Sutter Health

What it reported doing in 2024

PROGRAM SERVICE ACCOMPLISHMENTS PRIMARY EXEMPT PURPOSE: Provide health care to patients in their homes. SERVICE ACCOMPLISHMENTS: Sutter VNA & Hospice is a state licensed, Medicare-certified home care agency that provides a broad spectrum of multi-disciplinary services and offers a range of specialty programs to residents of Northern California. Sutter VNA & Hospice provides health care services to patients who require these services outside of a hospital setting (primarily in the home), for which a fee is charged to cover the cost of providing these services. These services are provided to Medicare, Medi-Cal, and private insurance patients. Charitable care is provided when deemed appropriate. The health care services provided by Sutter VNA & Hospice include the following: - Skilled Nursing: Nurses work with patients who have heart disease, cancer, diabetes, ostomies, AIDS, or other chronic diseases and illnesses, or who have recently had surgery or an acute care episode. - Rehabilitation services including physical, occupational, and speech therapy. Physical and occupational therapy is provided for patients with difficulties due to strokes, amputation or fractures, surgery, and for patients who are paraplegics or quadriplegics. Speech therapy is provided for patients with speech or swallowing problems. - Home infusion therapy services: provided for patients who need intravenous treatments. Services include hydration, chemotherapy, total parenteral nutrition, antibiotics, injectable medications, pain management, and enteral nutrition - Maternal/child care services; provided to women with difficult pregnancies and new mothers needing assistance. - Psychiatric Home Care: This program provides home health services with focus on psychiatric care (assessment, teaching, referrals and follow-up) by specialty trained clinicians. - Medical Social Work services: provides assistance to persons who need guidance in developing self-help and problem solving skills, and access to community resources - Hospice and Bereavement Services; helps terminally ill patients and their families who need support and care. Services include nursing care, pain management, symptom control, and bereavement counseling. - Home health aides and volunteer respite care; provides aid to patients who cannot care for themselves; includes bathing and personal care, companionship, and relief for caregivers - Respiratory Therapy and Durable Medical Equipment; provides patients with respiratory therapy services, equipment, and supplies, beds, wheelchairs, and other durable medical equipment. Community Benefit Services In 2024, Sutter VNA & Hospice provided $1,020,980 worth of Community Benefit. The Community Benefit programs and services provided include the following: - Hospice bereavement groups (ex. Adult Grief Support Groups, Children's Workshops, Daughter/Mom Loss Support Group, Adult Traumatic Loss) - Preceptorships and internships provided for students Charitable Activity In 2024 Sutter VNA & Hospice provided $1,372,291 worth of Charity Care. Charity Care was provided in the form of home health services, hospice services, respiratory therapy and durable medical equipment service and products, and home infusion therapy services. Unpaid Cost of Medicaid In 2024 Sutter VNA & Hospice provided $13,493,851 worth of unpaid services to Medicaid patients.

Financial Efficiency

• Mission deployment rate: 84%; rating input score 84
• Program expense ratio: 91.6%; rating input score 92
• Fundraising efficiency: $0.66 raised per $1 spent on fundraising; rating input score 2; 2nd percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 71.4%; rating input score 71; 22nd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 7.9%; rating input score 67; 67th percentile among comparable filings
• Total-asset coverage ratio: 1.06; rating input score 41; 41st percentile among comparable filings
• Liabilities to assets ratio: 0.14; rating input score 78; 78th percentile among comparable filings
• Officer compensation ratio: 1.2%; rating input score 71; 71st percentile among comparable filings

Growth

• Program expense growth: 7.3% per year; rating input score 100; 59th percentile among comparable filings
• Revenue growth: 8.3% per year; rating input score 100; 69th percentile among comparable filings
• Asset growth: 14.2% per year; rating input score 100; 84th percentile among comparable filings