Civic Intelligence

Better Health East Bay Foundation

990 • Fiscal year 2017 • EIN 51-0160184

Jan 01, 2017 to Dec 31, 2017 • Filed on Oct 29, 2018

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

40th percentile

0.23x

Higher debt load relative to assets than 40% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

86th percentile

2.77x

Higher debt load relative to revenue than 86% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

6th percentile

-31%

Higher net margin than 6% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

85th percentile

$1,348,571

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 15.9% of source-year revenue.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

73rd percentile

12%

Faster asset growth than 73% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

35th percentile

1.5%

Faster revenue growth than 35% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Flat

$103,600,584

Flat from 2017

Net Assets

Flat

$80,165,230

Flat from 2017

Liabilities

Flat

$23,435,354

Flat from 2017

Revenue

Flat

$8,457,597

Flat from 2017

Expenses

Flat

$11,054,586

Flat from 2017

Net Income

Flat

-$2,596,989

Flat from 2017

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 2017: $103,600,584Liabilities 2017: $23,435,354Net Assets 2017: $80,165,2302017Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2017

Assets$103,600,584
Liabilities$23,435,354
Net Assets$80,165,230

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 2017: $8,457,597Expenses 2017: $11,054,586Net Income 2017: -$2,596,9892017Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019

Highlighted filing

2017

Revenue$8,457,597
Expenses$11,054,586
Net Income-$2,596,989
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 29, 2018
Return Version
2017v2.3
Gross Receipts
$8,457,597
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$82,400,049$94,943,129▲ $12,543,080
Savings and Temporary Cash Investments$2,193,390$3,563,090▲ $1,369,700
Pledges and Grants Receivable$5,414,396$2,492,885▼ $2,921,511
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$92,597,835$103,600,584▲ $11,002,749
Other Assets Total$2,590,000$2,601,480▲ $11,480
Liabilities
Other Liabilities$13,515,367$22,587,096▲ $9,071,729
Accounts Payable and Accrued Expenses$1,052,956$848,258▼ $204,698
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$14,568,323$23,435,354▲ $8,867,031
Net Assets / Fund Balance
Unrestricted Net Assets$32,897,237$36,796,415▲ $3,899,178
Temporarily Rstr Net Assets$29,188,948$27,056,925▼ $2,132,023
Permanently Rstr Net Assets$15,943,327$16,311,890▲ $368,563
Total Net Assets Fund Balance$78,029,512$80,165,230▲ $2,135,718
Total Liabilities and Net Assets / Fund Balance$92,597,835$103,600,584▲ $11,002,749

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$22,512$22,512

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$44,843,753$100,453▲ $4,294,551$835,680$48,403,077
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Jean ThomasReg. Manager, Fin. & Bus. OpsFT$146,472$146,472
Victoria CaldeiraRegional Events ManagerFT$144,059$144,059
Mary GarciaDonor Relations ManagerFT$143,048$143,048

Board Members and Trustees

NameTitle
Vincent ForteTrustee/chair
Arash Foroutani MdTrustee
Becky ManningTrustee
Donna TignoTrustee
Kathryn ColemereTrustee
Robert WarrenTrustee
Samuel Choi MdTrustee
John GatesCFO Bay Area
Laura WagnerDeputy Gen Counsel/sec.(pt-yr)
Gregory BrownVP E. Bay Counsel/sec. (pt-yr)
James HickmanVP PHILAN. BAY AREA (pt-yr)
Mara HookVP PHILAN. BAY AREA (pt-yr)

Highest Paid Contractors

ContractorServicesLocationCompensation
Ascentiant International CorpTemp Agency7668 EL CAMINO REAL STE 104-456, Carlsbad, CA 92009$536,034
Alvarez And Marsal Business ConsultConsulting/prgm Mgmt600 MADISON AVE 8th FL, New York, NY 10022$473,616
Revenue and Support

Revenue Composition

Contributions and Grants
$1,764,407
Program Service Revenue
$0
Investment Income
$6,693,190
Other Revenue
$0
All Other Contributions
$1,743,979
Change in Net Assets
$-2,596,989
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$7,678,408
Salaries, Compensation, and Employee Benefits$1,637,273
Other Expenses$1,564,801
Professional Fundraising Fees$174,104
Total Fundraising Expense$174,104

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$7,678,256--$7,678,256
Other Employee Benefits$580,451$248,765-$829,216
Other Salaries and Wages$295,197$126,513-$421,710
Advertising-$305,708-$305,708
Fees for Service Investment Mgmnt Fees-$289,491-$289,491
Current Officers, Directors, Trustees, and Key Employees$188,898$80,956-$269,854
Occupancy-$209,890-$209,890
Fees for Services Professional Fundraising--$174,104$174,104
All Other Expenses-$86,581-$86,581
Pension Plan Contributions$51,553$22,094-$73,647
Insurance-$58,508-$58,508
Payroll Taxes$29,992$12,854-$42,846
Fees for Services Accounting-$30,375-$30,375
Office Expenses-$21,785-$21,785
Information Technology-$8,106-$8,106
Travel$2,813$1,206-$4,019
Other Expenses$17,117$1,067-$1,067
Grants to Domestic Individuals$152--$152
Total Functional Expenses$8,844,429$2,036,053$174,104$11,054,586
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Sutter East Bay HospitalsSacramento, CA501(c)(3)Program Support$4,819,123
Sutter Bay HospitalsSacramento, CA501(c)(3)Program Support$2,261,684
Sutter HealthSacramento, CA501(c)(3)Program Support$449,268
Samuel Merritt UniversityOakland, CA501(c)(3)Program Support$84,931
Public Health Instituteoakland, CA501(c)(3)Program support$30,000
Alameda County Medical CenterOakland, CAGOV'TProgram Support$25,250
camden coalition of healthcarecamden, NJ501(c)(3)program support$8,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$174,104
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$12,095,370
Intercompany Payables$10,456,597
Insurance Liabilities$35,129
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

Classes of Persons and the Nature of Their Rights: 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

Classes of Persons, Decisions Requiring Approval & Type of Voting Rights: 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

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 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 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 board 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 (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, Line 15A

Process for determining top management official compensation: the compensation for the position of the top management official is determined through a quantitative point factor review of the know-how, problem solving, and accountability associated with a given position as identified in the detailed position description. Additionally, all applicable market salary survey data is reviewed to ensure the position is both internally equitable and externally competitive/market appropriate. The compensation committee of sutter health annually approves compensation, and such approval is recorded in the minutes of sutter health. The most recent approval was december 2017.

Form 990, Part VI, Line 15B

Process for determining other officers or key employee compensation: 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 california's 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 2017.

Form 990, Part VI, Line 19

Availability of Governing Documents, COI Policy, & Financial Statements: THE SUTTER HEALTH SYSTEM POSTS ITS CURRENT AND PAST AUDITED FINANCIAL STATEMENTS AT SUTTERHEALTH.ORG. OTHER DOCUMENTS ARE ALSO LOCATED AT THIS WEBSITE INCLUDING THE ANNUAL REPORT, MISSION STATEMENT, HISTORY, AND LINKS TO AFFILIATE WEBSITES. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.

Form 990, Part VII & Part IX, Line 7

Employee compensation: 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
2018-10-29
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 and Part III, Line 1

Mission statement: 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 4A

Program Service Accomplishments: In 2017, Better Health East Bay contributed over $7.6 million in support from our community for programs and equipment that improve healthcare for our diverse patient population in the San Francisco East Bay. Over $5.3 million was provided for new equipment including new neurosurgical technology called The Synaptive Brightmatter. This new, $1.3 million, state of the art equipment supports neurosurgeons in performing deep brain surgical procedures including tumor resections and hemorrhagic repairs. The equipment will improve patient outcomes, provide a reduction in complications, and offer reduced surgery times. Sutter Health is currently the only healthcare system to offer Synaptive Brightmatter advanced neurosurgical care in Northern California. The foundation also supported our surgery departments with $1.4 million in other new equipment including a Spine Surgery Microscope and Instruments, a C-MAC Laryngoscope, a Surgical O-Arm System, Duodenoscopes, Operating Room Beds, and a Surgical C-Arm, among other items. The Surgical O-Arm System is an intraoperative 2D/3D imaging system that can be used in a number of procedures including spine, cranial, and orthopedic trauma. Through generous contributions from our donors, the foundation was also able to provide $681,000 in new Imaging Equipment including numerous new Ultrasound units, an Ultrasound ICE Machine, Ultrasound Probes, a Portable X-Ray unit, and multiple bladder scanners. Our Cardiac Care Service Line received new Pacemakers, a new Bypass Machine, T-Stat 303 Monitors, a Balloon Pump, and a Hypo-Hyperthermia Machine which is used to correct body temperature in cases such as overexposure. It is also used to intentionally lower body temperature allowing vital organs such as the heart to survive with decreased blood supply, thus increasing the available time a cardiovascular surgeon has to operate. Better Health East Bay is proud to once again support our cancer service line with new Tomosynthesis Technology including a new Tomosynthesis machine which produces three dimensional pictures using a lower dose of radiation than older technology. Philanthropic support continues to be provided to many of our long-standing, successful health programs including $217,325 to the Diabetes Resource Program which has reduced repeat Emergency Room visits, $129,207 to our Youth Bridge Program which is designed to provide high school and college students with support and guidance to complete high school, pursue higher education, and ultimately obtain gainful employment, $304,563 to programs designed to reduce the length of stay for inpatients, $81,076 to Cancer Support programs which covered a wide range of services from early breast cancer detection to education & support groups, $49,848 to the Telecare Program which provides a free daily call to the homebound, elderly, isolated, frail, or at-risk patients, $100,000 to the Traumatic Brain Injury program, and over $500,000 to Research and Development 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.

Form 990, Part V, Line 2A

Employee supplemental information: 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 Fund Balance: EQUITY TRANSFERS $3,094,005 ANNUITY TRUE-UPS ($2,454,100) CHANGE IN SPLIT-INTEREST $ 151,306 UNCOLLECTIBLE PLEDGE ($3,200,000) ----------- TOTAL ($2,408,789)

Financial Statement Notes

Schedule D, Part V, Line 4

INTENDED USE OF ENDOWMENT FUNDS: Begen Family Endowment - Income is to be used for the General needs of the Alta Bates Summit Foundation. B. Lopez Endowment - Income is for the general support of the Newborn Intensive Care Unit. BENIOFF MEMORIAL ENDOWMENT FUND - PROVIDE A LECTURESHIP IN PERPETUITY THROUGH AN ENDOWMENT. Cadenasso Family Endowment - Income from endowment is for unrestricted purposes as determined by Alta Bates Summit Foundation Board. Clorox Capital Endowment Fund - Income is to be used for Capital Equipment. DeNicolai Research Endwoment - Income is for the general use of REDI (Research & Education Institute). Elaine Makarounis Endowment - To be used for Cancer Care programs and services. Evelyn Strode & Ralph A Van Orsdel Memorial Endowment - To benefit the ABSMC Emergency Department. Garrett Quasi Endowment - For the general support of Orthopedics programs. GOGGIO QUASI-ENDOWMENT - TO ENDOW A CARDIOLOGY CONFERENCE ANNUALLY. IN THE FUTURE IT WILL BE POSSIBLE TO SPEND FUNDS IN OTHER MANNERS IF THE DONOR, FOUNDATION PRESIDENT OR THE BOARD OF TRUSTEES APPROVE CHANGE. HAAS FAMILY QUASI-ENDOWMENT - UNRESTRICTED. HELEN E MAC NAB QUASI-ENDOWMENT - UNRESTRICTED. Henry & Elsie Clay Endowment - To Support Alta Bates Hospital in the diagnosis, prevention, and treatment of disease. J & C Condon Endowment - Unrestricted. Jane Paxson Quasi Endowment - To be used for medical research activities at Alta Bates Summit Medical Center to help attain and sustain excellence in medical research. Jay Adams Endowment - Income is for Palliative Care programs to help alleviate the pain and suffering of patients. Jordan Fund - Unrestricted. Legacy Fund - Unrestricted. Libbey Endowment - Earnings to be used to support the priority needs of Sutter Delta Memorial Hospital. Makarounis Perm Endowment - To provide cancer care programs and services. Markstein Endowment Fund - Income is for Markstein Cancer Education and Prevention program to be used for programs, services, and equipment. Memorial Fund - Unrestricted. Nona Jordan Endowment - Unrestricted. Ockels Family Endowment - Unrestricted. Providence Quasi Endowment - Income to be used for Pastoral Care, Elder Care (i.e. Adult Day, Lifeline), and Ethics Education. Seim Family Endowment - Unrestricted. South Unit Endowment Fund - For the general needs of the 5 South Unit (excluding salaries). Sweetland Educational Endowment Fund - Drug education for children and adolescent patients. Walker Memorial Quasi Endowment Fund - Unrestricted. Wall Help - For support of children's hospice needs in Berkeley.

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, 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 2014 through 2016 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, 2017 and 2016, there were no such uncertain tax positions. The tax cuts and jobs act (tax act) was enacted on december 22, 2017. The tax act reduces the us federal corporate tax rate from 35% to 21%, requires companies to pay a one-time transition tax on earnings of certain foreign subsidiaries that were previously tax deferred, creates new taxes on certain foreign sourced earnings, provides for a new excise tax on certain compensation of exempt organizations over $1 million, and requires the separate calculation of unrelated business taxable income for each trade or business carried on. As of december 31, 2017, we have not completed our accounting for the tax effects of enacting the tax act, therefore we continue to account for those items based on our existing accounting under asc 740, income taxes, and the provisions of the tax laws there were in effect immediately prior to enactment. We will continue to make and refine our calculations as additional analysis is completed. In addition, our estimates may also be affected as we gain a more thorough understanding of the tax law as well as receiving guidance from the internal revenue service on how these provisions apply to tax-exempt organizations and taxable affiliates.

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IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt012854
IRS990/PayrollTaxesGrp/ProgramServicesAmt029992
IRS990/PayrollTaxesGrp/TotalAmt042846
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt022094
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt051553
IRS990/PensionPlanContributionsGrp/TotalAmt073647
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt015943327
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt016311890
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt05414396
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt02492885
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0JOHN GATES
IRS990/ProfessionalFundraisingInd0true
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt05356220
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt02504160
IRS990/PYInvestmentIncomeAmt02973565
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt04160097
IRS990/PYOtherRevenueAmt0750
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-221392
IRS990/PYSalariesCompEmpBnftPaidAmt01710494
IRS990/PYTotalExpensesAmt08551927
IRS990/PYTotalProfFndrsngExpnsAmt0177176
IRS990/PYTotalRevenueAmt08330535
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-2596989
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
IRS990/RelatedOrganizationCtrlEntInd0true
IRS990/RentalIncomeOrLossGrp/PersonalAmt00
IRS990/RentalIncomeOrLossGrp/RealAmt00
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false

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