2019-11-13T18:26:58-06:00 2018-12-31 KPMG LLP 550 S HOPE ST SUITE 1500 LOS ANGELES CA 90071 990 2018-01-01 680249685 JOHN MUIR BEHAVIORAL HEALTH % CHRISTIAN PASS JOHN 9259393000 1400 TREAT BOULEVARD Suite 300 WALNUT CREEK CA 94597 CHRISTIAN PASS CFO 9259393000 2019-10-31 true CAREY MCKEE P01281067 4083675764 167.68.102.5 77070920193175000005 2019-11-13 P 164FA9FDD4A18A30677B9C9ED78991B59AF5BA8D 164FA9FDD4A18A30677B9C9ED78991B59AF5BA8D 2018 2020-04-17 16:48:07Z CHRISTIAN PASS 1400 TREAT BLVD STE 300 WALNUT CREEK CA 94597 46877600 false X WWW.JOHNMUIRHEALTH.COM X 1991 CA 73 BED ACUTE PSYCHIATRIC HOSPITAL PROVIDING CARE TO CHILDREN, ADOLESCENTS AND ADULTS. 15 14 323 57 0 0 6111667 9854739 39197568 37022861 864 0 4711035 0 50021134 46877600 5785868 377177 0 0 24906452 25538566 0 0 0 15165306 16365437 45857626 42281180 4163508 4596420 16252258 20809754 6140412 6101488 10111846 14708266 X JOHN MUIR BEHAVIORAL HEALTH PROVIDES PSYCHIATRIC AND SUBSTANCE ABUSE TREATMENT TO CHILDREN, ADOLESCENTS AND ADULTS IN THREE DISTINCT UNITS:CHEMICAL DEPENDENCY, DETOX AND OUTPATIENT SERVICES INCLUDING RESIDENTIAL TREATMENT. false false 26984929 377177 37022861 PATIENT CARE ACTIVITIES SUPPORT THE HEALTHCARE MISSION OF THE ORGANIZATION TO PROVIDE HIGH QUALITY, COST-EFFECTIVE PSYCHIATRIC ACUTE CARE TO THE COMMUNITY. JOHN MUIR BEHAVIORAL HEALTH OWNS AND OPERATES A FREESTANDING ACUTE PSYCHIATRIC FACILITY WITH A TOTAL OF 73 LICENSED BEDS. PROGRAM SERVICES PROVIDED INCLUDE: - INPATIENT PSYCHIATRIC HOSPITALIZATION (ADULT, ADOLESCENT AND CHILD SERVICES) - ADULT CHEMICAL DEPENDENCY SERVICES - OUTPATIENT PSYCHIATRIC SERVICES -PSYCHIATRIC PARTIAL HOSPITALIZATION -CHEMICAL DEPENDENCY PARTIAL HOSPITALIZATION -CHEMICAL DEPENDENCY OUTPATIENT -YOUTH INTENSIVE OUTPATIENT 26984929 true true false false false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 47 0 true 323 true false false false false false false false false false false false false X 15 14 true false false false true true true true true false false true true true true true true false false false CA X CHRISTIAN PASS 9259393000 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 X Michael Robinson Chairman 5.0 10.0 X X 0 18750 0 Robert E Edmondson Vice Chairman & Treasurer 5.0 10.0 X X 0 18750 0 William F Cronk Secretary 5.0 10.0 X X 0 0 0 Taejoon Ahn MD Director (as of 07/25/18) 5.0 10.0 X 0 18750 0 Michelle J Bartel Director (thru 07/25/18) 5.0 10.0 X 0 6250 0 Anne Grodin Director (as of 7/25/18) 5.0 10.0 X 0 4168 0 Jay Harris Director 5.0 10.0 X 0 0 0 Ravi Hundal MD Director (as of 07/25/18) 5.0 10.0 X 0 20888 0 John Merson MD Director 5.0 10.0 X 0 69450 0 Regina Muehlhauser Director (thru 03/06/18) 5.0 10.0 X 0 0 0 Mark Musco MD Director 5.0 10.0 X 0 11250 0 Kathleen Odne Director 5.0 10.0 X 0 18750 0 Chi Perloth MD Director 5.0 10.0 X 0 11250 0 Johnannes Peters MD Director 5.0 10.0 X 0 0 0 Thomas G Rundall Director 5.0 10.0 X 0 0 0 John Sayres Director (as of 03/06/18) 5.0 10.0 X 0 15625 0 Calvin Knight EX-OFFICIO DIRECTOR 5.0 10.0 X 0 2441474 1499697 Christian Pass Senior VP/CFO 5.0 10.0 X 0 793297 285170 Jane Willemsen Exec VP/Pres Hospital Ops 12.0 48.0 X 0 1036606 844357 Cindy Bolter Chief Nursing & Operations Ofr 40.0 0.0 X 337168 0 112295 Julia Olson Director, Quality & Clinical 40.0 0.0 X 211728 0 46036 Janis Laiacona Director, Accreditation 40.0 0.0 X 206777 0 62381 Sheila Sasser Lead Registered Nurse 40.0 0.0 X 203271 0 40954 Eugenia Ekeh Registered Nurse 40.0 0.0 X 199153 0 24897 Michael Moody Former Officer 0.0 60.0 X 0 862477 468626 1158097 5347735 3384413 62 true true false CEP AMERICA 1601 CUMMINS DRIVE SUITE D MODESTO CA 95358 MEDICAL 650000 KIRAN KOKA MD A PROFESSIONAL CORP 604 TIMBERLEAF COURT WALNUT CREEK CA 94598 MEDICAL 251350 RENEE DE COSSIO 324 CUMBERLAND STREET SAN FRANCISCO CA 94114 PROFESSIONAL SERV 131440 TAYLOR DESIGN 17850 FITCH IRVINE CA 92614 PROFESSIONAL SERV 125658 KTECH HCM INC 510 3RD STREET SUITE 201 OAKLAND CA 94607 PROFESSIONAL SERV 125507 6 9854739 9854739 NET PATIENT REVENUE 621400 36699012 36699012 OTHER OPERATING REVENUE 621400 323849 323849 37022861 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46877600 37022861 377177 377177 0 0 0 0 0 20446522 13494705 6951817 1073344 708407 364937 2581786 1962157 619629 1436914 933994 502920 1669029 1669029 0 0 0 0 0 2761412 2632434 128978 0 995595 967046 28549 0 0 2623294 2623294 32098 12839 19259 0 0 0 0 786635 786635 0 HEALTH ASSESSMENT 6672451 6672451 UNCOLLECTIBLE ACCOUNTS 573016 573016 OTHER DIRECT EXPENSES 158424 150713 7711 LICENSES & TAXES 93483 93483 42281180 26984929 15296251 0 489698 0 210517 0 0 0 6942763 7828262 0 0 0 0 0 0 85120 85120 219472 172265 15505874 2858624 8296785 12647250 0 0 0 0 0 0 0 0 7903 76857 16252258 20809754 5920935 5095163 0 0 0 942473 0 0 0 0 0 0 0 0 0 0 219477 63852 6140412 6101488 X 10111846 14708266 0 0 0 0 10111846 14708266 16252258 20809754 4596420 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 10371039 2141663 8229376 1778016 716961 1061055 3356819 3356819 12647250 0 OTHER LIABILITES 63852 63852 X 46304584 46304584 573016 573016 46877600 41708164 41708164 573016 573016 42281180 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 ESTIMATED OCCURS. REVENUE INCLUDED ON FORM 990, NOT INCLUDED ON AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XI, LINE 4B UNCOLLECTIBLE ACCOUNTS REPORTED NET OF REVENUE ON FORM 990 $573,016 EXPENSES INCLUDED ON FORM 990, NOT ON AUDITED FINANCIAL STATEMENTS SCHEDULE D, PART XII, LINE 4B UNCOLLECTIBLE ACCOUNTS REPORTED AS EXPENSE ON FORM 990 $573,016 true true X true X 400. true X true true true false true true 222651 222651 0.00540 222651 222651 0.00540 1681 1681 362938 362938 0.00880 4658546 4658546 0.11270 120000 120000 0.00290 5143165 5143165 0.12440 5365816 5365816 0.12980 false 573016 14518029 16234823 -1716794 X true true NONE 1 1 Johm Muir Behavioral Health 2740 Grant St Concord CA 94520 www.johnmuirhealth.com 140000418 X JOHN MUIR BEHAVIORAL HEALTH 1 false false true X X X X X X X X X 16 true true true true X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 400. 400. X X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false COMMUNITY INPUT PROCESS PART V, SECTION B, LINE 5 JOHN MUIR BEHAVIORAL HEALTH COLLECTED COMMUNITY 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 CLINICS 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 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. PITTSBURGH 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. PITTSBURGH 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 ASSESSMENT 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 THE 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 AND 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 THE CHNA PRIORITIZATION CRITERIA, WHICH INCLUDED (1) SEVERITY OF NEED; (2) MAGNITUDE/SCALE OF NEED; (3) CLEAR DISPARITIES OR INEQUITIES AND (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 NEEDS THAT 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 AS PART OF THIS COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO THE NEED TO ALLOCATE SIGNIFICANT, FOCUSED RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFED ABOVE: 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 ITS 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 COUNTY'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/PATIENT -FINANCIAL-ASSISTANCE-PROGRAM/PATIENT=FINANCIAL-ASSISTANCE.HTML WEBSITE ADDRESS 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/PATIENT -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/PATIENT -FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML 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 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 ON 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. 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 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 BEHAVIORAL HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA, INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS, THE COST-TO-CHARGE RATIO WAS USED. FINANCIAL ASSISTANCE PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, COLUMN (F), LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $573,016. BAD DEBT EXPENSE PART III, LINE 2 BAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT. FINANCIAL STATEMENT FOOTNOTE PART III, LINE 4 THE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN THE JOHN MUIR HEALTH AND SUBSIDIARIES CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS. SEE PAGES 10 AND 14 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. SHORTFALL TREATED AS COMMUNITY BENEFIT PART III, LINE 8 THE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2017 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). COLLECTION PRACTICES PART III, LINE 9B OTHER THAN SENDING STATEMENT AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR BEHAVIORAL HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTIONS INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO A COLLECTION 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 BEHAVIORAL HEALTH SERVICES FOR ALL AGE GROUPS ARE CRITICAL COMMUNITY SERVICES IN CONTRA COSTA COUNTY. IN A COUNTY OF OVER 1 MILLION RESIDENTS, JOHN MUIR BEHAVIORAL HEALTH (BHC) IS THE ONLY PRIVATE, FREE-STANDING, LICENSED, ACUTE CARE PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITAL. JOHN MUIR HEALTH SUPPORTS AND SUBSIDIZES THE BHC SERVICES FOR THE COMMUNITY AS A COMMUNITY BENEFIT. 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 CHNA, JMH IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY IN A VARIETY OF WAYS. JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIP 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 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 BEHAVIORAL HEALTH HAS SIGNAGE POSTED IN PATIENT AREAS/LOBBIES INFORMING PATIENTS ON 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 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. NOTIFICATION THAT PROGRAMS ARE AVAILABLE IS ALSO PRINTED ON THE 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 ON 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 AREA 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 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 PARTS 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 BEHAVIORAL HEALTH AND ITS CORPORATE MEMBER, JOHN MUIR HEALTH, ARE NOT-FOR-PROFIT, COMMUNITY BASED ORGANIZATIONS THAT ARE GOVERNED BY THOSE WHO LIVE IN THE COMMUNITIES WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMUNITIES. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES. AS NOT-FOR-PROFIT ORGANIZATIONS, 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 EMPLOYEES IN 2018. JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTA COUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENT AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR TWO HOSPITAL 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 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 FINANCIAL 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 AND LANDSCAPING 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 PARTNERSHIP 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 TO PROMOTE HEALTH IN OUR COMMUNITY. EVERY YEAR JOHN MUIR HEALTH 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 FUND ONE ARM OF GRANT-MAKING AT JOHN MUIR HEALTH. ITS GOAL IS TO FOSTER SYSTEMATIC CHANGE THAT IMPROVES THE HEALTH OF THE PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MOST AT RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE COMMUNITY HEALTH FUND HAS DEVELOPED A FUNDING PROCESS THAT NURTURES LONG-TERM PARTNERSHIPS WITH AND AMONG 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 MORE THAN $28 MILLION IN JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUND, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN BE FOUND ON ITS WEBSITE: WWW.JMMDCOMMUNITYHEALTHFUND.COM. JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BOULEVARD, SUITE 400, WALNUT CREEK, CA 94597 THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH MORE THAN 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG), JOHN MUIR SPECIALTY MEDICAL GROUP, OR MUIR MEDICAL GROUP IPA, INC. THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN NUMEROUS LOCATIONS FROM BENTWOOD TO PLEASANTON. JMMG ALSO PROVIDES HOSPITALISTS (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 CLAIM 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 ACO WHICH PROVIDES THE COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS. 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. JOHN MUIR HEALTH 1400 TREAT BOULEVARD, SUITE 300, WALNUT CREEK, CA 94597 JOHN MUIR HEALTH IS A NATIONALLY RECOGNIZED, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION LOCATED EAST OF SAN FRANCISCO, SERVING PATIENTS IN CONTRA COSTA, EASTERN ALAMEDA AND SOUTHERN SOLANO COUNTIES. IT INCLUDES A NETWORK OF OVER 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS, 6,500 EMPLOYEES, MEDICAL CENTERS IN CONCORD AND WALNUT CREEK, 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, LAB AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, EMERGENCY AND HIGH-RISK OBSTETRICS CARE. true JOHN MUIR HEALTH 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 941461843 501(C)(3) 377177 N/A N/A GENERAL SUPPORT 1 GRANT MONITORING PROCESS SCHEDULE I, PART I, LINE 2 JOHN MUIR HEALTH FINANCIAL MANAGEMENT MONITORS THE USE OF RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES. false true false false false false false false false Calvin Knight EX-OFFICIO DIRECTOR 1176802 653166 611506 0 1478440 0 21257 0 3941171 0 653166 Christian Pass Senior VP/CFO 586000 199299 7998 0 259856 0 25314 0 1078467 0 199299 Jane Willemsen Exec VP/Pres Hospital Ops 661250 350292 25064 0 825750 0 18607 0 1880963 0 350292 Cindy Bolter Chief Nursing & Operations Ofr 255362 30693 51113 93993 0 18302 0 449463 0 30693 0 Julia Olson Director, Quality & Clinical 196161 13885 1682 45936 0 100 0 257764 0 13885 0 Janis Laiacona Director, Accreditation 191178 12602 2997 40950 0 21431 0 269158 0 12602 0 Sheila Sasser Lead Registered Nurse 160546 0 42725 21652 0 19302 0 244225 0 0 0 Eugenia Ekeh Registered Nurse 167294 0 31859 6115 0 18782 0 224050 0 0 0 Michael Moody Former Officer 591044 255243 16190 0 443312 0 25314 0 1331103 0 255243 EXECUTIVE COMPENSATION PROCESS SCHEDULE J, PART I, LINE 3 JOHN MUIR HEALTH, A RELATED TAX-EXEMPT ORGANIZATION OF JOHN MUIR BEHAVIORAL HEALTH, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 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 CINDY BOLTER $48,275 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. A BENEFIT PLAN PAYMENT OF $568,518 WAS MADE TO CALVIN KNIGHT IN 2018. 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 MOODY $179,557 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. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH. POWER TO ELECT OR APPOINT MEMBERS OF GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7A THE BYLAWS OF JOHN MUIR BEHAVIORAL HEALTH PROVIDE THAT THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH, THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, SHALL SERVE EX-OFFICIO AS THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH. AS A RESULT, THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH CONTROLS THE NUMBER, APPOINTMENT, TERM AND REMOVAL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH. GOVERNANCE DECISIONS SUBJECT TO APPROVAL BY THE MEMBER FORM 990, PART IV, SECTION A, LINE 7B JOHN MUIR HEALTH, AS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, ALSO HAS THE RIGHT TO APPROVE CERTAIN ACTIONS IN ACCORDANCE WITH THE CALIFORNIA NONPROFIT PUBLIC CORPORATION LAW, INCLUDING THE VOLUNTARY DISSOLUTION OF JOHN MUIR BEHAVIORAL HEALTH, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF JOHN MUIR BEHAVIORAL HEALTH, AND THE MERGER OF JOHN MUIR BEHAVIORAL HEALTH WITH OR INTO ANY OTHER ENTITY. 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 OR THEIR 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 BEHAVIORAL 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 15 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 COMMITTEE'S 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. JOHN MUIR HEALTH 1400 TREAT BOULEVARD SUITE 300 WALNUT CREEK CA 94597 941461843 HEALTHCARE CA 501(C)(3) 3 NA false JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BOULEVARD SUITE 400 WALNUT CREEK CA 94597 680360801 CLINIC SRVS CA 501(C)(3) 12A JM HEALTH true JOHN MUIR HEALTH FOUNDATION 1400 TREAT BOULEVARD SUITE 300 WALNUT CREEK CA 94597 942650855 FUNDRAISING CA 501(C)(3) 7 JM HEALTH true JOHN MUIRMT DIABLO COMMUNITY HEALTH FU 1399 YGNACIO VALLEY ROAD STE 36 WALNUT CREEK CA 94598 911788973 GRANTMAKING CA 501(C)(3) 12C JM HEALTH true JOHN MUIR MAGNETIC IMAGING 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 680202020 DIAGNOSTIC IMAG CA NA NEUROSCAN 115 LA CASA VIA SUITE 202 WALNUT CREEK CA 94597 680017617 DIAGNOSTIC IMAG CA NA BAY AREA SURGICAL VENTURES 30 S WACKER DRIVE SUITE 2302 CHICAGO IL 60606 203052802 MEDICAL SERVICES CA NA CARIDIAN PHYSICIAN SERVICES INC 700 YGNACIO VALLEY BLVD WALNUT CREEK CA 94596 680297913 INACTIVE CA NA C Corp false MT DIABLO PRACTICE MGMT 1400 TREAT BLVD WALNUT CREEK CA 94597 680031326 INACTIVE CA NA C Corp false JOHN MUIRMT DIABLO PARENT COMPANY 1400 TREAT BLVD WALNUT CREEK CA 94597 900060434 INACTIVE CA NA C Corp false false true true false false false false false false false true true false false false false false false false JOHN MUIR HEALTH b 377177 EXPENSES PAID JOHN MUIR HEALTH c 9401739 EXPENSES PAID JOHN MUIR PHYSICIAN NETWORK c 453000 EXPENSES PAID JOHN MUIR HEALTH k 1092000 AGREEMENT TERMS JOHN MUIR HEALTH l 582000 FMV SHARED SVS