2018-05-15T15:02:44-05:00 2017-06-30 ERNST & YOUNG US LLP 18101 VON KARMAN AVE STE 1700 IRVINE CA 92612 990 2016-07-01 941243669 QUEEN OF THE VALLEY MEDICAL CENTER % Larry Coomes QUEE 7072524411 1000 Trancas St Napa CA 94558 LARRY COOMES CEO 7072524411 2018-05-15 true KARA ADAMS P00023315 9497942300 2016 2022-09-23 18:48:47Z LARRY COOMES 1000 Trancas St Napa CA 94558 282995372 false 0928 X www.thequeen.org X 1953 CA TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH & QUALITY OF LIFE OF PEOPLE IN THE COMM WE SERVE. 16 14 1290 191 5504 -2271 3827836 3311822 248869789 273189334 8662983 5714417 1209410 725163 262570018 282940736 2090500 2131037 0 0 113570690 123640039 0 0 1336918 139775747 152652119 255436937 278423195 7133081 4517541 391757604 399804619 177923167 190278717 213834437 209525902 X WE ARE COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITES WE SERVE. false false 261285990 2131037 273914497 SEE SCHEDULE O 261285990 true true false true false false false false false false true false false false true false false false false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true X 0 0 true 1290 true true true false false false false false false false false false X 16 14 true false false false true true true true true false false true true true true true true false true false CA X Larry Coomes 7072524411 1000 Trancas St Napa CA 94558 Br Victor Kenneth FSC BOARD MEMBER 2.0 0.0 X 0 0 0 Greg Bennett BOARD MEMBER 2.0 0.0 X 0 0 0 Geni Bennetts MD BOARD MEMBER 2.0 0.0 X 0 0 0 Larry Coomes CEO 50.0 4.0 X X 0 376831 41193 Jack Cox MD BD MEMBER/SVP CMO, SJH (PT YR) 2.0 50.0 X X 0 776839 27425 Sr Judith Dugan CSJ BOARD MEMBER 2.0 0.0 X 0 0 0 Ed Farver Board Chair 5.0 0.0 X 0 0 0 Sr Judith Fergus CSJ BOARD MEMBER (PART YEAR) 2.0 0.0 X 0 0 0 Francis Healy MD BOARD MEMBER 2.0 0.0 X 0 0 0 Sr Patricia Hayhurst CSJ BOARD MEMBER (PART YEAR) 2.0 4.0 X 0 0 0 Tim Herman Board Vice Chair 2.0 0.0 X 0 0 0 Br Thomas Jones FSC BOARD MEMBER (PART YEAR) 2.0 0.0 X 0 0 0 Pam Kindig BOARD MEMBER 4.0 0.0 X 0 0 0 Sr Nadine McGuinness CSJ BOARD MEMBER 2.0 0.0 X 0 0 0 Michael Merwin MD BOARD MEMBER 2.0 0.0 X 0 0 0 Walter Mickens CEO (Part Year) 5.0 52.0 X X 0 745068 54708 Andrew Nothmann MD BOARD MEMBER 2.0 0.0 X 0 0 0 Rosie Perez SVP MISSION INTEGRATION, SJH 2.0 0.0 X 0 87258 0 Ron Profili BOARD MEMBER 2.0 0.0 X 0 0 0 Dennis Pedisich BOARD MEMBER 2.0 0.0 X 0 0 0 Sr Christine Schleich CSJ BOARD MEMBER 2.0 0.0 X 0 0 0 Oluyemi Adeyanju Secretary 50.0 6.0 X 0 475496 10990 Michel Riccioni REGIONAL CFO 14.0 36.0 X 0 602515 53316 Daniel Dwyer REG. VP MISSION INTEGRATION 50.0 4.0 X 329497 0 39502 Robert Petrina Interim CFO (BEG. 5/1/17) 14.0 36.0 X 0 0 0 Amy Herold MD Chief Medical Officer 50.0 0.0 X 292123 0 17546 Susan Stanton VP PATIENT CARE SVS (PART YR) 50.0 0.0 X 320085 0 39385 ROBERT EISEN REGIONAL VP, HR NOCAL (PT YR) 14.0 36.0 X 0 370407 21488 Robert Lee LEAD RNFA 50.0 0.0 X 257900 0 52567 Elaine John VP FDN-CHIEF DEVELOP OFFICER 50.0 0.0 X 332341 0 39500 Paul Deus RFNA II 50.0 0.0 X 246179 0 66114 Marc Ebeling SHIFT LEAD RN 50.0 0.0 X 276334 0 65993 Maryam Mohsenzadeh DIRECTOR DENTAL 50.0 0.0 X 231219 0 40114 KAMI TIMM DIR, MISSION INTEGR (FMR OFR) 0.0 40.0 X 0 171531 18731 Robert Diehl VP OPERATIONS (FMR KEY EMPL) 0.0 0.0 X 290274 0 9040 Vincent Morgese MD EXEC VP/COO/CMO (FMR KEY EMPL) 0.0 0.0 X 260340 0 0 2836292 3605945 597612 311 true true false AMN HEALTHCARE INC 12400 High Bluff Drive SAN DIEGO CA 92130 MEDICAL SERVICES 5741822 MEDICAL STAFFING NETWORK HEALTHCARE PO BOX 840292 DALLAS TX 75284 NURSING REGISTRY 3237027 ANETHESIA AND ANALGESIA MEDICAL GRO 837 FIFTH STREET 2ND FLOOR SANTA ROSA CA 95404 ANETHESIOLOGISTS 1247030 RADIOLOGY MEDICAL GROUP OF NAPA PO BOX 348120 SACRAMENTO CA 95834 RADIOLOGISTS 1111628 UCSF University of CA San Francisco SAN FRANCISCO CA 94131 MEDICAL SERVICES 1062270 42 0 2831788 137124 342910 0 3311822 NET PATIENT REVENUE 622110 268191531 268191531 0 0 SYNERGY WELLNESS CENTER REVENUE 713940 3804627 3799123 5504 0 Cafeteria Revenue 722514 572249 572249 0 0 MEDICAL OFFICE BUILDING REVENUE 531120 353982 353982 0 0 INTENSIVE OUTPATIENT CARE MANAGEMENT 621400 124009 124009 0 0 142936 142936 0 273189334 5459830 5459830 0 0 0 0 0 309223 54636 254587 254587 254587 0 0 0 0 0 0 0 0 0 FEMA EARTHQUAKE ASSISTANCE 900099 529510 529510 0 0 Earthquake Ins Proceeds 900099 195606 195606 0 0 Lifeline Income 900099 47 47 0 0 725163 282940736 273908993 5504 5714417 X 2116037 2116037 15000 15000 0 0 0 0 1909138 0 1909138 0 0 0 0 0 80566966 79351118 629901 585947 5145583 5032283 71469 41831 29328482 28523002 563647 241833 6689870 6525303 101944 62623 19878759 16312467 3566292 0 1024354 293244 731110 0 40291 0 10141 30150 23779 23779 0 0 0 0 588646 0 588646 0 53564133 50948759 2355858 259516 125613 85905 0 39708 1503390 1459189 18734 25467 422944 247558 166775 8611 0 0 0 0 4371904 4353944 10041 7919 343696 269593 54643 19460 0 0 0 0 94518 87722 5167 1629 6323562 6312779 10783 0 0 0 0 0 13113805 12672021 441784 0 1322801 748176 570744 3881 MEDICAL SUPPLIES 35014160 34986192 27668 300 CA HOSPITAL FEE PROGRAM 10132976 10132976 0 0 DEBT EXTINGUISHMENT 2484804 0 2484804 0 ASSET RETIREMENT 1206255 0 1206255 0 1071729 788943 274743 8043 278423195 261285990 15800287 1336918 0 6063579 4841268 32260117 22954318 0 0 23417889 31820252 0 0 0 0 22764 0 3584972 3682395 182606 214209 423860152 220250530 202117860 203609622 117959047 130348031 0 0 0 0 0 0 6148770 2334524 391757604 399804619 28868480 41812362 0 0 0 0 0 0 0 0 0 0 0 0 2050000 2050000 147004687 146416355 177923167 190278717 X 213834437 209525902 0 0 0 0 213834437 209525902 391757604 399804619 X 4517541 8172696 0 0 0 -16998772 X X false false true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 23799 23799 false Lobbying Activities During the past year, the St. Joseph Health System has conducted an advocacy effort which included some lobbying activity. These included meeting with legislators, their staff and other governmental officials and communication to legislators advocating positions on legislation. The lobbying expenditures reported represents the portion of dues allocated to QVMC. 5333499 5333499 253646705 98818596 154828109 2520055 393325 2126730 149468064 121038609 28429455 12891829 12891829 203609622 0 INTERCO. WITH HEALTH SYSTEM-BONDS 146276880 Patient Credit Balances 139475 146416355 true true X true X true X 500. true true true false true true 1941223 1941223 0.00700 56821735 54106744 2714991 0.00980 9541932 6022195 3519737 0.01260 68304890 60128939 8175951 0.02940 4349130 1069043 3280087 0.01180 5000 5000 790730 368828 421902 0.00150 830991 830991 0.00300 5975851 1437871 4537980 0.01630 74280741 61566810 12713931 0.04570 false 7951899 73858892 108490077 -34631185 X true true 1 1 QUEEN OF THE VALLEY MEDICAL CENTER 1000 Trancas St Napa CA 94558 www.thequeen.org 110000060 X X X QUEEN OF THE VALLEY MEDICAL CENTER 1 false false true X X X X X X X X X 16 true false false true X SEE PART V, SECTION C X true 17 true SEE PART V, SECTION C false true X 200. 500. X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT THE PROCESS OF COLLECTING QUALITATIVE COMMUNITY INPUT TOOK THREE MAIN FORMS: COMMUNITY RESIDENT FOCUS GROUP, A NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, AND A COMMUNITY FORUM. EACH GROUP WAS DESIGNED TO CAPTURE THE COLLECTED KNOWLEDGE AND OPINIONS OF PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES SERVED BY QUEEN OF THE VALLEY MEDICAL CENTER. WE DEVELOPED A PROTOCOL (NOTED IN APPENDIX 3B OF THE CHNA) FOR EACH GROUP TO ENSURE CONSISTENCY ACROSS INDIVIDUAL FOCUS GROUPS, ALTHOUGH THE FACILITATORS HAD SOME DISCRETION ON ASKING FOLLOW-UP QUESTIONS OR PROBES AS THEY SAW FIT. INVITATION AND RECRUITMENT PROCEDURES VARIED FOR EACH TYPE OF GROUP. APPENDIX 3 OF THE CHNA INCLUDES A FULL REPORT OF THE COMMUNITY INPUT PROCESS AND FINDINGS ALONG WITH DESCRIPTIONS OF THE PARTICIPANTS. RESIDENT FOCUS GROUPS FOR COMMUNITY RESIDENT GROUPS, COMMUNITY BENEFIT STAFF, IN COLLABORATION WITH THEIR COMMITTEES AND THE SYSTEM OFFICE, IDENTIFIED GEOGRAPHIC AREAS WHERE DATA SUGGESTED THERE WERE SIGNIFICANT HEALTH, PHYSICAL ENVIRONMENT, AND SOCIOECONOMIC CONCERNS. THIS PROCESS ALSO IDENTIFIED THE LANGUAGE NEEDS OF THE COMMUNITY, WHICH DETERMINED THE LANGUAGE IN WHICH EACH FOCUS GROUP WAS CONDUCTED. COMMUNITY BENEFIT STAFF THEN PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS THAT SERVE THOSE AREAS TO RECRUIT FOR AND HOST THE FOCUS GROUPS. THE COMMUNITY BASED ORGANIZATION DEVELOPED AN INVITATION LIST USING THEIR CONTACTS AND KNOWLEDGE OF THE AREA, AND PARTICIPANTS WERE PROMISED A SMALL INCENTIVE FOR THEIR TIME. TWO CONSULTANTS STAFFED EACH FOCUS GROUP, SERVING AS FACILITATORS AND NOTE TAKERS. THESE CONSULTANTS WERE NOT DIRECTLY AFFILIATED WITH THE MINISTRY TO ENSURE CANDOR FROM THE PARTICIPANTS. TWO RESIDENT FOCUS GROUPS WERE CONDUCTED, ONE CONDUCTED ON 3/16/17 IN THE CITY OF SONOMA IN SPANISH WITH 20 PARTICIPANTS AND THE OTHER CONDUCTED ON 3/22/17 IN THE CITY OF AMERICAN CANYON WITH 16 PARTICIPANTS. THE COMMUNITY RESIDENT FOCUS GROUP ATTENDEES WERE 83% FEMALE AND 17% MALE. 70% OF ATTENDEES IDENTIFIED AS HISPANIC/LATINO, 13% AS NON-LATINO WHITE, 10% AS FILIPINO, AND 7% AS BLACK/AFRICAN-AMERICAN. OF THOSE WHO RESPONDED, 45% SAID THEY EARNED LESS THAN $35,000 ANNUALLY; THE AMERICAN CANYON GROUP WAS CONSIDERABLY MORE AFFLUENT THAN THE GROUP IN SONOMA. MORE DETAILED DEMOGRAPHIC INFORMATION IS LISTED IN APPENDIX 3A OF THE CHNA. NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP FOR THE NONPROFIT AND GOVERNMENT STAKEHOLDER FOCUS GROUP, COMMUNITY BENEFIT STAFF DEVELOPED A LIST OF LEADERS FROM ORGANIZATIONS THAT SERVE DIVERSE CONSTITUENCIES WITHIN THE HOSPITALS SERVICE AREA. MINISTRY STAFF SOUGHT TO INVITE ORGANIZATIONS WITH WHICH THEY HAD EXISTING RELATIONSHIPS, BUT ALSO USED THE FOCUS GROUP AS AN OPPORTUNITY TO BUILD NEW RELATIONSHIPS WITH STAKEHOLDERS. THE GROUP WAS CONDUCTED ON 3/23/17. PARTICIPANTS WERE NOT GIVEN A MONETARY INCENTIVE FOR ATTENDANCE. AS WITH THE RESIDENT FOCUS GROUPS, THIS GROUP WAS FACILITATED BY OUTSIDE CONSULTANTS WITHOUT A DIRECT LINK TO ST. JOSEPH HEALTH. THE GROUP INCLUDED 21 PARTICIPANTS REPRESENTING DIVERSE POPULATIONS INCLUDING LOW INCOME, CHRONICALLY ILL, MEDICALLY UNDERSERVED, LATINO AND FILIPINO POPULATIONS. A FULL LIST OF PARTICIPANTS AND ORGANIZATIONS IS IN APPENDIX 3B OF THE CHNA. RESIDENT COMMUNITY FORUM RECRUITMENT FOR THE COMMUNITY RESIDENT FORUM WAS MUCH BROADER TO ENCOURAGE AS MANY PEOPLE AS POSSIBLE TO ATTEND THE SESSION. COMMUNITY BENEFIT STAFF PUBLICIZED THE EVENT THROUGH FLYERS AND EMAILS USING THEIR EXISTING OUTREACH NETWORKS, AND ALSO ASKED THEIR PARTNER ORGANIZATIONS TO INVITE AND RECRUIT PARTICIPANTS. NO FORMAL INVITATION LIST WAS USED FOR THE FORUM AND ANYONE WHO WISHED TO ATTEND WAS WELCOMED. THE FORUM WAS CONDUCTED ON 3/27/17 BY AN OUTSIDE CONSULTANT IN ENGLISH, WITH SIMULTANEOUS SPANISH LANGUAGE TRANSLATION FOR ANYONE WHO REQUESTED IT. WHILE THE FOCUS GROUPS FOLLOWED A SIMILAR PROTOCOL TO EACH OTHER IN WHICH FIVE TO SIX QUESTIONS WERE ASKED OF THE GROUP, THE FORUM FOLLOWED A DIFFERENT PROCESS. THE LEAD FACILITATOR SHARED THE HEALTH NEEDS THAT HAD EMERGED FROM THE CHNA PROCESS SO FAR AND ASKED THE PARTICIPANTS TO COMMENT ON THEM AND ADD ANY OTHER CONCERNS. ONCE THE DISCUSSION WAS COMPLETE, THE PARTICIPANTS ENGAGED IN A CUMULATIVE VOTING PROCESS USING DOTS TO INDICATE THEIR GREATEST CONCERNS. THROUGH THIS PROCESS, THE FORUM SERVED AS SOMETHING OF A "CAPSTONE" TO THE COMMUNITY INPUT PROCESS. SCHEDULE H, PART V, SECTION B, LINE 7A https://www.thequeen.org/documents/Community-Benefit/QVMC-CHNA-FY17.pdf SCHEDULE H, PART V, SECTION B, LINE 10A https://www.thequeen.org/documents/Community-Benefit/QVMC-CBPlan-IS-Report _FY18-20.pdf SCHEDULE H, PART V, SECTION B, LINE 11 QUEEN OF THE VALLEY IS WORKING BOTH INTERNALLY AND WITH COMMUNITY PARTNERS TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE FY17 COMMUNITY HEALTH NEEDS ASSESSMENT. QUEEN OF THE VALLEYS FY18-FY20 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON THREE BROAD CATEGORIES OF HEALTH NEEDS: MENTAL HEALTH, SUBSTANCE ABUSE, AND SOCIAL DETERMINANTS OF HEALTH WHICH INCLUDE HOUSING, ECONOMIC ISSUES AND ACCESS TO HEALTH CARE. MENTAL HEALTH: THIS INITIATIVE IS FOCUSED ON IMPROVING MENTAL HEALTH AND WELLBEING OF 200 VULNERABLE LOW-INCOME OLDER ADULTS, INDIVIDUALS WITH ACUTE MEDICAL CONDITIONS AND PREGNANT AND POSTPARTUM WOMEN ANNUALLY. ACCESS TO MENTAL HEALTH SERVICES FOR LOW-INCOME INDIVIDUALS IS LIMITED. OLDER ADULTS, POSTPARTUM WOMEN AND THOSE WITH COMPLEX MEDICAL CONDITIONS ARE MORE LIKELY TO SUFFER FROM DEPRESSION THAT CAN CONTRIBUTE TO POOR QUALITY OF LIFE AND PLACE THEM AT HIGHER RISK FOR SUICIDE. GOAL: REDUCE DEPRESSION AND IMPROVE QUALITY OF LIFE AMONG 200 LOW-INCOME OLDER ADULTS, INDIVIDUALS WITH ACUTE MEDICAL CONDITIONS AND PREGNANT AND POSTPARTUM WOMEN ANNUALLY. THE OUTCOME MEASURE IS PERCENTAGE OF CLIENTS THAT IMPROVE DEPRESSION INDICTORS AS MEASURED THROUGH VALIDATED TOOLS (PHQ9). SUBSTANCE ABUSE: PERINATAL SUBSTANCE USE HAS SERIOUS CONSEQUENCES FOR BOTH MOTHER AND CHILD. OBSTETRICAL COMPLICATIONS FROM SUBSTANCE USE INCLUDE AN INCREASED RISK OF MISCARRIAGE, INTRAUTERINE GROWTH RESTRICTION, PREMATURE LABOR, AND EVEN FETAL DEMISE. RISKS EXTEND BEYOND PREGNANCY TO THE NEWBORN. ALCOHOL USE CAN LEAD TO FETAL ALCOHOL SPECTRUM DISORDER (FASD) ASSOCIATED WITH NUMEROUS DISABILITIES. OPIOID USE IS ASSOCIATED WITH NEONATAL WITHDRAWAL SYNDROME (NAS). RECENT ESTIMATES IDENTIFIED AN INCREASE IN THE RATE OF NEONATAL INTENSIVE CARE UNIT (NICU) ADMISSIONS IN THE UNITED STATES FOR NAS FROM 7 CASES TO 27 CASES PER 1000 ADMISSIONS LEADING TO AN INCREASE FROM 0.6% TO 4% OF ALL NICU DAYS BEING ATTRIBUTED TO NAS. INTERVENING WITH HIGH RISK WOMEN CAN ALSO PREVENT CHILDHOOD TRAUMA ASSOCIATED WITH PARENTAL SUBSTANCE ABUSE. IN NAPA, A SCREENING PILOT CONDUCTED FROM OCTOBER 2015-MAY 2017 USING THE VALIDATED 4PS PLUS TOOL TO ASSESS USE OF ALCOHOL, TOBACCO AND OTHER DRUGS BY PREGNANT WOMEN IN NAPA HAD THE FOLLOWING RESULTS: WITH A TOTAL OF 1,094 WOMEN SCREENED, THERE WERE A TOTAL OF 369 POSITIVE SCREENS FOR SUBSTANCE USE, OR ABOUT 33.7% OF THE TOTAL NUMBER OF SCREENS. GOAL: PREVENT ADVERSE CHILDHOOD EXPERIENCES THROUGH A COMPREHENSIVE SET OF ACTIVITIES TO REDUCE PERINATAL SUBSTANCE USE AND ABUSE SERVING APPROXIMATELY 500 WOMEN ANNUALLY. OUTCOME MEASURE: TO BE DEVELOPED BASED ON PLANNING COALITION RESEARCH OF APPROPRIATE MEASURES. ACTIVITIES INCLUDE DEVELOPING A BROAD BASED COALITION OF COMMUNITY AND PUBLIC AGENCY PARTNERS TO ADDRESS ISSUES OF PERINATAL SUBSTANCE USE AND ABUSE, EDUCATION PROFESSIONALS AND THE PUBLIC ON PERINATAL SUBSTANCE ABUSE IMPACTS AND SERVICES AVAILABLE, IMPLEMENT INTEGRATED PATIENT EDUCATION, SCREENING AND INTERVENTION TO CHANGE PATIENT SUBSTANCE ABUSE BEHAVIORS. SOCIAL DETERMINANTS OF HEALTH: THIS INITIATIVE ADDRESSES THE GAP IN HOUSING THAT IS AVAILABLE AND AFFORDABLE FOR CHRONICALLY HOMELESS AND LOW INCOME COMMUNITY MEMBERS, IMPROVING ECONOMIC STABILITY FOR LOW INCOME VULNERABLE ADULTS, AND ENSURING ACCESS TO QUALITY ORAL HEALTH CARE FOR LOW INCOME CHILDREN. GOALS INCLUDE SUPPORTING SUSTAINABLE, COLLECTIVE EFFORTS TO REDUCE HOMELESSNESS AND IMPROVE AVAILABILITY AND ACCESSIBILITY OF HOUSING THAT IS AFFORDABLE FOR LOW INCOME AND OTHER VULNERABLE POPULATIONS, ENSURE ACCESS TO BASIC NEEDS AND HEALTH MANAGEMENT OF LOW INCOME VULNERABLE ADULTS WITH COMPLEX MEDICAL AND SOCIO-ECONOMIC CONDITIONS INCLUDING HOMELESSNESS AND LACK OF ACCESS TO ESSENTIAL MEDICAL AND SOCIAL SERVICE RESOURCES, AND TO REDUCE THE ECONOMIC BURDEN ON FAMILIES AND IMPROVE ORAL HEALTH STATUS OF CHILDREN 6 MONTHS TO 26 YEARS OF AGE WHO ARE UNINSURED OR UNDERINSURED. OUTCOME MEASURES FOR THE SOCIAL DETERMINANTS OF HEALTH INITIATIVE INCLUDE COMMUNITY-WIDE COLLABORATIVE EFFORTS EXPANDING NUMBER OF INDIVIDUALS (TBD) HOUSED WHO WERE HOMELESS OR PRECARIOUSLY HOUSED, PERCENTAGE IMPROVEMENT IN QUALITY OF LIFE MEASURES ON VALIDATED SF12 SURVEY FROM ENROLLMENT TO DISCHARGE OF LOW INCOME, VULNERABLE CLIENTS, AND PERCENTAGE OF LOW INCOME PATIENTS WHO DEMONSTRATE ORAL HEALTH STATUS IMPROVEMENT AT RECALL VISIT BASED ON A SET OF CLINICAL CRITERIA. FOR MORE INFORMATION ON THE KEY STRATEGIES FOR ADDRESSING THESE HEALTH NEEDS GO TO THE QUEEN OF THE VALLEY MEDICAL CENTER FY18-FY20 CB PLAN LOCATED AVAILABLE ONLINE AT https://www.thequeen.org/for-community/ NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH QUEEN OF THE VALLEY AND BY FUNDING OTHER NON-PROFITS THROUGH OUR CARE FOR THE POOR PROGRAM MANAGED BY THE QUEEN OF THE VALLEY. FURTHERMORE, QUEEN OF THE VALLEY WILL ENDORSE LOCAL NON-PROFIT ORGANIZATION PARTNERS TO APPLY FOR FUNDING THROUGH THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. ORGANIZATIONS THAT RECEIVE FUNDING PROVIDE SPECIFIC SERVICES AND RESOURCES TO MEET THE IDENTIFIED NEEDS OF UNDERSERVED COMMUNITIES THROUGHOUT QUEEN OF THE VALLEY SERVICE AREAS. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE ADDRESSED WITH THE FOLLOWING EXPLANATION: SJH QUEEN OF THE VALLEY DOES NOT DIRECTLY ADDRESS IMMIGRATION STATUS. HOWEVER, COMMUNITY BENEFIT SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF IMMIGRATION STATUS AND THE MEDICAL CENTER PROVIDES CHARITY MEDICAL CARE. IN ADDITION, QUEEN OF THE VALLEY MEDICAL CENTER AND COMMUNITY BENEFIT PROGRAMS PARTNERS WITH MULTIPLE COMMUNITY-BASED ORGANIZATIONS TO ADDRESS THE NEEDS OF THE UNDOCUMENTED. WHILE CANCER, HEART DISEASE, DIABETES AND ASTHMA ARE NOT A PRIMARY FOCUS OF THE PLAN, THE SERVICE AREA INCLUDES QUEEN OF THE VALLEY MEDICAL CENTER, ST. HELENA HOSPITAL, KAISER CLINIC AND OLE HEALTH THAT PROVIDE MEDICAL SERVICES TO INDIVIDUALS WITH THESE CONDITIONS. ALSO, QUEEN OF THE VALLEYS CARE NETWORK PROVIDES CARE COORDINATION AND CARE MANAGEMENT FOR LOW INCOME PERSONS WITH COMPLEX MEDICAL CONDITIONS INCLUDING CHRONIC DISEASES SUCH AS THESE. SJH QUEEN OF THE VALLEY DOES NOT DIRECTLY ADDRESS ISSUES OF TRANSPORTATION AND TRAFFIC. AS A PARTNER IN LIVE HEALTHY NAPA COUNTY, QUEEN OF THE VALLEY PARTNERS WITH THE COMMUNITY TO IMPROVE CONDITIONS THROUGH ADVOCACY AND PARTNERSHIPS. IN ADDITION, TRANSPORTATION SUPPORT IS PROVIDED TO QUEEN OF THE VALLEY CARE NETWORK CLIENTS. WHILE ACCESS TO FOOD IS NOT A PRIMARY FOCUS OF THE IMPLEMENTATION STRATEGY, SJH QUEEN OF THE VALLEY COMMUNITY BENEFIT PROVIDES FUNDING SUPPORT TO LOCAL SAFETY FOOD NET ORGANIZATIONS, WORKS DIRECTLY WITH COMMUNITY PARTNERS SUCH AS THE FOOD BANK AND LIVE HEALTHY NAPA COUNTY TO EXPAND ACCESS, AND DIRECTLY ASSISTS LOW-INCOME CHRONICALLY ILL CARE NETWORK CLIENTS WITH FOOD ACCESS. IN ADDITION, QUEEN OF THE VALLEY WILL COLLABORATE WITH PUBLIC AGENCIES AND COMMUNITY-BASED ORGANIZATIONS THAT ADDRESS LANGUAGE BARRIERS AND AFOREMENTIONED COMMUNITY NEEDS, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS. SCHEDULE H, PART V, SECTION B, LINE 13H BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. SCHEDULE H, PART V, SECTION B, LINE 16A Financial Assistance Policy http://www.thequeen.org/documents/Financial-Assistance-Policy.pdf SCHEDULE H, PART V, SECTION B, LINE 16B Financial Assistance Application HTTP://WWW.THEQUEEN.ORG/DOCUMENTS/QVH-FAA-ENGLISH.PDF SCHEDULE H, PART V, SECTION B, LINE 16C Plain Language Summary HTTP://WWW.THEQUEEN.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/QVMC_FABROC HURE_2016.PDF 5 Outpatient Surgery and Procedural Center 1000 Trancas St Napa CA 94558 Outpatient servcies Profili Imaging Center (formerly NVIC) 1000 Trancas St Napa CA 94558 Outpatient services QVMC Urgent Care Center 1621 W Imola Ave Napa CA 94559 Outpatient services Lab Draw Station 980 Trancas St Napa CA 94558 Outpatient services Mobile Dental Van 1000 Trancas St Napa CA 94558 Outpatient services SCHEDULE H, PART I, LINE 3C IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO CONSIDERED CERTAIN ASSETS OF A PATIENT. IN ADDITION, A PATIENT'S SPECIAL CIRCUMSTANCES WERE ALSO CONSIDERED WHEN DETERMINING ELIGIBILITY, INCLUDING BUT NOT LIMITED TO, DISABILITY AND HOMELESSNESS. SCHEDULE H, PART I, LINE 6A QUEEN OF THE VALLEY MEDICAL CENTER PREPARES AN ANNUAL REPORT AND IT IS PUBLICLY AVAILABLE AT https://www.thequeen.org/documents/Community-Benefit/QVMC-CBR-FY17.pdf SCHEDULE H, PART I, LINES 7A-7I THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. The Organization's Cost accounting system addressed all patient segments. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. SCHEDULE H, PART III, LINE 2 METHODOLOGY FOR CALCULATING BAD DEBT THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. SCHEDULE H, PART III, LINE 4 FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT FOOTNOTE FROM THE PROVIDENCE ST. JOSEPH HEALTH COMBINED FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2017 THE HEALTH SYSTEM PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE. THE HEALTH SYSTEM ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE BY PAYOR, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE COVERAGE AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS USED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH HAS HISTORICALLY INDICATED THAT MANY PATIENTS ARE UNRESPONSIVE OR ARE OTHERWISE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. SCHEDULE H, PART III, LINE 8 THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B PATIENT ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTION POLICY ALSO APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR DISCOUNTED CARE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT IN ADDITION TO THE CHNA, ADDITIONAL COMMUNITY NEEDS EMERGE OVER TIME. TO ENSURE A CONTINUOUS CONNECTION TO EMERGING COMMUNITY NEEDS, QUEEN OF THE VALLEY COMMUNITY BENEFIT STAFF ARE CORE MEMBERS OF LIVE HEALTHY NAPA COUNTY (LHNC). NAPA COUNTY PUBLIC HEALTH SERVES AS THE BACKBONE ORGANIZATION OF LHNC, AND THIS PUBLIC PRIVATE SECTOR COLLABORATIVE CONSISTS OF OVER 40 AGENCIES. LHNC MEETS REGULARLY, HAS A WEB SITE AND SENDS ELECTRONIC NEWSLETTERS AND UPDATES FOR ANY URGENT COMMUNITY NEEDS THAT ARISE BETWEEN MEETINGS. IN ADDITION TO LHNC, QUEEN OF THE VALLEY STRATEGIC SERVICES CONDUCT ANALYSIS AND REPORTS ON COMMUNITY NEEDS AND TRENDS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION QUEEN OF THE VALLEY MEDICAL CENTERS TOTAL HOSPITAL SERVICE AREA INCLUDES PORTIONS OF NAPA AND SONOMA COUNTIES. A PREMIUM WINE PRODUCING REGION, THERE IS A LARGE AGRICULTURE AND HOSPITALITY INDUSTRY. ALTHOUGH OFTEN VIEWED AS A COMMUNITY OF WEALTH, THE LARGE NUMBER OF LOW WAGE EARNERS IN THESE INDUSTRIES COMBINED WITH THE HIGH COST OF LIVING LEND TO POCKETS OF POVERTY AND INDIVIDUALS AND FAMILIES HAVING DIFFICULTY MEETING BASIC NEEDS. THE TOTAL SERVICE AREA (TSA) OF QUEEN OF THE VALLEY MEDICAL CENTER INCLUDES APPROXIMATELY 167,000 PEOPLE. OVER 75% OF THE POPULATION OF THE TSA IS IN NAPA COUNTY, AND APPROXIMATELY 90% OF NAPA COUNTYS POPULATION IS WITHIN THE TSA. COMPARED TO THE STATE, THE TSA (AND NAPA COUNTY) HAS HIGHER PERCENTAGES OF ELDERLY. THE TSA HAS A MEDIAN HOUSEHOLD INCOME OF $68,468, 22 PERCENT OF THIS POPULATION HAS A HOUSEHOLD INCOME BELOW 200% OF FEDERAL POVERTY LEVEL, AND 15.4 PERCENT OF CHILDREN AND 7.1 PERCENT OF OLDER ADULTS LIVE BELOW 100% OF POVERTY LEVEL. WHEN LOOKING AT THE PRIMARY SERVICE AREA, 21.6 PERCENT OF THE POPULATION IS UNDER THE AGE OF 18 AND 17.8 PERCENT OF THE POPULATION IS OVER THE AGE OF 65. FURTHERMORE, 22.4 PERCENT OF THE POPULATIONS HOUSEHOLD INCOME IS BELOW 200% FPL AND 14.9 PERCENT OF CHILDREN AND 7.6 PERCENT OF OLDER ADULTS LIVE BELOW 100% OF FEDERAL POVERTY LEVEL. THE ETHNIC DIVERSITY OF THE PSA INCLUDE 36.6 PERCENT LATINO, 56.9 PERCENT NON-LATINO WHITE, AND 3 PERCENT ASIAN/PACIFIC ISLANDER. THE ETHNIC DIVERSITY OF THE TSA INCLUDES 33.5 PERCENT LATINO, 54.8 PERCENT NON-LATINO WHITE, 7.2 PERCENT ASIAN/PACIFIC ISLANDER AND 1.7 PERCENT BLACK. LOW INCOME ZIP CODES IN THE TSA INLCUDE 95476 (SONOMA), 94558 AND 94559 (NAPA). OTHER HOSPITALS IN THE COMMUNITY INCLUDE: ST. HELENA HOSPITAL HEALTH PROFESSIONS SHORTAGE AREA MENTAL, DENTAL, OTHER THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION DESIGNATES HEALTH PROFESSIONAL SHORTAGE AREAS AS AREAS WITH A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL CARE, OR MENTAL HEALTH PROVIDERS. THEY ARE DESIGNATED ACCORDING TO GEOGRAPHY (I.E., SERVICE AREA), DEMOGRAPHICS (I.E., LOW-INCOME POPULATION), OR INSTITUTIONS (I.E., COMPREHENSIVE HEALTH CENTERS). QUEEN OF THE VALLEY IS NOT LOCATED IN A SHORTAGE AREA, LARGE PORTIONS OF THE SERVICE AREA TO THE WEST AND NORTH OF QUEEN OF THE VALLEY ARE DESIGNATED AS SHORTAGE AREAS. MEDICAL UNDERSERVED AREA/MEDICAL PROFESSIONAL SHORTAGE AREA MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE DEFINED BY THE FEDERAL GOVERNMENT TO INCLUDE AREAS OR POPULATION GROUPS THAT DEMONSTRATE A SHORTAGE OF HEALTHCARE SERVICES. THIS DESIGNATION PROCESS WAS ORIGINALLY ESTABLISHED TO ASSIST THE GOVERNMENT IN ALLOCATING COMMUNITY HEALTH CENTER GRANT FUNDS TO THE AREAS OF GREATEST NEED. MEDICALLY UNDERSERVED AREAS ARE IDENTIFIED BY CALCULATING A COMPOSITE INDEX OF NEED INDICATORS COMPILED AND COMPARED WITH NATIONAL AVERAGES TO DETERMINE AN AREAS LEVEL OF MEDICAL "UNDER SERVICE." MEDICALLY UNDERSERVED POPULATIONS ARE IDENTIFIED BASED ON DOCUMENTATION OF UNUSUAL LOCAL CONDITIONS THAT RESULT IN ACCESS BARRIERS TO MEDICAL SERVICES. MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ARE PERMANENTLY SET, AND NO RENEWAL PROCESS IS NECESSARY. QUEEN OF THE VALLEY, ALONG WITH THE MAJORITY OF THE SERVICE AREA, IS LOCATED IN A MEDICALLY UNDERSERVED AREA/MEDICALLY UNDERSERVED POPULATIONS AREA, SIGNIFYING THE IMPORTANCE OF QUEEN OF THE VALLEY TO THE COMMUNITY IT SERVES. FOR MORE INFORMATION, GO TO THE QUEEN OF THE VALLEYS FY17 COMMUNITY BENEFIT REPORT POSTED AT https://www.thequeen.org/for-community/community-benefit/ SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH QUEEN OF THE VALLEY MEDICAL CENTER IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1958, LOCATED IN THE CITY OF NAPA SERVING The Napa county and parts of Sonoma county in Northern California. QUEEN OF THE VALLEY PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE (TRADITIONAL CHARITY CARE) AND DISCOUNTED CARE. QUEEN OF THE VALLEY IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: 1) A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION AND IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES, 2) AN OPEN MEDICAL STAFF AND 3) ROBUST COMMUNITY BENEFIT PROGRAMS THAT ARE IN PART FUNDED BY CARE FOR THE POOR DOLLARS. LOCAL COMMUNITY BENEFIT COMMITTEE: THE ROLE OF THE QUEEN OF THE VALLEY COMMUNITY BENEFIT COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY BENEFIT COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY BENEFIT COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES THREE MEMBERS OF THE BOARD OF TRUSTEES AND EIGHT COMMUNITY MEMBERS. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE GENERALLY MEETS EVERY OTHER MONTH, A MINIMUM OF SIX TIMES A YEAR. QUEEN OF THE VALLEYS FY15-FY17 CB PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSED ON: CHILDHOOD OBESITY TO ADDRESS CHILDHOOD OBESITY IN NAPA COUNTY, SJH QUEEN OF THE VALLEY CONTINUES THE HEALTHY FOR LIFE PROGRAM (H4L), A SCHOOL-BASED OBESITY PREVENTION PROGRAM DESIGNED TO EMPHASIZE LIFELONG FITNESS AND HEALTHY EATING BEHAVIORS AMONG CHILDREN AND ADOLESCENTS. THE PROGRAM INCORPORATES THE FOLLOWING STRATEGIES: (1) SCHOOL-BASED OBESITY PREVENTION; (2) COMMUNITY/ PARENT EDUCATION; AND, (3) COMMUNITY AND SCHOOL POLICY ADVOCACY. THIS YEAR PROGRAMS CONTINUED AT 7 LOW-INCOME PRESCHOOL SETTINGS (12 CLASSES) AND IN 18 PARTICIPATING SCHOOL DISTRICT SITES (44 CLASSROOMS). A TOTAL OF 1,679 UNDUPLICATED STUDENTS PARTICIPATED IN FITNESS AND NUTRITION CLASSES WITH 18,449 STUDENT ENCOUNTERS OVER THE COURSE OF THE SCHOOL YEAR. ACCESS TO DENTAL CARE TO ADDRESS THE IDENTIFIED COMMUNITY NEED OF ORAL HEALTH, QUEEN OF THE VALLEY LAUNCHED A CHILDRENS MOBILE DENTAL CLINIC IN 2005. CURRENTLY AS ONE OF ONLY TWO PROVIDERS OF DENTAL CARE FOR LOW INCOME OR MEDI-CAL ELIGIBLE CHILDREN IN NAPA COUNTY, QUEEN OF THE VALLEY STRIVES TO MEET THIS CONTINUED COMMUNITY NEED. THIS YEAR OUR MOBILE DENTAL CLINIC SPANNED 9 LOCATIONS ACROSS NAPA COUNTY SERVING 2,141 LOW-INCOME CHILDREN AND PROVIDING 5,674 CLINIC VISITS. IN ADDITION, 16 LOW INCOME PRE-SCHOOL CLASSES WERE PROVIDED FREE ORAL HEALTH SCREENINGS AND FLUORIDE VARNISH TO 439 CHILDREN. OF THESE 439 CHILDREN, 39 HAD NO DENTAL HOME AND PARENTS WERE ASSISTED WITH REFERRAL TO A DENTAL HOME FOR TREATMENT, EDUCATION AND CONTINUED PREVENTIVE CARE. CONTINUUM OF CARE CARE (CASE MANAGEMENT, ADVOCACY, RESOURCES, AND EDUCATION) NETWORK IS A NATIONALLY RECOGNIZED, AWARD WINNING COMMUNITY BASED PROGRAM THAT PROMOTES CHRONIC DISEASE SELF-MANAGEMENT UTILIZING AN INTERDISCIPLINARY RN, SOCIAL WORK, BEHAVIORAL AND SPIRITUAL APPROACH. SERVICES ARE PROVIDED IN THE CLIENTS HOME OR AS NEEDED IN A HEALTH PROVIDER OFFICE OR OTHER COMMUNITY SERVICE LOCATION. THE PROGRAM IS AIMED AT CARE COORDINATION AND IMPROVING DISEASE MANAGEMENT AND QUALITY OF LIFE WHILE REDUCING OVERALL GOVERNMENT BURDEN OF HEALTHCARE COSTS. IN FY17 CARE NETWORK SERVED 568 CLIENTS, OF THOSE 261 WERE NEWLY ENROLLED. FOR THOSE NEWLY ENROLLED CLIENTS, EMERGENCY ROOM VISITS DECREASED BY 71% AND HOSPITALIZATIONS DECREASED BY 42% AS COMPARED TO ONE YEAR PRIOR TO ENROLLMENT. THIS YEAR CARE NETWORK LAUNCHED A PILOT PROJECT IMBEDDING A COMMUNITY HEALTH WORKER IN THE EMERGENCY DEPARTMENT (ED) SERVING 220 HOMELESS AND OTHERWISE VULNERABLE PERSONS WHO DISCHARGED FROM OUR ED. ACCESS TO BEHAVIORAL HEALTH SERVICES ACCESS TO LOW COST MENTAL HEALTH SERVICES CONTINUES TO RANK AS A PRIORITY IN THE FY17 CHNA. TO ADDRESS THIS NEED, QUEEN OF THE VALLEY TOOK A MULTIPRONGED APPROACH WITH THREE INTEGRATED MENTAL HEALTH PROGRAMS THAT PROMOTE SCREENING OF TARGETED POPULATIONS FOR DEPRESSION, OFFER BRIEF THERAPEUTIC INTERVENTIONS (1-10 SESSIONS) AND/OR REFERRALS TO MORE INTENSIVE SERVICES AND NAVIGATE CLIENTS TO OTHER COMMUNITY SUPPORT SERVICES AND GROUPS. PROGRAM BENEFICIARIES INCLUDE POSTPARTUM MOTHERS, CARE NETWORK INTENSIVE CASE MANAGEMENT CLIENTS AND UNDERSERVED OLDER ADULTS AT RISK FOR BEHAVIORAL OR COGNITIVE HEALTH ISSUES. THERAPY AND SERVICES ARE PROVIDED IN SPANISH AND ENGLISH. 259 UNDUPLICATED CLIENTS WERE SERVED BY THESE THREE MENTAL / BEHAVIORAL HEALTH PROGRAMS (THE CARE NETWORK, HEALTHY MINDS HEALTHY AGING (HMHA), AND THE PERINATAL EMOTIONAL WELLNESS PROGRAM) 1,633 THERAPY SESSIONS PROVIDED EITHER IN THE CLIENTS HOME OR IN THE THERAPIST OFFICE. FY17 OTHER COMMUNITY BENEFIT PROGRAM ACCOMPLISHMENTS INCLUDED: QUEEN OF THE VALLEY PROVIDES FUNDING SUPPORT AND IN KIND STAFFING FOR NAPA VALLEY PARENT UNIVERSITY, A PROGRAM THAT CREATES A LEARNING ENVIRONMENT FOR PARENTS TO GAIN CRUCIAL PARENTING AND LEADERSHIP SKILLS TO SUPPORT THEIR CHILDS ACADEMIC SUCCESS. THIS YEAR THE PROGRAM OFFERED 100 DIFFERENT CLASS TOPICS AT 6 ELEMENTARY SCHOOL SITES WITH OVER 1,492 UNDUPLICATED PARENT PARTICIPANTS. QUEEN OF THE VALLEY PROVIDES COOKING MATTERS, A SERIES OF COOKING CLASSES THAT EMPOWERS FAMILIES WITH THE SKILLS TO STRETCH THEIR FOOD BUDGETS AND COOK HEALTHY MEALS AT HOME FOR THEIR CHILDREN. AS PART OF THE NO KID HUNGRY CAMPAIGN TO END CHILDHOOD HUNGER IN AMERICA, SHARE OUR STRENGTH'S COOKING MATTERS TEACHES PARTICIPANTS TO SHOP SMARTER, USE NUTRITION INFORMATION TO MAKE HEALTHIER CHOICES AND COOK DELICIOUS, AFFORDABLE MEALS. THIS YEAR WE OFFERED A TOTAL OF 18 CLASSES TO 26 UNDUPLICATED INDIVIDUALS TOTALING 131 ENCOUNTERS (PARTICIPANTS TAKE SEVERAL CLASSES). THREE OF THE SIX WEEK SERIES CLASSES WERE OFFERED IN SPANISH. WE ALSO PROVIDED COOKING MATTERS POP-UP TOURS AT THREE TITLE 1 SCHOOLS TO 58 PARTICIPANTS IN SPANISH. ONE ADDITIONAL POP-UP TOUR WAS PROVIDED AT A LOCAL COMMUNITY CENTER PROVIDING EDUCATION TO 19 PARTICIPANTS. OPERATION ACCESS (OA) IS A NONPROFIT ORGANIZATION THAT COORDINATES VOLUNTEER MEDICAL SERVICES FOR THE UNINSURED. THROUGH A COLLABORATIVE EFFORT OF AREA HOSPITALS (QUEEN OF THE VALLEY, ST. HELENA HOSPITAL, KAISER PERMANENTE) AND OLE HEALTH (FQHC), OA CONTINUES IN NAPA THIS YEAR LINKING 84 UNIQUE LIVES TO 209 SPECIALTY APPOINTMENTS AND 112 SURGICAL PROCEDURES AND OR DIAGNOSTIC SERVICES. A COMMUNITY BENEFIT CONTRIBUTION TOTALING $52,063 PROVIDED TO EIGHT SAFETY-NET NON-PROFIT AGENCIES IN NAPA COUNTY HELPED TO SECURE FOOD AND HOUSING FOR THE POOR. IN ADDITION, A COMMUNITY BENEFIT CONTRIBUTION IN TOTAL OF $152,000.00 WAS PROVIDED TO CATHOLIC CHARITIES IN SUPPORT OF A MEDICAL RESPITE FOR THE HOMELESS (NIGHTINGALE HOUSE). THIS YEAR QUEEN OF THE VALLEY PROVIDED A COMMUNITY BENEFIT DONATION OF $36,000 TO OLE HEALTH TO BRING HIV/HEPATITIS C SPECIALTY CLINICS DIRECTLY TO THE FQHC SITE. PATIENTS OF THESE SPECIALTY CLINICS ARE THEN FOLLOWED BY QUEEN OF THE VALLEYS CARE NETWORK TEAM FOR CARE COORDINATION AND CASE MANAGEMENT. CLINICS PROVIDED SERVICES TO OVER 86 UNDUPLICATED PATIENTS FOR A TOTAL OF 192 OFFICE VISITS. AN ONGOING PARTNERSHIP WITH OLE HEALTH TO PROVIDE HEALTH SCREENINGS TO MIGRANT FARMWORKERS AND THE UNDER-INSURED. SCREENINGS INCLUDE CHOLESTEROL AND BLOOD SUGAR TESTING IN ADDITION TO HEALTH EDUCATION IN PREVENTION OF DIABETES, HYPERTENSION, HEART DISEASE AND OBESITY. A TOTAL OF 4 HEALTH SCREENINGS WERE PROVIDED, THREE FOR FARMWORKERS AT VINEYARD MANAGEMENT SITES AND ONE SUPPORTING AMEN MINISTRIES. IN TOTAL, 686 UNINSURED AND UNDER-INSURED INDIVIDUALS WERE PROVIDED HEALTH SCREENS AND LINKED TO CARE. QUEEN OF THE VALLEY PROVIDES FUNDING SUPPORT AND IN KIND STAFF TOWARD THE EFFORTS OF THE HEALTHY AGING PLANNING INITIATIVE (HAPI), A COALITION OF OVER 40 ORGANIZATIONS SERVING OLDER ADULTS IN NAPA COUNTY. HAPI CONDUCTS NEEDS ASSESSMENTS SPECIFIC TO OLDER ADULTS, DEVELOPS COLLABORATIVE STRATEGIES TO ADDRESS NEEDS AND ADVOCATES FOR POLICY CHANGE TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR OLDER ADULTS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM QUEEN OF THE VALLEY IS A HEALING MINISTRY OF PROVIDENCE ST. JOSEPH HEALTH, A NEW ORGANIZATION CREATED BY PROVIDENCE HEALTH & SERVICES AND ST. JOSEPH HEALTH WITH THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. TOGETHER, OUR 111,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 50 HOSPITALS, 829 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. THE SYSTEM INCLUDES 50 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. QUEEN OF THE VALLEY COMMUNITY BENEFIT OFFERS A WIDE VARIETY OF PERINATAL CLASSES TO ALL IN OUR COMMUNITY, REGARDLESS OF INCOME OR AREA HOSPITAL BIRTHING CHOICE. THIS YEAR 131 CLASSES WERE PRESENTED IN ENGLISH AND 30 CLASSES WERE PRESENTED IN SPANISH WITH 2,426 CLASS PARTICIPANTS (DUPLICATED). FREE PERINATAL EXERCISE CLASSES AT QUEEN OF THE VALLEYS MEDICAL FITNESS CENTER ARE OFFERED TO LOW INCOME WOMEN. THIS YEAR PERINATAL EXERCISE CLASSES INCLUDING AQUA AND YOGA WERE PROVIDED TO 168 LOW INCOME WOMEN. ST. JOSEPH HEALTH IN 1912, A SMALL GROUP OF SISTERS OF ST. JOSEPH LANDED ON THE RUGGED SHORES OF EUREKA, CALIF., TO PROVIDE EDUCATION AND HEALTH CARE. THE MINISTRY LATER ESTABLISHED ROOTS IN ORANGE, CALIF., AND EXPANDED TO SERVE SOUTHERN CALIFORNIA, THE CALIFORNIA HIGH DESERT, NORTHERN CALIFORNIA AND TEXAS. THE HEALTH SYSTEM ESTABLISHED MANY KEY PARTNERSHIPS, INCLUDING A MERGER BETWEEN LUBBOCK METHODIST HOSPITAL SYSTEM AND ST. MARY HOSPITAL TO FORM COVENANT HEALTH IN LUBBOCK TEXAS. RECENTLY, AN AFFILIATION WAS ESTABLISHED WITH HOAG HEALTH TO INCREASE ACCESS TO SERVICES IN ORANGE COUNTY, CALIFORNIA. SJH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) IN 1986, ST. JOSEPH HEALTH (SJH) CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH SYSTEM CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY KNOWN AS THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. EVERY YEAR, EACH ST. JOSEPH HEALTH HOSPITAL CONTRIBUTES TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE ECONOMICALLY POOR. IN FY17 THIS AMOUNT TOTALED $322,048 FOR QUEEN OF THE VALLEY. 75% OF THE CONTRIBUTIONS ARE USED TO SUPPORT CARE FOR POOR PROGRAMS BY EACH HOSPITAL. 17.5% OF FUNDS ARE USED TO SUPPORT ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND INITIATIVES. THE REMAINING 7.5% ARE DESIGNATED TOWARD AN ENDOWMENT WHICH HELPS ENSURE THE FUND'S ABILITY TO SUSTAIN PROGRAMS INTO THE FUTURE THAT ASSIST LOW-INCOME AND UNDERSERVED POPULATIONS. COMMUNITY INVESTMENT FUND ST. JOSEPH HEALTH FURTHERMORE RECOGNIZES THAT THE HEALTH OF ANY COMMUNITY DEPENDS ON THE MAINTENANCE AND CREATION OF STRONG STRUCTURES- BOTH PHYSICAL AND SOCIAL- THAT CONTRIBUTE TO THE LONG-TERM WELL-BEING OF PEOPLE. THAT PHILOSOPHY INSPIRED THE INITIATION OF THE ST. JOSEPH HEALTH COMMUNITY INVESTMENT FUND- AN EFFORT TO ENABLE NON-PROFIT 501(C)(3) ORGANIZATIONS TO ACHIEVE THEIR FULL POTENTIAL AND PLAY A MAJOR ROLE IN THE GROWTH OF THEIR COMMUNITIES. IN FY17, A TOTAL OF $11.5 MILLION WAS INVESTED INTO THE COMMUNITY THROUGH LOANS AND LINES OF CREDIT. FUNDED NON-PROFITS INCLUDE THOSE THAT SERVE THE HOMELESS, PROVIDE AFFORDABLE HOUSING, PROVIDE ACCESS TO PRIMARY MEDICAL CARE, AND ADDRESS YOUTH DEVELOPMENT. TO LEARN MORE ABOUT ST. JOSEPH HEALTH AND PROVIDENCE JOSEPH HEALTH GO TO HTTP://WWW.STJHS.ORG HTTP://WWW.PSJHEALTH.ORG/ABOUT-US SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA true Area Agency on Aging 400 Contra Costa St Vallejo CA 94590 942742309 501(C)(3) 32400 CARE FOR THE POOR PROGRAM FUND Catholic Charities 465 A St Santa Rosa CA 95401 942479393 501(C)(3) 152000 COMMUNITY AED PROGRAM COLLABRIA CARE 414 S Jefferson St Napa CA 94559 680393144 501(C)(3) 39700 PEI AND BEHAVIORAL HEALTH COMMUNITY HEALTH INITIATIVE 2140 Jefferson St Suite D Napa CA 94559 251924934 501(C)(3) 7500 ACCESS TO HEALTHCARE COPE Family Center 1340 4th St Napa CA 94559 942322399 501(C)(3) 10000 LOW-INCOME SUPPORT Girls on the Run Napa Valley 3299 Claremont Way Suite 6 Napa CA 94558 550906534 501(C)(3) 10000 EMPOWERMENT AND EDUCATION Habitat for Humanity 5130 Fulton Dr Suite R Fairfield CA 94534 680252525 501(C)(3) 10000 LOW-INCOME HOUSING Mentis 709 Franklin St Napa CA 94559 941236934 501(C)(3) 130993 MENTAL HEALTH SERVICES Napa Emergency Womens SVCS 1141 Pear Tree Lane Suite 220 220 Napa CA 94558 942745889 501(C)(3) 12500 LATINO COMMUNITY SUPPORT Ole Health 1141 Pear Tree Lane Napa CA 94558 237221695 501(C)(3) 36000 PROGRAM SUPPORT On the Move 780 Lincoln Ave Napa CA 94558 753149095 501(C)(3) 27000 CANCER FUNDRAISER Operation Access 1119 Market St Suite 400 SUITE 3 San Francisco CA 94103 943180356 501(C)(3) 30000 POOR AND UNDERINSURED SUPPORT Napa Valley Child Advocacy Network 1909 Jefferson St Napa CA 94559 562498308 501(C)(3) 11500 EDUCATION AND PARENTAL SUPPORT SPirit of Unity in Napa 952 Napa St Napa CA 94559 203126333 501(C)(3) 10000 ACCESS TO HEALTHCARE Rotary Club of Napa PO Box 3069 Napa CA 94558 941525554 501(C)(3) 10000 MENTAL HEALTH CAPACITY BLDG FIRST PRESBYTERIAN CHURCH OF NAPA c/o First Presbyterian Church 1333 Napa CA 94559 236393377 501(C)(3) 10000 VIA Foundation Heart Project 1725 Clay St Suite 100 San Francisco CA 94109 271530938 501(C)(3) 35032 St Joseph Health System Foundation 3345 Michelson Drive Irvine CA 92612 330143024 501(c)(3) 319600 0 Aldea 1546 1st St Napa CA 94559 942159248 501(C)(3) 10000 SUICIDE PREVENTION SUPPORT 19 PATIENT ASSISTANCE 1 15000 SCHEDULE I, PART I, LINE 2 DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS COMMUNITY BENEFIT CHARITABLE DONATIONS ARE CONDITIONED AND RESTRICTED TOWARDS MEETING A SPECIFIC IDENTIFIED COMMUNITY NEED. IN ADDITION THE RECIPIENT AGENCY MUST REMAIN A NON-PROFIT, TAX EXEMPT ORGANIZATION AND IS REQUIRED TO REPORT AN ACCOUNTING METHOD RELATIVE TO EXPENDITURE OF THE DONATION. true true false false false false false true false Larry Coomes CEO 0 276597 0 52700 0 47534 0 0 0 41193 0 418024 0 0 Jack Cox MD BD MEMBER/SVP CMO, SJH (PT YR) 0 464367 0 223445 0 89027 0 10600 0 16825 0 804264 0 0 Walter Mickens CEO (Part Year) 0 367230 0 330220 0 47618 0 12831 0 41877 0 799776 0 0 Oluyemi Adeyanju Secretary 0 324633 0 120656 0 30207 0 2034 0 8956 0 486486 0 0 Michel Riccioni REGIONAL CFO 0 387200 0 155385 0 59930 0 18261 0 35055 0 655831 0 0 Daniel Dwyer REG. VP MISSION INTEGRATION 233153 0 71436 0 24908 0 9521 0 29981 0 368999 0 0 0 Robert Lee LEAD RNFA 257761 0 0 0 139 0 23388 0 29179 0 310467 0 0 0 Amy Herold MD Chief Medical Officer 274148 0 14814 0 3161 0 4381 0 13165 0 309669 0 0 0 Elaine John VP FDN-CHIEF DEVELOP OFFICER 212695 0 92572 0 27074 0 8349 0 31151 0 371841 0 0 0 Robert Diehl VP OPERATIONS (FMR KEY EMPL) 100582 0 0 0 189692 0 2029 0 7011 0 299314 0 0 0 Vincent Morgese MD EXEC VP/COO/CMO (FMR KEY EMPL) 0 0 0 0 260340 0 0 0 0 0 260340 0 0 0 Susan Stanton VP PATIENT CARE SVS (PART YR) 176060 0 68243 0 75782 0 16026 0 23359 0 359470 0 0 0 Paul Deus RFNA II 239466 0 5692 0 1021 0 23889 0 42225 0 312293 0 0 0 Marc Ebeling SHIFT LEAD RN 269208 0 5161 0 1965 0 21277 0 44716 0 342327 0 0 0 Maryam Mohsenzadeh DIRECTOR DENTAL 200930 0 27715 0 2574 0 10568 0 29546 0 271333 0 0 0 ROBERT EISEN REGIONAL VP, HR NOCAL (PT YR) 0 235415 0 113682 0 21310 0 7889 0 13599 0 391895 0 0 KAMI TIMM DIR, MISSION INTEGR (FMR OFR) 0 146167 0 22200 0 3164 0 12002 0 6729 0 190262 0 0 SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4A The following individuals received a severance payment during the year: Robert Diehl - $189,692 Vincent Morgese - $260,340 SCHEDULE J, PART I, LINE 4B BEGINNING IN JULY 2015, NEW EXECUTIVES PARTICIPATE IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PLAN PROVIDES FOR EMPLOYER CONTRIBUTIONS BASED ON A PERCENTAGE OF EXECUTIVE BASE SALARY AND ARE SUBJECT TO A FIVE YEAR OR AGE 65 VESTING SCHEDULE. NO INDIVIDUALS RECEIVED A PAYMENT DURING THE YEAR. SCHEDULE J, PART I, LINE 7 A PORTION OF EXECUTIVE SALARIES ARE PLACED AT-RISK AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE STRATEGIC OBJECTIVES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY. FORM 990, PART III, LINE 4A ST. JOSEPH HEALTH SYSTEM THE SISTERS OF ST. JOSEPH OF ORANGE TRACE THEIR ROOTS BACK TO 17TH CENTURY FRANCE AND THE UNIQUE VISION OF A JESUIT PRIEST NAMED JEAN-PIERRE MEDAILLE. HE SOUGHT TO ORGANIZE AN ORDER OF RELIGIOUS WOMEN WHO, RATHER THAN REMAINING SAFELY CLOISTERED IN A CONVENT, VENTURED OUT INTO THE COMMUNITY TO SEEK OUT "THE DEAR NEIGHBORSMINISTER TO THEIR NEEDS. THE CONGREGATION MANAGED TO SURVIVE THE TURBULENCE OF THE FRENCH REVOLUTION AND EVENTUALLY EXPANDED, NOT ONLY THROUGHOUT FRANCE, BUT THROUGHOUT THE WORLD. IN 1912 A SMALL GROUP OF SISTERS OF ST. JOSEPH WENT TO EUREKA, CALIFORNIA, AT THE INVITATION OF THE LOCAL BISHOP, TO ESTABLISH A SCHOOL. A FEW YEARS LATER, THE GREAT INFLUENZA EPIDEMIC OF 1918 CAUSED THE SISTERS TO TEMPORARILY SET ASIDE THEIR EDUCATION EFFORTS TO CARE FOR THE ILL. THEY REALIZED IMMEDIATELY THAT THE SMALL COMMUNITY DESPERATELY NEEDED A HOSPITAL. THROUGH BOLD FAITH, FORESIGHT, AND FLEXIBILITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. AFFILIATIONS ON JULY 1, 2016, PROVIDENCE HEALTH SERVICES (PHS) AND ST. JOSEPH HEALTH SYSTEM (SJHS) ENTERED INTO A BUSINESS COMBINATION AGREEMENT, THE PURPOSE OF WHICH WAS TO BETTER SERVE BOTH ORGANIZATION'S COMMUNITIES, MAINTAIN STRONG TRADITIONS OF CATHOLIC HEALTHCARE, AND PROVIDE GREATER AFFORDABILITY AND ACCESS TO HEALTHCARE SERVICES. AS PART OF THE BUSINESS COMBINATION, PHS AND SJHS ALIGNED UNDER A SINGLE PARENT CORPORATION, PROVIDENCE ST. JOSEPH HEALTH, WITH A CONSOLIDATED BOARD OF DIRECTORS AND COSPONSORSHIP FROM THE PUBLIC JURIDIC PERSONS PROVIDENCE MINISTRIES AND ST. JOSEPH HEALTH MINISTRY. REALIZING OUR MISSION QUEEN OF THE VALLEY MEDICAL CENTER (QUEEN OF THE VALLEY) HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR NEARLY 60 YEARS. SERVING THE COMMUNITIES OF NAPA, YOUNTVILLE, AMERICAN CANYON, ST HELENA AND SONOMA, QUEEN OF THE VALLEY IS AN ACUTE CARE HOSPITAL OFFERING AN ARRAY OF ADVANCED TECHNOLOGIES AND TREATMENTS RARELY FOUND IN A SMALL COMMUNITY. SERVICES INCLUDE THE COUNTYS ONLY LEVEL III TRAUMA CENTER AND NEONATAL INTENSIVE CARE UNIT IN ADDITION TO STATE OF THE ART ROBOTIC SURGERY, DIAGNOSTIC IMAGING INCLUDING 3-D MAMMOGRAPHY, ACCREDITED CANCER CARE, A REGIONAL HEART CENTER, NEUROSCIENCES, ORTHOPEDICS, CRITICAL CARE AND OBSTETRICS. COMMUNITY BASED SERVICES INCLUDE A CANCER WELLNESS PROGRAM, A MEDICAL FITNESS CENTER, ROBUST REHABILITATION AND INTEGRATIVE MEDICINE SERVICES, A MOBILE DENTAL CLINIC, URGENT CARE AND HEALTH EDUCATION. WITH OVER 1,300 EMPLOYEES COMMITTED TO REALIZING THE MISSION, QUEEN OF THE VALLEY IS ONE OF THE LARGEST EMPLOYERS IN THE NAPA REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM, QUEEN OF THE VALLEY IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. PATIENT FINANCIAL ASSISTANCE PROGRAM QUEEN OF THE VALLEY BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY QUEEN OF THE VALLEY HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY17, QUEEN OF THE VALLEY PROVIDED $1,941,223 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM QUEEN OF THE VALLEY PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY17, QUEEN OF THE VALLEY PROVIDED $2,714,991 IN MEDICAID SHORTFALL. THE HOSPITAL PROVIDER FEE HAD AN IMPACT OF $5,914,512 REDUCING THE NET MEDICAID BENEFIT FROM $8,629,503 TO $2,714,991. PROGRAM SERVICE ACCOMPLISHMENTS CARE (CASE MANAGEMENT, ADVOCACY, RESOURCES, AND EDUCATION) NETWORK IS A NATIONALLY RECOGNIZED, AWARD WINNING COMMUNITY BASED PROGRAM THAT PROMOTES CHRONIC DISEASE SELF-MANAGEMENT UTILIZING AN INTERDISCIPLINARY RN, SOCIAL WORK, BEHAVIORAL AND SPIRITUAL APPROACH. SERVICES ARE PROVIDED IN THE CLIENTS HOME OR AS NEEDED IN A HEALTH PROVIDER OFFICE OR OTHER COMMUNITY SERVICE LOCATION. THE PROGRAM IS AIMED AT CARE COORDINATION AND IMPROVING DISEASE MANAGEMENT AND QUALITY OF LIFE WHILE REDUCING OVERALL GOVERNMENT BURDEN OF HEALTHCARE COSTS. IN FY17 CARE NETWORK SERVED 568 CLIENTS, OF THOSE 261 WERE NEWLY ENROLLED. FOR THOSE NEWLY ENROLLED CLIENTS, EMERGENCY ROOM VISITS DECREASED BY 71% AND HOSPITALIZATIONS DECREASED BY 42% AS COMPARED TO ONE YEAR PRIOR TO ENROLLMENT. THIS YEAR CARE NETWORK LAUNCHED A PILOT PROJECT IMBEDDING A COMMUNITY HEALTH WORKER IN THE EMERGENCY DEPARTMENT (ED) SERVING 220 HOMELESS AND OTHERWISE VULNERABLE PERSONS WHO DISCHARGED FROM OUR ED. TO ADDRESS THE IDENTIFIED COMMUNITY NEED OF ORAL HEALTH, QUEEN OF THE VALLEY LAUNCHED A CHILDRENS MOBILE DENTAL CLINIC IN 2005. CURRENTLY AS ONE OF ONLY TWO PROVIDERS OF DENTAL CARE FOR LOW INCOME OR MEDI-CAL ELIGIBLE CHILDREN IN NAPA COUNTY, QUEEN OF THE VALLEY STRIVES TO MEET THIS CONTINUED COMMUNITY NEED. THIS YEAR OUR MOBILE DENTAL CLINIC SPANNED 9 LOCATIONS ACROSS NAPA COUNTY SERVING 2,141 LOW-INCOME CHILDREN AND PROVIDING 5,674 CLINIC VISITS. IN ADDITION, 16 LOW INCOME PRE-SCHOOL CLASSES WERE PROVIDED FREE ORAL HEALTH SCREENINGS AND FLUORIDE VARNISH TO 439 CHILDREN. OF THESE 439 CHILDREN, 39 HAD NO DENTAL HOME AND PARENTS WERE ASSISTED WITH REFERRAL TO A DENTAL HOME FOR TREATMENT, EDUCATION AND CONTINUED PREVENTIVE CARE. QUEEN OF THE VALLEY OFFERS A VARIETY OF COMPREHENSIVE AND COLLABORATIVE COMMUNITY HEALTH EDUCATION PROGRAMMING INCLUDING PRE AND POST NATAL HEALTH EDUCATION, INFANT CARE, CAR SEAT SAFETY AND INSTALLATION, GENERAL NUTRITION, EXERCISE AND HEALTHY LIFESTYLES AND EDUCATION FOR LOW INCOME SPANISH SPEAKING PARENTS (NAPA VALLEY PARENT UNIVERSITY). PERINATAL EDUCATION: QUEEN OF THE VALLEY COMMUNITY BENEFIT OFFERS A WIDE VARIETY OF PERINATAL CLASSES TO ALL IN OUR COMMUNITY, REGARDLESS OF INCOME OR AREA HOSPITAL BIRTHING CHOICE. THIS YEAR 131 CLASSES WERE PRESENTED IN ENGLISH AND 30 CLASSES WERE PRESENTED IN SPANISH WITH 2,426 CLASS PARTICIPANTS (DUPLICATED). FREE PERINATAL EXERCISE CLASSES AT QUEEN OF THE VALLEYS MEDICAL FITNESS CENTER ARE OFFERED TO LOW INCOME WOMEN. THIS YEAR PERINATAL EXERCISE CLASSES INCLUDING AQUA AND YOGA WERE PROVIDED TO 168 LOW INCOME WOMEN. NAPA VALLEY PARENT UNIVERSITY OFFERED 100 DIFFERENT CLASS TOPICS AT 6 ELEMENTARY SCHOOL SITES INCLUDING 3 NAPA VALLEY EARLY LEARNING INITIATIVE LOCATIONS WITH OVER 1,492 UNDUPLICATED PARENT PARTICIPANTS. ALTOGETHER 200 CLASSES WERE OFFERED WITH OVER 10,565 PARENT PARTICIPANTS (PARENTS TAKE MULTIPLE CLASSES). CLASS TOPICS INCLUDE: BECOMING AN EFFECTIVE SCHOOL CONSUMER, HELPING CHILDREN WITH HOMEWORK, COMPUTER LITERACY, BECOMING A SCHOOL AND COMMUNITY LEADER, BECOMING AN EFFECTIVE VOLUNTEER IN THE SCHOOL, RAISING A HEALTHY CHILD AND ACCESSING HEALTH SERVICES. COOKING MATTERS IS A SERIES OF COOKING CLASSES THAT EMPOWERS FAMILIES WITH THE SKILLS TO STRETCH THEIR FOOD BUDGETS AND COOK HEALTHY MEALS AT HOME FOR THEIR CHILDREN. THIS YEAR QVMC OFFERED A TOTAL OF 18 CLASSES TO 26 UNDUPLICATED INDIVIDUALS TOTALING 131 ENCOUNTERS (PARTICIPANTS TAKE SEVERAL CLASSES). THREE OF THE SIX WEEK SERIES CLASSES WERE OFFERED IN SPANISH. COOKING MATTERS POP-UP TOURS WERE PROVIDED AT THREE TITLE 1 SCHOOLS IN THE NVUSD AND PROVIDED TOURS TO 58 PARTICIPANTS IN SPANISH. ONE ADDITIONAL POP-UP TOUR WAS PROVIDED AT A LOCAL COMMUNITY CENTER PROVIDING EDUCATION TO 19 PARTICIPANTS. TO ADDRESS CHILDHOOD OBESITY IN NAPA COUNTY, SJH QUEEN OF THE VALLEY CONTINUES THE HEALTHY FOR LIFE PROGRAM (H4L), A SCHOOL-BASED OBESITY PREVENTION PROGRAM DESIGNED TO EMPHASIZE LIFELONG FITNESS AND HEALTHY EATING BEHAVIORS AMONG CHILDREN AND ADOLESCENTS. THE PROGRAM INCORPORATES THE FOLLOWING STRATEGIES: (1) SCHOOL-BASED OBESITY PREVENTION; (2) COMMUNITY/ PARENT EDUCATION; AND, (3) COMMUNITY AND SCHOOL POLICY ADVOCACY. THIS YEAR PROGRAMS CONTINUED AT 7 LOW-INCOME PRESCHOOL SETTINGS (12 CLASSES) AND IN 18 PARTICIPATING SCHOOL DISTRICT SITES (44 CLASSROOMS). A TOTAL OF 1,679 UNDUPLICATED STUDENTS PARTICIPATED IN FITNESS AND NUTRITION CLASSES WITH 18,449 STUDENT ENCOUNTERS OVER THE COURSE OF THE SCHOOL YEAR. FOR MORE INFORMATION ABOUT QUEEN OF THE VALLEY MEDICAL CENTER PLEASE VISIT WWW.THEQUEEN.ORG. FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEMAND PROVIDENCE ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG AND WWW.PSJHEALTH.ORG. FORM 990, PART IV, LINES 11F AND 12B & PART XII, LINE 2B QUEEN OF THE VALLEY MEDICAL CENTER WAS INCLUDED IN CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR PROVIDENCE ST. JOSEPH HEALTH FOR THE PERIOD ENDED DECEMBER 31, 2017. AS SUCH, AUDITED FINANCIAL STATEMENTS WERE NOT PREPARED FOR THE TAX YEAR ENDED JUNE 30, 2017. THE REPORTING ORGANIZATION WILL CHANGE ITS TAX YEAR END TO DECEMBER 31 FOR 2017. FORM 990, PART V, LINE 1 ST. JOSEPH HEALTH SYSTEM (SJHS) PAYS ALL VENDORS FOR SJH ENTITIES UNDER SJH AP SHARED SERVICES. THEREFORE, SJHS ISSUES FORM 1099-MISC UNDER ITS TAX ID. SJHS COMPLIES WITH BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS. FORM 990, PART VI, LINE 2 BOARD MEMBERS FRANK COLLIN AND ED FARVER HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF QUEEN OF THE VALLEY MEDICAL CENTER. FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE QVMC BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE QVMC BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. FORM 990, PART VI, LINE 7B DESCR CLASSES OF PERSON, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. THE CORPORATE MEMBER, ST. JOSEPH HEALTH MINISTRY, RESERVES THE RIGHT TO APPROVE THE PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS. FORM 990, PART VI, LINE 11B PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AND WAS REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE MARCH 2018 MEETING. DURING THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING. FORM 990, PART VI, LINE 12C DESCRIPTION OF PROCESS TO MONITOR CONFLICT OF INTEREST OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT IN CONNECTION WITH THAT INDIVIDUAL SATISFYING THEIR FIDUCIARY OBLIGATIONS TO THE ORGANIZATION. DISCLOSURES SHALL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WITH GUIDANCE FROM THE ST. JOSEPH HEALTH SYSTEM CHIEF COMPLIANCE OFFICER (CCO), THE CHIEF EXECUTIVE AND/OR THE GOVERNING BOARD CHAIRPERSON, AS APPROPRIATE, CONSIDERS THE MATTER INITIALLY. IF THE MATTER CANNOT BE RESOLVED AT THAT LEVEL, THE MATTER IS ESCALATED TO THE CCO. THE CCO, IN CONSULTATION WITH THE ST. JOSEPH HEALTH SYSTEM GENERAL COUNSEL, REVIEWS THE MATTER AND PRESENTS RECOMMENDATIONS TO THE GOVERNING BOARD AND/OR BOARD COMMITTEE, AS APPROPRIATE, FOR DISCUSSION AND VOTE. THE INDIVIDUAL WHOSE POTENTIAL CONFLICT IS BEING REVIEWED MAY BE REQUESTED TO BE PRESENT DURING ANY MEETING IN WHICH THE BOARD OR BOARD COMMITTEE CONDUCTS ITS EVALUATION BUT SHALL BE EXCUSED FOR ANY DISCUSSION OR VOTE. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFLICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH SJHS GENERAL COUNSEL, WILL REVIEW THE COMMITTEE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES, AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE. FORM 990, PART VI, LINES 15A & 15B PROCESS USED TO DETERMINE COMPENSATION IT IS ST. JOSEPH HEALTH SYSTEM'S INTENTION TO MAKE FINANCIAL INFORMATION ACCESSIBLE AND TRANSPARENT. ALTHOUGH THE FILING OF FORM 990 PROVIDES INSIGHT INTO HOW ST. JOSEPH HEALTH SYSTEM ACHIEVES ITS MISSION, DELIVERS ITS PROGRAMS AND STEWARDS ITS FINANCES, DECIPHERING THE INFORMATION DIRECTLY FROM FORM 990 CAN BE CHALLENGING. THE FOLLOWING PARAGRAPHS PROVIDE FURTHER INFORMATION ABOUT THE PROCESS WE USE TO DETERMINE COMPENSATION FOR TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES. ST. JOSEPH HEALTH SYSTEM HAS A SINGLE FIDUCIARY BOARD, WITH RESPONSIBILITY FOR FINANCIAL OVERSIGHT ASSOCIATED WITH FULFILLMENT OF THE ST. JOSEPH HEALTH SYSTEM MISSION, DEVELOPING SYSTEM POLICIES, PROTECTING THE ASSETS ENTRUSTED TO THE ORGANIZATION AND OVERSEEING THE STRATEGIC AND OPERATIONAL AFFAIRS OF ST. JOSEPH HEALTH SYSTEM'S LEGAL ENTITIES. ST. JOSEPH HEALTH SYSTEM ALSO MAINTAINS A NETWORK OF COMMUNITY MINISTRY BOARDS WITH RESPONSIBILITY FOR QUALITY OF CARE OVERSIGHT, COMMUNITY RELATIONS, ADVOCACY AND COMMUNITY NEEDS ASSESSMENTS. ST. JOSEPH HEALTH SYSTEM HAS A CONSISTENT COMPENSATION PHILOSOPHY FOR ALL OF ITS OFFICERS, INCLUDING OUR SENIOR EXECUTIVES. SALARIES FOR SENIOR EXECUTIVES ARE REVIEWED BY THE PROVIDENCE ST. JOSEPH HEALTH COMMITTEE AND APPROVED BY THE FULL BOARD OF DIRECTORS, NONE OF WHOM IS A ST. JOSEPH HEALTH SYSTEM EMPLOYEE. THE BOARD RETAINS AN INDEPENDENT CONSULTANT EACH YEAR TO REVIEW SALARIES OF THOSE IN THE MOST SIGNIFICANT LEADERSHIP ROLES IN THE ORGANIZATION. PART OF THE CONSULTANT'S ROLE IS TO REVIEW AN EXTENSIVE ARRAY OF COMPENSATION SURVEYS OF LARGE, NOT-FOR-PROFIT HEALTH CARE SYSTEMS IN THE UNITED STATES. ST. JOSEPH HEALTH SYSTEM IS ONE OF THE LARGER HEALTH SYSTEMS IN THE COUNTRY, AND AS SUCH, THE BOARD BENCHMARKS EXECUTIVE COMPENSATION AGAINST OTHER LARGE, NOT-FOR-PROFIT HEALTH SYSTEMS WHOSE REVENUE IS SIMILAR TO THAT OF ST. JOSEPH HEALTH SYSTEM. ADDITIONALLY, ST. JOSEPH HEALTH SYSTEM'S LABOR MARKET CONTINUES TO SPREAD ACROSS HEALTH CARE AND INTO GENERAL INDUSTRY. BECAUSE OF THIS, ST. JOSEPH HEALTH SYSTEM ALSO TAKES INTO CONSIDERATION GENERAL INDUSTRY FOR-PROFIT MARKET DATA, WHERE APPLICABLE. BASE SALARIES FOR ST. JOSEPH HEALTH SYSTEM EXECUTIVES ARE GENERALLY TARGETED TO THE MEDIAN LEVEL OF THE MARKET, AS IDENTIFIED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT/CEO UTILIZES THE MARKET INFORMATION PROVIDED BY THE CONSULTANT ALONG WITH FORMAL PERFORMANCE EVALUATIONS, TO DETERMINE SALARY RECOMMENDATIONS FOR OTHER SENIOR EXECUTIVES. THIS PROCESS INCLUDES A RIGOROUS ANALYSIS OF THOSE RECOMMENDATIONS WITH THE EXECUTIVE COMPENSATION COMMITTEE AS A PART OF THE REVIEW AND APPROVAL PROCESS. PERFORMANCE INCENTIVES ALLOW EXECUTIVES TO EARN ADDITIONAL COMPENSATION IF THEY ACHIEVE SPECIFIC ORGANIZATIONAL GOALS FOR FURTHERING ST. JOSEPH HEALTH SYSTEM OPERATING COMMITMENTS AND STRATEGIC OBJECTIVES. THE BOARD OF DIRECTORS CONDUCTS A THOROUGH PROCESS TO ENSURE PERFORMANCE INCENTIVES ARE ALIGNED WITH APPROPRIATE MARKET PRACTICES. THE BOARD'S PROCESS FOR EXECUTIVE COMPENSATION FULLY COMPLIES WITH IRS STANDARDS AND MIRRORS BEST PRACTICES. THIS PROCESS WAS LAST COMPLETED IN SEPTEMBER 2016. FORM 990, PART VI, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FINANCIAL STMTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES Equity Transfer to Heritage-Napa ($ 11,719,742) Equity Transfer to SJH for IT Project Billing ($ 6,680,078) Net change in Restricted funds $ 1,398,508 UNRESOLVED VARIANCE $ 2,540 -------------- TOTAL ($ 16,998,772) FORM 990 PART IX LINE 11G DESCRIPTION:REGISTRY/CONTRACT LABOR TOTAL FEES:14039515 FORM 990 PART IX LINE 11G DESCRIPTION:DIR/PHYSICIAN/ON CALL PROF FEE TOTAL FEES:12673052 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:9730448 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:8855861 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:5986110 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCIES TOTAL FEES:1091893 FORM 990 PART IX LINE 11G DESCRIPTION:BANK CHARGES TOTAL FEES:283242 FORM 990 PART IX LINE 11G DESCRIPTION:EMPLOYEE RECRUITMENT TOTAL FEES:263585 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIANS ASSISTANCE TOTAL FEES:34212 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:606215 COVENANT HEALTH NETWORK INC 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 461259908 HEALTHCARE CA 501(C)(3) 12,III SJHS true COVENANT ACO 3615 19TH STREET LUBBOCK TX 79410 611573313 HEALTHCARE TX 501(C)(3) 12,I CHS true COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL GROUP 3420 22ND PLACE LUBBOCK TX 79410 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true COVENANT HEALTH PARTNERS 3615 19TH STREET LUBBOCK TX 79410 463516417 HEALTHCARE TX 501(C)(3) 12,I CHS true HMTS INC 1 HOAG DRIVE NEWPORT BEACH CA 92658 453583707 HEALTHCARE CA 501(C)(3) 12,I HMHP true HOAG CHARITY SPORTS 330 PLACENTIA AVE NEWPORT BEACH CA 92663 452982422 SUPPORT CA 501(C)(3) 7 HHF true HOAG HOSPITAL FOUNDATION 330 PLACENTIA AVE NEWPORT BEACH CA 92663 953222343 FUNDRAISING CA 501(C)(3) 7 HMHP true HOAG MEMORIAL HOSPITAL PRESBYTERIAN 1 HOAG ROAD BOX 6100 NEWPORT BEACH CA 92663 951643327 HEALTHCARE CA 501(C)(3) 3 CHN true HOSPICE OF LUBBOCK 3702 21ST STREET LUBBOCK TX 79410 752133781 HEALTHCARE TX 501(C)(3) 10 CHS true LUBBOCK METHODIST HOSPITAL FOUNDATION 3615 19TH STREET LUBBOCK TX 79410 752220963 HEALTHCARE TX 501(C)(3) 7 CHS true METHODIST CHILDREN'S HOSPITAL 3610 21ST STREET LUBBOCK TX 79410 752428911 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL LEVELLAND 1900 COLLEGE AVENUE LEVELLAND TX 79336 752246348 HEALTHCARE TX 501(C)(3) 3 CHS true METHODIST HOSPITAL PLAINVIEW 2601 DIMMITT ROAD PLAINVIEW TX 79072 752426010 HEALTHCARE TX 501(C)(3) 3 CHS true MISSION HOSPITAL REGIONAL MEDICAL CTR 27700 MEDICAL CENTER ROAD MISSION VIEJO CA 92691 951643360 HEALTHCARE CA 501(C)(3) 3 CHN true REDWOOD MEMORIAL FOUNDATION 3300 RENNER DRIVE FORTUNA CA 95540 942779313 HEALTHCARE CA 501(C)(3) 7 RMH true REDWOOD MEMORIAL HOSPITAL 3300 RENNER DRIVE FORTUNA CA 95540 941384665 HEALTHCARE CA 501(C)(3) 3 SJHS true SANTA ROSA MEMORIAL HOSPITAL 1165 MONTGOMERY DRIVE SANTA ROSA CA 95405 941231005 HEALTHCARE CA 501(C)(3) 3 SJHS true SRM ALLIANCE HOSPITAL SERVICES (PVH) 400 NORTH MCDOWELL BLVD PETALUMA CA 94954 680395200 HEALTHCARE CA 501(C)(3) 3 SRMH true ST JOSEPH HEALTH SYSTEM 3345 MICHELSON DRIVE IRVINE CA 92612 953589356 HEALTHCARE CA 501(C)(3) 12,I PSJH false ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 330143024 HEALTHCARE CA 501(C)(3) 7 SJHS true ST JOSEPH HOME CARE NETWORK 1111 SONOMA STE 308 SANTA ROSA CA 95405 680331084 HEALTHCARE CA 501(C)(3) 10 SJHS true ST JOSEPH HOSPITAL OF EUREKA 2700 DOLBEER STREET EUREKA CA 95501 941156596 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JOSEPH HOSPITAL OF ORANGE 1100 WEST STEWART DRIVE ORANGE CA 92868 951643359 HEALTHCARE CA 501(C)(3) 3 CHN true ST JOSEPH HERITAGE HEALTHCARE 200 WEST CENTER ST PROMENADE ANAHEIM CA 92805 330185031 HEALTHCARE CA 501(C)(3) 3 SJHS true ST JUDE HOSPITAL INC 101 EAST VALENCIA MESA DRIVE FULLERTON CA 92635 951643324 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY MEDICAL CENTER 18300 HIGHWAY 18 APPLE VALLEY CA 92307 951914489 HEALTHCARE CA 501(C)(3) 3 CHN true ST MARY OF THE PLAINS HOSPITAL FDN 4000 24TH STREET LUBBOCK TX 79410 751653181 HEALTHCARE TX 501(C)(3) 7 CHS true ST JOSEPH HEALTH NOR CAL LLC 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 814791043 HEALTHCARE CA 501(C)(3) 3 SJHS true SISTERS OF ST JOSEPH OF ORANGE 480 S BATAVIA ORANGE CA 92868 951643383 RELIGIOUS ORG CA 501(C)(3) 1 NA false ST JOSEPH HEALTH MINISTRY 3345 MICHELSON DRIVE STE 100 IRVINE CA 92612 271666576 RELIGIOUS ORG CA 501(C)(3) 1 SSJO false E WA & MT UNEMPLOYMENT COMP INSR TRUST 1801 LIND AVENUE SW 9016 RENTON WA 980579016 911082119 UNEMPLOYMENT WA 501(C)(3) 12,I PHS WA true EVERETT TRANSITIONAL CARE SERVICES PO BOX 5128 EVERETT WA 982065128 943264605 TRANS. 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