QUEEN OF THE VALLEY MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: QUEEN OF THE VALLEY MEDICAL CENTER (EIN 94-1243669)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-12
IRS object ID: 201701329349307445
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-12T22:09:47-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVENUE SUITE 1700	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941243669	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	QUEEN OF THE VALLEY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% Michel Riccioni	InCareOfNm
Business Name Control	QUEE	BusinessNameControlTxt
Phone	7072524411	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Trancas St	AddressLine1Txt
City	Napa	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94558	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LARRY COOMES	PersonNm
Person Title	INTERIM CEO	PersonTitleTxt
Phone	7072524411	PhoneNum
Signature	2017-05-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARA ADAMS	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LARRY COOMES	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Trancas St	AddressLine1Txt
City	Napa	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94558	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$262,570,018	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.thequeen.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1326	TotalEmployeeCnt
Total Volunteers	175	TotalVolunteersCnt
Total Gross UBI	$10,054	TotalGrossUBIAmt
PY Contributions Grants	$4,086,334	PYContributionsGrantsAmt
CY Contributions Grants	$3,827,836	CYContributionsGrantsAmt
PY Program Service Revenue	$250,050,238	PYProgramServiceRevenueAmt
CY Program Service Revenue	$248,869,789	CYProgramServiceRevenueAmt
PY Investment Income	$14,985,402	PYInvestmentIncomeAmt
CY Investment Income	$8,662,983	CYInvestmentIncomeAmt
PY Other Revenue	$795,634	PYOtherRevenueAmt
CY Other Revenue	$1,209,410	CYOtherRevenueAmt
PY Total Revenue	$269,917,608	PYTotalRevenueAmt
CY Total Revenue	$262,570,018	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,984,996	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,090,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$116,666,284	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$113,570,690	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,323,307	CYTotalFundraisingExpenseAmt
PY Other Expenses	$143,052,547	PYOtherExpensesAmt
CY Other Expenses	$139,775,747	CYOtherExpensesAmt
PY Total Expenses	$261,703,827	PYTotalExpensesAmt
CY Total Expenses	$255,436,937	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,213,781	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,133,081	CYRevenuesLessExpensesAmt
Total Assets BOY	$410,511,065	TotalAssetsBOYAmt
Total Assets EOY	$391,757,604	TotalAssetsEOYAmt
Total Liabilities BOY	$175,465,870	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$177,923,167	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$235,045,195	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$213,834,437	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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 COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$239,923,900	ExpenseAmt
Grant	$2,090,500	GrantAmt
Revenue	$250,079,199	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$239,923,900	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1326	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Michel Riccioni	PersonNm
Phone	7075255320	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Trancas St	AddressLine1Txt
City	Napa	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94558	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ED FARVER
BOARD VICE CHAIR	4.0	0.0	Yes (X)	$0	$0	$0
SR JUDITH FERGUS CSJ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SR PATRICIA HAYHURST CSJ
BOARD MEMBER	2.0	4.0	Yes (X)	$0	$0	$0
FRANCIS HEALY MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
TIM HERMAN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
CONRAD HEWITT
BOARD CHAIR	5.0	0.0	Yes (X)	$0	$0	$0
BR THOMAS JONES FSC
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
PAM KINDIG
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
WALT MICKENS
CEO	50.0	5.0	Yes (X)	$0	$610,506	$58,983	Yes (X)
ANDREW NOTHMANN MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
RON PROFILI
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
DENNIS PEDISICH
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SR CHRISTINE SCHLEICH CSJ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
JAMES SREBRO MD
CHIEF OF STAFF (PART YEAR)	2.0	0.0	Yes (X)	$17,500	$0	$0
FRANK COLLIN
TRUSTEE EMERITUS	5.0	0.0	Yes (X)	$0	$0	$0
JACK COX
Board Member/SVP CMO, SJH	2.0	50.0	Yes (X)	$0	$1,631,943	$150,180	Yes (X)
Sr JUDITH DUGAN CSJ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
DIANA DORAME
ESQ. BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
BETTY O'SHAUGHNESSY
SECRETARY (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
ANNETTE WALKER
BOARD MEMBER (PART YEAR)	2.0	52.0	Yes (X)	$0	$960,096	$52,380
DANIEL DWYER
REG. VP MISSION INTERGRATION	50.0	5.0		$318,745	$0	$41,808	Yes (X)
OLUYEMI ADEYANJU
Secretary	2.0	50.0		$0	$166,281	$2,087	Yes (X)
MICHEL RICCIONI
REGIONAL CFO	14.0	36.0		$0	$752,852	$46,110	Yes (X)
ROBERT EISEN
REGIONAL VP - HR NORTHERN CAL	14.0	36.0		$338,361	$0	$38,083		Yes (X)
ROBERT DIEHL
VP OPERATIONS	50.0	0.0		$311,271	$0	$58,694		Yes (X)
VINCENT MORGESE MD
EXEC VP/COO/CMO (THRU 9/15)	50.0	0.0		$577,284	$0	$54,399		Yes (X)
SUSAN STANTON
VP PATIENT CARE SVS	50.0	0.0		$306,654	$0	$52,480		Yes (X)
ELAINE JOHN
VP FDN-CHIEF DEVELOP OFFICER	50.0	0.0		$336,495	$0	$44,233			Yes (X)
PAUL DEUS
RFNA II	40.0	0.0		$243,307	$0	$73,404			Yes (X)
MARC EBELING
SHIFT LEAD RN	40.0	0.0		$248,405	$0	$68,121			Yes (X)
ANGELA BURR
LEAD RAD NURSE	40.0	0.0		$247,073	$0	$243,156			Yes (X)
ROBERT LEE
LEAD RNFA	40.0	0.0		$247,237	$0	$55,904			Yes (X)
KAMI TIMM
DIR, MISSION INTEGR (FMR OFR)	40.0	0.0		$135,782	$0	$25,526				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,328,114	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,121,678	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,065,548	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	321	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL STAFFING NETWORK HEALTHCARE
PO BOX 840292	DALLAS	TX	75284	NURSING REGISTRY	$4,489,450
INPATIENT CONSULTANTS OF CALIFORNIA
PO BOX 844929	LOS ANGELES	CA	90084	MEDICAL SERVICES	$1,264,658
RADIOLOGY MED GROUP OF NAPA
PO BOX 348120	SACRAMENTO	CA	95834	RADIOLOGISTS	$1,111,628
ANESTHESIA ANALGESIA MEDICAL GR
837 FIFTH STREET 2ND FLOOR	SANTA ROSA	CA	95404	ANESTHESIOLOGISTS	$1,247,029
TRIAGE CONSULTING GROUP
221 MAIN ST STE 1100	SAN FRANCISCO	CA	94105	MEDICAL SERVICES	$895,761

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	40	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$3,584,280	RelatedOrganizationsAmt
Government Grants	$91,684	GovernmentGrantsAmt
All Other Contributions	$151,872	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$3,827,836	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net Patient Revenue	622110	$242,907,175	$242,907,175	$0	$0
SYNERGY WELLNESS CENTER REVENUE	713940	$4,164,459	$4,154,405	$10,054	$0
EHR MEANINGFUL USE REVENUE	611420	$388,602	$388,602	$0	$0
Cafeteria Revenue	722514	$721,638	$721,638	$0	$0
MEDICAL OFFICE BUILDING REVENUE	531120	$392,365	$392,365	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$295,550	TotalRevenueColumnAmt
Related Or Exempt Func Income	$295,550	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$248,869,789	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,658,011	TotalRevenueColumnAmt
Exclusion	$8,658,011	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$4,972	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$4,972	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,972	TotalRevenueColumnAmt
Exclusion	$4,972	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$349	GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$349	TotalRevenueColumnAmt
Related Or Exempt Func Income	$349	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
FEMA EARTHQUAKE ASSISTANCE	900099	$1,053,454	$1,053,454	$0	$0
Earthquake Ins Proceeds	900099	$155,473	$155,473	$0	$0
Lifeline Income	900099	$134	$134	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$1,209,061	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$262,570,018	TotalRevenueColumnAmt
Related Or Exempt Func Income	$250,069,145	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,054	UnrelatedBusinessRevenueAmt
Exclusion	$8,662,983	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,090,500	TotalAmt
Program Services	$2,090,500	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,590,097	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,590,097	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$196,408	TotalAmt
Program Services	$185,232	ProgramServicesAmt
Management And General	$9,708	ManagementAndGeneralAmt
Fundraising	$1,468	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$71,954,555	TotalAmt
Program Services	$67,860,181	ProgramServicesAmt
Management And General	$3,556,668	ManagementAndGeneralAmt
Fundraising	$537,706	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,633,601	TotalAmt
Program Services	$4,290,872	ProgramServicesAmt
Management And General	$304,744	ManagementAndGeneralAmt
Fundraising	$37,985	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,179,670	TotalAmt
Program Services	$26,672,231	ProgramServicesAmt
Management And General	$1,230,277	ManagementAndGeneralAmt
Fundraising	$277,162	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,016,359	TotalAmt
Program Services	$5,695,020	ProgramServicesAmt
Management And General	$264,864	ManagementAndGeneralAmt
Fundraising	$56,475	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$19,202,428	TotalAmt
Program Services	$19,202,428	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,011,833	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,011,833	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$16,600	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$16,600	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$28,978	TotalAmt
Program Services	$28,978	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$736,407	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$736,407	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,990,547	TotalAmt
Program Services	$37,153,442	ProgramServicesAmt
Management And General	$2,604,560	ManagementAndGeneralAmt
Fundraising	$232,545	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$110,919	TotalAmt
Program Services	$17,740	ProgramServicesAmt
Management And General	$62,530	ManagementAndGeneralAmt
Fundraising	$30,649	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,752,178	TotalAmt
Program Services	$1,506,090	ProgramServicesAmt
Management And General	$213,944	ManagementAndGeneralAmt
Fundraising	$32,144	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$521,861	TotalAmt
Program Services	$211,607	ProgramServicesAmt
Management And General	$255,866	ManagementAndGeneralAmt
Fundraising	$54,388	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,843,234	TotalAmt
Program Services	$3,809,089	ProgramServicesAmt
Management And General	$19,980	ManagementAndGeneralAmt
Fundraising	$14,165	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$277,248	TotalAmt
Program Services	$130,871	ProgramServicesAmt
Management And General	$126,284	ManagementAndGeneralAmt
Fundraising	$20,093	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$64,197	TotalAmt
Program Services	$53,489	ProgramServicesAmt
Management And General	$8,021	ManagementAndGeneralAmt
Fundraising	$2,687	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,556,035	TotalAmt
Program Services	$7,546,391	ProgramServicesAmt
Management And General	$9,644	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,576,740	TotalAmt
Program Services	$15,110,488	ProgramServicesAmt
Management And General	$466,206	ManagementAndGeneralAmt
Fundraising	$46	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,533,542	TotalAmt
Program Services	$962,136	ProgramServicesAmt
Management And General	$567,960	ManagementAndGeneralAmt
Fundraising	$3,446	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$34,619,011	$34,619,011	$0	$0
CA Hospital Fee Program	$12,184,388	$12,184,388	$0	$0
Dues and Subscriptions	$114,249	$92,535	$16,411	$5,303
Licensing Expenses	$635,352	$501,181	$133,726	$445

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$255,436,937	TotalAmt
Program Services	$239,923,900	ProgramServicesAmt
Management And General	$14,189,730	ManagementAndGeneralAmt
Fundraising	$1,323,307	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,482,403	BOYAmt
EOY	$6,063,579	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,315,802	BOYAmt
EOY	$32,260,117	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,886,701	BOYAmt
EOY	$23,417,889	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$59,444	BOYAmt
EOY	$22,764	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,162,045	BOYAmt
EOY	$3,584,972	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$304,571	BOYAmt
EOY	$182,606	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$411,682,399	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$209,564,539	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$207,077,780	BOYAmt
EOY	$202,117,860	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$120,874,611	BOYAmt
EOY	$117,959,047	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,347,708	BOYAmt
EOY	$6,148,770	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$410,511,065	BOYAmt
EOY	$391,757,604	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,656,672	BOYAmt
EOY	$28,868,480	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,050,000	BOYAmt
EOY	$2,050,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$149,759,198	BOYAmt
EOY	$147,004,687	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$175,465,870	BOYAmt
EOY	$177,923,167	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$235,045,195	BOYAmt
EOY	$213,834,437	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$235,045,195	BOYAmt
EOY	$213,834,437	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$410,511,065	BOYAmt
EOY	$391,757,604	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,133,081	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$10,911,601	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$17,432,238	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$28,978	OtherActivitiesAmt
Total Lobbying Expenditures	$28,978	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Lobbying Activities	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,333,499	OtherCostOrOtherBasisAmt
Book Value	$5,333,499	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$249,294,459	OtherCostOrOtherBasisAmt
Depreciation	$92,427,908	DepreciationAmt
Book Value	$156,866,551	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$414,798	OtherCostOrOtherBasisAmt
Depreciation	$380,716	DepreciationAmt
Book Value	$34,082	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$147,719,121	OtherCostOrOtherBasisAmt
Depreciation	$116,755,915	DepreciationAmt
Book Value	$30,963,206	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,920,522	OtherCostOrOtherBasisAmt
Book Value	$8,920,522	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$202,117,860	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
INTERCO. WITH HEALTH SYSTEM-BONDS	$146,800,833
PATIENT CREDIT BALANCES	$203,854

Field	Value	IRS element (for citing)
Total Liability	$147,004,687	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	FIN 48(ASC 740) Footnote ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2016 OR 2015.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,563,739	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,563,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,876,400	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,141,127	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,735,273	NetCommunityBenefitExpnsAmt
Total Expense	0.03030	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,051,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,582,896	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,468,955	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,491,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,724,023	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,767,967	NetCommunityBenefitExpnsAmt
Total Expense	0.05000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,183,076	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,072,372	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,110,704	NetCommunityBenefitExpnsAmt
Total Expense	0.01220	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,035	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,035	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$707,117	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$709,336	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$914,494	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$914,494	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,818,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,781,708	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,039,233	NetCommunityBenefitExpnsAmt
Total Expense	0.01590	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,310,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,505,731	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,807,200	NetCommunityBenefitExpnsAmt
Total Expense	0.06590	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$6,273,651	BadDebtExpenseAmt
Reimbursed By Medicare	$70,599,459	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$99,914,963	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$29,315,504	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	QUEEN OF THE VALLEY MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Trancas St	AddressLine1Txt
City	Napa	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94558	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.thequeen.org	WebsiteAddressTxt
State License	110000060	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	QUEEN OF THE VALLEY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://www.countyofnapa.org/lhnc/	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	THE FY14 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCLUDED FIVE METHODS OF COLLECTING INPUT FROM THE COMMUNITY: THE FORCES OF CHANGE SESSION, COMMUNITY SURVEYS, OUTREACH WORKSHOPS, STAKEHOLDER INTERVIEWS, AND A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, ALL DETAILED BELOW. FORCES OF CHANGE BRAINSTORMING SESSION: 60 COMMUNITY MEMBERS FROM PUBLIC AND PRIVATE SECTOR TO IDENTIFY THE POLITICAL, CULTURAL, ENVIRONMENTAL, AND SOCIAL FACTORS THAT AFFECT HEALTH AND QUALITY OF LIFE IN NAPA COUNTY. COMMUNITY SURVEYS WERE AVAILABLE ON PAPER AND ONLINE IN ENGLISH AND SPANISH: 2,383 INDIVIDUALS COMPLETED SURVEYS. OUTREACH WORKSHOPS IN ENGLISH AND SPANISH: 28 WORKSHOPS CONDUCTED REACHING INPUT FROM 300 PEOPLE. STAKEHOLDER INTERVIEWS: 16 COMMUNITY SUBJECT MATTER EXPERTS WERE INTERVIEWED INCLUDING NAPA COUNTY PUBLIC HEALTH OFFICER, DIRECTOR OF NAPA COUNTY HEALTH AND HUMAN SERVICES, VICE PRESIDENT OF NAPA VALLEY UNIFIED SCHOOL DISTRICT BOARD OF EDUCATION, CALISTOGA SUPERINTENDENT OF SCHOOLS, CEO OF NAPAS FEDERALLY QUALIFIED HEALTH CENTER (FQHC), CHIEF PHYSICIAN KAISER PERMANENTE, CEO OF QUEEN OF THE VALLEY MEDICAL CENTER, EXECUTIVE DIRECTOR NAPA COUNTY FIRST 5, EXECUTIVE DIRECTORS OF MULTIPLE NONPROFITS INLCUDING HOUSING AND FAMILY RESOURCE CENTERS. A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT WORKGROUP CONVENING: 55 REPRESENTATIVES FROM DIVERSE COMMUNITY ORGANIZATIONS AND THE GENERAL PUBLIC TO DISCUSS THE CURRENT PUBLIC HEALTH SYSTEM INCLUDING ASSETS, BARRIERS, AND OPPORTUNITIES FOR IMPROVEMENT. OUTREACH WORKSHOPS IN ENGLISH AND SPANISH: 28 WORKSHOPS CONDUCTED DURING THE MONTHS OF OCTOBER AND NOVEMBER OF 2012 RECEIVING INPUT FROM 300 PEOPLE. WORKSHOPS WERE CONDUCTED IN CITIES ACROSS THE COUNTY INCLUDING AMERICAN CANYON (AMERICAN CANYON FAMILY RESOURCE CENTER), BERRYESSA (BERRYESSA SENIOR CENTER), CALISTOGA (ACTIVE MINDS, CREATIVE LIVING CALISTOGA, RANCHO DE CALISTOGA), NAPA (COMMUNITY ACTION OF NAPA VALLEY, COPE FAMILY RESOURCE CENTER, HOUSING AUTHORITY OF THE CITY OF NAPA SECTION 8 FAMILY SELF-SUFFICIENCY PROGRAM, LEADERSHIP ACADEMY YOUTH LEADERS IN ACTION, MCPHERSON ELEMENTARY SCHOOL, MENTAL HEALTH BOARD, MOVIMIENTO FAMILIAR CRISTIANO, NAPA EMERGENCY WOMENS SERVICES, NAPA HEALTH AND HUMAN SERVICES AGENCY, NAPA LGBTQ PROJECT, NAPA VALLEY LUTHERAN CHURCH, NAPA VALLEY UNIFIED SCHOOL DISTRICT, PARENTS CAN, PEOPLE EMPOWERING PEOPLE, PUERTAS ABIERTAS COMMUNITY RESOURCE CENTER, ST. JOHN THE BAPTIST CATHOLIC SCHOOL, VOICES NAPA), ST. HELENA (RIANDA HOUSE SENIOR ACTIVITY CENTER, ST. HELENA FAMILY CENTER, VINEYARD VALLEY) AND YOUNTVILLE (YOUNTVILLE COMMUNITY CENTER). MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS PARTICIPATING IN THE WORKSHOPS INCLUDE THE FILIPINO POPULATION OF AMERICAN CANYON, THE ISOLATED, LOW-INCOME SENIOR POPULATION OF BERRYESSA, LOW-INCOME SENIORS AND LOW INCOME SPANISH SPEAKING YOUNG FAMILIES OF CALISTOGA, AT RISK YOUTH, LGBTQ, VICTIMS OF DOMESTIC VIOLENCE, LOW INCOME LATINO POPULATION, HOMELESS OR AT RISK OF HOMELESS, EMANCIPATED FOSTER YOUTH AND TRANSITIONAL AGE YOUTH AND AGRICULTURAL WORKERS. THE CHNA COLLABORATIVE WORKED WITH TWO OUTSIDE PLANNING FIRMS TO SUPPORT THE CHNA PROCESS; MIG AND HARDER + COMPANY RESEARCH. FOR A COMPLETE LIST OF PERSONS, PLEASE SEE THE 2014 CHNA FOUND AT: HTTP://WWW.THEQUEEN.ORG/DOCUMENTS/COMMUNITY-BENEFIT/2014-COMMUNITY-HEALTHN EEDS-ASSESSMENT-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINES 6A & 6B	QUEEN OF THE VALLEY MEDICAL CENTER (QVMC OR QUEEN OF THE VALLEY) COMMUNITY HEALTH NEEDS ASSESSMENT WAS MADE POSSIBLE THROUGH A PARTNERSHIP BETWEEN QVMC AND THE FOLLOWING ORGANIZATIONS: KAISER PERMANENTE, ST. HELENA HOSPITAL, AND NAPA COUNTY PUBLIC HEALTH DEPARTMENT.
SCHEDULE H, PART V, SECTION B, LINE 7A	http://www.thequeen.org/documents/Community-Benefit/2014-Community-Health- Needs-Assessment-Report.pdf
SCHEDULE H, PART V, SECTION B, LINE 10A	http://www.thequeen.org/documents/Community-Benefit/FY15-FY17-Community-Be nefit-Plan-and-Implementation-Strategy.pdf
SCHEDULE H, PART V, SECTION B, LINE 11	BASED ON IDENTIFIED NEEDS FROM THE FY14 CHNA, IN FY 2016 QUEEN OF THE VALLEY ADDRESSED 6 PRIORITY AREAS THROUGH COMMUNITY BENEFIT PROGRAMMING AND ACTIVITIES. 1) AFFORDABLE DENTAL CARE FOR CHILDREN THROUGH A MOBILE DENTAL CLINIC PROVIDING 4,737 CLINIC VISITS 2) CHILDHOOD OBESITY PREVENTION THROUGH THE HEALTHY FOR LIFE PROGRAM OFFERED AT 18 TITLE 1 SCHOOLS AND OVER 950 CHILDREN PARTICIPANTS 3) CHRONIC DISEASE CARE MANAGEMENT THROUGH THE CARE NETWORK PROGRAM SERVING OVER 500 LOW INCOME CHRONICALLY ILL 4) BEHAVIORAL HEALTH WITH 3 DIFFERENT PROGRAMS TARGETING PERINATAL, OLDER ADULTS, AND THE CHRONICALLY ILL PROVIDING 1,611 THERAPY SESSIONS FOR 245 PERSONS 5) COMMUNITY EDUCATION AND EMPOWERMENT THROUGH THE NAPA VALLEY PARENT UNIVERSITY PROGRAM OFFERED IN 6 TITLE ONE SCHOOLS AND PROVIDED 205 CLASSES TO 11,400 PARENT PARTICIPANTS 6) ESTABLISHING COMMUNITY PARTNERSHIPS, LEVERAGING RESOURCES, AND CONTRIBUTING OVER $450,000 IN COMMUNITY BENEFIT DONATIONS TO SAFETY NET NONPROFIT ORGANIZATIONS TO PROVIDE FOOD, HOUSING, AND ACCESS TO HEALTH CARE SERVICES FOR VULNERABLE POPULATIONS. NO HOSPITAL FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY. THE FOLLOWING 4 COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA ARE NOT DIRECTLY ADDRESSED BY QUEEN OF THE VALLEY AND AN EXPLANATION IS PROVIDED: 1) BASIC NEEDS RELATED TO PUBLIC TRANSPORTATION SYSTEM, ENVIRONMENTAL, HOUSING, AND INCOME INEQUALITY. WHILE THE HOSPITAL DOES NOT DIRECTLY ADDRESS AFFORDABLE HOUSING, LIVING WAGE, PUBLIC TRANSPORTATION, AND PUBLIC ENVIRONMENTAL ISSUES, QUEEN OF THE VALLEY RECOGNIZES ADDRESSING THESE SOCIAL DETERMINANTS OF HEALTH AS INTEGRAL TO OVERALL HEALTH AND QUALITY OF LIFE AND PROVIDED CASH DONATIONS IN THE AMOUNT OF $5,000 TO HABITAT FOR HUMANITY, $5,000 TO LEGAL AID OF NAPA VALLEY FOR LEGAL ADVOCACY AROUND BASIC NEEDS, AND $3,000 TO MOLLYS ANGELS FOR VOLUNTEER DRIVERS FOR PERSONS WITH TRANSPORTATION NEEDS. IN ADDITION QUEEN OF THE VALLEY ADDRESSES BASIC NEEDS OF LOW INCOME CHRONICALLY ILL THROUGH OUR CARE NETWORK PROGRAM. CARE NETWORK PROVIDED CLIENTS ASSISTANCE WITH TRANSPORTATION ON 371 OCCASIONS, HOUSING ON 87 OCCASIONS, BENEFITS ON 242 OCCASIONS AND WITH FOOD ON 403 OCCASIONS. 2) COUNTYWIDE COMMUNICATION DATA SYSTEMS: THE CHNA COLLABORATIVE IDENTIFIED THAT THE OVERARCHING LOCAL PUBLIC HEALTH SYSTEM HAS CHALLENGES COORDINATING COMMUNICATION AND DATA SYSTEMS, SUCH AS HEALTH MANAGEMENT TECHNOLOGY AND TECHNOLOGY RELATED TO COORDINATING CARE AND SERVICES. QUEEN OF THE VALLEY DOES COLLABORATE WITH THE COMMUNITY COLLABORATIVE ON THIS ISSUE THROUGH PARTNERING WITH LIVE HEALTHY NAPA COUNTY (LHNC) AS A KEY STAKEHOLDER IN SEEKING RESOURCES TO FURTHER THE LHNC EFFORTS OF A COORDINATED CONTINUUM OF CARE FOR THE NAPA COMMUNITY 3) DENTAL SERVICES FOR OLDER ADULTS: ORAL HEALTH CARE FOR UNDERINSURED AND UNINSURED OLDER ADULTS CONTINUES TO BE AN IDENTIFIED COMMUNITY NEED. IN AN EFFORT TO ENHANCE CAPACITY AND LEVERAGE RESOURCES, WE HAVE ESTABLISHED A FORMAL AGREEMENT WITH NAPA FQHC DENTAL CLINIC TO SHARE THE EXPERTISE OF QUEEN OF THE VALLEY CHILDRENS MOBILE DENTAL CLINIC DENTAL DIRECTOR. THIS REQUIRED QUEEN OF THE VALLEY TO RECRUIT AND HIRE AN ADDITIONAL DENTIST FOR THE MOBILE CLINIC ALLOWING FOR OUR DENTAL DIRECTOR TIME WITH THE FQHC DENTAL CLINIC. THE RESULT OF SHARED LEADERSHIP AT BOTH CLINICS IS ENHANCED COORDINATION OF DENTAL SERVICES FOR THE LOW INCOME POPULATION ACROSS THE LIFESPAN. 4) SUBSTANCE USE AND ABUSE IS AN IDENTIFIED HEALTH NEED IN NAPA. IN RESPONSE TO THIS NEED, QUEEN OF THE VALLEY AND NAPA COUNTY ALCOHOL AND DRUG SERVICES (ADS) ENTERED INTO A FORMAL AGREEMENT IN SEPTEMBER OF 2014, PARTNERING TO PROVIDE SCREENING AND OUTREACH SERVICES TO THE COMMUNITY AT LARGE AS WELL AS PROVIDE A WARM HAND OFF FOR PATIENTS HOSPITALIZED AND INTERESTED IN ENGAGING IN SERVICES UPON HOSPITAL DISCHARGE. AS PART OF THIS EFFORT, A NAPA COUNTY ADS COUNSELOR IS PROVIDED IN KIND SPACE AT QUEEN OF THE VALLEY COMMUNITY OUTREACH DEPARTMENT PROVIDING SERVICES TO THE COMMUNITY AT LARGE AS WELL AS INPATIENTS AS NEEDED. FURTHER EFFORTS TO ADDRESS SUBSTANCE ABUSE INCLUDE OFFERING HEALTH CARE PROFESSIONALS EDUCATION AND INVITING COMMUNITY WIDE COLLABORATION IN THE USE OF TWO NATIONALLY RECOGNIZED MODELS. FIRST, QUEEN OF THE VALLEY HOSTED TRAINING BY UCLA ON MOTIVATIONAL INTERVIEWING AND SBIRT (SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT), AN EVIDENCE BASED PROGRAM WHICH TRAINS STAFF IN TECHNIQUES TO APPROACH PATIENTS DURING THE "TEACHABLE MOMENT" OF THEIR VISIT TO THEIR PROVIDER OR TRAUMA CENTER. THIS PROGRAM HAS SHOWN THROUGH RESEARCH STUDIES TO REDUCE DUI ARRESTS AND HEALTHCARE COSTS, IN ADDITION TO REDUCING ALCOHOL RELATED TRAUMA RECIDIVISM BY UP TO 50%. IN FY16 QUEEN OF THE VALLEY PROVIDED SBIRT TRAINING TO 51 HEALTH PROFESSIONALS FROM A VARIETY OF SETTINGS. IMMEDIATELY FOLLOWING THE SBIRT TRAINING QUEEN OF THE VALLEY CONVENED A GROUP OF COMMUNITY STAKEHOLDERS TO DEVELOP A PLAN FOR COMMUNITY WIDE IMPLEMENTATION OF THIS PROGRAM. IN THE MONTHS THAT FOLLOWED NAPA WAS WELL REPRESENTED ON MONTHLY VIRTUAL SBIRT LEARNING COLLABORATIVE CALLS LEAD BY UCLA, HELPING CALIFORNIA AGENCIES WITH PROGRAM IMPLEMENTATION. THE SECOND NATIONALLY RECOGNIZED MODEL ADDRESSES THE PERINATAL POPULATION. THE TERM PERINATAL RELATES TO THE TIME, USUALLY A NUMBER OF WEEKS, IMMEDIATELY BEFORE AND AFTER BIRTH. THE PERINATAL POPULATION WAS IDENTIFIED AS AN AT-RISK GROUP AND ONE THAT MAY FALSELY SCREEN NEGATIVE USING THE SBIRT METHOD. QUEEN OF THE VALLEY DEVELOPED AN AGREEMENT WITH DR. IRA CHASNOFF TO USE HIS 4 PS SCREENING PROGRAM, AN EVIDENCE BASE TOOL SPECIFICALLY DEVELOPED TO SCREEN THIS PERINATAL POPULATION. IN SEPTEMBER 2015, QUEEN OF THE VALLEY CONVENED 42 HEALTH PROFESSIONALS FROM A VARIETY OF PERINATAL SETTINGS FOR TRAINING IN USE OF THE 4 PS SCREENING, AND ONGOING MEETINGS TO LAUNCH COMMUNITY WIDE IMPLEMENTATION AND REVIEW OF DATA AND OUTCOMES.
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	http://www.thequeen.org/documents/Financial-Assistance-Policy.pdf SCHEDULE H, PART V, SECTION B, LINE 16B HTTP://WWW.THEQUEEN.ORG/DOCUMENTS/QVH-FAA-ENGLISH.PDF SCHEDULE H, PART V, SECTION B, LINE 16C HTTP://WWW.THEQUEEN.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE/QVMC_FABROC HURE_2016.PDF SCHEDULE H, PART V, SECTION B, LINE 16I THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA.
SCHEDULE H, PART V, SECTION B, LINE 22D	AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USED MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE HOSPITAL FACILITY USED THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
OUTPATIENT SURGERY & PROCEDURAL CENTER
1000 Trancas St	Napa	CA	94558	OUTPATIENT SERVICES
PROFILI IMAGING CENTER (formerly NVIC)
1000 Trancas St	Napa	CA	94558	OUTPATIENT SERVICES
LAB DRAW STATION
980 TRANCAS ST	Napa	CA	94558	OUTPATIENT SERVICES
MOBILE DENTAL VAN
1000 Trancas St	Napa	CA	94558	OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 http://www.thequeen.org/documents/Community-Benefit/QVMC-FY16_Annual_Commu nityBenefit_Report_Final.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 USED AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT WERE INITIALLY CLASSIFIED AS BAD DEBT. COLLECTION ACTIONS WERE NOT PURSUED ON THESE ACCOUNTS ONCE THEY WERE RECLASSIFIED BECAUSE RECLASSIFIED ACCOUNTS RECEIVED A 100 PERCENT WRITE-OFF OF THE BALANCE DUE. AFTER THE RECLASSIFICATION THERE WAS NO REMAINING AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, LINE 4	FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT CREDIT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED PAYORS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE HEALTH SYSTEM. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION REGULARLY ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, LINE 8	THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING CMS STANDARD COSTING METHODS. THIS INCLUDES STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS.
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 COMMUNITY BENEFIT STAFF ARE ASSIGNED TO COMMUNITY COMMITTEES OF THE COALITION OF NONPROFIT AGENCIES IN NAPA INCLUDING THE SAFETY FOOD NET COMMITTEE, BEHAVIORAL HEALTH COMMITTEE, SCHOOL HEALTH COMMITTEE, ACTIVE BODIES COALITION, LIVE HEALTHY NAPA COUNTY, PERINATAL COLLABORATIVE, HEALTHY AGING PLANNING INITIATIVE, AND ECONOMIC SELF SUFFICIENCY. EACH COMMITTEE IS COMPROMISED OF KEY COMMUNITY STAKEHOLDERS WITH ONE OF THE COMMITTEE GOALS TO IDENTIFY GAPS IN SERVICES AND COMMUNITY NEEDS AND COLLABORATIVELY STRATEGIZE TO MEET THOSE NEEDS.
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 LOCATED 50 MILES NORTHEAST OF THE SAN FRANCISCO BAY AREA, NAPA IS ONE OF THE MOST RENOWNED AGRICULTURAL AS WELL AS PREMIUM WINE-PRODUCING REGIONS IN THE WORLD WITH A POPULATION OF APPROXIMATELY 136,484 PEOPLE (2010 CENSUS), AN INCREASE OF 9.8 PERCENT FROM THE 2000 CENSUS. NAPA COUNTYS LATINO POPULATION GREW BY 50 PERCENT FROM 2000 TO 2010. THE WINE, AGRICULTURAL, AND HOSPITALITY INDUSTRIES ARE THE COUNTYS LARGEST AND RESPONSIBLE FOR NEARLY 40,000 JOBS. IMMIGRANTS HAVE WORKED IN NAPAS VINEYARDS, WINERIES, AND HOSPITALITY SECTOR FOR DECADES AND ARE OVERREPRESENTED IN THE COUNTYS WORKFORCE; HOWEVER, LATINO MEN HAVE RELATIVELY LOW EARNINGS COMPARED TO OTHER COUNTY WORKERS, MOSTLY AS A RESULT OF LOWER EDUCATIONAL ATTAINMENT AND LIMITED ENGLISH PROFICIENCY. LATINOS HAVE BECOME THE LARGEST DEMOGRAPHIC GROUP OF SCHOOL CHILDREN. CLOSE TO HALF (45 PERCENT) OF ALL CHILDREN ENROLLED IN NAPA COUNTYS PUBLIC SCHOOLS WERE ENGLISH LANGUAGE LEARNERS (ELLS) IN 2008-09. IN SOME AREAS OF THE COUNTY 30 TO 50 PERCENT OF THOSE OVER 25 YEARS OF AGE DO NOT HAVE A HIGH SCHOOL DIPLOMA. THE ACADEMIC ACHIEVEMENT GAP IS HIGHER AMONG CHILDREN WHO ARE ECONOMICALLY DISADVANTAGED. THE COST OF LIVING IN NAPA COUNTY IS HIGH WITH A FAMILY OF FOUR NEEDING BETWEEN $65,000 AND $77,000 TO MEET THEIR FAMILYS BASIC NEEDS FOR FOOD, SHELTER, CHILDCARE AND HEALTHCARE (INSIGHT CENTER FOR COMMUNITY ECONOMIC DEVELOPMENT). AMONG LATINOS, 51 PERCENT LIVE BELOW THE SELF-SUFFICIENCY LEVEL. FORTY-ONE PERCENT OF LATINO IMMIGRANT HOUSEHOLDS IN THE COUNTY THAT RENTED WERE LIVING IN CROWDED CONDITIONS (PROFILE OF IMMIGRANTS IN NAPA COUNTY, 2012). WHILE NAPA IS NOT CONSIDERED A "POOR" COUNTY RELATIVE TO OTHER COUNTIES, INCLUDING THOSE WITH LARGE AGRICULTURAL AREAS, ABOUT 12 PERCENT OF CHILDREN (3,670) AND 7.2 PERCENT OF SENIORS AGE 65+ LIVE BELOW THE POVERTY LEVEL AND 26.4 PERCENT LIVE BELOW 200 PERCENT OF POVERTY INCLUDING 10,000 CHILDREN. DUE TO THE HIGH COST OF LIVING IN NAPA COUNTY, 43 PERCENT OF FAMILIES WITH CHILDREN LIVE BELOW THE FAMILY SELF-SUFFICIENCY LEVEL. (SOURCE: INSIGHT CENTER FOR COMMUNITY ECONOMIC DEVELOPMENT) THIRTY-FIVE PERCENT OF HOUSEHOLDS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME; 25 PERCENT SPEAK SPANISH. AN ESTIMATED 16,000 (12%) OF NAPA COUNTY RESIDENTS ARE NOT U.S. CITIZENS: THIS CAN SWELL DURING THE GROWING SEASON (PUBLIC POLICY INSTITUTE OF CALIFORNIA 2011, STUDY BASED ON 2008 POPULATION OF 134,000). WITH 15 PERCENT OF THE POPULATION OVER 65 YEARS OF AGE, NAPA COUNTY HAS A HIGHER PROPORTION OF OLDER ADULTS COMPARED TO CALIFORNIA AS A WHOLE AND THE THIRD HIGHEST PROPORTION OF THOSE 75 AND OLDER. TWENTY-TWO PERCENT OF THE POPULATION IS 17 YEARS OF AGE AND YOUNGER. ACCORDING TO THE 2010 US CENSUS, 56.4 PERCENT OF THE POPULATION IS WHITE, 32.2 PERCENT ARE LATINO, 6.8 PERCENT ARE ASIAN, 4.2 PERCENT ARE TWO OR MORE RACES, 2 PERCENT ARE AFRICAN AMERICAN, 1.1 PERCENT ARE OTHER (AMERICAN COMMUNITY SURVEY, US CENSUS 2010). OTHER SOCIAL FACTORS AFFECTING NAPA RESIDENTS ARE LACK OF AFFORDABLE HOUSING, HIGH COST OF FOOD, LIMITED ACCESS TO TRANSPORTATION FOR THOSE WITHOUT AUTOMOBILES AND GROWING ACADEMIC ACHIEVEMENT GAP. THE LEADING CAUSES OF DEATH ARE CANCERS, CORONARY HEALTH DISEASE, ALZHEIMERS DISEASE AND CEREBROVASCULAR DISEASE. CHRONIC DISEASES SUCH AS HEART DISEASE AND DIABETES ARE ON THE RISE AS ARE CORRELATING FACTORS SUCH AS OBESITY AND OVERWEIGHT. ANOTHER HOSPITAL IN THE COMMUNITY IS ST. HELENA HOSPITAL NAPA VALLEY.
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 PART OF SONOMA COUNTY IN NORTHERN CALIFORNIA. QUEEN OF THE VALLEY MEDICAL CENTER PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERSINSURED 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 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. QUEEN OF THE VALLEYS FY15-FY17 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON OVERARCHING PRIORITY AREAS THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH AND ENSURE ACCESS TO HIGH QUALITY HEALTH SERVICES AND SOCIAL SUPPORT. THE CARE NETWORK PROGRAM IMPLEMENTS INTENSIVE COMMUNITY BASED DISEASE CASE MANAGEMENT AND CARE COORDINATION SERVICES ADDRESSING THE UNIQUE NEEDS OF MEDI-CAL ENROLLED, UNINSURED AND UNDERINSURED, PARTICULARLY THOSE PATIENTS WITH COMPLEX MEDICAL CONDITIONS AS WELL AS DIFFICULT SOCIO-ECONOMIC NEEDS SUCH AS HOUSING INSECURITY AND BASIC NEEDS DEFICITS. THE PROGRAM IS AIMED AT IMPROVING DISEASE MANAGEMENT AND QUALITY OF LIFE WHILE REDUCING OVERALL HEALTHCARE COSTS. UPON REFERRAL FROM THE COMMUNITY, HOSPITAL, FQHC, PRIMARY CARE OR OTHER SOURCE, A MULTI-DISCIPLINARY TEAM COMPRISED OF AN RN CASE MANAGER, A MSW CASE MANAGER, A LCSW/MFT BEHAVIORAL HEALTH SPECIALIST, AND A COMMUNITY HEALTH WORKER DEVELOP AND IMPLEMENT AN INDIVIDUALIZED CARE PLAN WITH THE CLIENT BASED ON LEVEL AND TYPE OF CARE REQUITED. INTENSIVE CASE MANAGEMENT CLIENTS RECEIVE A COMPREHENSIVE ASSESSMENT OF MEDICAL, PSYCHOSOCIAL, AND ECONOMIC NEEDS. CASE MANAGERS WORK DIRECTLY WITH HEALTH CARE PROVIDERS, COMMUNITY HEALTH CLINICS, HOSPITALS, COMMUNITY BASED ORGANIZATIONS AND NAPA COUNTY SOCIAL SERVICES, MENTAL HEALTH AND ALCOHOL AND DRUG SERVICES TO ADDRESS EACH CLIENTS UNIQUE NEEDS. THIS YEAR CARE NETWORK SERVED OVER 500 PERSONS. QUEEN OF THE VALLEYS CHILDRENS MOBILE DENTAL CLINIC PROVIDES A COMPREHENSIVE ARRAY OF DENTAL SERVICES TARGETED TOWARD CHILDREN LIVING AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. SERVICES ARE PROVIDED REGARDLESS OF ABILITY TO PAY. QUEEN OF THE VALLEY MOBILE DENTAL PROGRAM STRATEGIES INCLUDES (A) ORAL HEALTH SCREENING IN LOW INCOME PRESCHOOLS AND KINDERGARTENS SERVING 438 LOW INCOME CHILDREN; (B) MOBILE DENTAL CLINIC 6-MONTH EXAMINATIONS AND CLEANING; (C) PATIENT AND PARENT/CAREGIVER EDUCATION AT EXAMINATIONS AND, (D) MOBILE DENTAL CLINICAL PROCEDURES AS DETERMINED BY PATIENT GUIDELINES AND NEEDS INCLUDING FILLINGS, EXTRACTIONS, PULPOTOMY, ROOT CANALS, CROWNS, SCALING AND ROOT PLANNING, AND SPACE MAINTAINERS. THIS YEAR 4,737 CLINIC VISITS WERE PROVIDED. IN ADDITION, FOR CHILDREN REQUIRING SEDATION, THE MOBILE DENTAL CLINIC DIRECTOR MAY PROVIDE SURGICAL PROCEDURES AT THE MEDICAL CENTER ASSISTING THE FAMILY TO ACCESS FINANCIAL AID TO COVER THE EXPENSES RELATED TO THE PROCEDURE. OPERATION ACCESS (OA) IS A NONPROFIT ORGANIZAITON THAT COORDINATES VOLUNTEER MEDICAL SERVICES FOR THE UNINSURED. QUEEN OF THE VALLEY PROVIDED A COMMUNITY BENEFIT CONTRIBUTION OF $25,000 TO OA TO FUND CONTINUED SERVICES IN NAPA COUNTY. THIS YEAR OA PROVIDED 61 UNINSURED PERSONS ACCESS TO 206 SPECIALTY APPOINTMENTS AND/OR TREATMENTS AND PROCEDURES. THIS YEAR QUEEN OF THE VALLEY PROVIDED A COMMUNITY BENEFIT DONATION OF $41,000 TO OLE HEALTH TO BRING HIV, HEPATITIS C AND CANCER ONCOLOGY 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 75 UNDUPLICATED PATIENTS FOR A TOTAL OF 168 OFFICE VISITS. QUEEN OF THE VALLEY CONTRIBUTED A COMMUNITY BENEFIT OF $4,121 TOWARD HEALTH FAIR SUPPLIES AS WELL AS IN KIND STAFFING INCLUDING RN, SOCIAL WORK, AND COMMUNITY HEALTH WORKERS TO OLE HEALTH FQHC TO PROVIDE 4 HEALTH SCREENINGS, THREE FOR MIGRANT FARMWORKERS AND ONE FOR THE HOMELESS POPULATION SERVING A TOTAL OF 281 PERSONS. QUEEN OF THE VALLEY PROVIDES THE HEALTHY FOR LIFE PROGRAM, CURRENTLY AT 18 LOCAL SCHOOLS. HEALTHY FOR LIFE (H4L) IS A SCHOOL-BASED OBESITY PREVENTION PROGRAM DESIGNED TO EMPHASIZE LIFELONG FITNESS AND HEALTHY EATING BEHAVIORS AMONG CHILDREN AND ADOLESCENTS. H4L FOCUSES ON RISK ASSESSMENTS, NUTRITION PROGRAMMING AND PHYSICAL ACTIVITY TRAINING AT ELEMENTARY SCHOOLS WITH A PREPONDERANCE OF CHILDREN FROM LOW INCOME OR DIVERSE FAMILIES. OVER 950 STUDENTS PARTICIPATED IN H4L WITH OVER 9,200 STUDENT ENCOUNTERS WITHIN PROGRAM CLASSES. QUEEN OF THE VALLEY COMMUNITY BENEFIT ALSO WORKS TO ESTABLISH COMMUNITY PARTNERSHIPS, LEVERAGING RESOURCES, AND CONTRIBUTING OVER $450,000 IN COMMUNITY BENEFIT DONATIONS TO SAFETY NET NONPROFIT ORGANIZATIONS TO PROVIDE FOOD, HOUSING, AND ACCESS TO HEALTH CARE SERVICES AND SUPPORTS FOR VULNERABLE POPULATIONS. QUEEN OF THE VALLEY MEDICAL CENTER FURTHER DEMONSTRATES ORGANIZATIONAL COMMITMENT TO THE COMMUNITY BENEFIT PROCESS THROUGH THE ALLOCATION OF STAFF TIME, FINANCIAL RESOURCES, COMMUNITY PARTNERSHIPS AND AN EXTENSIVE MATRIX OF PROGRAMS AND INITIATIVES ADDRESSING IDENTIFIED COMMUNITY HEALTH NEEDS. A CHARTER APPROVED IN 2007 ESTABLISHED THE FORMATION OF THE QUEEN OF THE VALLEY COMMUNITY BENEFIT COMMITTEE (CBC), A QUEEN OF THE VALLEY MEDICAL CENTER BOARD OF TRUSTEE APPOINTED COMMITTEE INTEGRATING COMMUNITY MEMBERS. THE ROLE OF THE CBC IS OVERSIGHT AND CHAMPIONING OF COMMUNITY BENEFIT INCLUDING REGULATORY COMPLIANCE AS WELL AS INTEGRATION OF MISSION AND VALUES. THE CBC MAKES RECOMMENDATIONS REGARDING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED COMMUNITY NEEDS, DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY BENEFIT IMPLEMENTATION STRATEGY. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE VICE PRESIDENT OF MISSION INTEGRATION AND EXECUTIVE DIRECTOR, COMMUNITY OUTREACH QUEEN OF THE VALLEY ARE RESPONSIBLE FOR COORDINATING IMPLEMENTATION OF CALIFORNIA SENATE BILL 697, COMMUNITY BENEFIT RELATED PROVISIONS OF THE AFFORDABLE CARE ACT AND SECTION 501R REQUIREMENTS, AS WELL AS PROVIDING THE OPPORTUNITY FOR COMMUNITY LEADERS AND INTERNAL HOSPITAL EXECUTIVE MANAGEMENT TEAM MEMBERS, PHYSICIANS AND OTHER STAFF TO WORK TOGETHER IN PLANNING AND IMPLEMENTING COMMUNITY BENEFIT STRATEGY. THE CURRENT CBC MEMBERSHIP INCLUDES 9 BOARD OF TRUSTEES, 12 COMMUNITY MEMBERS, AND 3 ST. JOSEPH HEALTH QUEEN OF THE VALLEY STAFF 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 AT A MINIMUM ON A QUARTERLY BASIS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM QUEEN OF THE VALLEY MEDICAL CENTER IS A HEALING MINISTRY OF ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND 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 THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH SYSTEM 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 10% OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND TO SUPPORT OUTREACH EFFORTS FOR THE ECONOMICALLY POOR. IN FY16 THIS AMOUNT TOTALED $1,501,800 FOR QUEEN OF THE VALLEY. $375,450 OF THIS AMOUNT WENT TO THE ST. JOSEPH HEALTH COMMUNITY FUND AND THE REMAINING $1,126,350 WENT TO ST. JOSEPH HEALTH SYSTEM FOUNDATION. IN OTHER WORDS, 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 FUNDS ABILITY TO SUSTAIN PROGRAMS INTO THE FUTURE THAT ASSIST LOW-INCOME AND UNDERSERVED POPULATIONS. 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 FY16, A TOTAL OF $11.2 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 INVOLVEMENT. LEARN MORE ABOUT SJH COMMUNITY BENEFIT AT STJHS.ORG.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Address Line2USAddress/AddressLine2Txt
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR	IRVINE	CA	92612	330143024	501(c)(3)	$1,501,800	CARE FOR THE POOR PROGRAM FUND
ON THE MOVE
708 LINCOLN AVENUE	NAPA	CA	94558	753149095	501(c)(3)	$20,000	SUPPORT PARENT UNIVERSITY
VIA FOUNDATION
1725 CLAY STREET SUITE 100	NAPA	CA	94558	271530938	501(c)(3)	$20,000	COMMUNITY AED PROGRAM	$0
FAMILY SERVICE OF NAPA
709 FRANKLIN STREET	NAPA	CA	94558	941236934	501(c)(3)	$67,243	PEI AND BEHAVIORAL HEALTH	$0
COLLABRIA
414 S JEFFERSON STREET	NAPA	CA	94559	680393144	501(c)(3)	$39,000	ADULT DAY SCHOLARSHIP	$0
ROTARY INTERNATIONAL
780 TRANCAS STREET	NAPA	CA	94558	941525554	501(c)(3)	$10,000	PROGRAM SUPPORT	$0
AREA AGENCY ON AGING
400 CONTRA COSTA STREET	VALLEJO	CA	94590	942742309	501(c)(3)	$32,400	HEALTHY AGING POPULATION	$0
OPERATION ACCESS
1119 MARKET STE 400	SAN FRANCISCO	CA	94103	943180356	501(c)(3)	$25,000	PROGRAM SUPPORT	$0
OLE HEALTH
1141 PEAR TREE LANE STE 100	NAPA	CA	94558	237221695	501(c)(3)	$36,000	SUPPORT FOR HIV/AIDS/HEP C	$0
QUEEN OF THE VALLEY MEDICAL CENTER FDN
1000 TRANCAS STREET	NAPA	CA	94558	237081153	501(c)(3)	$15,000	SPONSORSHIP	$0
CATHOLIC CHARITIES-DIOCESE OF SANTA ROSA
1219 JEFFERSON STREET	NAPA	CA	94558	942479393	501(c)(3)	$150,000	NIGHTENGALE HOUSE	$0
THE TABLE - FIRST PRESBYTERIAN CHURCH
1333 THIRD STREET	NAPA	CA	94559	941294915	501(c)(3)	$5,500	FEED THE HOMELESS	$0
PUERTAS ABIERTA
952 NAPA STREET	NAPA	CA	94559	203126333	501(c)(3)	$5,700	LATINO COMMUNITY SUPPORT	$0	220
COMMUNITY HEALTH INITIATIVE
2160 JEFFERSON STREET 110	NAPA	CA	94559	251924934	501(c)(3)	$6,250	PROGRAM SUPPORT	$0

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WALT MICKENS
CEO	$0	$380,841	$0	$181,303	$0	$48,362	$0	$12,831	$0	$46,152	$0	$669,489	$0	$0
DANIEL DWYER
REG. VP MISSION INTERGRATION	$225,566	$0	$68,514	$0	$24,665	$0	$8,612	$0	$33,196	$0	$360,553	$0	$0	$0
OLUYEMI ADEYANJU
Secretary	$0	$124,704	$0	$30,000	$0	$11,577	$0	$0	$0	$2,087	$0	$168,368	$0	$0
MICHEL RICCIONI
REGIONAL CFO	$0	$374,936	$0	$141,096	$0	$236,820	$0	$18,347	$0	$27,763	$0	$798,962	$0	$181,755
ROBERT EISEN
REGIONAL VP - HR NORTHERN CAL	$233,095	$0	$85,863	$0	$19,403	$0	$8,793	$0	$29,290	$0	$376,444	$0	$0	$0
ROBERT DIEHL
VP OPERATIONS	$216,007	$0	$66,474	$0	$28,790	$0	$15,579	$0	$43,115	$0	$369,965	$0	$0	$0
VINCENT MORGESE MD
EXEC VP/COO/CMO (THRU 9/15)	$263,262	$0	$110,243	$0	$203,779	$0	$18,366	$0	$36,033	$0	$631,683	$0	$0	$0
ELAINE JOHN
VP FDN-CHIEF DEVELOP OFFICER	$220,067	$0	$87,530	$0	$28,898	$0	$8,839	$0	$35,394	$0	$380,728	$0	$0	$0
SUSAN STANTON
VP PATIENT CARE SVS	$215,654	$0	$65,451	$0	$25,549	$0	$19,605	$0	$32,875	$0	$359,134	$0	$0	$0
PAUL DEUS
RFNA II	$242,407	$0	$0	$0	$900	$0	$24,423	$0	$48,981	$0	$316,711	$0	$0	$0
MARC EBELING
SHIFT LEAD RN	$248,030	$0	$0	$0	$375	$0	$17,341	$0	$50,780	$0	$316,526	$0	$0	$0
ANGELA BURR
LEAD RAD NURSE	$246,323	$0	$0	$0	$750	$0	$195,030	$0	$48,126	$0	$490,229	$0	$0	$0
ROBERT LEE
LEAD RNFA	$246,618	$0	$219	$0	$400	$0	$22,515	$0	$33,389	$0	$303,141	$0	$0	$0
JACK COX
Board Member/SVP CMO, SJH	$0	$448,503	$0	$319,851	$0	$863,589	$0	$137,824	$0	$12,356	$0	$1,782,123	$0	$791,109
ANNETTE WALKER
BOARD MEMBER (PART YEAR)	$0	$573,534	$0	$291,881	$0	$94,681	$0	$18,550	$0	$33,830	$0	$1,012,476	$0	$0
KAMI TIMM
DIR, MISSION INTEGR (FMR OFR)	$118,354		$14,322		$3,106		$9,897		$15,629		$161,308		$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	TRAVEL FOR COMPANIONS ST. JOSEPH HEALTH SYSTEM ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED, MINISTRY SPONSORED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO THE HEALTH SYSTEM AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. MEMBERS OF THE BOARD AND EXECUTIVE MANAGEMENT TEAM ARE SELECTED TO PARTICIPATE IN AN ANNUAL PILGRIMAGE TO LE PUY, FRANCE, WHERE THE SISTERS' FIRST CONGREGATION WAS FORMED. THE PURPOSE OF THE PILGRIMAGE IS FOR THE ORGANIZATION'S LEADERS TO DEVELOP A DEEPER UNDERSTANDING OF THE ROOTS AND HERITAGE OF THE ORGANIZATION IN ORDER TO CARRY OUT THE MISSION. COMPANION TRAVEL IS CONSIDERED TO BE AN ESSENTIAL PART OF THIS EXPERIENCE AND THE COMPANION ACTS AS A REPRESENTATIVE WITH KNOWLEDGE OF THE COMMUNITIES AND MINISTRIES WE SERVE. THE FOLLOWING INDIVIDUAL RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE COMPENSATION. DAN DWYER - $4,590
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 EXEC VP/COO/CMO, VINCENT MORGESE RESIGNED IN SEPT 2015 AND CONTINUED RECEIVING SEVERANCE OVER THE ENSUING 12 MONTHS ACCORDING TO THE SEVERANCE AGREEMENT. TOTAL SEVERANCE PAYMENTS PAID TO VINCENT MORGESE DURING THE YEAR WERE $95,915.
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. EXECUTIVES PREVIOUSLY PARTICIPATED IN ANOTHER NON-QUALIFIED DEFERRED COMPENSATION PLAN THAT WAS FROZEN EFFECTIVE DECEMBER 2007, AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED. THIS FROZEN PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THE FOLLOWING INDIVIDUAL RECEIVED 457(F) PAYMENTS DURING THE YEAR: MICHEL RICCIONI - $181,755 BOARD MEMBER JACK COX WAS EMPLOYED WITH HOAG MEMORIAL HOSPITAL PRESBYTERIAN (HMHP) UNTIL APRIL 2015. HMHP MAKES ANNUAL CONTRIBUTIONS TO A SERP PLAN ON BEHALF OF CERTAIN MEMBERS OF SENIOR MANAGEMENT IN ACCORDANCE WITH THEIR EMPLOYMENT CONTRACTS. THE FOLLOWING INDIVIDUAL RECEIVED A PAYOUT FROM THE SERP PLAN DURING THE YEAR: JACK COX - $791,109
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4	REALIZING OUR MISSION QUEEN OF THE VALLEY MEDICAL CENTER (QVMC OR QUEEN OF THE VALLEY) HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 58 YEARS. SERVING THE COMMUNITIES OF NAPA COUNTY, QUEEN OF THE VALLEY IS AN ACUTE CARE HOSPITAL AND THE MAJOR DIAGNOSTIC AND THERAPEUTIC MEDICAL CENTER FOR NAPA COUNTY AND THE SURROUNDING REGION. SERVICES INCLUDE THE COUNTYS ONLY LEVEL III TRAUMA CENTR AND NEONATAL INTENSIVE CARE UNIT. KEY PROGRAMS AND SERVCIES INCLUDE CARDIAC CARE, CRITICAL CARE, CANCER CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE, OBSTETRICS, AND A COMMUNITY MEDICAL FITNESS CENTER. WITH NO COUNTY HOSPITAL, 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 AND DISCOUNTED CARE (TRADITIONAL CHARITY CARE). 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 MEDICAL CENTER 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. 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 FLEXIBLITY IN 1920, THE SISTERS OPENED THE 28-BED ST. JOSEPH HOSPITAL OF EUREKA, THE FIRST ST. JOSEPH HEALTH SYSTEM MINISTRY. PATIENT FINANCIAL ASSISTANCE PROGRAM QUEEN OF THE VALLEY MEDICAL CENTER 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 FY16, QUEEN OF THE VALLEY PROVIDED $1,563,739 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM QUEEN OF THE VALLEY MEDICAL CENTER PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY16, QUEEN OF THE VALLEY PROVIDED $7,735,273 IN MEDICAID SHORTFALL. PROGRAM SERVICE ACCOMPLISHMENTS THE 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 ANOTHER COMMUNITY LOCATION. THE PROGRAM IS AIMED AT CARE COORDINATION AND IMPROVING DISEASE MANAGEMENT AND QUALITY OF LIFE WHILE REDUCING OVERALL HEALTHCARE COSTS. THE CARE NETWORK PROGRAM IMPLEMENTS INTENSIVE COMMUNITY BASED DISEASE CASE MANAGEMENT AND CARE COORDINATION SERVICES ADDRESSING THE UNIQUE NEEDS OF MEDI-CAL ENROLLED, UNINSURED AND UNDERINSURED, PARTICULARLY THOSE PATIENTS WITH COMPLEX MEDICAL CONDITIONS AS WELL AS DIFFICULT SOCIO-ECONOMIC NEEDS SUCH AS HOUSING INSECURITY AND BASIC NEEDS DEFICITS. UPON REFERRAL FROM THE COMMUNITY, HOSPITAL, FQHC, PRIMARY CARE OR OTHER SOURCE, THE MULTI-DISCIPLINARY TEAM DEVELOP AND IMPLEMENT AN INDIVIDUALIZED CARE PLAN WITH THE CLIENT BASED ON LEVEL AND TYPE OF CARE REQUITED. CLIENTS RECEIVE INTENSIVE CASE MANAGEMENT AND A COMPREHENSIVE ASSESSMENT OF MEDICAL, PSYCHOSOCIAL, ECONOMIC NEEDS. CASE MANAGERS WORK DIRECTLY WITH HEALTH CARE PROVIDERS, COMMUNITY HEALTH CLINICS, HOSPITALS, COMMUNITY BASED ORGANIZATIONS AND NAPA COUNTY SOCIAL SERVICES, MENTAL HEALTH AND ALCOHOL AND DRUG SERVICES TO ADDRESS EACH CLIENTS UNIQUE NEEDS. THIS YEAR CARE NETWORK SERVED OVER 500 PERSONS. 87% OF CLIENTS SHOWED EVIDENCE OF INCREASED ABILITY TO SELF MANAGE THEIR DISEASE, 71% EXPRESSED INCREASE IN QUALITY OF LIFE AS MEASURED BY THE SF-12, AN EVIDENCE BASED TOOL. DENTAL CARE: QUEEN OF THE VALLEYS CHILDRENS MOBILE DENTAL CLINIC PROVIDES A COMPREHENSIVE ARRAY OF DENTAL SERVICES TARGETED TOWARD CHILDREN LIVING AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. SERVICES ARE PROVIDED REGARDLESS OF ABILITY TO PAY. QUEEN OF THE VALLEY MOBILE DENTAL PROGRAM STRATEGIES INCLUDES (A) ORAL HEALTH SCREENING IN LOW INCOME PRESCHOOLS AND KINDERGARTENS SERVING 438 LOW INCOME CHILDREN; (B) MOBILE DENTAL CLINIC 6-MONTH EXAMINATIONS AND CLEANING; (C) PATIENT AND PARENT/CAREGIVER EDUCATION AT EXAMINATIONS AND, (D) MOBILE DENTAL CLINICAL PROCEDURES AS DETERMINED BY PATIENT GUIDELINES AND NEEDS INCLUDING FILLINGS, EXTRACTIONS, PULPOTOMY, ROOT CANALS, CROWNS, SCALING AND ROOT PLANNING, AND SPACE MAINTAINERS. THIS YEAR 4,737 CLINC VISITS WERE PROVIDED. IN ADDITION, FOR CHILDREN REQUIRING SEDATION, THE MOBILE DENTAL CLINIC DIRECTOR MAY PROVIDE SURGICAL PROCEDURES AT THE MEDICAL CENTER ASSISTING THE FAMILY TO ACCESS FINANCIAL AID TO COVER THE EXPENSES RELATED TO THE PROCEDURE. ACCESS TO BEHAVIORAL HEALTH SERVICES: ACCESS TO LOW COST MENTAL HEALTH SERVICES CONTINUES TO RANK AS A PRIORITY IN THE FY14 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, LOW INCOME CHRONICALLY ILL, AND UNDERSERVED OLDER ADULTS AT RISK FOR BEHAVIORAL OR COGNITIVE HEALTH ISSUES. SERVICES ARE BILINGUAL SPANISH/ENGLISH AND LINK CLIENTS TO COMMUNITY RESOURCES AND SERVICES. THE TOTAL NUMBER OF UNDUPLICATED CLIENTS SERVED BY THESE THREE MENTAL / BEHAVIORAL HEALTH PROGRAMS WAS 245 WITH 1,611 THERAPY SESSIONS PROVIDED IN THE CLIENTS HOME OR OFFICE. 92% OF CLIENTS COMPLETING SERVICES DEMONSTRATED IMPROVEMENT IN DEPRESSION SYMPTOMS AS MEASURED BY EVIDENCED BASED TOOLS. 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 MEMBER 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.
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 2017 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	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN 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. EXECUTIVE COMPENSATION IS APPROVED BY THE QVMC EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS. THE COMMITTEE REVIEWS COMPARABILITY DATA PREPARED FOR AND COMPILED BY THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE, A COMMITTEE OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES COMPRISED OF INDEPENDENT MEMBERS. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE ACTS IN ACCORDANCE WITH A COMMITTEE CHARTER APPROVED BY THE ST. JOSEPH HEATLH SYSTEM BOARD OF TRUSTEES AND AN EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER DIRECTS THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND TO APPROVE PROGRAM CHANGES, AS NECESSARY, TO ENSURE ALIGNMENT WITH THE STATED PHILOSOPHY AND ENSURE CONTINUED COMPLIANCE WITH FEDERAL AND STATE REGULATIONS ON BEHALF OF THE ST. JOSEPH HEALTH SYSTEM BOARD OF TRUSTEES. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS RETENTION OF KEY MANAGEMENT TALENT. THE EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF FOR PROFIT AND NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. ST. JOSEPH HEALTH SYSTEM PROVIDES COMPENSATION TO ITS EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO ENSURE COMPENSATION PHILOSOPHY ADHERENCE AND GENERAL FAIR MARKET VALUE COMPENSATION, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA AND ENGAGES LEGAL COUNSEL AND CONSULTING SUPPORT, AS NEEDED. THEY USE THIS INFORMATION TO SUPPORT ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE ST. JOSEPH HEALTH SYSTEM WORKLIFE COMMITTEE MEETS AT LEAST 3 TIMES A YEAR AND TAKES ACTION IN EXECUTIVE SESSION. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. A FULL COMPENSATION REVIEW IS CONDUCTED ON A BIENNIAL BASIS AND THE LAST REVIEW WAS PERFORMED IN JUNE 2016. DURING THE YEAR, THE QVMC EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTNG FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING.
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 HEALTH - $(10,235,615) EQUITY TRANSFER TO SJHS - $(7,945,374) NET CHANGE IN RESTRICTED FUNDS - $ 753,547 UNRESOLVED VARIANCE - $(4,796) --------------- TOTAL $(17,432,238) ===============
FORM 990 PART IX LINE 11G	DESCRIPTION:DIR/PHYSICIAN/ON CALL PROF FEE TOTAL FEES:10689522
FORM 990 PART IX LINE 11G	DESCRIPTION:REGISTRY/CONTRACT LABOR TOTAL FEES:9289407
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:5767968
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:4857867
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION AGENCIES TOTAL FEES:1292233
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:7810472
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIANS ASSISTANCE TOTAL FEES:41812
FORM 990 PART IX LINE 11G	DESCRIPTION:EMPLOYEE RECRUITMENT TOTAL FEES:41250
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER TOTAL FEES:200016

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COVENANT HEALTH NETWORK INC
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	461259908	HEALTHCARE	CA	501(C)(3)	11, III	SJHS	Yes (true)
COVENANT ACO
3615 19TH STREET	LUBBOCK	TX	79410	611573313	HEALTHCARE	TX	501(C)(3)	11,I	CHS	Yes (true)
COVENANT HEALTH SYSTEM
3615 19TH STREET	LUBBOCK	TX	79410	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS	Yes (true)
COVENANT HEALTH SYSTEM FOUNDATION
3623 22nd PLACE	LUBBOCK	TX	79410	752897026	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
COVENANT MEDICAL GROUP
3420 22ND PLACE	LUBBOCK	TX	79410	752743883	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
COVENANT HEALTH PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	463516417	HEALTHCARE	TX	501(C)(3)	11, I	CHS	Yes (true)
HMTS INC
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	453583707	HEALTHCARE	CA	501(C)(3)	11, I	HMHP	Yes (true)
HOAG CHARITY SPORTS
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (true)
HOAG HOSPITAL FOUNDATION
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG ROAD BOX 6100	NEWPORT BEACH	CA	92663	951643327	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
HOME CARE PARTNERS
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	680318656	INACTIVE	CA	501(C)(3)	3	SRMH	Yes (true)
HOSPICE OF LUBBOCK
3702 21ST STREET	LUBBOCK	TX	79410	752133781	HEALTHCARE	TX	501(C)(3)	9	CHS	Yes (true)
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREET	LUBBOCK	TX	79410	752220963	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
METHODIST CHILDREN'S HOSPITAL
4015 22ND PLACE	LUBBOCK	TX	79410	752428911	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUE	LEVELLAND	TX	79336	752246348	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROAD	PLAINVIEW	TX	79072	752426010	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
MISSION HOSPITAL REGIONAL MEDICAL CTR
27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	951643360	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVE	FORTUNA	CA	95540	942779313	HEALTHCARE	CA	501(C)(3)	7	RMH	Yes (true)
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DR	SANTA ROSA	CA	95405	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA	ORANGE	CA	92868	951643383	RELIGIOUS ORG	CA	501(C)(3)	1	NA	false
SRM ALLIANCE HOSPITAL SERVICES (PVH)
400 NORTH MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(C)(3)	3	SRMH	Yes (true)
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO	false
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	953589356	HEALTHCARE	CA	501(C)(3)	11, I	SJHM	false
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DRIVE STE 100	IRVINE	CA	92612	330143024	HEALTHCARE	CA	501(C)(3)	7	SJHS	Yes (true)
ST JOSEPH HOME CARE NETWORK
1111 SONOMA STE 308	SANTA ROSA	CA	95405	680331084	HEALTHCARE	CA	501(C)(3)	9	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST JUDE HOSPITAL YORBA LINDA
200 WEST CENTER ST PROMENADE	ANAHEIM	CA	92805	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS	Yes (true)
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVE	FULLERTON	CA	92635	951643324	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST MARY MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	951914489	HEALTHCARE	CA	501(C)(3)	3	CHN	Yes (true)
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREET	LUBBOCK	TX	79410	751653181	HEALTHCARE	TX	501(C)(3)	7	CHS	Yes (true)
TALLER SAN JOSE
801 NORTH BROADWAY	SANTA ANA	CA	92701	593816355	WORK DEVELOPM	CA	501(C)(3)	2	SSJO	Yes (true)
QUEEN OF THE VALLEY MEDICAL CENTER FDN
PO BOX 2069	NAPA	CA	94558	237081153	SUPPORT	CA	501(C)(3)	11, I	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	OwnershipOwnershipPct
COVENANT LONG-TERM CARE LP
HEALTHCARE	TX	NA	N/A	0.00000
HERITAGE INVESTMENT GROUP I LLC
INVESTMENTS	CA	NA	N/A	0.00000
HOAG ORTHOPEDIC INSTITUTE
HEALTHCARE	CA	NA	N/A	0.00000
LUBBOCK SURGERY CENTER LTD
HEALTHCARE	TX	NA	N/A	0.00000
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE	TX	NA	N/A	0.00000
MISSION AMBULATORY SURGICENTER LTD
HEALTHCARE	CA	NA	N/A	0.00000
NEWPORT IMAGING CENTER
HEALTHCARE	CA	NA	N/A	0.00000
SHA LLC
HEALTHCARE	TX	NA	N/A	0.00000
ST JOSEPH PHYSICIAN VENTURES I LLC
REAL ESTATE	CA	NA	N/A	0.00000
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTH	CA	NA	N/A
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTH	CA	NA	N/A
THE INNOVATION INSTITUTE
HEALTHCARE	DE	NA	N/A
NORTH BAY ENDOSCOPY CENTER
HEALTHCARE	CA	NA	N/A
MISSN VIEJO PHSCN PRTNRS I LLC
HEALTHCARE	CA	NA	N/A
ADVANCED SURGERY INSTITUTE LLC
HEALTHCARE	CA	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
AMERICAN UNITY GROUP LTD
90 PITTS BAY ROAD	PEMBROKE	BD	HM08	CAPTIVE INSURANCE	BD	NA	C-CORP
COASTAL MANAGEMENT SERVICES ORGANIZATION
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	CA
DATU HEALTH INC
				IT SVCS		NA	C-CORP	16150 MAIN CIRCLE DR SUITE 250	CHESTERFIELD	MO	63017	463070062	DE
HOAG MANAGEMENT SERVICES INC
				HEALTHCARE		NA	C-CORP	1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	CA
LUBBOCK METHODIST HOSP PRACTICE MGMT
				INACTIVE		NA	C-CORP	2107 OXFORD STREET STE 300	LUBBOCK	TX	79410	752578995	TX
LUBBOCK METHODIST HOSPITAL SVCS
				HEALTHCARE		NA	C-CORP	PO BOX 1201	LUBBOCK	TX	79410	752118585	TX
MISSION VIEJO MEDICAL VENTURES
				HEALTHCARE		NA	C-CORP	27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	CA
ST JOSEPH HEALTH
				HOLDING COMPANY		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	462340232	CA
ST JOSEPH HEALTH SOURCE INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461900168	CA
ST JOSEPH PROF SVCS ENTERPRISES INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323	CA
ST JOSEPH PROF SVCS ENTERPRISES INC
				HEALTHCARE		NA	C-CORP	3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323	CA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
St Joseph Health System Foundation
c	$282,174	Accrual
St Joseph Health System Foundation
b	$1,501,800	Accrual
St Joseph Hospital of Eureka
o	$130,031	Accrual
Santa Rosa Memorial Hospital
o	$670,834	Accrual
Santa Rosa Memorial Hospital
p	$2,250,231	Accrual
ST JUDE HOSPITAL YORBA LINDA
b	$10,235,614	FMV
ST JUDE HOSPITAL YORBA LINDA
l	$4,401,537	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 500 S. MAIN STREET, STE 1000, ORANGE, CA 92868 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE 362, MISSION VIEJO, CA 92691 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 100, ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE 200 ORANGE, CA 92868-2012 THE INNOVATION INSTITUTE EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954 MISSION VIEJO PHYSICIAN PARTNERS I LLC EIN: 47-1559873 ADDRESS: 27700 MEDICAL CENTER ROAD, MISSION VIEJO, CA 92691 ADVANCED SURGERY INSTITUTE LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404	ExplanationTxt