Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2018 , and ending 12-31-2018
BCheck if applicable:
CName of organization
SUTTER HEALTH
 
% CHRIS BOUDREAUX
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2200 RIVER PLAZA DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SACRAMENTO, CA95833
D Employer identification number

94-2788907
E Telephone number

G Gross receipts $ 16,703,043,586
F Name and address of principal officer:
SARAH KREVANS
2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SUTTERHEALTH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1981
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 9,225
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 18,940,430
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 742,934
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 7,266,789 987,851
9 Program service revenue (Part VIII, line 2g) ......... 1,431,651,729 1,573,553,847
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 296,119,797 196,824,533
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 25,817,682 23,205,546
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,760,855,997 1,794,571,777
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,424,000 2,298,118
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) 853,146,005 909,939,896
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 705,904,437 890,391,503
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,560,474,442 1,802,629,517
19 Revenue less expenses. Subtract line 18 from line 12....... 200,381,555 -8,057,740
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 6,183,194,015 6,154,465,074
21 Total liabilities (Part X, line 26)............. 1,760,458,511 1,997,704,182
22 Net assets or fund balances. Subtract line 21 from line 20..... 4,422,735,504 4,156,760,892
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,739,893,773 including grants of $ 2,298,118 ) (Revenue $ 1,573,553,847 )
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 expensesMediumBullet1,739,893,773
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part IIIClick to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,391
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
9,225
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletCHRIS BOUDREAUX9100 FOOTHILL BLVD   ROSEVILLE,CA95747 (916) 286-6665
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) HERBERT BARLOW......................................................................
Director
 7.0
.................
1.0 		X           20,624 0 0
(2) GARY CAINE......................................................................
Director
 7.0
.................
0.0 		X           0 0 0
(3) COLLEEN DUNN......................................................................
Director
 7.0
.................
0.0 		X           0 0 0
(4) JAMES FERRARA MD......................................................................
DIRECTOR
 7.0
.................
0.0 		X           27,500 0 0
(5) MICHAEL GAULKE......................................................................
Director/Chair
 10.0
.................
4.0 		X   X       27,500 0 0
(6) VINITA GUPTA......................................................................
DIRECTOR
 7.0
.................
0.0 		X           27,500 0 0
(7) PETER JACOBI......................................................................
DIRECTOR
 7.0
.................
0.0 		X           27,500 0 0
(8) JOHN KOSTER MD......................................................................
DIRECTOR/SECRETARY (PT-YR)
 10.0
.................
0.0 		X   X       18,333 0 0
(9) SARAH KREVANS......................................................................
PRES. & CEO, SUTTER HEALTH
 40.0
.................
19.0 		X   X       2,850,301 0 1,935,821
(10) SHARON MCCOLLAM......................................................................
DIRECTOR/CHAIR FINANCE & PLAN
 10.0
.................
0.0 		X   X       27,500 0 0
(11) KEN MCNEELEY......................................................................
DIRECTOR
 7.0
.................
0.0 		X           27,500 0 0
(12) DAVID NASAW......................................................................
DIRECTOR
 7.0
.................
0.0 		X           27,500 0 0
(13) ROBERT PEABODY JR MD......................................................................
DIRECTOR
 7.0
.................
1.0 		X           27,500 11,175 0
(14) CHERYL SCOTT......................................................................
DIRECTOR/SECRETARY
 10.0
.................
0.0 		X   X       27,500 0 0
(15) JOAN SMITH-MACLEAN MD......................................................................
DIRECTOR
 7.0
.................
0.0 		X           27,500 0 0
(16) BARRY WILLIAMS......................................................................
DIRECTOR
 7.0
.................
0.0 		X           27,500 0 0
(17) FLORENCE DI BENEDETTO......................................................................
SVP & GENERAL COUNSEL/ASST SEC
 40.0
.................
2.0 		    X       1,283,109 0 225,938
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ED ERWIN........................................................................
DIR REAL ESTATE SVCS/ASST SEC
 40.0
.......................0.0 		    X       244,146 0 25,566
(19) JEFF SPRAGUE........................................................................
SH SVP & CFO
 40.0
.......................1.0 		    X       1,204,864 0 519,110
(20) JAMES CONFORTI........................................................................
SH SVP / COO
 40.0
.......................18.0 		      X     1,323,800 0 482,604
(21) JEREMY EAVES........................................................................
CEO,SUTTER SHARED SERVICES&SPS
 40.0
.......................0.0 		      X     662,361 0 129,252
(22) JEFF GERARD........................................................................
SVP STRGY SRVS
 40.0
.......................10.0 		      X     1,316,875 0 340,849
(23) JILL RAGSDALE........................................................................
SVP/CHIEF PEOPLE & CULTURE OFF
 40.0
.......................0.0 		      X     880,898 0 231,922
(24) RISHI SIKKA MD........................................................................
PRESIDENT, SH SYSTEM ENTRPRISE
 40.0
.......................2.0 		      X     1,119,273 0 285,468
(25) DON L WREDEN........................................................................
SH SVP / PATIENT EXPERIENCE
 40.0
.......................0.0 		      X     1,850,516 0 238,208
(26) PETER ANDERSON........................................................................
SH SVP / CHIEF STRATEGY OFF
 40.0
.......................0.0 		      X     1,721,146 18,087 106,909
(27) JEFF BURNICH MD........................................................................
SVP, SH MEDICAL NETWORK
 40.0
.......................0.0 		      X     1,036,963 9,488 115,336
(28) JONATHAN MANIS........................................................................
SH SVP / CIO
 40.0
.......................0.0 		      X     1,095,218 49,696 125,488
(29) WARREN BROWNER........................................................................
CEO, CPMC
 40.0
.......................4.0 		        X   1,091,791 0 184,897
(30) GRANT DAVIES........................................................................
CEO, VALLEY AREA HOSPITALS
 40.0
.......................3.0 		        X   1,196,023 0 200,742
(31) JOHN GATES........................................................................
CFO, SH BAY AREA
 40.0
.......................5.0 		        X   912,557 0 101,036
(32) JULIE PETRINI........................................................................
CEO, BAY AREA HOSPITALS
 40.0
.......................3.0 		        X   969,062 0 177,706
(33) ELIZABETH VILARDO-MORGAN........................................................................
CEO, SBMF
 40.0
.......................2.0 		        X   916,383 0 207,510
(34) PATRICK FRY........................................................................
FORMER SH PRES & CEO
 0.0
.......................0.0 		          X 45,281 56,200 0
(35) ED BERDICK........................................................................
FORMER SH SVP/SHARED SERVICES
 0.0
.......................0.0 		          X 646,817 471,809 3,641
(36) MICHAEL COHILL........................................................................
FORMER CEO SMCS
 0.0
.......................0.0 		          X 2,475 603,346 0
(37) CHARLES WIRTH........................................................................
FORMER CEO, SPS
 0.0
.......................0.0 		          X 0 177,123 0
(38) JEFFREY SZCZESNY........................................................................
SH VP, HR OPERATIONS
 40.0
.......................0.0 		          X 551,184 0 79,076
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 23,262,500 1,396,924 5,717,079
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet2,421
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
HERREROBOLDT PARTNERS,
2100 OAKDALE AVE
SAN FRANCISCO,CA94124 		CONSTRUCTION SVCS 223,550,365
RIGHTSOURCING INC,
999 STEWART AVE STE 100
LOS ANGELES,CA900515118 		CONTRACTED SERVICES 137,319,101
RUDOLPH AND SLETTEN INC,
1600 SEAPORT BLVD STE 350
REDWOOOD CITY,CA94063 		CONSTRUCTION SVCS 76,126,161
HERRERO BUILDERS INC,
2100 OAKDALE AVE
SAN FRANCISCO,CA94124 		CONSTRUCTION SVCS 48,492,928
GENERAL ELECTRIC CO,
3000 N GRANDVIEW BLVD
WAUKESHA,WI53188 		REPAIRS & MAINT 39,942,558
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet460
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 50
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 278,295
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 709,506
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet 987,851
Program Service RevenueAmt Business Code
2a MANAGEMENT SERVICES EXEMPT AFFIL. 900099 1,552,147,560 1,552,147,560    
b HEALTHCARE RELATED JV INCOME 900099 20,309,533 20,309,533    
c AFFILIATE RENTAL INCOME 900099 1,096,754 1,096,754    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f ....MediumBullet 1,573,553,847
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 78,691,648   -4,039,448 82,731,096
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   1,799,222
b Less: rental expenses   1,573,554
c Rental income or (loss) 0 225,668
d Net rental income or (loss)......MediumBullet 225,668     225,668
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 29,283,245 14,995,747,895
b Less: cost or other basis and sales expenses 30,000,840 14,876,897,415
c Gain or (loss) -717,595 118,850,480
d Net gain or (loss).....MediumBullet 118,132,885     118,132,885
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
a 0
b Less: cost of goods sold ..b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a SUTTER PHYSICIAN SERVICES 621110 14,423,789   14,423,789  
b SURGERY CENTER MANAGEMENT 621400 5,887,730   5,887,730  
c MED PHYSICS 622110 1,553,329   1,553,329  
d All other revenue .... 1,115,030   1,115,030  
e Total. Add lines 11a–11d ...... MediumBullet 22,979,878
12 Total revenue. See Instructions......MediumBullet 1,794,571,777 1,573,553,847 18,940,430 201,089,649
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 2,288,118 2,288,118
2 Grants and other assistance to domestic individuals. See Part IV, line 22 10,000 10,000
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16. 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 21,711,483   21,711,483  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 1,325,998   1,325,998  
7 Other salaries and wages 619,209,582 619,209,582    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 48,814,207 47,673,900 1,140,307  
9 Other employee benefits ....... 168,587,692 166,861,625 1,726,067  
10 Payroll taxes ........... 50,290,934 50,263,752 27,182  
11 Fees for services (non-employees):        
a Management ...... 47,468,789 44,723,508 2,745,281  
b Legal ......... 91,957,603 91,957,603    
c Accounting ........... 3,207,699 3,207,699    
d Lobbying ........... 705,732   705,732  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 21,043,525   21,043,525  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 827,808 827,808    
12 Advertising and promotion .... 16,178,675 15,906,235 272,440  
13 Office expenses ....... 21,558,075 21,425,164 132,911  
14 Information technology ...... 217,989,770 217,832,930 156,840  
15 Royalties .. 0      
16 Occupancy ........... 26,168,632 26,168,632    
17 Travel ............ 8,703,029 8,224,468 478,561  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 5,534,768 1,817,072 3,717,696  
20 Interest ........... 1,557,192 1,557,192    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 128,579,500 128,579,500    
23 Insurance ... 6,996,517 6,317,218 679,299  
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 UNRELATED BUSINESS TAX 196,846 172,727 24,119  
b PURCHASED SERVICES 78,679,804 77,469,038 1,210,766  
c REPAIRS & MAINTENANCE 74,296,664 74,229,064 67,600  
d LOSS ON EXTINGUISHMENT 54,183,630 54,183,630    
e All other expenses 84,557,245 78,987,308 5,569,937  
25 Total functional expenses. Add lines 1 through 24e 1,802,629,517 1,739,893,773 62,735,744 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 0 1 0
2 Savings and temporary cash investments ......... 231,572,796 2 67,191,642
3 Pledges and grants receivable, net ...... 2,675,809 3 1,777,991
4 Accounts receivable, net ............. 0 4 0
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
0 6 0
7 Notes and loans receivable, net .... 0 7 0
8 Inventories for sale or use ........ 3,168,004 8 5,465,824
9 Prepaid expenses and deferred charges ...... 82,042,545 9 82,714,973
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,519,534,626
b Less: accumulated depreciation 10b 1,146,624,060 491,643,383 10c 372,910,566
11 Investments—publicly traded securities . 4,085,014,360 11 4,270,231,700
12 Investments—other securities. See Part IV, line 11 ..... 295,435,703 12 408,573,041
13 Investments—program-related. See Part IV, line 11 .. 45,406,884 13 44,368,039
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 946,234,531 15 901,231,298
16 Total assets. Add lines 1 through 15 (must equal line 34)... 6,183,194,015 16 6,154,465,074
Liabilities 17 Accounts payable and accrued expenses ..... 653,150,565 17 727,933,783
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.. 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 1,107,307,946 25 1,269,770,399
26 Total liabilities. Add lines 17 through 25.. 1,760,458,511 26 1,997,704,182
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 4,416,200,452 27 4,150,123,355
28 Temporarily restricted net assets ........... 1,535,052 28 1,637,537
29 Permanently restricted net assets 5,000,000 29 5,000,000
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 4,422,735,504 33 4,156,760,892
34 Total liabilities and net assets/fund balances ........ 6,183,194,015 34 6,154,465,074
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,794,571,777
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,802,629,517
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-8,057,740
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
4,422,735,504
5
Net unrealized gains (losses) on investments ...............
5
-365,012,980
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
-1,348,168
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
108,444,276
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
4,156,760,892
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................9
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) SUTTER BAY MEDICAL FOUNDATION
  		941156581 3 Yes   48,442,964 0
(B) SUTTER COAST HOSPITAL
  		942988520 3 Yes   6,911,198 0
(C) SUTTER EAST BAY HOSPITALS
  		941196176 3 Yes   342,594 0
(D) SUTTER HEALTH PACIFIC
  		990298651 3 Yes   3,206,411 0
(E) SUTTER VALLEY HOSPITALS
  		941156621 3 Yes   380,971,774 0
(F) SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
  		946068843 3 Yes   6,660,846 0
(G) SUTTER BAY HOSPITALS
  		940562680 3 Yes   1,080,483,374 0
(H) SUTTER VALLEY MEDICAL FOUNDATION
  		680273974 3 Yes   59,908,273 0
Total
8
 1,586,927,434  
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
Yes
 
2
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).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
No
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
Yes
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
Yes
 
7
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) .
7
 
No
8
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).
8
 
No
9a
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.
9a
 
No
b
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.
9b
 
No
c
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.
9c
 
No
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
 
No
b
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
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
 
No
Section B. Type I Supporting Organizations
Yes
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
Yes
 
2
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).
2
Yes
 
3
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.
3
Yes
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
Yes
 
b
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.
3b
Yes
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
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 2018 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-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2019. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
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, PART IV, SECTION A, LINE 5A NAME: SUTTER EAST BAY HOSPITALS EIN: 94-1196176 MERGED INTO SUTTER BAY HOSPITALS (EIN: 94-0562680) ON MARCH 1, 2018. THE FOLLOWING ORGANIZATIONS WERE REMOVED FROM REPORTING AS SUTTER HEALTH SUPPORTED ORGANIZATIONS DURING 2018: NAME: ADOLESCENT TREATMENT CENTER, INC. EIN: 68-0088443 DONATED AND TRANSFERRED TO BAY AREA COMMUNITY SERVICES IN 2017. NAME: EDEN MEDICAL CENTER EIN: 94-2948100 DISSOLVED IN 2017. NAME: SUTTER CENTRAL VALLEY HOSPITALS EIN: 94-1080917 MERGED INTO SUTTER VALLEY HOSPITALS (EIN: 94-1156621) IN 2017. NAME: SUTTER WEST BAY MEDICAL FOUNDATION EIN: 94-2948131 MERGED INTO SUTTER BAY MEDICAL FOUNDATION (EIN: 94-1156581) IN 2017. NAME: SUTTER EAST BAY MEDICAL FOUNDATION EIN: 94-2690415 MERGED INTO SUTTER BAY MEDICAL FOUNDATION (EIN: 94-1156581) IN 2017. SUTTER HEALTH HAD THE AUTHORITY TO AUTHORIZE THE MERGERS AND FILED THE APPROPRIATE AGREEMENTS OF THE MERGER WITH THE STATE OF CALIFORNIA. THESE ORGANIZATIONS WERE REMOVED AS SUPPORTRED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION A, LINE 6 IN 2018, OUR NOT-FOR-PROFIT SUTTER HEALTH NETWORK INVESTED $734 MILLION TO PROVIDE COMMUNITY BENEFIT PRIMARILY TO PEOPLE ACROSS NORTHERN CALIFORNIA, INCLUDING IN SOME OF OUR POOREST COMMUNITIES. A PORTION OF THESE INVESTMENTS INCLUDE GRANTS THAT SUPPORT HEALTH CENTERS AND OTHER COMMUNITY ORGANIZATIONS WHO SHARE OUR GOAL OF IMPROVING OVERALL COMMUNITY HEALTH. THESE PARTNERSHIPS SUPPORT ACCESS TO MEDICAL CARE, MENTAL HEALTH SERVICES AND KEY SOCIAL SERVICES, SUCH AS TRANSITIONAL HOUSING, TRANSPORTATION, MEALS FOR THE HUNGRY, EDUCATION, YOUTH JOB-TRAINING PROGRAMS, RESEARCH AND HEALTH CARE ADVOCACY. SEE SCHEDULE I FOR THE SPECIFIC GRANTS MADE BY THE FILING ORGANIZATION IN CONNECTION WITH THESE EFFORTS.
SCHEDULE A, PART IV, SECTION D, LINE 3 SUTTER HEALTH AND ITS SUPPORTED ORGANIZATIONS ARE ALL PART OF AN INTEGRATED HEALTH SYSTEM WITH AN INTERLOCKING GOVERNANCE MODEL. THIS CLOSE AND CONTINUING RELATIONSHIP PROVIDES THE SUPPORTED ORGANIZATIONS' INPUT INTO THE SUPPORTING ORGANIZATION'S INVESTMENT POLICIES AND USE OF ITS INCOME AND ASSETS.
SCHEDULE A, PART IV, SECTION E, LINES 3A & 3B PURSUANT TO THE BYLAWS AND INTERLOCKING GOVERNANCE MODEL OF EACH SUPPORTED ORGANIZATION, SUTTER HEALTH IS THE SOLE CORPORATE MEMBER AND HAS THE POWER TO APPOINT OR REMOVE AT LEAST A MAJORITY OF THE DIRECTORS. IN ADDITION, THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS CERTAIN "RESERVED POWERS" WHICH REQUIRE THAT CERTAIN DECISIONS MADE BY SUPPORTED ORGANIZATION BOARDS MUST BE APPROVED BY THE SUTTER HEALTH BOARD OF DIRECTORS BEFORE BEING EFFECTIVE. SUCH DECISIONS INCLUDE, AMONG OTHERS, THE POWER TO APPROVE: - MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION; - AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; - ADOPTION OF OPERATING AND CAPITAL BUDGETS, AS WELL AS STRATEGIC PLANS; - CREATION OR ACQUISITION OF SUBSIDIARY CORPORATIONS; - CREATION OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES; - EXPENDITURES BEYOND APPROVED BUDGETS AND IN EXCESS OF LIMITS ESTABLISHED BY SUTTER HEALTH; AND - LONG-TERM OR MATERIAL AGREEMENTS, INCLUDING AGREEMENTS FOR THE INCURRENCE OF CERTAIN DEBT IN EXCESS OF LIMITS ESTABLISHED BY SUTTER HEALTH, OR THE PURCHASE, SALE, LEASE, DISPOSITION, EXCHANGE, GIFT, PLEDGE OR ENCUMBRANCE OF ANY ASSET IN EXCESS OF LIMITS ESTABLISHED BY SUTTER HEALTH. IN ADDITION, THE BYLAWS OF THE SUPPORTED ORGANIZATIONS STATE THAT THE PRESIDENT, THE CHIEF FINANCIAL OFFICER, AND ALL KEY MEMBERS OF MANAGEMENT SHALL BE EMPLOYEES OF SUTTER HEALTH, THAT THE SUPPORTED ORGANIZATION SHALL CONDUCT ITS OPERATIONS AND ACTIVITIES IN ACCORDANCE WITH SUTTER HEALTH SYSTEM POLICIES, AND THAT THE SUPPORTED ORGANIZATION SHALL PARTICIPATE IN ALL INITIATIVES AND PROGRAMS DEVELOPED AND DESIGNATED FOR IMPLEMENTATION BY SUTTER HEALTH. SUCH PARTICIPATION SHALL BE WITHOUT LIMITATION OR MODIFICATION EXCEPT AS APPROVED BY SUTTER HEALTH IN ITS SOLE DISCRETION.
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Name of the organization
SUTTER HEALTH
 
Employer identification number

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






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
SUTTER HEALTH
  		Employer identification number
94-2788907
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
SUTTER HEALTH
  		Employer identification number

94-2788907
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 4
Name of organization
SUTTER HEALTH
  		Employer identification number

94-2788907
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data


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SCHEDULE C
(Form 990 or 990-EZ)

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

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SUTTER HEALTH
 
Employer identification number

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

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................    
c Total lobbying expenditures (add lines 1a and 1b) ...................................................................    
d Other exempt purpose expenditures ........................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2018


Schedule C (Form 990 or 990-EZ) 2018
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
525,000
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
180,732
j
Total. Add lines 1c through 1i ....................................................................................................
705,732
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
SCHEDULE C, PART II-B, LINE 1F GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GRANTS PAID TO CALIFORNIA AMBULATORY SURGERY ASSOCIATION, CALIFORNIA BUSINESS ROUNDTABLE, CALIFORNIA LEGISLATIVE LGBT FOUNDATION, OAKLAND METROPOLITAN ACTION COMMITTEE, COMMITTEE FOR SAFE VALLEJO, AFFORDABLE HOUSING NOW, YES ON MEASURE U CAMPAIGN, YES ON MEASURE B CAMPAIGN, PROTECT OUR LOCAL HOSPITALS COALITION, AND ASIAN PACIFIC ISLANDER FOR ADVOCACY.
SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES: PAID CONSULTANTS THAT PERFORMED LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2018


Additional Data


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Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds. Complete if the organization answered "Yes" 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 .... 5,090,034 0      
b Contributions ...   5,000,000      
c Net investment earnings, gains, and losses -55,844 90,034      
d Grants or scholarships ...   0      
e Other expenditures for facilities
and programs ... 		  0      
f Administrative expenses ....   0      
g End of year balance ...... 5,034,190 5,090,034      
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet99.000 %
c
Temporarily restricted endowment SchDMd Bullet1.000 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
No
(ii) related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
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 ..... 0 17,646,365 17,646,365
b Buildings .... 0 100,720,330 43,041,204 57,679,126
c Leasehold improvements 0 65,858,533 37,444,805 28,413,728
d Equipment .... 0 1,310,373,121 1,064,325,814 246,047,307
e Other ..... 0 24,936,277 1,812,237 23,124,040
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 372,910,566
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other 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) ALTERNATIVE INVESTMENTS		 408,573,041 F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 408,573,041
Part VIII
Investments—Program 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.)Small Bullet  
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 611,540,725
(2) OTHER RECEIVABLES 54,150,117
(3) OTHER ASSETS 235,540,456
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 901,231,298
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
SELF INSURANCE RESERVE 427,805,408
TAXABLE BOND LIABILITIES 44,706,773
OTHER LIABILITIES 797,258,218
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,269,770,399
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) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS: MICHAEL AND JUDITH GAULKE INNOVATION HATCHERY ENDOWMENT FUND TO SUPPORT THE SUTTER HEALTH INNOVATION HATCHERY, AS DIRECTED BY THE SUTTER CHIEF INNOVATION OFFICER IN CONSULTATION WITH THE SUTTER HEALTH PRESIDENT AND CHIEF EXECUTIVE OFFICER. SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH, THE LEGAL ENTITY, AND MANY AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD AND GENERALLY ARE NOT SUBJECT TO TAXES ON INCOME. CERTAIN ACTIVITIES OF SUTTER ARE SUBJECT TO INCOME TAXES; HOWEVER, SUCH ACTIVITIES ARE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. WITH RESPECT TO ITS TAXABLE ACTIVITIES, SUTTER RECORDS INCOME TAXES USING THE LIABILITY METHOD, UNDER WHICH DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS, ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE STATUTE OF LIMITATIONS FOR TAX YEARS 2015 THROUGH 2017 REMAIN OPEN IN U.S. TAX JURISDICTIONS IN WHICH SUTTER AND ITS AFFILIATES ARE SUBJECT TO TAXATION. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2018 AND 2017, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) 2018


Additional Data


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SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean     Investments   1,097,566,220
Europe (Including Iceland and Greenland)     Investments   131,733,988
North America     Investments   19,886,081
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     1,249,186,289
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     1,249,186,289
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
SCHEDULE F, PART I, LINE 3, COLUMN (F) ACCOUNTING METHOD THE ACCRUAL METHOD OF ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS IN COLUMN (F).
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2018
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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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number
94-2788907
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to 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
noncash assistance		 (h) Purpose of grant
or assistance
(1) ALAMEDA COUNTY FOOD BANK
PO BOX 2599
OAKLAND,CA94614 		94-2960297 501(c)(3) 20,000       GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT Federal Work Study Reimbursement SICKLE CELL RESEARCH WATER QUAL RESEARCH METS: ENERGY & OBESITY LOW VITAMIN D METS: ENERGY & OBESITY SCHOLARSHIP HIV RESEARCH Awards Ceremony Sponsorship Immigrant Justice Nuclear Material Research B
(2) AMERICAN RED CROSS
2025 E ST NW
WASHINGTON,DC200065009 		53-0196605 501(c)(3) 178,750       GENERAL SUPPORT
(3) CERES COMMUNITY PROJECT
PO BOX 1562
SEBASTOPOL,CA95473 		26-2250997 501(c)(3) 6,250       GENERAL SUPPORT
(4) COALITION FOR COMPASSIONATE CARE
1331 GARDEN HWY
SACRAMENTO,CA95833 		27-0419836 501(c)(3) 45,000       GENERAL SUPPORT
(5) ELK GROVE FOOD BANK
PO BOX 1447
ELK GROVE,CA95759 		38-3664737 501(c)(3) 6,000       GENERAL SUPPORT
(6) FISHER HOUSE FOUNDATION INC
111 ROCKVILLE PIKE 420
ROCKVILLE,MD20850 		11-3158401 501(c)(3) 25,000       GENERAL SUPPORT
(7) FOOD BANK OF CONTRA COSTA COUNTY AND SOLANO
4010 NELSON AVE
CONCORD,CA91520 		94-2418054 501(c)(3) 26,000       GENERAL SUPPORT
(8) FOOD BANK OF YOLO COUNTY
1244 FORTNA AVE
WOODLAND,CA95776 		23-7111782 501(c)(3) 6,000       GENERAL SUPPORT
(9) FOOD PANTRY OF DAVIS STREET FAMILY RESOURCE CENTER
3081 TEAGARDEN STREET
SAN LEANDRO,CA94577 		94-3121699 501(c)(3) 10,000       GENERAL SUPPORT
(10) LAKE COUNTY COMMUNITY ACTION
PO BOX 1463
KELSEYVILLE,CA95451 		32-0400955 501(c)(3) 10,000       GENERAL SUPPORT
(11) LIFE LONG MEDICAL CARE
PO BOX 11247
BERKELEY,CA94712 		94-2502308 501(c)(3) 200,000       GENERAL SUPPORT
(12) MARCH OF DIMES
PO BOX 1657
WILKESBARRE,PA187031657 		13-1846366 501(c)(3) 135,000       GENERAL SUPPORT
(13) NATUREBRIDGE
28 GEARY ST STE 650
SAN FRANCISCO,CA94108 		94-2145930 501(c)(3) 17,500       GENERAL SUPPORT
(14) OKIZU FOUNDATION
16 DIGITAL DRIVE 100
NOVATO,CA94949 		68-0291178 501(c)(3) 25,000       GENERAL SUPPORT
(15) MEDSHARE INTERNATIONAL
3240 CLIFTON SPRINGS RD
DECATUR,GA30034 		58-2433968 501(c)(3) 207,500 306,870 FMV Supply Donation General Support
(16) AMBULATORY SURGERY ACCESS
1119 MARKET ST 400
SAN FRANCISCO,CA94103 		94-3180356 501(C)(3) 103,750       GENERAL SUPPORT
(17) PLACER FOOD BANK
8284 INDUSTRIAL AVE
ROSEVILLE,CA95678 		94-1740316 501(C)(3) 9,000       GENERAL SUPPORT
(18) REDWOOD EMPIRE FOOD BANK
3320 INDUSTRIAL DR
SANTA ROSA,CA95403 		68-0121855 501(C)(3) 6,250       GENERAL SUPPORT
(19) REGENTS OF THE UNIV OF CA
2195 HEARST AVE 130
BERKELEY,CA94720 		94-6002123 501(C)(3) 300,000       GENERAL SUPPORT
(20) RIVER CITY COMMUNITY SERVICES
3311 E CURTIS DR
SACRAMENTO,CA95818 		91-1851398 501(C)(3) 15,000       GENERAL SUPPORT
(21) SALVATION ARMY
180 E OCEAN BLVD
LONG BEACH,CA90802 		94-1156347 501(C)(3) 25,000       GENERAL SUPPORT
(22) SAN FRANCISCO FOOD BANK
900 PENNSYLVANIA
SAN FRANCISCO,CA94107 		94-3041517 501(C)(3) 32,500       GENERAL SUPPORT
(23) SAN FRANCISCO PUBLIC HEALTH
375 LAGUNA HONDA
SAN FRANCISCO,CA94116 		94-3117093 501(C)(3) 10,000       GENERAL SUPPORT
(24) SECOND HARVEST OF SANTA CLARA
750 CURTNER AVE
SAN JOSE,CA95125 		94-2614101 501(C)(3) 48,500       GENERAL SUPPORT
(25) SECOND HARVEST OF SANTA CRUZ
800 OHLONE PKWY
WATSONVILLE,CA95076 		77-0326685 501(C)(3) 16,500       GENERAL SUPPORT
(26) TRACY INTERFAITH MINISTRIES
311 W GRANT LINE RD
TRACY,CA95376 		94-3150638 501(C)(3) 10,000       GENERAL SUPPORT
(27) SUTTER BAY HOSPITALS
475 BRANNAN ST 130
SAN FRANCISCO,CA94107 		94-0562680 501(C)(3) 439,748       GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
27
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) NURSING EXCELLENCE AWARDS 20 10,000      
(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 PROJECT'S 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 BSA. IF THE COMMUNITY PARTNERS DID NOT REACH THE ANTICIPATED OUTCOMES, COMMUNITY BENEFIT WORKS TO UNDERSTAND WHAT CIRCUMSTANCES PREVENTED THE ORGANIZATION FROM MEETING THE GOALS TO HELP IDENTIFY WAYS TO IMPROVE OR PERHAPS RE-EVALUATE WHAT SUCCESS OF THIS PROGRAM LOOKS LIKE, AND MAKES THE DETERMINATION TO CONTINUE OR TERMINATE FUNDING.
SCHEDULE I, PART III, LINE 1 SUTTER HEALTH SUPPORTS SEVERAL LOCAL AREA NURSING EDUCATION PROGRAMS. IN 2018, CERTAIN NURSING STUDENT GRADUATES RECEIVED A $500 MONETARY AWARD FOR COMPLETING THE PROGRAM.
Schedule I (Form 990) 2018



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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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1SARAH KREVANS
PRES. & CEO, SUTTER HEALTH 		(i)

(ii)		 1,678,673
-------------
0 		842,240
-------------
0 		329,388
-------------
0 		1,909,372
-------------
0 		26,449
-------------
0 		4,786,122
-------------
0 		300,989
-------------
 
2FLORENCE DI BENEDETTO
SVP & GENERAL COUNSEL/ASST SEC 		(i)

(ii)		 685,412
-------------
0 		286,253
-------------
0 		311,444
-------------
0 		213,547
-------------
0 		12,391
-------------
0 		1,509,047
-------------
0 		286,570
-------------
0
3ED ERWIN
DIR REAL ESTATE SVCS/ASST SEC 		(i)

(ii)		 218,972
-------------
0 		23,166
-------------
0 		2,008
-------------
0 		11,233
-------------
0 		14,333
-------------
0 		269,712
-------------
0 		0
-------------
0
4JEFF SPRAGUE
SH SVP & CFO 		(i)

(ii)		 749,362
-------------
0 		269,485
-------------
0 		186,017
-------------
0 		503,648
-------------
0 		15,462
-------------
0 		1,723,974
-------------
0 		158,762
-------------
0
5JAMES CONFORTI
SH SVP / COO 		(i)

(ii)		 882,157
-------------
0 		310,854
-------------
0 		130,789
-------------
0 		460,359
-------------
0 		22,245
-------------
0 		1,806,404
-------------
0 		113,665
-------------
0
6JEREMY EAVES
CEO,SUTTER SHARED SERVICES&SPS 		(i)

(ii)		 553,191
-------------
0 		101,106
-------------
0 		8,064
-------------
0 		110,905
-------------
0 		18,347
-------------
0 		791,613
-------------
0 		0
-------------
0
7JEFF GERARD
SVP STRGY SRVS 		(i)

(ii)		 810,129
-------------
0 		336,708
-------------
0 		170,038
-------------
0 		324,677
-------------
0 		16,172
-------------
0 		1,657,724
-------------
0 		152,115
-------------
0
8JILL RAGSDALE
SVP/CHIEF PEOPLE & CULTURE OFF 		(i)

(ii)		 608,883
-------------
0 		254,231
-------------
0 		17,784
-------------
0 		205,138
-------------
0 		26,784
-------------
0 		1,112,820
-------------
0 		0
-------------
0
9RISHI SIKKA MD
PRESIDENT, SH SYSTEM ENTRPRISE 		(i)

(ii)		 681,332
-------------
0 		423,034
-------------
0 		14,907
-------------
0 		259,805
-------------
0 		25,663
-------------
0 		1,404,741
-------------
0 		0
-------------
0
10DON L WREDEN
SH SVP / PATIENT EXPERIENCE 		(i)

(ii)		 683,568
-------------
0 		267,112
-------------
0 		899,836
-------------
0 		213,709
-------------
0 		24,499
-------------
0 		2,088,724
-------------
0 		80,701
-------------
0
11PETER ANDERSON
SH SVP / CHIEF STRATEGY OFF 		(i)

(ii)		 29,251
-------------
18,087 		210,996
-------------
0 		1,480,899
-------------
0 		103,508
-------------
0 		3,401
-------------
0 		1,828,055
-------------
18,087 		0
-------------
0
12JEFF BURNICH MD
SVP, SH MEDICAL NETWORK 		(i)

(ii)		 85,708
-------------
0 		228,459
-------------
0 		722,796
-------------
9,488 		111,641
-------------
0 		3,695
-------------
0 		1,152,299
-------------
9,488 		0
-------------
0
13WARREN BROWNER
CEO, CPMC 		(i)

(ii)		 622,784
-------------
0 		356,785
-------------
0 		112,222
-------------
0 		168,017
-------------
0 		16,880
-------------
0 		1,276,688
-------------
0 		92,119
-------------
0
14GRANT DAVIES
CEO, VALLEY AREA HOSPITALS 		(i)

(ii)		 663,863
-------------
0 		239,440
-------------
0 		292,720
-------------
0 		180,204
-------------
0 		20,538
-------------
0 		1,396,765
-------------
0 		274,829
-------------
0
15JONATHAN MANIS
SH SVP / CIO 		(i)

(ii)		 376,204
-------------
  		241,159
-------------
0 		477,855
-------------
49,696 		113,605
-------------
0 		11,883
-------------
0 		1,220,706
-------------
49,696 		97,960
-------------
0
16ED BERDICK
FORMER SH SVP/SHARED SERVICES 		(i)

(ii)		 39,592
-------------
  		424,261
-------------
0 		182,964
-------------
471,809 		2,048
-------------
0 		1,593
-------------
0 		650,458
-------------
471,809 		0
-------------
0
17MICHAEL COHILL
FORMER CEO SMCS 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		2,475
-------------
603,346 		0
-------------
0 		0
-------------
0 		2,475
-------------
603,346 		0
-------------
0
18PATRICK FRY
FORMER SH PRES & CEO 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		45,281
-------------
56,200 		0
-------------
0 		0
-------------
0 		45,281
-------------
56,200 		0
-------------
0
19CHARLES WIRTH
FORMER CEO, SPS 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
177,123 		0
-------------
0 		0
-------------
0 		0
-------------
177,123 		0
-------------
0
20JEFFREY SZCZESNY
SH VP, HR OPERATIONS 		(i)

(ii)		 382,993
-------------
0 		121,505
-------------
0 		46,686
-------------
0 		59,561
-------------
0 		19,515
-------------
0 		630,260
-------------
0 		39,482
-------------
0
21JOHN GATES
CFO, SH BAY AREA 		(i)

(ii)		 662,404
-------------
  		161,456
-------------
  		88,697
-------------
  		85,900
-------------
  		15,136
-------------
  		1,013,593
-------------
  		68,409
-------------
 
22JULIE PETRINI
CEO, BAY AREA HOSPITALS 		(i)

(ii)		 660,698
-------------
  		212,445
-------------
  		95,919
-------------
  		167,780
-------------
  		9,926
-------------
  		1,146,768
-------------
  		0
-------------
 
23ELIZABETH VILARDO-MORGAN
CEO, SBMF 		(i)

(ii)		 659,984
-------------
  		162,982
-------------
  		93,417
-------------
  		186,105
-------------
  		21,405
-------------
  		1,123,893
-------------
  		75,349
-------------
 
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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 RELEVANT INFORMATION REGARDING COMPENSATION ITEMS: FIRST-CLASS TRAVEL: CERTAIN OFFICERS AND KEY EMPLOYEES OF SUTTER HEALTH MAY UPGRADE TO FIRST-CLASS TRAVEL AS BUSINESS NEED DICTATES. UPGRADES ARE CONSIDERED A NECESSARY BUSINESS EXPENSE. SPOUSAL TRAVEL: FOR BOARD MEMBERS, ON CERTAIN OCCASIONS DETERMINED BY THE BOARD CHAIR, A SPOUSE MAY ACCOMPANY THE BOARD MEMBER TO A BOARD FUNCTION. TAXABLE SPOUSAL TRAVEL EXPENSES WILL BE REPORTED AS INCOME ON A FORM W-2 OR 1099 AS APPROPRIATE. SCHEDULE J, PART I, LINE 3 SUPPLEMENTAL COMPENSATION INFORMATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS-LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF SUTTER'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH.
SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: PETER ANDERSON RECEIVED SEVERANCE PAYMENTS OF $532,229 JEFF BURNICH, MD RECEIVED SEVERANCE PAYMENTS OF $575,489 JONATHAN MANIS RECEIVED SEVERANCE PAYMENTS OF $240,304
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 AND SOCIAL SECURITY BENEFITS. SUTTERS PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PENSION PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA PROVIDES 6% TO 12% OF BASE SALARY PLUS ANNUAL INCENTIVE PLAN AWARD (COMMENSURATE WITH MANAGEMENT LEVEL). 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 PENSION PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTERS NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT. THE FOLLOWING INDIVIDUALS RECEIVED 457(F) NON-QUALIFIED PAYMENTS DURING THE YEAR: DON L. WREDEN - $790,368 PETER ANDERSON - $835,268 JEFF BURNICH, MD - $88,875 ED BERDICK - $142,596
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, OPERATING UNIT AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS A LONG TERM PERFORMANCE PLAN WHICH IS DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. 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 LONG TERM PERFORMANCE PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. 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 PERFORMANCE 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 BY THE COMPENSATION COMMITTEE PRIOR TO PAYMENT.
Schedule J (Form 990) 2018
Additional Data


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

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

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Return Reference Explanation
FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: WE ENHANCE THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES.
FORM 990, PART III, LINE 4 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: SUTTER HEALTH IS MORE THAN 60,000 PEOPLE STRONG THANKS TO ITS INTEGRATED NETWORK OF CLINICIANS, EMPLOYEES AND VOLUNTEERS. HEADQUARTERED IN SACRAMENTO, CALIFORNIA, SUTTER HEALTH PROVIDES ACCESS TO HIGH QUALITY, AFFORDABLE CARE FOR MORE THAN 3 MILLION NORTHERN CALIFORNIANS THROUGH ITS NETWORK OF HOSPITALS, MEDICAL FOUNDATIONS, URGENT AND WALK-IN CARE CENTERS, HOME HEALTH AND HOSPICE SERVICES. NEARLY 14,000 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS CARE FOR SUTTER PATIENTS. RECOGNIZED AS A NATIONAL LEADER IN QUALITY, SUTTERS INTEGRATED HEALTHCARE SYSTEM PROVIDES ACCESS TO PATIENT-CENTERED, COORDINATED CARE THAT OUTPERFORMS STATE AND NATIONAL AVERAGES IN NEARLY EVERY QUALITY MEASURE. DUE TO ITS SMART MANAGEMENT OF RESOURCES, EFFICIENCY AND FOCUS ON INNOVATION, SUTTERS NETWORK HELPS DRIVE COSTS DOWN AND EXPANDS ACCESS TO COMPREHENSIVE PATIENT SERVICES AND HEALTH PROGRAMS TAILORED TO THE DIVERSE COMMUNITIES IT SERVES. GROUNDED IN ITS NOT-FOR-PROFIT MISSION, SUTTER HEALTH HEAVILY REINVESTS IN ITS COMMUNITIES, COMMITTING HUNDREDS OF MILLIONS OF DOLLARS ANNUALLY TO SUPPORT CLINICS AND COMMUNITY-BASED HOSPITALS - PROVIDING CARE FOR THE MOST VULNERABLE POPULATIONS. FROM DEPLOYING TECHNOLOGY THAT IMPROVES THE PATIENT EXPERIENCE TO SUPPORTING STRONG COMMUNITY PARTNERSHIPS, THE STRENGTH OF SUTTERS INTEGRATED SYSTEM PROVIDES A MODEL THAT CAN SHAPE THE FUTURE OF HEALTHCARE. THE SUTTER HEALTH SYSTEM CONSISTS OF: - 53,000 EMPLOYEES AND 12,000 PHYSICIANS - 5,000 VOLUNTEERS - 2,000 ADVANCED PRACTICE CLINICIANS - 24 HOSPITALS - 4,188 LICENSED ACUTE CARE BEDS - 36 AMBULATORY SURGERY CENTERS - 7 CARDIAC CENTERS - 9 CANCER CENTERS - 4 ACUTE REHABILITATION CENTERS - 8 BEHAVIORAL HEALTH CENTERS - 5 TRAUMA CENTERS - 8 NEONATAL INTENSIVE CARE UNITS - MEDICAL RESEARCH CENTERS - HOME HEALTH AND HOSPICE SERVICES - EXPRESS MEDICAL CLINICS - EDUCATION CENTERS AND PHYSICIAN TRAINING PROGRAMS - PHILANTHROPIC PROGRAMS - HEALTH PLAN (SUTTER HEALTH PLUS) 2018 BY THE NUMBERS: - 30,274 BIRTHS - 188,367 DISCHARGES - 844,249 EMERGENCY ROOM VISITS - 1,810,926 HOSPITAL OUTPATIENT VISITS - 9,159,694 MEDICAL FOUNDATION VISITS - 914,247 PATIENT DAYS - 649,456 SUTTER CARE AT HOME HEALTH VISITS - 211,364 SUTTER CARE AT HOME HOSPICE VISITS AS ONE OF THE NATIONS LEADING NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEMs, WE APPROACH CARE FROM A COMMON MISSION OF ENHANCING THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE. TO HELP CARRY OUT OUR MISSION, WE ARE GUIDED BY SEVEN CORE VALUES: 1. HONESTY AND INTEGRITY 2. EXCELLENCE AND QUALITY 3. COMMUNITY 4. INNOVATION 5. TEAMWORK 6. COMPASSION AND CARING 7. AFFORDABILITY HEADQUARTERED IN SACRAMENTO, A COMMUNITY-BASED BOARD OF DIRECTORS GOVERNS SUTTER HEALTH. TO VIEW A LIST OF SUTTER HEALTH AFFILIATES, PLEASE VIEW FORM 990, SCHEDULE R.
FORM 990, PART VI, LINE 1A THE AFFAIRS AND MANAGEMENT OF SUTTER HEALTH ARE SUPERVISED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD AND TO TRANSACT ALL REGULAR BUSINESS DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, WHO SERVES AS CHAIR OF THE COMMITTEE, THE CHAIR OF THE FINANCE AND PLANNING COMMITTEE, THE SECRETARY, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND AT LEAST ONE DIRECTOR-AT-LARGE OF THE CORPORATION.
FORM 990, PART VI, LINE 4 THE GOVERNING DOCUMENTS WERE AMENDED TO UPDATE THE LISTING OF SUTTER HEALTH'S SUPPORTED ORGANIZATIONS.
FORM 990, PART VI, LINE 11B PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: SUTTER HEALTH HAS A CENTRALIZED TAX DEPARTMENT RESPONSIBLE FOR THE PREPARATION OF THE FORM 990. ANNUALLY THE TAX DEPARTMENT RECEIVES AND PROVIDES TRAINING AND EDUCATION TO APPROPRIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, LEGAL DEPARTMENT, FINANCE, AND THE CFO BEFORE THE RETURN IS FILED.
FORM 990, PART VI, LINE 12 PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: EMPLOYEES ARE EDUCATED ON THE CONFLICT OF INTEREST POLICY AND THE NEED TO MAKE DISCLOSURE AS PART OF ANNUAL COMPLIANCE EDUCATION. IN ADDITION, ANNUALLY A DISCLOSURE STATEMENT IS COMPLETED BY ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES. ON THIS STATEMENT THE INDIVIDUAL WILL LIST A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. IF THERE IS A POTENTIAL CONFLICT OF INTEREST RELATED TO A PARTICULAR TRANSACTION, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. THE BOARD MAY CONSULT WITH THE OFFICE OF THE GENERAL COUNSEL AS NECESSARY. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR (OR COMMITTEE CHAIR AS APPLICABLE) MAY REQUEST THE INDIVIDUAL TO NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE INTERESTED INDIVIDUAL SHALL LEAVE THE ROOM PRIOR TO THE BOARDS FINAL DISCUSSION AND VOTE.
FORM 990, PART VI, LINE 15 PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO 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. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), (C) TOTAL DIRECT CASH (BASE SALARY + ANNUAL INCENTIVE + LONG TERM INCENTIVE) AND (D) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG TERM INCENTIVE). THIS ANALYSIS INCLUDES NATIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS SUTTER HEALTH. THIS METHOD IS MOST APPROPRIATE SINCE IT IS A NATIONAL MARKETPLACE IN WHICH SUTTER COMPETES FOR EXECUTIVE TALENT. OFFICERS AND KEY EMPLOYEES OF THIS ORGANIZATION UNDERGO AN ANNUAL REVIEW BY THE COMPENSATION COMMITTEE OR A DELEGATED SUB-COMMITTEE. APPROVAL IS RECORDED IN THE MINUTES. THE 2018 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN DECEMBER 2017.
FORM 990, PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY & FINANCIAL STATEMENTS: THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART X, LINE 20 SUTTER HEALTH IS A CONDUIT BORROWER OF TAX-EXEMPT BOND ISSUES AND ALLOCATES PORTIONS OF EACH ISSUE TO CERTAIN SUBSIDIARY ORGANIZATIONS OF WHICH IT IS THE SOLE CORPORATE MEMBER. THE OUTSTANDING BOND LIABILITY ALLOCATED TO THESE SUBSIDIARY ORGANIZATIONS IS REPORTED ON EACH SUBSIDIARY ORGANIZATION'S FORM 990, PART X, BALANCE SHEET AND SCHEDULE K.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN FUND BALANCE: EQUITY TRANSFER (NET) $418,950,310 K-1 ACTIVITY (16,270,085) PARTNERSHIP INCOME ON BOOKS 5,071,450 PENSION RELATED CHANGES (301,485,352) OTHER CHANGES IN FUND BALANCE 2,177,953 -------------- TOTAL $108,444,276 ==============
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
SUTTER HEALTH
 
Employer identification number

94-2788907
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" 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
(1) SUTTER CONNECT LLC
10470 OLD PLACERVILLE ROAD
SACRAMENTO,CA95827
68-0209157 		SUPPORT SVCS CA 174,815,833 51,310,579 SUTTER HLTH
 
(2) SUTTER OUTPATIENT SERVICES LLC
2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
45-4714483 		SUPPORT SVCS CA 75,365,024 25,355,612 SUTTER HLTH
 
(3) SUTTER SHARED LAB LLC
2950 COLLIER CANYON ROAD
LIVERMORE,CA94551
47-5583986 		LAB SERVICES CA 44,417,927 19,781,461 SUTTER HLTH
 
(4) SUTTER HEALTH PLAN PRODUCTS ORG LLC
2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
82-1766939 		SUPPORT SVCS CA 0 13,634,512 SUTTER HLTH
 




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?
Yes No
(1)BETTER HEALTH EAST BAY FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
51-0160184 		FUNDRAISING CA 501(C)(3) 7 SUTTER BH
 
Yes
 
(2)CALIFORNIA PACIFIC MEDICAL CTR FOUND
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-2728423 		FUNDRAISING CA 501(C)(3) 7 SUTTER BH
 
Yes
 
(3)EAST BAY PERINATAL CENTER
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
51-0172285 		HEALTHCARE CA 501(C)(3) 3 SUTTER BH
 
Yes
 
(4)MEMORIAL HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-2290244 		FUNDRAISING CA 501(C)(3) 12A - I SUTTER VH
 
Yes
 
(5)MILLS-PENINSULA HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
23-7288765 		FUNDRAISING CA 501(C)(3) 7 SUTTER BH
 
Yes
 
(6)SAMUEL MERRITT UNIVERSITY
450 30TH STREET STE 2840

OAKLAND,CA94609
94-2992642 		UNIVERSITY CA 501(C)(3) 2 SUTTER BH
 
Yes
 
(7)SUTTER AUBURN FAITH HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-2594966 		FUNDRAISING CA 501(C)(3) 7 SUTTER VH
 
Yes
 
(8)SUTTER BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-0562680 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(9)SUTTER BAY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-1156581 		HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(10)SUTTER COAST HOSPITAL
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-2988520 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(11)SUTTER DAVIS HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
68-0217870 		FUNDRAISING CA 501(C)(3) 7 SUTTER VH
 
Yes
 
(12)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
 
(13)SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RD

EWA BEACH,HI96706
99-0298651 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(14)SUTTER HEALTH PLAN
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
46-1183948 		HEALTH PLAN CA 501(C)(4) N/A SUTTER HLTH
 
Yes
 
(15)SUTTER MEDICAL CENTER FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-2788906 		FUNDRAISING CA 501(C)(3) 7 SUTTER VH
 
Yes
 
(16)SUTTER ROSEVILLE MEDICAL CTR FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
68-0040113 		FUNDRAISING CA 501(C)(3) 7 SUTTER VH
 
Yes
 
(17)SUTTER SOLANO CHARITABLE FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-2668262 		FUNDRAISING CA 501(C)(3) 7 SUTTER VH
 
Yes
 
(18)SUTTER VALLEY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-1156621 		HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(19)SUTTER VALLEY MEDICAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
68-0273974 		HEALTHCARE CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(20)SUTTER VISITING NURSE ASSOC AND HOSPICE
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-6068843 		HEALTHCARE CA 501(C)(3) 10 SUTTER HLTH
 
Yes
 
(21)TRACY HOSPITAL FOUNDATION
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
68-0318845 		FUNDRAISING CA 501(C)(3) 12A - I SUTTER VH
 
Yes
 
(22)SUTTER INSURANCE SERVICES CORPORATION
745 FORT STREET Suite 1100

HONOLULU,HI96813
99-0289310 		INSURANCE SER HI 501(C)(3) 12C III-FI SUTTER HLTH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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
Yes No Yes No
(1) SURGERY CENTER OF ALTA BATES SMC

3875 TELEGRAPH
OAKLAND,CA94609
47-0946086 		Patient Care CA SUTTER BH
  		                 
(2) ALTA CT SERVICES LP

175 LENNON
WALNUT CREEK,CA94598
94-3083464 		PATIENT CARE CA SUTTER BH
  		                 
(3) CA PACIFIC ADV IMAG

PO BOX 6102
NOVATO,CA94598
56-2311840 		patient care DE SUTTER BH
  		                 
(4) SAN FRANCISCO ENDOSCOPY CENTER

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
91-2160588 		patient care CA SUTTER BH
  		related 591,685 75,560   No 0 Yes   1.800 %
(5) PRESIDIO SURGERY CENTER LLC

1635 DIVISADERO
SAN FRANCISCO,CA94115
32-0144060 		patient care CA SUTTER BH
  		                 
(6) SUTTER FAIRFIELD SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
30-0233892 		patient care CA SUTTER VMF
  		                 
(7) SUTTER AMADOR SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
46-1398093 		patient care CA NA
  		related 68,731 201,562   No 0 Yes   6.000 %
(8) ROSEVILLE ENDOSCOPY CENTER

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
87-0710513 		patient care CA NA
  		                 
(9) STANISLAUS SURGICAL HOSPITAL LLC

1421 OAKDALE ROAD
MODESTO,CA95355
91-1754157 		patient care CA NA
  		                 
(10) MEMORIAL MEDICAL BUILDING 1

1800 COFFEE RD 76
MODESTO,CA95355
77-0234236 		OFFICE RENTAL CA SUTTER VH
  		                 
(11) MEMORIAL MEDICAL BUILDING 2

1800 COFFEE RD 76
MODESTO,CA95355
77-0287288 		OFFICE RENTAL CA SUTTER VH
  		                 
(12) MAGNETIC IMAGING AFFILIATES LLC

2125 OAK GROVE ROAD
WALNUT CREEK,CA94598
47-3696091 		PATIENT CARE CA SUTTER BH
  		                 
(13) ASC OPERATORS - SANTA ROSA LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
26-3386169 		care management CA SUTTER BMF
  		related 1,296,703 983,184   No 0 Yes   6.000 %
(14) ASC OPERATORS - SAN LUIS OBISPO LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
27-2673776 		care management CA SUTTER HLTH
  		related 2,532,758 4,160,122   No 0 Yes   51.000 %
(15) WALNUT CREEK ENDOSCOPY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
26-2169304 		patient care CA NA
  		                 
(16) EAST BAY ENDOSCOPY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
94-3336277 		patient care DE NA
  		                 
(17) ASC OPERATORS - SOUTH BAY LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
46-1537479 		care management CA NA
  		related 837,427 1,480,802   No 0 Yes   6.000 %
(18) PENINSULA EYE SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
13-4285230 		patient care CA NA
  		                 
(19) PENINSULA ENDOSCOPY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
27-1905059 		patient care CA NA
  		related 700,269 1,221,935   No 0 Yes   6.000 %
(20) NORTH BAY REGIONAL SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
20-8633751 		patient care CA NA
  		related 588,822 381,618   No 0 Yes   6.465 %
(21) ASC OPERATORS - SAN FRANCISCO LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
27-5447186 		care management CA NA
  		related 1,362,981 281,130   No 0 Yes   6.000 %
(22) GOLDEN GATE ENDOSCOPY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
20-1467388 		patient care CA NA
  		                 
(23) ASC OPERATORS LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
20-8970704 		care management CA NA
  		related 4,696,490 5,432,009   No 0 Yes   6.000 %
(24) SANTA BARBARA ENDOSCOPY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
91-2165231 		patient care CA NA
  		                 
(25) SAN LUIS OBISPO SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
77-0109991 		patient care CA NA
  		                 
(26) REDDING SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
38-3897570 		patient care CA NA
  		                 
(27) LA JOLLA ORTHOPEDIC SURGERY CENTER LLC

4120 LA JOLLA VILLAGE DRIVE
LA JOLLA,CA92037
36-4397467 		patient care CA SOS
  		related 2,509,274 3,109,060   No 0 Yes   55.056 %
(28) LA JOLLA ORTHOPAEDIC SURGERY CENTER LP

4120 LA JOLLA VILLAGE DRIVE
LA JOLLA,CA92037
36-4409551 		patient care CA NA
  		                 
(29) CARLSBAD SURGERY CENTER LLC

6121 PASEO DEL NORTE STE 100
CARLSBAD,CA92011
20-1413484 		patient care CA SOS
  		related 2,646,405 2,215,766   No 0 Yes   51.172 %
(30) COAST CTR FOR ORTHOPEDIC & ARTHROSCOPIC

3444 KEARNY VILLA ROAD
SAN DIEGO,CA92123
33-0839637 		patient care CA SOS
  		related 974,092 3,575,192   No 0 Yes   53.154 %
(31) OTAY LAKES SURGERY CENTER LLC

955 LANE AVE SUITE 100
CHULA VISTA,CA91914
20-0794766 		patient care CA SOS
  		related 981,641 2,902,706   No 0 Yes   52.174 %
(32) SOUTH PLACER SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
42-1540694 		patient care CA NA
  		                 
(33) SACRAMENTO SURGERY CENTER ASSOCIATES LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
68-0516588 		patient care CA NA
  		                 
(34) FORT SUTTER SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
68-0116391 		patient care CA NA
  		                 
(35) SUTTER ALHAMBRA SURGERY CENTER LP

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
63-1221949 		patient care CA NA
  		                 
(36) AUBURN SURGICAL CENTER LP

2200 River Plaza Drive
Sacramento,CA95833
36-4123623 		patient care CA NA
  		related 9,463 45,482   No 0   No 2.343 %
(37) ICG CREDIT OPPORTUNITIES FUND LP

11111 SANTA MONICA BLVD SUITE 2100
LOS ANGELES,CA90025
81-4220441 		INVESTMENTS CA SUTTER HLTH
  		excluded                
(38) MADISON INTERNATIONAL GLOBAL VALUE REAL

410 PARK AVENUE 10TH FLOOR
NEW YORK,NY10022
98-1310251 		INVESTMENTS NY SUTTER HLTH
  		excluded                
(39) ASC OPRTS-EAST BAY

2200 RIVER PLAZA
SACRAMENTO,CA95833
27-1724489 		CARE MANAGEMENT CA NA
  		related 620,008 303,217   No 0 Yes   6.000 %
(40) EHC SURGERY CENTER

2201 RIVER PLAZA
SACRAMENTO,CA95833
94-3214614 		PATIENT CARE CA NA
  		related 1,662 18,439   No 0 Yes   0.250 %
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
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) SUTTER HEALTH DEFERRED COMP PLANS' TRUST

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
27-6851989 		RABBI TRUST CA SUTTER HTLH
  		TRUST 1,548,410 84,211,228 100.000 % Yes  
(2) NORTHWOOD EUROPE TE FEEDER LP

1819 WAZEE ST 2ND FLOOR
DENVER,CO90202
98-1272216 		HOLDING COMPANY CJ SUTTER HTLH
  		C CORP       Yes  
(3) HEALTH VENTURES INC

350 HAWTHORNE AVE
OAKLAND,CA94609
94-2918780 		HEALTH SERVICES CA SUTTER BH
  		C CORP       Yes  








Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ASC Operators - East Bay LLC

 L 712,500 FMV
(2) ASC Operators - East Bay LLC

 Q 501,289 FMV
(3) ASC Operators - East Bay LLC

 R 272,309 FMV
(4) ASC Operators LLC

 L 3,950,392 FMV
(5) ASC Operators LLC

 P 50,401 FMV
(6) ASC Operators-San Francisco LLC

 L 1,203,376 FMV
(7) ASC Operators-San Francisco LLC

 Q 403,435 FMV
(8) ASC Operators-San Luis Obispo LLC

 S 1,172,158 FMV
(9) ASC Operators-Santa Rosa LLC

 L 975,575 FMV
(10) ASC Operators-South Bay LLC

 L 635,068 FMV
(11) Auburn Surgical Center LP

 Q 2,573,941 FMV
(12) Auburn Surgical Center LP

 O 1,902,662 FMV
(13) Auburn Surgical Center LP

 L 225,513 FMV
(14) Better Health East Bay Foundation

 L 366,672 FMV
(15) Better Health East Bay Foundation

 C 103,902 FMV
(16) Better Health East Bay Foundation

 Q 60,335 FMV
(17) Carlsbad Surgery Center LLC

 Q 5,797,967 FMV
(18) Carlsbad Surgery Center LLC

 O 2,518,789 FMV
(19) Carlsbad Surgery Center LLC

 S 1,810,456 FMV
(20) Carlsbad Surgery Center LLC

 L 732,928 FMV
(21) Coast Center For Orthopedic and Arthroscopic

 Q 3,466,744 FMV
(22) Coast Center For Orthopedic and Arthroscopic

 O 1,927,208 FMV
(23) Coast Center For Orthopedic and Arthroscopic

 S 750,084 FMV
(24) Coast Center For Orthopedic and Arthroscopic

 L 422,655 FMV
(25) Coast Center For Orthopedic and Arthroscopic

 P 57,391 FMV
(26) East Bay Endoscopy Center LP

 Q 2,373,610 FMV
(27) East Bay Endoscopy Center LP

 O 1,863,381 FMV
(28) East Bay Perinatal Center

 Q 322,626 FMV
(29) East Bay Perinatal Center

 L 175,044 FMV
(30) EHC Surgery Center LLC

 Q 79,036 FMV
(31) Fort Sutter Surgery Center LP

 Q 15,990,358 FMV
(32) Fort Sutter Surgery Center LP

 O 9,384,417 FMV
(33) Fort Sutter Surgery Center LP

 P 620,258 FMV
(34) Fort Sutter Surgery Center LP

 L 266,136 FMV
(35) Golden Gate Endoscopy Center LLC

 Q 4,663,638 FMV
(36) Golden Gate Endoscopy Center LLC

 O 2,407,603 FMV
(37) Health Ventures Inc

 Q 7,128,910 FMV
(38) Health Ventures Inc

 P 215,519 FMV
(39) Health Ventures Inc

 L 174,906 FMV
(40) La Jolla Orthopedic Surgery Center LLC

 Q 7,958,511 FMV
(41) La Jolla Orthopedic Surgery Center LLC

 O 3,211,993 FMV
(42) La Jolla Orthopedic Surgery Center LLC

 S 1,259,429 FMV
(43) La Jolla Orthopedic Surgery Center LLC

 L 903,804 FMV
(44) La Jolla Orthopedic Surgery Center LLC

 P 99,578 FMV
(45) North Bay Regional Surgery Center LLC

 Q 4,501,020 FMV
(46) North Bay Regional Surgery Center LLC

 O 2,526,219 FMV
(47) North Bay Regional Surgery Center LLC

 L 908,491 FMV
(48) North Bay Regional Surgery Center LLC

 J 599,194 FMV
(49) North Bay Regional Surgery Center LLC

 R 206,376 FMV
(50) North Bay Regional Surgery Center LLC

 P 60,361 FMV
(51) Otay Lakes Surgery Center LLC

 Q 3,656,668 FMV
(52) Otay Lakes Surgery Center LLC

 O 1,960,391 FMV
(53) Otay Lakes Surgery Center LLC

 S 571,394 FMV
(54) Otay Lakes Surgery Center LLC

 L 413,004 FMV
(55) Otay Lakes Surgery Center LLC

 P 61,340 FMV
(56) Peninsula Endoscopy Center LLC

 O 3,049,076 FMV
(57) Peninsula Endoscopy Center LLC

 Q 2,553,091 FMV
(58) Peninsula Endoscopy Center LLC

 L 786,768 FMV
(59) Peninsula Eye Surgery Center LLC

 Q 7,207,339 FMV
(60) Peninsula Eye Surgery Center LLC

 O 2,590,259 FMV
(61) Peninsula Eye Surgery Center LLC

 P 167,202 FMV
(62) Presidio Surgery Center LLC

 L 68,192 FMV
(63) Roseville Endoscopy Center LLC

 Q 4,234,611 FMV
(64) Roseville Endoscopy Center LLC

 O 2,990,996 FMV
(65) Roseville Endoscopy Center LLC

 L 219,910 FMV
(66) Sacramento Surgery Center Associates LP

 Q 5,309,335 FMV
(67) Sacramento Surgery Center Associates LP

 O 1,387,447 FMV
(68) Sacramento Surgery Center Associates LP

 P 94,589 FMV
(69) Samuel Merritt University

 Q 6,598,825 FMV
(70) Samuel Merritt University

 L 2,686,634 FMV
(71) Samuel Merritt University

 R 251,528 FMV
(72) San Francisco Endoscopy Center LLC

 Q 5,744,205 FMV
(73) San Francisco Endoscopy Center LLC

 O 2,534,897 FMV
(74) San Francisco Endoscopy Center LLC

 L 462,715 FMV
(75) San Leandro Surgery Center LP

 Q 4,917,123 FMV
(76) San Leandro Surgery Center LP

 O 4,014,829 FMV
(77) San Leandro Surgery Center LP

 L 992,997 FMV
(78) San Leandro Surgery Center LP

 P 292,768 FMV
(79) Santa Rosa Surgery Center LP

 Q 16,984,346 FMV
(80) Santa Rosa Surgery Center LP

 O 9,348,171 FMV
(81) Santa Rosa Surgery Center LP

 L 224,441 FMV
(82) Santa Rosa Surgery Center LP

 P 76,898 FMV
(83) South Placer Surgery Center LP

 Q 7,189,700 FMV
(84) South Placer Surgery Center LP

 O 2,666,396 FMV
(85) South Placer Surgery Center LP

 P 772,588 FMV
(86) South Placer Surgery Center LP

 L 409,998 FMV
(87) Stanislaus Surgical Hospital LLC

 R 1,704,421 FMV
(88) Stanislaus Surgical Hospital LLC

 L 1,027,511 FMV
(89) Stanislaus Surgical Hospital LLC

 O 160,792 FMV
(90) Sutter Alhambra Surgery Center LP

 Q 7,478,708 FMV
(91) Sutter Alhambra Surgery Center LP

 O 3,687,985 FMV
(92) Sutter Alhambra Surgery Center LP

 L 132,472 FMV
(93) Sutter Alhambra Surgery Center LP

 R 125,003 FMV
(94) Sutter Alhambra Surgery Center LP

 P 65,821 FMV
(95) Sutter Amador Surgery Center LLC

 Q 1,085,120 FMV
(96) Sutter Amador Surgery Center LLC

 O 1,038,056 FMV
(97) Sutter Amador Surgery Center LLC

 L 221,559 FMV
(98) Sutter Bay Hospitals

 S 1,171,204,348 FMV
(99) Sutter Bay Hospitals

 R 1,080,043,626 FMV
(100) Sutter Bay Hospitals

 Q 798,188,179 FMV
(101) Sutter Bay Hospitals

 L 519,313,508 FMV
(102) Sutter Bay Hospitals

 P 64,808,010 FMV
(103) Sutter Bay Hospitals

 I 53,436,191 FMV
(104) Sutter Bay Hospitals

 O 27,348,870 FMV
(105) Sutter Bay Hospitals

 B 439,748 FMV
(106) Sutter Bay Hospitals

 J 256,125 FMV
(107) Sutter Bay Hospitals

 K 52,019 FMV
(108) Sutter Bay Medical Foundation

 Q 258,659,985 FMV
(109) Sutter Bay Medical Foundation

 L 254,530,482 FMV
(110) Sutter Bay Medical Foundation

 S 67,600,000 FMV
(111) Sutter Bay Medical Foundation

 R 48,442,964 FMV
(112) Sutter Bay Medical Foundation

 P 32,546,971 FMV
(113) Sutter Bay Medical Foundation

 I 17,951,640 FMV
(114) Sutter Bay Medical Foundation

 O 6,073,192 FMV
(115) Sutter Bay Medical Foundation

 M 1,208,233 FMV
(116) Sutter Bay Medical Foundation

 J 432,191 FMV
(117) Sutter Bay Medical Foundation

 C 170,893 FMV
(118) Sutter Coast Hospital

 Q 20,638,096 FMV
(119) Sutter Coast Hospital

 S 15,517,918 FMV
(120) Sutter Coast Hospital

 L 13,488,477 FMV
(121) Sutter Coast Hospital

 R 6,911,198 FMV
(122) Sutter Coast Hospital

 O 1,170,312 FMV
(123) Sutter Coast Hospital

 I 1,125,864 FMV
(124) Sutter Coast Hospital

 P 391,341 FMV
(125) Sutter East Bay Hospitals

 S 119,300,000 FMV
(126) Sutter East Bay Hospitals

 Q 67,088,763 FMV
(127) Sutter East Bay Hospitals

 L 29,566,926 FMV
(128) Sutter East Bay Hospitals

 I 4,918,316 FMV
(129) Sutter East Bay Hospitals

 P 1,222,635 FMV
(130) Sutter East Bay Hospitals

 O 784,243 FMV
(131) Sutter East Bay Hospitals

 R 342,594 FMV
(132) Sutter Fairfield Surgery Center LLC

 Q 6,983,453 FMV
(133) Sutter Fairfield Surgery Center LLC

 L 541,934 FMV
(134) Sutter Fairfield Surgery Center LLC

 O 374,823 FMV
(135) Sutter Fairfield Surgery Center LLC

 P 97,404 FMV
(136) Sutter Fairfield Surgery Center LLC

 R 72,131 FMV
(137) Sutter Health Pacific

 S 7,400,000 FMV
(138) Sutter Health Pacific

 R 3,206,411 FMV
(139) Sutter Health Pacific

 Q 1,218,806 FMV
(140) Sutter Health Pacific

 L 748,991 FMV
(141) Sutter Health Pacific

 O 442,000 FMV
(142) Sutter Health Plan

 O 8,311,444 FMV
(143) Sutter Health Plan

 R 7,042,325 FMV
(144) Sutter Health Plan

 Q 5,501,271 FMV
(145) Sutter Health Plan

 L 4,838,505 FMV
(146) Sutter Health Plan

 P 492,128 FMV
(147) Sutter Insurance Services Corporation

 L 8,609,224 FMV
(148) Sutter Insurance Services Corporation

 Q 6,636,881 FMV
(149) Sutter Insurance Services Corporation

 P 5,335,537 FMV
(150) Sutter Insurance Services Corporation

 S 268,547 FMV
(151) Sutter Valley Hospitals

 S 656,187,573 FMV
(152) Sutter Valley Hospitals

 Q 622,702,730 FMV
(153) Sutter Valley Hospitals

 L 390,982,265 FMV
(154) Sutter Valley Hospitals

 R 380,971,774 FMV
(155) Sutter Valley Hospitals

 P 30,909,684 FMV
(156) Sutter Valley Hospitals

 O 21,666,244 FMV
(157) Sutter Valley Hospitals

 I 14,224,703 FMV
(158) Sutter Valley Hospitals

 K 1,041,187 FMV
(159) Sutter Valley Medical Foundation

 L 161,926,574 FMV
(160) Sutter Valley Medical Foundation

 Q 152,748,849 FMV
(161) Sutter Valley Medical Foundation

 S 70,889,531 FMV
(162) Sutter Valley Medical Foundation

 R 59,908,273 FMV
(163) Sutter Valley Medical Foundation

 O 16,036,218 FMV
(164) Sutter Valley Medical Foundation

 P 7,596,781 FMV
(165) Sutter Valley Medical Foundation

 I 3,242,871 FMV
(166) Sutter Valley Medical Foundation

 M 638,372 FMV
(167) Sutter Visiting Nurse Association and Hospice

 Q 84,738,005 FMV
(168) Sutter Visiting Nurse Association and Hospice

 L 31,594,249 FMV
(169) Sutter Visiting Nurse Association and Hospice

 M 11,751,197 FMV
(170) Sutter Visiting Nurse Association and Hospice

 S 6,800,000 FMV
(171) Sutter Visiting Nurse Association and Hospice

 R 6,660,846 FMV
(172) Sutter Visiting Nurse Association and Hospice

 P 2,305,676 FMV
(173) Sutter Visiting Nurse Association and Hospice

 O 2,174,863 FMV
(174) Sutter Visiting Nurse Association and Hospice

 J 139,851 FMV
(175) Sutter Visiting Nurse Association and Hospice

 I 135,169 FMV
(176) The Surgery Center of ABSMC LLC

 L 211,629 FMV
(177) Walnut Creek Endoscopy Center LLC

 Q 2,097,806 FMV
(178) Walnut Creek Endoscopy Center LLC

 O 1,443,548 FMV
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




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






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
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Schedule R (Form 990) 2018

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