JOHN MUIR HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: JOHN MUIR HEALTH (EIN 94-1461843)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202023189349300207
Schema version: 2019v5.1
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-13T02:33:07-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3975 Freedom Circle Dr Suite 100	AddressLine1Txt
City	Santa Clara	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95054	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941461843	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN MUIR HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CHRISTIAN PASS	InCareOfNm
Business Name Control	JOHN	BusinessNameControlTxt
Phone	9259363000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400 TREAT BOULEVARD	AddressLine1Txt
City	WALNUT CREEK	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94597	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRISTIAN PASS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9259393000	PhoneNum
Signature	2020-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CAREY MCKEE	PreparerPersonNm
PTIN	P01281067	PTIN
Phone	4083675764	PhoneNum
Preparation	2020-11-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	CALVIN KNIGHT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400 TREAT BOULEVARD	AddressLine1Txt
City	WALNUT CREEK	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94597	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,993,536,520	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.JOHNMUIRHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	JOHN MUIR HEALTH IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	5894	TotalEmployeeCnt
Total Volunteers	825	TotalVolunteersCnt
Total Gross UBI	$121,225	TotalGrossUBIAmt
PY Contributions Grants	$22,737,498	PYContributionsGrantsAmt
CY Contributions Grants	$23,147,986	CYContributionsGrantsAmt
PY Program Service Revenue	$1,518,221,191	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,562,929,993	CYProgramServiceRevenueAmt
PY Investment Income	$64,264,520	PYInvestmentIncomeAmt
CY Investment Income	$84,529,057	CYInvestmentIncomeAmt
PY Other Revenue	$77,181	PYOtherRevenueAmt
CY Other Revenue	$141,534	CYOtherRevenueAmt
PY Total Revenue	$1,605,300,390	PYTotalRevenueAmt
CY Total Revenue	$1,670,748,570	CYTotalRevenueAmt
PY Grants And Similar Paid	$70,444,077	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$64,758,195	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$770,527,144	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$797,182,167	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$701,103,607	PYOtherExpensesAmt
CY Other Expenses	$667,449,236	CYOtherExpensesAmt
PY Total Expenses	$1,542,074,828	PYTotalExpensesAmt
CY Total Expenses	$1,529,389,598	CYTotalExpensesAmt
PY Revenues Less Expenses	$63,225,562	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$141,358,972	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,686,690,040	TotalAssetsBOYAmt
Total Assets EOY	$3,035,811,373	TotalAssetsEOYAmt
Total Liabilities BOY	$1,068,210,245	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,092,105,036	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,618,479,795	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,943,706,337	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF JOHN MUIR HEALTH IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION. JOHN MUIR HEALTH OFFERS THE COMMUNITY A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIANS, TWO MEDICAL CENTERS, INCLUDING THE COUNTY'S ONLY TRAUMA CENTER AND A BEHAVIORAL HEALTH CENTER. THE HEALTH SYSTEM ALSO OFFERS A FULL-RANGE OF MEDICAL SERVICES, INCLUDING PRIMARY CARE, OUTPATIENT AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, TRAUMA, EMERGENCY, PEDIATRICS AND HIGH-RISK OBSTETRICS CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$559,845,738	ExpenseAmt
Revenue	$596,461,207	RevenueAmt
Desc	THE CORE OF JOHN MUIR HEALTHS SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. THE JMH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEONS COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. JMH TRAUMA CENTER BECAME THE FIRST TRAUMA CENTER IN NORTHERN CALIFORNIA TO OFFER WHOLE BLOOD TRANSFUSION, WAS RE-DESIGNATED AS CONTRA COSTAS ONLY TRAUMA CENTER FOR TEN YEARS WITH AUTOMATIC RENEWAL EVERY YEAR THEREAFTER. NATIONAL RECOGNITIONS RECEIVED IN 2019 INCLUDE: (1) RECOGNITION OF JOHN MUIR HEALTH WALNUT CREEK MEDICAL CENTER BY U.S. NEWS & WORLD REPORT FOR THE 13TH YEAR IN A ROW AS ONE OF "AMERICAS BEST HOSPITALS." NEPHROLOGY, ORTHOPEDICS AND PULMONOLOGY & LUNG SURGERY SERVICES AT THE WALNUT CREEK CAMPUS WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES. (2) RECOGNITION BY U.S. NEWS & WORLD REPORT OF EIGHT SERVICES COMBINED AND NINE ADULT PROCEDURES AND CONDITIONS COMBINED AS HIGH PERFORMING AT JOHN MUIR HEALTHS WALNUT CREEK AND CONCORD MEDICAL CENTERS. (3) FOR THE THIRD STRAIGHT YEAR, THE CONCORD MEDICAL CENTER WAS ONE OF ONLY 57 HOSPITALS NATIONWIDE (APPROXIMATELY 1%) TO RECEIVE A HIGH PERFORMING RATING IN ALL NINE ADULT PROCEDURES AND CONDITIONS EVALUATED. (4) U.S. NEWS & WORLD REPORT ALSO RANKED THE WALNUT CREEK MEDICAL CENTER #2 AND CONCORD MEDICAL CENTER #3 OUT OF 44 HOSPITALS IN THE SAN FRANCISCO METRO AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, AND CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #13 AND #15 IN CALIFORNIA OUT OF 400 ACUTE CARE HOSPITALS. (5) JOHN MUIR HEALTHS CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO EARNED THE DESIGNATION OF BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT. (6) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICAS 50 BEST HOSPITALS BY HEALTHGRADES FOR THE SIXTH STRAIGHT YEAR (TOP 1% OF HOSPITALS NATIONWIDE), AND RECEIVED RECOGNITION AS A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE FOR THE TENTH CONSECUTIVE YEAR. (7) THE CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICAS TOP 50 HOSPITALS FOR CARDIAC SURGERY AND ONE OF AMERICAS TOP 100 HOSPITALS FOR JOINT REPLACEMENT. (8) THE WALNUT CREEK MEDICAL CENTER RECEIVED FOUR CLINICAL EXCELLENCE AWARDS FROM HEALTHGRADE, AND, COMBINED, THE TWO MEDICAL CENTERS HAD 19 FIVE-STAR RATINGS FOR SERVICES, PROCEDURES AND TREATMENTS. (9) NEWSWEEK RANKED THE WALNUT CREEK AND CONCORD MEDICAL CENTERS AS TWO OF THE BEST IN THE U.S. AND AS TWO OF WORLDS BEST 1,000 HOSPITALS. (10) BOTH MEDICAL CENTERS RECEIVED 'A' SAFETY GRADES FROM LEAPFROG. OUR PROGRAM EMPHASIS IN 2019 WAS ON CONTINUED OUTREACH TO UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATION OF CONTRA COSTA COUNTY, MOBILE HEALTH CLINIC, AND SUPPORT FOR OPERATION ACCESS, VIOLENCE PREVENTION, CONTRA COSTA CARES, AND ELEMENTARY SCHOOL-BASED NURSING.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$185,594,572	ExpenseAmt
Revenue	$194,698,869	RevenueAmt
Desc	CARDIOVASCULAR IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR AWARDS AND ACCREDITATION IN 2019 INCLUDES: CHEST PAIN MI REGISTRY: JOHN MUIR MEDICAL CENTER - CONCORD AND WALNUT CREEK ARE THE RECIPIENTS OF THE CHEST PAIN MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2019. THE AWARD RECOGNIZES A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS AND SIGNIFIES THAT JMH HAS REACHED AN AGGRESSIVE GOAL OF TREATING THESE PATIENTS TO STANDARD LEVELS OF CARE AS OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION CLINICAL GUIDELINES AND RECOMMENDATIONS. TO RECEIVE THE CHEST PAIN MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD, JMH HAS DEMONSTRATED SUSTAINED ACHIEVEMENT IN THE CHEST PAIN MI REGISTRY FOR EIGHT CONSECUTIVE QUARTERS AND HAS PERFORMED AT THE TOP LEVEL OF STANDARDS FOR SPECIFIC PERFORMANCE MEASURES. GET WITH THE GUIDELINES HEART FAILURE: JOHN MUIR MEDICAL CENTERS CONCORD AND WALNUT CREEK HAVE BOTH EARNED THE 2019 GET WITH THE GUIDELINES - HEART FAILURE GOLD PLUS QUALITY ACHIEVEMENT AWARD. THIS AWARD RECOGNIZES BOTH MEDICAL CENTERS COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGH STANDARD OF HEART FAILURE CARE BY ENSURING THAT OUR HEART FAILURE PATIENTS RECEIVE TREATMENT THAT MEETS NATIONALLY ACCEPTED, RESEARCH-BASED GUIDELINES FOUNDED IN THE LATEST SCIENTIFIC EVIDENCE. THE GOAL IS SPEEDING RECOVERY AND REDUCING HOSPITAL READMISSIONS FOR HEART FAILURE PATIENTS. CALIFORNIA REPORT ON CORONARY ARTERY BYPASS GRAFT SURGERY: THE CALIFORNIA REPORT ON CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY 2015-2016: HOSPITAL AND SURGEON DATA WAS RELEASED BY THE CALIFORNIA OFFICE OF STATEWIDE PLANNING AND DEVELOPMENT IN MARCH OF 2019. JOHN MUIR MEDICAL CENTER CONCORD IS ONE OF ONLY TWO HOSPITALS IN THE STATE, AND THE ONLY ONE IN THE BAY AREA, PERFORMING SIGNIFICANTLY 'BETTER' THAN THE STATE AVERAGE IN CABG MORTALITY OUTCOMES. THIS PUBLIC REPORT PROVIDES QUALITY RATINGS FOR THE 126 CALIFORNIA-LICENSED HOSPITALS PERFORMING CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY IN ADULTS DURING 2015 AND 2016, THE MOST RECENT DATA PUBLISHED. U.S. NEWS & WORLD REPORT: FOR THE THIRD STRAIGHT YEAR, CONCORD MEDICAL CENTER WAS ONE OF ONLY 57 HOSPITALS NATIONWIDE (APPROXIMATELY 1%) TO RECEIVE A HIGH-PERFORMING RATING IN THE FOLLOWING ADULT PROCEDURES AND CONDITIONS -- ABDOMINAL AORTIC ANEURYSM REPAIR, AORTIC VALVE SURGERY, HEART BYPASS SURGERY AND HEART FAILURE. SOCIETY OF THORACIC SURGEONS (STS) 3 STAR RATING: JOHN MUIR HEALTHS CARDIAC SURGERY PROGRAM RECEIVED A 3 STAR RATING IN THE CORONARY ARTERY BYPASS GRAFT COMPOSITE SCORE, AORTIC VALVE REPLACEMENT COMPOSITE SCORE AND THE MITRAL VALVE REPAIR AND REPLACEMENT COMPOSITE SCORE. THE SOCIETY OF THORACIC SURGEONS HAS DEVELOPED A COMPREHENSIVE RATING SYSTEM FOR THE QUALITY OF CARDIAC SURGERY AMONG HOSPITALS ACROSS THE COUNTRY. APPROXIMATELY 12-15% OF HOSPITALS RECEIVED THE '3-STAR' RATING, WHICH DENOTES THE HIGHEST CATEGORY OF QUALITY. HEALTHGRADES OUTSTANDING QUALITY RECOGNITION: CONCORD MEDICAL CENTER RECEIVED A 2019 QUALITY RECOGNITION FROM HEALTHGRADES, RANKING AMONG AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY. THIS REPRESENTS THE TOP 1% OF HOSPITALS IN THE UNITED STATES. HEALTHGRADES AMERICA'S BEST HOSPITALS IS BASED SOLELY ON CLINICAL QUALITY OUTCOMES FOR 32 CONDITIONS AND PROCEDURES. THIS PREMIER DISTINCTION REWARDS HOSPITALS THAT CONSISTENTLY EXHIBIT EXCEPTIONAL, COMPREHENSIVE CARE. BLUE DISTINCTION CENTER DESIGNATION: CONCORD MEDICAL CENTER IS RECOGNIZED AS BLUE DISTINCTION CENTER FOR CARDIAC CARE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$127,646,605	ExpenseAmt
Revenue	$225,409,265	RevenueAmt
Desc	WOMENSS AND CHILDRENS SERVICES IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. THE PEDIATRIC INTENSIVE CARE UNIT AT THE WALNUT CREEK MEDICAL CENTER IS CERTIFIED BY THE CALIFORNIA CHILDRENS SERVICES. ACCOMPLISHMENTS IN 2019 INCLUDES: (1) SELECTION BY THE AMERICAN ACADEMY OF PEDIATRICS VIP NETWORK AS A SITE TO PARTICIPATE IN THE QI COLLABORATIVE TO STANDARDIZE THE USE OF IV FLUIDS AND REDUCE LABORATORY TESTING. (2) IMPLEMENTED THE USE OF VIRTUAL REALITY GOGGLES AND THE SEVO THE DRAGON SYSTEM TO BE USED AS A DETRACTION TECHNIQUE WHEN CHILDREN ARE UNDERGOING PROCEDURES. (3) ALL DAY PEDIATRIC SPECIALTY SEMINAR PRESENTED TO THE SCHOOL NURSES FROM MT. DIABLO SCHOOL DISTRICT. SPECIALTIES INCLUDED WERE PEDIATRIC ENDOCRINOLOGY, CARDIOLOGY, GI, ORTHOPEDICS/SPORTS MEDICINE AND SPINE TREATMENT. (4) ON BOARDING OF MULTIPLE PEDIATRIC SUB SPECIALTIES. (5) ON MAY 1, 2019, THE NICU CELEBRATED 3 YEARS OF BEING CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI) FREE. (6) JOHN MUIR HEALTH RECEIVED APPROVAL FROM CALIFORNIA CHILDRENS SERVICES TO TRIAL THE NEONATAL SURGICAL PROGRAM. (7) IMPLEMENTED THE VOLUNTEER CUDDLER PROGRAM AT NICU. THIS WAS MADE POSSIBLE THROUGH A GRANT FROM HUGGIES. (8) PEDIATRIC AND PICU NURSES PARTICIPATED IN THE SUMMER FUN THURSDAYS SERIES HELD AT SUN VALLEY MALL, CONCORD. INFORMATION PRESENTED TO FAMILIES INCLUDED WATER SAFETY, SUN SAFETY, BIKE SAFETY AND NUTRITION. (9) JOHN MUIR HEALTH AND THE JUVENILE DIABETES RESEARCH FOUNDATION PARTNERED TO PROVIDE A TYPE 1 DIABETES TECH TALK TO ADULTS AND CHILDREN WITH TYPE 1 DIABETES. (10) ON BOARDED A NEW RN MANAGER FOR THE PEDIATRIC ACUTE CARE UNIT AND PICU.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$484,392,142	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$64,758,195	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$548,705,014	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,357,479,057	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	841	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5894	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHRISTIAN PASS	PersonNm
Phone	9259363000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400 TREAT BLVD	AddressLine1Txt
City	WALNUT CREEK	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94597	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Calvin Knight
CEO/Director/President	60.0	15.0	Yes (X)	Yes (X)	$2,530,367	$0	$1,434,370
Jane Willemsen
Exec VP/Pres Hospital Ops	60.0	0.0			$1,054,349	$0	$993,845	Yes (X)
Michael Thomas
Exec VP/Chief Transformation	60.0	0.0			$1,048,707	$0	$690,773	Yes (X)
Michael Moody
SR VP/Partnership Integration	60.0	0.0			$875,487	$0	$556,462	Yes (X)
Christian Pass
Senior VP/CFO	60.0	15.0		Yes (X)	$823,945	$0	$431,891
Irving Pike MD
SR VP/Chief Medical Officer	60.0	0.0			$832,451	$0	$366,549	Yes (X)
Lisa Foust
SR VP HUman Resources	60.0	0.0			$645,865	$0	$303,365		Yes (X)
George Sauter
SR VP/Chief Strategy Officer	60.0	0.0			$656,561	$0	$261,583		Yes (X)
Max Reynolds
SR VP/General Counsel	60.0	0.0			$653,624	$0	$258,947	Yes (X)
Michelle Lopes RN
Chief Nursing Executive	60.0	0.0			$529,564	$0	$324,077		Yes (X)
Jon Russell
SR VP/CIO	60.0	0.0			$635,902	$0	$212,009		Yes (X)
Ray Nassief
SR VP Hospital Operations	60.0	0.0			$513,652	$0	$230,794		Yes (X)
Robert E Edmondson
Chairman/Treasurer	5.0	10.0	Yes (X)	Yes (X)	$25,000	$0	$0
Kathleen Odne
Vice Chairman	5.0	10.0	Yes (X)	Yes (X)	$25,000	$0	$0
John Sayres
Secretary	5.0	10.0	Yes (X)	Yes (X)	$25,000	$0	$0
Taejoon Ahn MD
DIRECTOR	5.0	10.0	Yes (X)		$25,000	$0	$0
Anne Grodin
DIRECTOR	5.0	10.0	Yes (X)		$25,000	$0	$0
Chi Perlroth MD
DIRECTOR	5.0	10.0	Yes (X)		$22,500	$0	$0
Johnannes Peters MD
DIRECTOR	5.0	10.0	Yes (X)		$22,500	$0	$0
Roger Bailey
DIRECTOR	5.0	10.0	Yes (X)		$18,750	$0	$0
John Merson MD
DIRECTOR	5.0	10.0	Yes (X)		$18,750	$0	$0
Mark Musco MD
DIRECTOR	5.0	10.0	Yes (X)		$15,000	$0	$0
Laura Markstein
Director (as of 05/31/2019)	5.0	10.0	Yes (X)		$0	$0	$0
Jay Harris
DIRECTOR	5.0	10.0	Yes (X)		$0	$0	$0
Ravi Hundal MD
DIRECTOR	5.0	10.0	Yes (X)		$0	$0	$0
Jack Thompson
DIRECTOR	5.0	10.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,022,974	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,064,665	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2689	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
OPTUMINSIGHT
PO BOX 84019	CHICAGO	IL	60689	PROFESSIONAL SERV	$25,449,915
CROSS COUNTRY STAFFING
LA LOCKBOX FILE 50941	LOS ANGELES	CA	90074	TEMPORARY STAFFING	$16,877,822
LUCILLE SALTER PACKARD CHILDRENS HO
725 WELCH ROAD MC 5553	PALO ALTO	CA	94304	MEDICAL	$14,967,856
MEDICAL ANESTESIA CONSULTANTS MEDIC
2175 N CALIFORNIA BLV	WALNUT CREEK	CA	94596	MEDICAL	$8,583,555
BAY AREA SURGICAL SPECIALIST
PO BOX 97297	LAS VEGAS	NV	89193	MEDICAL	$7,420,845

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	105	CntrctRcvdGreaterThan100KCnt
Fundraising	$27,075	FundraisingAmt
Related Organizations	$22,995,751	RelatedOrganizationsAmt
All Other Contributions	$125,160	AllOtherContributionsAmt
Total Contributions	$23,147,986	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE SERVICES	621400	$1,472,489,040	$1,472,489,040
PREMIUM REVENUE	621400	$67,635,792	$67,635,792
OTHER OPERATING REVENUE	621400	$22,805,161	$22,683,936	$121,225

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,562,929,993	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,922,250	TotalRevenueColumnAmt
Exclusion	$32,922,250	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$373,947,272	SecuritiesAmt
Other	$383,898	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$322,618,060	SecuritiesAmt
Other	$106,303	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$51,329,212	SecuritiesAmt
Other	$277,595	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,606,807	TotalRevenueColumnAmt
Exclusion	$51,606,807	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$205,121	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$27,075	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$63,587	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$141,534	TotalRevenueColumnAmt
Exclusion	$141,534	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,670,748,570	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,562,808,768	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$121,225	UnrelatedBusinessRevenueAmt
Exclusion	$84,670,591	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$64,758,195	TotalAmt
Program Services	$64,758,195	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,774,267	TotalAmt
Program Services	$11,264,349	ProgramServicesAmt
Management And General	$1,509,918	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$614,027,228	TotalAmt
Program Services	$541,449,210	ProgramServicesAmt
Management And General	$72,578,018	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$46,720,818	TotalAmt
Program Services	$41,198,417	ProgramServicesAmt
Management And General	$5,522,401	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$84,343,196	TotalAmt
Program Services	$74,373,830	ProgramServicesAmt
Management And General	$9,969,366	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$39,316,658	TotalAmt
Program Services	$34,669,429	ProgramServicesAmt
Management And General	$4,647,229	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$22,124,224	TotalAmt
Program Services	$18,812,228	ProgramServicesAmt
Management And General	$3,311,996	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,357,253	TotalAmt
Program Services	$2,117,064	ProgramServicesAmt
Management And General	$2,240,189	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$713,686	TotalAmt
Program Services	$356,843	ProgramServicesAmt
Management And General	$356,843	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$76,971	TotalAmt
Program Services	$76,971	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,519,381	TotalAmt
Management And General	$4,519,381	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$223,710,405	TotalAmt
Program Services	$206,684,311	ProgramServicesAmt
Management And General	$17,026,094	ManagementAndGeneralAmt

Advertising AdvertisingGrp

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

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,578,211	TotalAmt
Program Services	$14,095,959	ProgramServicesAmt
Management And General	$2,482,252	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,514,329	TotalAmt
Program Services	$14,256,033	ProgramServicesAmt
Management And General	$4,258,296	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$58,760,035	TotalAmt
Program Services	$37,618,174	ProgramServicesAmt
Management And General	$21,141,861	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,948,533	TotalAmt
Program Services	$1,402,944	ProgramServicesAmt
Management And General	$545,589	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$21,503,660	TotalAmt
Program Services	$17,716,278	ProgramServicesAmt
Management And General	$3,787,382	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$81,676,362	TotalAmt
Program Services	$67,791,380	ProgramServicesAmt
Management And General	$13,884,982	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,440,468	TotalAmt
Program Services	$3,413,448	ProgramServicesAmt
Management And General	$3,027,020	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$121,353,426	$121,353,426
UNCOLLECTIBLE ACCOUNTS	$35,827,775	$35,827,775
PHARMACEUTICALS	$31,526,668	$31,526,668
LICENSES AND TAXES	$5,912,708	$4,209,758	$1,702,950

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,905,141	TotalAmt
Program Services	$12,506,367	ProgramServicesAmt
Management And General	-$601,226	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,529,389,598	TotalAmt
Program Services	$1,357,479,057	ProgramServicesAmt
Management And General	$171,910,541	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$13,335	BOYAmt
EOY	$13,947	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$49,109,663	BOYAmt
EOY	$82,896,485	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$244,834,523	BOYAmt
EOY	$228,299,152	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,376,861	BOYAmt
EOY	$9,665,691	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$19,188,536	BOYAmt
EOY	$22,853,797	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,834,761,262	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$971,238,722	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$874,901,377	BOYAmt
EOY	$863,522,540	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$890,876,760	BOYAmt
EOY	$1,065,611,496	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$317,146,310	BOYAmt
EOY	$378,078,730	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$149,582,694	BOYAmt
EOY	$157,263,133	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$702,013	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$131,957,968	BOYAmt
EOY	$227,606,402	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,686,690,040	BOYAmt
EOY	$3,035,811,373	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$198,851,465	BOYAmt
EOY	$182,772,542	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,965,431	BOYAmt
EOY	$9,697,001	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$616,990,161	BOYAmt
EOY	$607,520,004	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,289,413	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$238,113,775	BOYAmt
EOY	$292,115,489	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,068,210,245	BOYAmt
EOY	$1,092,105,036	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,617,677,434	BOYAmt
EOY	$1,942,810,621	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$802,361	BOYAmt
EOY	$895,716	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,618,479,795	BOYAmt
EOY	$1,943,706,337	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,686,690,040	BOYAmt
EOY	$3,035,811,373	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$141,358,972	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$162,068,362	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$21,799,208	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$2,896	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$74,075	OtherActivitiesAmt
Total Lobbying Expenditures	$76,971	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DIRECT CONTACT WITH LEGISLATURES	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, LINE IG JOHN MUIR HEALTH EXECUTIVES AND STAFF COMMENT ON PROPOSED LEGISLATION FEDERAL, STATE AND LOCAL GOVERNMENTAL BODIES THAT AFFECT THE HEALTH CARE INDUSTRY IN CONTRA COSTA COUNTY. JOHN MUIR HEALTH ALSO RETAINS AN OUTSIDE FIRM TO ASSIST ITS EXECUTIVES TO TRACK, ANALYZE AND PROVIDE COMMENTS ON PROPOSED LEGISLATION OF STATE GOVERNMENT BODIES THAT AFFECT THE HEALTH CARE INDUSTRY. OTHER ACTIVITIES SCHEDULE C, PART II-B, LINE 1I JOHN MUIR HEALTH CONTRIBUTED $74,075 TO CALIFORNIA COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEM (CAHHS) IN 2019 TO SUPPORT LOBBYING EFFORTS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,779,733	OtherCostOrOtherBasisAmt
Book Value	$42,779,733	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$635,433,972	OtherCostOrOtherBasisAmt
Depreciation	$209,182,112	DepreciationAmt
Book Value	$426,251,860	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$374,259,873	OtherCostOrOtherBasisAmt
Depreciation	$210,730,690	DepreciationAmt
Book Value	$163,529,183	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$744,311,114	OtherCostOrOtherBasisAmt
Depreciation	$551,325,920	DepreciationAmt
Book Value	$192,985,194	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,976,570	OtherCostOrOtherBasisAmt
Book Value	$37,976,570	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$863,522,540	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMINGLED FUNDS	$113,173,961	F
HEDGE FUNDS	$127,592,837	F
PRIVATE EQUITY	$137,311,932	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$378,078,730	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
SAN RAMON MEDICAL CTR & OTHER	$128,374,442	F
CANOPY JOINT VENTURE	$7,189,584	F
BAY HEALTH JOINT VENTURE	$16,341,763	F
HACIENDA SURGERY CENTER	$4,324,062	F
SAN RAMON NETWORK	$753,544	F
HEALTH CATALYST	$279,738	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$157,263,133	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
REAL ESTATE FOR FUTURE USE	$5,902,964
HELD PURSUANT BOND INDENTURE	$33,723,745
RIGHT OF USE ASSETS, NET	$81,155,219
OTHER ASSETS	$22,108,404
OTHER RECEIVABLES	$67,281,466
INVEST IN HEALTH REL VENTURES	$5,577,138
CLOUD COMPUTING ARRANGEMENT	$10,526,079
PHYSICIAN LOANS	$1,331,387

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$227,606,402	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
WORKERS COMPENSATION	$36,326,000
POST RETIREMENT BENEFIT OBLIGA	$70,389,133
INTEREST PAYABLE	$5,116,065
LEASE LIABILITY	$89,186,708
ASSET RETIREMENT OBLIGATION	$16,614,024
PENSION LIABLITY	$10,284,820
PROFESSIONAL LIABILITY	$8,248,156
OTHER LIABILITIES	$26,986,599
MANAGED CARE PREMIUMS DEFICIEN	$28,963,984
OTHER LIABILITIES	$0

Field	Value	IRS element (for citing)
Total Liability	$292,115,489	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,814,268,984	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$162,068,362	NetUnrealizedGainsInvstAmt
Other Revenue	$21,799,208	OtherRevenueAmt
Revenue Not Reported	$183,867,570	RevenueNotReportedAmt
Revenue Subtotal	$1,630,401,414	RevenueSubtotalAmt
Investment Expenses Not Incld	$4,519,381	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$35,827,775	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$40,347,156	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,670,748,570	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,489,042,442	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$1,489,042,442	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$4,519,381	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$35,827,775	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$40,347,156	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,529,389,598	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
UNCERTAIN TAX POSITIONS	SCHEDULE D, PART X, LINE 2: THE HEALTH SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED USING THE LARGEST AMOUNT THAT EXCEEDS A 50% PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATE OCCURS.
REPORTED ON AUDITED FINANCIAL STATEMENTS, NOT REPORTED ON FORM 990	SCHEDULE D, PART XI, LINE 2D CHANGE IN UNAMORTIZED LOSS AND PRIOR SERVICES COSTS $21,799,208 RELATED TO PENSION AND POST RETIREMENT BENEFITS REVENUE REPORTED GROSS ON FORM 990, REPORTED NET ON AUDITED FIN'L STMTS SCHEDULE D, PART XI, LINE 4B UNCOLLECTIBLE ACCOUNTS $35,827,775
EXPENSES REPORTED GROSS ON FORM 990, REPORTED NET ON AUDITED FIN'L STMTS	SCHEDULE D, PART XII, LINE 4B UNCOLLECTIBLE ACCOUNTS $35,827,775

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Investments	$116,261,781
Europe (Including Iceland and Greenland)	Investments	$13,454,376

Field	Value	IRS element (for citing)
Subtotal Spent	$129,716,157	SubtotalSpentAmt
Total Spent	$129,716,157	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$232,196	GrossReceiptsEvent1Amt
Charitable Contri Event1	$27,075	CharitableContriEvent1Amt
Gross Revenue Event1	$205,121	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$3,637	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$55,458	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$1,859	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$2,633	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$232,196	GrossReceiptsTotalAmt
Charitable Contributions Tot	$27,075	CharitableContributionsTotAmt
Gross Revenue Total Events	$205,121	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$3,637	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$55,458	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,859	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$2,633	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$63,587	DirectExpenseSummaryEventsAmt
Net Income Summary	$141,534	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,614,847	TotalCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$86,881,692	TotalCommunityBenefitExpnsAmt
Total Expense	0.05660	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,496,539	TotalCommunityBenefitExpnsAmt
Total Expense	0.05900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,945,189	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$514,912	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,430,277	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,762,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,090,340	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,671,737	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$728,379	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$728,379	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$567,913	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$567,913	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,325,804	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$249,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,075,873	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,329,362	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,855,183	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,474,179	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,825,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,855,183	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,474,179	NetCommunityBenefitExpnsAmt
Total Expense	0.06720	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,755	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,755	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,768	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$668	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,029	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,029	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,221	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$83,221	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,773	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$111,673	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$35,728,775	BadDebtExpenseAmt
Reimbursed By Medicare	$375,374,028	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$589,079,391	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$213,705,363	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
ASPEN SURGERY
OPERATES A MULTISPECIALTY	0.2868	0.01	0.4639
CENTER
AMBULATORY SURGERY CENTER
BRENTWOOD SURGERY
OPERATES A MULTISPECIALTY	0.3344		0.375
CENTER
AMBULATORY SURGERY CENTER
HACIENDA SURGERY
OPERATES A MULTISPECIALTY	0.125		0.476
CENTER
AMBULATORY SURGERY CENTER

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
John Muir Medical Center Walnut Creek
1	1601 Ygnacio Valley Rd	Walnut Creek	CA	94598	www.johnmuirhealth.com	140000265	Yes (X)	Yes (X)	Yes (X)	A
John Muir Medical Center Concord
2	2540 East St	Concord	CA	94520	www.johnmuirhealth.com	140000128	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY REPORTING GROUP A	PART V, SECTION B FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: JOHN MUIR MEDICAL CENTER WALNUT CREEK - FACILITY 2: JOHN MUIR MEDICAL CENTER CONCORD
COMMUNITY INPUT PROCESS	PART V, SECTION B, LINE 5 JOHN MUIR HEALTH (JMH) ENLISTED THE SERVICES OF ACTIONABLE INSIGHTS (AI), LLC, TO CONDUCT THE PRIMARY RESEARCH FOR THE 2019 CHNA. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT. KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH SERVICE PROVIDERS, AND FOCUS GROUPS WITH COMMUNITY MEMBERS. PRIMARY RESEARCH PROTOCOLS GENERATED BY AI IN COLLABORATION WITH THE HEALTH SYSTEM WERE BASED ON FACILITATED DISCUSSION AMONG HEALTH SYSTEM MEMBERS ABOUT WHAT THEY WISHED TO LEARN DURING THE 2019 CHNA. THE HEALTH SYSTEM SOUGHT TO BUILD UPON PRIOR CHNAs BY FOCUSING THE PRIMARY RESEARCH ON THE COMMUNITYS PERCEPTION OF MENTAL HEALTH (IDENTIFIED AS A MAJOR HEALTH NEED IN THE 2016 CHNA) AND THEIR EXPERIENCE WITH HEALTH CARE ACCESS AND DELIVERY (ALSO IDENTIFIED AS A MAJOR HEALTH NEED IN 2016). RELATIVELY LITTLE TIMELY QUANTITATIVE DATA EXIST ON THESE SUBJECTS. EACH INTERVIEW AND FOCUS GROUP WAS RECORDED AS A STAND-ALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AND THEN AI USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. THE HEALTH SYSTEM USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES. ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, THE TEAM SOLICITED INPUT FROM 164 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN COMMUNITY-BASED ORGANIZATIONS THAT FOCUS ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. THE TEAM ALSO CONVENED FOCUS GROUPS WITH COMMUNITY MEMBERS/USERS OF THE HEALTH SYSTEM IN ALAMEDA AND CONTRA COSTA COUNTIES. CONTRA COSTA HEALTH SERVICES (THE PUBLIC HEALTH DEPARTMENT) PROVIDED INPUT INTO THE PROTOCOLS AND FACILITATED THE FOCUS GROUPS IN CONTRA COSTA COUNTY. KEY INFORMANT INTERVIEWS: BETWEEN JUNE AND OCTOBER 2018, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 54 LOCAL AND/OR REGIONAL EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED INDIVIDUALS FROM THE PUBLIC HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER MANAGERS, COMMUNITY BASED ORGANIZATION REPRESENTATIVES AND CLINICIANS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE. FOR APPROXIMATELY ONE HOUR, AI ASKED INFORMANT TO IDENTIFY AND DISCUSS THE TOP NEEDS OF THEIR CONSTITUENCIES, INCLUDING BARRIERS TO HEALTH, GIVE THEIR PERCEPTIONS OF ACCESS TO HEALTH CARE AND MENTAL HEALTH NEEDS, AND SHARE WHICH SOLUTIONS MAY IMPROVE HEALTH INCLUDING SERVICES AND POLICIES. AI ASKED FIVE QUESTIONS: - WHAT ARE THE MOST IMPORTANT/PRESSING HEALTH NEEDS IN THE LOCAL AREA? - WHAT DRIVERS OR BARRIERS ARE IMPACTING THE TOP HEALTH NEEDS? - TO WHAT EXTENT IS HEALTH CARE ACCESS A NEED IN THE COMMUNITY? - TO WHAT EXTENT IS MENTAL HEALTH A NEED IN THE COMMUNITY? - WHAT POLICIES OR RESOURCES ARE NEEDED TO IMPACT HEALTH NEEDS? FOCUS GROUPS WITH SERVICE PROVIDERS AND COMMUNITY MEMBERS: THIRTEEN FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 110 SERVICE PROVIDERS AND COMMUNITY LEADERS FROM JULY TO SEPTEMBER 2018. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANTS. FOURTEEN RESIDENT FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 145 RESIDENTS BETWEEN JULY AND SEPTEMBER 2018. THE DISCUSSIONS CENTERED AROUND THE SAME FIVE QUESTIONS AS THE KEY INFORMANTS, WHICH WERE MODIFIED APPROPRIATELY FOR EACH AUDIENCE. NONPROFIT HOSTS, SUCH AS OPEN HEART KITCHEN IN LIVERMORE, RECRUITED PARTICIPANTS FOR THE GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY IT SERVES, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION. A TOTAL OF 59 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN TRI-VALLEY/CENTRAL CONTRA COSTA COUNTY. A TOTAL OF 37 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN EASTERN CONTRA COSTA COUNTY. A TOTAL OF 21 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCSSION IN WESTERN CONTRA COSTA COUNTY.
OTHER HOSPITAL FACILITIES INCLUDED IN CHNA	PART V, SECTION B, LINE 6A ALL JOHN MUIR HEALTH HOSPITAL FACILITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK; JOHN MUIR MEDICAL CENTER, CONCORD; AND JOHN MUIR BEHAVIORAL HEALTH) COLLABORATED WITH KAISER PERMANENTE DIABLO AND EAST BAY, SAINT ROSE HOSPITAL, SAN RAMON REGIONAL MEDICAL CENTER, STANFORD HEALTH CARE, SUTTER HEALTH BAY AREA AND UCSF BENIOFF CHILDRENS HOSPITAL OAKLAND ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNA	PART V, SECTION B, LINE 6B ACTIONABLE INSIGHTS (AI), LLC, AN INDEPENDENT LOCAL RESEARCH FIRM, COMPLETED THE 2019 CHNA. FOR THIS ASSESSMENT, AI ASSISTED WITH CHNA PLANNING, CONDUCTED PRIMARY RESEARCH, COLLECTED SECONDARY DATA, SYNTHESIZED PRIMARY AND SECONDARY DATA, FACILITATED THE PROCESS OF IDENTIFYING COMMUNITY HEALTH NEEDS AND ASSETS, ASSIsTED WITH DETERMINING THE PRIORITIZATION OF COMMUNITY HEALTH NEEDS, AND DOCUMENTED THE PROCESSES AND FINDINGS INTO A REPORT. ACTIONABLE INSIGHTS HELPS ORGANIZATIONS DISCOVER AND ACT ON DATA-DRIVEN INSIGHTS. THE FIRM SPECIALIZES IN RESEARCH AND EVALUATION IN THE AREAS OF HEALTH, STEM (SCIENCE, TECHNOLOGY, ENGINEERING, AND MATH) EDUCATION, YOUTH DEVELOPMENT, AND COMMUNITY COLLABORATION EFFORTS. AI HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS FOR OVER 25 HOSPITALS DURING THE 2018-19 CHNA CYCLE. CHNA REPORT MADE WIDELY AVAILABLE TO PUBLIC PART V, SECTION B, LINE 7A THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML WEBSITE FOR ADOPTED IMPLEMENTATION STRATEGY PART V, SECTION B, LINE 10A THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML
SIGNIFICANT NEEDS ADDRESSED IN CHNA	PART V, SECTION B, LINE 11 IN COLLABORATION WITH KAISER PERMANENTE, SUTTER HEALTH, AND LOCAL COMMUNITY EXPERTS, THE HEALTH SYSTEM IDENTIFIED NINE COMMUNITY HEALTH NEEDS. 1. HOUSING AND HOMELESSNESS 2. BEHAVIORAL HEALTH 3. ECONOMIC SECURITY 4. HEALTH CARE ACCESS AND DELIVERY 5. COMMUNITY AND FAMILY SAFETY 6. EDUCATION AND LITERACY 7. HEALTHY EATING/ACTIVE LIVING 8. TRANSPORTATION AND TRAFFIC 9. CLIMATE/NATURAL ENVIRONMENT HOSPITAL REPRESENTATIVES PRIORITIZED HEALTH NEEDS WITH LOCAL COMMUNITY, PUBLIC HEALTH REPRESENTATIVES. TO FURTHER REFINE AND SELECT THE COMMUNITY HEALTH NEEDS WE PLAN TO ADDRESS, FOUR CRITERIA WERE UTILIZED. SELECTION PROCESS: THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE IS CHARGED WITH OVERSEEING THE STRATEGIC DIRECTION OF COMMUNITY BENEFIT PROGRAMMING AND ACTIVITIES. THE COMMITTEE IS COMPOSED OF JOHN MUIR HEALTH SENIOR LEADERS AND BOARD OF DIRECTORS MEMBERS. THE COMMITTEE MET ON MARCH 25, 2019 TO REVIEW THE LIST OF COMMUNITY HEALTH NEEDS IDENTIFIED AND PRIORITIZED BY THE CHNA REPORT AND TO SElECT THE COMMUNITY HEALTH NEEDS THAT PROVIDE STRATEGIC DIRECTION FOR JOHN MUIR HEALTH COMMUNITY BENEFIT PROGRAMMING AND ACTIVITIES FROM 2020 THROUGH 2022. THE FOLLOWING SELECTION CRITERIA WERE USED AS A METHOD TO PRIORITIZE AND SELECT THE COMMUNITY BENEFIT PRIORITIES. THE SELECTION CRITERIA BUILT ON CHNA PRIORITIZATION CRITERIA, WHICH INCLUDED: (1) COMMUNITY PRIORITY; (2) MAGNITUDE/SCALE OF NEED; (3) SEVERITY OF NEED; (4)MULTIPLIER EFFECT; (5) CLEAR DISPARITIES OR INEQUITIES. THE COMMITTEE MEMBERS FIRST AGREED UPON THE SELECTION CRITERIA, THEN ENGAGED IN THOROUGH DISCUSSION ABOUT EACH OF THE NINE PRIORITIZED HEALTH NEEDS. AFTER DISCUSSION BY ALL MEMBERS REGARDING RATIONALE FOR SELECTION, SUPPORTING DATA, KEY INFORMANT INTERVIEW AND FOCUS GROUP RESULTS, THE COMMITTEE CAME TO A CONSENSUS. THE FOLLOWING NEEDS WERE SELECTED AS COMMUNITY BENEFITS PRIORITIES FOR 2020-2022. THE COMMITTEE SELECTED THE HEALTH NEEDS FOR IMPLEMENTATION BECAUSE OF THE FEASIBILITY OF INTERVENTION, ABILITY TO HAVE A MEASURABLE IMPACT, ABILITY TO PARTNER WITH OTHER ORGANIZATIONS, OPPORTUNITY TO PREVENT NEGATIVE OUTCOMES ASSOCIATED WITH THE HEALTH NEEDS, ALIGNMENT WITH POPULATION TRENDS AND JOHN MUIR HEALTH EXPERTISE AND ABILITY TO BUILD ON SUCCESSFUL, CURRENT COMMUNITY BENEFIT PROGRAMS. 1. ACCESS TO CARE, INCLUDING PRIMARY AND SPECIALTY CARE IN ORDER TO ACHIEVE THIS HEALTH NEEDS JOHN MUIR HEALTH WILL: - PROVIDE FINANCIAL ASSISTANCE TO SUPPORT LOW-INCOME PATIENTS BY SUBSIDIZING ALL OR A PORTION OF THEIR JOHN MUIR HEALTH MEDICAL EXPENSES AT JMMC-WC AND JMMC-CONCORD - PARTICIPATE IN THE GOVERNMENT-SPONSORED MEDI-CAL PROGRAM TO PROVIDE COMPREHENSIVE INPATIENT CARE TO MEDI-CAL ENROLLEES THAT GENERATE UNPAID COSTS AT JMMC-WC, JMMC-CONCORD, JOHN MUIR PHYSICIAN NETWORK AND JOHN MUIR MEHAVIORAL HEALTH CENTER. - PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY BY OFFERING PROGRAMS SUCH AS THE MOBILE HEALTH CLINIC IN PARTNERSHIP WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM, CONTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, VILLAGE COMMUNITY RESOURCE CENTER, ROTOCARE BAY AREA AND ST. VINCENT DE PAUL. - PROVIDE HEALTH CARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY, WHICH INCLUDES LIFELONG MEDICAL CARE, LA CLINICAL DE LA RAZA AND CONTRA COSTA COUNTY ORAL HEALTH PROGRAM. - PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLINICAL SPECIALTY PROGRAM AND OPERATION ACCESS FOR ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. - PROVIDE SCREENING PROGRAMS THROUGH THE EVERY WOMEN COUNTS PROGRAM AND THE LUNG CANCER SCREENING PROGRAM FOR LOW-INCOME ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. - PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES THROUGH THE MEDICATION ASSISTANCE PROGRAM AND PATIENT NAVIGATOR PROGRAM FOR VULNERABLE ADULTS AND SENIORS THAT ADDRESS POOR HEALTH OUTCOMES, QUALITY, SATISFACTION AND EFFICIENCY. - PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES FOR VULNERABLE SENIORS THAT PROMOTE INDEPENDENT LIVING, ADDRESS POOR HEALTH OUTCOMES, QUALITY AND SATISFACTION WHILE IMPROVING EFFICIENCY THROUGH FALL PREVENTION SAFETY TRAININGS, HOME ASSESSMENTS AND MODIFICATIONS, EDUCATION, AND ASSISTIVE TECHNOLOGY THROUGH MEALS ON WHEELS OF DIBALO REGION AND INDEPENDENT LIVING RESOURCES - PROVIDE DIABETES EMPOWERMENT EDUCATION PROGRAM IN COLLABORATION WITH MONUMENT IMPACT, JOHN MUIR HEALTHS DIABETES PROGRAM AND HAPPY FEET PROGRAM, IN COLLABORATION WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM AND MONUMENT CRISIS CENTER. - PROVIDE TRANSPORTATION SUPPORT TO DECREASE ISOLATION AMONG VULNERABLE SENIORS BY INCREASING ACCESS TO EDUCATION PROGRAMMING AT THE WALNUT CREEK SENIOR CENTER AND MOBILITY MATTERS. 2. BEHAVIORAL AND MENTAL HEALTH SERVICES IN ORDER TO ACHIEVE THIS HEALTH NEEDS JOHN MUIR HEALTH WILL: - SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VULNERABLE COMMUNITIES THROUGH THE MENTES POSITIVAS EN ACCION (POSITIVE MINDS IN ACTION) PROMOTES PROGRAM AT MONUMENT IMPACT. - SUPPORT AND/OR PROVIDE BEHAVIORAL HEALTH INTERVENTION SERVICES IN VULNERABLE ADULTS THROUGH PROGRAMS SUCH AS THE PUTNAM CLUBHOUSE AND SUPPORT4RECOVERY. - PROVIDE INTERVENTION AND REFERRALS TO TRAUMA VICTIMS IN ORDER TO SUPPORT YOUTH DIRECTLY IMPACTED BY INTENTIONAL VIOLENCE WITH JMMC-WCS BEYOND VIOLENCE PROGRAMS IN PARTNERSHIP WITH CENTER FOR HUMAN DEVELOPMENT, RYSE CENTER AND ONE DAY AT A TIME. - PROVIDE DIRECT MENTAL HEALTH COUNSELING SERVICES TO YOUTH, ADULTS AND FAMILIES OFFERED BY FRED FINCH YOUTH CENTER AND RYSE CENTER IN COLLABORATION WITH THE JOHN MUIR HEALTH MOBILE HEALTH CLINIC, ANTIOCH HIGH SCHOOL, CENTER FOR HUMAN DEVELOPMENT, AND ONE DAY AT A TIME. - PROVIDE LOW-INCOME WOMEN WITH CANCER WITH FREE PSYCHOTHERAPY, PATIENT NAVIGATION SERVICES, EMERGENCY FINANCIAL ASSISTANCE, INFORMATION AND REFERRAL HELPLINE AND WELLNESS WORKSHOPS OFFERED BY THE WOMENS CANCER RESOURCES CENTER. 3. ECONOMIC SECURITY, TO INCLUDE HOUSING, FOOD, COMMUNITY AND FAMILY SAFETY IN ORDER TO ACHIEVE THESE HEALTH NEEDS JOHN MUIR HEALTH WILL: HOUSING - CONNECT MEDICALLY FRAGILE HOMELESS ADULTS DISCHARGED FROM LOCAL HOSPITALS TO THE RESPITE CARE CENTER TO PROVIDE RECUPERATIVE CARE AND ON-SITE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES. - PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY BY OFFERING PROGRAMS SUCH AS MOBILE HEALTH CLINIC IN PARTNERSHIP WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM, COTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, VILLAGE COMMUNITY RESOURCE CENTER, ROTACARE PITTSBURG AND ST. VINCENT DE PAUL. - ENGAGE JOHN MUIR FAMILY MEDICINE RESIDENTS WITH CONTRA COSTA HEALTH SERVICES COORDINATED OUTREACH, REFERRAL AND ENGAGEMENT (CORE) PROGRAM TO PROVIDE BASIC HEALTH SERVICES AND CONNECT INDIVIDUALS TO SECURE HOUSING. - CONNECT INDIVIDUALS AND FAMILIES WHO ARE IN RECOVERY FROM ALCOHOL AND OTHER DRUGS WITH SAFE, AFFORDABLE HOUSING THROUGH PARTNERSHIP WITH SUPPORT4RECOVERY. - PROVIDE UNSHELTERED AND LOW-INCOME INDIVIDUALS WITH CLOTHING, FOOD AND SUPPLIES IN PARTNERSHIP WITH WHITE PONY EXPRESS. - PROVIDE SUPPORT TO TRINITY CENTER, WHICH PROVIDES HOMELESS ADULTS WITH RESPITE, FOOD, SHOWER AND LAUNDRY FACILITIES, CLOTHING AND FOOD PANTRY, EMPLOYMENT ASSISTANCE AND CONNECTION TO CONTRA COSTA COUNTY SUPPORT SERVICES. FOOD: - PROVIDE YOUTH WITH A WORKFORCE TRAINING OPPORTUNITY AT THE CONCORD BIKE TENT IN PARTNERSHIP WITH BIKE EAST BAY AND OLYMPIC HIGH SCHOOL. - ENGAGE YOUTH AT DOZIER-LIBBEY MEDICAL HIGH SCHOOL IN A NUTRITION-BASED HEALTH EDUCATION TRAIN-THE-TRAINER PROGRAM OFFERED BY FRESH APPROACH. - SUPPORT HEALTHY AND ACTIVE BEFORE FIVE TO INCREASE COMMUNITY AND FAMILY SAFETY, AND PROMOTE HEALTHY EATING AND ACTIVE PLAY IN CHILDREN AGE 0 TO 5. - SUPPORT THE FOOD BANK OF CONTRA COSTA AND SOLANOS COMMUNITY PRODUCE PROGRAM AND ALAMEDA COUNTY COMMUNITY FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW-INCOME FAMILIES IN CONTRA COSTA COUNTY. COMMUNITY AND FAMILY SAFETY - CONTRIBUTE TO ALLIANCE TO END ABUSE AS A HEALTH SYSTEM PARTNER IN COLLABORATION WITH CONTRA COSTA COUNTY AND THE PUBLIC HEALTH INSTITUTE TO CREATE A BLUEPRINT OF VIOLENCE PREVENTION. - PROVIDE INTERVENTION AND REFERRALS TO TRAUMA VICTIMS IN ORDER TO SUPPORT YOUTH DIRECTLY IMPACTED BY INTENTIONAL VIOLENCE WITH JMMC-WCS BEYOND VIOLENCE PROGRAM IN PARTNERSHIP WITH CENTER FOR HUMAN DEVELOPMENT, RYSE CENTER AND ONE DAY AT A TIME. - ENGAGE WITH PLANTING JUSTICE AND BORDERLANDS TO IMPLEMENT RESTORATIVE JUSTICE PRACTICES WITH LOCAL SCHOOLS TO CREATE HEALTHY, EQUITABLE AND CARING SCHOOL COMMUNITIES THAT PRESENT
INCOME LEVEL OTHER THAN FPG	PART V, SECTION B, LINE 13B OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTRY'S MEDICALLY INDIGENT PROGRAM. ADDITIONALLY, THE ORGANIZATION USES ESTIMATED FEDERAL POVERTY GUIDELINES DEVELOPED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD.
WEBSITE ADDRESS FOR FINANCIAL ASSISTANCE POLICY	PART V, SECTION B, LINE 16A THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATI ENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML
WEBSITE FOR FINANCIAL ASSISTANCE POLICY APPLICATION FORM	PART V, SECTION B, LINE 16B THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATI ENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML
WEBSITE ADDRESS FOR PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE POLICY	PART V, SECTION B, LINE 16C A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATI ENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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ELIGIBILITY CRITERIA USED FOR DETERMINING FREE OR DISCOUNTED CARE	PART I, LINE 3C THE MAJORITY OF CHARITY CARE IS GIVEN BASED EITHER IN THE FEDERAL POVERTY GUIDELINES ("FPG") AS CALCULATED FROM DOCUMENTATION AND STATEMENTS MADE ON THE INTERNAL JOHN MUIR HEALTH CHARITY CARE APPLICATION, OR ON THE FPG AS ESTIMATED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY HAD DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. JOHN MUIR HEALTH HAS NO INPUT INTO THE CRITERIA USED FOR THE ALGORITHM, WHICH IS THE SAME CALCULATION USED BY THE CONTRACTED THIRD PARTY FOR ALL OF THEIR CLIENTS NATIONWIDE. OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTY'S MEDICALLY INDIGENT PROGRAM. IN ADDITION TO FORMAL QUALIFICATION IN A RECOGNIZED PROGRAM SERVING THE LOW-INCOME AND INDIGENT POPULATION, CHARITY CARE IS ALSO EXTENDED TO PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS AND WHO HAVE BEEN DOCUMENTED IN THE MEDICAL RECORDS AS BEING HOMELESS, OR HAVE A LACK OF HOUSING. CHARITY CARE IS ALSO APPLIED TO OUTSTANDING BALANCE FOR EMERGENCY SERVICES RENDERED TO DOCUMENTED MINOR AND ELDERLY VICTIMS OF ABUSE, BASED ON COMPASSION AS JOHN MUIR HEALTH HAS NO KNOWLEDGE OF THE CURRENT HOME ENVIRONMENT OF THESE PATIENTS. WE ALSO HAVE A PARTNERSHIP WITH A COMMUNITY PROGRAM, OPERATION ACCESS, WHICH SERVES THE LOW-INCOME INDIVIDUALS IN OUR COUNTY, TO PROVIDE FREE CARE ON A REFERRED, CASE-BY-CASE BASIS. OPERATION ACCESS HAS ALREADY PERFORMED THE SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY. JMH CONTINUED A PARTNERSHIP WITH LA CLINICA DE LA RAZA TO PROVIDE SPECIALTY CARE FOR UNINSURED AND LOW INCOME PATIENTS. LA CLINICA DE LA RAZA HAS ALREADY PERFORMED SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.
MEDICALLY INDIGENT CARE	PART I, LINE 4 WE PROVIDE HEALTH CARE TO THE MOST VULNERABLE INDIVIDUALS OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY THROUGH OUR MEDICAL CENTERS IN WALNUT CREEK AND CONCORD. THIS INCLUDES THE CRITICAL EMERGENCY AND TRAUMA SERVICES AT OUR MEDICAL CAMPUSES. JOHN MUIR HEALTH HAS A NUMBER OF PROGRAMS TO HELP OUR PATIENTS WITH THEIR MEDICAL BILLS FOR SERVICES THEY RECEIVE AT ONE OF OUR MEDICAL CENTERS. THESE PROGRAMS INCLUDE A PATIENT ASSISTANCE PROGRAM TO ABSORB PART, OR ALL, OF THE BILL BASED ON INCOME AND OTHER PROGRAM GUIDELINES, ASSISTANCE ENROLLING IN A NUMBER OF INSURANCE PROGRAMS, AND EXTENDED PAYMENT PLANS. JOHN MUIR HEALTH MAY ALSO ASSIGN ACCOUNTS TO PRESUMPTIVE CHARITY, WITHOUT A PATIENT ASSISTANCE APPLICATION SUBMITTED BY THE PATIENT, BASED ON PREDETERMINED CRITERIA COLLECTED FROM APPROVED SOURCES. THIS CRITERIA INCLUDES: THE PATIENT HAVING DOCUMENTED IN HIS/HER MEDICAL RECORD AS BEING HOMELESS OR VERIFICATION RECEIVED THROUGH THE MEDICAL CENTER OR A FAMILY MEMBER THAT THE PATIENT IS CURRENTLY INCARCERATED OR THE PATIENT QUALIFIES FOR A GOVERNMENT PROGRAM WITH ELIGIBILITY REQUIREMENTS THAT REASONABLY MEET THE QUALIFICATIONS FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM WITHIN SIX (6) MONTHS OF THE DATE THE PATIENT RECEIVED SERVICES AT THE MEDICAL CENTER. OR AFTER NORMAL COLLECTION EFFORTS HAVE NOT PRODUCED ANY PAYMENT, AND JOHN MUIR HEALTH HAS IDENTIFIED WITH REASONABLE EFFORT AND ASSURANCE THAT THE PATIENT'S ESTIMATED INCOME IS AT 250 PERCENT OR LESS OF THE FPL (FEDERAL POVERTY LEVEL). COMMUNITY BENEFIT REPORT PART I, LINE 6A ALL JOHN MUIR HEALTH ENTITIES (WALNUT CREEK CAMPUS, CONCORD CAMPUS AND BEHAVIORAL HEALTH) REPORT COMMUNITY BENEFIT INFORMATION AS PART OF THE JOHN MUIR HEALTH ANNUAL COMMUNITY BENEFIT REPORT.
FINANCIAL ASSISTANCE POLICY	PART I, LINE 7 JOHN MUIR HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS.
FINANCIAL ASSISTANCE PERCENT OF TOTAL EXPENSE	PART I, LINE 7, COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 35,827,775.
COMMUNITY BUILDING ACTIVITIES	PART II JOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEET THE DEFINITION OF COMMUNITY BENEFIT. IN 2019, WE PROVIDED SUPPORT TO ORGANIZATIONS WHOSE MISSION IS TO ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS THROUGH EVENT SPONSORSHIP. LASTLY, JOHN MUIR HEALTH WORKS WITH A WIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TO HEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS, WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THE FOLLOWING AREAS: 1. REGISTERED NURSING 2. MEDICAL ASSISTANTS 3. MEDICAL IMAGING TECHNOLOGY 4. SONOGRAPHERS 5. CLINICAL LAB SCIENTIST 6. PHARMACIST AND PHARMACY TECHS 7. THERAPIST/PHYSICAL, OCCUPATIONAL AND SPEECH 8. ENGINEERING AND BIO ENGINEERING 9. NUTRITION SERVICES/DIETITIANS AND CHEFS 10. INFORMATION TECHNOLOGY 11. HEALTHCARE ADMINISTRATION 12. FAMILY MEDICINE PHYSICIANS 13. EMERGENCY SERVICES/ER TECHS, PHYSICIANS AND NURSINGS PARTNERS: 1. EAST COUNTY BUSINESS EDUCATION ALLIANCE 2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH UNDERSERVED POPULATION. 3. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE 4. BAY AREA COUNCIL 5. EAST BAY HEALTH WORKFORCE PARTNERSHIP STUDENTS: 1. 17 HIGH SCHOOLS AND HEALTH ACADEMIES 2. 14 UNIVERSITIES 3. 9 STATE COLLEGES 4. 8 JUNIOR COLLEGES 5. 7 PRIVATE COLLEGES BAD DEBT EXPENSE PART III, LINE 2 BAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT.
FINANCIAL STATEMENT FOOTNOTE	PART III, LINE 4 THE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN THE JOHN MUIR HEALTH AND SUBSIDIARIES CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS. SEE PAGES 10 AND 14 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990.
SHORTFALL TREATED AS COMMUNITY BENEFIT	PART III, LINE 8 THE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2018 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).
COLLECTION PRACTICES	PART III, LINE 9B OTHER THAN SENDING STATEMENTS AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTION INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO AN OUTSIDE AGENCY. THE COLLECTION POLICY IS IN THE FORM OF, AND INCORPORATED INTO, THE CONTRACT AGREEMENT WITH THE OUTSIDE AGENCY AS A FULL ADDENDUM TO THE CONTRACT, WITH A SEPARATE SIGNATURE LINE FOR JOHN MUIR HEALTH AND THE AGENCY AS PART OF THE ADDENDUM. IN ADDITION TO THE CUSTOMIZED JOHN MUIR HEALTH COLLECTION GUIDELINES, THE ADDENDUM ALSO CONTAINS THE COLLECTION CRITERIA AND REQUIREMENTS FOUND IN CALIFORNIA LAW UNDER ASSEMBLY BILL 774.
NEEDS ASSESSMENT	PART VI, LINE 2 THE 2019 HEALTH NEEDS ASSESSMENT INCLUDES A COMPREHENSIVE NEEDS ASSESSMENT OF THE COMMUNITY SERVED, WHICH HAS BEEN USED TO DEVELOP OUR ANNUAL AND TRIENNIAL COMMUNITY BENEFIT PLANS. FOR MORE INFORMATION, THE CHNA REPORT AND IMPLEMENTATION STRATEGY (A.K.A. COMMUNITY HEALTH IMPROVEMENT PLAN) CAN BE FOUND HERE: HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT IN ADDITION TO THE CHNA, JMH IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY IN A VARIETY OF WAYS. JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIPS WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS IN OUR COMMUNITY. JOHN MUIR HEALTH KEPT ABREAST OF CURRENT HEALTH ISSUES OF IMPORTANCE TO THE COMMUNITY BY ACTIVE PARTICIPATION AND COMMUNICATION WITH A VARIETY OF COMMUNITY GROUPS INCLUDING BUT NOT LIMITED TO DENTAL COLLABORATIVE OF CONTRA COSTA, ACCESS TO CARE STAKEHOLDERS, EAST COUNTY ACCESS ACTION TEAM, HEALTHY AND ACTIVE BEFORE FIVE, FAMILIES COALITION FOR ACTIVITY AND NUTRITION, MOBILE HEALTH CLINIC ASSOCIATION NORTHERN CALIFORNIA ROUNDTABLE, AND THE EAST COUNTY HEALTH AND WEALTH INITIATIVE. THESE SOURCES OF INFORMATION PROVIDE CURRENT INFORMATION REGARDING COMMUNITY HEALTH STATUS AND ALSO HELP IDENTIFY EMERGING NEEDS IN THE SERVICE AREA POPULATION.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3 JOHN MUIR HEALTH HAS SIGNAGE POSTED IN PATIENT ACCESS AREA/LOBBIES INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIR HEALTH CARE BILLS AND ELIGIBILITY. SERVICES TO AID THE PATIENT IN QUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IS POSTED IN THE EMERGENCY DEPARTMENT. ALL PATIENTS RECEIVE A "PATIENT ASSISTANCE" BROCHURE, WHICH IDENTIFIES VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENT, INCLUDING THE JOHN MUIR HEALTH CHARITY CARE PROGRAM AS WELL AS PROGRAMS THROUGH GOVERNMENT AGENCIES (STATE, COUNTY, ETC). THE BROCHURE ALSO LISTS CONTACT INFORMATION FOR THESE PROGRAMS. PATIENTS IN THE EMERGENCY DEPARTMENT TALK TO A TRAINED FINANCIAL COUNSELOR, AND IF APPROPRIATE, ARE ALSO ASKED TO SIGN A FORM ACKNOWLEDGING RECEIPT OF THE PATIENT ASSISTANCE MATERIALS OR DECLINING TO ACCEPT THE MATERIAL. TRAINED FINANCIAL COUNSELORS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE NOT PRESENT FOR SERVICES THROUGH THE EMERGENCY DEPARTMENT. THE APPLICATION FORM AND A COPY OF THE POLICY FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM IS ALSO AVAILABLE IN THE EMERGENCY DEPARTMENT AS WELL AS THE MAJOR PATIENT ACCESS AREAS AND THE BUSINESS OFFICE. NOTIFICATIONS THAT PROGRAMS, INCLUDING CHARITY CARE, ARE AVAILABLE IS ALSO PRINTED ON PATIENT BILLING STATEMENTS, ACCOMPANIED BY THE ABILITY FOR A PATIENT TO REQUEST THE VARIOUS PROGRAM MATERIALS BE SENT TO HIS/HER HOME. CONTACT INFORMATION IS ALSO LISTED IN THE PATIENT STATEMENT. INFORMATION IN THE HEALTH SYSTEM'S CHARITY CARE PROGRAM IS POSTED ON THE JOHN MUIR HEALTH INTERNET WEBSITE AS WELL. PATIENTS ADMITTED TO THE HOSPITAL, AND WHO HAVE NO THIRD PARTY INSURANCE LISTED ARE INTERVIEWED BY TRAINED FINANCIAL COUNSELORS DURING THEIR HOSPITAL STAY TO INFORM THEM OF THE VARIOUS PROGRAMS WHICH ARE AVAILABLE, AND DETERMINE IF THE PATIENT WOULD LIKE ASSISTANCE TO OBTAIN ELIGIBILITY FOR THE STATE MEDICAID (MEDI-CAL) PROGRAM, STATE DISABILITY, CHARITY CARE OR OTHER AVAILABLE PROGRAM IN THE COUNTY. THIS ELIGIBILITY ASSISTANCE, WHICH INCLUDES HELP IN FILLING OUT THE APPLICATION, GATHERING REQUIRED DOCUMENTS, AND TRANSPORTATION TO ELIGIBILITY APPOINTMENTS, IF NECESSARY, IS OFFERED AT NO CHARGE TO THE PATIENT. IN ADDITION, PATIENT ACCOUNTING REPRESENTATIVES MAY ALSO CONTACT PATIENTS AFTER DISCHARGE TO ASK ABOUT PAYMENT ARRANGEMENTS AND TO INFORM THEM OF THE CHARITY CARE PROGRAM IF THE PATIENT NEEDS ASSISTANCE IN PAYING FOR THEIR MEDICAL BILLS.
COMMUNITY INFORMATION	PART VI, LINE 4 JOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREAS EXTENDS FROM SOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SAN RAMON IN SOUTHERN CONTRA COSTA COUNTY. JMH'S TRAUMA CENTER SERVES ALL OF CONTRA COSTA COUNTY, AS WELL AS SOUTHERN SOLANO COUNTY, AND IS A BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY. JMH ALSO SERVES EASTERN ALAMEDA COUNTY IN JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER. OUR COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF THE VULNERABLE POPULATIONS IN CENTRAL AND EASTERN CONTRA COSTA COUNTY, OUR PRIMARY AND SECONDARY SERVICE AREA. WE DEFINE VULNERABLE POPULATIONS AS THOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED. THESE CRITERIA RESULTS IN A PRIMARY COMMUNITY BENEFIT SERVICE AREA THAT INCLUDES THE COMMUNITIES OF THE MONUMENT AREA IN CONCORD AND THE EASTERN CONTRA COSTA COUNTY CITIES OF BAY POINT, PITTSBURG, ANTIOCH, OAKLEY, AND BRENTWOOD, AND THE FAR EAST PART OF UNINCORPORATED CONTRA COSTA COUNTY. THE JOHN MUIR HEALTH SERVICE AREA HAS THE FOLLOWING DEMOGRAPHIC PROFILE: CENTRAL CONTRA COSTA COUNTY TOTAL POPULATION: 750,748 WHITE: 59.8% AFRICAN AMERICAN: 2.4% ASIAN: 18.2% NATIVE AMERICAN/ALASKAN NATIVE: 0.2% PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.4% SOME OTHER RACE: 0.2% MULTIPLE RACES: 4.2% HISPANIC/LATINO: 14.5% LIVING AT/BELOW 100% FPL: 6.2% CHILDREN LIVING AT BELOW 100% FPL: 6.3% UNEMPLOYED: 3.0% UNINSURED: 5.5% NO HIGH SCHOOL DIPLOMA: 5.8% EASTERN CONTRA COSTA COUNTY TOTAL POPULATION: 318,900 WHITE: 35.9% AFRICAN AMERICAN: 13.1% ASIAN: 10.2% NATIVE AMERICAN/ALASKAN NATIVE: 0.4% PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.7% SOME OTHER RACE: 0.2% MULTIPLE RACES: 5.0% HISPANIC/LATINO: 34.6% LIVING AT/BELOW 100% FPL: 12.7% CHILDREN LIVING AT BELOW 100% FPL: 18.0% UNEMPLOYED: 3.1% UNINSURED: 9.6% NO HIGH SCHOOL DIPLOMA: 15.0% WESTERN CONTRA COSTA COUNTY TOTAL POPULATION: 254,267 WHITE: 23.4% AFRICAN AMERICAN: 15.5% ASIAN: 20.1% NATIVE AMERICAN/ALASKAN NATIVE: 0.3% PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.4% SOME OTHER RACE: 0.6% MULTIPLE RACES: 4.7% HISPANIC/LATINO: 5.2% LIVING AT/BELOW 100% FPL: 14.0% CHILDREN LIVING AT BELOW 100% FPL: 19.7% UNEMPLOYED: 3.1% UNINSURED: 12.9% NO HIGH SCHOOL DIPLOMA: 18.2%
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 JOHN MUIR HEALTH IS A NOT-FOR-PROFIT, COMMUNITY BASED ORGANIZATION THAT IS GOVERNED BY THOSE WHO LIVE IN THE COMMUNITY WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMUNITIES. THE BOARD OF JOHN MUIR HEALTH CONSISTS PRIMARILY OF MEMBERS OF THE COMMUNITY AND STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIED PRACTITIONERS. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES. AS A NOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROM OUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. JMH ALSO CONTRIBUTES SIGNIFICANTLY TO THE ECONOMIC VITALITY OF CONTRA COSTA COUNTY BY EMPLOYING OVER 6,000 IN 2019. JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTA COUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENTS AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR TWO HOSPITALS EMERGENCY DEPARTMENT SERVE ALL RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT, JMH HAS AN OBLIGATION TO MAKE A CHARITABLE CONTRIBUTION TO THE COMMUNITY, BUT OUR COMMITMENT TO KEEPING THE COMMUNITIES WE SERVE GOES FAR DEEPER THAN THAT. JMH'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION ACCURATELY REFLECTS OUR COMMUNITY HEALTH EFFORTS AS A CORPORATE LEADER AND COMMUNITY PARTNER. SOME OF THE PROGRAMS INCLUDE TREATING PATIENTS REFERRED BY LOCAL COMMUNITY CLINICS FOR SPECIALTY CARE SERVICES, PROVIDING MOBILE HEALTH CLINIC SERVICES IN UNDERSERVED COMMUNITIES, PROVIDING BREAST AND LUNG CANCER SCREENING FOR UNINSURED COMMUNITY MEMBERS AND SUPPORTING DEPRESSION PREVENTION ACTIVITIES FOR LOW-INCOME. JMH SERVED OVER 155,510 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN 2019. JMH'S COMMITMENT TO THE LOCAL COMMUNITY IS EXPRESSED IN THE MANY INITIATIVES WE DELIVER. JMH PROVIDES CHARITY CARE FOR MANY INDIVIDUALS AND FAMILIES WITH NO INSURANCE AND LIMITED MEANS. IN 2019, WE PROVIDED $3.6 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $86.9 MILLION, THE COST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE PAYMENT WE RECEIVED FROM MEDI-CAL. JOHN MUIR HEALTH ALSO PROVIDES BROAD FINANCIAL AND TECHNICAL SUPPORT TO PROMOTE COMMUNITY WELLNESS. THE ORGANIZATION CONTRIBUTES $1 MILLION A YEAR TO THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND EACH YEAR, WHOSE GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. LASTLY, JMH CONTRIBUTES TO THE COMMUNITY IN MANY NON-QUANTIFIABLE WAYS THAT IS NOT OUTLINED IN THE REPORT. THE HEALTH SYSTEM CONTINUALLY PROVIDES LEADERSHIP IN THE COMMUNITY, ASSISTS WITH LOCAL CAPACITY BUILDING AND PARTICIPATES IN COMMUNITY-WIDE HEALTH PLANNING. JOHN MUIR HEALTH STAFF ARE ACTIVELY INVOLVED IN COMMUNITY ORGANIZATIONS AS VOLUNTEERS. THEIR LEADERSHIP IN THE COMMUNITY HELPS TO DEVELOP PARTNERSHIPS TO ADDRESS THE NEEDS OF THE VULNERABLE AND UNDERSERVED. THE FOLLOWING ARE EXAMPLES OF NON-QUANTIFIABLE BENEFITS PROVIDED TO THE COMMUNITY IN 2019. JOHN MUIR HEALTH'S COMMITMENT TO ENVIRONMENTAL SUSTAINABILITY IS EVIDENT THROUGH MANY INITIATIVES. JOHN MUIR HEALTH INSTALLED FORTY VEHICLE CHARGING STATIONS TO REDUCE FUEL CONSUMPTION AND CARBON DIOXIDE EMISSIONS. IN ADDITION, SYSTEM-WIDE-STYROFOAM USAGE HAS BEEN ELIMINATED. TO PRESERVE WATER, JOHN MUIR HEALTH FACILITIES WERE EQUIPPED WITH LOW-FLOW TOILETS, SHOWERS AND SINKS, AS WELL AS LIMITING OUTDOOR WATERING TO TWO DAYS PER WEEK. JOHN MUIR HEALTH NURSES ARE DEEPLY INVOLVED IN THEIR COMMUNITY THROUGH VOLUNTEERING. JOHN MUIR HEALTH ENCOURAGES NURSING VOLUNTEERISM AND COMMUNITY INVOLVEMENT THROUGH MAGNET RECOGNITION STATUS WHERE NURSES SUPPORT HEALTH BY BUILDING PARTNERSHIPS WITH THE COMMUNITY. FOR EXAMPLE, NURSES AT JOHN MUIR HEALTH MEDICAL CENTER, CONCORD PROVIDE HEALTH EDUCATION MONTHLY AT THE LOCAL FARMER'S MARKET AND PARTICIPATE AS VOLUNTEERS ON OUR MOBILE DENTAL CLINIC. JOHN MUIR HEALTH EMPLOYEES DONATE BACKPACKS WITH SCHOOL SUPPLIES TO FOSTER YOUTH THROUGH THE ANNUAL FOSTER A DREAM BACKPACK CHALLENGE. JOHN MUIR HEALTH AND OUR EMPLOYEES ACTIVELY PARTICIPATE IN DISEASE AWARENESS EVENTS IN ORDER TO PROMOTE HEALTH IN OUR COMMUNITY. EVERY YEAR JOHN MUIR EMPLOYEES PARTICIPATE IN THE NATIONAL ALLIANCE ON MENTAL HEALTH ILLNESS WALK, WALK TO WELLNESS, AMERICAN HEART ASSOCIATION HEART WALK, GO RED COMMUNITY EVENT, KIDNEY WALK, DIGESTIVE HEALTH FAIR AND OTHER COMMUNITY EVENTS.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6 JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND 1399 YGNACIO VALLY ROAD, SUITE 36, WALNUT CREEK, CA 94598 THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUNDS IS ONE ARM OF GRANT-MAKING AT JOHN MUIR HEALTH SYSTEM. THE FUND'S GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EASTERN CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MORE AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE FUND DEVELOPED A FUNDING PROCESS THAT NURTURES LONG TERM PARTNERSHIP WITH AND AMONG THE COMMUNITY BASED ORGANIZATIONS. THIS LEADS TO VISIONARY HEALTH INITIATIVE THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 2019, THE FUND HAS GRANTED OVER $29 MILLION JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUNDS, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN BE FOUND ON ITS WEBSITE: WWW.JMMDCOMMUNITYHEALTHFUND.COM JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BOULEVARD, SUITE 400, WALNUT CREEK, CA 94597 THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH OVER 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG), JOHN MUIR SPECIALTY MEDICAL GROUP, OR MUIR MEDICAL GROUP IPA, INC. THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN NUMEROUS LOCATIONS FROM BRENTWOOD TO PLEASANTON. JMMG ALSO PROVIDES HOSPITALIST (IN-PATIENT MEDICAL SERVICES) AT JOHN MUIR HEALTH'S HOSPITALS. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SEVEN MAJOR HEALTH PLANS FOR MORE THAN 50,000 COMMERCIAL AND SENIOR HMO MEMBERS. THE PHYSICIAN NETWORK MANAGES HEALTH PLAN CONTRACTING FOR JOHN MUIR HEALTH AND ITS HOSPITALS AND ENGAGES PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACCOUNTABLE CARE ORGANIZATION (ACO) WHICH PROVIDES THE COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS. JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BOULEVARD, SUITE 300, WALNUT CREEK, CA 94597 JOHN MUIR HEALTH OFFERS COMPLETE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS AND SERVICES THROUGH JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER, THE HEALTH SYSTEM'S FULLY ACCREDITED, 73 BED PSYCHIATRIC HOSPITAL LOCATED IN CONCORD. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER OFFERS PSYCHIATRIC TREATMENT FOR ADULTS, CHILDREN AND ADOLESCENT WHO ARE EXPERIENCING EMOTIONAL OR BEHAVIORAL PROBLEMS. FOR THOSE WHO ARE DEPENDENT ON ALCOHOL OR DRUGS, THE BEHAVIORAL HEALTH CENTER OFFERS A FULL ARRAY OF CHEMICAL DEPENDENCY TREATMENT PROGRAMS. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH. JOHN MUIR HEALTH FOUNDATION 1400 TREAT BOULEVARD, SUITE 300, WALNUT CREEK, CA 94597 THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION. THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
John Muir Physician Network
1400 Treat Blvd Suite 300	Walnut Creek	CA	94597	680360801	501(C)(3)	$50,909,068	N/A	N/A	General Support
John MuirMt Diablo Community Health Fund
5003 COMMERCIAL CIR STE 275	CONCORD	CA	94520	911788973	501(C)(3)	$1,527,000	N/A	N/A	General Support
John Muir Behavioral Health
1400 Treat Blvd Suite 300	Walnut Creek	CA	94597	680249685	501(C)(3)	$7,268,340	N/A	N/A	General Support
John Muir Health Foundation
1400 Treat Blvd Suite 300	Walnut Creek	CA	94597	942650855	501(C)(3)	$5,053,787	N/A	N/A	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	GRANT MONITORING	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2 JOHN MUIR HEALTH FINANCIAL MANAGEMENT MONITORS THE USE OF RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Calvin Knight
CEO/Director/President	$1,229,077	$0	$687,227	$0	$614,063	$0	$1,419,944	$0	$14,426	$0	$3,964,737	$0	$1,259,503	$0
Christian Pass
Senior VP/CFO	$618,455	$0	$195,695	$0	$9,795	$0	$399,474	$0	$32,417	$0	$1,255,836	$0	$195,695	$0
Irving Pike MD
SR VP/Chief Medical Officer	$600,922	$0	$196,595	$0	$34,934	$0	$342,543	$0	$24,006	$0	$1,199,000	$0	$196,595	$0
Jane Willemsen
Exec VP/Pres Hospital Ops	$680,088	$0	$349,241	$0	$25,020	$0	$969,839	$0	$24,006	$0	$2,048,194	$0	$349,241	$0
Max Reynolds
SR VP/General Counsel	$483,845	$0	$158,293	$0	$11,486	$0	$237,338	$0	$21,609	$0	$912,571	$0	$158,293	$0
Michael Moody
SR VP/Partnership Integration	$603,865	$0	$255,506	$0	$16,116	$0	$524,045	$0	$32,417	$0	$1,431,949	$0	$255,506	$0
Michael Thomas
Exec VP/Chief Transformation	$680,088	$0	$349,241	$0	$19,378	$0	$667,505	$0	$23,268	$0	$1,739,480	$0	$349,241	$0
George Sauter
SR VP/Chief Strategy Officer	$481,596	$0	$158,093	$0	$16,872	$0	$240,642	$0	$20,941	$0	$918,144	$0	$158,093	$0
Jon Russell
SR VP/CIO	$339,167	$0	$152,783	$0	$143,952	$0	$197,679	$0	$14,330	$0	$847,911	$0	$152,783	$0
Lisa Foust
SR VP HUman Resources	$470,000	$0	$156,957	$0	$18,908	$0	$270,948	$0	$32,417	$0	$949,230	$0	$156,957	$0
Michelle Lopes RN
Chief Nursing Executive	$391,619	$0	$125,566	$0	$12,379	$0	$302,468	$0	$21,609	$0	$853,641	$0	$125,566	$0
Ray Nassief
SR VP Hospital Operations	$365,923	$0	$119,714	$0	$28,015	$0	$216,968	$0	$13,826	$0	$744,446	$0	$119,714	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES

SCHEDULE J, PART I, LINE 1A JOHN MUIR HEALTH PAYS UP TO 50% OF HEALTH CLUB DUES FOR EXECUTIVE DIRECTORS OF OPERATIONS, VICE PRESIDENTS AND ABOVE. THESE BENEFITS ARE TREATED AS TAXABLE INCOME TO THESE INDIVIDUALS.

SEVERANCE PAYMENTS

SCHEDULE J, PART I, LINE 4A A SEVERANCE PAYMENT OF $131,864 WAS MADE TO JON RUSSElL; IN CONNECTION WITH THEIR SEPARATION OF SERVICE ON SEPTEMBER 30, 2019. THIS TAXABLE COMPENSATION WAS REPORTED IN PART II, COLUMN (B)(III). NON-QUALIFIED RETIREMENT PLANS SCHEDULE J, PART I, LINE 4B Retirement Restoration Plan Employees eligible for the Retirement Restoration Plan are either Senior Vice President or Vice President level employees. Employer contributions are made to the plan on behalf of eligible employees. The annual increase in actuarial value of the plan benefit is reported in Part II, Column C. Vesting for the Restoration Plan is at the earliest of the following: reaching age 65 with at least three years of service, becoming totally and permanently disabled, involuntary termination for any reason other than cause, change of control of John Muir Health, or death. Restoration Plan benefits are payable and taxable upon vesting. No plan benefit payments were made during the year. The following executives participated in the plan and earned the following benefit during the year: Irving Pike, M.D. $115,453 Max Reynolds $52,855 George Sauter $57,025 Jon Russell $62,673 Lisa Foust $91,785 Ray Nassief $75,400 Michelle Lopes $151,323 Supplemental Executive Plan Employees eligible for the Supplemental Executive Plan are either CEO, CFO of John Muir Health, CEO or CAO of John Muir Physician Network, and current employees that previously held one of those positions. Employer contributions are made to the plan on behalf of eligible employees. The annual increase in actuarial value of the plan benefit is reported in Part II, Column C. Vesting for the Supplemental Executive Plan is at the earliest of the following: reaching age 65 with at least three years of service, becoming disabled, involuntary termination for any reason other than cause, termination upon change of control of John Muir Health, or death. Benefits are payable and taxable upon vesting. CALVIN KNIGHT RECEIVED A LUMP SUM PAYMENT OF $572,276 DURING 2019. The following executives participated in the plan and earned the following benefit during the tax year: Christian Pass $165,026 Calvin Knight $639,331 Jane Willemsen $570,000 Michael Thomas $267,425 Michael Moody $230,282

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
CA Statewide Community Development Authority
A	680164610	2012-05-23	$89,800,000	SEE PART IV	false	false	false
CA Statewide Community Development Authority
B	680164610	2016-06-09	$353,140,040	SEE PART IV	false	false	false	13080SMW1
CA Statewide Community Development Authority
C	680164610	2018-05-15	$92,473,440	REFUND OF 2017 BONDS	false	false	false	13080SMW4
CA Statewide Community Development Authority
D	680164510	2019-08-15	$51,532,082	REFUND OF 2012B BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$73,486,250	$0	$89,800,000	$0	$0	$0	$502,197	$0	$127,803	$0	$89,170,000	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$354,785,800	$0	$0	$0	$3,133,280	$0	$0	$17,965,830	$300,002,560	$33,723,745		Yes (true)	false	false	Yes (true)
C	$0	$0	$92,473,440	$0	$0	$0	$1,419,493	$0	$0	$0	$91,053,947	$0	2018	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$51,532,082	$0	$0	$0	$482,082	$0	$0	$0	$51,050,000	$0	2019	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.00010	0.00010	false	false	false	false
B	false	false	false	false			false	false	false	false
C	false	false	false	false			false	false	false	false
D	false	false	false	false			false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	false	false	false	false	0	false	false
0
B	false	Yes (true)	false	false	Yes (true)	false	false	0	false	false
0
C	false	Yes (true)	false	false	Yes (true)	false	false	0	false	false
0
D	false	false	false	false	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false
D	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF BOND PURPOSE	FormAndLineReferenceDesc
Explanation	PART I, LINE A, COLUMN (F) THE BONDS WERE ISSUED FOR THE PURPOSE OF REFUND AND PAYMENT IN FULL OF THE OUTSTANDING PRINCIPAL AMOUNT AND INTEREST DUE ON THE 1997 CERTIFICATES OF PARTICIPATION AND THE SERIES 2008B BONDS ISSUED 10/29/1997 AND 5/2/2008 RESPECTIVELY. DESCRIPTION OF BOND PURPOSE PART I, LINE B, COLUMN (F) THE BONDS WERE ISSUED FOR THE PURPOSES OF REFUNDING BONDS ISSUED 6/14/2006 AND 5/2/2008 AND FINANCING CAPITAL EXPENDITURES. TOTAL PROCEEDS FROM ISSUE PART II, LINE 3, COLUMN B THE $353,140,040 OF BOND PROCEEDS INCLUDE $1,645,760 OF TOTAL EARNINGS SINCE 2016 ON THE UNSPENT PROCEEDS. MANAGEMENT, SERVICES CONTRACTS OR RESEARCH AGREEMENTS PART III, LINE 3B JOHN MUIR HEALTH ENGAGES BOND COUNSEL IN CONNECTION WITH PUBLIC DEBT OFFERINGS OR REFINANCING, DURING WHICH BOND COUNSEL REVIEWS MANAGEMENT OR SERVICE CONTRACTS RELATED TO FINANCED PROPERTY. WRITTEN DISCLOSURES PART III, LINE 9 & PART V WHILE THE ORGANIZATION DID NOT HAVE BOARD APPROVED WRITTEN POLICIES AND PROCEDURES IN PLACE AS OF THE YEAR END, THE ORGANIZATION DID MONITOR COMPLIANCE WITH THE POST-ISSUANCE REQUIREMENTS IMPOSED ON THE BONDS. THE ORGANIZATION HAS DRAFTED FORMAL WRITTEN POLICIES AND PROCEDURES THAT ARE PENDING BOARD REVIEW AND APPROVAL.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
OTHER PROGRAM SERVICES	PART III, LINE 4D OTHER SERVICES OFFERED AT JOHN MUIR HEALTH (JMH) ARE: NEUROSCIENCES WHICH OFFERS THE MOST ADVANCED TECHNIQUES AND TECHNOLOGY TO DIAGNOSE AND TREAT NEUROLOGICAL DISORDERS OF THE BRAIN AND SPINE. THE COMPREHENSIVE PROGRAMS AVAILABLE AT JMH INCLUDE TREATMENT FOR CEREBROVASCULAR DISEASE (E.G. STROKE, ANEURYSMS, BRAIN AND SPINAL CORD TUMORS, DEMENTIA (E.G. ALZHEIMERS), SPINE DISEASES, AND NEUROLOGICAL DISORDERS. NUEROSCIENCES IS COMPRISED OF HEALTHCARE PROFESSIONALS AND MEDICAL STAFF SPECIALIZING IN NEUROLOGY, NEUROSURGERY, NEUROCRITICAL CARE, NEUROPSYCHOLOGY AND REHABILITATION TO CARE FOR THE DISEASE OF THE BRAIN AND SPINE. IN 2019, THE CONCORD MEDICAL CENTER WAS RE-CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER AND THE WALNUT CREEK MEDICAL CENTER WAS RE-CERTIFIED AS A COMPREHENSIVE STROKE CENTER. JOHN MUIR HEALTH'S IMPATIENT REHAB UNIT IS ACCREDITED BY THE COMMISSION ON ACCREDITATION REHABILITATION FACILITY "CARF" FOR GENERAL REHAB, STROKE SPECIALTY AND BRAIN INJURY SPECIALTY. THIS IS A 3 YEAR ACCREDITATION AND DEMONSTRATE OUR COMMITMENT TO QUALITY IMPROVEMENT AND FOCUS ON THE UNIQUE NEEDS OF OUR PATIENT POPULATION. JHM ADMITTED 579 PATIENTS IN 2019 WITH STROKE REPRESENTING THE HIGHEST ADMITTING DIAGNOSIS AT 39.7%, FOLLOWED BY TRAMATIC BRAIN INJURY AT 10.2%. QUALITY INDICATOR MEASURES EXCEEDED REGION AND NATION IN MANY CATEGORIES INCLUDING, IRF-OAI DATA COMPLETENESS, DISCHARGE MOBILITY SCORE, SKIN INTEGRITY PRESSURE ULCER INJURY, AND FALLS. IN 2019, JMH IMPLEMENTED SECTION GG CARE TOOL TO REPLACE LONGSTANDING FIM QUALITY INDICATOR TOOL AS MANDATED BY CMS. JOHN MUIR HEALTHS DIGESTIVE HEALTH SERVICES CONTINUE TO GROW WITH THE RECRUITMENT AND ONBOARDING OF TWO GASTROENTEROLOGIST. LUMEN-APPOSING METAL STENTS REPRESENT AN INNOVATION IN GI ENDOSCOPY, CURRENTLY OFFERED AT JMH IN CONJUNCTION WITH ENDOSCOPIC ULTRASOUND (EUS) AND ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP). THIS ENDOSCOPIC APPROACH HAS BEEN SHOWN TO BE ASSOCIATED WITH LOWER MORBIDITY AND MORTALITY IN PATIENTS WITH HEPATO-PANCREATO-BILIARY (HPB) DISEASE. JMH CONTINUES TO OFFERS STATE OF THE ART THERAPEUTIC ENDOSCOPIC OPTIONS FOR SURGICAL AND NON-SURGICAL CANDIDATES. JMH COLLABORATED WITH UCSF TO DEVELOP A COMPREHENSIVE CANCER PROGRAM. JMH CONTINUES TO WORK WITH PHYSICIANS AND CORE TEAM MEMBERS TO DEVELOP PROGRAMS FOR THE FOLLOWING TUMOR SITE SPECIFIC PROGRAMS: (1) THORACIC (LUNG/ESOPHAGEAL): EXPANSION ON MINIMALLY INVASIVE APPROACH TO SURGERY. DESIGNATED FOREGUT CENTER OF EXCELLENCE BY INTUITIVE. JOHN MUIR HEALTH CONCORD WILL SERVE AS A MENTOR SITE AND THE ONLY DESIGNATED SITE IN CALIFORNIA. (2) CONTINUED EXPANSION OF MINIMALLY INVASIVE APPROACH TO COLORECTAL SURGERY. (3) GYNECOLOGIC ONCOLOGY: JMH CONTINUE TO BE A HIGH VOLUME CENTER FOR THE TREATMENT OF GYN MALIGNANCIES INCLUDING COMPLEX OVARIAN CANCER WITH DEMONSTRATED EXCELLENT OUTCOMES. HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC) PROGRAM CONTINUES TO DEMONSTRATE OUTCOMES THAT EXCEED AVERAGE PUBLISHED OUTCOMES. (3) BREAST: CONTINUE TO BE A HIGH VOLUME BREAST CENTER FOR CONTINUUM OF CARE FROM SCREENING, DIAGNOSIS, TREATMENT, SURVEILLANCE. HIGH RISK BREAST PROGRAM CONTINUES TO EXPAND WITH 101 PATIENT VISITS; EVERY WOMEN COUNTS PROGRAM FOR UNDERSERVED AND UNINSURED CONTINUES WITH 356 PATIENTS SEEN TO DATE. ENSURE ADHERENCE TO MANDATORY STANDARDS NECESSARY TO MAINTAIN ACCREDITATION THROUGH ACOS AS A NATIONALLY ACCREDITED PROGRAM FOR BREAST CENTER (NAPBC). JHM HAS BEEN ONE OF THE LEADING ROBOTIC-ASSISTED SURGERY PROGRAMS IN THE BAY AREA SINCE 2003. WE ARE PROUD TO NOW HAVE A COMPLEMENT OF 3XI MODELS AT THE CONCORD CAMPUS AND 2 XI ROBOTS AT THE WALNUT CREEK CAMPUS. ITS TECHNOLOGY IS FOUNDATIONAL TO SEVERAL OF JMHS LEADING CLINICAL PROGRAMS INCLUDING GYNECOLOGIC ONCOLOGY, GYNECOLOGY, UROLOGY, THORACIC, COLORECTAL AND GENERAL SURGERY. IT WILL BE EXCITING TO NOW DELIVER MORE INCREMENTAL VALUE TO JOHN MUIR HEALTH GOING FORWARD.
FAMILY OR BUSINESS RELATIONSHIP	FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS TAEJOON AHN, M.D. AND RAVI HUNDAL, M.D. HAVE A BUSINESS RELATIONSHIP. MANAGEMENT COMPANY FORM 990, PART VI, SECTION A, LINE 3 JOHN MUIR HEALTH HAS ENGAGED OPTUM TO MANAGE NON CLINICAL FUNCTIONS, INCLUDING INFORMATION TECHNOLOGY, REVENUE CYCLE MANAGEMENT, ANALYTICS, PURCHASING AND CLAIMS PROCESSING. OPTUM BRINGS AN EXTENSIVE SET OF CAPABILITIES, INCLUDING OPERATIONAL TECHNOLOGIES, ANALYTIC SOLUTIONS AND TOOLS, AND ADMINISTRATIVE SERVICE EXPERTISE TO HELP JOHN MUIR HEALTH FURTHER ADVANCE ITS CLINICAL AND OPERATIONAL PERFORMANCE.
GOVERNANCE DECISIONS SUBJECT TO APPROVAL	FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF JOHN MUIR HEALTH PROVIDE THAT JOHN MUIR HEALTH MAY NOT, WITHOUT THE PRIOR WRITTEN CONSENT OF THE MT. DIABLO HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, AND THE JOHN MUIR ASSOCIATION, A CALIFORNIA NONPROFIT CORPORATION: (I) SELL, TRANSFER, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF JOHN MUIR HEALTH; (II) ISSUE MEMBERSHIP IN JOHN MUIR HEALTH TO ANY PERSON OR ENTITY; (III) MERGER; WITH ANY OTHER PERSON OR ENTITY, UNLESS JOHN MUIR HEALTH IS THE SURVIVING CORPORATION IN THE MERGE: OR (IV) AMEND SECTION 5.6 OF THE BYLAWS OF JOHN MUIR HEALTH (WHICH OBLIGES JOHN MUIR HEALTH TO AMONG OTHER THINGS, PROVIDE AT LEAST ONE MILLION DOLLARS ($1,000,000) ANNUALLY TO FUND CERTAIN COMMUNITY BENEFIT PROJECTS SPONSORED BY THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND AND REASONABLE FUNDING FOR ADMINISTRATION, UP TO A MAXIMUM OF $200,000 PER YEAR.
REVIEW OF FORM 990 BY THE GOVERNING BODY	FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER AND HIS DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED.
CONFLICT OF INTEREST MONITORING	FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE JOHN MUIR HEALTH (JMH) BOARD CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM REQUIRED TO BE COMPLETED AND SIGNED. DISCLOSED CONFLICTS ARE COMPILED IN A DOCUMENT AND REVIEWED BY THE BOARD CHAIR, PRESIDENT/CEO, AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTEND BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL, GOVERNANCE COMMITTEE AND FOR CERTAIN TRANSACTIONS WITH THE CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE CONFLICTS DURING THE YEAR AND RECUSE THEMSELVES FROM VOTING ON ANY MATTERS RELATED TO A CONFLICT. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, THE PRESIDENT/CEO AND THE BOARD CHAIR. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED, INCLUDING PERIODIC REVIEWS OF ITS TRANSACTIONS OR ARRANGEMENTS WITH ITS OFFICERS AND BOARD MEMBERS, AND ANY OTHER INDIVIDUAL OR ENTITIES THAT MAY HAVE A SUBSTANTIAL INFLUENCE OVER THE BUSINESS AND AFFAIRS OF THE ORGANIZATION.
EXECUTIVE COMPENSATION	FORM 990, PART VI, SECTION B, LINE 15A & B COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE OF JOHN MUIR HEALTH. THE COMPENSATION COMMITTEE IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF NO LESS THAN 5 VOTING DIRECTORS, NONE OF WHICH HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION TRANSACTIONS UNDER CONSIDERATION. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE EXPERT COMPENSATION CONSULTANT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA OF SIMILARLY SITUATED ORGANIZATIONS FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITES. THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT. THE COMMITTEES DELIBERATIONS AND DECISIONS REGARDING THESE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE COMMITTEE MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE DOCUMENTED MINUTES INCLUDE (1) TERMS OF THE COMPENSATION ARRANGEMENT, INCLUDING DATE IT WAS APPROVED; (2) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE COMMITTEE AND HOW IT WAS OBTAINED; 3) A LIST OF THE MEMBERS PRESENT DURING THE DELIBERATIONS AND HOW THE MEMBERS VOTED; 4) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF ANY MEMBER OF THE COMMITTEE WHO HAD A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION.
DOCUMENTS AVAILABLE TO THE PUBLIC	FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FROM THE JOHN MUIR HEALTH LEGAL DEPARTMENT UPON REQUEST. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN UNAMORTIZED NET LOSS AND PRIOR SERVICE COSTS RELATED TO PENSION AND POSTRETIREMENT BENEFIT PLANS $21,799,208
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:96701933
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:79268403
FORM 990 PART IX LINE 11G	DESCRIPTION:Hospital Provider Fee TOTAL FEES:47740069

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
JOHN MUIR HEALTH FOUNDATION
1400 TREAT BLVD SUITE 300	WALNUT CREEK	CA	94597	942650855	FUNDRAISING	CA	501(C)(3)	7	JM HEALTH	Yes (true)
JOHN MUIR PHYSICIAN NETWORK
1400 TREAT BLVD SUITE 400	WALNUT CREEK	CA	94597	680360801	HEALTHCARE	CA	501(C)(3)	12A, III	JM HEALTH	Yes (true)
JOHN MUIR BEHAVIORAL HEALTH
1400 TREAT BLVD SUITE 300	WALNUT CREEK	CA	94597	680249685	HEALTHCARE	CA	501(C)(3)	3	JM HEALTH	Yes (true)
JOHN MUIRMT DIABLO COMMUNITY HEALTH
5003 COMMERCIAL CIR STE 275	CONCORD	CA	94520	911788973	GRANTMAKING	CA	501(C)(3)	12C, III-FI	JM HEALTH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
JOHN MUIR MAGNETIC IMAGING
1400 TREAT BOULEVARD	WALNUT CREEK	CA	94597	680202020	DIAG IMAGING	CA	JM HEALTH	$784,111	$3,857,287	false	$0	Yes (true)	0.90000
NEUROSCAN
115 LA CASA VIA SUITE 202	WALNUT CREEK	CA	94597	680017617	DIAG IMAGING	CA	JM HEALTH	$21,596,646	$0	false	$0	Yes (true)
BAY AREA SURGICAL VENTURES
30 S WACKER DRIVE	CHICAGO	IL	60606	203052802	MED SERVICES	CA	JM HEALTH	$296,988	-$84,472	false	$0	false	0.53500

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN MUIRMT DIABLO PARENT COMPANY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400 TREAT BLVD	AddressLine1Txt
City	WALNUT CREEK	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94597	ZIPCd

Field	Value	IRS element (for citing)
EIN	900060434	EIN
Primary Activities	INACTIVE	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JM HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BAY AREA SURGICAL VENTURES
a(i)	$2,270,000	AGREEMENT TERMS
JOHN MUIR FOUNDATION
A(I)	$182,000	AGREEMENT TERMS
JOHN MUIR MAGNETIC IMAGING
A(I)	$421,000	AGREEMENT TERMS
JOHN MUIR physician NETWORK
a(i)	$2,305,000	AGREEMENT TERMS
JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND
B	$1,527,000	AGREEMENT TERMS
JOHN MUIR physician NETWORK
B	$50,909,068	EXPENSES PAID
JOHN MUIR BEHAVIORAL HEALTH
B	$7,268,340	EXPENSES PAID
JOHN MUIR FOUNDATION
B	$5,053,787	SHARED SERVICES
JOHN MUIR PHYSICIAN NETWORK
C	$12,497,157	SHARED SERVICES
JOHN MUIR BEHAVIORAL HEALTH
C	$996,376	SHARED SERVICES
JOUN MUIR FOUNDATION
C	$9,502,218	EXPENSES PAID
JOHN MUIR PHYSICIAN NETWORK
J	$131,968	EXPENSES PAID
JOHN MUIR BEHAVIORAL HEALTH
J	$1,091,000	SHARED SERVICES
JOHN MUIR MAGNETIC IMAGING
L	$923,000	AGREEMENT TERMS
JOHN MUIR PHYSICIAN NETWORK
L	$9,643,000	EXPENSES PAID
JOHN MUIR MAGNETIC IMAGING
P	$186,000	EXPENSES PAID
JOHN MUIR PHYSICIAN NETWORK
P	$78,849,044	EXPENSES PAID
JOHN MUIR BEHAVIORAL HEALTH
p	$333,000	EXPENSES PAID