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) DAVID ADKINS MD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(2) DAVID P BENN...................................................................... REG. PRESIDENT, CV (PART YEAR)	40.0 ................. 1.0	X	X	1,287,475	326,941
(3) TIM BYRD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(4) JAMES CONFORTI...................................................................... REG. PRESIDENT, CV (PART YEAR)	1.0 ................. 40.0	X	X	1,358,530	401,195
(5) VIVA ETTIN MD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(6) BEVERLY FINLEY...................................................................... CHAIR MEDICAL POLICY/TRUSTEE	1.0 ................. 0.0	X		0	0
(7) PATRICK FRY...................................................................... PRESIDENT & CEO, SUTTER HEALTH	1.0 ................. 40.0	X		3,841,745	3,627,909
(8) GARY HOOPER...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(9) SCOTT HOWELL...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(10) I-MEI HSIU MD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(11) PETER HULL MD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(12) SARAH KREVANS...................................................................... COO SUTTER HEALTH	1.0 ................. 40.0	X	X	2,077,694	496,140
(13) TED LELAND PHD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(14) JEREMY MESCHES MD...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X		0	0
(15) FRANCES MIZUNO...................................................................... VICE CHAIR/TRUSTEE (PART YEAR)	1.0 ................. 0.0	X	X	0	0
(16) ALFREDO MONTELONGO MD...................................................................... TRUSTEE/COS (PART YEAR)	1.0 ................. 0.0	X		0	0
(17) CLE MOORE-BELL...................................................................... TRUSTEE (PART YEAR)	1.0 ................. 0.0	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MICHAEL NEWELL........................................................................ CHAIR/TRUSTEE (PART YEAR)	1.0 .......................8.0	X	X				0	0	0
(19) NARENDRA PATHIPATI........................................................................ TRUSTEE	1.0 .......................1.0	X					0	0	0
(20) TIMA SEWARD........................................................................ CHAIR F&P/TRUSTEE	1.0 .......................0.0	X	X				0	0	0
(21) KURT SHULER MD........................................................................ TRUSTEE	1.0 .......................0.0	X					0	0	0
(22) TODD SMITH MD........................................................................ CHAIR/TRUSTEE (PART YEAR)	1.0 .......................8.0	X	X				0	27,500	0
(23) MIKE SOUZA........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(24) HELEN THOMSON........................................................................ TRUSTEE	1.0 .......................0.0	X					0	0	0
(25) TOBBIE WELLS........................................................................ TRUSTEE (PART YEAR)	1.0 .......................0.0	X					0	0	0
(26) GARY HARRELL........................................................................ VP & REG COUNSEL, CV (PT YR)	1.0 .......................40.0		X				0	428,082	77,361
(27) JOE HIRT........................................................................ CFO, CV REGION (PART YEAR)	40.0 .......................1.0		X				0	462,162	77,476
(28) PAIGE TERRA........................................................................ CFO, CV REGION (PART YEAR)	1.0 .......................40.0		X				0	663,502	127,355
(29) PENNY WESTFALL........................................................................ VP & REG COUNSEL, CV (PT YR)	1.0 .......................40.0		X				0	545,472	112,211
(30) DOUG ARCHER........................................................................ CEO MHLB (PART YEAR)	40.0 .......................0.0			X			0	297,354	48,258
(31) ASIT GOKLI MD........................................................................ CEO MHLB/CMO VALLEY AREA	40.0 .......................0.0			X			0	816,258	173,456
(32) DARYN KUMAR........................................................................ CEO, MEMORIAL MEDICAL CTR.	40.0 .......................0.0			X			0	744,392	140,149
(33) BETTY LOPEZ........................................................................ VP PATIENT CARE SERVICES	40.0 .......................0.0			X			0	385,295	80,142
(34) DAVID M THOMPSON........................................................................ CEO, STCH	40.0 .......................0.0			X			0	630,808	132,103
(35) STUART JAMES........................................................................ REGIONAL CIO, CENTRAL VALLEY	40.0 .......................0.0				X		0	514,905	89,009
(36) THEODORE A MATSON........................................................................ REG VP, STRGY & BUS DEV, CV	40.0 .......................0.0				X		0	471,470	72,843
(37) JULIE MEYERS........................................................................ DIR. SRVC AREA QUAL. & SAFETY	40.0 .......................0.0				X		296,110	0	23,518
(38) TIMOTHY NOAKES........................................................................ CFO, MMC/MHLB/STCH	40.0 .......................0.0				X		0	348,487	56,362
(39) JENNIFER A SVIHUS........................................................................ REGIONAL VP, PHILANTHROPY, CV	1.0 .......................40.0				X		0	299,735	32,866
(40) ERIC DALTON........................................................................ SH VP, SHARED SERVICES	0.0 .......................40.0					X	0	514,073	75,019

(A) Name and business address	(B) Description of services	(C) Compensation
SUTTER VNA HOSPICE, PO BOX 742687 LOS ANGELES,CA900742687	CAPITATED SERVICES	6,373,875
TOWERS WATSON DELAWARE INC, LOCKBOX 28025 NETWORK PL CHICAGO,IL606731280	MANAGEMENT SERVICES	3,552,200
COVENANT CARE CALIFORNIA LLC, 1111 E TUOLUMNE ROAD TURLOCK,CA95382	MANAGEMENT SERVICES	2,908,504
SUTTER GOULD MEDICAL FDN, PO BOX 255468 SACRAMENTO,CA958655468	PHYSICIAN SERVICES	1,970,997
OAK VALLEY DISTRICT HOSPITAL, 350 SO OAK AVE OAKDALE,CA95361	PHYSICIAN SERVICES	1,484,366
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 120

- 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

SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number

94-1080917

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

SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number

94-1080917

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 SUTTER CENTRAL VALLEY HOSPITALS

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 SUTTER CENTRAL VALLEY HOSPITALS		Employer identification number 94-1080917

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 SUTTER CENTRAL VALLEY HOSPITALS			Employer identification number 94-1080917
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

SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number

94-1080917

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 ....	16,952,978	6,365,309	5,950,512	5,358,667
b	Contributions ...		10,989,849	617,005
c	Net investment earnings, gains, and losses	-761,469	325,816	118,185	820,318
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	156,289	727,996	320,393	228,473
f	Administrative expenses ....
g	End of year balance ......	16,035,220	16,952,978	6,365,309	5,950,512

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

Board designated or quasi-endowment SchDMd Bullet

100.000 %

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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 ...	11,493,595		11,493,595
b	Buildings	399,727,227	196,053,691	203,673,536
c	Leasehold improvements	522,248	442,848	79,400
d	Equipment ...	176,346,924	132,396,664	43,950,260
e	Other ...	22,386,793	8,363,219	14,023,574
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				273,220,365

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) INTERCOMPANY RECEIVABLES				24,977,206
(2) OTHER RECEIVABLES				15,226,106
(3) OTHER ASSETS				804,966
(4) INVMTS IN HEALTHCARE ENTITIES				134,549
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				41,142,827

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	2,359,361
3RD PARTY SETTLEMENTS	1,394,001
OTHER LIABILITIES	27,669
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,781,031
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

ENDOWMENT FUNDS INTENDED USE: THE FUNDS ARE UNRESTRICTED QUASI ENDOWMENT FUNDS FROM TRACY HOSPITAL FOUNDATION AND ARE INTENDED TO FURTHER THE EXEMPT PURPOSE OF THIS FOUNDATION.

SCHEDULE D, PART X, LINE 2

ASC 740 (FIN48) FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, 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 G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

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

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

Information about Schedule G (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
SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number

94-1080917

Part I

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

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

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

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

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

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

YesNo

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

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










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

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

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

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

		(a) Event #1 ANNUAL GALA (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	135,628	135,628
2	Less: Contributions . . . .	84,918	84,918
3	Gross income (line 1 minus line 2) . . . . . .	50,710	50,710

4	Cash prizes . . . . .	0	0
5	Noncash prizes . . . .	0	0
6	Rent/facility costs . . . .	8,389	8,389
7	Food and beverages . . .	22,126	22,126
8	Entertainment . . . .	3,500	3,500
9	Other direct expenses . . .	16,452	16,452
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		50,467
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		243

Part III

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

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	16,452	16,452

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

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

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

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

YesNo

If "No," explain:

10a

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

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

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

YesNo

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

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

YesNo

Indicate the percentage of gaming activity conducted in:

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

13a

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

13b

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

Name

Address

15a

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

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

YesNo

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

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

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

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

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

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

YesNo

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

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

Part IV

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

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 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

SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number

94-1080917

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) . . .			4,481,520		4,481,520	0.650 %
b	Medicaid (from Worksheet 3, column a) . . . . .			206,884,756	117,882,218	89,002,538	12.880 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			753,885	323,142	430,743	0.060 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			212,120,161	118,205,360	93,914,801	13.590 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	68	23,018	1,603,717	4,135	1,599,582	0.230 %
f	Health professions education (from Worksheet 5) . . .	7	1,418	745,091	2,750	742,341	0.110 %
g	Subsidized health services (from Worksheet 6) . . . .	5	14,526	5,005,873	1,190,992	3,814,881	0.550 %
h	Research (from Worksheet 7) .	1	1,736	459,391		459,391	0.070 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	70	27,801	1,705,829		1,705,829	0.250 %
j	Total. Other Benefits . .	151	68,499	9,519,901	1,197,877	8,322,024	1.210 %
k	Total. Add lines 7d and 7j .	151	68,499	221,640,062	119,403,237	102,236,825	14.800 %

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)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	2	9	34,110	34,110	0.010 %
7	Community health improvement advocacy	1		917	917
8	Workforce development	1	1	5,000	5,000
9	Other
10	Total	4	10	40,027	40,027	0.010 %

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. ......

5,006,797

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).....

142,946,938

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

174,517,617

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

-31,570,679

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)
1	MEMORIAL MEDICAL CENTER 1700 COFFEE ROAD MODESTO,CA953552803 www.memorialmedicalcenter.org LICENSE #030000061	X	X	X
2	MEMORIAL HOSPITAL LOS BANOS 520 WEST I STREET LOS BANOS,CA936353419 www.memoriallosbanos.org LICENSE #040000177	X	X	X
3	SUTTER TRACY COMMUNITY HOSPITAL 1420 N TRACY BLVD TRACY,CA953763451 www.suttertracy.org LICENSE #030000105	X	X	X

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)

	MEMORIAL MEDICAL CENTER
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)

	MEMORIAL MEDICAL CENTER
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)

	MEMORIAL MEDICAL CENTER
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 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)

	MEMORIAL HOSPITAL LOS BANOS
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?........................

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

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

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

Yes

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

Yes

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

Hospital facility’s website (list url): SEE 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

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)

	MEMORIAL HOSPITAL LOS BANOS
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

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

Yes

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)

	MEMORIAL HOSPITAL LOS BANOS
Name of hospital facility or letter of facility reporting group

Yes

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

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)

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 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)

	SUTTER TRACY COMMUNITY HOSPITAL
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?........................

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

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

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)

	SUTTER TRACY COMMUNITY HOSPITAL
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

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

Yes

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)

	SUTTER TRACY COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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

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)

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
REPORTING FACILITY: #1, MEMORIAL MEDICAL CENTER	SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL MEDICAL CENTER (FACILITY 1): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL MEDICAL CENTER (MMC), A FACILITY OF SUTTER CENTRAL VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. FOCUS GROUPS WERE CONDUCTED APRIL 19, 2012. HEALTH SERVICES AGENCY OF STANISLAUS, WEST MODESTO KING KENNEDY CENTER AND MEMORIAL MEDICAL CENTER COLLABORATED TO OFFER FOCUS GROUPS TO THE COMMUNITY. 15 COMMUNITY MEMBERS PARTICIPATED. DURING THESE GROUP SESSIONS, WE WERE ABLE TO PRESENT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND ASK COMMUNITY MEMBERS FOR INPUT AND IDEAS TO FOCUS OUR PRIORITIES THAT WERE IDENTIFIED. A SECOND SIMILAR FOCUS GROUP WAS CONDUCTED AT MEMORIAL MEDICAL CENTER ON APRIL 17, 2012 WITH 20 PARTICIPANTS. THOSE WHO PARTICIPATED REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED BY MMC. THE TOPICS PRESENTED INCLUDED: - IMPORTANT HEALTH ISSUES THEY, THEIR FAMILIES, AND THEIR COMMUNITIES FACED - WHAT THEY SAW AS HEALTHY AND UNHEALTHY ABOUT THEIR COMMUNITIES - WHAT THEY WOULD CHANGE TO MAKE THEIR COMMUNITIES HEALTHIER. THE RESOUNDING SUGGESTION FROM FOCUS GROUPS WAS TO IMPROVE ACCESS TO HEALTH INSURANCE AND HAVE A WIDER VARIETY OF HEALTH CARE PROVIDERS AVAILABLE WHO ACCEPTED THE HEALTH CARE PLAN. OTHER IDEAS INCLUDED BETTER ACCESS TO A SAFE ENVIRONMENT TO EXERCISE AND BE ACTIVE. INCLUDED IN THE PROCESS OF CREATING THE 2013 CHNA WERE THE FOLLOWING PERSONS AND FACILITIES WHO TOOK AN ACTIVE ROLE IN DEVELOPING THE ASSESSMENT AND WERE OUR KEY INFORMANTS. THE CHA STEERING GROUP HAS SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH. THEY WERE INVOLVED IN SELECTING TOPICS AND SCOPE OF THE CHNA, DESIGNED THE METHODOLOGY AND SELECTED QUESTIONS. A LISTING OF KEY INFORMANTS FOLLOWS: - STACEY BRONKEN, QUALITY ASSURANCE COORDINATOR FOR SIERRA VISTA CHILD AND FAMILY SERVICES. - PAULA CHIARMONTE, SENIOR RESEARCH ANALYST FOR STANISLAUS ECONOMIC DEVELOPMENT AND WORKFORCE ALLIANCE. - JENNIFER DOWNS-COLBY, ASSISTANT MANAGER FOR COMMUNITY BENEFITS AND VOLUNTEER SERVICES, MEMORIAL MEDICAL CENTER - JULIE FALKENSTEIN, MATERNAL CHILD ADOLESCENT HEALTH (MCAH)DIRECTOR FOR STANISLAUS COUNTY HEALTH SERVICES AGENCY. - ESTRELLA GARCIA, VP OF COMMUNITY IMPACT AND PROGRAM DEVELOPMENT FOR UNITED WAY OF STANISLAUS COUNTY. - LEILANI GARCIA, COORDINATOR OF EARLY CHILDHOOD PROGRAMS FOR CHILD/FAMILY SERVICES, STANISLAUS COUNTY OFFICE OF EDUCATION. - ESMERALDA GONZALEZ, CHRONIC DISEASE & INJURY PREVENTION MANAGER FOR STANISLAUS COUNTY HEALTH SERVICES AGENCY. - AMELIA GOODFELLOW, PUBLIC HEALTH ASSOCIATE FOR CENTERS FOR DISEASE CONTROL AND PREVENTION. - DEBBIE GOODWIN, CHILD CARE SPECIALIST II FOR CHILD/FAMILY SERVICES, STANISLAUS COUNTY OFFICE OF EDUCATION. - SHARON HUTCHINS, EPIDEMIOLOGIST FOR STANISLAUS COUNTY HEALTH SERVICES AGENCY. - KIRSTEN JASEK-RYSDAHL, OUTCOMES MANAGER FOR BEHAVIORAL HEALTH AND RECOVERY SERVICES. - PHOEBE LEUNG, INTERIM ASSISTANT DIRECTOR FOR STANISLAUS COUNTY HEALTH SERVICES AGENCY. - LINDA LOWE, PLANNER FOR STANISLAUS COUNTY DEPARTMENT OF AGING AND VETERAN SERVICES. - CLE MOORE-BELL, EXECUTIVE DIRECTOR FOR WEST MODESTO/KING KENNEDY NEIGHBORHOOD COLLABORATIVE. - OMER NJAJOU, RESEARCH AND OUTCOME SPECIALIST FOR BEHAVIORAL HEALTH AND RECOVERY SERVICES. - MARIE SANCHEZ, COMMUNITY BENEFIT MANAGER FOR KAISER PERMANENTE. - WERNER SCHINK, PRESIDENT OF COMMUNITY AND LOCAL NEIGHBORHOOD RESEARCH. - JOHN SIMS, EXECUTIVE DIRECTOR OF STANISLAUS COUNTY CHILDREN AND FAMILIES COMMISSION. - JEFF SLATER, GRANTS MANAGER FOR HEALTH PLAN OF SAN JOAQUIN. - OLIVIA TONG, EPIDEMIOLOGIST FOR STANISLAUS COUNTY HEALTH SERVICES AGENCY. - COLLEEN WOOLSEY, ASSOCIATE DIRECTOR OF PUBLIC HEALTH FOR STANISLAUS COUNTY HEALTH SERVICES AGENCY. IN ADDITION, A COMMUNITY SURVEY WAS CONDUCTED WITH A RESULT OF 2,056 RESPONDENTS. THE EMPLOYEE SURVEY WAS CONDUCTED WITH A TOTAL OF 215 SURVEYS RETURNED. OUTCOMES FROM THESE SURVEYS ARE AVAILABLE IN THE 2013 CHNA FOR MEMORIAL MEDICAL CENTER AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, SECTION B, LINE 6A MEMORIAL MEDICAL CENTER (FACILITY 1): MEMORIAL MEDICAL CENTER AND KAISER PERMANENTE COLLABORATED ON THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, LINE 7A, 7B AND 10A MEMORIAL MEDICAL CENTER (FACILITY 1): HTTP://WWW.MEMORIALMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT.HTML OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL MEDICAL CENTER (FACILITY 1): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MEMORIAL MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - ACCESS TO CARE (INCLUDES HEALTH CARE PROVIDER SHORTAGE); - LACK OF HEALTH CARE INSURANCE FOR LOW-INCOME POPULATIONS, LATINOS AND WORKING AGE ADULTS; - PRENATAL AND PERINATAL HEALTH EDUCATION; - CHRONIC DISEASE PREVENTION AND CONTROL; - MODIFIABLE RISK FACTORS FOR DISEASE, INCLUDING POOR DIET, LACK OF PHYSICAL ACTIVITY, OVERWEIGHT/OBESITY AND TOBACCO USE; AND - BEHAVIORAL RISK FACTORS FOR DISEASE, INCLUDING HIGH RISK SEXUAL ACTIVITY LEADING TO SEXUALLY-TRANSMITTED INFECTIONS AND DISEASES. 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. MEMORIAL MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. 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: ENVIRONMENTAL RISK FACTORS POOR AIR QUALITY, RETAIL FOOD ENVIRONMENT - THE AIR QUALITY ISSUE IS CURRENTLY BEING ADDRESSED BY THE SAN JOAQUIN VALLEY AIR POLLUTION CONTROL DISTRICT. THIS DISTRICT IS MADE UP OF EIGHT COUNTIES INCLUDING STANISLAUS COUNTY AND IS ACTIVELY ADDRESSING THIS ISSUE. - THE COMMUNITY TRANSFORMATION GRANT IS STUDYING THE RETAIL FOOD ENVIRONMENT, IMPACT OF THE PREVALENCE OF UNHEALTHY FOODS, AND RESTRICTIONS ON ADVERTISING. THIS IS AN ONGOING EFFORT SUPPORTED FULLY BY STANISLAUS COUNTY HEALTH SERVICES AGENCY AND THE CENTER FOR DISEASE CONTROL. BEHAVIORAL RISK FACTORS HIGH RISK SEXUAL ACTIVITY LEADING TO SEXUALLY TRANSMITTED INFECTIONS OR DISEASES: CHLAMYDIA AND GONORRHEA IS AN AREA OF COMMUNITY CONCERN - SEXUALLY TRANSMITTED DISEASES IMPACT THE GENERAL HEALTH AND WELL-BEING OF OUR COMMUNITY. WE SUPPORT OUR PUBLIC HEALTH DEPARTMENT AND THE HEALTH SERVICES AGENCY AS THEY PROVIDE TO THE PUBLIC, AVAILABLE, INEXPENSIVE AND ANONYMOUS TESTING AND REPORTING. 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 HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. 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 FI
REPORTING FACILITY: #2, MEMORIAL HOSPITAL LOS BANOS	SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL HOSPITAL LOS BANOS (FACILITY 2): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL HOSPITAL LOS BANOS DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. SURVEY DATA THAT WAS COLLECTED DOES NOT STEM FROM A REPRESENTATIVE SURVEY, BUT THE INFORMATION STILL PROVIDES MEANINGFUL FEEDBACK FROM LOS BANOS RESIDENTS AS IT RELATES TO ACCESS TO HEALTH CARE, CRIME AND NEIGHBORHOOD SAFETY, AVAILABILITY OF HEALTHY FOOD, PHYSICAL FITNESS AND OVERALL QUALITY OF LIFE INDICATORS. A QUESTIONNAIRE WAS DEVELOPED IN ENGLISH AND SPANISH. MEMBERS OF THE COMMUNITY (WHICH INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME, AND ETHNIC MINORITIES) WERE SURVEYED AT THE LOCAL TOMATO FESTIVAL, THE LOCAL SUPERMARKET (SAVE MART), LOS BANOS UNIFIED SCHOOL DISTRICT (LBUSD), A FLU CLINIC AND A NUMBER OF SURVEYS WERE OBTAINED VIA TELEPHONE. FURTHER INPUT WAS GATHERED FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MORE SPECIFICALLY, THE MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH WAS REPRESENTED BY DR. TIM LIVERMORE (DIRECTOR OF PUBLIC HEALTH), JENNIFER ANDRADE, RN, AND LAURA ROBERTS, RN. THEIR PARTICIPATION AND INPUT CENTERED ON NEEDS ASSESSMENT PLANNING AND/OR PROJECT MEETINGS. SCHEDULE H, PART V, SECTION B, LINE 6B MEMORIAL HOSPITAL LOS BANOS (FACILITY 2): NO OTHER HOSPITALS PARTICIPATED IN THE CHNA, BUT THE ASSESSMENT WAS A COLLABORATIVE PROCESS. THE SAN JOAQUIN COMMUNITY DATA CO-OP IS A CENTRAL VALLEY BASED NONPROFIT SOCIAL RESEARCH AND EVALUATION ORGANIZATION THAT WAS CONTRACTED TO CARRY OUT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS RESEARCH ORGANIZATION DESIGNED THE NEEDS ASSESSMENT, DEVELOPED AN INSTRUMENT FOR PRIMARY DATA COLLECTION, COLLECTED AND ANALYZED THE DATA AND PREPARED THE FINAL PRODUCT. THE RESEARCH TEAM INCLUDED CAMPBELL BULLOCK, EXECUTIVE DIRECTOR; OLGA GOLTVYANTISA, SENIOR RESEARCH ASSOCIATE, WITH EXPERTISE IN GEOGRAPHIC INFORMATION SYSTEMS (GIS) MAPPING; VANG BAO, COMMUNITY RESEARCHER; KARINA IBARRA, COMMUNITY RESEARCHER AND SPANISH TRANSLATOR; AND ZEE VANG, RESEARCH ASSISTANT; AND ADDITIONAL RESEARCH ASSISTANTS HELPED WITH THE FACILITATION OF THE COMMUNITY NEEDS ASSESSMENT SURVEY. IT IS IMPORTANT TO NOTE THAT A MAJOR CONTRIBUTING PARTNER WAS JULIE BARKER (MCHES, MPH, CLC), PROGRAM MANAGER WITH SAN JOAQUIN REGION 5 - CALIFORNIA HEALTH COLLABORATIVE. ANOTHER CONTRIBUTING PARTNER WAS CARRIE J. FLOREZ, A RESEARCH SCIENTIST AT THE CENTER FOR FAMILY HEALTH- CALIFORNIA DEPARTMENT OF PUBLIC HEALTH. SCHEDULE H, PART V, SECTION B, LINE 7A, 7B AND 10A MEMORIAL HOSPITAL LOS BANOS (FACILITY 2): HTTP://WWW.MEMORIALLOSBANOS.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL HOSPITAL LOS BANOS (FACILITY 2): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT MEMORIAL HOSPITAL LOS BANOS INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - LACK OF ACTIVITIES FOR CHILDREN AND ADULTS AND NO ACTIVITIES FOR SENIORS - LACK OF SPECIALISTS, HEALTH CARE AVAILABILITY, HEALTH SERVICES FOR UNEMPLOYED DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI, ALONG WITH ADDITIONAL EFFORTS ON BEHALF OF MEMORIAL HOSPITAL LOS BANOS. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MEMORIAL HOSPITAL LOS BANOS 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: CRIMES: RELATED TO GANGS, VIOLENCE, SHOOTINGS AND DRUGS - MEMORIAL HOSPITAL LOS BANOS DOES NOT HAVE THE EXPERTISE TO EFFECTIVELY ADDRESS THE NEEDS OF THE COMMUNITY AS IT RELATES TO CRIME SUCH AS GANG VIOLENCE AND DRUG ABUSE. - THE HOSPITAL MAY SUPPORT ANTI-GANG INITIATIVES IF REQUESTED BY THOSE WITH EXPERTISE IN THIS AREA. IT WILL ALSO MONITOR RECENTLY REPORTED ANTI-VIOLENCE INTERVENTIONS BY HEALTHCARE INSTITUTIONS IN OTHER LOCATIONS TO SEE IF THEY MIGHT BE APPLIED IN THE LOS BANOS AREA. 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.
REPORTING FACILITY: #3, SUTTER TRACY COMMUNITY HOSPITAL	SCHEDULE H, PART V, SECTION B, LINE 5 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 3): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER TRACY COMMUNITY HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). KEY INFORMANTS ARE HEALTH AND COMMUNITY EXPERTS FAMILIAR WITH SPECIFIC POPULATIONS AND GEOGRAPHIC AREAS WITHIN IN THE HSA. TO GAIN A DEEPER UNDERSTANDING OF THE HEALTH ISSUES PERTAINING TO CHRONIC DISEASE AND THE POPULATIONS LIVING IN THESE VULNERABLE COMMUNITIES 45 KEY INFORMANT INTERVIEWS WERE CONDUCTED USING A THEORETICALLY GROUNDED INTERVIEW GUIDE (APPENDIX D OF THE CHNA). EACH INTERVIEW WAS RECORDED AND CONTENT ANALYSIS WAS CONDUCTED TO IDENTIFY KEY THEMES AND IMPORTANT POINTS PERTAINING TO EACH GEOGRAPHIC AREA. FINDINGS FROM THESE INTERVIEWS WERE USED TO IDENTIFY COMMUNITIES IN WHICH FOCUS GROUPS SHOULD BE CONDUCTED. INTERVIEWS WERE HELD WITH THE FOLLOWING PEOPLE AND AGENCIES: - HEALTHIER SAN JOAQUIN COALITION WITH EXPERTISE IN COMMUNITY HEALTH, SOCIAL SERVICES. - CAROLINE THIBODEAU, DIRECTOR OF HEALTH SERVICES FOR MANTECA UNIFIED SCHOOL DISTRICT WITH EXPERTISE IN COMMUNITY HEALTH, CHILDREN AND FAMILIES. INTERVIEW DATE: 9/7/12. - BILL MITCHELL, DIRECTOR AND DR. KAREN FURST, HEALTH OFFICER FOR SAN JOAQUIN COUNTY PUBLIC HEALTH WITH EXPERTISE IN COMMUNITY AND PUBLIC HEALTH. INTERVIEW DATE: 9/21/12. - ANA RODRIGUEZ, IRIS RODRIGUEZ, AND PATRICIA ALVAREZ-PALMA FOR SUTTER TRACY COMMUNITY RESOURCE CENTER WITH EXPERTISE IN COMMUNITY HEALTH AND SOCIAL SERVICES. INTERVIEW DATE: 10/8/12. - BREASTFEEDING INITIATIVE, SAN JOAQUIN COUNTY PUBLIC HEALTH WITH EXPERTISE IN COMMUNITY HEALTH, SOCIAL SERVICES, AND CHILDREN AND FAMILIES. INTERVIEW DATE: 10/9/12. - DR. MARIETTA SUMAQUIAL, CLINIC MANAGER FOR LODI-WOODBRIDGE MEDICAL GROUP WITH EXPERTISE IN COMMUNITY HEALTH, PEDIATRICS. INTERVIEW DATE: 10/15/12. - CAROLYN SANDERS, COMMUNITY OUTREACH AND EDUCATION NURSE FOR DAMERON HOSPITAL WITH EXPERTISE IN COMMUNITY HEALTH. INTERVIEW DATE: 10/16/12. - CINDY EDMISTON, HEALTH SERVICES MANAGER FOR TRACY UNIFIED SCHOOL DISTRICT WITH EXPERTISE IN COMMUNITY HEALTH, CHILDREN AND FAMILIES. INTERVIEW DATE: 10/17/12. - THOMAS MAHONEY, CLINIC DIRECTOR FOR COMMUNITY MEDICAL CENTERS, INC. WITH EXPERTISE IN COMMUNITY HEALTH, SOCIAL SERVICES. INTERVIEW DATE: 10/19/12. - SAN JOAQUIN COUNTY OFFICE OF EDUCATION STAFF FOR THE EARLY CHILDHOOD EDUCATION DEPARTMENT WITH EXPERTISE IN RURAL COMMUNITIES, HEALTH EDUCATION, AND CHILDREN AND FAMILIES. INTERVIEW DATE: 10/22/12. - CLINIC STAFF FOR PLANNED PARENTHOOD, TRACY WITH EXPERTISE IN COMMUNITY HEALTH, REPRODUCTIVE HEALTH, AND HEALTH EDUCATION. INTERVIEW DATE: 10/22/12. - RAQUEL MORENO, HEALTH EDUCATION MANAGER FOR KAISER PERMANENTE WITH EXPERTISE IN COMMUNITY HEALTH. INTERVIEW DATE: 10/23/12. - PUBLIC HEALTH COMMITTEE FOR SAN JOAQUIN MEDICAL SOCIETY WITH EXPERTISE IN PUBLIC AND COMMUNITY HEALTH. INTERVIEW DATE: 10/25/12. - VIC SINGH, JEAN ANDERSON, KERRIE MELTON, AND DORIS CODY OF SAN JOAQUIN COUNTY BEHAVIORAL HEALTH WITH EXPERTISE IN BEHAVIORAL AND MENTAL HEALTH. INTERVIEW DATE: 10/30/12. - SAN JOAQUIN COMMUNITY HEALTH FORUM WITH EXPERTISE IN COMMUNITY LEADERS REPRESENTING BUSINESS, COMMUNITY HEALTH, AND EDUCATION. INTERVIEW DATE: 11/7/12. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN THE SUTTER CENTRAL VALLEY HOSPITAL FACILITIES CHNA'S ARE AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML MEMBERS OF THE COMMUNITY REPRESENTING DEMOGRAPHIC GROUPS WITH UNIQUE ATTRIBUTES (RACE & ETHNICITY, AGE, SEX, CULTURE, LIFESTYLE, OR RESIDENTS OF A PARTICULAR AREA OF THE HSA) WERE RECRUITED TO PARTICIPATE IN FOCUS GROUPS. A STANDARD PROTOCOL WAS USED FOR ALL FOCUS GROUPS TO UNDERSTAND THE LIVED EXPERIENCE OF THESE COMMUNITY MEMBERS AS IT RELATED TO HEALTH DISPARITIES AND CHRONIC DISEASE. IN ALL, A TOTAL OF EIGHT FOCUS GROUPS WERE CONDUCTED. CONTENT ANALYSIS WAS PERFORMED ON THE FOCUS GROUP INTERVIEW NOTES AND/OR TRANSCRIPTS TO IDENTIFY KEY THEMES AND SALIENT HEALTH ISSUES AFFECTING THE COMMUNITY RESIDENTS. SCHEDULE H, PART V, SECTION B, LINE 6 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 3): MULTIPLE HOSPITALS COLLABORATED ON THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING DAMERON HOSPITAL, KAISER PERMANENTE, LODI MEMORIAL HOSPITAL, ST. JOSEPH'S MEDICAL CENTER AND SUTTER TRACY COMMUNITY HOSPITAL. SCHEDULE H, PART V, SECTION B, LINE 7A, 7B AND 10A SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 3): HTTP://WWW.SUTTERTRACY.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 3): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER TRACY COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: - LACK OF ACCESS TO PRIMARY AND SPECIALTY CARE - LACK OF PROVIDERS, COST OF CARE, SERVICES CENTRALIZED IN STOCKTON, LONG WAIT TIMES FOR APPOINTMENTS. - LACK OF ACCESS TO HEALTH EDUCATION - LIMITED HEALTH LITERACY, AVAILABLE CLASSES TOO COSTLY, AND CLASSES NOT OFFERED ON A REGULAR BASIS. - LACK OF ACCESS TO DENTAL CARE - LACK OF PROVIDERS, COST OF CARE, SERVICES CENTRALIZED IN STOCKTON, LONG WAIT TIMES FOR APPOINTMENTS, VERY LIMITED SERVICES FOR UNINSURED ADULTS - LIMITED CULTURAL COMPETENCE IN HEALTH SYSTEM - LANGUAGE BARRIERS, CULTURAL STIGMAS, LACK OF PROVIDERS. - LIMITED NUTRITION LITERACY/FOOD ACCESS AND SECURITY - LACK OF KNOWLEDGE ABOUT FOOD PREPARATION, COST OF FRESH PRODUCE, ABUNDANT AND INEXPENSIVE FAST FOOD. - LIMITED TRANSPORTATION OPTIONS - COST OF GAS, MANY LIVING IN RURAL COMMUNITIES, AND LONG BUS RIDES TO STOCKTON. - LACK OF SAFE AND AFFORDABLE PLACES TO BE ACTIVE - GANG RELATED VIOLENCE, POORLY MAINTAINED PARKS, ROADS NOT SAFE FOR WALKING AND BIKING. DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN COMPREHENSIVELY ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, BUT IT CAN ADDRESS MOST, IF NOT ALL OF THE NEEDS IN AT LEAST LIMITED WAYS. SUTTER TRACY COMMUNITY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THIS IMPLEMENTATION STRATEGY INCLUDES SPECIFIC PLANS TO ADDRESS ALL OF THE SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, SOME IN MORE COMPREHENSIVE WAYS THAN OTHERS, DEPENDING UPON RESOURCES, EXPERTISE AND EXISTING ASSETS. 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 HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. 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

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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	MHLB RURAL HEALTH CLINIC 400 WEST I STREET SUITE C LOS BANOS,CA93635	RURAL HEALTH CLINIC
2	MEMORIAL SURGERY CENTER 1401 SPANOS COURT MODESTO,CA95355	OUTPATIENT SERVICES
3	SUTTER TRACY HOSPITAL IMAGING CENTER 1530 BESSIE AVENUE SUITE 109 TRACY,CA95376	OUTPATIENT SERVICES
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

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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 3A & 3C	FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE 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: MEMORIAL MEDICAL CENTER: MEMORIAL MEDICAL CENTER SUPPORTED THE SAFE COMMUNITIES COMMISSION, WHICH WORKS TO IMPROVE SAFETY WITHIN THEIR NEIGHBORHOODS AND DECREASE ACCIDENTS THROUGHOUT THEIR COMMUNITY. MEMORIAL HOSPITAL LOS BANOS DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2015. SUTTER TRACY COMMUNITY HOSPITAL: SUTTER TRACY COMMUNITY HOSPITAL SUPPORTS THE HEALTHIER COMMUNITY COALITION (HCC). THE HCC IS A COALITION CHARGED WITH DEVELOPING THE HEALTH IMPROVEMENT EFFORTS IN SAN JOAQUIN COUNTY.
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: MEMORIAL MEDICAL CENTER: IN JUNE 2011, HEALTH SERVICES AGENCY (H.S.A.) STAFF FORMED THE 2013 COMMUNITY HEALTH ASSESSMENT (CHA) STEERING COMMITTEE, INVITING REPRESENTATIVES FROM PARTNER ORGANIZATIONS AS MEMBERS THAT FREQUENTLY GATHER OR CONSULT LOCAL DATA TO MAKE PROGRAMMATIC DECISIONS. THIS COMMITTEE WAS TASKED WITH IDENTIFYING THE KEY AREAS OF INFORMATION FOR INCLUSION IN THE CHA. AT THE FIRST MEETING, THE CHA STEERING COMMITTEE AGREED THAT THE BROAD DETERMINANTS OF HEALTH, AS DEFINED BY HEALTHY PEOPLE 2020 (U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES), WOULD BE USED FOR DEFINING THE STRUCTURE OF THE 2013 CHA. TO INCLUDE INFORMATION FROM ALL IMPORTANT BROAD DETERMINANTS OF HEALTH, THE CHA STEERING COMMITTEE AGREED THAT BOTH NEW ("PRIMARY") DATA COLLECTION (I.E. INFORMATION GATHERED FOR THE PURPOSES OF THIS REPORT) AND EXISTING ("SECONDARY") DATA WERE NECESSARY FOR A COMPLETE ASSESSMENT. THE STEERING COMMITTEE DECIDED THAT TWO TYPES OF PRIMARY DATA WOULD BE COLLECTED: 1) INFORMATION FROM INDIVIDUALS LIVING IN STANISLAUS COUNTY ("COMMUNITY SURVEY"), AND 2) INFORMATION FROM LOCAL EMPLOYERS ("EMPLOYER SURVEY"). FOR THE COMMUNITY SURVEY, STEERING COMMITTEE MEMBERS EMPHASIZED THE IMPORTANCE OF ENSURING THAT THE PEOPLE SURVEYED REFLECTED THE COUNTY'S DEMOGRAPHIC PROFILE SO THAT THE RESULTS WOULD BE A BALANCED PORTRAYAL OF THE HEALTH AND WELL-BEING OF THE ENTIRE COUNTY. DURING THE FIRST SIX MONTHS OF PLANNING, CHA STEERING COMMITTEE MEMBERS SELECTED SPECIFIC TOPIC AREAS AND DATA ELEMENTS THAT WOULD BEST REVEAL THE OVERALL QUALITY OF LIFE AND WELL-BEING OF THE COMMUNITY. BY DECEMBER 2011, TOPIC AREAS THAT WERE TO BE INCLUDED IN THE COMMUNITY SURVEY WERE SELECTED, THE INDICATORS WERE RANKED BY ORDER OF IMPORTANCE, AND THE REVIEW AND SELECTION OF MAJOR SECONDARY DATA SOURCES WAS FINALIZED. IN 2012, THE TOPICS AND SPECIFIC QUESTIONS TO INCLUDE IN THE EMPLOYER SURVEY WERE FINALIZED. IN JANUARY 2013, THE COMMUNITY SURVEY QUESTIONS WERE FINALIZED. TO UNDERSTAND THE HEALTH AND WELL-BEING OF STANISLAUS COUNTY RESIDENTS, A QUESTIONNAIRE WAS DESIGNED TO BE ADMINISTERED TO ADULTS LIVING IN THE COUNTY. PAPER VERSIONS WERE CREATED IN ENGLISH AND SPANISH. IN ADDITION, AN ELECTRONIC VERSION IN ENGLISH WAS MADE AVAILABLE THROUGH SURVEYMONKEY ON THE INTERNET. TRAINED PARTNERS AND VOLUNTEERS DISTRIBUTED AND COLLECTED SURVEYS BETWEEN APRIL AND AUGUST 2013, FOLLOWING A SURVEY PLAN DESIGNED TO CREATE A SURVEY REPRESENTATIVE OF THE COUNTY AS A WHOLE. RESPONDENTS WHO AGREED TO PARTICIPATE IN THE SURVEY WERE OFFERED THEIR CHOICE OF A SMALL DONATED INCENTIVE: A WOODEN SPOON, A MAGNETIZED NOTE PAD, SHOELACES, OR A PEDOMETER. IN 2013, THE CHA STEERING COMMITTEE AGREED THAT AN EXPERIENCED CONTRACTOR WAS NEEDED TO ANALYZE THE COMMUNITY SURVEY DATA, GIVEN LOCAL LIMITATIONS IN STAFFING AND RESOURCES, AND SELECTED THE FAMILY HEALTH OUTCOMES PROJECT (FHOP) FROM THE UNIVERSITY OF SAN FRANCISCO. TO DETERMINE WHETHER THE SURVEY PLAN WORKED AND THE SURVEY SAMPLE WAS REPRESENTATIVE OF THE COUNTY, SURVEYS THAT DID NOT INCLUDE GENDER, AGE, POVERTY STATUS, OR BOTH CITY AND ZIP CODE WERE EXCLUDED FROM THE ANALYSIS. FHOP THEN EXAMINED THE FINAL SAMPLE TO DETERMINE WHETHER IT MATCHED THE SURVEY PLAN TARGETS. THEY FOUND THAT FEMALE RESPONDENTS AND RESPONDENTS NOT LIVING IN POVERTY WERE OVER-REPRESENTED IN THE SURVEYS, WHILE SURVEYS FROM CERTAIN GEOGRAPHIC AREAS WERE UNDER-REPRESENTED, DESPITE ATTEMPTS TO ENSURE SURVEY RESPONDENTS' DEMOGRAPHICS MATCHED THAT OF THE SURVEY PLAN. TO MAKE THE SURVEY DATA MORE REPRESENTATIVE OF THE COUNTY'S POPULATION, FHOP STAFF APPLIED STATISTICAL WEIGHTING TO THE SURVEY DATA SET. ONCE WEIGHTED FREQUENCIES WERE CALCULATED, THE CONTRACTOR SENT THE FINDINGS IN THE FORM OF SAS OUTPUTS AND EXCEL FILES TO H.S.A. STAFF, WHICH IN TURN, CREATED GRAPHS AND TABLES AND REPORTED THE FINDINGS. THE CHA STEERING COMMITTEE WAS INTERESTED IN INCLUDING INFORMATION ABOUT LOCAL EMPLOYERS' CURRENT PRACTICE IN AND FUTURE PLANS FOR OFFERING HEALTH INSURANCE TO THEIR EMPLOYEES. TO THIS END, H.S.A. STAFF WORKED WITH THE STANISLAUS ECONOMIC DEVELOPMENT AND WORKFORCE ALLIANCE TO COLLECT RELEVANT DATA, CREATING THREE QUESTIONS TO BE ADDED TO THE 2013 ANNUAL EMPLOYER SURVEY CONDUCTED BY THE BUSINESS RESOURCE CENTER OF THE ALLIANCE. THE CHA EMPLOYER SURVEY QUESTIONS CONCERNED CURRENT EMPLOYER PRACTICES IN OFFERING HEALTH CARE TO THEIR EMPLOYEES, AS WELL AS THEIR PLANS FOR THE IMPLEMENTATION OF THE EMPLOYER MANDATE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT IN 2014. THE CHA EMPLOYER SURVEY WAS ADMINISTERED ELECTRONICALLY THROUGH SURVEYMONKEY BY PROVIDING A LINK TO THE SURVEY IN THE ALLIANCE'S JANUARY 2013 NEWSLETTER. A TOTAL OF 215 EMPLOYERS PARTICIPATED. ALLIANCE PERSONNEL ANALYZED THE EMPLOYER SURVEY RESULTS USING SURVEYMONKEY AND SHARED THESE WITH H.S.A. STAFF, WHO IN TURN CREATED TABLES AND GRAPHS, AND WROTE UP THE FINDINGS. IN ORDER TO ASSESS THE HEALTH AND WELL-BEING OF THE COMMUNITY, INCLUDING UNDERLYING CAUSAL AND CONTRIBUTING FACTORS, MANY TOPICS WERE EXAMINED THROUGH SECONDARY DATA. SECONDARY DATA IS INFORMATION WHICH HAS ALREADY BEEN COLLECTED BY A SEPARATE ENTITY OR ORGANIZATION. THIS SECONDARY DATA INCLUDED INFORMATION FROM MULTIPLE SOURCES CONCERNING THE HEALTH AND WELL-BEING OF STANISLAUS COUNTY RESIDENTS. THE SECONDARY DATA WAS COMPILED, AND IN SOME CASES RE-ANALYZED, FOR THIS REPORT PRIMARILY BY H.S.A. PUBLIC HEALTH STAFF, WITH CONTRIBUTIONS BY SOME CHA STEERING COMMITTEE MEMBERS AND OUTSIDE PARTNERS. THE MOST UPDATED DATA AVAILABLE FROM EACH SOURCE WAS USED THROUGH DECEMBER 2013, WITH THE EXCEPTION OF TRENDING, WHICH REQUIRES MULTIPLE YEARS OF INFORMATION FOR COMPARISON; OR WHEN MULTIPLE YEARS NEEDED TO BE AGGREGATED TO IMPROVE STATISTICAL STABILITY. THE ANALYSIS WAS CONDUCTED BY BOTH H.S.A. PERSONNEL. ASSISTANCE WITH MAPPING FINDINGS WAS PROVIDED BY THE CENTRAL VALLEY HEALTH POLICY INSTITUTE AT THE CALIFORNIA STATE UNIVERSITY AT FRESNO. THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED IN THE 2013 CHNA: 1. ACCESS TO CARE 2. QUALITY OF CLINICAL CARE 3. MODIFIABLE RISK FACTORS FOR DISEASE 4. BEHAVIORAL RISK FACTORS FOR DISEASE 5. ENVIRONMENTAL RISK FACTORS 6. BURDEN OF DISEASE AN IN-DEPTH DESCRIPTION OF THE METHODOLOGY FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MEMORIAL MEDICAL CENTER IS AVAILABLE AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML MEMORIAL HOSPITAL LOS BANOS: MEMORIAL HOSPITAL LOS BANOS (MHLB) IS A PRIVATE, NONPROFIT COMMUNITY HOSPITAL INCORPORATED UNDER CALIFORNIA LAW TO PROVIDE HEALTH CARE SERVICES, WITHIN FINITE RESOURCES, TO CITIZENS OF LOS BANOS AND THE SURROUNDING GEOGRAPHICAL AREAS. IN ACCORDANCE WITH THE REQUIREMENTS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, MHLB CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT, TO ASSESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY IT SERVES. THE FINDINGS FROM THE ASSESSMENT PROVIDED THE HOSPITAL WITH THE NECESSARY INFORMATION TO DETERMINE HEALTH PRIORITIES, EMERGING GAPS, ONGOING NEEDS AND TO DEVELOP COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION PLANS. THE GOAL OF THIS REPORT IS TO HELP STIMULATE COLLABORATION AND COMMUNITY ACTION TO ADDRESS KEY HEALTH ISSUES AND DISPARITIES IN THE CITY. THE NEEDS ASSESSMENT USED A MIXED METHOD OF DATA COLLECTION APPROACH. THE PRIMARY DATA COLLECTED TO SUPPORT THE CHNA PROCESS CONSISTED OF A COMMUNITY NEEDS ASSESSMENT SURVEY AND INPUT FROM THE MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH EXPERTS DURING THE VARIOUS STAGES OF THE CHNA. SECONDARY DATA INCLUDED DEMOGRAPHIC DATA, ECONOMIC DATA, CRIME DATA, CHILDHOOD OBESITY, TEEN PREGNANCY AND SENIOR HEALTH/MENTAL HEALTH AT THE CITY, COUNTY AND STATE LEVELS WITH RESPECT TO THE IDENTIFIED HEALTH NEEDS. WHILE THE SURVEY DATA THAT WAS COLLECTED DOES NOT STEM FROM A REPRESENTATIVE SURVEY, THE INFORMATION STILL PROVIDES MEANINGFUL FEEDBACK FROM LOS BANOS RESIDENTS AS IT RELATES TO ACCESS TO HEALTH CARE, CRIME AND NEIGHBORHOOD SAFETY, AVAILABILITY OF HEALTHY FOOD, PHYSICAL FITNESS AND OVERALL QUALITY OF LIFE INDICATORS. A QUESTIONNAIRE WAS DEVELOPED IN ENGLISH AND SPANISH. MEMBERS OF THE COMMUNITY (WHICH INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME, AND ETHNIC MINORITIES) WERE SURVEYED AT THE LOCAL TOMATO FESTIVAL, THE LOCAL SUPERMARKET (SAVE MART), LOS BANOS UNIFIED SCHOOL DISTRICT (LBUSD), A FLU CLINIC AND A NUMBER OF SURVEYS WERE OBTAINED VIA TELEPHONE. FURTHER INPUT WAS GATHERED FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVICED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MORE SPECIFICALLY, THE MERCED COUNTY DEPARTMENT OF PUBLIC HEALTH WAS REPRESENTED BY DR. TIM LIVERMORE (DIRECTOR OF PUBLIC HEALTH), JENNIFER ANDRADE, RN, AND LAURA ROBERTS, RN. THEIR PARTICIPATION AND INPUT CENTERED ON NEEDS ASSESSMENT PLANNING AND/OR PROJECT MEETINGS. AFTER REVIEW OF THE SECONDARY AND PRIMARY DATA, A LIST OF NEEDS AND ISSUES WAS IDENTIFIED. THE WESTSIDE NEEDS ASSESSMENT COLLABORATIVE (WNAC) HELD MEETINGS WITH COMM
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER CENTRAL VALLEY HOSPITALS FOLLOW 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. 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: MEMORIAL MEDICAL CENTER: MEMORIAL MEDICAL CENTER'S HOSPITAL SERVICE AREA IS DEFINED AS STANISLAUS COUNTY. THE OTHER HOSPITALS SERVICING THIS AREA INCLUDE: - KAISER PERMANENTE, MODESTO - DOCTOR'S MEDICAL CENTER, MODESTO - EMANUEL HOSPITAL, TURLOCK LOCATION AND POPULATION SIZE - STANISLAUS COUNTY IS LOCATED IN THE SAN JOAQUIN VALLEY (THE HEART OF CALIFORNIA'S CENTRAL VALLEY), A MAJOR PRODUCER OF AGRICULTURAL PRODUCTS FOR THE US AND WORLD. - OVER 1,500 SQUARE MILES IN SIZE, STANISLAUS COUNTY INCLUDES RURAL AGRICULTURAL AREAS, SMALL AND MEDIUM-SIZED TOWNS, AND THE COUNTY SEAT OF MODESTO. - STANISLAUS COUNTY IS INCLUDED IN THE MODESTO METROPOLITAN STATISTICAL AREA, ONE OF THE NATION'S 100 LARGEST METROPOLITAN AREAS. - STANISLAUS COUNTY HAS A POPULATION OF 514,453 RESIDENTS (2010 US CENSUS). GENDER AND AGE - STANISLAUS COUNTY HAS A BALANCE BETWEEN MALES AND FEMALES (49.5% VS. 50.5%: 2010 US CENSUS). - STANISLAUS COUNTY RESIDENTS ARE YOUNGER, OVERALL, THAN CALIFORNIA RESIDENTS, WHERE THE MEDIAN AGE IS 35.2 (2010 US CENSUS). - LIKE THE NATION AS A WHOLE, STANISLAUS COUNTY IS AGING. THE AVERAGE AGE IN STANISLAUS INCREASED FROM 29.2 YEARS IN 1980 TO 32.8 YEARS OF AGE IN 2010 (US CENSUS). RACE AND ETHNICITY - THE POPULATION OF STANISLAUS IS PREDOMINANTLY WHITE (65.6%), WHILE FIVE PERCENT OF THE RESIDENTS ARE ASIANS (2010 US CENSUS). AFRICAN AMERICANS, WHO NUMBERED 3,035 IN 1980, INCREASED TO 14,721 (OR 2.9% OF RESIDENTS) IN 2010 (US CENSUS). - DURING THIS TIME PERIOD, STANISLAUS COUNTY HAS ALSO BECOME MORE ETHNICALLY DIVERSE: THE PROPORTION OF LATINOS GREW FROM 15% IN 1980 TO 41.9% IN 2010. STANISLAUS ("THE COUNTY") HAS A HIGHER PERCENTAGE OF LATINOS THAN CALIFORNIA ("THE STATE"), FOR WHICH 37.6% OF THE POPULATION IS LATINO (2010 US CENSUS). ORIGINS AND LANGUAGE - TWENTY-ONE PERCENT OF THE COUNTY'S POPULATION IS FOREIGN-BORN (2009-2011 ACS). - OF FOREIGN BORN RESIDENTS, 67% ARE FROM LATIN AMERICA, 23% FROM ASIA, 3% FROM EUROPE, 3% FROM OCEANIA AND LESS THAN 1% EACH FROM AFRICA AND NORTH AMERICA (2009-2011 ACS). - RECENT WARS AND INSTABILITY IN THE MIDDLE EAST HAVE LED TO AN INCREASING SUB-POPULATION OF ASSYRIAN REFUGEES FROM IRAQ AND IRAN, A GROUP WHICH IS NOT CATEGORIZED SEPARATELY IN US CENSUS BUREAU METHODOLOGY. - EVEN MORE RECENTLY, REFUGEES FROM BURMA HAVE BEGUN TO ARRIVE IN THE COUNTY. - STANISLAUS COUNTY RESIDENTS ARE ALSO LINGUISTICALLY DIVERSE; 41.3% OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (2011 ACS). OF THESE, 31.6% SPEAK SPANISH OR SPANISH CREOLE. SOCIOECONOMIC STATUS STANISLAUS COUNTY, LIKE OTHER SEMI-RURAL CENTRAL VALLEY COUNTIES, HAS GREATER SOCIO-ECONOMIC CHALLENGES THAN CALIFORNIA AS A WHOLE, INCLUDING LOWER INCOME, HIGHER POVERTY, GREATER USE OF PUBLIC ASSISTANCE PROGRAMS, GREATER UNEMPLOYMENT AND LESS EDUCATIONAL ATTAINMENT. LIKE ITS CENTRAL VALLEY NEIGHBORS, STANISLAUS COUNTY IS LESS WEALTHY THAN COASTAL CALIFORNIA COUNTIES. - THE MEDIAN HOUSEHOLD INCOME OF THE COUNTY IS LOWER (BY APPROXIMATELY 24%) THAN THAT OF THE STATE ($48,170 VS. $59,641, 2009-2011 ACS). - LIKEWISE, THE PER CAPITA INCOME IS 37% LOWER IN THE COUNTY ($20,793) THAN STATE ($28,504; 2009-2011 ACS). A HIGHER PERCENTAGE OF STANISLAUS COUNTY RESIDENTS (23.8%) AND FAMILIES (18.5%) LIVE BELOW THE FEDERAL POVERTY LEVEL (FPL) THAN CALIFORNIA RESIDENTS (16.6%) AND FAMILIES (12.4%; 2011 ACS). AN AGRICULTURAL BASE (USING MIGRANT LABOR) AND SEASONAL EMPLOYMENT (E.G. IN THE FOOD PROCESSING INDUSTRY) HAVE HISTORICALLY CAUSED RELATIVELY HIGH UNEMPLOYMENT, CONTRIBUTING TO STANISLAUS COUNTY'S LOWER OVERALL PROSPERITY. AS OF APRIL 2013, THE UNEMPLOYMENT RATE FOR STANISLAUS COUNTY WAS 13.4%, COMPARED TO 8.5% FOR CALIFORNIA AND 7.1% FOR THE US (RATES NOT SEASONALLY ADJUSTED; CALIFORNIA ECONOMIC DEVELOPMENT DEPARTMENT, BUREAU OF LABOR STATISTICS, 2013). MUCH RESEARCH HAS SHOWN THAT EDUCATION IS RELATED TO HEALTH; THOSE WITH A HIGHER DEGREE OF EDUCATION ARE GENERALLY HEALTHIER, ARE LESS LIKELY TO SELF-REPORT A CHRONIC DISEASE DIAGNOSIS, AND ARE MORE LIKELY TO SURVIVE INTO OLD AGE THAN THOSE WITH LESS EDUCATION (E.G. CULTER & LLERAS-MUNEY, 2007). - STANISLAUS COUNTY'S PATTERN OF EDUCATIONAL ATTAINMENT SHOWS A POPULATION AT RISK FOR POOR OVERALL HEALTH. - IN STANISLAUS, ONLY 16.5% OF THE POPULATION AGED 25 YEARS AND OLDER HAVE A BACHELOR'S OR GRADUATE DEGREE, COMPARED TO 30.1% IN CALIFORNIA (2007-2011 ACS). - ALMOST 60% OF STANISLAUS RESIDENTS (COMPARED TO 51% OF CALIFORNIANS) HAVE ONLY A HIGH SCHOOL DIPLOMA, SOME COLLEGE CREDITS OR AN ASSOCIATE'S DEGREE (US 2007-2011 ACS). - LOWER EDUCATIONAL ATTAINMENT IS ALSO A RISK FACTOR FOR POVERTY. - IN 2007-2011, AMONGST THE STANISLAUS RESIDENTS WHO WERE 25 YEARS OF AGE OR OLDER AND LIVED BELOW THE POVERTY LEVEL, 27.6% DID NOT GRADUATE FROM HIGH SCHOOL, 18.4% WERE HIGH SCHOOL GRADUATES, AND 11.2% HAD SOME COLLEGE CREDITS (2007-2011 ACS). ONLY 5.0% OF THOSE LIVING IN POVERTY HELD A BACHELOR'S DEGREE (COMPARED TO 16.5% OF THE GENERAL POPULATION). THE ECONOMIC RECESSION HAS HAD A GREATER EFFECT ON STANISLAUS COUNTY THAN ON CALIFORNIA AS A WHOLE. WHILE THERE HAS BEEN EVIDENCE OF RECOVERY, THE COUNTY IS EXPERIENCING A SLOWER RECOVERY THAN OTHER AREAS IN THE STATE AND NATION. - BETWEEN 2005-2007 AND 2009-2011, STANISLAUS' MEDIAN HOUSEHOLD INCOME DECREASED $2,205 (FROM $50,375 TO $48,170), WHILE CALIFORNIA'S INCREASED $1,280 (FROM $58,361 TO $59,641; 2005-2007 ACS AND 2009-2011 ACS). - BETWEEN 2006 AND 2011, THE PERCENTAGE OF CALIFORNIA RESIDENTS WHO PARTICIPATED IN THE SNAP (FOOD STAMP) PROGRAM ROSE FROM 4.3% TO 8.3% WHILE PARTICIPATION IN STANISLAUS COUNTY ROSE FROM 7.1% TO 14.7% (2006 & 2011 ACS). - AS OF APRIL 2013, THE COUNTY'S MONTHLY UNEMPLOYMENT RATE WAS 13.4%, COMPARED TO 8.5% FOR CALIFORNIA AND 7.1% FOR THE US. - THE MEDIAN HOME SALE PRICE IN STANISLAUS DECREASED BY 62% DURING THE RECESSION: $339,000 IN 2007 TO $130,000 IN 2011 (REALTYTRAC, 2011). AS OF MARCH, 2013, THE MEDIAN HOME PRICE HAS RISEN SLIGHTLY TO $140,000 (REALTYTRAC, 2013A), ONLY 41% OF THE MEDIAN VALUE IN 2007. - BETWEEN 2007 AND 2012, STANISLAUS COUNTY HAD ALSO CONSISTENTLY BEEN RANKED AS ONE OF THE NATION'S LEADERS IN FORECLOSURES (REALTYTRAC, 2011). AS OF 2013, STANISLAUS (AND THE MODESTO METROPOLITAN STATISTICAL AREA) WERE NO LONGER LISTED AMONG THE WORST 10 AREAS FOR FORECLOSURES IN THE COUNTRY (REALTYTRAC, 2013). AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA, WITH SOURCES, IS AVAILABLE IN THE MEMORIAL MEDICAL CENTER'S 2013 CHNA AT HTTP://WWW.SUTTERHEALTH.ORG/COMMUNITYBENEFIT/COMMUNITY-NEEDS-ASSESSMENT.HT ML MEMORIAL HOSPITAL LOS BANOS: THE HOSPITAL SERVICE AREA (HSA) IS DEFINED AS THE GEOGRAPHIC AREA THAT IS SERVED BY THE HOSPITAL. MEMORIAL HOSPITAL LOS BANOS' HSA WAS DETERMINED ON THE BASIS THAT IT IS THE ONLY FULL SERVICE HOSPITAL WITHIN 35 MILES. THE COMMUNITIES THAT FALL WITHIN THIS RANGE ARE THE CITIES OF LOS BANOS (WHICH INCLUDES SANTA NELLA) AS WELL AS DOS PALOS AND GUSTINE. THE OTHER HOSPITAL SERVICING THIS AREA IS MERCY MERCED MEDICAL CENTER. IT IS IMPORTANT TO NOTE THAT AT LEAST 75% OF HOSPITAL DISCHARGES ORIGINATED FROM THESE CITIES. IN 2010, THE POPULATION IN THESE THREE CITIES WAS 35,792; 4,950; AND 1,380 RESPECTIVELY. MEMORIAL HOSPITAL LOS BANOS AND THESE CITIES ARE SITUATED IN THE SOUTHWESTERN PART OF MERCED COUNTY, CALIFORNIA. THE RACIAL AND ETHNIC MAKEUP OF LOS BANOS INCLUDES WHITES (58%) WITH HISPANIC AND LATINO AMERICANS FORMING THE LARGEST MINORITY GROUP AND POPULATION GROUP COMPRISING 64.9% OF THE POPULATION, BLACKS (3.8%), AND ASIANS (3.2%). MORE THAN HALF (55.7%) OF THE RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND ABOUT ONE IN FOUR DO NOT HAVE A HIGH SCHOOL DIPLOMA. THE UNEMPLOYMENT FOR LOS BANOS IN 2012 WAS 21.0% WHICH WAS SIGNIFICANTLY HIGHER THAN THAT OF CALIFORNIA AT 11.4%. SUTTER TRACY COMMUNITY HOSPITAL: MANY HOSPITALS DEFINE THE COMMUNITY AS THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL, CONSIDERED ITS PRIMARY SERVICE AREA. THIS IS BASED ON A PERCENTAGE OF HOSPITAL DISCHARGES AND IS ALSO USED IN VARIOUS OTHER DEPARTMENTS OF THE SYSTEM AND HOSPITAL, INCLUDING STRATEGY AND PLANNING. THE HSA WAS DETERMINED BY ANALYZING PATIENT DISCHARGE DATA FROM EACH OF THE PARTICIPATING HOSPITALS, AND TAKING INTO ACCOUNT THE INTEREST AMONG SEVERAL ORGANIZATIONS TO COLLABORATE ON THIS NEEDS ASSESSMENT. FURTHER ANALYSIS OF THE DATA REVEALED TEN SPECIFIC COMMUNITIES OF CONCERN, INCLUDING ZIP CODE 95376 (TRACY). ZIP CODE 95376 IS HOME TO 49,859 RESIDENTS. WITHIN THIS ZIP CODE, 62% OF THE POPULATION WAS CONSIDERED NON-WHITE OR HISPANIC. 8.2% WERE UNINSURED AND 13.8% DID NOT HAVE HEALTH INSURANCE. 17% OF INDIVIDUALS OVER THE AGE OF 25 DID NOT HAVE A HIGH SCHOOL DIPLOMA. THE COMMUNITIES OF CONCERN FOR SAN JOAQUIN HSA ARE: ZIP CODE COMMUNITY/AREA COUNTY POPULATION 95202 STOCKTON/DOWNTOWN SAN JOAQUIN 6,934 95203 STOCKTON/DOWNTOWN SAN JOAQUIN 17,137 95204 STOCKTON/CENTRAL SAN JOAQUIN 27,786 95205 STOCKTON/SOUTHEAST SAN JOAQUIN 38,069 95206 STOCKTON/SOUTHWEST SAN JOAQUIN 65,004 95231 FRE
SCHEDULE 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. THE 2013-2015 IMPLEMENTATION STRATEGY FOR SUTTER CENTRAL VALLEY HOSPITALS 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. MEMORIAL MEDICAL CENTER: MEMORIAL MEDICAL CENTER HAS PARTNERED WITH OTHER HEALTHCARE FACILITIES IN STANISLAUS COUNTY TO PROVIDE A PRIMARY CARE PHYSICIAN TRAINING PROGRAM FOR PHYSICIANS THROUGH THE VALLEY CONSORTIUM FOR MEDICAL EDUCATION - FAMILY PRACTICE. MEMORIAL MEDICAL CENTER PROVIDES CONSISTENT FUNDING TO SUPPORT THIS NEEDED PROGRAM. THE PROGRAM ENHANCES THE CARE TO THE INDIGENT POPULATION AND INCREASES PROVIDERS. THE VALLEY FAMILY MEDICINE RESIDENCY OF MODESTO HAS TRAINED AND GRADUATED 69 PHYSICIANS OVER THE PAST 6 YEARS OF THE PROGRAM. OVER 50% OF THESE GRADUATES HAVE STAYED IN THE CENTRAL VALLEY, THUS INCREASING THE NUMBER OF PROVIDERS BY 34. THERE ARE APPROXIMATELY 300 PRIMARY PHYSICIAN PROVIDERS IN THE COMMUNITY AND THIS PROGRAM HAS INCREASED THE NUMBER OF PROVIDERS BY ALMOST 10%. PREGNANCY 101 AT MEMORIAL MEDICAL CENTER IS A PROGRAM THAT PROVIDES PRE-CHILD BIRTH EDUCATION. THESE CLASSES ARE OPEN TO THE PUBLIC, AND AVAILABLE TO ANYONE ON MEDI-CAL OR WITHOUT INSURANCE. THESE CLASSES FOCUS ON IMPROVED MANAGEMENT OF THE EARLY STAGES OF PREGNANCY ENCOMPASSING ACTIVITY, NUTRITION AND SUPPLEMENTS. MEMORIAL MEDICAL CENTER PROVIDES NURSING STAFF AND EDUCATIONAL MATERIALS TO SUPPORT THIS PROGRAM. IN 2015, THE PROGRAM WAS ACCESSED BY 7 PARTICIPANTS. EXIT INTERVIEWS WERE POSITIVE AND INVOKED COMMENTS SUCH AS "THE CLASS CONTENT EASY TO FOLLOW", "EXTREMELY INFORMATIVE", "I LEARNED A LOT", "GREAT INFORMATION HELPED WITH MY FEARS", "USEFUL", "EASY TO UNDERSTAND". FOR SCHOOL AGE CHILDREN WHO LIVE IN UNDERSERVED OR RURAL AREAS, AFTER SCHOOL PROGRAMS FOR THE COUNTY (SCOE) AND THE COMMUNITY CENTER AT MARSHALL PARK PROVIDES EXCELLENT ENVIRONMENT FOR TEACHING HEALTHY BEHAVIORS. YOUTH ARE GIVEN TRAINING IN GOOD NUTRITION AND IN INCREASING EXERCISE AND ACTIVITIES TO REDUCE THE INCIDENCE OF OBESITY IN CHILDREN AND PARENTS ARE TAUGHT TO REINFORCE THIS BEHAVIOR AND MODEL HEALTHY BEHAVIORS AS WELL. THE AFTER SCHOOL PROGRAM HAS 38 SCHOOL SITES IN THREE COUNTIES THAT SERVE OVER 3,200 STUDENTS PER DAY. THE COMMUNITY CENTER AT MARSHALL PARK PROVIDES AFTER SCHOOL PROGRAMS FOR PRIMARILY HISPANIC YOUTH, LANGUAGE CLASSES, HEALTH AND NUTRITION PROGRAMS, AND EXERCISE AND PARENTING CLASSES FOR THE RESIDENTS IN THIS LATINO NEIGHBORHOOD. THE SCOE AFTER SCHOOL PROGRAM HAD 75% OF STUDENTS MAKE APPROPRIATE FOOD CHOICES WHEN TESTED AND GIVEN A CHOICE. PARENTS SURVEYED ARE 84% SATISFIED WITH PHYSICAL ACTIVITY OFFERED AND 78% ARE SATISFIED WITH THE HEALTHY FOODS PROVIDED. THIS HAS INCREASED OVER PRIOR YEARS BY 2%. MARSHALL PARK CENTER PROVIDED GED AND ENGLISH AS A SECOND LANGUAGE TO 37 PEOPLE AND PROVIDED ZUMBA AND COOKING CLASSES TO 25 PARENTS. FAMILIES WERE SIGNED UP DURING AN EVENT TO ACCESS COVERED CALIFORNIA INSURANCE. THE STANISLAUS COUNTY OFFICE OF EDUCATION (SCOE) PHAST ANTI-SMOKING PROGRAM FOR YOUTH HAS PARTNERED WITH MEMORIAL MEDICAL CENTER TO PROVIDE TOBACCO PREVENTION EDUCATION (TPE) TO GRADES 6 - 12 IN STANISLAUS COUNTY. THROUGH THE PHAST YOUTH COALITION, THIS PARTNERSHIP ENCOURAGES STUDENTS WHO HAVE NOT MADE THE DECISION TO BE HEALTHY OR THOSE MOST AT RISK FOR TOBACCO USE. MEMORIAL MEDICAL CENTER IS COMMITTED TO ONGOING FUNDING OF THIS PROGRAM AS THE BENEFITS ARE NUMEROUS AND BROAD. IN 2015, 2,550 HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS WERE EXPOSED TO THE GUEST SPEAKER, DR. VICTOR DENOBLE, EXPOSING THE ADDICTIVE QUALITIES OF TOBACCO AND THE TRUTH ABOUT THE TOBACCO INDUSTRY. RESULTS FROM COUNTYWIDE SURVEYS SHOW THAT REDUCTIONS IN USE OF CIGARETTES, TOBACCO AND SNUFF HAVE DECREASED DRAMATICALLY. THE REMARKABLE STUDY SHOWS A DECREASE IN USAGE FROM 25% IN 2009 (BASE YEAR) TO 13% IN 2015 FOR 11TH GRADERS OR A REDUCTION OF 48% IN 11TH GRADERS. A COUNTY-WIDE SURVEY INDICATES REDUCTIONS IN USE OF THESE PRODUCTS HAVE DECREASED BY 50% IN 7TH & 9TH GRADERS AS WELL. AS THE ONLY CARDIAC REHAB, PULMONARY REHAB AND CONGESTIVE HEART FAILURE PROGRAM IN THE SERVICE AREA, MEMORIAL MEDICAL CENTER PROVIDES TRAINING AND EDUCATION FOR PATIENTS WHO HAVE EXPERIENCED A HEART EVENT OF COPD OR CHF DIAGNOSIS. CHRONIC DISEASE MANAGEMENT CONTINUES TO BE A SIGNIFICANT IDENTIFIED HEALTH NEED IN THE COMMUNITY. MEMORIAL MEDICAL CENTER PROVIDES A COMPREHENSIVE DIABETES PROGRAM OPEN TO ALL PATIENTS, INCLUDING MEDI-CAL MANAGED CARE PROGRAM, HEALTH PLAN OF SAN JOAQUIN COUNTY. THESE PROGRAMS ARE OPEN TO THE PUBLIC IF ACCOMPANIED BY A PHYSICIAN REFERRAL. ALL PROGRAMS RETRAIN PATIENTS TO IMPROVE THEIR LIFE AND HEALTH STATUS WITH BEHAVIOR MODIFICATION. MEMORIAL MEDICAL CENTER PROVIDES NURSING STAFF, AN EXERCISE PHYSIOLOGIST, DIABETES EDUCATORS, DIETICIANS AND ALL NECESSARY MATERIALS FOR THESE PROGRAMS. THE PULMONARY INDEPENDENCE PROGRAM SHOWED A 32% INCREASE IN PATIENT FUNCTION OVER PRE-PROGRAM PERFORMANCE IN 2015. THE CHF PROGRAM INDICATED THAT READMISSION RATES WERE REDUCED FROM 19% IN 2013 TO 18.1% IN 2015 (BASELINE YEAR WAS 21%). THE RATE OF SCREENING FOR TYPE 2 DM FOR DIABETES GESTATIONAL PATIENTS INCREASED FROM 9% AT THE BEGINNING OF 2014 TO 40% BY SECOND QUARTER 2015. DUE TO THESE DTP INTERVENTIONS, THE NUMBER OF PATIENTS SCREENED INCREASED. THE CARDIAC REHAB PROGRAM DID A SURVEY WHERE 100% OF RESPONDENTS SURVEYED INDICATED THEY HAD AN IMPROVED QUALITY OF LIFE DUE TO PARTICIPATION IN THE PROGRAM, AND 100% INDICATED THAT THEY ARE NOW EXERCISING REGULARLY AS COMPARED TO PRE-PROGRAM. MEMORIAL MEDICAL CENTER SUPPORTS THE CENTER OR HUMAN SERVICES PROMOTORES PROGRAM WHICH INCLUDES 9 LEAD PROMOTORES AND 59 NEIGHBORHOOD PROMOTORES THAT REACH RESIDENTS OF TURLOCK, NEWMAN, OAKDAL, HUGHSON, RIVERBANK, CERES, PATTERSON AND MODESTO. THESE NEIGHBORHOOD ADVOCATES INCREASE KNOWLEDGE AND UNDERSTANDING AND TRUST IN THEIR RESIDENTS AND ASSIST THEM WITH ACCESSING MENTAL AND PHYSICAL HEALTH PROGRAMS. IN 2015, 510 LATINO RESIDENTS IN STANISLAUS COUNTY WERE ASSISTED, 95 REFERRED TO INSURANCE PROGRAMS AND 5 CLIENTS REFERRED TO MEDICAL HOMES. MEMORIAL HOSPITAL LOS BANOS: IN MEMORIAL HOSPITAL LOS BANOS' (MHLB) SERVICE AREA, THERE IS A NEED TO PROVIDE ACTIVITIES FOR CHILDREN. MHLB PROVIDED GRANTS TO THE LOS BANOS PAL AND LOS BANOS RECREATION PROGRAM TO PROVIDE OPPORTUNITIES FOR LOCAL CHILDREN TO PARTICIPATE IN YOUTH SPORTS PROGRAMS. IN 2015, THE LOS BANOS PARKS AND RECREATION WAS ABLE TO PROVIDE SCHOLARSHIPS TO 12 CHILDREN TO PARTICIPATE IN YOUTH SPORTS PROGRAMS THAT OTHERWISE WOULD NOT HAVE BEEN ABLE TO PARTICIPATE. MHLB SPONSORS A TAXI VOUCHER PROGRAM, WHICH PROVIDES VOUCHERS AT DISCHARGE FOR MEDICALLY-INDIGENT PATIENTS NEEDING TRANSPORTATION ASSISTANCE. IN 2015, 60 PATIENTS WERE PROVIDED TAXI VOUCHERS. MHLB PROVIDES DIABETES EDUCATION TO SUPPORT COMMUNITY MEMBERS IN THEIR ABILITY TO TAKE CHARGE OF HEALTH CHALLENGES RELATED TO DIABETES BY PROVIDING A CONTINUUM OF CARE THAT IS ACCESSIBLE AND RELEVANT TO THEIR NEEDS. THE CHRONIC DISEASE MANAGEMENT CLASS WAS PROVIDED TWICE DURING 2015 WITH 42 PEOPLE ATTENDING THE CLASS. INDIVIDUAL DIABETES COUNSELING WAS ALSO PROVIDED TO THE COMMUNITY. MHLB PROVIDED INFLUENZA VACCINES FREE OF CHARGE TO COMMUNITY MEMBERS THAT MIGHT NOT OTHERWISE HAVE RECEIVED THE VACCINE. IN 2015, 220 PEOPLE RECEIVED THE VACCINE. IN 2015, MHLB PARTNERED WITH WOMEN, INFANTS AND CHILDREN TO PROVIDE A BREASTFEEDING PEER COUNSELOR TO ASSIST PARTICIPANTS IN OVERCOMING BARRIERS TO BREASTFEEDING AND PROVIDE POST-PARTUM BREASTFEEDING SUPPORT. IN 2015, THERE WERE 157 PARTICIPANTS. SUTTER TRACY COMMUNITY HOSPITAL: THE COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN (CPFSJ) FAMILY RESOURCE CENTER WAS DESIGNED TO PROVIDE THE COMMUNITY WITH THE NEEDED RESOURCES RELATED TO ACCESS TO HEALTH CARE ALONG WITH OTHER HEALTH AND SOCIAL SERVICE RESOURCES AND IS FOCUSED IN IMPROVING ACCESS TO HEALTH CARE. THROUGH A STREAMLINED REFERRAL PROCESS WITH THE HOSPITAL'S EMERGENCY AND CASE MANAGEMENT DEPARTMENTS, THE FAMILY RESOURCE CENTER INTERCEPTS UNINSURED INDIVIDUALS UPON DISCHARGE AND WORKS DIRECTLY WITH THEM TO IDENTIFY RESOURCES FOR IMMEDIATE FOLLOW-U
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
SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number
94-1080917

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) COMMUNITY PARTNERSHIP FOR FAMILIES PO BOX 1569 STOCKTON,CA95201	68-0475602	501(C)(3)	439,558	GENERAL SUPPORT
(2) VALLEY CONSORTIUM FOR MEDICAL EDUCATION 1400 FLORIDA AVE STE 200 MODESTO,CA95350	27-0506209	501(C)(3)	413,903	GENERAL SUPPORT
(3) WELLSPACE HEALTH 1820 J ST SACRAMENTO,CA95811	94-1713704	501(C)(3)	95,000	GENERAL SUPPORT
(4) COMMUNITY MEDICAL CENTERS INC 7210 MURRAY DR STOCKTON,CA95201	94-2437106	501(C)(3)	74,996	GENERAL SUPPORT
(5) MCHENRY HOUSE TRACY FAMILY SHELTER 757 A ST TRACY,CA95376	68-0123612	501(C)(3)	50,000	GENERAL SUPPORT
(6) ST MARYS DINING ROOM 545 W SONORA ST STOCKTON,CA95203	94-2687280	501(C)(3)	37,685	GENERAL SUPPORT
(7) TRACY INTERFAITH MINISTRIES 3111 W GRANT LINE RD TRACY,CA95376	94-3150638	501(C)(3)	30,000	GENERAL SUPPORT
(8) FMLY RESOURCE & REFERRAL CTR OF SAN JOAQUIN 509 W WEBER AVE STE 101 STOCKTON,CA95203	94-1691503	501(C)(3)	30,000	GENERAL SUPPORT
(9) MERCED COUNTY COMMUNITY ACTION BOARD 1235 W MAIN ST MERCED,CA95340	94-2183288	501(C)(3)	28,744	GENERAL SUPPORT
(10) SOW A SEED COMMUNITY FNDT 724 BILLY F FREEMAN LN TRACY,CA95377	11-3821058	501(C)(3)	25,000	GENERAL SUPPORT
(11) 2ND HRVST FOOD BANK OF SAN JOAQUIN&STAN CO 704 E INDUSTRIAL PARK DR MANTECA,CA95337	68-0376587	501(C)(3)	25,000	GENERAL SUPPORT
(12) U OF THE PAC THOMAS LONG SCHOOL OF PHRMCY 3601 PACIFIC AVE STOCKTON,CA95211	94-1156266	501(C)(3)	20,000	GENERAL SUPPORT
(13) COL OF TRACY CTZNS TO ASSIST THE HOMELESS 21055 SOUTH CORRAL HOLLOW RD TRACY,CA95304	90-0532767	501(C)(3)	16,669	GENERAL SUPPORT
(14) CHILDREN AT RISK RESOURCES INC 812 W CLOVER RD STE 42 TRACY,CA95376	81-0551093	501(C)(3)	15,000	GENERAL SUPPORT
(15) GOSPEL CENTER RESCUE MISSION INC 445 SO SAN JOAQUIN ST STOCKTON,CA95203	94-1375835	501(C)(3)	15,000	GENERAL SUPPORT
(16) HOLISTIC APPROACH TO RECOVERY & TRANSITION 35 10TH ST STE D TRACY,CA95376	46-2324389	501(C)(3)	12,000	GENERAL SUPPORT
(17) CONGREGATIONS BUILDING COMMUNITY 511 VINE ST MODESTO,CA95351	81-0576641	501(C)(3)	11,450	GENERAL SUPPORT
(18) MARCH OF DIMES FOUNDATION PO BOX 1657 WILKESBARRE,PA18703	13-1846366	501(C)(3)	10,000	GENERAL SUPPORT
(19) HOSPICE OF SAN JOAQUIN 3888 PACIFIC AVE STOCKTON,CA95204	94-2777980	501(C)(3)	10,000	GENERAL SUPPORT
(20) RIVER ISLANDS TECHNOLOGY ACADEMY 18001 COMMERCIAL ST LATHROP,CA95330	45-5591612	501(C)(3)	10,000	GENERAL SUPPORT
(21) TRACY VOLUNTEER CAREGIVERS INC 101 BERVERDOR AVE TRACY,CA95376	77-0618493	501(C)(3)	8,650	GENERAL SUPPORT
(22) CENTER FOR HUMAN SERVICES 1700 MCHENRY VILL WY MODESTO,CA95350	94-1725620	501(C)(3)	8,125	GENERAL SUPPORT
(23) UNITED WAY OF STANISLAUS CO PO BOX 3066 MODESTO,CA95353	94-1212129	501(C)(3)	7,500	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

SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number

94-1080917

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)
1DAVID P BENNREG. PRESIDENT, CV (PART YEAR)	(i) (ii)	0 ------------- 602,585	0 ------------- 581,331	0 ------------- 103,559	0 ------------- 315,242	0 ------------- 11,699	0 ------------- 1,614,416	0 ------------- 394,115
2JAMES CONFORTIREG. PRESIDENT, CV (PART YEAR)	(i) (ii)	0 ------------- 707,108	0 ------------- 579,602	0 ------------- 71,820	0 ------------- 376,742	0 ------------- 24,453	0 ------------- 1,759,725	0 ------------- 363,827
3PATRICK FRYPRESIDENT & CEO, SUTTER HEALTH	(i) (ii)	0 ------------- 1,562,833	0 ------------- 1,913,420	0 ------------- 365,492	0 ------------- 3,592,743	0 ------------- 35,166	0 ------------- 7,469,654	0 ------------- 1,281,022
4SARAH KREVANSCOO 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
5GARY HARRELLVP & REG COUNSEL, CV (PT YR)	(i) (ii)	0 ------------- 265,102	0 ------------- 150,170	0 ------------- 12,810	0 ------------- 64,582	0 ------------- 12,779	0 ------------- 505,443	0 ------------- 64,988
6JOE HIRTCFO, CV REGION (PART YEAR)	(i) (ii)	0 ------------- 218,826	0 ------------- 214,574	0 ------------- 28,762	0 ------------- 68,612	0 ------------- 8,864	0 ------------- 539,638	0 ------------- 78,012
7PAIGE TERRACFO, CV REGION (PART YEAR)	(i) (ii)	0 ------------- 417,285	0 ------------- 231,744	0 ------------- 14,473	0 ------------- 109,542	0 ------------- 17,813	0 ------------- 790,857	0 ------------- 122,154
8PENNY WESTFALLVP & REG COUNSEL, CV (PT YR)	(i) (ii)	0 ------------- 353,869	0 ------------- 190,142	0 ------------- 1,461	0 ------------- 100,142	0 ------------- 12,069	0 ------------- 657,683	0 ------------- 78,012
9DOUG ARCHERCEO MHLB (PART YEAR)	(i) (ii)	0 ------------- 197,896	0 ------------- 75,132	0 ------------- 24,326	0 ------------- 32,948	0 ------------- 15,310	0 ------------- 345,612	0 ------------- 30,297
10ASIT GOKLI MDCEO MHLB/CMO VALLEY AREA	(i) (ii)	0 ------------- 472,917	0 ------------- 295,287	0 ------------- 48,054	0 ------------- 152,792	0 ------------- 20,664	0 ------------- 989,714	0 ------------- 151,729
11DARYN KUMARCEO, MEMORIAL MEDICAL CTR.	(i) (ii)	0 ------------- 437,601	0 ------------- 261,740	0 ------------- 45,051	0 ------------- 119,942	0 ------------- 20,207	0 ------------- 884,541	0 ------------- 149,474
12BETTY LOPEZVP PATIENT CARE SERVICES	(i) (ii)	0 ------------- 271,464	0 ------------- 113,278	0 ------------- 553	0 ------------- 54,532	0 ------------- 25,610	0 ------------- 465,437	0 ------------- 37,744
13DAVID M THOMPSONCEO, STCH	(i) (ii)	0 ------------- 334,228	0 ------------- 258,569	0 ------------- 38,011	0 ------------- 113,242	0 ------------- 18,861	0 ------------- 762,911	0 ------------- 137,869
14STUART JAMESREGIONAL CIO, CENTRAL VALLEY	(i) (ii)	0 ------------- 305,857	0 ------------- 163,105	0 ------------- 45,943	0 ------------- 73,192	0 ------------- 15,817	0 ------------- 603,914	0 ------------- 47,711
15THEODORE A MATSONREG VP, STRGY & BUS DEV, CV	(i) (ii)	0 ------------- 272,532	0 ------------- 182,836	0 ------------- 16,102	0 ------------- 63,842	0 ------------- 9,001	0 ------------- 544,313	0 ------------- 93,390
16JULIE MEYERSDIR. SRVC AREA QUAL. & SAFETY	(i) (ii)	217,721 ------------- 0	55,381 ------------- 0	23,008 ------------- 0	13,792 ------------- 0	9,726 ------------- 0	319,628 ------------- 0	0 ------------- 0
17TIMOTHY NOAKESCFO, MMC/MHLB/STCH	(i) (ii)	0 ------------- 220,972	0 ------------- 115,294	0 ------------- 12,221	0 ------------- 39,673	0 ------------- 16,689	0 ------------- 404,849	0 ------------- 40,147
18JENNIFER A SVIHUSREGIONAL VP, PHILANTHROPY, CV	(i) (ii)	0 ------------- 151,077	0 ------------- 124,827	0 ------------- 23,831	0 ------------- 16,983	0 ------------- 15,883	0 ------------- 332,601	0 ------------- 85,712
19ERIC DALTONSH VP, SHARED SERVICES	(i) (ii)	0 ------------- 317,801	0 ------------- 185,752	0 ------------- 10,520	0 ------------- 67,042	0 ------------- 7,977	0 ------------- 589,092	0 ------------- 88,142

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.
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
SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number
94-1080917

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CSCDA 2003AB	68-0164610	130795EE3	05-01-2007	101,118,867	CONSTRUCTION & REFUNDING - 1/30/03		X		X		X
B	CSCDA 2004CD	68-0164610	130795TE7	05-06-2008	87,750,717	CONSTRUCTION & REFUNDING - 2/17/04		X		X		X
C	CHFFA 2007A	52-1643828	13033FQ37	05-01-2007	790,998,316	CONSTRUCTION		X		X		X
D	CHFFA 2008A	52-1643828	13033F2L3	05-14-2008	329,041,638	REFUNDING 5/1/2007, 04 & 02		X		X		X
	CSCDA 2012A	68-0164610	1307956K8	07-11-2012	132,681,869	REFUNDING - 2002		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		18,180,000		0		104,255,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	105,631,049		89,238,919		858,694,930		329,041,638
4 Gross proceeds in reserve funds .............	9,012,451		8,690,798		0		0
5 Capitalized interest from proceeds .............	0		0		55,398,317		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	0		0		0		0
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		0		783,091,871		0
11 Other spent proceeds .............	96,618,598		80,548,121		20,204,742		329,041,638
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 ....	0.100 %		0.010 %		0.480 %		1.010 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.010 %						0.060 %
6 Total of lines 4 and 5 .............	0.110 %		0.010 %		0.480 %		1.070 %
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				X
b Exception to rebate? ........		X		X				X
c No rebate due? .........		X		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 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: $13,782,474 from the 2003AB issue; $41,841,174 from the 2004CD issue; $20,014,826 from the 2007A issue; $58,581,713 from the 2008A issue; and $53,263,026 from the 2012A issue.
SCHEDULE K, PART I, LINE A, COLUMN (F)(CSCDA 2003AB)	THE INITIAL BONDS ISSUED IN 2003 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. SCHEDULE K, PART I, LINE B, COLUMN (F)(CSCDA 2004CD) THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. SCHEDULE K, PART I, LINE D, 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 2004 ISSUE. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION.
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 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
SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number
94-1080917

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CSCDA 2003AB	68-0164610	130795EE3	05-01-2007	101,118,867	CONSTRUCTION & REFUNDING - 1/30/03		X		X		X
B	CSCDA 2004CD	68-0164610	130795TE7	05-06-2008	87,750,717	CONSTRUCTION & REFUNDING - 2/17/04		X		X		X
C	CHFFA 2007A	52-1643828	13033FQ37	05-01-2007	790,998,316	CONSTRUCTION		X		X		X
D	CHFFA 2008A	52-1643828	13033F2L3	05-14-2008	329,041,638	REFUNDING 5/1/2007, 04 & 02		X		X		X
	CSCDA 2012A	68-0164610	1307956K8	07-11-2012	132,681,869	REFUNDING - 2002		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		18,180,000		0		104,255,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	105,631,049		89,238,919		858,694,930		329,041,638
4 Gross proceeds in reserve funds .............	9,012,451		8,690,798		0		0
5 Capitalized interest from proceeds .............	0		0		55,398,317		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	0		0		0		0
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		0		783,091,871		0
11 Other spent proceeds .............	96,618,598		80,548,121		20,204,742		329,041,638
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 ....	0.100 %		0.010 %		0.480 %		1.010 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.010 %						0.060 %
6 Total of lines 4 and 5 .............	0.110 %		0.010 %		0.480 %		1.070 %
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				X
b Exception to rebate? ........		X		X				X
c No rebate due? .........		X		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 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: $13,782,474 from the 2003AB issue; $41,841,174 from the 2004CD issue; $20,014,826 from the 2007A issue; $58,581,713 from the 2008A issue; and $53,263,026 from the 2012A issue.
SCHEDULE K, PART I, LINE A, COLUMN (F)(CSCDA 2003AB)	THE INITIAL BONDS ISSUED IN 2003 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 1, 2007. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. SCHEDULE K, PART I, LINE B, COLUMN (F)(CSCDA 2004CD) THE INITIAL BONDS ISSUED IN 2004 WERE "NEW MONEY" BONDS THAT WERE RETIRED AND REISSUED ON MAY 6, 2008. ACCORDINGLY, WHERE APPROPRIATE, SCHEDULE K REFLECTS THE CURRENT REFUNDING BONDS THAT WERE TREATED AS REISSUED RATHER THAN REFLECTING THE ORIGINAL "NEW MONEY" BONDS. SCHEDULE K, PART I, LINE D, 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 2004 ISSUE. THE REFUNDED BONDS ISSUED IN 2004 WERE USED FOR EXPANSION.
SCHEDULE K, PART II, LINE 7	ISSUANCE COSTS FROM PROCEEDS ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.

Schedule K (Form 990) 2015

Additional Data

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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.
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Attach to Form 990 or 990-EZ.
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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

SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number

94-1080917

Return Reference	Explanation
FORM 990, PART I, LINE 1 AND PART III, LINE 1	MISSION STATEMENT: SUTTER CENTRAL VALLEY HOSPITALS PROVIDE HIGH-QUALITY, COMPASSIONATE CARE TO EACH PATIENT, WHILE EXERCISING PRUDENT FISCAL RESPONSIBILITY. SUTTER CENTRAL VALLEY HOSPITALS IS A NOT-FOR-PROFIT ORGANIZATION THAT EXISTS TO MAINTAIN AND IMPROVE THE HEALTH STATUS OF THE COMMUNITIES OF GREATER STANISLAUS COUNTY, SAN JOAQUIN AND MERCED COUNTY. WE EXTEND SELECTED SERVICES TO OTHER COMMUNITIES WHENEVER THIS WILL MEET A CRITICAL NEED AND WHEN IT WILL ENHANCE THE PRODUCTIVITY OF LOCAL RESOURCES. WE PURSUE OUR MISSION BY PROVIDING AND PROMOTING EFFECTIVE HEALTH CARE SERVICES AND BY FOSTERING AN INTEGRATED SYSTEM OF CARE IN PARTNERSHIP WITH PHYSICIANS, OTHER HEALTH CARE PROVIDERS AND PAYERS. WE PROVIDE ACCESS TO A FULL CONTINUUM OF CARE, BUILT UPON A CORE OF SOPHISTICATED HOSPITAL-BASED SERVICES.
FORM 990, PART III, LINE 4A	EXEMPT PURPOSE ACHIEVEMENTS: SUTTER CENTRAL VALLEY HOSPITALS THE TOTAL AMOUNT FOR MODESTO MEMORIAL HOSPITAL (MMC), MEMORIAL HOSPITAL LOS BANOS (MHLB) AND SUTTER TRACY COMMUNITY HOSPITAL (STCH) FOR COMMUNITY BENEFIT SERVICES WAS $102,276,852 FOR 2015. THESE EXPENDITURES REPRESENT ACTUAL DIRECT AND INDIRECT NON-REIMBURSED COSTS OF GOODS AND SERVICES. BREAKING IT DOWN, TOTAL FINANCIAL ASSISTANCE AND MEANS-TEST INCLUDE $4,481,520 OF FINANCIAL ASSISTANCE AT COST, $89,002,539 FOR MEDICAID AND $430,743 FOR OTHER MEANS-TESTED GOVERNMENT PROGRAMS FOR A TOTAL FINANCIAL ASSISTANCE AND MEANS-TEST OF $93,914,801. TOTAL OTHER BENEFITS WERE $8,362,051, WHICH INCLUDES $1,399,531 FOR COMMUNITY HEALTH IMPROVEMENT SERVICES, A TOTAL OF $240,078 FOR COMMUNITY BENEFIT OPERATIONS AND COMMUNITY BUILDING ACTIVITIES, $742,341 FOR HEALTH PROFESSIONS EDUCATION, $3,814,881 FOR SUBSIDIZED HEALTH SERVICES, $459,391 FOR RESEARCH, AND $1,705,829 FOR CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. MEMORIAL MEDICAL CENTER GENERAL DESCRIPTION: MEMORIAL MEDICAL CENTER IS AN ACUTE CARE FACILITY LOCATED IN MODESTO, CALIFORNIA, 90 MILES SOUTH OF SACRAMENTO IN STANISLAUS COUNTY. CENTRALLY LOCATED TO SERVE OUR IMMEDIATE COUNTY AND OUTLYING AREAS, MEMORIAL WAS ESTABLISHED IN 1970. MEMORIAL MEDICAL CENTER IS CURRENTLY LICENSED FOR 423 ACUTE CARE BEDS AND IS A SUTTER HEALTH AFFILIATE. SERVICES AVAILABLE AT MEMORIAL MEDICAL CENTER INCLUDE: - IN-PATIENT AND OUT-PATIENT SURGERY - TELEMETRY - OBSTETRICS AND PERINATAL CARE - LABORATORY - PEDIATRICS - PULMONARY REHABILITATION - ONCOLOGY - MODERN FAMILY BIRTHING CENTER - CONGESTIVE HEART FAILURE PROGRAM - MEDICAL LIBRARY ACCESS - CANCER CENTER AND CANCER/TUMOR REGISTRY - NUTRITIONAL SUPPORT SERVICES - IV THERAPY - PASTORAL CARE - CARDIAC CATHETERIZATION LABORATORY - PATIENT AND COMMUNITY - CARDIAC REHABILITATION - EDUCATION RESPIRATORY THERAPY - CRITICAL CARE - DIAGNOSTIC IMAGING - 24-HOUR EMERGENCY TREATMENT - RADIATION ONCOLOGY - MAJOR TRAUMA PATIENT RECEIVING CENTER - DIABETES TREATMENT PROGRAM - BARIATRIC SURGERY - LACTATION ASSISTANCE PROGRAM - SOCIAL SERVICES THE EXPENDITURES FOR RESEARCH, EDUCATION AND TRAINING TOTALED $2,282,118. MEMORIAL PROVIDES SUPPORT TO THE COMMUNITY BY ASSISTING NON-PROFIT AGENCIES WITH CASH AND IN-KIND DONATIONS. IN 2015, MEMORIAL MEDICAL CENTER PROVIDED $704,978 IN CASH AND IN-KIND DONATIONS AND $3,522,640 IN SUBSIDIZED HEALTH SERVICES. COMMUNITY BUILDING AND BENEFIT ACTIVITIES AND OPERATIONS TOTALED $97,753. SUMMARY OF COMMUNITY BENEFIT CONTRIBUTIONS FOR THE BROADER COMMUNITY: $6,607,489. A SAMPLING OF 2015 COMMUNITY BENEFIT PROGRAMS: COMBATING OBESITY MEMORIAL HAS JOINED WITH STANISLAUS COUNTY OFFICE OF EDUCATION "AFTER SCHOOL" PROGRAM TO SUPPORT HEALTHY NUTRITION AND TO LEARN ACTIVITIES TO COMBAT AND ULTIMATELY DECREASE THE INCIDENCE OF CHILDHOOD OBESITY. ADULT OBESITY IS ON THE RISE AS WELL. THE SUPPORT GROUP FOR WEIGHT LOSS SURGERY IS OPEN TO ALL PATIENTS REGARDLESS OF WHERE SURGERY WAS PERFORMED. HEART DISEASE PREVENTION AND TREATMENT PROGRAMS MEMORIAL PROVIDES THE ONLY CARDIAC REHAB PROGRAM IN THE COUNTY. A LONG STANDING HEART COALITION OF STANISLAUS COUNTY MEMBER, MEMORIAL IS ONE OF OUR COUNTYS RESOURCES FOR HEART EDUCATION AND PREVENTING HEART DISEASE. ALONG WITH PARTNER SUTTER GOULD MEDICAL GROUP, WE PROVIDE TWICE A YEAR, FREE TO THE COMMUNITY EDUCATION HEAT (HEART EDUCATION AND TRAINING) SEMINARS TO THE PUBLIC. WITH PERIODIC HEALTH SCREENING, WHICH IS OPEN TO THE COMMUNITY, WE ARE ABLE TO DIRECT AT-RISK PATIENTS TO APPROPRIATE RESOURCES. WE ALSO SUPPORT THE MENDED HEART SUPPORT GROUP. IMPROVING CANCER AWARENESS AS CANCER IS THE SECOND LEADING CAUSE OF DEATH IN OUR COMMUNITY, MEMORIAL IS COMMITTED TO INFORMING AND ADVISING THE PEOPLE OF STANISLAUS COUNTY TO BETTER UNDERSTAND SIGNS, SYMPTOMS, TREATMENT AND PREVENTION OF CANCER. MEMORIAL ALSO OFFERS COMPLIMENTARY THERAPIES TO CANCER PATIENTS, FAMILY AND THE COMMUNITY AT LARGE. WE PROVIDE PREVENTION PROGRAMS AND ENCOURAGE EARLY SCREENING. EDUCATION AND TRAINING FOR HEALTH CAREERS AS THE COMMUNITY INCREASES IN UNEMPLOYMENT AND DECREASES IN AVAILABLE JOBS, MEMORIAL CONTINUES TO SUPPORT OUR CAREER OPPORTUNITIES IN NURSING, PHARMACY, CLINICAL LAB, RESPIRATORY THERAPY, RADIOLOGY AND RADIATION THERAPY, PHYSICAL THERAPY, EMERGENCY MEDICAL TECH, PHLEBOTOMY AND OTHER DEPARTMENTS. IN ADDITION TO SERVING AS A SITE FOR TRAINING PROGRAMS, MEMORIALS SUPERVISORS AND STAFF MEMBERS ARE ACTIVELY INVOLVED IN THE CREATION AND TEACHING OF LOCAL COLLEGE LEVEL PROGRAMS FOR NURSING, RESPIRATORY THERAPY, RADIOLOGY, LAB AND PHARMACOLOGY. PEOPLE SERVED THROUGH THESE PROGRAMS AND OTHERS, WE WERE ABLE TO SERVE 40,266 PEOPLE AT MEMORIAL MEDICAL CENTER. MEMORIAL HOSPITAL LOS BANOS GENERAL DESCRIPTION: MEMORIAL HOSPITAL LOS BANOS (MHLB) IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HOSPITAL INCORPORATED UNDER CALIFORNIA LAW TO PROVIDE HEALTH CARE SERVICES WITHIN FINITE RESOURCES, TO CITIZENS OF LOS BANOS AND THE SURROUNDING GEOGRAPHICAL AREAS. WE PROVIDE HIGH QUALITY COMPASSIONATE CARE AND EXERCISE PRUDENT FISCAL RESPONSIBILITY. MHLB OPENED IN 1967 AND IS PART OF THE SUTTER CENTRAL VALLEY REGION. THE ORGANIZATION AFFILIATED WITH SUTTER HEALTH IN 1996 AND IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. SERVICES AVAILABLE AT MEMORIAL HOSPITAL LOS BANOS INCLUDE: MAJOR SERVICES INCLUDE 24 HOUR EMERGENCY CARE, BONE DENSITY TESTING, CLINICAL LABORATORY, COMMUNITY EDUCATION, ELECTRONIC INTENSIVE CARE UNIT (EICU), GENERAL SURGERY, MAMMOGRAPHY, MRI (MAGNETIC RESONANCE IMAGING), OBSTETRICS/GYNECOLOGY, OTOLARYNGOLOGY, PEDIATRICS, RADIOLOGY SERVICES, RURAL HEALTH CLINIC, SAME-DAY SURGERY AND ULTRASONOGRAPHY. COMMUNITY BENEFIT PROGRAMS 2015 MHLB CONTRIBUTED $79,153 FOR COMMUNITY HEALTH IMPROVEMENT SERVICES. THE EXPENDITURES FOR RESEARCH, EDUCATION AND TRAINING TOTALED $43,488. MHLB PROVIDES SUPPORT TO THE COMMUNITY BY ASSISTING NON-PROFIT AGENCIES WITH CASH AND IN-KIND DONATIONS. IN 2015, MEMORIAL HOSPITAL LOS BANOS PROVIDED $52,811 IN CASH AND IN-KIND DONATIONS. SUMMARY OF COMMUNITY BENEFIT CONTRIBUTIONS FOR THE BROADER COMMUNITY: $176,764 MEMORIAL HOSPITAL LOS BANOS IS A COMMUNITY-BASED, NOT-FOR PROFIT HOSPITAL. WE ARE COMMITTED TO ENHANCING THE HEALTH OF OUR COMMUNITY IN MANY WAYS. ADDITIONALLY, HOSPITAL MANAGERS VOLUNTEER IN COMMUNITY SERVICE PROJECTS. COMMUNITY BENEFIT PROGRAMS FOR 2015 INCLUDED: - CLINICAL ROTATION SITE FOR NURSING, RESPIRATORY AND RADIOLOGY STUDENTS - CLINICAL INSTRUCTOR FOR THE MERCED NURSING PROGRAM - PROVIDED FREE USE OF EDUCATION ROOM FOR HEALTH AND WELLNESS ACTIVITIES - CAR SEAT SAFETY CLASSES AND INSPECTIONS - BREAST-FEEDING SUPPORT CLASSES AND CONSULTATIONS - CHILDBIRTH CLASSES FOR PARENTS (ENGLISH AND SPANISH) - DIABETES SUPPORT GROUP - SUPPORT OF THE AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AND MARCH OF DIMES WITH BOTH CORPORATE AND EMPLOYEE INVOLVEMENT - PARTNERED WITH COMMUNITY AGENCIES TO HELP IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITIES. COMMUNITY AGENCIES SUPPORTED IN 2015 INCLUDED THE SALVATION ARMY, MANNA MINISTRIES, LOS BANOS PARKS AND RECREATION DEPARTMENT AND WIC - PROVIDED CPR AND FIRST AID TRAINING CLASSES - PROVIDED FINANCIAL SUPPORT FOR LIVE YOUR DREAM, SELF-ESTEEM EVENT FOR JUNIOR HIGH SCHOOL GIRLS. THE EVENT WAS SPONSORED BY THE LOCAL SOROPTIMIST ORGANIZATION. PEOPLE SERVED: THROUGH THESE PROGRAMS AND OTHERS, WE WERE ABLE TO SERVE 1,620 PEOPLE AT MEMORIAL HOSPITAL LOS BANOS.
FORM 990, PART III, LINE 4A (CONTINUED)	SUTTER TRACY COMMUNITY HOSPITAL GENERAL DESCRIPTION: SINCE 1948, SUTTER TRACY COMMUNITY HOSPITAL (STCH) CONTINUES TO BE THE ONLY FULL-SERVICE, ACUTE CARE HOSPITAL WITHIN A 15-MILE RADIUS GEOGRAPHICALLY. LOCATED IN TRACY, CALIFORNIA, STCH STAFF HAS THE OPPORTUNITY TO DELIVER CULTURALLY COMPETENT CARE TO THE DIVERSE POPULATION WITHIN ITS SERVICE AREA. AS A STATE-OF-THE-ART FACILITY, IT FEATURES THE LATEST MEDICAL TECHNOLOGY AND DIAGNOSTIC EQUIPMENT AND OFFERS A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT SERVICES ON PAR WITH MANY LARGER, URBAN HOSPITALS. ADDITIONALLY, SUTTER TRACY IS COMMITTED TO BRINGING THE BEST AND BRIGHTEST PHYSICIANS AND THE LATEST ADVANCES IN MEDICINE TO THE COMMUNITY. IT IS AFFILIATED WITH MANY REMARKABLE, LOCAL PHYSICIANS WHO ARE AT THE FOREFRONT OF THEIR FIELD. SERVICES AND MEDICAL DEPARTMENTS: - CARDIOVASCULAR SERVICES - COMMUNITY BENEFIT - CONTINENCE - DIAGNOSTIC IMAGING - DIALYSIS - EMERGENCY SERVICES - FAMILY BIRTH CENTER - LABORATORY SERVICES - OUTPATIENT LACTATION PROGRAM - PAIN MEDICINE - PHARMACY - REHABILITATION/PHYSICAL THERAPY - RESPIRATORY CARE - SOCIAL SERVICES - SPECIALTY CARE - SPIRITUAL SERVICES - SURGICAL SERVICES - WOUND OSTOMY CARE SUTTER TRACY COMMUNITY HOSPITAL COMMUNITY BENEFIT AND ECONOMIC VALUE FOR 2015 THE HOSPITAL IS FOCUSED ON DELIVERING A VARIETY OF COMMUNITY BENEFIT PROGRAMS THAT ARE IMPACTFUL TO BRING ABOUT COMMUNITY HEALTH IMPROVEMENT AND THAT PROVIDE ESSENTIAL SERVICES TO THE POOR AND UNDERSERVED. THE PROGRAMS AND SERVICES IN 2015 ARE PART OF THE HOSPITALS IMPLEMENTATION PLAN TO ADDRESS COMMUNITY HEALTH NEEDS AS PRIORITIZED IN THE SAN JOAQUIN COUNTYS COMMUNITY HEALTH NEEDS ASSESSMENT. THE BULK OF COMMUNITY BENEFIT EXPENDITURES FOR 2015 WERE IN THE FORM OF GRANTS TO COMMUNITY BASED ORGANIZATIONS. $948,040 WAS REINVESTED INTO THE COMMUNITY VIA CASH AND IN-KIND DONATIONS TO HELP EXPAND HEALTH ACCESS, IMPROVE COMMUNITY HEALTH EDUCATION, AND SUPPORT COMMUNITY INITIATIVES THAT FOCUS ON AIDING THE POOR, VULNERABLE AND UNDERSERVED IN THE HOSPITALS SERVICE AREA. TO IMPLEMENT AND DELIVER EFFECTIVE COMMUNITY BENEFIT SERVICES, $101,903 WAS INVESTED IN COMMUNITY BENEFIT OPERATIONS. SUBSIDIZED HEALTH SERVICES TOTALED, $292,241 AND COMMUNITY HEALTH IMPROVEMENT SERVICES AMOUNTED TO $196,504. IN 2015, STCH PROVIDED $854,247 IN COMMUNITY BENEFIT CONTRIBUTIONS TO DIRECTLY IMPACT THE UNDERSERVED. BELOW IS A LIST OF ALL THE HOSPITALS COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR 2015, EXCLUDING MEDI-CAL SHORTFALLS AND CHARITY CARE WHICH ARE ADDRESSED ABOVE. COMMUNITY HEALTH IMPROVEMENT SERVICES COMMUNITY HEALTH EDUCATION: - BREASTFEEDING EDUCATION CLASS LACTATION CONSULTANTS INCREASE AWARENESS OF THE BENEFITS TO BREASTFEEDING BABIES, AND OFFER SUPPORT FOR SUCCESS. OPEN TO THE BROADER COMMUNITY. - CAR SEAT SAFETY LOW INCOME PATIENTS NEEDING ASSISTANCE WITH A CAR SEAT FOR THEIR INFANT, ARE PROVIDED WITH ONE FOR FREE AND ARE EDUCATED ON THE PROPER INSTALLATION, USAGE AND SAFETY GUIDELINES. - COMMUNITY HEALTH FAIR VARIOUS, FREE HEALTH SCREENINGS, EDUCATION AND REFERRALS TO LOCAL COMMUNITY RESOURCES PROVIDED. ADDITIONALLY, THOSE WITH ABNORMAL FINDINGS FROM THE EVENT WHO ARE WITHOUT INSURANCE RECEIVE A FOLLOW-UP CALL TO ENSURE THAT THEY ARE CONNECTED TO RESOURCES TO HELP THEM. - LACTATION PROGRAM - FREE OUTPATIENT CONSULTATIONS AND ONGOING SUPPORT AS NEEDED FOR NEW MOMS TO BE SUCCESSFUL IN BREASTFEEDING. OPEN TO COMMUNITY. - STROKE CLUB MEETINGS ONGOING SUPPORT FOR STROKE SURVIVORS, THEIR FAMILY MEMBERS AND CAREGIVERS. COMMUNITY BASED CLINICAL SERVICES: - FLU CLINIC FREE FLU SHOTS FOR ANYONE MEETING THE AGE CRITERIA FOR THE VACCINE. OPEN TO THE PUBLIC, BUT TARGETED MARKETING TO ENCOURAGE VULNERABLE, UNDER-SERVED POPULATIONS TO ATTEND. HEALTH CARE SUPPORT SERVICES: - CANCER SUPPORT SERVICES A REGISTERED NURSE TRAINED IN CANCER SUPPORT PROVIDES COMPLIMENTARY, ONGOING CASE MANAGEMENT SERVICES TO PATIENTS FOR AS LONG AS SERVICES ARE NEEDED. SERVICES INCLUDE RESOURCE AND REFERRAL HELP IN ADDITION TO EMOTIONAL SUPPORT. - CONTINUUM OF CARE SERVICES FOR THE INDIGENT COST OF COPAY VOUCHERS FOR INDIGENT PATIENTS TO RECEIVE A FOLLOW-UP DOCTORS VISIT AT THE LOCAL FEDERALLY QUALIFIED HEALTH CLINIC. - HEALTH INSURANCE ENROLLMENT ASSISTANCE PROGRAM INSURANCE ENROLLMENT HELP FOR UNINSURED INPATIENTS. - OUTPATIENT PRESCRIPTION ASSISTANCE PROGRAM PAYMENT OF MEDICATIONS FOR THOSE UNABLE TO PAY AND WOULD OTHERWISE GO WITHOUT TAKING THEIR NEEDED PRESCRIPTIONS. - TAXI FARES FOR PATIENTS TRANSPORTATION ASSISTANCE FOR POOR AND HOMELESS PATIENTS NEEDING TO TRANSFER TO ANOTHER FACILITY OR DISCHARGED TO HOME. SUBSIDIZED HEALTH SERVICES HOSPITAL OUTPATIENT SERVICES: - INDIGENT CARE - PHYSICIAN PAYMENTS TO CARE FOR UNINSURED. SUBSIDIZED CONTINUING CARE: - SUBSIDIZED DISEASE MANAGEMENT PROGRAM SUBSIDIZED LABORATORY COSTS AND PAYMENT OF PHARMACISTS TIME OF PROVIDING MEDICATION MANAGEMENT AND SUPPORT TO CHRONICALLY DISEASED PATIENTS. FINANCIAL AND IN KIND CONTRIBUTIONS CASH DONATIONS: - AMERICAN CANCER SOCIETY SUPPORT OF CANCER PATIENT SERVICES AND CANCER RESEARCH. - AMERICAN RED CROSS EMERGENCY RELIEF SERVICES. - BOYS & GIRLS CLUB - SUPPORT OF LOCAL YOUTH PROGRAMS AND ACTIVITIES. - MARY GRAHAM CHILDRENS SHELTER - PREGNANCY RESOURCE CENTER - ROTARY CLUB OF TRACY - TRACY AFRICAN AMERICAN ASSOCIATION CASH DONATION TO SUPPORT SCHOLARSHIPS FOR YOUTH. - TRACY CHAMBER OF COMMERCE DONATION TO SUPPORT LATINO YOUTH SCHOLARSHIPS. - TRACY SUNRISE ROTARY CLUB SUPPORT OF FUNDRAISER EVENT OF SERVICE GROUP THAT ASSISTS COMMUNITY IN MANY WAYS. - UNEED2 SUPPORT OF AN AT RISK YOUTH TECHNOLOGY PROGRAM. - WOMENS CENTER OF SAN JOAQUIN DONATION TO PROVIDE FURNISHINGS AT LOCAL DOMESTIC VIOLENCE SHELTER FOR WOMEN AND CHILDREN GRANTS: - BOYS & GIRLS CLUB OF TRACY FUNDING TO SUPPORT HEALTH AND FITNESS PROGRAMS AT EACH OF THE 6 SITES. - CHILDREN AT RISK RESOURCES, INC. (CARR) COMMUNITY BASED DIABETES EDUCATION CLASSES - COALITION OF TRACY CITIZENS TO ASSIST THE HOMELESS SUPPORT OF THE EMERSON HOUSE SHELTER FOR MEN. - COMMUNITY PARTNERSHIP FOR FAMILIES OF SAN JOAQUIN COUNTY (CPFSJ) FUNDING OF RESOURCE CENTER SERVICES WHICH PROVIDE RESOURCE AND REFERRAL, CASE MANAGEMENT, INSURANCE ENROLLMENT ASSISTANCE, AND OTHER SOCIAL SERVICE SUPPORT. - HOLISTIC APPROACH TO RECOVERY AND TRANSITIONS (HART) NO COST PARENTING CLASSES FOR LOW-INCOME FAMILIES - HOSPICE OF SAN JOAQUIN TEEN BEREAVEMENT SUPPORT GROUP - LAMMERSVILLE UNIFIED SCHOOL DISTRICT STUDENT HEALTH AND WELLNESS PROGRAM. - MCHENRY HOUSE TRACY FAMILY SHELTER SUPPORT OF THE ONLY FAMILY SHELTER IN TRACY. - RIVER ISLANDS TECHNOLOGY ACADEMY SEED MONEY TO START THEIR SCHOOL WELLNESS PROGRAMS. - SECOND HARVEST FOOD BANK FUNDING FOR THE MOBILE FRESH PROGRAM THAT DELIVERS FRESH PRODUCE TO UNDERSERVED COMMUNITIES. - SOW A SEED COMMUNITY FOUNDATION YOUTH DEVELOPMENT AND MENTORING PROGRAMS. - TRACY INTERFAITH MINISTRIES SUPPORT OF FOOD AND DIAPERS FOR LOW INCOME FAMILIES. - TRACY SENIOR ASSOCIATION CONTRIBUTION TO SUPPORT THE SAFE AT HOME FOR SENIORS PROGRAM. - TRACY VOLUNTEER CAREGIVERS TRANSPORTATION ASSISTANCE FOR SENIORS IN NEED. - COMMUNITY BENEFIT PARTNERSHIP STRATEGY (CBPS) - CATHOLIC CHARITIES HOMECOMING PROJECT: PROVIDING, IN-HOME, CONTINUUM OF CARE SERVICES TO HIGH-RISK PATIENTS WITHIN 48 HOURS POST DISCHARGE. - CBPS - COMMUNITY MEDICAL CENTERS TRACY: SUPPORT OF THE TRAUMA-INFORMED CARE PILOT PROJECT AT LOCAL FEDERALLY QUALIFIED HEALTH CENTER. - CBPS - FAMILY RESOURCE AND REFERRAL CENTER: COMMUNITY BASED HEALTH INSURANCE ENROLLMENT ASSISTANCE. - CBPS - GOSPEL CENTER RESCUE MISSION INC.: RESPITE AND TRANSITIONAL CARE TO HOMELESS UPON HOSPITAL DISCHARGE. - CBPS - ST. MARY'S DINING ROOM: SUPPORT OF THE MEDICAL AND DENTAL CLINIC SERVICES FOR UNINSURED, POOR AND UNDERSERVED. - CBPS - VIRTUAL DENTAL HOME: SUPPORT TO PROVIDE SCHOOL BASED DENTAL SERVICES TO LOCAL SCHOOL DISTRICT. IN KIND DONATIONS: - FOOD SERVICE/ COMMUNITY SERVICE SET UP FOOD COSTS FOR COMMUNITY BENEFIT EVENTS. - HOUSEKEEPING/COMMUNITY SERVICE SET UP SET-UP COSTS FOR COMMUNITY BENEFIT EVENTS. COMMUNITY BUILDING ACTIVITIES COALITION BUILDING: - COMMUNITY BENEFIT DEDICATED STAFF COSTS RELATED TO MEETINGS, SEMINARS AND CONFERENCES AT BOTH A LOCAL AND COUNTY LEVEL THAT INCREASE COLLABORATIVE EFFORTS. - HEALTHIER COMMUNITIES COALITION MEMBERSHIP AND FEES RELATED TO THE SAN JOAQUIN COUNTY HEALTH COLLABORATIVE. WORKFORCE DEVELOPMENT: - NOTRE DAME DE NAMUR UNIVERSITY CONTRIBUTION TO SUPPORT A COMMUNITY NEEDS ASSESSMENT. ASSIGNED STAFF: - COMMUNITY BENEFIT PROGRAM COORDINATION & EXECUTION SALARY COSTS FOR DEDICATED PROFESSIONALS IN THE AREA OF COMMUNITY BENEFIT WHO OVERSEE ALL HOSPITAL ACTIVITIES AND PROGRAMS. COMMUNITY NEEDS/HEALTH ASSETS ASSESSMENT: - COMMUNITY BENEFITS PROGRAM ASSESSMENT & REPORTING SALARY COSTS FOR DEDICATED STAFF INVOLVED WITH COMMUNITY - HEALTH NEEDS ASSESSMENT PROCESS AND WHO COMPLETE MANDATED, REGULATORY REPORTS. OTHER RESOURCES: - COMMUNITY HEALTH ADVISORY COUNCIL EXPENSES RELATED TO THE MEETINGS FOR THIS GROUP THAT REVIEW COMMUNITY GR
FORM 990, PART VI, LINE 1B	THE AFFAIRS AND MANAGEMENT OF SUTTER CENTRAL VALLEY HOSPITALS (SCVH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF SCVH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OR DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF THE SCVH'S CHAIR WHO SERVES AS CHAIR OF THE COMMITTEE, THE VICE CHAIR, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, AN ADDITIONAL DIRECTOR AND THE PRESIDENT OF SCVH. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES MADE TO THE ORGANIZATION'S GOVERNING DOCUMENTS: BOARD COMPOSITION CHANGES FORMER: THE BOARD OF DIRECTORS SHALL CONSIST OF BETWEEN 11 AND 20 DIRECTORS. REVISED: THE BOARD OF DIRECTORS SHALL CONSIST OF BETWEEN 17 AND 25 DIRECTORS. FORMER: AT LEAST THREE 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. BOARD POWERS AND RESPONSIBILITIES CHANGE DELETED: TO RECOMMEND INDIVIDUALS FOR APPOINTMENT BY THE GENERAL MEMBER TO THE BOARD.
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 DESCRIBE CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & THE TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. REQUIRING APPROVAL.
FORM 990, PART VI, LINE 11B	DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR 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. A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE FILING THE FORM.
FORM 990, PART VI, LINE 12	DESCRIPTION OF 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, LINES 15A & 15B	PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO 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. THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN DECEMBER OF 2015.
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: K-1 RENTAL INCOME (121,867) PARTNERSHIP INCOME 134,549 EQUITY TRANSFERS (NET) (52,173,842) OTHER CHANGE IN FUND BALANCE 397,917 -------------- TOTAL $(51,763,243)

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

SUTTER CENTRAL VALLEY HOSPITALS

Employer identification number

94-1080917

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 DR 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 DR 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 DR 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 DR SACRAMENTO,CA95833 94-2948100	HEALTHCARE	CA	501(C)(3)	9	SUTTER HLTH	Yes
(6)MEMORIAL HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO,CA95833 94-2290244	FUNDRAISING	CA	501(C)(3)	11a - I	SUTTER CVH	Yes
(7)MILLS-PENINSULA HEALTH SERVICES C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO,CA95833 94-1156265	HOSPITAL	CA	501(C)(3)	3	PAMF	Yes
(8)MILLS-PENINSULA HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO,CA95833 23-7288765	FUNDRAISING	CA	501(C)(3)	7	MPHS	Yes
(9)PALO ALTO MEDICAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO,CA95833 94-1156581	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(10)SAMUEL MERRITT UNIVERSITY 450 30TH STEET SUITE 2820 OAKLAND,CA94609 94-2992642	UNIVERSITY	CA	501(C)(3)	2	SUTTER EBH	Yes
(11)SUTTER AUBURN FAITH HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR SACRAMENTO,CA95833 94-2594966	FUNDRAISING	CA	501(C)(3)	7	SUTTER SSR	Yes
(12)SUTTER COAST HOSPITAL C/O SH TAX 2200 RIVER PLAZA DR 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 DR 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 DR 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 DR 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 DR SACRAMENTO,CA95833 94-1682256	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(17)SUTTER HEALTH 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 94-2788907	SUPPORTING OR	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 DR 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 DR 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 SER	HI	501(C)(3)	11b III-FI	SUTTER HLTH	Yes
(22)SUTTER MEDICAL CENTER FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR 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 DR 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 DR 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 DR 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 DR 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 DR 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 DR 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 DR SACRAMENTO,CA95833 94-2948131	HEALTHCARE	CA	501(C)(3)	3	SUTTER HLTH	Yes
(30)TRACY HOSPITAL FOUNDATION C/O SH TAX 2200 RIVER PLAZA DR 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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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,CA94598 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 3000 RIVERCHASE BIRMINGHAM,AL35244 91-2160588	ENDOSCOPY JV	CA	NA
(6) PRESIDIO SURGERY CENTER LLC 1635 DIVISADERO SF,CA94115	AMBULATORY SURG	CA	NA
(7) SUTTER FAIRFIELD SURGERY CTR 2700 LOW CT FAIRFIELD,CA94533	SURGERY	CA	NA
(8) TWIN CITIES SURGICAL HOSPITAL LLC 250 S WACKER CHICAGO,IL60606 35-2182617	SURGERY	CA	NA
(9) SUTTER AMADOR SURGERY CENTER 2200 RIVER PLAZA DR SACRAMENTO,CA95833	SURGERY	CA	NA
(10) ROSEVILLE ENDOSCOPY CENTER 4 MEDICAL PLAZA ROSEVILLE,CA95661	ENDOSCOPY JV	CA	NA
(11) MEMORIAL MEDICAL OFFICE BLDG 1 1800 COFFEE RD 76 MODESTO,CA95355 77-0234236	OFFICE RENTAL	CA	SCVH	RELATED	20,088	221,004		No		Yes		50.030 %
(12) MEMORIAL MEDICAL OFFICE BLDG 2 1800 COFFEE RD 76 MODESTO,CA95355 77-0287288	OFFICE RENTAL	CA	SCVH	RELATED	101,779	457,841		No		Yes		55.880 %
(13) DRZ EMERGING MARKETS LP 250 PARK AVE SOUTH SUITE 250 WINTER PARK,FL32789 61-1729868	INVESTMENTS	FL	NA
(14) ASC OPERATORS - SAN LUIS OBISPO LLC 2200 RIVER PLAZA DRIVE SACRAMENTO,CA95833 27-2673776	PATIENT CARE	CA	NA
(15) MAGNETIC IMAGING AFFILIATES LLC 2125 OAK GROVE RD STE 200 WALNUT CREEK,CA94598 47-3696091	PATIENT CARE	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) .................

Yes

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

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

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

Yes

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

Yes

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

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) MEMORIAL HOSPITAL FOUNDATION	C	522,175	FMV
(2) TRACY HOSPITAL FOUNDATION	C	460,859	FMV
(3) SUTTER GOULD MEDICAL FOUNDATION	Q	7,769,768	FMV
(4) SUTTER HEALTH SACRAMENTO SIERRA REGION	Q	56,388	FMV
(5) TRACY HOSPITAL FOUNDATION	Q	288,794	FMV
(6) MEMORIAL HOSPITAL FOUNDATION	P	642,869	FMV
(7) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Q	5,983,673	FMV
(8) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	J	165,883	FMV
(9) SUTTER GOULD MEDICAL FOUNDATION	J	81,425	FMV
(10) SUTTER HEALTH PLAN	S	5,715,059	FMV
(11) SUTTER INSURANCE SERVICES CORPORATION	P	4,940,922	FMV
(12) MEMORIAL HOSPITAL FOUNDATION	M	225,737	FMV
(13) TRACY HOSPITAL FOUNDATION	M	180,331	FMV
(14) MEMORIAL MEDICAL OFFICE BUILDING PARTNERSHIP	P	264,894	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	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	3,683
6	Total number of volunteers (estimate if necessary) .............	6	422
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) .........	1,112,524	1,103,661
9	Program service revenue (Part VIII, line 2g) .........	717,442,187	733,073,012
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,251,877	412,130
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	129,740	377,691
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	719,936,328	734,966,494
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,011,247	1,434,680
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)	306,707,576	328,915,428
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 98,687
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	328,742,012	360,659,002
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	636,460,835	691,009,110
19	Revenue less expenses. Subtract line 18 from line 12.......	83,475,493	43,957,384
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	465,268,659	435,331,123
21	Total liabilities (Part X, line 26).............	263,694,025	242,114,970
22	Net assets or fund balances. Subtract line 21 from line 20.....	201,574,634	193,216,153

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 588,883,033 including grants of $ 1,434,680 ) (Revenue $ 733,073,012 )
	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 expenses588,883,033

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	296,110	15,714,939	6,170,313

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	84,918
d	Related organizations		1d	983,034
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	35,709

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		1,103,661

			Business Code
2a	PATIENT SERVICE REVENUE	900099	732,661,412	732,661,412
b	RENTAL TO AFFILIATES	900099	411,600	411,600
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			733,073,012

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			469,757			469,757
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		472,586
b	Less: rental expenses		98,568
c	Rental income or (loss)	0	374,018
d	Net rental income or (loss)......			374,018			374,018
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	137,090
b	Less: cost or other basis and sales expenses	194,717
c	Gain or (loss)	-57,627
d	Net gain or (loss).....			-57,627			-57,627
8a	Gross income from fundraising events (not including $ 84,918of contributions reported on line 1c). See Part IV, line 18 ....
	a		50,710
b	Less: direct expenses ...b		50,467
c	Net income or (loss) from fundraising events..			243			243
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		3,430
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			3,430			3,430
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
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			734,966,494	733,073,012		789,821

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,434,430	1,434,430
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	250	250
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 ....	5,256,657		5,256,657
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	209,807,096	172,013,827	37,746,799	46,470
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	15,689,006	12,551,205	3,137,801
9	Other employee benefits .......	80,988,836	64,767,070	16,191,768	29,998
10	Payroll taxes ...........	17,173,833	13,739,067	3,434,766
11	Fees for services (non-employees):
a	Management ......	1,801,011		1,800,211	800
b	Legal .........	1,505,330		1,505,330
c	Accounting ...........	45,433		45,433
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	142,044		142,044
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	39,640,845	37,403,215	2,237,630
12	Advertising and promotion ....	479,262		479,262
13	Office expenses .......	8,670,361	7,603,897	1,066,464
14	Information technology ......	29,156,021	29,151,016	5,005
15	Royalties ..	0
16	Occupancy ...........	8,842,319	8,842,319
17	Travel ............	443,341	353,938	88,485	918
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	359,486	244,593	114,893
20	Interest ...........	7,154,091	7,154,091
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	37,158,597	37,158,597
23	Insurance ...	4,893,134	4,238,817	654,317
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	82,136,354	82,135,720		634
b	PURCHASED SERVICES	54,276,697	31,005,315	23,258,312	13,070
c	HOSPITAL PROVIDER FEE	46,382,521	46,382,521
d	CAPITATED PURCHASED SERVICES	24,096,575	24,096,575
e	All other expenses	13,475,580	8,606,570	4,862,213	6,797
25	Total functional expenses. Add lines 1 through 24e	691,009,110	588,883,033	102,027,390	98,687
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 .........			22,013,059	2	7,940,751
3	Pledges and grants receivable, net ......			10,804	3	0
4	Accounts receivable, net .............			79,480,049	4	85,319,583
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 ....			3,113,193	7	2,560,690
8	Inventories for sale or use ........			9,132,272	8	9,602,666
9	Prepaid expenses and deferred charges ......			1,621,585	9	3,188,112
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	610,476,787
b	Less: accumulated depreciation	10b	337,256,422	286,828,922	10c	273,220,365
11	Investments—publicly traded securities .			12,729,927	11	12,356,129
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			50,338,848	15	41,142,827
16	Total assets. Add lines 1 through 15 (must equal line 34)...			465,268,659	16	435,331,123

17	Accounts payable and accrued expenses .....	103,105,750	17	86,209,080
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	156,401,924	20	152,124,859
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	4,186,351	25	3,781,031
26	Total liabilities. Add lines 17 through 25..	263,694,025	26	242,114,970

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	201,190,166	27	192,875,595
28	Temporarily restricted net assets ...........	384,468	28	340,558
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 ...........	201,574,634	33	193,216,153
34	Total liabilities and net assets/fund balances ........	465,268,659	34	435,331,123