Civic Intelligence

Sutter West Bay Medical Foundation

990 • Fiscal year 2013 • EIN 94-2948131

Jan 01, 2013 to Dec 31, 2013 • Filed on Oct 28, 2014

2015 Steiner Street 1st FloorSuiteSacramento, CA 94115

(916) 286-6665

Siviq Scores

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

Liabilities / Assets

40th percentile

0.26x

Higher debt load relative to assets than 40% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Liabilities / Revenue

10th percentile

0.08x

Higher debt load relative to revenue than 10% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Net Margin

16th percentile

-5.7%

Higher net margin than 16% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Top Officer Pay

99th percentile

$6,010,188

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 2.6% of source-year revenue.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2013

Asset Growth

8th percentile

-7.5%

Faster asset growth than 8% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2012 to 2013

Revenue Growth

69th percentile

14%

Faster revenue growth than 69% of similar nonprofits.

2013 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2012 to 2013

Assets

Down

$69,118,363

Down $5,618,017 (-7.5%) from 2012

Net Assets

Down

$51,450,822

Down $1,974,592 (-3.7%) from 2012

Liabilities

Down

$17,667,541

Down $3,643,425 (-17%) from 2012

Revenue

Up

$235,371,620

Up $29,034,550 (+14%) from 2012

Expenses

Up

$248,885,855

Up $19,907,395 (+8.7%) from 2012

Net Income

Up

-$13,514,235

Up $9,127,155 (+40%) from 2012

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2010: $40,277,335Liabilities 2010: $11,736,389Net Assets 2010: $28,540,9462010Assets 2011: $43,346,768Liabilities 2011: $16,297,697Net Assets 2011: $27,049,0712011Assets 2012: $74,736,380Liabilities 2012: $21,310,966Net Assets 2012: $53,425,4142012Assets 2013: $69,118,363Liabilities 2013: $17,667,541Net Assets 2013: $51,450,8222013Assets 2014: $109,672,975Liabilities 2014: $40,153,112Net Assets 2014: $69,519,8632014Assets 2015: $113,909,158Liabilities 2015: $45,400,672Net Assets 2015: $68,508,4862015Assets 2016: $83,187,136Liabilities 2016: $10,525,780Net Assets 2016: $72,661,3562016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2013

Assets$69,118,363
Liabilities$17,667,541
Net Assets$51,450,822

Operations Trend

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

$400M$300M$200M$100M$0-$100MExpenses 2010: $182,486,2062010Expenses 2011: $205,551,0882011Revenue 2012: $206,337,070Expenses 2012: $228,978,460Net Income 2012: -$22,641,3902012Revenue 2013: $235,371,620Expenses 2013: $248,885,855Net Income 2013: -$13,514,2352013Revenue 2014: $254,771,354Expenses 2014: $268,024,095Net Income 2014: -$13,252,7412014Revenue 2015: $263,118,827Expenses 2015: $285,678,381Net Income 2015: -$22,559,5542015Revenue 2016: $291,065,331Expenses 2016: $307,041,701Net Income 2016: -$15,976,3702016Revenue 2017: $179,085,311Expenses 2017: $190,310,590Net Income 2017: -$11,225,2792017

Highlighted filing

2013

Revenue$235,371,620
Expenses$248,885,855
Net Income-$13,514,235
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 28, 2014
Return Version
2013v3.1
Gross Receipts
$235,665,659
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$33,018,835$32,010,267▼ $1,008,568
Accounts Receivable$18,187,061$15,675,593▼ $2,511,468
Intangible Assets$8,814,000$8,814,000→ $0
Savings and Temporary Cash Investments$6,447,809$0▼ $6,447,809
Investments Program Related$5,181,026$5,355,387▲ $174,361
Prepaid Expenses and Deferred Charges$130,662$687,024▲ $556,362
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
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$74,736,380$69,118,363▼ $5,618,017
Other Assets Total$2,956,987$6,576,092▲ $3,619,105
Liabilities
Accounts Payable and Accrued Expenses$20,629,602$16,292,157▼ $4,337,445
Other Liabilities$681,364$1,375,384▲ $694,020
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$21,310,966$17,667,541▼ $3,643,425
Net Assets / Fund Balance
Unrestricted Net Assets$53,425,414$51,450,822▼ $1,974,592
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$53,425,414$51,450,822▼ $1,974,592
Total Liabilities and Net Assets / Fund Balance$74,736,380$69,118,363▼ $5,618,017

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$13,980,760$16,363,562$30,344,322
Leasehold Improvements$13,199,879$7,192,572$20,392,451
Buildings$1,808,775$7,178,800$8,987,575
Other Land Buildings$2,889,297$0$2,889,297
Land$131,556-$131,556
Investment Program Related Org$1,592,501--
Other Assets Org$333,677--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Carolyn AppenzellerDirector of Operations, SwbmfFT$258,212$69,949$328,161
Surani Hayre-kwanDirector of Operations, SwbmfFT$204,285$94,764$299,049
Desmond BrathwaiteDirector Revenue Cycle, SwbmfFT$154,001$125,183$279,184
James VaughnController, SwbmfFT$172,541$41,523$214,064
Rodney ShillingerDirector Division, SwbmfFT$173,379$30,592$203,971

Board Members and Trustees

NameTitle
Leo Ch SoongChair Fin & Planning/trustee
Robert TomaselloChair/trustee
Michael CohillRegional President, West Bay
Robert RosenfeldVice Chair/trustee
Alastair MactaggartTrustee
Anthony G WagnerTrustee
Anthony MilesTrustee
Cynthia NestleTrustee
DENNIS O'CONNELLTrustee
Deborah Wyatt MdTrustee
Dorothy Coleman-riese MdTrustee
Michael Valan MdTrustee
Peter JacobiTrustee
Reverend Marc AndrusTrustee
Richard C WattsTrustee
Robert Osorio MdTrustee
Ron KaufmanTrustee
Scott MinickTrustee
Steven H OliverTrustee
Steven Katznelson MdTrustee
Steven Levenberg DoTrustee
Theodore DeikelTrustee
Thomas Dietz PhdTrustee
Thomas LincolnTrustee
William BrunettiTrustee
Sarah KrevansCOO Sutter Health
John RayCOO, Swbmf
Pat FryPres & CEO Sutter Health
Toni BrayerRegional VP & CMO, West Bay
John GatesRegional VP Finance, West Bay
Martin Brotman MdSr VP Edu Research & Philanth.
Ed BerdickSr VP Shared Services
Marc LamonicaVP Finance, Swbmf
Michael DuncheonVP/reg Counsel West Bay

Highest Paid Contractors

ContractorServicesLocationCompensation
Physician Foundation Medical AssociMedical Services-$54,156,617
North Coast Faculty Medical GroupMedical Services-$35,303,261
Marin Headlands Medical Group INCMedical Services-$3,290,360
Alliance Healthcare Svc INCMedical Services-$893,900
Robert Half Intl INCStaffing Services-$815,196
Revenue and Support

Revenue Composition

Contributions and Grants
$1,945,139
Program Service Revenue
$233,394,785
Investment Income
$21,798
Other Revenue
$9,898
All Other Contributions
$3,100
Change in Net Assets
$-13,514,235
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$182,545,243
Salaries, Compensation, and Employee Benefits$66,214,062
Grants and Similar Amounts Paid$126,550
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$96,080,488--$96,080,488
Other Salaries and Wages$40,456,438$257,687-$40,714,125
Other Employee Benefits$18,408,883$639,742-$19,048,625
Occupancy$11,295,248--$11,295,248
Fees for Services Management$9,971,267$1,239,218-$11,210,485
Depreciation Depletion$10,287,925--$10,287,925
Other Expenses$4,991,635--$4,991,635
Information Technology$1,570,250$2,850,354-$4,420,604
All Other Expenses$3,982,105$300,576-$4,282,681
Payroll Taxes$3,546,653$87,209-$3,633,862
Office Expenses$2,625,771--$2,625,771
Insurance$1,749,428--$1,749,428
Current Officers, Directors, Trustees, and Key Employees-$1,412,705-$1,412,705
Pension Plan Contributions$1,364,657$40,088-$1,404,745
Interest$1,252,964--$1,252,964
Fees for Services Legal$654,732--$654,732
Conferences and Meetings$598,019--$598,019
Travel$571,041--$571,041
Advertising$444,379--$444,379
Grants to Domestic Orgs$126,550--$126,550
Fees for Services Accounting-$90,590-$90,590
Fees for Service Investment Mgmnt Fees-$17,768-$17,768
Total Functional Expenses$241,949,918$6,935,937$0$248,885,855
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
68-0365296-501(c)(3)Dental Campaign$50,000
13-5613797-501(c)(3)Go Red for Women & Heart Walk$25,000
94-6000428-501(c)(3)Amgen Tour$10,000
94-0562680-501(c)(3)Spmf Communications Funds for Sonoma Pediatric Update$7,500
93-1144835-501(c)(3)Dream Event and Skate-a-thon$7,000
68-0374805-501(c)(3)Catwalk for a Cure$6,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Physician Foundation Medical AssocSee Part VSee Part VNo$54,156,617
Sutter Medical Group of RedwoodsSee Part VSee Part VNo$35,303,261

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$1,255,735
Insurance Liabilities$104,199
Capital Leases$15,450
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
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Lines 6 & 7A

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

Descr classes of persons, decisions requiring appr & 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 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 mgmt &/or governing body to review form 990 sutter health, a related tax-exempt organization, 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. A copy of the form 990 has been provided to all members of the governing body before filing the form.

Form 990, Part VI, Line 12

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 ensure that organizational purposes are appropriately being served. The compensation committee uses credible data sources and maintains an objective "arms length" decision-making process, ensuring the integrity of sutter's executive programs and consistency with the organization's overall mission. In order to ensure external competitiveness, national, california and local market area compensation data comparisons are reviewed. Competitive analysis includes: (a) base salary, (b) total cash (base salary + annual incentive) and (c) total remuneration (base salary + annual incentive + benefits and long term incentive). This analysis includes comparable organizations and geographic considerations. For the most senior executive positions, national comparisons for organizations similar in size, scope and complexity as sutter health are most appropriate since it is a national marketplace in which sutter competes for executive talent. On the other hand, because california's underlying compensation structure is higher than national data (especially in the bay area), regional pay comparisons and adjustments are made. Officers and key leaders of this organization who are sutter health employees undergo a review and compensation committee approval, and such approval is recorded in the minutes.

Form 990, Part VI, Line 19

Avail of gov docs, conflict of interest policy, & fin stmts to gen public 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.

Filing and Contact Details

Filer

EIN
94-2948131
In Care Of
% JAMES VAUGHN
Phone
9162866665

Signing Officer

Name
John Gates
Title
CFO
Phone
9162866665
Signed
2014-10-28
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Cohill
Formed
1984
Legal Domicile
CA
Voting Board Members
26
Independent Board Members
20
Employees
944
Volunteers
0

Preparer

Preparer
Debra Heiskala
Phone
9162866665
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1, and Part III, Lines 1 and 4A

Mission statement & exempt purpose achievements sutter west bay medical foundation is committed to the following mission: 1. Promote community health through the provision of health care services to the sick, injured and disabled. 2. Establish, equip and maintain outpatient locations throughout northern california for the provision of health care services. These services are particularly focused on medical services involving organ transplantation, children with special medical needs, and women in advanced stage of high-risk pregnancy. 3. Acquire, equip, own and operate facilities for the care, diagnosis and medical treatment for persons suffering from mental or physical illness, disease or disability, including such persons who are financially unable to pay all or part of the cost of such. 4. Promote and carry on educational activities related to the care of the sick, injured and disabled, or to the promotion of health. 5. Support medical education of residents and fellows through classroom lectures, medical rounds, and "hands on" teaching in the outpatient clinics. 6. Promote and carry on scientific and medical research as may be deemed advisable for the betterment of the general health of the community served. 7. Provide medical research data to organizations such as the muscular dystrophy association and various organ procurement organizations. 8. Serve as professional reviewers of medical journals. 9. Promote and carry on such other activities as may be deemed advisable for the betterment of the general health of the community served. 10. Improve access to health care services for individuals who are unable to afford them, and participate in programs operated pursuant to titles xviii and xix of the social security act. 11. Contribute to the growth and development, and financial strength of sutter health, a california nonprofit public benefit corporation, and all its affiliated corporations that comprise a multi-institutional, multi-service integrated health care system. 12. For 2013, there were 169,528 patients served.

Form 990, Part IX, Line 11G

Other fees for services healthcare provider payments $96,080,488.

Form 990, Part XI, Line 9

Other fees for services equity transfers (net) $11,903,532 booked healthcare investment $3,855,780 k-1 ordinary income (4,065,806) other changes ($109,086) ----------- total $11,584,420

Financial Statement Notes

Part X, Line 2

Asc 740 (fin 48) audit 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 most affiliates have been determined to be exempt organizations by the internal revenue service, (pursuant to internal revenue code section 501 (c) (3)), and the california franchise tax board (pursuant to california revenue and taxation code 23701(d)) 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 combined 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. Sutter recognizes interest and penalties related to income tax matters in operating expenses. At december 31, 2013 and 2012, there were no such uncertain tax positions.

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