JOHN MUIR HEALTH: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- JOHN MUIR HEALTH (EIN 94-1461843)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-12
- IRS object ID
- 202533169349308843
- Schema version
- 2024v5.2
- 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 H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-12T17:59:14-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3975 FREEDOM CIR DR 100 | AddressLine1Txt |
| City | SANTA CLARA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | 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) |
|---|---|---|
| Business Name Control | JOHN | BusinessNameControlTxt |
| Phone | 9259393000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 TREAT BOULEVARD | AddressLine1Txt |
| City | WALNUT CREEK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94597 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TED WANG | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9259393000 | PhoneNum |
| Signature | 2025-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CAREY MCKEE | PreparerPersonNm |
| PTIN | P01281067 | PTIN |
| Phone | 4083675764 | PhoneNum |
| Preparation | 2025-11-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL THOMAS | 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 | $2,320,187,129 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 5832 | TotalEmployeeCnt |
| Total Volunteers | 638 | TotalVolunteersCnt |
| Total Gross UBI | $932,469 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,883,892 | PYContributionsGrantsAmt |
| CY Contributions Grants | $26,119,977 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,695,796,089 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,897,710,307 | CYProgramServiceRevenueAmt |
| PY Investment Income | $57,337,271 | PYInvestmentIncomeAmt |
| CY Investment Income | $89,369,632 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,146,188 | PYOtherRevenueAmt |
| CY Other Revenue | $5,384,668 | CYOtherRevenueAmt |
| PY Total Revenue | $1,776,163,440 | PYTotalRevenueAmt |
| CY Total Revenue | $2,018,584,584 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $147,775,868 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $149,993,135 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $941,232,239 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $991,455,029 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $768,900,848 | PYOtherExpensesAmt |
| CY Other Expenses | $820,240,865 | CYOtherExpensesAmt |
| PY Total Expenses | $1,857,908,955 | PYTotalExpensesAmt |
| CY Total Expenses | $1,961,689,029 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$81,745,515 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $56,895,555 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,380,744,220 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,610,884,686 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,273,349,784 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,363,168,427 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,107,394,436 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,247,716,259 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF JOHN MUIR IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $827,018,006 | ExpenseAmt |
| Grant | $149,993,135 | GrantAmt |
| Revenue | $931,882,174 | RevenueAmt |
| Desc | HOSPITAL SERVICES - GENERAL MEDICINE AND SURGERYTHE 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 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 JOHN MUIR HEALTH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEON'S COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. NATIONAL AND STATE RECOGNITIONS RECEIVED IN 2024 INCLUDE: (1) RECOGNITION OF JOHN MUIR HEALTH, WALNUT CREEK MEDICAL CENTER BY U.S. NEWS & WORLD REPORT FOR THE 18TH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS". OBSTETRICS & GYNECOLOGY SERVICES AT THE WALNUT CREEK MEDICAL CENTER WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES (LESS THAN 4% OF HOSPITALS HAD A NATIONALLY RANKED SPECIALTY), (2) RECOGNITION BY U.S. NEWS & WORLD REPORT OF NINE SPECIALTIES COMBINED AND 25 ADULT PROCEDURES AND CONDITIONS COMBINED AS HIGH PERFORMING AT JOHN MUIR HEALTH'S WALNUT CREEK AND CONCORD MEDICAL CENTERS, (3) U.S. NEWS AND WORLD REPORT ALSO RANKED THE WALNUT CREEK MEDICAL CENTER #2 AND CONCORD MEDICAL CENTER #2 (TIED) OUT OF NEARLY 50 HOSPITALS IN THE SAN FRANCISCO METRO AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, AND CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #16 TIED) IN CALIFORNIA OUT OF MORE THAN 400 ACUTE CARE HOSPITALS, (4) JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO EARNED THE DESIGNATION OF BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT - TWO OF JUST 466 HOSPITALS (JUST 10% OF THE HOSPITAL EVALUATED) TO ACHIEVE THIS DESIGNATION NATIONWIDE, (5) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF THE NATION'S BEST HOSPITALS FOR MATERNITY CARE BY U.S. NEWS & WORLD REPORT AND BY NEWSWEEK, (6) THE WALNUT CREEK MEDICAL CENTER RECEIVED A CLINICAL EXCELLENCE AWARD FOR JOINT REPLACEMENT FROM HEALTHGRADES, (7) THE CONCORD MEDICAL CENTER RECEIVED A CLINICAL EXCELLENCE AWARD FOR CARDIAC SURGERY, CORONARY INTERVENTION, JOINT REPLACEMENT AND OUTPATIENT JOINT REPLACEMENT FROM HEALTHGRADES. EXCELLENCE AWARDS PLACE OUR MEDICAL CENTERS AMONG THE TOP 5-10% OF HOSPITALS NATIONWIDE IN THOSE SPECIALTY CARE AREAS, (8) COMBINED, THE TWO MEDICAL CENTERS HAD SEVEN FIVE-STAR RATINGS FROM HEALTHGRADES FOR SERVICES, PROCEDURES AND TREATMENTS, (9) NEWSWEEK RANKED THE CONCORD MEDICAL CENTER #190 AND WALNUT CREEK #204 AS TWO OF THE BEST IN THE U.S. (10) BOTH MEDICAL CENTERS ARE MAGNET RECOGNIZED FOR NURSING EXCELLENCE AND QUALITY PATIENT OUTCOMES, (11) JOHN MUIR HEALTH ALSO RECEIVED INTEGRATED HEALTHCARE ASSOCIATION'S EXCELLENCE IN HEALTHCARE AWARD (CALIFORNIA'S TOP HONOR FOR PROVIDER ORGANIZATIONS) FOR STRONG RESULTS IN CLINICAL QUALITY, PATIENT EXPERIENCE, AND TOTAL COST OF CARE (ANNOUNCED IN DECEMBER 2024 FOR 2023 PERFORMANCE).OUR PROGRAM EMPHASIS IN 2024 CONTINUED TO BE ON SERVING 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 NONPROFIT ORGANIZATIONS PROVIDING ACCESS TO HEALTH CARE, MENTAL HEALTH SERVICES, FOOD, HOUSING, AND VIOLENCE PREVENTION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $236,856,609 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $248,155,094 | RevenueAmt |
| Desc | CARDIOVASCULAR IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR ACHIEVEMENTS IN 2024 INCLUDES: - THE CONCORD MEDICAL CENTER RECEIVED A CLINICAL EXCELLENCE AWARD FOR CARDIAC SURGERY, CORONARY INTERVENTION, JOINT REPLACEMENT AND OUTPATIENT JOINT REPLACEMENT FROM HEALTHGRADES. EXCELLENCE AWARDS PLACE OUR MEDICAL CENTERS AMONG THE TOP 5-10% OF HOSPITALS NATIONWIDE IN THOSE SPECIALTY CARE AREAS.- THE CONCORD MEDICAL CENTER RANKS #1 IN CALIFORNIA AND #8 IN US FOR CORONARY ARTERY BYPASS GRAFT SURGERY FOR 30-DAY PATIENT SURVIVAL RATE AFTER CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY. THE RANKINGS ARE BASED ON DATA FROM CMS FROM THEIR FISCAL YEAR 2025 HOSPITAL VALUE-BASED PURCHASING (VBP)PROGRAM.- CONCORD MEDICAL CENTER IS ONE OF ONLY FOUR HOSPITALS IN CALIFORNIA PERFORMING SIGNIFICANTLY "BETTER" THAN THE STATE AVERAGE IN CABG MORTALITY OUTCOMES. DURING THIS REPORTING PERIOD, CONCORD HAD AN OBSERVED MORTALITY RATE OF 0.41% WHILE THE STATE AVERAGE OBSERVED MORTALITY RATE WAS 2.46%. - ON JUNE 3, VASCULAR SURGEON, DR. NIREN ANGLE, PERFORMED THE FIRST TRANSCAROTID ARTERY REVASCULARIZATION (TCAR) PROCEDURE AT JOHN MUIR HEALTH. TCAR IS A HYBRID PROCEDURE DESIGNED TO TREAT PATIENTS WITH CAROTID ARTERY DISEASE WHO ARE AT RISK FOR OPEN SURGERY. WHAT'S UNIQUE ABOUT TCAR IS IT TEMPORARILY REVERSES THE BLOOD FLOW DURING THE PROCEDURE, SO THAT ANY PLAQUE THAT MAY BREAK OFF DURING THE PROCEDURE IS DIVERTED AWAY FROM THE BRAIN TO PREVENT STROKE. THE CAROTID ARTERY IS THEN STENTED. TCAR IS PERFORMED THROUGH A SMALLER INCISION IN THE NECK AND IN LESS THAN HALF THE TIME OF A CAROTID ENDARTERECTOMY. A SECOND TCAR PROCEDURE WAS PERFORMED BY DR. RAJIV NAGESETTY ON JUNE 25.- THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION RECENTLY RECOGNIZED JOHN MUIR HEALTH'S TWO ACUTE CARE MEDICAL CENTERS FOR TREATMENT OF HEART DISEASE PATIENTS. THE RECOGNITIONS INCLUDE: A) GET WITH THE GUIDELINES - HEART FAILURE GOLD PLUS (CONCORD AND WALNUT CREEK), COMMITMENT TO IMPROVING OUTCOMES FOR PATIENTS WITH HEART FAILURE, MEANING REDUCED READMISSIONS AND MORE HEALTHY DAYS AT HOME. B) GET WITH THE GUIDELINES - CORONARY ARTERY DISEASE STEMI RECEIVING GOLD PLUS (CONCORD) AND GOLD (WALNUT CREEK), COMMITMENT TO OFFERING RAPID, RESEARCH-BASED CARE TO PEOPLE EXPERIENCING AN ST ELEVATION MYOCARDIAL INFARCTION (STEMI), KNOWN TO BE MORE SEVERE AND DANGEROUS THAN OTHER TYPES OF HEART ATTACKS. - CONCORD MEDICAL CENTER WAS ONE OF JUST FOUR HOSPITALS IN CALIFORNIA TO EARN A PERFORMANCE RATING OF "BETTER THAN EXPECTED" FOR SUPERIOR CLINICAL OUTCOMES IN CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY. THIS RECOGNITION COMES FROM THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (HCAI) IN THEIR NEWEST PUBLIC RELEASED 2022 CABG OUTCOMES REPORTING PROGRAM (CCORP) REPORT. JOHN MUIR HEALTH'S 244 CABG CASES PERFORMED WERE THE THIRD MOST OF ANY HOSPITAL IN THE SAN FRANCISCO BAY AREA. IN THEIR 2024 RANKINGS, U.S. NEWS AND WORLD REPORT RATED CONCORD MEDICAL CENTER AS HIGH PERFORMING IN HEART ATTACK, HEART BYPASS SURGERY, HEART FAILURE AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). WALNUT CREEK MEDICAL CENTER WAS RATED AS HIGH PERFORMING IN HEART ATTACK AND HEART FAILURE.- HEALTHGRADES, RECENTLY RECOGNIZED HOSPITALS FOR CLINICAL EXCELLENCE IN CARDIOVASCULAR CARE. THIS YEAR'S AWARDS RECOGNIZE HOSPITALS WITH OUTSTANDING PERFORMANCE AND OUTSTANDING ACHIEVEMENTS IN CLINICAL CARE. JOHN MUIR HEALTH'S MEDICAL CENTERS RECEIVED THE FOLLOWING CARDIOVASCULAR RECOGNITIONS:A) CARDIAC SURGERY EXCELLENCE AWARD (CONCORD)SUPERIOR CLINICAL OUTCOMES IN HEART BYPASS SURGERY AND HEART VALVE SURGERY.B) SURGICAL CARE EXCELLENCE AWARD (CONCORD AND WALNUT CREEK)SUPERIOR CLINICAL OUTCOMES IN SURGICAL CARE ACROSS 15 OF THE MOST COMMON IN-HOSPITAL SURGICAL PROCEDURES INCLUDING CARDIAC & VASCULAR SURGERIES.C) EXCELLENCE AWARDS PLACE OUR MEDICAL CENTERS AMONG THE TOP 10% OF HOSPITALS NATIONWIDE IN THOSE SPECIALTY CARE AREAS. CONGRATULATIONS ON THESE EXCEPTIONAL RECOGNITIONS THAT FURTHER VALIDATE THE SKILLS AND EXPERTISE OF OUR TEAMS, AND THE EXCELLENCE OF JOHN MUIR HEALTH!- INTERVENTIONAL CARDIOLOGISTS AT CONCORD MEDICAL CENTER PERFORMED OUR FIRST MINIMALLY INVASIVE TRICUSPID VALVE REPAIR. WE UTILIZED THE ABBOTT TRICLIP TRANSCATHETER EDGE-TO-EDGE (TEER) REPAIR SYSTEM AND SIGNIFICANTLY IMPROVED THE PATIENT'S TRICUSPID REGURGITATION. TRI-CUSPID VALVE DISEASE IS UNDER DIAGNOSED AND UNDERTREATED NATIONALLY, AND WE ARE THRILLED TO BE ABLE TO OFFER THIS THERAPY TO OUR COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $118,181,000 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $159,423,004 | RevenueAmt |
| Desc | WOMENS AND CHILDREN'S SERVICES IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. THE PEDIATRIC INTENSIVE CARE UNIT AT THE WALNUT CREEK MEDICAL CENTER IS CERTIFIED BY THE CALIFORNIA CHILDREN'S SERVICES. ACCOMPLISHMENTS IN 2024 INCLUDE:THE PEDIATRIC HOSPITALIST TEAM HAS DONE THE FOLLOWING QUALITY IMPROVEMENT PROJECTS TO IMPROVE THE QUALITY OF CARE WE PROVIDE TO HOSPITALIZED PATIENTS: A) NATIONAL QI COLLABORATIVE RUN BY VIP NETWORK/AAP LIGHT (LEARNING AND IMPLEMENTING GUIDELINES FOR HYPERBILIRUBINEMIA TREATMENT). THERE WERE FOUR PRIMARY MEASURES: 1. DECREASE SUB THRESHOLD INITIATION OF INPATIENT PHOTOTHERAPY. 2. INCREASE APPROPRIATE OBTAINMENT OF DIRECT ANTIGLOBULIN (DAT) TESTING. 3. DECREASE UNNECESSARY TESTING OF REBOUND TOTAL SERUM BILIRUBIN TESTING IN LOW-RISK PATIENTS WHO UNDERGO INPATIENT PHOTOTHERAPY. 4. DECREASE UNNECESSARY IVF USE. BASED ON THIS COLLABORATION THE FOLLOWING INTERVENTIONS WERE IMPLEMENTED: - STAFF EDUCATION (RN AND PHYSICIAN) ABOUT NEW GUIDELINES (PRE-IMPLEMENTATION) AND CONTINUED EDUCATION OF HOSPITALISTS, NEONATOLOGISTS, ROUNDING PEDIATRIC PROVIDERS ABOUT NEW NATIONAL GUIDELINES- ROLL OUT OF NEW HYPERBILIRUBINEMIA RN WORKFLOW AND AGILE MD HYPERBILIRUBINEMIA PATHWAYS (BIRTH HOSPITALIZATION AND READMISSION)- REVISED NEWBORN ORDER SET- REVISED NOTE TEMPLATES TO REFLECT CHANGES B) PATH: ASTHMA QI PROJECT: PATHWAY-GUIDED TREATMENT OF HOSPITALIZED PEDIATRIC ASTHMA PATIENTS). COLLABORATION WITH ER PROVIDERS AND GOALS INCLUDE: - DECREASE LOS FOR ASTHMA PATIENTS - INCREASE UTILIZATION OF THE PEDIATRIC ASTHMA PATHWAYS, INCREASE TEAM-BASED ALBUTEROL WEANING, INCREASE MD DISCHARGES BEFORE NOON, INCREASE RN TURNAROUND TIME (DC ORDER TO DISCHARGE)C) NATIONAL QI COLLABORATIVE RUN BY VIP NETWORK/AAP: BARCK (BETTER ASSESSMENT AND RESPONSES TO CROUP IN KIDS) - DECREASE UTILIZATION IN THE EVALUATION AND MANAGEMENT OF CROUP - REDUCE HOSPITALIZATIONS, REDUCE TESTING/IMAGING, INCREASE ADMINISTRATION OF DEXAMETHASONE - JMH IS ONE OF 144 SITES - 14-MONTH DATA COLLECTION JUNE 2024-JULY 2025, 1ST ORIENTATION MEETING WAS NOV 2024D) FOOD INSECURITY SCREENING: MD ADMISSION PATIENT FOOD INSECURITY SCREENING. GOALS INCLUDE: - GOAL 75% PEDIATRIC ADMISSIONS SCREENED FOR FOOD INSECURITY DURING ADMISSION/PROVIDE RELEVANT RESOURCES, - PARTICIPATED IN DEVELOPMENT OF HOSPITAL WIDE STANDARD "COMMUNITY RESOURCES" HANDOUT (AVAILABLE IN SPANISH AND ENGLISH) | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $418,272,453 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $558,140,375 | RevenueAmt |
| Desc | OTHER SERVICES OFFERED AT JOHN MUIR HEALTH (JMH) ARE: REHABILITATION SERVICES REHABILITATION SERVICES, OUTPATIENT, UNDERWENT PROGRAM DOWNSIZING IN 2024 MID-YEAR WITH THE CLOSURE OF TICE VALLEY AND BRENTWOOD THERAPY CLINICS. THE REMAINING OUTPATIENT THERAPY CLINICS ARE LOCATED IN PLEASANT HILL AND CONCORD. ACCESS HOWEVER, IS MAINTAINED THROUGH JMH'S VAST NETWORK OF SUBCONTRACTED OUTPATIENT CLINICS THROUGHOUT THE COMMUNITIES. DESPITE THIS, JMH'S OUTPATIENT THERAPY DIVISION SAW OVER 80,000 VISITS IN SERVING THE AMBULATORY COMMUNITY IN EAST COUNTY. ORTHOPEDICS, WOMEN'S HEALTH, PEDIATRICS, NEURO, LYMPHEDEMA CARE, AND HAND THERAPY ARE SOME OF JMH'S MANY SPECIALTY REHABILITATION SERVICES OFFERED AT THE REMAINING OUTPATIENT THERAPY PRACTICES. INPATIENT REHABILITATION CONTINUED TO PARTNER WITH OUR ACUTE CARE SERVICES TO WORK ON PATIENT HOSPITAL THROUGHPUT AND CAPACITY MANAGEMENT AT BOTH CAMPUSES. JMH'S INPATIENT REHABILITATION UNIT (IRF) ADMITTED 528 PATIENTS IN 2024 (A NEAR 2% INCREASE FROM 2023), WITH STROKE REPRESENTING THE HIGHEST ADMITTING DIAGNOSIS AT 44.3%, FOLLOWED BY SPINAL CORD INJURY AT 18%, BRAIN INJURY AT 16%. THE AVERAGE LENGTH OF STAY IN 2024 WAS 13.2 DAYS. 2024 DISCHARGE DISPOSITION TO COMMUNITY WAS AT 87.5%. JMH CONTINUE TO EXCEED REGIONAL AND NATIONAL OUTCOMES FOR MEDICARE QUALITY INDICATOR MEASURES AS PUBLISHED ON THE MEDICARE CARE COMPARE WEBSITE FOR PERIOD 4/1/2023 - 6/30/2024 IN AREAS OF SKIN INTEGRITY-PRESSURE ULCER/INJURY, AND FOR FALLS. NEUROPSYCHOLOGY SERVICES FOR IN AND OUTPATIENTS REMAIN BUSY AND ROBUST. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $418,272,453 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $558,140,375 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,600,328,068 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 682 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5832 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFREY SMITH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9259393000 | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 S THOMAS | |||||||||
| PRESIDENT/CEO | 60.00 | 15.00 | Yes (X) | Yes (X) | $2,125,935 | $0 | $1,676,571 | ||
| JAY HARRIS | |||||||||
| CHAIRMAN | 5.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROGER BAILEY | |||||||||
| VICE CHAIRMAN | 5.00 | 10.00 | Yes (X) | Yes (X) | $31,250 | $0 | $0 | ||
| JOHN SAYRES | |||||||||
| SECRETARY & TREASURER | 5.00 | 10.00 | Yes (X) | Yes (X) | $31,250 | $0 | $0 | ||
| FATIMA ANGELES | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $31,250 | $0 | $0 | |||
| CHINNAVUTH DE MONTEIRO MD | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $31,250 | $0 | $0 | |||
| ANNE GRODIN | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $31,250 | $0 | $0 | |||
| STEVEN GREEN MD | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $39,500 | $0 | $0 | |||
| CAROLYN LACEY MD | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $31,250 | $0 | $0 | |||
| LAURA MARKSTEIN | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $25,000 | $0 | $0 | |||
| MARK MUSCO MD | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $31,250 | $0 | $0 | |||
| KATHLEEN ODNE | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $31,250 | $0 | $0 | |||
| JACK THOMPSON | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $31,250 | $0 | $0 | |||
| PETER WILSON | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $31,250 | $0 | $0 | |||
| VIVIAN WING MD | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $31,250 | $0 | $0 | |||
| STEVEN YOUNG MD | |||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $25,000 | $0 | $0 | |||
| MELINDA ESTEP | |||||||||
| SENIOR VP/CFO (THRU 6/4/2024) | 60.00 | 15.00 | Yes (X) | $717,836 | $0 | $8,033 | |||
| TIM MAURICE | |||||||||
| INTERIM CFO (AS OF 6/4/24) | 60.00 | 15.00 | Yes (X) | $374,400 | $0 | $0 | |||
| JANE WILLEMSEN | |||||||||
| CHIEF OPERATING OFFICER | 60.00 | 12.00 | $1,585,728 | $0 | $607,981 | Yes (X) | |||
| MAX REYNOLDS | |||||||||
| SVP/GENERAL COUNSEL | 60.00 | 0.00 | $1,238,868 | $0 | $90,448 | Yes (X) | |||
| PAUL DEERINGER | |||||||||
| SVP/CHIEF STRATEGY OFFICER | 60.00 | 0.00 | $1,309,190 | $0 | $293,623 | Yes (X) | |||
| MICHELLE LOPES RN | |||||||||
| CHIEF ADMIN OFFICER | 60.00 | 0.00 | $1,138,241 | $0 | $340,582 | Yes (X) | |||
| RUSSELL RODRIGUEZ | |||||||||
| SVP/CHIEF MEDICAL OFFICER | 60.00 | 0.00 | $912,925 | $0 | $316,698 | Yes (X) | |||
| LISA FOUST | |||||||||
| SVP/HUMAN RESOURCES | 60.00 | 0.00 | $814,876 | $0 | $351,277 | Yes (X) | |||
| NICK MICKAS | |||||||||
| VP/CLINICAL AFFAIRS | 60.00 | 0.00 | $675,673 | $0 | $246,563 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,326,922 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,931,776 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3172 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OPTUMINSIGHT | |||||
| PO BOX 84019 | CHICAGO | IL | 606894002 | PROFESSIONAL SERV | $159,889,182 |
| CROSS COUNTRY STAFFING | |||||
| LA LOCKBOX FILE 50941 | LOS ANGELES | CA | 900740971 | TEMP STAFFING | $25,707,507 |
| CEP ANSTHESIA | |||||
| 2100 POWELL STREET | EMERYVILLE | CA | 946081803 | MEDICAL | $18,561,425 |
| UNIVERSAL PROTECTIVE SERVICES | |||||
| PO BOX 31001-2374 | PASADENA | CA | 91110 | SECURITY SERVICES | $11,235,479 |
| BAY AREA SURGICAL SPECIALIST | |||||
| PO BOX 97297 | LAS VEGAS | NV | 89193 | MEDICAL | $8,221,898 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 138 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $26,119,977 | RelatedOrganizationsAmt |
| Total Contributions | $26,119,977 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE SERVIC | 621400 | $1,869,933,058 | $1,869,933,058 | |
| OTHER OPERATING REVENU | 621400 | $17,605,208 | $17,495,548 | $109,660 |
| RELATED PROGRAM RENTS | 621110 | $9,844,373 | $9,844,373 | |
| PREMIUM REVENUE | 621400 | $327,668 | $327,668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,897,710,307 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,702,117 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $182,309 | UnrelatedBusinessRevenueAmt |
| Exclusion | $32,519,808 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,941,003 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $913,140 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,027,863 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,027,863 | TotalRevenueColumnAmt |
| Exclusion | $5,027,863 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $357,076,455 | SecuritiesAmt |
| Other | $280,465 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $300,179,410 | SecuritiesAmt |
| Other | $509,995 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $56,897,045 | SecuritiesAmt |
| Other | -$229,530 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,667,515 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $640,500 | UnrelatedBusinessRevenueAmt |
| Exclusion | $56,027,015 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PROPERTY TAX REFUNDS | 531390 | $329,089 | $329,089 |
| VENDING INCOME | 722515 | $27,601 | $27,601 |
| REBATES AND REFUNDS | 621400 | $115 | $115 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $356,805 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,018,584,584 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,897,600,647 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $932,469 | UnrelatedBusinessRevenueAmt |
| Exclusion | $93,931,491 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,993,135 | TotalAmt |
| Program Services | $149,993,135 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,884,298 | TotalAmt |
| Program Services | $12,651,653 | ProgramServicesAmt |
| Management And General | $2,232,645 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $758,830,433 | TotalAmt |
| Program Services | $656,389,945 | ProgramServicesAmt |
| Management And General | $102,440,488 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,597,596 | TotalAmt |
| Program Services | $58,051,103 | ProgramServicesAmt |
| Management And General | $8,546,493 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,178,696 | TotalAmt |
| Program Services | $88,269,839 | ProgramServicesAmt |
| Management And General | $13,908,857 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,964,006 | TotalAmt |
| Program Services | $44,204,674 | ProgramServicesAmt |
| Management And General | $4,759,332 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,337,845 | TotalAmt |
| Management And General | $147,337,845 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,748,437 | TotalAmt |
| Program Services | $493,605 | ProgramServicesAmt |
| Management And General | $7,254,832 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,116,810 | TotalAmt |
| Program Services | $325,586 | ProgramServicesAmt |
| Management And General | $791,224 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,525 | TotalAmt |
| Program Services | $101,525 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,666,052 | TotalAmt |
| Management And General | $7,666,052 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,088,715 | TotalAmt |
| Program Services | $150,088,715 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,743,187 | TotalAmt |
| Program Services | $16,144,168 | ProgramServicesAmt |
| Management And General | $2,599,019 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,587,465 | TotalAmt |
| Program Services | $17,324,121 | ProgramServicesAmt |
| Management And General | $8,263,344 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,019,564 | TotalAmt |
| Program Services | $32,798,395 | ProgramServicesAmt |
| Management And General | $9,221,169 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,072,333 | TotalAmt |
| Program Services | $558,356 | ProgramServicesAmt |
| Management And General | $513,977 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,783,917 | TotalAmt |
| Program Services | $28,726,573 | ProgramServicesAmt |
| Management And General | $4,057,344 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,002,168 | TotalAmt |
| Program Services | $73,080,204 | ProgramServicesAmt |
| Management And General | $12,921,964 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,572,261 | TotalAmt |
| Program Services | $27,068 | ProgramServicesAmt |
| Management And General | $11,545,193 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $166,646,497 | $166,550,449 | $96,048 |
| PHARMACEUTICALS | $79,978,293 | $79,904,268 | $74,025 |
| LICENSES & TAXES | $6,591,176 | $4,103,362 | $2,487,814 |
| DUES & SUBSCRIPTIONS | $2,369,821 | $1,860,776 | $509,045 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,814,799 | TotalAmt |
| Program Services | $18,680,548 | ProgramServicesAmt |
| Management And General | $14,134,251 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,961,689,029 | TotalAmt |
| Program Services | $1,600,328,068 | ProgramServicesAmt |
| Management And General | $361,360,961 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,397 | BOYAmt |
| EOY | $13,448 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,398,980 | BOYAmt |
| EOY | $142,307,221 | 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 | $248,196,002 | BOYAmt |
| EOY | $250,486,439 | 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 | $11,293,151 | BOYAmt |
| EOY | $11,269,107 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,208,506 | BOYAmt |
| EOY | $49,804,057 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,294,990,006 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,256,042,384 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,072,717,154 | BOYAmt |
| EOY | $1,038,947,622 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $911,138,534 | BOYAmt |
| EOY | $1,001,895,493 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $591,810,182 | BOYAmt |
| EOY | $616,103,947 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,124,280 | BOYAmt |
| EOY | $166,513,642 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,844,034 | BOYAmt |
| EOY | $333,543,710 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,380,744,220 | BOYAmt |
| EOY | $3,610,884,686 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,695,728 | BOYAmt |
| EOY | $328,452,841 | 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 | $2,149,316 | BOYAmt |
| EOY | $2,753,159 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $576,073,054 | BOYAmt |
| EOY | $776,893,622 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,431,686 | BOYAmt |
| EOY | $255,068,805 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,273,349,784 | BOYAmt |
| EOY | $1,363,168,427 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,106,602,840 | BOYAmt |
| EOY | $2,247,063,748 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $791,596 | BOYAmt |
| EOY | $652,511 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,107,394,436 | BOYAmt |
| EOY | $2,247,716,259 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,380,744,220 | BOYAmt |
| EOY | $3,610,884,686 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $56,895,555 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $41,833,908 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $41,592,360 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $101,525 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $101,525 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | OTHER ACTIVITIES JOHN MUIR HEALTH CONTRIBUTED TO CALIFORNIA COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEM (CAHHS) IN 2024 TO SUPPORT LOBBYING EFFORTS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,256,551 | OtherCostOrOtherBasisAmt |
| Book Value | $54,256,551 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $760,933,289 | OtherCostOrOtherBasisAmt |
| Depreciation | $294,167,913 | DepreciationAmt |
| Book Value | $466,765,376 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $568,969,673 | OtherCostOrOtherBasisAmt |
| Depreciation | $305,495,642 | DepreciationAmt |
| Book Value | $263,474,031 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $837,321,377 | OtherCostOrOtherBasisAmt |
| Depreciation | $656,378,829 | DepreciationAmt |
| Book Value | $180,942,548 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,509,116 | OtherCostOrOtherBasisAmt |
| Book Value | $73,509,116 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,038,947,622 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| COMMINGLED FUNDS | $89,132,434 | F |
| PRIVATE EQUITY | $273,205,005 | F |
| HEDGE FUNDS | $253,766,508 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $616,103,947 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $9,879,213 |
| RIGHT OF USE ASSETS, NET | $61,619,780 |
| INTANGIBLE ASSETS AND OTHER | $37,535,576 |
| HELD PURSUANT BOND INDENTURE | $126,984,033 |
| REAL ESTATE FOR FUTURE USE | $2,102,089 |
| HOSPITAL PROVIDER FEE RECEIVABLE | $95,423,019 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $333,543,710 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY | $70,778,273 |
| OTHER PAYABLES | $18,667,834 |
| POST RETIREMENT BENEFIT OBLIGATION | $54,388,481 |
| RETIREMENT LIABILITY | $39,924,258 |
| WORKERS COMPENSATION | $20,390,000 |
| ASSET RETIREMENT OBLIGATION | $18,189,792 |
| OTHER LIABILITIES | $14,052,579 |
| PROFESSIONAL LIABILITY | $13,172,000 |
| INTEREST PAYABLE | $5,505,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $255,068,805 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,034,259,300 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $41,833,908 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $913,140 | OtherRevenueAmt |
| Revenue Not Reported | $42,747,048 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,991,512,252 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $7,666,052 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $19,406,280 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $27,072,332 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,018,584,584 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,825,085,870 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $913,140 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $913,140 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,824,172,730 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $7,666,052 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $129,850,247 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $137,516,299 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,961,689,029 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL REVENUE REPORTED NET ON FORM 990 913,140. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | GROSS-UP FOR REVENUE INCLUDED IN CHANGES IN NET ASSETS 60,998,640. UNAMORTIZED LOSS ON PENSION NOT REPORTED ON FORM 990 -41,592,360. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL REVENUE REPORTED NET ON FORM 990 913,140. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | GROSS-UP FOR EXPENSES INCLUDED IN CHANGES IN NET ASSETS 129,850,247. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | INVESTMENTS | $137,871,427 |
| EUROPE (INCLUDING ICELAND AND GREENLAND) | 0 | 0 | INVESTMENTS | $63,027,027 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $200,898,454 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $200,898,454 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (1) | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 400.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,283,932 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,283,932 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $348,321,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $190,932,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $157,389,504 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $353,605,505 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $190,932,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $162,673,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08020 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,111,889 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $224,954 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,886,935 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,086,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,086,490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,055,965 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,055,965 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,106,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $200,414 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $906,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,083,995 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $837,530 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,246,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,445,248 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,262,898 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,182,350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $370,050,753 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $192,194,967 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $177,855,786 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08800 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,913 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,913 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,236 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,236 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,141 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,141 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $260,084 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,130 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $254,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,158,187 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,158,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,446,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,130 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,441,431 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $65,125,792 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $490,393,863 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $698,522,287 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$208,128,424 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 ASPEN SURGERY CENTER | |||
| AMBULATORY SURGERY CENTER | 0.28680 | 0.01000 | 0.46390 |
| 2 HACIENDA SURGERY CTR | |||
| AMBULATORY SURGERY CENTER | 0.12500 | 0.00000 | 0.47600 |
| 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) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | 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 (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 400.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | 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 (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | 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 (1) | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: JOHN MUIR MEDICAL CENTER WALNUT CREEK, - FACILITY 2: JOHN MUIR MEDICAL CENTER CONCORD |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: | COMMUNITY INPUT PROCESSDESCRIPTION OF WHO WAS CONSULTED: COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH AND OTHER PUBLIC AGENCIES, COMMUNITY ORGANIZATIONS, AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND RACIAL/ETHNIC POPULATIONS. KEY INFORMANT INTERVIEW METHODOLOGY: APPLIED SURVEY RESEARCH (ASR) CONDUCTED 32 KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES FROM ORGANIZATIONS SERVING CONTRA COSTA COUNTY AND 43 KEY INFORMANT INTERVIEWS WITH INDIVIDUALS FROM ORGANIZATIONS SERVING ALAMEDA COUNTY. THOSE ORGANIZATIONS REPRESENT DIVERSE SECTORS. THE KEY INFORMANTS WERE IDENTIFIED COLLABORATIVELY BY KAISER PERMANENTE, THE PUBLIC HEALTH AGENCIES AND MEMBERS OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP. ALL INTERVIEWS WERE CONDUCTED IN ENGLISH AND FOLLOWED A STANDARD SET OF INTERVIEW QUESTIONS. CONFIDENTIALITY WAS ASSURED AT THE BEGINNING OF EACH INTERVIEW AND INTERVIEWERS TOOK DETAILED NOTES DURING THE CONVERSATION. INTERVIEW TOPICS: INTERVIEW QUESTIONS WERE DEVELOPED BY ASR AND ADDRESSED THE FOLLOWING TOPICS: - PRIORITY PLACED ON 2019 HEALTH NEEDS - OTHER PRIORITY HEALTH NEEDS - IMPACT OF COVID-19 ON PRIORITY HEALTH NEEDS - CHALLENGES TO ADDRESSING PRIORITY HEALTH NEEDS - SOURCES OF INFORMATION ON HEALTH NEEDS - STRATEGIES TO ADDRESS PRIORITY HEALTH NEEDS - HEALTH INEQUITIES AND DISPARITIES - STRATEGIES TO ADDRESS INEQUITIES/DISPARITIES - EXISTING COMMUNITY RESOURCES TO ADDRESS PRIORITY HEALTH NEEDSDATA ANALYSIS: ASR DELIVERED TO AD LUCEM CONSULTING A SPREADSHEET CONTAINING INDIVIDUAL INTERVIEWEE RESPONSES AND KEY THEMES. THE THEMES WERE FURTHER ORGANIZED BY AD LUCEM CONSULTING INTO THE HEALTH NEEDS DEFINED BY THE KAISER PERMANENTE COMMUNITY HEALTH DATA PLATFORM, THEN THE NUMBER OF MENTIONS FOR ALL THEMES RELATED TO A PARTICULAR HEALTH NEED WERE TALLIED TO DEVELOP AN INTERVIEW DATA SCORE. HEALTH NEEDS WERE ASSIGNED POINTS BASED ON THE FREQUENCY OF MENTIONS OF THE HEALTH NEED BY KEY INFORMANTS. POINTS FOR EACH HEALTH NEED WERE TALLIED ACROSS INTERVIEWEES TO DEVELOP INTERVIEW SCORES FOR HEALTH NEED PRIORITY, RACIAL/ETHNIC DISPARITIES, GEOGRAPHIC OR OTHER DISPARITIES AND IMPACT OF THE COVID-19 PANDEMIC ON THE HEALTH NEED.FOCUS GROUP METHODOLOGY: NINE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN EASTERN, CENTRAL, AND WESTERN CONTRA COSTA COUNTY. SEVEN GROUPS WERE CONDUCTED IN ENGLISH, AND TWO WERE CONDUCTED IN SPANISH. PARTICIPANTS WERE BLACK/AFRICAN AMERICAN AND LATINX COMMUNITY MEMBERS, AND ADULTS OVER THE AGE OF 65 FROM UNDERSERVED, LOW-INCOME, AND DIVERSE RACIAL/ETHNIC COMMUNITIES. TEN COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN NORTHERN AND CENTRAL ALAMEDA COUNTY AND THE TRI-VALLEY AREA. THREE GROUPS WERE CONDUCTED IN ENGLISH, FOUR WERE CONDUCTED IN SPANISH, ONE IN VIETNAMESE, ONE IN CANTONESE, AND ONE IN A COMBINATION OF ENGLISH AND SPANISH. PARTICIPANTS WERE FROM UNDERSERVED, LOW-INCOME, SENIOR, UNHOUSED, LGBTQIA+, AND DIVERSE RACIAL/ETHNIC COMMUNITIES (VIETNAMESE, CANTONESE, BLACK/AFRICAN AMERICAN, INDIGENOUS, AND LATINX). |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: | OTHER HOSPITAL FACILITIES INCLUDED IN CHNAALL JOHN MUIR HEALTH HOSPITAL FACILITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK; JOHN MUIR MEDICAL CENTER, CONCORD; AND JOHN MUIR BEHAVIORAL HEALTH) COLLABORATED WITH SUTTER HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, UCSF BENIOFF CHILDREN'S HOSPITALS, KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT AND CONTRA COSTA HEALTH SERVICES ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: | OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNAJOHN MUIR HEALTH CONTRACTED WITH AD LUCEM CONSULTING, A PUBLIC HEALTH CONSULTING FIRM, TO CONDUCT THE CHNA. AD LUCEM CONSULTING SPECIALIZES IN INITIATIVE DESIGN, STRATEGIC PLANNING, GRANTS MANAGEMENT, AND PROGRAM EVALUATION, TAILORING METHODS AND STRATEGIES TO EACH PROJECT AND ADAPTING TO CLIENT NEEDS AND PRIORITIES, POSITIONING CLIENTS FOR SUCCESS. AD LUCEM CONSULTING WORKS IN CLOSE COLLABORATION WITH CLIENTS, SYNTHESIZING COMPLEX INFORMATION INTO EASY-TO-UNDERSTAND, USABLE FORMATS, BRINGING A HANDS-ON, DOWN-TO-EARTH APPROACH TO EACH PROJECT. AD LUCEM CONSULTING SUPPORTS CLIENTS THROUGH A VARIETY OF SERVICES THAT CAN BE APPLIED TO A RANGE OF ISSUES. AD LUCEM CONSULTING HAS DEVELOPED NUMEROUS CHNA REPORTS AND IMPLEMENTATION STRATEGIES FOR HOSPITALS INCLUDING SYNTHESIS OF SECONDARY AND PRIMARY DATA, NEEDS PRIORITIZATION, AND IDENTIFICATION OF ASSETS AND IMPLEMENTATION STRATEGIES.ASR, WWW.APPLIEDSURVEYRESEARCH.ORG, CONDUCTED KEY INFORMANT INTERVIEWS FOR CHNAS COVERING ALAMEDA AND CONTRA COSTA COUNTIES. SECONDARY DATA CHARTS/TABLES AND INTERVIEW DATA WERE GENEROUSLY SHARED WITH MEMBERS OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP AND ARE INCLUDED IN THIS CHNA REPORT. ASR ALSO CONVENED COMMUNITY STAKEHOLDERS AND HOSPITAL REPRESENTATIVES TO REVIEW SERVICE AREA DATA AND PARTICIPATE IN A HEALTH NEED RANKING PROCESS. ASR IS A SOCIAL RESEARCH ORGANIZATION DEDICATED TO HELPING PEOPLE BUILD BETTER COMMUNITIES THROUGH MEASURING AND IMPROVING ORGANIZATIONAL IMPACT AND SERVICES AND QUALITY OF LIFE. ASR HAS A STRONG HISTORY OF WORKING WITH VULNERABLE POPULATIONS AND EXTENSIVE EXPERIENCE WORKING WITH PUBLIC AND PRIVATE AGENCIES, FEDERAL AND LOCAL GOVERNMENT, HEALTH AND HUMAN SERVICE ORGANIZATIONS, CITIES AND COUNTY OFFICES, SCHOOL DISTRICTS, INSTITUTIONS OF HIGHER LEARNING AND CHARITABLE FOUNDATIONS. |
| PART V, SECTION B, LINE 7A | CHNA REPORT MADE WIDELY AVAILABLE TO PUBLICTHE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT/COMMUNITY-BENEFIT-REPORTS.HTML |
| PART V, SECTION B, LINE 10A | WEBSITE FOR ADOPTED IMPLEMENTATION STRATEGYTHE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT/COMMUNITY-BENEFIT-REPORTS.HTML |
| PART V, SECTION B, LINE 11 | SIGNIFICANT NEEDS ADDRESSED IN CHNATHE HEALTH SYSTEM IDENTIFIED NINE COMMUNITY HEALTH NEEDS:1. BEHAVIORAL HEALTH2. HOUSING AND HOMELESSNESS3. ECONOMIC SECURITY4. IMPROVEMENTS IN ACCESS5. HEALTHCARE ACCESS AND DELIVERY6. COMMUNITY AND FAMILY SAFETY7. FOOD SECURITY8. EDUCATION9. TRANSPORTATIONTHE 2022 CHNA FOR JOHN MUIR HEALTH PLACED PARTICULAR EMPHASIS ON THE HEALTH ISSUES AND CONTRIBUTING FACTORS THAT IMPACT POPULATIONS WITH DISPROPORTIONATELY POOR HEALTH OUTCOMES. PRIORITY COMMUNITY PROFILES WERE DEVELOPED TO PRESENT LOCAL DATA AS A COMPLEMENT TO THE JOHN MUIR HEALTH SERVICE AREA DATA REPORTED ELSEWHERE IN THE CHNA. THE PROFILES INCLUDE DEMOGRAPHICS, DATA ON ROOT CAUSES OF HEALTH, AND ADDITIONAL STATISTICS.A. IDENTIFYING COMMUNITY HEALTH NEEDS I. DEFINITION OF "HEALTH NEED" FOR THE PURPOSES OF THE CHNA, HEALTH NEEDS ARE DEFINED AS INCLUDING THE ELEMENTS ESSENTIAL TO IMPROVING OR MAINTAINING HEALTH STATUS IN THE COMMUNITY AT LARGE AND IN PARTICULAR PARTS OF THE COMMUNITY, SUCH AS PARTICULAR GEOGRAPHIES OR POPULATIONS EXPERIENCING HEALTH INEQUITIES. ESSENTIAL ELEMENTS MAY INCLUDE ADDRESSING FINANCIAL AND OTHER BARRIERS TO CARE AS WELL AS PREVENTING ILLNESS, ENSURING ADEQUATE NUTRITION, OR ADDRESSING SOCIAL, BEHAVIORAL, AND ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH IN THE COMMUNITY. HEALTH NEEDS WERE IDENTIFIED BY THE COMPREHENSIVE IDENTIFICATION, INTERPRETATION, AND ANALYSIS OF A ROBUST SET OF PRIMARY AND SECONDARY DATA.II. CRITERIA AND ANALYTICAL METHODS USED TO IDENTIFY THE COMMUNITY HEALTH NEEDS THE FOLLOWING CRITERIA WERE EMPLOYED TO PRIORITIZE THE LIST OF HEALTH NEEDS FOR THE JOHN MUIR HEALTH SERVICE AREA: - SEVERITY: HOW SEVERE THE HEALTH NEEDS IS (POTENTIAL TO CAUSE DEATH OR DISABILITY) - MAGNITUDE OF SCALE: THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH NEED - CLEAR DISPARITIES OR INEQUITIES: DIFFERENCES IN HEALTH OUTCOMES BY SUBGROUPS (BASED ON GEOGRAPHY, LANGUAGES, ETHNICITY, CULTURE, CITIZENSHIPS STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHERS) - COMMUNITY PRIORITY: THE COMMUNITY PRIORITIZES THE ISSUE OVER OTHER ISSUES - MULTIPLE EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMSB. CRITERIA AND PROCESS USED FOR PRIORITIZATION OF HEALTH NEEDSI. PRIORITIZATION CRITERIATHE FOLLOWING CRITERIA WERE EMPLOYED TO PRIORITIZE THE LIST OF HEALTH NEEDS FOR THE JOHN MUIR HEALTH SERVICE AREA:- SEVERITY: HOW SEVERE THE HEALTH NEED IS (POTENTIAL TO CAUSE DEATH OR DISABILITY)- MAGNITUDE OR SCALE: THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH NEED- CLEAR DISPARITIES OR INEQUITIES: DIFFERENCES IN HEALTH OUTCOMES BY SUBGROUPS (BASED ON GEOGRAPHY, LANGUAGES, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHERS)- COMMUNITY PRIORITY: THE COMMUNITY PRIORITIZES THE ISSUE OVER OTHER ISSUES- MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMSII. PRIORITIZATION PROCESSA PROCESS WAS CONDUCTED TO RANK THE HEALTH NEEDS AND IDENTIFY THE TOP FOUR PRIORITY HEALTH NEEDS DURING VIRTUAL MEETINGS. IN PARTNERSHIP WITH KAISER PERMANENTE, ASR CONTACTED COMMUNITY LEADERS INCLUDING COUNTY HEALTH, PARTNER HOSPITALS, AND COMMUNITY ORGANIZATION LEADERS TO ATTEND COUNTY-LEVEL GROUP MEETINGS TO RANK TOP HEALTH NEEDS FOR SERVICE AREAS WITHIN CONTRA COSTA AND ALAMEDA COUNTIES. THE MEETING FOR CONTRA COSTA COUNTY WAS ATTENDED BY 12 PARTICIPANTS SERVING DIVERSE LOW-INCOME POPULATIONS EXPERIENCING HEALTH INEQUITIES, INCLUDING: HOSPITAL REPRESENTATIVES, CONTRA COSTA COUNTY HEALTH SERVICES, THE COMMUNITY CLINIC CONSORTIUM OF CONTRA COSTA AND SOLANO COUNTIES, THE CONTRA COSTA COUNTY OFFICE OF EDUCATION AND THE CALIFORNIA ENDOWMENT (A HEALTH FUNDER). THE MEETING FOR ALAMEDA COUNTY WAS ATTENDED BY 14 PARTICIPANTS SERVING DIVERSE LOW-INCOME POPULATIONS EXPERIENCING HEALTH INEQUITIES, INCLUDING: HOSPITAL REPRESENTATIVES, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER NETWORK, ALAMEDA COUNTY OFFICE OF EDUCATION AND THE CALIFORNIA ENDOWMENT (A HEALTH FUNDER). ASR PRESENTED QUALITATIVE AND QUANTITATIVE FINDINGS FOR THE TOP SCORING EIGHT HEALTH NEEDS IDENTIFIED THROUGH THE SCORING PROCESS DESCRIBED ABOVE. ONE REPRESENTATIVE FROM EACH ORGANIZATION AFFILIATED WITH EACH SERVICE AREA RANKED THE HEALTH NEEDS ON A SCALE OF 0-4, WITH 0 BEING NOT A PRIORITY" TO 4 BEING A "VERY HIGH PRIORITY". VOTE VALUES (0-4) FROM EACH VOTING ATTENDEE WERE AVERAGED. |
| CONTINUED... | C. PRIORITIZED DESCRIPTION OF HEALTH NEEDS THE RESULTS OF THE PRIORITIZATION AND BRIEF DESCRIPTIONS OF THE TOP PRIORITY HEALTH NEEDS ACROSS JOHN MUIR HEALTH'S CONTRA COSTA AND ALAMEDA COUNTY SERVICE AREAS ARE PROVIDED BELOW. BEHAVIORAL HEALTH: BEHAVIORAL HEALTH WHICH INCLUDES MENTAL HEALTH, EMOTIONAL AND PSYCHOLOGICAL WELL-BEING, ALONG WITH THE ABILITY TO COPE WITH NORMAL, DAILY LIFE AFFECTS A PERSON'S PHYSICAL WELL-BEING, ABILITY TO WORK AND PERFORM WELL IN SCHOOL AND TO PARTICIPATE FULLY IN FAMILY AND COMMUNITY ACTIVITIES. BEHAVIORAL HEALTH ALSO COVERS SUBSTANCE ABUSE, WHICH IMPACTS MANY ASPECTS OF HEALTH. BEHAVIORAL HEALTH AND THE MAINTENANCE OF GOOD PHYSICAL HEALTH ARE CLOSELY RELATED; COMMON MENTAL HEALTH DISORDERS SUCH AS DEPRESSION AND ANXIETY CAN AFFECT ONE'S ABILITY FOR SELF-CARE WHILE CHRONIC DISEASES CAN LEAD TO NEGATIVE IMPACTS ON MENTAL HEALTH. AMONG CONTRA COSTA COUNTY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS IDENTIFYING BEHAVIORAL HEALTH AS A PRIORITY, MOST REPORTED THAT BEHAVIORAL HEALTH WAS OFTEN LINKED TO OTHER HEALTH NEEDS SUCH AS TRAUMA, COMMUNITY SAFETY (OVER-POLICING AND OVER-INCARCERATION IN COMMUNITIES OF COLOR), SUBSTANCE USE, ECONOMIC SECURITY CHALLENGES, AND HOMELESSNESS. MENTAL HEALTH PROVIDERS ARE LESS AVAILABLE IN CONTRA COSTA COUNTY WHEN COMPARED TO THE CA AVERAGE (339 VERSUS 352 PER 100,000 POPULATION). HOUSING AND HOMELESSNESS: THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT DEFINES HOUSING AS AFFORDABLE WHEN IT COSTS NO MORE THAN 30% OF A HOUSEHOLD'S INCOME. THE EXPENDITURE OF GREATER SUMS CAN RESULT IN THE HOUSEHOLD BEING UNABLE TO AFFORD OTHER NECESSITIES SUCH AS FOOD, CLOTHING, TRANSPORTATION, AND MEDICAL CARE. THE PHYSICAL CONDITION OF A HOME, ITS NEIGHBORHOOD, AND THE COST OF RENT OR MORTGAGE ARE STRONGLY ASSOCIATED WITH THE HEALTH, WELLBEING, EDUCATIONAL ACHIEVEMENT, AND ECONOMIC SUCCESS OF THOSE WHO LIVE INSIDE. HOMELESSNESS IS CORRELATED WITH POOR HEALTH: POOR HEALTH CAN LEAD TO HOMELESSNESS AND HOMELESSNESS IS ASSOCIATED WITH GREATER RATES OF PREVENTABLE DISEASES, LONGER HOSPITAL STAYS, AND GREATER RISK OF PREMATURE DEATH. CONTRA COSTA COUNTY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS WHO IDENTIFIED HOUSING AND HOMELESSNESS AS A PRIORITY HEALTH NEED DISCUSSED HOW HOUSING CHALLENGES INFLUENCE OTHER HEALTH NEEDS BY INCREASING ECONOMIC AND FOOD INSECURITY, AND UNHEALTHY BEHAVIORS THAT EXACERBATE CHRONIC DISEASE AND DISABILITY. ECONOMIC SECURITY: FACTORS CONTRIBUTING TO ECONOMIC SECURITY CHALLENGES IDENTIFIED IN CONTRA COSTA COUNTY KEY INFORMANT INTERVIEWS AND FOCUS GROUPS INCLUDED: INSUFFICIENT VOCATIONAL TRAINING, LIMITED LIVING WAGE JOBS, AND LACK OF CLEAR COMMUNICATION ON AVAILABILITY OF/REGISTRATION FOR EXISTING INCOME/EMPLOYMENT SUPPORTS. THEY REPORTED THAT THESE ECONOMIC SECURITY CHALLENGES EXACERBATE A VARIETY OF ISSUES FOR CONTRA COSTA COUNTY RESIDENTS, SUCH AS HOUSING, ACCESS TO HEALTHCARE, UNHEALTHY BEHAVIORS THAT PROMOTE CHRONIC DISEASE AND DISABILITY, FOOD INSECURITY, MENTAL HEALTH ISSUES AND SUBSTANCE USE. IMPROVEMENTS IN ACCESS: IMPROVEMENTS IN ACCESS WAS A MAJOR NEED IDENTIFIED BY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS IN CONTRA COSTA AND ALAMEDA COUNTIES. IN CONTRA COSTA COUNTY, SEVERAL KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS DESCRIBED HOW PEOPLE OF COLOR HAVE LIMITED HEALTHCARE ACCESS AND DELIVERY, WORSE QUALITY OF SERVICES RECEIVED, DECREASED SENSE OF COMMUNITY AND FAMILY SAFETY, AND HIGHER RATES OF TRAUMA AND MENTAL HEALTH DISORDERS FOR PEOPLE OF COLOR COMPARED TO WHITE RESIDENTS. HEALTHCARE ACCESS AND DELIVERY: ACCESS TO COMPREHENSIVE, QUALITY HEALTHCARE HAS A PROFOUND EFFECT ON HEALTH AND QUALITY OF LIFE. COMPONENTS OF ACCESS TO AND DELIVERY OF CARE INCLUDE: INSURANCE COVERAGE, ADEQUATE NUMBERS OF PRIMARY AND SPECIALTY CARE PROVIDERS, HEALTHCARE TIMELINESS, QUALITY AND TRANSPARENCY, MULTI-LINGUISTIC CAPACITY, AND CULTURAL COMPETENCE/CULTURAL HUMILITY. LIMITED ACCESS TO HEALTHCARE AND COMPROMISED HEALTHCARE DELIVERY NEGATIVELY AFFECTS HEALTH OUTCOMES AND QUALITY OF LIFE. COMMUNITY AND FAMILY SAFETY: SAFE COMMUNITIES PROMOTE COMMUNITY COHESION, ECONOMIC DEVELOPMENT, AND OPPORTUNITIES TO BE ACTIVE WHILE REDUCING UNTIMELY DEATHS AND SERIOUS INJURIES. CRIME, VIOLENCE, AND INTENTIONAL INJURY ARE RELATED TO POORER PHYSICAL AND MENTAL HEALTH OUTCOMES. CHILDREN AND ADOLESCENTS EXPOSED TO VIOLENCE ARE AT RISK FOR POORER LONG-TERM BEHAVIORAL AND MENTAL HEALTH OUTCOMES. TWO KEY MEASURES OF COMMUNITY SAFETY, VIOLENT CRIME AND INJURY DEATHS, WERE SUBSTANTIALLY HIGHER IN ALAMEDA COUNTY THAN THE CA AVERAGE. KEY INFORMANTS IN CONTRA COSTA AND ALAMEDA COUNTIES BELIEVES THAT IMPROVEMENT IN ACCESS WILL POSITIVELY IMPACT COMMUNITY SAFETY.FOOD SECURITY: FOOD INSECURITY IS THE LACK OF CONSISTENT ACCESS TO ENOUGH FOOD FOR AN ACTIVE, HEALTHY LIFE. FOOD INSECURITY ENCOMPASSES ANXIETY ABOUT FOOD INSUFFICIENCY, HOUSEHOLD FOOD SHORTAGES, REDUCED QUALITY, VARIETY, OR DESIRABILITY OF FOOD, DIMINISHED NUTRIENT INTAKE, AND DISRUPTED EATING PATTERNS. SEVERAL CONTRA COSTA COUNTY FOCUS GROUP PARTICIPANTS STATED THAT ACCESSING FRESH PRODUCE AND HEALTHY FOOD OPTIONS IS DIFFICULT THROUGHOUT THE COUNTY, REPORTING THAT STORES STOCKING HEALTHY FOODS ARE NOT IN WALKING DISTANCE FOR MOST RESIDENTS AND REQUIRE A CAR OR PUBLIC TRANSPORTATION TO ACCESS. |
| CONTINUED... | EDUCATION: THE LINK BETWEEN EDUCATION AND HEALTH IS WELL-KNOWN. THOSE WITH HIGHER LEVELS OF EDUCATION ARE MORE LIKELY TO BE HEALTHIER AND LIVE LONGER. PRE-SCHOOL EDUCATION IS POSITIVELY ASSOCIATED WITH READINESS FOR AND SUCCESS IN SCHOOL, AS WELL AS LONG-TERM ECONOMIC BENEFITS FOR INDIVIDUALS AND SOCIETY, INCLUDING GREATER EDUCATIONAL ATTAINMENT, HIGHER INCOME, AND LOWER ENGAGEMENT IN DELINQUENCY AND CRIME. INDIVIDUALS WITH AT LEAST A HIGH SCHOOL DIPLOMA DO BETTER ON A NUMBER OF MEASURES THAN HIGH SCHOOL DROPOUTS: INCOME, HEALTH OUTCOMES, LIFE SATISFACTION, AND SELF-ESTEEM. WEALTH AMONG FAMILIES IN WHICH THE HEAD OF HOUSEHOLD HAS A HIGH SCHOOL DIPLOMA IS 10 TIMES HIGHER THAN THAT OF FAMILIES IN WHICH THE HEAD OF HOUSEHOLD DROPPED OUT OF HIGH SCHOOL. TRANSPORTATION: WITHOUT RELIABLE AND SAFE TRANSPORTATION, INDIVIDUALS STRUGGLE TO MEET BASIC NEEDS SUCH AS EARNING AN INCOME, ACCESSING HEALTHCARE, AND SECURING FOOD. TRANSPORTATION INFRASTRUCTURE FAVORS INDIVIDUAL CAR USE, WHICH IS ASSOCIATED WITH A NUMBER OF ADVERSE CONSEQUENCES, INCLUDING MOTOR VEHICLE INJURIES AND DEATHS, THE EXPENSES OF OWNING A VEHICLE, AND GREENHOUSE GAS EMISSIONS WHICH ARE A RISK FACTOR FOR HEART DISEASE, STROKE, ASTHMA, AND CANCER. FOR HOUSEHOLDS WITHOUT ACCESS TO A CAR, INCLUDING MANY LOW-INCOME INDIVIDUALS AND PEOPLE OF COLOR, WALKING, BIKING AND USING PUBLIC TRANSPORTATION PROVIDE CRITICAL LINKS TO JOBS AND ESSENTIAL SERVICES AND PROMOTE EXERCISE AND SOCIAL COHESION. CONTRA COSTA COUNTY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS IDENTIFYING TRANSPORTATION AS A HEALTH NEED DESCRIBED HOW INADEQUATE TRANSPORTATION PRESENTS BARRIERS TO ACCESSING HEALTHCARE AND A NUMBER OF HEALTH-RELATED ACTIVITIES OF DAILY LIVING, INCLUDING: ACCESS TO GROCERY STORES SELLING HEALTHY FOOD, ABILITY TO GET CHILDREN TO/FROM SCHOOL, ACCESS TO COMMUNITY EVENTS, AND ABILITY TO COMMUTE TO A LIVING WAGE JOB. HEALTH NEEDS JOHN MUIR HEALTH WILL ADDRESS ACROSS ITS SERVICE AREA DURING 2023-2025 ARE:1. IMPROVEMENTS IN ACCESS (AN OVERARCHING NEED THAT CUTS ACROSS ALL OTHER HEALTH NEEDS) 2. HEALTHCARE ACCESS AND DELIVERY 3. BEHAVIORAL HEALTH 4. HOUSING AND HOMELESSNESSD. JOHN MUIR HEALTH IMPLEMENTATION STRATEGIESJOHN MUIR HEALTH HAS IDENTIFIED EXPECTED IMPACTS, STRATEGIES, FOCUS AREAS, AND PARTNERS FOR EACH PRIORITY HEALTH NEED, AS DESCRIBED BELOW. STRATEGY IMPLEMENTATION WILL DRAW ON JOHN MUIR HEALTH'S ORGANIZATIONAL RESOURCES (GRANTMAKING, INTERNAL PROGRAMS, JOHN MUIR HEALTH STAFF, AND OTHER ASSETS) IN COMBINATION WITH AN ARRAY OF PARTNERSHIPS AND COLLABORATIONS WITH COMMUNITY ORGANIZATIONS, STAKEHOLDERS, AND LEADERS THROUGHOUT ITS SERVICE AREA. JOHN MUIR HEALTH HAS SELECTED THE FOLLOWING NEEDS TO ADDRESS, WITH IMPROVEMENTS IN ACCESS AS THE DRIVER THAT ADDRESSES ALL FOCUS AREAS. WITHIN EACH FOCUS AREA, JOHN MUIR HEALTH PLANS TO IMPLEMENT PROGRAMMING THAT ALIGNS WITH SPECIFIC PROGRAMMATIC CATEGORIES, PROMOTING HEALTH VIA MULTIFACETED APPROACHES: - WORKFORCE DEVELOPMENT - PROMOTION AND PREVENTION - DIRECT SERVICES AND TREATMENT - RESILIENCY AND SUPPORT SERVICESPRIORITY HEALTH NEED: IMPROVEMENTS IN ACCESSIMPROVEMENTS IN ACCESS IS A SELECTED PRIORITY NEED THAT WILL BE INFUSED INTO STRATEGIES IMPLEMENTED TO ADDRESS ALL SELECTED HEALTH NEEDS. STRATEGIES AIMED ACHIEVING IMPROVEMENTS TO ACCESS FOCUS ON SUPPORTING SYSTEMS CHANGE AMONG JOHN MUIR HEALTH GRANTEES AND PARTNERS (COMMUNITY-BASED NONPROFIT ORGANIZATIONS SERVING THE JOHN MUIR HEALTH SERVICE AREA) BY FINANCIALLY SUPPORTING INTERVENTIONS THAT GUIDE ADOPTION OF IMPROVEMENT IN ACCESS POLICIES, PRACTICES, SERVICES AND RESOURCES.IMPROVEMENTS IN ACCESS GOALS:LONG-TERM GOAL: IMPROVEMENTS TO ACCESS FOR ALL COMMUNITIES. INTERMEDIATE GOALS: - INCREASE FINANCIAL SUPPORT TO ALL JOHN MUIR HEALTH COMMUNITY BENEFIT PARTNER NONPROFIT ORGANIZATIONS TO SUPPORT ADOPTION OF NEW POLICIES, PRACTICES AND SERVICES THAT ADDRESS IMPROVEMENTS IN ACCESS. - INCREASE COMMUNITY-BASED NONPROFIT ORGANIZATION ACCESS TO TOOLS THAT ADDRESS IMPROVEMENTS IN ACCESS.TO PROMOTE IMPROVEMENTS IN ACCESS, CHANGE AT THE ORGANIZATIONAL LEVEL, JOHN MUIR HEALTH WILL AWARD ALL GRANTEES ADDITIONAL FUNDING TO BE RESTRICTED TOWARDS ADDRESSING IMPROVEMENTS IN ACCESS AND WILL ENGAGE EVALUATION METHODOLOGIES TO MEASURE IMPACT ACROSS THE SERVICE AREA. JOHN MUIR HEALTH WILL GUIDE, AND SUPPORT SYSTEMS CHANGE BY EXTERNALIZING INTERNAL RESOURCES AND EXPERTISE FROM THE OFFICE OF BELONGING, EXPERIENCE AND ENGAGEMENT, PROVIDING GRANTEE AND PARTNER ORGANIZATIONS WITH A MENU OF ISSUES/STRATEGIES TO ADDRESS/IMPLEMENT, INCLUDING: - REPRESENTATION IN BOARD OF DIRECTORS AND LEADERSHIP COMPOSITION - HIRING AND WORKFORCE DEVELOPMENT PRACTICES - DIVERSITY, ENSURING COMMUNITY NEEDS ARE MET, AND INCLUSION TRAINING OR WORKSHOPS - EMPLOYEE ENGAGEMENT OPPORTUNITIES (I.E., EMPLOYEE RESOURCE GROUPS, CULTURAL CELEBRATIONS)PRIORITY HEALTH NEED: HEALTHCARE ACCESS AND DELIVERY LONG-TERM GOAL: THE ENTIRE COMMUNITY HAS ACCESS TO APPROPRIATE CULTURALLY AND LINGUISTICALLY ALIGNED HEALTHCARE AND HEALTHCARE SUPPORT SERVICES THAT ARE DELIVERED WITH QUALITY AND COMPASSION. INTERMEDIATE GOALS: - INCREASE ACCESS TO A DIVERSE, LINGUISTICALLY AND CULTURALLY ALIGNED HEALTHCARE WORKFORCE. - INCREASE ACCESS TO SUBSIDIZED CARE AND FINANCIAL ASSISTANCE FOR LOW-INCOME AND UNINSURED INDIVIDUALS. - INCREASE ACCESS TO COMPREHENSIVE PRIMARY CARE, SPECIALTY CARE SERVICES, SUPPORT SERVICES, AND PREVENTION PROGRAMMING FOR LOW-INCOME, VULNERABLE, AND UNINSURED INDIVIDUALS.EXPECTED IMPACT: - INCREASED OPPORTUNITIES FOR HEALTHCARE SECTOR CAREERS FOR POPULATIONS UNDERREPRESENTED IN THE HEALTHCARE WORKFORCE. - INCREASED ACCESS TO AND USE OF COMPREHENSIVE PRIMARY CARE AND SPECIALTY CARE FOR LOW-INCOME AND UNINSURED POPULATIONS. STRATEGY TO ACHIEVE THIS INCLUDES: - IMPROVED QUALITY OF CARE FOR CLIENTS OF SAFETY NET ORGANIZATIONS. - INCREASED ACCESS TO COMMUNITY-BASED HEALTH SCREENINGS AND HEALTHCARE SUPPORT SERVICESSTRATEGY TO ACHIEVE THESE GOALS INCLUDES:- PROVIDING WORKFORCE DEVELOPMENT PROGRAMMING TO HIGH SCHOOL, JUNIOR COLLEGE, AND MEDICAL SCHOOL STUDENTS UNDERREPRESENTED IN HEALTHCARE CAREERS TO INCLUDE YOUNG HEALERS AND CLIMB MENTORSHIP PROGRAMS.- PROVIDE SUPPORT TO THE VULNERABLE POPULATIONS CURRICULUM OF THE JOHN MUIR HEALTH FAMILY MEDICINE RESIDENCY TO ENGAGE MEDICAL RESIDENTS IN COMMUNITY-BASED SERVICES IN PARTNERSHIP WITH LOCAL NONPROFIT ORGANIZATIONS. - PROVIDE CHRONIC DISEASE PREVENTION EDUCATION, SCREENING, AND CLINICAL SERVICES TO VULNERABLE ADULTS THROUGH THE DIABETES EMPOWERMENT EDUCATION PROGRAM, JOHN MUIR HEALTH MOBILE HEALTH CLINIC, AND HAPPY FEET PROGRAM. - PROVIDE SCREENING PROGRAMS THROUGH EVERY WOMAN COUNTS AND THE LUNG CANCER SCREENING PROGRAM FOR LOW-INCOME ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF INSURANCE COVERAGE.- PROVIDE FINANCIAL ASSISTANCE, VIA THE JOHN MUIR HEALTH CHARITY CARE POLICY, TO SUPPORT LOW-INCOME PATIENTS BY SUBSIDIZING ALL OR A PORTION OF THEIR JOHN MUIR HEALTH MEDICAL EXPENSES. - PARTICIPATE IN THE GOVERNMENT-SPONSORED MEDI-CAL PROGRAM TO PROVIDE COMPREHENSIVE INPATIENT CARE TO MEDI-CAL ENROLLEES THAT GENERATE UNPAID COSTS AT JOHN MUIR MEDICAL CENTER-WALNUT CREEK, JOHN MUIR MEDICAL CENTER-CONCORD, JOHN MUIR PHYSICIAN NETWORK, AND BEHAVIORAL HEALTH CENTER. - PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES, VIA THE JOHN MUIR HEALTH MOBILE HEALTH CLINIC, FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, ACCESSIBILITY OF SERVICES, OR TIMELINESS OF APPOINTMENTS. - PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLINICA/JOHN MUIR HEALTH SPECIALTY CARE PROGRAM AND OTHER SPECIALTY CARE PROGRAMS FOR ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF INSURANCE COVERAGE.- LEAD THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY AND PROVIDE DENTAL SERVICES AND DENTAL EDUCATION, VIA RONALD MCDONALD/JOHN MUIR HEALTH MOBILE DENTAL CLINIC, FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES. - PROVIDE HEALTHCARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH PROGRAMS SUCH AS THE JOHN MUIR HEALTH COMMUNITY SCHOOL NURSE PROGRAM. - PROVIDE ACCESS TO HEALTHCARE SUPPORT SERVICES FOR VULNERABLE OLDER ADULTS THAT PROMOTE INDEPENDENT LIVING AND WELLNESS THROUGH FALL PREVENTION SAFETY TRAINING, HOME ASSESSMENTS AND MODIFICATIONS, HEALTH EDUCATION, AND ACCESS TO ASSISTIVE TECHNOLOGIES. |
| CONTINUED... | PRIORITY HEALTH NEED: BEHAVIORAL HEALTH LONG-TERM GOAL: THE ENTIRE COMMUNITY HAS ACCESS TO BEHAVIORAL AND MENTAL HEALTH PROGRAMMING, SUPPORT AND DIRECT SERVICES TO PROMOTE WHOLE HEALTH AND EMOTIONAL WELLNESS. INTERMEDIATE GOALS: - INCREASE ACCESS TO ALTERNATIVE MENTAL HEALTH WORKFORCE TO INCLUDE COMMUNITY HEALTH WORKERS AND PROMOTORES TRAINING PROGRAMS. - INCREASE ACCESS TO BEHAVIORAL AND MENTAL HEALTH SERVICES THAT PROVIDE PREVENTION, DIRECT SERVICE AND SUPPORT FOR VULNERABLE INDIVIDUALS AND FAMILIES. - INCREASE VIOLENCE PREVENTION AND RESILIENCY PROGRAMMING FOR VULNERABLE COMMUNITIES.EXPECTED IMPACT - INCREASED ACCESS TO AND USE OF BEHAVIORAL AND MENTAL HEALTH SERVICES. - INCREASED ACCESS TO CULTURALLY AND LINGUISTICALLY-ALIGNED BEHAVIORAL AND MENTAL HEALTH SERVICES. - IMPROVED YOUTH RESILIENCE. - INCREASED ACCESS TO SUPPORTIVE COMMUNITY-BASED SERVICES THAT PREVENT AND MITIGATE THE IMPACTS OF VIOLENCE AND TRAUMA.STRATEGY TO ACHIEVE THESE GOALS:- SUPPORT COMMUNITY HEALTH WORKER AND PROMOTORES PROGRAMS THAT OFFER TRAINING TO COMMUNITY MEMBERS TO PREVENT AND/OR REDUCE LEVELS OF STRESS, ANXIETY AND DEPRESSION IN VULNERABLE COMMUNITIES. - LEAD THE RESTORATIVE JUSTICE INITIATIVE ACROSS CONTRA COSTA COUNTY SCHOOLS TO PROMOTE VIOLENCE PREVENTION AND PROVIDE TRAININGS TO SCHOOL STAFF AND ADMINISTRATION ON HOW TO RESOLVE HARM AND REDUCE CONFLICT AMONG THE SCHOOL COMMUNITY. - SUPPORT PROGRAMMING THAT FOCUSES ON SOCIAL CONNECTION AMONG OLDER ADULTS TO REDUCE ISOLATION AND PROMOTE WELL-BEING. - PROVIDE DIRECT MENTAL HEALTH THERAPY SERVICES TO YOUTH, ADULTS AND FAMILIES WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, ACCESSIBILITY OF SERVICES, OR TIMELINESS OF APPOINTMENTS. PROGRAMS INCLUDE: JOHN MUIR HEALTH BEYOND VIOLENCE, JOHN MUIR HEALTH MOBILE HEALTH CLINIC, CANCER SUPPORT SERVICES, AND SCHOOL-BASED SERVICES. - LEAD THE BEYOND VIOLENCE PROGRAM AND ALL PARTNERS COLLABORATIVE TO PROVIDE HOSPITAL-BASED VIOLENCE INTERVENTION SERVICES TO INDIVIDUALS IMPACTED BY INTENTIONAL VIOLENCE AND PROMOTE RESILIENCY BY PROVIDING ROBUST COMMUNITY-BASED SUPPORT SERVICES TO INDIVIDUALS AND THEIR FAMILIES VIA PARTNERSHIPS WITH LOCAL NONPROFIT ORGANIZATIONS. - PROVIDE PEER-DELIVERED SERVICES, SUPPORT GROUPS AND CONNECTION TO RESOURCES FOR VULNERABLE ADULTS DIAGNOSED WITH MENTAL ILLNESS.PRIORITY HEALTH NEED: HOUSING AND HOMELESSNESS LONG-TERM GOAL: THE ENTIRE COMMUNITY HAS ACCESS TO SAFE, HEALTHY, AND AFFORDABLE HOUSING. INTERMEDIATE GOALS: - INCREASE SUPPORT OF THE HOUSING NAVIGATORS' WORKFORCE AND EMPLOYMENT OPPORTUNITIES TO COMMUNITIES PRONE TO HOMELESSNESS. - INCREASE ACCESS TO HOMELESSNESS PREVENTION RESOURCES TO LOW-INCOME AND VULNERABLE COMMUNITIES. - INCREASE ACCESS TO HOUSING RESOURCES AND SUPPORT SERVICES TO PROVIDE UNSHELTERED INDIVIDUALS AND FAMILIES WITH ACCESS TO TRANSITIONAL SUPPORTIVE HOUSING, RESPITE CARE AND RECUPERATIVE HOUSING, PERMANENT SUPPORTIVE HOUSING, AND ULTIMATELY INDEPENDENT PERMANENT AFFORDABLE HOUSING. - INCREASE FOOD SECURITY AND DECREASE THE FOOD COST BURDEN FOR LOW-INCOME FAMILIES TO FREE UP FUNDS TO COVER HOUSING COSTS.EXPECTED IMPACT: - INCREASED NUMBER OF COMMUNITY MEMBERS WITH STABLE HOUSING. - INCREASED ACCESS TO HOUSING SERVICES FOR COMMUNITY MEMBERS WHO ARE UNHOUSED AND AT RISK OF BECOMING UNHOUSED. - INCREASED COMMUNITY OUTREACH AND AWARENESS OF HOUSING RESOURCES. - INCREASED CONSISTENT ACCESS TO HEALTHY FOOD FOR LOW- INCOME AND UNHOUSED INDIVIDUALS.STRATEGIES TO ACHIEVE THESE GOALS INCLUDE:- PROVIDE SUPPORT TO HOUSING NAVIGATOR WORKFORCE PROGRAMS. - PROVIDE SUPPORT TO EMPLOYMENT PROGRAMS THAT DIRECTLY IMPACT COMMUNITIES PRONE TO HOMELESSNESS. - PROVIDE HOMELESSNESS PREVENTION SERVICES AND EMERGENCY FUNDING TO HOUSING INSECURE INDIVIDUALS AND FAMILIES TO ENSURE THAT COMMUNITY MEMBERS MAINTAIN STABLE HOUSING. - PROVIDE CONNECTION TO RESPITE CARE AND RECUPERATIVE HOUSING FOR HOMELESS PATIENTS DISCHARGED FROM LOCAL HOSPITALS, INCLUDING JOHN MUIR HEALTH. - PROVIDE CONNECTIONS TO TRANSITIONAL SUPPORTIVE HOUSING FOR INDIVIDUALS AND FAMILIES WHO ARE IN RECOVERY FROM ALCOHOL AND OTHER SUBSTANCES. - PROVIDE CONNECTIONS TO PERMANENT SUPPORTIVE AND AFFORDABLE HOUSING FOR HOMELESS INDIVIDUALS AND FAMILIES. - PROVIDE SUPPORT SERVICES TO UNHOUSED INDIVIDUALS AND FAMILIES TO INCLUDE: FOOD, SHOWER AND LAUNDRY FACILITIES, CLOTHING, EMPLOYMENT ASSISTANCE AND CONNECTION TO ADDITIONAL SUPPORT SERVICES. - SUPPORT COMMUNITY OUTREACH AND AWARENESS-BUILDING OF HOUSING RESOURCES AVAILABLE TO THE COMMUNITY. - SUPPORT FOOD ACCESS PROGRAMMING TO PROVIDE NUTRITIOUS FOODS, INCLUDING FRESH PRODUCE, FOR UNHOUSED AND LOW-INCOME INDIVIDUALS, FAMILIES, AND COMMUNITIES.JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIPS WITH LOCAL ORGANIZATIONS TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS. THE FOLLOWING HIGHLIGHTS A FEW OF THE 2024-YEAR END RESULTS IN COLLABORATION WITH LOCAL ORGANIZATION BY EACH OF THE FOUR-COMMUNITY HEALTH NEEDS THAT JOHN MUIR HEALTH IS ADDRESSING.COMMUNITY HEALTH NEEDS: IMPROVEMENTS IN ACCESSHEALTH OUTCOMES ARE DIRECTLY IMPACTED BY PREJUDICE AND SOCIETAL INEQUITIES. AS PART OF JMH'S COMMUNITY BENEFIT FUNDING STRATEGY, JMH IS INVESTING IN EACH OF ITS 33 COMMUNITY PARTNER ORGANIZATIONS EXPLICITLY TO ADOPT INTERVENTIONS THAT ENSURE COMMUNITY NEEDS ARE MET WITHIN THEIR INDIVIDUAL ORGANIZATIONS, BOARDS, STAFF, AND THE COMMUNITY SERVED. EACH ORGANIZATION RECEIVES AN ADDITIONAL $5,000 PER YEAR, FOR THREE YEARS, TO SUPPORT FUNDAMENTAL AND LASTING CHANGES. |
| CONTINUED... | COMMUNITY HEALTH NEED: HEALTHCARE ACCESS AND DELIVERY. THE FOLLOWING ARE SELECT HIGH IMPACT PROGRAM OUTCOMES IN 2024:MOBILE HEALTH CLINIC: PROVIDE COMPREHENSIVE NO-COST PRIMARY CARE FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY. IN 2024, THE MOBILE CLINIC SERVED 560 PEOPLE FOR 944 ENCOUNTERS DURING SATURDAY VOLUNTEER PHYSICIAN CLINICS AND WEDNESDAY/THURSDAY RESIDENCY CLINIC. IT PROVIDED 867 ORAL HEALTH SERVICES TO 565 UNDUPLICATED CHILDREN. 2,363 CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES RECEIVED DENTAL ASSESSMENTS THROUGH THE COUNTY ORAL HEALTH COLLABORATIVE. OF THOSE CHILDREN WHO RECEIVED DENTAL ASSESSMENTS, 2,317 CHILDREN RECEIVED FLUORIDE TREATMENTS. MEDI-CAL ENROLLMENT SERVICES WERE OFFERED ALONGSIDE EACH MOBILE HEALTH CLINIC, AS ELIGIBILITY CRITERIA HAVE EXPANDED.LA CLINICAL SPECIALTY CARE PROGRAM: PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLINCA SPECIALTY CARE PROGRAM FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. IN 2024, PROVIDERS WERE RECRUITED TO MEET THE NEEDS OF REFERRED PATIENTS, WHICH INCLUDED GYNECOLOGICAL ONCOLOGIST, GYNECOLOGIST, MEDICAL ONCOLOGIST, DIAGNOSTIC IMAGING, GASTROENTEROLOGIST, SURGEON, CANCER GENETICIST, AND UROLOGIST. IN TOTAL, 135 PATIENTS WERE REFERRED FROM LA CLINCA AND AMONG THEM, 127 WERE ACCEPTED INTO THE SPECIALTY CARE PROGRAM (ACCEPTANCE RATE OF 94%). IN ADDITION, 383 PROCEDURES AND INTERVENTIONS WERE PROVIDED THROUGHOUT THE YEAR. MOST INTERVENTIONS WERE CONSULTATIONS/FOLLOW-UP WITH SPECIALIST AND IMAGING.OPERATION ACCESS: PROVIDE SPECIALTY CARE SERVICES THROUGH OPERATION ACCESS FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS DUE TO LACK OF COVERAGE. IN 2024, 99% OF OPERATION ACCESS PATIENTS WERE UNINSURED. THE LINGUISTIC NEEDS WERE MET FOR 100% OF PATIENTS. 47% OF ALL OPERATION ACCESS SERVICES PROVIDED IN CONTRA COSTA COUNTY WERE PROVIDED BY JOHN MUIR HEALTH. A TOTAL OF 117 SURGICAL PROCEDURES WERE PROVIDED IN A JOHN MUIR HEALTH OPERATING ROOM. THERE WERE 28 ACTIVE VOLUNTEER PHYSICIANS FROM JOHN MUIR HEALTH WHO PROVIDED AT LEAST ONE SURGICAL SERVICE.EVERY WOMEN COUNTS PROGRAM: PROVIDE FREE BREAST CANCER SCREENING FOR LOW-INCOME WOMEN WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. IN 2024, THERE WERE 33 BREAST CANCER SCREENING CLINICS. 100% OF ELIGIBLE PATIENTS WERE ACCEPTED TO CARE. THERE WERE 186 BREAST CANCER PATIENTS SERVED IN THE CLINICS. THE PROGRAM PROVIDED 21 BREAST BIOPSIES AND 100% RECEIVED BIOPSY RESULTS WITHIN 2 WEEKS. THREE WOMEN WERE DIAGNOSED WITH BREAST CANCER AND 100% WERE PROVIDED WITH APPROPRIATE FOLLOW-UP TO MONITOR THEIR DIAGNOSIS.MEALS ON WHEELS DIABLO REGION FALL PREVENTION PROGRAM (FPP): PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES FOR VULNERABLE ADULTS AND SENIORS THAT ADDRESS POOR HEALTH OUTCOMES, QUALITY AND SATISFACTION WHILE IMPROVING EFFICIENCY THROUGH SAFETY TRAINING, HOME ASSESSMENTS AND MODIFICATIONS, AND EDUCATION. IN 2024, FPP RECEIVED 605 REFERRALS AND CONDUCTED 176 HOME SAFETY ASSESSMENTS AND 850 MODIFICATIONS TO THE HOMES OF OLDER ADULTS.COMMUNITY HEALTH NEED: BEHAVIORAL HEALTH. THE FOLLOWING ARE SELECT HIGH-IMPACT PROGRAM OUTCOMES IN 2024:- IN 2024, THERE WAS A TOTAL CLIENT LOAD OF 58 INDIVIDUALS WHO CONSENTED TO RECEIVE BEYOND VIOLENCE SERVICES AT THE FOLLOWING PARTNER NONPROFIT ORGANIZATIONS: RYSE CENTER IN RICHMOND, ONE DAY AT A TIME IN BRENTWOOD, CENTER FOR HUMAN DEVELOPMENT IN CONCORD AND FAMILY JUSTICE CENTER IN ANTIOCH AND RICHMOND. - A TOTAL OF 174 INDIVIDUALS WERE PROVIDED WITH MENTAL HEALTH COUNSELING SERVICES THROUGH THE FRED FINCH YOUTH AND FAMILY SERVICES.- IN 2024, 68 NEW MEMBERS JOINED MENTAL HEALTH CONNECTION, A PROGRAM THAT SUPPORTS AND/OR PROVIDES BEHAVIORAL HEALTH INTERVENTION SERVICES TO VULNERABLE ADULTS WITH SEVERE MENTAL HEALTH ILLNESS THROUGH EDUCATION AND VOCATIONAL REHABILITATION SUPPORT SERVICES.- 100% OF MEMBERS WHO INDICATED EMPLOYMENT IN THEIR CAREER PLAN WERE REFERRED TO EMPLOYMENT RESOURCES AND 303 MEMBERS WERE EMPLOYED.COMMUNITY HEALTH NEED: HOUSING AND HOMELESSNESS. THE FOLLOWING ARE SELECT HIGH-IMPACT PROGRAM OUTCOMES IN 2024:- IN 2024, ALAMEDA COUNTY COMMUNITY FOOD BANK (ACCFB) PROVIDED CAPACITY BUILDING GRANTS TO TWO PARTNER AGENCIES SERVING NORTH ALAMEDA COUNTY COMMUNITIES, WITH FOCUS ON AGENCIES THAT ARE HELPING FAMILIES TO STAY HOUSED. GRANTS WERE PROVIDED FOR KITCHEN INFRASTRUCTURE, STAFFING AND MISCELLANEOUS FOOD DISTRIBUTION SUPPLIES. ACCFB DISTRIBUTED 14,543,207 POUNDS OF NUTRITIOUS FOOD IN NORTHERN ALAMEDA COUNTY COMMUNITIES, 51% OF WHICH WAS FRESH FOOD. ACCFB DISTRIBUTED ENOUGH FOOD FOR 12.1 MILLION NUTRITIOUS MEALS- GOODNESS VILLAGE, A PROGRAM THAT SUPPORTS PERMANENT AFFORDABLE HOUSING AND SUPPORTIVE SERVICES FOR HOMELESS AND AT-RISK FAMILIES AND INDIVIDUALS, IN 2024 SERVED A TOTAL OF 32 INDIVIDUALS WITH 26 HOMES OCCUPIED AT YEAR-END. 32 NEIGHBORS WERE PROVIDED WITH MENTAL HEALTH SUPPORT, 32 NEIGHBORS PARTICIPATED IN A VOCATIONAL PROGRAM AND FIVE SECURED A JOB.- THOUGH PARTNERSHIP WITH HOPE SOLUTIONS, IN 2024 426 HOUSEHOLDS WERE NEWLY HOUSED AND 286 HOUSEHOLDS RECEIVED SERVICES TO PREVENT EVICTION.- PROVIDED EMERGENCY FUNDS FOR BACK RENT, UTILITIES AND OTHER RENTAL ASSISTANCE FOR 29 HOUSEHOLDS THROUGH PARTNERSHIP WITH SHELTER, INC.- THROUGH PARTNERSHIP WITH SUPPORT4RECOVERY, WE PROVIDED HOUSING GRANTS TO 55 PARTICIPANTS. A TOTAL OF 61 INDIVIDUALS WERE PLACED AT CONTRA COSTA SOBER LIVING RESIDENCES.E. JOHN MUIR HEALTH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS:1. ECONOMIC SECURITY2. COMMUNITY AND FAMILY SAFETY3. FOOD SECURITY4. EDUCATION5. TRANSPORTATIONJMH 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 THE SELECTED COMMUNITY HEALTH NEEDS. THEREFORE, THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE DECIDED TO ADDRESS THE COMMUNITY HEALTH NEEDS THAT ARE ALIGNED WITH OUR MISSION, LEVERAGE JMH'S EXPERTISE, AND HAVE FEASIBLE INTERVENTIONS AND PARTNERS FOR SCALABLE IMPACT.THE SELECTED HEALTH NEEDS DO NOT REPRESENT EVERYTHING JOHN MUIR HEALTH DOES TO IMPROVE COMMUNITY HEALTH. FOR THOSE NEEDS NOT SELECTED, GENERALLY, JOHN MUIR HEALTH DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THE NEED; HOWEVER, THERE ARE AREAS OF OVERLAP WITH CURRENT COMMUNITY BENEFIT STRATEGIES. FOR EXAMPLE, WHILE FOOD SECURITY WAS NOT EXPLICITLY SELECTED AS A PRIORITIZED NEED, JOHN MUIR HEALTH CONTINUES TO SUPPORT AND DONATE TO LOCAL FOOD BANKS. IN ADDITION, WHILE TRANSPORTATION WAS NOT CHOSEN, JOHN MUIR HEALTH WILL SUPPORT TRANSPORTATION INITIATIVES THAT DECREASE ISOLATION AMONG VULNERABLE SENIORS AND INCREASE ACCESS TO HEALTH AND SUPPORT SERVICES AMONG VULNERABLE INDIVIDUALS.JOHN MUIR HEALTH REMAINS DEDICATED TO BEING A LEADER IN BUILDING A HEALTHIER COMMUNITY. BY LISTENING, ENGAGING AND COLLABORATING WITH SERVICE AREA COMMUNITIES, JOHN MUIR HEALTH IS COMMITTED TO CREATING A NETWORK OF HEALTH AND WELLNESS SERVICES AND SUPPORT. THIS 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS ADOPTED BY JOHN MUIR HEALTH'S BOARD OF DIRECTORS ON DECEMBER 14, 2022. |
| PART V, SECTION B, LINE 13B | INCOME LEVEL OTHER THAN FPGOTHER 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. |
| PART V, SECTION B, LINE 16A | THE FAP IS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML |
| PART V, SECTION B, LINE 16B | THE FAP APPLICATION FORM IS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML |
| PART V, SECTION B, LINE 16C | A PLAIN LANGUAGE SUMMARY OF THE FAP IS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| PART I, LINE 3C: | ELIGIBILITY CRITERIA USED FOR DETERMINING FREE OR DISCOUNTED CARETHE 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 WITHIN SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIAMEDICAID (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 BALANCES 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.PART 1, LINE 4MEDICALLY INDIGENT CAREWE 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 400 PERCENT OR LESS OF THE FPL (FEDERAL POVERTY LEVEL). |
| PART I, LINE 6A: | COMMUNITY BENEFIT REPORTALL 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. |
| PART I, LINE 7: | FINANCIAL ASSISTANCE POLICYJOHN 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. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIESJOHN 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 2024, 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 NURSING2. MEDICAL ASSISTANTS3. MEDICAL IMAGING TECHNOLOGY4. SONOGRAPHERS5. CLINICAL LAB SCIENTIST6. PHARMACIST AND PHARMACY TECHS7. THERAPIST/PHYSICAL, OCCUPATIONAL AND SPEECH8. ENGINEERING AND BIO ENGINEERING9. NUTRITION SERVICES/DIETITIANS AND CHEFS10. INFORMATION TECHNOLOGY11. HEALTHCARE ADMINISTRATION12. FAMILY MEDICINE PHYSICIANS13. EMERGENCY SERVICES/ER TECHS, PHYSICIANS AND NURSINGSPARTNERS:1. EAST COUNTY BUSINESS EDUCATION ALLIANCE2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH THE UNDERSERVED POPULATION.3. JEWISH VOCATION SERVICES (JVS) - DISPLACED WORKER TRAINING TO GET BACK IN THE WORKFORCE4. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE5. BAY AREA COUNCIL6. EAST BAY HEALTH WORKFORCE PARTNERSHIPSTUDENTS:1. 17 HIGH SCHOOLS AND HEALTH ACADEMIES2. 14 UNIVERSITIES3. 9 STATE COLLEGES4. 8 JUNIOR COLLEGES5. 7 PRIVATE COLLEGES |
| PART III, LINE 2: | BAD DEBT EXPENSEBAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT. |
| PART III, LINE 4: | FINANCIAL STATEMENT FOOTNOTETHE 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 THAT DO NOT INCLUDE A DESCRIPTION OF BAD DEBT EXPENSE. |
| PART III, LINE 8: | SHORTFALL TREATED AS COMMUNITY BENEFITTHE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. JOHN MUIR HEALTH USES ITS COST ACCOUNTING SYSTEM TO CALCULATE THE MEDICARE SHORTFALL. |
| PART III, LINE 9B: | COLLECTION PRACTICESOTHER 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 SEPARATESIGNATURE 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. |
| PART VI, LINE 2: | NEEDS ASSESSMENTTHE 2022 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, THECHNA 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/COMMUNITY-BENEFIT-REPORTS.HTMLIN 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 HELP IDENTIFY EMERGING NEEDS IN THE SERVICE AREA POPULATION. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEJOHN 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 ARE 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. |
| PART VI, LINE 4: | COMMUNITY INFORMATIONJOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREA EXTENDS FROM SOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SAN RAMON IN CONTRA COSTA COUNTY. JOHN MUIR HEALTH'S TRAUMA CENTER SERVES ALL OF CONTRA COSTA COUNTY, SOLANO COUNTY, AND MARIN COUNTY. IT IS ALSO THE BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY. JOHN MUIR HEALTH ALSO SERVES EASTERN ALAMEDA COUNTY IN JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER AND SERVES NORTHERN ALAMEDA COUNTY IN JOINT VENTURE WITH UNIVERSITY OF CALIFORNIA, SAN FRANCISCO. JOHN MUIR HEALTH'S COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF VULNERABLE POPULATIONS IN CONTRA COSTA COUNTY, THE TRI-VALLEY, AND NORTHERN ALAMEDA COUNTY. VULNERABLE POPULATIONS ARE DEFINED AS EXPERIENCING EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND ECONOMIC INEQUITIES.THE JOHN MUIR HEALTH SERVICE AREA HAS THE FOLLOWING DEMOGRAPHIC PROFILE AS OF THE 2022 CHNA STUDY:CONTRA COSTA COUNTYTOTAL POPULATION:% AGE 65+: 16%% UNDER AGE 19: 25%RACE:WHITE: 52%AFRICAN AMERICAN: 9%ASIAN: 18%OTHER: 14%MULTIRACIAL: 6%AMERICAN INDIAN/ALASKAN NATIVE: <1%NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER: <1%ETHNICITY:HISPANIC: 26%NON-HISPANIC: 74%SOCIOECONOMIC DATA:LIVING IN POVERTY (<100% FEDERAL POVERTY LEVEL): 9%CHILDREN IN POVERTY: 12%SENIOR (>65) IN POVERTY: 6%UNEMPLOYMENT: 6%UNINSURED POPULATION: 6%ADULTS WITH NO HIGH SCHOOL DIPLOMA: 12% |
| PART VI, LINE 5: | COMMUNITY HEALTH PROMOTIONJOHN 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. FURTHER, OUR HOSPITAL MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL 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 6,600 INDIVIDUALS IN 2024.JOHN MUIR HEALTH WALNUT CREEK MEDICAL CENTER 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 DEPARTMENTS 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 INDIVIDUALS. JMH SERVED OVER 123,865 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN 2024.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 2024, WE PROVIDED $5.4 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $157.4 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, JOHN MUIR HEALTH CONTRIBUTES MANY NON-QUANTIFIABLE BENEFITS AT EACH OF OUR FACILITIES.NON-QUANTIFIABLE BENEFITS: THE HEALTH SYSTEM CONTINUALLY PROVIDES LEADERSHIP IN THE COMMUNITY, ASSISTS WITH LOCAL CAPACITY BUILDING, AND PARTICIPATES IN COMMUNITY-WIDE HEALTH PLANNING. IN ADDITION, JOHN MUIR HEALTH IS COMMITTED TO UPHOLDING THE HIGHEST ENVIRONMENTAL STANDARDS AND HAS INVESTED IN MULTIPLE EFFORTS FOR SUSTAINABILITY. THE FOLLOWING ARE EXAMPLES OF NON-QUANTIFIABLE BENEFITS PROVIDED IN 2024: - JOHN MUIR HEALTH NURSES ARE DEEPLY INVOLVED IN THEIR COMMUNITY THROUGH VOLUNTEERING. JOHN MUIR HEALTH ENCOURAGES NURSING VOLUNTEERISM THROUGH MAGNET RECOGNITION STATUS WHERE NURSES BUILD PARTNERSHIPS WITH THE COMMUNITY. FOR EXAMPLE, OUR NURSES PARTICIPATE AS VOLUNTEERS ON OUR MOBILE HEALTH CLINIC AND VOLUNTEERED DURING THE HABITAT FOR HUMANITY WOMEN'S LEADERSHIP BUILD. - JOHN MUIR HEALTH LEADERSHIP ACTIVELY PARTICIPATE ON COMMUNITY BOARDS, SOME OF WHICH INCLUDE CALIFORNIA HOSPITAL ASSOCIATION, FAMILY JUSTICE CENTER OF CONTRA COSTA, MONUMENT IMPACT, HOPE SOLUTIONS AND CONTRA COSTA COUNTY WORK FORCE DEVELOPMENT. - JOHN MUIR HEALTH LEADERSHIP ACTIVELY PARTICIPATE ON GOVERNMENT AND CITY ADVISORY COUNCILS AND TASK FORCES, SOME OF WHICH INCLUDE CITY OF CONCORD, CITY OF WALNUT CREEK, AND THE WALNUT CREEK HOUSING TASK FORCE. - JOHN MUIR HEALTH'S COMMITMENT TO ENVIRONMENTAL SUSTAINABILITY IS EVIDENT THROUGH MANY INITIATIVES, SOME OF WHICH INCLUDE: - NURSING, EVS, MATERIALS PARTNERSHIP WITH A MEDICAL SUPPLY DONATION PROGRAM THAT BENEFITS THIRD WORLD COUNTRIES - WATERING OF OUTDOOR LANDSCAPING TWO DAYS PER WEEK - FACILITIES EQUIPPED WITH LOW-FLOW TOILETS, SHOWERS, SINKS - 51 CAR CHARGING STATIONS - ELIMINATED ALL STYROFOAM PRODUCTS - PEN AND PENCIL RECYCLING - LED LIGHTING FIXTURES IN PATIENT AND EMPLOYEE PARKING LOTS - ENERGY EFFICIENT CHILLERS AND BOILERS WHICH PROVIDE COOLING AND HEATING TO THE HOSPITAL BUILDINGS - ENERGY EFFICIENT AIR HANDLERS ON HOSPITAL BUILDINGS - HIGH-EFFICIENCY WINDOWS - USE OF SOLAR PANELS ON ADMINISTRATIVE BUILDINGS, NEW MEDICAL OFFICE BUILDINGS AND WALNUT CREEK MEDICAL CENTER PARKING GARAGE - INVESTIGATING AND IMPLEMENTING RETRO-COMMISSIONING EFFORTS AT JMH SITES THAT WOULD REDUCE OVERALL ENERGY CONSUMPTION AND RUN BUILDING EQUIPMENT MORE EFFICIENTLY |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEMJOHN MUIR BEHAVIORAL HEALTH1400 TREAT BOULEVARD, 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/MT. DIABLO COMMUNITY HEALTH FUND5003 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 2024, THE FUND HAS GRANTED OVER $33 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: HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-FUND.HTMLJOHN MUIR PHYSICIAN NETWORK1400 TREAT BOULEVARD, 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 GROUP (JMSMG), JOHN MUIR CARDIOVASCULAR GROUP (JMCVMG) OR JOHN MUIR HEALTH CANCER MEDICAL GROUP (JMHCMG). 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 ALSO OWNS SPECIALTY CLINICS STAFFED BY JMSMG, JMCVMG, AND JMHCMG. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SEVEN MAJOR HEALTH PLANS FOR MORE THAN 50,000 COMMERCIAL AND SENIOR HMO MEMBERS. THE PHYSICIAN NETWORK MANAGES HEALTH PLAN CONTRACTING FOR JOHN MUIR HEALTH AND ITS HOSPITALS AND ENGAGES PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACCOUNTABLE CARE ORGANIZATION (ACO) WHICH PROVIDES THE COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS.JOHN MUIR HEALTH FOUNDATION1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (53 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN MUIR PHYSICIAN NETWORK | |||||||||||
| 1400 TREAT BOULEVARD | WALNUT CREEK | CA | 94597 | 680360801 | 501(C)(3) | $117,627,624 | $0 | N/A | N/A | GENERAL SUPPORT | |
| JOHN MUIR BEHAVIORAL HEALTH | |||||||||||
| 1400 TREAT BOULEVARD | WALNUT CREEK | CA | 94597 | 680249685 | 501(C)(3) | $11,945,476 | $0 | N/A | N/A | GENERAL SUPPORT | |
| JOHN MUIR HEALTH FOUNDATION | |||||||||||
| 1400 TREAT BOULEVARD | WALNUT CREEK | CA | 94597 | 942650855 | 501(C)(3) | $7,371,953 | $0 | N/A | N/A | GENERAL SUPPORT | |
| JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND | |||||||||||
| 5003 COMMERCIAL CIRCLE SUITE 275 | CONCORD | CA | 94597 | 911788973 | 501(C)(3) | $1,461,213 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| ALAMEDA COUNTY COMMUNITY FOOD BANK | |||||||||||
| PO BOX 2599 | OAKLAND | CA | 94614 | 942960297 | 501(C)(3) | $45,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| ALAMO ROTARY FOUNDATION | |||||||||||
| PO BOX 303 | ALAMO | CA | 94507 | 770600752 | 501(C)(3) | $55,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| AMERICAN CANCER SOCIETY | |||||||||||
| 3380 CHASTAIN MEADOWS PKWY NW SUITE | KENNESAW | GA | 30144 | 131788491 | 501(C)(3) | $10,000 | $0 | N/A | N/A | SPONSORSHIP | 200 |
| AMERICAN HEART ASSOCIATION | |||||||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $40,000 | $0 | N/A | N/A | SPONSORSHIP | |
| CENTER FOR HUMAN DEVELOPMENT | |||||||||||
| 901 SUNVALLEY BLVD | CONCORD | CA | 94520 | 942520840 | 501(C)(3) | $106,363 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| CHOICE IN AGING | |||||||||||
| 490 GOLF CLUB RD | PLEASANT HILL | CA | 94523 | 942822559 | 501(C)(3) | $7,500 | $0 | N/A | N/A | SPONSORSHIP | |
| CONTRA COSTA FAMILY JUSTICE CENTER | |||||||||||
| 256 24TH STREET | RICHMOND | CA | 94804 | 474082871 | 501(C)(3) | $492,500 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| FOOD BANK OF CONTRA COSTA & SOLANO | |||||||||||
| 4010 NELSON AVENUE | CONCORD | CA | 94520 | 942418054 | 501(C)(3) | $45,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| FRED FINCH YOUTH CENTER | |||||||||||
| 3800 COOLIDGE AVENUE | OAKLAND | CA | 94602 | 940474080 | 501(C)(3) | $504,451 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| GEORGE MARK CHILDREN'S HOUSE | |||||||||||
| 2121 GEORGE MARK LANE | SAN LEANDRO | CA | 94578 | 943255845 | 501(C)(3) | $7,500 | $0 | N/A | N/A | SPONSORSHIP | |
| GOODNESS VILLAGE | |||||||||||
| 1660 FREISMAN ROAD | LIVERMORE | CA | 94551 | 852812754 | 501(C)(3) | $72,400 | $0 | N/A | N/A | SPONSORSHIP | |
| HABITAT FOR HUMANITY | |||||||||||
| 2619 BROADWAY | OAKLAND | CA | 94612 | 943053687 | 501(C)(3) | $10,000 | $0 | N/A | N/A | SPONSORSHIP | |
| HAVE A BALL FOUNDATION | |||||||||||
| 662 ROCK ISLAND CIRCLE | DANVILLE | CA | 94526 | 202420378 | 501(C)(3) | $7,500 | $0 | N/A | N/A | SPONSORSHIP | |
| HEALTH CAREER CONNECTION | |||||||||||
| 300 FRANK H OGAWA PLAZA NO 243 | OAKLAND | CA | 94612 | 251904312 | 501(C)(3) | $26,100 | $0 | N/A | N/A | INTERNSHIP SPONSORSHIP | |
| HEALTHY AND ACTIVE BEFORE 5 | |||||||||||
| 1035 DETROIT AVE | CONCORD | CA | 94518 | 942383037 | 501(C)(3) | $40,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| HEALTHY HEARTS INSTITUTE | |||||||||||
| 8452 NORTH LAKE DRIVE APT F | DUBLIN | CA | 94568 | 471316443 | 501(C)(3) | $6,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| HIJAS DEL CAMPO | |||||||||||
| 279 BAYVIEW DR | OAKLEY | CA | 94561 | 863224204 | 501(C)(3) | $10,300 | $0 | N/A | N/A | SPONSORSHIP | |
| HOPE SOLUTIONS | |||||||||||
| 535 MAIN ST SE 209 | MARTINEZ | CA | 94553 | 911797391 | 501(C)(3) | $117,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| HOSPICE OF THE EAST BAY | |||||||||||
| 3470 BUSKIRK AVE | PLEASANT HILL | CA | 94523 | 942515405 | 501(C)(3) | $10,000 | $0 | N/A | N/A | SPONSORSHIP | |
| INDEPENDENT LIVING RESOURCES | |||||||||||
| 1850 GATEWAY BLVD STE 170 | CONCORD | CA | 94520 | 680048218 | 501(C)(3) | $30,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| INSPIRING COMMUNITIES | |||||||||||
| 1511 SYCAMORE AVE M134 | HERCULES | CA | 94547 | 471136159 | 501(C)(3) | $155,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| JUNIOR ACHIEVEMENT OF NORTHERN CALIFORNIA | |||||||||||
| 3003 OAK ROAD NO 130 | WALNUT CREEK | CA | 94597 | 941322179 | 501(C)(3) | $143,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| KEROSENE LAMP FOUNDATION | |||||||||||
| 174 CRESVIEW DRIVE | ORINDA | CA | 94563 | 010857784 | 501(C)(3) | $15,000 | $0 | N/A | N/A | BACK PACK DRIVE | |
| LACLINICA DE LA RAZA | |||||||||||
| PO BOX 22210 | OAKLAND | CA | 94623 | 941744108 | 501(C)(3) | $10,000 | $0 | N/A | N/A | SPONSORSHIP | |
| MEALS ON WHEELS | |||||||||||
| 1300 CIVIC DRIVE | WALNUT CREEK | CA | 94596 | 680044205 | 501(C)(3) | $130,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| MENTAL HEALTH CONNECTION | |||||||||||
| PO BOX 5809 | CONCORD | CA | 94524 | 208873338 | 501(C)(3) | $160,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| MONUMENT CRISIS CENTER | |||||||||||
| 1900 MARKET ST | CONCORD | CA | 94520 | 412111171 | 501(C)(3) | $97,500 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| MONUMENT IMPACT | |||||||||||
| 1760 CLAYTON ROAD | CONCORD | CA | 94520 | 943370919 | 501(C)(3) | $130,000 | $0 | N/A | N/A | 20TH ANNIVERSARY GALA | |
| NAMI CONTRA COSTA | |||||||||||
| 2151 SALVIO ST STE V | CONCORD | CA | 94520 | 680209474 | 501(C)(3) | $70,000 | $0 | N/A | N/A | CONTRIBUTION AGREEMENT & SPONSORSHIP | |
| ONE DAY AT A TIME | |||||||||||
| 354 PINE ST STE 700 | SAN FRANCISCO | CA | 94104 | 943255070 | 501(C)(3) | $81,500 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| OPERATION ACCESS | |||||||||||
| 1119 MARKET STREET SUITE 400 | SAN FRANCISCO | CA | 94103 | 943180356 | 501(C)(3) | $175,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| OPPORTUNITY JUNCTION | |||||||||||
| 3102 DELTA FAIR BLVD | ANTIOCH | CA | 94509 | 680459131 | 501(C)(3) | $7,500 | $0 | N/A | N/A | SPONSORSHIP | |
| ORDER OF MALTA | |||||||||||
| 2121 HARRISON STREET NO 110 | OAKLAND | CA | 94612 | 205969389 | 501(C)(3) | $35,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| PHILIP DORN RESPITE CENTER | |||||||||||
| 2400 BISSO LANE SUITE D2 | CONCORD | CA | 94520 | 946000509 | CONTRACOSTACNTY | $50,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| PLANTING JUSTICE | |||||||||||
| 319 105TH AVENUE | OAKLAND | CA | 94603 | 270334905 | 501(C)(3) | $60,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| RYSE CENTER | |||||||||||
| 205 41ST STREET | RICHMOND | CA | 94805 | 260692904 | 501(C)(3) | $160,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| SHELTER INC | |||||||||||
| PO BOX 5368 | CONCORD | CA | 94524 | 680117241 | 501(C)(3) | $90,000 | $0 | N/A | N/A | COMMUNITY SUPPORT & SPONSORSHIP | |
| ST VINCENT DE PAUL OF CONTRA COSTA COUNTY | |||||||||||
| 2210 GLADSTONE DRIVE | PITTSBURG | CA | 94565 | 941448577 | 501(C)(3) | $33,000 | $0 | N/A | N/A | SPONSORSHIP | |
| SUPPORT 4 RECOVERY INC | |||||||||||
| PO BOX 31114 | WALNUT CREEK | CA | 94598 | 611538303 | 501(C)(3) | $40,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| THREE VALLEYS COMMUNITY FOUNDATION | |||||||||||
| 5960 INGLEWOOD DR SUITE 201 | PLEASANTON | CA | 94588 | 871782380 | 501(C)(3) | $30,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| TRINITY CENTER WALNUT CREEK | |||||||||||
| 1924 TRINITY AVENUE | WALNUT CREEK | CA | 94596 | 371706813 | 501(C)(3) | $60,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| VILLAGE COMMUNITY RESOURCE CENTER | |||||||||||
| 633 VILLAGE DR | BRENTWOOD | CA | 94513 | 412045701 | 501(C)(3) | $65,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| WHITE PONY EXPRESS | |||||||||||
| 3380 VINCENT ROAD 107 | PLEASANT HILL | CA | 94523 | 465220565 | 501(C)(3) | $50,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| WOMEN'S CANCER RESEARCH | |||||||||||
| 2908 ELLSWORTH ST | BERKELEY | CA | 94705 | 943131204 | 501(C)(3) | $75,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| CONTRA COSTA COUNTY COMMUNITY ORAL HEALTH PROGRAM | |||||||||||
| 2500 BATES AVE STE B | CONCORD | CA | 94520 | 946000509 | CONTRACOSTACNTY | $50,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| CRISTO REY DE LA SALLE EAST BAY WORK STUDY PROGRAM | |||||||||||
| 1530 34TH AVENUE | OAKLAND | CA | 94601 | 821257099 | $45,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | ||
| CONTRA COSTA PUBLIC HEALTH LABORATORY | |||||||||||
| 2500 ALHAMBRA AVE | MARTINEZ | CA | 94553 | 825065577 | CONTRACOSTACNTY | $25,000 | $0 | N/A | N/A | GENERAL SUPPORT | |
| AEONIAN PARTNERS | |||||||||||
| 2600 CAMINO RAMON SUITE 201 | SAN RAMON | CA | 94583 | 814491599 | $10,000 | $0 | N/A | N/A | SPONSORSHIP | ||
| EAST BAY COMMUNITY FOUNDATION | |||||||||||
| 200 FRANK H OGAWA PLAZA | OAKLAND | CA | 94612 | 946070996 | 501(C)(3) | $50,000 | $0 | N/A | N/A | COMMUNITY SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 51 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANT MONITORING PROCESS 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 (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL S THOMAS | ||||||||||||||
| PRESIDENT/CEO | $1,423,500 | $0 | $676,181 | $0 | $26,254 | $0 | $1,657,032 | $0 | $19,539 | $0 | $3,802,506 | $0 | $676,181 | $0 |
| JANE WILLEMSEN | ||||||||||||||
| CHIEF OPERATING OFFICER | $1,096,693 | $0 | $449,639 | $0 | $39,396 | $0 | $580,463 | $0 | $27,518 | $0 | $2,193,709 | $0 | $449,639 | $0 |
| PAUL DEERINGER | ||||||||||||||
| SVP/CHIEF STRATEGY OFFICER | $620,781 | $0 | $673,458 | $0 | $14,951 | $0 | $267,063 | $0 | $26,560 | $0 | $1,602,813 | $0 | $170,625 | $0 |
| MICHELLE LOPES RN | ||||||||||||||
| CHIEF ADMIN OFFICER | $562,990 | $0 | $555,926 | $0 | $19,325 | $0 | $320,393 | $0 | $20,189 | $0 | $1,478,823 | $0 | $555,926 | $0 |
| MAX REYNOLDS | ||||||||||||||
| SVP/GENERAL COUNSEL | $600,384 | $0 | $627,788 | $0 | $10,696 | $0 | $66,938 | $0 | $23,510 | $0 | $1,329,316 | $0 | $627,788 | $0 |
| RUSSELL RODRIGUEZ | ||||||||||||||
| SVP/CHIEF MEDICAL OFFICER | $711,267 | $0 | $191,519 | $0 | $10,139 | $0 | $276,484 | $0 | $40,214 | $0 | $1,229,623 | $0 | $191,519 | $0 |
| LISA FOUST | ||||||||||||||
| SVP/HUMAN RESOURCES | $618,040 | $0 | $161,488 | $0 | $35,348 | $0 | $322,612 | $0 | $28,665 | $0 | $1,166,153 | $0 | $161,488 | $0 |
| NICK MICKAS | ||||||||||||||
| VP/CLINICAL AFFAIRS | $540,366 | $0 | $118,585 | $0 | $16,722 | $0 | $216,841 | $0 | $29,722 | $0 | $922,236 | $0 | $118,585 | $0 |
| MELINDA ESTEP | ||||||||||||||
| SENIOR VP/CFO (THRU 6/4/2024) | $342,539 | $0 | $61,737 | $0 | $313,560 | $0 | $0 | $0 | $8,033 | $0 | $725,869 | $0 | $61,737 | $0 |
| TIM MAURICE | ||||||||||||||
| INTERIM CFO (AS OF 6/4/24) | $374,400 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $374,400 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | HOUSING ALLOWANCE MELINDA ESTEP, SENIOR VP/CFO RECEIVED A HOUSING ALLOWANCE OF $76,228 DURING THE YEAR ENDING DECEMBER 31, 2024, WHICH WAS TREATED AS TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES 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. |
| PART I, LINE 4A: | SEVERANCE OR CHANGE OF CONTROL PAYMENT MELINDA ESTEP, SENIOR VP/CFO, RECEIVED A SEVERANCE PAYMENT OF FOUR MONTHS OF COMPENSATION TOTALING $224,615 WHICH IS INCLUDED IN PART II, COLUMN (B)(III). |
| PART I, LINE 4B: | NON-QUALIFIED RETIREMENT PLANS 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. THE FOLLOWING EXECUTIVE PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT: MAX REYNOLDS $56,588 LISA FOUST $117,366 RUSSELL RODRIGUEZ $44,670 MICHELLE LOPES $121,812 PAUL DEERINGER $65,156 NICK MICKAS $68,959. SUPPLEMENTAL EXECUTIVE PLAN EMPLOYEES ELIGIBLE FOR THE SUPPLEMENTAL EXECUTIVE PLAN ARE EITHER CEO OF EMPLOYEES THAT PREVIOUSLY HELD ONE OF THOSE POSITIONS. EMPLOYER WERE MADE DURING THE YEAR. SUPPLEMENTAL EXECUTIVE PLAN JOHN MUIR HEALTH, CEO OR CAO OF JOHN MUIR PHYSICIAN NETWORK, AND CURRENT 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. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFITS DURING THE TAX YEAR: JANE WILLEMSEN $39,543 MICHAEL THOMAS $887,895 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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 | 13080SMW1 | 2016-06-09 | $353,140,040 | REFUNDING 2006 & 2008 BONDS AND CAPITAL EXPEND | 0 | 0 | 0 |
| CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY | ||||||||
| B | 680164610 | 13080STN4 | 2018-05-15 | $92,473,440 | REFUNDING OF 2017 BONDS | 0 | 0 | 0 |
| CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY | ||||||||
| C | 680164610 | 13080ST79 | 2024-08-15 | $443,026,352 | REFUNDING OF 2019 AND 2016 B & C BONDS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Working Capital ExpendituresWorkingCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $95,765,000 | $355,940,169 | $3,133,280 | $52,594,760 | $300,002,560 | $1,814 | 2024 | Yes (1) | 0 | 0 | Yes (1) | |
| B | $92,473,440 | $1,419,493 | $91,053,947 | 2018 | Yes (1) | 0 | Yes (1) | Yes (1) | ||||
| C | $446,779,747 | $3,346,910 | $106,270,828 | $126,982,219 | Yes (1) | 0 | 0 | Yes (1) | $210,000,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE A, COLUMN (F) | THE ORIGINAL ISSUANCE DATES FOR THE REFUNDED 2006 BONDS WAS 6/14/2006 AND THE 2008 REFUNDED BONDS WAS 5/2/2008. |
| PART I, LINE B, COLUMN (F) | THE ORIGINAL ISSUANCE DATE FOR THE REFUNDED 2017 BONDS WAS 12/21/2017. |
| PART I, LINE C, COLUMN (F) | THE ORIGINAL ISSUANCE DATES FOR THE REFUNDED 2019 BONDS WAS 08/15/2019 AND THE 2016 B&C REFUNDED BONDS WAS 06/09/2016. |
| PART II, LINE 3, COLUMN A | TOTAL PROCEEDS FROM ISSUE THE $353,140,040 OF BOND PROCEEDS INCLUDE $2,800,129 OF TOTAL EARNINGS SINCE 2016 ON THE UNSPENT PROCEEDS. |
| PART II, LINE 3, COLUMN C | TOTAL PROCEEDS FROM ISSUE THE 446,779,747 OF BOND PROCEEDS INCLUDE $3,753,395 OF TOTAL EARNINGS ON THE UNSPENT PROCEEDS. |
| PART III, LINE 3B | MANAGEMENT, SERVICES CONTRACTS OR RESEARCH AGREEMENTS 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. |
| PART III, LINE 9 & PART V | WRITTEN DISCLOSURES 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MANAGEMENT COMPANY JOHN MUIR HEALTH HAS ENGAGED OPTUM TO MANAGE NON CLINICAL FUNCTIONS, INCLUDING INFORMATION TECHNOLOGY, REVENUE CYCLE MANAGEMENT, ANALYTICS, PURCHASING AND CLAIMS PROCESSING. OPTUM BRINGS AN EXTENSIVE SET OF CAPABILITIES, INCLUDING OPERATIONAL TECHNOLOGIES, ANALYTIC SOLUTIONS AND TOOLS, AND ADMINISTRATIVE SERVICE EXPERTISE TO HELP JOHN MUIR HEALTH FURTHER ADVANCE ITS CLINICAL AND OPERATIONAL PERFORMANCE. |
| FORM 990, PART VI, SECTION A, LINE 7B | GOVERNANCE DECISIONS SUBJECT TO APPROVAL 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. |
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW OF FORM 990 BY THE GOVERNING BODY 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, A COMPLETE COPY OF THE FORM 990 IS DISTRIBUTED TO THE FULL BOARD BEFORE JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST MONITORING ANNUALLY, THE JOHN MUIR HEALTH 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 ATTENDS BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL OR DESIGNEE, GOVERNANCE COMMITTEE AS INDICATED BY THE POLICY, 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. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION 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; AND (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. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS AVAILABLE TO THE PUBLIC AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FROM THE JOHN MUIR HEALTH LEGAL DEPARTMENT UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN UNAMORTIZED LOSS ON PENSION PLAN 41,592,360. |
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 | WALNUT CREEK | CA | 94597 | 942650855 | FUNDRAISING | CA | 501(C)(3) | 7 | JM HEALTH | Yes (1) |
| JOHN MUIR PHYSICIAN NETWORK | ||||||||||
| 1400 TREAT BOULEVARD | WALNUT CREEK | CA | 94597 | 680360801 | HEALTHCARE | CA | 501(C)(3) | 12A, III | JM HEALTH | Yes (1) |
| JOHN MUIR BEHAVIORAL HEALTH | ||||||||||
| 1400 TREAT BOULEVARD | WALNUT CREEK | CA | 94597 | 680249685 | HEALTHCARE | CA | 501(C)(3) | 3 | JM HEALTH | Yes (1) |
| JOHN MUIRMT DIABLO COMMUNITY HEALTH | ||||||||||
| 5003 COMMERCIAL CIRCLE SUITE 275 | CONCORD | CA | 94520 | 911788973 | GRANTMAKING | CA | 501(C)(3) | 12C, III-FI | JM HEALTH | Yes (1) |
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 | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN MUIR MAGNETIC IMAGING | |||||||||||||
| 1400 TREAT BOULEVARD | WALNUT CREEK | CA | 94597 | 680202020 | DIAG IMAGING | CA | JM HEALTH | RELATED | $1,123,713 | $5,999,037 | 0 | Yes (1) | 0.90000 |
| BAY AREA SURGICAL VENTURES | |||||||||||||
| 30 S WACKER DRIVE | CHICAGO | IL | 60606 | 203052802 | MED SERVICES | CA | JM HEALTH | RELATED | $2,179,268 | $2,946,685 | 0 | 0 | 0.54000 |
| WALNUT CREEK CANCER CENTER | |||||||||||||
| 1400 TREAT BOULEVARD | WALNUT CREEK | CA | 94597 | 941461843 | MED SERVICES | CA | JM HEALTH | RELATED | $13,133,387 | $28,733,914 | 0 | 0 | 0.60000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN MUIRMT DIABLO PARENT COMPANY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 TREAT BOULEVARD | AddressLine1Txt |
| City | WALNUT CREEK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94597 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900060434 | EIN |
| Primary Activities | INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JM HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (20 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| JOHN MUIR PHYSICIAN NETWORK | ||
| A | $4,772,944 | RENTS RECEIVED |
| JOHN MUIR PHYSICIAN NETWORK | ||
| B | $117,627,624 | EXPENSE PAID |
| JOHN MUIR HEALTH FOUNDATION | ||
| B | $7,371,953 | EXPENSE PAID |
| JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND | ||
| B | $1,461,213 | AGREEMENT TERMS |
| JOHN MUIR BEHAVIORAL HEALTH | ||
| B | $11,945,476 | EXPENSE PAID |
| JOHN MUIR BEHAVIORAL HEALTH | ||
| C | $7,232,155 | SHARED SERVICES |
| JOHN MUIR HEALTH FOUNDATION | ||
| C | $15,798,010 | SHARED SERVICES |
| JOHN MUIR PHYSICIAN NETWORK | ||
| C | $540,259 | SHARED SERVICES |
| WALNUT CREEK CANCER PROGRAM | ||
| C | $2,449,554 | SHARED SERVICES |
| JOHN MUIR PHYSICIAN NETWORK | ||
| J | $2,262,258 | AGREEMENT TERMS |
| JOHN MUIR BEHAVIORAL HEALTH | ||
| J | $1,090,260 | AGREEMENT TERMS |
| JOHN MUIR HEALTH FOUNDATION | ||
| J | $192,238 | AGREEMENT TERMS |
| BAY AREA SURGICAL VENTURES | ||
| J | $2,029,963 | AGREEMENT TERMS |
| JOHN MUIR MAGNETIC IMAGING | ||
| J | $411,934 | AGREEMENT TERMS |
| BAY AREA SURGICAL VENTURES | ||
| L | $168,121 | AGREEMENT TERMS |
| JOHN MUIR MAGNETIC IMAGING | ||
| L | $1,521,477 | AGREEMENT TERMS |
| JOHN MUIR MAGNETIC IMAGING | ||
| M | $240,408 | AGREEMENT TERMS |
| WALNUT CREEK CANCER PROGRAM | ||
| P | $55,046,272 | AGREEMENT TERMS |
| JOHN MUIR PHYSICIAN NETWORK | ||
| P | $3,179,175 | AGREEMENT TERMS |
| WALNUT CREEK CANCER PROGRAM | ||
| Q | $28,830,142 | AGREEMENT TERMS |