2011-05-11T19:53:17-05:00 2010-06-30 ERNST & YOUNG US LLP 18111 VON KARMAN AVENUE SUITE 1000 IRVINE CA 92612 990 2009-07-01 941243669 QUEEN OF THE VALLEY MEDICAL CENTER QUEE 7072524411 1000 TRANCAS STREET NAPA CA 94558 Dennis SistoDon Miller 2011-05-10 9497942300 2009 2016-02-24 21:20:13Z DENNIS SISTO 1000 TRANCAS STREET NAPA CA 94558 277239453 false 0928 X WWW.THEQUEEN.ORG X 1953 CA 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. 16 14 1674 250 19929 9896 2503443 2205438 254870461 268380482 -8895459 6424718 -52426 -18934 248426019 276991704 309290 4099561 0 0 140410626 139560177 0 0 280351 107591663 108239658 248311579 251899396 114440 25092308 286549062 318410774 86197628 88123265 200351434 230287509 SEE SCHEDULE O Joseph of Orange by continually improving the health and quality of life in the communities we serve. false false 222599026 4099561 268405933 SEE SCHEDULE O 222599026 true true false true false false false false false true false true false false false false false false false false true true false true false false false false false false false true false false false false false true true false false true 278 0 true 1674 true true true false false false false false false false false 16 14 false false true false true true true true true false false true true true true true true true true false CA X DON MILLER VP FINANCECFO 7072524411 1000 TRANCAS ST NAPA CA 94558 DENNIS SISTO 50.0 X X 0 718507 39519 DARRIN MONTALVO 2.0 X 0 811782 49299 LIZ BOULWARE 5.0 X 0 0 0 JOSEPH CARRILLO MD 2.0 X 0 0 0 COLLEEN CHAPPELLET 2.0 X X 0 0 0 FRANK COLLIN 2.0 X 0 0 0 SISTER JUDITH FERGUS CSJ 2.0 X 0 0 0 SISTER PATRICIA HAYHURST CSJ 2.0 X 0 0 0 KATHLEEN HEALY MD 2.0 X 10000 0 0 BROTHER THOMAS JONES FSC 2.0 X 0 0 0 SISTER MARY BERNADETTE MCNULTY 4.0 X 0 0 0 MICHAEL MERWIN MD 2.0 X 0 0 0 BETTY O'SHAUGHNESSY 2.0 X 0 0 0 SISTER SUZANNE SASSUS CSJ 2.0 X 0 0 0 WYMAN SMITH 4.0 X 0 0 0 JAMES TIDGEWELL 2.0 X 0 0 0 Dorothy Arata 2.0 X 0 0 0 Sister Jane de Lisle 2.0 X 0 0 0 James Gonzalez 2.0 X 0 0 0 James Knister MD 2.0 X 0 0 0 Don McComber 2.0 X 0 0 0 Sister Felicia Sarati 2.0 X 0 0 0 DONALD MILLER 50.0 X 511780 0 20988 SISTER MARIAN SCHUBERT 50.0 X 0 0 0 VINCENT MORGESE MD 50.0 X 424529 0 11204 WALTER MICKENS 50.0 X 410289 0 3740 BARBARA EUSEBIO 50.0 X 344573 0 9805 RONALD SCOTT 50.0 X 284690 0 17994 RICHARD GREEN 40.0 X 257246 0 18941 ROBERT LEE 67.0 X 247841 0 25611 PAUL DEUS 65.0 X 231278 0 25642 ANGELA NICHOLSON 65.0 X 216811 0 12337 VICKI MOORE 58.0 X 210978 0 11444 3150015 1530289 246524 340 false true false 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 12 1024621 52055 1128762 2205438 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 456961 456961 268380482 3058101 3058101 0 0 3365617 1000 0 0 3365617 1000 3366617 3366617 0 0 183435 247749 -64314 -64314 OTHER NON-OPERATING REVENUE 900099 45380 45380 45380 276991704 268405933 19929 6360404 4099561 4099561 0 0 0 0 0 0 2350921 0 2350921 0 0 0 0 0 89509960 85768493 3741467 0 5895397 5504404 390993 0 33956707 31572338 2384369 0 7847192 7488358 358834 0 5919231 5891348 27883 0 461094 49664 411430 0 275715 0 275715 0 37477 37477 0 0 0 492996 0 492996 0 25159667 8619908 16539759 0 361200 47749 313451 0 35622173 35320820 301353 0 4295413 4259672 35741 0 0 0 0 0 4875916 4836796 39120 0 340719 263526 77193 0 0 0 0 0 163354 156843 6511 0 3498069 3498069 0 0 0 0 0 0 14903782 14738324 165458 0 1412903 1026450 386453 0 BAD DEBT 8675878 8675878 OTHER 1744071 743348 720372 280351 251899396 222599026 29020019 280351 20522244 14499568 47253096 81121659 38635245 36687770 1454224 1854055 4561546 4585656 865899 1046458 299285575 166641949 132747184 132643626 35626641 39590409 4882983 6381573 286549062 318410774 24436380 26182422 2050000 2050000 59711248 59890843 86197628 88123265 X 200351434 230287509 200351434 230287509 286549062 318410774 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 37477 37477 false DESCRIPTION OF LOBBYING ACTIVITIES FORM 990, SCHEDULE C, PART II-B 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. 3433499 3433499 139456997 65447203 74009794 470153 296364 173789 139169706 100898382 38271324 16755220 0 16755220 132643626 0 PATIENT CREDIT BALANCES 636843 ASBESTOS REMOVAL COSTS 1322904 DUE TO THIRD PARTY PAYORS 4008285 INTERCO WITH HEALTH SYSTEM-BONDS 53922811 59890843 true true X true X true X 500. true true false true true 2592960 0 2592960 0.01070 27418946 21654055 5764891 0.02370 9437689 6805310 2632379 0.01080 39449595 28459365 10990230 0.04520 3182489 326509 2855980 0.01170 474661 21849 452812 0.00190 3657150 348358 3308792 0.01360 43106745 28807723 14299022 0.05880 12394 12394 0.00000 12394 12394 0.00000 true 1996824 0 58686386 79306241 -20619855 X true true QUEEN OF THE VALLEY MEDICAL CENTER

1000 TRANCAS STREET NAPA CA 94558

X X X 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. 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). 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 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. 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. 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. 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. 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. 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. 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. 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. CA true 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 10 0 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants 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. false true false false false false false true false 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 Supplemental Compensation Information Schedule J, Part I, Line 1a 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. PARTNERSHIP HEALTH PLAN D MILLER / SEE SCHEDULE O 6498876 HEALTH INSURANCE PAYMENTS false 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. 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