Liabilities / Assets
68th percentile
Higher debt load relative to assets than 68% of similar nonprofits.
EIN 99-0289310 • 501(c)3 • Honolulu, HI
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
68th percentile
Higher debt load relative to assets than 68% of similar nonprofits.
Liabilities / Revenue
84th percentile
Higher debt load relative to revenue than 84% of similar nonprofits.
Net Margin
93rd percentile
Higher net margin than 93% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
79th percentile
Faster asset growth than 79% of similar nonprofits.
Revenue Growth
58th percentile
Faster revenue growth than 58% of similar nonprofits.
Assets
Up$449,150,810
Up $54,869,459 (+14%) from 2023
Liabilities
Down$223,784,521
Down $9,104,835 (-3.9%) from 2023
Net Assets
Up$225,366,289
Up $63,974,294 (+40%) from 2023
Revenue
Up$119,794,155
Up $10,249,999 (+9.4%) from 2023
Expenses
Down$55,819,861
Down $23,657,288 (-30%) from 2023
Net Income
Up$63,974,294
Up $33,907,287 (+113%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
SEE SCHEDULE O
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $317,985,930 | $322,433,423 | ▲ $4,447,493 |
| Savings and Temporary Cash Investments | $27,990,390 | $13,213,969 | ▼ $14,776,421 |
| Prepaid Expenses and Deferred Charges | $354,191 | $354,219 | ▲ $28 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Accounts Receivable | $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 Program Related | $0 | $0 | → $0 |
| Land, Buildings, and Equipment, Net | $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 | $351,696,464 | $348,347,309 | ▼ $3,349,155 |
| Other Assets Total | $5,365,953 | $12,345,698 | ▲ $6,979,745 |
| Liabilities | |||
| Other Liabilities | $215,011,287 | $216,752,067 | ▲ $1,740,780 |
| Accounts Payable and Accrued Expenses | $365,504 | $407,500 | ▲ $41,996 |
| 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 | $215,376,791 | $217,159,567 | ▲ $1,782,776 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $136,319,673 | $131,187,742 | ▼ $5,131,931 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $136,319,673 | $131,187,742 | ▼ $5,131,931 |
| Total Liabilities and Net Assets / Fund Balance | $351,696,464 | $348,347,309 | ▼ $3,349,155 |
| Name | Title |
|---|---|
| Florence Di Benedetto | Chair Sisco/SVP Gen Counsel Sh |
| Warner Thomas | President & CEO Sh (pt-yr) |
| Bonnie George | President/CEO Sisco |
| Sarah Krevans | CEO Emeritus, Sutter Health |
| Susan Burchiel | CFO Sisco |
| James Conforti | SH SVP, Interim CEO |
| Gena Peyton | Sh VP, CRO, Sisco Sec |
| Brian Dean | Sh, VP, CFO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Hanson Bridgett LLP | Legal Services | 425 MARKET ST 26TH FLOOR, San Francisco, CA 94105 | $2,365,772 |
| Sedgwick Claims Management Svcs INC | 3rd Party Admin Fees | PO BOX 207834, Dallas, TX 75320-7834 | $2,262,322 |
| Fox Rothschild LLP | Legal Services | 2000 MARKET STREET, Philadelphia, PA 19103 | $1,375,264 |
| Atkinson Andelson Loya Ruud Romo | Legal Services | 12800 CENTER COURT DRIVE SUITE 30, Cerritos, CA 90703 | $1,132,328 |
| Porter Scott Apc | Legal Services | 350 UNIVERSITY AVENUE SUITE 200, Sacramento, CA 95825 | $1,107,130 |
| Line Item | Amount |
|---|---|
| Other Expenses | $42,947,137 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Service Investment Mgmnt Fees | - | $357,657 | - | $357,657 |
| All Other Expenses | $118,501 | $300 | - | $118,801 |
| Insurance | - | $74,960 | $0 | $74,960 |
| Other Expenses | $40,000 | $1,337,045 | - | $40,000 |
| Fees for Services Accounting | - | $28,477 | - | $28,477 |
| Fees for Services Legal | - | $7,353 | - | $7,353 |
| Office Expenses | - | $4,038 | - | $4,038 |
| Total Functional Expenses | $41,137,307 | $1,809,830 | $0 | $42,947,137 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $42,947,137 |
| Expenses per Audited Statements | $34,707,220 |
| Total Expenses per Audited Statements | $34,707,220 |
| Expenses Not Reported on Financial Statements | $8,239,917 |
| Other Expense Adjustments | $7,882,260 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| 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 |
| Liability | Amount |
|---|---|
| Insurance Liabilities | $209,461,594 |
| Payable to Related Parties | $7,290,473 |
“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.”
“CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS: SUTTER HEALTH AS THE SOLE MEMBER OF THE ORGANIZATION IS ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER ALL APPLICABLE LAWS. THE MEMBER HAS THE RIGHTS AND POWERS TO APPOINT (AND REMOVE) MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS, SUBJECT TO THE PROVISIONS OF THE BYLAWS. IN ADDITION, THE MEMBER HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS OF THE CORPORATION'S BOARD OF DIRECTORS: (1) MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; (2) AMENDMENT/RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THESE BYLAWS; (3) APPROVAL OF OPERATING AND CAPITAL BUDGETS, HOWEVER, THE CORPORATION MAY DEVELOP BUDGETS WITHIN GUIDELINES AS SET BY THE SOLE MEMBER; (4) LONG-TERM OR MATERIAL AGREEMENTS; (5) APPOINTMENT OF AN INDEPENDENT AUDITOR AND THE HIRING OF CORPORATE COUNSEL EXCEPT IN CONFLICT SITUATIONS BETWEEN THE SOLE MEMBER AND THE CORPORATION; (6) THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATED ENTITY; (7) 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 THEREOF; (8) APPROVAL OF STRATEGIC PLANS OF THE CORPORATION; (9) A TRANSACTION BETWEEN THE CORPORATION AND A DIRECTOR OF THE CORPORATION; (10) Adoption of quality improvement policies not in conformity the with the established policies; (11) Any self-dealing transaction; AND (12) Rehiring, contracting with, or otherwise compensating any executive or officer after their employment has ended. SOLE MEMBER REVIEW OF MAJOR ACTIVITIES: THE SOLE MEMBER MAY REVIEW MAJOR ACTIVITIES OF THE CORPORATION. "MAJOR ACTIVITIES" ARE MATTERS THAT THE SOLE MEMBER HAS DECLARED MAJOR, BY WRITTEN NOTICE TO THE CORPORATION THAT IDENTIFIES THE MATTER REQUIRING APPROVAL. NOTICES RECEIVED PURSUANT TO THIS SUBSECTION SHALL BE RECORDED IN THE CORPORATE RECORDS OF THE CORPORATION.”
“Process used by management &/or governing body to review form 990: sutter health has a centralized tax department responsible for the preparation of the form 990. Annually the tax department provides training and education to affiliate personnel who assist the tax department in collecting and reviewing data to be reported on the form 990. The preparation material is reviewed by various departments including tax, finance, legal, and human resources. A national accounting firm prepares and/or reviews the return. A completed return is then reviewed by the tax department, the affiliate, and the cfo before the return is filed.”
“Process to monitor transactions for conflicts of interest: employees are educated on the conflict of interest policy and the need to make disclosure as part of annual compliance education. In addition, annually a disclosure statement is completed by all directors, officers and key employees. On this statement the individual will list a wide range of information which includes business relationships, employment relationships, property interests, and those of related parties. If there is a potential conflict of interest related to a particular transaction, the interested individual must disclose the existence and nature of the relationship. The board chair may appoint a disinterested person or committee to investigate the conflict. The board may consult with the office of the general counsel as necessary. Until the potential conflict is resolved, the board chair (or committee chair as applicable) may request the individual to not participate during related presentations and discussions. In all circumstances involving an actual conflict, the interested individual shall leave the room prior to the board's final discussion and vote.”
“Process for determining compensation: the compensation committee of the sutter health board of directors retains ultimate discretionary authority over all elements of compensation to assure that organizational purposes are appropriately being served. The compensation committee uses credible independent data sources and maintains an objective "arms length" decision-making process, ensuring the integrity of sutter's executive programs and consistency with the organization's overall mission. To ensure external competitiveness, national compensation data comparisons are reviewed. Competitive analysis includes: (a) base salary, (b) total cash (base salary + annual incentive), (c) total direct cash (base salary + annual incentive + long term incentive) and (d) total remuneration (base salary + annual incentive + benefits and long term incentive). This analysis includes national comparisons for organizations similar in size, scope and complexity as sutter health, adjusted to the california market. This method is most appropriate since it is a national marketplace in which sutter competes for executive talent. Officers and key employees of this organization undergo an annual review by the compensation committee or a delegated sub-committee. Approval is recorded in the minutes. The 2022 executive compensation approval was completed in february 2022.”
“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.”
“Compensation of board members: the following board members of the organization are full-time employees (40 hours per week) of sutter health and their sutter health salaries are reported herein. These individuals receive no compensation for their service as board members of this organization. Sarah krevans james conforti brian dean warner thomas florence di benedetto bonnie george common law employees: individuals listed as officers and key employees of the organization that are paid fulltime by a related organization are common law employees of sutter health, a separate legal entity. It is the intention of sutter health and the filing organization to make information accessible and transparent, reporting those sutter health employees who have officer and key employee responsibilities to the filing organization.”
“Mission statement: sutter insurance services corporation (sisco) is a risk management support organization that assists sutter health and its affiliates in accomplishing their financial, patient care, and business goals and objectives through sound risk financing and risk management programs and practices.”
“PROGRAM SERVICE ACCOMPLISHMENTS: The principal activity of Sutter Insurance Services Corporation (SISCO) is to provide support and benefits to Sutter Health and its affiliates. SISCO does this by providing insurance and risk management services and serving as a repository for funds paid in by Sutter Health and its affiliates for the purpose of self-insuring. SISCO is operated as an integral part of and performs an essential function for Sutter Health and its affiliates.”
“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 2019 through 2021 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, 2022 and 2021.”
“Reinsurance add back $ 7,882,259 rounding $ 1”
“Reinsurance add back $ 7,882,259 rounding $ 1”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 365504 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 407500 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O |
| IRS990/AddressChangeInd | 0 | X |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 300 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 118501 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 118801 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | ANNIE WOO MARSH MGMT SVCS I |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8085853594 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 700 BISHOP ST1100 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | HONOLULU |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | HI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 96813 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 22 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 2365772 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2262322 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1375264 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1132328 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1107130 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 425 MARKET ST 26TH FLOOR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 207834 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2000 MARKET STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 12800 CENTER COURT DRIVE SUITE 30 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 350 UNIVERSITY AVENUE SUITE 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SAN FRANCISCO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PHILADELPHIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | CERRITOS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SACRAMENTO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 94105 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 753207834 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 19103 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 90703 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 95825 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | HANSON BRIDGETT LLP |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | SEDGWICK CLAIMS MANAGEMENT SVCS INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | FOX ROTHSCHILD LLP |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | ATKINSON ANDELSON LOYA RUUD ROMO |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | PORTER SCOTT APC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | LEGAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | 3RD PARTY ADMIN FEES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | LEGAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | LEGAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | LEGAL SERVICES |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | -49186462 |
| IRS990/CYOtherExpensesAmt | 0 | 42947137 |
| IRS990/CYOtherRevenueAmt | 0 | 351760 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 86649908 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -5131931 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 42947137 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 37815206 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 0 |
| IRS990/Desc | 0 | SEE SCHEDULE O |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 41137307 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 28477 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 28477 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 7353 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 7353 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 357657 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 357657 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 275603 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 3265142 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 226992 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 192152 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 136396 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 53719 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 36655 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 33896 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | SARAH KREVANS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WARNER THOMAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JAMES CONFORTI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | BRIAN DEAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | FLORENCE DI BENEDETTO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | BONNIE GEORGE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | GENA PEYTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | SUSAN BURCHIEL |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 5124807 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 194285 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 2919261 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 2576364 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 2238623 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 516635 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 335150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 252253 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CEO Emeritus, Sutter Health |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT & CEO SH (PT-YR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SH SVP, Interim CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SH, VP, CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHAIR SISCO/SVP GEN COUNSEL SH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PRESIDENT/CEO SISCO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | SH VP, CRO, SISCO SEC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CFO SISCO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1992 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -53550054 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 91365260 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 0 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 74960 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 74960 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 4363592 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 4363592 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 317985930 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 322433423 |
| IRS990/IRPDocumentCnt | 0 | 176 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 0 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | HI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 53550054 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 136319673 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 131187742 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -53550054 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -53550054 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 187606 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 136319673 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 131187742 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/TotalAmt | 0 | 0 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 4038 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 4038 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 5365953 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 12345698 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/Desc | 0 | LOSS AND LOSS ADJUSTMENT |
| IRS990/OtherExpensesGrp/Desc | 1 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 2 | REINSURANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | TAXES - UBI RELATED |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1337045 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 24098877 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 8997670 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 7882259 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 40000 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 24098877 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 10334715 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 7882259 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 40000 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 215011287 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 216752067 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 524298 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | UBI MALPRACTICE/D&O/MED STOP LOSS |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 351760 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 351760 |
| IRS990/OtherRevenueTotalAmt | 0 | 351760 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 0 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 354191 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 354219 |
| IRS990/PrincipalOfficerNm | 0 | Gena Peyton |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 524298 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PREMIUM REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 86649908 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 86649908 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 12821328 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 67975923 |
| IRS990/PYOtherRevenueAmt | 0 | 371764 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 88749366 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 33966535 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/PYTotalExpensesAmt | 0 | 67975923 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 101942458 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -5131931 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | false |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 86649908 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 27990390 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 13213969 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | true |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | true |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | false |
| IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesEngagedOrgInvlmntInd | 0 | true |
| IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesFurtherExemptPrpsInd | 0 | true |
| IRS990ScheduleA/Form990SchAType3FuncIntGrp/ActivitiesTestInd | 0 | X |
| IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd | 0 | true |
| IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/SupportedOrgVoiceInvestmentInd | 0 | true |
| IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/TimelyProvidedDocumentsInd | 0 | true |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | THE PRINCIPAL ACTIVITY OF SISCO IS TO PROVIDE INSURANCE AND RISK MANAGEMENT SERVICES AND SERVE AS A REPOSITORY FOR FUNDS PAID IN BY SUTTER HEALTH AND ITS AFFILIATES FOR THE PURPOSE OF SELF-INSURING. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 1 | Samuel Merritt University (EIN: 94-2992642), a subsidiary of a related tax-exempt hospital, Sutter Bay Hospitals (EIN: 94-0562680), disaffiliated with Sutter Bay Hospitals effective January 1, 2022, and therefore has therefore disaffiliated with Sutter Health (EIN: 94-2788907) and its affiliates, including Sutter Insurance Services Corporation. As such, Samuel Merritt University, is no longer a supported organization of Sutter Insurance Services Corporation and has been removed from the list of supported organizations for 2022. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 2 | This organization is an affiliate of Sutter Health, a 501(c)(3) tax-exempt support organization. Sutter Health is the sole member of SISCO with the right to elect and remove at least a majority of the board of directors, and the majority of SISCO's Board of Directors are officers of Sutter Health. In addition, Sutter Health is also the sole member or controls all of the organizations that SISCO supports. The Sutter Health Board of Directors retains certain "reserved powers" which require that certain decisions made by supported organization boards (including SISCO) must be approved by the Sutter Health Board of Directors before being effective. Because of this structure, supported organizations have a significant voice in the operations of SISCO. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 3 | SISCO IS A RISK MANAGEMENT SUPPORT ORGANIZATION THAT ASSISTS SUTTER HEALTH, ITS PARENT, AND AFFILIATES OF SUTTER HEALTH (LISTED IN SCHEDULE A, PART VI) IN PROVIDING INSURANCE AND RISK MANAGEMENT SERVICES, AND SERVING AS A REPOSITORY FOR FUNDS PAID IN BY SUTTER HEALTH AND ITS AFFILIATES FOR THE PURPOSE OF SELF-INSURING. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 4 | PROVIDING INSURANCE AND RISK MANAGEMENT SERVICES IS A NECESSARY PART OF THE ADMINISTRATIVE FUNCTION OF ANY ORGANIZATION, AND THIS IS ESPECIALLY TRUE IN HEALTHCARE. WITH A LARGE HEALTH CARE SYSTEM LIKE SUTTER HEALTH, INSURANCE COSTS ARE SUBSTANTIAL, BUT TO BETTER CONTAIN COSTS AND PROVIDE APPROPRIATE AND TIMELY RISK SERVICES, SUTTER HEALTH PROVIDES SELF-INSURING TO AFFILIATES THROUGH SISCO. SISCO CONTROLS RISK AND COSTS WHICH FREE UP ADDITIONAL FUNDS TO ASSIST THE COMMUNITIES WE SERVE. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | SCHEDULE A, PART I, LINE 12G |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 1 | SCHEDULE A, PART IV, SECTION A, LINE 5A |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 2 | SCHEDULE A, PART IV, SECTION D, LINE 3 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 3 | SCHEDULE A, PART IV, SECTION E, LINE 2A |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 4 | SCHEDULE A, PART IV, SECTION E, LINE 2B |
| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 15 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 15 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 940562680 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 1 | 510172285 |
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