2011-11-14T17:52:51-06:00 2010-12-31 DELOITTE TAX LLP 555 MISSION STREET SUITE 1400 SAN FRANCISCO CA 94105 990 2010-01-01 680249685 JOHN MUIR BEHAVIORAL HEALTH JOHN 9259393000 1400 TREAT BOULEVARD NO 300 WALNUT CREEK CA 94597 MICHAEL MOODY 9259393000 2011-11-14 1 MICHAEL P WALTON 4157834000 2010 2016-02-24 21:20:13Z MICHAEL MOODY 1400 TREAT BOULEVARD NO 300 WALNUT CREEK CA 94597 28243113 0 X HTTP://WWW.JOHNMUIRHEALTH.COM X 1991 CA 73 BED ACUTE PSYCHIATRIC HOSPITAL PROVIDING CARE TO CHILDREN, ADOLESCENTS AND ADULTS 15 10 261 40 0 0 0 0 23805023 27899005 4494 4449 353783 339659 24163300 28243113 0 0 0 0 17071952 19002797 0 0 0 9702301 11149587 26774253 30152384 -2610953 -1909271 5695796 6883723 8196364 11293561 -2500568 -4409838 JOHN MUIR BEHAVIORAL HEALTH PROVIDES PSYCHIATRIC AND SUBSTANCE ABUSE TREATMENT TO CHILDREN, ADOLESCENTS AND ADULTS IN THREE DISTINCT UNITS: CHEMICAL DEPENDENCY, DETOX, AND OUTPATIENT SERVICES INCLUDING RESIDENTIAL TREATMENT. 0 0 26655081 28238664 PATIENT CARE ACTIVITIES SUPPORT THE HEALTHCARE MISSION OF THE ORGANIZATION TO PROVIDE HIGH QUALITY, COST-EFFECTIVE PSYCHIATRIC ACUTE CARE TO THE COMMUNITY. JOHN MUIR BEHAVIORAL HEALTH OWNS AND OPERATES A FREESTANDING ACUTE PSYCHIATRIC FACILITY WITH A TOTAL OF 73 LICENSED BEDS.PROGRAM SERVICES PROVIDED INCLUDE INPATIENT PSYCHIATRIC HOSPITALIZATION - ADULT, ADOLESCENT AND CHILD SERVICES, ADULT CHEMICAL DEPENDENCY SERVICES AND OUTPATIENT PSYCHIATRIC SERVICES - PSYCHIATRIC PARTIAL HOSPITALIZATION, CHEMICAL DEPENDENCY PARTIAL HOSPITALIZATION, CHEMICAL DEPENDENCY OUTPATIENT, YOUTH INTENSIVE OUTPATIENT. 26655081 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 28 0 1 261 1 0 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X MICHAEL MOODY 9259393000 1400 TREAT BOULEVARD STE 300 WALNUT CREEK CA 94597 HOWARD L JENKINS 5.00 X X 0 0 0 CATHERINE O KUTSURIS 5.00 X X 0 0 0 DAVID L GOLDSMITH 5.00 X X 0 0 0 MALCOLM MCAULEY 5.00 X X 0 0 0 J KENDALL ANDERSON 60.00 X X 0 1615016 778553 PHILIP J BATCHELOR 5.00 X 0 0 0 STEPHEN L DAVENPORT 5.00 X 0 0 0 MARILYN M GARDNER 5.00 X 0 0 0 PATRICK E KAVANAUGH MD 5.00 X 0 5217 0 WILLIAM F CRONK 5.00 X 0 0 0 THOMAS RUNDALL PHD 5.00 X 0 0 0 RONALD K MULLIN 5.00 X 0 0 0 STUART B SHIKORA MD 5.00 X 0 7433 0 F RYAN ANDERSON MD 5.00 X 0 0 0 SAN S YUAN MD 5.00 X 0 0 0 MICHAEL MOODY 60.00 X 0 579564 250786 LIZ STALLINGS 60.00 X 313709 0 136427 RANDI HACKBARTH 40.00 X 169140 0 49226 EUGENIA EKEH 40.00 X 140382 0 32050 ANN DOOLEY 40.00 X 144046 0 36519 BETTE SINDZINSKI 40.00 X 139704 0 36913 ALISON FLETCHER 40.00 X 170548 0 18413 1077529 2207230 1338887 35 0 1 0 MUIR LAB 5003 COMMERCIAL CIRCLE CONCORD CA 94520 MEDICAL SERVICES 486658 NAGUI ACHAMALLAH MD INC PO BOX 1545 BENICIA CA 94510 MEDICAL SERVICES 253950 KIRAN KOKA MD A PROFESSIONAL CORPORATIO 604 TIMBERLEAF CT WALNUT CREEK CA 94598 MEDICAL SERVICES 182787 OWEN B TOWERY MD INC 1891 ST ANDREWS DRIVE MORAGA CA 94556 MEDICAL SERVICES 182410 CALIFORNIA PSYCHIATRIC MEDICAL GROUP 1891 ST ANDREWS DRIVE MORAGA CA 94556 MEDICAL SERVICES 155800 6 NET PATIENT REVENUE 900099 20667061 20667061 NET MEDICAID REVENUE 900099 3782054 3782054 NET MEDICARE REVENUE 900099 3449890 3449890 27899005 4449 4449 OTHER OPERATING REVENU 900099 339659 339659 339659 28243113 28238664 0 4449 14637224 14138988 498236 4365573 4365573 1277397 1277397 60350 36665 23685 8291 8291 1370698 1370698 11271 9926 1345 151692 151692 HEALTH SYSTEM ASSESSMEN 2698417 2698417 PURCHASED SERVICES 2614868 2547510 67358 UNCOLLECTIBLE ACCOUNTS 1509203 1509203 SUPPLIES 1116391 1059562 56829 OTHER EXPENSES 132055 35488 96567 198954 152379 46575 30152384 26655081 3497303 0 535652 1389937 3944649 4260552 91253 101951 173731 154485 3233877 2257079 950511 976798 5695796 6883723 5320047 9025324 2876317 2268237 8196364 11293561 X -2500568 -4409838 -2500568 -4409838 5695796 6883723 -1909271 0 X 0 1 1 X 0 X 1527432 882730 644702 1700794 1374349 326445 5651 5651 976798 OTHER CURRENT LIABILITIES 236450 OTHER NON-CURRENT LIABILITIES 316133 PAYROLL AND PAYROLL TAXES 839388 VACATION AND OTHER 624066 EMPLOYEE MEDICAL 252200 2268237 0 1 1 565737 565737 0.01980 565737 565737 0.01980 2240 2240 0.00010 582545 582545 0.02030 0 0 5538 5538 0.00020 590323 590323 0.02060 1156060 1156060 0.04040 0 628005 3449890 4713373 -1263483 X 1 0 1 1 JOHN MUIR BEHAVIORAL HEALTH CENTER

2740 GRANT STREET CONCORD CA 94520

X NA 1 PART I, LINE 6A: THE BEHAVIORAL HEALTH ANNUAL COMMUNITY BENEFIT REPORT IS CONTAINED IN THE REPORT BY JOHN MUIR HEALTH AND SUBSIDIARIES, PRESENTED AS A CONSOLIDATED REPORT. PART I, LINE 7: JOHN MUIR BEHAVIORAL HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1509203. 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 AT 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 2010 MEDICARE COST REPORTS FILED WITH CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). PART VI, LINE 2: IN A COUNTY OF OVER ONE MILLION RESIDENTS, JOHN MUIR BEHAVIORAL HEALTH CENTER (BHC) IS THE ONLY PRIVATE, FREE-STANDING, LICENSED, ACUTE CARE PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITAL. IN ADDITION TO THE 73 BEDS AT BHC, OTHER HOSPITALS IN CONTRA COSTA COUNTY HAVE ONLY 22 LICENSED ACUTE PSYCHIATRIC BEDS. THE COUNTY IS CRITICALLY UNDERSERVED WITH ONE BED FOR OVER EVERY 10,500+ PEOPLE. THE STATE AVERAGE IS ONE BED FOR EVERY 5,916 PEOPLE AND THE NATIONAL AVERAGE IS ONE BED FOR EVERY 2,700 PEOPLE. CHILD PSYCHIATRIC BEDS ARE EVEN RARER IN CALIFORNIA. 46 OF CALIFORNIA'S 53 COUNTIES HAVE NO CHILD PSYCHIATRIC BEDS AT ALL. AT BHC, 34 BEDS ARE FOR CHILDREN 18 YEARS AND YOUNGER.BEHAVIORAL HEALTH SERVICES FOR ALL AGE GROUPS ARE CRITICAL COMMUNITY SERVICES IN CONTRA COSTA COUNTY. JOHN MUIR HEALTH SUPPORTS AND SUBSIDIZES THE BHC SERVICES FOR THE COMMUNITY AS A COMMUNITY BENEFIT. IN ADDITION, OTHER COMMUNITY BENEFIT ACTIVITIES OF THE BHC ARE INCORPORATED BY REFERENCE IN JOHN MUIR HEALTH'S ANNUAL COMMUNITY BENEFIT REPORT AS DISCUSSED IN THE REMAINING NARRATIVE. THE MENTAL HEALTH NEEDS OF THE COUNTY WERE CONSIDERED IN THE SB697 TRIENNIAL COMMUNITY ASSESSMENT THAT 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, INCLUDING 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.CCHEALTH.ORG. ALONG WITH THE QUANTITATIVE PORTION OF THE COMMUNITY ASSESSMENT, THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA AND THE COMMUNITY HOSPITALS IN CONTRA COSTA COUNTY COMMISSIONED A QUALITATIVE ANALYSIS OF HEALTH CARE NEEDS IN THE COUNTY THROUGH FOCUS GROUPS. COMMUNITY ASSESSMENTS ARE MADE AVAILABLE TO THE PUBLIC AS A COMMUNITY BENEFIT AT WWW.JOHMMUIRHEALTH.COM AND WWW.CCHEALTH.ORG.JOHN MUIR HEALTH USED VARIOUS 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 IN THE PSYCHIATRIC AND SUBSTANCE ABUSE COUNCIL OF THE CHA, BAY AREA MANAGERS OF ACUTE PSYCHIATRIC SERVICES, THE MONUMENT COMMUNITY PARTNERSHIP, EAST COUNTY ACCESS ACTION TEAM, PRIMARY CARE ACCESS STAKEHOLDERS GROUP, BAY POINT FAMILY PARTNERSHIP, CONTRA COSTA HEALTH MINISTRIES NETWORK, CLINIC CONSORTIUM SPECIALTY CARE INITIATIVE, FAMILIES CAN AND OTHER ONGOING COLLABORATIONS WITH COMMUNITY-BASED ORGANIZATIONS. THESE SOURCES OF INFORMATION PROVIDE CURRENT INFORMATION REGARDING HEALTH STATUS AND ALSO HELP IDENTIFY EMERGING NEEDS IN THE SERVICE AREA POPULATION. JOHN MUIR HEALTH IS ALSO FORTUNATE TO BENEFIT FROM THE INPUT AND EXPERTISE OF THE CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT IN A NUMBER OF WAYS. IN ADDITION TO THE TRIENNIAL COMMUNITY HEALTH INDICATOR REPORT COMPLETED ON BEHALF OF THE COMMUNITY HOSPITALS BY THE PUBLIC HEALTH DIVISION OF THE COUNTY HEALTH SERVICES DEPARTMENT (CCHS), CCHS IS A PARTNER IN MANY OF OUR PARTNERSHIPS. CCHS IS ALSO A PARTNER IN MOST OF THE COLLABORATIVE GROUPS MENTIONED ABOVE.COMMUNITY ORGANIZATIONS ALSO SEEK OUT JOHN MUIR HEALTH AS A PARTNER. FOR EXAMPLE, IN 2007, THE PUTNAM CLUBHOUSE, A SOCIAL VOCATIONAL REHABILITATION PROGRAM FOR THE CHRONICALLY MENTALLY ILL, APPROACHED THE BHC ABOUT A PARTNERSHIP THAT HAS BEEN VERY SUCCESSFUL. JOHN MUIR HEALTH PROVIDES CORE OPERATING FUNDING, TECHNICAL ASSISTANCE IN STRATEGIC PLANNING, PROGRAM DEVELOPMENT, AND OPERATIONS THROUGH ACTIVE BOARD PARTICIPATION. IT REFERS CONSUMERS TO THE CLUBHOUSE THROUGH CLINICAL AND CASE MANAGEMENT STAFF . CLUBHOUSE MEMBERS PROVIDE WEEKLY ACTIVITIES FOR THE INPATIENT ACUTE ADULT PSYCHIATRIC UNIT.BY THE END OF 2010, THERE WERE A TOTAL OF 280 MEMBERS, WITH AN AVERAGE DAILY ATTENDANCE OF 25. EXCERPTS FROM THE CLUBHOUSE 2010 PROGRAM EVALUATION AND A MEMBER SATISFACTION SURVEY ADMINISTERED IN 2010 DEMONSTRATE BOTH THE NEED AND THE IMPACT OF THIS BHC COMMUNITY BENEFIT PROGRAM.JOHN MUIR HEALTH SELECTS ITS FOCUS AREAS BASED ON THE COMMUNITY ASSESSMENT DISCUSSED PREVIOUSLY, 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: 1. THE PROGRAM MUST SERVE VULNERABLE POPULATIONS, DEFINED AS THOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED. 2. PROGRAMS MUST BE DELIVERED THROUGH PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS, OTHER PROVIDERS, PUBLIC AGENCIES OR BUSINESS ORGANIZATIONS. 3. PROGRAMS MUST, IN OUR ESTIMATION, POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY IN A MEASURABLE WAY. READ DESCRIPTIONS OF OUR PROGRAMS FOR VULNERABLE POPULATIONS AND EXCERPTS FROM THE PROGRAM EVALUATIONS AT WWW.JOHNMUIRHEALTH.COM. PART VI, LINE 3: JOHN MUIR BEHAVIORAL HEALTH CENTER (BHC) IS THE FREE STANDING 73 BED PSYCHIATRIC HOSPITAL OF THE JOHN MUIR HEALTH SYSTEM. IT PROVIDES PROFESSIONAL SERVICES TO THE EMERGENCY AND VARIOUS INPATIENT DEPARTMENTS OF THE WALNUT CREEK AND CONCORD MEDICAL CENTERS FOR PATIENTS WHO NEED THEIR HEALTHCARE NEEDS AUGMENTED FOR PSYCHIATRIC OR CHECMICAL DEPENDENCY NEEDS.BHC SERVES ALL PAYOR TYPES INCLUDING MEDICARE, MEDI-CAL, HMO AND PPO. BHC ALSO TREATS "UNINSURED" PATIENTS WHO ARE COVERED BY THEIR COUNTY UNINSURED POOL OF FUNDS AND AUTHORIZED ON A CASE-BY-CASE BASIS. ALL PATIENTS ARE ADVISED ON ADMISSION REGARDING COVERED SERVICES AND APPLICABLE CO-PAYS AND DEDUCTIBLES. PATIENTS ARE ALSO ADVISED AS THEY MOVE ON TO OUTPATIENT PROGRAMS. CO-PAYS AND DEDUCTIBLES ARE COLLECTED AT THE TIME OF SERVICE. IF THE PATIENT IS UNABLE TO PAY THEIR PORTION, THEY ARE ADVISED OF THE SELF PAY PAYMENT PLAN.BHC'S SELF PAY RATES ARE REVIEWED ANNUALLY AND ADJUSTED TO THE AVERAGE HMO CONTRACT RATE FOR THAT YEAR.PAYMENT PLANS CAN BE STRUCTURED FOR UP TO 36 MONTHS. THE PATIENT IS ASKED TO PAY THE FIRST MONTH'S PAYMENT WHILE IN TREATMENT AND EVERY MONTH THEREAFTER TO TAKE ADVANTAGE OF THE PAYMENT PLAN. PART VI, LINE 4: 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 PARTS OF MARIN COUNTY AND IS THE BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY.USING THE FUNDING CRITERIA MENTIONED PREVIOUSLY, OUR PRIMARY COMMUNITY BENEFIT SERVICE AREA INCLUDES THE MONUMENT AREA IN CONCORD AND THE EASTERN CONTRA COSTA COUNTY CITIES OF BAY POINT, PITTSBURG, ANTIOCH, OAKLEY, BRENTWOOD AND PARTS FARTHER EAST OF UNINCORPORATED CONTRA COSTA COUNTY. PART VI, LINE 6: BHC AND ITS CORPORATE MEMBER, JOHN MUIR HEALTH, ARE NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATIONS GOVERNED LOCALLY BY THOSE WHO LIVE IN THE COMMUNITIES WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMITTEES. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY. AS A NOT-FOR-PROFIT HEALTH SYSTEM, JOHN MUIR HEALTH HAS AN OBLIGATION TO MAKE A CHARITABLE CONTRIBUTION TO THE COMMUNITY AND OUR COMMITMENT TO KEEPING THE COMMUNITIES WE SERVE HEALTHY GOES FAR DEEPER THAN THAT. JOHN MUIR HEALTH'S MISSION 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 2010, JOHN MUIR HEALTH PROVIDED $39.2 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES TO COMMUNITIES IN CONTRA COSTA COUNTY. THE PROVISION OF THESE SERVICES REPRESENTS JOHN MUIR HEALTH'S COMMITMENT TO MEET THE HEALTH NEEDS OF INDIVIDUALS AND FAMILIES, INCREASE THE CAPACITY OF COMMUNITIES TO BUILD PARTNERSHIPS AND ENSURE ACCESS TO MEDICAL CARE BROADLY, ESPECIALLY FOR OUR COUNTY'S MOST VULNERABLE RESIDENTS. LAST YEAR, 82 PERCENT OF JOHN MUIR HEALTH'S COMMUNITY BENEFIT ACTIVITIES WERE SPECIFICALLY TARGETED TO THOSE INDIVIDUALS AND FAMILIES THAT EXPERIENCE SOCIAL AND ECONOMIC BARRIERS THAT PRECLUDE THEIR ACCESS TO NECESSARY HEALTH CARE SERVICES. AS A NOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROM OUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, WORKFORCE DEVELOPMENT, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. WE RECENTLY INVESTED MORE THAN $800 MILLION IN NEW BUILDINGS TO HELP MEET THE CURRENT AND FUTURE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. IN ADDITION TO THE INVESTMENT MADE IN OUR COMMUNITY THROUGH THE BUILDING PROJECTS, JOHN MUIR HEALTH IS ONE OF THE LARGEST EMPLOYERS IN THE COUNTY WITH NEARLY 6,000 EMPLOYEES. THEREFORE, WE CONTRIBUTE SIGNIFICANTLY TO THE ECONOMIC VITALITY OF THE COUNTY. JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTA COUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENTS AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR EMERGENCY DEPARTMENTS IN CONCORD AND WALNUT CREEK SERVE RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. WE ALSO ARE THE SOLE PROVIDER OF SEVERAL SPECIALTY SERVICES IN CONTRA COSTA COUNTY, INCLUDING HIGH RISK NEONATAL SERVICES, INPATIENT PSYCHIATRIC SERVICES, INCLUDING CHILD AND ADOLESCENT SERVICES, AND SUBSTANCE ABUSE SERVICES. OUR MEDICAL STAFFS ARE OPEN TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PART VI, LINE 7: JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND1399 YGNACIO VALLEY ROAD, SUITE 36, WALNUT CREEK, CATHE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND IS THE COMMUNITY BENEFIT GRANT-MAKING ARM OF JOHN MUIR HEALTH. ITS GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MOST AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE COMMUNITY HEALTH FUND HAS DEVELOPED A FUNDING PROCESS THAT NURTURES LONG-TERM PARTNERSHIPS WITH AND AMONG COMMUNITY-BASED ORGANIZATIONS. THIS LEADS TO VISIONARY HEALTH INITIATIVES THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 2010, THE FUND HAS GRANTED MORE THAN $19 MILLION IN JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUND, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN FOUND ON ITS WEBSITE: WWW.JMMDCOMMUNITYHEALTHFUND.COM. PRESIDENT IS GRACE CALIENDO.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 CENTERS STAFFED BY JMMG PHYSICIANS IN 23 LOCATIONS FROM BRENTWOOD TO PLEASANTON. THE GROUP ALSO PROVIDES HOSPITALISTS (IN-PATIENT MEDICAL SERVICES) AT JOHN MUIR HEALTH'S HOSPITALS. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SIX MAJOR HEALTH PLANS FOR MORE THAN 78,000 COMMERCIAL AND SENIOR HMO MEMBERS. ADDITIONALLY, THE PHYSICIAN NETWORK PROVIDES A PHYSICIAN PANEL, MEDICAL MANAGEMENT AND CLAIMS SERVICES FOR MORE THAN 8,600 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. PAUL SWENSON IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE JOHN MUIR PHYSICIAN NETWORK, AND REPORTS TO A BOARD OF DIRECTORS COMPRISED OF 12 VOTING MEMBERS. JOHN MUIR HEALTH FOUNDATION1400 TREAT, WALNUT CREEK, CATHE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATION PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION.JOHN MUIR HEALTHJOHN MUIR HEALTH IS A NATIONALLY RECOGNIZED, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION LOCATED EAST OF SAN FRANCISCO, SERVING PATIENTS IN CONTRA COSTA, EASTERN ALAMEDA AND SOUTHERN SOLANO COUNTIES. IT INCLUDES A NETWORK OF 925 PRIMARY CARE AND SPECIALTY PHYSICIANS, 6,500 EMPLOYEES, MEDICAL CENTERS IN CONCORD AND WALNUT CREEK, INCLUDING THE COUNTY'S ONLY TRAUMA CENTER, AND A BEHAVIORAL HEALTH CENTER. THE HEALTH SYSTEM ALSO OFFERS A FULL RANGE OF MEDICAL SERVICES, INCLUDING PRIMARY CARE, OUTPATIENT, LAB AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, EMERGENCY AND HIGH-RISK OBSTETRICS CARE. REPORTS FILED WITH STATES PART VI, LINE 7 CA X X 1 1 X X X X X 0 1 0 0 0 1 1 0 0 J KENDALL ANDERSON 0 838108 0 749244 0 27664 0 750461 0 28092 0 2393569 0 749244 MICHAEL MOODY 0 378736 0 192966 0 7862 0 222808 0 27978 0 830350 0 192966 LIZ STALLINGS 217977 0 86339 0 9393 0 112587 0 23840 0 450136 0 86339 0 RANDI HACKBARTH 162751 0 4468 0 1921 0 33035 0 16191 0 218366 0 4468 0 EUGENIA EKEH 130406 0 500 0 9476 0 9656 0 22394 0 172432 0 0 0 ANN DOOLEY 137590 0 2737 0 3719 0 27465 0 9054 0 180565 0 2737 0 BETTE SINDZINSKI 139810 0 3421 0 -3527 0 17616 0 19297 0 176617 0 3421 0 ALISON FLETCHER 143033 0 500 0 27015 0 18413 0 0 0 188961 0 0 0 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 A KEY EMPLOYEE AND THE CFO. FOR CERTAIN MEMBERS OF MANAGEMENT A REIMBURSEMENT OF UP TO 50% OF HEALTH CLUB DUES IS AVAILABLE. THIS PERQUISITE IS INCLUDED AS PART OF THE EVALUATION OF THE ANNUAL COMPENSATION EVALUATION PROCESS. ALL COMPONENTS DISCUSSED IN THIS SECTION ARE TREATED AS TAXABLE INCOME FOR THE EMPLOYEE RECEIVING THE PAYMENT. PART I, LINE 4B PART I, LINE 6 JOHN MUIR HEALTH ("THE CORPORATION"), THE PARENT OF JOHN MUIR BEHAVIORAL HEALTH, WITH THE OVERSIGHT AND APPROVAL OF THE COMPENSATION COMMITTEE OF THE JOHN MUIR HEALTH BOARD OF DIRECTORS, BASES A PORTION OF ANNUAL MANAGEMENT INCENTIVE PAYMENTS ON THE CONSOLIDATED NET EARNINGS TARGETS OF JOHN MUIR HEALTH. ADDITIONALLY, WHERE APPROPRIATE MANAGEMENT OVERSIGHT EXISTS, A PORTION OF AN EXECUTIVE'S MANAGEMENT INCENTIVE CAN ALSO BE BASED ON THE NET EARNINGS TARGETS OF A JOHN MUIR HEALTH SUBSIDIARY, INCLUDING JOHN MUIR BEHAVIORAL HEALTH. PAYMENTS TO MANAGEMENT PERSONNEL ARE MADE IN THE SUBSEQUENT YEAR BASED ON THE LEVEL OF ACHIEVEMENT OF ALL ELEMENTS OF THE INCENTIVE PROGRAM, OF WHICH NET EARNINGS TARGETS ARE A COMPONENT. THEREFORE, EACH YEAR AN ACCRUAL OF THE ESTIMATED PAYMENTS FOR MANAGEMENT INCENTIVES IS INCLUDED IN THE CALCULATION OF NET EARNINGS TARGETS FOR THAT YEAR. THE INCENTIVE PROGRAMS FOR THE MANAGEMENT OF JOHN MUIR HEALTH AND SUBSIDIARIES, INCLUDING JOHN MUIR BEHAVIORAL HEALTH, ARE DEVELOPED AND REVIEWED BY AN OUTSIDE CONSULTANT WHOSE EXPERTISE IS IN COMPENSATION AND WHO DEVELOPS MARKET DATA FOR SIMILAR ORGANIZATIONS AS A BASIS FOR THE CORPORATION'S INCENTIVE PROGRAM. THE INCENTIVE PROGRAM AND MARKET DATA IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH. SUPPLEMENTAL INFORMATION PART III COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE JOHN MUIR HEALTH COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE CONSULTANT WHO IS A COMPENSATION EXPERT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITIES AND THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT. FORM 990, PART VI, SECTION A, LINE 6 JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, AND THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH SHALL SERVE EX-OFFICIO AS THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH (AS DESCRIBED IN SCHEDULE O). FORM 990, PART VI, SECTION A, LINE 7A REFER TO SCHEDULE O, PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF JOHN MUIR BEHAVIORAL HEALTH PROVIDE THAT THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH, THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, SHALL SERVE EX-OFFICIO AS THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH. AS A RESULT, THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH CONTROLS THE NUMBER, APPOINTMENT, TERM AND REMOVAL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH. JOHN MUIR HEALTH, AS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, ALSO HAS THE RIGHT TO APPROVE CERTAIN ACTIONS IN ACCORDANCE WITH THE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION LAW, INCLUDING THE VOLUNTARY DISSOLUTION OF JOHN MUIR BEHAVIORAL HEALTH, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF JOHN MUIR BEHAVIORAL HEALTH, AND THE MERGER OF JOHN MUIR BEHAVIORAL HEALTH WITH OR INTO ANY OTHER ENTITY. FORM 990, PART VI, SECTION B, LINE 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 THEIR DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR BEHAVIORAL HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE STATEMENT REQUIRED TO BE COMPLETED AND SIGNED. FOLLOWING DISTRIBUTION OF THE POLICY AND DISCLOSURE STATEMENT, THE JOHN MUIR HEALTH GENERAL COUNSEL ("GENERAL COUNSEL") PROVIDES AN EDUCATIONAL SESSION TO THE BOARD RELATING TO BOARD MEMBER CONFLICTS OF INTEREST COVERING, AMONG OTHER THINGS, REQUIRED DISCLOSURES AND THE PROCESS FOR APPROVAL OF TRANSACTIONS INVOLVING A POTENTIAL CONFLICT. DISCLOSED CONFLICTS ARE COMPILED IN A DOCUMENT AND REVIEWED BY THE BOARD CHAIR, CHIEF EXECUTIVE OFFICER AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTENDS BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY COUNSEL, A BOARD COMPLIANCE COMMITTEE AND THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICTS DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 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. 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 JOHN MUIR BEHAVIORAL HEALTH AND OTHER SUBSIDIARIES. REQUESTS FOR THE PROVISION OF JOHN MUIR BEHAVIORAL HEALTH GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE DIRECTED TO THE GENERAL COUNSEL FOR THE APPROPRIATE RESPONSE. JOHN MUIR HEALTH 1400 TREAT BLVD 300 WALNUT CREEK CA 94597 941461843 PROVISION FOR HEALTHCARE SERVICES TO THE COMMUNITY CA 501(C)(3) 3 N/A 0 JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BLVD 300 WALNUT CREEK CA 94597 680360801 PROVIDE CLINIC SERVICES & MANAGE HEALTHCARE RISK OPERATIONS WITH JOHN MUIR CA 501(C)(3) 11 TYPE I N/A 0 JOHN MUIR HEALTH FOUNDATION 1400 TREAT BLVD 300 WALNUT CREEK CA 94597 942650855 SOLICITATION OF FUNDS FOR JOHN MUIR HEALTH CA 501(C)(3) 7 N/A 0 JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND 1400 TREAT BLVD 300 WALNUT CREEK CA 94597 911788973 PROVIDE GRANTS THAT ENHANCE HEALTHCARE SERVICES TO UNDERSERVED CA 501(C)(3) 11 TYPE III N/A 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0