QUEEN OF THE VALLEY MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: QUEEN OF THE VALLEY MEDICAL CENTER (EIN 94-1243669)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-11
IRS object ID: 201501319349302330
Schema version: 2013v4.0
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-11T13:36:14-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4370 LA JOLLA VILLAGE DR SUITE 500	AddressLine1
City	SAN DIEGO	City
State	CA	State
ZIP Code	92122	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	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	BusinessNameLine1

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	AddressLine1
Address Line2	Suite	AddressLine2
City	NAPA	City
State	CA	State
ZIP Code	94558	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Walter A Mickens	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2015-04-30	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EVA NITTA	PreparerPersonNm
PTIN	P01286320	PTIN

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	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	AddressLine1
City	Napa	City
State	CA	State
ZIP Code	94558	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$250,044,315	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	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1452	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$15,100	TotalGrossUBIAmt
PY Contributions Grants	$7,131,531	PYContributionsGrantsAmt
CY Contributions Grants	$2,173,714	CYContributionsGrantsAmt
PY Program Service Revenue	$263,998,301	PYProgramServiceRevenueAmt
CY Program Service Revenue	$236,159,505	CYProgramServiceRevenueAmt
PY Investment Income	$13,867,055	PYInvestmentIncomeAmt
CY Investment Income	$11,308,269	CYInvestmentIncomeAmt
PY Other Revenue	$272,979	PYOtherRevenueAmt
CY Other Revenue	$295,969	CYOtherRevenueAmt
PY Total Revenue	$285,269,866	PYTotalRevenueAmt
CY Total Revenue	$249,937,457	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,838,394	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$772,714	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$137,818,249	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$136,784,220	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,585,692	CYTotalFundraisingExpenseAmt
PY Other Expenses	$122,603,978	PYOtherExpensesAmt
CY Other Expenses	$116,414,153	CYOtherExpensesAmt
PY Total Expenses	$262,260,621	PYTotalExpensesAmt
CY Total Expenses	$253,971,087	CYTotalExpensesAmt
PY Revenues Less Expenses	$23,009,245	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,033,630	CYRevenuesLessExpensesAmt
Total Assets BOY	$451,289,035	TotalAssetsBOYAmt
Total Assets EOY	$447,548,148	TotalAssetsEOYAmt
Total Liabilities BOY	$186,164,976	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$192,708,923	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$265,124,059	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$254,839,225	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$233,209,243	ExpenseAmt
Grant	$772,714	GrantAmt
Revenue	$236,384,325	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$233,209,243	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	Yes (true)	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	367	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1452	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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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	AddressLine1
City	NAPA	City
State	CA	State
ZIP Code	94558	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (34 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
JOSEPH CARRILLO MD
BOARD MEMBER (PART YEAR)	2.0	2.0	Yes (X)	$0	$0	$0
FRANK COLLIN
CHAIR	5.0	0.0	Yes (X)	$0	$0	$0
DIANE DORAME ESQ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ED FARVER
BOARD MEMBER	4.0	0.0	Yes (X)	$0	$0	$0
SISTER JUDITH FERGUS CSJ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SISTER PATRICIA HAYHURST CSJ
BOARD MEMBER	2.0	4.0	Yes (X)	$0	$0	$0
CONRAD HEWITT
VICE CHAIR	3.0	0.0	Yes (X)	$0	$0	$0
BROTHER THOMAS JONES FSC
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
PAM KINDIG
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
SISTER MARY BERNADETTE MCNULTY
BOARD MEMBER (PART YEAR)	2.0	4.0	Yes (X)	$0	$0	$0
MICHAEL MERWIN MD
CHIEF OF STAFF (PART YEAR)	2.0	0.0	Yes (X)	$60,000	$0	$0
WALTER MICKENS
CEO	50.0	5.0	Yes (X)	$0	$573,700	$43,290	Yes (X)
BETTY O'SHAUGHNESSY
SECRETARY	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
SISTER SUZANNE SASSUS CSJ
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
JAMES SREBRO MD
CHIEF OF STAFF	2.0	0.0	Yes (X)	$2,000	$0	$0
JAMES TIDGEWELL
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
MICHAEL MARINO DO
BOARD MEMBER	2.0	52.0	Yes (X)	$0	$487,124	$12,896
SISTER JUDITH DUGAN 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
ANDREW C NOTHMAN MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
DENNIS PEDISICH
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
WYMAN SMITH
CHAIR (PART YEAR)	5.0	0.0	Yes (X)	$0	$0	$0
MICHEL RICCIONI
NORCAL REGIONAL CFO	14.0	36.0		$0	$555,423	$46,007	Yes (X)
DAN DWYER
VP MISSION INTEGRATION	50.0	0.0		$61,199	$0	$2,879	Yes (X)
ROBERT DIEHL
VP QUALITY & STRATEGIC SVCS	48.0	2.0		$316,589	$0	$47,917		Yes (X)
ROBERT EISEN
VP HUMAN RESOURCES	14.0	24.0		$305,103	$0	$26,575		Yes (X)
VINCENT MORGESE MD
VP MEDICAL AFFAIRS	50.0	0.0		$535,778	$0	$45,282		Yes (X)
SUSAN STANTON
VP PATIENT CARE SERVICES	50.0	0.0		$317,029	$0	$51,015		Yes (X)
ELAINE JOHN
VP FOUNDATION/CHF DEV OFCR	50.0	0.0		$334,643	$0	$35,288			Yes (X)
ANGELA BURR
LEAD, RADIOLOGY NURSE	49.0	0.0		$266,901	$0	$55,552			Yes (X)
ROBERT LEE
LEAD, RNFA	43.0	0.0		$234,320	$0	$49,795			Yes (X)
PAUL DEUS
RNFA II	47.0	0.0		$225,099	$0	$57,355			Yes (X)
MARC EBELING
SHIFT LEAD, RN	46.0	0.0		$210,752	$0	$53,542			Yes (X)
KAMI TIMM
INTRM VP MISSION INT (FMR OFR)	40.0	0.0		$172,458	$0	$24,472				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,041,871	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,616,247	TotReportableCompRltdOrgAmt
Total Other Compensation	$551,865	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	359	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
ANESTHESIA ANALGELSIA MEDICAL GRO
837 FIFTH STREET 2ND FLOOR	SANTA ROSA	CA	95404	ANESTHESIOLOGY SVCS	$1,231,692
MEDICAL STAFFING NETWORK
901 YAMATO RD 110	BOCA RATON	FL	33431	CONTRACT LABOR SVCS	$2,000,226
RADIOLOGY MED GROUP OF NAPA
PO BOX 348120	SACRAMENTO	CA	95834	RADIOLOGY SERVICES	$1,246,604
REGENTS OF UCSF
1855 FOLSOM ST SUITE 425 BOX 0812	SAN FRANCISCO	CA	94143	NEUROSURGERY SVCS	$961,112
DHP MANAGMENT SERVICES INC
265 BROOKVIEW WAY 400	KNOXVILLE	TX	37919	GEN SURGICAL SVCS	$614,441

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	38	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,991,295	RelatedOrganizationsAmt
Government Grants	$162,419	GovernmentGrantsAmt
All Other Contributions	$20,000	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,173,714	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	$228,861,862	$228,861,862	$0	$0
SYNERGY WELLNESS CENTER REVENUE	713940	$4,542,442	$4,527,342	$15,100	$0
EHR MEANINGFUL USE REVENUE	622110	$1,287,165	$1,287,165	$0	$0
CAFETERIA REVENUE	722514	$614,898	$614,898	$0	$0
MEDICAL OFFICE BUILDING REVENUE	531120	$418,460	$418,460	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$434,678	TotalRevenueColumnAmt
Related Or Exempt Func Income	$434,678	RelatedOrExemptFuncIncomeAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$236,159,505	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,406,000	TotalRevenueColumnAmt
Exclusion	$3,406,000	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,500	TotalRevenueColumnAmt
Exclusion	$1,500	ExclusionAmt

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	$7,871,299	SecuritiesAmt
Other	$29,470	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,871,299	SecuritiesAmt
Other	$29,470	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,900,769	TotalRevenueColumnAmt
Exclusion	$7,900,769	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	$178,007	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$106,858	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,149	TotalRevenueColumnAmt
Exclusion	$71,149	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Lifeline Revenue	900099	$178,313	$178,313	$0	$0
All other revenue	900099	$46,507	$46,507	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$224,820	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$249,937,457	TotalRevenueColumnAmt
Related Or Exempt Func Income	$236,369,225	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$15,100	UnrelatedBusinessRevenueAmt
Exclusion	$11,379,418	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	$772,714	TotalAmt
Program Services	$772,714	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,284,896	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,284,896	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$86,094,006	TotalAmt
Program Services	$80,980,496	ProgramServicesAmt
Management And General	$4,272,777	ManagementAndGeneralAmt
Fundraising	$840,733	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,905,265	TotalAmt
Program Services	$5,566,330	ProgramServicesAmt
Management And General	$291,294	ManagementAndGeneralAmt
Fundraising	$47,641	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,479,343	TotalAmt
Program Services	$33,824,438	ProgramServicesAmt
Management And General	$1,388,036	ManagementAndGeneralAmt
Fundraising	$266,869	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,020,710	TotalAmt
Program Services	$6,676,131	ProgramServicesAmt
Management And General	$288,251	ManagementAndGeneralAmt
Fundraising	$56,328	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$17,107,673	TotalAmt
Program Services	$17,107,673	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$976,254	TotalAmt
Program Services	$19,274	ProgramServicesAmt
Management And General	$956,980	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$222,839	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$216,580	ManagementAndGeneralAmt
Fundraising	$6,259	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$36,648	TotalAmt
Program Services	$36,648	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	$734,227	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$734,227	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$30,202,229	TotalAmt
Program Services	$23,426,718	ProgramServicesAmt
Management And General	$6,524,748	ManagementAndGeneralAmt
Fundraising	$250,763	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$157,319	TotalAmt
Program Services	$57,205	ProgramServicesAmt
Management And General	$86,326	ManagementAndGeneralAmt
Fundraising	$13,788	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,639,302	TotalAmt
Program Services	$1,163,070	ProgramServicesAmt
Management And General	$442,853	ManagementAndGeneralAmt
Fundraising	$33,379	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,231,000	TotalAmt
Program Services	$588,115	ProgramServicesAmt
Management And General	$609,101	ManagementAndGeneralAmt
Fundraising	$33,784	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,995,137	TotalAmt
Program Services	$3,984,653	ProgramServicesAmt
Management And General	$2,560	ManagementAndGeneralAmt
Fundraising	$7,924	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$275,383	TotalAmt
Program Services	$118,266	ProgramServicesAmt
Management And General	$149,313	ManagementAndGeneralAmt
Fundraising	$7,804	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	$108,259	TotalAmt
Program Services	$95,095	ProgramServicesAmt
Management And General	$6,896	ManagementAndGeneralAmt
Fundraising	$6,268	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,924,079	TotalAmt
Program Services	$6,912,198	ProgramServicesAmt
Management And General	$11,881	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	$16,534,341	TotalAmt
Program Services	$16,429,456	ProgramServicesAmt
Management And General	$103,307	ManagementAndGeneralAmt
Fundraising	$1,578	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,533,544	TotalAmt
Program Services	$850,801	ProgramServicesAmt
Management And General	$677,983	ManagementAndGeneralAmt
Fundraising	$4,760	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$29,480,784	$29,480,784	$0	$0
CA HOSPITAL FEE PROGRAM	$4,359,380	$4,359,380	$0	$0
LICENSING EXPENSES	$810,511	$691,846	$118,665	$0
DUES AND SUBSCRIPTIONS	$85,244	$67,952	$9,478	$7,814

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$253,971,087	TotalAmt
Program Services	$233,209,243	ProgramServicesAmt
Management And General	$19,176,152	ManagementAndGeneralAmt
Fundraising	$1,585,692	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	$18,307,751	BOYAmt
EOY	$16,116,458	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$93,511,159	BOYAmt
EOY	$78,143,874	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	$30,941,982	BOYAmt
EOY	$32,059,848	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	$231,551	BOYAmt
EOY	$134,797	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,767,313	BOYAmt
EOY	$3,441,297	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$676,284	BOYAmt
EOY	$413,729	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$417,095,483	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$201,487,263	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$204,317,858	BOYAmt
EOY	$215,608,220	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$80,118,527	BOYAmt
EOY	$92,148,696	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	$19,416,610	BOYAmt
EOY	$9,481,229	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$451,289,035	BOYAmt
EOY	$447,548,148	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,786,363	BOYAmt
EOY	$33,960,009	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	$152,328,613	BOYAmt
EOY	$156,698,914	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$186,164,976	BOYAmt
EOY	$192,708,923	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$265,124,059	BOYAmt
EOY	$254,839,225	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	$265,124,059	BOYAmt
EOY	$254,839,225	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$451,289,035	BOYAmt
EOY	$447,548,148	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$4,033,630	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,016,713	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$14,267,917	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	$36,648	OtherActivitiesAmt
Total Lobbying Expenditures	$36,648	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	$7,863,447	OtherCostOrOtherBasisAmt
Book Value	$7,863,447	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$136,521,740	OtherCostOrOtherBasisAmt
Depreciation	$80,849,736	DepreciationAmt
Book Value	$55,672,004	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$404,236	OtherCostOrOtherBasisAmt
Depreciation	$331,016	DepreciationAmt
Book Value	$73,220	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,460,259	OtherCostOrOtherBasisAmt
Depreciation	$120,306,511	DepreciationAmt
Book Value	$22,153,748	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$129,845,801	OtherCostOrOtherBasisAmt
Book Value	$129,845,801	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$215,608,220	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Interco. With Health System-Bonds	$155,778,167
Patient Credit Balances	$920,747

Field	Value	IRS element (for citing)
Total Liability	$156,698,914	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	ASC 740 (FIN 48) 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, 2014 OR 2013.	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	$1,976,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,976,026	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,192,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,129,195	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,063,244	NetCommunityBenefitExpnsAmt
Total Expense	0.05140	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,932,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,179,831	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,752,322	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,100,618	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,309,026	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,791,592	NetCommunityBenefitExpnsAmt
Total Expense	0.07000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,675,388	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$237,423	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,437,965	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$844,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$370,548	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$474,170	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	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	$448,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$448,044	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,973,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$607,971	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,365,179	NetCommunityBenefitExpnsAmt
Total Expense	0.01720	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,073,768	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,916,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,156,771	NetCommunityBenefitExpnsAmt
Total Expense	0.08720	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,428	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$137,428	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$137,428	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$137,428	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$14,379,567	BadDebtExpenseAmt
Reimbursed By Medicare	$59,569,643	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$84,838,385	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,268,742	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 TRANCAS STREET	AddressLine1
City	Napa	City
State	CA	State
ZIP Code	94558	ZIPCode

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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 Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
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 3	QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) COMPLETED A NEEDS ASSESSMENT IN 2013 TAX YEAR (FISCAL YEAR 2014) IN PARTNERSHIP WITH NAPA COUNTY PUBLIC HEALTH, KAISER PERMANENTE, ST. HELENA HOSPITAL, NAPA VALLEY COALITION OF NONPROFIT AGENCIES AND COMMUNITY CLINIC OLE. THIS NEW COLLABORATIVE, LIVE HEALTHY NAPA COUNTY (LHNC) IS COMPOSED OF A PUBLIC-PRIVATE PARTNERSHIP BRINGING TOGETHER, AMONG OTHERS, REPRESENTATIVES NOT JUST FROM HEALTH AND HEALTHCARE ORGANIZATIONS, BUT ALSO FROM BUSINESS, PUBLIC SAFETY, EDUCATION, GOVERNMENT AND THE GENERAL PUBLIC TO DEVELOP A SHARED UNDERSTANDING AND VISION OF A HEALTHIER NAPA COUNTY. THE COLLABORATIVE PROCESS CAST A WIDE NET TO INCLUDE THREE DIFFERENT COMPREHENSIVE NEEDS ASSESSMENTS AND A LARGER AND MORE DIVERSE STAKEHOLDER REPRESENTATIVE GROUP TO REACH FURTHER INTO THE COMMUNITY. AS PART OF THIS COMPREHENSIVE CHNA, THREE COMMUNITY ASSESSMENTS STRATEGIES WERE EMPLOYED. 1. THE COMMUNITY THEMES, STRENGTHS, AND FORCES OF CHANGE ASSESSMENT INCLUDED THE FOLLOWING QUALITATIVE INFORMATION GATHERING PROCESSES: A) AN ONLINE AND PAPER SURVEY OF 2,383 RESIDENTS (356 IN SPANISH) INCLUDED A SERIES OF 28 MULTIPLE-CHOICE QUESTIONS THAT ASKED RESPONDENTS TO CONSIDER QUALITY OF LIFE IN NAPA COUNTY, WHICH HEALTH ISSUES THEY FELT WERE MOST PRESSING FOR COUNTY RESIDENTS, HOW AND WHERE THEY ACCESSED HEALTH CARE AND SOCIAL SERVICES, WHAT BARRIERS THEY FACED IN ACCESSING SERVICES, HOW THEY VIEWED ECONOMIC AND HOUSING CONDITIONS IN THE COUNTY, AND TYPES OF RECREATIONAL AND VOLUNTEER ACTIVITIES. B) 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. C) 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. 2. A LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT COLLECTED DATA FOR THE LOCAL PUBLIC HEALTH SYSTEM (THE SYSTEM) USING THE NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM'S (NPHPSP) LOCAL INSTRUMENT. THE INSTRUMENT REVIEWS THE "10 ESSENTIAL PUBLIC HEALTH SERVICES (EPHS)" - CORE PUBLIC HEALTH FUNCTIONS THAT SHOULD BE UNDERTAKEN IN EVERY COMMUNITY - AS A FRAMEWORK TO EVALUATE THE SYSTEM'S PERFORMANCE AND ENVIRONMENTAL AND INDIVIDUAL FACTORS TO CREATE CONDITIONS FOR IMPROVED HEALTH AND WELLBEING IN A COMMUNITY. 3. THE COMMUNITY HEALTH STATUS ASSESSMENT INCLUDED A COMPREHENSIVE REVIEW OF SECONDARY DATA SOURCES TO OBTAIN THE MOST CURRENT AND RELIABLE DATA FOR THE CHSA. SECONDARY DATA SOURCES AND RESOURCES INCLUDED, BUT WERE NOT LIMITED TO, THE U.S. CENSUS, THE AMERICAN COMMUNITY SURVEY, THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH (CDPH), THE CALIFORNIA DEPARTMENT OF EDUCATION (CDE), THE CALIFORNIA HEALTH INTERVIEW SURVEY (CHIS), THE CALIFORNIA HEALTHY KIDS SURVEY (CHKS), THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), THE CDC NATIONAL CENTER FOR HEALTH STATISTICS, THE CALIFORNIA DEPARTMENT OF JUSTICE, HEALTHY PEOPLE 2020 (HP 2020), AND THE 2012 COUNTY HEALTH RANKINGS AND ROADMAPS. DATA COLLECTED THROUGH THE NAPA COUNTY PUBLIC HEALTH VITAL STATISTICS OFFICE AND THE PUBLIC HEALTH COMMUNICABLE DISEASE CONTROL PROGRAM IS ALSO UTILIZED. TO SUPPORT THE CHNA, QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) WORKED WITH TWO OUTSIDE PLANNING FIRMS, HARDER & COMPANY COMMUNITY RESEARCH FIRM, AND MIG RESEARCH FIRM. FOR FURTHER INFORMATION, PLEASE SEE THE 2014 CHNA FOUND AT: HTTP://WWW.THEQUEEN.ORG/DOCUMENTS/COMMUNITY-BENEFIT/2014-COMMUNITY-HEALTH- NEEDS-ASSESSMENT-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINE 4	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. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: WWW.COUNTYOFNAPA.ORG/LHNC.
SCHEDULE H, PART V, SECTION B, LINE 5	THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: HTTP://WWW.THEQUEEN.ORG/DOCUMENTS/COMMUNITY-BENEFIT/2014-COMMUNITY-HEALTH- NEEDS-ASSESSMENT-REPORT.PDF
SCHEDULE H, PART V, SECTION B, LINE 7	ALTHOUGH NO HEALTH CARE FACILITY CAN ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN ITS COMMUNITY, WE ARE COMMITTED TO CONTINUING 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. AN EXPLANATION IS PROVIDED BELOW: BASIC NEEDS (SPECIFICALLY HOUSING, INCOME EQUALITY, PUBLIC TRANSPORTATION SYSTEM, ENVIRONMENTAL): THE HOSPITAL DOES NOT DIRECTLY ADDRESS AFFORDABLE HOUSING, LIVING WAGE, PUBLIC TRANSPORTATION, AND PUBLIC ENVIRONMENTAL ISSUES. HOWEVER, WE PARTNER WITH SEVERAL ORGANIZATIONS THAT PROVIDE THESE SERVICES INCLUDING NAPA VALLEY COMMUNITY HOUSING, LEGAL AID, NAPA COUNTY SELF SUFFICIENCY, NAPA COUNTY TRANSPORTATION PLANNING AGENCY, AND COMMUNITY ACTION NAPA VALLEY (CANV) HOMELESS SHELTERS. DRUG AND ALCOHOL: THE HOSPITAL DOES NOT DIRECTLY ADDRESS COMMUNITY-BASED DRUG AND ALCOHOL ABUSE PREVENTION AND TREATMENT; HOWEVER, WE PARTNER WITH NAPA COUNTY DRUG AND ALCOHOL, CATALYST COALITION, CANV TOBACCO CESSATION, AND MCALLISTER INSTITUTE RESIDENTIAL DRUG TREATMENT CENTER. COUNTYWIDE COMMUNICATION/DATA SYSTEMS: THE 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, WE PARTNER 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: THE HOSPITAL 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. FOR FURTHER INFORMATION, PLEASE SEE THE IMPLEMENTATION STRATEGY FOUND AT: HTTP://WWW.THEQUEEN.ORG/DOCUMENTS/COMMUNITY-BENEFIT/FY15-FY17-COMMUNITY-BE NEFIT-PLAN-AND-IMPLEMENTATION-STRATEGY.PDF.
SCHEDULE H, PART V, SECTION B, LINE 12I	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 14G	MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: 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 18E	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 20D	AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES IS USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED.

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, INCLUDING BUT NOT LIMITED TO DISABILITY AND HOMELESSNESS ARE CONSIDERED WHEN DETERMINING ELIGIBILITY.
SCHEDULE H, PART I, LINE 7	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 II	COMMUNITY BUILDING ACTIVITIES ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS AND THUS IMPROVE HEALTH STATUS AND QUALITY OF LIFE BY FOCUSING ON THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY, LOW LEVEL OF EDUCATIONAL ATTAINMENT, AND ENVIRONMENTAL HAZARDS. QUEEN'S DIVERSITY & INCLUSION STRATEGY INCLUDE A NUMBER OF EFFORTS THAT BUILD ON COMMUNITY EMPOWERMENT AND PROMOTE COMMUNITY BUILDING AND CAPACITY, PARTICULARLY IN HISTORICALLY MARGINALIZED, VULNERABLE OR ISOLATED COMMUNITIES.
SCHEDULE H, PART III, LINE 2	METHODOLOGY FOR CALCULATING BAD DEBT THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S PATIENT COST-TO-CHARGE RATIO.
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 RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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.
SCHEDULE H, PART III, LINE 8	BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES (EXCEPT FOR AMOUNTS REPORTED IN PART I, LINE 7H) AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT. THE MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR USES CMS STANDARD COSTING METHODS. THIS METHOD INCLUDES SPECIFIC STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS. AS A CATHOLIC HEALTHCARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE A COMMUNITY BENEFIT.
SCHEDULE H, PART III, LINE 9B	QUEEN OF THE VALLEY MEDICAL CENTER 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 (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTIONS POLICY APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR PARTIAL ACCOUNTS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS CONDUCTED EVERY 3 YEARS TO ASSIST HOSPITALS AND COUNTY PUBLIC HEALTH IN DETERMINING HEALTH PRIORITIES, EMERGING GAPS AND ONGOING NEEDS. THE FY 14 CHNA WAS A COMBINED VENTURE OF AREA HOSPITALS (QUEEN OF THE VALLEY MEDICAL CENTER, KAISER PERMANENTE, ST. HELENA HOSPITAL) AND THE COUNTY PUBLIC HEALTH DEPARTMENT, WITH REPRESENTATION FROM OVER 40 PUBLIC AND PRIVATE ORGANIZATIONS ACROSS THE COUNTY. QUANTITATIVE AND QUALITATIVE METHODS WERE USED TO COLLECT INFORMATION FOR THE ASSESSMENT, WHICH INCLUDED BOTH PRIMARY AND SECONDARY DATA SOURCES; COMMUNITY NEEDS AND ASSETS ASSESSMENTS AND ENVIRONMENTAL SCANNING, WHICH INVOLVED GATHERING, ANALYZING AND APPLYING INFORMATION FOR STRATEGIC PURPOSES. QUEEN OF THE VALLEY MEDICAL CENTER RELIED ON NOTICE 2011-52: NOTICE AND REQUEST FOR COMMENTS REGARDING THE COMMUNITY HEALTH NEEDS ASSESSMENT REQUIREMENTS FOR TAX-EXEMPT HOSPITALS TO MEET THE REQUIREMENTS.
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	PROMOTION OF COMMUNITY HEALTH THE GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSEES THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDES GENERAL DIRECTION TO QVMC REGARDING 1) BUDGETING DECISIONS, 2) COMMUNITY BENEFIT PROGRAM CONTENT, 3) COMMUNITY BENEFIT PROGRAM DESIGN, 4) TARGET GEOGRAPHIC/POPULATION, 5) PROGRAM CONTINUATION OR DISCONTINUATION, 6) FUND DEVELOPMENT, 7) COMMUNITY WIDE ENGAGEMENT. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. GIVING BACK TO THE COMMUNITY IS INTEGRATED INTO EVERY ASPECT OF THE ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTH MINISTRY OF ST. JOSEPH HEALTH, WE PROVIDE FREE AND DISCOUNTED CARE VIA OUR FINANCIAL ASSISTANCE PROGRAM AND EACH MINISTRY OF ST. JOSEPH HEALTH COMMITS A DEDICATED FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. OUR COMMITMENT TO COMMUNITY IS FURTHER DEMONSTRATED THROUGH OUR STRATEGIC COMMUNITY INVESTMENTS. ON AN ANNUAL BASIS, TEN PERCENT OF OUR NET MARGIN IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR (CARE FOR THE POOR FUNDS). SPECIFICALLY FUNDS ARE USED FOR OUTREACH PROGRAMS, DEFINED AS THOSE SERVICES THAT ADDRESS A SPECIFIC UNMET HEALTH NEED AND ARE SEPARATE FROM TRADITIONAL ACUTE CARE SERVICES. BASED ON IDENTIFIED COMMUNITY NEEDS, QVMC PROVIDES AND/OR SUPPORTS AN EXTENSIVE MATRIX OF WELL-ORGANIZED AND COORDINATED COMMUNITY BENEFIT PROGRAMS PROMOTING THE HEALTH OF THE COMMUNITY. DURING THE LAST YEAR, QUEEN OF THE VALLEY MEDICAL CENTER DEDICATED $3,084,041 TO SUPPORTING VULNERABLE POPULATIONS OF WHICH $584,000 WERE SPECIFICALLY FUNDED BY CARE FOR THE POOR DOLLARS. THE FOLLOWING PROGRAMS IN FY 14 EXEMPLIFY OUR COMMITMENT TO PROMOTE HEALTH AND ACCESS TO CARE TO THE LOW-INCOME: 1) COMMUNITY BASED CHRONIC DISEASE MANAGEMENT FOR LOW-INCOME PERSONS LIVING WITH CHRONIC ILLNESS, 2) MOBILE DENTAL CLINIC SERVICES FOR LOW-INCOME CHILDREN, 3) OBESITY PREVENTION INITIATIVES INCLUDING A SCHOOL-BASED PROGRAM CALLED 'HEALTHY FOR LIFE'. WE ARE ALSO COMMITTED TO PROMOTING HEALTH ACCESS TO CARE FOR THE BROADER COMMUNITY WITH AN ADDITIONAL $1,400,000 SUPPORTING THE BROADER COMMUNITY THROUGH THE FOLLOWING PROGRAMS: 1) 'COOKING MATTERS' - A PROGRAM OFFERING FREE, SIX-WEEK LONG SERIES OF COOKING AND NUTRITION CLASSES TO LOW-INCOME FAMILIES, 2) SUPPORT TO DEVELOP A COMMUNITY BREASTFEEDING COALITION, 3) BEHAVIORAL HEALTH INITIATIVES INCLUDING PERINATAL EMOTIONAL WELLNESS AND COUNSELING, 4) A COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAM FOR UNDERSERVED OLDER ADULTS, 5) BEHAVIORAL HEALTH SERVICES FOR UNDERSERVED CHRONICALLY ILL, AND 6) COMMUNITY EDUCATION AND EMPOWERMENT INITIATIVES ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH SUCH AS, 6A) PARENT UNIVERSITY, 6B) BILINGUAL COMMUNITY HEALTH EDUCATION AND 6C) PERINATAL EDUCATION. PARTNERSHIPS FOR COMMUNITY HEALTH PROVIDING SUPPORT FOR COMMUNITY COLLABORATIVE EFFORTS TOWARD MEETING IDENTIFIED COMMUNITY NEEDS, SUCH AS HEALTHY AGING, COMMUNITY HEALTH CLINIC OLE (FQHC), ADULT DAY SERVICES, YOUTH DRUG AND ALCOHOL PREVENTION AND FAMILY RESOURCE CENTERS TO NAME A FEW.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM QUEEN OF THE VALLEY MEDICAL CENTER IS A HEALING MINISTRY OF ST. JOSEPH HEALTH AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH CREATED THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO SUPPORT OUTREACH EFFORTS FOR THE MATERIALLY POOR. THE FOUNDATION THEN FUNDS PROGRAMS IN COMMUNITIES SERVED BY ST. JOSEPH HEALTH HOSPITALS THAT ALIGN WITH OUR MISSION AND EXEMPLIFY THE FOUR CORE VALUES OF ST. JOSEPH HEALTH: SERVICE, EXCELLENCE, DIGNITY, AND JUSTICE.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT CALIFORNIA MINISTRIES REPORT TO CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
FAMILY SERVICES OF NAPA
709 FRANKLIN STREET	NAPA	CA	94558	941236934	501(c)(3)	$191,392	PEI AND BEHAVORIAL HEALTH
ON THE MOVE
708 LINCOLN AVENUE	NAPA	CA	94558	753149095	501(c)(3)	$20,000	SUPPORT PARENT UNIVERSITY
NAPA VALLEY HOSPICE & ADULT DAY SERVICES
414 SO JEFFERSON STREET	NAPA	CA	94558	680393144	501(c)(3)	$76,950	ADULT DAY SERVICES
VIA FOUNDATION
1725 CLAY STREET STE 100	NAPA	CA	94558	271530938	501(c)(3)	$20,000	COMMUNITY AED PROGRAM
CATHOLIC CHARITIES-DIOCESE OF SANTA ROSA
1219 JEFFERSON STREET	NAPA	CA	94558	942479393	501(c)(3)	$6,000	RAINBOW HOUSE AND HOME BASE
ALDEA INC
2310 FIRST STREET	NAPA	CA	94558	942159248	501(c)(3)	$18,812	SUPPORT FOR AT-RISK YOUTH
AREA AGENCY ON AGING
400 CONTRA COSTA STREET	VALLEJO	CA	94590	942742309	501(c)(3)	$32,400	HEALTHY AGING POPULATION INITIATIVE
COMMUNITY HEALTH CLINIC OLE
1141 PEAR TREE LANE STE 100	NAPA	CA	94558	237221695	501(c)(3)	$71,000	HIV AND CANCER PREVENTION
ROTARY INTERNATIONAL
780 TRANCAS STREET	NAPA	CA	94558	941525554	501(c)(3)	$10,000	PROGRAM SUPPORT
SPIRIT OF UNITY NAPA
960 CAYMUS STREET	NAPA	CA	94559	203126333	501(c)(3)	$5,200	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt

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 (13 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
WALTER MICKENS
CEO	$0	$350,072	$0	$175,866	$0	$47,762	$0	$9,636	$0	$33,654	$0	$616,990	$0	$0
MICHAEL MARINO DO
BOARD MEMBER	$0	$360,364	$0	$88,982	$0	$37,778	$0	$10,200	$0	$2,696	$0	$500,020	$0	$0
MICHEL RICCIONI
NORCAL REGIONAL CFO	$0	$334,981	$0	$161,077	$0	$59,365	$0	$17,606	$0	$28,401	$0	$601,430	$0	$0
ROBERT DIEHL
VP QUALITY & STRATEGIC SVCS	$189,911	$0	$97,780	$0	$28,898	$0	$11,970	$0	$35,947	$0	$364,506	$0	$0	$0
ROBERT EISEN
VP HUMAN RESOURCES	$195,777	$0	$93,019	$0	$16,307	$0	$6,158	$0	$20,417	$0	$331,678	$0	$0	$0
VINCENT MORGESE MD
VP MEDICAL AFFAIRS	$321,479	$0	$162,163	$0	$52,136	$0	$11,941	$0	$33,341	$0	$581,060	$0	$0	$0
SUSAN STANTON
VP PATIENT CARE SERVICES	$190,190	$0	$96,275	$0	$30,564	$0	$27,749	$0	$23,266	$0	$368,044	$0	$0	$0
ELAINE JOHN
VP FOUNDATION/CHF DEV OFCR	$194,330	$0	$108,112	$0	$32,201	$0	$10,125	$0	$25,163	$0	$369,931	$0	$0	$0
ANGELA BURR
LEAD, RADIOLOGY NURSE	$266,226	$0	$0	$0	$675	$0	$21,741	$0	$33,811	$0	$322,453	$0	$0	$0
ROBERT LEE
LEAD, RNFA	$233,620	$0	$0	$0	$700	$0	$26,036	$0	$23,759	$0	$284,115	$0	$0	$0
PAUL DEUS
RNFA II	$224,299	$0	$0	$0	$800	$0	$22,600	$0	$34,755	$0	$282,454	$0	$0	$0
MARC EBELING
SHIFT LEAD, RN	$210,102	$0	$0	$0	$650	$0	$17,854	$0	$35,688	$0	$264,294	$0	$0	$0
KAMI TIMM
INTRM VP MISSION INT (FMR OFR)	$122,128	$0	$47,740	$0	$2,590	$0	$13,333	$0	$11,139	$0	$196,930	$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 OF FORM 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED 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 DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THERE WAS NO PAYMENT OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (SERP 457F PAYOUT) IN CALENDAR YEAR 2013.
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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CARDIOLOGY CONSULT OF NAPA VALLEY
SEE PART V	$434,027	CARDIOLOGY SERVICES	false
PACIFIC PATHOLOGY ASSOC OF NAPA
SEE PART V	$241,420	PATHOLOGY SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV	FormAndLineReferenceDesc
Explanation	JAMES SREBRO M.D. SERVES ON THE BOARD OF THE QUEEN OF THE VALLEY MEDICAL CENTER AND IS ALSO A PARTNER OF CARDIOLOGY CONSULTANTS OF NAPA VALLEY MEDICAL CORPORATION. MICHAEL MERWIN M.D. SERVES ON THE BOARD OF THE QUEEN OF THE VALLEY MEDICAL CENTER AND IS ALSO A CO-OWNER OF PACIFIC PATHOLOGY ASSOCIATES OF NAPA, INC.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 & PART III, LINE 1	ORGANIZATION'S MISSION AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), QUEEN OF THE VALLEY MEDICAL CENTER IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES, AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE.
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS REALIZING OUR MISSION QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 50 YEARS. SERVING THE COMMUNITIES OF NAPA COUNTY AND SURROUNDING REGION, QVMC IS AN ACUTE CARE HOSPITAL THAT PROVIDES QUALITY CARE IN THE AREAS OF ROBOTIC SURGERY, CANCER CARE, CARDIAC, NEUROSCIENCE, ORTHOPEDICS, WOMANS SERVICES, IMAGING SERVICES, AND REHABILITATION SERVICES. QVMC PROVIDES THE COUNTYS ONLY LEVEL III TRAUMA CENTER AND NEONATAL INTENSIVE CARE UNITY. QVMC IS COMMITTED TO COMMUNITY WELLNESS AND IS ONE OF THE FIRST ACUTE CARE PROVIDERS TO SUCCESSFULLY DEVELOP AND IMPLEMENT A MEDICAL FITNESSS CENTER, SYNERGY, IN THE WELLNESS CENTER ON THE MEDICAL CENTER CAMPUS. WITH OVER 1,300 EMPLOYEES COMMITTED TO REALIZING THE MISSION, QVMC IS ONE OF THE LARGEST EMPLOYERS IN THE NAPA REGION. AS A MEMBER OF ST. JOSEPH HEALTH, QUEEN OF THE VALLEY MEDICAL CENTER 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. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK QVMC IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE, AND 3) HEALTHIEST COMMUNITIES. 1) EVERY INTERACTION WILL BE EXPERIENCED AS A SACRED ENCOUNTER. THE GOAL OF SACRED ENCOUNTER HAS A DIRECT CONNECTION TO THE OVERALL MISSION. OUR VALUE OF DIGNITY CALLS FOR US TO RESPECT EACH PERSON AS AN INHERENTLY VALUABLE MEMBER OF THE HUMAN COMMUNITY AND AS A UNIQUE EXPRESSION OF LIFE. WE STRIVE TO DO THIS BY KEEPING AT THE FOREFRONT OF OUR MINDS THE UNDERSTANDING OF THE IMPACT WE CAN HAVE ON ONE ANOTHER WITH EVERY ACTION WE TAKE. CHRONIC DISEASE IS AMONG THE MOST PREVALENT AND COSTLY OF ALL HEALTH PROBLEMS. ADEQUATE MANAGEMENT OF CHRONIC DISEASES IS DIFFICULT ENOUGH FOR PERSONS WITH FINANCIAL RESOURCES AND SOCIAL SUPPORT; HOWEVER, FOR THOSE WITH FEW FINANCIAL RESOURCES AND/OR SOCIAL SUPPORTS CHRONIC DISEASE MANAGEMENT CAN BE OVERWHELMING. THE CARE NETWORK IS A PROGRAM THAT SERVES LOW-INCOME, UNINSURED AND UNDERINSURED PERSONS LIVING WITH CHRONIC ILLNESSES. A NURSE AND SOCIAL WORK TEAM MAKES HOME VISITS AND HELPS THESE INDIVIDUALS OBTAIN EVERYTHING FROM BASIC NEEDS SUCH AS FOOD AND HOUSING, TO DISEASE MANAGEMENT SKILLS, ALL AT NO OUT OF POCKET EXPENSE TO THE PERSON SERVED. SERVICES INCLUDE CHAPLAINCY AND BEHAVIORAL HEALTH. ALTOGETHER 1,261 REFERRALS FOR BENEFITS (SUCH AS HEALTH INSURANCE AND DISABILITY INCOME) AND BASIC NEEDS (SUCH AS FOOD AND HOUSING) WERE PROVIDED AND OBTAINED. CARE NETWORK SERVICES ASSIST THE CAREGIVER AND/OR FAMILY AS WELL AS THE CLIENT. FOR EXAMPLE, FINANCIAL ASSISTANCE TO PURCHASE FOOD OR PAY UTILITIES PROVIDES SUPPORT TO THE ENTIRE HOUSEHOLD. IN FY14 COMPREHENSIVE COMMUNITY-BASED DISEASE MANAGEMENT SERVICES WERE PROVIDED TO 344 CLIENTS, AND TO 687 HOUSEHOLD MEMBERS FOR A TOTAL OF 1031 INDIVIDUALS SERVED. 2) ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENTS EXPERIENCE THAT DRIVES A DEEPER UNDERSTANDING AND ULTIMATELY A SUSTAINABLE APPROACH TO THE ACHIEVEMENT OF PERFECT CARE. THE IMPORTANCE OF ORAL HEALTH IN THE CONTEXT OF OVERALL HEALTH AND QUALITY OF LIFE CANNOT BE UNDERSCORED. FOR CHILDREN, ORAL PAIN OR DISCOMFORT IMPACTS THE ABILITY TO CONCENTRATE IN SCHOOL, THE ABILITY TO EAT A HEALTHY DIET, AND CAN LEAD TO SERIOUS INFECTION AND OTHER MEDICAL PROBLEMS. IN LIGHT OF A COMMUNITY NEEDS ASSESSMENT INDICATING A NEED FOR ORAL HEALTH CARE FOR NAPA'S LOW-INCOME CHILDREN, QVMC IMPLEMENTED THE CHILDREN'S MOBILE DENTAL CLINIC IN 2005. THIS YEAR THE CLINIC SPANNED NINE LOCATIONS ACROSS THE COUNTY SERVING 2,040 LOW INCOME CHILDREN FOR OVER 4,680 CLINIC VISITS. IN ADDITION 35 LOW-INCOME PRE-SCHOOL CLASSES WERE PROVIDED FREE ORAL HEALTH SCREENINGS FOR OVER 800 CHILDREN AN IMPORTANT COMPONENT OF MOBILE DENTAL SERVICES INCLUDES ORAL HEALTH EDUCATION AIMED AT EMPOWERING PARENTS AND CHILDREN TO IMPROVE AND MAINTAIN ORAL HEALTH. WITH EACH VISIT, THE CHILD'S HEALTH HISTORY IS UPDATED AND EDUCATION IS TAILORED TO MEET THE PATIENT'S NEEDS. THIS YEAR 90% OF 473 PATIENTS (RANDOMLY AUDITED PATIENT RECORDS) DEMONSTRATED ORAL HEALTH IMPROVEMENT AT RECALL VISIT. ACCORDING TO PARENT SURVEY'S ADMINISTERED THROUGH AVATAR, 98% OF 147 RESPONDING PARENTS REPORTED THEIR CHILD IS BRUSHING LONGER OR MORE OFTEN SINCE RECEIVING SERVICES AT THE MOBILE DENTAL CLINIC. 3) THE COMMUNITIES WE SERVE WILL BE AMONG THE HEALTHIEST IN OUR NATION. WE SEEK TO DEVELOP COMMUNITY HEALTH INITIATIVES THAT IMPACT LONG-TERM HEALTH ACROSS THE ENTIRE COMMUNITY. ACCORDING TO THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION, THE SOCIAL DETERMINANTS OF HEALTH ARE ECONOMIC AND SOCIAL CONDITIONS THAT INFLUENCE THE HEALTH OF PEOPLE AND COMMUNITIES. THESE SOCIAL DETERMINANTS OF HEALTH AFFECT FACTORS THAT ARE RELATED TO HEALTH OUTCOMES. EXAMPLES OF SOCIAL DETERMINANTS OF HEALTH INCLUDE ACCESS TO FOOD, HOUSING, QUALITY HEALTH SERVICES, AND LEVEL OF EDUCATION. ONE APPROACH FOR ADDRESSING SOCIAL DETERMINANTS OF HEALTH IS TO PROVIDE EDUCATION AND FACILITATE EMPOWERMENT FOR VULNERABLE POPULATIONS. QVMC IS A PRIMARY PROVIDER OF COMMUNITY HEALTH EDUCATION AMONG LOW-INCOME SPANISH-SPEAKING COMMUNITY MEMBERS IN NAPA. TO IMPROVE SELF-EFFICACY AND CONTRIBUTE TO LIFELONG HEALTH AND WELL-BEING, QUEEN OF THE VALLEY MEDICAL CENTER HAS IMPLEMENTED A PROGRAM TITLED PARENT UNIVERSITY. PARENT UNIVERSITY IS OFFERED AT 5 DIFFERENT UNDERSERVED ELEMENTARY SCHOOLS WITH HIGH NUMBERS OF STUDENTS THAT SPEAK ENGLISH AS A SECOND LANGUAGE TO SPANISH. OVER 80 DIFFERENT CLASS CURRICULUMS ARE OFFERED TO SPANISH SPEAKING PARENTS. CLASSES INCLUDE PARENTING, INTRODUCTION TO COMPUTER, HOW TO PARTICIPATE IN PARENT TEACHER CONFERENCES, HOW TO VOLUNTEER IN THE SCHOOL OR CLASSOOM, HELPING WITH HOMEWORK, LEADERSHIP, AND HEALTH. DURING THE 2013-14 SCHOOL YEAR, 1,176 PARENTS ATTENDED AT LEAST ONE OF THE 84 CLASSES PRESENTED. A TOTAL OF 7,436 PARENT CONTACTS WERE COMPLETED. PROGRAM SERVICE ACCOMPLISHMENTS FINANCIAL ASSISTANCE PROGRAM WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY QVMC, HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE AND/OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. FACTORS USED IN DETERMINING ELIGIBILITY FOR PATIENT FINANCIAL ASSISTANCE INCLUDE INCOME LEVEL, ASSET LEVEL, AND MEDICAL INDIGENCE. IN FY14, QVMC PROVIDED FINANCIAL ASSISTANCE ON 3,334 OCCASIONS TO 2,618 PERSONS. IN ADDITION TO CHARITY CARE, THE UNPAID COSTS OF MEDICAID AND OTHER MEANS TESTED GOVERNMENT PROGRAMS ALL TOTAL $17,791,592 THIS DOES NOT INCLUDE THE UNPAID COSTS OF MEDICARE WHICH ALONE TOTALS AN ADDITIONAL $25,268,742. SINCE ITS BEGINNING, QUEEN OF THE VALLEY MEDICAL CENTER EXTENDED ITS ROLE FAR BEYOND THE TRADITIONAL MEDICAL MODEL AND HAS DEDICATED ITSELF TO SERVING AS A CATALYST IN PROMOTING AND SAFEGUARDING THE HEALTH OF THE COMMUNITY. WE CONTINUE OUR COMMITMENT TO WORK COLLABORATIVELY AS A KEY COMMUNITY PARTNER TO ENHANCE THE HEALTH AND QUALITY OF LIFE FOR NAPA COUNTY'S MOST VULNERABLE COMMUNITIES. THROUGH THE COMMUNITY OUTREACH DEPARTMENT, QVMC PROVIDES PROGRAMS AND COMMUNITY SUPPORT TO ADDRESS UNMET OR CRITICAL HEALTH RELATED NEEDS AND IMPROVE THE HEALTH OF THE COMMUNITY AT-LARGE, PARTICULARLY FOR LOW-INCOME UNDERSERVED COMMUNITY MEMBERS. COMMUNITY OUTREACH WORKS IN CONCERT WITH COMMUNITY PARTNERS TO EXPAND ACCESS, LEVERAGE RESOURCES, AND ADDRESS BROAD COMMUNITY CONCERNS. IN ADDITION TO THE FINANCIAL ASSISTANCE PROGRAM AND THE UNPAID COST OF MEDICAID AND OTHER MEANS TESTED PROGRAMS TOTALING $17,791,592 QVMC HAS DEVELOPED AND IMPLEMENTED COMMUNITY BENEFIT PROGRAMS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THESE COMMUNITY BENEFIT PROGRAMS INVEST AN ADDITIONAL $4,502,607. AREAS ADDRESSED THROUGH T
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 ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND 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 AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE APRIL 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.
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 THE 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 QUEEN OF THE VALLEY MEDICAL CENTER 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 HEALTH 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 2013. DURING THE YEAR, THE QUEEN OF THE VALLEY MEDICAL CENTER COMPENSATION COMMITTEE REVIEWED AND APPROVED ANY CHANGES IN COMPENSATION FOR KEY EXECUTIVES PREDICATED ON THE ANALYSIS AND RECOMMENDATION BY AN INDEPENDENT THIRD PARTY CONSULTING FIRM WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION. IN ADDITION, ANNUAL INCENTIVE AWARDS ARE REVIEWED AND APPROVED PRIOR TO PAYMENT CONSISTENT WITH THE MOST RECENT COMPENSATION BIENNIAL REVIEW AND IN ACCORDANCE WITH THE PLAN DOCUMENT. THESE ACTIONS ARE DOCUMENTED IN DETAILED MINUTES WHICH ARE SUBSEQUENTLY APPROVED AT THE COMMITTEE MEETING.
FORM 990, PART VI, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FINANCIAL STMTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
FORM 990, PART IX, LINE 11G	OTHER FEES FOR SERVICES (NON-EMPLOYEES) DIRECTOR/PHYSICIAN, ON CALL - $ 8,082,975 OTHER PURCHASED SERVICES - $ 6,775,915 REPAIRS & MAINTENANCE - $ 5,539,614 REGISTRY/CONTRACT LABOR - $ 4,902,376 MEDICAL PURCHASED SERVICES - $ 3,141,124 COLLECTION AGENCIES - $ 1,621,072 PHYSICIAN'S ASSISTANCE - $ 127,097 EMPLOYEE RECRUITMENT - $ 12,056 ------------ TOTAL $ 30,202,229 ============
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS/FUND BALANCE EQUITY TRANSFER TO SJHS - $(10,344,651) EQUITY TRANSFER TO HERITAGE - $ (3,923,252) ROUNDING - $ (14) --------------- TOTAL $(14,267,917) ===============

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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 HEALTH PARTNERS
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
4000 24TH STREET	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 PHYSICIAN PARTNERS
3615 19TH STREET	LUBBOCK	TX	79410	463516417	HEALTHCARE	TX	501(C)(3)	3	CHS	Yes (true)
HOAG CHARITY SPORTS
3920 BIRCH STREET SUITE 105	NEWPORT BEACH	CA	92660	452982422	SUPPORT	CA	501(C)(3)	7	HHF	Yes (true)
HOAG HOSPITAL FOUNDATION
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92663	953222343	FUNDRAISING	CA	501(C)(3)	7	HMHP	Yes (true)
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DRIVE 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
1102 SLIDE ROAD	LUBBOCK	TX	79414	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
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
170 PROFESSIONAL CENTER DR B	ROHNERT PARK	CA	94928	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
500 S MAIN STREET STE 1000	ORANGE	CA	92868	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	WORKFORCE DEV	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 (19 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTH	CA	NA	N/A
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTH	CA	NA	N/A
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE SVCS	TX	NA	N/A
SHA LLC
INSURANCE	TX	NA	N/A
LUBBOCK SURGERY CENTER LTD
HEALTHCARE SVCS	TX	NA	N/A
COVENANT LONG-TERM CARE LP
HEALTHCARE SVCS	TX	NA	N/A
HERITAGE INVESTMENT GROUP
INVESTMENTS	CA	NA	N/A
MISSION AMBULATORY SURGICENTER
HEALTHCARE SVCS	CA	NA	N/A
COMPREHENSIVE IMAGING PARTNERS
HEALTHCARE SVCS	CA	NA	N/A
ST JOSEPH PHYSICIAN VENTURES
REAL ESTATE	CA	NA	N/A
ADVANCED SURGERY INSTITUTE LLC
HEALTHCARE SVCS	CA	NA	N/A
HOAG OUTPATIENT CENTERS
HEALTHCARE SVCS	CA	NA	N/A
NEWPORT IMAGING CENTER
HEALTHCARE SVCS	CA	NA	N/A
HOAG ORTHOPEDIC INSTITUTE
HEALTHCARE SVCS	CA	NA	N/A
MAIN ST SPECIALTY SURGERY CNTR
HEALTHCARE SVCS	CA	NA	N/A	SEE PART VII	SANTA ROSA	CA	95404	262299255
ORTHOPEDIC SURGERY CNTR OF OC
HEALTHCARE SVCS	CA	NA	N/A
THE INSTITUTE FOR INNOVATION
HEALTHCARE SVCS	DE	NA	N/A
HEALTHCARE DESIGN & CONSTRUCT
REAL ESTATE	DE	NA	N/A
NORTH BAY ENDOSCOPY CENTER
HEALTHCARE SVCS	CA	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ST JOSEPH PROF SVCS ENTERPRISES INC
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	330155323	HEALTHCARE SVCS	CA	NA	C-CORP
AMERICAN UNITY GROUP LTD
					CAPTIVE INSURANCE		NA	C-CORP	58 PAR-LA-VILLE ROAD	HAMILTON HM HX	BD	BD
ALLIANCE PHYSICIAN SERVICES
					INACTIVE	CA	NA	C-CORP
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354	MISSION VIEJO	CA	92691	330212905	HEALTHCARE SVCS	CA	NA	C-CORP
ST JOSEPH YORBA PARK
					INACTIVE	CA	NA	C-CORP
LUBBOCK METHODIST HOSPITAL SVCS
PO BOX 1201	LUBBOCK	TX	79410	752118585	HEALTHCARE SVCS	TX	NA	C-CORP
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET STE 300	LUBBOCK	TX	79410	752578995	INACTIVE	TX	NA	C-CORP
HOAG MANAGEMENT SERVICES INC
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330731587	HEALTHCARE SVCS	CA	NA	C-CORP
COASTAL MANAGEMENT SERVICES ORGANIZATION
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	330676831	HEALTHCARE SVCS	CA	NA	C-CORP
HMTS INC FKA HOAG MEDICAL FOUNDATION
1 HOAG DRIVE BOX 6100	NEWPORT BEACH	CA	92658	453583707	HEALTHCARE SVCS	CA	NA	C-CORP
ST JOSEPH HEALTH SOURCE INC
3345 MICHELSON DRIVE SUITE 100	IRVINE	CA	92612	461900168	HEALTHCARE SVCS	CA	NA	C-CORP
DATU HEALTH INC
16150 MAIN CIRCLE DR SUITE 250	CHESTERFIELD	MO	63017	463070062	IT SVCS	MO	NA	C-CORP
ST JOSEPH HEALTH
3345 MICHELSON DR SUITE 100	IRVINE	CA	92612	462340232	HOLDING COMPANY	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
St Jude Hospital Yorba Linda
b	$3,923,252	Accrual
QUEEN OF THE VALLEY MEDICAL CENTER FOUNDATION
l	$1,621,345	Accrual
QUEEN OF THE VALLEY MEDICAL CENTER FOUNDATION
c	$1,189,052	Accrual
St Joseph Health System Foundation
c	$802,243	Accrual
St Joseph Hospital Of Eureka
q	$297,776	Accrual
Santa Rosa Memorial Hospital
o	$835,378	Accrual
St Jude Hospital Yorba Linda
r	$6,851,956	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 ST. JOSEPH HEALTH SYSTEM HOME HEALTH AGENCY EIN: 33-0282945 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 200 ORANGE, CA 92868-2012 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES EIN: 33-0307672 ADDRESS: 1845 W. ORANGEWOOD AVENUE, STE. 100, ORANGE, CA 92868-2012 METHODIST DIAGNOSTIC IMAGING EIN: 75-2343261 ADDRESS: 4005 24TH STREET, LUBBOCK, TX 79410 SHA, LLC EIN: 75-2569094 ADDRESS: 12940 NORTH HIGHWAY 183, AUSTIN, TX 78750 LUBBOCK SURGERY CENTER, LTD. EIN: 75-2177401 ADDRESS: 2301 QUAKER, LUBBOCK, TX 79410 COVENANT LONG-TERM CARE, LP EIN: 20-5033419 ADDRESS: 4000 24TH STREET, LUBBOCK, TX 79410 HERITAGE INVESTMENT GROUP I, LLC EIN: 27-1000061 ADDRESS: 3345 MICHELSON DRIVE, STE. 100, IRVINE, CA 92612 MISSION AMBULATORY SURGICENTER, LTD EIN: 33-0355575 ADDRESS: 27800 MEDICAL CENTER ROAD, STE. 362, MISSION VIEJO, CA 92691 COMPREHENSIVE IMAGING PARTNERS OF ORANGE COUNTY, LLC EIN: 26-4591502 ADDRESS: ONE CITY BOULEVARD WEST, SUITE 1100, ORANGE, CA 92868 ST. JOSEPH PHYSICIAN VENTURES I, LLC EIN: 45-4521884 ADDRESS: 1100 WEST STEWART DRIVE, ORANGE, CA 92868 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404 HOAG OUTPATIENT CENTERS EIN: 45-3587572 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 NEWPORT IMAGING CENTER EIN: 33-0191776 ADDRESS: 360 SAN MIGUEL, NEWPORT BEACH, CA 92660 HOAG ORTHOPEDIC INSTITUTE EIN: 61-1588294 ADDRESS: 1 HOAG DRIVE, BOX 6100, NEWPORT BEACH, CA 92658 MAIN ST SPECIALTY SURGERY CENTER EIN: 95-4813223 ADDRESS: 280 MAIN STREET, STE 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 THE INSTITUTE FOR INNOVATION, LLC EIN: 90-0745066 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 HEALTHCARE DESIGN AND CONSTRUCTION EIN: 46-2611662 ADDRESS: 1 CENTERPOINTE DRIVE SUITE 200, LA PALMA, CA 90623-1052 NORTH BAY ENDOSCOPY CENTER, LLC EIN: 61-1559876 ADDRESS: 1383 N. MCDOWELL BLVD SUITE 110, PETALUMA, CA 94954	ExplanationTxt