Civic Intelligence

Sutter Community Health

990 • Fiscal year 2018 • EIN 51-0172285

Jan 01, 2018 to Dec 31, 2018 • Filed on Oct 29, 2019

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

(916) 286-6665

Siviq Scores

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

Liabilities / Assets

99th percentile

7.39x

Higher debt load relative to assets than 99% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Liabilities / Revenue

98th percentile

3.18x

Higher debt load relative to revenue than 98% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Net Margin

1st percentile

-1440%

Higher net margin than 1% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Top Officer Pay

100th percentile

$918,485

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 502.5% of source-year revenue.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Asset Growth

5th percentile

-73%

Faster asset growth than 5% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

11th percentile

-44%

Faster revenue growth than 11% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Assets

Down

$78,675

Down $212,962 (-73%) from 2017

Net Assets

Down

-$502,518

Down $351,663 (-233%) from 2017

Liabilities

Up

$581,193

Up $138,701 (+31%) from 2017

Revenue

Down

$182,780

Down $145,850 (-44%) from 2017

Expenses

Up

$2,815,433

Up $689,049 (+32%) from 2017

Net Income

Down

-$2,632,653

Down $834,899 (-46%) from 2017

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

2018

Assets$78,675
Liabilities$581,193
Net Assets-$502,518

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

2018

Revenue$182,780
Expenses$2,815,433
Net Income-$2,632,653
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Oct 29, 2019
Return Version
2018v3.1
Gross Receipts
$182,780
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$238,068$0▼ $238,068
Accounts Receivable$47,536$38,981▼ $8,555
Land, Buildings, and Equipment, Net$3,900$38,241▲ $34,341
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
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$291,637$78,675▼ $212,962
Other Assets Total$2,133$1,453▼ $680
Liabilities
Accounts Payable and Accrued Expenses$442,492$578,856▲ $136,364
Deferred Revenue$0$2,337▲ $2,337
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
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$442,492$581,193▲ $138,701
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-150,855$-502,518▼ $351,663
Total Net Assets Fund Balance$-150,855$-502,518▼ $351,663
Total Liabilities and Net Assets / Fund Balance$291,637$78,675▼ $212,962

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$38,241$114,742$152,983
Leasehold Improvements-$8,004$8,004
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Laura AhnNurse Practitioner/CNMFT$168,926$35,359$204,285

Board Members and Trustees

NameTitle
STEPHEN O'BRIEN MDFormer President Ebpc
Rose CalhanTrustee, President Ebpc
CAROL D'ONOFRIO PHDTrustee
Thomas G DreseTrustee
Charles ProsperCEO, Absmc (part Year)
Gerald KozaiCEO, Absmc (part Year)
Patti PilgrimCFO, Absmc
Denise NavellierChief Nursing Exec (part Year)
Nicole TurckChief Nursing Exec (part Year)
Kimberly PeeryDeputy Gen Counsel, Sec Ebpc
Gregory BrownVP & Regional Counsel Ebr
Aaron AdamsVP, Ent Trans/SIS, Bay Area
Anne BarrVP, Info & Ops, Sh Bay Area

Highest Paid Contractors

ContractorServicesLocationCompensation
Chg Companies INCHealthcare Staff svcPO BOX 972625, Dallas, TX 75397-2625$525,044
Obhg California PCPhysician Services10 CENTIMETERS DR, Mauldin, SC 29662$388,352
Rightsourcing INCStaffing Services999 STEWART AVE STE 100, Bethpage, NY 11714-3632$126,256
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$180,215
Investment Income
$2,565
Other Revenue
$0
Change in Net Assets
$-2,632,653
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,016,236
Salaries, Compensation, and Employee Benefits$799,197
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$838,468$65,208-$903,676
Other Salaries and Wages$467,988$47,591$0$515,579
Other Employee Benefits$219,322$22,303$0$241,625
Occupancy$171,296$18,773$0$190,069
Information Technology$60,331$47,403$0$107,734
Payroll Taxes$38,117$3,876$0$41,993
Office Expenses$16,048$1,250$0$17,298
Depreciation Depletion$6,349--$6,349
Insurance-$1,575-$1,575
Fees for Service Investment Mgmnt Fees-$1,504$0$1,504
Conferences and Meetings$1,142-$0$1,142
Other Expenses$484$49,733-$484
All Other Expenses$321--$321
Travel$49-$0$49
Total Functional Expenses$2,556,217$259,216$0$2,815,433
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
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 VI, Lines 6 & 7A

Classes of persons and the nature of their rights: this corporation is an affiliate of sutter health, a california nonprofit public benefit corporation. Sutter bay hospitals 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 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 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 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

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. On this statement the individual will list a wide range of information which includes business relationships, employment relationships, property interests, and those of related parties. If there is a potential conflict of interest related to a particular transaction, the interested individual must disclose the existence and nature of the relationship. The board chair may appoint a disinterested person or committee to investigate the conflict. The board may consult with the office of the general counsel as necessary. Until the potential conflict is resolved, the board chair (or committee chair as applicable) may request the individual to not participate during related presentations and discussions. In all circumstances involving an actual conflict, the interested individual shall leave the room prior to the board's final discussion and vote.

Form 990, Part VI, 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 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 2018 executive compensation approval was completed in 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, Section A

Key employees: individuals listed as key employees of the organization paid by a related organization are common law employees of sutter health, a separate legal entity. To be transparent, individuals who have key employee responsibilities to the organization are being disclosed. 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. - rose calhan

Filing and Contact Details

Filer

Filer Name
East Bay Perinatal Center
EIN
51-0172285
In Care Of
% CARLA WHITE-SNYDER
Phone
9162866665
Address
C/O SH TAX 2200 RIVER PLAZA DRIVE, SACRAMENTO, CA 95833

Signing Officer

Name
Patti Pilgrim
Title
CFO
Phone
9162866665
Signed
2019-10-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rose Calhan
Formed
1975
Legal Domicile
CA
Voting Board Members
3
Independent Board Members
2
Employees
12
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
2 N CENTRAL AVE SUITE 2300, PHOENIX, AZ 85004
Preparer
Patrick Shields
Phone
6023223000
Supplemental Narrative

Additional Explanations

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

Mission statement: 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 assessments to identify health and education needs for mother, fetus, and the maternal support systems.

Form 990, Part III, Line 4A

Program service accomplishments: east bay perinatal center (ebpc), dba alta bates summit perinatal center (abspc), provides prenatal and immediate post-partum care to high-risk, low-income, underserved women in the san francisco/oakland and east bay area. Services include medical evaluation and a needs assessment to develop an individualized plan of care appropriate for the maternal condition or diagnosis. A plan is developed according to comprehensive perinatal services program (cpsp) in consultation with providers - including perinatologists, obstetricians, nurse practitioners and nurse midwives, perinatal health educators, social workers, and registered dieticians holding a certified diabetes education certificate (cde). The perinatal center also adheres to california diabetes and pregnancy program (cdapp) sweet success guidelines. Ebpc specializes in caring for women with high risk pregnancies with complications such as asthma, diabetes, high blood pressure, heart disease, and sickle cell disease. Perinatologists also provide care to the perinatal population that suffers from obstetrical problems such as recurrent pregnancy loss, preterm labor, and fetal abnormalities. Ebpc provides referrals, counseling, and support for patients dealing with psychosocial ailments, substance abuse issues, psychiatric diagnoses, domestic violence issues, teen pregnancy, and homelessness. During 2018, the center served a total of 839 patients for an estimated total of 4,375 visits.

Form 990, Part XI, Line 9

Other changes in fund balance: equity transfers (net) $2,276,555

Form 990 Part IX Line 11G

Description:professional fees - physicians total fees:824512

Form 990 Part IX Line 11G

Description:professional fees - med dir total fees:65208

Form 990 Part IX Line 11G

Description:professional fees - other total fees:13956

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, 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 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 2015 through 2017 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, 2018 and 2017, there were no such uncertain tax positions.

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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

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