JOHN MUIR HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: JOHN MUIR HEALTH (EIN 94-1461843)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201343189349308534
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T18:42:15-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	555 MISSION STREET	AddressLine1
City	SAN FRANCISCO	City
State	CA	State
ZIP Code	94105	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	941461843	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JOHN MUIR HEALTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	JOHN	NameControl
Phone	9259393000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1400 TREAT BOULEVARD NO 300	AddressLine1
City	WALNUT CREEK	City
State	CA	State
ZIP Code	94597	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL MOODY	Name
Title	CFO	Title
Phone	9259393000	Phone
Date Signed	2013-11-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MICHAEL P WALTON	Name
PTIN	P00017550	PTIN
Phone	4157834000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL MOODY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1400 TREAT BOULEVARD NO 300	AddressLine1
City	WALNUT CREEK	City
State	CA	State
ZIP Code	94597	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1396646433	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.JOHNMUIRHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1958	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	6051	TotalNbrEmployees
Total Nbr Volunteers	1600	TotalNbrVolunteers
Total Gross UBI	6253354	TotalGrossUBI
Net Unrelated Business Txbl Income	-230277	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	27492781	ContributionsGrantsPriorYear
Contributions Grants Current Year	4105048	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1162125706	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1195995964	ProgramServiceRevenueCY
Investment Income Prior Year	33116812	InvestmentIncomePriorYear
Investment Income Current Year	47101504	InvestmentIncomeCurrentYear
Other Revenue Prior Year	30798086	OtherRevenuePriorYear
Other Revenue Current Year	42940493	OtherRevenueCurrentYear
Total Revenue Prior Year	1253533385	TotalRevenuePriorYear
Total Revenue Current Year	1290143009	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1502693	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	6134770	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	642478848	SalariesEtcPriorYear
Salaries Etc Current Year	659774951	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	508917496	OtherExpensePriorYear
Other Expenses Current Year	496753347	OtherExpensesCurrentYear
Total Expenses Prior Year	1152899037	TotalExpensesPriorYear
Total Expenses Current Year	1162663068	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	100634348	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	127479941	RevenuesLessExpensesCY
Total Assets BOY	1981626204	TotalAssetsBOY
Total Assets EOY	2150008139	TotalAssetsEOY
Total Liabilities BOY	924250543	TotalLiabilitiesBOY
Total Liabilities EOY	934485305	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1057375661	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1215522834	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF JOHN MUIR HEALTH IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION. JOHN MUIR HEALTH OFFERS A WIDE ARRAY OF CLINICAL SERVICES AT ITS TWO ACUTE CARE HOSPITALS IN WALNUT CREEK AND CONCORD, BEHAVIORAL HEALTH CENTER, FOUR URGENT CARE CENTERS, ASSOCIATED CLINICS AND OUTPATIENT FACILITIES IN BRENTWOOD AND ROSSMOOR. KEY PROGRAMS INCLUDE EMERGENCY, TRAUMA, CARDIAC, CANCER, NEUROSCIENCES, ORTHOPEDICS, OBSTETRICS, AND REHABILITATION.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	411262985	Expense
Grants	6134770	Grants
Revenue	416746908	Revenue
Description	HOSPITAL SERVICES - GENERAL MEDICINE AND SURGERY. THE CORE OF JOHN MUIR HEALTH'S SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY SERVICES TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH FOR PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. NATIONAL RECOGNITIONS RECEIVED IN 2012 INCLUDE (1) RECOGNITION OF JOHN MUIR MEDICAL CENTER, WALNUT CREEK BY U.S. NEWS & WORLD REPORT FOR THE SIXTH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS" FOR GASTROENTEROLOGY AND ORTHOPEDICS, (2) U.S. NEWS AND WORLD REPORT ALSO RANKED JOHN MUIR MEDICAL CENTER, WALNUT CREEK #2 AND JOHN MUIR MEDICAL CENTER, CONCORD #3 OUT OF ALL 45 HOSPITALS IN THE SAN FRANCISCO METROPOLITAN AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #7 AND #18 IN THE STATE OUT OF 400 HOSPITALS, (3) JOHN MUIR MEDICAL CENTER, WALNUT CREEK WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS BY HEALTHGRADES, (4) JOHN MUIR MEDICAL CENTER, WALNUT CREEK WAS RANKED AMONG THE TOP FIVE PERCENT OF HOSPITALS NATIONALLY FOR QUALITY OF CARE BY HEALTHGRADES, IN ADDITION TO THE CLINICAL EXCELLENCE AWARD, FIVE-STAR RATINGS AND RANKINGS IN THE TOP 10% IN THE NATION WERE AWARDED FOR SEVERAL SERVICES, PROCEDURES AND TREATMENTS. OUR PROGRAM EMPHASIS IN 2012 WAS ON CONTINUED OUTREACH TO UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS TO PROVIDE DIRECT SERVICES INCLUDING GERIATRIC CARE COORDINATION, MOBILE DENTAL CLINIC, MOBILE HEALTH CLINIC, AND SUPPORT FOR TEEN PREGNANCY PROGRAMS, OPERATION ACCESS, VIOLENCE PREVENTION, AND PARISH-BASED NURSING ON THE HOSPITAL CAMPUSES.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	90172512	Expense
Revenue	134221507	Revenue
Description	CARDIOVASCULAR CARE IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. ACHIEVEMENTS IN 2012 INCLUDED RECOGNITION BY THE AMERICAN HEART ASSOCIATION OF JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS FOR PROVIDING OUTSTANDING CARE TO HIGH RISK HEART ATTACK PATIENTS BY AWARDING THE MISSION LIFELINE GOLD PERFORMANCE ACHIEVEMENT AWARD FOR STEMI CARE. JOHN MUIR HEALTH'S MEDICAL CENTERS ALSO RECEIVED THE GOLD PLUS ACHIEVEMENT AWARD FOR HEART FAILURE CARE, AND THE GET WITH THE GUIDELINES PLATINUM AWARD FOR HEART ATTACK CARE. BOTH JOHN MUIR HEALTH MEDICAL CENTERS HOLD THE HIGHEST LEVEL OF ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS AND ARE DESIGNATED AS HIGH-RISK HEART ATTACK (STEMI) RECEIVING CENTERS BY THE COUNTY DEPARTMENT OF EMERGENCY MEDICAL SERVICES.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	121320430	Expense
Revenue	132559799	Revenue
Description	WOMEN'S AND CHILDREN'S IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. ACHIEVEMENTS IN 2012 INCLUDED, (1) REDUCED THE NUMBER OF TIMES CRITICALLY ILL NEWBORNS WERE TRANSFERRED TO OTHER HOSPITALS FOR PEDIATRIC SPECIALTY CARE AND MINOR SURGERIES BY ARRANGING FOR LOCAL CONSULTATIONS BY PEDIATRIC SPECIALISTS, (2) EXPERIENCED CONSISTENT GROWTH IN THE CENTER FOR WOMEN'S CONTINENCE AND PELVIC HEALTH RESULTING IN 70% OF PATIENTS REPORTING SUCCESSFUL TREATMENT WITHOUT INVASIVE SURGERY, (3) LAUNCHED THE PEDIATRIC NUTRITION PROGRAM OFFERING CONSULTATIONS, GROUP APPOINTMENTS AND COMMUNITY LECTURES ON PEDIATRIC NUTRITION TOPICS IN WALNUT CREEK AND BRENTWOOD, (4) IMPLEMENTED QUALITY IMPROVEMENT INITIATIVES INCLUDING DVT PROPHYLAXIS FOR GYN SURGERIES AND CASE TRACKING FOR SERIAL READMISSIONS FOR UROSEPSIS THROUGH THE CENTER FOR WOMEN'S CONTINENCE, (5) ESTABLISHED CHILD-FRIENDLY POLICIES TO SUPPORT PROCESSES FOR PEDIATRIC PATIENTS INCLUDING FAMILY CENTERED CARE, POLICIES FOR PROCEDURES AND ADMISSIONS TO JOHN MUIR HEALTH AND ACCOMMODATION FOR FAMILIES WHO HAVE CHILDREN ADMITTED TO THE HOSPITAL, (6) ADOPTED ELECTIVE LABOR INDUCTIONS ONLY FOR WOMEN >/= TO 39 WEEKS GESTATION PER RECOMMENDATIONS BY THE AMERICAN COLLEGE OF OBSTETRICS AND GYNECOLOGY.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	398867068	Expense
Revenue	512467750	Revenue
Description	CANCER SERVICES IS THE FOURTH LARGEST PROGRAM AT JOHN MUIR HEALTH, BUILDING ON A STRONG FOUNDATION THAT COMBINES ADVANCED TECHNOLOGY, OUTSTANDING PATIENT OUTCOMES AND PERSONALIZED, COMPASSIONATE CARE. JOHN MUIR HEALTH IS ONE OF THE BAY AREAS MOST RESPECTED AND PROGRESSIVE CENTERS FOR CANCER CARE. JOHN MUIR HEALTH HAS A THREE-YEAR ACCREDITATION WITH COMMENDATION AS AN INTEGRATED NETWORK CANCER PROGRAM FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, A CONSORTIUM OF PROFESSIONAL ORGANIZATIONS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR CANCER PATIENTS. JOHN MUIR HEALTH IS ALSO ONE OF FOUR INSTITUTIONS NATIONWIDE TO BE RECOGNIZED AS A CERTIFIED QUALITY BREAST CENTER OF EXCELLENCE BY THE NATIONAL CONSORTIUM OF BREAST CANCER AND IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS/COMMISSION ON CANCER AS A NATIONAL ACCREDITED PROGRAM OF BREAST CENTERS (NAPBC). IN 2011, WE OPENED THE THERESA M CAYGILL BREAST HEALTH CENTER AT JOHN MUIR MEDICAL CENTER, WALNUT CREEK, WHICH AUGMENTS EXISTING SERVICES BY OFFERING COMPREHENSIVE BREAST HEALTH INFORMATION AND RESOURCES IN ONE CONVENIENT LOCATION FOR THE COMMUNITY, PATIENT AND THEIR FAMILIES FOR THE COMMUNITY. JOHN MUIR HEALTH PROVIDES FREE BREAST CANCER SCREENING AND DIAGNOSTIC SERVICES THROUGH CALIFORNIA'S EVERY WOMAN COUNTS PROGRAM, WHICH IS ADMINISTERED AT JOHN MUIR MEDICAL CENTER, CONCORD'S BREAST HEALTH CENTER.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	398867068	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	512467750	TotalOfOtherProgramServiceRev
Total Program Service Expense	1021622995	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	687	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	6051	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL MOODY	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9259393000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1400 TREAT BLVD	AddressLine1
City	WALNUT CREEK	City
State	CA	State
ZIP Code	94597	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
CATHERINE O KUTSURIS
CHAIR	5.00	X	X	0	0	0
DAVID L GOLDSMITH
VICE CHAIR	5.00	X	X	0	0	0
PHILIP J BATCHELOR
TREASURER	5.00	X	X	0	0	0
THOMAS G RUNDALL PHD
SECRETARY	5.00	X	X	0	0	0
WILLIAM F CRONK
ASSISTANT SECRETARY	5.00	X	X	0	0	0
F RYAN ANDERSON MD
DIRECTOR	5.00	X		0	0	0
LINDA BEST
DIRECTOR	5.00	X		0	0	0
ROBERT E EDMONDSON
DIRECTOR	5.00	X		0	0	0
MARILYN M GARDNER
DIRECTOR	5.00	X		0	0	0
DEBORAH L KERLIN MD
DIRECTOR	5.00	X		0	0	0
RONALD K MULLIN
DIRECTOR	5.00	X		0	0	0
STUART B SHIKORA MD
DIRECTOR	5.00	X		0	0	0
SAN S YUAN MD
DIRECTOR	5.00	X		0	0	0
PATRICIA CURTIN
DIRECTOR	5.00	X		0	0	0
CALVIN KNIGHT
PRESIDENT/CEO/DIRECTOR	60.00	X	X	1303701	0	653194
MICHAEL MOODY
CFO	60.00		X	601383	0	262640
IRVING PIKE MD
CMO	60.00		X	412901	0	104176
NANCY OLSON
ASSISTANT SECRETARY	60.00		X	547265	0	220235
JANE WILLEMSEN
CAO	60.00			693271	0	287227	X
MICHAEL THOMAS
CAO	60.00			639610	0	287388	X
ALICE A VILLANUEVA
SR VP HR	60.00			503974	0	190810		X
MARTI TARNOWSKI
VP PLANNING & MARKETING	60.00			504629	0	205114		X
CHRISTIAN PASS
SENIOR VP REVENUE CYCLE	60.00			453340	0	172013		X
MICHAEL MONALDO
VP FACILITIES DEVELOP & CORP REAL ESTATE	60.00			417682	0	178234		X
DEBRA PENDERGAST
VP PATIENT CARE SERVICES	60.00			442109	0	139585		X
PAUL SWENSON
EXECUTIVE VP OPERATIONS	60.00			408257	0	2879			X
KENNETH MEEHAN
EXECUTIVE VP OPERATIONS	60.00			889144	0	291539			X
ERIC SAFF
SR. VP CIO	60.00			625930	0	7448			X
NEIL MILLER
VP BUS DEVELOPMENT	60.00			307120	0	1329			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8750316	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3003811	TotalOtherCompensation
Number Individuals GT100 K	2507	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CROSS COUNTRY STAFFING
LA LOCKBOX FILE 50941	LOS ANGELES	CA	90074	STAFFING SERVICES	4498761
MEDICAL ANESTHESIA CONSULTANTS MEDICAL
PO BOX 512107	LOS ANGELES	CA	90051	MEDICAL SERVICES	4470985
DELOITTE CONSULTING GROUP LLC
PO BOX 7247-6447	PHILADELPHIA	PA	19170	CONSULTING SERVICES	3847340
NURSEFINDERS INC
PO BOX 910738	DALLAS	TX	75391	STAFFING SERVICES	3128289
ARUP LABORATORIES
PO BOX 2794	SALT LAKE CITY	UT	84127	MEDICAL SERVICES	2643683

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	137	NumberOfContractorsGT100K
Fundraising Events	39600	FundraisingEvents
Related Organizations	3507537	RelatedOrganizations
All Other Contributions	557911	AllOtherContributions
Total Contributions	4105048	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE	900099	949456710	949456710
MEDICARE REVENUE	900099	240131281	240131281
PREMIUM REVENUE	900099	6407973	6407973

Field	Value	IRS element (for citing)
Total Program Service Revenue	1195995964	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	391113	TotalRevenueColumn
Exclusion	$391,113	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	6344038	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	825940	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	5518098	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	5518098	TotalRevenueColumn
Exclusion	$5,518,098	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	152168469	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	105458078	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	46710391	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	46710391	TotalRevenueColumn
Related Or Exempt Function Income	46710391	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	146662	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	39600	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	53693	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	92969	TotalRevenueColumn
Exclusion	$92,969	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	120319	GrossSalesOfInventory
Cost Of Goods Sold	165713	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-45394	TotalRevenueColumn
Exclusion	-$45,394	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER OPERATING REVENU	Description
Business Code	900099	BusinessCode
Total Revenue Column	37374820	TotalRevenueColumn
Related Or Exempt Function Income	31121466	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6253354	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	37374820	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1290143009	TotalRevenueColumn
Related Or Exempt Function Income	1273827821	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6253354	UnrelatedBusinessRevenue
Exclusion	$5,956,786	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	6134770	Total
Program Services	6134770	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	507793661	Total
Program Services	462236411	ProgramServices
Management And General	45557250	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	25187236	Total
Program Services	21961872	ProgramServices
Management And General	3225364	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	101545798	Total
Program Services	89339950	ProgramServices
Management And General	12205848	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	25248256	Total
Program Services	22436513	ProgramServices
Management And General	2811743	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4980198	Total
Program Services	2132668	ProgramServices
Management And General	2847530	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	383798	Total
Program Services	191899	ProgramServices
Management And General	191899	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	17215607	Total
Program Services	16308693	ProgramServices
Management And General	906914	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2189170	Total
Program Services	1759475	ProgramServices
Management And General	429695	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	19518351	Total
Program Services	19518351	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	34359753	Total
Program Services	32496315	ProgramServices
Management And General	1863438	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7729869	Total
Program Services	4539891	ProgramServices
Management And General	3189978	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	130711340	128795883	1915457
PURCHASED SERVICES	112347586	79145156	33202430
BAD DEBT EXPENSE	58179583	58179583
PROFESSIONAL FEES	44585908	43843065	742843

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	64552184	Total
Program Services	32602500	ProgramServices
Management And General	31949684	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1162663068	Total
Program Services	1021622995	ProgramServices
Management And General	141040073	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	56707883	BOY
EOY	122027751	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	221115614	BOY
EOY	223441904	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6449109	BOY
EOY	7023087	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	19126301	BOY
EOY	14409227	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1448162453	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	523847124	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	934384156	BOY
EOY	924315329	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	668605188	BOY
EOY	761702200	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	75237953	BOY
EOY	97088641	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1981626204	BOY
EOY	2150008139	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	175301868	BOY
EOY	186041473	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	515128142	BOY
EOY	428436740	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
EOY	89800000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	233820533	BOY
EOY	230207092	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	924250543	BOY
EOY	934485305	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1056463407	BOY
EOY	1214386265	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	912254	BOY
EOY	1136569	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1057375661	BOY
EOY	1215522834	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1981626204	BOY
EOY	2150008139	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	127479941	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	34832237	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	-12378005	ReconcilationPriorAdjustment
Reconcilation Other Changes	8213000	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$69,377	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$12,172	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$1,095	OtherActivitiesAmount
Total Lobbying Expenditures IIB	82644	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	JOHN MUIR HEALTH CONTRIBUTED $69,377 TO CALIFORNIA HOSPITALS COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS) IN 2012 TO SUPPORT LOBBYING EFFORTS. JOHN MUIR HEALTH EXECUTIVES ALSO COMMENT ON PROPOSED LEGISLATION OF STATE AND LOCAL GOVERNMENTAL BODIES THAT AFFECT THE HEALTH CARE INDUSTRY IN CONTRA COSTA COUNTY. JOHN MUIR HEALTH HAS JOINT VENTURE PARTNERS THAT CONTRIBUTE TO A PAC THAT SUPPORTS BALLOT MEASURES. JOHN MUIR HEALTH IS REPORTING THE AMOUNT OF CONTRIBUTIONS ATTRIBUTABLE TO THEIR PARTICIPATION IN THE JOINT VENTURES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	17002903	BeginningOfYearBalance
Contributions	2037125	Contributions
Investment Earnings Or Losses	859349	InvestmentEarningsOrLosses
Other Expenditures	3546075	OtherExpenditures
End Of Year Balance	16353302	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	37397465	BeginningOfYearBalance
Contributions	4810336	Contributions
Investment Earnings Or Losses	10029	InvestmentEarningsOrLosses
Other Expenditures	25214927	OtherExpenditures
End Of Year Balance	17002903	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28132000	BeginningOfYearBalance
Contributions	9915590	Contributions
Investment Earnings Or Losses	599321	InvestmentEarningsOrLosses
Other Expenditures	1249446	OtherExpenditures
End Of Year Balance	37397465	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	33638031	BeginningOfYearBalance
Contributions	12706231	Contributions
Investment Earnings Or Losses	1333441	InvestmentEarningsOrLosses
Other Expenditures	19545703	OtherExpenditures
End Of Year Balance	28132000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	33409949	BeginningOfYearBalance
Contributions	3165122	Contributions
Investment Earnings Or Losses	-2340525	InvestmentEarningsOrLosses
Other Expenditures	596515	OtherExpenditures
End Of Year Balance	33638031	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.27000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.73000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34416748	OtherCostOrOtherBasis
Book Value	34416748	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	902113987	OtherCostOrOtherBasis
Depreciation	218845658	Depreciation
Book Value	683268329	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8151648	OtherCostOrOtherBasis
Depreciation	3743013	Depreciation
Book Value	4408635	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	472329199	OtherCostOrOtherBasis
Depreciation	301258453	Depreciation
Book Value	171070746	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	31150871	OtherCostOrOtherBasis
Book Value	31150871	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	924315329	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
WORKERS COMPENSATION	$54,194,425
POST RETIREMENT COMP BENEFITS	$51,406,182
PENSION LIABILITY	$86,237,116
OTHER NON-CURRENT LIABILITIES	$38,369,369

Field	Value	IRS element (for citing)
Total Of Amounts	230207092	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	Identifier
Return Reference	PART V, LINE 4:	ReturnReference
Explanation	THE ORGANIZATION'S ENDOWMENT FUNDS (TERM AND PERMANENT) HELD BY THE JOHN MUIR HEALTH FOUNDATION ARE USED FOR RESTRICTED PURPOSES AS DIRECTED BY THE DONOR UPON RECEIPT OF THEIR DONATION. INCOME EARNED FROM PERMANENT ENDOWMENT FUNDS WITHOUT RESTRICTION AS TO PURPOSE ARE USED TO SUPPORT PATIENT CARE PROGRAMS AND SERVICES OF JOHN MUIR HEALTH. TERM ENDOWMENTS AND INCOME EARNED FROM OTHER PERMANENT ENDOWMENTS ARE RESTRICTED BY THE DONOR FOR USE IN PROGRAMS INCLUDING NURSING EDUCATION, CARDIAC CARE EQUIPMENT, RADIATION ONCOLOGY, WOMEN'S HEALTH CENTER EDUCATION, AND THE JOHN MUIR HEALTH BUILDING PROGRAM.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN -	Region
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted
Total Expenditures	75756591	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	75756591	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	75756591	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	1	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	186262	GrossReceiptsEvent1
Charitable Contributions Event1	39600	CharitableContributionsEvent1
Gross Revenue Event1	146662	GrossRevenueEvent1
Rent Facility Costs Event1	46765	RentFacilityCostsEvent1
Other Direct Expenses Event1	6928	OtherDirectExpensesEvent1
Gross Receipts Total	186262	GrossReceiptsTotal
Charitable Contributions Total	39600	CharitableContributionsTotal
Gross Revenue Total Events	146662	GrossRevenueTotalEvents
Rent Facility Costs Total Events	46765	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	6928	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	53693	DirectExpenseSummaryEvents
Net Income Summary	92969	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	400.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent350	X	Pcent350
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24166112	TotalCommunityBenefitExpense
Net Community Benefit Expense	24166112	NetCommunityBenefitExpense
Percent Of Total Expense	0.02090	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40225916	TotalCommunityBenefitExpense
Net Community Benefit Expense	40225916	NetCommunityBenefitExpense
Percent Of Total Expense	0.03470	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	64392028	TotalCommunityBenefitExpense
Net Community Benefit Expense	64392028	NetCommunityBenefitExpense
Percent Of Total Expense	0.05560	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9580426	TotalCommunityBenefitExpense
Direct Offsetting Revenue	343348	DirectOffsettingRevenue
Net Community Benefit Expense	9237078	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3792776	TotalCommunityBenefitExpense
Net Community Benefit Expense	3792776	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1424426	TotalCommunityBenefitExpense
Net Community Benefit Expense	1424426	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1372581	TotalCommunityBenefitExpense
Net Community Benefit Expense	1372581	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2851732	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4427	DirectOffsettingRevenue
Net Community Benefit Expense	2847305	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19021941	TotalCommunityBenefitExpense
Direct Offsetting Revenue	347775	DirectOffsettingRevenue
Net Community Benefit Expense	18674166	NetCommunityBenefitExpense
Percent Of Total Expense	0.01620	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	83413969	TotalCommunityBenefitExpense
Direct Offsetting Revenue	347775	DirectOffsettingRevenue
Net Community Benefit Expense	83066194	NetCommunityBenefitExpense
Percent Of Total Expense	0.07180	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	2893	TotalCommunityBuildingExpense
Net Community Building Expense	2893	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	96042	TotalCommunityBuildingExpense
Net Community Building Expense	96042	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	8763	TotalCommunityBuildingExpense
Net Community Building Expense	8763	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	555653	TotalCommunityBuildingExpense
Net Community Building Expense	555653	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	663351	TotalCommunityBuildingExpense
Net Community Building Expense	663351	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$58,179,583	BadDebtExpenseAmount
Amount Reimbursed By Medicare	240131281	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	417906318	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-177775037	MedicareSurplusOrShortfall
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 ASPEN SURGERY CENTER LLC
OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER	0.33000	0.01000	0.43000
2 BRENTWOOD SURGERY CENTER LLC
OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER	0.38000	0.00000	0.35000
3 MT DIABLO SURGERY CENTER LLC
OPERATES AN AMBULATORY SURGERY CENTER	0.32000	0.00000	0.47000
4 MUIR DIABLO OCCUPATIONAL MEDICINE
OPERATES AN OUTPATIENT OCCUPATIONAL HEALTH CLINIC	0.50000	0.00000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
JOHN MUIR MEDICAL CENTER WALNUT CREEK
1	1601 YGNACIO VALLEY ROAD	WALNUT CREEK	CA	94598	X	X	X
JOHN MUIR MEDICAL CENTER CONCORD
2	2540 EAST STREET	CONCORD	CA	94520	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
JOHN MUIR MEDICAL CENTER WALNUT CREEK
1	1	X	X	X	X	X	X	X	X	10	1	1	1	X	X	X	X	X	X	X	X	0	0	1	1	400.000000000000	1	350.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	0
JOHN MUIR MEDICAL CENTER CONCORD
2	1	X	X	X	X	X	X	X	X	10	1	1	1	X	X	X	X	X	X	X	X	0	0	1	1	400.000000000000	1	350.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: THE MAJORITY OF CHARITY CARE IS GIVEN BASED EITHER ON THE FEDERAL POVERTY GUIDELINES ("FPG") AS CALCULATED FROM DOCUMENTATION AND STATEMENTS MADE ON AN INTERNAL JOHN MUIR HEALTH CHARITY CARE APPLICATION, OR ON THE FPG AS ESTIMATED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY HAS DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. JOHN MUIR HEALTH HAS NO INPUT INTO THE CRITERIA USED FOR THE ALGORITHM, WHICH IS THE SAME CALCULATION USED BY THE CONTRACTED THIRD PARTY FOR ALL OF THEIR CLIENTS NATIONWIDE. OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITHIN SIX MONTHS OF THE DATE OF SERVICE FOR THE 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 RECORD AS BEING HOMELESS, OR HAVE A LACK OF HOUSING. CHARITY CARE IS ALSO APPLIED TO OUTSTANDING BALANCES FOR EMERGENCY SERVICES RENDERED TO DOCUMENTED MINOR AND ELDERLY VICTIMS OF ABUSE, BASED ON COMPASSION AS JOHN MUIR HEALTH HAS NO KNOWLEDGE OF THE CURRENT HOME ENVIRONMENT OF THESE PATIENTS. WE ALSO HAVE A PARTNERSHIP WITH A COMMUNITY PROGRAM, OPERATION ACCESS, WHICH SERVES THE LOW-INCOME INDIVIDUALS IN OUR COUNTY, TO PROVIDE FREE CARE ON A REFERRED, CASE-BY-CASE BASIS. OPERATION ACCESS HAS ALREADY PERFORMED THE SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY. JMH CONTINUED A PARTNERSHIP WITH LA CLINICA DE LA RAZA TO PROVIDE SPECIALTY CARE FOR UNINSURED AND LOW INCOME PATIENTS. LA CLINICA DE LA RAZA HAS ALREADY PERFORMED SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.PART I, LINE 4: DOES THE ORGANIZATION'S POLICY PROVIDE FREE OR DISCOUNTED CARE TO THE "MEDICALLY INDIGENT".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 AND THE BEHAVIORAL HEALTH CENTER. THIS INCLUDES THE CRITICAL EMERGENCY AND TRAUMA SERVICES AT OUR MEDICAL CENTER 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 7: JOHN MUIR HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS.
PART I, L7 COL(F): INCLUDED ON FORM 990, PART IX LINE 25 IS BAD DEBT EXPENSE TOTALING $58,179,583. THIS AMOUNT WAS EXCLUDED BEFORE CALCULATING THE PERCENTAGES FOUND IN COLUMN (F).
PART II: JOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, TRANSPORTATION, ETC. OUR PRIMARY AREAS OF FOCUS ARE THE CONCORD COMMUNITY ECONOMIC DEVELOPMENT ORGANIZATION AND WORKFORCE DEVELOPMENT.CONCORD COMMUNITY ECONOMIC DEVELOPMENT ORGANIZATION (DOING BUSINESS AS - MICHAEL CHAVEZ CENTER AND MONUMENT COMMUNITY PARTNERSHIP)(CCEDO)THE MONUMENT COMMUNITY COMPRISES A DISTINCTIVE SOCIO-ECONOMIC DEMOGRAPHIC WITH UNIQUE CHALLENGES. MANY RESIDENTS FACE LANGUAGE, EDUCATION AND CULTURAL BARRIERS, WHILE HAVING LIMITED ACCESS TO THE RESOURCES NECESSARY TO OVERCOME THESE BARRIERS.THE CCEDO'S MISSION IS TO ACTIVELY ENGAGE WITH THE MONUMENT COMMUNITY TO PROVIDE TRAINING AND TOOLS, IN ORDER FOR PEOPLE TO BECOME:1. ECONOMICALLY SELF-SUFFICIENT2. HEALTHY AND SAFE 3. CIVICALLY ENGAGED4. CONNECTED TO EACH OTHER, AND 5. COMMITTED TO LIFELONG LEARNING.CCEDO WORKS TO INVOLVE RESIDENTS OF ALL AGES, ETHNICITIES AND IMMIGRATION STATUS AS EQUAL PARTNERS WITH LOCAL PUBLIC AND PRIVATE ORGANIZATIONS IN PRODUCTIVE, ACTION-BASED COLLABORATION. THROUGH THREE PRIMARY PROGRAM AREAS THE ORGANIZATION WORKS TOWARDS ITS GOAL OF A VIBRANT COMMUNITY WITH A HEALTHY AND STRONG QUALITY OF LIFE: 1. ECONOMIC DEVELOPMENT2. HEALTHY LIVING3. CIVIC ENGAGEMENTSPECIFIC PROGRAMS INCLUDE CAREER DEVELOPMENT; DAY LABOR; TECHNOLOGY TRAINING; HEALTHY EATING ACTIVE LIVING (HEAL); VITA TAX ASSISTANCE; MONUMENT HEALTH FAIR; LEADERSHIP DEVELOPMENT; NEIGHBORHOOD ACTION TEAMS; AND THE FACILITATION OF RESIDENT & SERVICE NETWORKSWORKFORCE DEVELOPMENTJOHN MUIR HEALTH 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 STUDENTS.3. CONTRA COSTA OFFICE OF EDUCATION'S YOUTH DEVELOPMENT SERVICES =SUMMER INTERN PROGRAM.4. SAMUEL MERRITT COLLEGE.5. CONTRA COSTA COLLEGES ( DIABLO VALLEY AND LOS MEDANOS COLLEGE).6. EAST COUNTY BUSINESS AND EDUCATION ALLIANCE.7. 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 COST 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 2012 MEDICARE COST REPORT 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 V, SECTION B, LINE 20D: IF IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR JOHN MUIR HEALTH'S FINANCIAL ASSISTANCE PLAN, ANY BILLS PREVIOUSLY SENT TO THAT PATIENT ARE RECALCULATED TO $0.	JOHN MUIR MEDICAL CENTER WALNUT CREEK
PART V, SECTION B, LINE 20D: IF IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR JOHN MUIR HEALTH'S FINANCIAL ASSISTANCE PLAN, ANY BILLS PREVIOUSLY SENT TO THAT PATIENT ARE RECALCULATED TO $0.	JOHN MUIR MEDICAL CENTER CONCORD
PART VI, LINE 2: HOW DO WE DETERMINE THE NEEDS OF OUR COMMUNITY?AS PART OF THE CALIFORNIA SB697 TRIENNIAL CYCLE, A COMPREHENSIVE COMMUNITY ASSESSMENT WAS COMPLETED IN 2010. THE 2010 COMMUNITY ASSESSMENT WAS COMPLETED THROUGH A COLLABORATIVE PROCESS INITIATED BY THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA AND COMMUNITY HOSPITALS IN CONTRA COSTA COUNTY. PARTICIPANTS INCLUDED JOHN MUIR HEALTH, KAISER PERMANENTE AND SUTTER DELTA MEDICAL CENTER. CONDUCTED BY THE COMMUNITY HEALTH ASSESSMENT, PLANNING AND EVALUATION GROUP OF CONTRA COSTA HEALTH SERVICES (CHAPE), THE 2010 QUANTITATIVE ASSESSMENT COMPILED EXISTING DATA BASED ON COLLABORATIVE OBJECTIVES. THE COMMUNITY INDICATOR REPORT CAN BE FOUND AT WWW.JOHNMUIRHEALTH.COM AND WWW.CCHEALTH.ORG. UPON REQUEST FROM THE PUBIC OR MEDIA, JOHN MUIR HEALTH WILL ALSO ASSIST THE REQUESTOR IN FINDING THE COUNTY HEALTH INFORMATION THEY NEED. IN ADDITION TO THE QUANTITATIVE PORTION OF THE COMMUNITY ASSESSMENT, JOHN MUIR HEALTH AND KAISER PERMANENTE JOINTLY CONDUCTED A SURVEY OF LOW INCOME RESIDENTS THROUGH THE FOLLOWING COMMUNITY ORGANIZATIONS THAT SERVE VULNERABLE POPULATIONS:1. CHD PROMATORAS AND HEALTH CONDUCTORS2. FAMILIAS UNIDAS3. FIRST 5 REGIONAL4. LA CLINICA DE LA RAZA5. MONUMENT COMMUNITY PARTNERSHIP6. MONUMENT CRISIS CENTER7. PLANNED PARENTHOOD- SHASTA/DIABLO8. SENIOR OUTREACH SERVICES/MEALS ON WHEELS 9. WIC- CONCORDJOHN MUIR HEALTH USED VARIOUS OTHER MECHANISMS TO INCORPORATE COMMUNITY INPUT INTO THE ANNUAL COMMUNITY BENEFIT PLAN. DURING 2010, 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.IN ADDITION, JOHN MUIR HEALTH DEVELOPS PARTNERSHIPS TO ADDRESS HEALTH ISSUES IDENTIFIED THROUGH ITS INTERNAL EMERGENCY DEPARTMENT DATA. THE JOHN MUIR MEDICAL CENTER, CONCORD EMERGENCY DEPARTMENT REFERRAL LIAISON AND JOHN MUIR MEDICAL CENTER, WALNUT CREEK BEYOND VIOLENCE PROGRAMS WERE BOTH DEVELOPED IN THIS WAY. 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. WHERE ARE THE NEEDS GREATEST?THE 2010 COMMUNITY HEALTH ASSESSMENT IDENTIFIED SEVERAL HEALTH DISPARITIES IN CENTRAL AND EASTERN CONTRA COSTA COUNTY INCLUDING:1. CANCER DEATHS IN ANTIOCH, CONCORD, OAKLEY, PITTSBURG AND BRENTWOOD2. HEART DISEASE DEATHS IN ANTIOCH, OAKLEY, PITTSBURG, CONCORD AND MARTINEZ3. STROKE DEATHS IN ANTIOCH, PITTSBURG, CONCORD AND OAKLEY4. BREAST CANCER DEATHS IN BRENTWOOD, ANTIOCH, PITTSBURG AND CONCORD5. LUNG CANCER DEATHS IN OAKLEY, ANTIOCH, PITTSBURG AND CONCORD 6. TEEN BIRTH RATES IN ANTIOCH, CONCORD, BAY POINT AND BRENTWOOD7. OVERWEIGHT 5TH GRADERS IN ANTIOCH AND PITTSBURG8. DIABETES DEATH IN ANTIOCH AND PITTSBURG9. NON-FATAL ASSAULT HOSPITALIZATIONS IN ANTIOCH, PITTSBURG, RICHMOND AND CONCORD10. HOMICIDE DEATHS IN ANTIOCH AND PITTSBURG11. HOSPITALIZATION DUE TO FALL AGE 65+ IN ANTIOCH, PLEASANT HILL, MARTINEZ, CONCORD AND WALNUT CREEK12. AFRICAN AMERICANS ARE MOST SIGNIFICANTLY IMPACTED BY HEALTH DISPARITIES AND HAVE A SHORTER LIFE EXPECTANCYWHERE IS JOHN MUIR FOCUSING ITS EFFORTS?JOHN MUIR HEALTH SELECTS ITS FOCUS AREAS BASED ON THE COMMUNITY ASSESSMENT, INTERNAL DATA AND COMMUNITY PARTNER INPUT. SINCE 2007, NEW PROGRAMS HAVE SPECIFICALLY FOCUSED ON PROGRAMS THAT ADDRESS THE NEEDS OF VULNERABLE POPULATIONS USING THREE FUNDING CRITERIA. THE FIRST FUNDING CRITERION IS THAT THE PROGRAM SERVES VULNERABLE POPULATIONS DEFINED AS POPULATIONS WITH ONE OR MORE OF THE FOLLOWING CHARACTERISTICS:1. EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES.2. SIGNIFICANT BARRIERS TO CARE3. ECONOMICALLY DISADVANTAGEDOUR SECOND FUNDING CRITERION REQUIRES THAT PROGRAMS ARE DELIVERED THROUGH PARTNERSHIPS WITH COMMUNITY BASED ORGANIZATIONS, OTHER PROVIDERS, PUBLIC AGENCIES OR BUSINESS ORGANIZATIONS. OUR THIRD FUNDING CRITERION CALLS FOR SELECTING PROGRAMS WE BELIEVE WILL POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY IN A MEASURABLE WAY. COMMUNITY BENEFIT STAFF AND LEADERSHIP REPRESENTING VARIOUS PARTS OF JOHN MUIR HEALTH REVIEWS THE COMMUNITY ASSESSMENT DATA, PROGRAM EVALUATIONS AND REQUESTS FOR NEW PROGRAMS USING OUR FUNDING CRITERIA. RECOMMENDATIONS FOR PROGRAM FUNDING IN THE ANNUAL BUDGET PROCESS ARE A MADE AS A RESULT OF THIS PROCESS. GOALS FOR 20121. TO IMPROVE ACCESS TO HEALTH CARE FOR LOW INCOME RESIDENTS2. TO HAVE MEASURABLE IMPACT ON HEALTH OF THE COMMUNITYSTRATEGIES1. INCREASE DIRECT CARE, CHARITY CARE AND SUBSIDIZED CARE2. INCREASE ACCESS TO CARE THROUGH ENROLLMENT PROGRAMS3. SUPPORT PREVENTION, EARLY DIAGNOSIS, EARLY INTERVENTION AND MAXIMIZE PARTICIPANT IMPACTBECAUSE THE UNMET HEALTH CARE NEEDS ARE ALWAYS GREATER THAN ANY ONE OR ANY COMBINATION OF PROVIDERS CAN ADDRESS, JOHN MUIR HEALTH PRIORITIZES ITS FOCUS AND PROGRAM SELECTION USING THE FOLLOWING SELECTION CRITERIA:1. INCIDENCE/PREVALENCE (HOW MANY PEOPLE ARE AFFECTED?)2. THERE ARE FEW RESOURCES TARGETING THE IDENTIFIED ISSUE3. JOHN MUIR HEALTH IS WELL-POSITIONED TO ADDRESS THIS ISSUE OR IS PREPARING TO BE WELL-POSITIONED FOR HEALTH CARE REFORM4. IF WE WERE TO ADDRESS THIS ISSUE, WILL WE HAVE A VISIBLE IMPACT 5. LEVERAGING PARTNERSHIPS AND COMMUNITY RESOURCESTHERE ARE A NUMBER OF REASONS JOHN MUIR HEALTH DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED NEEDS ASSESSMENT. SLOW RECOVERY OF THE ECONOMY, CHANGES IN THE DELIVERY SYSTEM IN CONTRA COSTA COUNTY UNDER HEALTH CARE REFORM AND REDUCTIONS IN MEDICARE PAYMENTS REQUIRE ALL HEALTH SYSTEMS TO MAKE STRATEGIC CHOICES TO FOCUS COMMUNITY BENEFIT CONTRIBUTIONS ON THE GREATEST NEEDS IN THE COMMUNITY AND TO MAXIMIZE THE POSITIVE IMPACT OF THOSE CONTRIBUTIONS. JOHN MUIR HEALTH ACKNOWLEDGES THAT THE HEALTH NEEDS OF VULNERABLE RESIDENTS IN CENTRAL AND EAST CONTRA COSTA COUNTY CANNOT BE MET BY ANY ONE PUBLIC OR PRIVATE ORGANIZATION. JOHN MUIR HEALTH SELECTS FOCUS AREAS AND PROGRAMS BASED ON ITS CLINICAL AND ORGANIZATIONAL STRENGTHS, THE AVAILABILITY AND WILLINGNESS OF APPROPRIATE COMMUNITY ORGANIZATION PARTNERS, THE INCIDENCE AND PREVALENCE OF THE NEED, THE POTENTIAL FOR MAKING A POSITIVE IMPACT AND AVAILABLE FINANCIAL AND STAFF RESOURCES.
PART VI, LINE 3: JOHN MUIR HEALTH HAS SIGNAGE POSTED IN PATIENT ACCESS AREAS/LOBBIES INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIR HEALTH CARE BILLS AND ELIGIBILITY, SERVICES TO AID THE PATIENT IN QUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IN THE EMERGENCY DEPARTMENT. ALL PATIENTS RECEIVE A "PATIENT ASSISTANCE" BROCHURE, WHICH IDENTIFIES VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENT, INCLUDING THE JOHN MUIR HEALTH CHARITY CARE PROGRAM AS WELL AS PROGRAMS THROUGH GOVERNMENT AGENCIES (STATE, COUNTY, ETC). THE BROCHURE ALSO LISTS CONTACT INFORMATION FOR THESE PROGRAMS. PATIENTS IN THE EMERGENCY DEPARTMENT TALK TO A TRAINED FINANCIAL COUNSELOR, AND, IF APPROPRIATE, ARE ALSO ASKED TO SIGN A FORM ACKNOWLEDGING RECEIPT OF THE PATIENT ASSISTANCE MATERIALS, OR DECLINING TO ACCEPT THE MATERIAL. TRAINED FINANCIAL COUNSELORS ARE ALSO AVAILABLE FOR PATIENTS WHO DO 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, INCLUDING CHARITY CARE, ARE AVAILABLE IS ALSO PRINTED ON PATIENT BILLING STATMENTS, 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 STATMENT. INFORMATION ON 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 PROGRAMS IN THE COUNTY. THIS ELIGIBILITY ASSISTANCE, WHICH INCLUDES HELP IN FILLING OUT THE APPLICATIONS, GATHERING REQUIRED DOCUMENTS, AND TRANSPORTAION 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 THE MEDICAL BILLS.
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.
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHJOHN MUIR HEALTH IS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION THAT IS 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. AS A NOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROM OUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. AS ONE OF THE LARGEST EMPLOYEES IN THE COUNTY WITH OVER 6,000 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 SERVE ALL RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. JOHN MUIR HEALTH IS RECOGNIZED AS A PREEMINENT PROVIDER OF REGIONAL CARDIOVASCULAR, ORTHOPEDICS, NEUROSCIENCES, CANCER, EMERGENCY, TRAUMA AND OBSTETRIC CARE. OTHER AREAS OF SPECIALTY INCLUDE GENERAL SURGERY, ADVANCED ENDOSCOPIC AND ROBOTIC SURGERY AND WEIGHT-LOSS SURGERY. OTHER SPECIALTY SERVICES PROVIDED IN CONTRA COSTA COUNTY ONLY BY JOHN MUIR HEALTH INCLUDE HIGH RISK NEONATAL SERVICES, INPATIENT PSYCHIATRIC SERVICES INCLUDING CHILD AND ADOLESCENT SERVICES, AND SUBSTANCE ABUSE SERVICES. OUR MEDICAL STAFFS ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY. AS A NOT-FOR -PROFIT HEALTH SYSTEM, JOHN MUIR HEALTH HAS AN OBLIGATION TO MAKE A CHARITABLE CONTRIBUTION TO THE COMMUNITY, BUT OUR COMMITMENT TO KEEPING THE COMMUNITIES WE SERVE HEALTHY GOES FAR DEEPER THAN THAT. JOHN MUIR HEALTH'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 2012, APPROXIMATELY 88% 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. 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 MEDICAL SERVICES FOR VULNERABLE POPULATIONS IN THE COUNTY. FOR MANY INDIVIDUALS AND FAMILIES WITH NO INSURANCE AND LIMITED MEANS, JOHN MUIR HEALTH PROVIDES CHARITY CARE. IN 2012, WE PROVIDED $24.3 MILLION IN CHARITY CARE COSTS. JOHN MUIR HEALTH ALSO ABSORBED $42.4 MILLION, THE FINANCIAL COST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE REIMBURSEMENTS WE RECEIVE FROM MEDI-CAL. IN ADDITION TO THIS DIRECT DELIVERY OF CARE, JOHN MUIR HEALTH PROVIDES BROAD FINANCIAL AND TECHNICAL SUPPORT TO PROMOTE COMMUNITY WELLNESS. EACH YEAR THE ORGANIZATION CONTRIBUTES MORE THAN $1.6 MILLION TO THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND. THE FUND'S GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES IN CENTRAL AND EASTERN CONTRA COSTA COUNTY. BY WORKING WITH LEADING COMMUNITY GROUPS, JOHN MUIR HEALTH HAS HELPED FOSTER MANY INNOVATIVE HEALTH CARE PROGRAMS, INCLUDING OUR MOBILE HEALTH CLINIC, THE DENTAL COLLABORATIVE OF CONTRA COSTA WHICH OPERATES A MOBILE DENTAL CLINIC, SENIOR SERVICES, THE FAITH AND HEALTH PARTNERSHIP AND COMMUNITY NURSES IN ELEMENTARY SCHOOLS IN PITTSBURG AND CONCORD.IN 2012, WE CONTINUED OUR PARTNERSHIPS WITH LA CLINICA DE LA RAZA AND THE CONTRA COSTA HEALTH SERVICES DEPARTMENT TO SERVE LOW-INCOME RESIDENTS THROUGH THE JOHN MUIR MOBILE HEALTH CLINIC AND THE DENTAL COLLABORATIVE OF CONTRA COSTA. THROUGH A PARTNERSHIP WITH LA CLINICA DE LA RAZA, JOHN MUIR HEALTH PROVIDED SPECIALTY CARE FOR UNINSURED AND LOW INCOME PATIENTS. ACCESS TO SPECIALTY CARE HAS BEEN IDENTIFIED AS ONE OF THE GREATEST HEALTH CARE NEEDS OF LOW INCOME, UNINSURED RESIDENTS. JOHN MUIR HEALTH ALSO SEEKS TO SERVE AT-RISK, OLDER ADULTS IN THE COMMUNITY. AMONG THE PROGRAMS WE SUPPORT ARE THE CARING HANDS VOLUNTEER CAREGIVER PROGRAM, WHICH CREATES ONE-TO-ONE MATCHES BETWEEN VOLUNTEERS AND SENIORS WHO ARE FRAIL, ISOLATED, AND/OR DISABLED. FREE, NON-MEDICAL, IN-HOME ASSISTANCE ENABLES THESE SENIORS TO STAY IN THEIR HOMES AND REMAIN INDEPENDENT AND SAFE. THE FALL PREVENTION PROGRAM OF CONTRA COSTA COUNTY, WHICH IS ALSO SUPPORTED BY JOHN MUIR HEALTH, WORKS WITH SENIOR GROUPS TO GENERATE AWARENESS AND REDUCE INJURIES DUE TO FALLS THROUGH HOME SAFETY ASSESSMENTS AND HOME MODIFICATIONS FOR LOW INCOME SENIORS. COMMUNITY BENEFITS ALSO INCLUDE HEALTH PROFESSIONS EDUCATION PROGRAMS IN THE AREAS OF NURSING, PHYSICAL THERAPY, ULTRASOUND TECHNOLOGY, RADIOLOGIC TECHNOLOGY, REHABILITATION AND CLINICAL PASTORAL CARE.JOHN MUIR HEALTH SERVED OVER 178,699 RESIDENTS THROUGH OUR COMMUNITY BENEFIT PROGRAMS IN 2012.THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR JOHN MUIR HEALTH PROGRAMS AND IN THIS WAY MITIGATES THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF -THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY.
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. THE FUND'S GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EASTERN CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MOST AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE FUND DEVELOPED A FUNDING PROCESS THAT NURTURES LONG-TERM 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 2012, THE FUND HAS GRANTED OVER $20 MILLION 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 NETWORK1350 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 PRACTICES CENTERS STAFFED BY JMMG PHYSICIANS IN NUMEROUS LOCATIONS FROM BRENTWOOD 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 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. HAROLD 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 BEHAVIORAL HEALTH CENTER2740 GRANT STREET, CONCORD, CAJOHN MUIR HEALTH OFFERS COMPLETE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS AND SERVICES THROUGH THE JOHN MUIR BEHAVIORAL HEALTH CENTER, THE HEALTH SYSTEM'S FULLY ACCREDITED, 73-BED PSYCHIATRIC HOSPITAL LOCATED IN CONCORD. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER OFFERS PSYCHIATRIC TREATMENT FOR ADULTS, CHILDREN AND ADOLESCENTS WHO EXPERIENCE EMOTIONAL OR BEHAVIORAL PROBLEMS. FOR THOSE WHO ARE DEPENDENT ON ALCOHOL OR DRUGS, THE BEHAVIORAL HEALTH CENTER OFFERS A FULL ARRAY OF CHEMICAL DEPENDENCY TREATMENT PROGRAMS. JOHN MUIR BEHAVIORAL HEALTH CENTER IS ACCREDITED BY THE JOINT COMMISSION. CHIEF OPERATING OFFICER IS LIZ STALLINGS. JOHN MUIR HEALTH FOUNDATION1400 TREAT, WALNUT CREEK, CATHE FOUNDATION RAISES FUNDS FOR PROGRAMS AND PROJECTS OF JOHN MUIR HEALTH, INCLUDING VARIOUS EDUCATION PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR HEALTH FOUNDATION. THE FOUNDATION'S PRESIDENT IS PATRICK CAREW.
CA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant
JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND
1399 YGNACIO VALLEY ROAD SUITE 36	WALNUT CREEK	CA	94598	911788973	501(C)(3)	2521097	CASH VALUE	COMMUNITY GRANTS
JOHN MUIR BEHAVIORAL HEALTH
1400 TREAT BOULEVARD	WALNUT CREEK	CA	94597	680249685	501(C)(3)	3613673	CASH VALUE	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	17	NumberOfRecipients
Amount Of Cash Grant	47000	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: JOHN MUIR HEALTH AND FINANCIAL MANAGEMENT MONITOR THE USE OF THE RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES. SCHOLARSHIPS MADE IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSE ARE SUBJECT TO CONDITIONS ESTABLISHED TO ENSURE THAT INDIVIDUALS RECEIVING SCHOLARSHIPS ARE ADEQUATELY INVESTIGATED TO VERIFY THEY ARE QUALIFIED RECIPIENTS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CALVIN KNIGHT
PRESIDENT/CEO/DIRECTOR	834970	0	362831	0	105900	0	625905	0	27289	0	1956895	0	362831	0
MICHAEL MOODY
CFO	410142	0	177597	0	13644	0	236582	0	26058	0	864023	0	177597	0
IRVING PIKE MD
CMO	304621	0	0	0	108280	0	87162	0	17014	0	517077	0	0	0
NANCY OLSON
ASSISTANT SECRETARY	358374	0	156163	0	32728	0	204372	0	15863	0	767500	0	156163	0
JANE WILLEMSEN
CAO	420581	0	255435	0	17255	0	267873	0	19354	0	980498	0	255435	0
MICHAEL THOMAS
CAO	396229	0	232871	0	10510	0	263583	0	23805	0	926998	0	232871	0
ALICE A VILLANUEVA
SR VP HR	331469	0	149858	0	22647	0	168215	0	22595	0	694784	0	149858	0
MARTI TARNOWSKI
VP PLANNING & MARKETING	318118	0	135717	0	50794	0	183498	0	21616	0	709743	0	135717	0
CHRISTIAN PASS
SENIOR VP REVENUE CYCLE	295285	0	123386	0	34669	0	147673	0	24340	0	625353	0	123386	0
MICHAEL MONALDO
VP FACILITIES DEVELOP & CORP REAL ES	278215	0	135358	0	4109	0	157111	0	21123	0	595916	0	135358	0
DEBRA PENDERGAST
VP PATIENT CARE SERVICES	306000	0	107772	0	28337	0	117398	0	22187	0	581694	0	107772	0
PAUL SWENSON
EXECUTIVE VP OPERATIONS	29396	0	321903	0	56958	0	717	0	2162	0	411136	0	321903	0
KENNETH MEEHAN
EXECUTIVE VP OPERATIONS	242227	0	347383	0	299534	0	263871	0	27668	0	1180683	0	339487	0
ERIC SAFF
SR. VP CIO	89190	0	156609	0	380131	0	1488	0	5960	0	633378	0	156609	0
NEIL MILLER
VP BUS DEVELOPMENT	53078	0	155604	0	98438	0	0	0	1329	0	308449	0	155604	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	THE 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 CFO. ADDITIONALLY, FOR CERTAIN MEMBERS OF MANAGEMENT THAT ARE RECRUITED FROM OUTSIDE OF THE AREA A HOUSING ALLOWANCE CAN BE PROVIDED AS PART OF THE RECRUITMENT PROCESS. EACH RECRUITMENT IS EVALUATED ON A CASE-BY-CASE BASED ON THE CURRENT MARKET AND THE QUALIFICATIONS OF THE CANDIDATE TO DETERMINE WHETHER OR NOT THE INCLUSION OF A HOUSING ALLOWANCE WILL BE PART OF THE RECRUITMENT PACKAGE. FOR CERTAIN MEMBERS OF MANAGEMENT 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 I, LINE 1B	THE CORPORATION, WITH THE OVERSIGHT AND APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, BASES A PORTION OF ANNUAL MANAGEMENT INCENTIVE PAYMENTS ON THE CONSOLIDATED NET EARNINGS TARGETS OF JOHN MUIR HEALTH. IN ADDTION TO THE CONSOLIDATED NET EARNINGS THE MANAGEMENT INCENTIVE PAYMENTS ARE BASED ON VARIOUS QUALITY AND PATIENT SATISFACTION METRICS. 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. THE INCENTIVE PROGRAMS FOR THE MANAGEMENT OF JOHN MUIR 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.
PART I, LINE 3	THE CORPORATION, WITH THE OVERSIGHT AND APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, BASES A PORTION OF ANNUAL MANAGEMENT INCENTIVE PAYMENTS ON THE CONSOLIDATED NET EARNINGS TARGETS OF JOHN MUIR HEALTH. ADDITIONALLY, WHERE APPROPRIATE MANAGEMENT OVERSIGHT EXISTS, A PORTION OF AN EXECUTIVE'S MANAGEMENT INCENTIVE CAN ALSO BE BASED ON THE NET EARNINGS TARGETS OF THE RESPECTIVE OPERATING UNITS WITHIN THE CORPORATION. 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. THE INCENTIVE PROGRAMS FOR THE MANAGEMENT OF JOHN MUIR 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.
PART I, LINES 4A-B	JANE ANN WILLEMSEN $ 26,589 RESTORATION PLAN MICHAEL THOMAS $ 52,921 RESTORATION PLAN CALVIN KNIGHT $147,469 RESTORATION PLAN CHRISTIAN PASS $ 24,222 RESTORATION PLAN MARTI TARNOWSKI $ 48,039 RESTORATION PLAN MICHAEL D MOODY $ 63,592 RESTORATION PLAN NANCY OLSON $ 49,020 RESTORATION PLAN ALICE A VILLANUEVA $ 29,234 RESTORATION PLAN MICHAEL MONALDO $ 32,512 RESTORATION PLAN ERIC SAFF RECEIVED SEVERANCE OF $356,761. KEN MEEHAN RECEIVED SEVERANCE OF $282,598
PART III	SUPPLEMENTAL INFORMATION COMPENSATION FOR THE CHIEF EXECUTIVE 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.	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY
A	680164610	130911J84	2005-05-10	50290253	SEE PART VI	0	0	0
CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY
B	680164610	130911Y87	2006-06-14	203016972	SEE PART VI	0	0	0
CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY
C	680164610	130795UC9	2008-05-02	145800000	SEE PART VI	0	0	0
CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY
D	680164610	130795N86	2009-10-29	101911852	SEE PART VI	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Amount UnspentAmountUnspent
A	20405000	50290253	908703	644000	48737550	1	1	1
B		231090613	2140116			0	1	1	23598317	205352180	2011
C	50700000	145800000	1155297	497539	144165164	1	1	1
D	3830000	101922259	1911852			0	0	1		99973171	2011	37236

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse
A	1	1
B	1	1	0.00010	0.00010
C	1	1	0.00010	0.00010
D	1	1	0.00010	0.00010

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	0	1	0	0	1
B	1				0	1	1
C	0	0	0	1	1	0	1
D	0	0	0	1	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0
C	0
D	0

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K SUPPLENTAL INFORMATION	Identifier
Explanation	DIFFERENCE BETWEEN THE ISSUE PRICE ( PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. PART I, LINE A, COLUMN (F) - TO PAY THE OUTSTANDING PRINCIPAL AMOUNT OF THE CITY OF WALNUT CREEK CERTIFICATES OF PARTICIPATION REFUNDING SERIES 1994, ORIGINALLY ISSUED 2/17/1994. PART I, LINE B, COLUMN (F) - THE BONDS WERE ISSUED FOR THE PURPOSE OF (I) FINANCING AND REFINANCING THE COST OF ACQUISITION, CONSTRUCTION, IMPROVEMENT, EQUIPPING, RENOVATION, REHABILITATION, REMODELING AND OTHER CAPITAL PROJECTS ON OR ABOUT THE JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS, (II) FINANCING VARIOUS ROUTINE CAPITAL EXPENDITURES AND THE COST OF ACQUISITION OF EQUIPMENT TO BE LOCATED ON THE JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS, (III) PROVIDING FOR PAYMENT OF A PORTION OF INTEREST ON THE BONDS, AND (IV) PAYING CERTAIN COSTS INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS. PART I, LINE C, COLUMN (D) - 5/2/08 AND 5/13/08. PART I, LINE C, COLUMN (F) - 2008 A AND B TO (I) REFUND AND PAY IN FULL THE OUTSTANDING PRINCIPAL AMOUNT OF THE $100,000,000 AGGREGATE PRINCIPAL AMOUNT CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY INSURED REVENUE BONDS (JOHN MUIR HEALTH) SERIES 2006 B AND SERIES 2006 C (THE "SERIES 2006 BONDS") ORIGINALLY ISSUED 6/14/2006 AND (II) TO PAY CERTAIN COSTS INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS. 2008 C TO (I) REFUND AND PAY IN FULL THE VARIABLE RATE PORTION OF THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY $90,000,000 CERTIFICATES OF PARTICIPATION, JOHN MUIR/MT. DIABLO HEALTH SYSTEM (1997) ORIGINALLY ISSUED 10/29/1997, IN THE OUTSTANDING PRINCIPAL AMOUNT OF $44,000,000 AND (II) TO PAY CERTAIN COSTS INCURRED IN CONNECTION WITH THE ISSUANCE OF THE SERIES 2008 C BONDS. PART I, LINE D, COLUMN (F) - THE BONDS WERE ISSUED FOR THE PURPOSES OF (1) FINANCING THE CONSTRUCTION, IMPROVEMENT, EQUIPPING, RENOVATION, REHABILITATION, REMODELING AND OTHER CAPITAL PROJECTS ON OR ABOUT THE JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS AND ON OR ABOUT THE JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS AND (2) PAYING CERTAIN COSTS OF ISSUANCE. PART I, LINE E, COLUMN (F) - THE BONDS WERE ISSUED FOR THE PURPOSE OF REFUND AND PAYMENT IN FULL OF THE OUTSTANDING PRINCIPAL AMOUNT AND INTEREST DUE ON THE 1997 CERTIFICATES OF PARTICIPATION AND THE SERIES 2008B BONDS ISSUED 10/29/1997 AND 5/2/2008 RESPECTIVELY. PART III, LINE 3B AND 3D - JOHN MUIR HEALTH ENGAGES BOND COUNSEL IN CONNECTION WITH PUBLIC DEBT OFFERINGS OR REFINANCING, DURING WHICH BOND COUNSEL REVIEWS MANAGEMENT OR SERVICE CONTRACTS RELATED TO FINANCED PROPERTY. PART IV, LINE 6, COLUMN B - SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED. PART V - IN MAY 2012, JOHN MUIR HEALTH ENTERED INTO AN AGREEMENT WITH THE CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY (CSCDA) IN WHICH JOHN MUIR HEALTH COVENANTS TO COMPLY WITH THE REQUIREMENTS AND PROCEDURES SET FORTH IN THE CSCDA POST-ISSUANCE TAX COMPLIANCE PROCEDURES FOR TAX EXEMPT BONDS. JOHN MUIR HEALTH IS ASSESSING THE NEED TO ESTABLISH WRITTEN PROCEDURES IN CONNECTION WITH THE COVENANT TO COMPLY.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	680164610	IssuerEIN
Date Issued	2012-05-23	DateIssued
Issue Price	89800000	IssuePrice
Description Of Purpose	SEE PART VI	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	89800000	TotalProceeds
Issuance Costs From Proceeds	502197	IssuanceCostsFromProceeds
Other Spent Proceeds	89170000	OtherSpentProceeds
Amount Unspent	127803	AmountUnspent
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	0	EngageBondCounselContracts
Any Research Agreements	0	AnyResearchAgreements
Percentage Of Prvt Business Re UBI	0.00010	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00010	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	1	NoRebateDue
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	1	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	0	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Relationship With OrganizationRelationshipWithOrganization	Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
CALVIN KNIGHT
DIRECTOR	HOUSING RELOCATION	X	$250,000	175000	0	1	1
CHRISTIAN PASS
HIGHEST COMPENSATED EMPLOYEE	HOUSING RELOCATION	X	$75,000	10417	0	1	1
DEBRA PENDERGAST
HIGHEST COMPENSATED EMPLOYEE	HOUSING RELOCATION	X	$125,000	115833	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	301250	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
WOMEN'S PRIMARY HEALTH PHYSICIANS
COMMOM BOARD MEMBER	760182	CONTRACT FOR PROFESSIONAL SERVICES	0
BETA HEALTH CARE GROUP
FORMER EMPLOYEE IS BOARD MEMBER	3933841	CONTRACT FOR INSURANCE SERVICES	0
AMY ANDERSON
SPOUSE OF A BOARD MEMBER	132143	EMPLOYEE	0
BAY AREA SURGICAL SPECIALIST
BOARD MEMBER HAS OWNERSHIP INTEREST	3019915	CONTRACT FOR PROFESSIONAL SERVICES	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THOMAS RUNDALL (JMH SECRETARY AND DIRECTOR) IS A BOARD MEMBER OF ON LOK, INC., A NOT-FOR-PROFIT COMMUNITY ORGANIZATION WHICH EMPLOYS ROBERT EDMONSON (JMH DIRECTOR) AS CEO.
FORM 990, PART VI, SECTION A, LINE 6	MT. DIABLO HEALTHCARE DISTRICT AND JOHN MUIR ASSOCIATION HAVE THE RIGHT TO APPROVE CERTAIN SIGNIFICANT CORPORATE ACTIONS (AS DESCRIBED IN SCHEDULE O).
FORM 990, PART VI, SECTION A, LINE 7B	THE BYLAWS OF JOHN MUIR HEALTH PROVIDE THAT JOHN MUIR HEALTH MAY NOT, WITHOUT THE PRIOR WRITTEN CONSENT OF THE MT. DIABLO HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, AND THE JOHN MUIR ASSOCIATION, A CALIFORNIA NONPROFIT CORPORATION: (I) SELL, TRANSFER, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF JOHN MUIR HEALTH; (II) ISSUE A MEMBERSHIP IN JOHN MUIR HEALTH TO ANY PERSON OR ENTITY; (III) MERGE WITH ANY OTHER PERSON OR ENTITY, UNLESS JOHN MUIR HEALTH IS THE SURVIVING CORPORATION IN THE MERGER; OR (IV) AMEND SECTION 5.6 OF THE BYLAWS OF JOHN MUIR HEALTH (WHICH OBLIGATES JOHN MUIR HEALTH TO, AMONG OTHER THINGS, PROVIDE AT LEAST ONE MILLION DOLLARS ($1,000,000) ANNUALLY TO FUND CERTAIN COMMUNITY BENEFIT PROJECTS SPONSORED BY THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND).
FORM 990, PART VI, SECTION B, LINE 11	THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER OR HIS DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, THE JOHN MUIR HEALTH ("JMH") BOARD CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM REQUIRED TO BE COMPLETED AND SIGNED. FOLLOWING DISTRIBUTION OF THE POLICY, THE GENERAL COUNSEL PROVIDES AN EDUCATIONAL SESSION RELATING TO BOARD MEMBER FIDUCIARY DUTIES AND 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, PRESIDENT/CEO AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTENDS BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL, THE GOVERNANCE COMMITTEE, AND FOR CERTAIN TRANSACTIONS WITH CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICTS DURING THE YEAR. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, THE PRESIDENT/CEO AND THE BOARD CHAIR.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES IS 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 19	JOHN 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 SUBSIDIARIES. REQUESTS FOR THE PROVISION OF GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE DIRECTED TO OUR LEGAL DEPARTMENT FOR THE APPROPRIATE RESPONSE.
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION FUND LIABILITY 8,213,000.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINES 3A AND 3B	IN 2012, JOHN MUIR HEALTH WAS NOTIFIED THAT A PORTION OF A GRANT RECEIVED FROM THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES IN 2011 WAS FEDERALLY FUNDED. DUE TO THE TIMING OF THE NOTIFICATION IN 2012, JOHN MUIR HEALTH IS CURRENTLY ASSESSING THE AUDIT REQUIREMENTS RESULTING FROM THE RECEIPTS OF A FEDERAL AWARD UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
JOHN MUIR HEALTH FOUNDATION
1400 TREAT BLVD	WALNUT CREEK	CA	94597	942650855	SOLICITATION OF FUNDS FOR JOHN MUIR HEALTH	CA	501(C)(3)	7	N/A	1
JOHN MUIR PHYSICIAN NETWORK
1400 TREAT BLVD	WALNUT CREEK	CA	94597	680360801	PROVIDE CLINIC SERVICES & MANAGE HEALTHCARE RISK OPERATIONS WITH JOHN MUIR	CA	501(C)(3)	11 TYPE I	N/A	1
JOHN MUIR BEHAVIORAL HEALTH
1400 TREAT BLVD	WALNUT CREEK	CA	94597	680249685	PROVIDE BEHAVIORAL HEALTH SERVICES INCLUDING MENTAL HEALTH & SUBSTANCE ABUSE	CA	501(C)(3)	3	N/A	1
JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND
1400 TREAT BLVD	WALNUT CREEK	CA	94597	911788973	PROVIDE GRANTS THAT ENHANCE HEALTHCARE SERVICES TO UNDERSERVED	CA	501(C)(3)	11 TYPE III	N/A	1

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
JOHN MUIR MAGNETIC IMAGING
1400 TREAT BLVD	WALNUT CREEK	CA	94598	680202020	DIAGNOSTIC IMAGING	CA	N/A	RELATED	2420815	7943189	0	1
NEUROSCAN
115 LA CASA VIA STE 202	WALNUT CREEK	CA	94598	680017617	DIAGNOSTIC IMAGING	CA	N/A	RELATED	3235887	7911908	0	1
BAY AREA SURGICAL VENTURES
30 S WACKER DR STE 2302	CHICAGO	IL	60606	203052802	MEDICAL SERVICES	CA	N/A	RELATED	527251	2282779	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
CARIDIAN PHYSICIAN SERVICES INC
700 YGNACIO VALLEY BLVD	WALNUT CREEK	CA	94596	680297913	INACTIVE	CA	N/A	C	1.00000	1
MT DIABLO PRACTICE MANAGEMENT
1400 TREAT BLVD	WALNUT CREEK	CA	94597	680031326	INACTIVE	CA	N/A	C	1.00000	1
JOHN MUIRMT DIABLO PARENT COMPANY
1400 TREAT BLVD	WALNUT CREEK	CA	94597	900060434	INACTIVE	CA	N/A	C	1.00000	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg