Civic Intelligence

Sutter Health Sacramento Sierra Region

990 • Fiscal year 2023 • EIN 94-1156621

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 05, 2024

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

(916) 286-6665

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Up

$2,811,971,916

Up $143,165,129 (+5.4%) from 2022

Net Assets

Up

$1,747,535,877

Up $129,508,883 (+8.0%) from 2022

Liabilities

Up

$1,064,436,039

Up $13,656,246 (+1.3%) from 2022

Revenue And Expenses

Revenue

Up

$4,658,111,308

Up $431,826,083 (+10%) from 2022

Expenses

Up

$4,221,939,186

Up $276,475,146 (+7.0%) from 2022

Net Income

Up

$436,172,122

Up $155,350,937 (+55%) from 2022

Historical Trend

Balance Sheet Trend

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

$3.0B$2.0B$1.0B$0Assets 2010: $1,484,690,593Liabilities 2010: $922,748,120Net Assets 2010: $561,942,4732010Assets 2011: $1,766,717,379Liabilities 2011: $1,220,494,168Net Assets 2011: $546,223,2112011Assets 2012: $1,653,906,391Liabilities 2012: $1,171,733,527Net Assets 2012: $482,172,8642012Assets 2013: $1,738,079,830Liabilities 2013: $1,255,476,921Net Assets 2013: $482,602,9092013Assets 2014: $1,866,955,706Liabilities 2014: $1,199,059,743Net Assets 2014: $667,895,9632014Assets 2015: $1,855,081,331Liabilities 2015: $1,139,660,646Net Assets 2015: $715,420,6852015Assets 2016: $1,955,045,391Liabilities 2016: $1,215,306,312Net Assets 2016: $739,739,0792016Assets 2017: $2,405,146,153Liabilities 2017: $1,519,849,064Net Assets 2017: $885,297,0892017Assets 2018: $2,349,883,890Liabilities 2018: $1,444,300,762Net Assets 2018: $905,583,1282018Assets 2019: $2,475,210,508Liabilities 2019: $1,569,977,919Net Assets 2019: $905,232,5892019Assets 2020: $2,515,417,316Liabilities 2020: $1,447,406,336Net Assets 2020: $1,068,010,9802020Assets 2021: $2,572,315,984Liabilities 2021: $1,274,165,414Net Assets 2021: $1,298,150,5702021Assets 2022: $2,668,806,787Liabilities 2022: $1,050,779,793Net Assets 2022: $1,618,026,9942022Assets 2023: $2,811,971,916Liabilities 2023: $1,064,436,039Net Assets 2023: $1,747,535,8772023Assets 2024: $2,882,071,435Liabilities 2024: $1,116,925,084Net Assets 2024: $1,765,146,3512024

Highlighted filing

2023

Assets$2,811,971,916
Liabilities$1,064,436,039
Net Assets$1,747,535,877

Operations Trend

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

$6.0B$4.0B$2.0B$0Expenses 2010: $1,560,886,8502010Expenses 2011: $1,559,944,6052011Expenses 2012: $1,671,191,7182012Revenue 2013: $1,884,627,901Expenses 2013: $1,736,015,665Net Income 2013: $148,612,2362013Revenue 2014: $1,954,755,215Expenses 2014: $1,765,134,533Net Income 2014: $189,620,6822014Revenue 2015: $2,098,856,503Expenses 2015: $2,051,650,564Net Income 2015: $47,205,9392015Revenue 2016: $2,302,941,566Expenses 2016: $2,148,294,632Net Income 2016: $154,646,9342016Revenue 2017: $3,139,020,885Expenses 2017: $2,810,379,539Net Income 2017: $328,641,3462017Revenue 2018: $3,408,209,393Expenses 2018: $3,157,092,161Net Income 2018: $251,117,2322018Revenue 2019: $3,619,243,792Expenses 2019: $3,393,257,370Net Income 2019: $225,986,4222019Revenue 2020: $3,739,694,498Expenses 2020: $3,592,935,046Net Income 2020: $146,759,4522020Revenue 2021: $4,106,006,978Expenses 2021: $3,769,939,820Net Income 2021: $336,067,1582021Revenue 2022: $4,226,285,225Expenses 2022: $3,945,464,040Net Income 2022: $280,821,1852022Revenue 2023: $4,658,111,308Expenses 2023: $4,221,939,186Net Income 2023: $436,172,1222023Revenue 2024: $5,141,193,321Expenses 2024: $4,761,052,174Net Income 2024: $380,141,1472024

Highlighted filing

2023

Revenue$4,658,111,308
Expenses$4,221,939,186
Net Income$436,172,122
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 5, 2024
Return Version
2023v5.1
Gross Receipts
$4,660,408,822
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,503,818,499$1,527,364,281▲ $23,545,782
Accounts Receivable$603,973,005$599,040,105▼ $4,932,900
Savings and Temporary Cash Investments$132,227,205$136,136,281▲ $3,909,076
Inventories for Sale or Use$50,719,307$52,107,623▲ $1,388,316
Prepaid Expenses and Deferred Charges$22,503,164$25,085,518▲ $2,582,354
Investments Program Related$2,030,683$5,092,585▲ $3,061,902
Investments in Publicly Traded Securities$-1,283,042$1,392,482▲ $2,675,524
Pledges and Grants Receivable$744,170$498,915▼ $245,255
Cash and Non-Interest-Bearing Accounts$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
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$2,668,806,787$2,811,971,916▲ $143,165,129
Other Assets Total$354,073,796$465,254,126▲ $111,180,330
Liabilities
Tax Exempt Bond Liabilities$644,362,112$635,829,369▼ $8,532,743
Accounts Payable and Accrued Expenses$365,420,471$385,714,278▲ $20,293,807
Other Liabilities$36,629,643$37,927,116▲ $1,297,473
Mortgage Notes Payable Secured by Investment Property$4,367,567$4,965,276▲ $597,709
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$1,050,779,793$1,064,436,039▲ $13,656,246
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,615,940,657$1,745,563,869▲ $129,623,212
Net Assets With Donor Restrictions$2,086,337$1,972,008▼ $114,329
Total Net Assets Fund Balance$1,618,026,994$1,747,535,877▲ $129,508,883
Total Liabilities and Net Assets / Fund Balance$2,668,806,787$2,811,971,916▲ $143,165,129

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,216,834,752$1,270,356,808$2,487,191,560
Equipment$169,572,817$577,337,275$746,910,092
Other Land Buildings$82,422,227$49,163,074$131,585,301
Land$48,768,288-$48,768,288
Leasehold Improvements$9,766,197$25,933,298$35,699,495
Other Assets Org$44,176,593--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$48,238,930$187,565▲ $3,726,820$1,105,919$51,047,396
2022$47,680,470$2,380,685▼ $1,697,747$124,478$48,238,930
2021$45,543,145$100,059▲ $3,372,871$1,335,605$47,680,470
2020$41,682,775$138,071▲ $6,591,830$2,869,531$45,543,145
2019$39,417,783$26,144▲ $3,847,038$1,608,190$41,682,775
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Samareh RadMgr, Transfer & Referral(rn)FT$1,133,948$36,691$1,170,639
David CarettoMedical DirectorFT$347,971$158,462$506,433
Oliver AandahlStaff Nurse IIFT$469,127$13,807$482,934
Jose a ArevaloChief Medical ExecutiveFT$415,679$38,304$453,983
Brett HollidaySupervisor, Transfer, ReferralFT$422,560$18,395$440,955
Rishi Menon MdDirector, Medical AffairsFT$29,520$446$29,966
I-mei Hsiu MdDirector/SH Board--$27,500$27,500

Board Members and Trustees

NameTitle
Dan FloresChair Finance & Planning
Peter Hull MdCMO, Sacramento Market/Chair
James ConfortiFormer Interim President & CEO
Warner ThomasPresident & CEO Sutter Health
Rachael MckinneyPresident, Sacramento Market
Benjamin DuranDirector
Bronwyn Fields RnDirector
Duke LefflerDirector
Jerry TokunagaDirector
Kurt Shuler MdDirector
Leticia RoblesDirector
Maria PallaviciniDirector
Michael YacobDirector
Stephen Peters MdDirector
Timothy ByrdDirector
Viva Ettin MdDirector
Theresa FreiCEO SVMF/Pres, Asst Sec SVH
David CheneyCEO, Bay & Valley/Pres (PT-YR)
Tamara PowersCEO, Srmc
Timothy NoakesCFO Hospital SMCS (PT-YR)
Pat BradyFormer CEO, SRMC
Brian AlexanderHospital Area CEO, N. Valley
Eugene PatrizioPres, Central Valley Market
Dominic NakisSH Interim CFO
Asit Gokli MdSH VP, Chief Clinical & Ops In
Michael D MarinoSH VP, HR Central Valley Mark
Colleen J KosckiSH VP, HR Sacramento Market
Benjamin KirkSH VP, Legal ops, Valley/sec
Todd Smith MdSVP, Chief Phys Ex/asst Sec
Mark SevcoSVP, COO/pres

Highest Paid Contractors

ContractorServicesLocationCompensation
Central Anesthesia ServiceAnesthesiology Svcs3315 WATT AVE, Sacramento, CA 95821-3600$17,028,959
Rudolph And Sletten INCGeneral Contractor120 CONSTITUTION DR, Menlo Park, CA 94025-1107$16,441,622
Fastaff LLCStaffing Services5700 SO QUEBEC ST SUITE 300, Greenwood Village, CO 80111-2008$15,495,775
Dpr Construction A GeneralConstruction Svcs1450 VETERANS BLVD, Redwood City, CA 94063$14,505,920
Pulmonary Medicine Assoc Med Grp InPhysician Services1300 ETHAN WAY SUITE 600, Sacramento, CA 95825-2296$13,505,554
Revenue and Support

Revenue Composition

Contributions and Grants
$65,659,856
Program Service Revenue
$4,583,626,685
Investment Income
$5,633,530
Other Revenue
$3,191,237
All Other Contributions
$893,760
Change in Net Assets
$436,172,122
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,171,228,080
Salaries, Compensation, and Employee Benefits$2,031,419,390
Grants and Similar Amounts Paid$19,291,716
Total Fundraising Expense$461,366
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,305,802,118$83,436,688$194,175$1,389,432,981
Other Employee Benefits$455,065,408$29,087,104$117,594$484,270,106
Fees for Services Other$278,708,594$19,145,307-$297,853,901
All Other Expenses$202,340,458$15,024,993$20,369$217,385,820
Information Technology$96,934,441$71,044,090-$167,978,531
Depreciation Depletion$148,049,699$16,646,232-$164,695,931
Payroll Taxes$111,496,314$7,126,788$9,125$118,632,227
Other Expenses$109,900,748$9,897,871$21,829$109,900,748
Occupancy$57,963,429$3,349,055-$61,312,484
Pension Plan Contributions$36,706,675$2,346,272$1,163$39,054,110
Office Expenses$8,736,338$22,843,923$881$31,581,142
Interest$26,891,895--$26,891,895
Insurance$20,700,323$5,667,302-$26,367,625
Grants to Domestic Orgs$18,374,581--$18,374,581
Fees for Services Management$2,552,573$7,634,821-$10,187,394
Fees for Services Legal$2,854,946--$2,854,946
Travel$1,781,187$240,013$695$2,021,895
Conferences and Meetings$1,251,609$222,147-$1,473,756
Grants to Domestic Individuals$917,135--$917,135
Fees for Service Investment Mgmnt Fees-$417,413-$417,413
Advertising-$86,138-$86,138
Current Officers, Directors, Trustees, and Key Employees-$29,966-$29,966
Total Functional Expenses$3,834,381,222$387,096,598$461,366$4,221,939,186
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Wellspace HealthSacramento, CA501(c)(3)-$3,481,930
Placer County of Office of EducationAuburn, CAGovt-$1,500,000
Sacramento CoveredSacramento, CA501(c)(3)-$1,356,123
Sacramento Native American Health Ctr IncSacramento, CA501(c)(3)-$1,000,000
Communicare Health CentersDavis, CA501(c)(3)-$737,020
United Way California Capital RegionSacramento, CA501(c)(3)-$501,500
Gathering InnRoseville, CA501(c)(3)-$462,490
Golden Valley Health CentersDavis, CA501(c)(3)-$419,776
Yolo County of Childrens AllianceDavis, CA501(c)(3)-$355,808
Sacramento Lgbt Community CtrSacramento, CA501(c)(3)-$343,333
Touro University CaliforniaVallejo, CA501(c)(3)-$335,000
Catholic Charit of the Diocese of StocktonStockton, CA501(c)(3)-$308,000
Valley Consortium for Medical EducationModesto, CA501(c)(3)-$296,554
Stanford Youth SolutionsSacramento, CA501(c)(3)-$250,000
Pro Youth and Families IncSacramento, CA501(c)(3)-$225,000
La Clinica De La Raza IncOakland, CA501(c)(3)-$221,893
Sacramento Metro Chamber FndtSacramento, CA501(c)(3)-$201,203
Alchemist CdcSacramento, CA501(c)(3)-$200,000
CaminarSan Mateo, CA501(c)(3)-$200,000
Gigis Playhouse IncHoffman Estates, IL501(c)(3)-$200,000
Sierra College FoundationRocklin, CA501(c)(3)-$190,000
Mission Merced IncMerced, CA501(c)(3)-$180,000
Merced County Behavioral Health & Recovery ServicMerced, CAGovt-$173,160
Stanislaus Multi Cultural Health Coalition West MoModesto, CA501(c)(3)-$151,500
Community Medical Centers IncStockton, CA501(c)(3)-$150,000
United Way of Stanislaus CountyModesto, CA501(c)(3)-$150,000
American Heart Association IncDallas, TX501(c)(3)-$148,750
Shelter IncConcord, CA501(c)(3)-$142,109
The Salvation ArmyRancho Palos Verde, CA501(c)(3)-$135,000
Tracy Community Connections Center IncTracy, CA501(c)(3)-$135,000
H3o FoundationSolana Beach, CA501(c)(3)-$133,100
Modesto Gospel Mission IncModesto, CA501(c)(3)-$125,000
People Resources IncWoodland, CA501(c)(3)-$122,700
Sutter Yuba Homeless ConsortiumYuba City, CA501(c)(3)-$122,500
Yolo Hospice IncDavis, CA501(c)(3)-$115,000
Greater Sacramento Area Economic CouncilSacramento, CA501(c)(3)-$110,000
Sierra Vista Child & Family ServicesModesto, CA501(c)(3)-$103,000
Ronald Mcdonald HouseSacramento, CA501(c)(3)-$102,500
Advance PeaceRichmond, CA501(c)(3)-$100,000
Latino Leadership Council IncAuburn, CA501(c)(3)-$100,000
Los Rios Comm College FndtSacramento, CA501(c)(3)-$100,000
Sacramento Convention and Visitors BureauSacramento, CA501(c)(3)-$100,000
Sierra Community Medical FoundationRocklin, CA501(c)(3)-$100,000
Stanislaus Business AllianceModesto, CA501(c)(3)-$85,000
Ambulatory Surgery Access CoalitionSan Francisco, CA501(c)(3)-$80,000
Boys and Girls Club of Placer CountyAuburn, CA501(c)(6)-$80,000
City Year IncBoston, MA501(c)(3)-$80,000
Placer Food BankRoseville, CA501(c)(3)-$80,000
Healthy Alternatives to Violent EnvironmentsModesto, CA501(c)(3)-$78,250
Food Literacy CenterSacramento, CA501(c)(3)-$75,850
Community Pship for Families of San JoaquinStockton, CA501(c)(3)-$75,000
Crocker Art Museum AssociationSacramento, CA501(c)(3)-$75,000
Lighthouse Counseling and Family Resc CtrLincoln, CA501(c)(3)-$65,825
Midtown Sacramento Pbid CorpSacramento, CA501(c)(6)-$60,000
Sacramento Asian Pacific Chamber of CommSacramento, CA501(c)(6)-$60,000
Seniors First IncAuburn, CA501(c)(3)-$60,000
Community Hospice IncModesto, CA501(c)(3)-$55,000
Roseville Area Chamber of CommerceRoseville, CA501(c)(3)-$54,000
Yuba Sutter Healthcare Council FoundationYuba City, GA501(c)(3)-$50,300
Auburn Seventh Day Adventist ChurchAuburn, CA501(c)(3)-$50,000
Second Harvest of the Greater ValleyManteca, CA501(c)(3)-$50,000
Theatre for Children IncSacramento, CA501(c)(3)-$50,000
Yolo Commnunity Care ContinuumDavis, CA501(c)(3)-$48,750
Sacramento Soc Med ImprovementSacramento, CA501(c)(3)-$46,500
Sacramento Region Community FoundationSacramento, CA501(c)(3)-$45,000
American Cancer Society IncAtlanta, GA501(c)(3)-$41,500
Solano Economic Devco CorpFairfield, CA501(c)(3)-$40,000
Suicide Prevention of Yolo CountyDavis, CA501(c)(3)-$40,000
Operation CareJackson, CA501(c)(3)-$35,000
United Way of San Joaquin CntyStockton, CA501(c)(3)-$32,500
Placer County Air Polution Control DistrictAuburn, CAGovt-$30,000
Child Abuse Prevent Council of SacramentoNorth Highlands, CA501(c)(3)-$29,915
Alzheimers Disease and Rel Disorders AssocSan Jose, CA501(c)(3)-$27,500
Boys and Girls Club of TracyTracy, CA501(c)(3)-$27,500
Shadowchase Running ClubModesto, CA501(c)(3)-$27,000
California Teachers AssociationModesto, CA501(c)(3)-$26,800
Interfaith Council of AmadorJackson, CA501(c)(3)-$26,500
Mercy Coalition of West SacramentoSacramento, CA501(c)(3)-$26,500
Zafias Family HouseEl Dorado Hills, CA501(c)(3)-$26,250
Womens Center Youth and Family ServicesStockton, CA501(c)(3)-$26,125
Yuba Sutter Chamber of CommerceYuba City, CA501(c)(6)-$26,000
Colour of Music IncCharleston, SC501(c)(3)-$25,000
Mchenry House Tracy Family ShelterTracy, CA501(c)(3)-$25,000
Amador StarsJackson, CA501(c)(3)-$20,000
Helping Others Provide Encouragement Ministries inManteca, CA501(c)(3)-$20,000
Sacramento Food Bank and Family Services IncSacramento, CA501(c)(3)-$20,000
Short Term Emergency Aid CommitteeDavis, CA501(c)(3)-$20,000
Triumph Cancer FoundationSacramento, CA501(c)(3)-$18,500
Modesto Chamber of CommerceModesto, CA501(c)(3)-$17,550
Elk Grove Chamber of CommerceElk Grove, CA501(c)(6)-$17,500
Common Ground Senior ServicesSutter Creek, CA501(c)(3)-$15,000
Love Stanislaus County IncModesto, CA501(c)(3)-$15,000
Make a Wish Northeastern and Central CASacramento, CA501(c)(3)-$15,000
Vallejo City Unified School DistrictVallejo, CAGovt-$15,000
Valley Vision IncSacramento, CA501(c)(3)-$15,000
Farmers MarketplaceAuburn, CA501(c)(3)-$13,500
Folsom Chamber of CommerceFolsom, CA501(c)(3)-$13,500
Sacramento Black Chamber of Commerce FdnSacramento, CA501(c)(3)-$12,000
Tracy Chamber FoundationTracy, CA501(c)(3)-$12,000
Volunteers of America Northern CaliforniaSacramento, CA501(c)(3)-$12,000
CA Found for Agriculture in the ClassSacramento, CA501(c)(3)-$11,000
American National Red CrossWashington Dc, DC501(c)(3)-$10,000
Davis City of Chamber of CommerceDavis, CA501(c)(3)-$10,000
Equality California InstituteLos Angeles, CA501(c)(3)-$10,000
Lodi District Chamber of CommerceLodi, CA501(c)(4)-$10,000
Nat Assoc for the Adv of Colored PeopleSacramento, CA501(c)(3)-$10,000
Sacramento Reg Coalition to End HomelessnessSacramento, CA501(c)(3)-$10,000
Stanislaus Partners in EducationModesto, CA501(c)(3)-$10,000
Vallejo Senior Citizens CouncilVallejo, CA501(c)(3)-$10,000
Kids First Child Abuse Prevention CouncilRoseville, CAGovt-$9,895
Merced County of Spring FairLos Banos, CAGovt-$9,000
First 5 AmadorJackson, NY501(c)(3)-$8,000
Arthritis Foundation IncAtlanta, GA501(c)(3)-$7,500
Education Foundation of Stanislaus CountyModesto, CA501(c)(3)-$7,500
Healthy Room Project CorporationRedondo Beach, CA501(c)(3)-$7,500
Sacramento Downton Pship IncSacramento, CA501(c)(3)-$7,500
Turning Point Community ProgramsRancho Cordova, CA501(c)(3)-$7,500
Yuba Sutter Lodi Pink OctoberYuba City, CA501(c)(3)-$7,500
National Multiple Sclerosis SocietyNew York, NY501(c)(3)-$7,250
Los Banos Chamber of CommerceLos Banos, CA501(c)(3)-$7,000
Modesto Childrens Museum IncModesto, CA501(c)(3)-$6,713
Alliance for Community TransformationsMariposa, CA501(c)(3)-$6,550
Yolo Crisis Nursery IncDavis, CA501(c)(3)-$6,500
Amador Tuolumne Community Action AgencyJackson, CA501(c)(3)-$6,000
Tree DavisDavis, CA501(c)(3)-$6,000
Women Health Care Executives of Northern CaliforniSunnyvale, CA501(c)(3)-$6,000
Amador Community FoundationJackson, CA501(c)(3)-$5,535
Golden Valley Health Centers FoundationMerced, CA501(c)(3)-$5,500
Los Banos Downtown AssociationLos Banos, CA501(c)(3)-$5,500
Mopride IncModesto, CA501(c)(3)-$5,500
Auburn Chamber of CommerceAuburn, CA--$5,250
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$50,350
Fundraising Direct Expenses$48,244
Gaming Gross Income$7,730
Gaming Direct Expenses$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Mhlb Gala$156,255$50,350$13,046$37,304
Total Events$156,255$50,350$48,244$2,106
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
Other Liabilities$21,344,241
Insurance Liabilities$13,385,310
Third-party Settlements$3,197,565

Bond Issues

BondIssuerIssuedIssue PricePurpose
AChffa 2016b2016-08-17$901,627,093Refund 2005BC, 2003AB, 2007A
BChffa 2017a2017-07-06$496,319,743Refund 2004CD, 2008A (partial), 20

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$902,923,938$902,923,938$0$0
B$496,319,743$496,319,743$0$0

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
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, Section A, Line 1A

THE AFFAIRS AND MANAGEMENT OF THE SUTTER VALLEY HOSPITALS (SVH) ARE SUPERVISED BY THE EXECUTIVE COMMITTEE WHICH HAS POWER TO TRANSACT ALL REGULAR BUSINESS OF SVH DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. The Executive Committee consists of SVH's Chair who shall serve as chair of the committee, the Chair of the Finance and Planning Committee, the Chief Operating Officer of the General Member (if this position is occupied) and two (2) additional Directors. If the position of the Chief Operating Officer of the General Member is not occupied, then the President and CEO of the General Member may appoint either a Designated Director or an Appointed Director as a member. AT LEAST ONE COMMITTEE MEMBER IS A PHYSICIAN DIRECTOR.

Form 990, Part VI, Section A, 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 health is the sole member with the right to elect at least a majority of the members of the board of directors.

Form 990, Part VI, Section A, Line 7B

Classes of persons, decisions requiring approval & type of voting rights: sutter health as the sole member of the organization is entitled to exercise fully all rights and privileges of members of nonprofit corporations under the california nonprofit public benefit corporation law, and all other applicable laws. The member has the rights and powers to appoint (and remove) members of the corporation's board of directors, subject to the provisions of the bylaws. In addition, the member has the right to approve the following actions of the corporation's board of directors: a. Merger, consolidation, reorganization, or dissolution of the corporation or any subsidiary or affiliate entity; b. Amendment or restatement of the articles of incorporation or the bylaws of the corporation or any subsidiary or affiliate entity; c. Adoption of operating budgets of the corporation or any subsidiary or affiliate entity, including consolidated or combined budgets of the corporation and all subsidiary organizations of the corporation; d. Adoption of capital budgets of the corporation or any subsidiary or affiliate entity; e. Aggregate operating or capital expenditures on an annual basis that exceed approved operating or capital budgets by a specified dollar amount to be determined from time to time by the general member; f. Long-term or material agreements 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. N. Any self-dealing transaction between a director of the corporation and the corporation or a subsidiary of the corporation; or o. Rehiring, contracting with, or otherwise compensating a sutter health executive, or any officer or member of management of the corporation or any affiliated entity after their employment has ended. 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. Activity requiring approval. Activity requiring approval.

Form 990, Part VI, Section B, 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, Section B, 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, Section B, Lines 15A & 15B

Process for determining compensation: the compensation committee of the sutter health board of directors retains ultimate discretionary authority over all elements of compensation to assure that organizational purposes are appropriately being served. The compensation committee uses credible independent data sources and maintains an objective "arms length" decision-making process, ensuring the integrity of sutter's executive programs and consistency with the organization's overall mission. To ensure external competitiveness, national compensation data comparisons are reviewed. Competitive analysis includes: (a) base salary, (b) total cash (base salary + annual incentive), (c) total direct cash (base salary + annual incentive + long term incentive) and (d) total remuneration (base salary + annual incentive + benefits and long term incentive). This analysis includes national comparisons for organizations similar in size, scope and complexity as sutter health, adjusted to the california market. This method is most appropriate since it is a national marketplace in which sutter competes for executive talent. Officers and key employees of this organization undergo an annual review by the compensation committee or a delegated sub-committee. Approval is recorded in the minutes. The 2023 executive compensation approval was completed in may 2023.

Form 990, Part VI, Section C, Line 19

AVAILABILITY OF GOVERNING DOCUMENTS, COI POLICY & FINANCIAL STATEMENTS: The Sutter Health system posts its current and past Audited Financial Statements at sutterhealth.org. Other documents are also located at this website including the Annual Report, Mission Statement, history, and links to affiliate websites. The governing documents and conflict of interest policy are not available to the public at this time.

Form 990, Part VII, Section A

Compensation of board members: the following board members of the organization are full-time employees (40 hours per week) of sutter health and their sutter health salaries are reported herein. These individuals receive no compensation for their service as board members of this organization. - mark sevco - peter hull, md - theresa frei - todd smith, md - warner thomas common law employees: individuals listed as officers and key employees of the organization that are paid fulltime by a related organization are common law employees of sutter health, a separate legal entity. It is the intention of sutter health and the filing organization to make information accessible and transparent, reporting those sutter health employees who have officer and key employee responsibilities to the filing organization.

Filing and Contact Details

Filer

Filer Name
Sutter Valley Hospitals
EIN
94-1156621
In Care Of
% KENNETH YOUNG
Phone
9162866665
Address
C/O SH TAX 2200 RIVER PLAZA DRIVE, SACRAMENTO, CA 95833

Signing Officer

Name
Raju Iyer
Title
CFO
Phone
9162866665
Signed
2024-11-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Sevco
Formed
1935
Legal Domicile
CA
Voting Board Members
15
Independent Board Members
12
Employees
14,583
Volunteers
944

Preparer

Firm
Ernst & Young US Llp
Address
560 MISSION STREET SUITE 1600, SAN FRANCISCO, CA 94105-2907
Preparer
Eva Nitta
Phone
4158948000
Supplemental Narrative

Additional Explanations

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

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

Form 990, Part III, Line 4A

Sutter Valley Hospitals serves Sacramento, Placer, Amador, El Dorado, Nevada, Yolo, Solano, Yuba, Sutter, Stanislaus, Merced, and San Joaquin counties with comprehensive health care. We strive to provide access to primary care physicians and specialty services in each of our communities and have a network of more than 2,194 physicians regionally and more than 5,455 physicians throughout the Sutter Health system. Sutter Valley Hospitals provided more than $1,031 million in charity care and community benefits and had a total of 466,505 patient days in 2023. Sutter Valley Hospitals is comprised of the following hospitals: Sutter Auburn Faith Hospital is licensed for 64 acute beds and is accredited by the Joint Commission on the Accreditation of Healthcare Organizations. It is Medicare certified and accepts most private insurance plans. Sutter Auburn Faith Hospital's mission is to serve the healthcare needs of Auburn and the surrounding foothill communities. Through partnerships with physicians, payors, other health and human services agencies and with our employees and volunteer leadership, Sutter Auburn Faith Hospital seeks to provide a continuum of health and wellness services to assure a high quality of life for the people living in our service area. Sutter Amador Hospital is a 52-bed acute care hospital located in Jackson, California approximately 55 miles southeast of Sacramento in Amador County. The hospital was established in the mid-1800's and became affiliated with Sutter Health in 1993. Sutter Amador Hospital's mission is to enhance the health and well-being of the residents in the communities served by providing coordinated, effective, affordable, and accessible health and wellness services. Sutter Amador Hospital continuously strives to identify the health care needs of these communities and respond by providing health and wellness services consistent with the stated values and vision of the hospital. Sutter Davis Hospital is a two-story 90,000 square foot acute care hospital licensed for 57 beds that serves the health care needs of residents living in Davis, Dixon, Woodland and Winters. The facility is located in the western-most section of the City of Davis at the corner of Highway 113 and Covell Boulevard. Sutter Davis is accredited by the Joint Commission on the Accreditation of Healthcare Organizations. It is Medicare certified and accepts most private insurance plans. As a not-for-profit hospital, Sutter Davis also donates many community services. Sutter Medical Center of Sacramento medical campus include two acute care hospitals - Anderson Lucchetti Women's and Children's Center and Ose Adams Medical Pavilion, along with two buildings dedicated to doctors' offices and other care found in an outpatient setting. By locating all primary and specialty care services in a central location with convenient freeway access, patients and families now gain faster and easier access to needed medical services. The 242-bed Anderson Lucchetti Women's and Children's Center is a 10-story acute-care hospital where patients and their families can obtain the highest level of neonatal and pediatric intensive care services, pediatric cardiac, neurosurgery and cancer services, and high-risk and conventional maternity services. It replaces Sutter Memorial Hospital as "Sacramento's baby hospitalis home to the Sutter Children's Center, Sacramento, a comprehensive children's hospital inside the Women's and Children's Center. Among the features of the Women's and Children's Center: . All private rooms, including those for new moms and our pediatric patients. The rooms have furniture that converts into beds for families to stay overnight with their loved ones. . A life-saving helistop atop the building adjacent to the Capital City Freeway will allow for the quick and safe transport of preemies and other sick babies as well as other patients. . Mothers who have given birth being treated to spacious suites with 8th-floor views of the city's s

FORM 990, PART III, LINE 4A (Cont.)

Memorial Hospital Los Banos (MHLB) is a private, not-for-profit community hospital incorporated under California law to provide health care services within finite resources, to citizens of Los Banos and the surrounding geographical areas. We provide high quality compassionate care and exercise prudent fiscal responsibility. MHLB opened in 1967 and is part of the Sutter Central Valley Region. The organization affiliated with Sutter Health in 1996 and is accredited by the Joint Commission on Accreditation of Healthcare Organizations. Memorial Hospital Los Banos is currently licensed for 38 acute beds. Sutter Tracy Community Hospital (STCH), since 1948, continues to be the only full-service, 77 acute care beds hospital within a 15-mile radius geographically. Located in Tracy, California, STCH staff has the opportunity to deliver culturally competent care to the diverse population within its service area. As a state-of-the-art facility, it features the latest medical technology and diagnostic equipment and offers a comprehensive array of inpatient and outpatient services on par with many larger, urban hospitals. Additionally, Sutter Tracy is committed to bringing the best and brightest physicians and the latest advances in medicine to the community. It is affiliated with many remarkable, local physicians who are at the forefront of their field. Sutter Valley Hospitals' services include: 24-Hour Emergency Treatment Acute Rehabilitation Anesthesiology Bariatric Surgery Cancer Care Cardiac Catheterization Laboratory Cardiac Rehabilitation Cardiopulmonary Services Cardiovascular Services Community Benefit Congestive Heart Failure Program Continence Critical Care Dentistry Dermatology Diabetes Education & Treatment Diagnostic Imaging Dialysis Digital Mammography Education Respiratory Therapy Endoscopy Family Birth Center Gastroenterology Heart and Vascular Institute Home Health and Hospice Care Infusion Therapy Intensive Care Internal Medicine IV Therapy Laboratory Lactation Assistance Program Level II Trauma Center Major Trauma Patient Receiving Center Medical Library Access Modern Family Birthing Center Neo Natal Intensive Care Nephrology Neurology Nuclear Medicine Nutritional Support Services Obstetrics and Perinatal Care Occupational Medicine Oncology Ophthalmology Oral Surgery Orthopedics Otolaryngology Outpatient Surgery Pain Medicine Palliative Care Pastoral Care Pathology Patient and Community Education Pediatrics Pharmacy Plastic Surgery Podiatry Primary Care/Family Practice Pulmonary Rehabilitation Radiation Oncology Radiology Rehabilitation / Physical Therapy Rehabilitation Services Respiratory Care Respiratory Therapy Senior Services Sleep Disorders Center Social Services Specialty Care Speech Therapy Spiritual Services Surgical Services Sutter Rehabilitation Institute Telemetry Transfusion Medicine Trauma Neuro Intensive Care Unit Urology VNA (Home Health and IV Therapy) Women's Imaging Center Wound Care Sutter Institute for Medical Research (SIMR): Sutter Valley Hospitals of Sacramento service area is committed to providing the best possible healthcare to its patients, and the Sutter Institute for Medical Research supports this commitment by providing research support and education programs. SIMR has a history of over five decades of commitment to medical research. SIMR has gained recognition for its investigative studies in the areas of heart, cancer, orthopedics, respiratory, neurology, GI/GU and many other areas of medicine. SIMR's primary objective is to help health professionals conduct research in a clinical setting by providing management and administrative resources otherwise unavailable to the private practitioner. At SIMR, Sutter investigators receive support in five areas. Research Administrative Services Research Support Services Clinical Trials Program Laboratory Research and Training Sutter Health Central Area Institutional Review Committee (IRC) Community Benefit The medical facilities in Sutter Valley Hosp

Form 990, Part XI, Line 9

Other changes in net assets or fund balances: k-1 activity $ (33,954) partnership income on books $ 110,606 healthcare related jv income $ 391,455 equity transfers (net) $ (309,768,538) ---------------- total: $ (309,300,431)

Financial Statement Notes

Schedule D, Part III, Line 4

DESCRIPTION OF THE ORGANIZATION'S COLLECTIONS: THE ORGANIZATION HAS ARTWORK BEING DISPLAYED IN PUBLIC PLACES OF THE MEDICAL FACILITY FOR DECORATIVE PURPOSES. SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: SUTTER MEDICAL CENTER SACRAMENTO'S ENDOWMENT EARNINGS ARE TO BE USED TO SUPPORT THE CHILD LIFE DEPARTMENT. ALL OTHER ENDOWMENTS ARE HELD BY RELATED FUNDRAISING ORGANIZATIONS FOR THE EXCLUSIVE PURPOSE OF VARIOUS PROGRAMS OF SUTTER VALLEY HOSPITALS. Dr. S. Kurra Endowment - Earnings used to support, recognize, reward or fund education for outstanding employees. All other endowments are held by related fundraising organizations for the exclusive purpose of various programs of Sutter Valley Hospitals.

Schedule D, Part X, Line 2

Asc 740 footnote from audit: this organization was part of a consolidated financial system audit. The asc 740 audit footnote disclosure for the sutter system is as follows: sutter health and many affiliates have been determined to be exempt organizations by the internal revenue service and the california franchise tax board and generally are not subject to taxes on income. Certain activities of sutter are subject to income taxes; however, such activities are not significant to the consolidated financial statements. With respect to its taxable activities, sutter records income taxes using the liability method, under which deferred tax assets and liabilities are determined based on the differences between the financial accounting and tax basis of assets and liabilities. Deferred tax assets or liabilities at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the periods that the deferred tax asset or liability is expected to be realized or settled. Sutter recognizes the tax benefit from uncertain tax positions, only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The statute of limitations for tax years 2020 through 2022 remains open in u.s. Tax jurisdictions in which sutter and its affiliates are subject to taxation. Sutter recognizes interest and penalties related to income tax matters in operating expenses. There were no such uncertain tax positions recognized for the years ended december 31, 2023 and 2022.

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IRS990/Form990PartVIISectionAGrp/PersonNm29JERRY TOKUNAGA
IRS990/Form990PartVIISectionAGrp/PersonNm30KURT SHULER MD
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IRS990/Form990PartVIISectionAGrp/PersonNm32MARIA PALLAVICINI
IRS990/Form990PartVIISectionAGrp/PersonNm33MICHAEL YACOB
IRS990/Form990PartVIISectionAGrp/PersonNm34STEPHEN PETERS MD
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,882$1,117$1,765$5,141$4,761$380
2023Detailed filing. Detailed filing data is available for this year.$2,812$1,064$1,748$4,658$4,222$436
2022Detailed filing. Detailed filing data is available for this year.$2,669$1,051$1,618$4,226$3,945$281
2021Detailed filing. Detailed filing data is available for this year.$2,572$1,274$1,298$4,106$3,770$336
2020Detailed filing. Detailed filing data is available for this year.$2,515$1,447$1,068$3,740$3,593$147
2019Detailed filing. Detailed filing data is available for this year.$2,475$1,570$905$3,619$3,393$226
2018Detailed filing. Detailed filing data is available for this year.$2,350$1,444$906$3,408$3,157$251
2017Detailed filing. Detailed filing data is available for this year.$2,405$1,520$885$3,139$2,810$329
2016Summary only. Only limited summary data is available for this year.$1,955$1,215$740$2,303$2,148$155
2015Detailed filing. Detailed filing data is available for this year.$1,855$1,140$715$2,099$2,052$47.2
2014Detailed filing. Detailed filing data is available for this year.$1,867$1,199$668$1,955$1,765$190
2013Detailed filing. Detailed filing data is available for this year.$1,738$1,255$483$1,885$1,736$149
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,654$1,172$482$1,671
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,767$1,220$546$1,560
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,485$923$562$1,561