Civic Intelligence

Sutter Community Health

990 • Fiscal year 2013 • EIN 51-0172285

Jan 01, 2013 to Dec 31, 2013 • Filed on Oct 27, 2014

3012 Summit Street 3rd FloorSuiteOakland, CA 94609

(916) 286-6665

Siviq Scores

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

Liabilities / Assets

92nd percentile

1.02x

Higher debt load relative to assets than 92% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Liabilities / Revenue

82nd percentile

0.46x

Higher debt load relative to revenue than 82% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Net Margin

1st percentile

-280%

Higher net margin than 1% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Top Officer Pay

100th percentile

$1,408,404

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 235.8% of source-year revenue.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Asset Growth

4th percentile

-36%

Faster asset growth than 4% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Down

$268,291

Down $154,109 (-36%) from 2012

Net Assets

Down

-$5,131

Down $179,319 (-103%) from 2012

Liabilities

Up

$273,422

Up $25,210 (+10%) from 2012

Revenue

$597,199

No earlier filing loaded for comparison.

Expenses

Down

$2,269,993

Down $230,138 (-9.2%) from 2012

Net Income

-$1,672,794

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$10M$5.0M$0-$5.0MAssets 2010: $268,054Liabilities 2010: $428,431Net Assets 2010: -$160,3772010Assets 2011: $193,293Liabilities 2011: $360,693Net Assets 2011: -$167,4002011Assets 2012: $422,400Liabilities 2012: $248,212Net Assets 2012: $174,1882012Assets 2013: $268,291Liabilities 2013: $273,422Net Assets 2013: -$5,1312013Assets 2014: $329,374Liabilities 2014: $309,866Net Assets 2014: $19,5082014Assets 2015: $666,835Liabilities 2015: $239,125Net Assets 2015: $427,7102015Assets 2016: $515,481Liabilities 2016: $171,469Net Assets 2016: $344,0122016Assets 2017: $291,637Liabilities 2017: $442,492Net Assets 2017: -$150,8552017Assets 2018: $78,675Liabilities 2018: $581,193Net Assets 2018: -$502,5182018Assets 2019: $63,249Liabilities 2019: $275,283Net Assets 2019: -$212,0342019Assets 2020: $66,195Liabilities 2020: $337,565Net Assets 2020: -$271,3702020Assets 2021: $47,347Liabilities 2021: $411,100Net Assets 2021: -$363,7532021Assets 2022: $56,556Liabilities 2022: $428,808Net Assets 2022: -$372,2522022Assets 2023: $154,600Liabilities 2023: $755,040Net Assets 2023: -$600,4402023Assets 2024: $9,458,059Liabilities 2024: $2,644,156Net Assets 2024: $6,813,9032024

Highlighted filing

2013

Assets$268,291
Liabilities$273,422
Net Assets-$5,131

Operations Trend

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

$4.0M$2.0M$0-$2.0M-$4.0MExpenses 2010: $2,676,9402010Expenses 2011: $2,677,9162011Expenses 2012: $2,500,1312012Revenue 2013: $597,199Expenses 2013: $2,269,993Net Income 2013: -$1,672,7942013Revenue 2014: $420,307Expenses 2014: $2,142,206Net Income 2014: -$1,721,8992014Revenue 2015: $424,874Expenses 2015: $2,026,321Net Income 2015: -$1,601,4472015Revenue 2016: $316,149Expenses 2016: $2,114,816Net Income 2016: -$1,798,6672016Revenue 2017: $328,630Expenses 2017: $2,126,384Net Income 2017: -$1,797,7542017Revenue 2018: $182,780Expenses 2018: $2,815,433Net Income 2018: -$2,632,6532018Revenue 2019: $350,592Expenses 2019: $1,968,158Net Income 2019: -$1,617,5662019Revenue 2020: $210,925Expenses 2020: $2,574,793Net Income 2020: -$2,363,8682020Revenue 2021: $265,564Expenses 2021: $2,634,588Net Income 2021: -$2,369,0242021Revenue 2022: $391,134Expenses 2022: $2,502,310Net Income 2022: -$2,111,1762022Revenue 2023: $817,753Expenses 2023: $2,919,678Net Income 2023: -$2,101,9252023Revenue 2024: $1,121,067Expenses 2024: $3,210,719Net Income 2024: -$2,089,6522024

Highlighted filing

2013

Revenue$597,199
Expenses$2,269,993
Net Income-$1,672,794
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 27, 2014
Return Version
2013v3.1
Gross Receipts
$597,199
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$300,185$189,906▼ $110,279
Accounts Receivable$104,738$56,227▼ $48,511
Inventories for Sale or Use$15,827$14,136▼ $1,691
Cash and Non-Interest-Bearing Accounts$0$0→ $0
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
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$422,400$268,291▼ $154,109
Other Assets Total$1,650$8,022▲ $6,372
Liabilities
Accounts Payable and Accrued Expenses$248,212$273,422▲ $25,210
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$248,212$273,422▲ $25,210
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$174,188$-5,131▼ $179,319
Total Net Assets Fund Balance$174,188$-5,131▼ $179,319
Total Liabilities and Net Assets / Fund Balance$422,400$268,291▼ $154,109

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$107,015$107,015
Leasehold Improvements-$8,004$8,004
Compensation and Service Providers

Employees

NameTitleOtherTotal
CAROL N D'ONOFRIO DR PHDTrustee$605,048$605,048
Thomas G DreseTrustee$544,578$544,578

Board Members and Trustees

NameTitle
STEPHEN O'BRIENPresident, Ebpc
David BradleyRegion President EB
Kathleen MolloyAdministrator, Ebpc
Aaron AdamsCFO, ABSMc
Amy Cella Part YearVP & Regional Counsel, Eb
Gregory Brown Part YearVP & Regional Counsel, Eb
Brian HunterVP Shared Svcs Sutter Health

Highest Paid Contractors

ContractorServicesLocationCompensation
East Bay Perinatal Medical AssociatMedical Services-$591,135
East Bay Physician Mgmt INCMgmt & Staffing Fees-$405,504
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$594,159
Investment Income
$3,040
Other Revenue
$0
Change in Net Assets
$-1,672,794
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,563,724
Salaries, Compensation, and Employee Benefits$706,269
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$902,781--$902,781
Other Salaries and Wages$436,596--$436,596
Other Employee Benefits$230,789--$230,789
Occupancy$207,077--$207,077
Fees for Services Management-$143,304-$143,304
Payroll Taxes$38,884--$38,884
Other Expenses$34,080--$34,080
Office Expenses$22,475$4,781-$27,256
Information Technology$15,795--$15,795
Fees for Service Investment Mgmnt Fees-$2,855-$2,855
Total Functional Expenses$2,119,053$150,940$0$2,269,993
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$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
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 V, LINE 2A; PART VII, SECTION A; AND PART IX

East bay perinatal center does not have employees but shares the costs of personnel, services, facilities and expenses with sutter east bay hospitals and sutter health. Description of classes of persons and the nature of their rights form 990, part vi, questions 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 or dissolution of this corporation or of any operating corporation; (b) amendment or restatement of the articles of incorporation or the bylaws of this corporation; (c) approval of aggregate operating and capital budgets of this corporation or of any operating corporation; (d) aggregate borrowing by this corporation or by any operating corporation for periods of one (1) year or less for any purpose in excess of dollar amounts to be established by the member from time to time; and aggregate borrowing by this corporation or by any operating corporation for periods of more than one (1) year for any purpose in excess of dollar amounts to be established by the member from time to time. For the purpose of this subparagraph, the term "aggregate borrowing" includes but is not limited to lease agreements and contracts of sale; (e) purchase, sale, lease, disposition, hypothecation, exchange, gift, pledge, and encumbrance of any asset, real or personal, of this corporation or of any operating corporation, not previously included in the capital budgets, with a value in excess of dollar amounts to be established by the member from time to time; (f) approval of organizational strategic plans of this corporation and of any operating corporation; (g) appointment of the independent auditor of this corporation and of any operating corporation; (h) approval of transactions of this corporation in which a trustee or officer of this corporation has a material financial interest; (i) approval of any transactions or policies which may materially affect the member or which the member determines are major transactions or major policies. In addition, sutter east bay hospitals shall have authority to initiate policy for this corporation where such policy involves either (a) coordination of the activities of this corporation with any other corporation of which sutter east bay hospitals is also the corporate member or (b) any policy or action of sutter health necessary for the regional system to effectively fulfill its purposes.

Form 990, Part VI, Line 11B

Sutter health, a related tax-exempt organization, 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

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, key employees and highest compensated 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 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 15

The compensation committee of the sutter health board of directors retains ultimate discretionary authority over all elements of compensation to ensure 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) and (c) 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 comparisons and adjustments are made. Officers and key employees of this organization who are sutter health employees undergo a review and compensation committee approval, and such approval is recorded in the minutes.

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.

Filing and Contact Details

Filer

EIN
51-0172285
In Care Of
% TERESA HO
Phone
9162866665

Signing Officer

Name
Aaron Adams
Title
CFO
Phone
9162866665
Signed
2014-10-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
STEPHEN O'BRIEN
Formed
1975
Legal Domicile
CA
Voting Board Members
3
Independent Board Members
2
Employees
11

Preparer

Preparer
Debra Heiskala
Phone
9162866665
Supplemental Narrative

Additional Explanations

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

It is the mission of east bay perinatal center (ebpc) to provide full scope prenatal, postpartum and family planning care to low-income, underserved women and teens in the east bay area. Our prenatal services include the management of both low- and high-risk pregnancies, and assessment to identify health and education needs for mother, fetus, and the maternal support systems.

Form 990, Part III, Line 4A

East bay perinatal center (ebpc) provides full scope prenatal, postpartum and family planning care to low-income, underserved women and teens in the east bay area. Our prenatal services include the management of both low- and high-risk pregnancies. The clinic provides pre-conceptual, prenatal, postpartum and basic gyn care and counseling, assesses and identifies health and education needs for mother, fetus, and the maternal support system (partner and family), and identifies high-risk prenatal conditions and initiates plan of care as appropriate to condition or diagnosis. Additional services provided to meet specialized patient needs include comprehensive perinatal services program (cpsp), perinatal health education staff, health education and diabetes management through california dapp program and sweet success guidelines. Ebpc specializes in caring for women with high-risk pregnancies including medical complications such as asthma, diabetes, high blood pressure, heart disease, and sickle cell disease. Care is also provided to the perinatal population with obstetrical problems such as recurrent pregnancy loss, preterm labor, and fetal abnormalities. Ebpc provides referral, counseling, and support for patients with health education needs, social problems, substance abuse issues, psychiatric diagnoses, domestic violence issues, teen pregnancy and homelessness. During 2013 the clinic served a total of 1,644 patients for an estimated total of 9,684 visits.

Form 990, Part IX, Line 11G

Professional fees - physicians $561,745 clinical staffing 258,316 professional fees - medical director 36,000 nurse registry fees 46,720 ---------- total $902,781

Form 990, Part XI, Line 9

Equity transfers (net) $1,500,000 ==========

Financial Statement Notes

Part X, Line 2

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 most affiliates have been determined to be exempt organizations by the internal revenue service (pursuant to internal revenue code section 501(c)(3)) and the california franchise tax board (pursuant to california revenue and taxation code 23701(d)) 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. Sutter recognizes interest and penalties related to income tax matters in operating expenses. At december 31, 2013 and 2012, there were no such uncertain tax positions.

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IRS990/Form990PartVIISectionAGrp/PersonNm8BRIAN HUNTER
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IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2PRESIDENT, EBPC
IRS990/Form990PartVIISectionAGrp/TitleTxt3CFO, ABSMc
IRS990/Form990PartVIISectionAGrp/TitleTxt4VP & REGIONAL COUNSEL, EB
IRS990/Form990PartVIISectionAGrp/TitleTxt5VP & REGIONAL COUNSEL, EB
IRS990/Form990PartVIISectionAGrp/TitleTxt6Region President EB
IRS990/Form990PartVIISectionAGrp/TitleTxt7ADMINISTRATOR, EBPC
IRS990/Form990PartVIISectionAGrp/TitleTxt8VP SHARED SVCS SUTTER HEALTH
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THIS 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 MOST AFFILIATES HAVE BEEN DETERMINED TO BE EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE (PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3)) AND THE CALIFORNIA FRANCHISE TAX BOARD (PURSUANT TO CALIFORNIA REVENUE AND TAXATION CODE 23701(D)) 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. SUTTER RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT DECEMBER 31, 2013 AND 2012, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS.
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9.46$2.64$6.81$1.12$3.21$2.09
2023Detailed filing. Detailed filing data is available for this year.$0.15$0.76$0.60$0.82$2.92$2.10
2022Detailed filing. Detailed filing data is available for this year.$0.06$0.43$0.37$0.39$2.50$2.11
2021Detailed filing. Detailed filing data is available for this year.$0.05$0.41$0.36$0.27$2.63$2.37
2020Detailed filing. Detailed filing data is available for this year.$0.07$0.34$0.27$0.21$2.57$2.36
2019Detailed filing. Detailed filing data is available for this year.$0.06$0.28$0.21$0.35$1.97$1.62
2018Detailed filing. Detailed filing data is available for this year.$0.08$0.58$0.50$0.18$2.82$2.63
2017Detailed filing. Detailed filing data is available for this year.$0.29$0.44$0.15$0.33$2.13$1.80
2016Detailed filing. Detailed filing data is available for this year.$0.52$0.17$0.34$0.32$2.11$1.80
2015Detailed filing. Detailed filing data is available for this year.$0.67$0.24$0.43$0.42$2.03$1.60
2014Detailed filing. Detailed filing data is available for this year.$0.33$0.31$0.02$0.42$2.14$1.72
2013Detailed filing. Detailed filing data is available for this year.$0.27$0.27$0.01$0.60$2.27$1.67
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.42$0.25$0.17$2.50
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.19$0.36$0.17$2.68
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.27$0.43$0.16$2.68