Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

California · Ranked 258 of 1033 by CEO pay.

Sutter Valley Medical Foundation

Gary Zufelt, CEO, Ambulatory-Sacramento Div. Fiscal year ending 2024-12.

$1.6M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.29%
of expenses spent on charity care
Schedule H Part I line 7a
24.9%
CEO pay as a share of all charity care
Gary Zufelt’s pay of $1,586,074 equals 24.9 percent of the $6,368,447 the system spent on charity care in the same year.

Most of the reported compensation ($1,044,994 of $1,586,074) came from a related organization (Part VII column E) and was reported on this filing.

Also listed with a chief executive title in the same filings: James Conforti, Former Interim Pres & CEO, Sh, $2,252,729; Theresa Frei, Frmr CEO, Svmf/Frmr Offcr Sbmf, $1,048,576; Amber Campbell, CEO, Amb.- Central Valley Div., $1,037,036. Where a chief executive retired during the year, the filing reports the final-year payout.

§1The filing

Total revenue
$2,302,230,403
Total expenses
$2,191,356,915
Net assets
$481,325,750
Employees
5,925
Hospitals covered
1 facilities across 1 filing
Charity care, net
$6,368,447
Bad debt
Medicare surplus (shortfall), as filed
($4,649,921)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,044,994
Other compensation, including deferred pay and nontaxable benefits (col. F)
$541,080
CEO total compensation (D+E+F)
$1,586,074 to Gary Zufelt

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Sutter Valley Medical Foundation, EIN 68-0273974, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title multiple.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$48.9M Of which charity care to patients who could not pay (line 7a)$6.4M (13%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt () and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

§Share

Sutter Valley Medical Foundation: CEO pay $1.6M, charity care 0.29% of expenses