QUEEN OF THE VALLEY MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
QUEEN OF THE VALLEY MEDICAL CENTER (EIN 94-1243669)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201421329349303427
Schema version
2012v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-12T19:01:48-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941243669EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1QUEEN OF THE VALLEY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MICHEL RICCIONI CFOInCareOfName
Name ControlQUEENameControl
Phone7072524411Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 TRANCAS STREETAddressLine1
Address Line2SuiteAddressLine2
CityNAPACity
StateCAState
ZIP Code94558ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHEL RICCIONIName
TitleCFOTitle
Date Signed2014-05-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone9497942300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWALTER A MICKENSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1SAME AS C ABOVEAddressLine1
CityNAPACity
StateCAState
ZIP Code94558ZIPCode
FieldValueIRS element (for citing)
Gross Receipts285354984GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.THEQUEEN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees1334TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI14204TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3047794ContributionsGrantsPriorYear
Contributions Grants Current Year7131531ContributionsGrantsCurrentYear
Program Service Revenue Prior Year246621769ProgramServiceRevenuePriorYear
Program Service Revenue CY263998301ProgramServiceRevenueCY
Investment Income Prior Year6140535InvestmentIncomePriorYear
Investment Income Current Year13867055InvestmentIncomeCurrentYear
Other Revenue Prior Year-318904OtherRevenuePriorYear
Other Revenue Current Year272979OtherRevenueCurrentYear
Total Revenue Prior Year255491194TotalRevenuePriorYear
Total Revenue Current Year285269866TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year445777GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1838394GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year141506540SalariesEtcPriorYear
Salaries Etc Current Year137818249SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1659397TotalFundrsngExpCurrentYear
Other Expense Prior Year117261207OtherExpensePriorYear
Other Expenses Current Year122603978OtherExpensesCurrentYear
Total Expenses Prior Year259213524TotalExpensesPriorYear
Total Expenses Current Year262260621TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3722330RevenuesLessExpensesPriorYear
Revenues Less Expenses CY23009245RevenuesLessExpensesCY
Total Assets BOY435549223TotalAssetsBOY
Total Assets EOY451289035TotalAssetsEOY
Total Liabilities BOY188729612TotalLiabilitiesBOY
Total Liabilities EOY186164976TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY246819611NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY265124059NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense242552718Expense
Grants1838394Grants
Revenue264189791Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense242552718TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096268NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1334NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHEL RICCIONI CFONamePerson
Telephone Number7072524411TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 TRANCAS STAddressLine1
CityNAPACity
StateCAState
ZIP Code94558ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOSEPH CARRILLO MD
BOARD MEMBER2.00.0X37500
FRANK COLLIN
VICE CHAIR/CHAIR5.00.0X000
JOHN DIANA MD
VICE CHIEF OF STAFF2.00.0X12980000
DIANE DORAME ESQ
BOARD MEMBER2.00.0X000
ED FARVER
BOARD MEMBER2.00.0X000
SISTER JUDITH FERGUS CSJ
BOARD MEMBER2.00.0X000
SISTER PATRICIA HAYHURST CSJ
BOARD MEMBER2.00.0X000
CONRAD HEWITT
VICE CHAIR3.00.0X000
BROTHER THOMAS JONES FSC
BOARD MEMBER2.00.0X000
PAM KINDIG
BOARD MEMBER2.00.0X000
SISTER MARY BERNADETTE MCNULTY
BOARD MEMBER2.00.0X000
MICHAEL MERWIN MD
CHIEF OF STAFF2.00.0X5750000
WALTER MICKENS
CEO50.00.0X061016037911X
BETTY O'SHAUGHNESSY
SECRETARY2.00.0X000X
SISTER SUZANNE SASSUS CSJ
BOARD MEMBER2.00.0X000
WYMAN SMITH
CHAIR (THRU 12/31/12)5.00.0X000
JAMES SREBRO MD
VICE CHIEF OF STAFF2.00.0X18800
JAMES TIDGEWELL
BOARD MEMBER2.00.0X000
MICHAEL MARINO DO
BOARD MEMBER2.00.0X000
MICHEL RICCIONI
INTERIM CFO50.00.0050765144578X
KAMI TIMM
INTERIM VP OF MISSION INT50.00.0121676019576X
ROBERT DIEHL
VP QUALITY & STRATEGIC SVCS50.00.0238731043539X
ROBERT EISEN
VP HUMAN RESOURCES50.00.0213940015223X
VINCENT MORGESE MD
VP MEDICAL AFFAIRS50.00.0402883040311X
SUSAN STANTON
VP PATIENT CARE SERVICES50.00.0239542042976X
ELAINE JOHN
VP FOUNDATION/CHF DEV OFCR50.00.0299276030445X
ANGELA BURR
LEAD, RADIOLOGY NURSE40.00.0257393060548X
ROBERT LEE
LEAD, RNFA40.00.0245305048524X
PAUL DEUS
RNFA II40.00.0239414057671X
LYNETTE STARNES
NURSE,STAFF II36.00.0223765053005X
DENNIS SISTO
CEO (FORMER OFFICER)0.00.002626483508X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2669788TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1380459TotalReportableCompFrmRltdOrgs
Total Other Compensation497815TotalOtherCompensation
Number Individuals GT100 K384NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANESTHESIA ANALGELSIA MEDICAL GRP
837 FIFTH STREET 2ND FLOORSANTA ROSACA95404ANESTHESIOLOGY SVCS1211982
RADIOLOGY MED GROUP OF NAPA
PO BOX 348120SACRAMENTOCA95834RADIOLOGY SERVICES1197779
REGENTS OF UCSF
1855 FOLSOM ST SUITE 425 BOX 081SAN FRANCISCOCA94143NEUROSURGERY SVCS936275
E PAUL REID MD PC
170 SOUTHPORT DRMORRISVILLENC27560GENERAL SURGERY SVCS928330
M ATCHISON CRNA INC
107 MAC INNES COURTNAPACA94558ANESTHESIOLOGY SVCS439700
FieldValueIRS element (for citing)
Number Of Contractors GT100 K23NumberOfContractorsGT100K
Related Organizations6868934RelatedOrganizations
Government Grants219889GovernmentGrants
All Other Contributions42708AllOtherContributions
Total Contributions7131531TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE622110256848479256848479
SYNERGY WELLNESS CENTER7139404637978462377414204
CAFETERIA722310642091642091
MEDICAL OFFICE BUILDING531120485125485125
EHR REVENUE90009911401140

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1383488TotalRevenueColumn
Related Or Exempt Function Income1383488RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue263998301TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3222281TotalRevenueColumn
Exclusion$3,222,281ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column393063TotalRevenueColumn
Exclusion$393,063ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10242623Securities
Other9088Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10242623Securities
Other9088Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10251711TotalRevenueColumn
Exclusion$10,251,711ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory166607GrossSalesOfInventory
Cost Of Goods Sold85118CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column81489TotalRevenueColumn
Exclusion$81,489ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LIFELINE REVENUE900099216939216939
OTHER NON-OPERATING REVENUE900099-25449-25449
FieldValueIRS element (for citing)
Total Other Revenue191490TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column285269866TotalRevenueColumn
Related Or Exempt Function Income264175587RelatedOrExemptFunctionIncome
Unrelated Business Revenue14204UnrelatedBusinessRevenue
Exclusion$13,948,544ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1838394Total
Program Services1838394ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2014892Total
Management And General2014892ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total83202914Total
Program Services78334540ProgramServices
Management And General3979726ManagementAndGeneral
Fundraising888648Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5824062Total
Program Services5563829ProgramServices
Management And General232460ManagementAndGeneral
Fundraising27773Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total39433316Total
Program Services36159641ProgramServices
Management And General3010827ManagementAndGeneral
Fundraising262848Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7343065Total
Program Services6985010ProgramServices
Management And General289030ManagementAndGeneral
Fundraising69025Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total434016Total
Program Services434016ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total883219Total
Program Services289447ProgramServices
Management And General593772ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total303763Total
Management And General288101ManagementAndGeneral
Fundraising15662Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total36647000Total
Program Services29959785ProgramServices
Management And General6454233ManagementAndGeneral
Fundraising232982Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total194636Total
Program Services40207ProgramServices
Management And General124572ManagementAndGeneral
Fundraising29857Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1855881Total
Program Services1649625ProgramServices
Management And General165900ManagementAndGeneral
Fundraising40356Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8477358Total
Program Services8389290ProgramServices
Management And General28377ManagementAndGeneral
Fundraising59691Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3891590Total
Program Services3885265ProgramServices
Management And General1276ManagementAndGeneral
Fundraising5049Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total389309Total
Program Services315289ProgramServices
Management And General59845ManagementAndGeneral
Fundraising14175Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total101905Total
Program Services87631ProgramServices
Management And General5280ManagementAndGeneral
Fundraising8994Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total4720428Total
Program Services4714211ProgramServices
Management And General6217ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17727596Total
Program Services17595501ProgramServices
Management And General130562ManagementAndGeneral
Fundraising1533Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1408661Total
Program Services875697ProgramServices
Management And General530160ManagementAndGeneral
Fundraising2804Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES3036411830364118
CA HOSPITAL FEE PROGRAM1460908514609085
LICENSING EXPENSES595413462137133276

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total262260621Total
Program Services242552718ProgramServices
Management And General18048506ManagementAndGeneral
Fundraising1659397Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14936890BOY
EOY18307751EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY137509795BOY
EOY93511159EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

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BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32614929BOY
EOY30941982EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY718127BOY
EOY231551EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3749031BOY
EOY3767313EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY953552BOY
EOY676284EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis395331290LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec191013432LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY175235012BOY
EOY204317858EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY62182347BOY
EOY80118527EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

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BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7649540BOY
EOY19416610EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY435549223BOY
EOY451289035EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31848909BOY
EOY31786363EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2050000BOY
EOY2050000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY154830703BOY
EOY152328613EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY188729612BOY
EOY186164976EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY246819611BOY
EOY265124059EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY246819611BOY
EOY265124059EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY435549223BOY
EOY451289035EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses23009245ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-675323ReconciliationUnrealizedInvest
Reconcilation Other Changes-4029474ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$33,139OtherActivitiesAmount
Total Lobbying Expenditures IIB33139TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationPORTION OF DUES PAID TO HOSPITAL ASSOCIATIONS FOR 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6649649OtherCostOrOtherBasis
Book Value6649649BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis136008069OtherCostOrOtherBasis
Depreciation92140660Depreciation
Book Value43867409BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis530350OtherCostOrOtherBasis
Depreciation418821Depreciation
Book Value111529BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis143932263OtherCostOrOtherBasis
Depreciation98453951Depreciation
Book Value45478312BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis108210959OtherCostOrOtherBasis
Book Value108210959BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings204317858TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INTERCO. WITH HEALTH SYSTEM-BONDS$151,747,430
PATIENT CREDIT BALANCES$581,183
FieldValueIRS element (for citing)
Total Of Amounts152328613TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierCONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationACCOUNTING 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, DISCLOSURES, 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, 2013 OR 2012.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2624524TotalCommunityBenefitExpense
Net Community Benefit Expense2624524NetCommunityBenefitExpense
Percent Of Total Expense0.01010PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense46594071TotalCommunityBenefitExpense
Direct Offsetting Revenue39543301DirectOffsettingRevenue
Net Community Benefit Expense7050770NetCommunityBenefitExpense
Percent Of Total Expense0.02700PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense7092640TotalCommunityBenefitExpense
Direct Offsetting Revenue3998450DirectOffsettingRevenue
Net Community Benefit Expense3094190NetCommunityBenefitExpense
Percent Of Total Expense0.01190PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense56311235TotalCommunityBenefitExpense
Direct Offsetting Revenue43541751DirectOffsettingRevenue
Net Community Benefit Expense12769484NetCommunityBenefitExpense
Percent Of Total Expense0.04900PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3377817TotalCommunityBenefitExpense
Direct Offsetting Revenue1664DirectOffsettingRevenue
Net Community Benefit Expense3376153NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense6615TotalCommunityBenefitExpense
Net Community Benefit Expense6615NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense729532TotalCommunityBenefitExpense
Direct Offsetting Revenue338523DirectOffsettingRevenue
Net Community Benefit Expense391009NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense433061TotalCommunityBenefitExpense
Net Community Benefit Expense433061NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4547025TotalCommunityBenefitExpense
Direct Offsetting Revenue340187DirectOffsettingRevenue
Net Community Benefit Expense4206838NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense60858260TotalCommunityBenefitExpense
Direct Offsetting Revenue43881938DirectOffsettingRevenue
Net Community Benefit Expense16976322NetCommunityBenefitExpense
Percent Of Total Expense0.06510PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense115186TotalCommunityBuildingExpense
Net Community Building Expense115186NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense115186TotalCommunityBuildingExpense
Net Community Building Expense115186NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$11,997,121BadDebtExpenseAmount
Amount Reimbursed By Medicare63847085AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare86976786CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-23129701MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1QUEEN OF THE VALLEY MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11000 TRANCAS STREETAddressLine1
CityNAPACity
StateCAState
ZIP Code94558ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.thequeen.orgWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1QUEEN OF THE VALLEY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent500.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notified All PatientsXNotifiedAllPatients
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
OUTPATIENT SURGERY & PROCEDURES CENTER
1000 TRANCAS STNAPACA94558OUTPATIENT SERVICES
NAPA VALLEY IMAGING CENTER
1000 TRANCAS STNAPACA94558OUTPATIENT SERVICES
LAB DRAW STATION
980 TRANCAS STNAPACA94558OUTPATIENT SERVICES
QUEEN OF THE VALLEY WELLNESS CENTER
3421 VILLA LNNAPACA94558OUTPATIENT SERVICES - CARDIAC REHAB
NAPA VALLEY WOMEN'S HEALTH CARE
1100 TRANCAS ST 209NAPACA94558OUTPATIENT SERVICES - OB GYN
OCCUP HLTH & PHYS THERAPY CNTRWORK HLTH
1100 TRANCAS ST 300NAPACA94558OUTPATIENT SERVICES
MOBILE DENTAL VAN
1000 TRANCAS STNAPACA94558OUTPATIENT SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 7THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM.
SCHEDULE H, PART I, LINE 7GNO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED.
SCHEDULE H, PART IICOMMUNITY 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 2THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S PATIENT COST-TO-CHARGE RATIO.METHODOLOGY FOR CALCULATING BAD DEBT
SCHEDULE H, PART III, LINE 4PAGE 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 EXPENSE.FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT:
SCHEDULE H, PART III, LINE 8THE 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.BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS:
SCHEDULE H, PART III, LINE 9BQUEEN 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 A PARTIAL DISCOUNT.
SCHEDULE H, PART V, SECTION B, LINE 3THREE METHODS OF COLLECTING INPUT FROM THE COMMUNITY WERE USED IN THE ASSESSMENT PROCESS; 1) COMMUNITY QUESTIONNAIRE, 2) COMMUNITY FOCUS GROUPS, AND 3) KEY INFORMANT INTERVIEWS. A QUESTIONNAIRE WAS DEVELOPED IN ENGLISH AND SPANISH FOR THE GENERAL PUBLIC THAT INQUIRED ABOUT MOST-IMPORTANT HEALTH NEEDS, IDEAS FOR RESPONSIVE SOLUTIONS, AND HABITS THEY USED TO MAINTAIN THEIR OWN PERSONAL HEALTH. THE SURVEY WAS DISTRIBUTED IN HARD COPY BY THE CONSULTANTS AND MEMBERS OF THE COLLABORATIVE TO LOCATIONS WHERE THE GROUPS OF INTEREST WOULD BEST BE REACHED, SUCH AS AT HEALTH FAIRS, BRANCHES OF PUBLIC LIBRARIES, AND BOYS AND GIRLS CLUBS, AND FAMILY RESOURCE CENTERS THROUGHOUT THE COUNTY. IN ADDITION, THE SURVEY WAS MADE AVAILABLE BY COMPUTER (ENGLISH/SPANISH) AND NOTICES ABOUT THE ONLINE VERSION WERE POSTED ON VARIOUS ORGANIZATIONS' WEBSITES AND IN THEIR NEWSLETTERS INCLUDING, TO A LIMITED DEGREE, SPANISH-SPEAKING MEDIA OUTLETS. FOCUS GROUPS WERE CONDUCTED IN FOUR LOCATIONS-NAPA, CALISTOGA, ST. HELENA, AND AMERICAN CANYON-TO ENSURE GEOGRAPHIC REPRESENTATION AND 9 COMMUNITY FOCUS GROUPS WERE CONDUCTED AT SITES INTENDED TO DRAW POPULATIONS THAT TYPICALLY GATHERED THERE. TO ENSURE THAT WORKING PEOPLE COULD ATTEND, SOME OF THE MEETINGS WERE HELD IN THE EVENING. ONE MEETING WAS HELD IN THE EARLY MORNING TO ACCOMMODATE PEOPLE COMING TO DROP THEIR CHILDREN OFF AT A PRESCHOOL, AND OTHER DAYTIME MEETINGS WERE HELD FOR SENIORS OR OTHERS WHO HAD DIFFICULTY DRIVING AT NIGHT OR DID NOT LIKE TO GO OUT AFTER DARK. THE GROUPS WERE FACILITATED IN ENGLISH AND SPANISH WITH A BILINGUAL/BICULTURAL FACILITATOR USING A SET OF KEY QUESTIONS. KEY INFORMANT INTERVIEWS CONSISTED OF IN-DEPTH TELEPHONE INTERVIEWS USING A STRUCTURED SET OF QUESTIONS WITH A REPRESENTATIVE GROUP OF 20 INDIVIDUALS WHOSE PERCEPTIONS AND EXPERIENCE WERE INTENDED TO INFORM THE ASSESSMENT. THE INTERVIEWS ALSO FOCUSED THE NEEDS ASSESSMENT ON PARTICULAR ISSUES OF CONCERN WHERE INDIVIDUALS WITH PARTICULAR EXPERTISE COULD CONFIRM OR DISPUTE PATTERNS IN THE DATA AND IDENTIFY DATA AND OTHER STUDIES THE COLLABORATIVE MIGHT NOT OTHERWISE BE AWARE OF. SUBJECT KNOWLEDGE EXPERTS IN PUBLIC HEALTH AND COMMUNITY LEADERS INTERVIEWED PUBLIC HEALTH EXPERTS INTERVIEWED INCLUDED: 1)DR. KAREN SMITH, MD, MPH, PUBLIC HEALTH OFFICER AND DEPUTY DIRECTOR NAPA COUNTY PUBLIC HEALTH WHO HAS OVER 20 YEARS' EXPERIENCE IN LOCAL PUBLIC HEALTH WITH KNOWLEDGE OF PUBLIC HEALTH PRACTICE, COMMUNITY HEALTH ASSESSMENT, HEALTH EQUITY AND HEALTH DISPARITIES, PUBLIC HEALTH LAW AND ADVOCACY. 2) RANDY SNOWDEN, JD, DIRECTOR NAPA COUNTY HEALTH AND HUMAN SERVICES SINCE 2005; 3) JAYE VANDERHURST, MSW, DIRECTOR NAPA COUNTY MENTAL HEALTH DIVISION; 4) DR. ROBERT MOORE MD, MPH MEDICAL DIRECTOR COMMUNITY HEALTH CLINIC OL, LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC); 5) DR. JAMES COTTER, MD CHIEF PHYSICIAN KAISER PERMANENTE, NAPA MEDICAL OFFICES; 6) LAURA RYAN ADMINISTRATOR, ASSESSMENT AND INTERVENTION NAPA VALLEY UNIFIED SCHOOL DISTRICT; 7) DIANE DILLON SUPERVISOR- DISTRICT 3, NAPA COUNTY NAPA COUNTY BOARD OF SUPERVISORS FOR DISTRICT 3 - NAPA COUNTRY; 8) CAPTAIN CONRAD PEREZ, CAPTAIN CITY OF NAPA FIRE DEPARTMENT; 9) DRENE JOHNSON EXECUTIVE DIRECTOR COMMUNITY ACTION NAPA VALLEY WHO OVERSEES ALL COUNTY HOMELESS SHELTERS AND MAJORITY OF FOOD SAFETY NET SERVICES; 10) LORI PESAVENTO EXECUTIVE DIRECTOR FAMILY SERVICE NAPA VALLEY, LEADER IN MENTAL HEALTH SERVICES FOR UNDERSERVED. OTHER INTERVIEWEES REPRESENTING BROAD INTERESTS OF THE COMMUNITY INCLUDED: 1) JOELLE GALLAGHER EXECUTIVE DIRECTOR COPE FAMILY RESOURCE CENTER; 2) KRISTEN GEORGE EXECUTIVE DIRECTOR ST HELENA FAMILY RESOURCE CENTER; 3) STEPHANIE PERRY EXECUTIVE DIRECTOR CALISTOGA FAMILY RESOURCE CENTER; 4) TIM MITCHELL SENIOR PASTOR PACIFIC UNION COLLEGE CHURCH, ANGWIN; 5) TOM AMATO EXECUTIVE DIRECTOR ANGWIN COMMUNITY TEEN CENTER; 6) MARK DIEHL EXECUTIVE DIRECTOR CHILDREN'S HEALTH INITIATIVE; 7) MARGARET PAYNE DIRECTOR QUALITY MANAGEMENT ST. HELENA HOSPITAL BEHAVIORAL HEALTH; 8) MARK FOWLER DIRECTOR HR ST. HELENA HOSPITAL; 9) WALT MICKENS TRUSTEE, PRESIDENT AND CEO QUEEN OF THE VALLEY MEDICAL CENTER. FACILITATING THE CHNA PROCESS AND REPORTING WAS A CONTRACTED THIRD PARTY CONSULTANT, BARBARA M. AVED, PHD, MBA, WHO IS PRESIDENT OF BARBARA AVED AND ASSOCIATES (BAA). SHE IS AN EXPERIENCED PUBLIC HEALTH PROFESSIONAL, CONSULTANT, MANAGER, EVALUATOR, AND TRAINER. UNTIL 1986, DR. AVED WAS CHIEF OF THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES MANAGED CARE OPERATIONS BRANCH WHERE SHE OVERSAW 250 MEDI-CAL CONTRACTS WITH CALIFORNIA HOSPITALS AND MANAGED CARE PLANS. DR. AVED'S EARLY CAREER AS A NURSE PRACTITIONER AND CLINIC DIRECTOR CREATED A STRONG PERSONAL INTEREST IN AND COMMITMENT TO ISSUES THAT AFFECT THE DIVERSITY OF CALIFORNIA'S POPULATION.
SCHEDULE H, PART V, SECTION B, LINE 4QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) COMMUNITY HEALTH NEEDS ASSESSMENT WAS MADE POSSIBLE THROUGH A PARTNERSHIP BETWEEN QVMC AND THE FOLLOWING ORGANIZATIONS: KAISER PERMANENTE, ST. HELENA HOSPITAL, AND NAPA COUNTY PUBLIC HEALTH DEPARTMENT. SCHEDULE H, PART V, SECTION B, LINE 5A THIS COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE TO THE PUBLIC USING THE FOLLOWING URL: WWW.THEQUEEN.ORG/DOCUMENTS/QVMC_CHNA_501R_ALIGNMENT_FINAL_COMBINED.PDF
SCHEDULE H, PART V, SECTION B, LINE 7THE FOLLOWING HEALTH NEEDS WILL NOT BE ADDRESSED DIRECTLY THROUGH A QUEEN OF THE VALLEY MEDICAL CENTER INITIATIVE OR PROGRAM BECAUSE THEY ARE ALREADY DIRECTLY ADDRESSED BY LOCAL NON-PROFIT ORGANIZATIONS THAT HAVE THE EXPERTISE TO DIRECTLY ADDRESS THE FOLLOWING AREAS OF NEED: 1) BASIC NEEDS (HOUSING), 2) BASIC NEEDS (JOBS), 3) BASIC NEEDS (TRANSPORTATION), 4) BASIC NEEDS (ENVIRONMENTAL), AND 5) SUBSTANCE ABUSE. QUEEN OF THE VALLEY MEDICAL CENTER WILL COLLABORATE WITH LOCAL ORGANIZATIONS THAT ADDRESS AFOREMENTIONED COMMUNITY NEEDS, AS APPROPRIATE, TO COORDINATE CARE AND REFERRAL AND ADDRESS THESE UNMET NEEDS. FOR FURTHER INFORMATION, PLEASE SEE THE IMPLEMENTATION STRATEGY FOUND AT: WWW.THEQUEEN.ORG/DOCUMENTS/SJH_QVH_FY12_FY14_CB_PLAN_IMPLEMENTATION_STRATE GY_501R.PDF
SCHEDULE H, PART V, SECTION B, LINE 12HTHE 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.BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS:
SCHEDULE H, PART V, SECTION B, LINE 14GMEASURES 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 20DFOR 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.AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS:
NEEDS ASSESSMENTA 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 2010 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. 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. THE 2010 CHNA WAS UPDATED IN 2012 TO ALIGN WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PUB. L. 111-148) WHICH ADDED SECTION 501(R) TO THE INTERNAL REVENUE CODE. SECTION 501(R) IMPOSES NEW REQUIREMENTS ON NON-PROFIT HOSPITALS. SECTION 501(R)(3) REQUIRES A HOSPITAL ORGANIZATION TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS AND ADOPT AN IMPLEMENTATION STRATEGY TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH SUCH ASSESSMENT. THE CHNA MUST (1) TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND (2) BE MADE WIDELY AVAILABLE TO THE PUBLIC. SECTION 501(R)(3)(B). 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 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE 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 3
COMMUNITY INFORMATIONNAPA 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 4
PROMOTION OF COMMUNITY HEALTHTHE 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 SJH, QV 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 INCOME 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 $2,600,000 SUPPORTING VULNERABLE POPULATIONS OF WHICH $903,000 WERE SPECIFICALLY FUNDED BY CARE FOR THE POOR DOLLARS. THE FOLLOWING PROGRAMS IN FY 13 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, 4) 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 $1,638,186 SUPPORTING THE BROADER COMMUNITY THROUGH THE FOLLOWING PROGRAMS: 1) "COOKING MATTERS", 2) A PROGRAM OFFERING FREE, SIX-WEEK LONG SERIES OF COOKING AND NUTRITION CLASSES TO LOW-INCOME FAMILIES, 3) SUPPORT TO DEVELOP A COMMUNITY BREASTFEEDING COALITION, 4) BEHAVIORAL HEALTH INITIATIVES INCLUDING PERINATAL EMOTIONAL WELLNESS AND COUNSELING, 5) A COMMUNITY-BASED BEHAVIORAL HEALTH PROGRAM FOR UNDERSERVED OLDER ADULTS, AND 6) BEHAVIORAL HEALTH SERVICES FOR UNDERSERVED CHRONICALLY ILL, 7) COMMUNITY EDUCATION AND EMPOWERMENT INITIATIVES ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH SUCH AS, 7A) PARENT UNIVERSITY, 7B) BILINGUAL COMMUNITY HEALTH EDUCATION AND 7C) 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 5
AFFILIATED HEALTH CARE SYSTEMQUEEN 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. JOSEP HEALTH COMMUNITY PARTNERSHIP FUND 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 6
STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIA MINISTRIES REPORT TO CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697.SCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
AREA AGENCY ON AGING
400 CONTRA COSTA STREETVALLEJOCA94590942742309501(C)(3)32400HEALTHY AGING POULATION INITIATIVE
CATHOLIC CHARITIES
1219 JEFFERSON STREETNAPACA94559942479393501(C)(3)6000COMMUNITY PARTNERSHIP TO SUPPORT THE RAINBOW HOUSE AND HOME BASE
COMMUNITY ACTION OF NAPA VALLEY
2310 LAUREL STREETNAPACA94559941610851501(C)(3)10000SAFETY FOOD NET
HOSPICE OF NAPA VALLEY
414 SO JEFFERSON STREETNAPACA94558680393144501(C)(3)44200COMMUNITY PARTNERSHIP IN SUPPORT OF ADULT DAY SERVICES AND CAREGIVER SUPPORT GROUP
ON THE MOVE
708 LINCOLN AVENUENAPACA94558753149095501(C)(3)20000SUPPORT PARENT UNIVERSITY
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100IRVINECA92612330143024501(C)(3)1549700CARE FOR THE POOR PROGRAM FUNDING
QVMC FOUNDATION
1000 TRANCAS STREETNAPACA94558237081153501(C)(3)10000OWLFH CARE PACKAGES FOR TROOPS
VIA FOUNDATION
1725 CLAY ST 100SAN FRANCISCOCA94109271530938501(C)(3)20000COMMUNITY AED PROGRAM
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationCOMMUNITY 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 RELATIVE TO EXPENDITURE OF THE DONATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WALTER MICKENS
CEO0340425018678308295209567028344064807100
MICHEL RICCIONI
INTERIM CFO0318025095066094560017298027280055222900
ROBERT DIEHL
VP QUALITY & STRATEGIC SVCS186879093600424920101000334390282270000
ROBERT EISEN
VP HUMAN RESOURCES153920020886039134000152230229163000
VINCENT MORGESE MD
VP MEDICAL AFFAIRS3193000155230680600119790283320443194000
SUSAN STANTON
VP PATIENT CARE SERVICES189643092160406830222050207710282518000
ELAINE JOHN
VP FOUNDATION/CHF DEV OFCR193616060726044934076490227960329721000
ANGELA BURR
LEAD, RADIOLOGY NURSE2566180007750266810338670317941000
ROBERT LEE
LEAD, RNFA2448550004500270600214640293829000
PAUL DEUS
RNFA II2385390008750261440315270297085000
LYNETTE STARNES
NURSE,STAFF II2230150007500242200287850276770000
DENNIS SISTO
CEO (FORMER OFFICER)000002626480190201606026615600

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 1AEXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION.
SCHEDULE J, PART I, LINE 3THE 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 4ATHE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING THIS YEAR: DENNIS SISTO $262,648.
SCHEDULE J, PART I, LINE 4BEXECUTIVES 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 2012.
SCHEDULE J, PART I, LINE 7A 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 PERFOMANCE 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 STEWARSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCARDIOLOGY CONSULTANTS NAPA VALLEYNamePerson
FieldValueIRS element (for citing)
RelationshipSEE PART VRelationship
Amount Of Transaction424429AmountOfTransaction
Description Of TransactionCARDIOLOGY SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATIONIdentifier
Return ReferenceSCHEDULE L, PART IV, LINE (2), COLUMN (B)ReturnReference
ExplanationJAMES SREBRO, M.D. SERVES ON THE BOARD OF QUEEN OF THE VALLEY MEDICAL CENTER AND IS ALSO A PARTNER OF CARDIOLOGY CONSULTANTS OF NAPA VALLEY, MEDICAL CORPORATION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990,PART I, LINE 1 & PART III, LINE 1AS 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.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III LINE 4AREALIZING 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 NAPA COUNTY REGION, QVMC IS A FULL-SERVICE ACUTE CARE 191 BED MEDICAL CENTER LOCATED WITHIN THE CITY AND COUNTY OF NAPA, AND IS THE MAJOR DIAGNOSTIC AND THERAPEUTIC MEDICAL CENTER FOR NAPA COUNTY AND THE SURROUNDING REGION. KEY MEDICAL CENTER SERVICES INCLUDE A COMMUNITY CANCER CENTER ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS (ACOS) WITH ACCOMODATIONS, AS WELL AS ACCREDITATION IN RADIATION ONCOLOGY BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) AND THE AMERICAN SOCIETY FOR RADIATION ONCOLOGY (ASTRO). QUEEN OF THE VALLEY MEDICAL CENTER ALSO SUPPORTS A REGIONAL HEART CENTER, ROBOTIC AND MINIMALLY INVASIVE SURGERY CENTER, ACUTE REHABILITATION CENTER, NAPA COUNTY'S ONLY LEVEL III EMERGENCY TRAUMA CENTER, WOMEN'S HEALTH CENTER, THE AREA'S ONLY NEONATAL INTENSIVE CARE UNIT, AND A CHILDREN'S MOBILE DENTAL CLINIC. QVMC IS COMMITTED TO COMMUNITY WELLNESS AND IS ONE OF THE FIRST ACUTE CARE PROVIDERS TO SUCCESSFULLY DEVELOP AND IMPLEMENT A MEDICAL FITNESS CENTER, SYNERGY, IN THE WELLNESS CENTER ON THE MEDICAL CENTER CAMPUS. WITH NEARLY 1,350 EMPLOYEES COMMITTED TO REALIZING THE MISSION, QVMC IS ONE OF THE LARGEST EMPLOYERS IN THE NAPA COUNTY REGION. AS A MEMBER OF THE ST. JOSEPH HEALTH, QUEEN OF THE VALLEY MEDICAL CENTER IS COMMITTED TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THIS MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA OVER 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 MINISTRY. THREE MISSION OUTCOMES STRATEGICALLY GUIDE OUR MINISTRY WORK QUEEN OF THE VALLEY MEDICAL CENTER IS COMMITTED TO THREE SYSTEMWIDE MISSION OUTCOMES: 1) SACRED ENCOUNTERS, 2) PERFECT CARE, AND 3) HEALTHIEST COMMUNITIES. 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. THE CARE NETWORK IS A PROGRAM THAT SERVES LOW-INCOME, UNINSURED AND UNDERINSURED PERSONS LIVING WITH CHRONIC ILLNESS(ES). A NURSE AND SOCIAL WORK TEAM MAKES HOME VISITS AND HELPS THESE INDIVIDUALS OBTAIN EVERYTHING FROM BASIC NEEDS TO DISEASE MANAGEMENT SKILLS, ALL AT NO OUT OF POCKET EXPENSE TO THE PERSON SERVED. ALL PATIENTS WILL RECEIVE PERFECT CARE. IT IS OUR ATTENTION TO DETAIL AND THE SMALLEST IMPERFECTIONS OF EACH PATIENT'S 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 EIGHT LOCATIONS ACROSS THE COUNTY SERVING 2,400 LOW INCOME CHILDREN FOR OVER 4,500 CLINIC VISITS. IN ADDITION 20 LOW-INCOME PRE-SCHOOL CLASSES WERE PROVIDED FREE ORAL HEALTH SCREENINGS FOR OVER 600 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 91.5% OF 480 PATIENTS (RANDOMLY AUDITED PATIENT RECORDS) DEMONSTRATED ORAL HEALTH IMPROVEMENT AT RECALL VISIT. ACCORDING TO PARENT SURVEY'S ADMINISTERED THROUGH AVATAR, 97% OF 455 RESPONDING PARENTS REPORTED THEIR CHILD IS BRUSHING LONGER OR MORE OFTEN SINCE RECEIVING SERVICES AT THE MOBILE DENTAL CLINIC. ANOTHER SERVICE INITIATIVED BY THE MOBILE DENTAL CLINIC IS SEDATION DENTISTRY FOR UNINSURED OR UNDERINSURED CHILDREN. LOW-INCOME NAPA COUNTY CHILDREN REQUIRING EXTENSIVE ORAL TREATMENT HAD NO LOCAL ACCESS TO SEDATION OR ORAL SURGERY. IN RESPONSE TO THIS IDENTIFIED NEED QVMC'S MOBILE DENTAL DIRECTOR, IN COLLABORATION WITH QVMC OUTPATIENT SURGERY CENTER, IMPLEMENTED ACCESS TO ORAL SURGERY FOR LOW-INCOME CHILDREN. SEDATION OR ORAL SURGERY IS RESERVED FOR THOSE CHILDREN REQUIRING FULL MOUTH RESTORATION AND TREATMENT. THIS YEAR 6 LOW-INCOME CHILDREN RECEIVED ACCESS TO SEDATION OR ORAL SURGERY AT QVMC, DECREASING THE STRESS AND TRAUMA OF EXTENSIVE ORAL TREATMENT WITHOUT SEDATION, WHILE RECEIVING THIS SERVICE WITHIN THEIR OWN COMMUNITY. 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 WELLBEING, QUEEN OF THE VALLEY MEDICAL CENTER HAS IMPLEMENTED A PROGRAM TITLED PARENT UNIVERSITY. PARENT UNIVERSITY IS OFFERED AT 4 DIFFERENT UNDERSERVED ELEMENTARY SCHOOLS WITH HIGH NUMBERS OF STUDENTS THAT SPEAK ENGLISH AS A SECOND LANGUAGE TO SPANISH. OVER 50 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 CLASSROOM, HELPING WITH HOMEWORK, LEADERSHIP, AND HEALTH. FOUR ELEMENTARY SCHOOLS IN NAPA COUNTY CURRENTLY OFFER PARENT UNIVERSITY CLASSES. DURING THE 2012-13 SCHOOL YEAR, 869 PARENTS ATTENDED AT LEAST ONE OF THE 54 CLASSES PRESENTED. A TOTAL OF 6,274 PARENT CONTACTS WERE COMPLETED.
PROGRAM SERVICE ACCOMPLISHMENTSFINANCIAL ASSISTANCE PROGRAM, MEDICAID AND OTHER MEANS TESTED PROGRAMS OUR MISSION CALLS US TO PROVIDE QUALITY CARE TO ALL OUT PATIENTS REGARDLESS OF ABILITY TO PAY. WE BELIEVE THAT NO ONE SHOULD DELAY SEEKING NEEDED MEDICAL CARE BECAUSE THEY LACK HEALTH INSURANCE. THAT IS WHY QUEEN OF THE VALLEY MEDICAL CENTER 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 FY 13 QVMC PROVIDED FINANCIAL ASSISTANCE TO 3,269 PERSONS. 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, QVMC HAS DEVELOPED AND IMPLEMENTED COMMUNITY BENEFIT PROGRAMS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. AREAS ADDRESSED INCLUDE AFFORDABLE DENTAL CARE, OBESITY PREVENTION, CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH, COMMUNITY EDUCATION AND EMPOWERMENT, AND PARTNERSHIPS FOR COMMUNITY HEALTH. WITHIN THESE CATEGORIES, QVMC PROVIDES, OR PARTNERS WITH OTHER NONPROFITS TO PROVIDE OVER 17 PROGRAMS AND SERVICES. AFFORDABLE DENTAL 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 THEIR 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. THE DENTAL CLINIC CURRENTLY PROVIDES COMPREHENSIVE DENTAL SERVICES FOR OVER 2,400 ACTIVE PATIENTS. OBESITY PREVENTION CHILDHOOD OBESITY IN THE UNITED STATES HAS MORE THAN TRIPLED IN THE PAST THIRTY YEARS, AND CARRIES BOTH IMMEDIATE AND LONG-TERM HEALTH IMPACTS. CHILDREN AND ADOLESCENTS WHO ARE OBESE ARE AT GREATER RISK FOR BONE AND JOINT PROBLEMS, SLEEP APNEA, AND ARE MORE LIKELY THAN NORMAL WEIGHT PEERS TO BE TEASED AND STIGMATIZED WHICH CAN LEAD TO POOR SELF-ESTEEM. MOREOVER, OBESE YOUTH ARE MORE LIKELY TO HAVE RISK FACTORS FOR CARDIOVASCULAR DISEASE, SUCH AS HIGH CHOLESTEROL OR HIGH BLOOD PRESSURE. FINALLY, OVERWEIGHT AND OBESE YOUTH ARE MORE LIKELY THAN NORMAL WEIGHT PEERS TO BE OVERWEIGHT OR OBESE ADULTS AND ARE THEREFORE AT RISK FOR THE ASSOCIATED ADULT HEALTH PROBLEMS, INCLUDING HEART DISEASE, TYPE 2 DIABETES, STROKE, SEVERAL TYPES OF CANCER, AND OSTEOARTHRITIS. IN NAPA COUNTY, 17% OF PRESCHOOL CHILDREN AGES 2 TO 4 LIVING IN HOUSEHOLDS WITH AN INCOME LESS THAN 200% OF THE FEDERAL POVERTY LEVEL WERE OBESE WITH BMI'S ABOVE THE 95TH PERCENTILE (NAPAHEALTHMATTERS.ORG). IN AN EFFORT TO ADDRESS THIS CRITICAL HEALTH ISSUE, QUEEN OF THE VALLEY MEDICAL CENTER HAS IMPLEMENTED A VARIETY OF INITIATIVES TARGETING NEWBORNS TO ENTIRE FAMILIES. HEALTHY FOR LIFE QUEEN OF THE VALLEY MEDICAL CENTER ADOPTED A ST. JOSEPH HEALTH SYSTEM-WIDE, SCHOOL-BASED CHILDHOOD OBESITY PREVENTION PROGRAM TITLED "HEALTHY FOR LIFE," DESIGNED TO EMPHASIZE LIFELONG FITNESS AND HEALTHY EATING BEHAVIORS AMONG CHILDREN AND ADOLESCENTS. THE PROGRAM INCORPORATES THE PROVISION OF TRAINING AND EXERCISE EQUIPMENT TO SCHOOLS, AS WELL AS GUEST INSTRUCTORS FOR A VARIETY OF PE CLASSES DESIGNED TO BE NON-COMPETITIVE, FUN, SAFE AND COMFORTABLE FOR ALL STUDENTS. BREASTFEEDING EDUCATION: BREASTFED BABIES HAVE A REDUCED RISK FOR OBESITY AND TYPE 2 DIABETES LATER IN LIFE. APPROXIMATELY 83% OF NEWBORNS IN NAPA COUNTY WERE EXCLUSIVELY BREASTFED IN THE HOSPITAL IN 2011 (NAPA COUNTY NEEDS ASSESSMENT 2013). TO PROMOTE AND SUPPORT BREASTFEEDING IN THE COMMUNITY, QVMC SUPPORTS THE DEVELOPMENT OF A COMMUNITY BREASTFEEDING COALITION, PROVIDING $5,000 IN COMMUNITY BENEFIT TO FUND HEALTH CARE PROFESSIONAL EDUCATION IN ADDITION TO IN-KIND STAFF TIME TOWARD COALITION DEVELOPMENT AND IMPLEMENTATION. ALSO, IN FY13 THE COALITION IMPLEMENTED A BREASTFEEDING SUPPORT GROUP FOR NEW MOTHERS. COMMUNITY NUTRITION EDUCATION COORDINATED AND IMPLEMENTED THROUGH QUEEN OF THE VALLEY MEDICAL CENTER COMMUNITY BENEFIT EFFORTS IS "COOKING MATTERS," A PROGRAM OFFERING FREE, SIX-WEEK-LONG SERIES OF COOKING AND NUTRITION CLASSES TO LOW-INCOME FAMILIES. CLASSES ARE TAUGHT BY VOLUNTEER CULINARY AND NUTRITION INSTRUCTORS WORKING IN TEAMS. IN ADDITION TO COOKING MATTERS, QVMC OFFERS BILINGUAL COMMUNITY HEALTH EDUCATION SPECIFIC TO NUTRITION AND HEALTHY LIFESTYLE BEHAVIORS IN UNDERSERVED LOCATIONS THROUGHOUT NAPA COUNTY. CARE NETWORK SERVED OVER 380 PERSONS IN FY13. CHRONIC DISEASE MANAGEMENT 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. RESEARCH HAS DEMONSTRATED THAT CHRONIC DISEASE CARE IS MOST EFFECTIVE IN AN OUTPATIENT CARE SETTING. USE OF THE EMERGENCY DEPARTMENT AND IN-PATIENT HOSPITAL CARE IS COSTLY AND LESS EFFECTIVE IN IMPROVING THE QUALITY OF LIFE FOR PATIENTS WITH CHRONIC CONDITIONS. AS A RESULT, QVMC HAS DEVELOPED THE CARE NETWORK, AN AMERICAN HOSPITAL ASSOCIATION NOVA AWARD WINNING PROGRAM, TO ENABLE COMMUNITY DWELLING RESIDENTS WITH CHRONIC DISEASE ACCESS TO DISEASE MANAGEMENT AND SOCIAL SERVICES MAXIMIZING WELLNESS AND QUALITY OF LIFE. FOR MORE INFORMATION ABOUT QUEEN OF THE VALLEY MEDICAL CENTER PLEASE VISIT WWW.THEQUEEN.ORG FOR MORE INFORMATION ABOUT ST. JOSEPH HEALTH, PLEASE VISIT WWW.STJHS.ORG
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6ST JOSEPH HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF QUEEN OF THE VALLEY MEDICAL CENTER.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 7AQUEEN OF THE VALLEY MEDICAL CENTER HAS A TIERED GOVERNANCE IN WHICH THE CORPORATE MEMBERS RESERVE THE RIGHT TO APPOINT TRUSTEES TO THE QUEEN OF THE VALLEY MEDICAL CENTER BOARD. ALL TRUSTEES APPOINTMENTS THAT COME FROM THE QUEEN OF THE VALLEY MEDICAL CENTER BOARD AS NOMINATIONS MUST BE APPROVED BY THE ST. JOSEPH HEALTH SYSTEM, AS THE CORPORATE MEMBER, AND ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR.
DESCR CLASSES OF PERSON, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, LINE 7BTHE 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, MERGE OR SALE OF SUBSTANTIALLY ALL ASSETS, APPOINTMENT AND REMOVAL OF TRUSTEES, ADOPTION OR AMENDMENT OF ARTICLES OR BYLAWS.
PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11BTHE 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 MARCH 2014 MEETING. DURING THE FINANCE, COMPLIANCE & AUDIT COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE FINANCE, COMPLIANCE & AUDIT COMMITTEE CHAIR THEN PROVIDED A SUMMARY AT THE FULL BOARD MEETING.
DESCRIPTION OF PROCESS TO MONITOR CONFLICT OF INTERESTFORM 990, PART VI, LINE 12COFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ON THE CONFLICT OF INTEREST DISCLOSURE FORM THE EXISTENCE AND NATURE OF ANY ACTUAL, APPARENT, OR POTENTIAL CONFLICTS OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, 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. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE QVMC BOARD OF TRUSTEES. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS REVIEW THE MATTER AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. THE OFFICER, TRUSTEE, OR KEY EMPLOYEE MAY NOT BE PRESENT DURING ANY MEETING IN WHICH THE COMMITTEE CONDUCTS ITS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY.
OFFICES & POSITION FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, LINES 15A AND 15BTHE CHIEF EXECUTIVE OFFICER OF QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) IS COMPENSATED BY ST. JOSEPH HEALTH SYSTEM, QVMC'S TAX EXEMPT PARENT. THE EXECUTIVE COMPENSATION PROCESS AT ST. JOSEPH HEALTH SYSTEM IS ADMINISTERED BY A COMMITTEE OF INDEPENDENT TRUSTEES. THEY FOLLOW A BOARD-APPROVED CHARTER AND OVERALL EXECUTIVE COMPENSATION PHILOSOPHY. THE CHARTER EMPOWERS THE SJHS BOARD WORKLIFE COMMITTEE TO ADMINISTER THE EXECUTIVE COMPENSATION PROGRAM AND PROCESS ON BEHALF OF THE FULL BOARD OF TRUSTEES OF SJHS. OVERALL, THE PHILOSOPHY IS INTENDED TO REWARD A BROAD SPECTRUM OF HIGH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE EXPECTATIONS, AS WELL AS THE RETENTION OF KEY MANAGEMENT TALENT. THE SJHS EXECUTIVE COMPENSATION PHILOSOPHY DEFINES THE MARKET FOR ADMINISTERING COMPENSATION AS A COMPARABLE SET OF NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEMS. SJHS PROVIDES COMPENSATION TO ITS SENIOR EXECUTIVES IN THE FORM OF BASE SALARY, AN ANNUAL INCENTIVE PROGRAM, AND BENEFITS. TO FULFILL THEIR RESPONSIBILITY, THE COMMITTEE REGULARLY REVIEWS INFORMATION FROM MULTIPLE SOURCES OF MARKET DATA. THEY USE THIS INFORMATION TO SUPPORT THEIR DECISIONS REGARDING ONGOING EFFECTIVENESS AND ADMINISTRATION OF THE PROGRAM. THE WORKLIFE COMMITTEE IS COMPRISED OF SEVERAL INDEPENDENT MEMBERS OF THE BOARD. THEY MEET AT LEAST 3 TIMES A YEAR AND MAKE ALL CRITICAL DECISIONS IN EXECUTIVE SESSION. THESE DECISIONS ARE DOCUMENTED IN DETAILED MINUTES AND APPROVED IN SUBSEQUENT MEETINGS. THE COMMITTEE IS EMPOWERED TO ENGAGE OUTSIDE COUNSEL AND CONSULTING SUPPORT AS NEEDED. THE WORKLIFE COMMITTEE PERFORMED ITS LAST COMPENSATION REVIEW FOR ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER IN JUNE 2013.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, LINE 19THE 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. QUEEN OF THE VALLEY MEDICAL CENTER AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990.
OTHER CHANGES IN NET ASSETS/FUND BALANCEFORM 990, PART XI, LINE 9EQUITY TRANSFER TO SJHH $(3,754,225) CONTRIBUTIONS NOT RELEASED FROM RESTRICTION (1,689,639) CAPITAL RELEASED FROM RESTRICTION 1,414,390 ------------ TOTAL $(4,029,474)
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:11279135
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:SJHS MANAGEMENT FEES TOTAL FEES:10755304
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:NON PURCHASED SERVICES TOTAL FEES:8660036
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:2556647
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:PATIENT COLLECTION AGENCIES TOTAL FEES:1493072
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN RECRUITMENT TOTAL FEES:633328
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:SUBSCRIPTIONS & DUES TOTAL FEES:318517
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:FREIGHT TOTAL FEES:306153
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:FUNDRAISING CULTIVATION TOTAL FEES:65565
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:ALL OTHER EXPENSES TOTAL FEES:579243

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COVENANT HEALTH NETWORK INC
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COVENANT HEALTH PARTNERS
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COVENANT HEALTH SYSTEM
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COVENANT HEALTH SYSTEM FOUNDATION
3623 22ND PLACELUBBOCKTX79410752897026HEALTHCARETX501(C)(3)7CHStrue
COVENANT MEDICAL GROUP
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HOAG CHARITY SPORTS
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HOAG HOSPITAL FOUNDATION
1 HOAG DR BOX 6100NEWPORT BEACHCA92663953222343FUNDRAISINGCA501(C)(3)7HMHPtrue
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
1 HOAG DR BOX 6100NEWPORT BEACHCA92663951643327HEALTHCARECA501(C)(3)3SJHStrue
HOME CARE PARTNERS
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HOSPICE OF LUBBOCK
1102 SLIDE ROADLUBBOCKTX79414752133781HEALTHCARETX501(C)(3)9CHStrue
LUBBOCK METHODIST HOSPITAL FOUNDATION
3615 19TH STREETLUBBOCKTX79410752220963HEALTHCARETX501(C)(3)7CHStrue
METHODIST CHILDREN'S HOSPITAL
3610 21ST STREETLUBBOCKTX79410752428911HEALTHCARETX501(C)(3)3CHStrue
METHODIST HOSPITAL LEVELLAND
1900 COLLEGE AVENUELEVELLANDTX79336752246348HEALTHCARETX501(C)(3)3CHStrue
METHODIST HOSPITAL PLAINVIEW
2601 DIMMITT ROADPLAINVIEWTX79072752426010HEALTHCARETX501(C)(3)3CHStrue
MISSION HOSPITAL REGIONAL MEDICAL CENTER
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REDWOOD MEMORIAL FOUNDATION
3300 RENNER DRIVEFORTUNACA95540942779313FOUNDATIONCA501(C)(3)7RMHtrue
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVEFORTUNACA95540941384665HEALTHCARECA501(C)(3)3SJHStrue
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVESANTA ROSACA95405941231005HEALTHCARECA501(C)(3)3SJHStrue
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIAORANGECA92868951643383RELIGIOUS ORGCA501(C)(3)1NAfalse
SRM ALLIANCE HOSPITAL SERVICES
400 NORTH MCDOWELL BLVDPETALUMACA94954680395200HEALTHCARECA501(C)(3)3SRMHtrue
ST JOSEPH HEALTH MINISTRY
3345 MICHELSON DR STE 100IRVINECA92612271666576RELIGIOUS ORGCA501(C)(3)1SSJOfalse
ST JOSEPH HEALTH SYSTEM
3345 MICHELSON DR STE 100IRVINECA92612953589356HEALTHCARECA501(C)(3)11, ISJHMfalse
ST JOSEPH HEALTH SYSTEM FOUNDATION
3345 MICHELSON DR STE 100IRVINECA92612330143024FOUNDATIONCA501(C)(3)7SJHStrue
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR BROHNERT PARKCA94928680331084HEALTHCARECA501(C)(3)9SJHStrue
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREETEUREKACA95501941156596HEALTHCARECA501(C)(3)3SJHStrue
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVEORANGECA92868951643359HEALTHCARECA501(C)(3)3SJHStrue
ST JUDE HOSPITAL YORBA LINDA
500 S MAIN STREET STE 1000ORANGECA92868330185031HEALTHCARECA501(C)(3)3SJHStrue
ST JUDE HOSPITAL INC
101 EAST VALENCIA MESA DRIVEFULLERTONCA92635951643325HEALTHCARECA501(C)(3)3SJHStrue
ST MARY MEDICAL CENTER
18300 HIGHWAY 18APPLE VALLEYCA92307951914489HEALTHCARECA501(C)(3)3SJHStrue
ST MARY OF THE PLAINS HOSPITAL FDN
4000 24TH STREETLUBBOCKTX79410751653181HEALTHCARETX501(C)(3)7CHStrue
TALLER SAN JOSE
801 NORTH BROADWAYSANTA ANACA92701593816355WORKFORCE DEVCA501(C)(3)2SSJOtrue
QUEEN OF THE VALLEY MEDICAL CENTER FDN
PO BOX 2069NAPACA94558237081153SUPPORTCA501(C)(3)11, INAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)

Primary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypePercentage OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEIN
ST JOSEPH HLTH SYS HOME HLTH
HOME HEALTHCANAN/A0.00000
ST JOSEPH HLTH SYS HOME CARE
HOME HEALTHCANAN/A0.00000
METHODIST DIAGNOSTIC IMAGING
HEALTHCARE SVCSTXNAN/A0.00000
SHA LLC
HEALTHCARE SVCSTXNAN/A0.00000
LUBBOCK SURGERY CENTER LTD
HEALTHCARE SVCSTXNAN/A0.00000
COVENANT LONG-TERM CARE LP
HEALTHCARE SVCSTXNAN/A0.00000
HERITAGE INVESTMENT GROUP
INVESTMENTCANAN/A0.00000
MISSION AMBULATORY SURGICENTER
HEALTHCARE SVCSCANAN/A0.00000
COMPREHENSIVE IMAGING PARTNERS
HEALTHCARE SVCSCANAN/A0.00000
ST JOSEPH PHYSICIAN VENTURES
REAL ESTATECANAN/A0.00000
NEWPORT IMAGING CENTER
HEALTHCARE SVCSCANAN/A0.00000
HOAG ORTHOPEDIC INSTITUTE
HEALTHCARECANAN/A0.00000
MAIN ST SPECIALTY SURGERY CNTR
HEALTHCARE SVCSCANAN/A0.00000
ORTHOPEDIC SURGERY CNTR OF OC
HEALTHCARE SVCSCANAN/A0.00000
ADVANCED SURGERY INSTITUTE LLC
HEALTHCARE SVCSCANAN/A1739 4TH STREETSANTA ROSACA95404262299255

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
ST JOSEPH PROF SVCS ENTERPRISES INC
3345 MICHELSON DR STE 100IRVINECA92612330155323HEALTHCARE SVCSCANAC-CORP
AMERICAN UNITY GROUP LTD
CAPTIVE INSURANCENAC-CORP58 PAR-LA-VILLE ROADHAMILTONHMBDHXBD
ALLIANCE PHYSICIAN SERVICES
INACTIVECANAC CORP
MISSION VIEJO MEDICAL VENTURES
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330212905HEALTHCARE SVCSCANAC CORP
MISSION MEDICAL CENTER ASSOCIATION
27800 MEDICAL CENTER RD 354MISSION VIEJOCA92691330201044HEALTHCARE SVCSCANAC CORP
ST JOSEPH YORBA PARK
INACTIVECANAC CORP
LUBBOCK METHODIST HOSP SVCS
PO BOX 1201LUBBOCKTX79410752118585HEALTHCARE SVCSTXNAC CORP
LUBBOCK METHODIST HOSP PRACTICE MGMT
2107 OXFORD STREET SUITE 300LUBBOCKTX79410752578995INACTIVETXNAC CORP
ST JOSEPH HEALTH SOURCE INC
3345 MICHELSON DR STE 100IRVINECA92612461900168HEALTHCARE SVCSCANAC CORP
HOAG MANAGEMENT SERVICES INC
1 HOAG DR BOX 6100NEWPORT BEACHCA92658330731587HEALTHCARE SVCSCANAC CORP
COASTAL MANAGEMENT SERVICES ORG
1 HOAG DR BOX 6100NEWPORT BEACHCA92658330676831HEALTHCARE SVCSCANAC CORP
DATU HEALTH INC
16150 MAIN CIRCLE DR STE 250CHESTERFIELDMO63017463070062IT SVCSMONAC CORP
HOAG MEDICAL FOUNDATION
1 HOAG RD BOX 6100NEWPORT BEACHCA92663453583707HEALTHCARE SVCSCANAC CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
QUEEN OF THE VALLEY MEDICAL CENTER FOUNDATION
L1659397ACCRUAL
QUEEN OF THE VALLEY MEDICAL CENTER FOUNDATION
C5890814ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
B1549700ACCRUAL
ST JOSEPH HEALTH SYSTEM FOUNDATION
C978120ACCRUAL
SANTA ROSA MEMORIAL HOSPITAL
O342455ACCRUAL
ST JOSEPH HOSPITAL YORBA LINDA
R3754225ACCRUAL
ST JOSEPH HOSPITAL YORBA LINDA
J3923252ACCRUAL

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierIDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationST. 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 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, ST 100, ORANGE, CA 92868 ORTHOPEDIC SURGERY CENTER OF OC, LLC EIN: 33-0841806 ADDRESS: 22 CORPORATE PLAZA, NEWPORT BEACH, CA 92660 ADVANCED SURGERY INSTITUTE, LLC EIN: 26-2299255 ADDRESS: 1739 4TH STREET, SANTA ROSA, CA 95404Explanation

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