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            <City>SAN FRANCISCO</City>
            <State>CA</State>
            <ZIPCode>94139</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>573834</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NAGUI ACHAMALLAH MD INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 30753</AddressLine1>
            <City>WALNUT CREEK</City>
            <State>CA</State>
            <ZIPCode>94598</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>286224</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NURSEFINDERS INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 910738</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>75391</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>STAFFING</DescriptionOfServices>
        <Compensation>242251</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>KIRAN KOKA MD A PROFESSIONAL CORPORATIO</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>604 TIMBERLEAF CT</AddressLine1>
            <City>WALNUT CREEK</City>
            <State>CA</State>
            <ZIPCode>94598</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>208560</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>OBTOWERY MD INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1891 ST ANDREWS DRIVE</AddressLine1>
            <City>MORAGA</City>
            <State>CA</State>
            <ZIPCode>94556</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>190752</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>7</NumberOfContractorsGT100K>
      <RelatedOrganizations>3664713</RelatedOrganizations>
      <TotalContributions>3664713</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>21018565</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>21018565</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>NET MEDICAID REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>5327300</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5327300</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>NET MEDICARE REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>4571294</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4571294</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>30917159</TotalProgramServiceRevenue>
      <InvestmentIncome>
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        <ExclusionAmount>2436</ExclusionAmount>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>OTHER OPERATING REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
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        <RelatedOrExemptFunctionIncome>426310</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>426310</TotalOtherRevenue>
      <TotalRevenue>
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        <RelatedOrExemptFunctionIncome>31343469</RelatedOrExemptFunctionIncome>
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      <OtherSalariesAndWages>
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        <ProgramServices>17090203</ProgramServices>
        <ManagementAndGeneral>686108</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>4928741</Total>
        <ProgramServices>4867578</ProgramServices>
        <ManagementAndGeneral>61163</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <FeesForServicesManagement>
        <Total>1414412</Total>
        <ProgramServices>1414412</ProgramServices>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ProgramServices>36000</ProgramServices>
        <ManagementAndGeneral>8652</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesOther>
        <Total>51981</Total>
        <ProgramServices>1150</ProgramServices>
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      <Occupancy>
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        <ProgramServices>1399680</ProgramServices>
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      <Travel>
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        <ManagementAndGeneral>5225</ManagementAndGeneral>
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        <Total>103214</Total>
        <ProgramServices>103214</ProgramServices>
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        <ManagementAndGeneral>4324722</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
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        <ProgramServices>2701664</ProgramServices>
        <ManagementAndGeneral>62919</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>1387718</Total>
        <ProgramServices>1387718</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
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        <ProgramServices>1196384</ProgramServices>
        <ManagementAndGeneral>74236</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>408528</Total>
        <ProgramServices>281854</ProgramServices>
        <ManagementAndGeneral>126674</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>35887447</Total>
        <ProgramServices>30486917</ProgramServices>
        <ManagementAndGeneral>5400530</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>946045</BOY>
        <EOY>630533</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
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        <EOY>5722996</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>71240</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>174037</BOY>
        <EOY>169545</EOY>
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      <LandBuildingsEquipmentBasis>2369034</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1601855</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>867536</BOY>
        <EOY>767179</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>7625433</BOY>
        <EOY>7361493</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>13150717</BOY>
        <EOY>916223</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>1987743</BOY>
        <EOY>2352082</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>15138460</BOY>
        <EOY>3268305</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-7513027</BOY>
        <EOY>4093188</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-7513027</BOY>
        <EOY>4093188</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>7625433</BOY>
        <EOY>7361493</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-876829</ReconcilationRevenueExpenses>
      <ReconcilationPriorAdjustment>12483044</ReconcilationPriorAdjustment>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasis>1315049</OtherCostOrOtherBasis>
        <Depreciation>808219</Depreciation>
        <BookValue>506830</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1053985</OtherCostOrOtherBasis>
        <Depreciation>793636</Depreciation>
        <BookValue>260349</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>767179</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>OTHER CURRENT LIABILITIES</Description>
        <Amount>193094</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER NON-CURRENT LIABILITIES</Description>
        <Amount>25621</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PAYROLL AND PAYROLL TAXES</Description>
        <Amount>1077193</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>VACATION AND OTHER</Description>
        <Amount>807843</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>EMPLOYEE MEDICAL</Description>
        <Amount>248331</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2352082</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>0</CharityCarePolicy>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>1455651</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1455651</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04060</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>1455651</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1455651</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04060</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>9405</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>9405</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>482214</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>482214</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01340</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>8445</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>8445</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>500064</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>500064</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01390</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>1955715</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1955715</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05450</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1387718</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>4571294</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>6282050</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1710756</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>0</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>JOHN MUIR BEHAVIORAL HEALTH CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2740 GRANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>CA</State>
          <ZIPCode>94520</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>JOHN MUIR BEHAVIORAL HEALTH CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>0</EligibilityCriteriaExplained>
        <UsesFPGFree>0</UsesFPGFree>
        <UsesFPGDiscounted>0</UsesFPGDiscounted>
        <ExplainsBasis>0</ExplainsBasis>
        <ExplainsApplicationMethod>0</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>0</IncludesPublicityMeasures>
        <ActionsOnNonpayment>0</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>0</NondiscrimEmergencyCarePolicy>
        <NoEmergencyCare>X</NoEmergencyCare>
        <OtherReason>X</OtherReason>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: COMMUNITY BUILDING ACTIVITIESDESCRIBE HOW ITS COMMUNITY BUILDING ACTIVITIES PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES.OUR COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, AND TRANSPORTATION. JMH WORKS WITH A WIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TO HEALTH CAREERS THROUGH A SPEAKERS' BUREAU, HEALTH CAREER FAIRS, WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THE FOLLOWING AREAS:1) SOCIAL WORK2) NURSING STUDENTS3) NURSE PRACTITIONER STUDENTS4) MARRIAGE FAMILY THERAPIST INTERNS 5) EXPRESSIVE ART INTERNS PARTNERS:1) 23 HIGH SCHOOLS2) CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP)3) CONTRA COSTA OFFICE OF EDUCATION'S YOUTH DEVELOPMENT 4) SAMUEL MERRITT COLLEGE5) LOS MEDANOS COLLEGE6) EAST COUNTY BUSINESS AND EDUCATION ALLIANCE7) CALIFORNIA STATE UNIVERSITY, EAST BAY8) CONTRA COSTA COLLEGESTHE VAST MAJORITY OF JOHN MUIR HEALTH COMMUNITY BENEFIT PROGRAMS FOCUS ON HEALTH CARE, HEALTH EDUCATION, EARLY DETECTION AND EARLY INTERVENTION SERVICES. WE BELIEVE THAT THE SOCIAL ENVIRONMENT DIRECTLY IMPACTS THE HEALTH OF ALL RESIDENTS AND AT LEAST SOME PORTION OF OUR CONTRIBUTIONS SHOULD ADDRESS AREAS THAT INCREASE THE CAPACITY OF RESIDENTS TO IMPROVE THEIR PHYSICAL ENVIRONMENT, TO MAKE HEALTHY LIFE STYLE DECISIONS AND TO ENGAGE IN THE PUBLIC POLICY PROCESS, BECAUSE PUBLIC POLICY, WHETHER IT IS LAND USE, TRANSPORTATION, HOUSING, ECONOMIC DEVELOPMENT OR EDUCATION, IS ALSO HEALTH POLICY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: THE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS THAT DO NOT INCLUDE A DESCRIPTION OF BAD DEBT EXPENSE. BAD DEBT EXPENSE IS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 2012 MEDICARE COST REPORTS FILED WITH CENTERS FOR MEDICARE &amp; MEDICAID SERVICES (CMS).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>JOHN MUIR BEHAVIORAL HEALTH CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 10: SEE PART VI, LINE 3.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>JOHN MUIR BEHAVIORAL HEALTH CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 11: SEE PART VI, LINE 3.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: IN A COUNTY OF OVER 1 MILLION RESIDENTS, JOHN MUIR BEHAVIORAL HEALTH CENTER (BHC) IS THE ONLY PRIVATE, FREE-STANDING, LICENSED, ACUTE CARE PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITAL. IN ADDITION TO THE 73 BEDS AT BHC, THE COUNTY IS CRITICALLY UNDERSERVED WITH ONE BED FOR EVERY 10,500+ PEOPLE. THE STATE AVERAGE IS ONE BED FOR EVERY 5,916 PEOPLE AND THE NATIONAL AVERAGE IS ONE BED FOR EVERY 2700 PEOPLE. CHILD PSYCHIATRIC BEDS ARE EVEN RARER IN CALIFORNIA. 46 OF CALIFORNIA'S 53 COUNTIES HAVE NO CHILD PSYCHIATRIC BEDS AT ALL. 34 OF BHCS 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. 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. IN ADDITION, FOCUS GROUPS (QUALITATIVE ANALYSIS) WERE INCLUDED WITH THE QUANTITATIVE PORTION OF THE COMMUNITY ASSESSMENT. THE COMMUNITY INDICATOR REPORT CAN BE FOUND AT WWW.CCHEALTH.ORG.COMMUNITY ASSESSMENTS ARE MADE AVAILABLE TO THE PUBLIC AS A COMMUNITY BENEFIT AT WWW.JOHMMUIRHEALTH.COM AND CCHEALTH.ORGJOHN 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 COMMUNITY GROUPS.JMH ALSO PARTNERS WITH THE PUTNAM CLUBHOUSE, A SOCIAL VOCATIONAL REHABILITATION PROGRAM FOR THE CHRONICALLY MENTALLY ILL.BECAUSE 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 THIS ISSUE3. JMH 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, WE WILL HAVE A VISIBLE AND MEANINGFUL 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 REIMBURSEMENT REQUIRE ALL HOSPITAL 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.JOHN MUIR HEALTH SELECTS ITS COMMUNITY BENEFIT PROGRAMS BASED ON THE COMMUNITY ASSESSMENT, INTERNAL DATA AND COMMUNITY PARTNER INPUT. SINCE 2007 NEW PROGRAMS HAVE SPECIFICALLY FOCUSED ON PROGRAMS WHICH 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 CARE 3) ECONOMICALLY DISADVANTAGED OUR 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.EXCERPTS FROM THE CLUBHOUSE 2012 PROGRAM EVALUATION DEMONSTRATE BOTH THE NEED AND THE IMPACT OF BHC COMMUNITY BENEFIT PROGRAMS.PUTNAM CLUBHOUSE AIMS TO FILL CRITICAL GAPS IN CONTRA COSTA COUNTY'S CONTINUUM OF CARE FOR ADULTS WITH SEVERE MENTAL ILLNESS THROUGH PROVISION OF AN EVIDENCE-BASED, COST-EFFECTIVE, PEER SUPPORT, AND VOCATIONAL REHABILITATION INTERVENTION. FEW OPTIONS EXIST BEYOND EMERGENCY SERVICES OR HOSPITAL TREATMENT, INCREASING VULNERABILITY TO HOMELESSNESS, UNEMPLOYMENT, AND INCARCERATION. THE CLUBHOUSE TARGETS STABLE, ADULT, MENTAL HEALTH CONSUMERS IN CONTRA COSTA COUNTY WHO SEEK ACCESS TO COMPREHENSIVE REHABILITATION OPPORTUNITIES. MEMBERS WITH THE FOUR MAJOR DSM-IV DIAGNOSES ARE SERVED: MAJOR DEPRESSIVE DISORDER, SCHIZOPHRENIA, SCHIZOAFFECTIVE DISORDER, AND BIPOLAR DISORDER. AS A PARTNER, JOHN MUIR HEALTH PROVIDES CORE OPERATING FUNDING, TECHNICAL ASSISTANCE IN STRATEGIC PLANNING, PROGRAM DEVELOPMENT, AND OPERATIONS THROUGH ACTIVE BOARD PARTICIPATION. BY THE END OF 2012, THERE WERE A TOTAL OF 257 MEMBERS, WITH AN AVERAGE DAILY ATTENDANCE OF 30.THE MEMBER SATISFACTION SURVEY WAS COMPLETED IN 2012 BY 74 MEMBERS. OF THOSE COMPLETING THE SURVEY, 94% AGREED OR STRONGLY AGREED THAT THEY WERE SATISFIED WITH THE CLUBHOUSE ACTIVITIES THEY ATTENDED DURING THE PAST YEAR. ADDITIONALLY, 82% AGREED OR STRONGLY AGREED THAT THEIR INDEPENDENCE INCREASED DURING THE YEAR. DURING HOURS SPENT AT THE CLUBHOUSE, MEMBERS PARTICIPATE IN THE CORE WORK-ORDERED DAY, CAREER DEVELOPMENT ACTIVITIES, EMPLOYMENT PROGRAMS, MULTIMEDIA PROGRAM, HEALTHY LIVING PROGRAM, YOUNG ADULT INITIATIVE, EXPRESSIVE ARTS PROGRAM, AND OUTREACH PROGRAM. DURING 2012, 23 MEMBERS GAINED JOBS IN UNSUBSIDIZED EMPLOYMENT AT AN AVERAGE (UNSUBSIDIZED) WAGE OF $12.60 PER HOUR, 48% GREATER THAN THE TARGET. OVERALL, 38 MEMBERS WORKED IN PAID EMPLOYMENT DURING 2012 AND WERE GIVEN SUPPORT BY THE CLUBHOUSE FOR STAYING EMPLOYED. ADDITIONALLY, 25 MEMBERS RETURNED TO SCHOOL. OF THE MEMBERS WHO USED CAREER SERVICES AND COMPLETED THE ANNUAL MEMBER SURVEY, 92% SAID THEY WERE SATISFIED OR VERY SATISFIED WITH CLUBHOUSE SERVICES RELATED TO EMPLOYMENT OR EDUCATION.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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 CHECMICALDEPENDENCY 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: BHC AND ITS CORPORATE MEMBER, JOHN MUIR HEALTH, ARE NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATIONS GOVERNED LOCALLY BY THOSE WHO LIVE IN THE COMMUNITIES WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMITTEES. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY 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 2012, JOHN MUIR HEALTH PROVIDED OVER $82 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES TO COMMUNITIES IN CONTRA COSTA COUNTY. IN 2012, 89 %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. WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, WORKFORCE DEVELOPMENT, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. IN OUR CONTINUED INVESTMENTS MADE IN OUR COMMUNITY THOUGH THE BUILDING PROJECTS, JOHN MUIR HEALTH IS ONE OF THE LARGEST EMPLOYERS IN THE COUNTY WITH NEARLY 6,000 EMPLOYEES; 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 A 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND1399 YGNACIO VALLEY ROAD, SUITE 36, WALNUT CREEK, CATHE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND IS THE COMMUNITY BENEFIT GRANT-MAKING ARM OF JOHN MUIR HEALTH. ITS GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MOST AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE COMMUNITY HEALTH FUND HAS DEVELOPED A FUNDING PROCESS THAT NURTURES LONG-TERM PARTNERSHIPS WITH AND AMONG COMMUNITY-BASED ORGANIZATIONS. THIS LEADS TO VISIONARY HEALTH INITIATIVES THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 2012, THE FUND HAS GRANTED MORE THAN $20 MILLION IN JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUND, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN BE FOUND ON ITS WEBSITE: WWW.JMMDCOMMUNITYHEALTHFUND.COM. EXECUTIVE DIRECTOR IS LILLIAN ROSELIN.JOHN MUIR PHYSICIAN NETWORK1340 TREAT BOULEVARD, SUITE 450, WALNUT CREEK, CA THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH MORE THAN 900 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG) OR MUIR MEDICAL GROUP IPA, INC. THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN 23 LOCATIONS FROM BRENTWOOD TO PLEASANTON. JOHN MUIR MEDICAL GROUP ALSO PROVIDES HOSPITALISTS (IN-PATIENT MEDICAL SERVICES) AT JOHN MUIR HEALTH'S HOSPITALS. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SIX MAJOR HEALTH PLANS FOR MORE THAN 50,000 COMMERCIAL AND SENIOR HMO MEMBERS. ADDITIONALLY, THE PHYSICIAN NETWORK PROVIDES A PHYSICIAN PANEL, MEDICAL MANAGEMENT AND CLAIMS SERVICES FOR MORE THAN 9,000 JOHN MUIR HEALTH EMPLOYEES AND DEPENDENTS PARTICIPATING IN THE EXCLUSIVE PROVIDER ORGANIZATION HEALTH PLAN. THE PHYSICIAN NETWORK MANAGES HEALTH PLAN CONTRACTING FOR JOHN MUIR HEALTH AND ITS HOSPITALS AND ENGAGES IN PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACO WHICH PROVIDES FOR COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS. 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 FOUNDATION1400 TREAT, WALNUT CREEK, CATHE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATION PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION. THE FOUNDATION PRESIDENT IS PATRICK CAREW.JOHN MUIR HEALTHJOHN MUIR HEALTH IS A NATIONALLY RECOGNIZED, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION LOCATED EAST OF SAN FRANCISCO, SERVING PATIENTS IN CONTRA COSTA, EASTERN ALAMEDA AND SOUTHERN SOLANO COUNTIES. IT INCLUDES A NETWORK OF 925 PRIMARY CARE AND SPECIALTY PHYSICIANS, 6,500 EMPLOYEES, MEDICAL CENTERS IN CONCORD AND WALNUT CREEK, INCLUDING THE COUNTY'S ONLY TRAUMA CENTER, AND A BEHAVIORAL HEALTH CENTER. THE HEALTH SYSTEM ALSO OFFERS A FULL RANGE OF MEDICAL SERVICES, INCLUDING PRIMARY CARE, OUTPATIENT, LAB AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, EMERGENCY AND HIGH-RISK OBSTETRICS CARE.</Explanation>
      </Form990ScheduleHPartVI>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>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 1 LINE 3: THE INCENTIVE PROGRAMS FOR THE MANAGEMENT OF JOHN MUIR HEALTH AND SUBSIDIARIES, INCLUDING JOHN MUIR BEHAVIORAL HEALTH, ARE DEVELOPED AND REVIEWED BY AN OUTSIDE CONSULTANT WHOSE EXPERTISE IS IN COMPENSATION AND WHO DEVELOPS MARKET DATA FOR SIMILAR ORGANIZATIONS AS A BASIS FOR THE CORPORATION'S INCENTIVE PROGRAM. THE INCENTIVE PROGRAM AND MARKET DATA IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>PART I, LINE 4B: ELIZABETH A STALLINGS $ 29,741 RESTORATION PLAN</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>JOHN MUIR HEALTH ("THE CORPORATION"), THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, WITH THE OVERSIGHT AND APPROVAL OF THE COMPENSATION COMMITTEE OF THE JOHN MUIR HEALTH BOARD OF DIRECTORS, BASES A PORTION OF ANNUAL MANAGEMENT INCENTIVE PAYMENTS ON THE CONSOLIDATED NET EARNINGS TARGETS OF JOHN MUIR HEALTH. 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>WOMEN'S PRIMARY HEALTH PHYSICIANS</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>COMMOM BOARD MEMBER</Relationship>
        <AmountOfTransaction>760182</AmountOfTransaction>
        <DescriptionOfTransaction>CONTRACT FOR PROFESSIONAL SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>BETA HEALTH CARE GROUP</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>FORMER EMPLOYEE IS BOARD MEMBER</Relationship>
        <AmountOfTransaction>3933841</AmountOfTransaction>
        <DescriptionOfTransaction>CONTRACT FOR INSURANCE SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>AMY ANDERSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SPOUSE OF A BOARD MEMBER</Relationship>
        <AmountOfTransaction>132143</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>BAY AREA SURGICAL SPECIALIST</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER HAS OWNERSHIP INTEREST</Relationship>
        <AmountOfTransaction>3019915</AmountOfTransaction>
        <DescriptionOfTransaction>CONTRACT FOR PROFESSIONAL SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>THOMAS RUNDALL (JMBH SECRETARY AND DIRECTOR) IS A BOARD MEMBER OF ON LOK, INC., A NOT-FOR-PROFIT COMMUNITY ORGANIZATION WHICH EMPLOYS ROBERT EDMONSON (JMBH DIRECTOR) AS CEO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>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).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>REFER TO SCHEDULE O, PART VI, SECTION A, LINE 6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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 GOVERNANCE COMMITTEE AND THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICTS DURING THE YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHN MUIR HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1400 TREAT BLVD 300</AddressLine1>
          <City>WALNUT CREEK</City>
          <State>CA</State>
          <ZIPCode>94597</ZIPCode>
        </AddressUS>
        <EIN>941461843</EIN>
        <PrimaryActivities>PROVISION FOR HEALTHCARE SERVICES TO THE COMMUNITY</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHN MUIR PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1400 TREAT BLVD 300</AddressLine1>
          <City>WALNUT CREEK</City>
          <State>CA</State>
          <ZIPCode>94597</ZIPCode>
        </AddressUS>
        <EIN>680360801</EIN>
        <PrimaryActivities>PROVIDE CLINIC SERVICES &amp; MANAGE HEALTHCARE RISK OPERATIONS WITH JOHN MUIR</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 TYPE I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHN MUIR HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1400 TREAT BLVD 300</AddressLine1>
          <City>WALNUT CREEK</City>
          <State>CA</State>
          <ZIPCode>94597</ZIPCode>
        </AddressUS>
        <EIN>942650855</EIN>
        <PrimaryActivities>SOLICITATION OF FUNDS FOR JOHN MUIR HEALTH</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1400 TREAT BLVD 300</AddressLine1>
          <City>WALNUT CREEK</City>
          <State>CA</State>
          <ZIPCode>94597</ZIPCode>
        </AddressUS>
        <EIN>911788973</EIN>
        <PrimaryActivities>PROVIDE GRANTS THAT ENHANCE HEALTHCARE SERVICES TO UNDERSERVED</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 TYPE III</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>