QUEEN OF THE VALLEY MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: QUEEN OF THE VALLEY MEDICAL CENTER (EIN 94-1243669)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-11
IRS object ID: 201101319349303155
Schema version: 2009v1.7
Note: A later return for the same period supersedes this one.
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-11T19:53:17-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	18111 VON KARMAN AVENUE SUITE 1000	AddressLine1
City	IRVINE	City
State	CA	State
ZIP Code	92612	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	941243669	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	QUEEN OF THE VALLEY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	QUEE	NameControl
Phone	7072524411	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Dennis SistoDon Miller	Name
Title	CEO/CFO	Title
Date Signed	2011-05-10	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	9497942300	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DENNIS SISTO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	277239453	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	WWW.THEQUEEN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1953	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	WE ARE COMMITTED TO EXTENDING THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE BY CONTINUALLY IMPROVING THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1674	TotalNbrEmployees
Total Nbr Volunteers	250	TotalNbrVolunteers
Total Gross UBI	19929	TotalGrossUBI
Net Unrelated Business Txbl Income	9896	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2503443	ContributionsGrantsPriorYear
Contributions Grants Current Year	2205438	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	254870461	ProgramServiceRevenuePriorYear
Program Service Revenue CY	268380482	ProgramServiceRevenueCY
Investment Income Prior Year	-8895459	InvestmentIncomePriorYear
Investment Income Current Year	6424718	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-52426	OtherRevenuePriorYear
Other Revenue Current Year	-18934	OtherRevenueCurrentYear
Total Revenue Prior Year	248426019	TotalRevenuePriorYear
Total Revenue Current Year	276991704	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	309290	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4099561	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	140410626	SalariesEtcPriorYear
Salaries Etc Current Year	139560177	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	280351	TotalFundrsngExpCurrentYear
Other Expense Prior Year	107591663	OtherExpensePriorYear
Other Expenses Current Year	108239658	OtherExpensesCurrentYear
Total Expenses Prior Year	248311579	TotalExpensesPriorYear
Total Expenses Current Year	251899396	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	114440	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	25092308	RevenuesLessExpensesCY
Total Assets BOY	286549062	TotalAssetsBOY
Total Assets EOY	318410774	TotalAssetsEOY
Total Liabilities BOY	86197628	TotalLiabilitiesBOY
Total Liabilities EOY	88123265	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	200351434	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	230287509	NetAssetsOrFundBalancesEOY
Mission Description	SEE SCHEDULE O Joseph of Orange by continually improving the health and quality of life in the communities we serve.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	222599026	Expense
Grants	4099561	Grants
Revenue	268405933	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	222599026	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	278	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1674	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DON MILLER VP FINANCECFO	NamePerson
Telephone Number	7072524411	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DENNIS SISTO
CEO	50.0	X	X	0	718507	39519
DARRIN MONTALVO
BOARD MEMBER	2.0	X		0	811782	49299
LIZ BOULWARE
CHAIR	5.0	X		0	0	0
JOSEPH CARRILLO MD
BOARD MEMBER	2.0	X		0	0	0
COLLEEN CHAPPELLET
BOARD MEMBER/SECRETARY	2.0	X	X	0	0	0
FRANK COLLIN
BOARD MEMBER	2.0	X		0	0	0
SISTER JUDITH FERGUS CSJ
BOARD MEMBER	2.0	X		0	0	0
SISTER PATRICIA HAYHURST CSJ
BOARD MEMBER	2.0	X		0	0	0
KATHLEEN HEALY MD
BOARD MEMBER	2.0	X		10000	0	0
BROTHER THOMAS JONES FSC
BOARD MEMBER	2.0	X		0	0	0
SISTER MARY BERNADETTE MCNULTY
VICE CHAIR / COMMITTEE CHAIR	4.0	X		0	0	0
MICHAEL MERWIN MD
VICE CHIEF OF STAFF	2.0	X		0	0	0
BETTY O'SHAUGHNESSY
BOARD MEMBER	2.0	X		0	0	0
SISTER SUZANNE SASSUS CSJ
BOARD MEMBER	2.0	X		0	0	0
WYMAN SMITH
SECRETARY/TREASURER/COMM CHAIR	4.0	X		0	0	0
JAMES TIDGEWELL
BOARD MEMBER	2.0	X		0	0	0
Dorothy Arata
Board Member	2.0	X		0	0	0
Sister Jane de Lisle
Board Member	2.0	X		0	0	0
James Gonzalez
Board Member	2.0	X		0	0	0
James Knister MD
Board Member	2.0	X		0	0	0
Don McComber
Board Member	2.0	X		0	0	0
Sister Felicia Sarati
Board Member	2.0	X		0	0	0
DONALD MILLER
VP FINANCE/CFO	50.0		X	511780	0	20988
SISTER MARIAN SCHUBERT
VP OF MISSION INTEGRATION	50.0		X	0	0	0
VINCENT MORGESE MD
VP MEDICAL AFFAIRS	50.0			424529	0	11204	X
WALTER MICKENS
EXECUTIVE VICE PRESIDENT / COO	50.0			410289	0	3740	X
BARBARA EUSEBIO
VP PATIENT CARE SERVICES	50.0			344573	0	9805	X
RONALD SCOTT
VP HUMAN RESOURCES	50.0			284690	0	17994	X
RICHARD GREEN
VP FOUNDATION / CHF DEV OFCR	40.0			257246	0	18941		X
ROBERT LEE
RNFA II	67.0			247841	0	25611		X
PAUL DEUS
NURSE, RELIEF CHARGE	65.0			231278	0	25642		X
ANGELA NICHOLSON
LEAD, RADIOLOGY NURSE	65.0			216811	0	12337		X
VICKI MOORE
NURSE PRACTITIONER, ACUTE CARE	58.0			210978	0	11444		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3150015	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1530289	TotalReportableCompFrmRltdOrgs
Total Other Compensation	246524	TotalOtherCompensation
Number Individuals GT100 K	340	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
NAPA VALLEY WOMEN'S HEALTH CARE IN
1100 TRANCAS ST 209	NAPA	CA	94558	ADMN SVCS: OB/GYN	1399776
E PAUL REID MD PC
170 SOUTHPORT DR	MORRISVILLE	NC	27560	HEALTHCARE SERVICES	1281438
ANESTHESIA ANALGESIA MEDICAL GRP
837 FIFTH STREET 2ND FLOOR	SANTA ROSA	CA	95404	HEALTHCARE SERVICES	1204884
RADIOLOGY MED GROUP OF NAPA
PO BOX 348120	SACRAMENTO	CA	95834	HEALTHCARE SERVICES	1042380
NAPA VALLEY CARDIAC THORACIC
3421 VILLA LANE 2A	NAPA VALLEY	CA	94558	HEALTHCARE SERVICES	445480

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	12	NumberOfContractorsGT100K
Related Organizations	1024621	RelatedOrganizations
Government Grants	52055	GovernmentGrants
All Other Contributions	1128762	AllOtherContributions
Total Contributions	2205438	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICES	622110	262114181	262114181
SYNERGY WELLNESS CENTER	713940	4447406	4427477	19929
CAFETERIA	722310	708531	708531
MEDICAL OFFICE BUILDING	531120	557538	557538
COMMUNITY OUTREACH REVENUE	900099	95865	95865

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	456961	TotalRevenueColumn
Related Or Exempt Function Income	456961	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	268380482	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3058101	TotalRevenueColumn
Exclusion	$3,058,101	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3365617	Securities
Other	1000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3365617	Securities
Other	1000	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3366617	TotalRevenueColumn
Exclusion	$3,366,617	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	183435	GrossSalesOfInventory
Cost Of Goods Sold	247749	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-64314	TotalRevenueColumn
Exclusion	-$64,314	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER NON-OPERATING REVENUE	Description
Business Code	900099	BusinessCode
Total Revenue Column	45380	TotalRevenueColumn
Related Or Exempt Function Income	45380	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	45380	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	276991704	TotalRevenueColumn
Related Or Exempt Function Income	268405933	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	19929	UnrelatedBusinessRevenue
Exclusion	$6,360,404	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4099561	Total
Program Services	4099561	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2350921	Total
Program Services	0	ProgramServices
Management And General	2350921	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	89509960	Total
Program Services	85768493	ProgramServices
Management And General	3741467	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5895397	Total
Program Services	5504404	ProgramServices
Management And General	390993	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	33956707	Total
Program Services	31572338	ProgramServices
Management And General	2384369	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7847192	Total
Program Services	7488358	ProgramServices
Management And General	358834	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5919231	Total
Program Services	5891348	ProgramServices
Management And General	27883	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	461094	Total
Program Services	49664	ProgramServices
Management And General	411430	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	275715	Total
Program Services	0	ProgramServices
Management And General	275715	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	37477	Total
Program Services	37477	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	492996	Total
Program Services	0	ProgramServices
Management And General	492996	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	25159667	Total
Program Services	8619908	ProgramServices
Management And General	16539759	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	361200	Total
Program Services	47749	ProgramServices
Management And General	313451	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	35622173	Total
Program Services	35320820	ProgramServices
Management And General	301353	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4295413	Total
Program Services	4259672	ProgramServices
Management And General	35741	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4875916	Total
Program Services	4836796	ProgramServices
Management And General	39120	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	340719	Total
Program Services	263526	ProgramServices
Management And General	77193	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	163354	Total
Program Services	156843	ProgramServices
Management And General	6511	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	3498069	Total
Program Services	3498069	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14903782	Total
Program Services	14738324	ProgramServices
Management And General	165458	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1412903	Total
Program Services	1026450	ProgramServices
Management And General	386453	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	8675878	8675878
OTHER	1744071	743348	720372	280351

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	251899396	Total
Program Services	222599026	ProgramServices
Management And General	29020019	ManagementAndGeneral
Fundraising	280351	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	20522244	BOY
EOY	14499568	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	47253096	BOY
EOY	81121659	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	38635245	BOY
EOY	36687770	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1454224	BOY
EOY	1854055	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4561546	BOY
EOY	4585656	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	865899	BOY
EOY	1046458	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	299285575	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	166641949	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	132747184	BOY
EOY	132643626	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	35626641	BOY
EOY	39590409	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4882983	BOY
EOY	6381573	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	286549062	BOY
EOY	318410774	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	24436380	BOY
EOY	26182422	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	2050000	BOY
EOY	2050000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	59711248	BOY
EOY	59890843	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	86197628	BOY
EOY	88123265	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	200351434	BOY
EOY	230287509	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	200351434	BOY
EOY	230287509	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	286549062	BOY
EOY	318410774	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$37,477	OtherActivitiesAmount
Total Lobbying Expenditures IIB	37477	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF LOBBYING ACTIVITIES	Identifier
Return Reference	FORM 990, SCHEDULE C, PART II-B	ReturnReference
Explanation	DURING THE PAST YEAR, THE ST. JOSEPH HEALTH SYSTEM HAS CONDUCTED AN ADVOCACY EFFORT WHICH INCLUDED MINIMAL 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

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3433499	OtherCostOrOtherBasis
Book Value	3433499	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	139456997	OtherCostOrOtherBasis
Depreciation	65447203	Depreciation
Book Value	74009794	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	470153	OtherCostOrOtherBasis
Depreciation	296364	Depreciation
Book Value	173789	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	139169706	OtherCostOrOtherBasis
Depreciation	100898382	Depreciation
Book Value	38271324	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16755220	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	16755220	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	132643626	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
PATIENT CREDIT BALANCES	$636,843
ASBESTOS REMOVAL COSTS	$1,322,904
DUE TO THIRD PARTY PAYORS	$4,008,285
INTERCO WITH HEALTH SYSTEM-BONDS	$53,922,811

Field	Value	IRS element (for citing)
Total Of Amounts	59890843	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2592960	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2592960	NetCommunityBenefitExpense
Percent Of Total Expense	0.01070	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27418946	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21654055	DirectOffsettingRevenue
Net Community Benefit Expense	5764891	NetCommunityBenefitExpense
Percent Of Total Expense	0.02370	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9437689	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6805310	DirectOffsettingRevenue
Net Community Benefit Expense	2632379	NetCommunityBenefitExpense
Percent Of Total Expense	0.01080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39449595	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28459365	DirectOffsettingRevenue
Net Community Benefit Expense	10990230	NetCommunityBenefitExpense
Percent Of Total Expense	0.04520	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3182489	TotalCommunityBenefitExpense
Direct Offsetting Revenue	326509	DirectOffsettingRevenue
Net Community Benefit Expense	2855980	NetCommunityBenefitExpense
Percent Of Total Expense	0.01170	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	474661	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21849	DirectOffsettingRevenue
Net Community Benefit Expense	452812	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3657150	TotalCommunityBenefitExpense
Direct Offsetting Revenue	348358	DirectOffsettingRevenue
Net Community Benefit Expense	3308792	NetCommunityBenefitExpense
Percent Of Total Expense	0.01360	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	43106745	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28807723	DirectOffsettingRevenue
Net Community Benefit Expense	14299022	NetCommunityBenefitExpense
Percent Of Total Expense	0.05880	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	12394	TotalCommunityBuildingExpense
Net Community Building Expense	12394	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	12394	TotalCommunityBuildingExpense
Net Community Building Expense	12394	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,996,824	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	58686386	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	79306241	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-20619855	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	QUEEN OF THE VALLEY MEDICAL CENTER	BusinessNameLine1

Address Address

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

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNT REPORTED IN SCHEDULE H, PART I, LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS.	CostingMethodUsed
Percent Of Total Expense Expln	TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $251,899,396. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $8,675,878. THIS LEFT TOTAL EXPENSE OF $243,223,518 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).	PercentOfTotalExpenseExpln
Bad Debt Footnote	FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT: THE ORGANIZATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDICAID PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYORS. THE ORGANIZATION BELIEVES THERE ARE NO SIGNIFICANT 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 CONTINUALLY MONITORS AND ADJUSTS THE RESERVES ASSOCIATED WITH RECEIVABLES. THE ORGANIZATION ESTIMATES BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL COLLECTION EXPERIENCE. DISCOUNTS ON PATIENT ACCOUNTS VARY BY CONTRACTED PAYORS AND SELF PAY ACCOUNTS. THE DISCOUNTS ARE RECORDED AS CONTRACTUAL ADJUSTMENTS TO REVENUE. UNPAID PATIENT ACCOUNTS ARE AGED FROM DISCHARGE DATE AND A RESERVE FOR BAD DEBTS EXPENSE ON ANY UNPAID ACCOUNTS IS MADE ACCORDING TO A SLIDING SCALE DEPENDING ON THE AGE OF THE ACCOUNT. ANY PAYMENTS OR RECOVERIES ON ACCOUNTS DEEMED UNCOLLECTIBLE ARE NETTED INTO THE RESERVE, THUS REDUCING BAD DEBTS EXPENSE. BAD DEBT REPORTED ON LINE 2 IS CALCULATED BY USING THE FOLLOWING COST ACCOUNTING METHODOLOGY: TOTAL BAD DEBT EXPENSE = $8,675,878 APPLY COST TO CHARGE RATIO = 23.02% EQUALS BAD DEBT EXPENSE AT COST = $1,996,824	BadDebtFootnote
Shortfall As Community Benefit	AS A CATHOLIC HEALTH CARE MINISTRY, THE ORGANIZATION FOLLOWS THE CATHOLIC HEALTH ASSOCIATION'S COMMUNITY BENEFIT REPORTING GUIDELINES AND THEREFORE DOES NOT REPORT MEDICARE AS A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6 IS DETERMINED BASED ON AMOUNTS REPORTED ON QVMC'S MEDICARE COST REPORT. MEDICARE ALLOWABLE COSTS REPORTED ARE BASED ON THE STEP-DOWN METHOD OF COST ALLOCATION PER MEDICARE GUIDELINES AND ON AN ACCRUAL BASIS OF ACCOUNTING. CERTAIN COSTS, FOR PURPOSES OF THE ALLOCATION MAY BE RECLASSIFIED, REMOVED OR SUBJECT TO ADJUSTMENT IF THEY ARE DETERMINED TO BE NON ALLOWABLE (I.E., COSTS NOT RELATED TO PATIENT CARE AND EXCESSIVE COSTS). GENERAL SERVICE COST CENTERS ( E.G. ADMINISTRATION AND GENERAL, MAINTENANCE) WHICH PROVIDES SERVICES TO THE GREATEST NUMBER OF COST CENTERS ARE STEPPED DOWN( ALLOCATED) FIRST AND COST CENTERS WHICH RECEIVE THE MOST SERVICES ARE STEPPED DOWN LAST. THE COSTS OF THE GENERAL SERVICE COST CENTERS, AFTER RECLASSIFICATIONS AND ADJUSTMENTS, ARE ALLOCATED TO ALL COST CENTERS WITHIN THE ORGANIZATION THAT RECEIVE THE SERVICES BASED ON A STATISTICAL BASES APPROVED BY MEDICARE. THE TOTAL ALLOWABLE COSTS ARE THE ALLOCATED COSTS AT THE END OF THE STEP DOWN ALLOCATION PROCESS PERTAINING TO THE REVENUE GENERATING COST CENTERS.	ShortfallAsCommunityBenefit
Debt Collection Policy	PRIOR TO ADVANCING ANY ACCOUNT FOR EXTERNAL COLLECTION, THE ORGANZIATION PERFORMS AN EVALUATION TO IDENTIFY IF THE ACCOUNT QUALIFIES FOR CHARITY CARE. ALL ACCOUNTS ARE SCREENED FOR CHARITY CARE ELIGIBILITY USING CRITERIA THAT CONSIDERS INSURANCE COVERAGE, CREDIT RATING, PAYMENT ACTIVITY, AND VALID SOCIAL SECURITY NUMBER AND/OR ACCURATE RESIDENCE ADDRESS.	DebtCollectionPolicy
Needs Assessment	QVMC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. THE FY 2008 PROCESS CONSISTED OF A NAPA COUNTY NEEDS ASSESSMENT COLLABORATIVE OF HEALTH ORGANIZATIONS AND FUNDERS, INCLUDING QVMC, KAISER FOUNDATION HEALTH PLAN, ST. HELENA HOSPITAL, NAPA COUNTY PUBLIC HEALTH, COMMUNITY HEALTH CLINIC OLE, AND AUCTION NAPA VALLEY. THE ASSESSMENT PROCESS INCLUDES AN EXTENSIVE REVIEW OF EXISTING DATA AS WELL AS CONDUCTING COMMUNITY SURVEYS, FOCUS GROUPS AND INTERVIEWS. IN ADDITION THE PROCESS OBTAINS THE COMMUNITY'S PERSPECTIVES ABOUT HEALTH NEEDS AND POTENTIAL SOLUTIONS FOR RESPONDING. WE ARE PROUD OF THIS COMMUNITY NEEDS ASSESSMENT COLLABORATIVE AND WE CONTINUE THIS PROCESS IN THE 2010 NEEDS ASSESSMENT.	NeedsAssessment
Patient Education Assistance	THE ORGANIZATION POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT SERVICE AREAS. NOTICES ARE ALSO POSTED AT LOCATIONS WHERE A PATIENT MAY PAY THEIR BILL. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT CAN OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF 5% OR GREATER OF PATIENTS IN THE HOSPITAL'S SERVICE AREA. ALL PATIENTS WHO DEMONSTRATE LACK OF FINANCIAL COVERAGE BY THIRD PARTY INSURERS ARE OFFERED AN OPPORTUNITY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION AND IS OFFERED INFORMATION, ASSISTANCE, AND REFERRAL AS APPROPRIATE TO GOVERNMENT SPONSORED PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE.	PatientEducationAssistance
Community Information	WHEREAS QUEEN OF THE VALLEY MEDICAL CENTER'S PRIMARY AND SECONDARY SERVICE AREAS (PSA AND SSA) INCLUDE LOCATIONS OUTSIDE OF NAPA COUNTY, THE COMMUNITY BENEFIT PRIMARY AND SECONDARY SERVICE AREAS 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 FIFTY-SEVEN PERCENT OF RESIDENTS LIVE IN THE CITY OF NAPA, HOWEVER AMERICAN CANYON IS THE SECOND LARGEST AND FASTEST-GROWING CITY IN THE COUNTY. 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. MIRRORING CALIFORNIA, NAPA COUNTY'S 2009 POPULATION OF 137,723 IS BECOMING INCREASINGLY DIVERSE. TWENTY-EIGHT PERCENT OF THE OVERALL POPULATION IDENTIFIES THEMSELVES AS HISPANIC OR LATINO, WHILE AMONG CHILDREN AGES 0 TO 5 THE PROPORTION IS CLOSER TO FIFTY PERCENT. IN ADDITION, OVER FIFTEEN PERCENT OF ALL NAPA COUNTY RESIDENTS ARE OVER THE AGE OF 65; A HIGHER PROPORTION OF OLDER RESIDENTS THAN CALIFORNIA AS A WHOLE.	CommunityInformation
Community Building Activities	AS PART OF SYNERGY'S MEDICAL FITNESS PROGRAM, SYNERGY PROVIDES CARE TO PATIENTS REFERRED BY THEIR PHYSICIANS WHEN THERE IS A MEDICAL AND FINANCIAL NEED. THE FINANCIAL NEED FALLS INTO A SCHOLARSHIP CATEGORY. THE SCHOLARSHIP IS OR 3 MONTHS AND CAN BE EXTENDED TO 6 MONTHS. PATIENTS ARE EVALUATED FOR ELIGIBILITY FOR SCHOLARSHIPS AFTER CLINICAL REVIEWS OF THE MEMBERS DEMONSTRATE THAT THE PROGRAM WILL PROMOTE THE HEALTH OF THE MEMBER IN COLLABORATION WITH A FITNESS PLAN FOR EXERCISE. AMOUNT OF SCHOLARSHIPS FOR FY2010 AMOUNTED TO $12,394.	CommunityBuildingActivities
Other Information	QVMC DEMONSTRATES RESPONSIVENESS TO THE COMMUNITY THROUGH ENGAGING THE COMMUNITY IN THE GOVERNANCE OF COMMUNITY BENEFIT PRIORITIES AND STRATEGIES. THE COMMUNITY HEALTH NEEDS AND ASSETS MANAGEMENT INVOLVES A COLLABORATIVE OF QVMC, ST. HELENA HOSPITAL, KAISER PERMANENTE, NONPROFIT COALITION, VINTNERS ASSOCIATION, COMMUNITY HEALTH CLINIC OLE, NAPA COUNTY PUBLIC HEALTH, AND NAPA HEALTH AND HUMAN SERVICES. QVMC ALSO INVOLVES ORGANIZATION LEADERS AND STAFF IN A VARIETY OF NONPROFIT BOARD OF DIRECTOR AND COMMUNITY VOLUNTEER ROLES. QVMC LEADERS SERVE ON HOSPICE OF NAPA VALLEY BOARD, CHILDREN'S HEALTH INITIATIVE BOARD, AND THE PARENT CHILD ADVOCACY NETWORK BOARD. MANY OF QVMC'S COMMUNITY BENEFIT SUPPORTED PROGRAMS INVOLVE STRONG COMMUNITY COLLABORATION, SUCH AS HEALTH AGING PLANNING INITIATIVE (HAPI) - A COMMUNITY COLLABORATIVE CONSISTING OF OVER 8 ORGANIZATIONS WITH THE GOAL OF ENHANCING THE HEALTH AND QUALITY OF LIFE OF OLDER ADULTS IN NAPA COUNTY. QVMC ADVOCACY EFFORTS INCLUDE HEALTH SYSTEM STATEWIDE PROMOTION CHILDHOOD FITNESS AND AWARENESS OF THE HEALTHY FOR LIFE PROGRAM. SENATOR LOU CORREA INTRODUCED SCR77 ENTITLED CHILDHOOD OBESITY PREVENTION AND FITNESS WEEK. THE CALIFORNIA SENATE APPROVED SCR77 ON A 23 TO 5 VOTE. ON A LOCAL LEVEL, A COMMUNITY FORUM HELD IN FY10 INVOLVED A PANEL AROUND CHILDHOOD OBESITY AND PREVENTION HELD AT QVMC. PANELISTS INCLUDED NAPA POLICY MAKERS, SENATOR MIKE THOMPSON, AND HEALTH SYSTEM AND MEDICAL CENTER HEALTH EXPERTS. THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF MEDICAL AND BUSINESS PROFESSIONALS, ALONG WITH EMPLOYEES OF THE ST. JOSEPH HEALTH SYSTEM, MOST OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. ALL BOARD MEMBERS ARE VOLUNTEERS AND NONE OF THE COMMUNITY MEMBERS ARE EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, FUNDRAISING, AND IN GENERAL STEWARDSHIP. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL UTILIZES SURPLUS FUNDS TO HELP MAINTAIN ACCESS TO PATIENT SERVICES THROUGHOUT THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: PROCUREMENT OF PATIENT CARE EQUIPMENT AND DEVICES TO AID IN THE DIAGNOSIS OF DISEASE AND TREATMENT OF OUR PATIENTS.	OtherInformation
Affiliated Health Care System	GIVING BACK TO THE COMMUNITY PERMEATES EVERY ASPECT OF OUR ORGANIZATION. AS A MEMBER OF THE FAITH-BASED HEALTHY MINISTRY OF ST. JOSEPH HEALTH SYSTEM, WE HAVE A FUNDING STREAM TO ADDRESS THE NEEDS OF THE ECONOMICALLY POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE. ON AN ANNUAL BASIS, 10 PERCENT OF OUR NET OPERATING INCOME IS DEVOTED TO FUND COMMUNITY PROGRAMS FOR THE ECONOMICALLY POOR. THE ST. JOSEPH HEALTH SYSTEM FOUNDATION, A MEMBER OF ST. JOSEPH HEALTH SYSTEM, IS CHARGED WITH THE DISTRIBUTION OF THESE FUNDS. IN ADDITION TO DEVOTING A PERCENTAGE OF OUR NET OPERATING INCOME TO COMMUNITY BENEFIT SERVICES FOR THE ECONOMICALLY POOR, WE STRIVE TO ANNUALLY BUDGET A PORTION OF OUR TOTAL OPERATING EXPENSES FOR HEALTHY COMMUNITIES AND COMMUNITY HEALTH EFFORTS.	AffiliatedHealthCareSystem
Reports Filed With States	CA	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
UNITY LEAGUE
2545 NAPA VALLEY CORP DRIVE	SUITE C	NAPA	CA	94558	261424760	501(C)(3)	6500	Support for HIV/Care Network
CATHOLIC CHARITIES
1219 JEFFERSON ST	Ste 4	NAPA	CA	94558	942479393	501(C)(3)	10000	COMMUNITY PARTNERSHIP TO SUPPORT THE RAINBOW HOUSE AND HOME BASE
ASTHMA COALITION CO QVMC FOUNDATION
1000 TRANCAS STREET		NAPA	CA	94558	237081153	501(C)(3)	10000	FY10 COMMUNITY PARTNERSHIP SUPPORT FOR ASTHMA COALITION
THE AMERICAN HEART ASSOCIATION
1400 N DUTTON AVE 20		SANTA ROSA	CA	95401	135613797	501(C)(3)	25000	PURCHASE CPR ANYTIME KITS TO DISTRIBUTE TO CARE NETWORK CLIENTS, PERINATAL EDUCATION CLIENTS
HANDS ACROSS THE VALLEY
PO Box 5404		Napa	CA	94581	680385193	501(C)(3)	10000	FY10 SUPPORT OF FUNDRAISER THAT SUPPORTS LOCAL AGENCIES SUPPLY FOOD TO LOW INCOME FAMILIES
NAPA EMERGENCY WOMENS SERVICES
1141 PEAR TREE LANE 220		NAPA	CA	94558	942745889	501(C)(3)	10000	COMMUNITY PARTNERSHIP SAFETY NET SERVICES FOR VICTIMS & FAMILIES OF DOMESTIC VIOLENCE
COMMUNITY ACTION NAPA VALLEY
2310 LAUREL STREET 1		NAPA	CA	94559	941610851	501(C)(3)	15250	FY10 SUPPORT FOR MEALS ON WHEELS PROGRAM THAT DELIVERS FOOD TO LOW-INCOME INDIVIDUALS
HOSPICE OF THE NAPA VALLEY
414 SOUTH JEFFERSON ST		NAPA	CA	94558	680393144	501(C)(3)	100000	CHARITABLE CONTRIBUTION TO SUPPORT ADULT DAY SERVICES FOR INDIVIDUALS IN THE ALZHEIMER'S DAY PROGRAM
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 S MAIN STREET 700		ORANGE	CA	928684507	330143024	501(C)(3)	2762800	care for the poor
St Joseph Heritage Health Foundation
279 EAST IMPERIAL HIGHWAY 750		FULLERTON	CA	92835	330185031	501(C)(3)	1000000	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	10	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	ReturnReference
Explanation	COMMUNITY BENEFIT GRANTS AND CHARITABLE DONATIONS ARE MONITORED THROUGH REQUIRED REPORTING MECHANISMS. ALL GRANTS AND DONATIONS ARE CONDITIONED REGARDING EXPENDITURE COSISTENT WITH THE USE SPECIFIED WITHIN A SPECIFIC PERIOD OF TIME. IN ADDTION, THE RECIPIENT AGENCY MUST REMAIN A NON-PROFIT, TAX-EXEMPT ORGANIZATION AND IS REQUIRED TO SUBMIT SCHEDULED REPORTING THAT INCLUDES PROGRESS TOWARD IDENTIFIED GOALS AS WELL AS DETAILED ACCOUNTING RELATIVE TO THE GRANT OR DONATION AND THE FUNDS EXPENDED. BY ACCEPTING THE GRANT OR DONATION, RECIPIENT AGREES TO THE CONDITIONS OF THE GRANT OR DONATION DESCRIBED HEREIN.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DONALD MILLER
262544	0	81786	0	167449	0	19382	0	1606	0	532768	0	185883	0
VINCENT MORGESE MD
277645	0	86630	0	60255	0	9205	0	1999	0	435733	0	0	0
WALTER MICKENS
273094	0	85750	0	51446	0	1624	0	2117	0	414030	0	0	0
BARBARA EUSEBIO
221094	0	68666	0	54813	0	9224	0	581	0	354378	0	0	0
RONALD SCOTT
178371	0	55693	0	50627	0	16543	0	1451	0	302684	0	0	0
RICHARD GREEN
158044	0	50982	0	48220	0	14904	0	4037	0	276187	0	0	0
ROBERT LEE
247841	0	0	0	0	0	24328	0	1283	0	273452	0	0	0
PAUL DEUS
227019	0	0	0	4259	0	20737	0	4905	0	256920	0	0	0
ANGELA NICHOLSON
216273	0	0	0	538	0	10431	0	1905	0	229147	0	0	0
VICKI MOORE
202999	0	2799	0	5180	0	10161	0	1283	0	222422	0	0	0
DENNIS SISTO
0	407221	0	153010	0	158277	0	21953	0	17566	0	758026	0	0
DARRIN MONTALVO
0	486979	0	152649	0	172154	0	19242	0	30056	0	861080	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Compensation Information	Identifier
Return Reference	Schedule J, Part I, Line 1a	ReturnReference
Explanation	St. Joseph Health System allows for companion travel for certain pre-approved, ministry sponsored events. Companion travel is treated as taxable compensation in most cases. In the case that companion travel is not treated as taxable compensation, the individual is providing a service to the Health System as a representative with knowledge of the communities and ministries we serve. Members of the Board and executive management team are selected to participate in an annual pilgrimage to Le Puy, France, where the Sisters' first congregation was formed. The purpose of the pilgrimage is for organization's leaders to develop a deeper understanding of the roots and heritage of the organization in order to carry out the mission. Companion travel is considered to be an essential part of this experience and the companion acts as a representative with knowledge of the communities and ministries we serve. The following trustees and officers received a benefit for companion travel that was intended to be compensation. The benefits were paid by QUEEN OF THE VALLEY's tax-exempt parent, St. Joseph Health System. Donald Miller - $4,213 Darrin Montalvo - $6,801 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. The executive compensation process of the parent, St. Joseph Health System, is noted in the Schedule O for 990, Part VI, Lines 15a and 15b. 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. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE PLANS AS FOLLOWS: DONALD MILLER - $185,883 SCHEDULE J, PART I, LINE 7 A PORTION OF THE EXECUTIVE'S SALARY IS PLACED "AT-RISK" AND IS NOT AWARDED UNLESS SPECIFIC STRATEGIC OBJECTIVE TARGETS ARE MET OR EXCEEDED. THE AT-RISK EXECUTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD EXECUTIVES FOR TEAM PERFORMANCE THAT SUPPORTS THE STRATEGIC GOALS AND SUCCESSFUL PERFORMANCE OF ST. JOSEPH HEALTH SYSTEM. AT-RISK PAY IS AWARDED TO ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, AND THE CHIEF EXECUTIVE OFFICER BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE PREDETERMINED BY THE BOARD OF TRUSTEES PRIOR TO THE BEGINNING OF THE FISCAL YEAR. THE GOALS INCLUDE OUR STRATEGIC OBJECTIVES OF PERFECT CARE, SACRED ENCOUNTERES, AND HEALTHIEST COMMUNITIES AS WELL AS FISCAL STEWARDSHIP. EACH OF THESE FACTORS IS TAKEN INTO CONSIDERATION WHEN DETERMINING THE PERCENTAGE OF AT-RISK PAY.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	PARTNERSHIP HEALTH PLAN	NamePerson

Field	Value	IRS element (for citing)
Relationship	D MILLER / SEE SCHEDULE O	Relationship
Amount Of Transaction	6498876	AmountOfTransaction
Description Of Transaction	HEALTH INSURANCE PAYMENTS	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990, PART I, 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 INPATIENT AND OUTPATIENT 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 4 AS A MEMBER OF THE ST. JOSEPH HEALTH SYSTEM (SJHS), QUEEN OF THE VALLEY MEDICAL CENTER IS COMMITED TO EXTENDING THE HEALING MINISTRY OF JESUS IN THE TRADITION OF THE SISTERS OF ST. JOSEPH OF ORANGE. THAT MISSION HAS GUIDED OUR CATHOLIC HEALTHCARE MINISTRY SINCE THE OPENING OF OUR FIRST HOSPITAL IN EUREKA, CALIFORNIA NEARLY 100 YEARS AGO. BUT THE ROOTS OF QUEEN OF THE VALLEY MEDICAL CENTER AND THE LESSONS TO SERVE OUR DEAR NEIGHBORS DATE BACK TO THE YEAR 1650 WHEN THE SISTERS' FIRST CONGREGATION WAS FORMED IN LE PUY, FRANCE. SINCE THAT TIME, THE PEOPLE OF OUR ORGANIZATION CONTINUE TO ASSESS THE NEEDS OF THE COMMUNITIES WE SERVE, BUILD COLLABORATIVE PARTNERSHIPS WITH LOCAL RESIDENTS, BUSINESS, AND COMMUNITY NOT-FOR-PROFITS, AND TOGETHER THROUGH THOSE PARTNERSHIPS, MEET COMMUNITY NEEDS. THE HEALTH SYSTEM IS ORGANIZED INTO THREE REGIONS--NORTHERN CALIFORNIA, SOUTHERN CALIFORNIA, AND WEST TEXAS/EASTERN NEW MEXICO - AND CONSISTS OF 14 ACUTE CARE HOSPITALS, AS WELL AS HOME HEALTH AGENCIES. HOSPICE CARE, OUTPATIENT SERVICES, SKILLED NURSING FACILITIES, COMMUNITY CLINICS, AND PHYSICIAN ORGANIZATIONS. WHO WE ARE AND WHAT WE DO: FOR OVER FIFTY YEARS QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) HAS BEEN A VITAL RESOURCE AND INEGRAL PART OF THE NAPA VALLEY COMMUNITY. A FULL-SERVICE ACUTE CARE 191 BED MEDICAL CENTER, QUEEN OF THE VALLEY EMPLOYS APPROXIMATELY 1,650 EMPLOYEES. THE MEDICAL CENTER IS LOCATED WITHIN THE CITY AND COUNTY OF NAPA, AND IS THE MAJOR DIAGNOSTIC AND THERAPEUTIC MEDICAL CENTER FOR NAPA COUNTY AND THE SURROUNDING REGION. WE RECOGNIZE AND EMBRACE THE SOCIAL OBLIGATION TO CREATE, COLLABORATE ON AND IMPLEMENT PROGRAMS THAT ADDRESS IDENTIFIED NEEDS AND PROVIDE BENEFITS TO THE COMMUNITIES WE SERVE. THE HEALTH OF OUR COMMUNITY DEPENDS ON THE CREATION AND MAINTENANCE OF STRONG PHYSICAL AND SOCIAL STRUCTURES, WHICH PROMOTE AND CONTRIBUTE TO THE WELL-BEING OF THOSE WHO LIVE IN NAPA COUNTY. IN TOTAL, FOR FISCAL YEAR 2010 QVMC CONTRIBUTED $14,298,000 IN COMMUNITY BENEFIT, EXCLUDING UNPAID COST OF MEDICARE. AS A MINISTRY OF THE ST. JOSEPH HEALTH SYSTEM WE ARE COMMMITED TO THREE SYSTEMWIDE MISSION OUTCOMES: MAKING EVERY ENCOUNTER WITH OUR COMMUNITY A SACRED ENCOUNTER, PROVIDING TO OUR PATIENTS IN THE COMMUNITY WITH PERFECT CARE, AND MAKING THE COMMUNITY WE SERVE ONE OF THE HEALTHIEST COMMUNITIES IN THE U.S. THE CARE NETWORK SERVES LOW-INCOME, UNINSURED OR UNDERINSURED PATIENTS. THIS TEAM OF NURSES AND SOCIAL WORKERS HELPS INDIVIDUALS WITH CHRONIC CONDITIONS BETTER MANAGE THEIR HEALTH NEEDS. ONE SACRED ENCOUNTER INVOLVES A 78-YEAR-OLD VETERAN WITH SERIOUS HEALTH ISSUES, "JIM". WITH SOME GENTLE ASSESSMENT HIS CARE NETWORK RN AND SOCIAL WORKER, IT SOON BECAME APPARENT THAT THE LONELY MAN WAS ON THE VERGE OF A PHYSICAL AND MENTAL BREAKDOWN. HIS COMPLEX SOCIAL AND MEDICAL CHALLENGES REQUIRED A COMPREHENSIVE AND HOLISTIC APPROACH. THE TEAM DISCOVERED THAT JIM WAS IN DENIAL ABOUT HIS CORONARY ARTERY DISEASE, PULMONARY DISEASE AND SEVERE OSTEOPOROSIS. HE HAD GONE FROM PROVIDER TO PROVIDER HOPING TO FIND LESS DIRE DIAGNOSES AND MORE PAIN MEDICATION. A VISIT TO JIM'S RESIDENCE UNCOVERED WHY HE OFTEN DIDN'T WANT TO STAY HOME. JIM HAD VERY FEW NEIGHBORS OR CLOSE FRIENDS AND HIS ONLY RELIABLE SUPPORT PERSON LIVED IN THE NEXT COUNTY. HIS ABRASIVE COMMUNICATION STYLE AND HESITANCY TO ASK FOR HELP RESULTED IN A VERY LIMITED SUPPORT SYSTEM FOR JIM. IN ADDITION, HIS RUN-DOWN HOME AND YARD CONTAINED OBSTACLES THAT COULD CAUSE A LIFE-THREATENING FALL. JIM NEEDED HELP, AND THE QUEEN'S CARE NETWORK RN AND SOCIAL WORKER WERE THERE FOR HIM. THE TEAM PROVIDED HIM WITH GENTLE SUPPORT, DISEASE MANAGEMENT EDUCATION AND ASSISTANCE TO OBTAIN OTHER LOCAL SERVICES. THEY ESTABLISHED A MEDICAL "HOME" FOR HIM, ENSURING ONLY ONE PROVIDER AND PRESCRIBING MEDICATIONS. THEY ALSO HELPED HIM FIND WAYS TO REDUCE HIS HIGH DEBT BURDEN. A CARE NETWORK MENTAL HEALTH THERAPIST HELPED JIM ACCEPT HIS MEDICAL CONDITIONS AND IDENTIFIED ANTI-ANXIETY MEDICATION THAT REDUCED VISITS TO THE EMERGENCY ROOM. THE TEAM ALSO SUPPLIED FREE NUTRITIONAL SUPPLEMENTS AND GROCERY STORE FOOD CARDS. FOLLOWING THE UNEXPECTED DEATH OF JIM'S SUPPORT PERSON, THE CARE NETWORK TEAM COUNSELED JIM AND EVEN HELPED QUALIFY JIM'S DOG AS A CERTIFIED SERVICE ANIMAL SO THAT HIS ONLY REMAINING FRIEND COULD ACCOMPANY HIM WHEN HE MOVED INTO A GROUP RESIDENCE. THIS SERIES OF SUPPORTIVE INTERVENTIONS EXEMPLIFIES THE INDIVIDUAL "TOUCH" AND SACRED ENCOUNTER PROVIDED TO THE MOST VULNERABLE CHRONICALLY ILL IN NAPA COUNTY THROUGH THIS PROGRAM. PROVIDING TO OUR PATIENTS IN THE COMMUNITY WITH PERFECT CARE. FOCUS ON ORAL HEALTH EDUCATION: 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 PATIENTS' NEEDS. RESULTS FROM A PATIENT SATISFACTION SURVEY INDICATE THAT 91% OF 153 PARENT RESPONDENTS AGREE OR STRONGLY AGREE THEY HAVE A BETTER UNDERSTANDING OF THE IMPORTANCE OF TEETH HEALTH, AND 86% OF 156 RESPONDENTS REPORT THEIR CHILD IS BRUSHING LONGER OR MORE OFTEN SINCE COMING TO THE MOBILE CLINIC. ANOTHER 89% OF 149 PARENT RESPONDENTS AGREE OR STRONGLY AGREE THEY ARE ABLE TO ASSIST THEIR CHILD WITH BRUSHING and FLOSSING, AS NEEDED. DENTAL HEALTH DATA OF 537 NEW PATIENTS DEMONSTRATE THAT 95% IMPROVED THEIR ORAL HEALTH AND 92% OF THESE PATIENTS HAD A DECREASE IN CAVITIES AT THE 6-MONTH RECALL VISIT.
PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4	MAKING THE COMMUNITY WE SERVE AMONG THE HEALTHIEST COMMUNITIEST IN THE U.S. RESEARCH SHOWS A DRAMATIC INCREASE IN THE PREVALENCE OF CHILDHOOD OBESITY IN THE UNITED STATES. THE HEALTH IMPACT IS EXTENSIVE AND INCLUDES AN INCREASED TENDENCY TO BE OBESE IN ADULTHOOD, INCREASED INCIDENCE OF DIABETES, INCREASED INCIDENCE OF HEART DISEASE AND DECREASED OVERALL SELF ESTEEM - ALL POTENTIALLY DEVASTING RESULTS FOR OUR NATION'S CHILDREN. IN NAPA COUNTY, 17% OF CHILDREN AGES 12-17 WERE OVERWEIGHT OR OBESE IN 2007. IN AN EFFORT TO ADDRESS THIS CRITICAL HEALTH ISSUE, ST. JOSEPH HEALTH SYSTEM ADOPTED A HEALTH SYSTEM WIDE, SCHOOL-BASED CHILDHOOD OBESITY PREVENTION PROGRAM TITLED "HEALTHY FOR LIFE". QUEEN OF THE VALLEY, THE "HEALTHY FOR LIFE" SCHOOL-BASED INITIATIVE SUCCESSFULLY EXPANDED INTO 4 ADDITIONAL SCHOOLS FOR A TOTAL OF 5 ENGAGED NAPA COUNTY SCHOOLS IN FY10. OF 118 STUDENTS PARTICIPATING IN DATA COLLECTION, 14.4% WERE IDENTIFIED WITH UNDIAGNOSED ACANTHOSIS NIGRICANS (SKIN RASH INDICATING HIGH RISK FOR DIABETES), 12.7% WERE IDENTIFIED WITH HIGH BLOOD PRESSURE, AND 16.1% FELL INTO THE CLINICALLY OBESE CATEGORY WITH A BMI OF GREATER THAN THE 95TH PERCENTILE. ALL STUDENTS IDENTIFIED WITH THESE HEALTH FINDINGS WERE PROVIDED PHYSICIAN REFERRAL AND FOLLOW UP TO ENSURE MEDICAL ATTENTION. OF THE STUDENT PARTICIPANTS THAT HAD A BODY MASS INDEX (BMI) OF GREATER THAN THE 85TH PERCENTILE, SIX PERCENT DEMONSTRATED A REDUCTION IN THEIR BMI BY THE END OF THE SCHOOL YEAR PROGRAM. SELF ESTEEM, PARTICULARLY IN YOUTH, PLAYS A PIVOTAL ROLE IN MENTAL, EMOTIONAL, AND PHYSICAL HEALTH AND WELL-BEING. OF THE STUDENTS WITH A BMI GREATER THAN 85%, THERE WAS A 3% IMPROVEMENT IN SELF ESTEEM SCORES BY THE END OF THE SCHOOL YEAR. HEALTHY FOR LIFE STRIVES TO EMPOWER YOUTH AND THEIR FAMILIES TO MAKE HEALTHY CHOICES RELATED TO DIET AND ACTIVITY. OF STUDENTS PARTICIPATING IN HEALTHY FOR LIFE 6.6% REPORTED AN INCREASE IN EXERCISING 6 OR MORE DAYS A WEEK, 7.1% REPORTED AN INCREASE IN CONSUMING FRUITS AND VEGETABLES 3 OR MORE DAYS A WEEK, 6.8% REPORTED SWITCHING FROM WHOLE MILK TO 1% LOW-FAT MILK, 5.7% STOPPED EATING SNACKS WHILE WATCHING TV, AND 17.3% OF STUDENT PARTICIPANTS DECREASED THE NUMBER OF DAYS A WEEK THEY ATE "JUNK FOOD". QUEEN OF THE VALLEY MEDICAL CENTER IS AN ACUTE-CARE HOSPITAL, SERVING THE NORTHERN CALIFORNIA REGION. DURING FISCAL YEAR 2010, WE INVESTED A TOTAL OF $14,298,000.00 (5.9% OF OUR TOTAL OPERATING EXPENSES) IN COMMUNITY BENEFIT (INCLUDING TRADITIONAL CHARITY CARE, UNPAID COST TO STATE AND LOCAL PROGRAMS AND COMMUNITY BENEFIT SERVICES TO THE LOW-INCOME AND BROADER COMMUNITY), IN ALIGNMENT WITH CATHOLIC HEALTH ASSOCIATION GUIDELINES. IN ADDITION, OUR UNPAID COST OF MEDICARE PROGRAMS TOTALED $27,908,000.00. FINANCIAL ASSISTANCE POLICY: OUR MISSION IS TO PROVIDE QUALITY CARE TO ALL OUR 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 ST. JOSEPH HEALTH SYSTEM HAS A PATIENT FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES FREE OR DISCOUNTED SERVICES TO ELIGIBLE PATIENTS. IN FY10, QUEEN OF THE VALLEY MEDICAL CENTER PROVIDED $2,592,000.00 IN CHARITY CARE. CARE NETWORK IS AN OUTPATIENT CHRONIC DISEASE MANAGEMENT PROGRAM USING RN/SOCIAL WORK TEAMS PROVIDING HOME VISITS, MEDICAL OFFICE VISITS, AND COMMUNITY REFERRAL ASSISTANCE AND SERVICES. TARGET GROUP: LOW-INCOME, CHRONICALLY ILL NAPA COUNTY RESIDENTS, THEIR FAMILIES AND CAREGIVERS. GOAL: IMPROVE HEALTH OUTCOMES AND QUALITY OF LIFE FOR LOW-INCOME INDIVIDUALS WITH CHRONIC ILLNESS THROUGH PROVISION OF DISEASE MANAGEMENT AND LIFE-SKILLS EDUCATION, SOCIO-ECONOMIC AND BEHAVIORAL HEALTH INTERVENTIONS, AND PROMOTION OF DISEASE SELF MANAGMENT. ACCOMPLISHMENTS: RESEARCH OVER THE LAST FEW YEARS ON CHRONIC DISEASE MANAGMENT HAS DEMONSTRATED THAT CARE FOR THE CHRONICALLY ILL IS MOST EFFECTIVE IN AN OUTPATIENT CARE SETTING. USE OF THE EMERGENCY DEPARTMENT AND INPATIENT HOSPITAL CARE IS LESS EFFECTIVE IN IMPROVING THE QUALITY OF LIFE FOR PATIENTS WITH CHRONIC DISEASE. AS A RESULT, QVMC HAS DEVELOPED THE CARE NETWORK PROGRAM TO ENABLE COMMUNITY DWELLING RESIDENTS WITH CHRONIC DISEASE ACCESS TO DISEASE MANAGMENT AND APPROPRIATE SERVICES MAXIMIZING WELLNESS AND QUALITY OF LIFE. FY 10 SERVICES INCLUDE: PROVIDED DISEASE EDUCATION, SELF MANAGEMENT AND CASE MANAGEMENT SERVICES TO THE LOW-INCOME CHRONICALLY ILL: IN FY10, CARE NETWORK PROVIDED COMPREHENSIVE SERVICES TO 307 CLIENTS (IN COMPARISON TO 293 IN FY09). OF THESE 307 CLIENTS, 139 WERE NEWLY ENROLLED IN FY10. ASIDE FROM ENROLLED CLIENTS, AN ADDITIONAL 219 NON-ENROLLED INDIVIDUALS SEEKING SOCIAL SERVICES RECEIVED BRIEF CASE MANAGEMENT SERVICES AND SOCIAL SERVICES COUNSELING. PROVIDED CRITICAL COMMUNITY RESOURCE AND REFERRALS, AND REDUCED EMERGENCY DEPARTMENT VISITS AND HOSPITALIZATIONS: OF THE 307 ENROLLED CLIENTS RECEIVING FULL PROGRAM SERVICES, 74% DEMONSTRATED A DECREASE IN EMERGENCY ROOM VISITS (FROM 34.31 AVERAGE MONTHLY ED VISITSIN FY09 TO 8.82 IN FY10) AND 63% DEMONSTRATED A DECREASE IN HOSPITALIZATIONS (FROM 18.24 AVERAGE MONTHLY HOSPITAL ADMISSION IN FY09 TO 6.69 IN FY10). IN ADDITION TO RN DISEASE MANAGEMENT MONITORING AND EDUCATION, THESE CLIENTS RECEIVED ADVOCACY AND SUPPORT IN THE FOLLOWING AREAS: HEALTH INSURANCE ENROLLMENT (135 OCCASIONS), HOUSING SUPPORT (116 OCCASIONS), PHARMACEUTICAL SUPPORT (206 OCCASIONS), FOOD SUPPORT (356 OCCASIONS), AND TRANSPORTATION TO MEDICAL APPOINTMENTS (295 OCCASIONS), THROUGH CARE NETWORK SUPPORT, TWO HOMELESS CLIENTS RECEIVED PERMANENT HOUSING, AND MANY MORE RECEIVED MONTHLY INCOME, HEALTH INSURANCE, FOOD SECURITY, AND A SOCIAL SUPPORT SYSTEM WITH CARE NETWORK INTERVENTIONS. IN ALIGNMENT WITH OUR MISSION "...TO ENHANCE THE HEALTH AND QUALITY OF LIFE OF THE PEOPLE IN THE COMMUNITIES WE SERVE", MEASURING QUALITY OF LIFE (QOL) FOR OUR CLIENTS IS OF SIGNIFICANT IMPORTANCE, YET A DIFFICULT QUALITATIVE MEASURE. USING A RECENTLY ADOPTED HEALTH SYSTEM WIDE COMMUNITY BENEFIT QUALITY IMPROVEMENT METHODOLOGY, ONE FY10 PERFORMANCE IMPROVEMENT PROJECT AIMS AT ESTABLISHING A VALIDATED QOL MEASURE PROCESS. THE NEWLY IMPLEMENTED METHOD WILL PROVIDE RESULTS IN FY11. OUR FY10 MEASURE OF QOL INVOLVE CLIENT SELF REPORTED QOL INDICATORS AND SHOW OF THE 307 ENROLLED, CLIENTS REPORTED AN INCREASE IN QOL INDICATORS ON 915 OCCASIONS. RECOGNIZING THE BENEFITS OF INCREASED STRENGTH AND ENDURANCE FOR THOSE CHRONICALLY ILL WE ESTABLISHED A PARTNERSHIP WITH QVMC'S MEDICAL FITNESS CENTER TO SPONSOR LOW INCOME CHRONICALLY ILL CLIENTS IN A SPECIALIZED MONITORED EXERCISE PROGRAM. THIS YEAR 30 CLIENTS RECEIVED MEDICAL FITNESS MEMBERSHIP SERVICES WITH A TOTAL OF 1,016 RN MONITORED VISITS PROVIDED. ANOTHER PERFORMANCE IMPROVEMENT EXPERIMENT CONDUCTED IN FY10 RESULTED IN CENTRALIZED REFERRAL PROCESS AND ENHANCED CLIENT FLOW. AS A RESULT A NEW BRIEF INTERVENTION PROGRAM "BIP" WAS ESTABLISHED USING EVIDENCE BASED DISEASE MANAGMENT PRACTICES IDENTIFYING CLIENTS REQUIRING LESS INTENSIVE CASE MANAGMENT SERVICES. THIS HELPED TO INCREASE CAPACITY LEVELS OF SERVICE AT A TIME OF LIMITED RESOURCES FOR PROGRAM GROWTH. SPECIALIZED CARE FOR PEOPLE WITH HIV/AIDS IS CRITICAL TO IMPROVING HEALTH OUTCOMES. AS AN EXTENSION OF CARE NETWORK, QVMC COMMUNITY BENEFIT PROVIDES A TWICE MONTHLY HIV CLINIC AT NAPA'S FQHC COMMUNITY HEALTH CLINIC OLE, ACCESSSING A SAN FRANCISCO BASED HIV/AIDS PHYSICIAN SPECIALIST. THE HIV CLINIC IS MANAGED AND STAFFED BY CARE NETWORK HIV RN AND SOCIAL WORK CASE MANAGERS, PROVIDING A MULTIDISCIPLIMARY APPROACH TO THE HIV CLINIC VISIT. THIS YEAR 20 HIV CLINICS (72.5 CLINIC HOURS) PROVIDED 77 HIV CLIENT VISITS. APPROXIMATELY, 20 CLIENTS REQUIRED HIV MEDICATION TREATMENT AND MONITORING TO MANAGE THEIR HIV DISEASE AND PREVENT PROGRESSION TO AIDS. ANOTHER PROGRAM ENHANCEMENT IN FY10 IS DEVELOPMENT OF COMMUNITY CARE CONFERENCING. IN AN EFFORT TO IMPROVE SYSTEMS OF CARE THROUGH COORDINATION AND MONITORING AMONG KEY COMMUNITY PARTNERS, CARE NETWORK DEVELOPED AND IMPLEMENTED A MONTHLY COORDINATION OF CARE CONFERENCE; ENSURING THAT PRIVACY AND CONFIDENTIALITY ARE MAINTAINED. THIS SUCCESSFUL PROGRAM COMPONENT INVOLVES 23 AGENCIES FROM THE PUBLIC AND PRIVATE SECTOR ON AN AS NEEDED - CASE BY CASE BASIS, AND INCLUDES EMS, POLICE, COUNTY HHS, COUNTY MENTAL HEALTH, FAMILY RESOURCE CENTERS, HOSPICE, AND KEY MINISTRY DEPARTMENTS.
PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED		CHILDRENS MOBILE DENTAL CLINIC. 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. TARGET POPULATION: LOW-INCOME, UNINSURED AND UNDER-INSURED CHILDREN.THE CHILDREN'S MOBILE DENTAL CLINIC PROVIDES COMPREHENSIVE DENTAL SERVICES TO MORE THAN 1600 LOW-INCOME NAPA COUNTY CHILDREN, AN INCREASE OF 33% (FROM 1,220 TO 1,600 ACTIVE PATIENTS FROM FY 09 TO FY 10). IN RESPONSE TO NEED, THE NUMBER OF CLINIC SITES INCREASED FROM FIVE TO SIX, AND THE ELIGIBLE AGE RANGE EXPANDED FROM 6 MONTH TO 16 YEARS TO A MAXIMUM AGE OF 21 YEARS. FY10 ALSO SAW AN INCREASE IN THE NUMBER OF NEW PATIENTS SERVED BY 35% (FROM 410 TO 554), AND AN INCREASE IN CLINIC VISITS BY 12% (FROM 2,464 TO 2,750). AN IMPORTANT COMPONENT OF MOBILE DENTAL SERVICES INCLUDES ORAL HEALTH EDUCATION AIMED AT EMPOWERING PARENTS AND CHILDREN TO IMPROVE AND MAINTAIN ORAL HEALTH. WITH EASH VISIT, THE CHILD'S HEALTH HISTORY IS UPDATED AND EDUCATION IS TAILORED TO MEET THE PATIENTS' NEEDS. RESULTS FROM A PATIENT SATISFACTION SURVEY INDICATE THAT 91% OF 153 PARENT RESPONDENTS AGREE OR STRONGLY AGREE THEY HAVE A BETTER UNDERSTANDING OF THE IMPORTANCE OF HEALTHY TEETH, AND 86% OF 156 RESPONDENTS REPORT THEIR CHILD IS BRUSHING LONGER OR MORE OFTEN SINCE COMING TO THE MOBILE CLINIC. ANOTHER 89% OF 149 PARENT RESPONDENTS AGREE OR STRONGLY AGREE THEY ARE ABLE TO ASSIST THEIR CHILD WITH BRUSHING AND FLOSSING AS NEEDED. DENTAL HEALTH DATA OF 537 NEW PATIENTS DEMONSTRATE THAT 95% IMPROVED THEIR ORAL HEALTH AND 92% OF THESE PATIENTS HAD A DECREASE IN CAVITIES AT THE 6-MONTH RECALL VISIT. LOW-INCOME NAPA COUNTY CHILDREN REQUIRING EXTENSIVE ORAL TREATMENT HAD NO ACCESS TO SEDATION DENTISTRY. IN RESPONSE TO THIS IDENTIFIED GAP IN ACCESS, IN COLLABORATION WITH LOCAL PEDIATRICIANS AND QVMC, A COMMUNITY BENEFIT EXTENDING ACCESS TO SEDATION DENTISTRY WITHIN QVMC WAS DEVELOPED. THIS YEAR 6 LOW-INCOME CHILDREN RECEIVED ACCESS TO SEDATION DENTISTRY AT QVMC, DECREASING THE STRESS AND TRAUMA OF EXTENSIVE ORAL TREATMENT, AND RECEIVING THIS SERVICE WITHIN THEIR OWN COMMUNITY. PROVIDED STATE REQUIRED PRE-SCHOOL ORAL HEALTH SCREENINGS: IN 2006, THE STATE OF CALIFORNIA PASSED LEGISLATION (ASSEMBLY BILL 1433 (EMMERSON/LAIRD(0 REQUIRING THAT CHILDREN HAVE A DENTAL CHECK -UP BY MAY 31 OF THEIR FIRST YEAR IN PUBLIC SCHOOL, AT KINDERGARTEN OR FIRST GRADE. QVMC MOBILE DENTAL CLINIC RECOGNIZES THE NEED TO PARTNER WITH LOCAL ORGANIZATIONS TO SUPPORT PARENTS TO MEET THIS REQUIREMENT. IN PARTNERSHIP WITH NAPA COUNTY CHILD START PROGRAMS, OUR MOBILE DENTAL TEAM COMPLETED A TOTAL OF 237 ORAL HEALTH EXAMINATIONS TO PRE-SCHOOL CHILDREN IN 8 SEPERATE LOCATIONS. FOR THE MANY PRE-SCHOOL CHILDREN WHO DID NOT HAVE A DENTAL HOME AND/OR NEEDED TREATMENT FOR IDENTIFIED CAVITIES DURING THE SCREENING, ON SITE LINKAGE TO CARE AND SERVICES IS PROVIDED. COMMUNITY HEALTH EDUCATION: QVMC OFFERS A WIDE VARIETY OF HEALTH EDUCATION FOR THE COMMUNITY. GOAL: IMPROVE ACCESS TO CONSISTENT AND HIGH QUALITY PERINATAL AND GENERAL COMMUNITY HEALTH EDUCATION BY ENHANCING HEALTH LITERACY AMONG LOW INCOME AND LATINO FAMILIES, AS WELL AS THE BROADER COMMUNITY IN AN EFFORT TO PREVENT HEALTH PROBLEMS AND INCREASE ACCESS TO CARE. ACCOMPLISHMENTS : QVMC OFFERS 15 DIFFERENT PERINATAL EDUCTION CLASSES FOR NAPA COUNTY WOMEN AND THEIR FAMILIES, INCLUDING: CHILDBIRTH PREPERATION, LABOR PAIN MANAGEMENT, BREASTFEEDING, SIBLING PREPARATION, NEWBORN CARE, BOOT CAMP FOR DADS, FITNESS FOR TWO, PRE AND POSTANTAL EXERCISE, PRENATAL WATER AEROBICS, HOME AND CAR SEAT SAFETY, AND INFANT MASSAGE. OUTREACH TO LOW-INCOME AND SPANISH SPEAKING RESIDENTS REQUIRES OFFERING OFF-SITE CLASSES AT CONVENIENT LOCATIONS, IN ADDITION TO OUR ON SITE CLASSES. A TOTAL OF 360 PERINATAL CLASSES WERE OFFEREDED, AN INCREASE OF 10% WITH A TOTAL OF 4,000 PARTICIPANT CONTACTS. POST PARTUM DEPRESSION SERVICES: THE PERINATAL MOOD DISORDER (PMD) PROGRAM OFFERS COMMUNITY OBSTETRICIANS AND PEDIATRICIANS A SINGE REFERRAL POINT TO QVMC COMMUNITY OUTREACH FOR MOTHERS EXPERIENCING SYMPTOMS OF POST PARTUM DEPRESSION. THE QUEEN'S PMD MENTAL HEALTH THERAPIST PROVIDED 236 COUNSELING VISITS FOR WOMEN EXPERIENCING POST PARTUM DEPRESSION. IN ADDITION TO THE CLIENT (MOTHER) VISITS, THERAPY MAY INCLUDE THE SPOUSE, SIGNIFICANT OTHER, CAREGIVER, OR OTHER FAMILY MEMBER. THIS PROGRAM ENSURES A SEAMLESS CONTINUUM OF CARE SHOULD MORE INTENSIVE PSYCHIATRIC, OR SUBSTANCE ABUSE INTERVENTION BE REQUIRED. ALL (100%) OF QVMC OBSTETRIC AND PEDIATRIC PROVIDERS RECEIVED TRAINING AND PARTICIPATE IN THE POST PARTUM DEPRESSION SCREENING AND REFERRAL PROCESS THROUGH QVMC COMMUNITY OUTREACH. REFERRALS ARE RECEIVED FROM THE EMERGENCY DEPARTMENT, HEALTH CARE PROVIDERS, AND OTHER COMMUNITY AGENCIES. BINATIONAL HEALTH IS INTERNATIONALLY RECOGNIZED WITH A FOCUS ON REDUCTION IN HEALTH INEQUITIES THROUGH EDUCATION AND EMPOWERMENT. QVMC COMMUNITY OUTREACH WAS INSTRUMENTAL IN ESTABLISHING NAPA COUNTY'S FIRST ANNUAL BINATIONAL HEALTH WEEK ACTIVITIES IN 2005, AND HAS CONTINUED ANNUAL COORDINATION AND FUNDING SINCE.IN FY 2010, $4,000 PLUS IN-KIND STAFF HOURS CONTRIBUTED TO FIVE COMMUNITY EVENTS HELD THOUGHOUT THE YEAR INCLUDING A BINATIONAL HEALTH FAIR CONDUCTED AT COMMUNITY HEALTH CLINIC OLE, WITH 46 AGENCY PARTICIPANTS. OVER 400 INDIVIDUALS ATTENDED AND 242 ADULTS AND 252 CHILDREN RECEIVED COMPREHENSIVE HEALTH SCREENINGS. IN ADDITION, 387 FLU VACCINES WERE ADMINISTERED. EACH INDIVIDUAL SCREENED HAD A PRIVATE CONSULTATION WITH A PROVIDER TO REVIEW THEIR SCREENING RESULTS AND SCHEDULE FOLLOW UP MEDICAL CARE AS INDICATED. ANYONE WITHOUT A MEDICAL HOME WAS LINKED TO THE FQHC AND A PROVIDER. OTHER BINATIONAL EVENTS INCLUDED LATINO SENIOR DINNER, VOTER REGISTRATION AND CITZENSHIP FAIRS, AND A LATINA WOMEN'S CONFERENCE. A TOTAL OF 3,000 COMMUNITY RESIDENTS PARTICIPATED IN THESE EVENTS.
CHANGES IN ORGANIZATIONAL DOCUMENTS	Form 990, PART VI, QUESTION 4	THE ORGANIZATION'S BYLAWS WERE UPDATED TO DEFINE AND CLARIFY BOARD DUTIES AND OFFICER ROLES. IN ADDITION, THE LIST OF RESERVED RIGHTS WAS EXPANDED TO INCLUDE PROCESSES LEADING UP TO ACTION ON RESERVED RIGHTS. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 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, QUESTION 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 TRUSTEE 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 THE ST. JOSEPH HEALTH MINISTRY, AS THE ORGANIZATIONAL SPONSOR. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 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, MERGER 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, QUESTION 11 THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT BASED ON INFORMATION RECEIVED FROM VARIOUS DEPARTMENTS OF THE ORGANIZATION AS APPLICABLE. THE FORM 990 IS THEN REVIEWED BY AN OFFICER OF THE ORGANIZATION. A COPY OF THE FORM 990 FILING IS THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD FOR THE MARCH 2011 MEETING. DURING THE BOARD FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. THE BOARD FINANCE COMMITTEE CHAIR THEN PROVIDES A SUMMARY AT THE FULL BOARD MEETING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 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 CONFLICT OF INTEREST HE/SHE MAY HAVE. ADDITIONALLY, DISCLOSURES SHALL BE MADE PROMPTLY ANYTIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF ANY CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. WHEN A CONFLICT OF INTEREST IS IDENTIFIED, SUCH CONFLICT IS DISCLOSED TO THE QUEEN OF THE VALLEY MEDICAL CENTER BOARD FINANCE COMMITTEE. IF THE CONFLICT INVOLVES A MEMBER OF THAT COMMITTEE, THE REMAINING COMMITTEE MEMBERS WILL 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 IS EVALUATION, EXCEPT TO ANSWER QUESTIONS AS MAY BE NECESSARY. ONCE ALL NECESSARY INFORMATION HAS BEEN OBTAINED, THE COMMITTEE CONDUCTS ITS EVALUATION AND FORWARDS ITS FINDINGS AND RECOMMENDATIONS TO THE SJHS CHIEF COMPLIANCE OFFICER. IF THE COMMITTEE DETERMINES AN UNRESOLVED CONFLICT OF INTEREST EXISTS, THE COMMITTEE WILL EVALUATE AND RECOMMEND CONFICT MITIGATION STRATEGIES. THE SJHS CHIEF COMPLIANCE OFFICER IN CONSULTATION WITH SJHS GENERAL COUNSEL WILL REVIEW THE COMMITTE FINDINGS, RECOMMENDATIONS, AND MITIGATION STRATEGIES AND PRESENT RECOMMENDATIONS TO THE BOARD FOR DISCUSSION AND VOTE.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN	FORM 990, PART VI, QUESTION 15A AND 15B	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 2010. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 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.
HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII	DARRIN MONTALVO SERVES ON THE QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) BOARD OF DIRECTORS. HE ALSO SERVES AS CFO AND SENIOR VICE PRESIDENT OF THE TAX-EXEMPT PARENT, ST. JOSEPH HEALTH SYSTEM (SJHS). HE IS COMPENSATED BY SJHS FOR HIS CFO SERVICES AND DEVOTES 50 HOURS PER WEEK TO SJHS. DENNIS SISTO SERVES AS CEO OF QVMC. ALTHOUGH HE IS COMPENSATED BY SJHS, HE DEVOTES 50 HOURS PER WEEK TO QVMC AND NO TIME TO SJHS. Oversight or Selection Process Form 990, Part XI, Question 2c THE ST. JOSEPH HEALTH SYSTEM BOARD APPROVES THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. SCHEDULE L DONALD MILLER IS THE CFO OF QUEEN OF THE VALLEY MEDICAL CENTER (QVMC) AND IS ALSO A BOARD MEMBER OF PARTNERSHIP HEALTH PLAN. PARTNERSHIP HEALTH PLAN HAD BUSINESS TRANSACTIONS WITH QVMC THAT EXCEEDED $100,000 DURING THE YEAR.
METHOD USED TO DETERMINE AMOUNTS IN SCHEDULE R	SCHEDULE R, PART V, LINE 2	THE AMOUNTS REPORTED ON SCHEDULE R, PART V, LINE 2 ARE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.
SECTION 409A RELIEF UNDER SECTION V.D. OF IRS NOTICE 2008-113	OPERATIONAL DEFECTS	(A) NAME AND SOCIAL SECURITY NUMBERS OF AFFECTED PARTICIPANTS: NOT APPLICABLE. (B) THE 409A FAILURE OCCURRED WITH RESPECT TO THE ST. JOSEPH HEALTH SYSTEM 457(F) PLAN ("PLAN"). (C) OPERATIONAL DEFECT (1): IN FEBRUARY 2010 IT WAS DISCOVERED THAT THE PLAN FAILED TO COMPLY WITH 409A BECAUSE IT PROVIDED FOR IMPERMISSIBLE ALTERNATIVE PAYMENT SCHEDULES FOR VOLUNTARY AND INVOLUNTARY SEPARATIONS FROM SERVICE AND DID NOT SPECIFY THAT PAYMENT WILL BE MADE ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT. IN ACCORDANCE WITH VI.B, VII.C AND XI.A OF NOTICE 2010-6, THE PLAN WAS AMENDED EFFECTIVE AS OF JANUARY 1, 2009 TO APPLY THE TIMING RULE APPLICABLE TO INVOLUNTARY TERMINATIONS TO VOLUNTARY TERMINATIONS AND TO PROVIDE THAT PAYMENT WILL BE MADE ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT. THIS AMENDMENT WAS SIGNED BY THE EMPLOYER ON OCTOBER 6, 2010. THEREFORE, THE DATE ON WHICH THE FAILURE OCCURRED WAS THE 60TH DAY FOLLOWING THE PARTICIPANT SEPARATION FROM SERVICE DATE FOR THE FOLLOWING PARTICIPANTS WHO VOLUNTARILY TERMINATED ON OR AFTER JANUARY 1, 2009 AND ON OR BEFORE DECEMBER 31, 2009. THE PLAN COVERS ELIGIBLE EMPLOYEES OF PARTICIPATING CONTROLLED GROUP MEMBERS. QUEEN OF THE VALLEY MEDICAL CENTER PARTICIPATES IN THE PLAN. HOWEVER, NONE OF ITS EMPLOYEES VOLUNTARILY TERMINATED IN 2009 OR 2010. OPERATIONAL DEFECT (2): IN 2010 IT WAS DISCOVERED THAT 3 PARTICIPANTS EMPLOYED BY OTHER PARTICIPATING EMPLOYERS WERE NOT TIMELY PAID THEIR PLAN ACCOUNTS FOLLOWING INVOLUNTARY TERMINATIONS IN 2009, AS REQUIRED BY THE PLAN. USUALLY, SUCH DISTRIBUTIONS ARE MADE WITHIN 30 DAYS FOLLOWING THE INVOLUNTARY TERMINATION DATE. THEREFORE, THE DATE ON WHICH THE FAILURE OCCURRED WAS THE 30TH DAY FOLLOWING THE INVOLUNTARY TERMINATION DATE. THE PLAN'S ADMINISTRATIVE PROCEDURES HAVE BEEN REVIEWED TO ASSURE THAT IN THE FUTURE PLAN BENEFITS ARE PAID PROMPTLY AFTER ALL INVOLUNTARY TERMINATIONS. QUEEN OF THE VALLEY MEDICAL CENTER DID NOT HAVE ANY EMPLOYEES WHO WERE INVOLUNTARILY TERMINATED AND NOT TIMELY PAID THEIR PLAN BENEFIT. (D) THE PLAN QUALIFIED FOR RELIEF UNDER VI.B, VII.C AND XI.A OF IRS NOTICE 2010-6 AND ON OCTOBER 6, 2010, A PLAN AMENDMENT WAS SIGNED. THE AMENDMENT PROVIDES THAT EFFECTIVE AS OF JANUARY 1, 2009, ALL BENEFITS WILL BE PAID IMMEDIATELY UPON AN INVOLUNTARY SEPARATION FROM SERVICE (CURRENTLY THE STATUS QUO) AND ON THE 60TH DAY FOLLOWING VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON COMPETE AGREEMENT. ANY PARTICIPANT WHO VOLUNTARILY SEPARATED FROM SERVICE ON OR AFTER JANUARY 1, 2009 AND ON OR BEFORE DECEMBER 31, 2009 WAS PAID HIS CURRENT PLAN ACCOUNT BALANCE AFTER THE DATE THE AMENDMENT WAS SIGNED, BUT REDUCED FOR ANY INTEREST EARNED IN 2010 (IF ANY). AS ALLOWED BY NOTICE 2010-80, THE EMPLOYER SIGNED AN AMENDMENT ON DECEMBER 20, 2010 TO PROVIDE THAT PAYMENT WILL NO LONGER BE REQUIRED ON THE 60TH DAY FOLLOWING A VOLUNTARY SEPARATION FROM SERVICE, BUT WITHIN 60 DAYS FOLLOWING THE VOLUNTARY SEPARATION FROM SERVICE. HOWEVER, IF THE 60TH DAY FALLS IN THE SUBSEQUENT TAX YEAR, PAYMENT WILL BE MADE IN THE SUBSEQUENT TAX YEAR. THE PLAN'S ADMINISTRATIVE PROCEDURES HAVE BEEN CHANGED TO PAY PLAN ACCOUNTS IMMEDIATELY FOLLOWING A PARTICIPANT'S INVOLUNTARY SEPARATION FROM SERVICE (CURRENTLY THE STATUS QUO) AND WITHIN 60 DAYS FOLLOWING A VOLUNTARY SEPARATION FROM SERVICE PROVIDED THE PARTICIPANT RETURNS BY THIS DEADLINE A SIGNED NON-COMPETE AGREEMENT AND SUBJECT TO THE REQUIREMENT THAT IF THE 60TH DAY FALLS IN THE SUBSEQUENT TAX YEAR THEN PAYMENT WILL BE MADE IN THE SUBSEQUENT TAX YEAR. (E) THESE OPERATIONAL FAILURES ARE ELIGIBLE FOR THE CORRECTION UNDER THE TERMS OF IRS NOTICE 2008-113 AND THE EMPLOYER HAS TAKEN ALL ACTIONS REQUIRED, AND OTHERWISE MET ALL REQUIREMENTS, FOR SUCH CORRECTION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
ST JOSEPH HEALTH SYSTEM
500 S MAIN STREET SUITE 700	ORANGE	CA	92868	953589356	HEALTHCARE	CA	501(C)(3)	11, I	NA
SANTA ROSA MEMORIAL HOSPITAL
1165 MONTGOMERY DRIVE	SANTA ROSA	CA	95405	941231005	HEALTHCARE	CA	501(C)(3)	3	SJHS
SRM ALLIANCE HOSPITAL SERVICES
400 N MCDOWELL BLVD	PETALUMA	CA	94954	680395200	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST JOSEPH HOSPITAL OF EUREKA
2700 DOLBEER STREET	EUREKA	CA	95501	941156596	HEALTHCARE	CA	501(C)(3)	3	SJHS
REDWOOD MEMORIAL HOSPITAL
3300 RENNER DRIVE	FORTUNA	CA	95540	941384665	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST JUDE MEDICAL CENTER
101 E VALENCIA MESA DRIVE	FULLERTON	CA	92835	951643325	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST JOSEPH HOSPITAL OF ORANGE
1100 WEST STEWART DRIVE	ORANGE	CA	92868	951643359	HEALTHCARE	CA	501(C)(3)	3	SJHS
MISSION HOSPITAL REGIONAL MEDICAL CENTER
27700 MEDICAL CENTER ROAD	MISSION VIEJO	CA	92691	951643360	HEALTHCARE	CA	501(C)(3)	3	SJHS
ST MARY MEDICAL CENTER
18300 HIGHWAY 18	APPLE VALLEY	CA	92307	951914489	HEALTHCARE	CA	501(C)(3)	3	SJHS
COVENANT HEALTH SYSTEM
3615 19TH STREET	LUBBOCK	TX	79410	752765566	HEALTHCARE	TX	501(C)(3)	3	SJHS
ST JOSEPH HEALTH SYSTEM FOUNDATION
500 S MAIN STREET SUITE 1000	ORANGE	CA	92868	330143024	FOUNDATION	CA	501(C)(3)	7	SJHS
SISTERS OF ST JOSEPH OF ORANGE
480 S BATAVIA	ORANGE	CA	92868	951643383	RELIGIOUS ORG	CA	501(C)(3)	1	na
ST JOSEPH HEALTH MINISTRY
500 S MAIN STREET SUITE 400	ORANGE	CA	92868	271666576	RELIGIOUS ORG	CA	501(C)(3)	1	SSJO
ST JOSEPH HOME CARE NETWORK
170 PROFESSIONAL CENTER DR B	ROHNERT PARK	CA	94928	680331084	HEALTHCARE	CA	501(C)(3)	9	SJHS
ST JUDE HOSPITAL YORBA LINDA
279 E IMPERIAL HIGHWAY 750	FULLERTON	CA	92635	330185031	HEALTHCARE	CA	501(C)(3)	3	SJHS

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Legal Domicile StateLegalDomicileState
AMERICAN UNITY GROUP LTD
58 PAR-LA-VILLE ROAD	HAMILTON HM HX	BD	CAPTIVE INSUR	BD	SJHS	C-CORP	0	0	0.00000
ST JOSEPH PROF SVCS ENTERPRISES INC
			HEALTHCARE SV		SJHS	C-CORP	0	0	0.00000	500 S MAIN STREET SUITE 700	ORANGE	CA	92868	330155323	CA
ST JOSEPH DIVERSIFIED VENTURES INC
			HEALTHCARE SV		SJHS	C-CORP	0	0	0.00000	500 S MAIN STREET SUITE 700	ORANGE	CA	92868	330148989	CA

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
St Joseph Health System Foundation
C	1024621
St Joseph Health System Foundation
B	2762800
SANTA ROSA MEMORIAL HOSPITAL
	0
SRM ALLIANCE HOSPITAL SERRVICES
	0
ST JOSEPH HOSPITAL OF EUREKA
	0
REDWOOD MEMORIAL HOSPITAL
	0
ST JUDE MEDICAL CENTER
	0
ST JOSEPH HOSPITAL OF ORANGE
	0
MISSION HOSPITAL REGIONAL MEDICAL CENTER
	0
ST MARY MEDICAL CENTER
	0
COVENANT HEALTH SYSTEM
	0
ST JOSEPH HOME CARE NETWORK
	0
ST JUDE HOSPITAL YORBA LINDA
	0
AMERICAN UNITY GROUP LTD
	0
ST JOSEPH PROFESSIONAL SERVICES ENTERPRISES
	0
ST JOSEPH DIVERSIFIED VENTURES INC
	0