Civic Intelligence

Sutter East Bay Medical Foundation

EIN 94-2690415 • 501(c)3 • Sacramento, CA

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

www.sutterhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

58th percentile

0.35x

Higher debt load relative to assets than 58% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2016

Liabilities / Revenue

21st percentile

0.13x

Higher debt load relative to revenue than 21% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2016

Net Margin

16th percentile

-9.4%

Higher net margin than 16% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2016

Top Officer Pay

99th percentile

$7,469,654

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 4.5% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2015

Asset Growth

7th percentile

-9.0%

Faster asset growth than 7% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Revenue Growth

56th percentile

9.0%

Faster revenue growth than 56% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2015 to 2016

Assets

Down

$0

Down $68,760,779 (-100%) from 2016

Liabilities

Down

$0

Down $24,173,779 (-100%) from 2016

Net Assets

Down

$0

Down $44,587,000 (-100%) from 2016

Revenue

Down

$107,546,581

Down $72,604,403 (-40%) from 2016

Expenses

Down

$115,004,313

Down $82,142,338 (-42%) from 2016

Net Income

Up

-$7,457,732

Up $9,537,935 (+56%) from 2016

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $31,706,773Liabilities 2010: $5,999,843Net Assets 2010: $25,706,9302010Assets 2011: $41,951,381Liabilities 2011: $7,486,666Net Assets 2011: $34,464,7152011Assets 2012: $58,077,866Liabilities 2012: $5,727,412Net Assets 2012: $52,350,4542012Assets 2013: $51,732,520Liabilities 2013: $7,247,631Net Assets 2013: $44,484,8892013Assets 2014: $64,785,358Liabilities 2014: $15,812,063Net Assets 2014: $48,973,2952014Assets 2015: $75,545,406Liabilities 2015: $20,529,222Net Assets 2015: $55,016,1842015Assets 2016: $68,760,779Liabilities 2016: $24,173,779Net Assets 2016: $44,587,0002016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$100M$0-$100MExpenses 2010: $102,048,7132010Expenses 2011: $111,961,8772011Expenses 2012: $124,977,5792012Revenue 2013: $132,777,853Expenses 2013: $140,835,110Net Income 2013: -$8,057,2572013Revenue 2014: $146,947,928Expenses 2014: $153,383,698Net Income 2014: -$6,435,7702014Revenue 2015: $165,241,230Expenses 2015: $177,644,088Net Income 2015: -$12,402,8582015Revenue 2016: $180,150,984Expenses 2016: $197,146,651Net Income 2016: -$16,995,6672016Revenue 2017: $107,546,581Expenses 2017: $115,004,313Net Income 2017: -$7,457,7322017

Highlighted filing

2017

Revenue$107,546,581
Expenses$115,004,313
Net Income-$7,457,732

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Aug 1, 2017
Signed
Jun 11, 2018
Return Version
2017v2.3
Gross Receipts
$107,546,581
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$40,545,411$0▼ $40,545,411
Savings and Temporary Cash Investments$12,634,745$0▼ $12,634,745
Accounts Receivable$9,347,979$0▼ $9,347,979
Investments Program Related$2,238,300$0▼ $2,238,300
Prepaid Expenses and Deferred Charges$39,228$0▼ $39,228
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 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
Total Assets$68,760,779$0▼ $68,760,779
Other Assets Total$3,955,116$0▼ $3,955,116
Liabilities
Accounts Payable and Accrued Expenses$23,314,415$0▼ $23,314,415
Other Liabilities$859,364$0▼ $859,364
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$24,173,779$0▼ $24,173,779
Net Assets / Fund Balance
Unrestricted Net Assets$44,529,509$0▼ $44,529,509
Temporarily Rstr Net Assets$57,491$0▼ $57,491
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$44,587,000$0▼ $44,587,000
Total Liabilities and Net Assets / Fund Balance$68,760,779$0▼ $68,760,779
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Patrina WhiteVP OperationsFT$147,185$147,185
Cathleen ConnellyDIR, Clinical OperationsFT$147,159$147,159
Catherine ProsserDirector Perf. ImprovementFT$134,842$134,842
Linda MillerCare CTR Rn Mgr IiFT$134,585$134,585
Viola LaquayDirector, Provider ServicesFT$134,381$134,381
Katherine Hsiao MdTrustee, Chief Gyn. Div., Cpmc-$22,150$22,150
Michael GaulkeTrustee Sh Board-$16,042$16,042
Edward Eisler MdChief of Staff, Cpmc-$5,119$5,119

Board Members and Trustees

NameTitle
Anthony WagnerTrustee, Chair
Richard Levy PhdTrustee, Chair Fin. & Plan
Sarah KrevansPresident & CEO Sutter Health
Jeff GerardPresident Sh Bay Area
Christopher BecnelTrustee
DENNIS O'CONNELLTrustee
David Black MdTrustee
Diana BellTrustee
Emil Roy EisenhardtTrustee
Eric FlowersTrustee
John RyanTrustee
Joseph Lacy MdTrustee
Margaret TaylorTrustee
Owen Garrick MdTrustee
Richard Cary Hill MdTrustee
Ron Sinha MdTrustee
Steven Katznelson MdTrustee
Steven OliverTrustee
Theodore DeikelTrustee
Vinita GuptaTrustee
William BrunettiTrustee
Roger LarsenCEO Sebmf/CFO Bay Med Found
Gary ZufeltCEO, Sgmf
John GatesCFO Sutter Health Bay Area
Karen HallChief Legal Officer Bay Area
Anne BarrCIO, Sh Bay Area
David BradleyFormer Regional Pres East Bay
Brian HunterFormer VP Shared Svcs
Ed BerdickSVP Sh Shared Svcs
Gregory BrownVP & Reg Counsel Eb

Highest Paid Contractors

ContractorServicesLocationCompensation
Quest Diagnostics INCLab Services3924 COLLECTION CENTER DR, Chicago, IL 60693-0039$269,222
Vocera Communications INCComm Solutions PrvdrPO BOX 809087, Chicago, IL 60680-9087$159,163
Hss INCSecurity ServicesPO BOX 17033, Denver, CO 80217$151,134
Auxilio INCConsulting ServicesPO BOX 388, Palo Alto, CA 94302$147,725
Rightsourcing INCStaffing ServicesPO BOX 515743, Los Angeles, CA 90051-5118$145,008
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$107,409,688
Investment Income
$136,893
Other Revenue
$0
Change in Net Assets
$-7,457,732
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$91,710,162
Salaries, Compensation, and Employee Benefits$23,293,151
Grants and Similar Amounts Paid$1,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$52,630,431$2,337,724-$54,968,155
Other Salaries and Wages$12,334,225$1,352,617$0$13,686,842
Other Employee Benefits$5,579,601$1,081,518$0$6,661,119
Depreciation Depletion$2,949,408$367,810-$3,317,218
Occupancy$2,623,717$312,608$0$2,936,325
Other Expenses$1,667,283$1,409,539$0$1,667,283
Information Technology$966,052$590,770$0$1,556,822
Payroll Taxes$1,230,639$238,540$0$1,469,179
Current Officers, Directors, Trustees, and Key Employees-$1,038,178$0$1,038,178
Office Expenses$262,243$477,130$0$739,373
Interest$588,846-$0$588,846
Pension Plan Contributions$366,745$71,088$0$437,833
All Other Expenses$69,829$116,067-$185,896
Travel$82,888$20,722$0$103,610
Insurance$32,229$53,930-$86,159
Fees for Services Management-$78,351$0$78,351
Fees for Service Investment Mgmnt Fees-$22,042$0$22,042
Conferences and Meetings$7,776$13,916$0$21,692
Advertising-$2,217$0$2,217
Fees for Services Legal$1,978-$0$1,978
Grants to Domestic Orgs$1,000--$1,000
Fees for Services Accounting-$35$0$35
Total Functional Expenses$104,142,389$10,861,924$0$115,004,313
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, Line 1A

The executive committee shall have the power to transact all regular business of the corporation during the period between meetings of the board. The executive committee consists of the corporations chair, the chair of the finance and planning committee, the president of the corporation, the chief operating officer of the general member, and two additional directors. At least one executive committee member shall be a physician director. Form 990, part vi, lines 6 & 7a description of 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, Line 7B

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 or 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

Describe the process used by management and/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

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

Form 990, Part VI, Line 15

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 sutters executive programs and consistency with the organizations overall mission. In order to ensure external competitiveness, national, california and local market area compensation data comparisons are reviewed. Competitive analysis includes: (a) base salary, (b) total cash (base salary + annual incentive), (c) total direct cash (base salary + annual incentive + long term incentive) and (d) total remuneration (base salary + annual incentive + benefits and long term incentive). This analysis includes comparable organizations and geographic considerations. For the most senior executive positions, national comparisons for organizations similar in size, scope and complexity as sutter health are most appropriate since it is a national marketplace in which sutter competes for executive talent. On the other hand, because californias underlying compensation structure is higher than national data (especially in the bay area), regional pay adjustments may be made. Officers and key employees of this organization undergo a review and compensation committee approval annually, and such approval is recorded in the minutes. Executive compensation review was last completed in december 2016.

Form 990, Part VI, Line 19

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

Form 990, Part VII, Section A

The compensation being reported is an estimate for the period 1/1/17 to 8/1/17. Full 2017 compensation will be reported on sutter bay medical foundations 12/31/17 form 990. 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. - jeff gerard - sarah krevans

Filing and Contact Details

Filer

Filer Name
Sutter East Bay Medical Foundation
EIN
94-2690415
In Care Of
% CARLA WHITE-SNYDER
Phone
9162866665
Address
C/O SH TAX 2200 RIVER PLAZA DRIVE, SACRAMENTO, CA 95833

Signing Officer

Name
John Gates
Title
CFO
Signed
2018-06-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeff Gerard
Formed
1980
Legal Domicile
CA
Voting Board Members
23
Independent Board Members
20
Employees
0
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
560 MISSION STREET SUITE 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

The mission of sutter east bay medical foundation is to enhance the health and well-being of people in the communities we serve through compassion and excellence. Form 990, part iii, line 3 sutter east bay medical foundation merged into sutter bay foundation, a related 501(c)(3) organization, effective august 1, 2017.

Form 990, Part III, Line 4A

Sutter east bay medical foundation (sebmf) is a not-for-profit health care organization committed to enhancing the health and well being of the communities we serve. Sutter east bay medical foundation (sebmf) and east bay physicians medical group (ebpmg) have created an integrated health care delivery system working in partnership with local hospitals, community physicians, and healthcare organizations. Through dedication to compassion and patient care excellence, our family of more than 200 physicians and clinicians is transforming health care in the east bay. With care centers in albany, antioch, berkeley, brentwood, castro valley, dublin, oakland, orinda and richmond, sebmf is able to offer high quality medical care close to you and your family. We seek to enhance the health and well-being of people in the community through a commitment to compassion and excellence in patient care, education, and research. We strive to provide the highest levels of quality care and service, as well as to improve health care access and affordability through a multidisciplinary group practice. As a part of the sutter health family of community based, not-for-profit hospitals and physician organizations, sebmf benefits from shared resources and expertise to advance health care quality to our patients. Sutter health is one of the nation's leading not-for-profit networks of community based health care providers. With over 24 hospitals and over 3500 contracting physicians in northern california, sutter health enables us to focus on local needs and, at the same time, benefit from participating in a larger network. Sutter east bay medical foundation served 94,591 patients from january 1, 2017 through july 31, 2017. On august 1st, 2017, sutter east bay medical foundation merged into a related 501(c)(3) organization, sutter bay medical foundation. Form 990, part v, lines 1 & 2 at the beginning of 2017, in preparation for the merger, all sebmf employees were transferred to and paid by sutter bay medical foundation, a related 501(c)(3) tax-exempt organization.

Form 990, Part XI, Line 9

Other changes in fund balance: equity transfers (net) $ 32,923,352 transfer to sutter bay medical foundation for merger $ (69,995,837) healthcare jv book to tax difference $ (68,760) ------------- total $ (37,141,245) =============

Form 990 Part IX Line 11G

Description:medical group compensation total fees:54616185

Form 990 Part IX Line 11G

Description:therapists/other medical total fees:351970

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 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 that 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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