Civic Intelligence

Sutter Health Plan

EIN 46-1183948 • 501(c)4 • Sacramento, CA

Profile

The specific and primary purpose of this corporation is to support or benefit sutter health and its charitable subsidiaries.

C/O Sh Tax 2300 River Plaza DriveSacramento, CA 95833

www.sutterhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

76th percentile

0.70x

Higher debt load relative to assets than 76% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

35th percentile

0.25x

Higher debt load relative to revenue than 35% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Net Margin

39th percentile

1.2%

Higher net margin than 39% of similar nonprofits.

$250M-$1B nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

93rd percentile

31%

Faster asset growth than 93% of similar nonprofits.

$250M-$1B nonprofits • Annualized from 2022 to 2024

Revenue Growth

63rd percentile

13%

Faster revenue growth than 63% of similar nonprofits.

$250M-$1B nonprofits • Annualized from 2022 to 2024

Assets

Up

$293,849,584

Up $102,514,901 (+54%) from 2023

Liabilities

Up

$205,976,526

Up $92,293,719 (+81%) from 2023

Net Assets

Up

$87,873,058

Up $10,221,182 (+13%) from 2023

Revenue

Up

$837,848,532

Up $126,997,902 (+18%) from 2023

Expenses

Up

$827,761,932

Up $127,577,594 (+18%) from 2023

Net Income

Down

$10,086,600

Down $579,692 (-5.4%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2015: $41,443,753Liabilities 2015: $31,196,229Net Assets 2015: $10,247,5242015Assets 2016: $76,233,810Liabilities 2016: $63,144,104Net Assets 2016: $13,089,7062016Assets 2017: $98,018,484Liabilities 2017: $72,850,927Net Assets 2017: $25,167,5572017Assets 2018: $95,180,080Liabilities 2018: $78,250,742Net Assets 2018: $16,929,3382018Assets 2019: $132,507,976Liabilities 2019: $90,147,274Net Assets 2019: $42,360,7022019Assets 2020: $155,751,979Liabilities 2020: $99,397,580Net Assets 2020: $56,354,3992020Assets 2021: $169,138,076Liabilities 2021: $113,585,868Net Assets 2021: $55,552,2082021Assets 2022: $170,197,585Liabilities 2022: $104,252,172Net Assets 2022: $65,945,4132022Assets 2023: $191,334,683Liabilities 2023: $113,682,807Net Assets 2023: $77,651,8762023Assets 2024: $293,849,584Liabilities 2024: $205,976,526Net Assets 2024: $87,873,0582024

Highlighted filing

2024

Assets$293,849,584
Liabilities$205,976,526
Net Assets$87,873,058

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0B$500M$0-$500MRevenue 2015: $78,770,824Expenses 2015: $106,233,331Net Income 2015: -$27,462,5072015Revenue 2016: $208,877,752Expenses 2016: $249,466,666Net Income 2016: -$40,588,9142016Revenue 2017: $336,016,644Expenses 2017: $359,877,975Net Income 2017: -$23,861,3312017Revenue 2018: $451,186,584Expenses 2018: $467,305,368Net Income 2018: -$16,118,7842018Revenue 2019: $533,987,669Expenses 2019: $509,633,556Net Income 2019: $24,354,1132019Revenue 2020: $589,661,573Expenses 2020: $576,856,594Net Income 2020: $12,804,9792020Revenue 2021: $619,408,553Expenses 2021: $620,942,211Net Income 2021: -$1,533,6582021Revenue 2022: $652,440,680Expenses 2022: $641,238,120Net Income 2022: $11,202,5602022Revenue 2023: $710,850,630Expenses 2023: $700,184,338Net Income 2023: $10,666,2922023Revenue 2024: $837,848,532Expenses 2024: $827,761,932Net Income 2024: $10,086,6002024

Highlighted filing

2024

Revenue$837,848,532
Expenses$827,761,932
Net Income$10,086,600

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 4, 2025
Return Version
2024v5.2
Gross Receipts
$837,848,532
Mission and Program Overview

Mission

Sutter health plan provides comprehensive health care coverage options that offer high quality accessible care to our socially and economically diverse communities at reasonable prices for members.

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$89,714,827$174,588,258▲ $84,873,431
Accounts Receivable$69,320,957$85,264,563▲ $15,943,606
Savings and Temporary Cash Investments$31,503,038$32,714,352▲ $1,211,314
Prepaid Expenses and Deferred Charges$795,861$1,282,411▲ $486,550
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$191,334,683$293,849,584▲ $102,514,901
Other Assets Total$0$0→ $0
Liabilities
Deferred Revenue$66,746,250$79,121,472▲ $12,375,222
Other Liabilities$1,887,262$73,271,479▲ $71,384,217
Accounts Payable and Accrued Expenses$45,049,295$53,583,575▲ $8,534,280
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$113,682,807$205,976,526▲ $92,293,719
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$77,651,876$87,873,058▲ $10,221,182
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$77,651,876$87,873,058▲ $10,221,182
Total Liabilities and Net Assets / Fund Balance$191,334,683$293,849,584▲ $102,514,901

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$343,975$343,975
Leasehold Improvements$0$0$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jill a GlennDirector, Case ManagementFT$262,134$138,609$400,743
Michael PooleSh VP, Operations, ShaFT$296,956$101,187$398,143
Anthony PellerinExecutive, Business SystemsFT$242,092$133,108$375,200
Susan N StephensonDir, Quality & Patient SafetyFT$241,229$131,971$373,200
Larisa CollinsManager, Case MgmtFT$228,284$131,746$360,030
Teri DavisAccount Manager IIIFT$135,094$159,686$294,780

Board Members and Trustees

NameTitle
Cathy EddyDirector, Chair
Christine Griger MDDirector, Chair Finance & Plan
Conrad Vial MDSVP, SH Network President
Charles StedDirector
Dave ComercheroDirector
Frances CairnsDirector
Ken ProvencherDirector
Viva Ettin MDDirector
Phil JacksonCEO, Hpp, Pres Sha (pt-yr)
Michael SheilsCFO, Insur Prod & Sha (pt-yr)
Rebecca AlvaradoCFO, SHA (pt-yr)
Gretchen LachanceDEPUTY COUNS, Ins Prod/Sec SHA
Dominic NakisSH Interim CFO
Robert J CarnaroliSh VP, Sales & Rel Mgmt, Hpp
Peter BergamoSh VP,CGO & Interim Pres Sha
Aparna AbburiSVP Pop H&h Pln/pres Sha Pt-yr

Highest Paid Contractors

ContractorServicesLocationCompensation
Peninsula Holdco LLCManagement Cnslt1420 FIFTH AVE STE 2200, Seattle, WA 98101-1346$2,230,169
Cvs Pharmacy INCPharmacy Benefit Man1 CVS DR, Woonsocket, RI 02895-6146$2,059,664
Commerce Printing ServicePrinting Services322 NO 12TH ST, Sacramento, CA 95811$1,850,272
Healthedge Software INCSoftware Consulting30 CORPORATE DR STE 150, Burlington, MA 01803-4257$1,684,795
Milliman INCActuarial Cnslt Svcs1301 5TH AVE STE 3800, Seattle, WA 98101-2635$1,194,242
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$836,321,727
Investment Income
$1,516,746
Other Revenue
$10,059
Change in Net Assets
$10,086,600
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$811,525,051
Salaries, Compensation, and Employee Benefits$16,100,881
Grants and Similar Amounts Paid$136,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance$10,511,895$215,903-$10,727,798
Other Salaries and Wages-$9,659,014-$9,659,014
Fees for Services Management-$5,088,546-$5,088,546
Other Employee Benefits-$5,040,685-$5,040,685
All Other Expenses$480,219$1,203,381-$1,683,600
Fees for Services Legal$772,500$911,035-$1,683,535
Payroll Taxes-$821,146-$821,146
Advertising-$579,177-$579,177
Other Expenses$5,849,264$474,592-$474,592
Information Technology$257,081$191,131-$448,212
Current Officers, Directors, Trustees, and Key Employees-$398,143-$398,143
Fees for Services Accounting$35,544$302,115-$337,659
Occupancy-$249,568-$249,568
Pension Plan Contributions-$181,893-$181,893
Grants to Domestic Orgs$136,000--$136,000
Fees for Services Other-$114,964-$114,964
Travel-$92,829-$92,829
Office Expenses-$34,174-$34,174
Interest$32,719--$32,719
Conferences and Meetings-$19,674-$19,674
Fees for Service Investment Mgmnt Fees-$5,643-$5,643
Total Functional Expenses$792,464,942$35,296,990$0$827,761,932
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
My Sisters HouseSacramento, CA501(c)(3)Program Support$40,500
Womens EmpowermentSacramento, CA501(c)(3)Program Support$35,500
Center for Human ServicesModesto, CA501(c)(3)Program Support$20,000
Richmond Area Multi Svc IncSan Francisco, CA501(c)(3)Program Support$20,000
Verity Compassion Safety SupportSanta Rosa, CA501(c)(3)Program Support$20,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$73,233,452
Insurance/self-insurance$38,027
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 4

Significant changes to governing documents: the articles of incorporation of the organization were amended and restated on december 27, 2024 to report a change in name of the organization from sutter health plan to sutter health alliance.

Form 990, Part VI, Line 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, 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 of the corporation or any subsidiary or affiliate entity 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 or any subsidiary or affiliate entity; 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 improvement policies not in conformity with policies established by the general member; m. Any self dealing transaction between a director of the corporation and the corporation or a subsidiary or the corporation or affiliate entity of the corporation; n. Rehiring, contracting with, or otherwise compensating a sutter health executive, or any officer or member of management of the corporation or any subsidiary or affiliate entity after their employment ended. In addition, the general member shall have the authority to require the prior review and approval of those activities of the corporation or any subsidiary or affiliate entity which the general member determines to be major activities. "major activities" shall be those which the general member by a vote of its board of directors has declared "major activities".

Form 990, Part VI, Line 11B

PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW FORM 990: Sutter Health has a centralized Tax Department responsible for the preparation of the Form 990. Annually the Tax Department provides training and education to affiliate personnel who assist the Tax Department in collecting and reviewing data to be reported on the Form 990. The preparation material is reviewed by various departments including Tax, Finance, Legal, and Human Resources. A national accounting firm prepares and/or reviews the return. A completed return is then reviewed by the Tax Department, the affiliate, and the CFO before the return is filed.

Form 990, Part VI, Line 12C

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 LEGAL AND RISK SERVICES DEPARTMENT 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, 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 2024 EXECUTIVE COMPENSATION APPROVAL WAS COMPLETED IN APRIL 2024.

Form 990, Part VI, Line 19

Availability of governing documents, coi policy & financial statements: the sutter health system posts its current and past audited financial statements at sutterhealth.org. Other documents are also located at this website including the annual report, mission statement, history, and links to affiliate websites. The governing documents and conflict of interest policy are not available to the public at this time.

Form 990, Part 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. - Conrad Vial, MD - Phil Jackson - Dominic Nakis 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.

Filing and Contact Details

Filer

Filer Name
Sutter Health Alliance (fka Sutter Health
EIN
46-1183948
In Care Of
% KENNETH YOUNG
Phone
9162866665
Address
C/O SH TAX 2300 RIVER PLAZA DRIVE, SACRAMENTO, CA 95833

Signing Officer

Name
Michael Sheils
Title
CFO
Phone
9166431245
Signed
2025-11-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Aparna Abburi
Formed
2012
Legal Domicile
CA
Voting Board Members
8
Independent Board Members
7
Employees
94
Volunteers
7

Preparer

Firm
Ernst & Young US Llp
Address
155 N WACKER DRIVE, CHICAGO, IL 60606
Preparer
Emily Beckerman
Phone
3128792000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 and Part III, Line 1

MISSION STATEMENT: MISSION: CARING FOR OUR PATIENTS FIRST AND OUR PEOPLE ALWAYS. VISION: TO BE THE MOST COMPREHENSIVE, INTEGRATED AND CONNECTED HEALTH SYSTEM FOR GETTING AND STAYING WELL. VALUES: EXCELLENCE - We deliver high-quality, equitable care and take on the toughest challenges. CURIOSITY - We are constantly learning and creating new ways to advance healthcare. TEAMWORK - We collaborate with humility and solve for ONE Sutter. COMPASSION - We show empathy and understanding in every personal interaction. INCLUSION - We respect our differences and similarities, and cultivate a sense of belonging. INTEGRITY - We earn trust by doing the right thing and delivering on our commitments.

Form 990, Part XI, Line 9

Other changes in fund balance: equity transfers: $63,108 ======== total $63,108

Financial Statement Notes

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 2021 through 2023 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, 2024 and 2023.

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