Civic Intelligence

Sutter Health

990 • Fiscal year 2023 • EIN 94-2788907

Jan 01, 2023 to Dec 31, 2023 • Filed on Nov 11, 2024

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

70th percentile

0.50x

Higher debt load relative to assets than 70% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Liabilities / Revenue

87th percentile

2.27x

Higher debt load relative to revenue than 87% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Net Margin

10th percentile

-10.0%

Higher net margin than 10% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Top Officer Pay

96th percentile

$11,497,041

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2023 filings • 501(c)3 • $1B+ nonprofits • Source year 2023

Asset Growth

87th percentile

16%

Faster asset growth than 87% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Revenue Growth

33rd percentile

-1.9%

Faster revenue growth than 33% of similar nonprofits.

2023 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2022 to 2023

Assets

Up

$8,620,071,538

Up $1,206,202,785 (+16%) from 2022

Net Assets

Up

$4,348,905,238

Up $255,892,664 (+6.3%) from 2022

Liabilities

Up

$4,271,166,300

Up $950,310,121 (+29%) from 2022

Revenue

Down

$1,882,657,852

Down $35,844,797 (-1.9%) from 2022

Expenses

Up

$2,070,243,600

Up $211,803,942 (+11%) from 2022

Net Income

Down

-$187,585,748

Down $247,648,739 (-412%) from 2022

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

2023

Assets$8,620,071,538
Liabilities$4,271,166,300
Net Assets$4,348,905,238

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

2023

Revenue$1,882,657,852
Expenses$2,070,243,600
Net Income-$187,585,748
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Nov 11, 2024
Return Version
2023v5.1
Gross Receipts
$15,895,249,766
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$5,312,048,578$6,548,573,539▲ $1,236,524,961
Investments Other Securities$875,353,229$1,164,646,760▲ $289,293,531
Land, Buildings, and Equipment, Net$307,874,913$299,056,296▼ $8,818,617
Prepaid Expenses and Deferred Charges$558,453,146$133,451,426▼ $425,001,720
Savings and Temporary Cash Investments$-28,742,153$73,336,310▲ $102,078,463
Investments Program Related$32,169,604$33,759,067▲ $1,589,463
Inventories for Sale or Use$11,853,850$5,846,322▼ $6,007,528
Other Notes and Loans Receivable, Net$3,257,588$3,170,498▼ $87,090
Pledges and Grants Receivable$53,209$856,023▲ $802,814
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$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$7,413,868,753$8,620,071,538▲ $1,206,202,785
Other Assets Total$341,546,789$357,375,297▲ $15,828,508
Liabilities
Other Liabilities$2,534,776,670$3,429,812,269▲ $895,035,599
Accounts Payable and Accrued Expenses$786,079,509$841,354,031▲ $55,274,522
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$3,320,856,179$4,271,166,300▲ $950,310,121
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$4,084,786,761$4,337,280,957▲ $252,494,196
Net Assets With Donor Restrictions$8,225,813$11,624,281▲ $3,398,468
Total Net Assets Fund Balance$4,093,012,574$4,348,905,238▲ $255,892,664
Total Liabilities and Net Assets / Fund Balance$7,413,868,753$8,620,071,538▲ $1,206,202,785

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$134,214,821$1,348,428,496$1,482,643,317
Buildings$72,356,928$69,260,215$141,617,143
Other Land Buildings$65,786,291$14,570,677$80,356,968
Leasehold Improvements$3,056,293$40,169,117$43,225,410
Land$23,641,963-$23,641,963
Other Securities$1,164,646,760--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$6,287,830$31,760▲ $597,728-$6,917,318
2022$6,539,859$100,000▼ $352,029-$6,287,830
2021$5,815,002$12,746▲ $712,111-$6,539,859
2020$5,191,614-▲ $623,388-$5,815,002
2019$5,034,190$5,000▲ $227,424$75,000$5,191,614
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Warner ThomasPresident & CEOFT$2,528,389$8,968,652$11,497,041
Brian DeanSh SVP, CFOFT$961,485$2,338,980$3,300,465
James ConfortiFormer Interim Pres & CEO, Sh-$2,904,100$2,904,100$2,904,100
Sarah KrevansEmeritus CEO, ShFT$60,912$2,818,962$2,879,874
Conrad Vial MdSVP, Sh Network PresidentFT$1,129,458$1,701,231$2,830,689
Theresa FreiCEO, SvmfFT$539,018$1,740,562$2,279,580
Florence Di BenedettoSVP & General Counsel/asst SecFT$652,902$1,619,099$2,272,001
Jill RagsdaleSh SVP, Chief Ppl & Cltr OfcrFT$811,218$1,373,052$2,184,270
David CheneyCEO, Bay & Valley HospitalsFT$431,920$1,272,017$1,703,937
Jeremy EavesCEO, Sutter Shared ServicesFT$395,988$1,270,274$1,666,262
Elizabeth Vilardo-morganCMO, Strat & Phil InitiativesFT$783,261$796,880$1,580,141
William Isenberg MdChief Medical & Quality OffFT$697,349$872,176$1,569,525
Grace DavisChief Public Affairs OfficerFT$664,578$844,897$1,509,475
David ClarkHospital Area CEO, East BayFT$703,840$712,857$1,416,697
Dominic NakisSh Interim CFOFT$1,353,843-$1,353,843
Jacki MonsonSVP, Chief Integration OfficerFT$636,289$580,701$1,216,990
Mark SevcoSVP, COOFT$804,604$362,375$1,166,979
Pam MarinoSh VP, Chief Legal OfficerFT$550,032$327,539$877,571
Ginger ChappellSh VP, CHF Ethics & Comp OfcrFT$403,623$444,246$847,869
Ed ErwinDirector Real Estate Svcs/asst SecFT$265,650$117,846$383,496
Cheryl ScottDirector/secretaryPT$27,500-$27,500
Ken McneeleyDirector/chairPT$27,500-$27,500
Patrick BlakeDirector/chair Fin CommitteePT$27,500-$27,500
Anthony WagnerDirectorPT$27,500-$27,500
Barry DennisDirectorPT$27,500-$27,500
Gary CaineDirectorPT$27,500-$27,500
Helen ThomsonDirectorPT$27,500-$27,500
I-mei Hsiu MdDirectorPT$27,500-$27,500
Rebecca SaegerDirectorPT$27,500-$27,500
Willa SeldonDirectorPT$27,500-$27,500
Rishi Sikka MdFormer Pres., Sh System Ent.-$22,034$22,034$22,034

Board Members and Trustees

NameTitle
Andrew DickinsonDirector
Herbert BarlowDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
Rightsourcing INCStaffing Services1150 IRON POINT RD STE 100, Folsom, CA 95630-8306$356,487,852
R1 Rcm INCHealthcare Fin Svcs434 W ASCENSION WY 6TH FLOOR, Murray, UT 84123-2790$143,225,752
Guidehouse INCConsulting Services150 NO RIVERSIDE PLAZA STE 2100, Chicago, IL 60606-1528$46,089,768
Entisys Solutions INCIt ServicesPO BOX 889426, Los Angeles, CA 90088-9426$44,720,864
Dell Marketing LPComp & Software SrvcPO BOX 676021, Dallas, TX 75267-6021$37,442,829
Revenue and Support

Revenue Composition

Contributions and Grants
$12,592,528
Program Service Revenue
$1,721,776,185
Investment Income
$131,742,557
Other Revenue
$16,546,582
All Other Contributions
$3,378,653
Change in Net Assets
$-187,585,748

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded3,995$31,760Fair Market Value (FMV)
Other Non Cash Contri Table3$5,112Fair Market Value (FMV)
Total Noncash Contributions3,998$36,872-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,095,523,988
Salaries, Compensation, and Employee Benefits$973,246,524
Grants and Similar Amounts Paid$1,473,088
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$590,684,074$6,356,150-$597,040,224
Information Technology$285,914,402$189,000-$286,103,402
Other Employee Benefits$246,821,947$16,247,525-$263,069,472
Fees for Services Management$106,108,334$21,543,876-$127,652,210
Depreciation Depletion$96,831,488--$96,831,488
Payroll Taxes$54,698,999$543,672-$55,242,671
All Other Expenses$38,740,840$10,034,024-$48,774,864
Fees for Services Legal$40,816,782--$40,816,782
Office Expenses$39,504,141$61,781-$39,565,922
Current Officers, Directors, Trustees, and Key Employees-$32,813,627-$32,813,627
Occupancy$30,541,633--$30,541,633
Pension Plan Contributions$22,738,941$1,024,747-$23,763,688
Interest$22,540,583--$22,540,583
Fees for Service Investment Mgmnt Fees-$20,756,060-$20,756,060
Advertising$13,556,304$550-$13,556,854
Conferences and Meetings$1,599,688$7,456,860-$9,056,548
Travel$5,190,737$868,056-$6,058,793
Fees for Services Other$4,574,484$11,338-$4,585,822
Fees for Services Accounting$3,826,166--$3,826,166
Fees for Services Lobbying-$2,065,444-$2,065,444
Insurance$1,610,066--$1,610,066
Grants to Domestic Orgs$1,473,088--$1,473,088
Comp Disqual Persons-$1,316,842-$1,316,842
Other Expenses$697,056$312,400$0$1,009,456
Total Functional Expenses$1,944,663,815$125,579,785$0$2,070,243,600
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Medshare InternationalDecatur, GA501(c)(3)Program Support$345,078
American National Red CrossWashington, DC501(c)(3)Program Support$150,000
Leukemia and Lymphoma SocietyRye Brook, NY501(c)(3)Program Support$150,000
Maui Food Bank IncWailuku, HI501(c)(3)Program Support$125,000
Ambulatory Surgery Access CoalitionSan Francisco, CA501(c)(3)Program Support$100,000
Best Buddies International IncMiami, FL501(c)(3)Program Support$100,000
Coalition for Compassionate Care of CASacramento, CA501(c)(3)Program Support$50,000
Policy ImpactBerkeley, CA501(c)(3)Program Support$50,000
Second Harvest of Silicon ValleySan Jose, CA501(c)(3)Program Support$33,500
San Francisco Food BankSan Francisco, CA501(c)(3)Program Support$32,500
Salvation Army Dba Salvation Army Del OroRancho Plos Vrd, CA501(c)(3)Program Support$28,930
California ForwardSacramento, CA501(c)(3)Program Support$25,000
Fisher House Foundation IncRockville, MD501(c)(3)Program Support$25,000
Alameda County Community Food BankOakland, CA501(c)(3)Program Support$20,000
Physicians for a Healthy CaliforniaSacramento, CA501(c)(3)Program Support$20,000
River City Community ServicesSacramento, CA501(c)(3)Program Support$18,215
Second Harvest Food Bank of the Greater ValleyManteca, CA501(c)(3)Program Support$18,215
Second Harvest Food Bank of Santa Cruz CntyWatsonville, CA501(c)(3)Program Support$16,500
Alainas Voice FoundatonNapa, CA501(c)(3)Program Support$15,000
Meals on Wheels of AlamedaOakland, CA501(c)(3)Program Support$15,000
Tracy Interfaith MinistriesTracy, CA501(c)(3)Program Support$13,215
Placer Food BankRoseville, CA501(c)(3)Program Support$12,215
Davis Street Community CenterSan Leandro, CA501(c)(3)Program Support$10,000
Rotts of Friends Animal RescueWoodland, CA501(c)(3)Program Support$10,000
Elk Grove Community Food BankElk Grove, CA501(c)(3)Program Support$9,215
Food Bank of Contra Costa and SolanoConcord, CA501(c)(3)Program Support$9,215
Yolo Food BankWoodland, CA501(c)(3)Program Support$9,215
Interfaith Council of AmadorJackson, CA501(c)(3)Program Support$6,715
Ceres Community ProjectSebastopol, CA501(c)(3)Program Support$6,250
Redwood Empire Food BankSanta Rosa, CA501(c)(3)Program Support$6,250
Salvation ArmySacramento, CA501(c)(3)Program Support$5,715
United Methodist Church of Los BanosLos Banos, CA501(c)(3)Program Support$5,715

International Summary

Offices
0
Employees
0
Spending
$1,307,034,543

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-00$1,101,748,094
Europe (Including Iceland and Greenland)Investments-00$124,185,059
North AmericaInvestments-00$74,794,005
Sub-Saharan AfricaInvestments-00$6,307,385
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Mike MarinoFamily Member of OfficerEmploymentNo$532,678
Marcello VialFamily Member of Key EmployeeEmploymentNo$41,939

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
Taxable Bond Liabilities$2,727,872,662
Self Insurance Reserve$403,752,635
Other Noncurrent Liabilities$298,186,972
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
Yes
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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A

The affairs and management of sutter health are governed 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 committee, the secretary, the president and chief executive officer, the chair-elect, if there is an individual with that title who is not serving on the committee in another capacity, the past chair, if such individual is still serving as a director, and at least one appointed director of the corporation.

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 legal and risk services department 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, Line 15

PROCESS FOR DETERMINING TOP MANAGEMENT OFFICIAL COMPENSATION: The compensation for the position of the top management official is determined through a quantitative review of peer equity data and applicable national market salary survey data regressed to entity operating revenue size to ensure the position is both internally equitable and externally competitive/market appropriate. The Compensation Committee of Sutter Health annually reviews and approves compensation, and such approval is recorded in the minutes of Sutter Health. The 2023 Executive compensation approval was completed in MAY 2023.

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
% KENNETH YOUNG
Phone
9162866665
Address
2200 RIVER PLAZA DRIVE, SACRAMENTO, CA 95833

Signing Officer

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

Organization Details

Principal Officer
Warner Thomas
Formed
1981
Legal Domicile
CA
Voting Board Members
13
Independent Board Members
12
Employees
6,747
Volunteers
2

Preparer

Firm
Ernst & Young US Llp
Address
560 MISSION ST STE 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

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 4

STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: Sutter Health is a not-for-profit healthcare system dedicated to providing comprehensive care throughout California. Committed to health equity, community partnerships, and innovative, high-quality patient care, Sutter Health is pursuing a bold new plan to reach more people and make excellent healthcare more connected and accessible. Currently serving nearly 3.4 million patients, thanks to our dedicated team of more than 57,000 employees and clinicians, and 12,000+ affiliated physicians, with a unified focus on expanding care to serve more patients. Sutter Health delivers exceptional and affordable care through its hospitals, medical groups, ambulatory surgery centers, urgent care clinics, telehealth, home health, and hospice services. Dedicated to transforming healthcare, at Sutter Health, getting better never stops. From deploying technology that improves the patient experience to expanding training programs to cultivate the next generation of physicians and healthcare workers, Sutter is working to shape the future of healthcare and be the best place to work, practice medicine and receive care. Grounded in its not-for-profit mission, Sutter Health is also a strong community partner. The integrated health system heavily reinvests in community health programs and partnerships, committing hundreds of millions of dollars annually to help care for some of California's most vulnerable populations and enhance the health and wellness of the communities it serves. The Sutter Health System is the 10th largest not-for-profit health system in the nation and includes: . 57,000+ employees . 12,000+ doctors . 15,000+ nurses . 19 accredited GME programs with 200+ residents . 28 acute care facilities . 300+ clinics, urgent care sites . 315 diagnostic imaging centers . 37 ambulatory surgery centers . 5 mental health and addiction care inpatient units 2023 by the numbers: . 24,901 births . 190,787 discharges . 903,421 hospital emergency room visits . 1,762,989 hospital outpatient visits . 10,028,686 medical foundation visits . 686,099 home health visits . 257,460 hospice visits To view a list of Sutter Health entities, see 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: PENSION RELATED CHANGES (494,562,698) EQUITY TRANSFER (NET) 485,387,433 PARTNERSHIP INCOME ON BOOKS 15,788,398 Loss on Deconsolidation of an affiliate (5,000,000) OTHER CHANGES IN FUND BALANCE (28,570,891) ---------------- TOTAL $ (26,957,759) ================

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 to expand on the human-centered approach to designing breakthrough innovations by building a diverse portfolio of projects that are aligned with Sutter Health's mission and patient care goals. The portfolio will span multiple clinical areas with an initial goal of impacting one million patients system wide. 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 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/ReportableCompFromOrgAmt1922034
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20304601
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2127500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2227500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2327500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2427500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2527500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2627500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2727500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2827500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2927500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3027500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt310
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt320
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt13452049
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt21222555
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt3262467
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt5173126
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt6123724
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt922180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt19446940
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt210
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt220
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt230
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt240
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt250
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt260
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt270
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt280
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt290
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt300
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt310
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt320
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1FORMER INTERIM PRES & CEO, SH
IRS990/Form990PartVIISectionAGrp/TitleTxt2EMERITUS CEO, SH
IRS990/Form990PartVIISectionAGrp/TitleTxt3SH SVP, CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt4SVP, SH NETWORK PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt5SVP & GENERAL COUNSEL/ASST SEC
IRS990/Form990PartVIISectionAGrp/TitleTxt6CEO, SVMF
IRS990/Form990PartVIISectionAGrp/TitleTxt7SH SVP, CHIEF PPL & CLTR OFCR
IRS990/Form990PartVIISectionAGrp/TitleTxt8CEO, BAY & VALLEY HOSPITALS
IRS990/Form990PartVIISectionAGrp/TitleTxt9CEO, SUTTER SHARED SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt10CMO, STRAT & PHIL INITIATIVES
IRS990/Form990PartVIISectionAGrp/TitleTxt11CHIEF MEDICAL & QUALITY OFF
IRS990/Form990PartVIISectionAGrp/TitleTxt12CHIEF PUBLIC AFFAIRS OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt13HOSPITAL AREA CEO, EAST BAY
IRS990/Form990PartVIISectionAGrp/TitleTxt14SH INTERIM CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt15SVP, CHIEF INTEGRATION OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt16SVP, COO
IRS990/Form990PartVIISectionAGrp/TitleTxt17SH VP, CHIEF LEGAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt18SH VP, CHF ETHICS & COMP OFCR
IRS990/Form990PartVIISectionAGrp/TitleTxt19FORMER PRES., SH SYSTEM ENT.
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIR REAL ESTATE SVCS/ASST SEC
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR/CHAIR FIN COMMITTEE

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9,602$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