------------- 0	20,909 ------------- 0	442,903 ------------- 0	0 ------------- 0
12PATRICIA M RYANVP, AMBULATORY SRVCS, MPHS	(i) (ii)	0 ------------- 272,969	0 ------------- 107,986	0 ------------- 16,098	0 ------------- 53,992	0 ------------- 7,467	0 ------------- 458,512	0 ------------- 45,686
13VICKI L WHITECNE, MPHS	(i) (ii)	0 ------------- 287,970	0 ------------- 113,291	0 ------------- 18,367	0 ------------- 34,092	0 ------------- 12,540	0 ------------- 466,260	0 ------------- 42,927
14GAIUS JARUDOSTAFF NURSE II, MPHS	(i) (ii)	145,295 ------------- 0	0 ------------- 0	185,317 ------------- 0	13,792 ------------- 0	10,858 ------------- 0	355,262 ------------- 0	0 ------------- 0
15TRACEY GAJDACSSTAFF NURSE II, MPHS	(i) (ii)	131,694 ------------- 0	0 ------------- 0	195,669 ------------- 0	13,792 ------------- 0	10,044 ------------- 0	351,199 ------------- 0	0 ------------- 0
16CARRIE OWEN-PLIETZCEO SHSSR (FRMR KEY EMPLOYEE)	(i) (ii)	0 ------------- 488,419	0 ------------- 358,753	0 ------------- 61,741	0 ------------- 142,592	0 ------------- 21,862	0 ------------- 1,073,367	0 ------------- 140,475

Schedule J (Form 990) 2015

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
SCHEDULE J, 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 EMPLOYEES WAGES AND TAXED ACCORDINGLY.
SCHEDULE J, PART I, LINE 3	SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THIS ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTERS EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATIONS OVERALL MISSION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH.
SCHEDULE J, PART I, LINE 4B	NONQUALIFIED RETIREMENT PLAN: THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTHS 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. SUTTERS PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF SOCIAL SECURITY, 403(B) 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 ELIGIBLE EARNINGS BEYOND THE IRS DEFINITION OF INCLUDIBLE COMPENSATION ("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 457(F)) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65 WITH 22.5 YEARS OF SERVICE. TARGET BENEFIT LEVELS ARE DISCOUNTED FOR YEARS OF SERVICE LESS THAN 22.5 AT AGE 65. UNLIKE SUTTER HEALTHS QUALIFIED PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTERS NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. THE FOLLOWING INDIVIDUAL RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: ROBERT MERWIN - $155,244
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD BUT THE AMOUNT TENDS TO NOT EXCEED 5% TO 10% OF GROSS ANNUAL SALARY. ANNUAL INCENTIVE PLAN (AIP) THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, REGION, AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. A PORTION OF THE PLAN AWARD IS DISCRETIONARY IN THAT THE SUPERVISOR MAY ADD UP TO 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. SUTTERS 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 HEALTHS OVERALL MISSION, VISION, AND VALUES, SUTTERS 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) 2015

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
MILLS-PENINSULA HEALTH SERVICES

Employer identification number
94-1156265

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 2005BC	68-0164610	130795EG8	05-01-2007	49,994,066	CONSTRUCT & REFUNDING - 10/19/2005		X		X		X
B	CHFFA 2007A	52-1643828	13033FQ37	05-01-2007	790,998,316	CONSTRUCT & EQUIP FACILITY		X		X		X
C	CHFFA 2008A	52-1643828	13033F2L3	05-14-2008	329,041,638	REFUNDING - 5/1/2007, 04 & 02		X		X		X
D	CHFFA 2015A	52-1643828	13032UAR9	11-12-2015	204,061,105	Refund. 2005A & 1995 certificates		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		0		104,255,000		0
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	52,595,244		858,694,930		329,041,638		204,061,105
4 Gross proceeds in reserve funds .............	3,464,786		0		0		0
5 Capitalized interest from proceeds .............	0		55,398,317		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		783,091,871		0		0
11 Other spent proceeds .............	49,130,458		20,204,742		329,041,638		204,061,105
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............			2011
	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) 2015

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
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 %		0.480 %		1.010 %		0.120 %
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 .........					0.060 %
6 Total of lines 4 and 5 .............			0.480 %		1.070 %		0.120 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...	X		X			X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......					X		X
b Exception to rebate? ........						X		X
c No rebate due? .........						X		X
If "Yes" to 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		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

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
SCHEDULE K REPORTING	THE ORGANIZATION'S SOLE CORPORATE MEMBER'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.
SCHEDULE K, PART I, COLUMN (E)	The filing organization received bond proceeds in the amounts of: $2,244,487 from the 2005BC; $496,754,496 from the 2007A issue; $5,730,952 from the 2008 A issue and $9,161,335 from the 2015A issue.
SCHEDULE K, PART I, LINE B, COLUMN (F) (CSCDA 2005BC)	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.
SCHEDULE K, PART I, LINE C, COLUMN (F) (CHFFA 2008A)	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 ISSUE. THE REFUNDED BONDS ISSUED IN 2007 WERE USED TO REFUND BONDS ISSUED IN 1995.
SCHEDULE K, PART II, LINE 7	ISSUANCE COSTS FROM PROCEEDS: ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.

Schedule K (Form 990) 2015

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 990-EZ 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

2015

Open to Public
Inspection

Name of the organization

MILLS-PENINSULA HEALTH SERVICES

Employer identification number

94-1156265

Return Reference	Explanation
FORM 990, PART I, LINE 1 AND PART III, LINE 1	MILLS-PENINSULA HEALTH SERVICES' MISSION IS TO ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES.
FORM 990, PART III, LINE 4A	ORGANIZATIONS PROGRAM AND SERVICE ACCOMPLISHMENTS: MILLS-PENINSULA HEALTH SERVICES CONTINUES TO BE A COMMITTED PARTNER WITH THE COMMUNITIES WE SERVE. IN 2015, IT PROVIDED $10 MILLION IN CHARITY CARE AND $6 MILLION IN OTHER COMMUNITY BENEFIT ACTIVITIES. IN 2015, MILLS-PENINSULA HAD A TOTAL OF 68,967 PATIENT DAYS. IT SERVED 13,926 INPATIENTS, MANAGED 48,066 VISITS TO THE ER, HANDLED 475,917 OUTPATIENT VISITS, AND PERFORMED 13,629 OUTPATIENT SURGERIES. THAT SAME YEAR, 2,165 BABIES WERE BORN AT MILLS-PENINSULA. OTHER HIGHLIGHTS: SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ (SMSC), A MPHS 30 BED ACUTE CARE HOSPITAL FACILITY, IS AN AFFILIATE OF SUTTER HEALTH, WHICH IS A NOT-FOR-PROFIT NETWORK OF HEALTH CARE ORGANIZATIONS. THE MISSION STATEMENT OF SUTTER HEALTH IS TO 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. SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. IN ADDITION TO BEING AN AFFILIATE OF SUTTER HEALTH, SUTTER MATERNITY & SURGERY CENTER IS AFFILIATED WITH PALO ALTO MEDICAL FOUNDATION (PAMF), A PHYSICIAN GROUP OF MORE THAN 1,345; SERVING APPROXIMATELY 958,351 PATIENTS AT CLOSE TO 52 LOCATIONS. SINCE OPENING IN 1996, SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ HAS PROVIDED TWO SERVICES LINES TO THE COMMUNITY, PERINATAL SERVICES AND SURGICAL SERVICES. THE HOSPITAL SPECIALIZES IN MINIMALLY INVASIVE SURGICAL TECHNIQUES, INCLUDING ROBOTIC-ASSISTED SURGERY, WHEN APPROPRIATE. SUTTER MATERNITY & SURGERY CENTER HAS A ROBUST CHARITY CARE PROGRAM, PROVIDING $1,654,753.13 IN CHARITY CARE IN 2015. EFFECTIVE MAY 1, 2009, SUTTER MATERNITY & SURGERY CENTER CAME UNDER THE OWNERSHIP OF MILLS PENINSULA HEALTH SERVICES. THE SANTA CRUZ COMMUNITY BOARD RETAINS RESPONSIBILITY FOR ENSURING THAT THE CORPORATIONS FACILITIES, CAREGIVERS, RESOURCE ALLOCATION, AND PROCESSES OF CARE ARE RESPONSIVE TO THE CARE DELIVERY AND HEALTH STATUS NEEDS OF THE SANTA CRUZ COMMUNITY. THE SANTA CRUZ COMMUNITY BOARD IS COMPRISED OF 11 VOLUNTEER COMMUNITY MEMBERS, FOUR MEMBERS OF THE MEDICAL STAFF (INCLUDING THE CHIEF OF STAFF WHO IS EX OFFICIO), THE COO OF PAMF, SANTA CRUZ, AND TWO SUTTER HEALTH REPRESENTATIVES. THE HOSPITAL CHIEF ADMINISTRATIVE OFFICER AND THE PRESIDENT OF PAMF, SANTA CRUZ SERVE AS EX OFFICIO MEMBERS. MEMBERS ARE SELECTED TO ENSURE THAT A VARIETY OF PERSPECTIVES ARE AVAILABLE TO ADDRESS ISSUES FACING THE COMMUNITY. PROGRAMS AND ACTIVITIES - THE SANTA CRUZ WOMENS HEALTH CENTER, A LOCAL FQHC COMMUNITY CLINIC, OPENED, IN MAY 2014, A NEW CLINIC IN LIVE OAK, AND EXPANDED THEIR SERVICES TO UNDERSERVED MEN AND CHILDREN. PAMF AND SMSC HAVE AGREED TO SUPPORT THE NEW FACILITY BY INVESTING $1.5 MILLION OVER THE COURSE OF FIVE YEARS TO HELP WITH START-UP AND OPERATION OF THE NEW CLINIC, INCLUDING THE PEDIATRICS PROGRAM. - SMSC AND PAMF HAVE AGREED TO SUPPORT SALUD PARA LA GENTE, ANOTHER FQHC OF SOUTHERN SANTA CRUZ COUNTY AND NORTHERN MONTEREY COUNTY. SALUD IS IN THE PROCESS OF EXPANDING ONE OF THEIR MAIN CLINICS IN DOWNTOWN WATSONVILLE, WHICH WILL ULTIMATELY ALLOW THEM TO INCREASE THEIR NUMBER OF PATIENTS SERVED FROM 26,000 TO ABOUT 36,000. THE DONATION TO SALUD PARA LA GENTE WILL BE $750,000 OVER FIVE YEARS. - SMSC DONATED $25,000 TO DIENTES COMMUNITY DENTAL TO PROVIDE SUPPORT FOR THEIR EQUIPMENT AND INFRASTRUCTURE NEEDS. THIS DONATION WILL HELP PROVIDE DENTAL CARE TO THOUSANDS OF LOW INCOME RESIDENTS IN THE COMMUNITY. - SMSC, IN CONJUNCTION WITH PAMF AND THE CENTRAL CALIFORNIA ALLIANCE FOR HEALTH, PROVIDES A $10,000 SCHOLARSHIP ANNUALLY TO A UCSC HEALTH SCIENCES GRADUATE WHO HAS BEEN ACCEPTED TO MEDICAL SCHOOL AND EXPRESSES THE INTENTION TO RETURN TO THE AREA AND PROVIDE PRIMARY CARE SERVICES TO PATIENTS, INCLUDING MEDI-CAL, MEDICRUZ, AND MEDICARE PATIENTS. - SMSC AND PAMF CONTINUE TO SUPPORT THE ALLIED HEALTH PROFESSIONAL AND NURSING PROGRAMS AT CABRILLO COLLEGE. THIS INCLUDES SUPPORT FOR THE NURSING, RADIOLOGY TECH, AND MEDICAL ASSISTANT PROGRAMS. - SMSC AND PAMF WORK CLOSELY WITH THE SANTA CRUZ COUNTY HEALTH SERVICES AGENCY, THEIR MEDICRUZ PROGRAM, AND LOCAL COMMUNITY CLINICS TO PROVIDE FREE OR DISCOUNTED SERVICES FOR UNDERSERVED PATIENTS THAT NEED TO ACCESS BIRTHING PROGRAMS, MED/SURG SERVICES AND SPECIALIST CARE. - SMSC IS A MEMBER OF THE HEALTH IMPROVEMENT PARTNERSHIP OF SANTA CRUZ COUNTY (HIPSCC), CONSISTING OF ALL COMMUNITY CLINICS, MEDICAL GROUPS AND HOSPITALS IN SANTA CRUZ COUNTY TO ENSURE A SOLID SAFETY NET OF HEALTH CARE SERVICES FOR SANTA CRUZ COUNTY RESIDENTS. MILLS-PENINSULA PARTICIPATES IN THE SAN MATEO COUNTY HOSPITAL CONSORTIUMS HEALTHY COMMUNITY COLLABORATIVE. PART OF THE COLLABORATIVE WORK IS TO CONDUCT COMMUNITY HEALTH ASSESSMENTS EVERY THREE YEARS. OUR COMMUNITY BENEFIT PROGRAMS ARE DESIGNED TO MEET NEEDS IDENTIFIED IN THE ASSESSMENTS. THE PROGRAMS BELOW ARE EXAMPLES OF THE SIGNIFICANT CONTRIBUTION MILLS-PENINSULA PROVIDES IN OUR COMMUNITY. - ONGOING SUPPORT FOR SENIORS THROUGH MILLS-PENINSULAS SENIOR FOCUS PROGRAM THAT PROVIDES ADULT DAY HEALTH CARE, ALZHEIMERS DAY CARE RESOURCE CENTER AND EDUCATION - ONGOING EXPANSION OF MILLS-PENINSULAS AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE EFFORTS TO PROVIDE HEALTH SCREENING AND EDUCATION TO UNDERSERVED POPULATIONS - ONGOING SUPPORT FOR SAMARITAN HOUSE, A KEY NON-PROFIT SAFETY NET AGENCY THAT PROVIDES MEDICAL CARE, HOUSING, FOOD AND JOB TRAINING FOR THE UNDERSERVED - GRANTS PROGRAM FOR COMMUNITY NON-PROFITS THAT IN 2015 PROVIDED $234,500 IN FUNDING FOR SPECIAL PROJECTS SENIOR FOCUS: THE PROPORTION OF ADULTS AGED 60 AND OLDER IN SAN MATEO COUNTY IS EXPECTED TO ROUGHLY DOUBLE OVER THE NEXT FOUR DECADES. AS THE FASTEST-GROWING POPULATION SEGMENT, THE HEALTH AND SOCIAL NEEDS OF OLDER ADULTS REQUIRE INCREASING ATTENTION. SENIOR FOCUS SERVES OLDER ADULTS AND THEIR FAMILIES IN SAN MATEO COUNTY, PROVIDING SERVICES ACROSS THE SPECTRUM FROM PREVENTION EDUCATION TO MEDICAL DAY CARE. THOUSANDS OF PEOPLE ARE SERVED ANNUALLY. HEALTH EDUCATION CLASSES AND SCREENINGS PROMOTE A HEALTHY LIFESTYLE AND HELP SENIORS PREVENT OR MANAGE DISEASE WHEN IT OCCURS. VOLUNTEER PROGRAMS HELP SENIORS MAINTAIN AN ACTIVE LIFESTYLE AND CONTRIBUTE TO THE NON-PROFITS IN THE COMMUNITY. THE ADULT DAY HEALTH AND ALZHEIMER'S PROGRAMS ONE OF ONLY TWO IN THE COUNTY PROVIDE MULTIDISCIPLINARY HEALTH CARE SERVICES IN AN OUTPATIENT SETTING, ALLOWING FRAIL OR IMPAIRED SENIORS TO REMAIN LIVING AT HOME INSTEAD OF IN INSTITUTIONS. CAREGIVER SUPPORT SERVICES INCLUDE CLASSES, SUPPORT GROUPS, ONE TO ONE COUNSELING, REFERRAL TO COMMUNITY RESOURCES AND A CAREGIVER LIBRARY. THE PROGRAMS ALSO PROVIDE LEARNING OPPORTUNITIES TO HEALTH CARE AND SOCIAL SERVICES PROFESSIONALS IN THE COMMUNITY AND THOSE WHO ARE SEEKING CAREERS IN THE FIELD OF AGING. OUR ONGOING GOAL IS TO ENSURE STABILITY OF THE PROGRAMS IN LIGHT OF STATE BUDGET CONSTRAINTS THAT REDUCED STATE FUNDING. SENIOR FOCUS WAS CHOSEN TO PARTICIPATE IN PARTNERSHIP WITH SAN MATEO COUNTY FOR A CMS-SPONSORED DUALS PILOT PROJECT WITH THE GOAL OF PROVIDING MORE EFFICIENT, COORDINATED CARE TO REDUCE INAPPROPRIATE HOSPITALIZATIONS. WE CONTINUE TO WORK WITH THE COUNTY AND APPROPRIATE ADVOCACY ORGANIZATIONS TO ADDITIONALLY CREATE AND IMPLEMENT PROGRAM REVISIONS THAT WILL HELP MAKE SERVICES SUSTAINABLE. HEALTH SCREENINGS AND EDUCATION FOR AFRICAN AMERICAN, HISPANIC AND PACIFIC ISLANDER POPULATIONS IN SAN MATEO COUNTY: MILLS-PENINSULAS AFRICAN AMERICAN COMMUNITY HEALTH ADVISORY COMMITTEE (AACHAC) HAS SINCE 1995 PARTNERED PRIMARILY WITH COMMUNITY CHURCHES AND GRASS-ROOTS ORGANIZATIONS TO ADDRESS THE HIGHER INCIDENCE OF CANCER, HEART DISEASE, DIABETES, ASTHMA AND OTHER CHRONIC DISEASES IN THE AFRICAN AMERICAN COMMUNITY WITH EDUCATION AND SCREENINGS FOR EARLY DETECTION. IN 2015, THE COMMITTEE PROVIDED 302 UNINSURED WOMEN WITH MAMMOGRAM SCREENINGS. 36 DIAGNOSTIC MAMMOGRAMS, 40 BREAST ULTRASOUND, 5 U/S BIOPSY & CYST ASP. AND 5 STEREOTACTIC BIOPSY AT MILLS-PENINSULA WOMENS CENTER. THE ASIAN, HISPANIC AND PACIFIC ISLANDER POPULATIONS ARE AMONG THE FASTEST GROWING IN SAN MATEO COUNTY AND AS EVIDENCED IN THE LAST TWO COMMUNITY NEEDS ASSESSMENTS, THESE POPULATIONS ARE MORE LIKELY TO HAVE LIMITED ACCESS TO SCREENINGS THAT CAN PROVIDE EARLY DETECTION AND EDUCATION FOR HEALTHIER LIFESTYLES. THE COMMITTEES GOAL IS TO CONTINUALLY INCREASE ITS OUTREACH TO THE ASIAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. THE COMMITTEES SUCCESSFUL EXPERIENCE IN THE AFRICAN AMERICAN COMMUNITY WAS BASED LARGELY ON THE RELATIONSHIPS COMMITTEE LEADERS ENJOYED WITH THE COMMUNITY ITSELF. THAT SAME APPROACH HAS BEEN APPLIED TO OUTREACH IN THE ASIAN, HISPANIC AND PACIFIC ISLANDER COMMUNITIES. IN EACH DEMOGRAPHIC SEGMENT, LEADERS ARE BEING IDENTIFIED AND ARE ENCOURAGED TO CONTRIBUTE TO THE DEVELOPMENT OF CULTURALLY COMPETENT OUTREACH PROGRAMS AND SERVICES.
FORM 990, PART III, LINE 4A (CONTINUED)	THE AACHAC HAS ENJOYED EXTRAORDINARY SUCCESS IN ITS WORK. 1,935 PEOPLE WERE SCREENED FOR BREAST CANCER, HEART DISEASE, DIABETES AND OTHER HEALTH CONCERNS, AND ANOTHER 7,500 HAVE BEEN REACHED THROUGH ITS EDUCATIONAL PROGRAMS, SOCIAL MEDIA AND INDIVIDUAL CONTACT. SUPPORT FOR OUTPATIENT SERVICES FOR PEOPLE WHO HAVE NO INSURANCE: AS PART OF CHARITY CARE, MILLS-PENINSULA PROVIDES ONGOING FINANCIAL AND IN-KIND SERVICES FOR SAMARITAN HOUSE, A PRIVATE NONPROFIT ORGANIZATION THAT HELPS SERVE MORE THAN 12,000 LOW-INCOME PEOPLE WITHIN SAN MATEO COUNTY WITH A FULL SPECTRUM OF SERVICES INCLUDING A MEDICAL CLINIC STAFFED BY VOLUNTEERS. MILLS-PENINSULA PHYSICIANS VOLUNTEER THEIR TIME AND SERVICES, AND MILLS-PENINSULA PROVIDES IN-KIND SERVICES INCLUDING RADIOLOGY. IN 2015, THERE WAS A 27% INCREASE, FROM THE PREVIOUS YEAR IN PATIENT VISITS TO SAMARITANS HOUSE HEALTH CLINICS. THE ESSENTIAL WORK OF SAMARITAN HOUSE CONTINUES STRONG EVEN THROUGH FUNDING REDUCTIONS. THE PROGRAM PROVIDES AN ESSENTIAL LAYER OF INFRASTRUCTURE IN THE HEALTH CARE SYSTEM. DENTAL CARE PARTNERSHIPS: THROUGH THE PROVISION OF ONGOING FINANCIAL SUPPORT TO RAVENSWOOD FAMILY HEALTH CENTER (FQHC), MILLS-PENINSULA HELPED INCREASE THE NUMBER OF DENTAL VISITS FOR CHILDREN WITH SPECIAL NEEDS BY 128% SINCE 2014. MILLS-PENINSULAS SUPPORT GAVE SONRISAS COMMUNITY DENTAL CENTER, A NON-PROFIT DENTAL EDUCATION AND TREATMENT CENTER, THE ABILITY TO SERVE 1,337 PATIENTS IN 2015. IT PROVIDED DENTAL SCREENINGS AT SIX ELEMENTARY SCHOOLS, PARTICIPATED IN 14 DENTAL AWARENESS EVENTS, AND PROVIDED TO 78% PATIENTS, WHO FOLLOWED UP ON THEIR TREATMENTS AFTER RECEIVING MAJOR TREATMENTS, WITH PREVENTIVE CARE TREATMENTS. COMMUNITY GRANTS PROGRAM (2015 CONTRIBUTION $212,500): MILLS-PENINSULAS COMMUNITY GRANTS PROGRAM PROVIDES GRANTS OF $5,000 TO $15,000 EACH YEAR TO HELP WITH SPECIAL HEALTH-RELATED PROJECTS PROPOSED BY LOCAL NONPROFIT ORGANIZATIONS. THIS FUNDING IS PART OF OUR OVERALL GOAL TO HELP CREATE AND SUSTAIN A STRONG SUPPORT SYSTEM FOR THE UNDERSERVED IN OUR COMMUNITY. IN 2015, THE FOLLOWING ORGANIZATIONS RECEIVED FUNDING FOR THEIR PROJECTS: ACKNOWLEDGE ALLIANCE ALZHEIMERS ASSOCIATION BAY AREA CANCER CONNECTIONS BAY AREA LEGAL AID BOYS & GIRLS CLUB OF NORTH SAN MATEO COUNTY BREAST CANCER EMERGENCY FUND CALIFORNIA CLUBHOUSE INC. CAMINAR FOR MENTAL HEALTH CASA CENTER FOR INDEPENDENCE OF INDIVIDUALS WITH DISABILITIES CHILD CARE COORDINATING COUNCIL (4CS) COASTSIDE ADULT DAY HEALTH CENTER CORA EL CENTRO DE LIBERTAD FAMILY CONNECTIONS FRIENDS OF YOUTH GATEPATH HEALTH CONNECTED (FORMERLY TEEN TALK SEXUALITY) HIP HOUSING HOME AND HOPE LEGAL AID SOCIETY OF SAN MATEO COUNTY LIFE MOVES (FORMERLY INNVISION SHELTER NETWORK) MID-PENINSULA BOYS AND GIRLS CLUB MISSION HOSPICE & HOME CARE NAMI OF SAN MATEO COUNTY NOTRE DAME DE NAMUR UNIVERSITY OMBUDSMAN SERVICES OF SAN MATEO COUNTY PARCA PENINSULA FAMILY SERVICE PENINSULA JEWISH COMMUNITY CENTER PUENTE DE LA COSTA SUR RAPE TRAUMA SERVICE REBUILDING TOGETHER PENINSULA 2015 AWARDS AND ACCOMPLISHMENTS: - FOR THE FIFTH YEAR IN A ROW, MILLS-PENINSULA RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS STROKE GOLD PLUS AWARD FOR HIGH QUALITY STROKE CARE. THE AWARD RECOGNIZES MILLS-PENINSULA FOR TREATING STROKE PATIENTS WITH 85 PERCENT OR HIGHER COMPLIANCE TO AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION STANDARDS OF CARE FOR AT LEAST TWO CONSECUTIVE YEARS AND ACHIEVING 75 PERCENT OR HIGHER COMPLIANCE WITH SEVEN OF 10 STROKE QUALITY MEASURES IN THE "GET WITH THE GUIDELINES" PROGRAM. FOR THE THIRD YEAR IN A ROW, MILLS-PENINSULA ALSO RECEIVED THE TARGET: STROKE HONOR ROLL RECOGNITION FOR QUICKLY TREATING STROKE PATIENTS WITH TISSUE PLASMINOGEN ACTIVATOR (TPA), THE DRUG THAT BREAKS UP CLOTS THAT CAUSE A STROKE. THE HONOR ROLL DESIGNATION MEANS THAT DURING THE PAST QUARTER, AT LEAST 50 PERCENT OF MILLS-PENINSULAS ELIGIBLE ISCHEMIC STROKE PATIENTS RECEIVED TPA WITHIN 60 MINUTES OF ARRIVAL TO THE HOSPITAL. - THE JOINT COMMISSION NAMED MILLS-PENINSULA HEALTH SERVICES A 2014 TOP PERFORMER ON KEY QUALITY MEASURES. THE TOP PERFORMER PROGRAM RECOGNIZES HOSPITALS FOR IMPROVING PERFORMANCE ON INTERVENTIONS THAT INCREASE THE CHANCES OF HEALTHY OUTCOMES FOR PATIENTS. MILLS-PENINSULA WAS RECOGNIZED FOR EXCELLENCE IN ACCOUNTABILITY MEASURES FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, SURGICAL CARE AND PERINATAL CARE. - HEALTHGRADES RECOGNIZED MILLS-PENINSULA HEALTH SERVICES WITH THE 2015 AMERICAS 50 BEST HOSPITALS AWARD. THE DISTINCTION PLACES MILLS-PENINSULA AMONG THE TOP ONE PERCENT OF NEARLY 4,500 HOSPITALS NATIONWIDE FOR CONSISTENT, YEAR-OVER-YEAR SUPERIOR CLINICAL PERFORMANCE AS MEASURED BY HEALTHGRADES. MILLS-PENINSULA WAS FURTHERED SINGLED OUT BY HEALTHGRADES FOR CLINICAL EXCELLENCE IN CARDIAC CARE. - U.S. NEWS & WORLD REPORT NAMED MILLS-PENINSULA TO ITS LIST OF BEST HOSPITALS IN CALIFORNIA AND THE SAN FRANCISCO METRO AREA FOR HIGH PERFORMANCE IN HEART FAILURE, HIP, KNEE REPLACEMENT. THE ANNUAL U.S. NEWS RANKINGS RECOGNIZE HOSPITALS THAT EXCEL IN TREATING THE MOST CHALLENGING PATIENTS. - MILLS-PENINSULA WAS NAMED TO THE U.S. NEWS & WORLD REPORT LIST OF THE MOST CONNECTED HOSPITALS FOR 2015-16. MILLS-PENINSULA WAS ONE OF 159 MEDICAL CENTERS ACROSS THE COUNTRY RECOGNIZED FOR USE OF DIGITAL TECHNOLOGY IN HEALTH CARE. TO QUALIFY, THE HOSPITALS DEMONSTRATED THE ABILITY TO SHARE DATA WITH PROVIDERS, IMPROVE PATIENT SAFETY THROUGH COMPUTERIZATION AND ENGAGE PATIENTS IN THEIR CARE THROUGH ELECTRONIC ACCESS TO THEIR OWN MEDICAL INFORMATION. - PRESS GANEY RECOGNIZED MENLO PARK SURGICAL HOSPITAL WITH THE 2015 GUARDIAN OF EXCELLENCE AWARD FOR PATIENT SATISFACTION. THIS AWARD IS A NATIONALLY RECOGNIZED SYMBOL OF ACHIEVEMENT IN HEALTH CARE RECOGNIZING TOP-PERFORMING FACILITIES THAT CONSISTENTLY ACHIEVED THE 95TH PERCENTILE OF PERFORMANCE IN PATIENT EXPERIENCE. THIS HONOR IS AWARDED ANNUALLY BASED ON ONE YEAR OF DATA. - MEDICAL VALUE INDEX RANKED MILLS-PENINSULA HEALTH SERVICES NUMBER ONE IN THE BAY AREA FOR VALUE DELIVERED TO PATIENTS. THE MEDICAL VALUE INDEX USES PUBLICLY AVAILABLE CLINICAL AND COST DATA REPORTED TO MEDICARE TO CREATE A SCORE FOR EACH HOSPITAL THAT MEASURES A COMBINATION OF PATIENT SATISFACTION, CLINICAL QUALITY AND PRICE. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES MADE TO ORGANIZATION'S GOVERNING DOCUMENTS BOARD COMPOSITION CHANGES FORMER: THE BOARD OF DIRECTORS SHALL CONSIST OF BETWEEN 7 AND 25 DIRECTORS. REVISED: THE BOARD OF DIRECTORS SHALL CONSIST OF BETWEEN 17 AND 25 DIRECTORS. FORMER: AT LEAST 3 PHYSICIANS SHALL BE MEMBERS OF THE BOARD. REVISED: BETWEEN 3 AND 8 PHYSICIANS SHALL BE MEMBERS OF THE BOARD. FORMER: A MAJORITY OF THE MEMBERS OF THE BOARD SHALL BE BROADLY REPRESENTATIVE OF THE AREAS SERVED BY THE CORPORATION. REVISED: BETWEEN 11 AND 14 INDIVIDUALS FROM THE COMMUNITY SHALL BE NOMINATED BY THE BOARD OF THE CORPORATION AND APPOINTED BY THE GENERAL MEMBER. THESE INDIVIDUALS SHOULD TOGETHER REFLECT A BREADTH OF DIVERSITY AND BE CHOSEN FOR THEIR WILLINGNESS AND ABILITY TO EFFECTIVELY CONTRIBUTE TO AND SUPPORT THE OBJECTIVES OF THE CORPORATION AND THE GENERAL MEMBER. FORMER: NO APPOINTED DIRECTOR MAY SERVE FOR MORE THAN NINE (9) CONSECUTIVE YEARS. REVISED: NO APPOINTED DIRECTOR MAY SERVE FOR MORE THAN TEN (10) CONSECUTIVE YEARS.
FORM 990, PART VI, LINES 6 & 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B DESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THIS CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THIS CORPORATION; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THE ORGANIZATION'S BYLAWS; D. ADOPTION OF CAPITAL BUDGETS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; PROVIDED, HOWEVER, THAT IN RESPONDING TO BUDGETS PROPOSED BY THIS CORPORATION, THE GENERAL MEMBER SHALL ACCOMMODATE THIS CORPORATION'S OBLIGATIONS UNDER ITS LEASE OF HOSPITAL PREMISES AS DESCRIBED IN SECTION 4 OF THE ORGANIZATION'S BYLAWS; 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	DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR THE GOVERNING BODY TO REVIEW FORM 990: 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.
FORM 990, PART VI, LINE 12	DESCRIPTION OF THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS 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	PROCESS FOR DETERMINING COMPENSATION: 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	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, & FINANCIAL STATEMENTS TO THE GENERAL PUBLIC: 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	OTHER CHANGES IN FUND BALANCE: EQUITY TRANSFERS (NET) $ (73,563,776) PARTNERSHIP INCOME ON BOOKS $ 437,712 K-1 ORDINARY INCOME $ (333,790) OTHER CHANGES $ (26,935) =============== $ (73,486,789)

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MILLS-PENINSULA HEALTH SERVICES

Employer identification number

94-1156265

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 C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 68-0088443	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes
(2)BETTER HEALTH EAST BAY FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 51-0160184	FUNDRAISING	CA	501(C)(3)	7	SUTTER EBH	Yes
(3)CALIFORNIA PACIFIC MEDICAL CTR FOUND C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2728423	FUNDRAISING	CA	501(C)(3)	7	SUTTER WBH	Yes
(4)EAST BAY PERINATAL CENTER 3012 SUMMIT STREET 3RD FLOOR OAKLAND,CA94609 51-0172285	HEALTHCARE	CA	501(C)(3)	3	SUTTER EBH	Yes
(5)EDEN MEDICAL CENTER C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2948100	HEALTHCARE	CA	501(C)(3)	9	SUTTER HLTH	Yes
(6)MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2290244	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER CVH	Yes
(7)MILLS-PENINSULA HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 23-7288765	FUNDRAISING	CA	501(C)(3)	7	MPHS	Yes
(8)PALO ALTO MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-1156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(9)SAMUEL MERRITT UNIVERSITY 450 30TH STEET SUITE 2820 OAKLAND,CA94609 94-2992642	UNIVERSITY	CA	501(C)(3)	2	SUTTER EBH	Yes
(10)SUTTER AUBURN FAITH HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(11)SUTTER CENTRAL VALLEY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-1080917	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(12)SUTTER COAST HOSPITAL C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2988520	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(13)SUTTER DAVIS HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 68-0217870	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(14)SUTTER EAST BAY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-1196176	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(15)SUTTER EAST BAY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2690415	HEALTHCARE	CA	501(C)(3)	11B - II	SUTTER HLTH	Yes
(16)SUTTER GOULD MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-1682256	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(17)SUTTER HEALTH 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2788907	SUPPORT. ORG	CA	501(C)(3)	11c III-FI	NA		No
(18)SUTTER HEALTH PACIFIC 91-2301 FT WEAVER RD EWA BEACH,HI96706 99-0298651	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(19)SUTTER HEALTH PLAN C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 46-1183948	HEALTH PLAN	CA	PENDING	PENDING	SUTTER HLTH	Yes
(20)SUTTER HEALTH SACRAMENTO SIERRA REGION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-1156621	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(21)SUTTER INSURANCE SERVICES CORPORATION 745 FORT STREET SUITE 1100 HONOLULU,HI96813 99-0289310	INSURANCE	HI	501(C)(3)	11C III-FI	SUTTER HLTH	Yes
(22)SUTTER MEDICAL CENTER FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2788906	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(23)SUTTER MEDICAL CENTER CASTRO VALLEY C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 77-0146047	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(24)SUTTER VALLEY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 68-0273974	HEALTHCARE	CA	501(C)(3)	11b - II	SUTTER HLTH	Yes
(25)SUTTER ROSEVILLE MEDICAL CTR FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 68-0040113	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(26)SUTTER SOLANO CHARITABLE FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2668262	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(27)SUTTER VISITING NURSE ASSOC AND HOSPICE C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-6068843	HEALTHCARE	CA	501(C)(3)	9	SUTTER HLTH	Yes
(28)SUTTER WEST BAY HOSPITALS C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-0562680	HOSPITAL	CA	501(C)(3)	3	SUTTER HLTH	Yes
(29)SUTTER WEST BAY MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2948131	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(30)TRACY HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 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) 2015

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	(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 2125 OAK GROVE WLN CK,CA94598 94-2953833	PATIENT CARE	CA	NA
(2) SURG CTR OF ABSMC 3875 TELEGRAPH OAKLAND,CA94609 47-0946086	OUTPATIENT SURG	CA	NA
(3) ALTA CT SERVICES LP 2125 OAK GROVE WLN CK,CA94598 94-3083464	PATIENT CARE	CA	NA
(4) CALIFORNIA PACIFIC ADV IMAGING LLC PO BOX 6102 NOVATO,CA94948 56-2311840	MRI JOINT VENTURE	CA	NA
(5) SAN FRANCISCO ENDOSCOPY CENTER LLC 3000 RIVERCHASE BIRMINGHAM,AL35244 91-2160588	ENDOSCOPY JV	CA	NA
(6) PRESIDIO SURGERY CENTER LLC 1635 DIVISADERO SF,CA94115 32-0144060	AMBULATORY SURG	CA	NA
(7) SUTTER FAIRFIELD SURGERY CTR 2700 LOW CT FAIRFIELD,CA94533 30-0233892	SURGERY	CA	NA
(8) TWIN CITIES SURGICAL HOSPITAL LLC 250 S WACKER CHICAGO,IL60606 35-2182617	SURGERY	CA	NA
(9) SUTTER AMADOR SURGERY CENTER LLC 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 46-1398093	SURGERY	CA	NA
(10) ROSEVILLE ENDOSCOPY CENTER LLC 4 MEDICAL PLAZA SUITE 210 ROSEVILLE,CA95661 87-0710513	ENDOSCOPY JV	CA	NA
(11) MEMORIAL MEDICAL OFFICE BUILDING PRTNR 1 1800 COFFEE RD SUITE 76 MODESTO,CA95355 77-0287288	MEDICAL OFFICE	CA	NA
(12) MEMORIAL MEDICAL OFFICE BUILDING PRTNR 2 1800 COFFEE RD SUITE 76 MODESTO,CA95355 77-0287288	MEDICAL OFFICE	CA	NA
(13) MAGNETIC IMAGING AFFILIATES LLC 2125 OAK GROVE RD STE 200 WALNUT CREEK,CA94598 47-3696091	PATIENT CARE	CA	NA
(14) PENINSULA ENDOSCOPY CENTER LLC 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 27-1905059	ENDOSCOPY JV	CA	NA

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

Schedule R (Form 990) 2015

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) ............................

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) .......................

Yes

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) .....................

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

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) MILLS PENINSULA HOSPITAL FOUNDATION	C	3,297,985	FMV
(2) PALO ALTO MEDICAL FOUNDATION	P	833,030	FMV
(3) PALO ALTO MEDICAL FOUNDATION	S	7,336,408	FMV
(4) PALO ALTO MEDICAL FOUNDATION	J	1,977,270	FMV
(5) SUTTER WEST BAY HOSPITALS	P	72,217	FMV
(6) SUTTER COAST HOSPITAL	P	108,777	FMV
(7) SUTTER INSURANCE SERVICES CORPORATION	P	4,147,193	FMV
(8) MILLS PENINSULA HOSPITAL FOUNDATION	P	3,102,836	FMV

Schedule R (Form 990) 2015

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) 2015

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) 2015

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	25
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	23
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	2,404
6	Total number of volunteers (estimate if necessary) .............	6	728
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,947,766	4,197,213
9	Program service revenue (Part VIII, line 2g) .........	610,072,012	646,611,094
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	387,602	294,564
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,508,927	7,984,340
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	622,916,307	659,087,211
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,476,185	2,634,514
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)	259,481,181	271,911,466
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	275,872,929	334,492,887
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	539,830,295	609,038,867
19	Revenue less expenses. Subtract line 18 from line 12.......	83,086,012	50,048,344
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	781,462,049	771,804,015
21	Total liabilities (Part X, line 26).............	571,654,201	585,451,559
22	Net assets or fund balances. Subtract line 21 from line 20.....	209,807,848	186,352,456

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 509,129,234 including grants of $ 2,386,213 ) (Revenue $ 646,611,094 )
	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 expenses509,129,234

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,066,177	11,196,462	2,257,503

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,297,985
e	Government grants (contributions)		1e	441,739

f	All other contributions, gifts, grants, and similar amounts not included above		1f	457,489

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		4,197,213

			Business Code
2a	PATIENT SERVICE REVENUE	622110	644,045,582	644,045,582
b	RENTAL TO AFFILIATES	900099	2,231,722	2,231,722
c	PENINSULA ENDOSCOPY CENTER LLC	900099	333,790	333,790
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			646,611,094

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			196,024			196,024
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		5,807,559
b	Less: rental expenses		220,687
c	Rental income or (loss)	0	5,586,872
d	Net rental income or (loss)......			5,586,872			5,586,872
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	98,540
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	98,540
d	Net gain or (loss).....			98,540			98,540
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	AUXILIARY ACTIVITY		900099	722,922			722,922
b	FOOD SERVICES		722310	1,584,660			1,584,660
c	PARKING REVENUES		812930	89,886			89,886
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,397,468
12	Total revenue. See Instructions......			659,087,211	646,611,094		8,278,904

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	2,634,514	2,634,514
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0	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 ....	2,712,625		2,712,625
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	167,829,300	144,960,636	22,868,664
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,934,839	7,594,613	1,340,226
9	Other employee benefits .......	79,681,862	67,729,583	11,952,279
10	Payroll taxes ...........	12,752,840	10,839,914	1,912,926
11	Fees for services (non-employees):
a	Management ......	1,408,954		1,408,954
b	Legal .........	242,146		242,146
c	Accounting ...........	74,217		74,217
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	148,641		148,641
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	27,588,769	26,151,421	1,437,348
12	Advertising and promotion ....	95,400	95,400
13	Office expenses .......	12,931,216	10,740,761	2,190,455
14	Information technology ......	10,527,473	9,603,293	924,180
15	Royalties ..	0
16	Occupancy ...........	13,535,176	13,333,989	201,187
17	Travel ............	190,765	152,612	38,153
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	51,335	47,028	4,307
20	Interest ...........	17,496,562	17,496,562
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	59,774,991	59,774,991
23	Insurance ...	4,111,148	3,321,036	790,112
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	55,214,255	54,922,691	291,564
b	SYSTEM ALLOCATION FEES	46,735,786		46,735,786
c	PURCHASED SERVICES	44,628,672	42,670,249	1,958,423
d	HOSPITAL FEES	29,716,584	29,716,584
e	All other expenses	10,020,797	7,343,357	2,677,440
25	Total functional expenses. Add lines 1 through 24e	609,038,867	509,129,234	99,909,633	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			20,104,003	2	20,107,950
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			61,586,590	4	72,419,397
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 ........			9,332,309	8	10,614,549
9	Prepaid expenses and deferred charges ......			2,701,459	9	3,262,369
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,130,528,023
b	Less: accumulated depreciation	10b	493,106,567	663,919,244	10c	637,421,456
11	Investments—publicly traded securities .			1,155,476	11	-496,957
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	7,036,209
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			22,662,968	15	21,439,042
16	Total assets. Add lines 1 through 15 (must equal line 34)...			781,462,049	16	771,804,015

17	Accounts payable and accrued expenses .....	59,739,197	17	77,080,040
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	509,531,173	20	505,610,069
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	2,383,831	25	2,761,450
26	Total liabilities. Add lines 17 through 25..	571,654,201	26	585,451,559

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	209,337,587	27	185,881,694
28	Temporarily restricted net assets ...........	470,261	28	470,762
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 ...........	209,807,848	33	186,352,456
34	Total liabilities and net assets/fund balances ........	781,462,049	34	771,804,015