Civic Intelligence

Sutter Health

990 • Fiscal year 2018 • EIN 94-2788907

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 13, 2019

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

47th percentile

0.32x

Higher debt load relative to assets than 47% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Liabilities / Revenue

75th percentile

1.11x

Higher debt load relative to revenue than 75% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Net Margin

13th percentile

-0.4%

Higher net margin than 13% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Top Officer Pay

86th percentile

$4,786,122

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2018 filings • 501(c)3 • $1B+ nonprofits • Source year 2018

Asset Growth

19th percentile

-0.5%

Faster asset growth than 19% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2017 to 2018

Revenue Growth

24th percentile

1.9%

Faster revenue growth than 24% of similar nonprofits.

2018 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2017 to 2018

Assets

Down

$6,154,465,074

Down $28,728,941 (-0.5%) from 2017

Net Assets

Down

$4,156,760,892

Down $265,974,612 (-6.0%) from 2017

Liabilities

Up

$1,997,704,182

Up $237,245,671 (+13%) from 2017

Revenue

Up

$1,794,571,777

Up $33,715,780 (+1.9%) from 2017

Expenses

Up

$1,802,629,517

Up $242,155,075 (+16%) from 2017

Net Income

Down

-$8,057,740

Down $208,439,295 (-104%) from 2017

Historical Trend

Balance Sheet Trend

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

$10B$5.0B$0Assets 2010: $3,065,101,682Liabilities 2010: $903,349,228Net Assets 2010: $2,161,752,4542010Assets 2011: $3,124,343,949Liabilities 2011: $774,697,304Net Assets 2011: $2,349,646,6452011Assets 2012: $3,784,610,021Liabilities 2012: $879,125,366Net Assets 2012: $2,905,484,6552012Assets 2013: $5,062,427,843Liabilities 2013: $1,089,540,138Net Assets 2013: $3,972,887,7052013Assets 2014: $4,587,642,833Liabilities 2014: $1,448,664,625Net Assets 2014: $3,138,978,2082014Assets 2015: $4,433,603,374Liabilities 2015: $1,449,852,079Net Assets 2015: $2,983,751,2952015Assets 2016: $4,975,409,814Liabilities 2016: $1,652,143,673Net Assets 2016: $3,323,266,1412016Assets 2017: $6,183,194,015Liabilities 2017: $1,760,458,511Net Assets 2017: $4,422,735,5042017Assets 2018: $6,154,465,074Liabilities 2018: $1,997,704,182Net Assets 2018: $4,156,760,8922018Assets 2019: $6,828,837,649Liabilities 2019: $2,830,909,653Net Assets 2019: $3,997,927,9962019Assets 2020: $6,846,370,331Liabilities 2020: $4,984,469,961Net Assets 2020: $1,861,900,3702020Assets 2021: $7,362,884,645Liabilities 2021: $3,458,320,968Net Assets 2021: $3,904,563,6772021Assets 2022: $7,413,868,753Liabilities 2022: $3,320,856,179Net Assets 2022: $4,093,012,5742022Assets 2023: $8,620,071,538Liabilities 2023: $4,271,166,300Net Assets 2023: $4,348,905,2382023Assets 2024: $9,601,618,724Liabilities 2024: $4,994,217,791Net Assets 2024: $4,607,400,9332024

Highlighted filing

2018

Assets$6,154,465,074
Liabilities$1,997,704,182
Net Assets$4,156,760,892

Operations Trend

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

$3.0B$2.0B$1.0B$0-$1.0BExpenses 2010: $649,318,9622010Revenue 2011: $756,097,787Expenses 2011: $716,153,696Net Income 2011: $39,944,0912011Expenses 2012: $930,813,8132012Revenue 2013: $998,180,230Expenses 2013: $1,141,551,506Net Income 2013: -$143,371,2762013Revenue 2014: $1,230,215,940Expenses 2014: $1,245,802,811Net Income 2014: -$15,586,8712014Revenue 2015: $1,274,500,314Expenses 2015: $1,366,048,444Net Income 2015: -$91,548,1302015Revenue 2016: $1,322,855,228Expenses 2016: $1,486,642,058Net Income 2016: -$163,786,8302016Revenue 2017: $1,760,855,997Expenses 2017: $1,560,474,442Net Income 2017: $200,381,5552017Revenue 2018: $1,794,571,777Expenses 2018: $1,802,629,517Net Income 2018: -$8,057,7402018Revenue 2019: $1,924,907,196Expenses 2019: $2,471,102,136Net Income 2019: -$546,194,9402019Revenue 2020: $1,902,925,267Expenses 2020: $1,991,189,681Net Income 2020: -$88,264,4142020Revenue 2021: $2,415,559,097Expenses 2021: $1,822,265,779Net Income 2021: $593,293,3182021Revenue 2022: $1,918,502,649Expenses 2022: $1,858,439,658Net Income 2022: $60,062,9912022Revenue 2023: $1,882,657,852Expenses 2023: $2,070,243,600Net Income 2023: -$187,585,7482023Revenue 2024: $2,685,790,764Expenses 2024: $2,544,803,200Net Income 2024: $140,987,5642024

Highlighted filing

2018

Revenue$1,794,571,777
Expenses$1,802,629,517
Net Income-$8,057,740
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 13, 2019
Return Version
2018v3.1
Gross Receipts
$16,703,043,586
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$4,085,014,360$4,270,231,700▲ $185,217,340
Investments Other Securities$295,435,703$408,573,041▲ $113,137,338
Land, Buildings, and Equipment, Net$491,643,383$372,910,566▼ $118,732,817
Prepaid Expenses and Deferred Charges$82,042,545$82,714,973▲ $672,428
Savings and Temporary Cash Investments$231,572,796$67,191,642▼ $164,381,154
Investments Program Related$45,406,884$44,368,039▼ $1,038,845
Inventories for Sale or Use$3,168,004$5,465,824▲ $2,297,820
Pledges and Grants Receivable$2,675,809$1,777,991▼ $897,818
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$6,183,194,015$6,154,465,074▼ $28,728,941
Other Assets Total$946,234,531$901,231,298▼ $45,003,233
Liabilities
Other Liabilities$1,107,307,946$1,269,770,399▲ $162,462,453
Accounts Payable and Accrued Expenses$653,150,565$727,933,783▲ $74,783,218
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$1,760,458,511$1,997,704,182▲ $237,245,671
Net Assets / Fund Balance
Unrestricted Net Assets$4,416,200,452$4,150,123,355▼ $266,077,097
Permanently Rstr Net Assets$5,000,000$5,000,000→ $0
Temporarily Rstr Net Assets$1,535,052$1,637,537▲ $102,485
Total Net Assets Fund Balance$4,422,735,504$4,156,760,892▼ $265,974,612
Total Liabilities and Net Assets / Fund Balance$6,183,194,015$6,154,465,074▼ $28,728,941

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$246,047,307$1,064,325,814$1,310,373,121
Buildings$57,679,126$43,041,204$100,720,330
Leasehold Improvements$28,413,728$37,444,805$65,858,533
Other Land Buildings$23,124,040$1,812,237$24,936,277
Land$17,646,365-$17,646,365
Other Assets Org$235,540,456--
Other Securities$408,573,041--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$5,090,034-▼ $55,844-$5,034,190
2017$0$5,000,000▲ $90,034$0$5,090,034
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sarah KrevansPres. & CEO, Sutter HealthFT$1,678,673$3,107,449$4,786,122
Don L WredenSh SVP / Patient ExperienceFT$683,568$1,405,156$2,088,724
Peter AndersonSh SVP / Chief Strategy OffFT$29,251$1,798,804$1,828,055
James ConfortiSh SVP / COOFT$882,157$924,247$1,806,404
Jeff SpragueSh SVP & CFOFT$749,362$974,612$1,723,974
Jeff GerardSVP Strgy SrvsFT$810,129$847,595$1,657,724
Florence Di BenedettoSVP & General Counsel/asst SecFT$685,412$823,635$1,509,047
Rishi Sikka MdPresident, Sh System EntrpriseFT$681,332$723,409$1,404,741
Grant DaviesCEO, Valley Area HospitalsFT$663,863$732,902$1,396,765
Warren BrownerCEO, CpmcFT$622,784$653,904$1,276,688
Jonathan ManisSh SVP / CIOFT$376,204$844,502$1,220,706
Jeff Burnich MdSVP, Sh Medical NetworkFT$85,708$1,066,591$1,152,299
Julie PetriniCEO, Bay Area HospitalsFT$660,698$486,070$1,146,768
Elizabeth Vilardo-morganCEO, SbmfFT$659,984$463,909$1,123,893
Jill RagsdaleSVP/chief People & Culture OffFT$608,883$503,937$1,112,820
John GatesCFO, Sh Bay AreaFT$662,404$351,189$1,013,593
Jeremy EavesCEO,sutter Shared Services&spsFT$553,191$238,422$791,613
Ed BerdickFormer Sh SVP/shared Services-$39,592$610,866$650,458
Jeffrey SzczesnySh VP, Hr OperationsFT$382,993$247,267$630,260
Ed ErwinDirector Real Estate Svcs/asst SecFT$218,972$50,740$269,712
Patrick FryFormer Sh Pres & CEO-$45,281$45,281$45,281
Robert Peabody Jr MdDirectorPT$27,500$11,175$38,675
Cheryl ScottDirector/secretaryPT$27,500-$27,500
Michael GaulkeDirector/ChairPT$27,500-$27,500
Sharon MccollamDirector/chair Finance & PlanPT$27,500-$27,500
Barry WilliamsDirectorPT$27,500-$27,500
David NasawDirectorPT$27,500-$27,500
James Ferrara MdDirectorPT$27,500-$27,500
Joan Smith-maclean MdDirectorPT$27,500-$27,500
Ken McneeleyDirectorPT$27,500-$27,500
Peter JacobiDirectorPT$27,500-$27,500
Vinita GuptaDirectorPT$27,500-$27,500
Herbert BarlowDirectorPT$20,624-$20,624
John Koster MdDirector/secretary (pt-yr)PT$18,333-$18,333
Michael CohillFormer CEO Smcs-$2,475$2,475$2,475

Board Members and Trustees

NameTitle
Colleen DunnDirector
Gary CaineDirector
Charles WirthFormer CEO, Sps

Highest Paid Contractors

ContractorServicesLocationCompensation
Herreroboldt PartnersConstruction Svcs2100 OAKDALE AVE, San Francisco, CA 94124$223,550,365
Rightsourcing INCContracted Services999 STEWART AVE STE 100, Los Angeles, CA 90051-5118$137,319,101
Rudolph And Sletten INCConstruction Svcs1600 SEAPORT BLVD STE 350, Redwoood City, CA 94063$76,126,161
Herrero Builders INCConstruction Svcs2100 OAKDALE AVE, San Francisco, CA 94124$48,492,928
General Electric CoRepairs & Maint3000 N GRANDVIEW BLVD, Waukesha, WI 53188$39,942,558
Revenue and Support

Revenue Composition

Contributions and Grants
$987,851
Program Service Revenue
$1,573,553,847
Investment Income
$196,824,533
Other Revenue
$23,205,546
All Other Contributions
$709,506
Change in Net Assets
$-8,057,740
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$909,939,896
Other Expenses$890,391,503
Grants and Similar Amounts Paid$2,298,118
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$619,209,582--$619,209,582
Information Technology$217,832,930$156,840-$217,989,770
Other Employee Benefits$166,861,625$1,726,067-$168,587,692
Depreciation Depletion$128,579,500--$128,579,500
Fees for Services Legal$91,957,603--$91,957,603
All Other Expenses$78,987,308$5,569,937-$84,557,245
Other Expenses$54,183,630$67,600-$54,183,630
Payroll Taxes$50,263,752$27,182-$50,290,934
Pension Plan Contributions$47,673,900$1,140,307-$48,814,207
Fees for Services Management$44,723,508$2,745,281-$47,468,789
Occupancy$26,168,632--$26,168,632
Current Officers, Directors, Trustees, and Key Employees-$21,711,483-$21,711,483
Office Expenses$21,425,164$132,911-$21,558,075
Fees for Service Investment Mgmnt Fees-$21,043,525-$21,043,525
Advertising$15,906,235$272,440-$16,178,675
Travel$8,224,468$478,561-$8,703,029
Insurance$6,317,218$679,299-$6,996,517
Conferences and Meetings$1,817,072$3,717,696-$5,534,768
Fees for Services Accounting$3,207,699--$3,207,699
Grants to Domestic Orgs$2,288,118--$2,288,118
Interest$1,557,192--$1,557,192
Comp Disqual Persons-$1,325,998-$1,325,998
Fees for Services Other$827,808--$827,808
Fees for Services Lobbying-$705,732-$705,732
Grants to Domestic Individuals$10,000--$10,000
Total Functional Expenses$1,739,893,773$62,735,744$0$1,802,629,517
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Sutter Bay HospitalsSan Francisco, CA501(c)(3)General Support$439,748
Regents of the Univ of CABerkeley, CA501(c)(3)General Support$300,000
Medshare InternationalDecatur, GA501(c)(3)General Support$207,500
Life Long Medical CareBerkeley, CA501(c)(3)General Support$200,000
American Red CrossWashington, DC501(c)(3)General Support$178,750
March of DimesWilkesbarre, PA501(c)(3)General Support$135,000
Ambulatory Surgery AccessSan Francisco, CA501(c)(3)General Support$103,750
Second Harvest of Santa ClaraSan Jose, CA501(c)(3)General Support$48,500
Coalition for Compassionate CareSacramento, CA501(c)(3)General Support$45,000
San Francisco Food BankSan Francisco, CA501(c)(3)General Support$32,500
Food Bank of Contra Costa County and SolanoConcord, CA501(c)(3)General Support$26,000
Fisher House Foundation IncRockville, MD501(c)(3)General Support$25,000
Okizu FoundationNovato, CA501(c)(3)General Support$25,000
Salvation ArmyLong Beach, CA501(c)(3)General Support$25,000
Alameda County Food BankOakland, CA501(c)(3)GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT Federal Work Study Reimbursement SICKLE CELL RESEARCH WATER QUAL RESEARCH METS: ENERGY & OBESITY LOW VITAMIN D METS: ENERGY & OBESITY SCHOLARSHIP HIV RESEARCH Awards Ceremony Sponsorship Immigrant Justice Nuclear Material Research B$20,000
NaturebridgeSan Francisco, CA501(c)(3)General Support$17,500
Second Harvest of Santa CruzWatsonville, CA501(c)(3)General Support$16,500
River City Community ServicesSacramento, CA501(c)(3)General Support$15,000
Food Pantry of Davis Street Family Resource CenterSan Leandro, CA501(c)(3)General Support$10,000
Lake County Community ActionKelseyville, CA501(c)(3)General Support$10,000
San Francisco Public HealthSan Francisco, CA501(c)(3)General Support$10,000
Tracy Interfaith MinistriesTracy, CA501(c)(3)General Support$10,000
Placer Food BankRoseville, CA501(c)(3)General Support$9,000
Ceres Community ProjectSebastopol, CA501(c)(3)General Support$6,250
Redwood Empire Food BankSanta Rosa, CA501(c)(3)General Support$6,250
Elk Grove Food BankElk Grove, CA501(c)(3)General Support$6,000
Food Bank of Yolo CountyWoodland, CA501(c)(3)General Support$6,000

International Summary

Spending
$1,249,186,289

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments---$1,097,566,220
Europe (Including Iceland and Greenland)Investments---$131,733,988
North AmericaInvestments---$19,886,081
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
Yes
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$797,258,218
Self Insurance Reserve$427,805,408
Taxable Bond Liabilities$44,706,773
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 family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A

The affairs and management of sutter health are supervised by the board of directors. The executive committee has the power to act on behalf of the board and to transact all regular business during the period between meetings of the board. The executive committee consists of the board chair, who serves as chair of the committee, the chair of the finance and planning committee, the secretary, the president and chief executive officer and at least one director-at-large of the corporation.

Form 990, Part VI, Line 4

The governing documents were amended to update the listing of sutter health's supported organizations.

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 receives and provides training and education to appropriate 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 reviews the return. A completed return is then reviewed by the tax department, legal department, finance, 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 boards final discussion and vote.

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 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. 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 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 and conflict of interest policy are not available to the public at this time.

Filing and Contact Details

Filer

Filer Name
Sutter Health
EIN
94-2788907
In Care Of
% CHRIS BOUDREAUX
Phone
9162866665
Address
2200 RIVER PLAZA DRIVE, SACRAMENTO, CA 95833

Signing Officer

Name
Jeff Sprague
Title
SVP & CFO
Phone
9162866665
Signed
2019-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sarah Krevans
Formed
1981
Legal Domicile
CA
Voting Board Members
15
Independent Board Members
13
Employees
9,225
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
4365 EXECUTIVE DR STE 1600, SAN DIEGO, CA 92121
Preparer
Debra Heiskala
Phone
8585357200
Supplemental Narrative

Additional Explanations

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

Mission statement: we enhance the well-being of people in the communities we serve through a not-for-profit commitment to compassion and excellence in health care services.

Form 990, Part III, Line 4

STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: SUTTER HEALTH IS MORE THAN 60,000 PEOPLE STRONG THANKS TO ITS INTEGRATED NETWORK OF CLINICIANS, EMPLOYEES AND VOLUNTEERS. HEADQUARTERED IN SACRAMENTO, CALIFORNIA, SUTTER HEALTH PROVIDES ACCESS TO HIGH QUALITY, AFFORDABLE CARE FOR MORE THAN 3 MILLION NORTHERN CALIFORNIANS THROUGH ITS NETWORK OF HOSPITALS, MEDICAL FOUNDATIONS, URGENT AND WALK-IN CARE CENTERS, HOME HEALTH AND HOSPICE SERVICES. NEARLY 14,000 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS CARE FOR SUTTER PATIENTS. RECOGNIZED AS A NATIONAL LEADER IN QUALITY, SUTTERS INTEGRATED HEALTHCARE SYSTEM PROVIDES ACCESS TO PATIENT-CENTERED, COORDINATED CARE THAT OUTPERFORMS STATE AND NATIONAL AVERAGES IN NEARLY EVERY QUALITY MEASURE. DUE TO ITS SMART MANAGEMENT OF RESOURCES, EFFICIENCY AND FOCUS ON INNOVATION, SUTTERS NETWORK HELPS DRIVE COSTS DOWN AND EXPANDS ACCESS TO COMPREHENSIVE PATIENT SERVICES AND HEALTH PROGRAMS TAILORED TO THE DIVERSE COMMUNITIES IT SERVES. GROUNDED IN ITS NOT-FOR-PROFIT MISSION, SUTTER HEALTH HEAVILY REINVESTS IN ITS COMMUNITIES, COMMITTING HUNDREDS OF MILLIONS OF DOLLARS ANNUALLY TO SUPPORT CLINICS AND COMMUNITY-BASED HOSPITALS - PROVIDING CARE FOR THE MOST VULNERABLE POPULATIONS. FROM DEPLOYING TECHNOLOGY THAT IMPROVES THE PATIENT EXPERIENCE TO SUPPORTING STRONG COMMUNITY PARTNERSHIPS, THE STRENGTH OF SUTTERS INTEGRATED SYSTEM PROVIDES A MODEL THAT CAN SHAPE THE FUTURE OF HEALTHCARE. THE SUTTER HEALTH SYSTEM CONSISTS OF: - 53,000 EMPLOYEES AND 12,000 PHYSICIANS - 5,000 VOLUNTEERS - 2,000 ADVANCED PRACTICE CLINICIANS - 24 HOSPITALS - 4,188 LICENSED ACUTE CARE BEDS - 36 AMBULATORY SURGERY CENTERS - 7 CARDIAC CENTERS - 9 CANCER CENTERS - 4 ACUTE REHABILITATION CENTERS - 8 BEHAVIORAL HEALTH CENTERS - 5 TRAUMA CENTERS - 8 NEONATAL INTENSIVE CARE UNITS - MEDICAL RESEARCH CENTERS - HOME HEALTH AND HOSPICE SERVICES - EXPRESS MEDICAL CLINICS - EDUCATION CENTERS AND PHYSICIAN TRAINING PROGRAMS - PHILANTHROPIC PROGRAMS - HEALTH PLAN (SUTTER HEALTH PLUS) 2018 BY THE NUMBERS: - 30,274 BIRTHS - 188,367 DISCHARGES - 844,249 EMERGENCY ROOM VISITS - 1,810,926 HOSPITAL OUTPATIENT VISITS - 9,159,694 MEDICAL FOUNDATION VISITS - 914,247 PATIENT DAYS - 649,456 SUTTER CARE AT HOME HEALTH VISITS - 211,364 SUTTER CARE AT HOME HOSPICE VISITS AS ONE OF THE NATIONS LEADING NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEMs, WE APPROACH CARE FROM A COMMON MISSION OF ENHANCING THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE THROUGH A NOT-FOR-PROFIT COMMITMENT TO COMPASSION AND EXCELLENCE. TO HELP CARRY OUT OUR MISSION, WE ARE GUIDED BY SEVEN CORE VALUES: 1. HONESTY AND INTEGRITY 2. EXCELLENCE AND QUALITY 3. COMMUNITY 4. INNOVATION 5. TEAMWORK 6. COMPASSION AND CARING 7. AFFORDABILITY HEADQUARTERED IN SACRAMENTO, A COMMUNITY-BASED BOARD OF DIRECTORS GOVERNS SUTTER HEALTH. TO VIEW A LIST OF SUTTER HEALTH AFFILIATES, PLEASE VIEW FORM 990, SCHEDULE R.

Form 990, Part X, Line 20

Sutter health is a conduit borrower of tax-exempt bond issues and allocates portions of each issue to certain subsidiary organizations of which it is the sole corporate member. The outstanding bond liability allocated to these subsidiary organizations is reported on each subsidiary organization's form 990, part x, balance sheet and schedule k.

Form 990, Part XI, Line 9

Other changes in fund balance: equity transfer (net) $418,950,310 k-1 activity (16,270,085) partnership income on books 5,071,450 pension related changes (301,485,352) other changes in fund balance 2,177,953 -------------- total $108,444,276 ==============

Financial Statement Notes

Schedule D, Part V, Line 4

Intended uses of endowment funds: michael and judith gaulke innovation hatchery endowment fund to support the sutter health innovation hatchery, as directed by the sutter chief innovation officer in consultation with the sutter health president and chief executive officer. Schedule d, part x, line 2 asc 740 footnote: 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 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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IRS990/Form990PartVIISectionAGrp/PersonNm5VINITA GUPTA
IRS990/Form990PartVIISectionAGrp/PersonNm6PETER JACOBI
IRS990/Form990PartVIISectionAGrp/PersonNm7JOHN KOSTER MD
IRS990/Form990PartVIISectionAGrp/PersonNm8SARAH KREVANS
IRS990/Form990PartVIISectionAGrp/PersonNm9SHARON MCCOLLAM
IRS990/Form990PartVIISectionAGrp/PersonNm10KEN MCNEELEY
IRS990/Form990PartVIISectionAGrp/PersonNm11DAVID NASAW
IRS990/Form990PartVIISectionAGrp/PersonNm12ROBERT PEABODY JR MD
IRS990/Form990PartVIISectionAGrp/PersonNm13CHERYL SCOTT
IRS990/Form990PartVIISectionAGrp/PersonNm14JOAN SMITH-MACLEAN MD
IRS990/Form990PartVIISectionAGrp/PersonNm15BARRY WILLIAMS
IRS990/Form990PartVIISectionAGrp/PersonNm16FLORENCE DI BENEDETTO
IRS990/Form990PartVIISectionAGrp/PersonNm17ED ERWIN
IRS990/Form990PartVIISectionAGrp/PersonNm18JEFF SPRAGUE
IRS990/Form990PartVIISectionAGrp/PersonNm19JAMES CONFORTI
IRS990/Form990PartVIISectionAGrp/PersonNm20JEREMY EAVES
IRS990/Form990PartVIISectionAGrp/PersonNm21JEFF GERARD
IRS990/Form990PartVIISectionAGrp/PersonNm22JILL RAGSDALE
IRS990/Form990PartVIISectionAGrp/PersonNm23RISHI SIKKA MD
IRS990/Form990PartVIISectionAGrp/PersonNm24DON L WREDEN
IRS990/Form990PartVIISectionAGrp/PersonNm25PETER ANDERSON
IRS990/Form990PartVIISectionAGrp/PersonNm26JEFF BURNICH MD
IRS990/Form990PartVIISectionAGrp/PersonNm27JONATHAN MANIS
IRS990/Form990PartVIISectionAGrp/PersonNm28WARREN BROWNER
IRS990/Form990PartVIISectionAGrp/PersonNm29GRANT DAVIES
IRS990/Form990PartVIISectionAGrp/PersonNm30JOHN GATES
IRS990/Form990PartVIISectionAGrp/PersonNm31JULIE PETRINI
IRS990/Form990PartVIISectionAGrp/PersonNm32ELIZABETH VILARDO-MORGAN
IRS990/Form990PartVIISectionAGrp/PersonNm33PATRICK FRY
IRS990/Form990PartVIISectionAGrp/PersonNm34ED BERDICK
IRS990/Form990PartVIISectionAGrp/PersonNm35MICHAEL COHILL
IRS990/Form990PartVIISectionAGrp/PersonNm36CHARLES WIRTH
IRS990/Form990PartVIISectionAGrp/PersonNm37JEFFREY SZCZESNY
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt020624
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt290

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9,602$4,994$4,607$2,686$2,545$141
2023Detailed filing. Detailed filing data is available for this year.$8,620$4,271$4,349$1,883$2,070$188
2022Detailed filing. Detailed filing data is available for this year.$7,414$3,321$4,093$1,919$1,858$60.1
2021Detailed filing. Detailed filing data is available for this year.$7,363$3,458$3,905$2,416$1,822$593
2020Detailed filing. Detailed filing data is available for this year.$6,846$4,984$1,862$1,903$1,991$88.3
2019Detailed filing. Detailed filing data is available for this year.$6,829$2,831$3,998$1,925$2,471$546
2018Detailed filing. Detailed filing data is available for this year.$6,154$1,998$4,157$1,795$1,803$8.06
2017Detailed filing. Detailed filing data is available for this year.$6,183$1,760$4,423$1,761$1,560$200
2016Detailed filing. Detailed filing data is available for this year.$4,975$1,652$3,323$1,323$1,487$164
2015Detailed filing. Detailed filing data is available for this year.$4,434$1,450$2,984$1,275$1,366$91.5
2014Detailed filing. Detailed filing data is available for this year.$4,588$1,449$3,139$1,230$1,246$15.6
2013Detailed filing. Detailed filing data is available for this year.$5,062$1,090$3,973$998$1,142$143
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,785$879$2,905$931
2011Summary only. Only limited summary data is available for this year.$3,124$775$2,350$756$716$39.9
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3,065$903$2,162$649