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Nonprofiteer
← MILLS-PENINSULA HOSPITAL FOUNDATION

Form 990 for tax year 2023

Filed by MILLS-PENINSULA HOSPITAL FOUNDATION.

Totals

Total revenue
$14,515,171
Total expenses
$5,452,956
Contributions and grants received
$8,540,628
Grants paid
$2,480,425
Program service revenue
$2,833,533
Investment income
$3,423,771
Other revenue
-$282,761
Total assets, end of year
$72,123,534
Total liabilities, end of year
$3,973,458
Net assets or fund balances, end of year
$68,150,076
Program services expenses (Part IX)
$3,807,538
Management and general expenses
$1,645,418
Fundraising expenses
$0
Program service expenses (Part III)
$3,807,538

Program services were 69.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $14,838

  • 1c · Fundraising events

    $551,631

  • 1f · All other contributions, gifts and grants

    $7,974,159

  • 1g · Noncash contributions included above

    $29,217

  • 2a · Program service revenue: HOSPITAL SUPPORT

    total $2,833,533 · related or exempt $2,833,533

  • 3 · Investment income

    total $1,936,791 · excluded $1,936,791

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7a · Gross sales of assets other than inventory

    securities $1,486,980

  • 7c · Gain or loss

    securities $1,486,980

  • 7d · Net gain or loss

    total $1,486,980 · excluded $1,486,980

  • 8a · Fundraising events: gross income

    $65,000

  • 8a · Fundraising events: contributions included on line 1c

    $551,631

  • 8b · Fundraising events: direct expenses

    $360,411

  • 8c · Net income from fundraising events

    total -$295,411 · excluded -$295,411

  • 9a · Gaming: gross income

    $12,650

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $12,650 · excluded $12,650

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,467,625 · program services $2,467,625

  • 2 · Grants to domestic individuals

    total $12,800 · program services $12,800

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $1,121,652 · program services $560,826 · management and general $560,826

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $642,096 · program services $321,048 · management and general $321,048

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $18,000 · program services $18,000

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $14,050 · program services $14,050

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $135,354 · management and general $135,354

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $8,485 · program services $8,485

  • 13 · Office expenses

    total $328,193 · program services $328,193

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $947 · program services $947

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $21,029 · management and general $21,029

  • 24a · Other expenses: SUTTER CHARGEBACKS

    total $607,161 · management and general $607,161

  • 24b · Other expenses: PURCHASED SERVICES

    total $43,597 · program services $43,597

  • 24c · Other expenses: AREA ALLOCATION

    total $21,360 · program services $21,360

  • 24d · Other expenses: DONOR CULTIVATION

    total $8,294 · program services $8,294

  • 24e · All other expenses

    total $2,313 · program services $2,313

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $10,009,988 · end of year $11,299,270

  • 3 · Pledges and grants receivable

    beginning of year $4,448,948 · end of year $8,187,608

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $21,155

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $46,121,698 · end of year $52,131,638

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $804,694 · end of year $483,863

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,674,072 · end of year $2,958,718

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $983,756 · end of year $1,014,740

  • 27 · Net assets without donor restrictions

    beginning of year $16,311,194 · end of year $21,185,094

  • 28 · Net assets with donor restrictions

    beginning of year $40,416,306 · end of year $46,964,982

Mission and programs · 2023

Mission

SEE SCHEDULE O

  • SEE SCHEDULE O

    Expenses $3,807,538 · Grants $2,480,425 · Revenue $2,833,533

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Janet Wagner

    Hospital Area CEO, South Bay

    Total calculated
    $1,551,560
    From this org
    $0
    From related orgs
    $1,448,393
    Other
    $103,167
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $382,263 related
    Bonus
    $0 + $312,062 related
    Other
    $0 + $754,068 related
    Deferred
    $0 + $83,164 related
    Nontaxable benefits
    $0 + $20,003 related
    Filer's total
    $0 + $1,551,560 related
  • Raya Elias-Petros

    Chief Philanthropy Officer-SH

    Total calculated
    $768,529
    From this org
    $0
    From related orgs
    $700,502
    Other
    $68,027
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $521,300 related
    Bonus
    $0 + $130,079 related
    Other
    $0 + $49,123 related
    Deferred
    $0 + $34,564 related
    Nontaxable benefits
    $0 + $33,463 related
    Filer's total
    $0 + $768,529 related
  • Anthony Pacheco

    CFO Hospt - ABSMC (pt-yr)

    Total calculated
    $604,778
    From this org
    $0
    From related orgs
    $540,204
    Other
    $64,574
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $409,379 related
    Bonus
    $0 + $92,347 related
    Other
    $0 + $38,478 related
    Deferred
    $0 + $31,964 related
    Nontaxable benefits
    $0 + $32,610 related
    Filer's total
    $0 + $604,778 related
  • Iris Wohn

    CFO Hospt - ABSMC (pt-yr)

    Total calculated
    $597,524
    From this org
    $0
    From related orgs
    $541,625
    Other
    $55,899
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $412,389 related
    Bonus
    $0 + $92,945 related
    Other
    $0 + $36,291 related
    Deferred
    $0 + $31,064 related
    Nontaxable benefits
    $0 + $24,835 related
    Filer's total
    $0 + $597,524 related
  • Peter Gielniak

    Executive, Philanthropy

    Total calculated
    $393,038
    From this org
    $0
    From related orgs
    $300,082
    Other
    $92,956
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $263,057 related
    Bonus
    $0 + $36,215 related
    Other
    $0 + $810 related
    Deferred
    $0 + $55,665 related
    Nontaxable benefits
    $0 + $37,291 related
    Filer's total
    $0 + $393,038 related
  • Jodi Davis

    Frmr Chief Philanthropy Off.

    Total calculated
    $323,139
    From this org
    $0
    From related orgs
    $317,861
    Other
    $5,278
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $13,538 related
    Bonus
    $0 + $226,971 related
    Other
    $0 + $77,352 related
    Deferred
    $0 + $2,656 related
    Nontaxable benefits
    $0 + $2,622 related
    Filer's total
    $0 + $323,139 related
  • Amanda K Martin

    Trustee & President MPHF

    Total calculated
    $300,357
    From this org
    $0
    From related orgs
    $242,619
    Other
    $57,738
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $215,408 related
    Bonus
    $0 + $26,800 related
    Other
    $0 + $411 related
    Deferred
    $0 + $44,319 related
    Nontaxable benefits
    $0 + $13,419 related
    Filer's total
    $0 + $300,357 related
  • Laurie Benson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Sheila Canzian

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Stacey Dobos

    Trustee/Vice-Chair

    Total calculated
    $0
    Hours/week
    2
  • Joanne Goldstein

    TRUSTEE/Secretary

    Total calculated
    $0
    Hours/week
    2
  • Michelle Johnson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Julie Lev

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Margaret McCaffery

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Andrea Metkus MD

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Kathie Milligan

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Gilbert Mintz PhD

    Chair of Finance Committee

    Total calculated
    $0
    Hours/week
    2
  • Patti Rueff

    Trustee/Chair

    Total calculated
    $0
    Hours/week
    2
  • Kim Schoknecht

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Al Taira MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Steven Wierenga

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3
SUPPLEMENTAL COMPENSATION INFORMATION: EXECUTIVE DIRECTOR POSITION EVALUATION AND RESULTING COMPENSATION RANGE IS DETERMINED AS FOLLOWS: A. KNOW HOW B. PROBLEM SOLVING C. ACCOUNTABILITY CHECK RESULTING EVALUATION AGAINST: 1. SALARY SURVEY DATA FOR BENCHMARK JOBS 2. RELATIONSHIP TO LIKE POSITIONS IN OTHER LOCAL SUTTER COMPANIES 3. ANECDOTAL INFO FROM MANAGER (CANDIDATE REQUIREMENTS, ETC.) 4. EXISTING EVALUATIONS OF SUBORDINATES, SUPERVISOR AND PEERS 5. OTHER RELEVANT INFORMATION. SEE SCHEDULE O NARRATIVE PART VI, LINE 15 FOR A FULL DESCRIPTION OF THE COMPENSATION APPROVAL PROCESS COMPLETED BY SUTTER HEALTH.
SCHEDULE J, PART I, LINE 4A
JANET WAGNER RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $346,088.
SCHEDULE J, PART I, LINE 4B
NONQUALIFIED RETIREMENT PLAN: CERTAIN INDIVIDUALS PAID BY SUTTER HEALTH PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE PURPOSE OF THE NONQUALIFIED RETIREMENT PLAN IS TO PROVIDE SUTTER HEALTH EXECUTIVES WITH A COMPETITIVE RETIREMENT BENEFIT CONSISTENT WITH SUTTER HEALTH'S OVERALL COMPENSATION PHILOSOPHY FOR ALL EMPLOYEES. CONTRIBUTIONS ARE DESIGNED TAKING INTO CONSIDERATION LOST RETIREMENT BENEFITS THAT WOULD OTHERWISE BE OBTAINED THROUGH THE QUALIFIED PENSION PLAN. SUTTER'S PLANS ARE DESIGNED CONSISTENT WITH COMPETITIVE INDUSTRY PRACTICES. THE RETIREMENT PLAN FOR SUTTER HEALTH EMPLOYEES IS A COMBINATION OF 403(B) EMPLOYER MATCH CONTRIBUTIONS AND QUALIFIED PENSION PLAN BENEFITS. SUTTER HEALTH EXECUTIVES ARE GENERALLY INELIGIBLE FOR EMPLOYER MATCH CONTRIBUTIONS. TO ENSURE A COMPETITIVE RETIREMENT BENEFIT, SUTTER HEALTH MAKES AN ANNUAL CONTRIBUTION TO A NON-QUALIFIED 457(F) PLAN FOR ITS EXECUTIVES. THE FORMULA PROVIDES 6% TO 12% OF BASE SALARY PLUS ANNUAL INCENTIVE AWARD (COMMENSURATE WITH MANAGEMENT LEVEL). CONTRIBUTIONS ARE ALSO MADE FOR A SMALL GROUP OF SENIOR LEVEL EXECUTIVES WHOSE ESTIMATED RETIREMENT BENEFIT (SOCIAL SECURITY PLUS QUALIFIED PLAN BENEFITS PLUS 457(F)) FALLS BELOW 50% - 65% OF FINAL 4-YEAR AVERAGE BASE SALARY WHEN RETIRING AT AGE 65 WITH 22.5 YEARS OF SERVICE. TARGET BENEFIT LEVELS ARE DISCOUNTED FOR YEARS OF SERVICE LESS THAN 22.5 AT AGE 65. UNLIKE SUTTER HEALTH'S QUALIFIED PENSION PLAN WHERE EMPLOYEE BENEFITS ARE GUARANTEED (I.E., A DEFINED BENEFIT), SUTTER'S NON-QUALIFIED PLAN BENEFITS ARE NOT GUARANTEED BY SUTTER HEALTH. INVESTMENT RISK IS BORNE BY PARTICIPANTS AND BENEFITS ARE NOT PROTECTED SHOULD SUTTER HEALTH BECOME INSOLVENT.
SCHEDULE J, PART I, LINE 7
NON-FIXED PAYMENTS: SPOT AWARDS ARE INFREQUENTLY USED TO REWARD EMPLOYEES. THERE ARE NO SPECIFIC GUIDELINES FOR THE AMOUNT OF THE SPOT AWARD. AVERAGE AMOUNT OF SPOT AWARDS TEND TO NOT EXCEED 5% TO 15% OF GROSS ANNUAL SALARY. ANNUAL INCENTIVE PLAN (AIP): THE PURPOSE OF THE PLAN IS TO FOCUS EXECUTIVES ON SPECIFIC, SHORTER-TERM GOALS THAT ARE CRITICAL TO THE ACHIEVEMENT OF AFFILIATE, OPERATING UNIT AND SYSTEM-WIDE OBJECTIVES THAT DRIVE OVERALL ORGANIZATION PERFORMANCE. LONG TERM PERFORMANCE PLANS SUTTER HEALTH ALSO EMPLOYS LONG TERM PERFORMANCE PLANS WHICH ARE DESIGNED TO FOCUS ON LONGER TERM STRATEGIC OBJECTIVES OF THE ORGANIZATION. SUTTER'S LONG TERM PERFORMANCE PLAN APPROACH IS A COMBINATION OF BOTH LONGER TERM MEASURES OF ORGANIZATION SUCCESS AND KEY ORGANIZATION STRATEGIES WHICH REQUIRE THE COMBINED EFFORT OF ALL LEADERSHIP TO ACHIEVE SUCCESS. SUTTER USES A COMMON FATE APPROACH IN THAT ALL LONG TERM PERFORMANCE PLAN PARTICIPANTS ARE MEASURED AGAINST THE SAME, ORGANIZATION-WIDE CRITERIA VS. INDIVIDUAL EFFORTS. THIS FOSTERS A COMMON PURPOSE ACROSS LEADERSHIP AND A SHARED SENSE OF ACCOUNTABILITY FOR THE OVERALL SUCCESS OF SUTTER HEALTH. IN ALL CASES, THE COMPENSATION COMMITTEE OF THE BOARD DETERMINES ACHIEVEMENT OF ORGANIZATION GOALS AND MAKES FINAL AWARD DETERMINATION WHICH MAY RESULT IN A REDUCTION OF AWARD IF APPROPRIATE. ALL SENIOR EXECUTIVE AWARDS ARE REVIEWED FOR COMPENSATION REASONABLENESS AND APPROVED PRIOR TO PAYMENT BY THE COMPENSATION COMMITTEE.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Surg Ctr of ABSMC

    PATIENT CARE · CA

  • CA PACIFIC ADV IMAG

    PATIENT CARE · CA

  • SF Endoscopy Center

    PATIENT CARE · CA

  • SUT FAIRFIELD SURG

    PATIENT CARE · CA

  • SUT AMADOR SURG CT

    PATIENT CARE · CA

  • ROSEVILLE ENDOSCOPY

    PATIENT CARE · CA

  • MEMORIAL MED BLDG

    OFFICE RENTAL · CA

  • MAGNETIC IMAGING AF

    PATIENT CARE · CA

  • ASC OPTRS-SNTA ROSA

    CARE MANAGEMENT · CA

  • Divisadero Holdings

    CARE MANAGEMENT · CA

  • PENINSULA ENDOSCOPY

    PATIENT CARE · CA

  • S Placer Surg Ctr

    Patient Care · CA

  • Sac Surg Ctr Assoc

    Patient Care · CA

  • Fort Sut Surg Ctr

    Patient Care · CA

  • Sutter Alhambra Surg

    Patient Care · CA

  • Auburn Surg Ctr

    Patient Care · CA

  • ASC Operators LLC

    CARE MANAGEMENT · CA

  • DE SHAW ALP PLUS

    Investment · DE

  • ICG CR OPP FUND 1A

    Investment · DE

  • ICG CR OPP FUND 2A

    Investment · DE

  • MAKENA RE II

    Investment · CJ

  • DE SHAW ALL CTRY

    Investment · DE

  • DE SHAW ALP PLUS

    Investment · DE

  • ICG SPEC OPP FND I

    Investment · DE

  • Makena Strat Opp SH

    Investment · CA

  • ASC OPTRS - SLO LLC

    CARE MANAGEMENT · CA

  • TAP CMDITYBLDR FUND

    Investment · NY

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CHARITABLE REMAINDER TRUSTS-9

    CRT · CA

    Directly controlled by MPHF

  • NORTHWOOD EUROPE TE FEEDER LP

    C CORP · HOLDING COMPANY · CJ · controlled entity

  • SUTTER HEALTH DEFERRED COMP PLANs' trust

    TRUST · RABBI TRUST · CA · controlled entity

  • Health Ventures Inc

    C Corp · Health Serv. · CA · controlled entity

  • Wilsop Segregated Portfolio 1

    c corp · INVESTMENT · CJ · controlled entity

  • Wilsop Segregated Portfolio 2

    c corp · INVESTMENT · CJ · controlled entity

  • AQR REAL RETURN OFFSHORE FUND LP

    C Corp · Investment · CJ · controlled entity

  • BRIGADE LEVERAGED CAPITAL STRUCTURE OFFS

    C Corp · Investment · CJ · controlled entity

  • AQR MULTI-STRATEGY FUND XXIII LP

    C Corp · Investment · CJ · controlled entity

Provenance

Return type
form_990
Tax year
2023
Filed
4 November 2024
IRS schema version
2023v5.1
Source object
202413179349303446

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