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OUTPATIENT SERVICES SCHEDULE H, PART I, LINE 7 THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. SCHEDULE H, PART I, LINE 7G NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS WERE INCLUDED. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS AND THUS IMPROVE HEALTH STATUS AND QUALITY OF LIFE BY FOCUSING ON THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS POVERTY, LOW LEVEL OF EDUCATIONAL ATTAINMENT, AND ENVIRONMENTAL HAZARDS. QUEEN'S DIVERSITY & INCLUSION STRATEGY INCLUDE A NUMBER OF EFFORTS THAT BUILD ON COMMUNITY EMPOWERMENT AND PROMOTE COMMUNITY BUILDING AND CAPACITY, PARTICULARLY IN HISTORICALLY MARGINALIZED, VULNERABLE OR ISOLATED COMMUNITIES. SCHEDULE H, PART III, LINE 2 METHODOLOGY FOR CALCULATING BAD DEBT THE AMOUNTS REPORTED IN THE TABLE WERE CALCULATED USING THE ORGANIZATION'S PATIENT COST-TO-CHARGE RATIO. SCHEDULE H, PART III, LINE 4 FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS - THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYORS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE ORGANIZATION. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ORGANIZATION ANALYZES ITS HISTORICAL EXPERIENCE AND TRENDS TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED PRIOR TO CALCULATING BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 8 BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: THE ORGANIZATION DOES NOT REPORT MEDICARE REVENUES AND EXPENSES (EXCEPT FOR AMOUNTS REPORTED IN PART I, LINE 7H) AS COMMUNITY BENEFIT. MEDICARE COSTS ARE DETERMINED USING THE MEDICARE COST REPORT. THE MEDICARE COST REPORT SUBMITTED FOR THE FISCAL YEAR USES CMS STANDARD COSTING METHODS. THIS METHOD INCLUDES SPECIFIC STEP-DOWN ALLOCATION PROCESSES WHICH ARE APPLIED TO CALCULATE ALLOWABLE MEDICARE COSTS. AS A CATHOLIC HEALTHCARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B QUEEN OF THE VALLEY MEDICAL CENTER ACCOUNTS WERE NOT FORWARDED TO COLLECTION STATUS WHEN THE PATIENT MADE A GOOD FAITH EFFORT TO RESOLVE OUTSTANDING ACCOUNT BALANCES. SUCH EFFORTS INCLUDE APPLYING FOR FINANCIAL ASSISTANCE, NEGOTIATING A PAYMENT PLAN, OR APPLYING FOR MEDICAID COVERAGE. PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANIZATION PERFORMED AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIED FOR FINANCIAL ASSISTANCE. ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR FREE CARE (100 PERCENT FINANCIAL ASSISTANCE) WERE WRITTEN OFF AND COLLECTION EFFORTS WERE NOT PURSUED. THE ORGANIZATION'S COLLECTIONS POLICY APPLIED TO ACCOUNTS FOR PATIENTS WHO QUALIFIED FOR A PARTIAL DISCOUNT. SCHEDULE H, PART V, SECTION B, LINE 3 THREE 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 4 QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) COMMUNITY HEALTH NEEDS ASSESSMENT WAS MADE POSSIBLE THROUGH A PARTNERSHIP BETWEEN QVMC AND THE FOLLOWING ORGANIZATIONS: KAISER PERMANENTE, ST. HELENA HOSPITAL, AND NAPA COUNTY PUBLIC HEALTH DEPARTMENT. 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 7 THE 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 12H BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS: THE ORGANIZATION RECOGNIZES THAT A PORTION OF THE UNINSURED OR UNDERINSURED PATIENT POPULATION MAY NOT ENGAGE IN THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. THEREFORE, THE ORGANIZATION ALSO USES AN AUTOMATED PREDICTIVE SCORING TOOL TO IDENTIFY AND QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE FOR ACCOUNTS THAT ARE INITIALLY CLASSIFIED AS BAD DEBT. SCHEDULE H, PART V, SECTION B, LINE 14G MEASURES USED TO PUBLICIZE THE FACILITY'S FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. SCHEDULE H, PART V, SECTION B, LINE 18E THE ORGANIZATION ADHERES TO STATE REGULATIONS IN PUBLICIZING ITS FINANCIAL ASSISTANCE POLICY. THESE REGULATIONS INCLUDE THE POSTING OF THE FULL POLICY ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE. IN ADDITION, POLICY NOTICES ARE POSTED IN CONSPICUOUS AREAS SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMISSIONS OFFICES AND OTHER OUTPATIENT SETTINGS. INDIVIDUAL NOTICES OF FINANCIAL ASSISTANCE ARE INCLUDED WITH BILLINGS FOR PATIENTS WHO HAVE NOT PROVIDED PROOF OF THIRD-PARTY COVERAGE ALONG WITH CONTACT INFORMATION IN THE EVENT OF ADDITIONAL INQUIRIES. NOTICES OF FINANCIAL ASSISTANCE ARE ALSO PROVIDED UPON INQUIRY. WRITTEN NOTICES ARE PROVIDED IN ALL LANGUAGES SPOKEN BY 5% OR MORE OF THE HOSPITAL'S SERVICE AREA. SCHEDULE H, PART V, SECTION B, LINE 20D AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: FOR PATIENTS WITH A FAMILY INCOME BETWEEN 201% AND 350% OF FEDERAL POVERTY GUIDELINES (FPG), THE HOSPITAL FACILITY USES MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. FOR PATIENTS WITH A FAMILY INCOME BETWEEN 351% AND 500% OF FPG, THE AVERAGE OF NEGOTIATED COMMERCIAL INSURANCE RATES IS USED TO DETERMINE THE MAXIMUM AMOUNT THAT CAN BE CHARGED. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 A 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 THE ORGANIZATION POSTED NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES WERE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES WERE ALSO POSTED AT LOCATIONS WHERE A PATIENT COULD PAY THEIR BILL. NOTICES INCLUDED CONTACT INFORMATION ON HOW A PATIENT COULD OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES WERE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT WERE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATED LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS WERE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND WERE OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY HAVE BEEN ELIGIBLE. COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 NAPA COUNTY ENCOMPASSES APPROXIMATELY 748 SQUARE MILES IN THE NORTH BAY REGION OF CALIFORNIA. OUR COMMUNITY BENEFIT PRIMARY AND SECONDARY SERVICE AREAS (PSA AND SSA) ARE DEFINED BY THE GEOGRAPHIC BOUNDARIES OF NAPA COUNTY IN GENERAL. THE COUNTY IS DIVIDED INTO FOUR REGIONS, NORTH COUNTY CONSISTING OF CALISTOGA, ST HELENA, DEER PARK, RUTHERFORD, AND OAKVILLE, EAST COUNTY CONSISTING OF ANGWIN, POPE VALLEY AND LAKE BERRYESSA, CENTRAL COUNTY CONSISTING OF NAPA AND YOUNTVILLE, AND SOUTH COUNTY CONSISTING OF AMERICAN CANYON. THE 2010 CENSUS REPORTED NAPA COUNTY'S POPULATION AS 136,484. OF THIS POPULATION, 58% LIVE WITHIN THE CITY OF NAPA. OUR COMMUNITY BENEFIT PSA INCLUDES CENTRAL AND SOUTH COUNTY, THE CITIES OF NAPA, YOUNTVILLE, AND AMERICAN CANYON. COMMUNITY BENEFIT SSA INCLUDES THE REMAINING CITIES OF NORTH AND EAST COUNTY. THE OTHER HOSPITALS IN THE NAPA COUNTY AREA ARE ST. HELENA HOSPITAL AND NAPA STATE HOSPITAL. NAPA COUNTY HAS A SLIGHTLY HIGHER PERCENTAGE OF PEOPLE AGE 65 AND OLDER (15%) COMPARED TO STATEWIDE AVERAGE (11%). BASED ON 2010 CENSUS DATA, 56.4% OF NAPA COUNTY'S POPULATION IS NON-HISPANIC WHITE, 32% IS HISPANIC/LATINO, NEARLY 7% IS ASIAN, MULTIRACIAL/ETHNIC POPULATIONS REPRESENT APPROXIMATELY 4%, AFRICAN AMERICAN, AMERICAN, INDIAN/ALASKA NATIVE, AND NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER REPRESENT APPROXIMATELY 3%. BY 2030 THE HISPANIC/LATINO POPULATION IS PROJECTED TO BE 41.7% AND NON-HISPANIC WHITE IS PROJECTED TO BE 44.9%. APPROXIMATELY 31% OF HOUSEHOLDS HAVE CHILDREN UNDER 18 AND NEARLY 13% HAVE INDIVIDUALS WHO ARE AGE 65 OR OLDER. IN NAPA, INCOME BELOW 200% OF FEDERAL POVERTY LEVEL (FPL) COMES CLOSER TO ESTIMATING TRUE EXTENT OF POVERTY AS IT IS COMPARABLE TO THE LIVING WAGE OR SELF-SUFFICIENCY STANDARD FOR AN INDIVIDUAL RESIDENT OF NAPA - ESTIMATED TO BE $23,400 ANNUALLY (POVERTY IN AMERICA LIVING WAGE CALCULATOR). WHILE NAPA IS NOT CONSIDERED A "POOR" COUNTY RELATIVE TO OTHER COUNTIES, THERE ARE POCKETS OF POVERTY. IN SOME CENSUS TRACTS BETWEEN 30% AND 52% OF THE POPULATION EARNS BELOW $20,800. THE IMMIGRANT POPULATION IS OVERREPRESENTED IN THE WORKFORCE, ESPECIALLY IN KEY WINE-RELATED SECTORS OF AGRICULTURE, MANUFACTURING, AND HOSPITALITY WHERE EARNINGS ARE RELATIVELY LOW. BETWEEN 2006 AND 2010, 10% OF NAPA RESIDENTS WERE LIVING BELOW THE FPL AND 26.4% WERE LIVING BELOW 200% OF FPL. APPROXIMATELY 34% OF NAPA COUNTY FAMILIES WITH CHILDREN UNDER 18 WERE LIVING BELOW 200% FPL BETWEEN 2006-2010. IN THE 2010-2011 ACADEMIC YEAR, THE COUNTY HIGH SCHOOL DROPOUT RATE WAS 13.3%, WITH RATES HIGHER AMONG HISPANIC/LATINO, ENGLISH LANGUAGE LEARNERS, SPECIAL EDUCATION, AND SOCIOECONOMICALLY DISADVANTAGED STUDENTS. IN SOME CENSUS TRACTS, ONLY 50%-70% OF ADULTS HAVE COMPLETED A HIGH SCHOOL EDUCATION (PROFILE OF IMMIGRANTS IN NAPA COUNTY, 2012). PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 THE GOVERNING BODY IS COMPRISED OF A MAJORITY OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS. THE SUB-COMMITTEE OF THE BOARD OF TRUSTEES, KNOWN AS THE COMMUNITY BENEFIT COMMITTEE, OVERSEES THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT PLAN EVERY THREE YEARS, AS WELL AS AN ANNUAL COMMUNITY BENEFIT REPORT. THE COMMITTEE ALSO PROVIDES GENERAL DIRECTION TO 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. AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 QUEEN OF THE VALLEY MEDICAL CENTER IS A HEALING MINISTRY OF ST. JOSEPH HEALTH AN INTEGRATED HEALTHCARE DELIVERY SYSTEM SPONSORED BY THE ST. JOSEPH HEALTH MINISTRY. ST. JOSEPH HEALTH IS ORGANIZED INTO THREE REGIONS: NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO. THE SYSTEM INCLUDES 14 ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, HOSPICE CARE, OUTPATIENT SERVICES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. EACH ASSOCIATED MINISTRY WORKS TO LIVE OUT ITS MISSION TO EXTEND THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITIES IT SERVES. IN 1986, ST. JOSEPH HEALTH CREATED A PLAN AND BEGAN AN EFFORT TO FURTHER ITS COMMITMENT TO NEIGHBORS IN NEED. WITH A VISION OF REACHING BEYOND THE WALLS OF ITS HEALTHCARE FACILITIES AND TRANSCENDING TRADITIONAL EFFORTS OF PROVIDING FINANCIAL ASSISTANCE FOR THOSE IN NEED OF ACUTE SERVICES, ST. JOSEPH HEALTH CREATED THE ST. JOSEPH HEALTH SYSTEM FOUNDATION TO IMPROVE THE HEALTH OF LOW-INCOME INDIVIDUALS RESIDING IN LOCAL COMMUNITIES. OUR FOUNDATIONAL DOCUMENT, A VISION OF VALUES, FORMALIZES A POLICY THROUGH WHICH THE HOSPITAL MINISTRIES RETURN TEN PERCENT OF THEIR NET INCOME TO THE ST. 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. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 CALIFORNIA MINISTRIES REPORT TO CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697. true AREA AGENCY ON AGING 400 CONTRA COSTA STREET VALLEJO CA 94590 942742309 501(C)(3) 32400 HEALTHY AGING POULATION INITIATIVE CATHOLIC CHARITIES 1219 JEFFERSON STREET NAPA CA 94559 942479393 501(C)(3) 6000 COMMUNITY PARTNERSHIP TO SUPPORT THE RAINBOW HOUSE AND HOME BASE COMMUNITY ACTION OF NAPA VALLEY 2310 LAUREL STREET NAPA CA 94559 941610851 501(C)(3) 10000 SAFETY FOOD NET HOSPICE OF NAPA VALLEY 414 SO JEFFERSON STREET NAPA CA 94558 680393144 501(C)(3) 44200 COMMUNITY PARTNERSHIP IN SUPPORT OF ADULT DAY SERVICES AND CAREGIVER SUPPORT GROUP ON THE MOVE 708 LINCOLN AVENUE NAPA CA 94558 753149095 501(C)(3) 20000 SUPPORT PARENT UNIVERSITY ST JOSEPH HEALTH SYSTEM FOUNDATION 3345 MICHELSON DR STE 100 IRVINE CA 92612 330143024 501(C)(3) 1549700 CARE FOR THE POOR PROGRAM FUNDING QVMC FOUNDATION 1000 TRANCAS STREET NAPA CA 94558 237081153 501(C)(3) 10000 OWLFH CARE PACKAGES FOR TROOPS VIA FOUNDATION 1725 CLAY ST 100 SAN FRANCISCO CA 94109 271530938 501(C)(3) 20000 COMMUNITY AED PROGRAM 8 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 COMMUNITY BENEFIT CHARITABLE DONATIONS ARE CONDITIONED AND RESTRICTED TOWARD MEETING A SPECIFIC, IDENTIFIED COMMUNITY NEED. IN ADDITION, THE RECIPIENT AGENCY MUST REMAIN A NON-PROFIT, TAX-EXEMPT ORGANIZATION AND IS REQUIRED TO REPORT AN ACCOUNTING RELATIVE TO EXPENDITURE OF THE DONATION. X true false true true false false false false false true false WALTER MICKENS 0 340425 0 186783 0 82952 0 9567 0 28344 0 648071 0 0 MICHEL RICCIONI 0 318025 0 95066 0 94560 0 17298 0 27280 0 552229 0 0 ROBERT DIEHL 186879 0 9360 0 42492 0 10100 0 33439 0 282270 0 0 0 ROBERT EISEN 153920 0 20886 0 39134 0 0 0 15223 0 229163 0 0 0 VINCENT MORGESE MD 319300 0 15523 0 68060 0 11979 0 28332 0 443194 0 0 0 SUSAN STANTON 189643 0 9216 0 40683 0 22205 0 20771 0 282518 0 0 0 ELAINE JOHN 193616 0 60726 0 44934 0 7649 0 22796 0 329721 0 0 0 ANGELA BURR 256618 0 0 0 775 0 26681 0 33867 0 317941 0 0 0 ROBERT LEE 244855 0 0 0 450 0 27060 0 21464 0 293829 0 0 0 PAUL DEUS 238539 0 0 0 875 0 26144 0 31527 0 297085 0 0 0 LYNETTE STARNES 223015 0 0 0 750 0 24220 0 28785 0 276770 0 0 0 DENNIS SISTO 0 0 0 0 0 262648 0 1902 0 1606 0 266156 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O OF FORM 990, PART VI, LINE 15A FOR THE PROCESS THAT IS COMPLETED BY ST. JOSEPH HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING THIS YEAR: DENNIS SISTO $262,648. SCHEDULE J, PART I, LINE 4B EXECUTIVES COULD PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER INTERNAL REVENUE CODE 457(F). THE PLAN WAS FROZEN EFFECTIVE DECEMBER 31, 2007 AFTER WHICH TIME NO FURTHER CONTRIBUTIONS WERE PERMITTED TO THE PLAN. THIS PLAN WILL CEASE TO EXIST ONCE ALL BENEFITS HAVE BEEN DISTRIBUTED IN ACCORDANCE WITH PROVISIONS OF THE PLAN. THERE WAS NO PAYMENT OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (SERP 457F PAYOUT) IN CALENDAR YEAR 2012. SCHEDULE J, PART I, LINE 7 A PORTION OF EXECUTIVES SALARIES ARE PLACED "AT-RISK" AND ARE NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM 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. CARDIOLOGY CONSULTANTS NAPA VALLEY SEE PART V 424429 CARDIOLOGY SERVICES false RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION SCHEDULE L, PART IV, LINE (2), COLUMN (B) JAMES 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. ORGANIZATION'S MISSION FORM 990,PART I, LINE 1 & PART III, LINE 1 AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), QUEEN OF THE VALLEY MEDICAL CENTER IS COMMITTED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE OF PEOPLE IN THE COMMUNITIES WE SERVE. OUR MISSION IS REALIZED THROUGH THE DELIVERY OF QUALITY IN-PATIENT AND OUT-PATIENT SERVICES, AND FOCUSED COMMUNITY INITIATIVES AND PROGRAMS THAT ARE DEDICATED TO IMPROVING THE LIVES OF ALL WE SERVE. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III LINE 4A REALIZING OUR MISSION QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) HAS BEEN MEETING THE HEALTH AND QUALITY OF LIFE NEEDS OF THE LOCAL COMMUNITY FOR OVER 50 YEARS. SERVING THE 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 ACCOMPLISHMENTS FINANCIAL 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 STOCKHOLDERS FORM 990, PART VI, LINE 6 ST 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 RIGHTS FORM 990, PART VI, LINE 7A QUEEN 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 RIGHTS FORM 990, PART VI, LINE 7B THE RESERVED RIGHTS IN OUR TIERED GOVERNANCE STRUCTURE CONTEMPLATE APPROVAL BY THE ST. JOSEPH HEALTH SYSTEM MEMBER OF FINANCING, BUDGETS, UNBUDGETED EXPENDITURES OF DEFINED AMOUNTS, STRATEGIC PLAN, APPOINTMENT OF AUDITORS, CREATION OR INVESTMENT IN A LEGALLY RECOGNIZED ENTITY, JOINT VENTURES, PURPOSES, SALE OR DISPOSITION OF REAL PROPERTY, 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 990 FORM 990, PART VI, LINE 11B THE FORM 990 WAS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 WAS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE 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 INTEREST FORM 990, PART VI, LINE 12C OFFICERS, 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 BEGUN FORM 990, PART VI, LINES 15A AND 15B THE 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 PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE SJHS COMMUNITY BENEFIT REPORTS, FINANCIAL REPORTS, AND PHILANTHROPY REPORTS ARE ALSO AVAILABLE ON THE SJHS INTERNET SITE. QUEEN OF THE VALLEY MEDICAL CENTER AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990. OTHER CHANGES IN NET ASSETS/FUND BALANCE FORM 990, PART XI, LINE 9 EQUITY 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-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:11279135 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:SJHS MANAGEMENT FEES TOTAL FEES:10755304 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:NON PURCHASED SERVICES TOTAL FEES:8660036 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:2556647 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PATIENT COLLECTION AGENCIES TOTAL FEES:1493072 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN RECRUITMENT TOTAL FEES:633328 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:SUBSCRIPTIONS & DUES TOTAL FEES:318517 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:FREIGHT TOTAL FEES:306153 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:FUNDRAISING CULTIVATION TOTAL FEES:65565 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:ALL OTHER EXPENSES TOTAL FEES:579243 COVENANT HEALTH NETWORK INC 3345 MICHELSON DR STE 100 IRVINE CA 92612 461259908 HEALTHCARE CA 501(C)(3) 11, III SJHS true COVENANT HEALTH PARTNERS 3615 19TH STREET LUBBOCK TX 79410 611573313 HEALTHCARE TX 501(C)(3) 11,I CHS true COVENANT HEALTH SYSTEM 3615 19TH STREET LUBBOCK TX 79410 752765566 HEALTHCARE TX 501(C)(3) 3 SJHS true COVENANT HEALTH SYSTEM FOUNDATION 3623 22ND PLACE LUBBOCK TX 79410 752897026 HEALTHCARE TX 501(C)(3) 7 CHS true COVENANT MEDICAL GROUP 3420 22ND PLACE LUBBOCK TX 79410 752743883 HEALTHCARE TX 501(C)(3) 3 CHS true HOAG CHARITY SPORTS 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