JOHN MUIR HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: JOHN MUIR HEALTH (EIN 94-1461843)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-13
IRS object ID: 201923179349308977
Schema version: 2018v3.1
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	2019-11-13T18:29:27-06:00	ReturnTs
Tax Period End	2018-12-31	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	550 S HOPE STSUITE 1500	AddressLine1Txt
City	LOS ANGELES	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90071	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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 No 300	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	2019-10-31	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	2139724000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	77070920193175000003	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	164FA9FDD4A18A30677B9C9ED78991B59AF5BA8D	AtSubmissionCreationDeviceId
At Submission Filing Device Id	164FA9FDD4A18A30677B9C9ED78991B59AF5BA8D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
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	$2,166,608,466	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	6000	TotalEmployeeCnt
Total Volunteers	1039	TotalVolunteersCnt
Total Gross UBI	-$158,042	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,130,540	PYContributionsGrantsAmt
CY Contributions Grants	$22,737,498	CYContributionsGrantsAmt
PY Program Service Revenue	$1,437,076,003	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,518,221,191	CYProgramServiceRevenueAmt
PY Investment Income	$76,541,556	PYInvestmentIncomeAmt
CY Investment Income	$64,264,520	CYInvestmentIncomeAmt
PY Other Revenue	$13,377,658	PYOtherRevenueAmt
CY Other Revenue	$77,181	CYOtherRevenueAmt
PY Total Revenue	$1,541,125,757	PYTotalRevenueAmt
CY Total Revenue	$1,605,300,390	CYTotalRevenueAmt
PY Grants And Similar Paid	$59,197,499	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$70,444,077	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$750,160,549	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$770,527,144	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$672,922,305	PYOtherExpensesAmt
CY Other Expenses	$701,103,607	CYOtherExpensesAmt
PY Total Expenses	$1,482,280,353	PYTotalExpensesAmt
CY Total Expenses	$1,542,074,828	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,845,404	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$63,225,562	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,811,995,200	TotalAssetsBOYAmt
Total Assets EOY	$2,686,690,040	TotalAssetsEOYAmt
Total Liabilities BOY	$1,089,620,603	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,068,210,245	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,722,374,597	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,618,479,795	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	$626,404,129	ExpenseAmt
Revenue	$643,476,558	RevenueAmt
Desc	HOSPITAL SERVICES - GENERAL MEDICINE AND SURGERY THE CORE OF JOHN MUIR HEALTH'S 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 FOR 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 SURGEON'S COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. THE TRAUMA CENTER SAW 2,287 PATIENTS IN 2018. NATIONAL RECOGNITIONS RECEIVED IN 2018 INCLUDE: (1) RECOGNITION OF JOHN MUIR MEDICAL CENTER, WALNUT CREEK BY U.S. NEWS & WORLD REPORT FOR THE 12TH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS". GYNECOLOGY SERVICES AT THE WALNUT CREEK CAMPUS WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES FOR THE SEVENTH CONSECUTIVE YEAR, (2) RECOGNITION OF SEVEN SERVICES COMBINED AND NINE ADULT PROCEDURES AND CONDITIONS COMBINED AT JOHN MUIR MEDICAL CENTER, WALNUT CREEK AND JOHN MUIR MEDICAL CENTER, CONCORD AS HIGH PERFORMING BY U.S. NEWS & WORLD REPORT, (3) FOR THE SECOND STRAIGHT YEAR, THE CONCORD MEDICAL CENTER WAS ONE OF ONLY 29 HOSPITALS NATIONWIDE (LESS THAN 1%) TO RECEIVE HIGH PERFORMING RATING IN ALL NINE ADULT PROCEDURES AND CONDITIONS EVALUATED (4) U.S. NEWS AND WORLD REPORT ALSO RANKED THE CONCORD MEDICAL CENTER #2 AND WALNUT CREEK MEDICAL CENTER #3 OUT OF ALL 44 HOSPITALS IN THE SAN FRANCISCO-OAKLAND 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 #12 AND #14 IN CALIFORNIA OUT OF 400 ACUTE CARE HOSPITALS. (5) JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS WERE 2 OF JUST 520 HOSPITALS OR ABOUT 10% NATIONALLY THAT EARNED THE DESIGNATION OF BEST HOSPITALS BY U.S. NEWS AND WORLD REPORT. (6) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICA'S 50 BEST HOSPITALS BY HEALTHGRADES FOR THE FIFTH STRAIGHT YEAR (TOP 1% OF HOSPITALS NATIONWIDE), AND RECEIVED RECOGNITION AS A DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE FOR THE NINTH CONSECUTIVE YEAR. (7) THE CONCORD AND WALNUT CREEK MEDICAL CENTERS COMBINED RECEIVED FIVE CLINICAL EXCELLENCE AWARDS, 26 FIVE-STAR RATINGS, AND RANKINGS IN THE TOP 10% IN THE NATION FOR SEVERAL SERVICES, PROCEDURES AND TREATMENTS. OUR PROGRAM EMPHASIS IN 2018 WAS ON CONTINUED OUTREACH TO UNINSURED, UNDERSERVED AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATIVE 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	$182,139,677	ExpenseAmt
Revenue	$189,507,799	RevenueAmt
Desc	CARDIOVASCULAR CARE IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR AWARDS AND ACCREDITATIONS IN 2018 INCLUDE: (1) CONCORD MEDICAL CENTER WAS RECOGNIZED IN BECKER'S HEALTHCARE "100 HOSPITALS AND HEALTH SYSTEM WITH GREAT HEART PROGRAMS." (2) JOHN MUIR HEALTH, CONCORD AND WALNUT CREEK MEDICAL CENTERS WERE RECOGNIZED IN U.S. NEWS AND WORLD REPORT "AMERICA'S BEST HOSPITAL" AS HIGH PERFORMING IN CARDIOLOGY AND HEART SURGERY. (3) CARDIAC CONDITIONING PROGRAM RECEIVED ACCREDITATION BY AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. (4) CONCORD MEDICAL CENTER RECEIVED THE ACTION REGISTRY PLATINUM ACHIEVEMENT AWARD FOR THE EIGHT CONSECUTIVE QUARTERS, MEETING HIGH PERFORMANCE STANDARDS FOR HEART ATTACK PERFORMANCE MEASURES. (5) WALNUT CREEK AND CONCORD MEDICAL CENTERS HAVE EARNED THE "GET WITH THE GUIDELINES - HEART FAILURE" GOLD PLUS QUALITY ACHIEVEMENT AWARD. (6) CONCORD MEDICAL CENTER WAS RECOGNIZED AS BLUE DISTINCTION CENTER FOR CARDIAC CARE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$127,858,914	ExpenseAmt
Revenue	$191,010,454	RevenueAmt
Desc	WOMEN'S AND CHILDREN'S SERVICES IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. ACHIEVEMENTS IN 2018 INCLUDE: (1) COMPLETED AND SUBMITTED APPLICATION TO CALIFORNIA CHILDREN'S SERVICES TO BECOME A NEONATAL SURGICAL CENTER. (2) COMPLETED AND SUBMITTED APPLICATION TO CALIFORNIA CHILDREN'S SERVICES FOR NICU RE-CERTIFICATION. (3) THE "JUST LIKE ME" PROGRAM ON ABC 7 FEATURED THE MUSIC THERAPY PROGRAM THAT IS SUPPORTED BY THE TAYLOR FAMILY FOUNDATION. (4) COMPLETED VIDEOS FOR THE PEDIATRIC SPECIALISTS FOR THE JOHN MUIR HEALTH AND SCH WEBSITES UNDER FIND A DOCTOR. (5) CREATED AND WENT LIVE WITH THE CHILDREN'S SPECIALTY SERVICES WEBSITE. (6) IMPLEMENTED THE HEART TO HEART PROGRAM. THIS PROGRAM IS DESIGNED FOR PARENTS AND ADOLESCENTS TO DISCUSS PUBERTY AND SEXUAL DEVELOPMENT. (7) KTVU INTERVIEWED THE CHILD LIFE SPECIALIST ABOUT THE IMPACT THE CRAYON INITIATIVE HAS ON HOSPITALIZED CHILDREN. (8) RECRUITED AND ON BOARDED PEDIATRIC SPECIALISTS IN GENERAL SURGERY, GASTROENTEROLOGY, AND CARDIOLOGY. (9) IMPLEMENTED CHILD LIFE SERVICES IN THE WALNUT CREEK EMERGENCY DEPARTMENT. (10) DEVELOPMENT AND IMPLEMENTATION OF PERINATOLOGY CASE PLANNING MEETING,PEDIATRIC SURGICAL M&M AND PEDIATRIC RESOURCE GUIDE FOR FAMILIES OF PEDIATRIC PATIENTS. (11) SPONSORED SUMMER FUN THURSDAY EVENT AT SUNVALLEY MALL. (12) THE SAN FRANCISCO GIANTS SPONSORED A PRIVATE PRE-GAME MEET AND GREET WITH BUSTER POSEY FOR PEDIATRIC ONCOLOGY PATIENTS. (13) IMPLEMENTD BEADS OF COURAGE PROGRAM FOR PEDIATRIC ONCOLOGY PATIENTS AND HAND TO HOLD CHARM PROGRAM FOR NICU PATIENTS. (14) AWARDED $10,000 BY THE HUGGIES #NOBABYUNHUGGED PROGRAM TO HELP NICU BABIES TRANSITION TO HOME MORE QUICKLY. (15) REMEMBRANCE CEREMONY AT HEATHER FARMS FOR FAMILIES WHO HAVE LOST AN INFANT OR CHILD. (16) IMPLEMENTED MOMENT TO MOMENT - PROFESSIONAL PHOTOGRAPHERS DONATE TIME TO PHOTOGRAPH INFANTS AND CHILDREN WHO ARE INPATIENTS FOR LONG PERIODS OF TIME. (17) WOMEN'S PHILANTHROPHIC CIRCLE AWARDED CHILD LIFE SERVICES $1,500 TO PURCHASE THE MEDIKIN DOLL FOR CHILDREN TO PRACTICE AND BECOME FAMILIAR WITH PROCEDURES. (18) PILOT FOR KIDS DONATED TIME TO PAINT AN AIRPLANE MURAL IN A PEDIATRIC ONCOLOGY TREATMENT ROOM. (19) COMPLETED 4 PEDIATRIC SPECIALTY PHYSICIAN ENGAGEMENT AND 5 PEDIATRIC SPECIALTY LUNCH AND LEARN. (20) STAFF FROM INPATIENT AND OUTPATIENT ENDOCRINOLOGY PARTICIPATED IN THE JUVENILE DIABETES WALK FOR A CURE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$415,337,581	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$70,407,077	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$494,226,380	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,351,740,301	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	1143	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6000	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	false	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 (28 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
Michael Robinson
Chairman	5.0	10.0	Yes (X)	Yes (X)	$18,750	$0	$0
Robert E Edmondson
Vice Chairman & Treasurer	5.0	10.0	Yes (X)	Yes (X)	$18,750	$0	$0
William F Cronk
Secretary	5.0	10.0	Yes (X)	Yes (X)	$0	$0	$0
Taejoon Ahn MD
Director (AS OF 07/25/18)	5.0	10.0	Yes (X)		$18,750	$0	$0
Michelle J Bartel
Director (thru 7/25/18)	5.0	10.0	Yes (X)		$6,250	$0	$0
Anne Grodin
Director (as of 7/25/18)	5.0	10.0	Yes (X)		$4,168	$0	$0
Jay Harris
Director	5.0	10.0	Yes (X)		$0	$0	$0
Ravi Hundal MD
Director (AS OF 07/25/18)	5.0	10.0	Yes (X)		$20,888	$0	$0
John Merson MD
Director	5.0	10.0	Yes (X)		$69,450	$0	$0
Regina Muehlhauser
Director (thru 03/06/18)	10.0	5.0	Yes (X)		$0	$0	$0
Mark Musco MD
Director	5.0	10.0	Yes (X)		$11,250	$0	$0
Kathleen Odne
Director	5.0	10.0	Yes (X)		$18,750	$0	$0
Chi Perloth MD
Director	5.0	10.0	Yes (X)		$11,250	$0	$0
Johnannes Peters MD
Director	5.0	10.0	Yes (X)		$0	$0	$0
Thomas G Rundall
Director	5.0	10.0	Yes (X)		$0	$0	$0
John Sayres
Director (as of 03/06/18)	5.0	10.0	Yes (X)		$15,625	$0	$0
Calvin Knight
CEO/Director/President	60.0	15.0	Yes (X)	Yes (X)	$2,441,474	$0	$1,499,697
Christian Pass
Senior VP/CFO	60.0	15.0		Yes (X)	$793,297	$0	$285,170
Jane Willemsen
Executive VP and President Hos	60.0	0.0			$1,036,606	$0	$844,357	Yes (X)
Michael Thomas
Executive VP and Chief Transfo	60.0	0.0			$1,030,975	$0	$577,499	Yes (X)
Michael Moody
SR VP/Partnership Integration	60.0	0.0			$862,477	$0	$468,626	Yes (X)
Irving Pike MD
SR VP/Chief Medical Officer	60.0	0.0			$813,001	$0	$329,299	Yes (X)
Max Reynolds
SR VP/ General Counsel	60.0	0.0			$643,017	$0	$220,634	Yes (X)
George Sauter
Senior VP and Chief Strategy O	60.0	0.0			$643,525	$0	$232,406		Yes (X)
Jon Russell
SR VP and Chief Information Of	60.0	0.0			$591,235	$0	$214,209		Yes (X)
Lisa Foust
SR VP Human Resources	60.0	0.0			$588,373	$0	$235,814		Yes (X)
Ray Nassief
SR VP Hospital Operations	60.0	0.0			$482,231	$0	$200,057		Yes (X)
Michelle Lopes
Chief Nursing Executive, RN	60.0	0.0			$474,484	$0	$259,836		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,614,576	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,367,604	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2643	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
CROSS COUNTRY STAFFING
LA LOCKBOX FILE 50941	LOS ANGELES	CA	90074	TEMPORARY STAFFING	$14,755,756
MEDICAL ANESTESIA CONSULTANTS MEDIC
2175 N CALIFORNIA BLV	WALNUT CREEK	CA	94596	MEDICAL	$9,518,324
BAY AREA SURGICAL SPECIALIST
PO BOX 97297	LAS VEGAS	NV	89193	MEDICAL	$6,297,267
MONUMENT CONSULTING
1800 SUMMIT AVENUE	RICHMOND	VA	23230	TEMPORARY STAFFING	$4,386,338
NEUROSCAN
PO BOX 31455	WALNUT CREEK	CA	94598	MEDICAL	$3,125,666

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	170	CntrctRcvdGreaterThan100KCnt
Fundraising	$40,000	FundraisingAmt
Related Organizations	$22,350,528	RelatedOrganizationsAmt
All Other Contributions	$346,970	AllOtherContributionsAmt
Total Contributions	$22,737,498	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621400	$1,460,821,510	$1,460,821,510
PREMIUM REVENUE	621400	$31,655,688	$31,655,688
OTHER PATIENT REVENUE	621400	$25,743,993	$25,646,503	$97,490

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,518,221,191	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,578,020	TotalRevenueColumnAmt
Unrelated Business Revenue	-$493,345	UnrelatedBusinessRevenueAmt
Exclusion	$32,071,365	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	$593,830,777	SecuritiesAmt
Other	$106,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$561,225,707	SecuritiesAmt
Other	$24,570	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$32,605,070	SecuritiesAmt
Other	$81,430	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,686,500	TotalRevenueColumnAmt
Unrelated Business Revenue	$237,813	UnrelatedBusinessRevenueAmt
Exclusion	$32,448,687	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$134,980	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$40,000	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$57,799	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$77,181	TotalRevenueColumnAmt
Exclusion	$77,181	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	$1,605,300,390	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,518,123,701	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$158,042	UnrelatedBusinessRevenueAmt
Exclusion	$64,597,233	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	$70,444,077	TotalAmt
Program Services	$70,444,077	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	$10,614,576	TotalAmt
Program Services	$9,359,933	ProgramServicesAmt
Management And General	$1,254,643	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	$601,385,272	TotalAmt
Program Services	$530,301,533	ProgramServicesAmt
Management And General	$71,083,739	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$36,661,874	TotalAmt
Program Services	$28,676,918	ProgramServicesAmt
Management And General	$7,984,956	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$83,848,593	TotalAmt
Program Services	$75,799,128	ProgramServicesAmt
Management And General	$8,049,465	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$38,016,829	TotalAmt
Program Services	$32,325,710	ProgramServicesAmt
Management And General	$5,691,119	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$16,282,463	TotalAmt
Program Services	$13,844,978	ProgramServicesAmt
Management And General	$2,437,485	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$15,061,395	TotalAmt
Program Services	$7,316,826	ProgramServicesAmt
Management And General	$7,744,569	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$736,848	TotalAmt
Program Services	$368,424	ProgramServicesAmt
Management And General	$368,424	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$56,701	TotalAmt
Program Services	$56,701	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	$5,030,674	TotalAmt
Management And General	$5,030,674	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$228,930,316	TotalAmt
Program Services	$210,280,845	ProgramServicesAmt
Management And General	$18,649,471	ManagementAndGeneralAmt

Advertising AdvertisingGrp

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

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,817,580	TotalAmt
Program Services	$17,461,228	ProgramServicesAmt
Management And General	$356,352	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,928,953	TotalAmt
Program Services	$8,620,317	ProgramServicesAmt
Management And General	$1,308,636	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$65,795,825	TotalAmt
Program Services	$42,115,908	ProgramServicesAmt
Management And General	$23,679,917	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,075,835	TotalAmt
Program Services	$2,934,601	ProgramServicesAmt
Management And General	$1,141,234	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	$18,544,191	TotalAmt
Program Services	$17,335,110	ProgramServicesAmt
Management And General	$1,209,081	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$83,099,176	TotalAmt
Program Services	$68,955,696	ProgramServicesAmt
Management And General	$14,143,480	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,828,157	TotalAmt
Program Services	$3,616,192	ProgramServicesAmt
Management And General	$3,211,965	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$117,630,151	$117,630,151
PHARMACEUTICALS	$35,890,491	$35,890,491
UNCOLLECTIBLE ACCOUNTS	$29,882,933	$29,882,933
LICENSES & TAXES	$4,141,848	$2,651,197	$1,490,651

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$41,370,070	TotalAmt
Program Services	$25,871,404	ProgramServicesAmt
Management And General	$15,498,666	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,542,074,828	TotalAmt
Program Services	$1,351,740,301	ProgramServicesAmt
Management And General	$190,334,527	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$60,236,429	BOYAmt
EOY	$49,109,663	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	$241,984,705	BOYAmt
EOY	$244,834,523	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	$7,909,242	BOYAmt
EOY	$8,376,861	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$52,578,096	BOYAmt
EOY	$19,188,536	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,763,177,549	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$888,276,172	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$900,245,455	BOYAmt
EOY	$874,901,377	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$958,875,927	BOYAmt
EOY	$890,876,760	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$326,073,931	BOYAmt
EOY	$317,146,310	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$147,117,002	BOYAmt
EOY	$149,582,694	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,667	BOYAmt
EOY	$702,013	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$116,914,411	BOYAmt
EOY	$131,957,968	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,811,995,200	BOYAmt
EOY	$2,686,690,040	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$200,019,429	BOYAmt
EOY	$198,851,465	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	$12,771,107	BOYAmt
EOY	$9,965,431	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$624,090,100	BOYAmt
EOY	$616,990,161	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	$5,234,713	BOYAmt
EOY	$4,289,413	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	$247,505,254	BOYAmt
EOY	$238,113,775	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,089,620,603	BOYAmt
EOY	$1,068,210,245	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,721,480,403	BOYAmt
EOY	$1,617,677,434	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$894,194	BOYAmt
EOY	$802,361	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,722,374,597	BOYAmt
EOY	$1,618,479,795	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,811,995,200	BOYAmt
EOY	$2,686,690,040	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$63,225,562	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$128,921,627	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$1,026,685	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$39,225,422	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	$636	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$56,065	OtherActivitiesAmt
Total Lobbying Expenditures	$56,701	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 OF 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 $56,065 TO CALIFORNIA COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEM (CAHHS) IN 2018 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	$39,241,129	OtherCostOrOtherBasisAmt
Book Value	$39,241,129	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$980,994,293	OtherCostOrOtherBasisAmt
Depreciation	$382,312,284	DepreciationAmt
Book Value	$598,682,009	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,983,640	OtherCostOrOtherBasisAmt
Depreciation	$4,863,907	DepreciationAmt
Book Value	$4,119,733	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$708,350,423	OtherCostOrOtherBasisAmt
Depreciation	$501,099,981	DepreciationAmt
Book Value	$207,250,442	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,608,064	OtherCostOrOtherBasisAmt
Book Value	$25,608,064	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$874,901,377	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMINGLED FUNDS	$101,163,524	F
HEDGE FUNDS	$95,075,595	F
PRIVATE EQUITY	$120,907,191	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$317,146,310	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
SAN RAMON MEDICAL CTR & OTHER	$127,020,840	F
CANOPY JOINT VENTURE	$3,554,872	F
BAY HEALTH JOINT VENTURE	$13,605,267	F
HACIENDA SURGERY CENTER	$4,238,693	F
SAN RAMON NETWORK JOINT VENTUR	$1,163,022	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$149,582,694	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
WORKERS COMPENSATION	$39,026,144
POST RETIREMENT BENEFIT OBLIGATION	$67,076,467
INTEREST PAYABLE	$4,806,288
GOVERNMENT PAYABLE	$4,392,703
ASSET RETIREMENT OBLIGATION	$15,991,306
PENSION LIABLITY	$30,663,395
PROFESSIONAL LIABILITY	$6,595,070
OTHER PAYABLES	$21,734,688
MANAGED CARE PREMIUMS DEFICIENCY	$39,097,721
OTHER LIABILITIES	$8,729,993

Field	Value	IRS element (for citing)
Total Liability	$238,113,775	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,402,239,734	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$128,921,627	NetUnrealizedGainsInvstAmt
Other Revenue	-$39,225,422	OtherRevenueAmt
Revenue Not Reported	-$168,147,049	RevenueNotReportedAmt
Revenue Subtotal	$1,570,386,783	RevenueSubtotalAmt
Investment Expenses Not Incld	$5,030,674	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$29,882,933	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$34,913,607	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,605,300,390	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,507,161,221	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$1,507,161,221	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$5,030,674	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$29,882,933	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$34,913,607	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,542,074,828	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.
REVENUE INCLUDED ON FORM 990, NOT ON AUDITED FINANCIAL STATEMENTS	SCHEDULE D, PART XI, LINE 2D CHANGE IN UNAMORTIZED LOSS AND PRIOR SERVICES COSTS $-39,225,422 RELATED TO PENSION AND POST RETIREMENT BENEFITS REVENUE INCLUDED ON AUDITED FINANCIAL STATEMENTS, NOT ON FORM 990 SCHEDULE D, PART XI, LINE 4B UNCOLLECTIBLE ACCOUNTS REPORTED NET OF $29,882,933 REVENUE ON FINANCIAL STATEMENTS
EXPENSES INCLUDED ON AUDITED FINANCIAL STATEMENTS, NOT ON FORM 990	SCHEDULE D, PART XII, LINE 4B UNCOLLECTIBLE ACCOUNTS REPORTED AS EXPENSE $29,882,933 ON FORM 990

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Investments	$111,734,178
Europe (Including Iceland and Greenland)	Investments	$11,522,570

Field	Value	IRS element (for citing)
Subtotal Spent	$123,256,748	SubtotalSpentAmt
Total Spent	$123,256,748	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	$174,980	GrossReceiptsEvent1Amt
Charitable Contri Event1	$40,000	CharitableContriEvent1Amt
Gross Revenue Event1	$134,980	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$51,000	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$1,238	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$5,561	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$174,980	GrossReceiptsTotalAmt
Charitable Contributions Tot	$40,000	CharitableContributionsTotAmt
Gross Revenue Total Events	$134,980	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$51,000	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,238	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$5,561	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$57,799	DirectExpenseSummaryEventsAmt
Net Income Summary	$77,181	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	$5,596,095	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,596,095	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,307,868	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$89,307,868	NetCommunityBenefitExpnsAmt
Total Expense	0.06190	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,903,963	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$94,903,963	NetCommunityBenefitExpnsAmt
Total Expense	0.06580	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,467,266	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$556,319	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,910,947	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,881,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,564,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,326,838	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,398,717	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,398,717	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,729,828	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$136,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,593,548	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,670,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$116,058	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,554,220	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,147,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,373,263	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,784,270	NetCommunityBenefitExpnsAmt
Total Expense	0.01240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,051,496	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,373,263	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$112,688,233	NetCommunityBenefitExpnsAmt
Total Expense	0.07820	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,042	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,042	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,051	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,051	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,904	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,904	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$343,755	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$343,755	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$393,752	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$393,752	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$29,882,933	BadDebtExpenseAmt
Reimbursed By Medicare	$368,812,908	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$668,322,600	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$299,509,692	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 CENTER
OPERATES A MULTISPECIALTY
CENTER
AMBULATORY SURGERY CENTER	0.2868	0.01	0.4639
BRENTWOOD SURGERY
OPERATES A MULTISPECIALTY
CENTER
AMBULATORY SURGERY CENTER	0.3344		0.375
HACIENDA SURGERY
OPERATES A MULTISPECIALTY
CENTER
AMBULATORY SURGERY CENTER	0.125		0.476

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	16	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	16	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) COLLECTED INPUT IN THREE WAYS. FIRST, COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH THE USE OF KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. REPRESENTATIVES FROM STATE, LOCAL, TRIBAL OR OTHER REGIONAL GOVERNMENT PUBLIC HEALTH DEPARTMENTS WITH KNOWLEDGE, INFORMATION AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE ALSO CONSULTED. TEN COMMUNITY REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS WHO EITHER WORK IN THE HEALTH FIELD OR IMPROVE HEALTH CONDITIONS BY SERVING THOSE FROM THE TARGET POPULATIONS WERE CONSULTED. SECOND, TEN CONTRA COSTA COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS INCLUDING PUBLIC HEALTH OFFICERS, COMMUNITY CLINIC MANAGERS AND CLINICIANS WITH COUNTRYWIDE EXPERIENCE AND EXPERTISE WERE INTERVIEWED. THEY WERE ASKED TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENTS, INCLUDING SPECIFIC GROUPS OR AREAS WITH GREATER OR SPECIAL NEEDS. THIRD, DISCUSSIONS WITH FOCUS GROUPS THAT REPRESENTED UNDERSERVED, IN POVERTY, AND/OR SOCIALLY OR LINGUISTICALLY ISOLATED WERE HELD. THE DISCUSSION INCLUDED QUESTIONS ABOUT THE COMMUNITY'S TOP HEALTH NEEDS, THE DRIVERS OF THOSE NEEDS, THE COMMUNITY'S EXPERIENCE OF HEALTHCARE ACCESS AND BARRIERS TO ACCESS AND ASSETS AND RESOURCES THAT EXIST OR NEEDED TO ADDRESS THE COMMUNITY'S TOP HEALTH NEEDS. THE FOUR FOCUS GROUPS CONSIST OF: 1. PITTSBURG HIGH SCHOOL AFRICAN AMERICAN PARENT GROUP: 7 PARTICIPANTS REPRESENTING AFRICAN AMERICAN, LOW INCOME MINORITY. 2. FIRST 5 CONTRA COSTA: 11 PARTICIPANTS REPRESENTING LATINO, SPANISH SPEAKING LOW INCOME MINORITY. 3. MONUMENT CRISIS CENTER: 11 PARTICIPANTS REPRESENTING MEDICALLY UNDERSERVED, LOW INCOME. 4. PITTSBURG HEALTH CENTER/COMMUNITY HEALTH WORKERS: 6 PARTICIPANTS REPRESENTING MEDICALLY UNDERSERVED, LOW INCOME MINORITY.
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, EAST BAY AND GREATER SOUTHERN ALAMEDA, SAINT ROSE HOSPITAL, SAN RAMON REGIONAL MEDICAL CENTER, LLC, STANFORD HEALTH CARE-VALLEY CARE, UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND AND WASHINGTON HOSPITAL HEALTHCARE SYSTEM ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNA	PART V, SECTION B, LINE 6B THE 2016 CHNA WAS CONDUCTED WITH APPLIED SURVEY RESEARCH (ASR), A SOCIAL RESEARCH FIRM. FOR THIS ASSESSMENT, ASR CONDUCTED PRIMARY RESEARCH, COLLECTED SECONDARY DATA, SYNTHESIZED PRIMARY AND SECONDARY DATA, FACILITATED THE PROCESS OF IDENTIFICATION OF COMMUNITY HEALTH NEEDS AND ASSETS AND OF PRIORITIZATION OF COMMUNITY HEALTH NEEDS. ASR'S EXPERTISE IN COMMUNITY ASSESSMENTS IS WELL-RECOGNIZED. ASR WON A FIRST PLACE AWARD IN 2007 FOR HAVING THE BEST COMMUNITY ASSESSMENT PROJECT IN THE COUNTRY. THE ASR TEAM HAS A 35-YEAR HISTORY OF WORKING WITH VULNERABLE AND UNDERSERVED POPULATIONS, INCLUDING YOUNG CHILDREN, TEEN MOTHERS, SENIORS, LOW-INCOME FAMILIES, IMMIGRANT FAMILIES, FAMILIES WHO HAVE EXPERIENCED DOMESTIC VIOLENCE AND CHILD MALTREATMENT, THE HOMELESS, AND CHILDREN AND FAMILIES WITH DISABILITIES. 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 THE 2016 CHNA IDENTIFIED EIGHT PRIORITIZED HEALTH NEEDS RESULTING FROM A COMPREHENSIVE REVIEW OF OVER 150 HEALTH INDICATORS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH RESIDENTS WHO REPRESENT THE PERSPECTIVE OF VULNERABLE POPULATIONS IN OUR SERVICE AREA. 1. OBESITY, DIABETES, HEALTHY EATING AND ACTIVE LIVING 2. ECONOMIC SECURITY 3. HEALTHCARE ACCESS AND DELIVERY INCLUDING PRIMARY AND SPECIALTY CARE 4. ORAL/DENTAL HEALTH 5. MENTAL HEALTH 6. SUBSTANCE ABUSE 7. UNINTENTIONAL INJURIES 8. VIOLENCE/INJURY PREVENTION 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 PROGRAM AND ACTIVITIES. THE COMMITTEE IS COMPOSED OF JOHN MUIR HEALTH EXECUTIVES AND COMMUNITY BOARD OF DIRECTORS MEMBERS. THE COMMITTEE MET ON JULY 6, 2016 TO REVIEW THE LIST OF COMMUNITY HEALTH NEEDS IDENTIFIED AND PRIORITIZED BY THE CHNA REPORT AND TO SELECT THE COMMUNITY HEALTH NEEDS THAT JOHN MUIR HEALTH WILL FOCUS COMMUNITY BENEFIT ON FROM 2016 TO 2018. 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) SEVERITY OF NEED; (2) MAGNITUDE/SCALE OF NEED; (3) CLEAR DISPARITIES OR INEQUITIES; (4) COMMUNITY PRIORITY. THE COMMITTEE MEMBERS FIRST AGREED UPON THE SELECTION CRITERIA. THE COMMITTEE THEN SCORED EACH COMMUNITY HEALTH NEEDS BETWEEN 1 (DOES NOT MEET CRITERIA) AND 3 (STRONGLY MEETS CRITERIA). THE SCORES WERE COMPILED TO IDENTIFY THE TOP SCORING HEALTH NEEDS. AFTER DISCUSSION BY ALL MEMBERS REGARDING RATIONALE FOR SELECTION, THE COMMITTEE CAME TO A CONSENSUS ON THE FOLLOWING FOCUS AREAS. SUMMARY OF COMMUNITY HEALTH NEEDS JOHN MUIR HEALTH PLANS TO ADDRESS: 1. HEALTHCARE ACCESS AND DELIVERY IN 2018, JOHN MUIR HEALTH LED THE FOLLOWING PROGRAMS TO ADDRESS HEALTHCARE ACCESS: - CARING HANDS AND SENIOR TRANSPORTATION PROGRAM - COMMUNITY SCHOOL NURSE PROGRAM WHICH PROVIDED MORE THAN 5,200 ENCOUNTERS AND PROVIDES SERVICES SUCH AS VISION, HEARING AND LICE SCREENINGS, FIRST AID TREATMENTS, 504 INDIVIDUAL EDUCATION PLANS, MEDICATION ADMINISTRATION OR MANAGEMENT, COMMUNICATING WITH PRIMARY CARE PROVIDERS, CLASSROOM OBSERVATIONS AND FAMILY CONSULTATIONS. - EVERY WOMAN COUNTS BREAST CANCER SCREENING PROGRAM - LUNG CANCER SCREENING PROGRAM LED BY CLINICAL RESEARCH - MEDICATION ASSISTANCE PROGRAM FOR SENIOR SERVICES - MOBILE HEALTH CLINIC, PATIENT NAVIGATOR FOR SENIOR SERVICES - RONALD MCDONALD MOBILE DENTAL AND DENTAL COLLABORATIVE OF CONTRA COSTA - SPECIALTY PROGRAM. IN ADDITION TO THESE JOHN MUIR HEALTH LED PROGRAMS, JOHN MUIR HEALTH ALSO PARTNERED WITH THE COMMUNITY TO INCREASE ACCESS TO CARE. AMONG THE COMMUNITY PARTNERSHIPS ARE: - CONTRA COSTA CARES A PRIMARY CARE COVERAGE FOR THE UNINSURED - CONTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, MOBILE HEALTH CLINIC, MOBILE DENTAL CLINIC, RESPITE CENTER FOR THE HOMELESS - MT. DIABLO AND PITTSBURG UNIFIED SCHOOL DISTRICTS AND DE LA SALLE ACADEMY COMMUNITY SCHOOL NURSE PROGRAM - INDEPENDENT LIVING RESOURCES MEDICAL EQUIPMENT LOANS AND SUPPORT SERVICES - LA CLINICA DE LA RAZA DIABETES SERVICES, MOBILE DENTAL CLINIC AND SPECIALTY CARE PROGRAM - LIFELONG MEDICAL CARE MOBILE DENTAL CLINIC - MEALS ON WHEELS OF DIABLO REGION FALL PREVENTION PROGRAM - MONUMENT CRISIS CENTER FOOT CARE SCREENING - OPERATION ACCESS OUTPATIENT SURGICAL AND SPECIALTY CARE - ROTACARE PITTSBURG MOBILE HEALTH CLINIC - ST. VINCENT DE PAUL MOBILE HEALTH CLINIC - VILLAGE COMMUNITY RESOURCE CENTER MOBILE HEALTH CLINIC 2. MENTAL HEALTH IN 2018, JOHN MUIR HEALTH LED TWO PROGRAMS TO HELP COMBAT MENTAL HEALTH AND BEHAVIORAL HEALTH ISSUES. - BEYOND VIOLENCE IS A PROGRAM LED BY TRAUMA SERVICES AND SOCIAL SERVICES. THE GOALS OF THE PROGRAM ARE TO REDUCE THE PREVALENCE OF COMMUNITY VIOLENCE IN CONTRA COSTA COUNTY, EMPOWER THOSE AFFECTED BY VIOLENCE AND AID IN THE HEALING OF INDIVIDUALS AND COMMUNITIES THROUGH EMOTIONAL SUPPORT AND SAFETY NET RESOURCES. - COMPLEX COMMUNITY CARE COORDINATION IS ALSO LED BY SOCIAL SERVICES IN ADDITION TO THESE JOHN MUIR HEALTH LED PROGRAMS, JOHN MUIR HEALTH PARTNERED WITH THE COMMUNITY ON THE FOLLOWING PROGRAMS: - FRED FINCH YOUTH CENTER MENTAL HEALTH SERVICES - MONUMENT IMPACT POSITIVE MINDS IN ACTION (MENTES POSITIVAS EN ACCION) PROMOTORES PROGRAM - ONE DAY AT A TIME BEYOND VIOLENCE - PUTNAM CLUBHOUSE BEHAVIORAL HEALTH SUPPORT SERVICES - RYSE CENTER BEYOND VIOLENCE. RYSE CENTER IS A KEY PARTNER IN THE TRANSITION OF YOUNG PEOPLE FROM THE HOSPITAL TO THE COMMUNITY. THE RANGE OF SUPPORTIVE SERVICES AT RYSE IS HOLISTIC, INCLUDING YOUTH- CENTRIC MENTAL HEALTH SERVICES, CASE MANAGEMENT AND VIBRANT PROGRAMMING IN MUSIC, VIDEO PRODUCTION, GRAPHIC DESIGN, PERFORMING ARTS AND EDUCATION SUPPORT. RYSE IS A VIBRANT, MULTIFACETED SPACE USE BY 50-80 YOUTH PER DAY. 3. OBESITY, DIABETES, HEALTHY EATING AND ACTIVE LIVING IN ORDER TO MAKE HEALTHY CHOICES JOHN MUIR HEALTH LED THE FOLLOWING PROGRAMS IN 2018: - DIABETES SERVICES HEALTH EDUCATION - SENIOR SERVICES HEALTH EDUCATION - WELLNESS SERVICES HEALTH EDUCATION AND SUPPORT SERVICES. JOHN MUIR HEALTH ALSO PARTNERED WITH THE FOLLOWING TO HELP SUPPORT HEALTHY CHOICES: - FOOD BANK OF CONTRA COSTA AND SOLANO - HEALTH AND ACTIVE BEFORE 5 HEALTH EATING AND ACTIVE PLAY FOR CHILDREN - WHITE PONY EXPRESS FOOD ACCESS. JOHN MUIR HEALTH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS: 1. ECONOMIC SECURITY 2. ORAL/DENTAL HEALTH 3. UNINTENTIONAL INJURIES 4. VIOLENCE/INJURY PREVENTION 5. SUBSTANCE ABUSE JMH RECOGNIZES THE IMPORTANCE OF EACH OF THE PRIORITIZED COMMUNITY HEALTH NEEDS. HOWEVER, JMH'S EXPERIENCE IS THAT OUR INVESTMENTS COULD HAVE THE MOST IMPACT ON COMMUNITY HEALTH BY FOCUSING RESOURCES ON A FEW COMMUNITY HEALTH NEEDS. THE COMMITTEE RECOGNIZES THAT MANY HEALTH NEEDS COULD BE ADDRESSED BY SUPPORTING THE PRIORITIZED NEEDS. FOR EXAMPLE, JMH WILL SUPPORT EFFORTS TO REDUCE VIOLENCE BY SUPPORTING BEHAVIORAL HEALTH IN THE COMMUNITY. JMH'S SELECTED HEALTH NEEDS DO NOT REPRESENT EVERYTHING JMH DOES TO IMPROVE COMMUNITY HEALTH. FOR EXAMPLE, JMH IS ADDRESSING ORAL/DENTAL HEALTH THROUGH IT'S PARTNERSHIP WITH THE CONTRA COSTA MOBILE HEALTH CLINIC. AS A LEADING EMPLOYER IN THE REGION, JMH IS ALSO ADDRESSING ECONOMIC SECURITY INDIRECTLY THROUGH EMPLOYMENT AND WORKFORCE DEVELOPMENT. JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE AND WILL LOOK FOR COLLABORATION OPPORTUNITIES RELATED TO THE ABOVE HEALTH NEEDS THAT JMH DOES NOT INTEND TO ADDRESS WITH THE MAJORITY OF OUR COMMUNITY BENEFIT RESOURCES.
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 $29,882,933.
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 2018, 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 NURSES PARTNERS: 1. EAST COUNTY BUSINESS EDUCATION ALLIANCE 2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH UNDERSERVED POPULATION. 3. JEWISH VOCATION SERVICES (JVS) - DISPLACED WORKER TRAINING TO GET BACK IN THE WORKFORCE 4. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE 5. BAY AREA COUNCIL 6. 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 16 AND 19 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 2016 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: TOTAL POPULATION: 850,361 WHITE: 66.8% BLACK: 6.5% ASIAN: 13.6% NATIVE AMERICAN/ALASKAN NATIVE: <0.05% PACIFIC ISLANDER/NATIVE HAWAIIAN: <0.05% SOME OTHER RACE: 6.3% MULTIPLE RACES: 5.8% HISPANIC/LATINO: 21.9% LIVING AT/BELOW 200% FPL: 21.9% CHILDREN LIVING AT BELOW 100% FPL: 12.0% UNEMPLOYED: 5.3% UNINSURED: 9.5% NO HIGH SCHOOL DIPLOMA: 8.7%
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 6,500 IN 2018. 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 140,223 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN 2018. 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 2018, WE PROVIDED $5.6 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $89.3 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 2018. 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 5003 COMMERCIAL CIRCLE, SUITE 275, CONCORD, CA 94520 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 2018, THE FUND HAS GRANTED OVER $28 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.JOHNMUIRHEALTH.COM/CHF 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 JOHN MUIR CARDIO VASCULAR MEDICAL GROUP. 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. ADDITIONALLY, THE PHYSICIAN NETWORK PROVIDES PHYSICIAN PANEL, MEDICAL MANAGEMENT AND CLAIMS SERVICES FOR MORE THAN 10,800 JOHN MUIR HEALTH EMPLOYEES AND DEPENDENTS PARTICIPATING IN THE EXCLUSIVE PROVIDER ORGANIZATION HEALTH PLAN. 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.

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)	$54,090,000	N/A	N/A	General Support
John MuirMt Diablo Community Health Fund
5003 COMMERCIAL CIRCLE SUITE 275	CONCORD	CA	94520	911788973	501(C)(3)	$1,585,557	N/A	N/A	Community Support
John Muir Behavioral Health
1400 Treat Blvd Suite 300	Walnut Creek	CA	94597	680249685	501(C)(3)	$9,401,739	N/A	N/A	General Support
John Muir Health Foundation
1400 Treat Blvd Suite 300	Walnut Creek	CA	94597	942650855	501(C)(3)	$5,366,781	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)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
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	false	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	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	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	$1,176,802	$653,166	$611,506	$1,478,440	$0	$21,257	$0	$3,941,171	$0	$653,166	$0
Christian Pass
Senior VP/CFO	$586,000	$199,299	$7,998	$259,856	$0	$25,314	$0	$1,078,467	$0	$199,299	$0
Jane Willemsen
Executive VP and President Hos	$661,250	$350,292	$25,064	$825,750	$0	$18,607	$0	$1,880,963	$0	$350,292	$0
Michael Thomas
Executive VP and Chief Transfo	$661,250	$350,292	$19,433	$559,480	$0	$18,019	$0	$1,608,474	$0	$350,292	$0
Michael Moody
SR VP/Partnership Integration	$591,044	$255,243	$16,190	$443,312	$0	$25,314	$0	$1,331,103	$0	$255,243	$0
Irving Pike MD
SR VP/Chief Medical Officer	$581,930	$192,737	$38,334	$308,042	$0	$21,257	$0	$1,142,300	$0	$192,737	$0
Max Reynolds
SR VP/ General Counsel	$474,000	$161,207	$7,810	$195,320	$0	$25,314	$0	$863,651	$0	$161,207	$0
George Sauter
Senior VP and Chief Strategy O	$469,850	$157,077	$16,598	$214,604	$0	$17,802	$0	$875,931	$0	$157,077	$0
Jon Russell
SR VP and Chief Information Of	$434,547	$141,676	$15,012	$194,905	$0	$19,304	$0	$805,444	$0	$141,676	$0
Lisa Foust
SR VP Human Resources	$435,243	$139,916	$13,214	$210,500	$0	$25,314	$0	$824,187	$0	$139,916	$0
Ray Nassief
SR VP Hospital Operations	$344,691	$110,835	$26,705	$188,035	$0	$12,022	$0	$682,288	$0	$110,835	$0
Michelle Lopes
Chief Nursing Executive, RN	$353,904	$108,339	$12,241	$242,404	$0	$17,432	$0	$734,320	$0	$108,339	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

HOUSING ALLOWANCE

SCHEDULE J, PART I, LINE 1A FOR CERTAIN MEMBERS OF MANAGEMENT THAT ARE RECRUITED FROM OUTSIDE OF THE AREA, A HOUSING ALLOWANCE MAY BE PROVIDED AS PART OF THE RECRUITMENT PROCESS. EACH RECRUITMENT IS EVALUATED ON A CASE-BY-CASE BASED ON THE MARKET AND THE QUALIFICATIONS OF THE CANDIDATE TO DETERMINE WHETHER OR NOT THE INCLUSION OF A HOUSING ALLOWANCE WILL BE PART OF THE RECRUITMENT PACKAGE FOR CERTAIN MEMBERS OF MANAGEMENT. THE HOUSING ALLOWANCE WAS PROVIDED TO LISA FOUST, AND JON RUSSELL. THE HOUSING ALLOWANCE WAS TREATED AS TAXABLE INCOME TO THESE INDIVIDUALS. 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.

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: Christian Pass $55,911 Irving Pike, M.D. $103,196 Max Reynolds $28,777 George Sauter $48,261 Jon Russell $33,872 Lisa Foust $45,293 Ray Nassief $60,071 Michelle Lopes $108,588 Supplemental Executive Plan Employees eligible for the Supplemental Executive Plan are either CEO 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. Plan benefit payments of $568,518 were made during the year. The following executives participated in the plan and earned the following benefit during the tax year: Calvin Knight $782,963 Jane Willemsen $468,259 Michael Thomas $201,989 Michael Moody $179,557

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CA Statewide Community Development Authority
A	680164610	130795N86	2009-10-29	$101,911,852	SEE PART IV	false	false	false
CA Statewide Community Development Authority
B	680164610		2012-05-23	$89,800,000	SEE PART IV	false	false	false
CA Statewide Community Development Authority
C	680164610	13080SMW1	2016-06-09	$353,140,040	SEE PART IV	false	false	false
CA Statewide Community Development Authority
D	680164610	13080STN4	2018-05-15	$92,473,440	REFUNDING OF 2017 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	$98,580,000	$0	$101,911,852	$0	$0	$0	$1,911,852	$0	$0	$100,000,000	$0	$0	2011	false	false	Yes (true)	Yes (true)
B	$38,750,000	$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)
C	$0	$0	$354,142,323	$0	$0	$0	$3,133,280	$0	$0	$17,965,830	$300,002,560	$32,038,370		Yes (true)	false	false	Yes (true)
D	$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)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	Yes (true)	false	false	false	false	false	false
B	false	false	false		false	false	false	false	false	0.00010	0.00010
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	false	Yes (true)	false	false	false	0	false	false
0
B	false	false	Yes (true)	false	false	false	false	0	false	false
0
C	false	Yes (true)	false	false	Yes (true)	false	false	0	false	false
0
D	false	Yes (true)	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 PURPOSES OF (1) FINANCING THE CONSTRUCTION, IMPROVEMENT, EQUIPPING, RENOVATION, REHABILITATION, REMODELING AND OTHER CAPITAL PROJECTS ON OR ABOUT THE JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS AND ON OR ABOUT THE JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS AND (2) PAYING CERTAIN COSTS OF ISSUANCE. DESCRIPTION OF BOND PURPOSE PART I, LINE B, 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 C, 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 C THE $353,140,040 OF BOND PROCEEDS INCLUDE $1,002,283 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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D JOHN MUIR HEALTH ("JMH") NEUROSCIENCES 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. ALZHEIMER'S), SPINE DISEASES, AND NEUROLOGICAL DISORDERS. NEUROSCIENCES IS COMPRISED OF HEALTHCARE PROFESSIONALS AND MEDICAL STAFF SPECIALIZING IN NEUROLOGY, NEUROSURGERY, NEUROCRITICAL CARE, NEURORADIOLOGY, NEUROPSYCHOLOGY AND REHABILITATION TO CARE FOR THE DISEASE OF THE BRAIN AND SPINE. JMH RECEIVED THE JOINT COMMISSION GOLD SEAL OF APPROVAL ACCREDITATION AS PRIMARY STROKE CENTER. IN 2018, NEUROSCIENCES AT JMH BEGAN PERFORMING DEEP BRAIN STIMULATION (DBS), A GROUND BREAKING TREATMENT FOR PATIENTS WITH MOVEMENT DISORDERS, SUCH AS PARKINSON'S, AND JMH IS THE ONLY CENTER OFFERING THIS TREATMENT IN THE EAST BAY. THE NEUROSCIENCES AT JMH ALSO MAINTAINED COMPREHENSIVE STROKE DESIGNATION AND JMH IS THE ONLY CENTER IN CONTRA COSTA COUNTY OFFERING MECHANICAL THROMBECTOMY, SO MANY PATIENTS ARE TRANSFERRED TO JMH FOR THIS LIFE IMPROVING TREATMENT. JMH INPATIENT REHABILITATION UNIT IS CARF ACCREDITED FOR GENERAL REHAB, STROKE SPECIALTY AND BRAIN INJURY SPECIALTY. THIS IS A 3-YEAR ACCREDITATION THROUGH OCTOBER 2020. PATIENT ADMISSION GREW IN 2018 FROM 2017 BY 11.41%. STROKE REPRESENTS OUR HIGHEST ADMITTING DIAGNOSIS AT 32% AND AN AVERAGE LENGTH OF STAY OF 12.75 DAYS. IN 2018, JMH REHABILITATION DEPARTMENT INTRODUCED A THERAPY DOG, FISHER, A CANINE COMPANION TO OUR TEAM WHO COMES DAILY TO ENGAGE IN PATIENT INTERACTION IN THE THERAPY SERVICES. CANINE COMPANIONS CAN OFFER EMOTIONAL AND PHYSICAL BENEFITS THAT HELP THE HEALING PROCESS. EXPERTLY TRAINED ASSISTANCE DOGS USE THEIR SKILLS TO HELP MOTIVATE PATIENTS AND CHANGE LIVES ON A DAILY BASIS. JMH'S DIGESTIVE HEALTH SERVICES PROVIDE THE HIGHEST QUALITY PRIMARY, SECONDARY, AND TERTIARY CARE FOR PATIENTS WITH DIGESTIVE DISEASES EFFICIENTLY AND COMPASSIONATELY IN A COORDINATED, COLLABORATIVE, PATIENT-CENTERED MANNER. JMH STRIVE TO PROVIDE BEST PRACTICES FOR LOCAL PATIENTS AND STATE-OF-THE-ART REFERRAL SERVICES FOR REGIONAL PATIENTS TO RECEIVE FOLLOW UP CARE CLOSE TO HOME. IN 2018, JMH INCREASED INTERVENTIONAL ENDOSCOPY CAPABILITY AND MENU OF SERVICES OFFERED TO OUR PATIENTS TO DECREASE OUTMIGRATION AND MAKE JMH THE INTERVENTIONAL ENDOSCOPY DESTINATION OF CHOICE IN EAST BAY. JOHN MUIR HEALTH IS THE FIRST HEALTH SYSTEM NATIONWIDE TO BE ACCREDITED AS NATIONAL ACCREDITATION PROGRAM FOR RECTAL CANCER.
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.
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 $-39,225,422
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:87432055

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 BOULEVARD SUITE 300	WALNUT CREEK	CA	94597	942650855	FUNDRAISING	CA	501(C)(3)	7	JM HEALTH	Yes (true)
JOHN MUIR PHYSICIAN NETWORK
1400 TREAT BOULEVARD SUITE 400	WALNUT CREEK	CA	94597	680360801	HEALTHCARE	CA	501(C)(3)	12A	JM HEALTH	Yes (true)
JOHN MUIR BEHAVIORAL HEALTH
1400 TREAT BOULEVARD SUITE 300	WALNUT CREEK	CA	94597	680249685	HEALTHCARE	CA	501(C)(3)	3	JM HEALTH	Yes (true)
JOHN MUIRMT DIABLO COMMUNITY HEALTH
5003 COMMERCIAL CIRCLE SUITE 275	CONCORD	CA	94520	911788973	GRANTMAKING	CA	501(C)(3)	12C	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	Predominant Income TypePredominantIncomeTypeTxt	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	RELATED	$963,344	$3,878,048	false	$0	Yes (true)	0.90000
NEUROSCAN
115 LA CASA VIA SUITE 202	WALNUT CREEK	CA	94597	680017617	DIAG IMAGING	CA	JM HEALTH	RELATED	$4,501,768	$4,868,389	false	$0	Yes (true)	0.91102
BAY AREA SURGICAL VENTURES
30 S WACKER DRIVE	CHICAGO	IL	60606	203052802	MED SERVICES	CA	JM HEALTH	RELATED	$1,107,750	$799,658	false	$0	false	0.53500

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
CARIDIAN PHYSICIAN SERVICES INC
700 YGNACIO VALLEY BOULEVARD	WALNUT CREEK	CA	94596	680297913	INACTIVE	CA	JM HEALTH	C Corp	1.00000	Yes (true)
MT DIABLO PRACTICE MANAGEMENT
1400 TREAT BOULEVARD	WALNUT CREEK	CA	94597	680031326	INACTIVE	CA	JM HEALTH	C Corp	1.00000	Yes (true)
JOHN MUIRMT DIABLO PARENT COMPANY
1400 TREAT BOULEVARD	WALNUT CREEK	CA	94597	900060434	INACTIVE	CA	JM HEALTH	C Corp	1.00000	Yes (true)

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	Yes (true)	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 (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BAY AREA SURGICAL VENTURES
a(i)	$2,343,000	AGREEMENT TERMS
JOHN MUIR BEHAVIORAL HEALTH
a(i)	$1,092,000	AGREEMENT TERMS
JOHN MUIR HEALTH FOUNDATION
a(i)	$181,084	AGREEMENT TERMS
JOHN MUIR MAGNETIC IMAGING
a(i)	$627,000	AGREEMENT TERMS
NEUROSCAN
a(i)	$149,000	AGREEMENT TERMS
JOHN MUIR PHYSICIAN NETWORK
a(i)	$1,538,968	AGREEMENT TERMS
JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND
b	$1,585,557	EXPENSES PAID
JOHN MUIR PHYSICIAN NETWORK
b	$54,090,000	EXPENSES PAID
JOHN MUIR BEHAVIORAL HEALTH
b	$9,401,739	EXPENSES PAID
JOHN MUIR HEALTH FOUNDATION
b	$5,366,781	EXPENSES PAID
JOHN MUIR PHYSICIAN NETWORK
c	$13,594,000	EXPENSES PAID
JOHN MUIR BEHAVIORAL HEALTH
c	$377,177	EXPENSES PAID
JOHN MUIR HEALTH FOUNDATION
c	$8,379,351	EXPENSES PAID
JOHN MUIR BEHAVIORAL HEALTH
l	$582,000	SHARED SERVICES
JOHN MUIR MAGNETIC IMAGING
l	$2,197,000	SHARED SERVICES
NEUROSCAN
l	$1,731,000	SHARED SERVICES
JOHN MUIR PHYSICIAN NETWORK
l	$59,848,000	SHARED SERVICES
JOHN MUIR HEALTH FOUNDATION
p	$4,560,000	EXPENSES PAID
JOHN MUIR MAGNETIC IMAGING
p	$92,000	EXPENSES PAID
NEUROSCAN
p	$466,000	EXPENSES PAID
JOHN MUIR PHYSICIAN NETWORK
p	$13,907,999	EXPENSES PAID