QUEEN OF THE VALLEY MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: QUEEN OF THE VALLEY MEDICAL CENTER (EIN 94-1243669)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201631349349307063
Schema version: 2014v6.0
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	2016-05-13T15:34:48-05:00	ReturnTs
Tax Period End	2015-06-30	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	2014-07-01	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 CFO	InCareOfNm
Business Name Control	QUEE	BusinessNameControlTxt
Phone	7072524411	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 TRANCAS STREET	AddressLine1Txt
City	NAPA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94558	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WALTER MICKENS and MICH RICCIONI	PersonNm
Person Title	CEO and CFO	PersonTitleTxt
Phone	7072524411	PhoneNum
Signature	2016-05-12	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	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WALTER A MICKENS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 TRANCAS STREET	AddressLine1Txt
City	NAPA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94558	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$269,982,301	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	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1408	TotalEmployeeCnt
Total Volunteers	200	TotalVolunteersCnt
Total Gross UBI	$15,533	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,173,714	PYContributionsGrantsAmt
CY Contributions Grants	$4,086,334	CYContributionsGrantsAmt
PY Program Service Revenue	$236,159,505	PYProgramServiceRevenueAmt
CY Program Service Revenue	$250,050,238	CYProgramServiceRevenueAmt
PY Investment Income	$11,308,269	PYInvestmentIncomeAmt
CY Investment Income	$14,985,402	CYInvestmentIncomeAmt
PY Other Revenue	$295,969	PYOtherRevenueAmt
CY Other Revenue	$795,634	CYOtherRevenueAmt
PY Total Revenue	$249,937,457	PYTotalRevenueAmt
CY Total Revenue	$269,917,608	CYTotalRevenueAmt
PY Grants And Similar Paid	$772,714	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,984,996	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$136,784,220	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$116,666,284	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,726,279	CYTotalFundraisingExpenseAmt
PY Other Expenses	$116,414,153	PYOtherExpensesAmt
CY Other Expenses	$143,052,547	CYOtherExpensesAmt
PY Total Expenses	$253,971,087	PYTotalExpensesAmt
CY Total Expenses	$261,703,827	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,033,630	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,213,781	CYRevenuesLessExpensesAmt
Total Assets BOY	$447,548,148	TotalAssetsBOYAmt
Total Assets EOY	$410,511,065	TotalAssetsEOYAmt
Total Liabilities BOY	$192,708,923	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$175,465,870	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$254,839,225	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$235,045,195	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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 PEOPLE IN THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$244,078,136	ExpenseAmt
Grant	$1,984,996	GrantAmt
Revenue	$250,876,267	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$244,078,136	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
IRP Document	108	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1408	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	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 CFO	PersonNm
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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 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
FRANK COLLIN
Chair (Part Year)/Board Member	5.0	0.0	Yes (X)	$0	$0	$0
DIANE DORAME ESQ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SR JUDITH DUGAN CSJ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ED FARVER
BD MBR/VICE CHAIR (PART YEAR)	4.0	0.0	Yes (X)	$0	$0	$0
SR PATRICIA HAYHURST CSJ
BOARD MEMBER	2.0	4.0	Yes (X)	$0	$0	$0
TIM HERMAN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
CONRAD HEWITT
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
PAMELA KINDIG
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
MICHAEL MARINO DO
BOARD MEMBER (PART YEAR)	2.0	50.0	Yes (X)	$0	$597,566	$15,705
ANDREW NOTHMANN MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
BETTY O'SHAUGHNESSY
SECRETARY	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
DENNIS PEDISICH
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SR SUZANNE SASSUS CSJ
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
SR CHRISTINE SCHLEICH CSJ
BOARD MEMBER (PART YEAR)	2.0	0.0	Yes (X)	$0	$0	$0
JAMES SREBRO MD
CHIEF OF STAFF	2.0	0.0	Yes (X)	$27,500	$0	$0
JAMES TIDGEWELL
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
WALTER MICKENS
CEO	50.0	5.0	Yes (X)	$0	$567,481	$54,269	Yes (X)
SR JUIDTH FERGUS CSJ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
Annette Walker
Board Member	2.0	52.0	Yes (X)	$0	$931,310	$46,558
DANIEL DWYER
VP MISSION INTEGRATION	50.0	5.0		$262,895	$0	$31,334	Yes (X)
Michel Riccioni
CFO-Northern CA Region	14.0	36.0		$0	$507,769	$46,666	Yes (X)
VINCENT MORGESE MD
EXEC VP/COO/CMO	50.0	0.0		$432,160	$0	$53,837		Yes (X)
ROBERT EISEN
REGIONAL VP, HR NORTHERN CAL	14.0	36.0		$290,577	$0	$31,914		Yes (X)
ROBERT DIEHL
VP OPERATIONS	50.0	2.0		$260,777	$0	$51,109		Yes (X)
SUSAN STANTON
VP PATIENT CARE SERVICES	50.0	0.0		$257,098	$0	$50,841		Yes (X)
ELAINE JOHN
VP FOUNDATION/CHF DEV OFCR	50.0	0.0		$298,697	$0	$39,300			Yes (X)
ANGELA BURR
LEAD, RADIOLOGY NURSE	50.0	0.0		$249,346	$0	$59,681			Yes (X)
PAUL DEUS
RNFA II	50.0	0.0		$221,187	$0	$65,375			Yes (X)
LUCILLE YAU
PHAR, CLINICAL INFORMATICS	50.0	0.0		$239,445	$0	$41,841			Yes (X)
MARYAM MOHSENSADEH
DIR, DENTAL	50.0	0.0		$229,178	$0	$46,013			Yes (X)
KAMI TIMM
INTRM VP MISSION INT (FMR OFR)	40.0	0.0		$117,392	$0	$22,800				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,886,252	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,604,126	TotReportableCompRltdOrgAmt
Total Other Compensation	$657,243	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	361	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 (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDICAL STAFFING NETWORK HEALTHCARE
901 YAMATO RD 110	BOCA RATON	FL	33431	Nursing Registry	$188,246
RADIOLOGY MED GROUP OF NAPA
PO BOX 348120	SACRAMENTO	CA	95834	RAdiologists	$107,045
ANESTHESIA ANALGESIA MEDICAL GROU
837 FIFTH STREET 2ND FLOOR	SANTA ROSA	CA	95404	Anesthesiologists	$103,810

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$3,940,731	RelatedOrganizationsAmt
Government Grants	$95,329	GovernmentGrantsAmt
All Other Contributions	$50,274	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$4,086,334	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	$243,602,846	$243,602,846	$0	$0
SYNERGY WELLNESS CENTER REVENUE	713940	$4,200,788	$4,185,255	$15,533	$0
EHR MEANINGFUL USE REVENUE	611420	$916,586	$916,586	$0	$0
CAFETERIA REVENUE	722514	$716,128	$716,128	$0	$0
MEDICAL OFFICE BUILDING REVENUE	531120	$338,121	$338,121

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$275,769	TotalRevenueColumnAmt
Related Or Exempt Func Income	$275,769	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$250,050,238	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,938,140	TotalRevenueColumnAmt
Exclusion	$14,938,140	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)
Securities	$16,080	SecuritiesAmt
Other	$31,182	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$16,080	SecuritiesAmt
Other	$31,182	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,262	TotalRevenueColumnAmt
Exclusion	$47,262	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	$34,298	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$64,693	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$30,395	TotalRevenueColumnAmt
Exclusion	-$30,395	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
FEMA EARTHQUAKE ASSISTANCE	900099	$500,490	$500,490	$0	$0
GAIN ON DEBT EXTINGUISMENT	900099	$287,325	$287,325	$0	$0
LIFELINE REVENUE	900099	$37,721	$37,721	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$493	TotalRevenueColumnAmt
Related Or Exempt Func Income	$493	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$826,029	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$269,917,608	TotalRevenueColumnAmt
Related Or Exempt Func Income	$250,860,734	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$15,533	UnrelatedBusinessRevenueAmt
Exclusion	$14,955,007	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	$1,984,996	TotalAmt
Program Services	$1,984,996	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	$1,646,046	TotalAmt
Management And General	$1,646,046	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$72,880,409	TotalAmt
Program Services	$69,665,916	ProgramServicesAmt
Management And General	$2,282,346	ManagementAndGeneralAmt
Fundraising	$932,147	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,444,635	TotalAmt
Program Services	$5,133,507	ProgramServicesAmt
Management And General	$249,023	ManagementAndGeneralAmt
Fundraising	$62,105	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$30,521,767	TotalAmt
Program Services	$29,040,828	ProgramServicesAmt
Management And General	$1,188,486	ManagementAndGeneralAmt
Fundraising	$292,453	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,173,427	TotalAmt
Program Services	$5,838,707	ProgramServicesAmt
Management And General	$266,581	ManagementAndGeneralAmt
Fundraising	$68,139	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$17,904,429	TotalAmt
Program Services	$17,904,429	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,861,778	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,861,778	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$25,302	TotalAmt
Management And General	$8,785	ManagementAndGeneralAmt
Fundraising	$16,517	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$25,416	TotalAmt
Program Services	$25,416	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	$909,701	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$909,701	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$42,651,567	TotalAmt
Program Services	$36,717,083	ProgramServicesAmt
Management And General	$5,683,524	ManagementAndGeneralAmt
Fundraising	$250,960	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$205,373	TotalAmt
Program Services	$173,617	ProgramServicesAmt
Management And General	$12,440	ManagementAndGeneralAmt
Fundraising	$19,316	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,407,748	TotalAmt
Program Services	$1,353,946	ProgramServicesAmt
Management And General	$18,232	ManagementAndGeneralAmt
Fundraising	$35,570	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$816,761	TotalAmt
Program Services	$365,748	ProgramServicesAmt
Management And General	$444,654	ManagementAndGeneralAmt
Fundraising	$6,359	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	$4,265,957	TotalAmt
Program Services	$4,223,150	ProgramServicesAmt
Management And General	$34,303	ManagementAndGeneralAmt
Fundraising	$8,504	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$227,369	TotalAmt
Program Services	$91,178	ProgramServicesAmt
Management And General	$113,584	ManagementAndGeneralAmt
Fundraising	$22,607	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	$41,948	TotalAmt
Program Services	$35,673	ProgramServicesAmt
Management And General	$3,501	ManagementAndGeneralAmt
Fundraising	$2,774	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,805,101	TotalAmt
Program Services	$7,789,653	ProgramServicesAmt
Management And General	$15,448	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	$15,946,640	TotalAmt
Program Services	$15,519,375	ProgramServicesAmt
Management And General	$426,033	ManagementAndGeneralAmt
Fundraising	$1,232	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,416,768	TotalAmt
Program Services	$815,938	ProgramServicesAmt
Management And General	$597,384	ManagementAndGeneralAmt
Fundraising	$3,446	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$27,047,670	$27,047,670	$0	$0
CA Hospital Fee Program	$19,766,988	$19,766,988	$0	$0
Licensing Expenses	$642,984	$514,484	$128,500	$0
Dues and Subscriptions	$83,047	$69,834	$9,063	$4,150

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$261,703,827	TotalAmt
Program Services	$244,078,136	ProgramServicesAmt
Management And General	$15,899,412	ManagementAndGeneralAmt
Fundraising	$1,726,279	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	$16,116,458	BOYAmt
EOY	$9,482,403	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$78,143,874	BOYAmt
EOY	$32,315,802	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	$32,059,848	BOYAmt
EOY	$27,886,701	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	$134,797	BOYAmt
EOY	$59,444	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,441,297	BOYAmt
EOY	$4,162,045	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$413,729	BOYAmt
EOY	$304,571	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$408,061,914	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$200,984,134	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$215,608,220	BOYAmt
EOY	$207,077,780	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$92,148,696	BOYAmt
EOY	$120,874,611	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	$9,481,229	BOYAmt
EOY	$8,347,708	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$447,548,148	BOYAmt
EOY	$410,511,065	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$33,960,009	BOYAmt
EOY	$23,656,672	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	$156,698,914	BOYAmt
EOY	$149,759,198	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$192,708,923	BOYAmt
EOY	$175,465,870	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$254,839,225	BOYAmt
EOY	$235,045,195	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	$254,839,225	BOYAmt
EOY	$235,045,195	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$447,548,148	BOYAmt
EOY	$410,511,065	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,213,781	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$11,183,555	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$16,824,256	OtherChangesInNetAssetsAmt
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	false	FederalGrantAuditRequiredInd

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	$25,416	OtherActivitiesAmt
Total Lobbying Expenditures	$25,416	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1I	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES DURING THE PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED SOME LOBBYING ACTIVITY. THESE INCLUDED MEETING WITH LOCAL, STATE, AND FEDERAL LEGISLATORS, THEIR STAFF AND OTHER GOVERNMENTAL OFFICIALS; AND COMMUNICATIONS TO LEGISLATORS ADVOCATING POSITIONS ON LEGISLATION.	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	$7,942,762	OtherCostOrOtherBasisAmt
Book Value	$7,942,762	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$136,229,721	OtherCostOrOtherBasisAmt
Depreciation	$86,072,304	DepreciationAmt
Book Value	$50,157,417	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$404,236	OtherCostOrOtherBasisAmt
Depreciation	$355,378	DepreciationAmt
Book Value	$48,858	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$135,042,356	OtherCostOrOtherBasisAmt
Depreciation	$114,556,452	DepreciationAmt
Book Value	$20,485,904	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$128,442,839	OtherCostOrOtherBasisAmt
Book Value	$128,442,839	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$207,077,780	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
INTERCO. WITH HEALTH SYSTEM-BONDS	$148,475,238
PATIENT CREDIT BALANCES	$1,283,960

Field	Value	IRS element (for citing)
Total Liability	$149,759,198	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, 2015 OR 2014.	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	false	ExpensesExceedBudgetInd
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	$1,706,699	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,706,699	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,898,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,957,987	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,940,029	NetCommunityBenefitExpnsAmt
Total Expense	0.06470	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,462,639	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,973,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,488,781	NetCommunityBenefitExpnsAmt
Total Expense	0.01330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,067,354	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,931,845	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,135,509	NetCommunityBenefitExpnsAmt
Total Expense	0.08460	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,756,665	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$941,903	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,814,762	NetCommunityBenefitExpnsAmt
Total Expense	0.01070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,500	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$898,204	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$522,522	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$375,682	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$731,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$698,869	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,392,438	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,496,625	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,895,813	NetCommunityBenefitExpnsAmt
Total Expense	0.01490	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,459,792	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,428,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,031,322	NetCommunityBenefitExpnsAmt
Total Expense	0.09950	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$10,219,097	BadDebtExpenseAmt
Reimbursed By Medicare	$57,510,944	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$84,167,038	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$26,656,094	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 Street	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	WWW.COUNTYOFNAPA.ORG/LHNC	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	QUEEN OF THE VALLEY MEDICAL CENTER (QVMC OR QUEEN OF THE VALLEY) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2013 TAX YEAR (FY 14). THE CHNA WAS A COLLABORATIVE EFFORT BETWEEN AREA HOSPITALS AND NAPA COUNTY PUBLIC HEALTH WHICH DEDICATED THE COUNTY PUBLIC HEALTH OFFICER (DR. KAREN SMITH), COUNTY EPIDEMIOLOGIST (DR. JENNIFER HENN), AND OTHER COUNTY HEALTH AND HUMAN SERVICES STAFF TO THE PROCESS. THE CHNA PROCESS INCLUDED REPRESENTATION FROM OVER 40 PUBLIC AND PRIVATE SECTOR ORGANIZATIONS ACROSS THE COUNTY INCLUDING BUSINESS, PUBLIC SAFETY, EDUCATION, GOVERNMENT, COMMUNITY HEALTH CLINICS / FQHC AND THE GENERAL PUBLIC. INPUT FROM THE COMMUNITY WAS OBTAINED THROUGH THREE DIFFERENT ASSESSMENT STRATEGIES 1) AN ONLINE AND PAPER SURVEY OF 2,383 RESIDENTS (356 IN SPANISH) WHICH INCLUDED A SERIES OF 28 MULTIPLE-CHOICE QUESTIONS 2) IN ADDITION TO THE SURVEY, 300 RESIDENTS AND OTHER STAKEHOLDERS PARTICIPATED IN 28 WORKSHOPS. WORKSHOP PARTICIPANTS MAPPED COMMUNITY ASSETS, PRIORITIZED KEY CHALLENGES AND DEVELOPED A VISION FOR A HEALTHY NAPA COUNTY 3) IN 16 STAKEHOLDER INTERVIEWS, LEADERS WERE ASKED TO DESCRIBE A HEALTHY NAPA COUNTY; IDENTIFY THE MOST IMPORTANT HEALTH FACTORS AND ISSUES; IDENTIFY POPULATIONS THAT ARE ADVERSELY AFFECTED BY HEALTH PROBLEMS; AND IDENTIFY ASSETS, STRENGTHS, AND CHALLENGES THAT AFFECT HEALTH THROUGHOUT NAPA COUNTY. THE CHNA COLLABORATIVE WORKED WITH TWO OUTSIDE PLANNING FIRMS TO SUPPORT THE CHNA PROCESS; MIG AND HARDER + COMPANY RESEARCH. SEE PAGES 21-23 OF 2014 CHNA REPORT AT: HTTP://WWW.THEQUEEN.ORG/DOCUMENTS/COMMUNITY-BENEFIT/2014-COMMUNITY-HEALTH- NEEDS-ASSESSMENT-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINES 6A & 6B	QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) 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	IN RESPONSE TO IDENTIFIED NEEDS IN THE FY14 CHNA, QVMC'S FY15 - 17 COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORT FOCUSES ON CHILDHOOD OBESITY, ACCESS TO DENTAL CARE, CONTINUUM OF CARE, AND ACCESS TO BEHAVIORAL HEALTH SERVICES. RESOURCES ARE ALSO DEDICATED TO COMMUNITY HEALTH EDUCATION, SERVICES AND ADVOCACY FOR OLDER ADULTS, COMMUNITY PARTNERSHIPS THAT LEVERAGE RESOURCES FOR SAFETY NET SERVICES AND HEALTH ACCESS FOR THE LOW INCOME POPULATION. ALTHOUGH NO HEALTH CARE FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, WE ARE COMMITTED TO CONTINUE OUR MISSION THROUGH COMMUNITY BENEFIT EFFORTS AND BY FUNDING OTHER NON-PROFITS THROUGH THE ST. JOSEPH COMMUNITY PARTNERSHIP FUND. THE FOLLOWING COMMUNITY HEALTH NEEDS IDENTIFIED IN THE MINISTRY CHNA WILL NOT BE DIRECTLY ADDRESSED THROUGH PROGRAMMING: BASIC NEEDS (SPECIFICALLY INCOME EQUALITY, PUBLIC TRANSPORTATION SYSTEM, AND ENVIRONMENTAL ISSUES): THE HOSPITAL DOES NOT DIRECTLY ADDRESS INCOME EQUALITY, PUBLIC TRANSPORTATION, AND PUBLIC ENVIRONMENTAL ISSUES. HOWEVER, QUEEN OF THE VALLEY DOES PROVIDE FUNDING SUPPORT TO NAPA VALLEY COMMUNITY HOUSING, LEGAL AID, THE TABLE (SOUP KITCHEN PROVIDING FREE MEALS FOR POOR AND HOMELESS) AND COMMUNITY ACTION NAPA VALLEY (EMERGENCY FOOD AND SHELTER PROVIDER). IN ADDITION, QUEEN OF THE VALLEY WORKS IN COLLABORATION WITH NAPA COUNTY SELF SUFFICIENCY AND NAPA COUNTY TRANSPORTATION PLANNING AGENCY BY LINKING LOW INCOME PERSONS TO TRANSPORTATION AND SELF SUFFICIENCY SERVICES. QUEEN OF THE VALLEY ALSO SUPPORTS AND ENDORSES GRANT APPLICATIONS TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND FOR COMMUNITY ACTION NAPA VALLEY, THE LARGEST PROVIDER OF FOOD AND SHELTER TO THE POOR IN THE COMMUNITY. WITHOUT THIS FUNDING THESE SERVICES WOULD NOT BE ABLE TO SUSTAIN AND / OR FURTHER THEIR WORK. DRUG AND ALCOHOL: THE HOSPITAL DOES NOT DIRECTLY ADDRESS COMMUNITY-BASED DRUG AND ALCOHOL ABUSE PREVENTION AND TREATMENT; HOWEVER, QUEEN OF THE VALLEY DOES PROVIDE FUNDING SUPPORT TO CATALYST COALITION (SUBSTANCE USE PREVENTION FOR YOUTH), PROVIDE IN KIND SPACE TO NAPA COUNTY HEALTH AND HUMAN SERVICES FOR DRUG AND ALCOHOL COUNSELORS (SERVICES OPEN TO THE COMMUNITY), AND COLLABORATE WITH TOBACCO PREVENTION/TREATMENT SERVICES THROUGH A FORMAL AGREEMENT WITH THE HOSPITAL, FUNDED BY TOBACCO MASTER SETTLEMENT ACT AND APPROVED BY COUNTY BOARD OF SUPERVISORS. COUNTYWIDE COMMUNICATION/DATA SYSTEMS: THE LIVE HEALTHY NAPA COUNTY (LHNC) COLLABORATIVE IDENTIFIED THAT THE OVERARCHING LOCAL PUBLIC HEALTH SYSTEM HAS CHALLENGES COORDINATING COMMUNICATION AND DATA SYSTEMS ACROSS NAPA COUNTY ORGANIZATIONS. ALTHOUGH THE HOSPITAL DOES NOT DIRECTLY ADDRESS THIS NEED, QUEEN OF THE VALLEY PARTNERS WITH LHNC AS A KEY CORE SUPPORT TEAM MEMBER IN SEEKING RESOURCES TO FURTHER LHNC AND CHIP EFFORTS OF A COORDINATED CONTINUUM OF CARE FOR THE NAPA COMMUNITY. DENTAL SERVICES FOR OLDER ADULTS: QUEEN OF THE VALLEY DOES NOT DIRECTLY PROVIDE DENTAL SERVICES FOR OLDER ADULTS; HOWEVER, WE DO PARTNER WITH OUR FQHC, SR. ANNE'S DENTAL CLINIC, THROUGH A SHARED DENTAL CLINIC DIRECTOR TO ENHANCE CAPACITY AND COORDINATION OF DENTAL SERVICES FOR THE LOW-INCOME AND UNINSURED POPULATION.
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/Patients-Visitors/For-Patients/Billing-and-Payment .aspx 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 22	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 & Procedure Center
1000 Trancas Street	Napa	CA	94558	Outpatient Services
Napa Valley Imaging Center
1000 Trancas Street	Napa	CA	94558	Outpatient Services
Lab Draw Station
980 Trancas Street	Napa	CA	94558	Outpatient Services
Mobile Dental Van
1000 Trancas Street	Napa	CA	94558	Outpatient Services

Supplemental Information Detail SupplementalInformationDetail (14 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/FY15-Community-Benefit-Report_QVMC_Final .pdf
SCHEDULE H, PART I, LINES 7A-7I	THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM.
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 PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS - 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 SUBJECT TO DIFFERING ECONOMIC CONDITIONS AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. 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	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS 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 IN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, QUEEN OF THE VALLEY RECOGNIZES THE NEED TO CONTINUALLY MONITOR THE HEALTH OF OUR COMMUNITY. NEW OR EMERGING HEALTH CARE NEEDS ARE IDENTIFIED THROUGH PUBLIC HEALTH, COUNTY HEALTH AND HUMAN SERVICES, PUBLISHED REPORTS, PARTICIPATION IN COMMUNITY COLLABORATIVES, OR DIRECTLY FROM COMMUNITY MEMBERS. TO CAPTURE NEW COMMUNITY HEALTH NEEDS, QUEEN OF THE VALLEY COMMUNITY BENEFIT STAFF ARE ASSIGNED TO PARTICIPATE ON KEY NAPA NONPROFIT COLLABORATIVES, INCLUDING FOOD SAFETY NET, HOUSING, AND MENTAL HEALTH COMMITTEES. QUEEN OF THE VALLEY ALSO STRIVES TO HAVE DIVERSE REPRESENTATION OF COMMUNITY ON OUR COMMUNITY BENEFIT GOVERNANCE BOARD, WHICH INCLUDES THE COUNTY PUBLIC HEALTH OFFICER.
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 NAPA COUNTY ENCOMPASSES APPROXIMATELY 748 SQUARE MILES IN THE NORTH BAY REGION OF CALIFORNIA. OUR COMMUNITY BENEFIT PRIMARY AND SECONDARY SERVICE AREAS (PSA AND SSA) ARE DEFINED BY THE GEOGRAPHIC BOUNDARIES OF NAPA COUNTY IN GENERAL. THE COUNTY IS DIVIDED INTO FOUR REGIONS, NORTH COUNTY CONSISTING OF CALISTOGA, ST. HELENA, DEER PARK, RUTHERFORD, AND OAKVILLE, EAST COUNTY CONSISTING OF ANGWIN, POPE VALLEY AND LAKE BERRYESSA, CENTRAL COUNTY CONSISTING OF NAPA AND YOUNTVILLE, AND SOUTH COUNTY CONSISTING OF AMERICAN CANYON. THE 2010 CENSUS REPORTED NAPA COUNTY'S POPULATION AS 136,484. OF THIS POPULATION, 58% LIVE WITHIN THE CITY OF NAPA. OUR COMMUNITY BENEFIT PSA INCLUDES CENTRAL AND SOUTH COUNTY, THE CITIES OF NAPA, YOUNTVILLE, AND AMERICAN CANYON. COMMUNITY BENEFIT SSA INCLUDES THE REMAINING CITIES OF NORTH AND EAST COUNTY. THE OTHER HOSPITALS IN THE NAPA COUNTY AREA ARE ST. HELENA HOSPITAL AND NAPA STATE HOSPITAL. NAPA COUNTY HAS A SLIGHTLY HIGHER PERCENTAGE OF PEOPLE AGE 65 AND OLDER (15%) COMPARED TO STATEWIDE AVERAGE (11%). BASED ON 2010 CENSUS DATA, 56.4% OF NAPA COUNTY'S POPULATION IS NON-HISPANIC WHITE, 32% IS HISPANIC/LATINO, NEARLY 7% IS ASIAN, MULTIRACIAL/ETHNIC POPULATIONS REPRESENT APPROXIMATELY 4%, AFRICAN AMERICAN, AMERICAN, INDIAN/ALASKA NATIVE, AND NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER REPRESENT APPROXIMATELY 3%. BY 2030 THE HISPANIC/LATINO POPULATION IS PROJECTED TO BE 41.7% AND NON-HISPANIC WHITE IS PROJECTED TO BE 44.9%. APPROXIMATELY 31% OF HOUSEHOLDS HAVE CHILDREN UNDER 18 AND NEARLY 13% HAVE INDIVIDUALS WHO ARE AGE 65 OR OLDER. IN NAPA, INCOME BELOW 200% OF FEDERAL POVERTY LEVEL (FPL) COMES CLOSER TO ESTIMATING TRUE EXTENT OF POVERTY AS IT IS COMPARABLE TO THE LIVING WAGE OR SELF-SUFFICIENCY STANDARD FOR AN INDIVIDUAL RESIDENT OF NAPA - ESTIMATED TO BE $23,400 ANNUALLY (POVERTY IN AMERICA LIVING WAGE CALCULATOR). WHILE NAPA IS NOT CONSIDERED A 'POOR' COUNTY RELATIVE TO OTHER COUNTIES, THERE ARE POCKETS OF POVERTY. IN SOME CENSUS TRACTS BETWEEN 30% AND 52% OF THE POPULATION EARNS BELOW $20,800. THE IMMIGRANT POPULATION IS OVERREPRESENTED IN THE WORKFORCE, ESPECIALLY IN KEY WINE-RELATED SECTORS OF AGRICULTURE, MANUFACTURING, AND HOSPITALITY WHERE EARNINGS ARE RELATIVELY LOW. BETWEEN 2006 AND 2010, 10% OF NAPA RESIDENTS WERE LIVING BELOW THE FPL AND 26.4% WERE LIVING BELOW 200% OF FPL. APPROXIMATELY 34% OF NAPA COUNTY FAMILIES WITH CHILDREN UNDER 18 WERE LIVING BELOW 200% FPL BETWEEN 2006-2010. IN THE 2010-2011 ACADEMIC YEAR, THE COUNTY HIGH SCHOOL DROPOUT RATE WAS 13.3%, WITH RATES HIGHER AMONG HISPANIC/LATINO, ENGLISH LANGUAGE LEARNERS, SPECIAL EDUCATION, AND SOCIOECONOMICALLY DISADVANTAGED STUDENTS. IN SOME CENSUS TRACTS, ONLY 50%-70% OF ADULTS HAVE COMPLETED A HIGH SCHOOL EDUCATION (PROFILE OF IMMIGRANTS IN NAPA COUNTY, 2012).
SCHEDULE H, PART VI, LINE 5	REALIZING OUR MISSION QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1958, LOCATED WITHIN CITY OF NAPA AND COUNTY OF NAPA, CALIFORNIA. THE FACILITY HAS 211 LICENSED BEDS AND A CAMPUS THAT IS APPROXIMATELY 12.3 ACRES IN SIZE. QVMC HAS A STAFF OF MORE THAN 1,300 AND PROFESSIONAL RELATIONSHIPS WITH MORE THAN 300 LOCAL PHYSICIANS. QVMC IS THE MAJOR DIAGNOSTIC AND THERAPEUTIC MEDICAL CENTER FOR NAPA COUNTY AND THE SURROUNDING REGION. SERVICES INCLUDE THE COUNTY'S ONLY LEVEL III TRAUMA CENTER AND NEONATAL INTENSIVE CARE UNIT. KEY PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, CANCER CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE, OBSTETRICS, AND A COMMUNITY MEDICAL FITNESS CENTER. WITH NO COUNTY HOSPITAL, QVMC PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE (TRADITIONAL CHARITY CARE) AND DISCOUNTED CARE. QVMC IS COMMITTED TO PROMOTING THE HEALTH AND QUALITY OF LIFE OF ITS SURROUNDING COMMUNITY. THIS IS DEMONSTRATED THROUGH THE FOLLOWING MECHANISMS: THERE IS A COMMUNITY BENEFIT COMMITTEE THAT HAS COMMUNITY REPRESENTATION, AN OPEN MEDICAL STAFF, AND THROUGH OUR COMMUNITY BENEFIT PROGRAMS WHICH ARE PARTLY FUNDED BY CARE FOR THE POOR DOLLARS. QVMC IS A HEALING MINISTRY OF ST. JOSEPH HEALTH SYSTEM, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. ST. JOSEPH HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPITAL 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 PEOPLE IN THE COMMUNITIES WE SERVE. LOCAL COMMUNITY BENEFIT COMMITTEE: THE ROLE OF THE QVMC COMMUNITY BENEFIT COMMITTEE IS TO SUPPORT THE BOARD OF TRUSTEES IN OVERSEEING COMMUNITY BENEFIT EFFORTS. THE COMMITTEE ACTS IN ACCORDANCE WITH A BOARD-APPROVED CHARTER. THE COMMUNITY BENEFIT COMMITTEE IS CHARGED WITH DEVELOPING POLICIES AND PROGRAMS THAT ADDRESS IDENTIFIED NEEDS IN THE SERVICE AREA PARTICULARLY FOR UNDERSERVED POPULATIONS, OVERSEEING DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN/IMPLEMENTATION STRATEGY REPORTS, AND PROVIDING DIRECTION OF COMMUNITY BENEFIT ACTIVITIES. THE COMMUNITY BENEFIT COMMITTEE HAS A MINIMUM OF EIGHT MEMBERS INCLUDING THREE MEMBERS OF THE BOARD OF TRUSTEES. CURRENT MEMBERSHIP INCLUDES TEN MEMBERS OF THE BOARD OF TRUSTEES, NINE COMMUNITY MEMBERS AND THREE COMMUNITY BENEFIT STAFF. A MAJORITY OF MEMBERS HAVE KNOWLEDGE AND EXPERIENCE WITH THE POPULATIONS MOST LIKELY TO HAVE DISPROPORTIONATE UNMET HEALTH NEEDS. THE COMMUNITY BENEFIT COMMITTEE MEETS AT A MINIMUM QUARTERLY WITH SIX MEETINGS IN FY 2015. COMMUNITY BENEFIT INVESTMENT: THIS IS DEMONSTRATED THROUGH THE FOLLOWING KEY PROGRAMS: IN RESPONSE TO IDENTIFIED HEALTH NEEDS IDENTIFIED IN THE FY14 COMMUNITY HEALTH NEEDS ASSESSMENT, QVMC'S FY15-FY17 COMMUNITY BENEFIT PLAN FOCUSES ON: CHILDHOOD OBESITY, ACCESS TO ORAL HEALTH, COMMUNITY BASED CHRONIC DISEASE MANAGEMENT, AND ACCESS TO MENTAL HEALTH. OBESITY: TO ADDRESS CHILDHOOD OBESITY IN NAPA COUNTY, SJH QVMC IMPLEMENTED A SCHOOL-BASED OBESITY PREVENTION PROGRAM DESIGNED TO EMPHASIZE LIFELONG FITNESS AND HEALTHY EATING BEHAVIORS AMONG CHILDREN AND ADOLESCENTS. THE PROGRAM INCORPORATES THE FOLLOWING STRATEGIES: (1) SCHOOL-BASED OBESITY PREVENTION; (2) INTERVENTION WITH AT-RISK CHILDREN; (3) COMMUNITY/ PARENT EDUCATION; AND, (4) COMMUNITY AND SCHOOL POLICY ADVOCACY. THIS YEAR SERVICES WERE PROVIDED IN 44 CLASSROOMS WITH OVER 1,000 UNDUPLICATED STUDENTS IN PROGRAM FITNESS CLASSES AND NUTRITION CLASSES WITH OVER 9,000 STUDENT ENCOUNTERS OVERALL. OF THE 496 ELEMENTARY STUDENTS CAPTURED FOR PHYSICAL ASSESSMENTS, 20% (45 OF 224 CHILDREN) CLASSIFIED AS OVERWEIGHT AND OBESE AT THE BEGINNING OF THE SCHOOL YEAR RE-CLASSIFIED TO A LOWER WEIGHT CATEGORY BY THE END OF THE SCHOOL YEAR. ORAL HEALTH: TO ADDRESS THE IDENTIFIED COMMUNITY NEED OF ORAL HEALTH, QVMC LAUNCHED A CHILDREN'S MOBILE DENTAL CLINIC IN 2005. CURRENTLY AS ONE OF ONLY TWO PROVIDERS OF DENTAL CARE FOR LOW INCOME OR MEDI-CAL ELIGIBLE CHILDREN IN NAPA COUNTY, QVMC STRIVES TO MEET THIS CONTINUED COMMUNITY NEED. THIS YEAR OUR MOBILE DENTAL CLINIC SPANNED 9 LOCATIONS ACROSS NAPA COUNTY SERVING 2,129 LOW-INCOME CHILDREN AND PROVIDING 5,067 CLINIC VISITS. IN ADDITION, 37 LOW INCOME PRE-SCHOOL CLASSES WERE PROVIDED FREE ORAL HEALTH SCREENINGS AND FLUORIDE VARNISH TO OVER 640 CHILDREN. OF THESE 640 CHILDREN, 115 HAD NO DENTAL HOME AND PARENTS WERE ASSISTED WITH REFERRAL TO A DENTAL HOME FOR TREATMENT, EDUCATION AND CONTINUED PREVENTIVE CARE. CHRONIC DISEASE MANAGEMENT: ANOTHER PROGRAM, 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 REGISTERED NURSE (RN), SOCIAL WORK, BEHAVIORAL AND SPIRITUAL APPROACH. SERVICES ARE PROVIDED IN THE CLIENTS' HOME OR AS NEEDED IN A HEALTH PROVIDER OFFICE OR OTHER COMMUNITY SERVICE LOCATION. THE PROGRAM IS AIMED AT CARE COORDINATION AND IMPROVING DISEASE MANAGEMENT AND QUALITY OF LIFE WHILE REDUCING OVERALL HEALTHCARE COSTS. IN FY15 CARE NETWORK SERVED OVER 400 CLIENTS, OF THOSE 236 WERE NEWLY ENROLLED. FOR THOSE NEWLY ENROLLED CLIENTS, EMERGENCY ROOM VISITS DECREASED BY 53% AND HOSPITALIZATIONS DECREASED BY 53% AS COMPARED TO ONE YEAR PRIOR TO ENROLLMENT. MENTAL HEALTH: ACCESS TO LOW COST MENTAL HEALTH SERVICES CONTINUES TO RANK AS A PRIORITY IN THE FY14 CHNA. TO ADDRESS THIS NEED, QVMC 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. PROGRAM BENEFICIARIES INCLUDE POSTPARTUM MOTHERS, CARE NETWORK CHRONICALLY ILL CLIENTS AND UNDERSERVED OLDER ADULTS AT RISK FOR BEHAVIORAL OR COGNITIVE HEALTH ISSUES. SERVICES ARE PROVIDED BY BILINGUAL SPANISH/ENGLISH STAFF AND LINK LOW INCOME CLIENTS TO COMMUNITY RESOURCES AND SERVICES. THE TOTAL NUMBER OF UNDUPLICATED CLIENTS SERVED BY THESE THREE MENTAL / BEHAVIORAL HEALTH PROGRAMS (THE CARE NETWORK, HEALTHY MINDS HEALTHY AGING (HMHA), AND THE PERINATAL EMOTIONAL WELLNESS PROGRAM) WAS 232 WITH 1,127 THERAPY SESSIONS PROVIDED IN THE CLIENT'S HOME OR OFFICE. 90% OF CLIENTS COMPLETING SERVICES DEMONSTRATED IMPROVEMENT IN DEPRESSION SYMPTOMS. IN ADDITION, HMHA CONDUCTED TRAUMA DEBRIEFING SESSIONS WITH 20 OLDER ADULTS WHO HAD BEEN AFFECTED BY THE 2014 EARTHQUAKE, THEREBY MITIGATING POST TRAUMATIC REACTIONS.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) IS A HEALING MINISTRY OF ST. JOSEPH HEALTH, AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 16 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPITAL 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 PEOPLE IN THE COMMUNITIES WE SERVE. SJH COMMUNITY PARTNERSHIP FUND (FORMERLY THE ST. JOSEPH HEALTH SYSTEM FOUNDATION) IN 1986, ST. JOSEPH HEALTH (SJH) CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FREE CARE FOR THOSE IN NEED OF ACUTE SERVICES, SJH CREATED THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND (FORMERLY 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 MINISTRY CONTRIBUTES 10 PERCENT OF ITS NET INCOME TO THE ST. JOSEPH HEALTH COMMUNITY PARTNERSHIP FUND. IN FY15, THIS AMOUNT TOTALED $1.5 MILLION FOR QVMC AND $31 MILLION FOR ST. JOSEPH HEALTH. 75% OF THE CONTRIBUTIONS ARE USED TO SUPPORT CARE FOR THE POOR PROGRAMS THAT ARE SELECTED LOCALLY BY EACH HOSPITAL. 17.5% IS USED TO SUPPORT COMMUNITY PARTNERSHIP FUND INITIATIVES, SUCH AS THE WELLNESS AND PREVENTION INITIATIVE, AND THE COMMUNITY BUILDING INITIATIVE. THE REMAINING 7.5% IS DESIGNATED TOWARD THE ENDOWMENT, WHICH HELPS ENSURE THE FUND'S ABILITY TO SUSTAIN PROGRAMS INTO THE FUTURE THAT ASSIST LOW-INCOME AND UNDERSERVED POPULATIONS. COMMUNITY INVESTMENT FUND ST. JOSEPH HEALTH FURTHER 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 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. THE COMMUNITY INVESTMENT FUND PROVIDES CAPITAL IN THE FORM OF LOANS, DEPOSITS OR OTHER SUPPORT TO NON-PROFITS TO PROMOTE SOCIAL GOOD AND THE DEVELOPMENT OF HEALTHIER COMMUNITIES. IN FY15, A TOTAL OF $9.4 MILLION WAS INVESTED INTO THE COMMUNITY THROUGH LOANS AND LINES OF CREDIT. FUNDED NON-PROFITS INCLUDE THOSE THAT SERVE THE HOMELESS, PROVIDE AFFORDABLE HOUSING, PROVIDE ACCESS TO PRIMARY MEDICAL CARE, AND ADDRESS YOUTH DEVELOPMENT. LEARN MORE ABOUT SJH COMMUNITY BENEFIT TO 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 (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Family Services of Napa
709 Franklin Street	Napa	CA	94558	941236934	501(c)(3)	$175,747	$0	PEI AND BEHAVORIAL HEALTH
On the Move
708 Lincoln Avenue	Napa	CA	94558	753149095	501(c)(3)	$20,000	$0	SUPPORT PARENT UNIVERSITY
VIA Foundation
1725 Clay Street Suite 100	Napa	CA	94458	271530938	501(c)(3)	$20,000	$0	ADULT DAY SERVICES
Area Agency on Aging
400 Contra Costa Street	Vallejo	CA	94590	942742309	501(c)(3)	$32,400	$0	COMMUNITY AED PROGRAM
Rotary International
780 Trancas Street	Napa	CA	94558	941525554	501(c)(3)	$20,000	$0	RAINBOW HOUSE AND HOME BASE
St Joseph Health System Foundation
3345 Michelson Dr Suite 100	Irvine	CA	92612	330143024	501(c)(3)	$1,490,200		care for the poor program fund
OPERATION ACCESS
1119 MARKET STREET STE 400	SAN FRANCISCO	CA	94103	943180356	501(c)(3)	$35,000	$0	PROGRAM SUPPORT
NAPA VALLEY HOSPICE AND ADULT DAY SERVICES
414 S JEFFERSON STREET	NAPA	CA	94559	680393144	501(c)(3)	$24,000	$0	PROGRAM SUPPORT
NAPA COUNTY HEALTH AND HUMAN SERVICES
2751 NAPA VALLEY CORPORATE DRIVE	NAPA	CA	94558	111111111	GOVT	$10,000	$0	PROGRAM SUPPORT
UCLA ISAP
11075 SANTA MONICA BLVD STE 200	LOS ANGELES	CA	90025	956006143	501(c)(3)	$6,000	$0	COMMUNITY PARTNERSHIP IN SUPPORT OF ADULT DAY SERVICES AND CAREGIVER SUPPORT GROUP
CLINIC OLE
1141 PEAR TREE LANE STE 100	NAPA	CA	94558	237221695	501(c)(3)	$41,000	$0	SUPPORT FOR HIV/AIDS/HEP C
QUEEN OF THE VALLEY MEDICAL CENTER FDN
1000 TRANCAS STREET	NAPA	CA	94558	237081153	501(C)(3)	$15,000		SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	12	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 TOWARD 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)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Severance Payment	false	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 (15 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
MICHAEL MARINO DO
BOARD MEMBER (PART YEAR)	$0	$378,863	$0	$145,996	$0	$72,707	$0	$13,000	$0	$2,705	$0	$613,271	$0	$0
WALTER MICKENS
CEO	$0	$364,034	$0	$61,201	$0	$142,246	$0	$12,602	$0	$41,667	$0	$621,750	$0	$0
DANIEL DWYER
VP MISSION INTEGRATION	$206,296	$0	$18,937	$0	$37,662	$0	$1,537	$0	$29,797	$0	$294,229	$0	$0	$0
VINCENT MORGESE MD
EXEC VP/COO/CMO	$334,753	$0	$36,566	$0	$60,841	$0	$12,385	$0	$41,452	$0	$485,997	$0	$0	$0
ELAINE JOHN
VP FOUNDATION/CHF DEV OFCR	$202,099	$0	$56,663	$0	$39,935	$0	$8,332	$0	$30,968	$0	$337,997	$0	$0	$0
ROBERT EISEN
REGIONAL VP, HR NORTHERN CAL	$213,469	$0	$44,562	$0	$32,546	$0	$6,512	$0	$25,402	$0	$322,491	$0	$0	$0
ROBERT DIEHL
VP OPERATIONS	$198,449	$0	$22,048	$0	$40,280	$0	$14,271	$0	$36,838	$0	$311,886	$0	$0	$0
ANGELA BURR
LEAD, RADIOLOGY NURSE	$248,571	$0	$0	$0	$775	$0	$17,746	$0	$41,935	$0	$309,027	$0	$0	$0
SUSAN STANTON
VP PATIENT CARE SERVICES	$197,962	$0	$21,709	$0	$37,427	$0	$22,093	$0	$28,748	$0	$307,939	$0	$0	$0
PAUL DEUS
RNFA II	$220,337	$0	$0	$0	$850	$0	$22,353	$0	$43,022	$0	$286,562	$0	$0	$0
LUCILLE YAU
PHAR, CLINICAL INFORMATICS	$232,949	$0	$2,594	$0	$3,902	$0	$16,816	$0	$25,025	$0	$281,286	$0	$0	$0
MARYAM MOHSENSADEH
DIR, DENTAL	$218,925	$0	$7,908	$0	$2,345	$0	$11,471	$0	$34,542	$0	$275,191	$0	$0	$0
Michel Riccioni
CFO-Northern CA Region	$0	$356,046	$0	$143,298	$0	$8,425	$0	$17,993	$0	$28,673	$0	$554,435	$0	$0
Annette Walker
Board Member	$0	$545,309	$0	$209,666	$0	$176,335	$0	$13,000	$0	$33,558	$0	$977,868	$0	$0
KAMI TIMM
INTRM VP MISSION INT (FMR OFR)	$112,143	$0	$2,282	$0	$2,967	$0	$9,361	$0	$13,439	$0	$140,192	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	DISCRETIONARY SPENDING ACCOUNT EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
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 4B	EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTIED IN ACCORDANCE WITH THE PROVISIONH OF THE PLAN. THERE WAS NO PAYMENT OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (SERP 457F PAYOUT) IN CALENDAR YEAR 2014.
SCHEDULE J, PART I, LINE 7	A PORTION OF EXECUTIVES 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 OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERS, AND HEALTHIEST COMMUNITIES 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 (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4	PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) IS AN ACUTE-CARE HOSPITAL FOUNDED IN 1958, LOCATED WITHIN THE CITY OF NAPA AND COUNTY OF NAPA, CALIFORNIA. THE FACILITY HAS 211 LICENSED BEDS AND A CAMPUS THAT IS APPROXIMATELY 12.3 ACRES IN SIZE. QVMC HAS A STAFF OF MORE THAN 1,300 AND PROFESSIONAL RELATIONSHIPS WITH MORE THAN 300 LOCAL PHYSICIANS. QVMC IS THE MAJOR DIAGNOSTIC AND THERAPEUTIC MEDICAL CENTER FOR NAPA COUNTY AND THE SURROUNDING REGION. SERVICES INCLUDE THE COUNTY'S ONLY LEVEL III TRAUMA CENTER AND NEONATAL INTENSIVE CARE UNIT. KEY PROGRAMS AND SERVICES INCLUDE CARDIAC CARE, CRITICAL CARE, CANCER CARE, DIAGNOSTIC IMAGING, EMERGENCY MEDICINE, OBSTETRICS, AND A COMMUNITY MEDICAL FITNESS CENTER. WITH NO COUNTY HOSPITAL, QVMC PROVIDES VITAL HOSPITAL AND COMMUNITY SERVICES AND ADDRESSES THE NEEDS OF THE UNINSURED AND UNDERINSURED THROUGH ITS FINANCIAL ASSISTANCE PROGRAM PROVIDING FREE (TRADITIONAL CHARITY CARE) AND DISCOUNTED CARE. AS A MEMBER OF ST. JOSEPH HEALTH, QVMC IS COMMITTED TO EXTENDING 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 NEIGHBORS" AND MINISTER 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 QVMC BELIEVES THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY QVMC HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM (FAP) THAT PROVIDES FREE (TRADITIONAL CHARITY CARE) OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY15, QVMC PROVIDED $1,706,699 IN FREE AND DISCOUNTED CARE. MEDICAID PROGRAM QVMC PROVIDED ACCESS TO UNINSURED AND UNDERINSURED PERSONS BY PARTICIPATING IN THE FEDERAL AND STATE SPONSORED MEDICAID PROGRAM. IN FY15, QVMC PROVIDED $16,940,029 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 REGISTERED NURSE (RN), SOCIAL WORK, BEHAVIORAL AND SPIRITUAL APPROACH. SERVICES ARE PROVIDED IN THE LOW INCOME 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. IN FY15 CARE NETWORK SERVED OVER 400 CLIENTS. OF THOSE 236 WERE NEWLY ENROLLED. FOR NEWLY ENROLLED CLIENTS, EMERGENCY ROOM VISITS DECREASED BY 53% AND HOSPITALIZATIONS DECREASED BY 53% AS COMPARED TO ONE YEAR PRIOR TO ENROLLMENT. ACCESS TO DENTAL CARE: QVMC LAUNCHED A CHILDREN'S MOBILE DENTAL CLINIC IN 2005. CURRENTLY AS ONE OF ONLY TWO PROVIDERS OF DENTAL CARE FOR LOW INCOME OR MEDI-CAL ELIGIBLE CHILDREN IN NAPA COUNTY, QVMC STRIVES TO ADDRESS THIS CONTINUED COMMUNITY NEED BY PROVIDING DIRECT HEALTH CARE SERVICES. THIS YEAR OUR MOBILE DENTAL CLINIC SPANNED 9 LOCATIONS ACROSS NAPA COUNTY SERVING 2,129 LOW-INCOME CHILDREN AND PROVIDING 5,067 CLINIC VISITS. IN ADDITION, 37 HEAD START PRE-SCHOOL CLASSES (FEDERALLY FUNDED PRESCHOOLS FOR VULNERABLE CHILDREN AND THEIR FAMILIES) WERE PROVIDED FREE ORAL HEALTH SCREENINGS AND FLUORIDE VARNISH TO OVER 640 CHILDREN. OF THESE 640 CHILDREN, 115 HAD NO DENTAL HOME AND PARENTS WERE ASSISTED WITH REFERRAL TO A DENTAL HOME FOR TREATMENT, EDUCATION AND CONTINUED PREVENTIVE CARE. ACCESS TO BEHAVIORAL HEALTH SERVICES: ACCESS TO LOW COST MENTAL HEALTH SERVICES CONTINUES TO RANK AS A PRIORITY IN THE FY14 CHNA FOR QVMC. TO ADDRESS THIS NEED, QVMC 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 NAVIGATES CLIENTS TO OTHER COMMUNITY SUPPORT SERVICES AND GROUPS. PROGRAM BENEFICIARIES INCLUDE POSTPARTUM MOTHERS, LOW INCOME CHRONICALLY ILL PERSONS, AND UNDERSERVED OLDER ADULTS AT RISK FOR BEHAVIORAL OR COGNITIVE HEALTH ISSUES. SERVICES ARE PROVIDED BY BILINGUAL SPANISH/ENGLISH STAFF WHO LINK CLIENTS TO COMMUNITY RESOURCES AND SERVICES. THE TOTAL NUMBER OF UNDUPLICATED CLIENTS SERVED BY THESE THREE MENTAL / BEHAVIORAL HEATLH PROGRAMS WAS 232 WITH 1,127 THERAPY SESSIONS PROVIDED IN THE CLIENT'S HOME OR OFFICE. 90% OF CLIENTS COMPLETING SERVICES DEMONSTRATED IMPROVEMENT IN DEPRESSION SYMPTOMS. IN ADDITION, THE OLDER ADULT PROGRAM, FUNDED THROUGH QVMC CONDUCTED TRAUMA DEBRIEFING SESSIONS WITH 20 OLDER ADULTS WHO HAD BEEN AFFECTED BY THE 2014 EARTHQUAKE, THEREBY MITIGATING POST TRAUMATIC REACTIONS. FOR MORE INFORMATION ABOUT QVMC, PLEASE VISIT WWW.THEQUEEN.ORG FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH SYSTEM, PLEASE VISIT WWW.STJHS.ORG
FORM 990, PART VI, LINE 6	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS ST. JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF QUEEN OF THE VALLEY MEDICAL CENTER.
FORM 990, PART VI, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE QVMC BOARD. ALL TRUSTEE APPOINTMENTS THAT COME FROM THE QVMC BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR.
FORM 990, PART VI, LINE 7B	DESCR CLASSES OF PERSON, DECISIONS REQ APPR & TYPE OF VOTING RIGHTS THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, MERGER OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
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 APRIL 2016 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 ORGANIZATION, 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 2015. 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 IN 2015.
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 - $ (6,851,956) EQUITY TRANSFER TO SJHS - $ (9,899,092) NET CONTRIBUTIONS NOT RELEASED FROM RESTRICTION - $ (68,846) UNRESOLVED VARIANCE - $ (4,362) --------------- TOTAL $(16,824,256) ===============
FORM 990 PART IX LINE 11G	DESCRIPTION:DIR/PHYSICIAN/PROF FEES TOTAL FEES:8533320
FORM 990 PART IX LINE 11G	DESCRIPTION:REGISTRY/CONTRACT LABOR TOTAL FEES:8706643
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL PURCHASED SVCS TOTAL FEES:5112328
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:5273088
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION AGENCIES TOTAL FEES:1607560
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SVCS TOTAL FEES:13040093
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN'S ASSISTANCE TOTAL FEES:75976
FORM 990 PART IX LINE 11G	DESCRIPTION:EMPLOYEE RECRUITMENT TOTAL FEES:74950
FORM 990 PART IX LINE 11G	DESCRIPTION:MISCELLANEOUS/OTHER TOTAL FEES:227609

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 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)
HOAG CHARITY SPORTS
330 PLACENTIA AVE	NEWPORT BEACH	CA	92663	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (true)
HOAG HOSPITAL FOUNDATION
330 PLACENTIA AVE	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 ST	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
3610 21ST STREET	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 (17 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	OwnershipOwnershipPct	EINEIN	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd
COVENANT LONG-TERM CARE LP
HEALTHCARE	TX	NA	N/A	0.00000
HEALTHCARE DESIGN & CONSTRUCT
REAL ESTATE	DE	NA	N/A	0.00000	465497794
HEALTHCARE PROPERTY ADVISORS
REAL ESTATE	DE	NA	N/A	0.00000	900745066
HERITAGE INVESTMENT GROUP
INVESTMENTS	CA	NA	N/A	0.00000	464807513
HOAG ORTHOPEDIC INSTITUTE
HEALTHCARE	CA	NA	N/A	0.00000
LUBBOCK SURGERY CENTER LTD
HEALTHCARE	TX	NA	N/A	0.00000	611588294
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE	TX	NA	N/A	0.00000	752569094
MISSION AMBULATORY SURGICENTER
HEALTHCARE	CA	NA	N/A	0.00000	330307672
NEWPORT IMAGING CENTER
HEALTHCARE	CA	NA	N/A	0.00000	330282945
SHA LLC
INSURANCE	TX	NA	N/A	0.00000	203132592
ST JOSEPH PHYSICIAN VENTURES
REAL ESTATE	CA	NA	N/A	0.00000	330355575
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTH	CA	NA	N/A	0.00000	954813223	SEE PART VII	SANTA ROSA	CA	95404
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTH	CA	NA	N/A	0.00000	330191776
THE INNOVATION INSTITUTE
HEALTHCARE	DE	NA	N/A	0.00000	205033419
TOTAL HEALTH ENVIRONMENT
HEALTHCARE	DE	NA	N/A	0.00000	752177401
ADVANCED SURGERY INSTITUTE LLC
HEALTHCARE	CA	NA	N/A	0.00000	752343261
NORTH BAY ENDOSCOPY CENTER
HEALTHCARE	CA	NA	N/A	0.00000	474207810

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN
ALLIANCE PHYSICIAN SERVICES
INACTIVE	CA	NA	C-CORP
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCE		NA	C-CORP	90 PITTS BAY ROAD	PEMBROKE	HM08	BD	BD
COASTAL MANAGEMENT SERVICES ORGANIZATION
HEALTHCARE	CA	NA	C-CORP						1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831
DATU HEALTH INC
IT SVCS	MO	NA	C-CORP						16150 MAIN CIRCLE DR SUITE 250	CHESTERFIELD	MO	63017	463070062
HMTS INC
HEALTHCARE	CA	NA	C-CORP						1 HOAG DRIVE	NEWPORT BEACH	CA	92658	453583707
HOAG MANAGEMENT SERVICES INC
HEALTHCARE	CA	NA	C-CORP						1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587
HPA REALTY INC
REAL ESTATE	CA	NA	C-CORP						1 CENTERPOINTE DRIVE SUITE 200	LA PALMA	CA	90623	300835291
LUBBOCK METHODIST HOSP PRACTICE MGMT
INACTIVE	TX	NA	C-CORP						2107 OXFORD STREET STE 300	LUBBOCK	TX	79410	752578995
LUBBOCK METHODIST HOSPITAL SVCS
HEALTHCARE	TX	NA	C-CORP						PO BOX 1201	LUBBOCK	TX	79410	752118585
MISSION VIEJO MEDICAL VENTURES
HEALTHCARE	CA	NA	C-CORP						27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905
ST JOSEPH HEALTH
HOLDING COMPANY	CA	NA	C-CORP						3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	462340232
ST JOSEPH HEALTH SOURCE INC
HEALTHCARE	CA	NA	C-CORP						3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461900168
ST JOSEPH PROF SVCS ENTERPRISES INC
HEALTHCARE	CA	NA	C-CORP						3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323
ST JOSEPH YORBA PARK
INACTIVE	CA	NA	C-CORP

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 (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JUDE HOSPITAL YORBA LINDA
b	$6,851,956	Accrual
ST JUDE HOSPITAL YORBA LINDA
r	$5,535,707	Accrual
QUEEN OF THE VALLEY MEDICAL CENTER FOUNDATION
c	$3,740,727	Accrual
QUEEN OF THE VALLEY MEDICAL CENTER FOUNDATION
l	$1,089,745	Accrual
ST JOSEPH HEALTH SYSTEM FOUNDATION
c	$400,004	Accrual
ST JOSEPH HEALTH SYSTEM FOUNDATION
b	$1,490,200	Accrual
SANTA ROSA MEMORIAL HOSPITAL
o	$603,039	Accrual
SANTA ROSA MEMORIAL HOSPITAL
p	$523,798	Accrual
ST JOSEPH HOSPITAL OF EUREKA
o	$170,454	Accrual

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 HEALTHCARE DESIGN AND CONSTRUCTION EIN: 46-2611662 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HEALTHCARE PROPERTY ADVISORS, LLC EIN: 46-5497794 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 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 TOTAL HEALTH ENVIRONMENT EIN: 46-4807513 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 ADVANCED SURGERY INSTITUTE LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954	ExplanationTxt