Sonoma Valley Hospital Observations
Table of Contents Page
1. The Board of Directors 4
2. Today's Difficult Healthcare Environment for Sonoma's Hospital 5
3. Kaiser 6
4. The Importance of Sonoma Valley Hospital's Emergency Department 7
5. Parcel Taxes 8
6, The Community Survey 8
7. The Financial Stability of Sonoma Valley Hospital 9
a. Operating Results
b. The Balance Sheet
8. The Sonoma Valley Hospital Foundation and Philanthropy 12
9. Strategic Planning at Sonoma Valley Hospital 12
10. The SVH - UCSF Health Relationship 14
11. The Reimbursement Environment for Diagnostic Imaging 15
12. Destination Medicine 15
13. Compensation of the Hospital's CEO 16
14. Seismic Code 2030 - Exposure and Issues 17
15. Plan B - What Other Options Might Exist 18
16. Additional Thoughts 20
Definitions
Exhibits in the Appendix
1a. 2017-2019 Direct Margin, & Operating Margin by Payer (Chart) 25
1b. 2019 Gross Revenue, Net Revenue, Direct Margin & Operating Margin by Payer (Chart) 26
1c. Revenue, Costs, Direct Margin & Operating Margin by Payer (Table) 27
1d. Revenue, Costs, Direct Margin & Operating Margin by Payer Analytics (Table) 28
2. Kaiser Market Share 29
3. SVH Community Survey - October 2019 30
4. SVH 2010-2019 Profit and Loss Statements 56
5. SVH 2010-2019 and October 31, 2019 Balances Sheets 57
6. SVH Draft Audited June 30, 2019 Financial Statements 58
7. Sonoma Valley Hospital Foundation 62
8. Vision 2020 - SVH Strategic Plan (PowerPoint) 68
9. CEO and Top Five Executives Compensation 77
10. Seismic Report 78
11. Sonoma Valley Hospital & UCSF Health Affiliation Overview (PowerPoint) 81
12. SVH 2015 Economic Impact Report 103
13. Presentation of Report at December 5, 2019 SVHCD Board Meeting (PowerPoint) 119