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JOHN MUIR BEHAVIORAL HEALTH: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
JOHN MUIR BEHAVIORAL HEALTH (EIN 68-0249685)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-01
IRS object ID
201723059349300617
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-01T02:13:56-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680249685EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN MUIR BEHAVIORAL HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone9259393000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BOULEVARD NO 300AddressLine1Txt
CityWALNUT CREEKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94597ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTIAN PASSPersonNm
Person TitleCFOPersonTitleTxt
Phone9259393000PhoneNum
Signature2017-10-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY D FRANKPreparerPersonNm
PTINP00287234PTIN
Phone3174648600PhoneNum
Preparation2017-10-30PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.203.115.26IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-10-31IPDt
IP Tm14:22:38IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionCreationDeviceId
At Submission Filing Device Id60D0446F6E1D975CBF976F6C19882A85B48EB9B2AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTIAN PASSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BOULEVARD NO 300AddressLine1Txt
CityWALNUT CREEKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94597ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$41,864,959GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JOHNMUIRHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or Mission73 BED ACUTE PSYCHIATRIC HOSPITAL PROVIDING CARE TO CHILDREN, ADOLESCENTS AND ADULTS.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee383TotalEmployeeCnt
Total Volunteers80TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,654,731PYContributionsGrantsAmt
CY Contributions Grants$9,976,733CYContributionsGrantsAmt
PY Program Service Revenue$36,659,710PYProgramServiceRevenueAmt
CY Program Service Revenue$31,887,832CYProgramServiceRevenueAmt
PY Investment Income$398PYInvestmentIncomeAmt
CY Investment Income$394CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$44,314,839PYTotalRevenueAmt
CY Total Revenue$41,864,959CYTotalRevenueAmt
PY Grants And Similar Paid$7,855,248PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,764,813PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,749,085CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,213,519PYOtherExpensesAmt
CY Other Expenses$14,154,336CYOtherExpensesAmt
PY Total Expenses$45,833,580PYTotalExpensesAmt
CY Total Expenses$38,903,421CYTotalExpensesAmt
PY Revenues Less Expenses-$1,518,741PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,961,538CYRevenuesLessExpensesAmt
Total Assets BOY$6,453,830TotalAssetsBOYAmt
Total Assets EOY$9,611,882TotalAssetsEOYAmt
Total Liabilities BOY$3,467,030TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,663,544TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,986,800NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,948,338NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionJOHN MUIR BEHAVIORAL HEALTH PROVIDES PSYCHIATRIC AND SUBSTANCE ABUSE TREATMENT TO CHILDREN, ADOLESCENTS AND ADULTS IN THREE DISTINCT UNITS: CHEMICAL DEPENDENCY, DETOX AND OUTPATIENT SERVICES INCLUDING RESIDENTIAL TREATMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$32,213,047ExpenseAmt
Revenue$31,887,832RevenueAmt
DescPATIENT CARE ACTIVITIES SUPPORT THE HEALTHCARE MISSION OF THE ORGANIZATION TO PROVIDE HIGH QUALITY, COST-EFFECTIVE PSYCHIATRIC ACUTE CARE TO THE COMMUNITY. JOHN MUIR BEHAVIORAL HEALTH OWNS AND OPERATES A FREESTANDING ACUTE PSYCHIATRIC FACILITY WITH A TOTAL OF 73 LICENSED BEDS.PROGRAM SERVICES PROVIDED INCLUDE:- INPATIENT PSYCHIATRIC HOSPITALIZATION (ADULT, ADOLESCENT AND CHILD SERVICES)- ADULT CHEMICAL DEPENDENCY SERVICES- OUTPATIENT PSYCHIATRIC SERVICES - PSYCHIATRIC PARTIAL HOSPITALIZATION- CHEMICAL DEPENDENCY PARTIAL HOSPITALIZATION - CHEMICAL DEPENDENCY OUTPATIENT- YOUTH INTENSIVE OUTPATIENTDesc
Total Program Service Expenses$32,213,047TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee383EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN PASSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9259393000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BOULEVARD SUITE 300AddressLine1Txt
CityWALNUT CREEKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94597ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BIMAL PATEL MD
DIRECTOR5.0010.00Yes (X)$0$15,000$0
DAVID BIRDSALL MD
DIRECTOR5.0010.00Yes (X)$0$11,250$0
DAVID L GOLDSMITH
DIRECTOR5.0010.00Yes (X)$0$0$0
KATHLEEN ODNE
DIRECTOR5.0010.00Yes (X)$0$26,056$0
KENNETH BOWERS MD
DIRECTOR5.0010.00Yes (X)$0$16,688$0
MICHELLE J BARTEL
DIRECTOR5.0010.00Yes (X)$0$25,000$0
RAVI HUNDALL MD
DIRECTOR5.0010.00Yes (X)$0$0$0
TAEJOON AHN MD
DIRECTOR5.0010.00Yes (X)$0$25,000$0
ROBERT E EDMONDSON
DIRECTOR5.0010.00Yes (X)$0$25,000$0
DEBORAH KERLIN MD
DIRECTOR5.0010.00Yes (X)$0$15,000$0
CALVIN KNIGHT
CEO/DIRECTOR/PRESIDENT5.0070.00Yes (X)$0$2,897,014$1,252,373Yes (X)
MICHAEL ROBINSON
VICE CHAIRMAN5.0010.00Yes (X)$0$18,750$0Yes (X)
PHILIP J BATCHELOR
TREASURER5.0010.00Yes (X)$0$25,000$0Yes (X)
THOMAS G RUNDALL PHD
CHAIRMAN5.0010.00Yes (X)$0$0$0Yes (X)
WILLIAM F CRONK
SECRETARY5.0010.00Yes (X)$0$0$0Yes (X)
CHRISTIAN PASS
CFO5.0070.00$0$635,111$243,155Yes (X)
MICHAEL THOMAS
CAO12.0048.00$0$848,223$358,953Yes (X)
ALISON FLETCHER
NURSING SUPERVISOR40.000.00$218,566$0$48,450Yes (X)
CINDY BOLTER
CHIEF NURSING & OPERATIONS OFFICER40.000.00$299,215$0$129,340Yes (X)
JANIS LAIACONA
DIRECTOR, ACCREDITATION40.000.00$183,080$0$43,423Yes (X)
JULIA OLSON
DIRECTOR QUALITY & CLINICAL EFFECT40.000.00$203,703$0$26,680Yes (X)
SHEILA SASSER
LEAD RN40.000.00$189,554$0$17,667Yes (X)
MICHAEL MOODY
FORMER OFFICER0.0060.00$0$974,257$405,871Yes (X)
NANCY OLSON
FORMER OFFICER0.0060.00$0$712,661$282,005Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,094,118TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,270,010TotReportableCompRltdOrgAmt
Total Other Compensation$2,807,917TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K57IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NAGUI ACHAMALLAH MD INC
PO BOX 30753WALNUT CREEKCA94598MEDICAL SERVICES$268,650
KIRAN KOKA MD APC
604 TIMBERLEAF COURTWALNUT CREEKCA94598MEDICAL SERVICES$241,450
OB TOWERY MD INC
1893 ST ANDREWS DRIVEMORAGACA94556MEDICAL SERVICES$209,252
KMD ARCHITECTS
222 VALLEJO STREETSAN FRANCISCOCA94111PROFESSIONAL SERVICES$148,342
PHILIPP A SACK MD
940 WIGET LANEWALNUT CREEKCA94598MEDICAL SERVICES$144,876
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$9,976,733RelatedOrganizationsAmt
Total Contributions$9,976,733TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE900099$22,852,877$22,852,877
NET MEDICAID REVENUE900099$6,059,261$6,059,261
NET MEDICARE REVENUE900099$2,074,551$2,074,551
NET OTHER REVENUE900099$901,143$901,143
FieldValueIRS element (for citing)
Total Program Service Revenue$31,887,832TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$394TotalRevenueColumnAmt
Exclusion$394ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,864,959TotalRevenueColumnAmt
Related Or Exempt Func Income$31,887,832RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$394ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,898,702TotalAmt
Program Services$18,178,601ProgramServicesAmt
Management And General$720,101ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,850,383TotalAmt
Program Services$5,662,996ProgramServicesAmt
Management And General$187,387ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,671,651TotalAmt
Program Services$1,671,651ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$43,529TotalAmt
Program Services$39,000ProgramServicesAmt
Management And General$4,529ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,457,167TotalAmt
Program Services$1,457,167ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,307TotalAmt
Program Services$4,105ProgramServicesAmt
Management And General$3,202ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$285,233TotalAmt
Program Services$285,233ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
HEALTH SYSTEM ASSESSMEN$5,324,294$5,324,294
PURCHASED SERVICES$2,817,266$182,502$2,634,764
SUPPLIES$1,139,465$47,455$1,092,010
BAD DEBT$984,334$984,334

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$424,090TotalAmt
Program Services$203,186ProgramServicesAmt
Management And General$220,904ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$38,903,421TotalAmt
Program Services$32,213,047ProgramServicesAmt
Management And General$6,690,374ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$407,365BOYAmt
EOY$714,839EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,557,570BOYAmt
EOY$4,519,215EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$70,910BOYAmt
EOY$85,120EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$191,871BOYAmt
EOY$185,225EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,898,677LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,272,017LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,218,402BOYAmt
EOY$3,626,660EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,712BOYAmt
EOY$480,823EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,453,830BOYAmt
EOY$9,611,882EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,161,094BOYAmt
EOY$917,839EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,305,936BOYAmt
EOY$2,745,705EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,467,030BOYAmt
EOY$3,663,544EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,986,800BOYAmt
EOY$5,948,338EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,986,800BOYAmt
EOY$5,948,338EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,453,830BOYAmt
EOY$9,611,882EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,961,538ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,189,825OtherCostOrOtherBasisAmt
Depreciation$1,248,367DepreciationAmt
Book Value$2,941,458BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,522,711OtherCostOrOtherBasisAmt
Depreciation$1,023,650DepreciationAmt
Book Value$499,061BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$186,141OtherCostOrOtherBasisAmt
Book Value$186,141BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,626,660TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescSTOP LOSS ACCRUALDesc
Book Value$480,823BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$480,823TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PAYROLL AND PAYROLL TAXES$1,077,602
VACATION AND OTHER COMPENSATION$887,055
EMPLOYEE MEDICAL CLAIMS$282,000
OTHER CURRENT LIABILITIES$499,048
FieldValueIRS element (for citing)
Total Liability$2,745,705TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationJOHN MUIR BEHAVIORAL HEALTH IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF JOHN MUIR HEALTH AND SUBSIDIARIES. THE FOLLOWING REFLECTS JOHN MUIR HEALTH'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740: JOHN MUIR BEHAVIORAL HEALTH IS A NONPROFIT PUBLIC BENEFIT CORPORATION AND HAS BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(A)(1) OF THE INTERNAL REVENUE CODE. HOWEVER, JOHN MUIR BEHAVIORAL HEALTH IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. JOHN MUIR BEHAVIORAL HEALTH RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED USING THE LARGEST AMOUNT THAT EXCEEDS A 50% PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATED OCCURS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,675,352TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,675,352NetCommunityBenefitExpnsAmt
Total Expense0.04420TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,675,352TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,675,352NetCommunityBenefitExpnsAmt
Total Expense0.04420TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,852TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,852NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$258,735TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$258,735NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,517,871TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,517,871NetCommunityBenefitExpnsAmt
Total Expense0.06640TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,283TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$102,283NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,887,741TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,887,741NetCommunityBenefitExpnsAmt
Total Expense0.07610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,563,093TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,563,093NetCommunityBenefitExpnsAmt
Total Expense0.12030TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,025TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,025NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,025TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,025NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$984,334BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,165,282ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,498,526CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,333,244MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN MUIR BEHAVIORAL HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12740 GRANT STREETAddressLine1Txt
CityCONCORDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94520ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.JOHNMUIRHEALTH.COMWebsiteAddressTxt
State License140000418StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JOHN MUIR BEHAVIORAL HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTMLStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
JOHN MUIR BEHAVIORAL HEALTHPART V, SECTION B, LINE 5: JOHN MUIR BEHAVIORAL HEALTH COLLECTED COMMUNITY INPUT IN THREE WAYS. FIRST, COMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS THROUGH THE USE OF KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. REPRESENTATIVES FROM STATE, LOCAL, TRIBAL OR OTHER REGIONAL GOVERNMENT PUBLIC HEALTH DEPARTMENTS WITH KNOWLEDGE, INFORMATION AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. OTHER INDIVIDUALS WITH EXPERTISE OF LOCAL HEALTH NEEDS WERE ALSO CONSULTED. TEN COMMUNITY REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS WHO EITHER WORK IN THE HEALTH FIELD OR IMPROVE HEALTH CONDITIONS BY SERVING THOSE FROM THE TARGET POPULATIONS WERE CONSULTED. SECOND, TEN CONTRA COSTA COUNTY EXPERTS FROM VARIOUS ORGANIZATIONS INCLUDING PUBLIC HEALTH OFFICERS, COMMUNITY CLINIC MANAGERS AND CLINICIANS WITH COUNTRYWIDE EXPERIENCE AND EXPERTISE WERE INTERVIEWED. THEY WERE ASKED TO IDENTIFY THE TOP NEEDS OF THEIR CONSTITUENTS, INCLUDING SPECIFIC GROUPS OR AREAS WITH GREATER OR SPECIAL NEEDS. THIRD, DISCUSSIONS WITH FOCUS GROUPS THAT REPRESENTED UNDERSERVED, IN POVERTY, AND/OR SOCIALLY OR LINGUISTICALLY ISOLATED WERE HELD. THE DISCUSSION INCLUDED QUESTIONS ABOUT THE COMMUNITY'S TOP HEALTH NEEDS, THE DRIVERS OF THOSE NEEDS, THE COMMUNITY'S EXPERIENCE OF HEALTHCARE ACCESS AND BARRIERS TO ACCESS AND ASSETS AND RESOURCES THAT EXIST OR NEEDED TO ADDRESS THE COMMUNITY'S TOP HEALTH NEEDS. THE FOUR FOCUS GROUPS CONSIST OF:1. PITTSBURGH HIGH SCHOOL AFRICAN AMERICAN PARENT GROUP: 7 PARTICIPANTS REPRESENTING AFRICAN AMERICAN, LOW INCOME MINORITY.2. FIRST 5 CONTRA COSTA: 11 PARTICIPANTS REPRESENTING LATINO, SPANISH SPEAKING LOW INCOME MINORITY.3. MONUMENT CRISIS CENTER: 11 PARTICIPANTS REPRESENTING MEDICALLY UNDERSERVED, LOW INCOME.4. PITTSBURGH HEALTH CENTER/COMMUNITY HEALTH WORKERS: 6 PARTICIPANTS REPRESENTING MEDICALLY UNDERSERVED, LOW INCOME MINORITY.
JOHN MUIR BEHAVIORAL HEALTHPART V, SECTION B, LINE 6A: ALL JOHN MUIR HEALTH HOSPITAL FACILITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK; JOHN MUIR MEDICAL CENTER, CONCORD; AND JOHN MUIR BEHAVIORAL HEALTH) COLLABORATED WITH KAISER PERMANENTE DIABLO, EAST BAY AND GREATER SOUTHERN ALAMEDA, SAINT ROSE HOSPITAL, SAN RAMON REGIONAL MEDICAL CENTER, LLC, STANFORD HEALTH CARE-VALLEY CARE, UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND AND WASHINGTON HOSPITAL HEALTHCARE SYSTEM ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
JOHN MUIR BEHAVIORAL HEALTHPART V, SECTION B, LINE 6B: THE 2016 CHNA WAS CONDUCTED WITH APPLIED SURVEY RESEARCH (ASR), A SOCIAL RESEARCH FIRM. FOR THIS ASSESSMENT, ASR CONDUCTED PRIMARY RESEARCH, COLLECTED SECONDARY DATA, SYNTHESIZED PRIMARY AND SECONDARY DATA, FACILITATED THE PROCESS OF IDENTIFICATION OF COMMUNITY HEALTH NEEDS AND ASSETS AND OF PRIORITIZATION OF COMMUNITY HEALTH NEEDS. ASR'S EXPERTISE IN COMMUNITY ASSESSMENT IS WELL-RECOGNIZED. ASR WON A FIRST PLACE AWARD IN 2007 FOR HAVING THE BEST COMMUNITY ASSESSMENT PROJECT IN THE COUNTRY. THE ASR TEAM HAS A 35-YEAR HISTORY OF WORKING WITH VULNERABLE AND UNDERSERVED POPULATIONS, INCLUDING YOUNG CHILDREN, TEEN MOTHERS, SENIORS, LOW-INCOME FAMILIES, IMMIGRANT FAMILIES, FAMILIES WHO HAVE EXPERIENCED DOMESTIC VIOLENCE AND CHILD MALTREATMENT, THE HOMELESS, AND CHILDREN AND FAMILIES WITH DISABILITIES.
JOHN MUIR BEHAVIORAL HEALTHPART V, SECTION B, LINE 11: THE 2016 CHNA IDENTIFIED EIGHT PRIORITIZED HEALTH NEEDS RESULTING FROM A COMPREHENSIVE REVIEW OF OVER 150 HEALTH INDICATORS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WITH RESIDENTS WHO REPRESENT THE PERSPECTIVE OF VULNERABLE POPULATIONS IN OUR SERVICE AREA. 1. OBESITY, DIABETES, HEALTHY EATING AND ACTIVE LIVING2. ECONOMIC SECURITY3. HEALTHCARE ACCESS AND DELIVERY INCLUDING PRIMARY AND SPECIALTY CARE4. ORAL/DENTAL HEALTH5. MENTAL HEALTH6. SUBSTANCE ABUSE7. UNINTENTIONAL INJURIES8. VIOLENCE/INJURY PREVENTIONHOSPITAL REPRESENTATIVES PRIORITIZED HEALTH NEEDS WITH LOCAL COMMUNITY AND PUBLIC HEALTH REPRESENTATIVES. TO FURTHER REFINE AND SELECT THE COMMUNITY HEALTH NEEDS WE PLAN TO ADDRESS, FOUR CRITERIA WERE UTILIZED.SELECTION PROCESS: THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE IS CHARGED WITH OVERSEEING THE STRATEGIC DIRECTION OF COMMUNITY BENEFIT PROGRAM AND ACTIVITIES. THE COMMITTEE IS COMPOSED OF JOHN MUIR HEALTH EXECUTIVES AND COMMUNITY BOARD OF DIRECTORS MEMBERS. THE COMMITTEE MET ON JULY 6, 2016 TO REVIEW THE LIST OF COMMUNITY HEALTH NEEDS IDENTIFIED AND PRIORITIZED BY THE CHNA REPORT AND TO SELECT THE COMMUNITY HEALTH NEEDS THAT JMH WILL FOCUS COMMUNITY BENEFIT ON FROM 2016 TO 2018.THE FOLLOWING SELECTION CRITERIA WERE USED AS A METHOD TO PRIORITIZE AND SELECT THE COMMUNITY BENEFIT PRIORITIES. THE SELECTION CRITERIA BUILT ON THE CHNA PRIORITIZATION CRITERIA, WHICH INCLUDED (1) SEVERITY OF NEED; (2) MAGNITUDE/SCALE OF NEED; (3) CLEAR DISPARITIES OR INEQUITIES AND (4) COMMUNITY PRIORITY.THE COMMITTEE MEMBERS FIRST AGREED UPON THE SELECTION CRITERIA. THE COMMITTEE THEN SCORED EACH COMMUNITY HEALTH NEEDS BETWEEN 1 (DOES NOT MEET CRITERIA) AND 3 (STRONGLY MEET CRITERIA). THE SCORES WERE COMPILED TO IDENTIFY THE TOP SCORING HEALTH NEEDS. AFTER DISCUSSION BY ALL MEMBERS REGARDING RATIONALE FOR SELECTION, THE COMMITTEE CAME TO A CONSENSUS ON THE FOLLOWING NEEDS THAT JMH PLANS TO ADDRESS:1. HEALTH CARE ACCESS AND DELIVERY, INCLUDING PRIMARY AND SPECIALTY CARE - JOHN MUIR HEALTH NEW FAMILY RESIDENCY PROGRAM ALLOWS NEW RESIDENTS TO SEE PATIENTS WHO OFTEN EXPERIENCE BARRIERS TO ACCESSING CARE, INCLUDING OUR MOST VULNERABLE RESIDENTS, AT OUR FAMILY RESIDENCY CLINIC AT THE WALNUT CREEK OUTPATIENT CENTER AND THROUGH OUR FREE MOBILE HEALTH CLINIC THAT SERVES EAST CONTRA COSTA COUNTY.2. MENTAL HEALTH - JOHN MUIR HEALTH STARTED THE MENTES POSITIVAS PROGRAM BY LAUNCHING AN EIGHT-WEEK ROBUST TRAINING FOR PROMOTORES. THE PROGRAM, FACILIATED ENTIRELY IN SPANISH, REACHES THOSE WHO SELF-IDENTIFY AS LIVING WITH STRESS AND DEPRESSION. COGNITIVE BEHAVIORAL STRESS MANAGEMENT TOOLS ARE USED TO SUPPORTIVELY TEACH PARTICIPANTS TO LOWER STRESS AND DEPRESSION LEVELS AND TO CONTROL REOCCURRENCE.3. OBESITY, DIABETES, HEALTHY EATING AND ACTIVE LIVING - JOHN MUIR HEALTH CONTINUED MONETARY SUPPORT TO THE FOOD BANK OF CONTRA COSTA AND SOLANO COUNTY MAKES IT POSSIBLE FOR THE COMMUNITY TO GET FRESH FRUIT AND VEGETABLES INTO THEIR DIET. WITHOUT THIS SUPPORT, PEOPLE IN CERTAIN NEIGHBORHOODS WOULD HAVE A HARD TIME GETTING THE FOODS THAT HELP THEM EAT HEALTHY.JOHN MUIR HEALTH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS AS PART OF THIS COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO THE NEED TO ALLOCATE SIGNIFICANT, FOCUSED RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFIED ABOVE:1. ECONOMIC SECURITY - ADDRESSING ECONOMIC SECURITY IS A LARGE SCOPE INITIATIVE THAT JOHN MUIR HEALTH CANNOT ADDRESS ALONE, DUE TO LIMITED INFRASTRUCTURE AND RESOURCES. OTHER ORGANIZATIONS ARE CURRENTLY WORKING TO ENHANCE THE SAFETY NET IN CONTRA COSTA COUNTY BY ADDRESSING ECONOMIC SECURITY. JOHN MUIR HEALTH WILL CONTINUE TO BE A PART OF THE DIALOGUE ON THIS IMPORTANT ISSUE BUT WILL NOT CONTRIBUTE RESOURCES GIVEN ITS CONTRIBUTION IN OTHER AREAS.2. ORAL/DENTAL HEALTH3. UNINTENTIONAL INJURIES4. VIOLENCE/INJURY PREVENTION5. SUBTANCE ABUSE, INCLUDING ALCOHOL, TOBACCO, AND OTHER DRUGS
JOHN MUIR BEHAVIORAL HEALTHPART V, SECTION B, LINE 13B: OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILTY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTY'S MEDICALLY INDIGENT PROGRAM. ADDITIONALLY, THE ORGANIZATION USES ESTIMATED FEDERAL POVERTY GUIDELINES DEVELOPED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD.
JOHN MUIR BEHAVIORAL HEALTH:PART V, SECTION B, LINE 7A: THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTMLPART V, SECTION B, LINE 16A: THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTMLPART V, SECTION B, LINE 16B: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTMLPART V, SECTION B, LINE 16C: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:THE MAJORITY OF CHARITY CARE IS GIVEN BASED EITHER IN THE FEDERAL POVERTY GUIDELINES ("FPG") AS CALCULATED FROM DOCUMENTATION AND STATEMENTS MADE ON THE INTERNAL JOHN MUIR HEALTH CHARITY CARE APPLICATION, OR ON THE FPG AS ESTIMATED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. JOHN MUIR HEALTH HAS NO INPUT INTO THE CRITERIA USED FOR THE ALGORITHM, WHICH IS THE SAME CALCULATION USED BY THE CONTRACTED THIRD PARTY FOR ALL OF THEIR CLIENTS NATIONWIDE.OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILTY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTY'S MEDICALLY INDIGENT PROGRAM.IN ADDITION TO FORMAL QUALIFICATION IN A RECOGNIZED PROGRAM SERVING THE LOW-INCOME AND INDIGENT POPULATION, CHARITY CARE IS ALSO EXTENDED TO PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS AND WHO HAVE BEEN DOCUMENTED IN THE MEDICAL RECORDS AS BEING HOMELESS, OR HAVE A LACK OF HOUSING. CHARITY CARE IS ALSO APPLIED TO OUTSTANDING BALANCE FOR EMERGENCY SERVICES RENDERED TO DOCUMENTED MINOR AND ELDERLY VICTIMS OF ABUSE, BASED ON COMPASSION AS JOHN MUIR HEALTH HAS NO KNOWLEDGE OF THE CURRENT HOME ENVIRONMENT OF THESE PATIENTS. WE ALSO HAVE A PARTNERSHIP WITH A COMMUNITY PROGRAM, OPERATION ACCESS, WHICH SERVES THE LOW-INCOME INDIVIDUALS ON OUR COUNTY, TO PROVIDE FREE CARE ON A REFERRED, CASE-BY-CASE BASIS. OPERATION ACCESS HAS ALREADY PERFORMED THE SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.PART I, LINE 4:WE PROVIDE HEALTH CARE TO THE MOST VULNERABLE INDIVIDUALS OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY THROUGH OUR MEDICAL CENTERS IN WALNUT CREEK AND CONCORD. THIS INCLUDES THE CRITICAL EMERGENCY AND TRAUMA SERVICES AT OUR MEDICAL CAMPUSES.JOHN MUIR HEALTH HAS A NUMBER OF PROGRAMS TO HELP OUR PATIENTS WITH THEIR MEDICAL BILLS FOR SERVICES THEY RECEIVE AT ONE OF OUR MEDICAL CENTERS. THESE PROGRAMS INCLUDE A PATIENT ASSISTANCE PROGRAM TO ABSORB PART, OR ALL, OF THE BILL BASED ON INCOME AND OTHER PROGRAM GUIDELINES, ASSISTANCE ENROLLING IN A NUMBER OF INSURANCE PROGRAMS, AND EXTENDED PAYMENT PLANS.JOHN MUIR HEALTH MAY ALSO ASSIGN ACCOUNTS TO PRESUMPTIVE CHARITY, WITHOUT A PATIENT ASSISTANCE APPLICATION SUBMITTED BY THE PATIENT, BASED ON PREDETERMINED CRITERIA COLLECTED FROM APPROVED SOURCES. THIS CRITERIA INCLUDES:THE PATIENT HAVING DOCUMENTED IN HIS/HER MEDICAL RECORD AS BEING HOMELESS OR VERIFICATION RECEIVED THROUGH THE MEDICAL CENTER OR A FAMILY MEMBER THAT THE PATIENT IS CURRENTLY INCARCERATED. ORTHE 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.ORAFTER NORMAL COLLECTION EFFORTS HAVE NOT PRODUCED ANY PAYMENT, AND JOHN MUIR HEALTH HAS IDENTIFIED WITH REASONABLE EFFORT AND ASSURANCE THAT THE PATIENT'S ESTIMATED INCOME IS AT 250 PERCENT OR LESS OF THE FPL (FEDERAL POVERTY LEVEL).
PART I, LINE 6A:ALL JOHN MUIR HEALTH ENTITIES (WALNUT CREEK CAMPUS, CONCORD CAMPUS AND BEHAVIORAL HEALTH) REPORT COMMUNITY BENEFIT INFORMATION AS PART OF THE JOHN MUIR HEALTH ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:JOHN MUIR BEHAVIORAL HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA, INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS, THE COST-TO-CHARGE RATIO WAS USED.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 984,334.
PART II, COMMUNITY BUILDING ACTIVITIES:JOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEET THE DEFINITION OF COMMUNITY BENEFIT. FOR EXAMPLE, THE BEHAVIORAL HEALTH CENTER'S SUPPORT OF THE POSITIVE MINDS IN ACTION PROGRAM PROVIDES COGNITIVE BEHAVIOR STRESS MANAGEMENT TOOLS TO SUPPORTIVELY TEACH PARTICIPANTS TO LOWER STRESS AND DEPRESSION LEVELS AND TO CONTROL REOCCURRENCE. ADDITIONALLY, IN 2016 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 RANE OF ORGANIZATIONS TO SUPPORT GREATER OF YOUTHS TO HEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS, WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPRTUNITIES 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 BIOENGINEERING9. NUTRITION SERVICES/DIETICIANS AND CHEFS10. INFORMATION TECHNOLOGY11. HEALTHCARE ADMINISTRATION12. FAMILY MEDICINE PHYSICIANS13. EMERGENCY SERVICES/ER TECH, PHYSICIANS AND NURSINGPARTNERS:1. EAST COUNTY BUSINESS EDUCATION ALLIANCE2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH 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 COLLEGE STATE UNIVERSITIES4. 8 JUNIOR COLLEGES4. 7 PRIVATE COLLEGES
PART III, LINE 4:INCLUDES PART III, LINES 2-4:THE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS THAT DO NOT INCLUDE A DESCRIPTION OF BAD DEBT EXPENSE. BAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT.
PART III, LINE 8:THE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2016 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).
PART III, LINE 9B:OTHER THAN SENDING STATEMENTS AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR BEHAVIORAL HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTIONS INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO A COLLECTION AGENCY. THE COLLECTION POLICY IS IN THE FORM OF, AND INCORPORATED INTO, THE CONTRACT AGREEMENT WITH THE OUTSIDE AGENCY AS A FULL ADDENDUM TO THE CONTRACT, WITH A SEPARATE SIGNATURE LINE FOR JOHN MUIR HEALTH AND THE AGENCY AS PART OF THE ADDENDUM. IN ADDITION TO THE CUSTOMIZED JOHN MUIR HEALTH COLLECTION GUIDELINES, THE ADDENDUM ALSO CONTAINS THE COLLECTION CRITERIA AND REQUIREMENTS FOUND IN CALIFORNIA LAW UNDER ASSEMBLY BILL 774.
PART VI, LINE 2:BEHAVIORAL HEALTH SERVICES FOR ALL AGE GROUPS ARE CRITICAL COMMUNITY SERVICES IN CONTRA COSTA COUNTY. IN A COUNTY OF OVER 1 MILLION RESIDENTS, JOHN MUIR BEHAVIORAL HEALTH (BHC) IS THE ONLY PRIVATE, FREE-STANDING, LICENSED, ACUTE CARE PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITAL. JOHN MUIR HEALTH SUPPORTS AND SUBSIDIZES THE BHC SERVICES FOR THE COMMUNITY AS A COMMUNITY BENEFIT.THE 2016 HEALTH NEEDS ASSESSMENT INCLUDES A COMPREHENSIVE NEEDS ASSESSMENT OF THE COMMUNITY SERVED, WHICH HAS BEEN USED TO DEVELOP OUR ANNUAL AND TRIENNIAL COMMUNITY BENEFIT PLANS. FOR MORE INFORMATION, THE CHNA REPORT AND IMPLEMENTATION STRATEGY (A.K.A. COMMUNITY HEALTH IMPROVEMENT PLAN) CAN BE FOUND HERE: HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENTIN ADDITION TO CHNA, JMH IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY IN A VARIETY OF WAYS. JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIP WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS IN OUR COMMUNITY. JOHN MUIR HEALTH KEPT ABREAST OF CURRENT HEALTH ISSUES OF IMPORTANCE TO THE COMMUNITY BY ACTIVE PARTICIPATION AND COMMUNICATION WITH A VARIETY OF COMMUNITY GROUPS INCLUDING BUT NOT LIMITED TO DENTAL COLLABORATIVE OF CONTRA COSTA, ACCESS TO CARE STAKEHOLDERS, EAST COUNTY ACCESS ACTION TEAM, HEALTHY AND ACTIVE BEFORE FIVE, FAMILIES COALITION FOR ACTIVITY AND NUTRITION, MOBILE HEALTH CLINIC ASSOCIATION NORTHERN CALIFORNIA ROUNDTABLE, AND THE EAST COUNTY HEALTH AND WEALTH INITIATIVE. THESE SOURCES OF INFORMATION PROVIDE CURRENT INFORMATION REGARDING HEALTH STATUS AND ALSO HELP IDENTIFY EMERGING NEEDS IN THE SERVICE ARE POPULATION.
PART VI, LINE 3:JOHN MUIR BEHAVIORAL HEALTH HAS SIGNAGE POSTED IN PATIENT AREAS/LOBBIES INFORMING PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIR HEALTH CARE BILLS AND ELIGIBILITY.SERVICES TO AID THE PATIENT IN QUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IS POSTED IN THE EMERGENCY DEPARTMENT. ALL PATIENTS RECEIVE A "PATIENT ASSISTANCE" BROCHURE, WHICH IDENTIFIES VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENT, INCLUDING PROGRAMS THROUGH GOVERNMENT AGENCIES (STATE, COUNTY, ETC). THE BROCHURE ALSO LISTS CONTACT INFORMATION FOR THESE PROGRAMS. PATIENTS IN THE EMERGENCY DEPARTMENT TALK TO A TRAINED FINANCIAL COUNSELOR, AND IF APPROPRIATE, ARE ALSO ASKED TO SIGN A FORM ACKNOWLEDGING RECEIPT OF THE PATIENT ASSISTANCE MATERIALS OR DECLINING TO ACCEPT THE MATERIAL. TRAINED FINANCIAL COUNSELORS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE NOT PRESENT FOR SERVICES THROUGH THE EMERGENCY DEPARTMENT. THE APPLICATION FORM AND A COPY OF THE POLICY FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM IS ALSO AVAILABLE IN THE EMERGENCY DEPARTMENT AS WELL AS THE MAJOR PATIENT ACCESS AREAS AND THE BUSINESS OFFICE. NOTIFICATION THAT PROGRAMS ARE AVAILABLE IS ALSO PRINTED ON THE PATIENT BILLING STATEMENTS, ACCOMPANIED BY THE ABILITY FOR A PATIENT TO REQUEST THE VARIOUS PROGRAM MATERIALS BE SENT TO HIS/HER HOME. CONTACT INFORMATION IS ALSO LISTED ON THE PATIENT STATEMENT. INFORMATION IN THE HEALTH SYSTEM'S CHARITY CARE PROGRAM IS POSTED ON THE JOHN MUIR HEALTH INTERNET WEBSITE AS WELL.PATIENTS ADMITTED TO THE HOSPITAL, AND WHO HAVE NO THIRD PARTY INSURANCE LISTED ARE INTERVIEWED BY TRAINED FINANCIAL COUNSELORS DURING THEIR HOSPITAL STAY TO INFORM THEM OF THE VARIOUS PROGRAMS WHICH ARE AVAILABLE, AND DETERMINE IF THE PATIENT WOULD LIKE ASSISTANCE TO OBTAIN ELIGIBILITY FOR THE STATE MEDICAID (MEDI-CAL) PROGRAM, STATE DISABILITY, CHARITY CARE OR OTHER AVAILABLE PROGRAM IN THE COUNTY. THIS ELIGIBILITY ASSISTANCE, WHICH INCLUDES HELP IN FILLING OUT THE APPLICATION, GATHERING REQUIRED DOCUMENTS, AND TRANSPORTATION TO ELIGIBILITY APPOINTMENTS, IF NECESSARY, IS OFFERED AT NO CHARGE TO THE PATIENT. IN ADDITION, PATIENT ACCOUNTING REPRESENTATIVES MAY ALSO CONTACT PATIENTS AFTER DISCHARGE TO ASK ABOUT PAYMENT ARRANGEMENTS AND TO INFORM THEM OF THE CHARITY CARE PROGRAM IF THE PATIENT NEEDS ASSISTANCE IN PAYING FOR THEIR MEDICAL BILLS.
PART VI, LINE 4:JOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREA EXTENDS FROM SOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SAN RAMON IN SOUTHERN CONTRA COSTA COUNTY. JMH'S TRAUMA CENTER SERVES ALL OF CONTRA COSTA COUNTY, AS WELL AS SOUTHERN SOLANO COUNTY, AND IS BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY. JMH ALSO SERVES EASTERN ALAMEDA COUNTY IN JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER.OUR COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF THE VULNERABLE POPULATIONS IN CENTRAL AND EASTERN CONTRA COSTA COUNTY, OUR PRIMARY AND SECONDARY SERVICE AREA. WE DEFINE VULNERABLE POPULATIONS AS THOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED. THESE CRITERIA RESULTS IN A PRIMARY COMMUNITY BENEFIT SERVICE AREA THAT INCLUDES THE COMMUNITIES OF THE MONUMENT AREA IN CONCORD AND THE EASTERN CONTRA COSTA COUNTY CITIES OF BAY POINT, PITTSBURG, ANTIOCH, OAKLEY, AND BRENTWOOD, AND THE FAR EAST PARTS OF UNINCORPORATED CONTRA COSTA COUNTY.THE JOHN MUIR HEALTH SERVICE AREA HAS THE FOLLOWING DEMOGRAPHIC PROFILE:TOTAL POPULATION: 850,361WHITE: 66.8%BLACK: 6.5%ASIAN: 13.6%NATIVE AMERICAN/ALASKAN NATIVE: <0.05%PACIFIC ISLANDER/NATIVE HAWAIIAN: <0.05%SOME OTHER RACE: 6.3%MULTIPLE RACES: 5.8%HISPANIC/LATINO: 21.9%LIVING AT/BELOW 200% FPL: 21.9%CHILDREN LIVING AT/BELOW 100%FPL: 12.0%UNEMPLOYED: 5.3%UNINSURED: 9.5%NO HIGH SCHOOL DIPLOMA: 8.7%
PART VI, LINE 5:JOHN MUIR BEHAVIORAL HEALTH AND ITS CORPORATE MEMBER, JOHN MUIR HEALTH, ARE NOT-FOR-PROFIT, COMMUNITY BASED ORGANIZATIONS THAT ARE GOVERNED BY THOSE WHO LIVE IN THE COMMUNITIES WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMUNITIES. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES. AS NOT-FOR-PROFIT ORGANIZATIONS, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROM OUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. JMH ALSO CONTRIBUTES SIGNIFICANTLY TO THE ECONOMIC VITALITY OF CONTRA COSTA COUNTY BY EMPLOYING OVER 6,500 EMPLOYEES IN 2016.JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTA COUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENT AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR TWO HOSPITAL EMERGENCY DEPARTMENT SERVE ALL RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY.AS A NOT-FOR-PROFIT, JMH HAS AN OBLIGATION TO MAKE A CHARITABLE CONTRIBUTION TO THE COMMUNITY, BUT OUR COMMITMENT TO KEEPING THE COMMUNITIES WE SERVE GOES DEEPER THAN THAT. JMH'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION ACCURATELY REFLECTS OUR COMMUNITY HEALTH EFFORTS AS A CORPORATE LEADER AND COMMUNITY PARTNER. IN 2016, OVER 91% OF JMH'S COMMUNITY BENEFIT ACTIVITIES WERE FOCUSED ON VULNERABLE POPULATIONS. SOME OF THE PROGRAMS INCLUDE TREATING PATIENTS REFERRED BY LOCAL COMMUNITY CLINICS FOR SPECIALTY CARE SERVICES, PROVIDING MOBILE HEALTH CLINIC SERVICES IN UNDERSERVED COMMUNITIES, PROVIDING BREAST AND LUNG CANCER SCREENING FOR UNINSURED COMMUNITY MEMBERS AND SUPPORTING DEPRESSION PREVENTION ACTIVITIES FOR LOW-INCOME. JMH SERVED OVER 148,869 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN 2016.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 2016, WE PROVIDED $15.1 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $87.9 MILLION, THE FINANCIAL COST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE PAYMENT WE RECEIVED FROM MEDI-CAL.JOHN MUIR HEALTH ALSO PROVIDES BROAD FINANCIAL AND TECHNICAL SUPPORT TO PROMOTE COMMUNITY WELLNESS. THE ORGANIZATION CONTRIBUTES $1 MILLION A YEAR TO THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND EACH YEAR, WHOSE GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES.LASTLY, JMH CONTRIBUTES TO THE COMMUNITY IN MANY NON-QUANTIFIABLE WAYS THAT IS NOT OUTLINED IN THE REPORT. THE HEALTH SYSTEM CONTINUALLY PROVIDES LEADERSHIP IN THE COMMUNITY, ASSISTS WITH LOCAL CAPACITY BUILDING AND PARTICIPATES IN COMMUNITY-WIDE HEALTH PLANNING. JOHN MUIR HEALTH STAFF ARE ACTIVELY INVOLVED IN COMMUNITY ORGANIZATIONS AS VOLUNTEERS. THEIR LEADSERSHIP IN THE COMMUNITY HELPS TO DEVELOP PARTNERSHIPS TO ADDRESS THE NEEDS OF THE VULNERABLE AND UNDERSERVED. THE FOLLOWING ARE EXAMPLES OF NON-QUANTIFIABLE BENEFITS PROVIDED TO THE COMMUNITY IN 2016.JOHN MUIR HEALTH'S COMMITMENT TO ENVIRONMENTAL SUSTAINABILITY IS EVIDENT THROUGH MANY INITIATIVES. JOHN MUIR HEALTH INSTALLED FORTY VEHICLE CHARGING STATIONS TO REDUCE FUEL CONSUMPTION AND CARBON DIOXIDE EMISSIONS. IN ADDITION, SYSTEM-WIDE STYROFOAM USAGE HAS BEEN ELIMINATED. TO PRESERVE WATER, JOHN MUIR HEALTH FACILITIES WERE EQUIPPED WITH LOW-FLOW TOILETS, SHOWERS AND SINKS, AS WELL AS LIMITING OUTDOOR WATERING AND LANDSCAPING TO TW0 DAYS PER WEEK.JOHN MUIR HEALTH NURSES ARE DEEPLY INVOLVED IN THEIR COMMUNITY THROUGH VOLUNTEERING. JOHN MUIR HEALTH ENCOURAGES NURSING VOLUNTEERISM AND COMMUNITY INVOLVEMENT THROUGH MAGNET RECOGNITION STATUS WHERE NURSES SUPPORT HEALTH BY BUILDING PARTNERSHIP WITH THE COMMUNITY. FOR EXAMPLE, NURSES AT JOHN MUIR HEALTH MEDICAL CENTER, CONCORD PROVIDE HEALTH EDUCATION MONTHLY AT THE LOCAL FARMER'S MARKET AND PARTICIPATE AS VOLUNTEERS ON OUR MOBILE DENTAL CLINIC.JOHN MUIR HEALTH EMPLOYEES DONATE BACKPACKS WITH SCHOOL SUPPLIES TO FOSTER YOUTH THROUGH THE ANNUAL FOSTER A DREAM BACKPACK CHALLENGE. IN 2016, EMPLOYEES PROVIDED OVER 500 BACKPACKS TO FOSTER A DREAM.JOHN MUIR HEALTH AND OUR EMPLOYEES ACTIVELY PARTICIPATE IN DISEASE AWARENESS EVENTS TO PROMOTE HEALTH IN OUR COMMUNITY. EVENTS IN 2016 INCLUDED THE NATIONAL ALLIANCE ON MENTAL HEALTH ILLNESS WALK, WALK TO WELLNESS, AMERICAN HEART ASSOCIATION HEART WALK, GO RED COMMUNITY EVENT, DIGESTIVE HEALTH FAIR AND OTHER COMMUNITY EVENTS.
PART VI, LINE 6:JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND1399 YGNACIO VALLEY ROAD, SUITE 36, WALNUT CREEK, CA 94598THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND ONE ARM OF GRANT-MAKING AT JOHN MUIR HEALTH. ITS GOAL IS TO FOSTER SYSTEMATIC CHANGE THAT IMPROVES THE HEALTH OF THE PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MOST AT RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE COMMUNITY HEALTH FUND HAS DEVELOPED A FUNDING PROCESS THAT NURTURES LONG-TERM PARTNERSHIPS WITH AND AMONG COMMUNITY BASED ORGANIZATIONS. THIS LEADS TO VISIONARY HEALTH INITIATIVE THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 2016, THE FUND HAS GRANTED MORE THAN $26 MILLION IN JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUND, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN BE FOUND ON ITS WEBSITE: WWW.JMMDCOMMUNITYHEALTHFUND.COM. JOHN MUIR PHYSICIAN NETWORK1400 TREAT BOULEVARD, SUITE 400, WALNUT CREEK, CA 94597THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH MORE THAN 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG), JOHN MUIR SPECIALTY MEDICAL GROUP, OR MUIR MEDICAL GROUP IPA, INC. THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN NUMEROUS LOCATIONS FROM BENTWOOD TO PLEASANTON. JMMG ALSO PROVIDES HOSPITALISTS (IN-PATIENT MEDICAL SERVICES) AT JOHN MUIR HEALTH'S HOSPITALS. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SEVEN MAJOR HEALTH PLANS FOR MORE THAN 43,000 COMMERCIAL AND SENIOR HMO MEMBERS. ADDITIONALLY, THE PHYSCIAN NETWORK PROVIDES PHYSICIAN PANEL, MEDICAL MANAGEMENT AND CLAIM SERVICES FOR MORE THAN 10,400 JOHN MUIR HEALTH EMPLOYEES AND DEPENDENTS PARTICIPATING IN THE EXCLUSIVE PROVIDER ORGANIZATION HEALTH PLAN. THE PHYSICIAN NETWORK MANAGES HEALTH PLAN CONTRACTING FOR JOHN MUIR HEALTH AND ITS HOSPITALS AND ENGAGES PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACO WHICH PROVIDES THE COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS. LEE HUSKINS IS THE PRESIDENT AND CHIEF ADMINISTRATIVE OFFICER OF THE JOHN MUIR PHYSICIAN NETWORK.JOHN MUIR HEALTH FOUNDATION1400 TREAT BOULEVARD, SUITE 300, 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. THE FOUNDATION PRESIDENT IS PATRICK CAREW.JOHN MUIR HEALTH1400 TREAT BOULEVARD, SUITE 300, WALNUT CREEK, CA 94597JOHN MUIR HEALTH IS A NATIONALLY RECOGNIZED, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION LOCATED EAST OF SAN FRANCISCO, SERVING PATIENTS IN CONTRA COSTA, EASTERN ALAMEDA AND SOUTHERN SOLANO COUNTIES. IT INCLUDES A NETWORK OF OVER 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS, 6,500 EMPLOYEES, MEDICAL CENTERS IN CONCORD AND WALNUT CREEK, INCLUDING THE COUNTY'S ONLY TRAUMA CENTER, AND A BEHAVIORAL HEALTH CENTER. THE HEALTH SYSTEM ALSO OFFERS A FULL RANGE OF MEDICAL SERVICES, INCLUDING PRIMARY CARE, OUTPATIENT, LAB AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, EMERGENCY AND HIGH-RISK OBSTETRICS CARE.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CALVIN KNIGHT
CEO/DIRECTOR/PRESIDENT$0$1,085,768$0$734,507$0$1,076,739$0$1,234,038$0$18,335$0$4,149,387$0$734,507
CHRISTIAN PASS
CFO$0$419,238$0$179,011$0$36,862$0$218,876$0$24,279$0$878,266$0$179,011
MICHAEL THOMAS
CAO$0$520,311$0$270,591$0$57,321$0$335,918$0$23,035$0$1,207,176$0$270,591
ALISON FLETCHER
NURSING SUPERVISOR$178,408$0$6,938$0$33,220$0$39,285$0$9,165$0$267,016$0$6,938$0
CINDY BOLTER
CHIEF NURSING & OPERATIONS OFFICER$231,758$0$45,310$0$22,147$0$103,102$0$26,238$0$428,555$0$45,310$0
JANIS LAIACONA
DIRECTOR, ACCREDITATION$165,695$0$15,092$0$2,293$0$23,338$0$20,085$0$226,503$0$15,092$0
JULIA OLSON
DIRECTOR QUALITY & CLINICAL EFFECT$185,853$0$16,238$0$1,612$0$25,168$0$1,512$0$230,383$0$16,238$0
SHEILA SASSER
LEAD RN$150,965$0$0$0$38,589$0$16,322$0$1,345$0$207,221$0$0$0
MICHAEL MOODY
FORMER OFFICER$0$488,856$0$294,267$0$191,134$0$380,845$0$25,026$0$1,380,128$0$294,267
NANCY OLSON
FORMER OFFICER$0$418,202$0$182,920$0$111,539$0$268,173$0$13,832$0$994,666$0$182,920

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3JOHN MUIR HEALTH, A RELATED TAX-EXEMPT ORGANIZATION OF JOHN MUIR BEHAVIORAL HEALTH, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4BCINDY BOLTER $57,475 RESTORATION PLAN CALVIN KNIGHT $495,473 SERP PLAN CHRISTIAN PASS $42,143 RESTORATION PLAN MICHAEL THOMAS $69,160 SERP PLAN
SCHEDULE J, PART II, COLUMN B(III):JMH IMPLEMENTED A "PAID TIME OFF CAP" THAT WAS EFFECTIVE BEGINNING IN 2014. PTO CAPS WERE INSTALLED FOR ALL EMPLOYEES WITH THE EXCEPTION OF THOSE REPRESENTED BY COLLECTIVE BARGAINING AGREEMENTS. IN CONNECTION WITH THE POLICY TO LIMIT A BENEFIT-ELIGIBLE EMPLOYEE AT 125% OF THEIR TOTAL PAID TIME OFF ACCRUAL VALUE (BASED ON YEARS OF SERVICE), JMH CASHED OUT EMPLOYEE BALANCES IN EXCESS OF 100% OF THEIR PAID TIME OFF ACCRUAL CAPS. THE POLICY IS EFFECTIVE AT JMH AND ALL JMH SUBSIDIARIES. STARTING SEPTEMBER 19, 2016, ALL JMH EXECUTIVES AT THE LEVEL OF VICE PRESIDENT AND ABOVE STOPPED ACCRUING PTO HOURS. ANY PTO HOURS EARNED BUT NOT YET USED WERE PAID OUT WITH THE PAYCHECK DATED OCTOBER 7, 2016.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2JOHN MUIR BEHAVIORAL HEALTH BOARD MEMBERS TAEJOON AHN, M.D. AND RAVI HUNDAL, M.D. ARE PRESIDENT AND CHIEF FINANCIAL OFFICER, RESPECTIVELY, OF JOHN MUIR MEDICAL GROUP. THOMAS G. RUNDALL, PH.D. (JMBH VICE CHAIR AND DIRECTOR) IS A BOARD MEMBER OF ON LOK, INC., A NOT FOR PROFIT COMMUNITY ORGANIZATION WHICH EMPLOYS ROBERT E. EDMONDSON (JMBH DIRECTOR) AS CEO.
FORM 990, PART VI, SECTION A, LINE 6JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, AND THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH SHALL SERVE EX-OFFICIO AS THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH.
FORM 990, PART VI, SECTION A, LINE 7AREFER TO SCHEDULE O, PART VI, SECTION A, LINE 6
FORM 990, PART VI, SECTION A, LINE 7BTHE BYLAWS OF JOHN MUIR BEHAVIORAL HEALTH PROVIDE THAT THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH, THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, SHALL SERVE AS EX-OFFICIO AS THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH. AS A RESULT, THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH CONTROLS THE NUMBER, APPOINTMENT, TERM AND REMOVAL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH. JOHN MUIR HEALTH, AS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, ALSO HAS THE RIGHT TO APPROVE CERTAIN ACTIONS IN ACCORDANCE WITH THE CALIFORNIA NONPROFIT PUBLIC CORPORATION LAW, INCLUDING THE VOLUNTARY DISSOLUTION OF JOHN MUIR BEHAVIORAL HEALTH, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF JOHN MUIR BEHAVIORAL HEALTH, AND THE MERGER OF JOHN MUIR BEHAVIORAL HEALTH WITH OR INTO ANY OTHER ENTITY.
FORM 990, PART VI, SECTION B, LINE 11BTHE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER OR THEIR DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR BEHAVIORAL HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, THE 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, CHIEF EXECUTIVE OFFICER 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, GOVERNANCE COMMITTEE AND FOR CERTAIN TRANSACTIONS WITH THE CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE CONFLICTS DURING THE YEAR. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, CHIEF EXECUTIVE OFFICER AND THE BOARD CHAIR.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH. THE BOARD OF DIRECTORS UTILIZES AN OUTSIDE CONSULTANT WHO IS A COMPENSATION EXPERT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITIES AND THAT DATA IS USED BY THE BOARD OF DIRECTORS 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.
FORM 990, PART VI, SECTION C, LINE 19JOHN MUIR HEALTH PROVIDES FINANCIAL INFORMATION ON A QUARTERLY BASIS THROUGH VARIOUS BOND DISCLOSURE DATABASES. THIS FINANCIAL INFORMATION IS AVAILABLE FOR JOHN MUIR HEALTH ON A CONSOLIDATED AND CONSOLIDATING BASIS, INCLUDING JOHN MUIR BEHAVIORAL HEALTH AND OTHER SUBSIDIARIES. REQUESTS FOR THE PROVISION OF JOHN MUIR BEHAVIORAL HEALTH GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE DIRECTED TO GENERAL COUNSEL FOR THE APPROPRIATE RESPONSE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
JOHN MUIR HEALTH
1400 TREAT BOULEVARD SUITE 300WALNUT CREEKCA94597941461843PROVISION FOR HEALTHCARE SERVICES TO THE COMMUNITYCA501(C)(3)3N/A0
JOHN MUIR PHYSICIAN NETWORK
1400 TREAT BOULEVARD SUITE 400WALNUT CREEKCA94597680360801PROVIDE CLINIC SERVICES & MANAGE HEALTHCARE RISK OPERATIONS WITH JMHCA501(C)(3)12, TYPE IYes (1)JOHN MUIR HEALTH
JOHN MUIR HEALTH FOUNDATION
1400 TREAT BOULEVARD SUITE 300WALNUT CREEKCA94597942650855SOLICITATION OF FUNDS FOR JOHN MUIR HEALTHCA501(C)(3)7Yes (1)JOHN MUIR HEALTH
JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND
1399 YGNACIO VALLEY ROAD SUITE 36WALNUT CREEKCA94598911788973PROVIDE GRANTS THAT ENHANCE HEALTHCARE SERVICES TO UNDERSERVEDCA501(C)(3)12, TYPE IIIYes (1)JOHN MUIR HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
JOHN MUIR MAGNETIC IMAGING
1400 TREAT BOULEVARDWALNUT CREEKCA94597680202020DIAGNOSTIC IMAGINGCAN/A
NEUROSCAN
115 LA CASA VIA SUITE 202WALNUT CREEKCA94597680017617DIAGNOSTIC IMAGINGCAN/A
BAY AREA SURGICAL VENTURES
30 S WACKER DRIVE SUITE 2302CHICAGOIL60606203052802MEDICAL SERVICESCAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CARIDIAN PHYSICIAN SERVICES INC
700 YGNACIO VALLEY BLVDWALNUT CREEKCA94596680297913INACTIVECAN/AC0
MT DIABLO PRACTICE MGMT
1400 TREAT BLVDWALNUT CREEKCA94597680031326INACTIVECAN/AC0
JOHN MUIRMT DIABLO PARENT COMPANY
1400 TREAT BLVDWALNUT CREEKCA94597900060434INACTIVECAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JOHN MUIR HEALTH
C$9,736,209FMV
JOHN MUIR PHYSICIAN NETWORK
C$240,524FMV
JOHN MUIR HEALTH
M$306,000FMV