Civic Intelligence

Better Health East Bay Foundation

990 • Fiscal year 2016 • EIN 51-0160184

Jan 01, 2016 to Dec 31, 2016 • Filed on Oct 16, 2017

C/O Sh Tax 2200 River Plaza DrSacramento, CA 95833

(916) 286-6665

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

34th percentile

0.16x

Higher debt load relative to assets than 34% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Liabilities / Revenue

81st percentile

1.75x

Higher debt load relative to revenue than 81% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Net Margin

26th percentile

-2.7%

Higher net margin than 26% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Top Officer Pay

89th percentile

$1,094,546

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 13.1% of source-year revenue.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2016

Asset Growth

64th percentile

5.1%

Faster asset growth than 64% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Revenue Growth

96th percentile

101%

Faster revenue growth than 96% of similar nonprofits.

2016 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2015 to 2016

Assets

Up

$92,597,835

Up $4,523,767 (+5.1%) from 2015

Net Assets

Up

$78,029,512

Up $7,115,994 (+10%) from 2015

Liabilities

Down

$14,568,323

Down $2,592,227 (-15%) from 2015

Revenue

Up

$8,330,535

Up $4,187,817 (+101%) from 2015

Expenses

Down

$8,551,927

Down $2,699,212 (-24%) from 2015

Net Income

Up

-$221,392

Up $6,887,029 (+97%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2010: $71,466,145Liabilities 2010: $13,136,908Net Assets 2010: $58,329,2372010Assets 2011: $69,505,697Liabilities 2011: $13,375,081Net Assets 2011: $56,130,6162011Assets 2012: $72,208,878Liabilities 2012: $11,707,904Net Assets 2012: $60,500,9742012Assets 2013: $85,809,384Liabilities 2013: $12,916,044Net Assets 2013: $72,893,3402013Assets 2014: $95,172,609Liabilities 2014: $14,577,764Net Assets 2014: $80,594,8452014Assets 2015: $88,074,068Liabilities 2015: $17,160,550Net Assets 2015: $70,913,5182015Assets 2016: $92,597,835Liabilities 2016: $14,568,323Net Assets 2016: $78,029,5122016Assets 2017: $103,600,584Liabilities 2017: $23,435,354Net Assets 2017: $80,165,2302017Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2016

Assets$92,597,835
Liabilities$14,568,323
Net Assets$78,029,512

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $8,536,5852010Expenses 2011: $6,876,0912011Expenses 2012: $9,584,2962012Revenue 2013: $6,054,931Expenses 2013: $4,575,108Net Income 2013: $1,479,8232013Revenue 2014: $24,994,384Expenses 2014: $7,988,617Net Income 2014: $17,005,7672014Revenue 2015: $4,142,718Expenses 2015: $11,251,139Net Income 2015: -$7,108,4212015Revenue 2016: $8,330,535Expenses 2016: $8,551,927Net Income 2016: -$221,3922016Revenue 2017: $8,457,597Expenses 2017: $11,054,586Net Income 2017: -$2,596,9892017Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019

Highlighted filing

2016

Revenue$8,330,535
Expenses$8,551,927
Net Income-$221,392
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Oct 16, 2017
Return Version
2016v3.1
Gross Receipts
$8,330,535
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$81,825,752$82,400,049▲ $574,297
Pledges and Grants Receivable$2,466,972$5,414,396▲ $2,947,424
Savings and Temporary Cash Investments$2,188,036$2,193,390▲ $5,354
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$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
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$88,074,068$92,597,835▲ $4,523,767
Other Assets Total$1,593,308$2,590,000▲ $996,692
Liabilities
Other Liabilities$16,423,921$13,515,367▼ $2,908,554
Accounts Payable and Accrued Expenses$736,629$1,052,956▲ $316,327
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$17,160,550$14,568,323▼ $2,592,227
Net Assets / Fund Balance
Unrestricted Net Assets$31,495,341$32,897,237▲ $1,401,896
Temporarily Rstr Net Assets$23,848,223$29,188,948▲ $5,340,725
Permanently Rstr Net Assets$15,569,954$15,943,327▲ $373,373
Total Net Assets Fund Balance$70,913,518$78,029,512▲ $7,115,994
Total Liabilities and Net Assets / Fund Balance$88,074,068$92,597,835▲ $4,523,767

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$0$22,512$22,512

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$45,374,969-▲ $2,089,363$2,620,579$44,843,753
2015$56,907,388$29,603▼ $8,664,288$2,897,734$45,374,969
2014$52,454,242$2,084,849▲ $2,825,905$457,608$56,907,388
2013$44,427,452$-80▲ $7,746,219$-280,651$52,454,242
2012$24,853,206$-77,832▲ $8,750,892$-10,901,186$44,427,452
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Mary L GarciaDonor Relations ManagerFT$133,747$133,747
Jean ThomasRegional Manager, Fin & Bus OpFT$129,094$129,094
Victoria CaldeiraRegional Events ManagerFT$127,983$127,983

Board Members and Trustees

NameTitle
C Darrell SooyTrustee/chair
Darcie TaylorDirector of Philanthropy
Arash Foroutani MdTrustee
Becky ManningTrustee
JOSEPH CONNELL PhDTrustee
Kathryn ColemereTrustee
Robert WarrenTrustee
Samuel Choi MdTrustee
Vincent ForteTrustee
James HickmanTrustee/CEO Bhebf
John GatesCFO Bay Area
Gregory BrownVP East Bay Counsel/secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Alvarez And Marsal Business ConsultConsulting/prgm Mgmt600 MADISON AVE 8th FL, New York, NY 10022$999,437
Steve Caplan Dba MessageConsulting/marketing7083 HOLLYWOOD BLVD, Los Angeles, CA 90028$626,849
Cbc Los Angeles INCConsulting9255 SUNSET BLVD STE 730, West Hollywood, CA 90069$305,000
Ascentiant International CorpTemp Agency7668 EL CAMINO REAL STE 104-456, Carlsbad, CA 92009$276,596
Nadine Greinerconsulting/coaching167 ROOSEVELT WAY, San Francisco, CA 94114$164,750
Revenue and Support

Revenue Composition

Contributions and Grants
$5,356,220
Program Service Revenue
$0
Investment Income
$2,973,565
Other Revenue
$750
All Other Contributions
$5,234,386
Change in Net Assets
$-221,392

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded6$32,617Fair Market Value (FMV) of Stock
Total Noncash Contributions6$32,617-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,160,097
Grants and Similar Amounts Paid$2,504,160
Salaries, Compensation, and Employee Benefits$1,710,494
Professional Fundraising Fees$177,176
Total Fundraising Expense$177,176

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$2,504,160--$2,504,160
Advertising-$705,667-$705,667
Fees for Services Other$679,668--$679,668
Other Employee Benefits$421,870$180,801-$602,671
Other Salaries and Wages$387,393$166,025-$553,418
Current Officers, Directors, Trustees, and Key Employees$287,859$123,368-$411,227
Fees for Service Investment Mgmnt Fees-$298,474-$298,474
Occupancy-$202,152-$202,152
Fees for Services Professional Fundraising--$177,176$177,176
Pension Plan Contributions$59,900$25,672-$85,572
Other Expenses$795,702$76,718-$76,718
Insurance-$75,865-$75,865
All Other Expenses$45,601$25,173-$70,774
Payroll Taxes$40,324$17,282-$57,606
Information Technology-$28,402-$28,402
Fees for Services Accounting-$27,000-$27,000
Office Expenses-$13,626-$13,626
Conferences and Meetings$8,400$3,600-$12,000
Travel$3,958$1,696-$5,654
Fees for Services Legal-$4,821-$4,821
Total Functional Expenses$5,608,821$2,765,930$177,176$8,551,927
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Sutter HealthSacramento, CA501(c)(3)Program Support$1,070,523
Sutter East Bay HospitalsSacramento, CA501(c)(3)Program Support$848,656
Sutter Bay HospitalsSacramento, CA501(c)(3)Program Support$477,750
Samuel Merritt UniversityOakland, CA501(c)(3)Program Support$75,000
Sutter Visiting Nurse Association & HospiceSacramento, CA501(c)(3)Program Support$32,231
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$177,176
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying 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
Annuity Obligations$10,977,080
Intercompany Payables$2,501,105
Insurance Liabilities$37,182
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
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 6, 7A

Sutter east bay hospitals is the sole member of this corporation with the right to elect at least a majority of the members of the board of directors.

Form 990, Part VI, Line 7B

Sutter east bay hospitals, as the sole member of the organization, is entitled to exercise fully all rights and privileges of members of nonprofit corporations under the california nonprofit public benefit corporation law, and all other applicable laws. The member has the rights and powers to appoint (and remove) members of the corporation's board of directors, subject to the provisions of the bylaws. In addition, the member has the right to approve the following actions of the corporation's board of directors: a. Merger, consolidation, reorganization, or dissolution of the corporation or any subsidiary or affiliate entity; b. Amendment or restatement of the articles of incorporation or the bylaws of the corporation or any subsidiary or affiliate entity; c. Adoption of operating budgets of the corporation or any subsidiary or affiliate entity, including consolidated or combined budgets of the corporation and all subsidiary organizations of the corporation; d. Adoption of capital budgets of the corporation or any subsidiary or affiliate entity; e. Aggregate operating or capital expenditures on an annual basis that exceed approved operating or capital budgets by a specified dollar amount to be determined from time to time by the general member; f. Long-term or material agreements including, but not limited to, borrowings, equity financings, capitalized leases and installment contracts; and purchase, sale, lease, disposition, hypothecation, exchange, gift, pledge, or encumbrance of any asset, real or personal, with a fair market value in excess of a dollar amount to be determined from time to time by the directors of the general member, which shall not be less than 10% of the total annual capital budget of the corporation; g. Appointment of an independent auditor and hiring of independent counsel except in conflict situations between the general member and the corporation or any subsidiary or affiliate entity; h. The creation or acquisition of any subsidiary or affiliate entity; i. Contracting with an unrelated third party for all or substantially all of the management of the assets or operations of the corporation or any subsidiary or affiliate entity; j. Approval of major new programs and clinical services of the corporation or any subsidiary or affiliate entity. The general member shall from time to time define the term "major" in this context; k. Approval of strategic plans of the corporation or any subsidiary or affiliate entity; l. Adoption of quality assurance policies not in conformity with policies established by the general member; m. Any transaction between the corporation, a subsidiary or affiliate and a director of the corporation or an affiliate of such director. In addition, the general member shall have the authority (by a vote of not less than two-thirds (2/3) of its board), to declare a major activity requiring approval.

Form 990, Part VI, Line 11B

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

Employees are educated on the conflict of interest policy and the need to make disclosure as part of annual compliance education. In addition, annually a disclosure statement is completed by all directors and officers that includes an acknowledgement that they have read the conflict of interest policy. On this statement the individual will list a wide range of information which includes business relationships, employment relationships, property interests, and those of related parties. The ceo and board chair will review the statements and monitor situations that may pose a potential conflict of interest. The ceo and board chair may consult with the office of the general counsel as necessary. If there is a potential conflict of interest related to a particular transaction, the interested individual must disclose the existence and nature of the relationship. The board chair may appoint a disinterested person or committee to investigate the conflict. Until the potential conflict is resolved, the board chair may request the individual to not participate during related presentations and discussions. In all circumstances involving an actual conflict, the interested individual shall refrain from voting on any matter related to the transaction.

Form 990, Part VI, Line 15B

For sutter health employees the compensation committee of the sutter health board of directors retains ultimate discretionary authority over all elements of compensation to assure that organizational purposes are appropriately being served. The compensation committee uses credible data sources and maintains an objective "arms length" decision-making process, ensuring the integrity of sutter's executive programs and consistency with the organization's overall mission. In order to ensure external competitiveness, national, california and local market area compensation data comparisons are reviewed. Competitive analysis includes: (a) base salary, (b) total cash (base salary + annual incentive), (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 comparable organizations and geographic considerations. For the most senior executive positions, national comparisons for organizations similar in size, scope and complexity as sutter health are most appropriate since it is a national marketplace in which sutter competes for executive talent. On the other hand, because californias underlying compensation structure is higher than national data (especially in the bay area), regional pay adjustments may be made. Officers and key employees of this organization undergo a review and compensation committee approval annually, and such approval is recorded in the minutes. The most recent approval was december 2016.

Form 990, Part VI, Line 19

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

Form 990, Part VII & Part IX, Line 7

Better health east bay foundation does not have employees but shares the costs of personnel, service, facilities and expenses with its parents: sutter health and sutter east bay hospitals.

Filing and Contact Details

Filer

Filer Name
Better Health East Bay Foundation
EIN
51-0160184
In Care Of
% SHAWNA CHIARAVALOTTI
Phone
9162866665
Address
C/O SH TAX 2200 RIVER PLAZA DR, SACRAMENTO, CA 95833

Signing Officer

Name
John Gates
Title
CFO
Signed
2017-10-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Gates
Formed
1975
Legal Domicile
CA
Voting Board Members
8
Independent Board Members
7
Employees
0
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
560 MISSION ST STE 1600, SAN FRANCISCO, CA 94105
Preparer
Eva Nitta
Phone
4158948000
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

Through philanthropy we ensure that sutter east bay hospitals achieves its mission of enhancing the health and well-being of the communities it serves. As a catalyst for healthcare excellence, we make a difference.

Form 990, Part III, Line 1

In 2016, Better Health East Bay contributed over $2.5 million in support from our community for programs and equipment that improve healthcare for our diverse patient population in the East Bay. Over $695,000 was provided for new equipment including $353,915 for an Endoscopic Ultrasound, $79,754 for Infant Ventilators in our NICU, $118,640 for surgical equipment and gurneys in our Surgery Department, $62,000 for an NxStage System, $24,525 for Rapid Infusers, and another $56,500 for other capital equipment needs around our campuses. Staying current with medical equipment advances and replacing obsolete equipment assures that our physicians can provide, and our community can receive, the best care possible. The foundation continues to contribute to our many successful health programs including nearly $169,000 to the Telecare Program which provides a free daily call to the homebound, elderly, isolated, frail, or at-risk patients; over $149,000 to our Diabetes Resource Program which has reduced repeat Emergency Room visits; over $126,000 to our Oncology programs which covered a wide range of services from early breast cancer detection, to education & support groups, patient navigation, and lung cancer screenings. We continued to support our Research Development and Dissemination team with over $1.2 million of donations as they continue to research, problem solve, and implement technological advances to better serve our underserved communities and to mitigate the ever-growing problem of Emergency Room super-utilizers. The foundation provided additional support of $110,000 to other programmatic needs such as Hospice care, Charity care, Every Child Counts, and the "Every 15 Minutes" program which continues to bring awareness to our communitys teenage drivers about the dangers of drinking and driving. Other education and outreach contributions include $47,530 to psychiatric research & education scholarships and over $17,000 in staff education assistance. An additional $200,000 was contributed to additional programs and equipment in varying smaller amounts.

Form 990, Part V, Line 2A

Better health east bay foundation does not have employees but shares the costs of personnel, services, facilities and expenses with its parents: sutter health and sutter east bay hospitals.

Form 990, Part XI, Line 9

Other changes in net assets: equity transfers $5,205,392 annuity true-ups ($1,091,616) change in split-interest $ 174,684 ----------- total $4,288,460

Financial Statement Notes

Schedule D, Part V, Line 4

Intended use of endowment funds: benioff memorial endowment fund - provide a lectureship in perpetuity through an endowment. Expenditures: consistent with lectureship. Robson scholarship ef - help employees pursue careers in nursing or further their nursing education. Expenditures: consistent with fund purpose. Hospice endowment fund - for the use of hospice (sutter visitng nurse association & hospice). Denicolai research endowment - income to be used for medical center research institute. Expenditures: consistent with research institute needs. A.e. Bennett research - endowment for psychiatric/mental health purposes. Expenditures: consistent with endowment purposes. Wall help - to be used for the poorest children in berkeley. Expenditures: consistent with fund terms. M whiting memorial endowment fund - endowment for medical center employee recognition events and programs. Expenditures: for equipment and renovations as stated above. Cailleau - gift was designated by dr. Cailleau for the chronic fatigue syndrome fund. Bernard lopez endowment fund - endowment created. Expenditures: interest to benefit newborn intensive care unit. E. Claus lecture endowment fund - endowed lectureship fund for staff training. Expenditures: interest only available for meeting the fund purpose. Henry hcap - endowment fund specifically for health career assistance programs (hcap). Expenditures: interest only; consistent with fund purpose. Elaine makarounis permanent endowment - endowment for cancer care programs and services. Expenditures: interest only available for fund purpose. Orselli endowment fund - endowment created to benefit hospice services starting january, 2000. Expenditures: interest only paid (5% per year) consistent with fund purpose. Craycroft endowment fund - endowment to benefit cardiology. Expenditures: consistent with fund purpose. Norkus endowment fund - designated for the nicu and used for programs, activities and purchases where the needs are greatest. Jay adams permanent endowment - establish a one-life charitable remainder unitrust. Upon the death of the beneficiary, 100% will go to alta bates summit medical center foundation for the jay adams, a.k.a. J. A. Giaccari, endowment. The income from the endowment will be unrestricted with preference given to projects and activities which are designed to eliminate pain and suffering. Prov trust endowment fund -interest can be used for pastoral care, elder care (i.e. Adult day, lifeline), and ethics education. Markstein endowment fund -to establish the cancer education and prevention programs. Acceptable expenditures: interest, as per prevailing board policy, is available. Sweetland endowment fund - endowment for drug education for children and adolescent patients. Acceptable expenditures: interest to be used for expenditures consistent with fund purpose. Clorox endowment fund - income to be used for capital equipment. 5 south endowment fund - earned income can be used for the general needs of the 5 south unit (but not salaries). Feathers principal - endowment from which earnings can pay for any alta bates summit medical center medical expenses. Expenditures: unrestricted. Seim family permanent endowment -income from endowment will be unrestricted. David & eleanor smith -the earnings are unrestricted. Expenditures use: as approved by the foundation board of trustees. Louise marlatt endowment -earnings use: unrestricted. Dorothy oliver endowment -earnings use: unrestricted. W&l smith endowment - endowment for unrestricted purpose. Expenditures: income available for fund purposes. Henry & elsie clay endowment -solely to alta bates hospital in the diagnosis, prevention and treatment of disease. Smc foundation endowment fund - interest generated can be used for unrestricted purposes. Denicolia family endowment - earnings are unrestricted. Nora jordan fund - endowment to provide income for alta bates summit medical center. Expenditure use: unrestricted. Adelheid schoenfeld fund - endowment

SCHEDULE D, PART X, Line 2

Asc 740 (fin 48) footnote from audit: this organization was part of a consolidated financial system audit. The asc 740 audit footnote disclosure for the sutter system is as follows: sutter health, the legal entity, and many affiliates have been determined to be exempt organizations by the internal revenue service and the california franchise tax board, and generally, are not subject to taxes on income. Certain activities of sutter are subject to income taxes; however, such activities are not significant to the consolidated financial statements. With respect to its taxable activities, sutter records income taxes using the liability method, under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax bases of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the periods that the deferred tax asset or liability is expected to be realized or settled. Sutter recognizes the tax benefit from uncertain tax positions only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The statute of limitations for tax years 2013 through 2015 remain open in u.s. Tax jurisdictions in which sutter and its affiliates are subject to taxation. Sutter recognizes interest and penalties related to income tax matters in operating expenses. At december 31, 2016 and 2015, there were no such uncertain tax positions.

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