Form990


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)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2022 , and ending 12-31-2022
BCheck if applicable:
CName of organization
SUTTER VALLEY HOSPITALS
 
% KENNETH YOUNG
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
C/O SH TAX 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

94-1156621
E Telephone number

G Gross receipts $ 4,227,704,523
F Name and address of principal officer:
MARK SEVCO
C/O SH TAX 2200 RIVER PLAZA DR
SACRAMENTO,CA95816
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: 1935
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 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 14,935
6 Total number of volunteers (estimate if necessary) ............. 6 361
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,730,180
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 21,980,307 13,800,605
9 Program service revenue (Part VIII, line 2g) ......... 4,079,050,180 4,206,598,321
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,419,331 2,020,758
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,557,160 3,865,541
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 4,106,006,978 4,226,285,225
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 18,917,823 17,203,937
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) 1,790,970,944 1,805,664,143
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet372,822    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,960,051,053 2,122,595,960
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,769,939,820 3,945,464,040
19 Revenue less expenses. Subtract line 18 from line 12....... 336,067,158 280,821,185
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,572,315,984 2,668,806,787
21 Total liabilities (Part X, line 26)............. 1,274,165,414 1,050,779,793
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,298,150,570 1,618,026,994
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
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 $ 3,554,395,582 including grants of $ 17,203,937 ) (Revenue $ 4,209,328,501 )
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 expensesMediumBullet3,554,395,582
Form 990 (2021)
Form 990 (2021)
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
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 I.............
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 II.........
4
 
No
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
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
List of Attached Documents:
// Content
.........................
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
List of Attached Documents:
// Content
....
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
List of Attached Documents:
// Content
..............
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
List of Attached Documents:
// Content
..............
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
List of Attached Documents:
// Content
......
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
List of Attached Documents:
// Content
...................
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
List of Attached Documents:
// Content
.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
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
List of Attached Documents:
// Content
............
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
......................
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
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....Click to see attachment
List of Attached Documents:
// Content
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............ Click to see attachment
List of Attached Documents:
// Content
18
Yes
 
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...................Click to see attachment
List of Attached Documents:
// Content
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
List of Attached Documents:
// Content
20b
Yes
 
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
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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
List of Attached Documents:
// Content
22
Yes
 
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
List of Attached Documents:
// Content
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...............Click to see attachment
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
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
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
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 .... Click to see attachment
List of Attached Documents:
// Content
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.......................Click to see attachment
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
33
 
No
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on 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
1,103
b
Enter the number of Forms W-2G included on 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 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
14,935
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
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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 the instructions and file Form 4720, Schedule N.
15
 
No
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
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
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
Yes
 
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
Yes
 
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 on 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 on 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 on 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 (1024 or 1024-A, if applicable), 990, and 990-T (section 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:
MediumBulletKENNETH YOUNG2300 RIVER PLAZA DR   Sacramento,CA95833 (916) 286-6665
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) Sarah Krevans......................................................................
CEO Emeritus, Sutter Health
2.0
.................
40.0
X           0 5,124,807 275,603
(2) Warner Thomas......................................................................
PT & CEO Sutter Health (PT-YR)
2.0
.................
40.0
X           0 194,285 3,265,142
(3) James Conforti......................................................................
SH SVP, Interim CEO
4.0
.................
40.0
X   X       0 2,919,261 226,992
(4) Theresa Frei......................................................................
SH INTERIM COO & PRES/CEO,SVMF
4.0
.................
40.0
X   X       0 1,497,664 115,619
(5) David Cheney......................................................................
CEO, Bay&Valley Hosp/Pres
2.0
.................
40.0
    X       0 1,308,813 152,165
(6) Eugene Patrizio......................................................................
Hospital Area CEO, S. Valley
0.0
.................
40.0
      X     0 1,010,923 89,049
(7) Asit Gokli MD......................................................................
SH VP, CC & OPS INT OFFICER
0.0
.................
40.0
          X 0 913,644 92,632
(8) Jeffrey D Szczesny......................................................................
SH VP, HR Operations
0.0
.................
40.0
          X 0 907,254 89,637
(9) Rachael McKinney......................................................................
Hospital Area CEO, C. Valley
0.0
.................
40.0
      X     0 889,315 92,273
(10) Brian Alexander......................................................................
Hospital Area CEO, N. Valley
0.0
.................
40.0
      X     0 825,364 94,659
(11) Mitch Hanna......................................................................
CEO SCH & SAFH
0.0
.................
40.0
          X 0 768,290 75,112
(12) David Thompson......................................................................
CEO, STCH & MHLB
0.0
.................
40.0
          X 0 735,794 78,115
(13) Phillip Yu MD......................................................................
CME, SMCS/SAH
0.0
.................
40.0
          X 0 673,626 63,350
(14) Timothy Noakes......................................................................
CFO Hospital SMCS
2.0
.................
40.0
    X       0 542,408 52,818
(15) Peter Hull MD......................................................................
CME SRMC/CHAIR
4.0
.................
40.0
X   X       0 482,723 53,918
(16) Jose A Arevalo......................................................................
Chief Medical Executive
40.0
.................
0.0
        X   479,162 0 32,972
(17) Colleen J Peschel......................................................................
VP HR, SH VALLEY HOSP.
0.0
.................
40.0
      X     0 443,650 47,152
Form 990 (2021)
Form 990 (2021)
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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(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) Baldev Singh........................................................................
REGISTERED NURSE II
40.0
.......................0.0
        X   430,412 0 30,520
(19) John Nugent........................................................................
Nursing Admin. Supervisor
40.0
.......................0.0
        X   390,563 0 29,520
(20) Esperanza Sissay........................................................................
Registered Nurse II
40.0
.......................0.0
        X   364,125 0 30,520
(21) David Caretto........................................................................
Medical Director
40.0
.......................0.0
        X   353,978 0 32,835
(22) Benjamin Kirk........................................................................
Deputy General Counsel, Sac
2.0
.......................40.0
    X       0 317,494 37,403
(23) Pat Brady........................................................................
Former CEO, SRMC
0.0
.......................0.0
          X 0 230,977 0
(24) Penny Westfall........................................................................
FORMER SH VP, CLO, SH
0.0
.......................40.0
          X 0 198,373 487
(25) Michael Cohill........................................................................
Former CEO SMCS
0.0
.......................0.0
          X 0 170,835 0
(26) I-Mei Hsiu MD........................................................................
Director/SH Board
2.0
.......................9.0
X           0 27,500 0
(27) David Adkins MD........................................................................
Director
2.0
.......................2.0
X           0 0 0
(28) Timothy Byrd........................................................................
Director
2.0
.......................2.0
X           0 0 0
(29) Viva Ettin MD........................................................................
Director
2.0
.......................2.0
X           0 0 0
(30) Bronwyn Fields RN........................................................................
Director
2.0
.......................2.0
X           0 0 0
(31) Dan Flores........................................................................
Chair Finance & Planning
4.0
.......................4.0
X   X       0 0 0
(32) Fatima Seward........................................................................
Director
2.0
.......................2.0
X           0 0 0
(33) Gail Russell MD........................................................................
Director
2.0
.......................2.0
X           0 0 0
(34) Jerry Tokunaga........................................................................
Director
2.0
.......................3.0
X           0 0 0
(35) Kurt Shuler MD........................................................................
Director
2.0
.......................2.0
X           0 0 0
(36) Maria Pallavicini........................................................................
Director
2.0
.......................2.0
X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 2,018,240 20,155,500 5,058,493
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 MediumBullet6,380
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
PROLINK STAFFING SERVICES LLC,
4600 MONTGOMERY RD STE 300
CINCINNATI,OH452122600
Staffing Services 19,146,957
DPR CONSTRUCTION A GENERAL,
1450 VETERANS BLVD
REDWOOD CITY,CA94063
Construction Service 18,704,667
RUDOLPH AND SLETTEN INC,
2 CIRCLE STAR WY 4TH FL
SAN CARLOS,CA940706200
GENERAL CONTRACTOR 17,387,125
CENTRAL ANESTHESIA SERVICE,
PO BOX 660910
SACRAMENTO,CA958660910
ANESTHESIOLOGY SVCS 12,463,739
PULMONARY MEDICINE ASSOC MED GRP IN,
1300 ETHAN WY STE 600
SACRAMENTO,CA958252296
PHYSICIAN SERVICES 11,407,923
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet341
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a 5
b Membership dues..1b  
c Fundraising events..1c 174,798
d Related organizations1d 10,628,697
e Government grants (contributions)1e 1,151,148
f All other contributions, gifts, grants, and similar amounts not included above1f 1,845,957
g Noncash contributions included in lines 1a - 1f:$ 1g 1,428
h Total. Add lines 1a-1f.......MediumBullet 13,800,605
 Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 621110 4,196,454,398 4,196,454,398    
b RENTAL TO AFFILIATES 531390 10,518,786 10,518,786    
c HEALTHCARE RELATED JV INCOME 523000 -374,863 -374,863    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 4,206,598,321
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 2,021,554     2,021,554
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   2,319,954 6a
b Less: rental expenses   1,169,357 6b
c Rental income or (loss) 0 1,150,597 6c
d Net rental income or (loss).......MediumBullet 1,150,597     1,150,597
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 189,492   7a
b Less: cost or other basis and sales expenses 56,705 133,583 7b
c Gain or (loss) 132,787 -133,583 7c
d Net gain or (loss).........MediumBullet -796     -796
8a Gross income from fundraising events (not including $ 174,798of contributions reported on line 1c). See Part IV, line 18 ....
8a 44,417
b Less: direct expenses ... 8b 59,653
c Net income or (loss) from fundraising events..MediumBullet -15,236   -15,236
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a LABORATORY 621500 2,730,180   2,730,180  
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 2,730,180
12 Total revenue. See instructions.....MediumBullet 4,226,285,225 4,206,598,321 2,730,180 3,156,119
Form 990 (2021)
Form 990 (2021)
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 .... 16,254,201 16,254,201
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 949,736 949,736
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 0      
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 1,226,485,259 1,150,665,254 75,672,302 147,703
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 39,470,099 37,034,560 2,435,539  
9 Other employee benefits ....... 435,361,562 408,392,104 26,857,481 111,977
10 Payroll taxes ........... 104,347,223 97,900,756 6,438,341 8,126
11 Fees for services (non-employees):        
a Management ...... 6,849,458 3,230,975 3,618,483  
b Legal ......... 7,129,451 7,129,451    
c Accounting ........... 0      
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 388,174   388,174  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 324,919,288 300,479,535 24,439,753  
12 Advertising and promotion .... 109,093   109,093  
13 Office expenses ....... 30,930,822 7,133,741 23,796,734 347
14 Information technology ...... 131,062,055 75,548,225 55,513,830  
15 Royalties .. 0      
16 Occupancy ........... 54,853,693 51,889,637 2,964,056  
17 Travel ............ 1,544,621 1,423,368 120,396 857
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 1,058,330 948,429 109,901  
20 Interest ........... 27,802,336 27,802,336    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 161,429,278 144,886,947 16,542,331  
23 Insurance ... 25,814,846 19,789,467 6,025,379  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 605,597,962 605,597,962    
b SUTTER CHARGEBACKS AND ALLOCAT 273,099,804 154,733,423 118,291,371 75,010
c CAPITATED SERVICES 171,304,478 168,553,672 2,750,806  
d HOSPITAL FEE 127,656,517 127,656,517    
e All other expenses 171,045,754 146,395,286 24,621,666 28,802
25 Total functional expenses. Add lines 1 through 24e 3,945,464,040 3,554,395,582 390,695,636 372,822
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 (2021)
Form 990 (2021)
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 ......... 110,767,778 2 132,227,205
3 Pledges and grants receivable, net ...... 88,873 3 744,170
4 Accounts receivable, net ............. 519,149,804 4 603,973,005
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 46,577,375 8 50,719,307
9 Prepaid expenses and deferred charges ...... 23,120,385 9 22,503,164
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,385,196,260
b Less: accumulated depreciation 10b 1,881,377,761 1,496,729,367 10c 1,503,818,499
11 Investments—publicly traded securities . 1,598,244 11 -1,283,042
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 1,312,605 13 2,030,683
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 372,971,553 15 354,073,796
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,572,315,984 16 2,668,806,787
Liabilities 17 Accounts payable and accrued expenses ..... 336,854,990 17 365,420,471
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 649,891,176 20 644,362,112
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 5,728,691 23 4,367,567
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 281,690,557 25 36,629,643
26 Total liabilities. Add lines 17 through 25.. 1,274,165,414 26 1,050,779,793
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 1,296,935,826 27 1,615,940,657
28 Net assets with donor restrictions ........... 1,214,744 28 2,086,337
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,298,150,570 32 1,618,026,994
33 Total liabilities and net assets/fund balances ........ 2,572,315,984 33 2,668,806,787
Form 990 (2021)
Form 990 (2021)
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
4,226,285,225
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,945,464,040
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
280,821,185
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,298,150,570
5
Net unrealized gains (losses) on investments ...............
5
-2,897,428
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
41,952,667
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,618,026,994
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 on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


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

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 instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 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 ...............................  
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
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed 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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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 5 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
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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) 2022

Schedule A (Form 990) 2022
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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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 on 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
First 5 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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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
 
 
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
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
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 box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
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 lines 5b and 5c 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
 
 
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
 
 
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
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
 
 
b
Did one or more disqualified persons (as defined on 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
 
 
c
Did a disqualified person (as defined on 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
 
 
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
 
 
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) 2022

Schedule A (Form 990) 2022
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 on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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
 
 
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
 
 
3
By reason of the relationship described in line 2 above, 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
 
 
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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", provide details in Part VI.
3a
 
 
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
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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 0.015 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 0.035 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) 2022

Schedule A (Form 990) 2022
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2022
(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, 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 2022. 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 2023. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
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
2022
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
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) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
SUTTER VALLEY HOSPITALS
 
Employer identification number
94-1156621
Part I
Contributors
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) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
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) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
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) (2022)
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," 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 instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
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 FASB 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 FASB 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 $ 90,304
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 FASB 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) 2021

Schedule D (Form 990) 2021
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 .... 47,680,470 45,543,145 41,682,775 39,417,783 41,036,603
b Contributions ... 2,380,685 100,059 138,071 26,144 60,011
c Net investment earnings, gains, and losses -1,697,747 3,372,871 6,591,830 3,847,038 -1,329,855
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
124,478 1,335,605 2,869,531 1,608,190 348,976
f Administrative expenses ....          
g End of year balance ...... 48,238,930 47,680,470 45,543,145 41,682,775 39,417,783
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet69.800 %
b
Permanent endowment SchDMd Bullet15.000 %
c
Term endowment SchDMd Bullet15.200 %
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)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
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 .....   41,025,528 41,025,528
b Buildings ....   2,369,873,660 1,200,444,803 1,169,428,857
c Leasehold improvements   35,397,640 23,144,803 12,252,837
d Equipment ....   761,484,880 612,017,703 149,467,177
e Other .....   177,414,552 45,770,452 131,644,100
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,503,818,499
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
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 11,188,567
(2)OTHER RECEIVABLES 291,522,051
(3)OTHER ASSETS 51,363,178
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 354,073,796
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
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 36,629,643
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) 2021

Schedule D (Form 990) 2021
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 III, LINE 4 DESCRIPTION OF THE ORGANIZATION'S COLLECTIONS: THE ORGANIZATION HAS ARTWORK BEING DISPLAYED IN PUBLIC PLACES OF THE MEDICAL FACILITY FOR DECORATIVE PURPOSES. SCHEDULE D, PART V, LINE 1B, COLUMN (D) ON MAY 1, 2017, SUTTER CENTRAL VALLEY HOSPITALS MERGED INTO SUTTER VALLEY HOSPITALS. THE 2017 CONTRIBUTIONS HAVE BEEN ADJUSTED TO REFLECT THE ENDOWMENTS HISTORICALLY HELD BY SUTTER CENTRAL VALLEY HOSPITALS. SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: SUTTER MEDICAL CENTER SACRAMENTO'S ENDOWMENT EARNINGS ARE TO BE USED TO SUPPORT THE CHILD LIFE DEPARTMENT. ALL OTHER ENDOWMENTS ARE HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER VALLEY HOSPITALS.
SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE FROM AUDIT: THIS ORGANIZATION WAS PART OF A CONSOLIDATED FINANCIAL SYSTEM AUDIT. THE ASC 740 AUDIT FOOTNOTE DISCLOSURE FOR THE SUTTER SYSTEM IS AS FOLLOWS: SUTTER HEALTH 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 BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR SETTLED. SUTTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS, ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE STATUTE OF LIMITATIONS FOR TAX YEARS 2019 THROUGH 2021 REMAINS 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. THERE WERE NO SUCH UNCERTAIN TAX POSITIONS RECOGNIZED FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) 2022
Schedule G (Form 990) 2022
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

MHLB Gala
(event type)
(b) Event #2

Generosity Gala
(event type)
(c) Other events

0
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

150,737

68,478

 

219,215

2

Less: Contributions . . . .

109,320

65,478

 

174,798
3 Gross income (line 1 minus
line 2) . . . . . .

41,417

3,000

 

44,417



VerticalDirectExpenses
4 Cash prizes . . . . .   698   698
5 Noncash prizes . . . .        
6 Rent/facility costs . . . . 4,375     4,375
7 Food and beverages . . . 18,523 3,407   21,930
8 Entertainment . . . . 2,000 280   2,280
9 Other direct expenses . . . 22,190 8,180   30,370
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 59,653
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -15,236
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

 

 
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

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

 

8

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

 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990) 2022
Schedule G (Form 990) 2022
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) 2022
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    29,071,141   29,071,141 0.740 %
b Medicaid (from Worksheet 3, column a) . . . . .     929,752,261 749,923,392 179,828,869 4.560 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     85,764,660 50,617,076 35,147,584 0.890 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,044,588,062 800,540,468 244,047,594 6.190 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 33   3,052,916   3,052,916 0.080 %
f Health professions education (from Worksheet 5) . . . 3   10,092,346 9,393,959 698,387 0.020 %
g Subsidized health services (from Worksheet 6) . . . . 10   5,197,337 470,543 4,726,794 0.120 %
h Research (from Worksheet 7) . 6   2,348,502 2,348,502    
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 54   16,889,306   16,889,306 0.430 %
j Total. Other Benefits . . 106   37,580,407 12,213,004 25,367,403 0.650 %
k Total. Add lines 7d and 7j . 106   1,082,168,469 812,753,472 269,414,997 6.840 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
 
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
824,215,368
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
996,500,428
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-172,285,060
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1SUTTER AMADOR SURG
 
MEDICAL SERVICES 34.59 %   17.84 %
2ROSEVILLE ENDOSCOPY
 
MEDICAL SERVICES 11 %   49 %
3MEMORIAL MED BLDG
 
OFFICE RENTAL 79.12 %   20.88 %
4STANISLAUS SURG HOSP
 
MEDICAL SERVICES 20 %   45.67 %
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?11Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Sutter Medical Center Sacramento
2825 CAPITOL AVENUE
SACRAMENTO,CA95816
WWW.SUTTERMEDICALCENTER.ORG
#030000102
X X         X     B
2 MEMORIAL MEDICAL CENTER
1700 COFFEE ROAD
MODESTO,CA95355
WWW.MEMORIALMEDICALCENTER.ORG
#030000061
X X         X      
3 SUTTER ROSEVILLE MEDICAL CENTER
ONE MEDICAL PLAZA
ROSEVILLE,CA956613037
WWW.SUTTERROSEVILLE.ORG
#030000083
X X         X     A
4 SUTTER SOLANO MEDICAL CENTER
300 HOSPITAL DRIVE
VALLEJO,CA945892574
WWW.SUTTERSOLANO.ORG
#110000082
X X         X     A
5 SUTTER TRACY COMMUNITY HOSPITAL
1420 N TRACY BLVD
TRACY,CA95376
WWW.SUTTERTRACY.ORG
#030000105
X X         X      
6 SUTTER CENTER FOR PSYCHIATRY
7700 FOLSOM STREET
SACRAMENTO,CA958262608
www.suttermedicalcenter.org/psychiatry
#030000347
X                 B
7 SUTTER AUBURN FAITH HOSPITAL
11815 EDUCATION STREET
AUBURN,CA956022410
WWW.SUTTERAUBURNFAITH.ORG
#030000012
X X         X     A
8 SUTTER AMADOR HOSPITAL
200 MISSION BLVD
JACKSON,CA956422564
WWW.SUTTERAMADOR.ORG
#030000008
X X         X     A
9 SUTTER DAVIS HOSPITAL
2000 SUTTER PLACE
DAVIS,CA956166201
WWW.SUTTERDAVIS.ORG
#030000124
X X         X     A
10 MEMORIAL HOSPITAL LOS BANOS
520 West I Street
Los Banos,CA936353419
WWW.MEMORIALLOSBANOS.ORG
#040000177
X X         X      
11 STANISLAUS SURGICAL HOSPITAL
1421 OAKDALE ROAD
MODESTO,CA953553356
WWW.STANISLAUSSURGICAL.COM
030000695
X X             OUTPATIENT SERVICES  
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
B
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
16
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
B
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SUTTER TRACY COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
5
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SUTTER TRACY COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
SUTTER TRACY COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SUTTER TRACY COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MEMORIAL HOSPITAL LOS BANOS
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
10
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MEMORIAL HOSPITAL LOS BANOS
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
MEMORIAL HOSPITAL LOS BANOS
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MEMORIAL HOSPITAL LOS BANOS
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
STANISLAUS SURGICAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
11
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3   No
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20  
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5    
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a    
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b    
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7    
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8    
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20  
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10    
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
STANISLAUS SURGICAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
STANISLAUS SURGICAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
STANISLAUS SURGICAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
REPORTING GROUP: A PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART V, LINE 5 (GROUP A) SUTTER ROSEVILLE MEDICAL CENTER (A, 3): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER ROSEVILLE MEDICAL CENTER, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY SERVED BY SUTTER ROSEVILLE MEDICAL CENTER WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. THE FOLLOWING COMMUNITY HEALTH EXPERTS, KEY INFORMANTS, AND FOCUS GROUPS, CONTRIBUTED INPUT TO THE CHNA: CHAPA-DE INDIAN HEALTH, HOMELESS RESOURCE COUNCIL OF THE SIERRAS; GATHERING INN PLACER; ROSEVILLE HOUSING AUTHORITY, LATINO LEADERSHIP COUNCIL, LIGHTHOUSE COUNSELING AND FAMILY RESOURCE CENTER, MERCY HOSPITAL OF FOLSOM, MERCY SAN JUAN MEDICAL CENTER, MUTUAL ASSISTANCE CENTER, PEOPLE REACHING OUT, PLACER COUNTY OFFICE OF EDUCATION, PLACER COUNTY PUBLIC HEALTH, PLACER FOOD BANK, PLACER PEOPLE OF FAITH TOGETHER, SENIORS FIRST PLACER, SLAVIC ASSISTANCE CENTER, SUTTER ROSEVILLE MEDICAL CENTER STAFF, WELLSPACE HEALTH, WORLD RELIEF SACRAMENTO, HEALTH EDUCATION COUNCIL, PROJECT GO, INC., LIGHTHOUSE COUNSELING & FAMILY RESOURCE CENTER, LATINO LEADERSHIP COUNCIL. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM 40 DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER ROSEVILLE MEDICAL CENTER KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN AUGUST 20, 2021 AND MARCH 15, 2022. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER ROSEVILLE MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER SOLANO MEDICAL CENTER (A, 4): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER SOLANO MEDICAL CENTER, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). INPUT FROM THE COMMUNITY SERVED BY SUTTER SOLANO MEDICAL CENTER WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. THE FOLLOWING COMMUNITY HEALTH EXPERTS, KEY INFORMANTS, AND FOCUS GROUPS, CONTRIBUTED INPUT TO THE CHNA: SOLANO COUNTY HEALTH AND SOCIAL SERVICES, TOURO UNIVERSITY, NAPA COUNTY PUBLIC HEALTH, COMMUNITY CLINIC CONSORTIUM, ON THE MOVE, NAPA COAD (COMMUNITY ORGANIZATIONS ACTIVE IN DISASTER), NAPA/SOLANO AREA AGENCY ON AGING, PARTNERSHIP HEALTHPLAN OF CA, SOLANO FAMILY JUSTICE CENTER, NAPA VALLEY EDUCATION FOUNDATION, OLE HEALTH, SUTTER SOLANO MEDICAL CENTER - ED NAVIGATORS, PUERTAS ABIERTAS COMMUNITY RESOURCE CENTER, EMMANUEL TEMPLE APOSTOLIC CHURCH, FIGHTING BACK PARTNERSHIP, NAMI. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WAS COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO DEMOGRAPHIC DATA, WERE USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER SOLANO MEDICAL CENTER KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JULY 2, 2021 AND SEPTEMBER 10, 2021. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER SOLANO MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER AUBURN FAITH HOSPITAL (A, 7): IN CONDUCTING ITS MOST RECENT SUTTER AUBURN FAITH HOSPITAL (SAFH), A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). THE FOLLOWING COMMUNITY HEALTH EXPERTS, KEY INFORMANTS, AND FOCUS GROUPS, CONTRIBUTED INPUT TO THE CHNA: PLACER COUNTY PUBLIC HEALTH, PLACER PEOPLE OF FAITH TOGETHER, CHAPA-DE INDIAN HEALTH, SENIORS FIRST PLACER, HOMELESS RESOURCE COUNCIL OF THE SIERRAS, GATHERING INN PLACER, ROSEVILLE HOUSING AUTHORITY, AUBURN RENEWAL CENTER, SUTTER AUBURN FAITH HOSPITAL STAFF, LIGHTHOUSE COUNSELING AND FAMILY RESOURCE CENTER, PLACER FOOD BANK, WELLSPACE HEALTH, PLACER COUNTY OFFICE OF EDUCATION, LIGHTHOUSE COUNSELING & FAMILY RESOURCE CENTER, LATINO LEADERSHIP COUNCIL. INPUT FROM THE COMMUNITY SERVED BY SAFH WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE I
SCHEDULE H, PART V, SECTION B, LINES 6A AND 6B (GROUP A) COMMUNITY HEALTH INSIGHTS WAS HIRED TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENTS ON BEHALF OF THE FOLLOWING ORGANIZATIONS, ALL SERVING PORTIONS OF OR THE SAME COUNTIES: - SUTTER ROSEVILLE MEDICAL CENTER - SUTTER SOLANO MEDICAL CENTER - SUTTER AUBURN FAITH HOSPITAL - SUTTER AMADOR HOSPITAL - SUTTER DAVIS HOSPITAL IN PARTNERSHIP WITH WOODLAND MEMORIAL HOSPITAL AND YOLO COUNTY HEALTH & HUMAN SERVICES COMMUNITY HEALTH BRANCH PART V, LINE 7A, 7B, 10A FILING ORG WEBSITES: - SUTTER ROSEVILLE MEDICAL CENTER (A, 3): HTTP://WWW.SUTTERROSEVILLE.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER SOLANO MEDICAL CENTER (A, 4): HTTP://WWW.SUTTERSOLANO.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER AUBURN FAITH HOSPITAL (A, 7): HTTP://WWW.SUTTERAUBURNFAITH.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER AMADOR HOSPITAL (A, 8): HTTP://WWW.SUTTERAMADOR.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - SUTTER DAVIS HOSPITAL (A, 9): HTTP://WWW.SUTTERDAVIS.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML - OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 11 (GROUP A) SUTTER ROSEVILLE MEDICAL CENTER (A, 3): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER ROSEVILLE MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIOR/SUBSTANCE-ABUSE SERVICES 3. ACCESS TO QUALITY PRIMARY HEALTHCARE SERVICES 4. ACCESS AND FUNCTIONAL NEEDS 5. INJURY AND DISEASE PREVENTION AND MANAGEMENT 6. ACTIVE LIVING AND HEALTHY EATING 7. ACCESS TO SPECIALTY AND EXTENDED CARE DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER ROSEVILLE MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL PLANS TO ADDRESS ALL SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. 1. INCREASED COMMUNITY CONNECTIONS - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING INCREASED COMMUNITY CONNECTIONS DURING THIS IMPLEMENTATION CYCLE. 2. HEALTHY PHYSICAL ENVIRONMENT - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING HEALTHY PHYSICAL ENVIRONMENT DURING THIS IMPLEMENTATION CYCLE. 3. ACCESS TO DENTAL CARE AND PREVENTATIVE SERVICES - WE DO NOT CURRENTLY HAVE PLANS TO IMPLEMENT DENTAL PROGRAMS HOWEVER WE WILL BE SUPPORTING OTHER PARTNERSHIPS, ESPECIALLY THOSE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS, WHERE THEY WILL OFFER REFERRALS TO DENTAL. SUTTER SOLANO MEDICAL CENTER (A, 4): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER SOLANO MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE-USE SERVICES 3. INJURY AND DISEASE PREVENTION AND MANAGEMENT 4. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 5. ACTIVE LIVING AND HEALTHY EATING 6. SAFE AND VIOLENCE-FREE ENVIRONMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER SOLANO MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS TO FUNCTIONAL NEEDS: WHILE MANY OF OUR PROGRAMS ALREADY INCREASE ACCESS TO FUNCTIONAL NEEDS, SSMC IS NOT SPECIFICALLY INVESTING IN PROGRAMS AIMED TO DO THIS WORK. 2. ACCESS TO SPECIALTY AND EXTENDED CARE: WHILE MANY OF OUR PROGRAMS ALREADY INCREASE ACCESS TO SPECIALTY AND EXTENDED CARE, SSMC IS NOT SPECIFICALLY INVESTING IN PROGRAMS AIMED TO DO THIS WORK. 3. INCREASED COMMUNITY CONNECTIONS: WHILE THERE ARE CURRENTLY NO INCREASING COMMUNITY CONNECTION SSMC COMMUNITY BENEFIT PROGRAMS IN THE SSMC HSA, WE DO FUND PROGRAMS/ORGANIZATIONS AND EFFORTS THAT ADDRESS THIS NEED THROUGH OUR SPONSORSHIP PROGRAM. 4. HEALTHY PHYSICAL ENVIRONMENT: WHILE THIS IS AN IMPORTANT ISSUE, THIS IS NOT SOMETHING THAT WE ARE ABLE TO GREATLY AFFECT THROUGH COMMUNITY BENEFIT; THEREFORE, WE ARE FOCUSING OUR RESOURCES ELSEWHERE, ESPECIALLY GIVEN THAT REGIONAL COMMUNITY PARTNERS AND LOCAL JURISDICTIONS ARE WORKING ON THESE VITAL ISSUES. SUTTER AUBURN FAITH HOSPITAL (A, 7): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER AUBURN FAITH HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. ACTIVE LIVING AND HEALTHY EATING 5. ACCESS TO SPECIALTY AND EXTENDED CARE 6. HEALTHY PHYSICAL ENVIRONMENT 7. SAFE AND VIOLENCE-FREE ENVIRONMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER AUBURN FAITH HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS TO SPECIALTY AND EXTENDED CARE - OUR IMMEDIATE FOCUS IS ON PARTNERING TO PROVIDE PRIMARY CARE HOWEVER WE WILL BE MONITORING FOR WAYS TO INCLUDE SPECIALTY CARE IN OUR PARTNERSHIPS WITH FQHCS IN AUBURN. 2. HEALTHY PHYSICAL ENVIRONMENT - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING HEALTHY PHYSICAL ENVIRONMENT DURING THIS IMPLEMENTATION CYCLE. SUTTER AMADOR HOSPITAL (A, 8): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER AMADOR HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES 3. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 4. ACCESS TO SPECIALTY AND EXTENDED CARE 5. ACCESS TO FUNCTIONAL NEEDS 6. INCREASED COMMUNITY CONNECTIONS 7. ACTIVE LIVING AND HEALTHY EATING 8. INJURY AND DISEASE PREVENTION AND MANAGEMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. SUTTER AMADOR HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL PLANS TO ADDRESS ALL SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. SUTTER DAVIS HOSPITAL (A, 9): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER DAVIS HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES 3. INJURY AND DISEASE PREVENTION AND MANAGEMENT 4. ACTIVE LIVING AND HEALTHY EATING 5. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 6. SYSTEM NAVIGATION 7. ACCESS TO SPECIALTY AND EXTENDED CARE 8. INCREASED COMMUNITY CONNECTIONS 9. SAFE AND VIOLENCE-FREE ENVIRONMENT 10. ACCESS TO FUNCTIONAL NEEDS 11. ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SDH IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE IMPLEMENTATION STRATEGY PLAN INCLUDES SPECIFIC PLANS TO ADDRESS ALL OF THE SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT.
SCHEDULE H, PART V, SECTION B, LINE 15E (GROUP A) METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, 16C (GROUP A) THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER VALLEY HOSPITALS WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16J (GROUP A) MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 22D (GROUP A) AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING GROUP: B, SUTTER MEDICAL CENTER Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 (GROUP B) SUTTER MEDICAL CENTER SACRAMENTO INCLUDES THE FOLLOWING FACILITIES LISTED IN PART V SECTION A: SUTTER MED CENTER AND SUTTER CENTER FOR PSYCHIATRY. IN CONDUCTING ITS MOST RECENT CHNA, SUTTER MEDICAL CENTER SACRAMENTO, A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). THE FOLLOWING COMMUNITY HEALTH EXPERTS, KEY INFORMANTS, AND FOCUS GROUPS, CONTRIBUTED INPUT TO THE CHNA: MERCY GENERAL HOSPITAL, LA FAMILIA, METHODIST HOSPITAL, MERCY HOSPITAL OF FOLSOM, SUTTER MEDICAL CENTER SACRAMENTO, SAN JUAN SCHOOL UNIFIED DISTRICT, UC DAVIS MEDICAL CENTER, MERCY SAN JUAN MEDICAL CENTER, SACRAMENTO NATIVE AMERICAN HEALTH CENTER, SACRAMENTO COVERED, EL DORADO COMMUNITY HEALTH CENTER, PEOPLE REACHING OUT, SLAVIC ASSISTANCE CENTER, ELK GROVE FOOD BANK (PT. PLEASANT METHODIST CHURCH), ASIAN RESOURCE CENTER, INC., SACRAMENTO COUNTY PUBLIC HEALTH, PLANNED PARENTHOOD, WELLSPACE HEALTH, SACRAMENTO FOOD BANK & FAMILY SERVICES, MUTUAL ASSISTANCE CENTER, CA ENDOWMENT BUILDING HEALTHY COMMUNITIES, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), SACRAMENTO HOUSING ALLIANCE, VALLEY VISION, LATINO LEADERSHIP COUNCIL, YOLO COUNTY CHILDREN'S ALLIANCE, ANTI-RECIDIVISM COALITION, SACRAMENTO STEPS FORWARD, WORLD RELIEF SACRAMENTO, WEAVE, HOPE COOPERATIVE, MY SISTER'S HOUSE, SAC BREATHE, SIERRA HEALTH FOUNDATION, SACRAMENTO LGBT COMMUNITY CENTER, SACRAMENTO AREA SCHOOL DISTRICTS, LAO FAMILY COMMUNITY DEVELOPMENT CENTER, SACRAMENTO ACT, HEALTH EDUCATION COUNCIL, ETHNIC CHAMBERS OF COMMERCE, CAL VOICES, PUBLIC HOUSING AGENCY, SACRAMENTO COVERED, LA FAMILIA COUNSELING CENTER, MUTUAL ASSISTANCE NETWORK, FOLSOM CORDOVA PARTNERSHIP, WIND YOUTH SERVICES, CANCER SUPPORT GROUP (EL DORADO CO), ASIAN RESOURCE CENTER, INC., ELK GROVE HART, SACRAMENTO LGBT COMMUNITY CENTER, OPENING DOORS, SUTTER MEDICAL CENTER, SACRAMENTO, WELLSPACE ED NAVIGATORS. INPUT FROM THE COMMUNITY IN SACRAMENTO WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS LIVING IN IDENTIFIED COMMUNITIES OF CONCERN OR REPRESENTING COMMUNITIES EXPERIENCING HEALTH DISPARITIES. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS OF INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE-TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SACRAMENTO REGION, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIODEMOGRAPHIC DATA, WERE USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED, FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE COUNTY TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. FOCUS-GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES, OR COMMUNITIES OF CONCERN. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. SUTTER MEDICAL CENTER SACRAMENTO AND SUTTER CENTER FOR PSYCHIATRY KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN MAY 17, 2021, AND AUGUST 25, 2021. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN SUTTER MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH- NEEDS-ASSESSMENT Schedule H, Part V, Section B, Lines 6A (GROUP B) COMMUNITY HEALTH INSIGHTS CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT ON BEHALF OF A COLLECTION OF THREE NONPROFIT HOSPITALS, ALL SERVING PORTIONS OF OR THE SAME COMMUNITIES, INCLUDING SUTTER HEALTH AFFILIATES, DIGNITY HEALTH AFFILIATES, AND UC DAVIS HEALTH.
SCHEDULE H, PART V, SECTION B, LINE 7A, 7B, 10A (GROUP B): FILING ORG WEBSITES: - SUTTER MEDICAL CENTER SACRAMENTO HTTP://WWW.SUTTERMEDICALCENTER.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH- NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER MEDICAL CENTER SACRAMENTO (GROUP B): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER MEDICAL CENTER, SACRAMENTO INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO MENTAL/BEHAVIOR HEALTH AND SUBSTANCE-USE SERVICES 2. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. SYSTEM NAVIGATION 5. HEALTH EQUITY: EQUAL ACCESS TO OPPORTUNITIES TO BE HEALTHY 6. ACTIVE LIVING AND HEALTHY EATING 7. ACCESS TO SPECIALTY AND EXTENDED CARE 8. HEALTHY PHYSICAL ENVIRONMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER MEDICAL CENTER, SACRAMENTO IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. INJURY AND DISEASE PREVENTION AND MANAGEMENT: WHILE MANY OF OUR PROGRAMS EXPAND ACCESS TO PRIMARY CARE, IN TURN, CONNECTING PATIENTS WITH DISEASE PREVENTION, MANAGEMENT AND TREATMENT RESOURCES, THIS IS NOT A PRIMARY FOCUS IN THE SMCS. 2. SAFE AND VIOLENCE-FREE ENVIRONMENT: SMCS PLANS TO IDENTIFY PARTNERSHIPS AND STRENGTHEN RELATIONSHIPS WITH ORGANIZATIONS SOON TO COLLABORATE ON INITIATIVES TO ADDRESS SAFE AND VIOLENCE FREE ENVIRONMENTS IN SACRAMENTO COUNTIES. 3. INCREASED COMMUNITY CONNECTIONS: WHILE MANY OF OUR PROGRAMS ALREADY INCREASE COMMUNITY CONNECTIONS, SMCS IS NOT SPECIFICALLY INVESTING IN PROGRAMS AIMED TO DO THIS WORK. 4. ACCESS TO FUNCTIONAL NEEDS (TRANSPORTATION AND PHYSICAL MOBILITY): WHILE MANY OF OUR PROGRAMS ALREADY PROVIDE TRANSPORTATION IN EXPANDING ACCESS TO PRIMARY CARE, SMCS IS NOT SPECIFICALLY INVESTING IN PROGRAMS AIMED TO DO THIS WORK. 5. ACCESS TO DENTAL AND PREVENTIVE SERVICES: WHILE MANY OF OUR PROGRAMS EXPAND ACCESS TO PRIMARY CARE, IN TURN, CONNECTING PATIENTS WITH PREVENTIVE SERVICES, IS NOT A PRIMARY FOCUS. SCHEDULE H, PART V, SECTION B, LINE 15E (GROUP B) METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE.
Schedule H, Part V, Section B, Lines 16A, 16B, 16C (GROUP B) THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER VALLEY HOSPITALS WEBSITE AT: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE
SCHEDULE H, PART V, SECTION B, LINE 16J (GROUP B) MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 22D (GROUP B) AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: #2, MEMORIAL MEDICAL CENTER SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL MEDICAL CENTER (FACILITY 2): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL MEDICAL CENTER (MMC) A FACILITY OF SUTTER VALLEY HOSPITALS, DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. INPUT FROM THE COMMUNITY SERVED BY BOTH MEMORIAL MEDICAL CENTER AND STANISLAUS SURGICAL HOSPITAL WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (I.E., MEMBERS OF SOCIAL-SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTHCARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN BOTH ONE-ON-ONE AND IN GROUP INTERVIEW SETTINGS. SECOND, FOCUS GROUPS WERE CONDUCTED WITH COMMUNITY RESIDENTS THAT WERE IDENTIFIED AS POPULATIONS EXPERIENCING DISPARITIES. THE FOLLOWING COMMUNITY HEALTH EXPERTS, KEY INFORMANTS, AND FOCUS GROUPS, CONTRIBUTED INPUT TO THE CHNA: STANISLAUS COUNTY OFFICE OF EDUCATION, SUTTER MEDICAL FOUNDATION SOUTH VALLEY, MEMORIAL MEDICAL CENTER STAFF, GOLDEN VALLEY HEALTH CENTERS, VALLEY CHILDREN'S HEALTHCARE, FIRST 5 STANISLAUS COUNTY, STANISLAUS COUNTY PUBLIC HEALTH, WEST MODESTO COMMUNITY COLLABORATIVE, SIERRA VISTA CHILD & FAMILY SERVICES, CENTER FOR HUMAN SERVICES, SIERRA VISTA CHILD & FAMILY SERVICES, WEST MODESTO COMMUNITY COLLABORATIVE, GOLDEN VALLEY HEALTH CENTERS. ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT IN THE INTERVIEW. ALL INTERVIEW DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. PRIMARY DATA COLLECTION WITH KEY INFORMANTS INCLUDED TWO PHASES. FIRST, PHASE ONE BEGAN BY INTERVIEWING AREA-WIDE SERVICE PROVIDERS WITH KNOWLEDGE OF THE SERVICE AREA, INCLUDING INPUT FROM THE DESIGNATED PUBLIC HEALTH DEPARTMENT. DATA FROM THESE AREA-WIDE INFORMANTS, COUPLED WITH SOCIO-DEMOGRAPHIC DATA, WAS USED TO IDENTIFY ADDITIONAL KEY INFORMANTS FOR THE ASSESSMENT THAT WERE INCLUDED IN PHASE TWO. AS A PART OF THE INTERVIEW PROCESS, ALL KEY INFORMANTS WERE ASKED TO IDENTIFY VULNERABLE POPULATIONS. THE INTERVIEWER ASKED EACH PARTICIPANT TO VERBALLY EXPLAIN WHAT VULNERABLE POPULATIONS EXISTED IN THE COUNTY. AS NEEDED FOR A VISUAL AID, KEY INFORMANTS WERE PROVIDED A MAP OF THE HSA TO DIRECTLY POINT TO THE GEOGRAPHIC LOCATIONS OF THESE VULNERABLE COMMUNITIES. ADDITIONAL KEY INFORMANT INTERVIEWS WERE FOCUSED ON THE GEOGRAPHIC LOCATIONS AND/OR SUBGROUPS IDENTIFIED IN THE EARLIER PHASE. FOCUS GROUP INTERVIEWS WERE CONDUCTED WITH COMMUNITY MEMBERS LIVING IN GEOGRAPHIC AREAS OF THE SERVICE AREA IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CONSISTED OF REFERRALS FROM DESIGNATED SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS. MEMORIAL MEDICAL CENTER KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JANUARY 14, 2022, AND FEBRUARY 14, 2022. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN MEMORIAL MEDICAL CENTER'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/ COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 6 MEMORIAL MEDICAL CENTER (FACILITY 2): COMMUNITY HEALTH INSIGHTS CONDUCTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ON BEHALF OF MEMORIAL MEDICAL CENTER OF MODESTO AND STANISLAUS SURGICAL HOSPITAL. PART V, SECTION B, LINE 7A, 7B AND 10A MEMORIAL MEDICAL CENTER (FACILITY 2): HTTP://WWW.MEMORIALMEDICALCENTER.ORG/ABOUT/COMMUNITY-BENEFIT.HTML
SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL MEDICAL CENTER (FACILITY 2): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT MEMORIAL MEDICAL CENTER INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. INCREASED COMMUNITY CONNECTIONS 5. ACCESS TO FUNCTIONAL NEEDS 6. INJURY AND DISEASE PREVENTION AND MANAGEMENT 7. ACTIVE LIVING AND HEALTHY EATING 8. SAFE AND VIOLENCE-FREE ENVIRONMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL THE HEATH NEEDS IN THE COMMUNITY. MEMORIAL MEDICAL CENTER IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. SYSTEM NAVIGATION: GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING SYSTEM NAVIGATION DURING THIS IMPLEMENTATION CYCLE.
SCHEDULE H, PART V, SECTION B, LINE 15E Memorial Medical Center (Facility 2): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C Memorial Medical Center (Facility 2): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL MEDICAL CENTER WEBSITE AT: HTTP://WWW.MEMORIALMEDICALCENTER.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML
SCHEDULE H, PART V, SECTION B, LINE 16J Memorial Medical Center (Facility 2): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 22D Memorial Medical Center (Facility 2): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: #5, SUTTER TRACY COMMUNITY HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA
SCHEDULE H, PART V, SECTION B, LINE 5 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): IN CONDUCTING ITS MOST RECENT CHNA, SUTTER TRACY COMMUNITY HOSPITAL DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA (HSA). COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS USING KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND SURVEYS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM LOCAL GOVERNMENTAL AND PUBLIC HEALTH AGENCIES AS WELL AS LEADERS, REPRESENTATIVES, OR MEMBERS OF UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, WHERE APPLICABLE, OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE CONSULTED. AD LUCEM CONSULTING CONDUCTED KEY INFORMANT INTERVIEWS WITH ELEVEN INDIVIDUALS REPRESENTING DIVERSE SECTORS INCLUDING: PUBLIC HEALTH, HEALTH CARE, COMMUNITY-BASED ORGANIZATIONS, SOCIAL SERVICES, EDUCATION AND GOVERNMENT. THE KEY INFORMANTS WERE IDENTIFIED BY HEALTHIER SAN JOAQUIN COLLABORATIVE CORE TEAM MEMBERS. ALL INTERVIEWS WERE CONDUCTED BY TELEPHONE IN ENGLISH AND TOO APPROXIMATELY 30-45 MINUTES TO COMPLETE. THE INTERVIEWS FOLLOWED A STANDARD SET OF INTERVIEW QUESTIONS AND THE INTERVIEWER TOOK DETAILED NOTES DURING THE CALL. AT THE BEGINNING OF THE INTERVIEW, CONFIDENTIALITY WAS ASSURED AND THE RESPONDENTS WERE INVITED TO SKIP QUESTIONS WHICH WERE NOT APPLICABLE TO THE RESPONDENT'S EXPERIENCE. THIRTY-ONE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN SAN JOAQUIN COUNTY, INCLUDING STOCKTON, LODI, TRACY AND MANTECA. NINETEEN GROUPS WERE CONDUCTED IN ENGLISH, TEN WERE CONDUCTED IN SPANISH, ONE WAS CONDUCTED IN TAGALOG AND ONE WAS CONDUCTED IN CAMBODIAN. PARTICIPANTS WERE TEENS, ADULTS, AND OLDER ADULTS, WHO REPRESENTED UNDERSERVED, LOW-INCOME, AND VARIED ETHNIC COMMUNITIES. SUTTER TRACY COMMUNITY HOSPITAL KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN OCTOBER 19, 2021, AND DECEMBER 14, 2021. THE FINDINGS FROM KEY INFORMANT INTERVIEWS AND FOCUS GROUPS IN THE SUTTER TRACY COMMUNITY HOSPITAL'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 6 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): COMMUNITY HEALTH INSIGHTS, INC. CONDUCTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT FOR SUTTER TRACY COMMUNITY HOSPITAL.
SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): HTTPS://WWW.SUTTERHEALTH.ORG/STCH/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 11 SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND ARE NEEDS THAT SUTTER TRACY COMMUNITY HOSPITAL INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE-USE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. INCREASED COMMUNITY CONNECTIONS 5. ACTIVE LIVING AND HEALTHY EATING 6. INJURY AND DISEASE PREVENTION AND MANAGEMENT DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. SUTTER TRACY COMMUNITY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES - WHILE WE DO NOT PLAN TO IMPLEMENT PROGRAMMING THAT DIRECTLY PROVIDES DENTAL SERVICES, WE ANTICIPATE SEVERAL PROGRAMS WE SUPPORT WILL OFFER REFERRALS TO DENTAL CARE FOR VULNERABLE POPULATIONS. 2. ACCESS TO FUNCTIONAL NEEDS - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING ACCESS TO FUNCTIONAL NEEDS DURING THIS IMPLEMENTATION CYCLE. 3. ACCESS TO SPECIALTY AND EXTENDED CARE - OUR IMMEDIATE FOCUS IS ON PARTNERING TO PROVIDE PRIMARY CARE HOWEVER WE WILL BE MONITORING FOR WAYS TO INCLUDE SPECIALTY CARE IN OUR PARTNERSHIPS WITH FQHCS IN TRACY. 4. HEALTHY PHYSICAL ENVIRONMENT - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING HEALTHY PHYSICAL ENVIRONMENT DURING THIS IMPLEMENTATION CYCLE.
SCHEDULE H, PART V, SECTION B, LINE 15E SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE SUTTER TRACY COMMUNITY HOSPITAL WEBSITE AT: HTTP://WWW.SUTTERTRACY.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML
SCHEDULE H, PART V, SECTION B, LINE 16J SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 22D SUTTER TRACY COMMUNITY HOSPITAL (FACILITY 5): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: #10, MEMORIAL HOSPITAL LOS BANOS Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5 MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): IN CONDUCTING ITS MOST RECENT CHNA, MEMORIAL HOSPITAL LOS BANOS DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IN THE HOSPITAL'S SERVICE AREA. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY THE STUDY SPONSORS; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 49 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THESE INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROVIDERS, SOCIAL SERVICES PROVIDERS AND OTHER COMMUNITY LEADERS. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH AND HOW THESE MIGHT BETTER BE ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THIS REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA PRESENTED. MEMORIAL HOSPITAL LOS BANOS KEY INFORMANT INTERVIEWS WERE CONDUCTED IN JANUARY 2022. THE FINDINGS FROM KEY INFORMANT SURVEY IN THE MEMORIAL HOSPITAL LOS BANOS'S CHNA ARE AVAILABLE AT HTTPS://WWW.SUTTERHEALTH.ORG/ FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 6 MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): PROFESSIONAL RESEARCH CONSULTANTS, INC. CONDUCTED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT FOR MEMORIAL HOSPITAL LOS BANOS, MERCY MEDICAL CENTER MERCED AND VALLEY CHILDREN'S HOSPITAL.
SCHEDULE H, PART V, SECTION B, LINES 7A, 7B AND 10A MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): HTTP://WWW.MEMORIALLOSBANOS.ORG/ABOUT/COMMUNITY-NEEDS-ASSESSMENT.HTML OTHER WEBSITE: HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT
SCHEDULE H, PART V, SECTION B, LINE 11 MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT ARE NEEDS THAT MEMORIAL HOSPITAL LOS BANOS INTENDS TO ADDRESS THROUGH ITS IMPLEMENTATION STRATEGY: 1. ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD 2. ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE-USE SERVICES 3. ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES 4. ACCESS TO ACTIVE LIVING AND HEALTHY EATING DESCRIPTIONS OF THE COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THESE SIGNIFICANT HEALTH NEEDS CAN BE FOUND IN PART VI. NO HOSPITAL CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. MEMORIAL HOSPITAL LOS BANOS IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, USING ITS SKILLS AND CAPABILITIES, AND REMAINING A STRONG ORGANIZATION SO THAT IT CAN CONTINUE TO PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. THE HOSPITAL DOES NOT PLAN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT: 1. ACCESS TO SPECIALTY AND EXTENDED CARE - OUR IMMEDIATE FOCUS IS ON PARTNERING TO PROVIDE PRIMARY CARE HOWEVER WE WILL BE MONITORING FOR WAYS TO INCLUDE SPECIALTY CARE IN OUR PARTNERSHIPS WITH FQHCS IN LOS BANOS. 2. INJURY AND DISEASE PREVENTION AND MANAGEMENT- WE UNDERSTAND DIABETES IS ESPECIALLY PREVALENT IN THIS COMMUNITY AND WHILE WE DO NOT CURRENTLY HAVE ANY PROGRAMS PLANNED WE ARE OPEN TO EXPLORING OPPORTUNITIES AROUND THIS NEED. 3. ACCESS TO FUNCTIONAL NEEDS - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING ACCESS TO FUNCTIONAL NEEDS DURING THIS IMPLEMENTATION CYCLE. 4. INCREASED COMMUNITY CONNECTIONS - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING INCREASED COMMUNITY CONNECTIONS DURING THIS IMPLEMENTATION CYCLE. 5. SAFE AND VIOLENCE-FREE ENVIRONMENT - OUR IMPLEMENTATION PLAN WILL NOT SPECIFICALLY ADDRESS VIOLENCE, HOWEVER OUR GOAL IS TO DECREASE THE LIKELIHOOD OF VIOLENCE THROUGH INVESTMENTS IN YOUTH PROGRAMS THAT WILL KEEP KIDS SAFE AND IN A POSITIVE ENVIRONMENT. 6. SYSTEM NAVIGATION - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING SYSTEM NAVIGATION DURING THIS IMPLEMENTATION CYCLE. 7. ACCESS TO DENTAL CARE AND PREVENTIVE SERVICES - WE DO NOT CURRENTLY HAVE PLANS TO IMPLEMENT DENTAL PROGRAMS HOWEVER WE WILL BE SUPPORTING OTHER PARTNERSHIPS, ESPECIALLY THOSE FOR INDIVIDUALS EXPERIENCING HOMELESSNESS, WHERE THEY WILL OFFER REFERRALS TO DENTAL. 8. HEALTHY PHYSICAL ENVIRONMENT - GIVEN LIMITED TIME AND RESOURCES AND OUR FOCUS ON OTHER PRIORITY NEEDS, WE WILL NOT BE ADDRESSING HEALTHY PHYSICAL ENVIRONMENT DURING THIS IMPLEMENTATION CYCLE.
SCHEDULE H, PART V, SECTION B, LINE 15E MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY REQUEST ASSISTANCE WITH COMPLETING THE APPLICATION FOR FINANCIAL ASSISTANCE IN PERSON AT THE HOSPITAL, OVER THE PHONE, THROUGH THE MAIL, OR VIA THE SUTTER HEALTH WEBSITE. SCHEDULE H, PART V, LINES 16A, 16B, & 16C MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE ON THE MEMORIAL HOSPITAL LOS BANOS WEBSITE AT: HTTP://WWW.MEMORIALLOSBANOS.ORG/ABOUT/FINANCIAL-ASSISTANCE.HTML
SCHEDULE H, PART V, SECTION B, LINE 16J MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA. DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ALSO INFORMATION REGARDING THE RIGHT TO REQUEST AN ESTIMATE OF THEIR FINANCIAL RESPONSIBILITY FOR SERVICES. PATIENTS WHO MAY BE UNINSURED WILL BE ASSIGNED A FINANCIAL COUNSELOR WHO WILL VISIT WITH THE PATIENT IN PERSON AT THE HOSPITAL AND CAN PROVIDE ADDITIONAL INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY AND ASSIST WITH THE APPLICATION PROCESS. AT THE TIME OF DISCHARGE ALL PATIENTS WILL BE PROVIDED THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT THE ORGANIZATION IN THE PRINCIPAL NEWSPAPER IN THE COMMUNITY OR WHEN DOING SO IS NOT PRACTICAL SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THE INFORMATION OR USE OTHER MEANS THAT WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY. SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 22D MEMORIAL HOSPITAL LOS BANOS (FACILITY 10): AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY PROVIDES FOR FULL WRITE OFF OF ALL CHARGES FOR AN UNINSURED PATIENT WITH A FAMILY INCOME AT OR BELOW 400% OF THE MOST RECENT FEDERAL POVERTY LEVEL. IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 1.501(R)-5, THIS ORGANIZATION ADOPTS THE PROSPECTIVE MEDICARE METHOD FOR AMOUNTS GENERALLY BILLED; HOWEVER, PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT FINANCIALLY RESPONSIBLE FOR MORE THAN THE AMOUNTS GENERALLY BILLED BECAUSE ELIGIBLE PATIENTS DO NOT PAY ANY AMOUNT.
REPORTING FACILITY: #11, STANISLAUS SURGICAL HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 3 STANISLAUS SURGICAL HOSPITAL (FACILITY 11): STANISLAUS SURGICAL HOSPITAL WAS SOLD TO AN UNRELATED THIRD PARTY EFFECTIVE JUNE 1, 2022. QUESTIONS 3 THROUGH 11 WERE LEFT BLANK BECAUSE UNDER TREASURY REGULATION SECTION 1.501(R)-3(D)(4), A HOSPITAL ORGANIZATION IS NOT REQUIRED TO MEET THE REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO A HOSPITAL FACILITY IN A TAXABLE YEAR IF BEFORE THE END OF THAT TAXABLE YEAR, THE HOSPITAL ORGANIZATION TRANSFERS ALL OWNERSHIP OF THE HOSPITAL FACILITY TO ANOTHER ORGANIZATION OR OTHERWISE CEASES ITS OPERATION OF THE HOSPITAL FACILITY. SCHEDULE H, PART V, SECTION B, LINE 15E STANISLAUS SURGICAL HOSPITAL (FACILITY 11): METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE-OTHER: PATIENTS MAY SUBMIT CHARITY CARE APPLICATION TO THE COLLECTIONS SUPERVISOR. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, AND 16C STANISLAUS SURGICAL HOSPITAL (FACILITY 11): THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY WERE PREVIOUSLY AVAILABLE ON THE STANISLAUS SURGICAL HOSPITAL WEBSITE AT: HTTPS://STANISLAUSSURGICAL.COM/FINANCIAL-ASSISTANCE AS OF 6/1/2022 SUTTER HEALTH NO LONGER OWNS OR OPERATES STANISLAUS SURGICAL HOSPITAL. THESE DOCUMENTS WERE REMOVED FROM THE WEBSITE AFTER THIS DATE. SCHEDULE H, PART V, SECTION B, LINE 16J STANISLAUS SURGICAL HOSPITAL (FACILITY 11): MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN THE PRIMARY LANGUAGES OF THE HOSPITAL'S SERVICE AREA (ENGLISH & SPANISH). DURING PREADMISSION OR REGISTRATION ALL PATIENTS WILL BE PROVIDED THE FINANCIAL ASSISTANCE POLICY IS POSTED IN SEVERAL PROMINENT LOCATIONS WITHIN THE HOSPITAL, INCLUDING, BUT NOT LIMITED TO THE BILLING OFFICE, ADMISSIONS OFFICE, AND PATIENT WAITING AREA. HOSPITAL PROVIDES PATIENTS, IN A TIMELY MANNER, A COPY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?22
Name and address Type of Facility (describe)
1 Memorial Medical Ctr Same Day Surg ctr
1329 Spanos Court
Modesto,CA95355
OUTPATIENT SERVICES
2 AMBULATORY SURGERY CENTER
2725 CAPITOL AVENUE
SACRAMENTO,CA95819
OUTPATIENT SERVICES
3 Sutter Cancer Center
2800 L STREET
SACRAMENTO,CA95816
OUTPATIENT SERVICES
4 SUTTER AUBURN INFUSION THERAPY CENTER
11710 EDUCATION STREET
AUBURN,CA95602
OUTPATIENT SERVICES
5 WOUND CAREOSTOMY DEPARTMENT
11775 EDUCATION STREET
AUBURN,CA95602
OUTPATIENT SERVICES
6 URGENT CARE
11795 Education Street
AUBURN,CA95602
OUTPATIENT SERVICES
7 INFUSION SERVICES
2020 SUTTER PLACE
DAVIS,CA95616
OUTPATIENT SERVICES
8 CARDIAC REHABILITATION
2030 SUTTER PLACE
DAVIS,CA95616
OUTPATIENT SERVICES
9 Sutter Medical Plaza Jackson
100 MISSION BLVD
JACKSON,CA95642
OUTPATIENT SERVICES
10 SUTTER SLEEP DISORDERS CENTER
1411 SECRET RAVINE PARKWAY STE 150
ROSEVILLE,CA95661
OUTPATIENT SERVICES
11 Sutter Pediatric Rehabilitation Svcs
1625 STOCKTON BLVD
SACRAMENTO,CA95819
OUTPATIENT SERVICES
12 SUTTER CENTER FOR PSYCHIATRY
7919 FOLSOM BLVD STE 100
SACRAMENTO,CA95826
OUTPATIENT SERVICES
13 SUTTER CANCER CENTER
100 HOSPITAL DRIVE
VALLEJO,CA94589
OUTPATIENT SERVICES
14 ROSEVILLE ENDOSCOPY CENTER
4 MEDICAL PLAZA
ROSEVILLE,CA95661
OUTPATIENT SERVICES
15 SUTTER AMADOR SURGERY CENTER
223 CLINTON RD
JACKSON,CA95642
OUTPATIENT SERVICES
16 SUTTER PIONEER HEALTH CENTER
24685 HIGHWAY 88
PIONEER,CA95666
OUTPATIENT SERVICES
17 SUTTER REHABILITATION INSTITUTE
6 MEDICAL PLAZA
ROSEVILLE,CA95661
OUTPATIENT SERVICES
18 SUTTER PLYMOUTH HEALTH CENTER
9279 LOCUST STREET
PLYMOUTH,CA95669
OUTPATIENT SERVICES
19 MHLB RURAL HEALTH CLINIC
1253 WEST I STREET
LOS BANOS,CA93635
RURAL HEALTH CLINIC
20 Memorial Med Ctr Same Day Surgery Ctr
1401 SPANOS COURT
MODESTO,CA95355
Outpatient Services & Lab
21 SUTTER TRACY HOSPITAL IMAGING CENTER
1530 BESSIE AVENUE SUITE 109
TRACY,CA95376
OUTPATIENT SERVICES
22 SUTTER SENIORCARE PACE
444 NORTH 3RD STREET SUITE 150
SACRAMENTO,CA95814
ALL-INCLUSIVE CARE FOR THE ELDERLY
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
SCHEDULE H, PART I, LINES 3A & 3C FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA: FOR UNINSURED PATIENTS TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINES (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION THE ORGANIZATION HAS A HIGH MEDICAL COST CHARITY CARE CATEGORY IN WHICH A WRITE OFF OF THE PATIENT RESPONSIBILITY FOR HOSPITAL SERVICES CAN OCCUR IF THE INSURED PATIENT HAS FAMILY INCOME AT OR BELOW 400% FPG AND EXPENSES INCURRED FOR THEMSELVES OR THEIR FAMILY EXCEED 10% OF THE PATIENT'S FAMILY INCOME. PART I, LINE 3B SUTTER VALLEY HOSPITALS IS COMMITTED TO PROVIDING CHARITY CARE. SUTTER VALLEY HOSPITALS PROVIDES FREE CARE AT A HIGH PERCENTAGE OF FPG. IT DOES NOT PROVIDE DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED: COST TO CHARGE RATIO UTILIZING WORKSHEET 2 METHODOLOGY.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: SUTTER VALLEY HOSPITALS DID NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES TO REPORT IN 2022.
SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT, AUDIT FOOTNOTE: THE ORGANIZATION IS AN AFFILIATE OF SUTTER HEALTH WHICH UNDERWENT A SYSTEM-WIDE AUDIT. THE AUDIT REPORT DOES NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. EFFECTIVE JANUARY 1, 2018, SUTTER ENTITIES IMPLEMENTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE (ASU), REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE ACCOUNTING CHANGE MODIFIED BAD DEBT REPORTING, AND AS A RESULT, BAD DEBT IS ONLY REPORTED IN LIMITED SITUATIONS.
SCHEDULE H, PART III, SECTION B, LINE 7 MEDICARE COSTS: MEDICARE COST REPORTS THAT THE ORGANIZATION FILES DO NOT INCLUDE ALL OF THE COSTS REQUIRED TO TREAT MEDICARE PATIENTS.
SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. COMMUNITY BENEFIT MEDICARE SHORTFALL: THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN AS THESE PATIENTS TYPICALLY HAVE LOW AND/OR FIXED INCOMES. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE FOR THESE PATIENTS FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE DEFICIT.
SCHEDULE H, PART III, SECTION B, LINE 9B DEBT COLLECTION POLICY: COLLECTION PRACTICES ARE CONSISTENT FOR ALL PATIENTS AND COMPLY WITH APPLICABLE PROVISIONS OF FEDERAL AND CALIFORNIA LAW. DURING PREADMISSION OR REGISTRATION, THE HOSPITAL PROVIDES ALL PATIENTS WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. AN UNINSURED PATIENT WHO INDICATES THE FINANCIAL INABILITY TO PAY A BILL IS EVALUATED FOR FINANCIAL ASSISTANCE. AT DISCHARGE PATIENTS WILL BE GIVEN AN APPLICATION WHICH WILL DOCUMENT THE PATIENT'S OVERALL FINANCIAL SITUATION. IF AN UNINSURED PATIENT DOES NOT COMPLETE THE APPLICATION FORM WITHIN 30 DAYS OF DELIVERY, THE HOSPITAL WILL NOTIFY THE PATIENT THAT THE APPLICATION HAS NOT BEEN RECEIVED AND WILL PROVIDE THE PATIENT AN ADDITIONAL 210 DAYS TO COMPLETE THE APPLICATION. IF A PATIENT HAS APPLIED FOR CHARITY CARE, HAS BEEN APPROVED TO RECEIVE CHARITY CARE, OR IS COOPERATING WITH THE HOSPITAL'S EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE HOSPITAL WILL NOT PURSUE COLLECTIONS.
SCHEDULE H, PART VI, LINE 2 SUTTER MEDICAL CENTER SACRAMENTO: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MEMORIAL MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER ROSEVILLE MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER SOLANO MEDICAL CENTER: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER TRACY COMMUNITY HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER AUBURN FAITH HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER AMADOR HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. SUTTER DAVIS HOSPITAL: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED. MEMORIAL HOSPITAL LOS BANOS: THE ORGANIZATION DOES NOT CONDUCT ANY ADDITIONAL COMMUNITY HEALTH CARE NEEDS ASSESSMENTS OUTSIDE OF THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT REFERENCED.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SUTTER HOSPITALS FOLLOW A SUTTER HEALTH SYSTEM-WIDE FINANCIAL ASSISTANCE POLICY, WHICH INCLUDES THE FOLLOWING DETAILS OF HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE. LANGUAGES: THE POLICY SHALL BE AVAILABLE IN THE PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA. IN ADDITION, ALL NOTICES/COMMUNICATIONS PROVIDED IN THIS SECTION SHALL BE AVAILABLE IN PRIMARY LANGUAGE(S) OF HOSPITAL'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. INFORMATION PROVIDED TO PATIENTS DURING THE PROVISION OF HOSPITAL SERVICES: A. DURING PREADMISSION OR REGISTRATION (OR AS SOON THEREAFTER AS PRACTICABLE) HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND IDENTIFY THE DEPARTMENT THAT PATIENTS CAN VISIT TO RECEIVE INFORMATION ABOUT, AND ASSISTANCE WITH APPLYING FOR, FINANCIAL ASSISTANCE. B. FINANCIAL ASSISTANCE COUNSELORS: PATIENTS WHO MAY BE UNINSURED PATIENTS SHALL BE ASSIGNED FINANCIAL COUNSELORS, WHO SHALL VISIT WITH THE PATIENTS IN PERSON AT THE HOSPITAL, PROVIDE PATIENTS A FINANCIAL ASSISTANCE APPLICATION, ASSIST WITH THE APPLICATION PROCESS, AND PROVIDE A CONTACT INFORMATION FOR THE PATIENT TO CALL FOR QUESTIONS. C. EMERGENCY SERVICES: IN THE CASE OF EMERGENCY SERVICES, HOSPITALS SHALL PROVIDE ALL PATIENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS SOON AS PRACTICABLE AFTER STABILIZATION OF THE PATIENT'S EMERGENCY MEDICAL CONDITION OR UPON DISCHARGE. D. APPLICATIONS PROVIDED AT DISCHARGE: AT THE TIME OF DISCHARGE, HOSPITALS SHALL PROVIDE ALL PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. E. INFORMATION PROVIDE TO PATIENTS AT OTHER TIMES: 1. CONTACT INFORMATION WHICH INCLUDES A PHONE NUMBER AND HOSPITAL DEPARTMENT TO OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE AND ASSISTANCE WITH THE APPLICATION PROCESS. 2. BILLING STATEMENTS: BILLING STATEMENTS PROVIDED TO PATIENTS SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, A PHONE NUMBER FOR PATIENTS TO CALL WITH QUESTIONS ABOUT FINANCIAL ASSISTANCE, AND THE WEBSITE ADDRESS WHERE PATIENTS CAN OBTAIN ADDITIONAL INFORMATION ABOUT FINANCIAL ASSISTANCE INCLUDING THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY OF THE POLICY, AND THE APPLICATION FOR FINANCIAL ASSISTANCE. 3. UPON REQUEST: HOSPITALS SHALL PROVIDE PATIENTS WITH PAPER COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY UPON REQUEST AND WITHOUT CHARGE. F. PUBLICITY OF FINANCIAL ASSISTANCE INFORMATION 1. PUBLIC POSTING: HOSPITALS SHALL POST COPIES OF THE FINANCIAL ASSISTANCE POLICY, THE APPLICATION FOR FINANCIAL ASSISTANCE, AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN A PROMINENT LOCATION IN THE EMERGENCY ROOM, ADMISSIONS AREA, AND ANY OTHER LOCATION IN THE HOSPITAL WHERE THERE IS A HIGH VOLUME OF PATIENT TRAFFIC, INCLUDING BUT NOT LIMITED TO THE WAITING ROOMS, BILLING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS. THESE PUBLIC NOTICES SHALL INCLUDE INFORMATION ABOUT THE RIGHT TO REQUEST AN ESTIMATE OF FINANCIAL RESPONSIBILITY FOR SERVICES. 2. WEBSITE: THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY SHALL BE AVAILABLE IN A PROMINENT PLACE ON THE SUTTER HEALTH WEBSITE (WWW.SUTTERHEALTH.ORG) AND ON EACH INDIVIDUAL HOSPITAL'S WEBSITE. PERSONS SEEKING INFORMATION ABOUT FINANCIAL ASSISTANCE SHALL NOT BE REQUIRED TO CREATE AN ACCOUNT OR PROVIDE ANY PERSONAL INFORMATION BEFORE RECEIVING INFORMATION ABOUT FINANCIAL ASSISTANCE. 3. MAIL: PATIENTS MAY REQUEST A COPY OF THE FINANCIAL ASSISTANCE POLICY, APPLICATION FOR FINANCIAL ASSISTANCE AND PLAIN LANGUAGE SUMMARY BE SENT BY MAIL, AT NO COST TO THE PATIENT. 4. ADVERTISEMENTS/PRESS RELEASES: AS NECESSARY AND ON AT LEAST AN ANNUAL BASIS, SUTTER HEALTH WILL PLACE AN ADVERTISEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AT HOSPITALS IN THE PRINCIPAL NEWSPAPER(S) IN THE COMMUNITIES SERVED BY SUTTER HEALTH, OR WHEN DOING SO IS NOT PRACTICAL, SUTTER WILL ISSUE A PRESS RELEASE CONTAINING THIS INFORMATION, OR USE OTHER MEANS THAT SUTTER HEALTH CONCLUDES WILL WIDELY PUBLICIZE THE AVAILABILITY OF THE POLICY TO AFFECTED PATIENTS IN OUR COMMUNITIES. 5. COMMUNITY AWARENESS: SUTTER HEALTH WILL WORK WITH AFFILIATED ORGANIZATIONS, PHYSICIANS, COMMUNITY CLINICS AND OTHER HEALTH CARE PROVIDERS TO NOTIFY MEMBERS OF THE COMMUNITY (ESPECIALLY THOSE WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE) ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 4 SUTTER MEDICAL CENTER SACRAMENTO (SMCS): THE HOSPITAL SERVICE AREA (HSA) IS DEFINED AS THE GEOGRAPHIC AREA (BY ZIP CODE) IN WHICH SUTTER MEDICAL CENTER AND SUTTER CENTER FOR PSYCHIATRY RECEIVES ITS TOP 80% OF DISCHARGES. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. SACRAMENTO COUNTY HAS OVER 30 CITIES, CENSUS-DESIGNATED PLACES, AND UNINCORPORATED COMMUNITIES THAT INCLUDE NEIGHBORHOODS WITH RICH HERITAGES SUCH AS OAK PARK, KNOWN AS SACRAMENTO'S FIRST SUBURB, TO NEWER COMMUNITIES SUCH AS THE CITY OF RANCHO CORDOVA, INCORPORATED IN 2003. SACRAMENTO COUNTY RANKS AS CALIFORNIA'S 31ST-MOST OVERALL HEALTHY COUNTY AMONG THE 58 IN THE STATE. THE AREA IS SERVED BY A NUMBER OF HEALTHCARE ORGANIZATIONS, INCLUDING THOSE THAT COLLABORATED IN THIS ASSESSMENT. IN THIS CHNA, TWO ADDITIONAL ZIP CODES FROM EL DORADO COUNTY, A NEIGHBORING COUNTY EAST OF SACRAMENTO, WERE INCLUDED TO CAPTURE THE PORTION OF THE COMMUNITY SERVED BY MERCY HOSPITAL OF FOLSOM, LOCATED NEAR THE BORDER OF THESE TWO COUNTIES. WITH SOME EXCEPTIONS, FINDINGS DESCRIBED IN THIS REPORT ARE ORGANIZED BOTH AT THE COUNTY LEVEL AND, AS DETAILED LATER IN THIS REPORT, BY DESIGNATED REGIONS WITHIN THE COUNTY. THE DEFINITION OF THE COMMUNITY SERVED INCLUDED MOST PORTIONS OF SACRAMENTO COUNTY, AND A SMALL PORTION OF WESTERN EL DORADO COUNTY, CALIFORNIA. REGARDED AS A HIGHLY DIVERSE COMMUNITY, SACRAMENTO COUNTY COVERS 994 SQUARE MILES AND IS HOME TO APPROXIMATELY 1.5 MILLION RESIDENTS. THE CHNA USES THIS DEFINITION OF THE COMMUNITY SERVED, AS THIS IS THE PRIMARY GEOGRAPHIC AREA SERVED BY THE SEVEN NONPROFIT HOSPITALS THAT COLLABORATED ON THIS CHNA. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE 2022 SUTTER MEDICAL CENTER CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT MEMORIAL MEDICAL CENTER: THE DEFINITION OF THE COMMUNITY SERVED WAS STANISLAUS COUNTY. THIS IS THE DESIGNATED SERVICE AREA BECAUSE THE MAJORITY OF PATIENTS SERVED BY MEMORIAL MEDICAL CENTER RESIDED IN THIS AREA. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. LOCATED IN CALIFORNIA'S CENTRAL VALLEY, THE COUNTY COVERS APPROXIMATELY 1,500 SQUARE MILES AND IS HOME TO OVER 530,000 RESIDENTS. IT IS THE 16TH MOST POPULOUS AMONG CALIFORNIA'S 58 COUNTIES. THERE ARE NINE INCORPORATED CITIES IN THE COUNTY INCLUDING CERES, HUGHSON, MODESTO, NEWMAN, OAKDALE, PATTERSON, RIVERBANK, TURLOCK, AND WATERFORD. OF THESE, MODESTO, THE COUNTY SEAT, IS THE MOST POPULOUS ACCOUNTING FOR APPROXIMATELY 40% OF THE COUNTY'S POPULATION; TURLOCK IS THE SECOND, FOLLOWED BY CERES. THE TWO LARGEST RACE/ETHNIC GROUPS IN THE COUNTY ARE THOSE OF HISPANIC OR LATINO ORIGIN (44.8%), FOLLOWED BY CAUCASIANS (43.5%). AGRICULTURE PLAYS A SIGNIFICANT ROLE IN THE COUNTY, THUS THE COUNTY'S LARGEST EMPLOYERS ARE IN THE AGRICULTURE AND FOOD RELATED INDUSTRIES. THE ROBERT WOOD JOHNSON'S COUNTY HEALTH RANKINGS RANKED STANISLAUS COUNTY THE 41ST MOST HEALTHY AMONG CALIFORNIA'S 58 COUNTIES. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA, WITH SOURCES, IS AVAILABLE IN THE MEMORIAL MEDICAL CENTER'S 2022 CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER ROSEVILLE MEDICAL CENTER: THE DEFINITION OF THE COMMUNITY SERVED WAS THE PRIMARY SERVICE AREA OF SRMC. THE SERVICE AREA WAS DEFINED BY 21 ZIP CODES IN SOUTHERN PLACER AND NORTHERN SACRAMENTO COUNTIES. THIS SERVICE AREA WAS DESIGNATED BECAUSE THE MAJORITY OF PATIENTS SERVED BY SRMC RESIDED IN THESE ZIP CODES. COLLECTIVELY, OVER 700,000 RESIDENTS LIVE IN THE SERVICE AREA. THERE ARE FOUR HOSPITALS THAT SERVE THE COMMUNITY. THOUGH LOCATED IN PLACER COUNTY, THE HOSPITAL SERVES A DIVERSE POPULATION ACROSS BOTH PLACER AND SACRAMENTO COUNTIES. SITUATED IN ROSEVILLE ALONG THE I-80 CORRIDOR THAT RUNS FROM THE SAN FRANCISCO BAY AREA TO RENO, NEVADA AND BEYOND, SRMC SITS NEAR THE BORDER OF THESE TWO COUNTIES. IN PLACER COUNTY THERE WERE 11 ZIP CODES INCLUDED IN THE SERVICE AREA AND INCLUDED COMMUNITIES SUCH AS GRANITE BAY, LINCOLN, LOOMIS, PENRYN, ROCKLIN, ROSEVILLE, AND SHERIDAN. THE TOTAL POPULATION OF THESE ZIP CODES IS 287,586. IN SACRAMENTO COUNTY THERE WERE 10 ZIP CODES INCLUDED IN THE ASSESSMENT, AND THESE ENCOMPASSED COMMUNITIES SUCH AS ANTELOPE, CARMICHAEL, CITRUS HEIGHTS, FOLSOM, NORTH HIGHLANDS, AND ORANGEVALE. THE TOTAL POPULATION OF THESE ZIP CODES IS 415,837. COLLECTIVELY, THE SRMC SERVICE AREA IS HOME TO JUST OVER 700,000 RESIDENTS. THE ROBERT WOOD JOHNSON'S COUNTY HEALTH RANKINGS RANKED PLACER THE FOURTH HEALTHIEST COUNTY AMONG CALIFORNIA'S 58, WHILE SACRAMENTO WAS RANKED 31ST. THOUGH NEIGHBORING COUNTIES, PLACER AND SACRAMENTO HAVE DIFFERENCES IN THE CHARACTERISTICS OF THEIR POPULATIONS. FOR EXAMPLE, THE MEDIAN INCOME FOR PLACER COUNTY WAS $76,926 COMPARED TO SACRAMENTO COUNTY AT $57,509. THE CHARACTERISTICS FOR EACH ZIP CODE IN THE SERVICE AREA ARE PRESENTED IN TABLE 1 OF THE CHNA. THESE ARE COMPARED TO THE STATE AND COUNTY CHARACTERISTICS FOR DESCRIPTIVE PURPOSES. ANY ZIP CODE WITH RATES THAT VARIED NEGATIVELY OR PERFORMED POORLY WHEN COMPARED TO THE STATE OR COUNTY BENCHMARK WERE HIGHLIGHTED. EACH ZIP CODE IS COMPARED TO THE RATES OF THE COUNTY IN WHICH IT RESIDES. COMMUNITIES OF CONCERN ARE GEOGRAPHIC AREAS WITHIN THE SERVICE AREA THAT HAVE THE GREATEST CONCENTRATION OF POOR HEALTH OUTCOMES AND ARE HOME TO MORE MEDICALLY UNDERSERVED, LOW INCOME, AND DIVERSE POPULATIONS AT GREATER RISK FOR POORER HEALTH. COMMUNITIES OF CONCERN ARE IMPORTANT TO THE OVERALLCHNA METHODOLOGY BECAUSE, AFTER THE SERVICE AREA IS ASSESSED MORE BROADLY, THEY ALLOW FOR A FOCUS ON THOSE PORTIONS OF THE REGION LIKELY EXPERIENCING THE GREATEST HEALTH DISPARITIES. GEOGRAPHIC COMMUNITIES OF CONCERN WERE IDENTIFIED USING A COMBINATION OF PRIMARY AND SECONDARY DATA SOURCES. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED SEVEN ZIP CODES THAT MET THE CRITERIA TO BE CLASSIFIED AS A COMMUNITY OF CONCERN. THESE ARE NOTED IN ZIP CODE ORDER IN TABLE 2 OF THE CHNA, WITH THE CENSUS POPULATION PROVIDED FOR EACH, AND ARE DISPLAYED IN FIGURE 5 OF THE CHNA. THE TOTAL POPULATION OF COMMUNITIES OF CONCERN WAS 415,837 WHICH WAS 59.1% OF THE TOTAL POPULATION SERVED. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER ROSEVILLE MEDICAL CENTER CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER SOLANO MEDICAL CENTER: THE DEFINITION OF THE COMMUNITY SERVED INCLUDED THE PRIMARY SERVICE AREA OF THE HOSPITAL, THE CITY OF VALLEJO, CALIFORNIA, AND SURROUNDING COMMUNITIES AS DEFINED BY SIX ZIP CODES-94503, 94510, 94589, 94590, 94591, AND 94592. THIS IS THE DESIGNATED SERVICE AREA BECAUSE THE MAJORITY OF PATIENTS SERVED BY SSMC RESIDED IN THESE ZIP CODES. CONSIDERED A NORTH SAN FRANCISCO BAY COMMUNITY, VALLEJO IS AN INCORPORATED CITY IN SOLANO COUNTY. THE SERVICE AREA INCLUDED ONE ZIP CODE, 94503 (AMERICAN CANYON), LOCATED IN NAPA COUNTY. THE TOTAL POPULATION OF THE SERVICE AREA WAS 170,925. THERE ARE THREE HOSPITALS THAT SERVE THE COMMUNITY. POPULATION CHARACTERISTICS FOR EACH ZIP CODE IN THE SERVICE AREA ARE PRESENTED IN TABLE 1 OF THE CHNA. THESE ARE COMPARED TO THE STATE AND COUNTY CHARACTERISTICS FOR DESCRIPTIVE PURPOSES. ANY ZIP CODE WITH RATES THAT VARIED NEGATIVELY WHEN COMPARED TO THE STATE OR COUNTY BENCHMARKS IS HIGHLIGHTED. BECAUSE AMERICAN CANYON IS LOCATED IN NAPA COUNTY, RATES FROM THIS ZIP CODE (94503) ARE COMPARED ONLY TO THE NAPA COUNTY AND STATE BENCHMARKS. SOLANO COUNTY RESIDENT MEDIAN INCOME IS $69,227 AND NAPA COUNTY IS $74,609 COMPARED TO CALIFORNIA MEDIAN INCOME OF $63,783. TWO ZIP CODES WITHIN SOLANO COUNTY FALL UNDER THE STATE MEDIAN INCOME AT $57,316 IN 94589 AND $41,530 AT 94590. COMMUNITIES OF CONCERN ARE GEOGRAPHIC AREAS WITHIN THE SERVICE AREA THAT HAVE THE GREATEST CONCENTRATION OF POOR HEALTH OUTCOMES AND ARE HOME TO MORE MEDICALLY UNDERSERVED, LOW-INCOME, AND DIVERSE POPULATIONS AT GREATER RISK FOR POORER HEALTH. COMMUNITIES OF CONCERN ARE IMPORTANT TO THE OVERALL CHNA METHODOLOGY BECAUSE, AFTER THE SERVICE AREA HAS BEEN ASSESSED MORE BROADLY, THEY ALLOW FOR A FOCUS ON THOSE PORTIONS OF THE REGION LIKELY EXPERIENCING THE GREATEST HEALTH DISPARITIES. GEOGRAPHIC COMMUNITIES OF CONCERN WERE IDENTIFIED USING A COMBINATION OF PRIMARY AND SECONDARY DATA SOURCES. ANALYSIS OF BOTH PRIMARY AND SECONDARY DATA REVEALED TWO ZIP CODES THAT MET THE CRITERIA TO BE CLASSIFIED AS COMMUNITIES OF CONCERN. THE TWO ZIP CODES IDENTIFIED AS COMMUNITIES OF CONCERN CONSIST OF A TOTAL POPULATION OF 67,400 WHICH WAS 39.4% OF THE TOTAL POPULATION OF THE SERVICE AREA FOR SUTTER SOLANO MEDICAL CENTER. AN IN-DEPTH VIEW OF THE DEMOGRAPHICS AND GEOGRAPHY OF THE SERVICE AREA IS AVAILABLE IN THE SUTTER MEDICAL CENTER CHNA AT HTTPS://WWW.SUTTERHEALTH.ORG/FOR-PATIENTS/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SUTTER TRACY COMMUNITY HOSPITAL: THE DEFINITION OF THE COMMUNITY SERVED INCLUDED THE PRIMARY SERVICE AREA OF THE SUTTER TRACY COMMUNITY HOSPITAL
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SUTTER HEALTH'S MISSION IS TO "ENHANCE THE WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES." SUTTER HEALTH'S MISSION REACHES BEYOND THE WALLS OF OUR HOSPITALS AND FACILITIES. OUR AFFILIATES FURTHER THEIR TAX-EXEMPT PURPOSE BY: - BUILDING RELATIONSHIPS OF TRUST BY WORKING COLLABORATIVELY WITH COMMUNITY GROUPS, SCHOOLS AND GOVERNMENT ORGANIZATIONS TO EFFECTIVELY LEVERAGE RESOURCES AND ADDRESS IDENTIFIED COMMUNITY NEEDS; - SUPPORTING NONPROFIT ORGANIZATIONS THAT ARE COMMITTED TO COMMUNITY HEALTH IMPROVEMENT THROUGH FINANCIAL INVESTMENTS, IN-KIND SERVICES AND EMPLOYEE VOLUNTEERISM; AND - PROVIDING GENEROUS CHARITY CARE POLICIES FOR OUR MOST VULNERABLE COMMUNITY MEMBERS. SUTTER MEDICAL CENTER SACRAMENTO & SUTTER CENTER FOR PSYCHIATRY (REPORTING FACILITY B, 6) THE 2022 - 2024 IMPLEMENTATION STRATEGIES FOR SUTTER MEDICAL CENTER SACRAMENTO (SMCS) AND SUTTER CENTER FOR PSYCHIATRY DEFINE A VARIETY OF PROGRAMS AND PARTNERSHIPS THAT ADDRESS IDENTIFIED PRIORITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVES. A FEW OF THOSE PROGRAMS AND PARTNERSHIPS ARE DESCRIBED BELOW. PROGRAMS ADDRESSING: ACCESS TO MENTAL/BEHAVIORAL/SUBSTANCE-ABUSE SERVICES AREA WIDE MENTAL HEALTH STRATEGY THE NEED FOR MENTAL HEALTH SERVICES AND RESOURCES, ESPECIALLY FOR THE UNDERSERVED, HAS REACHED A BREAKING POINT ACROSS THE SUTTER HEALTH VALLEY OPERATING UNIT. THIS IS WHY WE ARE FOCUSED ON BUILDING A COMPREHENSIVE MENTAL HEALTH STRATEGY THAT INTEGRATES KEY ELEMENTS SUCH AS POLICY AND ADVOCACY, COUNTY SPECIFIC INVESTMENTS, STIGMA REDUCTION, INCREASED AWARENESS AND EDUCATION, WITH TANGIBLE OUTREACH SUCH AS EXPANDED MENTAL HEALTH RESOURCES TO PROFESSIONALS IN THE WORKPLACE AND TELEPYSCH OPTIONS TO THE UNDERSERVED. BY LINKING THESE VARIOUS STRATEGIES AND EFFORTS THROUGH ENGAGING IN STATEWIDE PARTNERSHIPS, REPLICATING BEST PRACTICES, AND SECURING INNOVATION GRANTS AND AWARD OPPORTUNITIES, WE HAVE THE ABILITY TO CREATE A SEAMLESS NETWORK OF MENTAL HEALTH CARE RESOURCES SO DESPERATELY NEEDED IN THE COMMUNITIES WE SERVE. ON JULY 26, 2022, THE 988 CRISIS LINE LAUNCED. PROGRAMS ADDRESSING: ACCESS TO BASIC NEEDS SUCH AS HOUSING, JOBS, AND FOOD SHORT-TERM MEDICAL HOUSING PROVIDE FREE SHORT-TERM HOUSING FOR PATIENTS AND FAMILIES WHO MUST LEAVE THEIR OWN COMMUNITY TO SEEK MEDICAL CARE AT SUTTER HEALTHCARE CENTERS AND OTHER MEDICAL FACILITIES. THIS UNIQUE HOME-AWAY-FROM-HOME EXPERIENCE HAS BROUGHT A COMPASSIONATE RESPONSE AS WELL AS EMOTIONAL AND FINANCIAL RELIEF TO GUESTS IN NEED. THESE PROGRAMS HELP FAMILIES TO ACCESS SPECIALIZED MEDICAL TREATMENT BY PROVIDING A PLACE TO STAY AT LITTLE OR SOMETIMES NO COST. THE GOAL OF SHORT-TERM MEDICAL HOUSING IS KEEPING FAMILIES WITH A SICK FAMILY MEMBER TOGETHER AND NEAR THE CARE AND RESOURCES THEY NEED. IN 2022, THE PROGRAM SERVED 72 INDIVIDUALS WITH 1,200 SERVICES. SERIAL INEBRIATE PROGRAM THE SERIAL INEBRIATE PROGRAM (SIP) ADDRESSES THE HEALTH, SAFETY, AND HOUSING NEEDS OF INTOXICATED, CHRONICALLY HOMELESS ADULTS LIVING ON THE STREETS OF SACRAMENTO. TO QUALIFY FOR SIP, INDIVIDUALS MUST HAVE BEEN ADMITTED TO LOCAL EDS, THE COMPREHENSIVE ALCOHOL TREATMENT CENTER 16 (ALSO KNOWN AS THE "DETOX" PROGRAM) OR ARRESTED AT LEAST 25 TIMES WITHIN THE PREVIOUS 12 MONTHS, AND WHO POSE A DANGER TO THEMSELVES OR OTHERS DUE TO EXCESSIVE ALCOHOL CONSUMPTION. DURING THE 90-DAY STAY, CLIENTS RECEIVE ALCOHOL ADDICTION COUNSELING, AND ARE OFFERED PERMANENT HOUSING THROUGH SACRAMENTO SELF HELP HOUSING. SIP CLIENTS ARE NOT ONLY PLACED IN A SAFE HOUSING ENVIRONMENT, BUT THEY ARE ALSO WRAPPED WITH SERVICES TO GET ON THE ROAD TO SOBRIETY AND CONNECT TO HEALTH RESOURCES THEY WERE NOT AWARE OF DURING THEIR TIME ON THE STREETS. ADDITIONALLY, SIP CLIENTS ARE CONNECTED WITH PRIMARY AND MENTAL HEALTH SERVICES, TO HELP ADDRESS THEIR LONG-TERM MEDICAL NEEDS AND PLACE THESE AT-RISK PATIENTS IN PERMANENT MEDICAL HOMES. THE GOAL IS TO GET SERIAL INEBRIATES OFF THE STREETS AND INTO HOUSING AND ALCOHOL AND DRUG TREATMENT. IN 2022, THE PROGRAM SERVED OVER 30 INDIVIDUALS WITH COUNSELING AND BASIC NEEDS SERVICES. COMMUNITY COLLEGE PROMISE SCHOLARSHIP PROGRAM THE PROMISE SCHOLARSHIP IS TARGETED TO THE NEEDIEST OF THESE STUDENTS ATTENDING FULL-TIME AND GIVES FLEXIBLE SUPPORT THAT CAN HELP MEET THEIR MOST IMPORTANT NEEDS. IN ADDITION TO TUITION FEES, COMMUNITY COLLEGE STUDENTS HAVE OTHER ATTENDANCE COSTS THAT STAND IN THE WAY OF POSTSECONDARY SUCCESS (BOOKS, TRANSPORTATION, HOUSING, STUDENT FEES, LAB EQUIPMENT, SUPPLIES, CHILDCARE EXPENSES, ETC.), BUT THEY HAVE LESS ACCESS TO FINANCIAL AID. 56% OF LOS RIOS STUDENTS ARE LOW INCOME (APPROX. 40,000) NEARLY 32% LIVE BELOW THE POVERTY LINE, AND 13% ARE HOMELESS. THE PROMISE SCHOLARSHIP AIMS TO REMOVE THE BARRIERS THAT PREVENT STUDENTS FROM ACHIEVING COLLEGE SUCCESS. BY REMOVING BARRIERS, STUDENTS HAVE A GREATER CHANCE OF COMPLETING THEIR DEGREES AND ENTERING THE WORKFORCE READY TO SUCCEED. IN 2022, THE PROGRAM SERVED 726 INDIVIDUALS WITH 726 SERVICES. PROGRAMS ADDRESSING: ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES ONGOING CLINIC INVESTMENTS WITH ACCESS TO CARE, INCLUDING PRIMARY, MENTAL HEALTH AND SPECIALTY CARE CONTINUING TO BE A MAJOR PRIORITY AREA IN THE SMCS HEALTH SERVICE AREA, WE WILL CONTINUE TO MAKE STRATEGIC INVESTMENTS IN OUR LOCAL FQHC PARTNERS TO INCREASE CLINIC CAPACITY AND SERVICES OFFERED. CREATIVE COLLABORATIONS AND INNOVATIVE OPPORTUNITIES WITH OUR CLINIC PARTNERS WILL CONTINUE TO EVOLVE WITH THE NEEDS OF THE COMMUNITY. THE GOAL IS TO EXPAND ACCESS TO CARE, ESPECIALLY FOR UNDERSERVED POPULATIONS WHO HAVE BARRIERS TO RECEIVING PROPER MEDICAL CARE. IN 2022, THE PROGRAM SERVED 1,088 INDIVIDUALS WITH 1,626 SERVICES. EMERGENCY DEPARTMENT NAVIGATOR (ED NAVIGATOR) THE ED NAVIGATOR SERVES AS A VISIBLE ED-BASED STAFF MEMBER. UPON REFERRAL FROM A SUTTER EMPLOYEE (AND AFTER PATIENT AGREEMENT), ED NAVIGATORS ATTEND TO PATIENTS IN THE ED AND COMPLETE AN ASSESSMENT FOR T3 CASE-MANAGEMENT SERVICES. UPON ASSESSMENT, THE ED NAVIGATOR DETERMINES AND IDENTIFIES PATIENT NEEDS FOR COMMUNITY-BASED RESOURCES AND/OR CASE-MANAGEMENT SERVICES, SUCH AS PROVIDING A PATIENT LINKAGE TO A PRIMARY CARE PROVIDER AND ESTABLISHING A MEDICAL HOME. THE GOAL OF THE ED NAVIGATOR IS TO CONNECT PATIENTS WITH HEALTH AND SOCIAL SERVICES, AND ULTIMATELY A MEDICAL HOME, AS WELL AS OTHER PROGRAMS (LIKE T3) WHEN APPROPRIATE. IN 2022, THE PROGRAM SERVED 265 INDIVIDUALS WITH 54 SERVICES. HEALTH NAVIGATION: REDUCING BARRIERS TO CARE THE SACRAMENTO HEALTH NAVIGATOR PROGRAM EXPANDS HEALTH NAVIGATION SERVICES IN SACRAMENTO COUNTY AND CONNECTS THOUSANDS OF LOW-INCOME RESIDENTS TO AFFORDABLE HEALTH CARE COVERAGE THE OVERALL GOAL OF THE PROJECT IS TO ESTABLISH MEDICAL HOMES, THEREBY REDUCING DEPENDENCE ON EMERGENCY ROOM SYSTEMS OF CARE. IN 2022, THE PROGRAM SERVED 7,576 INDIVIDUALS WITH 16,420 SERVICES. INTERIM CARE PROGRAM (ICP) A COLLABORATIVE OF THE FOUR HEALTH CARE SYSTEMS AND WELLSPACE HEALTH, VOLUNTEERS OF AMERICA AND SACRAMENTO COUNTY, THE SACRAMENTO INTERIM CARE PROGRAM (ICP) IS A RESPITE-CARE SHELTER FOR HOMELESS PATIENTS DISCHARGED FROM HOSPITALS. THE ICP WRAPS PEOPLE WITH HEALTH AND SOCIAL SERVICES, WHILE GIVING THEM A PLACE TO HEAL. STARTED IN 2005, THE ICP LINKS PEOPLE IN NEED TO VITAL COMMUNITY SERVICES WHILE GIVING THEM A PLACE TO HEAL. THE CLIENTS WHO ARE ENROLLED IN THE ICP ARE HOMELESS ADULT INDIVIDUALS WHO OTHERWISE WOULD BE DISCHARGED TO THE STREET OR CARED FOR IN AN INPATIENT SETTING ONLY. THE PROGRAM IS DESIGNED TO OFFER CLIENTS UP TO SIX WEEKS DURING WHICH THEY CAN FOCUS ON RECOVERY AND DEVELOPING A PLAN FOR THEIR HOUSING AND CARE UPON DISCHARGE. THIS INNOVATIVE COMMUNITY PARTNERSHIP PROVIDES TEMPORARY RESPITE HOUSING THAT OFFER HOMELESS MEN AND WOMEN A PLACE TO RECUPERATE FROM THEIR MEDICAL CONDITIONS, LINK THEM TO VITAL COMMUNITY SERVICES, AND PROVIDE THEM A PLACE TO HEAL. THE ICP SEEKS TO CONNECT PATIENTS WITH A MEDICAL HOME, SOCIAL SUPPORT AND HOUSING. IN 2022, THE PROGRAM SERVED 1,347 INDIVIDUALS WITH 157,171 SERVICES. INTERIM CARE PROGRAM PLUS (ICP+) SMCS OFFERS AN "EXPANDED ICP" ICP+ AIMED TO MEET THE NEEDS OF PATIENTS WITH MORE COMPLEX NEEDS AND ACUTE HEALTH ISSUES. THE PROGRAM OFFERS SHORT-TERM (60-90 DAYS) RESPITE CENTER SERVING HOMELESS INDIVIDUALS POST-HOSPITALIZATION. CATERS TO INDIVIDUALS WITH HIGHER MEDICAL ACUITY. OFFERS INTENSIVE CASE MGMT., ACCESS TO LVNS & CNAS, MEDICATION EDUC., TRANSPORTATION, & REFERRALS. ICP+ SEEKS TO CONNECT PATIENTS WITH A MEDICAL HOME, SOCIAL SUPPORT AND HOUSING. ICP+ IS NOW EMBEDDED WITH ICP. TRIAGE, TRANSPORT, TREATMENT (T3) T3 PROVIDES CASE MANAGEMENT SERVICES FOR PEOPLE WHO FREQUENTLY ACCESS THE SMCS EDS FOR INAPPROPRIATE AND NON-URGENT NEEDS, BY CONNECTING VULNERABLE PATIENTS TO VITAL RESOURCES SUCH AS HOUSING, PRIMARY CARE, MENTAL AND BEHAVIORAL HEALTH SERVICES, TRANSPORTATION, SUBSTANCE ABUSE TREATMENT AND OTHER KEY COMMUNITY RESOURCES. BY LINKING THESE P
SCHEDULE H, PART VI, LINE 6 SUTTER HEALTH IS A NOT-FOR-PROFIT, INTEGRATED HEALTHCARE SYSTEM THAT IS COMMITTED TO DELIVERING INNOVATIVE, HIGH-QUALITY, EQUITABLE PATIENT CARE AND HELPING TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES IT SERVES. OUR 65,000 EMPLOYEES AND ASSOCIATED CLINICIANS SERVE MORE THAN 3 MILLION PATIENTS IN CALIFORNIA THROUGH OUR HOSPITALS, PRIMARY AND SPECIALTY CARE CENTERS, CLINICS AND HOME HEALTH SERVICES. LEARN MORE ABOUT HOW WE'RE TRANSFORMING HEALTHCARE AT SUTTERHEALTH.ORG AND VITALS.SUTTERHEALTH.ORG SUTTER HEALTH'S TOTAL INVESTMENT IN COMMUNITY BENEFIT IN 2022 WAS $899 MILLION. THIS AMOUNT INCLUDES TRADITIONAL CHARITY CARE AND UNREIMBURSED COSTS OF PROVIDING CARE TO MEDI-CAL PATIENTS. THIS AMOUNT ALSO INCLUDES INVESTMENTS IN COMMUNITY HEALTH PROGRAMS TO ADDRESS PRIORITIZED HEALTH NEEDS AS IDENTIFIED BY REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS. AS PART OF SUTTER HEALTH'S COMMITMENT TO FULFILL ITS NOT-FOR-PROFIT MISSION AND HELP SERVE SOME OF THE MOST VULNERABLE IN ITS COMMUNITIES, THE SUTTER HEALTH SYSTEM HAS IMPLEMENTED CHARITY CARE POLICIES TO HELP PROVIDE ACCESS TO MEDICALLY NECESSARY CARE FOR ELIGIBLE PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2022, SUTTER HEALTH INVESTED $82 MILLION IN CHARITY CARE. SUTTER'S CHARITY CARE POLICIES FOR HOSPITAL SERVICES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: 1. UNINSURED PATIENTS ARE ELIGIBLE FOR FULL CHARITY CARE FOR MEDICALLY NECESSARY HOSPITAL SERVICES IF THEIR FAMILY INCOME IS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL ("FPL"). 2. INSURED PATIENTS ARE ELIGIBLE FOR HIGH MEDICAL COST CHARITY CARE FOR MEDICALLY NECESSARY HOSPITAL SERVICES IF THEIR FAMILY INCOME IS AT OR BELOW 400% OF THE FPL AND THEY INCURRED OR PAID MEDICAL EXPENSES AMOUNTING TO MORE THAN 10% OF THEIR FAMILY INCOME OVER THE LAST 12 MONTHS. (SUTTER HEALTH'S FINANCIAL ASSISTANCE POLICY DETERMINES THE CALCULATION OF A PATIENT'S FAMILY INCOME.) OVERALL, SINCE THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, GREATER NUMBERS OF PREVIOUSLY UNINSURED PEOPLE NOW HAVE MORE ACCESS TO HEALTHCARE COVERAGE THROUGH THE MEDI-CAL AND MEDICARE PROGRAMS. THE PAYMENTS FOR PATIENTS WHO ARE COVERED BY MEDI-CAL DO NOT COVER THE FULL COSTS OF PROVIDING CARE. IN 2022, SUTTER HEALTH INVESTED $615 MILLION MORE THAN THE STATE PAID TO CARE FOR MEDI-CAL PATIENTS. THROUGH COMMUNITY BENEFIT INVESTMENTS, SUTTER HELPS LOCAL COMMUNITIES ACCESS PRIMARY, MENTAL HEALTH AND ADDICTION CARE, AND BASIC NEEDS SUCH AS HOUSING, JOBS AND FOOD. SEE MORE ABOUT HOW SUTTER HEALTH REINVESTS INTO THE COMMUNITY AND WORKS TO ACHIEVE HEALTH EQUITY BY VISITING SUTTERHEALTH.ORG/COMMUNITY-BENEFIT
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: CALIFORNIA
Schedule H (Form 990) 2022
Additional Data


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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
2022
Open to Public
Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number
94-1156621
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) WELLSPACE HEALTH
777 12TH ST STE 250
SACRAMENTO,CA95814
94-1713704 501(C)(3) 3,434,415       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 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
(2) SACRAMENTO COVERED
819 19TH ST
SACRAMENTO,CA95811
68-0377256 501(C)(3) 975,211        
(3) NEIGHBORHOOD WELLNESS FNDT
7648 MARINA COVE DR
SACRAMENTO,CA95831
47-4874487 501(C)(3) 890,754        
(4) COMMUNICARE HEALTH CENTERS
PO BOX 1260
DAVIS,CA95617
94-2188574 501(C)(3) 625,139        
(5) LA CLINICA DE LA RAZA INC
PO BOX 22210
OAKLAND,CA94623
94-1744108 501(C)(3) 540,260        
(6) FOOD LITERACY CENTER
401A MCCLATCHY WY
SACRAMENTO,CA95818
45-3973268 501(C)(3) 478,350        
(7) SALVATION ARMY
PO BOX 340699
SACRAMENTO,CA95834
94-1170408 501(C)(3) 353,000        
(8) SACRAMENTO LGBT COMMUNITY CTR
1015 20TH ST
SACRAMENTO,CA95811
94-2502229 501(C)(3) 338,333        
(9) W Sacramento Housing Devt Corp
1110 W CAPITOL AVE
WEST SACRAMENTO,CA95691
94-3184534 501(C)(3) 333,333        
(10) YOLO County of C A
600 A ST STE Y DAVIS
DAVIS,CA95616
68-0526185 GOVT 319,925        
(11) CC DIOCESE OF STOCKTON
1106 NO EL DORADO ST
STOCKTON,CA95202
94-1629114 501(C)(3) 305,093        
(12) TOURO UNIVERSITY CALIFORNIA
1310 CLUB DR
VALLEJO,CA94592
13-3838740 501(C)(3) 292,408        
(13) TRACY COMM CONN CTR
324 E 11TH ST STE B1
TRACY,CA95376
47-5483883 501(C)(3) 290,000        
(14) GOLDEN VALLEY HEALTH CENTERS
737 W CHILDS AVE
MERCED,CA95340
94-2196086 501(C)(3) 288,336        
(15) GATHERING INN
201 BERKELEY AVE
ROSEVILLE,CA95678
84-1657746 501(C)(3) 275,022        
(16) AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE
DALLAS,TX75231
13-5613797 501(C)(3) 250,500        
(17) COMMUNITY PSHIP FOR FAMILIES OF SAN JOAQUIN
PO BOX 1569
STOCKTON,CA95201
68-0475602 501(C)(3) 250,000        
(18) RURAL INNOV IN SOCIAL ECON INC
17313 FREMONT ST
ESPARTO,CA95627
68-0121168 501(C)(3) 250,000        
(19) WORLD RELIEF CORP OF NATL ASSN OF EVANG
4616 ROSEVILLE RD STE 107
NORTH HIGHLANDS,CA95660
23-6393344 501(C)(3) 250,000        
(20) STANFORD YOUTH SOLUTIONS
8912 VOLUNTEER LN
SACRAMENTO,CA95826
68-0065690 501(C)(3) 250,000        
(21) COMMUNITY MEDICAL CENTERS INC
7210 MURRAY DR
STOCKTON,CA95210
94-2437106 501(C)(3) 250,000        
(22) PRO YOUTH AND FAMILIES INC
3780 ROSIN CT STE 120
SACRAMENTO,CA95834
94-2795430 501(C)(3) 225,000        
(23) SACRAMENTO STEPS FORWARD
2150 RIVER PLAZA DR STE 385
SACRAMENTO,CA95833
27-4907397 501(C)(3) 200,000        
(24) MISSION MERCED INC
644 W 20TH ST
MERCED,CA95340
47-1217541 501(C)(3) 180,000        
(25) SHADY CREEK OUTDOOR EDUCATION FOUNDATION
970 KLAMATH LN
YUBA CITY,CA95993
68-0239809 501(C)(3) 178,640        
(26) SACRAMENTO METRO CHAMBER FNDT
1007 7TH ST 4TH FLR
SACRAMENTO,CA95814
20-2381828 501(C)(3) 153,500        
(27) SHELTER INC
PO BOX 5368
CONCORD,CA94524
68-0117241 501(C)(3) 142,109        
(28) INTERNATIONAL STUDENT TOURS
5080 ROBERT J MATHEWS PKWY STE B
EL DORADO HILLS,CA95762
91-1915695 501(C)(3) 138,334        
(29) H3O FOUNDATION
PO BOX 1695
SOLANA BEACH,CA92075
45-3719707 501(C)(3) 133,100        
(30) PLACER COUNTY OF AIR POLUTION CONTROL DISTRICT
110 MAPLE ST
AUBURN,CA95603
95-6000527 GOVT 130,000        
(31) SUTTER YUBA HOMELESS
CONSORTIUM PO BOX 3642
YUBA CITY,CA95992
46-2438264 501(C)(3) 125,000        
(32) LATINO LEADERSHIP COUNCIL INC
2945 BELL RD STE 274
AUBURN,CA95603
27-0970476 501(C)(3) 122,000        
(33) VALLEY CONSORTIUM FOR MEDICAL EDUCATION
1400 FLORIDA AVE STE 200
MODESTO,CA95350
27-0506209 501(C)(3) 119,632        
(34) SALVATION ARMY DEL ORO DIVISION YUBA SUTTER CORPS
30840 HAWTHORNE BLVD
RANCHO PALOS VERDE,CA90275
94-1156347 501(C)(3) 103,000        
(35) RONALD MCDONALD HOUSE CHARITIES NORTHERN CALIFORNI
2555 49TH ST
SACRAMENTO,CA95817
68-0147193 501(C)(3) 102,500        
(36) AMERICAN DIABETES ASSOCIATION
2451 CRYSTAL DR STE 900
ARLINGTON,VA22202
13-1623888 501(C)(3) 100,000        
(37) SAFE PASSAGES
1017 CLAY ST
OAKLAND,CA94607
20-4535835 501(C)(3) 100,000        
(38) GIGIS PLAYHOUSE INC
2350 W HIGGINS RD
HOFFMAN ESTATES,IL60169
20-0058563 501(C)(3) 100,000        
(39) SIERRA COMMUNITY MEDICAL FOUNDATION
4220 ROCKLIN RD STE 5
ROCKLIN,CA95677
81-4901565 501(C)(3) 100,000        
(40) LOS RIOS COMM COLLEGE FNDT
1919 SPANOS CT
SACRAMENTO,CA95825
94-2506591 501(C)(3) 100,000        
(41) HAVEN WOMENS CENTER
619 13TH ST STE 1
MODESTO,CA95354
94-2499361 501(C)(3) 86,090        
(42) AMADOR TUOLUMNE COMMUNITY ACTION AGENCY
10590 HWY 88
JACKSON,CA95642
94-3136027 501(C)(3) 81,000        
(43) SENIORS FIRST INC
12183 LOCKSLEY LN
AUBURN,CA95602
68-0430154 501(C)(3) 80,000        
(44) YOLO HOSPICE INC
1909 GALILEO CT STE A
DAVIS,CA95618
94-2597528 501(C)(3) 75,000        
(45) SACRAMENTO CONVENTION AND VISITORS BUREAU
1608 I ST
SACRAMENTO,CA95814
94-0824640 501(C)(3) 75,000        
(46) STANISLAUS BUSINESS ALLIANCE
1010 TENTH ST STE 1400
MODESTO,CA95354
20-5186517 501(C)(3) 75,000        
(47) YOLO COMMNUNITY CARE CONTINUUM
PO BOX 1101
DAVIS,CA95617
94-2623205 501(C)(3) 66,500        
(48) YOLO FOOD BANK
233 HARTER AVE
WOODLAND,CA95776
23-7111782 501(C)(3) 60,000        
(49) WOMENS CENTER YOUTH AND FAMILY SERVICES
620 NO SAN JOAQUIN ST
STOCKTON,CA95202
94-2341360 501(C)(3) 58,000        
(50) SIERRA COLLEGE FOUNDATION
5100 SIERRA COLLEGE BLVD
ROCKLIN,CA95677
23-7241877 501(C)(3) 57,000        
(51) DOWNTOWN SACTO PARTNERSHIP
980 9TH ST STE 200
SACRAMENTO,CA95814
68-0270320 501(C)(6) 57,000        
(52) BOYS AND GIRLS CLUB OF TRACY
753 W LOWELL AVE
TRACY,CA95376
68-0028682 501(C)(3) 55,125        
(53) ROSEVILLE AREA CHAMBER OF COMMERCE
650 DOUGLAS BLVD
ROSEVILLE,CA95678
94-1079379 501(C)(6) 51,000        
(54) SACRAMENTO ASIAN PACIFIC CHAMBER OF COMM
1610 R ST STE 322
SACRAMENTO,CA95811
68-0306606 501(C)(6) 50,000        
(55) SECOND HARVEST OF THE GREATER VALLEY
704 E INDUSTRIAL PARK DR
MANTECA,CA95337
68-0376587 501(C)(3) 50,000        
(56) 3STRANDS GLOBAL INC
3941 PARK DR STE 20-200
EL DORADO HILLS,CA95762
27-4594317 501(C)(3) 50,000        
(57) THEATRE FOR CHILDREN INC
2700 CAPITOL AVE
SACRAMENTO,CA95816
95-4047805 501(C)(3) 50,000        
(58) SOIL BORN FARM URBAN AGRICULTURE AND EDU
2140 CHASE DR
RANCHO CORDOVA,CA95670
20-0774693 501(C)(3) 50,000        
(59) LIGHTHOUSE COUNSELING AND FAMILY RESC CTR
110 GATEWAY DR STE 210
LINCOLN,CA95648
35-2252834 501(C)(3) 45,000        
(60) SACRAMENTO SOC MED IMPROVEMENT
5380 ELVAS AVE
SACRAMENTO,CA95819
94-1149667 501(C)(3) 45,000        
(61) CHILD ABUSE PREV COUNCIL OF SACRAMENTO
700 ROSEVILLE RD STE 102
NORTH HIGHLANDS,CA95660
94-2833431 501(C)(3) 42,500        
(62) SUICIDE PREVENTION OF YOLO COUNTY
1784 PICASSO AVE STE A
DAVIS,CA95618
94-2619492 501(C)(3) 40,000        
(63) AMERICAN CANCER SOCIETY INC
3380 CHASTAIN MEADOWS PKWY STE 200
KENNESAW,GA30144
13-1788491 501(C)(3) 39,000        
(64) HELPING OTHERS PROVIDE ENCOURAGEMENT MINISTRIES IN
602 E YOSEMITE AVE
MANTECA,CA95336
68-0235846 501(C)(3) 37,720        
(65) OPERATION CARE
817 COURT ST STE 12
JACKSON,CA95642
94-2797327 501(C)(3) 35,000        
(66) ON THE MOVE
780 LINCOLN AVE
NAPA,CA94558
75-3149095 501(C)(3) 33,382        
(67) ROTARY CLUB OF TRACY
PO BOX 145
TRACY,CA95378
94-6103477 501(C)(4) 33,000        
(68) HEALTH EDUCATION COUNCIL INC
7617 ALMA VISTA WY STE C
SACRAMENTO,CA95831
68-0249296 501(C)(3) 30,000        
(69) NEXUS YOUTH AND FAMILY SERVICE
601 COURT ST STE 210
JACKSON,CA95642
81-2309847 501(C)(3) 25,500        
(70) KEATONS CHILD CANCER ALLIANCE
2260 DOUGLAS BLVD STE 140
ROSEVILLE,CA95661
68-0406980 501(C)(3) 25,000        
(71) INTERFAITH COUNCIL OF AMADOR
12181 AIRPORT RD
JACKSON,CA95642
68-0363653 501(C)(3) 25,000        
(72) MIDTOWN SACRAMENTO PBID CORP
1401 21ST ST STE A
SACRAMENTO,CA95811
46-1549378 501(C)(6) 25,000        
(73) ZAFIAS FAMILY HOUSE
326 NATTIER CT
EL DORADO HILLS,CA95762
27-3195178 501(C)(3) 25,000        
(74) MCHENRY HOUSE TRACY FAMILY
SHELTER 757 A ST
TRACY,CA95376
68-0123612 501(C)(3) 25,000        
(75) SOLANO ECONOMIC DEVCO CORP
360 CAMPUS LN STE 102
FAIRFIELD,CA94534
91-1790564 501(C)(6) 25,000        
(76) AUBURN SEVENTH DAY ADVENTIST
CHURCH 12225 ROCK CREEK RD
AUBURN,CA95602
68-0260677 501(C)(3) 22,000        
(77) TREE DAVIS
PO BOX 72053
DAVIS,CA95617
94-3169363 501(C)(3) 20,000        
(78) AMADOR STARS
PO BOX 208
JACKSON,CA95642
26-3116659 501(C)(3) 20,000        
(79) SHORT TERM EMERGENCY AID COMMITTEE
1712 PICASSO AVE STE D
DAVIS,CA95618
94-6138684 501(C)(3) 20,000        
(80) YUBA SUTTER CHAMBER OF COMMERCE
1300 FRANKLIN RD
YUBA CITY,CA95993
94-1731239 501(C)(6) 20,000        
(81) ELK GROVE CHAMBER OF COMMERCE
8820 ELK GROVE BLVD
ELK GROVE,CA95624
94-1483392 501(C)(6) 17,500        
(82) TRACY CHAMBER FOUNDATION
223 E 10TH ST
TRACY,CA95376
68-0449108 501(C)(3) 16,725        
(83) VALLEY VISION INC
3400 3RD AVE
SACRAMENTO,CA95817
94-3214572 501(C)(3) 16,500        
(84) GIVE EVERY CHILD A CHANCE
322 SUN WEST PL
MANTECA,CA95337
68-0399384 501(C)(3) 15,000        
(85) LOVE STANISLAUS COUNTY INC
909 14TH ST
MODESTO,CA95354
47-1989572 501(C)(3) 15,000        
(86) YUBA SUTTER LODI PINK OCTOBER
871 E ONSTOTT RD
YUBA CITY,CA95991
20-1530007 501(C)(3) 15,000        
(87) MAKE A WISH NORTHEASTERN AND CENTRAL CA
2800 CLUB CENTER DR
SACRAMENTO,CA95835
68-0027351 501(C)(3) 15,000        
(88) COAL OF TRACY CTZS TO ASSIST THE HOMELESS
5555 W GRANT LINE RD
TRACY,CA95304
90-0532767 501(C)(3) 15,000        
(89) TRACY SENIOR ASSOCIATION INC
793 S TRACY BLVD STE 349
TRACY,CA95376
46-1753137 501(C)(3) 15,000        
(90) KIDS FIRST CHILD ABUSE PREVENTION COUNCIL
124 MAIN ST
ROSEVILLE,CA95678
68-0195225 501(C)(3) 12,000        
(91) VOLUNTEERS OF AMERICA NORTHERN CALIFORNIA
3434 MARCONI AVE
SACRAMENTO,CA95821
94-6001984 501(C)(3) 12,000        
(92) DAVIS CITY CHAMBER OF COMMERCE
PO BOX 74094
DAVIS,CA95617
94-0420636 501(C)(6) 10,000        
(93) SACRAMENTO BLACK CHAMBER OF COMMERCE FDN
5770 FREEPORT BLVD STE 44
SACRAMENTO,CA95822
95-4818928 501(C)(3) 10,000        
(94) LIV ON FOUNDATION INC
2245 ACACIA
SUTTER,CA95982
85-0804637 501(C)(3) 10,000        
(95) SACRAMENTO REG COAL TO END HOMELESSNESS
1026 FLORIN RD STE 349
SACRAMENTO,CA95831
46-3175193 501(C)(3) 10,000        
(96) COMMON GROUND SENIOR SERVICES
80 RIDGE RD STE A
SUTTER CREEK,CA95685
68-0463039 501(C)(3) 10,000        
(97) STANISLAUS PRNS IN EDUCATION
PO BOX 4477
MODESTO,CA95352
77-0294263 501(C)(3) 10,000        
(98) CALIFORNIA SMALL FITNESS FACILITIES ASSOC
3608 6TH AVE
SACRAMENTO,CA95817
85-4237360 501(C)(3) 10,000        
(99) CALIFORNIA PRIMARY CARE ASSOC
1215 K ST STE 700
SACRAMENTO,CA95814
94-3215565 501(C)(3) 10,000        
(100) MODESTO CHAMBER OF COMMERCE
1114 J ST
MODESTO,CA95354
94-0689450 501(C)(6) 10,000        
(101) VALLEJO SENIOR CITIZENS
COUNCIL INC 333 AMADOR ST
VALLEJO,CA94590
23-7367329 501(C)(3) 10,000        
(102) AMPLA HEALTH
935 MARKET ST
YUBA CITY,CA95991
94-2210447 501(C)(3) 10,000        
(103) GREATER SACRAMENTO AREA ECONOMIC COUNCIL
400 CAPITOL MALL BLVD STE 2520
SACRAMENTO,CA95814
46-5517841 501(C)(3) 10,000        
(104) MERCED COUNTY OF SPRING FAIR
403 F ST
LOS BANOS,CA93635
45-3808881 501(C)(3) 9,000        
(105) UNITED WAY OF SAN JOAQUIN CNTY
777 NO PERSHING AVE STE 2B
STOCKTON,CA95203
94-1279805 501(C)(3) 8,177        
(106) BAYNORTH CHURCH OF CHRIST
2100 PENNSYLVANIA AVE
FAIRFIELD,CA94533
02-0611215 501(C)(3) 8,000        
(107) SACRAMENTO FOOD BANK SERVICES
3333 3RD AVE
SACRAMENTO,CA95817
94-3315566 501(C)(3) 8,000        
(108) FIGHTING BACK PARTNERSHIP INC
505 SANTA CLARA ST
VALLEJO,CA94590
68-0298092 501(C)(3) 8,000        
(109) WILLIAM JESSUP UNIVERSITY
2121 UNIVERSITY AVE
ROCKLIN,CA95765
94-1279803 501(C)(3) 7,500        
(110) EDUCATION FOUNDATION OF STANISLAUS COUNTY
1100 H ST
MODESTO,CA95354
94-2906392 501(C)(3) 7,500        
(111) COMMUNITY HOSPICE INC
4368 SPYRES WY
MODESTO,CA95356
94-2638213 501(C)(3) 7,500        
(112) PEOPLE RESOURCES INC
40 NO EAST ST STE C
WOODLAND,CA95776
94-1599229 501(C)(3) 7,500        
(113) CITY OF ELK GROVE
8401 LAGUNA PALMS WY
ELK GROVE,CA95758
94-3366854 GOVT 7,500        
(114) GOLDEN VALLEY HEALTH CENTERS FOUNDATION
737 W CHILDS AVE
MERCED,CA95341
47-4773124 501(C)(3) 7,000        
(115) ST HOPE ACADEMY
PO BOX 5447
SACRAMENTO,CA95817
68-0193050 501(C)(3) 6,500        
(116) NATIONAL MULTIPLE SCLEROSIS
SOCIETY 733 THIRD AVE 3RD FL
NEW YORK,NY10017
13-5661935 501(C)(3) 6,000        
(117) ALZHEIMERS DISEASE & RELATED DISORDERS
225 NO MICHIGAN AVE STE 1700
CHICAGO,IL60601
13-3039601 501(C)(3) 6,000        
(118) LOS BANOS DOWNTOWN ASSOCIATION
907 6TH ST
LOS BANOS,CA93635
37-1745011 501(C)(3) 6,000        
(119) ELK GROVE COMMUNITY FOUNDATION
PO BOX 2021
ELK GROVE,CA95759
94-6097642 501(C)(3) 6,000        
(120) AMADOR TRANSIT
11400 AMERICAN LEGION DR
JACKSON,CA95642
45-2446817 501(C)(3) 6,000        
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
110
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
10
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
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) PATIENT ASSISTANCE 7886   949,736 FMV MEDICATION/TRANSPORT
(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/or 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 (Form 990) 2022



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" 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
2022
Open to Public Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
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 on 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
 
 
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 on Line 1a? ....
2
 
 
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) 2022

Schedule J (Form 990) 2022
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, 1099-MISC compensation, and/or 1099-NEC (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
CEO Emeritus, Sutter Health
(i)

(ii)
 
-------------
1,980,063
 
-------------
2,749,625
 
-------------
395,119
 
-------------
242,765
 
-------------
32,838
 
-------------
5,400,410
 
-------------
362,776
2James Conforti
SH SVP, Interim CEO
(i)

(ii)
 
-------------
1,501,356
 
-------------
988,152
 
-------------
429,753
 
-------------
193,665
 
-------------
33,327
 
-------------
3,146,253
 
-------------
235,967
3Theresa Frei
SH INTERIM COO & PRES/CEO,SVMF
(i)

(ii)
 
-------------
964,911
 
-------------
412,501
 
-------------
120,252
 
-------------
86,365
 
-------------
29,254
 
-------------
1,613,283
 
-------------
99,950
4David Cheney
CEO, Bay&Valley Hosp/Pres
(i)

(ii)
 
-------------
915,067
 
-------------
277,008
 
-------------
116,738
 
-------------
132,265
 
-------------
19,900
 
-------------
1,460,978
 
-------------
92,047
5Eugene Patrizio
Hospital Area CEO, S. Valley
(i)

(ii)
 
-------------
616,461
 
-------------
195,968
 
-------------
198,494
 
-------------
60,865
 
-------------
28,184
 
-------------
1,099,972
 
-------------
181,519
6Asit Gokli MD
SH VP, CC & OPS INT OFFICER
(i)

(ii)
 
-------------
636,043
 
-------------
203,487
 
-------------
74,114
 
-------------
71,065
 
-------------
21,567
 
-------------
1,006,276
 
-------------
54,698
7Rachael McKinney
Hospital Area CEO, C. Valley
(i)

(ii)
 
-------------
623,633
 
-------------
207,712
 
-------------
57,970
 
-------------
57,865
 
-------------
34,408
 
-------------
981,588
 
-------------
42,484
8Brian Alexander
Hospital Area CEO, N. Valley
(i)

(ii)
 
-------------
610,004
 
-------------
136,684
 
-------------
78,676
 
-------------
60,965
 
-------------
33,694
 
-------------
920,023
 
-------------
61,864
9Jeffrey D Szczesny
SH VP, HR Operations
(i)

(ii)
 
-------------
335,841
 
-------------
403,335
 
-------------
168,078
 
-------------
64,065
 
-------------
25,572
 
-------------
996,891
 
-------------
46,905
10Mitch Hanna
CEO SCH & SAFH
(i)

(ii)
 
-------------
441,602
 
-------------
218,754
 
-------------
107,934
 
-------------
50,765
 
-------------
24,347
 
-------------
843,402
 
-------------
56,611
11David Thompson
CEO, STCH & MHLB
(i)

(ii)
 
-------------
440,960
 
-------------
219,710
 
-------------
75,124
 
-------------
51,265
 
-------------
26,850
 
-------------
813,909
 
-------------
57,416
12Phillip Yu MD
CME, SMCS/SAH
(i)

(ii)
 
-------------
474,885
 
-------------
124,752
 
-------------
73,989
 
-------------
34,165
 
-------------
29,185
 
-------------
736,976
 
-------------
36,540
13Timothy Noakes
CFO Hospital SMCS
(i)

(ii)
 
-------------
450,149
 
-------------
54,277
 
-------------
37,982
 
-------------
32,065
 
-------------
20,753
 
-------------
595,226
 
-------------
27,203
14Peter Hull MD
CME SRMC/CHAIR
(i)

(ii)
 
-------------
409,060
 
-------------
30,885
 
-------------
42,778
 
-------------
33,165
 
-------------
20,753
 
-------------
536,641
 
-------------
33,746
15Jose A Arevalo
Chief Medical Executive
(i)

(ii)
390,256
-------------
 
80,325
-------------
 
8,581
-------------
 
5,065
-------------
 
27,907
-------------
 
512,134
-------------
 
 
-------------
 
16Colleen J Peschel
VP HR, SH VALLEY HOSP.
(i)

(ii)
 
-------------
346,354
 
-------------
68,354
 
-------------
28,942
 
-------------
26,765
 
-------------
20,387
 
-------------
490,802
 
-------------
23,311
17Baldev Singh
REGISTERED NURSE II
(i)

(ii)
429,837
-------------
 
 
-------------
 
575
-------------
 
5,065
-------------
 
25,455
-------------
 
460,932
-------------
 
 
-------------
 
18John Nugent
Nursing Admin. Supervisor
(i)

(ii)
347,175
-------------
 
43,388
-------------
 
 
-------------
 
5,065
-------------
 
24,455
-------------
 
420,083
-------------
 
 
-------------
 
19Esperanza Sissay
Registered Nurse II
(i)

(ii)
320,556
-------------
 
42,994
-------------
 
575
-------------
 
5,065
-------------
 
25,455
-------------
 
394,645
-------------
 
 
-------------
 
20David Caretto
Medical Director
(i)

(ii)
319,180
-------------
 
34,258
-------------
 
540
-------------
 
5,065
-------------
 
27,770
-------------
 
386,813
-------------
 
 
-------------
 
21Benjamin Kirk
Deputy General Counsel, Sac
(i)

(ii)
 
-------------
282,118
 
-------------
34,890
 
-------------
486
 
-------------
4,683
 
-------------
32,720
 
-------------
354,897
 
-------------
 
22Pat Brady
Former CEO, SRMC
(i)

(ii)
 
-------------
 
 
-------------
 
 
-------------
230,977
 
-------------
 
 
-------------
 
 
-------------
230,977
 
-------------
 
23Warner Thomas
PT & CEO Sutter Health (PT-YR)
(i)

(ii)
 
-------------
190,661
 
-------------
 
 
-------------
3,624
 
-------------
3,260,621
 
-------------
4,521
 
-------------
3,459,427
 
-------------
 
24Michael Cohill
Former CEO SMCS
(i)

(ii)
 
-------------
 
 
-------------
 
 
-------------
170,835
 
-------------
 
 
-------------
 
 
-------------
170,835
 
-------------
 
25Penny Westfall
FORMER SH VP, CLO, SH
(i)

(ii)
 
-------------
 
 
-------------
 
 
-------------
198,373
 
-------------
 
 
-------------
487
 
-------------
198,860
 
-------------
 
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
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 3 SUPPLEMENTAL COMPENSATION INFORMATION: THE CEO OF THIS ORGANIZATION IS AN EMPLOYEE OF SUTTER HEALTH, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARM'S 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: Penny Westfall received severance payments of $20,006 James Conforti received severance payments of $92,308
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 HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF 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 HEALTH'S QUALIFIED PENSION PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT.
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 15% 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 LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL 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. 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) 2022

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number
94-1156621
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A CHFFA 2016B
 
52-1643828 13032UDW5 08-17-2016 901,627,093 REFUND 2003AB, 2005BC & 2007A X     X   X
B CHFFA 2017A
 
52-1643828 13032UNY0 07-06-2017 496,319,743 Refund 2004CD,2008BC,Partial 2008A X     X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 0 0    
2 Amount of bonds legally defeased .............. 0 0    
3 Total proceeds of issue .................. 902,923,938 496,319,743    
4 Gross proceeds in reserve funds ............. 0 0    
5 Capitalized interest from proceeds ............. 0 0    
6 Proceeds in refunding escrows ............... 0 0    
7 Issuance costs from proceeds ............... 0 0    
8 Credit enhancement from proceeds ............. 0 0    
9 Working capital expenditures from proceeds ............. 0 0    
10 Capital expenditures from proceeds ............. 0 0    
11 Other spent proceeds ............. 902,923,938 496,319,743    
12 Other unspent proceeds ............. 0 0    
13 Year of substantial completion ............. 2016 2017
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X        
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
X   X          
16 Has the final allocation of proceeds been made? .......... X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X          
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X          
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X          
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X          
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X          
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.880 % 0.480 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.010 %    
6 Total of lines 4 and 5 ............. 0.890 % 0.490 %    
7 Does the bond issue meet the private security or payment test? ...   X   X        
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X        
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X   X        
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X     X        
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X        
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X        
b Exception to rebate? ........   X X          
c No rebate due? ......... X   X          
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X        
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X        
b Name of provider .......... 0
 
0
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X        
b Name of provider .......... 0
 
0
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X          
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X          
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
SCHEDULE K REPORTING The organization's sole corporate member is a conduit borrower of tax-exempt bond issues that allocates portions of each issue to certain subsidiaries, including the organization. The outstanding bond liability allocated to this organization is reported on Form 990, Part X, Balance Sheet, and Part VI herein. With the exception of this portion of Part VI, the Schedule K for this organization is reporting information for the entire bond issue.
SCHEDULE K, PART I, COLUMN E THE ORGANIZATION RECEIVED BOND PROCEEDS IN THE AMOUNTS OF: $190,388,783 FROM THE 2016B ISSUE; AND $266,365,544 FROM 2017A ISSUE. THE DIFFERENCE BETWEEN THE ISSUE PRICE REPORTED IN PART I, COLUMN (E) AND THE PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART II, LINE 7 ISSUANCE COSTS WERE FUNDED THROUGH EQUITY CONTRIBUTIONS.
SCHEDULE K, PART IV, LINE 2C Part VI, LINE 2C: the date the rebate computation: COLUMN A: 9/9/2021. COLUMN B: 7/22/2019.
Schedule K (Form 990) 2021

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Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2,246,782 MEDICAL SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


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SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
Return Reference Explanation
FORM 990, PART I, LINE 1 AND PART III, LINE 1 MISSION STATEMENT: MISSION - WE ENHANCE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE IN HEALTH CARE SERVICES. VISION - SUTTER HEALTH LEADS THE TRANSFORMATION OF HEALTH CARE TO ACHIEVE THE HIGHEST LEVELS OF QUALITY, ACCESS AND AFFORDABILITY. VALUES - EXCELLENCE AND QUALITY, CARING AND COMPASSION, HONESTY AND INTEGRITY, TEAMWORK, COMMUNITY AND AFFORDABILITY.
FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: Sutter Valley Hospitals serves Sacramento, Placer, Amador, El Dorado, Nevada, Yolo, Solano, Yuba, Sutter, Stanislaus, Merced, and San Joaquin counties with comprehensive health care. We strive to provide access to primary care physicians and specialty services in each of our communities and have a network of more than 1,722 physicians regionally and more than 4,016 physicians throughout the Sutter Health system. Sutter Valley Hospitals provided more than $1,045 million in charity care and community benefits and had a total of 448,732 patient days in 2022. Sutter Valley Hospitals is comprised of the following hospitals: Sutter Auburn Faith Hospital is licensed for 64 acute beds and is accredited by the Joint Commission on the Accreditation of Healthcare Organizations. It is Medicare certified and accepts most private insurance plans. Sutter Auburn Faith Hospital's mission is to serve the healthcare needs of Auburn and the surrounding foothill communities. Through partnerships with physicians, payors, other health and human services agencies and with our employees and volunteer leadership, Sutter Auburn Faith Hospital seeks to provide a continuum of health and wellness services to assure a high quality of life for the people living in our service area. Sutter Amador Hospital is a 52-bed acute care hospital located in Jackson, California approximately 55 miles southeast of Sacramento in Amador County. The hospital was established in the mid-1800's and became affiliated with Sutter Health in 1993. Sutter Amador Hospital's mission is to enhance the health and well-being of the residents in the communities served by providing coordinated, effective, affordable and accessible health and wellness services. Sutter Amador Hospital continuously strives to identify the health care needs of these communities and respond by providing health and wellness services consistent with the stated values and vision of the hospital. Sutter Davis Hospital is a two-story 90,000 square foot acute care hospital licensed for 48 beds that serves the health care needs of residents living in Davis, Dixon, Woodland and Winters. The facility is located in the western-most section of the City of Davis at the corner of Highway 113 and Covell Boulevard. Sutter Davis is accredited by the Joint Commission on the Accreditation of Healthcare Organizations. It is Medicare certified and accepts most private insurance plans. As a not-for-profit hospital, Sutter Davis also donates many community services. Sutter Medical Center of Sacramento medical campus include two acute care hospitals - Anderson Lucchetti Women's and Children's Center and Ose Adams Medical Pavilion, along with two buildings dedicated to doctors' offices and other care found in an outpatient setting. By locating all primary and specialty care services in a central location with convenient freeway access, patients and families now gain faster and easier access to needed medical services. The 242-bed Anderson Lucchetti Women's and Children's Center is a 10-story acute-care hospital where patients and their families can obtain the highest level of neonatal and pediatric intensive care services, pediatric cardiac, neurosurgery and cancer services, and high-risk and conventional maternity services. It replaces Sutter Memorial Hospital as "Sacramento's baby hospitalis home to the Sutter Children's Center, Sacramento, a comprehensive children's hospital inside the Women's and Children's Center. Among the features of the Women's and Children's Center: All private rooms, including those for new moms and our pediatric patients. The rooms have furniture that converts into beds for families to stay overnight with their loved ones. A life-saving helistop atop the building adjacent to the Capital City Freeway will allow for the quick and safe transport of preemies and other sick babies as well as other patients. Mothers who have given birth being treated to spacious suites with 8th-floor views of the city's skyline and the foothills. The neonatal intensive care unit features 61 beds for our tiniest and sickest babies in a setting that looks like home and allows families to be more involved in the babies' care. Facilities that include washers and dryers and a kitchen for families who have extensive stays. The 281-bed Ose Adams Medical Pavilion was previously known as Sutter General Hospital. While the outer shell of the Ose Adams Medical Pavilion remains much the same - with an expansion in the southeast corner to facilitate the dedicated Pediatric Emergency Department and other services - the transformation of the hospital includes major enhancements to all five floors with emphasis on five main services: emergency medicine, cardiovascular, neurosciences, orthopedics and oncology. The updated third floor contains 24 operating suites for inpatient surgeries. It is the new home for the Sutter Heart & Vascular Institute, which began at Sutter Memorial Hospital with the region's first open-heart surgeries in the late 1950s and early 1960s. Ose Adams Medical Pavilion has six new heart catheterization labs and hybrid suites, and four specialized operating rooms dedicated to heart surgery - one set up solely for pediatric heart patients. Because of the complex brain and other surgeries and procedures, the Ose Adams Medical Pavilion houses 10 specially designed, private observation beds on the fifth floor. These observation units will contain state-of-the-art equipment dedicated to the specialized care of Sutter Neuroscience Institute patients. Sutter Roseville Medical Center (SRMC) was established in 1952 and affiliated with Sutter Health in May 1993. In 1997, Sutter Health opened a 172-bed facility in the northeast area of Roseville, approximately 20 miles from downtown Sacramento. The hospital today has 382 beds and provides residents of southern Placer and northeastern Sacramento counties with comprehensive community health care. The facility has an expanded helipad onsite for quick access to the hospital's Level II Trauma Center, which serves a ten-county region that includes Placer, Yolo, Nevada, Sutter and Yuba counties, and portions of Sacramento and El Dorado counties. Sutter Roseville Medical Center's mission is: To improve the health and well-being of the people living in the communities it serves. Sutter Roseville Medical Center strives continuously to identify the health care needs of these communities and respond by providing wellness, preventive, curative and restorative programs and services consistent with the stated values and vision of the hospital. Sutter Solano Medical Center (SSMC) is a 106-bed acute care hospital in Vallejo, California, between Sacramento and San Francisco. The not-for-profit, community-based facility is fully accredited by The Joint Commission and provides a full-range of general, emergency and medical/surgical specialties. SSMC affiliated with Sutter Health in 1984 ensuring the ability to continue providing and improving healthcare and wellness services to the community. Sutter Solano Medical Center's mission is to enhance the health and well-being of people in the communities served, through a not-for-profit commitment to compassion and excellence in health care services. Sutter Center for Psychiatry is a 73-bed acute behavioral medicine specialty hospital that treats adults, adolescents and children. It provides services to children from age 5 to elderly patients through a spectrum of care that allows each person to find the level of care needed to return to an active, healthy life. Family members and significant others are encouraged to participate in each patient's care by taking part in education services, therapy and support groups. SCP also offers a Critical Incident Debriefing Team to help employees of businesses cope after a traumatic or violent episode. Sutter Health EAP Resources offers confidential assessment, counseling and referral services to employees of large and small businesses. Sutter Center for Psychiatry offers the only Inpatient Eating Disorder Program in Northern California. This new program is a six-bed specialized treatment program for eating disorder patients. Memorial Medical Center (MMC) is an acute care facility located in Modesto, California, 90 miles south of Sacramento in Stanislaus County. Centrally located to serve our immediate county and outlying areas, Memorial was established in 1970. Memorial Medical Center is currently licensed for 419 acute care beds and is a Sutter Health Affiliate.
FORM 990, PART III, LINE 4A (Cont.) Memorial Hospital Los Banos (MHLB) is a private, not-for-profit community hospital incorporated under California law to provide health care services within finite resources, to citizens of Los Banos and the surrounding geographical areas. We provide high quality compassionate care and exercise prudent fiscal responsibility. MHLB opened in 1967 and is part of the Sutter Central Valley Region. The organization affiliated with Sutter Health in 1996 and is accredited by the Joint Commission on Accreditation of Healthcare Organizations. Memorial Hospital Los Banos is currently licensed for 38 acute beds. Sutter Tracy Community Hospital (STCH), since 1948, continues to be the only full-service, 77 acute care beds hospital within a 15-mile radius geographically. Located in Tracy, California, STCH staff has the opportunity to deliver culturally competent care to the diverse population within its service area. As a state-of-the-art facility, it features the latest medical technology and diagnostic equipment and offers a comprehensive array of inpatient and outpatient services on par with many larger, urban hospitals. Additionally, Sutter Tracy is committed to bringing the best and brightest physicians and the latest advances in medicine to the community. It is affiliated with many remarkable, local physicians who are at the forefront of their field. Sutter Valley Hospitals' services include: 24-Hour Emergency Treatment Acute Rehabilitation Anesthesiology Bariatric Surgery Cancer Care Cardiac Catheterization Laboratory Cardiac Rehabilitation Cardiopulmonary Services Cardiovascular Services Community Benefit Congestive Heart Failure Program Continence Critical Care Dentistry Dermatology Diabetes Education & Treatment Diagnostic Imaging Dialysis Digital Mammography Education Respiratory Therapy Endoscopy Family Birth Center Gastroenterology Heart and Vascular Institute Home Health and Hospice Care Infusion Therapy Intensive Care Internal Medicine IV Therapy Laboratory Lactation Assistance Program Level II Trauma Center Major Trauma Patient Receiving Center Medical Library Access Modern Family Birthing Center Neo Natal Intensive Care Nephrology Neurology Nuclear Medicine Nutritional Support Services Obstetrics and Perinatal Care Occupational Medicine Oncology Ophthalmology Oral Surgery Orthopedics Otolaryngology Outpatient Surgery Pain Medicine Palliative Care Pastoral Care Pathology Patient and Community Education Pediatrics Pharmacy Plastic Surgery Podiatry Primary Care/Family Practice Pulmonary Rehabilitation Radiation Oncology Radiology Rehabilitation / Physical Therapy Rehabilitation Services Respiratory Care Respiratory Therapy Senior Services Sleep Disorders Center Social Services Specialty Care Speech Therapy Spiritual Services Surgical Services Sutter Rehabilitation Institute Telemetry Transfusion Medicine Trauma Neuro Intensive Care Unit Urology VNA (Home Health and IV Therapy) Women's Imaging Center Wound Care Sutter Institute for Medical Research (SIMR): Sutter Valley Hospitals of Sacramento service area is committed to providing the best possible healthcare to its patients, and the Sutter Institute for Medical Research supports this commitment by providing research support and education programs. SIMR has a history of over five decades of commitment to medical research. SIMR has gained recognition for its investigative studies in the areas of heart, cancer, orthopedics, respiratory, neurology, GI/GU and many other areas of medicine. SIMR's primary objective is to help health professionals conduct research in a clinical setting by providing management and administrative resources otherwise unavailable to the private practitioner. At SIMR, Sutter investigators receive support in five areas. Research Administrative Services Research Support Services Clinical Trials Program Laboratory Research and Training Sutter Health Central Area Institutional Review Committee (IRC) Community Benefit The medical facilities in Sutter Valley Hospitals (SVH) play integral roles in providing direct health care services as well as monetary grants or sponsorships to non-profit organizations to address the community health needs of vulnerable, underinsured, and uninsured populations in their communities. The community benefit representatives of SVH work collaboratively and in partnerships with a broad and diverse network of community-based non-profits, city and county agencies, physicians, and neighborhood groups to identify local needs, formulate community benefit plans, and take appropriate funding actions. While SBH management sets overall goals for community benefits, each of the facilities medical center administrators are responsible for identifying how local needs are to be addressed. In fiscal year 2022, Sutter Valley Hospitals provided a regional total of $1,044,588,062 in cost of services and benefits for the poor and underserved: $29,071,141 in Financial Assistance, Means-Tested Programs $85,764,660, and Medicaid $929,752,261.
FORM 990, PART VI, SECTION A, LINE 1A THE AFFAIRS AND MANAGEMENT OF THE SUTTER VALLEY HOSPITALS (SVH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SVH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. The Executive Committee consists of SVH's Chair who shall serve as chair of the committee, the Chair of the Finance and Planning Committee, the Chief Operating Officer of the General Member (if this position is occupied) and two (2) additional Directors. If the position of the Chief Operating Officer of the General Member is not occupied, then the President and CEO of the General Member may appoint either a Designated Director or an Appointed Director as a member. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR.
FORM 990, PART VI, SECTION A, LINES 6 & 7A CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THIS CORPORATION IS AN AFFILIATE OF SUTTER HEALTH, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION. SUTTER HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT AT LEAST A MAJORITY OF THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, AND ALL OTHER APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: A. MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; B. AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; C. ADOPTION OF OPERATING BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY, INCLUDING CONSOLIDATED OR COMBINED BUDGETS OF THE CORPORATION AND ALL SUBSIDIARY ORGANIZATIONS OF THE CORPORATION; D. ADOPTION OF CAPITAL BUDGETS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; E. AGGREGATE OPERATING OR CAPITAL EXPENDITURES ON AN ANNUAL BASIS THAT EXCEED APPROVED OPERATING OR CAPITAL BUDGETS BY A SPECIFIED DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE GENERAL MEMBER; F. LONG-TERM OR MATERIAL AGREEMENTS INCLUDING, BUT NOT LIMITED TO, BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS; AND PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED FROM TIME TO TIME BY THE DIRECTORS OF THE GENERAL MEMBER, WHICH SHALL NOT BE LESS THAN 10% OF THE TOTAL ANNUAL CAPITAL BUDGET OF THE CORPORATION; G. APPOINTMENT OF AN INDEPENDENT AUDITOR AND HIRING OF INDEPENDENT COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE GENERAL MEMBER AND THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; H. THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; I. CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; J. APPROVAL OF MAJOR NEW PROGRAMS AND CLINICAL SERVICES OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. THE GENERAL MEMBER SHALL FROM TIME TO TIME DEFINE THE TERM "MAJOR" IN THIS CONTEXT; K. APPROVAL OF STRATEGIC PLANS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY; L. ADOPTION OF QUALITY ASSURANCE POLICIES NOT IN CONFORMITY WITH POLICIES ESTABLISHED BY THE GENERAL MEMBER; M. ANY TRANSACTION BETWEEN THE CORPORATION, A SUBSIDIARY OR AFFILIATE AND A DIRECTOR OF THE CORPORATION OR AN AFFILIATE OF SUCH DIRECTOR. N. ANY SELF-DEALING TRANSACTION BETWEEN A DIRECTOR OF THE CORPORATION AND THE CORPORATION OR A SUBSIDIARY OF THE CORPORATION; OR O. REHIRING, CONTRACTING WITH, OR OTHERWISE COMPENSATING A SUTTER HEALTH EXECUTIVE, OR ANY OFFICER OR MEMBER OF MANAGEMENT OF THE CORPORATION OR ANY AFFILIATED ENTITY AFTER THEIR EMPLOYMENT HAS ENDED. IN ADDITION, THE GENERAL MEMBER SHALL HAVE THE AUTHORITY (BY A VOTE OF NOT LESS THAN TWO-THIRDS (2/3) OF ITS BOARD), TO DECLARE A MAJOR ACTIVITY REQUIRING APPROVAL. ACTIVITY REQUIRING APPROVAL. ACTIVITY REQUIRING APPROVAL.
FORM 990, PART VI, SECTION B, 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 PROVIDES TRAINING AND EDUCATION TO AFFILIATE PERSONNEL WHO ASSIST THE TAX DEPARTMENT IN COLLECTING AND REVIEWING DATA TO BE REPORTED ON THE FORM 990. THE PREPARATION MATERIAL IS REVIEWED BY VARIOUS DEPARTMENTS INCLUDING TAX, FINANCE, LEGAL, AND HUMAN RESOURCES. A NATIONAL ACCOUNTING FIRM PREPARES AND/OR REVIEWS THE RETURN. A COMPLETED RETURN IS THEN REVIEWED BY THE TAX DEPARTMENT, THE AFFILIATE, AND THE CFO BEFORE THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, 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 BOARD'S FINAL DISCUSSION AND VOTE.
FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION COMMITTEE OF THE SUTTER HEALTH BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE COMPENSATION COMMITTEE USES CREDIBLE INDEPENDENT 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. 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, ADJUSTED TO THE CALIFORNIA MARKET. 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 2022 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN FEBRUARY 2022.
FORM 990, PART VI, SECTION C, 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 VII, SECTION A COMPENSATION OF BOARD MEMBERS: THE FOLLOWING BOARD MEMBERS OF THE ORGANIZATION ARE FULL-TIME EMPLOYEES (40 HOURS PER WEEK) OF SUTTER HEALTH AND THEIR SUTTER HEALTH SALARIES ARE REPORTED HEREIN. THESE INDIVIDUALS RECEIVE NO COMPENSATION FOR THEIR SERVICE AS BOARD MEMBERS OF THIS ORGANIZATION. - JAMES CONFORTI - PETER HULL, MD - SARAH KREVANS - THERESA FREI - WARNER THOMAS COMMON LAW EMPLOYEES: INDIVIDUALS LISTED AS OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION THAT ARE PAID FULLTIME BY A RELATED ORGANIZATION ARE COMMON LAW EMPLOYEES OF SUTTER HEALTH, A SEPARATE LEGAL ENTITY. IT IS THE INTENTION OF SUTTER HEALTH AND THE FILING ORGANIZATION TO MAKE INFORMATION ACCESSIBLE AND TRANSPARENT, REPORTING THOSE SUTTER HEALTH EMPLOYEES WHO HAVE OFFICER AND KEY EMPLOYEE RESPONSIBILITIES TO THE FILING ORGANIZATION.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: K-1 ACTIVITY $ (88,277) PARTNERSHIP LOSS ON BOOKS $ 1,760,178 HEALTHCARE RELATED JV INCOME $ 374,863 EQUITY TRANSFERS (NET) $ 39,893,114 DONATED LONG LIVE ASSETS $ 12,789 ---------------- TOTAL: $ 41,952,667
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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
2021
Open to Public Inspection
Name of the organization
SUTTER VALLEY HOSPITALS
 
Employer identification number

94-1156621
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


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

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)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
 
(2)EAST BAY PERINATAL CENTER
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
51-0172285
HEALTHCARE CA 501(C)(3) 3 SUTTER EBH
 
Yes
 
(3)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
 
(4)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
 
(5)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
 
(6)SUTTER BAY HOSPITALS
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-0562680
HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(7)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
 
(8)SUTTER COAST HOSPITAL
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-2988520
HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(9)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
 
(10)SUTTER HEALTH
2200 RIVER PLAZA DRIVE

SACRAMENTO,CA95833
94-2788907
SUPPORTING OR CA 501(C)(3) 12C III-FI NA
 
 
No
(11)SUTTER HEALTH PACIFIC
91-2301 FT WEAVER RD

EWA BEACH,HI96706
99-0298651
HOSPITAL CA 501(C)(3) 3 SUTTER HLTH
 
Yes
 
(12)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
 
(13)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
 
(14)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
 
(15)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
 
(16)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
 
(17)Sutter Visiting Nurse Association and Ho
C/O SH TAX 2200 RIVER PLAZA DR

SACRAMENTO,CA95833
94-6068843
Healthcare CA 501(C)(3) 10 Sutter Hlth
 
Yes
 
(18)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
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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 BAY HOSP
 
                 
(2) CALIFORNIA PACIFIC ADV IMAGING LLC

PO BOX 6102
NOVATO,CA94598
56-2311840
PATIENT CARE DE SUTTER BAY HOSP
 
                 
(3) SAN FRANCISCO ENDOSCOPY CENTER

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
91-2160588
PATIENT CARE CA SUTTER BAY HOSP
 
                 
(4) SUTTER FAIRFIELD SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
30-0233892
PATIENT CARE CA SUTTER VMF
 
                 
(5) SUTTER AMADOR SURGERY CENTER LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
46-1398093
PATIENT CARE CA NA
 
                 
(6) ROSEVILLE ENDOSCOPY CENTER

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
87-0710513
PATIENT CARE CA NA
 
                 
(7) STANISLAUS SURGICAL HOSPITAL LLC

1421 OAKDALE ROAD
MODESTO,CA95355
91-1754157
PATIENT CARE CA NA
 
                 
(8) MEMORIAL MEDICAL BUILDING 1

1800 COFFEE RD 76
MODESTO,CA95355
77-0234236
OFFICE RENTAL CA SUTTER VH
 
                 
(9) MAGNETIC IMAGING AFFILIATES LLC

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

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
26-3386169
CARE MANAGEMENT CA SUTTER BMF
 
                 
(11) ASC OPERATORS - SAN LUIS OBISPO LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
27-2673776
CARE MANAGEMENT CA SUTTER HEALTH
 
                 
(12) ICG CREDIT OPPORTUNITIES FUND LP

11111 SANTA MONICA BLVD SUITE 2100
LOS ANGELES,CA90025
81-4220441
INVESTMENTS DE SUTTER HEALTH
 
                 
(13) CARLSBAD SURGERY CENTER LLC

6121 PASEO DEL NORTE STE 100
CARLSBAD,CA92011
20-1413484
PATIENT CARE CA SOS
 
                 
(14) COAST CTR FOR ORTHOPEDIC & ARTHROSCOPIC

3444 KEARNY VILLA ROAD
SAN DIEGO,CA92123
33-0839637
PATIENT CARE CA SOS
 
                 
(15) OTAY LAKES SURGERY CENTER LLC

955 LANE AVE SUITE 100
CHULA VISTA,CA91914
20-0794766
PATIENT CARE CA SOS
 
                 
(16) MADISON INTERNATIONAL GLOBAL VALUE REAL

410 PARK AVENUE 10TH FLOOR
NEW YORK,NY10022
98-1310251
INVESTMENTS NY SUTTER HEALTH
 
                 
(17) DIVISADERO HOLD LLC

1635 DIVISADERO
SAN FRANCISCO,CA94115
32-0621050
OUTPATIENT SURG CA SUTTER BAY HOSP
 
                 
(18) PENINSULA ENDOSCOPY

1720 El Camino Real Suite 100
BURLINGAME,CA94010
27-1905059
PATIENT CARE CA SUTTER BAY HOSP
 
                 
(19) South Placer Surgery Center

8 Medical Plaza Drive Suite 100
Roseville,CA95661
42-1540694
Patient Care CA SUTTER HEALTH
 
                 
(20) Sacramento Surgery Center Associates LP

1800 Tribute Road Suite 100
SACRAMENTO,CA95815
68-0516588
Patient Care CA SUTTER HEALTH
 
                 
(21) Fort Sutter Surgery Center

2801 K STREET
SACRAMENTO,CA95816
68-0116391
Patient Care CA SUTTER HEALTH
 
                 
(22) Sutter Alhambra Surgery Center

1201 Alhambra Blvd Suite 110
SACRAMENTO,CA95816
63-1221949
Patient Care CA SUTTER HEALTH
 
                 
(23) Auburn Surgical Center

148 Maple Street Suite F
Auburn,CA95603
36-4123623
Patient Care CA SUTTER HEALTH
 
                 
(24) ASC Operators LLC

2200 RIVER PLAZA DRIVE
SACRAMENTO,CA95833
20-8970704
Care Management CA SUTTER HEALTH
 
                 
(25) D E SHAW ALL COUNTRY GLOBAL ALPHA PLUS

1166 AVENUE OF THE AMERICAS - 9TH F
NEW YORK,NY10036
88-2890454
Investment DE SHRP
 
                 
(26) ICG CREDIT OPPORTUNITIES FUND 1A LP

11111 SANTA MONICA BLVD SUITE 2100
LOS ANGELES,CA90025
82-5045573
Investment DE SHRP
 
                 
(27) ICG CREDIT OPPORTUNITIES FUND 2A LP

11111 SANTA MONICA BLVD SUITE 2100
LOS ANGELES,CA90025
85-2303976
Investment DE SHRP
 
                 
(28) MAKENA REAL ESTATE II LP

2755 Sand Hill Road Suite 200
MENLO PARK,CA94025
98-1298071
Investment CJ SHRP
 
                 
(29) D E SHAW ALL COUNTRY GLOBAL ALPHA LL

1166 AVENUE OF THE AMERICAS - 9TH F
NEW YORK,NY10036
83-2024364
Investment DE SUTTER HEALTH
 
                 
(30) ICG SPECIAL OPPORTUNITIES FUND I LP

11111 SANTA MONICA BLVD SUITE 2100
LOS ANGELES,CA90025
86-3196460
Investment DE SUTTER HEALTH
 
                 
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 NA
 
TRUST       Yes  
(2) NORTHWOOD EUROPE TE FEEDER LP

1819 WAZEE ST 2ND FLOOR
DENVER,CO80202
98-1272216
HOLDING COMPANY CJ NA
 
C CORP       Yes  
(3) Lyxsop Segregated Portfolio 1

PO box 10008 Willow House
CRICKET SQUARE,grand caymanKY1-10001
CJ
InVESTMENT CJ NA
 
C corp       Yes  
(4) Lyxsop Segregated Portfolio 2

PO BOX 10008 WILLOW HOUSE
CRICKET SQUARE,grand caymanKY1-10001
CJ
INVESTMENT CJ NA
 
c corp       Yes  
(5) AQR REAL RETURN OFFSHORE FUND LP

89 NEXUS WAY
CAMANA BAY,GRAND CAYMANKY1-9009
CJ
98-0700570
INVESTMENT CJ NA
 
c corp       Yes  
(6) BRIGADE LEVERAGED CAPITAL STRUCTURE OFFS

ONE NEXUS WAY
CAMANA BAY,GRAND CAYMANKY1-9005
CJ
98-1020330
Investment CJ N/A
C Corp       Yes  


Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
 
No
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
 
 
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Sutter Health Plan

S 170,908,925 FMV
(2) Sutter Insurance Services Corporation

P 27,233,123 FMV
(3) Memorial Hospital Foundation

P 438,402 FMV
(4) Memorial Hospital Foundation

C 586,925 FMV
(5) Memorial Hospital Foundation

M 726,333 FMV
(6) Sutter Auburn Faith Hospital Foundation

Q 809,646 FMV
(7) Sutter Auburn Faith Hospital Foundation

M 410,476 FMV
(8) Sutter Auburn Faith Hospital Foundation

C 990,514 FMV
(9) Sutter Bay Hospitals

R 6,800,507 FMV
(10) Sutter Coast Hospital

R 549,747 FMV
(11) Sutter Davis Hospital Foundation

Q 96,243 FMV
(12) Sutter Davis Hospital Foundation

C 294,050 FMV
(13) Sutter Davis Hospital Foundation

M 437,800 FMV
(14) Sutter Medical Center Foundation

Q 3,077,181 FMV
(15) Sutter Medical Center Foundation

C 7,338,867 FMV
(16) Sutter Medical Center Foundation

M 1,601,799 FMV
(17) Sutter Roseville Medical Center Foundation

P 263,429 FMV
(18) Sutter Roseville Medical Center Foundation

M 898,659 FMV
(19) Sutter Roseville Medical Center Foundation

C 714,995 FMV
(20) Sutter Visiting Nurse Association & Hospice

C 80,000 FMV
(21) Sutter Visiting Nurse Association & Hospice

R 2,740,357 FMV
(22) Sutter Visiting Nurse Association & Hospice

J 234,614 FMV
(23) Sutter Valley Medical Foundation

P 4,104,719 FMV
(24) Sutter Valley Medical Foundation

S 60,581,949 FMV
(25) Sutter Valley Medical Foundation

J 9,918,927 FMV
(26) Sutter Valley Medical Foundation

K 479,327 FMV
(27) Tracy Hospital Foundation

K 87,023 FMV
(28) Tracy Hospital Foundation

Q 52,396 FMV
(29) Tracy Hospital Foundation

M 51,558 FMV
(30) Tracy Hospital Foundation

C 602,563 FMV
(31) Memorial Medical Office Building Partnership

J 98,340 FMV
(32) Roseville Endoscopy Center LLC

J 266,972 FMV
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


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