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JOHN MUIR BEHAVIORAL HEALTH: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
JOHN MUIR BEHAVIORAL HEALTH (EIN 68-0249685)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-13
IRS object ID
201443179349305859
Schema version
2013v3.0
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)
Return2014-11-13T15:48:14-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 MISSION STREET SUITE 1400AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680249685EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN MUIR BEHAVIORAL HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone9259393000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BOULEVARD NO 300AddressLine1
CityWALNUT CREEKCity
StateCAState
ZIP Code94597ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL MOODYPersonNm
Person TitleCFOPersonTitleTxt
Phone9259393000PhoneNum
Signature2014-11-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOAN S MCMAHONPreparerPersonNm
PTINP00966494PTIN
Phone4157834000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL MOODYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BOULEVARD NO 300AddressLine1
CityWALNUT CREEKCity
StateCAState
ZIP Code94597ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$41,934,234GrossReceiptsAmt
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 ADULTSActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee334TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,664,713PYContributionsGrantsAmt
CY Contributions Grants$7,385,371CYContributionsGrantsAmt
PY Program Service Revenue$30,917,159PYProgramServiceRevenueAmt
CY Program Service Revenue$34,072,504CYProgramServiceRevenueAmt
PY Investment Income$2,436PYInvestmentIncomeAmt
CY Investment Income$6,008CYInvestmentIncomeAmt
PY Other Revenue$426,310PYOtherRevenueAmt
CY Other Revenue$470,351CYOtherRevenueAmt
PY Total Revenue$35,010,618PYTotalRevenueAmt
CY Total Revenue$41,934,234CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,705,052PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,498,019CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,182,395PYOtherExpensesAmt
CY Other Expenses$12,295,666CYOtherExpensesAmt
PY Total Expenses$35,887,447PYTotalExpensesAmt
CY Total Expenses$35,793,685CYTotalExpensesAmt
PY Revenues Less Expenses-$876,829PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,140,549CYRevenuesLessExpensesAmt
Total Assets BOY$7,361,493TotalAssetsBOYAmt
Total Assets EOY$13,707,164TotalAssetsEOYAmt
Total Liabilities BOY$3,268,305TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,473,427TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,093,188NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,233,737NetAssetsOrFundBalancesEOYAmt
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$30,857,782ExpenseAmt
Revenue$34,542,855RevenueAmt
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 AND OUTPATIENT PSYCHIATRIC SERVICES - PSYCHIATRIC PARTIAL HOSPITALIZATION, CHEMICAL DEPENDENCY PARTIAL HOSPITALIZATION, CHEMICAL DEPENDENCY OUTPATIENT, YOUTH INTENSIVE OUTPATIENT.Desc
Total Program Service Expenses$30,857,782TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document36IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee334EmployeeCnt
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
Form8282 Filed0Form8282FiledCnt
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 Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
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 Line1CHIEF FINANCIAL OFFICERBusinessNameLine1
FieldValueIRS element (for citing)
Phone9259393000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BOULEVARD STE 300AddressLine1
CityWALNUT CREEKCity
StateCAState
ZIP Code94597ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID L GOLDSMITH
CHAIR5.00Yes (X)Yes (X)$0$0$0
THOMAS RUNDALL PHD
VICE CHAIR5.00Yes (X)Yes (X)$0$0$0
PHILIP J BATCHELOR
TREASURER5.00Yes (X)Yes (X)$0$0$0
WILLIAM F CRONK
SECRETARY5.00Yes (X)Yes (X)$0$0$0
CALVIN KNIGHT
PRESIDENT/CEO/DIRECTOR5.00Yes (X)Yes (X)$0$1,468,271$703,95260.00
MICHAEL MOODY
CFO5.00Yes (X)$0$669,105$238,28960.00
NANCY OLSON
ASSISTANT SECRETARY5.00Yes (X)$0$615,895$186,37160.00
LINDA BEST
DIRECTOR5.00Yes (X)$0$0$0
ROBERT E EDMONDSON
DIRECTOR5.00Yes (X)$0$2,083$0
MARILYN M GARDNER
DIRECTOR5.00Yes (X)$0$2,083$0
RAVI HUNDAL MD
DIRECTOR5.00Yes (X)$0$0$0
TAEJOON AHN MD
DIRECTOR5.00Yes (X)$0$0$0
MARK MUSCO MD
DIRECTOR5.00Yes (X)$0$1,250$0
BIMAL PATEL MD
DIRECTOR5.00Yes (X)$0$1,250$0
DEBORAH L KERLIN MD
DIRECTOR5.00Yes (X)$0$1,250$0
DAVID BIRDSALL MD
DIRECTOR5.00Yes (X)$0$1,250$0
MIKE ROBINSON
DIRECTOR5.00Yes (X)$0$2,083$0
STUART B SHIKORA MD
DIRECTOR (THROUGH SEPT)5.00Yes (X)$0$0$0
F RYAN ANDERSON MD
DIRECTOR (THROUGH SEPT)5.00Yes (X)$0$0$0
SAN S YUAN MD
DIRECTOR (THROUGH SEPT)5.00Yes (X)$0$0$0
RONALD K MULLIN
DIRECTOR (THROUGH SEPT)5.00Yes (X)$0$0$0
JOHN D ZUORSKI MD
DIRECTOR (THROUGH DEC)5.00Yes (X)$0$62,400$0
WILLIAM K HODDICK MD
DIRECTOR (THROUGH DEC)5.00Yes (X)$0$615$0
PATRICIA CURTIN
DIRECTOR (THROUGH FEB)5.00Yes (X)$0$0$0
ELIZABETH STALLINGS
COO40.00$326,391$0$127,305Yes (X)
CINDY BOLTER
CHIEF NURSING OFFICER40.00$223,049$0$78,659Yes (X)
MELITA DEUZ
SUPERVISOR, NURSING40.00$245,784$0$55,475Yes (X)
CELESTE CONCEPCION
REGISTERED NURSE40.00$214,805$0$51,875Yes (X)
ALISON FLETCHER
SUPERVISOR, NURSING40.00$193,282$0$34,382Yes (X)
EUGENIA EKEH
REGISTERED NURSE40.00$166,661$0$32,648Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,369,972TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,827,535TotReportableCompRltdOrgAmt
Total Other Compensation$1,508,956TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K49IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
NAGUI ACHAMALLAH MD INC
PO BOX 30753WALNUT CREEKCA94598MEDICAL SERVICES$228,174
KIRAN KOKA MD A PROFESSIONAL CORPORATIO
604 TIMBERLEAF CTWALNUT CREEKCA94598MEDICAL SERVICES$205,550
OBTOWERY MD INC
1891 ST ANDREWS DRIVEMORAGACA94556MEDICAL SERVICES$190,752
SURENDER PUNIA MD CA BEHAVIOR SOLUTIONS
PO BOX 789DANVILLECA94526MEDICAL SERVICES$118,500
JERRY H GELBHART
11 MORAGA WAY SUITE 1ORINDACA94563MEDICAL SERVICES$115,050
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$7,385,371RelatedOrganizationsAmt
Total Contributions$7,385,371TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE900099$23,421,673$23,421,673
NET MEDICAID REVENUE900099$6,475,856$6,475,856
NET MEDICARE REVENUE900099$4,174,975$4,174,975
FieldValueIRS element (for citing)
Total Program Service Revenue$34,072,504TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,008TotalRevenueColumnAmt
Exclusion$6,008ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER OPERATING REVENUEDesc
Business900099BusinessCd
Total Revenue Column$470,351TotalRevenueColumnAmt
Related Or Exempt Func Income$470,351RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$470,351OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,934,234TotalRevenueColumnAmt
Related Or Exempt Func Income$34,542,855RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,008ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,515,151TotalAmt
Program Services$17,726,849ProgramServicesAmt
Management And General$788,302ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,982,868TotalAmt
Program Services$4,783,438ProgramServicesAmt
Management And General$199,430ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,510,942TotalAmt
Program Services$1,510,942ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$37,500TotalAmt
Program Services$37,500ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Management And General$10,000ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,408,965TotalAmt
Program Services$1,408,965ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,707TotalAmt
Program Services$3,851ProgramServicesAmt
Management And General$2,856ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$106,276TotalAmt
Program Services$106,276ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
HEALTH ASSESSMENT$3,650,581$0$3,650,581$0
PURCHASED SERVICES$2,197,937$2,126,088$71,849$0
BAD DEBTS$1,627,084$1,627,084$0$0
SUPPLIES$1,313,609$1,234,647$78,962$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$426,065TotalAmt
Program Services$292,142ProgramServicesAmt
Management And General$133,923ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,793,685TotalAmt
Program Services$30,857,782ProgramServicesAmt
Management And General$4,935,903ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$630,533BOYAmt
EOY$6,994,106EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,722,996BOYAmt
EOY$5,729,217EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$71,240BOYAmt
EOY$83,620EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$169,545BOYAmt
EOY$199,472EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,445,858LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,745,109LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$767,179BOYAmt
EOY$700,749EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,361,493BOYAmt
EOY$13,707,164EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$916,223BOYAmt
EOY$974,793EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,352,082BOYAmt
EOY$2,498,634EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,268,305BOYAmt
EOY$3,473,427EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,093,188BOYAmt
EOY$10,233,737EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,093,188BOYAmt
EOY$10,233,737EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,361,493BOYAmt
EOY$13,707,164EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,140,549ReconcilationRevenueExpnssAmt
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$1,315,049OtherCostOrOtherBasisAmt
Depreciation$879,197DepreciationAmt
Book Value$435,852BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,130,809OtherCostOrOtherBasisAmt
Depreciation$865,912DepreciationAmt
Book Value$264,897BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$700,749TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
PAYROLL AND PAYROLL TAXES$749,341
VACATION AND OTHER$821,528
EMPLOYEE MEDICAL$275,800
OTHER CURRENT LIABILITIES$625,631
OTHER NON-CURRENT LIABILITIES$26,334
FieldValueIRS element (for citing)
Total Liability$2,498,634TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance Policy0FinancialAssistancePolicyInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,027,049TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,027,049NetCommunityBenefitExpnsAmt
Total Expense0.03010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,027,049TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,027,049NetCommunityBenefitExpnsAmt
Total Expense0.03010TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,500NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$600,833TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$600,833NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,549TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,549NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$614,882TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$614,882NetCommunityBenefitExpnsAmt
Total Expense0.01800TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,641,931TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,641,931NetCommunityBenefitExpnsAmt
Total Expense0.04810TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,459TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,459NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,459TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,459NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,627,084BadDebtExpenseAmt
Reimbursed By Medicare$4,174,975ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,987,217CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,812,242MedicareSurplusOrShortfallAmt

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 Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN MUIR BEHAVIORAL HEALTH CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12740 GRANT STREETAddressLine1
CityWALNUT CREEKCity
StateCAState
ZIP Code94520ZIPCode
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 HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.JOHNMUIRHEALTH.COMOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria Explained0EligCriteriaExplainedInd
FPG Used Deter Elig Free Care0FPGUsedDeterEligFreeCareInd
FPG Used Determ Elig Dscnt Care0FPGUsedDetermEligDscntCareInd
Explained Basis0ExplainedBasisInd
App Financial Asst Expln0AppFinancialAsstExplnInd
Includes Publicity Measures0IncludesPublicityMeasuresInd
FAP Actions On Nonpayment0FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care Policy0NondisEmergencyCarePolicyInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
JOHN MUIR BEHAVIORAL HEALTH CENTERPART V, SECTION B, LINE 3: JOHN MUIR HEALTH COLLECTED COMMUNITY INPUT IN TWO FORMS. FIRST, THE FINDINGS REGARDING COMMUNITY HEALTH CONCERNS WAS GATHERED FROM THE SECONDARY DATA AND DISCUSSED WITH GROUPS OF PEOPLE FROM UNDERSERVED, MINORITY AND LOW-INCOME POPULATIONS. SEVEN COMMUNITY CONVERSATIONS WERE CONDUCTED IN THE JOHN MUIR HEALTH SERVICE AREA: - VILLAGE RESOURCE CENTER, BRENTWOOD (OCTOBER 1, 2012 IN SPANISH): 14 PARTICIPANTS AGED 23-65 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, AND LIVING WITH CHRONIC ILLNESSES - LOAVES AND FISHES, MARTINEZ (OCTOBER 3, 2012): 23 PARTICIPANTS AGED 29-65 REPRESENTING THE FOLLOWING POPULATIONS: HOMELESS, LOW-INCOME, LIVING WITH CHRONIC CONDITIONS - CAMBRIDGE SCHOOL, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS AGED 30-49 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, PARENTS - MONUMENT CRISIS CENTER, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS REPRESENTING THE FOLLOWING POPULATIONS: LOW INCOME AND LIVING WITH CHRONIC CONDITIONS - MIND, BODY AND SOUL, PITTSBURG (OCTOBER 8, 2012): 26 PARTICIPANTS AGED 18-60 REPRESENTING THE FOLLOWING POPULATIONS: LOW-INCOME AND AFRICAN AMERICAN - PROMOTORES, LOCATION VARIES (OCTOBER 9, 2012): 14 PARTICIPANTS AGED 23-79 REPRESENTING THE FOLLOWING POPULATIONS: LATINO AND LIVING WITH CHRONIC CONDITIONS - SOLOMON TEMPLE CHURCH, PITTSBURG (OCTOBER 10, 2012): 18 PARTICIPANTS AGED 30-72 REPRESENTING THE FOLLOWING POPULATIONS: AFRICAN AMERICAN AND LIVING WITH CHRONIC CONDITIONSTHE RESULTS OF THESE COMMUNITY CONVERSATIONS WERE CONSIDERED ALONG WITH THE SECONDARY DATA, AND A SET OF "COMMUNITY HEALTH NEEDS" WAS IDENTIFIED. THE DEFINED LIST OF COMMUNITY HEALTH NEEDS WAS SHARED AND DISCUSSED WITH A LARGE MEETING OF PUBLIC HEALTH AND SOCIAL SERVICE AGENCY LEADERS WHO WERE ASKED TO DETERMINE RELATIVE PRIORITY AMONG THE NEEDS USING ESTABLISHED CRITERIA (PERSONS INCLUDED BELOW).- ALEXIS ADORADOR, FAMILIAS UNIDAS- ALVARO FUENTES, COMMUNITY CLINIC CONSORTIUM- AUDREY TORMEY, YOUTH HOMES- BARBARA HUNT, ST VINCENT DE PAUL OF CONTRA COSTA COUNTY- BENJAMIN AUNE, OPERATION ACCESS- CHRISTY KAPLAN, JOHN MUIR HEALTH- CYNTHIA BELON, CONTRA COSTA HEALTH SERVICES - BEHAVIORAL HEALTH SERVICES ADMINISTRATION- GENNIFER MOUNTAIN, MEALS ON WHEELS AND SENIOR OUTREACH SERVICE- HELENE GLASSER, ROTACARE PITTSBURG FREE MEDICAL CLINIC AT ST VINCENT DE PAUL- JOANNE GENET, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- KATE GOHEEN, MD, CONTRA COSTA HEALTH SERVICES - CONCORD HEALTH CENTER- LUZ GOMEZ, OFFICE OF SUPERVISOR JOHN GIOIA- MARIANA MOORE, HUMAN SERVICES ALLIANCE OF CONTRA COSTA- NICOLE RAMOS, JOHN MUIR HEALTH- REBECCA ROZEN, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CA- ROBIN POPPINO-KUNTZ, PLANNED PARENTHOOD SHASTA PACIFIC- ROSA MARIA STEMBERG, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- SANDRA WASHINGTON, JOHN MUIR HEALTH- VIC MONTOYA, CONTRA COSTA HEALTH SERVICES - MENTAL HEALTH/OLDER ADULT PROGRAM- VIOLA LUJAN, LA CLINICA DE LA RAZA- WILLIAM WALKER, MD, CONTRA COSTA HEALTH SERVICES
JOHN MUIR BEHAVIORAL HEALTH CENTERPART V, SECTION B, LINE 4: ALL JOHN MUIR HEALTH ENTITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK, JOHN MUIR MEDICAL CENTER, CONCORD AND JOHN MUIR HEALTH BEHAVIORAL HEALTH COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK AND KAISER FOUNDATION HOSPITAL ANTIOCH ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
JOHN MUIR BEHAVIORAL HEALTH CENTERPART V, SECTION B, LINE 7: THE JOHN MUIR HEALTH COMMUNITY HEALTH NEEDS ADVISORY COMMITTEE SELECTED THREE OF THE TEN IDENTIFIED COMMUNITY HEALTH NEEDS TO FOCUS ON USING SELECTION CRITERIA INCLUDING ORGANIZATIONAL EXPERTISE AND RESOURCES. THE HEALTH NEED FOCUS AREAS INCLUDE: PRIMARY CARE SERVICES AND INFORMATION INCLUDING ADEQUATE SPANISH CAPACITY, SPECIALTY CARE, AND AFFORDABLE, LOCAL MENTAL HEALTH SERVICES. JMH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS A PART OF THIS COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO THE NEED TO ALLOCATE SIGNIFICANT, FOCUSED RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFIED ABOVE. INCREASE EXERCISE AND ACTIVITY & HEALTHY EATINGJMH BELIEVES THESE HEALTH NEEDS ARE IMPORTANT, HOWEVER WE ARE NOT EQUIPPED AT THIS TIME TO ADDRESS EXERCISE AND HEALTHY EATING ON A LARGE SCALE IN THE COMMUNITY. ADDITIONALLY, MANY OTHER ORGANIZATIONS HAVE BEEN ENGAGED IN THESE ACTIVITIES. WHILE NOT A PRIORITY FOCUS FOR JMH, WE WILL CONTINUE TO PROVIDE SUPPORT OF COLLABORATIONS THAT PROVIDE PRIMARY PREVENTION AND INFORMATION TO THE MOST VULNERABLE COMMUNITIES IN THE AREA. ECONOMIC SECURITYADDRESSING ECONOMIC SECURITY IS A LARGE SCOPE INITIATIVE THAT JMH 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. JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE ON THIS IMPORTANT ISSUE BUT WILL NOT CONTRIBUTE RESOURCES GIVEN ITS CONTRIBUTIONS IN OTHER AREAS.ASTHMA PREVENTION AND MANAGEMENT & PERI-NATAL CAREASTHMA PREVENTION AND MANAGEMENT AND PERI-NATAL CARE WERE NOT SPECIFICALLY SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF THE MAGNITUDE OF RESOURCES NEEDED FOR OUR SELECTED NEEDS. HOWEVER, JMH WILL SUPPORT ACCESS TO HEALTH CARE INCLUDING OUR CLINICAL EXPERTISE THAT WILL CONTRIBUTE TO IMPROVING NEGATIVE HEALTH OUTCOMES ASSOCIATED WITH ASTHMA AND PERI-NATAL CARE. AFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES & PARENTING SKILLS AND SUPPORT AFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES AND PARENTING SKILLS AND SUPPORT WERE NOT SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF RESOURCE CONSTRAINTS AND THE PRIORITY RANKING. HOWEVER, JMH BELIEVES THE SELECTED HEALTH NEEDS WILL ALSO ADDRESS SUBSTANCE ABUSE ISSUES, AND PARENTING NEEDS BY FOCUSING ON MENTAL HEALTH INTERVENTIONS.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:THE BEHAVIORAL HEALTH ANNUAL COMMUNITY BENEFIT REPORT IS CONTAINED IN THE REPORT BY JOHN MUIR HEALTH AND SUBSIDIARIES, PRESENTED AS A CONSOLIDATED 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.
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. JMH WORKS WITH A WIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TO HEALTH CAREERS THROUGH A SPEAKERS' BUREAU, HEALTH CAREER FAIRS, WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THE FOLLOWING AREAS:1) REGISTERED NURSING2) MEDICAL ASSISTANTS3) MEDICAL IMAGING TECHNOLOGY4) SONOGRAPHERS5) LAB PROFESSIONS, E.G. CLINICAL LAB SCIENTISTS, MEDICAL LAB TECHS6) PHARMACISTS AND PHARMACY TECHS7) RESPIRATORY THERAPISTS8) PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY PARTNERS:1) 23 AREA HIGH SCHOOLS AND HEALTH ACADEMIES, 2) CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP), HELP TO REACH UNDERSERVED STUDENTS3) SAMUEL MERRITT COLLEGE4) CONTRA COSTA COLLEGES (DIABLO VALLEY AND LOS MEDANOS COLLEGE)5) EAST COUNTY BUSINESS AND EDUCATION ALLIANCE6) CALIFORNIA STATE UNIVERSITY, EAST BAY
PART III, LINE 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 EXPENSE IS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. 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 2013 MEDICARE COST REPORTS FILED WITH CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).
PART III, LINE 9B:OTHER THAN SENDING STATEMENTS AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTIONS INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO AN OUTSIDE AGENCY. THE COLLECTION POLICY IS IN THE FORM OF, AND INCORPORATED INTO, THE CONTRACT AGREEMENT WITH THE OUTSIDE AGENCY AS A FULL ADDENDUM TO THE CONTRACT, WITH A SEPARATE SIGNATURE LINE FOR JOHN MUIR HEALTH AND THE AGENCY AS PART OF THE ADDENDUM. IN ADDITION TO THE CUSTOMIZED JOHN MUIR HEALTH COLLECTION GUIDELINES, THE ADDENDUM ALSO CONTAINS THE COLLECTION CRITERIA AND REQUIREMENTS FOUND IN CALIFORNIA LAW UNDER ASSEMBLY BILL 774.
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 CENTER (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 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (REPORTED IN PART V, SECTION B) INCLUDES A COMPREHENSIVE NEEDS ASSESSMENT OF THE COMMUNITY SERVED, WHICH HAS BEEN USED TO DEVELOP OUR ANNUAL AND TRIENNIAL COMMUNITY BENEFIT PLANS. MENTAL HEALTH AND SUBSTANCE ABUSE WERE BOTH IDENTIFIED AS SIGNIFICANT COMMUNITY HEALTH NEEDS. JMH OUTLINES ITS COMMITMENT TO ADDRESSING MENTAL HEALTH NEEDS IN OUR TRIENNIAL COMMUNITY HEALTH IMPROVEMENT PLAN. FOR MORE INFORMATION, THE CHNA REPORT AND IMPLEMENTATION STRATEGY CAN BE FOUND HERE: HTTP://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML IN ADDITION TO THE CHNA, JOHN MUIR HEALTH IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY IN A VARIETY OF WAYS. FIRST, 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 THE PUTNAM CLUBHOUSE, EAST CONTRA COSTA COUNTY ACCESS TO CARE TEAM, ACCESS TO CARE STAKEHOLDERS, HEALTHY AND LIVABLE PITTSBURG, AFRICAN AMERICAN HEALTH COLLABORATIVE, BAY POINT PARTNERSHIP, AND FAMILIES CAN. SECOND, JOHN MUIR HEALTH CONTINUALLY ANALYZES ITS EMERGENCY AND TRAUMA ROOM DATA TO DETERMINE COMMUNITY NEEDS. FOR EXAMPLE, THE JOHN MUIR MEDICAL CENTER, WALNUT CREEK BEYOND VIOLENCE PROGRAM WAS DEVELOPED IN THIS WAY. LASTLY, COMMUNITY ORGANIZATIONS ALSO SEEK OUT JOHN MUIR HEALTH AS A PARTNER. IN 2008, THE COMMUNITY NURSE PROGRAM WAS DEVELOPED BASED ON THE 2007 COMMUNITY ASSESSMENT THAT IDENTIFIED CHILDHOOD OBESITY AND DIABETES PREVENTION AS AREAS OF FOCUS IN SCHOOLS. AFTER THE PROGRAM'S SUCCESS, A SECOND SCHOOL DISTRICT ASKED JOHN MUIR HEALTH TO EXPAND ITS COMMUNITY NURSING PROGRAM INTO THEIR DISTRICT DURING 2010.
PART VI, LINE 3:JOHN MUIR BEHAVIORAL HEALTH CENTER (BHC) IS THE FREE STANDING 73 BED PSYCHIATRIC HOSPITAL OF THE JOHN MUIR HEALTH SYSTEM. IT PROVIDES PROFESSIONAL SERVICES TO THE EMERGENCY AND VARIOUS INPATIENT DEPARTMENTS OF THE WALNUT CREEK AND CONCORD MEDICAL CENTERS FOR PATIENTS WHO NEED THEIR HEALTHCARE NEEDS AUGMENTED FOR PSYCHIATRIC OR CHEMICAL DEPENDENCY NEEDS.BHC SERVES ALL PAYOR TYPES INCLUDING MEDICARE, MEDI-CAL, HMO AND PPO. BHC ALSO TREATS "UNINSURED" PATIENTS WHO ARE COVERED BY THEIR COUNTY UNINSURED POOL OF FUNDS AND AUTHORIZED ON A CASE-BY-CASE BASIS. ALL PATIENTS ARE ADVISED ON ADMISSION REGARDING COVERED SERVICES AND APPLICABLE CO-PAYS AND DEDUCTIBLES. PATIENTS ARE ALSO ADVISED AS THEY MOVE ON TO OUTPATIENT PROGRAMS. CO-PAYS AND DEDUCTIBLES ARE COLLECTED AT THE TIME OF SERVICE. IF THE PATIENT IS UNABLE TO PAY THEIR PORTION, THEY ARE ADVISED OF THE SELF PAY PAYMENT PLAN.BHC'S SELF PAY RATES ARE REVIEWED ANNUALLY AND ADJUSTED TO THE AVERAGE HMO CONTRACT RATE FOR THAT YEAR.PAYMENT PLANS CAN BE STRUCTURED FOR UP TO 36 MONTHS. THE PATIENT IS ASKED TO PAY THE FIRST MONTH'S PAYMENT WHILE IN TREATMENT AND EVERY MONTH THEREAFTER TO TAKE ADVANTAGE OF THE PAYMENT PLAN.
PART VI, LINE 4:HOW DO WE DEFINE OUR COMMUNITY? 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. THE COMMUNITIES THAT COMPRISE THE PRIMARY SERVICE AREA INCLUDE CONCORD, WALNUT CREEK, PLEASANT HILL, MARTINEZ, LAFAYETTE, DANVILLE, ALAMO, ORINDA, MORAGA AND CLAYTON. THE COMMUNITIES THAT COMPRISE THE SECONDARY SERVICE AREA INCLUDE BRENTWOOD, OAKLEY, DISCOVERY BAY, BYRON, KNIGHTSEN, BETHEL ISLAND, BENICIA, PITTSBURG, BAY POINT, ANTIOCH AND SAN RAMON. JOHN MUIR HEALTH'S TRAUMA CENTER SERVES ALL OF CONTRA COSTA COUNTY, AS WELL AS SOUTHERN SOLANO COUNTY AND IS THE BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY.THE PRIMARY FOCUS OF OUR COMMUNITY BENEFIT PROGRAMS IS ON THE NEEDS OF VULNERABLE POPULATIONS. WE DEFINE VULNERABLE POPULATIONS AS THOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED. THESE CRITERIA RESULT 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, BRENTWOOD AND FARTHER EAST PARTS OF UNINCORPORATED CONTRA COSTA COUNTY.THE JOHN MUIR HEALTH SERVICE AREA OF EAST AND CENTRAL CONTRA COSTA COUNTY HAS THE FOLLOWING DEMOGRAPHIC PROFILE: CENTRAL CONTRA COSTA COUNTY- UNDER 5 YEARS OLD: 6.09%- AGES 5-17: 17.75%- AGES 18-34: 18.86%- AGES 35-64: 44.69%- AGES 65+: 12.62%- WHITE: 72.77%- BLACK: 2.54%- ASIAN: 15.05%- HISPANIC: 14.02%- LINGUISTICALLY ISOLATED: 9.33%EAST CONTRA COSTA COUNTY- UNDER 5 YEARS OLD: 7.61%- AGES 5-17: 22.13%- AGES 18-34: 22.47%- AGES 35-64: 39.87%- AGES 65+: 8.98%- WHITE: 56.15%- BLACK: 12.44%- ASIAN: 9.35%- HISPANIC: 34.16%- LINGUISTICALLY ISOLATED: 14.89
PART VI, LINE 5:BHC AND ITS CORPORATE MEMBER, JOHN MUIR HEALTH, ARE NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATIONS GOVERNED LOCALLY BY THOSE WHO LIVE IN THE COMMUNITIES WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMITTEES. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES AS A NOT-FOR-PROFIT HEALTH SYSTEM. JOHN MUIR HEALTH HAS AN OBLIGATION TO MAKE A CHARITABLE CONTRIBUTION TO THE COMMUNITY AND OUR COMMITMENT TO KEEPING THE COMMUNITIES WE SERVE HEALTHY GOES FAR DEEPER THAN THAT. JOHN MUIR HEALTH'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION, WHICH ACCURATELY REFLECTS OUR COMMUNITY HEALTH EFFORTS AS A CORPORATE LEADER AND COMMUNITY PARTNER. IN 2013, JOHN MUIR HEALTH PROVIDED OVER $105 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES TO COMMUNITIES IN CONTRA COSTA COUNTY THAT SERVED MORE THAN 153,288 RESIDENTS. IN 2013, 91% OF JOHN MUIR HEALTH'S COMMUNITY BENEFIT ACTIVITIES WERE SPECIFICALLY TARGETED TO THOSE INDIVIDUALS AND FAMILIES THAT EXPERIENCE SOCIAL AND ECONOMIC BARRIERS THAT PRECLUDE THEIR ACCESS TO NECESSARY HEALTH CARE SERVICES. AS A NOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROM OUR FINANCIAL SURPLUSES. WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, WORKFORCE DEVELOPMENT, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. AS ONE OF THE LARGEST EMPLOYEES IN THE COUNTY WITH MORE THAN 5,500 EMPLOYEES, JOHN MUIR HEALTH ALSO CONTRIBUTES SIGNIFICANTLY TO THE ECONOMIC VITALITY OF THE COUNTY. JOHN MUIR MEDICAL CENTER, WALNUT CREEK, ALSO SERVES AS CONTRA COSTA COUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENTS AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR EMERGENCY DEPARTMENTS IN CONCORD AND WALNUT CREEK SERVE RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION, JOHN MUIR HEALTH IS THE ONLY PROVIDER OF SEVERAL SPECIALTY SERVICES IN CONTRA COSTA COUNTY, INCLUDING HIGH RISK NEONATAL SERVICES, INPATIENT PSYCHIATRIC SERVICES INCLUDING CHILD AND ADOLESCENT SERVICES, AND SUBSTANCE ABUSE SERVICES. IT IS THE EXPERTISE PROVIDED BY COMMUNITY-BASED ORGANIZATIONS, COUPLED WITH JOHN MUIR HEALTH'S RESOURCES AND COMMITMENT TO SERVE THE COMMUNITY, THAT PROVIDE THE GREATEST OPPORTUNITY FOR SUCCESS IN ADDRESSING THE MANY UNMET HEALTH NEEDS AND HEALTH DISPARITIES IN CENTRAL AND EASTERN CONTRA COSTA COUNTY.THIS LOCAL COMMITMENT IS EXPRESSED IN THE MANY INITIATIVES WE DELIVER TO THE COMMUNITY, INCLUDING BEHAVIORAL HEALTH SERVICES FOR VULNERABLE POPULATIONS IN THE COUNTY. IN 2013, WE CONTINUED OUR PARTNERSHIP WITH THE PUTNAM CLUBHOUSE TO PROVIDE CARE FOR ADULTS RECOVERING FROM SEVERE MENTAL ILLNESS THROUGH PROVISION OF AN EVIDENCE-BASED, COST-EFFECTIVE, PEER SUPPORT, AND VOCATIONAL REHABILITATION INTERVENTION. IN 2013, THERE WERE A TOTAL OF 288 PUTNAM CLUBHOUSE MEMBERS WHO PARTICIPATED IN PROGRAM ACTIVITIES DURING THE YEAR. IN THEIR 2013 MEMBER SATISFACTION SURVEY, 90% OF RESPONDENTS REPORTED THAT THEIR EMOTIONAL WELL-BEING HAD INCREASED AND 89% REPORTED THAT THEIR MENTAL WELL-BEING HAD INCREASED. BHC ALSO CONTINUES TO HAVE A REPRESENTATIVE ON THE PUTNAM CLUBHOUSE BOARD OF DIRECTORS.
PART VI, LINE 6:JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND1399 YGNACIO VALLEY ROAD, SUITE 36, WALNUT CREEK, CATHE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND IS THE COMMUNITY BENEFIT GRANT-MAKING ARM OF JOHN MUIR HEALTH. ITS GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF 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 INITIATIVES 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 2013, THE FUND HAS GRANTED MORE THAN $20 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. EXECUTIVE DIRECTOR IS LILLIAN ROSELIN.JOHN MUIR PHYSICIAN NETWORK1340 TREAT BOULEVARD, SUITE 450, WALNUT CREEK, CA THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH MORE THAN 900 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG) OR MUIR MEDICAL GROUP IPA, INC. THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN 23 LOCATIONS FROM BRENTWOOD TO PLEASANTON. JOHN MUIR MEDICAL GROUP 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 SIX MAJOR HEALTH PLANS FOR MORE THAN 50,000 COMMERCIAL AND SENIOR HMO MEMBERS. ADDITIONALLY, THE PHYSICIAN NETWORK PROVIDES A PHYSICIAN PANEL, MEDICAL MANAGEMENT AND CLAIMS SERVICES FOR MORE THAN 9,000 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 IN PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACO WHICH PROVIDES FOR 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 IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR PHYSICIAN NETWORK. JOHN MUIR HEALTH FOUNDATION1400 TREAT, WALNUT CREEK, CATHE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATION 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 HEALTHJOHN 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 925 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)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
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 OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
PRESIDENT/CEO/DIRECTOR$0$912,343$0$470,936$0$84,992$0$683,676$0$20,276$0$2,172,223$0$470,936
MICHAEL MOODY
CFO$0$462,093$0$165,490$0$41,522$0$216,461$0$21,828$0$907,394$0$165,490
NANCY OLSON
ASSISTANT SECRETARY$0$381,410$0$147,852$0$86,633$0$170,994$0$15,377$0$802,266$0$147,852
ELIZABETH STALLINGS
COO$226,897$0$87,991$0$11,503$0$103,445$0$23,860$0$453,696$0$87,991$0
CINDY BOLTER
CHIEF NURSING OFFICER$206,107$0$15,752$0$1,190$0$69,979$0$8,680$0$301,708$0$15,752$0
MELITA DEUZ
SUPERVISOR, NURSING$145,567$0$0$0$100,217$0$45,764$0$9,711$0$301,259$0$0$0
CELESTE CONCEPCION
REGISTERED NURSE$141,496$0$0$0$73,309$0$34,612$0$17,263$0$266,680$0$0$0
ALISON FLETCHER
SUPERVISOR, NURSING$171,656$0$0$0$21,626$0$26,649$0$7,733$0$227,664$0$0$0
EUGENIA EKEH
REGISTERED NURSE$169,292$0$0$0-$2,631$0$13,384$0$19,264$0$199,309$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE COMPANY HAS A POLICY WHEREBY CERTAIN PAYMENTS TO EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS ARE GROSSED UP. THESE PAYMENTS ARE NOT A USUAL OCCURRENCE AND ARE EVALUATED AND APPROVED BY THE CEO OR A KEY EMPLOYEE AND THE CFO. FOR CERTAIN MEMBERS OF MANAGEMENT A REIMBURSEMENT OF UP TO 50% OF HEALTH CLUB DUES IS AVAILABLE. THIS PERQUISITE IS INCLUDED AS PART OF THE EVALUATION OF THE ANNUAL COMPENSATION EVALUATION PROCESS. ALL COMPONENTS DISCUSSED IN THIS SECTION ARE TREATED AS TAXABLE INCOME FOR THE EMPLOYEE RECEIVING THE PAYMENT. PART 1 LINE 3: THE INCENTIVE PROGRAMS FOR THE MANAGEMENT OF JOHN MUIR HEALTH AND SUBSIDIARIES, INCLUDING JOHN MUIR BEHAVIORAL HEALTH, ARE DEVELOPED AND REVIEWED BY AN OUTSIDE CONSULTANT WHOSE EXPERTISE IS IN COMPENSATION AND WHO DEVELOPS MARKET DATA FOR SIMILAR ORGANIZATIONS AS A BASIS FOR THE CORPORATION'S INCENTIVE PROGRAM. THE INCENTIVE PROGRAM AND MARKET DATA IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH.
PART I, LINES 4A-BIN 2013, JMH IMPLEMENTED A "VOLUNTARY SEPARATION PROGRAM" (VSP) TO ALLOW ELIGIBLE EMPLOYEES TO EXIT JMH VOLUNTARILY BASED ON THEIR PERSONAL CHOICES AND CIRCUMSTANCES. THE VSP WAS OPEN TO ALL EMPLOYEES, WITH THOSE ACCEPTED RECEIVING A BASIC SEVERANCE PAYMENT PLUS ADDITIONAL FINANCIAL INCENTIVE BASED ON YEARS OF SERVICE IN EXCHANGE FOR THEIR AGREEMENT TO SEPARATE VOLUNTARILY FROM JMH. THE VSP WAS IMPLEMENTED AT JMH AND ALL JMH SUBSIDIARIES. MELITA DEUZ RECEIVED SEVERANCE OF $79,175 CELESTE CONCEPCION RECEIVED SEVERANCE OF $70,162 PART I, LINE 4B: ELIZABETH A STALLINGS $ 27,093 RESTORATION PLAN
PART I, LINE 6JOHN MUIR HEALTH ("THE CORPORATION"), THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, WITH THE OVERSIGHT AND APPROVAL OF THE COMPENSATION COMMITTEE OF THE JOHN MUIR HEALTH BOARD OF DIRECTORS, BASES A PORTION OF ANNUAL MANAGEMENT INCENTIVE PAYMENTS ON THE CONSOLIDATED NET EARNINGS TARGETS OF JOHN MUIR HEALTH. PAYMENTS TO MANAGEMENT PERSONNEL ARE MADE IN THE SUBSEQUENT YEAR BASED ON THE LEVEL OF ACHIEVEMENT OF ALL ELEMENTS OF THE INCENTIVE PROGRAM, OF WHICH NET EARNINGS TARGETS ARE A COMPONENT. THEREFORE, EACH YEAR AN ACCRUAL OF THE ESTIMATED PAYMENTS FOR MANAGEMENT INCENTIVES IS INCLUDED IN THE CALCULATION OF NET EARNINGS TARGETS FOR THAT YEAR. COMPENSATION FOR THE CHIEF OPERATING OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE JOHN MUIR HEALTH COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE 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 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.
SCHEDULE J, PART II, COLUMN B(III):IN DECEMBER 2013, JMH IMPLEMENTED A "PAID TIME OFF CAP" TO BE EFFECTIVE BEGINNING IN 2014. IN CONNECTION WITH THE NEW POLICY TO LIMIT 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 NEW POLICY IS EFFECTIVE AT JMH AND ALL JMH SUBSIDIARIES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THOMAS RUNDALL (JMBH SECRETARY AND DIRECTOR) IS A BOARD MEMBER OF ON LOK, INC., A NOT-FOR-PROFIT COMMUNITY ORGANIZATION WHICH EMPLOYS ROBERT EDMONDSON (JMBH DIRECTOR) AS CEO.
FORM 990, PART VI, SECTION A, LINE 4TO STREAMLINE GOVERNANCE AND PROVIDE JMH BOARD MEMBERS WITH INSIGHT INTO THE HEALTH CARE ACTIVITIES THROUGHOUT THE HEALTH SYSTEM, JMBH'S BYLAWS WERE UPDATED AS OF OCTOBER 1, 2013 TO CREATE A "MIRRORED" STRUCTURE TO THAT OF JMH. JMH REMAINS THE SOLE CORPORATE MEMBER OF JMBH. A. CORPORATE PURPOSES. JMBH'S EXEMPT PURPOSES WERE UPDATED TO INCLUDE SUPPORTING THE PURPOSES OF JMH (SECTION 2.1). CONFORMING CHANGES WERE MADE TO JMBH'S ARTICLES OF INCORPORATION FILED WITH THE CALIFORNIA SECRETARY OF STATE ON OCTOBER 8, 2013. B. COMMITTEE MEMBERSHIP. THE MEMBERSHIP OF THE JMBH CREDENTIALING SUBCOMMITTEE WAS UPDATED TO BE THE SAME AS THE CORRESPONDING JMH COMMITTEE. C. OFFICERS. THE OFFICERS OF JMBH SERVE EX OFFICIO IN THE SAME CAPACITY AS THEY SERVE WITH JMH. THE JMH BYLAW AMENDMENTS MADE IN 2013 THAT WERE "MIRRORED" IN THE JMBH BYLAWS INCLUDE REFERENCE TO THE FOLLOWING: A. BOARD COMPOSITION. THE BOARD SIZE REMAINED THE SAME, INCLUDING THE CEO AS A VOTING MEMBER. THE NUMBER OF VOTING MEMBERS WAS CHANGED TO INCLUDE 8 COMMUNITY MEMBERS AND 6 PHYSICIANS (PREVIOUSLY, 10 COMMUNITY MEMBERS AND 4 PHYSICIANS). UNTIL JANUARY 1, 2018, MUIR MEDICAL GROUP IPA (IPA) WILL RECOMMEND FOUR OF THE PHYSICIAN VOTING MEMBERS OF THE BOARD AND JOHN MUIR MEDICAL GROUP (JMMG) WILL RECOMMEND TWO. THE BYLAWS PROVIDE THAT THESE RECOMMENDATIONS ARE SUBJECT TO APPROVAL BY THE JMH BOARD. B. DIRECTOR COMPENSATION. THE BYLAWS PERMIT (BUT DO NOT REQUIRE) COMPENSATION OF VOTING BOARD MEMBERS AND COMMITTEE MEMBERS.
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 (AS DESCRIBED IN SCHEDULE O).
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 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 BENEFIT 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 11THE 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 STATEMENT REQUIRED TO BE COMPLETED AND SIGNED. FOLLOWING DISTRIBUTION OF THE POLICY AND DISCLOSURE STATEMENT, THE JOHN MUIR HEALTH GENERAL COUNSEL ("GENERAL COUNSEL") PROVIDES AN EDUCATIONAL SESSION TO THE BOARD RELATING TO BOARD MEMBER CONFLICTS OF INTEREST COVERING, AMONG OTHER THINGS, REQUIRED DISCLOSURES AND THE PROCESS FOR APPROVAL OF TRANSACTIONS INVOLVING A POTENTIAL CONFLICT. 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 COUNSEL, A BOARD GOVERNANCE COMMITTEE AND THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICTS DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR THE CHIEF OPERATING OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE 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 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.
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 THE GENERAL COUNSEL FOR THE APPROPRIATE RESPONSE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
JOHN MUIR HEALTH
1400 TREAT BLVD 300WALNUT CREEKCA94597941461843PROVISION FOR HEALTHCARE SERVICES TO THE COMMUNITYCA501(C)(3)3N/A0
JOHN MUIR PHYSICIAN NETWORK
1400 TREAT BLVD 300WALNUT CREEKCA94597680360801PROVIDE CLINIC SERVICES & MANAGE HEALTHCARE RISK OPERATIONS WITH JM HEALTHCA501(C)(3)11 TYPE IN/A0
JOHN MUIR HEALTH FOUNDATION
1400 TREAT BLVD 300WALNUT CREEKCA94597942650855SOLICITATION OF FUNDS FOR JOHN MUIR HEALTHCA501(C)(3)7N/A0
JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND
1400 TREAT BLVD 300WALNUT CREEKCA94597911788973PROVIDE GRANTS THAT ENHANCE HEALTHCARE SERVICES TO UNDERSERVEDCA501(C)(3)11 TYPE IIIN/A0
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