| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: |
THE MISSION OF JOHN MUIR HEALTH IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION. JOHN MUIR HEALTH OFFERS THE COMMUNITY A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIANS, TWO MEDICAL CENTERS, 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 AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, TRAUMA, EMERGENCY, PEDIATRICS AND HIGH-RISK OBSTETRICS CARE. |
| FORM 990, PART III, LINE 3 |
JOHN MUIR HEALTH'S RESPONSE TO COVID-19 INCLUDED IMMEDIATE ACTIONS TO MAINTAIN CONTINUITY OF ESSENTIAL OPERATIONS, WHILE ALSO TAKING STEPS TO SUPPORT THE HEALTH AND SAFETY OF PATIENTS, EMPLOYEES, AND THE COMMUNITIES THAT IT SERVES. TO ENSURE CONTINUED ADEQUATE SAFETY MEASURES THROUGH OUT THE PANDEMIC, ADHERE TO SOCIAL DISTANCING RECOMMENDATIONS, AND MEET THE PATIENTS AND COMMUNITY NEEDS, JOHN MUIR HEALTH: - EXTENDED THE USE OF TELEHEALTH APPOINTMENTS VIA VIDEO AND PHONE; - CANCELED OR POSTPONED ALL NON-EMERGENT PROCEDURES; - MINIMIZED OR TEMPORARILY CLOSED SERVICES AT PHYSICIANS' OFFICES TO ALLOW FOR PRESERVATION OF PERSONAL PROTECTIVE EQUIPMENT TO LIMIT EXPOSURE TO COVID-19 FOR PATIENTS AND EMPLOYEES; - INVESTED IN ADDITIONAL EQUIPMENT AND SUPPLIES, EXPANDED TESTING RESOURCES, AND CREATED ADDITIONAL CAPACITY TO CARE FOR COVID-19 PATIENTS; - DEPLOYED COVID-19 SPECIFIC SAFETY MEASURES REQUIRED BY THE PUBLIC HEALTH DEPARTMENT TO KEEP PATIENTS AND EMPLOYEES SAFE; -TRANSITIONED MANY NON-CLINICAL OFFICE BASED STAFF TO A TEMPORARY REMOTE WORK ENVIRONMENT. |
| FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: |
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 TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. THE JMH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEON'S COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. NATIONAL RECOGNITIONS RECEIVED IN 2020 INCLUDE: (1) RECOGNITION OF JOHN MUIR HEALTH, WALNUT CREEK MEDICAL CENTER BY U.S. NEWS & WORLD REPORT FOR THE 14TH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS". GASTROENTEROLOGY AND GI SURGERY, GYNECOLOGY, NEPHROLOGY, ORTHOPEDICS AND PULMONOLOGY & LUNG SURGERY SERVICES AT THE WALNUT CREEK CAMPUS WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES, (2) RECOGNITION BY U.S. NEWS & WORLD REPORT OF EIGHT SERVICES COMBINED AND TEN ADULT PROCEDURES AND CONDITIONS COMBINED AS HIGH PERFORMING AT JOHN MUIR HEALTH'S WALNUT CREEK AND CONCORD MEDICAL CENTERS, (3) FOR THE FOURTH STRAIGHT YEAR, THE CONCORD MEDICAL CENTER WAS ONE OF ONLY 37 HOSPITALS NATIONWIDE (LESS THAN 1%) TO RECEIVE A HIGH PERFORMING RATING IN ALL TEN ADULT PROCEDURES AND CONDITIONS EVALUATED. (4) U.S. NEWS AND WORLD REPORT ALSO RANKED THE WALNUT CREEK MEDICAL CENTER #2 AND CONCORD MEDICAL CENTER #3 OUT OF ALL 44 HOSPITALS IN THE SAN FRANCISCO METRO AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, AND CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #10 AND #12 IN CALIFORNIA OUT OF 400 ACUTE CARE HOSPITALS, (5) JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO EARNED THE DESIGNATION OF BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT, (6) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE BY HEALTHGRADES AND RECEIVED CLINICAL EXCELLENCE AWARDS FOR CORONARY INTERVENTION AND JOINT REPLACEMENT, (7) THE CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY FOR THE SECOND STRAIGHT YEAR, ONE OF AMERICA'S TOP 100 HOSPITALS FOR JOINT REPLACEMENT FOR THE SECOND STRAIGHT YEAR AND RECEIVED A PATIENT SAFETY EXCELLENCE AWARD FOR PREVENTING INFECTIONS, MEDICAL ERRORS AND OTHER PREVENTABLE COMPLICATIONS, (8) COMBINED, THE TWO MEDICAL CENTERS HAD 14 FIVE-STAR RATINGS FOR SERVICES, PROCEDURES AND TREATMENTS, (9) NEWSWEEK RANKED THE WALNUT CREEK AND CONCORD MEDICAL CENTERS AS TWO OF THE BEST IN THE U.S. (#113 AND #181) (10) BOTH MEDICAL CENTERS RECEIVED "A" SAFETY GRADES FROM LEAPFROG IN SPRING 2020. OUR PROGRAM EMPHASIS IN 2020 WAS ON CONTINUED OUTREACH TO UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATION OF CONTRA COSTA COUNTY, MOBILE HEALTH CLINIC, AND SUPPORT FOR OPERATION ACCESS, VIOLENCE PREVENTION, CONTRA COSTA CARES, AND ELEMENTARY SCHOOL-BASED NURSING. |
| FORM 990, PART III, LINE 4B, DESCRIPTION OF PROGRAM SERVICE: |
CARDIOVASCULAR IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR ACHIEVEMENTS IN 2020 INCLUDES: CONCORD MEDICAL CENTER WAS RECOGNIZED IN U.S. NEWS AND WORLD REPORT "AMERICA'S BEST HOSPITALS" AS HIGH PERFORMING IN ABDOMINAL AORTIC ANEURYSM REPAIR, AORTIC VALVE SURGERY, HEART BYPASS SURGERY, HEART FAILURE AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF "AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY" FOR SUPERIOR CLINICAL OUTCOMES IN CORONARY BYPASS AND HEART VALVE SURGERY. CONCORD MEDICAL CENTER RECEIVED A 3-STAR RATING (THE HIGHEST) FROM THE SOCIETY OF THORACIC SURGEONS (STS) FOR PERFORMANCE IN THREE CATEGORIES: CORONARY ARTERY BYPASS GRAFTING (CABG), AORTIC VALVE REPLACEMENT (AVR), AND MITRAL VALVE REPAIR/REPLACEMENT (MVRR). WALNUT CREEK AND CONCORD MEDICAL CENTERS EARNED THE GET WITH THE GUIDELINES HEART FAILURE GOLD PLUS QUALITY ACHIEVEMENT AWARD. WALNUT CREEK MEDICAL CENTER EARNED THE MISSION LIFELINE STEMI RECEIVING CENTER SILVER QUALITY ACHIEVEMENT AWARD AND CONCORD MEDICAL CENTER EARNED THE MISSION: LIFELINE STEMI RECEIVING SILVER PLUS AWARD. WALNUT CREEK AND CONCORD MEDICAL CENTERS EARNED THE GET WITH THE GUIDELINES STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD AND ALSO QUALIFIED FOR RECOGNITION ON THE TARGET STROKE: ELITE HONOR ROLL. WALNUT CREEK AND CONCORD MEDICAL CENTERS NON-INVASIVE CARDIOLOGY DEPARTMENTS ACHIEVED ECHOCARDIOLOGY ACCREDITATION BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC). |
| FORM 990, PART III, LINE 4C, DESCRIPTION OF PROGRAM SERVICE: |
WOMENS'S AND CHILDREN'S SERVICES IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. THE PEDIATRIC INTENSIVE CARE UNIT AT THE WALNUT CREEK MEDICAL CENTER IS CERTIFIED BY THE CALIFORNIA CHILDREN'S SERVICES. ACCOMPLISHMENTS IN 2020 INCLUDES: DEVELOPMENT AND IMPLEMENTATION OF PEDIATRIC AND NEONATAL CRITICAL CARE TRANSPORT LOCATED AT JOHN MUIR MEDICAL CENTER WALNUT CREEK. THE TRANSPORT TEAM HAS SPECIALLY TRAINED REGISTERED NURSES AND RESPIRATORY THERAPIST AVAILABLE 12 HOURS PER DAY 7 DAYS PER WEEK. PEDIATRIC SPECIALTY OUTREACH WAS PROVIDED TO COMMUNITY PEDIATRICIANS ON VARIETY OF TOPICS SUCH AS CELICA AND IBD, LUMPS AND BUMPS, SUDDEN DEATH, ASHTMA UPDATES, DIABETIC KETOACIDOSIS, COVID-19 TO NAME A FEW. JOHN MUIR MEDICAL CENTER WALNUT CREEK PURCHASED NIC VIEW CAMERAS THAT ALLOW FAMILY MEMBERS AT HOME WHO CANNOT VISIT DUE TO COVID-19 TO VIEW INFANTS IN THE NICU. SLEEP CHAIRS WERE ALSO AVAILABLE SO MOMS AND DADS CAN STAY IN THE NICU ROOM OVERNIGHT WITH THEIR INFANTS. GAMING SYSTEMS ARE ALSO AVAILABLE IN THE PEDIATRIC UNIT, PICU AMD OUTPATIENT HEMATOLOGY/ONCOLOGY. THESE GAMING SYSTEMS ARE A GREAT DISTRACTION FOR CHILDREN WHO HAVE LONG INPATIENT STAYS OR EXTENDED OUTPATIENT TREATMENTS. DURING COVID, IMPLEMENTED TELEHEALTH FOR PEDIATRIC SPECIALIST TO PROVIDE CONSULTATION TO INPATIENTS. IMPLEMENTED THE USE OF IPADS AND ZOOM FOR PEDIATRIC PATIENTS TO VISIT WITH FAMILY MEMBERS WHO WERE NOT ALLOWED TO VISIT DUE TO COVID RESTRICTIONS. |
| FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS: |
OTHER SERVICES OFFERED AT JOHN MUIR HEALTH (JMH) ARE: NEUROSCIENCES WHICH OFFERS THE MOST ADVANCED TECHNIQUES AND TECHNOLOGY TO DIAGNOSE AND TREAT NEUROLOGICAL DISORDERS OF THE BRAIN AND SPINE. THE COMPREHENSIVE PROGRAMS AVAILABLE AT JMH INCLUDE TREATMENT FOR CEREBROVASCULAR DISEASE (E.G. STROKE, ANEURYSM, BRAIN AND SPINAL CORD TUMORS, DEMENTIA (E.G. ALZHEIMER'S), SPINE DISEASES, AND NEUROLOGICAL DISORDERS. NEUROSCIENCES IS COMPRISED OF HEALTHCARE PROFESSIONALS AND MEDICAL STAFF SPECIALIZING IN NEUROLOGY, NEUROSURGERY, NEUROCRITICAL CARE, NEUROPSYCHOLOGY AND REHABILITATION TO CARE FOR THE DISEASE OF THE BRAIN AND SPINE. IN 2020, THE CONCORD MEDICAL CENTER RECEIVED THE AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS STROKE HONOR ROLL ELITE AND THE WALNUT CREEK MEDICAL CENTER RECEIVED THE AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS STROKE HONOR ROLL ELITE ADVANCED THERAPY. JOHN MUIR HEALTH'S INPATIENT REHABILITATION UNIT EARNED A 3-YEAR CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) ACCREDITATION FOR GENERAL MEDICAL REHABILITATION IN OCTOBER 2020. THIS RECOGNITION EXTENDS THROUGH OCTOBER 2023 AND DEMONSTRATES OUR COMMITMENT TO QUALITY IMPROVEMENT AND A FOCUS ON THE UNIQUE NEEDS OF OUR PATIENT POPULATION. JOHN MUIR HEALTH'S REHABILITATION UNIT PARTICIPATED IN THE FIRST CALIFORNIA HOSPITAL ASSOCIATION SPECIAL PAC PROVIDER FORUM ON IRF RESPONSE TO COVID-19, SHARING EXPERIENCES AND OUTCOMES OF TREATING PATIENTS WITHIN THE STATE OF CALIFORNIA. JOHN MUIR HEALTH ALSO SUCCESSFULLY NAVIGATED THE PUBLIC HEALTH EMERGENCY COVID WAIVERS, AS WE WERE ABLE TO MANAGE ONGOING REHAB SERVICES WHILE ALSO SUPPORTING THE MEDICAL-SURGICAL NEEDS OF THE ACUTE INPATIENT HOSPITAL ESPECIALLY DURING CENSUS SURGE WITHIN THE ACUTE CARE SETTING. JOHN MUIR HEALTH'S REHABILITATION UNIT ADMITTED 519 PATIENTS IN 2020, WITH STROKE REPRESENTING OUR HIGHEST ADMITTING DIAGNOSIS AT 37.8%, FOLLOWED BY NON TRAUMATIC BRAIN INJURY AT 13.3%, NON TRAUMATIC SPINAL CORD INJURY AT 13.3% AND TRAUMATIC BRAIN INJURY AT 9.4%. THE AVERAGE LENGH OF STAY IN 2020 WAS 12.7. JOHN MUIR HRALTH WAS ABLE TO IMPLEMENT TELEHEALTH PATIENT CARE CAPABILITIES AT ALL OF OUR OUTPATIENT REHABILIATION SITES DURING THE PANDEMIC. JOHN MUIR HEALTH'S DIGESTIVE HEALTH SERVICES CONTINUE TO GROW AND EXPAND. THE CONTINUED GROWTH OF THERAPEUTIC ENDOSCOPY PROCEDURES ERCP (ENDOSCOPIC RETROGRADE CHOLANGIO PANCREATOGRAPHY) AND EUS (ENDOSCOPIC ULTRASOUND) NECESSITATED THE ADDITION OF AN ON-SITE HEPATOBILIARY PANCREATIC (HBP) SURGICAL SPECIALIST AS WELL AS THE CONSTRUCTION OF THE THIRD INTERVENTIONAL ENDOSCOPY PROCEDURE ROOM, SLATED FOR OPENING IN 2023. BOTH MEDICAL CENTERS NOW HAVE UPGRADED OR REPLACED ENDOSCOPES TO RIGHT SIZE THE INVENTORY WITH STATE-OF-THE-ART ENDOSCOPE TECHNOLOGY REQUIRED TO PERFORM DIAGNOSTIC AND THERAPEUTIC ENDOSCOPY. JMH IS IN THE EARLY STAGES OF BUILDING A NEW OUTPATIENT CLINIC/CANCER CENTER IN WALNUT CREEK THAT IS SLATED TO OPEN IN 2024. JMH INITIATED DEVELOPMENT OF CANCER NETWORK IN PARTNERSHIP WITH UCSF. BERKELY OUTPATIENT CANCER CENTER OPENED FEBRUARY, 2020. JOHN MUIR HEALTH CANCER INSTITUTE RECEIVED FULL ACCREDITATION STATUS IN 2020. THORACIC PROGRAM CONCORD MEDICAL CENTER HAS BEEN DESIGNATED AS A FOREGUT MENTOR SITE FOR DA VINCI XI SURGICAL SYSTEM ROBOTIC PROCEDURES. THE FOREGUT IS THE SECTION OF THE UPPER GASTROINTESTINAL TRACT THAT INCLUDES THE ESOPHAGUS, STOMACH, PANCREAS, LIVER AND BILE DUCTS. AS ONE OF FIVE FOREGUT MENTOR SITES IN THE COUNTRY AND THE FIRST IN CALIFORNIA, JOHN MUIR HEALTH WILL HOST SURGEONS FROM ACROSS THE UNITED STATES TO OBSERVE AND STUDY ROBOTIC-ASSISTED SURGERIES UNDER THE GUIDANCE OF WILSON TSAI, MD, MEDICAL DIRECTOR OF THE THORACIC SURGICAL PROGRAM. DR. TSAI HAS PERFORMED MORE THAN 600 ROBOTIC-ASSISTED SURGERIES. HE WAS SELECTED ALONG WITH JOHN MUIR HEALTH BASED ON A DEMONSTRATED COMMITMENT TO POSITIVE PATIENT OUTCOMES AND SUBSTANTIAL EXPERIENCE IN FOREGUT PROCEDURES. ROBOTIC-ASSISTED SURGERY ALLOWS SURGEONS TO MAKE SMALLER INCISIONS THROUGH MORE PRECISE MOVEMENTS. AS A RESULT, THERE IS A POTENTIAL REDUCED RISK OF INFECTION, BLOOD LOSS AND NEED FOR TRANSFUSIONS, ALONG WITH MINIMAL SCARRING. ON JUNE 29TH 2020 THE CONCORD CAMPUS RECEIVED THE MONARCH PLATFORM, AN INNOVATIVE TECHNOLOGY THAT PROVIDES A UNIQUE APPROACH FOR VISUALIZING AND ACCESSING SMALL, PERIPHERAL NODULES IN HARD-TO-REACH AREAS OF THE LUNG, ENABLING THE ABILITY TO MAKE A MORE ACCURATE DIAGNOSIS OF EARLY LUNG CANCER STAGING. PHYSICIANS TRAINED AND PRIVILEGED IN THESE NEW ROBOTIC ASSISTED BRONCHOSCOPY PROCEDURES INCLUDE CHAMPION DR. TSAI AND DR. UBHAYAKAR. JOHN MUIR HEALTH WAS THE FIRST HOSPITAL IN THE BAY AREA TO ACQUIRE THIS EQUIPMENT. GENETIC COUNSELING PROGRAM CONTINUED INVOLVEMENT WITH THE JMH PRIMARY CARE RESIDENCY PROGRAM: RESIDENTS ROTATE THROUGH OUR CLINIC OBSERVING GENETIC COUNSELING SESSIONS AND DEBRIEFING WITH GCS AFTERWARD. CLINICAL SUPERVISION OF GENETIC COUNSELING GRADUATE STUDENTS: 10-WEEK INTERNSHIPS WITH INTENSIVE SUPERVISION FROM CASE PREP TO FINAL DOCUMENTATION. CONTINUE TO HOLD BI-MONTHLY HIGH-RISK SUPPORT GROUP; HAVE EXPANDED TO INCLUDE MUTATION CARRIERS FOR GENES OTHER THAN BRCA1/2 (ANY WOMAN WHOSE MEDICAL MANAGEMENT IS IMPACTED BY INCREASED RISK FOR BREAST OR OVARIAN CANCER). PSYCHOSOCIAL DISTRESS SCREENING CONTINUED INVOLVEMENT WITH THE JMH PRIMARY CARE RESIDENCY PROGRAM: JOHN MUIR HEALTH SELECTED THE NCCN DISTRESS THERMOMETER AS OUR VALIDATED TOOL FOR SCREENING ONCOLOGY PATIENTS, WITH A SCORE OF 4 OR GREATER ACTIVATING REFERRAL TO APPROPRIATE RESOURCES. THE NCCN DISTRESS THERMOMETER AND THE LEVEL OF 4 IDENTIFYING DISTRESS WERE VOTED ON AND APPROVED AT OUR JANUARY 2020 COMMISSION ON CANCER MEETING. JMH IS NOW SCREENING PATIENTS IN INPATIENT ONCOLOGY AND SURGICAL ONCOLOGY, DIAGNOSTIC IMAGING FOR BREAST PATIENTS, AND IN OUR RADIATION ONCOLOGY DEPARTMENTS ON BOTH CAMPUSES. WE HAVE REPORTS AVAILABLE THROUGH EPIC-EMR NOW. IN ADDITION TO OUR JMH ONSITE RESOURCES, PATIENTS ARE REFERRED TO OUR COMMUNITY PARTNERS: THE CANCER SUPPORT COMMUNITY, AND THE AMERICAN CANCER SOCIETY, AS WELL AS ADDITIONAL WEB-BASED TUMOR SITE ORGANIZATIONS AND RESOURCES. TUMOR BOARDS ONE OF THE CHALLENGES WE HAD WAS CONTINUATION OF TUMOR BOARDS. NOT BEING ABLE TO HAVE ALL THE MULTIDISCIPLINARY PHYSICIANS MEET IN PERSON, WE NEEDED TO PROVIDE REMOTE ACCESS OPTION DURING COVID-19 AND AS CONTINUING PLATFORM FOR FUTURE TUMOR BOARDS. A RESEARCH AND IMPLEMENTATION TEAMS WAS CREATED THAT CONSISTED OF CANCER PROGRAM ADMINISTRATOR, TUMOR BOARD COORDINATOR, COMPLIANCE OFFICE, HEALTHCARE TECHNOLOGY SPECIALIST, EXECUTIVE ASSISTANT AND NURSE NAVIGATORS. CONSULTED WITH COMPLIANCE TO ASSURE IF IN COMPLIANCE WITH HIPPA. CONSULTED WITH IT SECURITY FOR PLATFORM APPROVAL IT SECURITY APPROVED MICROSOFT TEAMS AS SECURE PLATFORM PILOTED MICROSOFT TEAMS TUMOR BOARD WITH GI TUMOR BOARD. |
| FORM 990, PART VI, SECTION A, LINE 2 |
FAMILY OR BUSINESS RELATIONSHIP BOARD MEMBERS TAEJOON AHN, M.D. AND RAVI HUNDAL, M.D. HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 3 |
MANAGEMENT COMPANY JOHN MUIR HEALTH HAS ENGAGED OPTUM TO MANAGE NON CLINICAL FUNCTIONS, INCLUDING INFORMATION TECHNOLOGY, REVENUE CYCLE MANAGEMENT, ANALYTICS, PURCHASING AND CLAIMS PROCESSING. OPTUM BRINGS AN EXTENSIVE SET OF CAPABILITIES, INCLUDING OPERATIONAL TECHNOLOGIES, ANALYTIC SOLUTIONS AND TOOLS, AND ADMINISTRATIVE SERVICE EXPERTISE TO HELP JOHN MUIR HEALTH FURTHER ADVANCE ITS CLINICAL AND OPERATIONAL PERFORMANCE. |
| FORM 990, PART VI, SECTION A, LINE 7B |
GOVERNANCE DECISIONS SUBJECT TO APPROVAL THE BYLAWS OF JOHN MUIR HEALTH PROVIDE THAT JOHN MUIR HEALTH MAY NOT, WITHOUT THE PRIOR WRITTEN CONSENT OF THE MT. DIABLO HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, AND THE JOHN MUIR ASSOCIATION, A CALIFORNIA NONPROFIT CORPORATION: (I) SELL, TRANSFER, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF JOHN MUIR HEALTH; (II) ISSUE MEMBERSHIP IN JOHN MUIR HEALTH TO ANY PERSON OR ENTITY; (III) MERGER; WITH ANY OTHER PERSON OR ENTITY, UNLESS JOHN MUIR HEALTH IS THE SURVIVING CORPORATION IN THE MERGE: OR (IV) AMEND SECTION 5.6 OF THE BYLAWS OF JOHN MUIR HEALTH (WHICH OBLIGES JOHN MUIR HEALTH TO AMONG OTHER THINGS, PROVIDE AT LEAST ONE MILLION DOLLARS ($1,000,000) ANNUALLY TO FUND CERTAIN COMMUNITY BENEFIT PROJECTS SPONSORED BY THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND AND REASONABLE FUNDING FOR ADMINISTRATION, UP TO A MAXIMUM OF $200,000 PER YEAR. |
| FORM 990, PART VI, SECTION B, LINE 11B |
REVIEW OF FORM 990 BY THE GOVERNING BODY THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER AND HIS DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED. |
| FORM 990, PART VI, SECTION B, LINE 12C |
CONFLICT OF INTEREST MONITORING ANNUALLY, THE JOHN MUIR HEALTH (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. 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, GOVERNANCE COMMITTEE, AND FOR CERTAIN TRANSACTIONS WITH THE CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE CONFLICTS DURING THE YEAR END RECUSE THEMSELVES FROM VOTING ON ANY MATTERS RELATED TO A CONFLICT. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, THE PRESIDENT/CEO AND THE BOARD CHAIR. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED, INCLUDING PERIODIC REVIEWS OF ITS TRANSACTIONS OR ARRANGEMENTS WITH ITS OFFICERS AND BOARD MEMBERS, AND ANY OTHER INDIVIDUAL OR ENTITIES THAT MAY HAVE A SUBSTANTIAL INFLUENCE OVER THE BUSINESS AND AFFAIRS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 |
EXECUTIVE COMPENSATION COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE OF JOHN MUIR HEALTH. THE COMPENSATION COMMITTEE IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF NO LESS THAN 5 VOTING DIRECTORS, NONE OF WHICH HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION TRANSACTIONS UNDER CONSIDERATION. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE EXPERT COMPENSATION CONSULTANT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA OF SIMILARLY SITUATED ORGANIZATIONS FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITES. THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT. THE COMMITTEE'S DELIBERATIONS AND DECISIONS REGARDING THESE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE COMMITTEE MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE DOCUMENTED MINUTES INCLUDE (1) TERMS OF THE COMPENSATION ARRANGEMENT, INCLUDING DATE IT WAS APPROVED; (2) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE COMMITTEE AND HOW IT WAS OBTAINED; 3) A LIST OF THE MEMBERS PRESENT DURING THE DELIBERATIONS AND HOW THE MEMBERS VOTED; 4) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF ANY MEMBER OF THE COMMITTEE WHO HAD A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION. |
| FORM 990, PART VI, SECTION C, LINE 19 |
DOCUMENTS AVAILABLE TO THE PUBLIC AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FROM THE JOHN MUIR HEALTH LEGAL DEPARTMENT UPON REQUEST. |
| FORM 990, PART IX, LINE 11G |
OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 30,576,744. MANAGEMENT AND GENERAL EXPENSES 3,172,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,748,787. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 85,697,775. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,697,775. HOSPITAL PROVIDER FEE: PROGRAM SERVICE EXPENSES 82,657,531. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,657,531. CAPITATED SERVICES: PROGRAM SERVICE EXPENSES 40,870,975. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,870,975. PHYSICIAN NTWRK PURCHASED SVS: PROGRAM SERVICE EXPENSES 25,826,836. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,826,836. |
| FORM 990, PART XI, LINE 9: |
CHANGE IN UNAMORTIZED LOSS ON PENSION PLANS -13,691,797. |
Attach to Form 990 or 990-EZ.