TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) DAVID L GOLDSMITH........................................................................ CHAIR	5.00 .......................3.00	X	X	0	0
(2) THOMAS G RUNDALL PHD........................................................................ VICE CHAIR	5.00 .......................3.00	X	X	0	0
(3) PHILIP J BATCHELOR........................................................................ TREASURER	5.00 .......................3.00	X	X	0	0
(4) WILLIAM F CRONK........................................................................ SECRETARY	5.00 .......................3.00	X	X	0	0
(5) CALVIN KNIGHT........................................................................ PRESIDENT/CEO/DIRECTOR	60.00 .......................3.00	X	X	1,468,271	703,952
(6) MICHAEL MOODY........................................................................ CFO	60.00 .......................3.00		X	669,105	238,289
(7) NANCY OLSON........................................................................ ASSISTANT SECRETARY	60.00 .......................3.00		X	615,895	186,371
(8) LINDA BEST........................................................................ DIRECTOR	5.00 .......................3.00	X		0	0
(9) ROBERT E EDMONDSON........................................................................ DIRECTOR	5.00 .......................3.00	X		2,083	0
(10) MARILYN M GARDNER........................................................................ DIRECTOR	5.00 .......................3.00	X		2,083	0
(11) RAVI HUNDAL MD........................................................................ DIRECTOR	5.00 .......................3.00	X		0	0
(12) TAEJOON AHN MD........................................................................ DIRECTOR	5.00 .......................3.00	X		0	0
(13) MARK MUSCO MD........................................................................ DIRECTOR	5.00 .......................3.00	X		0	0
(14) BIMAL PATEL MD........................................................................ DIRECTOR	5.00 .......................3.00	X		0	0
(15) DEBORAH L KERLIN MD........................................................................ DIRECTOR	5.00 .......................3.00	X		1,250	0
(16) DAVID BIRDSALL MD........................................................................ DIRECTOR	5.00 .......................3.00	X		0	0
(17) MIKE ROBINSON........................................................................ DIRECTOR	5.00 .......................3.00	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(F) Estimated amount of other compensation from the organization and related organizations
(18) STUART B SHIKORA MD........................................................................ DIRECTOR (THROUGH SEPT)	5.00 .......................3.00	X				0	0
(19) F RYAN ANDERSON MD........................................................................ DIRECTOR (THROUGH SEPT)	5.00 .......................3.00	X				0	0
(20) SAN S YUAN MD........................................................................ DIRECTOR (THROUGH SEPT)	5.00 .......................3.00	X				0	0
(21) RONALD K MULLIN........................................................................ DIRECTOR (THROUGH SEPT)	5.00 .......................3.00	X				0	0
(22) JOHN D ZUORSKI MD........................................................................ DIRECTOR (THROUGH DEC)	5.00 .......................3.00	X				62,400	0
(23) WILLIAM K HODDICK MD........................................................................ DIRECTOR (THROUGH DEC)	5.00 .......................3.00	X				615	0
(24) PATRICIA E CURTIN........................................................................ DIRECTOR (THROUGH FEB)	5.00 .......................3.00	X				0	0
(25) IRVING PIKE........................................................................ CMO	60.00 .......................		X			605,064	203,529
(26) JANE WILLEMSEN........................................................................ CAO (WALNUT CREEK CAMPUS)	60.00 .......................		X			715,619	366,502
(27) MICHAEL THOMAS........................................................................ CAO (CONCORD CAMPUS)	60.00 .......................		X			652,726	325,633
(28) GEORGE KAZAGLIS........................................................................ VP/COO	60.00 .......................			X		634,758	153,068
(29) MARTI TARNOWSKI........................................................................ VP PLANNING & MARKETING	60.00 .......................			X		488,628	192,582
(30) MICHAEL MONALDO........................................................................ VP FACILITIES DEVELOPMENT	60.00 .......................			X		458,258	146,398
(31) DEBRA PENDERGAST........................................................................ VP PATIENT CARE SERVICES	60.00 .......................			X		469,046	166,132
(32) DONNA BRACKLEY........................................................................ CHIEF NURSING OFFICER	60.00 .......................			X		427,876	171,809
(33) KENNETH MEEHAN........................................................................ FORMER EXECUTIVE VP OPERATIONS	0.00 .......................				X	881,494	471,154

(A) Name and business address	(B) Description of services	(C) Compensation
IMPACT ADVISORS LLC931 WEST 75TH STREET SUITE 137-304NAPERVILLEIL60565	CONSULTING SERVICES	12,052,211
PARTNER PROFESSIONAL SOLUTIONS LLC4605 GALBRATHCINCINNATIOH45248	CONSULTING SERVICES	6,620,985
OXFORD GLOBAL RESOURCES INCPO BOX 3256BOSTONMA02241	STAFFING SERVICES	6,095,915
CROSS COUNTRY STAFFINGLA LOCKBOX FILE 50941LOS ANGELESCA90074	STAFFING SERVICES	4,750,615
HEALTHCARE SECURITY SERVICES OF CA INCPO BOX 17033DENVERCO80217	SECURITY SERVICES	4,250,235
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 167

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	12,735,105	12,735,105
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	40,000	40,000
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	4,726,680	4,197,765	528,915
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	486,709,185	432,289,955	54,419,230
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	20,320,708	17,602,503	2,718,205
9	Other employee benefits .......	110,252,624	101,308,077	8,944,547
10	Payroll taxes ...........	26,006,477	21,661,517	4,344,960
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	7,681,741	3,861,504	3,820,237
c	Accounting ...........	385,902	192,951	192,951
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	13,897,805	9,752,714	4,145,091
17	Travel ............	1,215,189	874,761	340,428
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	20,885,845	19,726,022	1,159,823
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	58,672,017	55,174,385	3,497,632
23	Insurance ..............	8,081,268	4,251,704	3,829,564
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	122,436,924	120,215,867	2,221,057	0
b	PURCHASED SERVICES	114,249,525	100,105,821	14,143,704	0
c	BAD DEBT EXPENSE	67,989,914	67,989,914	0	0
d	PROFESSIONAL FEES	47,899,038	46,871,826	1,027,212	0
e	All other expenses	61,849,870	30,925,017	30,924,853
25	Total functional expenses. Add lines 1 through 24e	1,186,035,817	1,049,777,408	136,258,409	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............		1
2	Savings and temporary cash investments .........	122,027,751	2	141,431,635
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	223,441,904	4	203,581,685
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	7,023,087	8	6,606,789
9	Prepaid expenses and deferred charges ..........	14,409,227	9	15,783,218
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,510,286,352
b	Less: accumulated depreciation .....	10b	577,897,576	924,315,329	10c	932,388,776
11	Investments—publicly traded securities ..........	761,702,200	11	890,177,316
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....	0	13	106,022,000
14	Intangible assets ...............	0	14	6,501,811
15	Other assets. See Part IV, line 11 ...........	97,088,641	15	116,709,872
16	Total assets. Add lines 1 through 15 (must equal line 34)......	2,150,008,139	16	2,419,203,102
	17	Accounts payable and accrued expenses .........	186,041,473	17	199,321,006
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	428,436,740	20	540,268,547
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	89,800,000	23	89,800,000
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	230,207,092	25	188,253,549
26	Total liabilities. Add lines 17 through 25.........	934,485,305	26	1,017,643,102
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	1,214,386,265	27	1,400,106,000
28	Temporarily restricted net assets ...........	1,136,569	28	1,454,000
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,215,522,834	33	1,401,560,000
34	Total liabilities and net assets/fund balances ........	2,150,008,139	34	2,419,203,102

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization JOHN MUIR HEALTH

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization JOHN MUIR HEALTH

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
JOHN MUIR HEALTH

Employer identification number

94-1461843

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

56,184

Total. Add lines 1c through 1i ...............................

56,184

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	JOHN MUIR HEALTH CONTRIBUTED $56,184 TO CALIFORNIA HOSPITALS COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (CAHHS) IN 2013 TO SUPPORT LOBBYING EFFORTS.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	16,353,302	17,002,903	37,397,465	28,132,000	33,638,031
b	Contributions ........	4,208,174	2,037,125	4,810,336	9,915,590	12,706,231
c	Net investment earnings, gains, and losses	1,183,086	859,349	10,029	599,321	1,333,441
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	4,756,777	3,546,075	25,214,927	1,249,446	19,545,703
f	Administrative expenses ....
g	End of year balance ......	16,987,785	16,353,302	17,002,903	37,397,465	28,132,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

28.000 %

Temporarily restricted endowment SchDMd Bullet

72.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	34,416,748		34,416,748
b	Buildings ................	892,597,324	248,367,495	644,229,829
c	Leasehold improvements ............	6,195,755	2,814,332	3,381,423
d	Equipment ................	482,382,257	326,715,749	155,666,508
e	Other .................	94,694,268		94,694,268
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				932,388,776

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
WORKERS COMPENSATION		61,625,901
POST RETIREMENT COMP BENEFITS		47,038,872
PENSION LIABILITY		36,286,738
OTHER NON-CURRENT LIABILITIES		43,302,038





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		188,253,549
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

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

Return Reference

Explanation

PART V, LINE 4:

THE ORGANIZATION'S ENDOWMENT FUNDS (TERM AND PERMANENT) HELD BY THE JOHN MUIR HEALTH FOUNDATION ARE USED FOR RESTRICTED PURPOSES AS DIRECTED BY THE DONOR UPON RECEIPTS OF THEIR DONATION. INCOME EARNED FROM PERMANENT ENDOWMENT FUNDS WITHOUT RESTRICTION AS TO PURPOSE IS USED TO SUPPORT PATIENT CARE PROGRAMS AND SERVICES OF JOHN MUIR HEALTH. TERM ENDOWMENTS AND INCOME EARNED FROM OTHER PERMANENT ENDOWMENTS ARE RESTRICTED BY THE DONOR FOR USE IN PROGRAMS INCLUDING NURSING EDUCATION, CARDIAC CARE EQUIPMENT, RADIATION ONCOLOGY, WOMEN'S HEALTH CENTER EDUCATION, AND THE JOHN MUIR HEALTH BUILDING PROGRAM.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ...............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN			INVESTMENTS	90,251,367
















3a	Sub-total .....	0	0		90,251,367
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		90,251,367

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2013

Schedule F (Form 990) 2013Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GOLF TOURNAMENT (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	177,560	177,560
2	Less: Contributions . .	39,600	39,600
3	Gross income (line 1 minus line 2) . . .	137,960	137,960
4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .	47,499	47,499
7	Food and beverages .
8	Entertainment . . .
9	Other direct expenses .	5,740	5,740
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........		53,239
11	Net income summary. Subtract line 10 from line 3, column (d)...........		84,721

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 40000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	24,922,374		24,922,374	2.230 %
b	Medicaid (from Worksheet 3, column a) ....	58,773,876		58,773,876	5.260 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	83,696,250		83,696,250	7.490 %
Other Benefits		10,212,662	1,587,052	8,625,610	0.770 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	10,212,662	1,587,052	8,625,610	0.770 %
f	Health professions education (from Worksheet 5) ..	6,705,320	3,352,660	3,352,660	0.300 %
g	Subsidized health services (from Worksheet 6) ..	1,636,788		1,636,788	0.150 %
h	Research (from Worksheet 7)	2,958,056	1,479,028	1,479,028	0.130 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	5,079,311	2,599,516	2,479,795	0.220 %
j	Total. Other Benefits ..	26,592,137	9,018,256	17,573,881	1.570 %
k	Total. Add lines 7d and 7j .	110,288,387	9,018,256	101,270,131	9.060 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	4,802	4,802	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	93,247	93,247	0.010 %
6	Coalition building	11,560	11,560	0.010 %
7	Community health improvement advocacy
8	Workforce development	534,209	534,209	0.010 %
9	Other
10	Total	643,818	643,818	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

67,989,914

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

258,129,154

Enter Medicare allowable costs of care relating to payments on line 5.....

419,375,086

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-161,245,932

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 ASPEN SURGERY CENTER LLC	OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER	33.000 %	1.000 %	43.000 %
22 BRENTWOOD SURGERY CENTER LLC	OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER	38.000 %	0 %	35.000 %
33 MUIR DIABLO OCCUPATIONAL MEDICINE	OPERATES OUTPATIENT OCCUPATIONAL HEALTH CLINICS	50.000 %	0 %	50.000 %
44 SAN RAMON REGIONAL MEDICAL CENTER LLC	OPERATES A GENERAL ACUTE CARE HOSPITAL	49.000 %	0 %	0 %
55 SAN RAMON NETWORK JOINT VENTURE LLC	DEVELOPMENT OF AMBULATORY CARE CONTINUUM	49.000 %	0 %	0 %
66 CONTRA COSTA PEDIATRIC VENTURE LLC	OPERATES PEDIATRIC SERVICES JV WITH LUCILLE PACKARD CHILDRENS HOSPITAL	50.000 %	0 %	0 %
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number
1	JOHN MUIR MEDICAL CENTER WALNUT CREEK 1601 YGNACIO VALLEY ROAD WALNUT CREEK,CA94598 WWW.JOHNMUIRHEALTH.COM 140000265	X	X	X
2	JOHN MUIR MEDICAL CENTER CONCORD 2540 EAST STREET CONCORD,CA94520 WWW.JOHNMUIRHEALTH.COM 140000128	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	JOHN MUIR MEDICAL CENTER WALNUT CREEK
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.JOHNMUIRHEALTH.COM

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 350.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	JOHN MUIR MEDICAL CENTER CONCORD
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.JOHNMUIRHEALTH.COM

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 350.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
JOHN MUIR MEDICAL CENTER WALNUT CREEK	PART V, SECTION B, LINE 3: JOHN MUIR HEALTH COLLECTED COMMUNITY INPUT IN TWO FORMS. FIRST, THE FINDINGS REGARDING COMMUNITY HEALTH CONCERNS WAS GATHERED FROM THE SECONDARY DATA AND DISCUSSED WITH GROUPS OF PEOPLE FROM UNDERSERVED, MINORITY AND LOW-INCOME POPULATIONS. SEVEN COMMUNITY CONVERSATIONS WERE CONDUCTED IN THE JOHN MUIR HEALTH SERVICE AREA:- VILLAGE RESOURCE CENTER, BRENTWOOD (OCTOBER 1, 2012 IN SPANISH): 14 PARTICIPANTS AGED 23-65 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, AND LIVING WITH CHRONIC ILLNESSES- LOAVES AND FISHES, MARTINEZ (OCTOBER 3, 2012): 23 PARTICIPANTS AGED 29-65 REPRESENTING THE FOLLOWING POPULATIONS: HOMELESS, LOW-INCOME, LIVING WITH CHRONIC CONDITIONS- CAMBRIDGE SCHOOL, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS AGED 30-49 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, PARENTS- MONUMENT CRISIS CENTER, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS REPRESENTING THE FOLLOWING POPULATIONS: LOW INCOME AND LIVING WITH CHRONIC CONDITIONS- MIND, BODY AND SOUL, PITTSBURG (OCTOBER 8, 2012): 26 PARTICIPANTS AGED 18-60 REPRESENTING THE FOLLOWING POPULATIONS: LOW-INCOME AND AFRICAN AMERICAN- PROMOTORES, LOCATION VARIES (OCTOBER 9, 2012): 14 PARTICIPANTS AGED 23-79 REPRESENTING THE FOLLOWING POPULATIONS: LATINO AND LIVING WITH CHRONIC CONDITIONS- SOLOMON TEMPLE CHURCH, PITTSBURG (OCTOBER 10, 2012): 18 PARTICIPANTS AGED 30-72 REPRESENTING THE FOLLOWING POPULATIONS: AFRICAN AMERICAN AND LIVING WITH CHRONIC CONDITIONSTHE RESULTS OF THESE COMMUNITY CONVERSATIONS WERE CONSIDERED ALONG WITH THE SECONDARY DATA, AND A SET OF "COMMUNITY HEALTH NEEDS" WAS IDENTIFIED. THE DEFINED LIST OF COMMUNITY HEALTH NEEDS WAS SHARED AND DISCUSSED WITH A LARGE MEETING OF PUBLIC HEALTH AND SOCIAL SERVICE AGENCY LEADERS WHO WERE ASKED TO DETERMINE RELATIVE PRIORITY AMONG THE NEEDS USING ESTABLISHED CRITERIA (PERSONS INCLUDED BELOW).- ALEXIS ADORADOR, FAMILIAS UNIDAS- ALVARO FUENTES, COMMUNITY CLINIC CONSORTIUM- AUDREY TORMEY, YOUTH HOMES- BARBARA HUNT, ST VINCENT DE PAUL OF CONTRA COSTA COUNTY- BENJAMIN AUNE, OPERATION ACCESS- CHRISTY KAPLAN, JOHN MUIR HEALTH- CYNTHIA BELON, CONTRA COSTA HEALTH SERVICES - BEHAVIORAL HEALTH SERVICES ADMINISTRATION- GENNIFER MOUNTAIN, MEALS ON WHEELS AND SENIOR OUTREACH SERVICE- HELENE GLASSER, ROTACARE PITTSBURG FREE MEDICAL CLINIC AT ST VINCENT DE PAUL- JOANNE GENET, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- KATE GOHEEN, MD, CONTRA COSTA HEALTH SERVICES - CONCORD HEALTH CENTER- LUZ GOMEZ, OFFICE OF SUPERVISOR JOHN GIOIA- MARIANA MOORE, HUMAN SERVICES ALLIANCE OF CONTRA COSTA- NICOLE RAMOS, JOHN MUIR HEALTH- REBECCA ROZEN, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CA- ROBIN POPPINO-KUNTZ, PLANNED PARENTHOOD SHASTA PACIFIC- ROSA MARIA STEMBERG, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- SANDRA WASHINGTON, JOHN MUIR HEALTH- VIC MONTOYA, CONTRA COSTA HEALTH SERVICES - MENTAL HEALTH/OLDER ADULT PROGRAM- VIOLA LUJAN, LA CLINICA DE LA RAZA- WILLIAM WALKER, MD, CONTRA COSTA HEALTH SERVICES
JOHN MUIR MEDICAL CENTER CONCORD	PART V, SECTION B, LINE 3: JOHN MUIR HEALTH COLLECTED COMMUNITY INPUT IN TWO FORMS. FIRST, THE FINDINGS REGARDING COMMUNITY HEALTH CONCERNS WAS GATHERED FROM THE SECONDARY DATA AND DISCUSSED WITH GROUPS OF PEOPLE FROM UNDERSERVED, MINORITY AND LOW-INCOME POPULATIONS. SEVEN COMMUNITY CONVERSATIONS WERE CONDUCTED IN THE JOHN MUIR HEALTH SERVICE AREA:- VILLAGE RESOURCE CENTER, BRENTWOOD (OCTOBER 1, 2012 IN SPANISH): 14 PARTICIPANTS AGED 23-65 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, AND LIVING WITH CHRONIC ILLNESSES- LOAVES AND FISHES, MARTINEZ (OCTOBER 3, 2012): 23 PARTICIPANTS AGED 29-65 REPRESENTING THE FOLLOWING POPULATIONS: HOMELESS, LOW-INCOME, LIVING WITH CHRONIC CONDITIONS- CAMBRIDGE SCHOOL, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS AGED 30-49 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, PARENTS- MONUMENT CRISIS CENTER, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS REPRESENTING THE FOLLOWING POPULATIONS: LOW INCOME AND LIVING WITH CHRONIC CONDITIONS- MIND, BODY AND SOUL, PITTSBURG (OCTOBER 8, 2012): 26 PARTICIPANTS AGED 18-60 REPRESENTING THE FOLLOWING POPULATIONS: LOW-INCOME AND AFRICAN AMERICAN- PROMOTORES, LOCATION VARIES (OCTOBER 9, 2012): 14 PARTICIPANTS AGED 23-79 REPRESENTING THE FOLLOWING POPULATIONS: LATINO AND LIVING WITH CHRONIC CONDITIONS- SOLOMON TEMPLE CHURCH, PITTSBURG (OCTOBER 10, 2012): 18 PARTICIPANTS AGED 30-72 REPRESENTING THE FOLLOWING POPULATIONS: AFRICAN AMERICAN AND LIVING WITH CHRONIC CONDITIONSTHE RESULTS OF THESE COMMUNITY CONVERSATIONS WERE CONSIDERED ALONG WITH THE SECONDARY DATA, AND A SET OF "COMMUNITY HEALTH NEEDS" WAS IDENTIFIED. THE DEFINED LIST OF COMMUNITY HEALTH NEEDS WAS SHARED AND DISCUSSED WITH A LARGE MEETING OF PUBLIC HEALTH AND SOCIAL SERVICE AGENCY LEADERS WHO WERE ASKED TO DETERMINE RELATIVE PRIORITY AMONG THE NEEDS USING ESTABLISHED CRITERIA (PERSONS INCLUDED BELOW).- ALEXIS ADORADOR, FAMILIAS UNIDAS- ALVARO FUENTES, COMMUNITY CLINIC CONSORTIUM- AUDREY TORMEY, YOUTH HOMES- BARBARA HUNT, ST VINCENT DE PAUL OF CONTRA COSTA COUNTY- BENJAMIN AUNE, OPERATION ACCESS- CHRISTY KAPLAN, JOHN MUIR HEALTH- CYNTHIA BELON, CONTRA COSTA HEALTH SERVICES - BEHAVIORAL HEALTH SERVICES ADMINISTRATION- GENNIFER MOUNTAIN, MEALS ON WHEELS AND SENIOR OUTREACH SERVICE- HELENE GLASSER, ROTACARE PITTSBURG FREE MEDICAL CLINIC AT ST VINCENT DE PAUL- JOANNE GENET, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- KATE GOHEEN, MD, CONTRA COSTA HEALTH SERVICES - CONCORD HEALTH CENTER- LUZ GOMEZ, OFFICE OF SUPERVISOR JOHN GIOIA- MARIANA MOORE, HUMAN SERVICES ALLIANCE OF CONTRA COSTA- NICOLE RAMOS, JOHN MUIR HEALTH- REBECCA ROZEN, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CA- ROBIN POPPINO-KUNTZ, PLANNED PARENTHOOD SHASTA PACIFIC- ROSA MARIA STEMBERG, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- SANDRA WASHINGTON, JOHN MUIR HEALTH- VIC MONTOYA, CONTRA COSTA HEALTH SERVICES - MENTAL HEALTH/OLDER ADULT PROGRAM- VIOLA LUJAN, LA CLINICA DE LA RAZA- WILLIAM WALKER, MD, CONTRA COSTA HEALTH SERVICES
JOHN MUIR MEDICAL CENTER WALNUT CREEK	PART V, SECTION B, LINE 4: ALL JOHN MUIR HEALTH ENTITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK, JOHN MUIR MEDICAL CENTER, CONCORD AND JOHN MUIR HEALTH BEHAVIORAL HEALTH COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK AND KAISER FOUNDATION HOSPITAL ANTIOCH ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
JOHN MUIR MEDICAL CENTER CONCORD	PART V, SECTION B, LINE 4: ALL JOHN MUIR HEALTH ENTITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK, JOHN MUIR MEDICAL CENTER, CONCORD AND JOHN MUIR HEALTH BEHAVIORAL HEALTH COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK AND KAISER FOUNDATION HOSPITAL ANTIOCH ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
JOHN MUIR MEDICAL CENTER WALNUT CREEK	PART V, SECTION B, LINE 7: THE JOHN MUIR HEALTH COMMUNITY HEALTH NEEDS ADVISORY COMMITTEE SELECTED THREE OF THE TEN IDENTIFIED COMMUNITY HEALTH NEEDS TO FOCUS ON USING SELECTION CRITERIA INCLUDING ORGANIZATIONAL EXPERTISE AND RESOURCES. THE HEALTH NEED FOCUS AREAS INCLUDE: PRIMARY CARE SERVICES AND INFORMATION INCLUDING ADEQUATE SPANISH CAPACITY, SPECIALTY CARE, AND AFFORDABLE, LOCAL MENTAL HEALTH SERVICES. JMH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS A PART OF THIS COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO THE NEED TO ALLOCATE SIGNIFICANT, FOCUSED RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFIED ABOVE. INCREASE EXERCISE AND ACTIVITY & HEALTHY EATINGJMH BELIEVES THESE HEALTH NEEDS ARE IMPORTANT, HOWEVER WE ARE NOT EQUIPPED AT THIS TIME TO ADDRESS EXERCISE AND HEALTHY EATING ON A LARGE SCALE IN THE COMMUNITY. ADDITIONALLY, MANY OTHER ORGANIZATIONS HAVE BEEN ENGAGED IN THESE ACTIVITIES. WHILE NOT A PRIORITY FOCUS FOR JMH, WE WILL CONTINUE TO PROVIDE SUPPORT OF COLLABORATIONS THAT PROVIDE PRIMARY PREVENTION AND INFORMATION TO THE MOST VULNERABLE COMMUNITIES IN THE AREA. ECONOMIC SECURITYADDRESSING ECONOMIC SECURITY IS A LARGE SCOPE INITIATIVE THAT JMH CANNOT ADDRESS ALONE, DUE TO LIMITED INFRASTRUCTURE AND RESOURCES. OTHER ORGANIZATIONS ARE CURRENTLY WORKING TO ENHANCE THE SAFETY NET IN CONTRA COSTA COUNTY BY ADDRESSING ECONOMIC SECURITY. JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE ON THIS IMPORTANT ISSUE BUT WILL NOT CONTRIBUTE RESOURCES GIVEN ITS CONTRIBUTIONS IN OTHER AREAS.ASTHMA PREVENTION AND MANAGEMENT & PERI-NATAL CAREASTHMA PREVENTION AND MANAGEMENT AND PERI-NATAL CARE WERE NOT SPECIFICALLY SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF THE MAGNITUDE OF RESOURCES NEEDED FOR OUR SELECTED NEEDS. HOWEVER, JMH WILL SUPPORT ACCESS TO HEALTH CARE INCLUDING OUR CLINICAL EXPERTISE THAT WILL CONTRIBUTE TO IMPROVING NEGATIVE HEALTH OUTCOMES ASSOCIATED WITH ASTHMA AND PERI-NATAL CARE. AFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES & PARENTING SKILLS AND SUPPORTAFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES AND PARENTING SKILLS AND SUPPORT WERE NOT SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF RESOURCE CONSTRAINTS AND THE PRIORITY RANKING. HOWEVER, JMH BELIEVES THE SELECTED HEALTH NEEDS WILL ALSO ADDRESS SUBSTANCE ABUSE ISSUES, AND PARENTING NEEDS BY FOCUSING ON MENTAL HEALTH INTERVENTIONS.
JOHN MUIR MEDICAL CENTER CONCORD	PART V, SECTION B, LINE 7: THE JOHN MUIR HEALTH COMMUNITY HEALTH NEEDS ADVISORY COMMITTEE SELECTED THREE OF THE TEN IDENTIFIED COMMUNITY HEALTH NEEDS TO FOCUS ON USING SELECTION CRITERIA INCLUDING ORGANIZATIONAL EXPERTISE AND RESOURCES. THE HEALTH NEED FOCUS AREAS INCLUDE: PRIMARY CARE SERVICES AND INFORMATION INCLUDING ADEQUATE SPANISH CAPACITY, SPECIALTY CARE, AND AFFORDABLE, LOCAL MENTAL HEALTH SERVICES. JMH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS A PART OF THIS COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO THE NEED TO ALLOCATE SIGNIFICANT, FOCUSED RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFIED ABOVE. INCREASE EXERCISE AND ACTIVITY & HEALTHY EATINGJMH BELIEVES THESE HEALTH NEEDS ARE IMPORTANT, HOWEVER WE ARE NOT EQUIPPED AT THIS TIME TO ADDRESS EXERCISE AND HEALTHY EATING ON A LARGE SCALE IN THE COMMUNITY. ADDITIONALLY, MANY OTHER ORGANIZATIONS HAVE BEEN ENGAGED IN THESE ACTIVITIES. WHILE NOT A PRIORITY FOCUS FOR JMH, WE WILL CONTINUE TO PROVIDE SUPPORT OF COLLABORATIONS THAT PROVIDE PRIMARY PREVENTION AND INFORMATION TO THE MOST VULNERABLE COMMUNITIES IN THE AREA. ECONOMIC SECURITYADDRESSING ECONOMIC SECURITY IS A LARGE SCOPE INITIATIVE THAT JMH CANNOT ADDRESS ALONE, DUE TO LIMITED INFRASTRUCTURE AND RESOURCES. OTHER ORGANIZATIONS ARE CURRENTLY WORKING TO ENHANCE THE SAFETY NET IN CONTRA COSTA COUNTY BY ADDRESSING ECONOMIC SECURITY. JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE ON THIS IMPORTANT ISSUE BUT WILL NOT CONTRIBUTE RESOURCES GIVEN ITS CONTRIBUTIONS IN OTHER AREAS.ASTHMA PREVENTION AND MANAGEMENT & PERI-NATAL CAREASTHMA PREVENTION AND MANAGEMENT AND PERI-NATAL CARE WERE NOT SPECIFICALLY SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF THE MAGNITUDE OF RESOURCES NEEDED FOR OUR SELECTED NEEDS. HOWEVER, JMH WILL SUPPORT ACCESS TO HEALTH CARE INCLUDING OUR CLINICAL EXPERTISE THAT WILL CONTRIBUTE TO IMPROVING NEGATIVE HEALTH OUTCOMES ASSOCIATED WITH ASTHMA AND PERI-NATAL CARE. AFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES & PARENTING SKILLS AND SUPPORTAFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES AND PARENTING SKILLS AND SUPPORT WERE NOT SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF RESOURCE CONSTRAINTS AND THE PRIORITY RANKING. HOWEVER, JMH BELIEVES THE SELECTED HEALTH NEEDS WILL ALSO ADDRESS SUBSTANCE ABUSE ISSUES, AND PARENTING NEEDS BY FOCUSING ON MENTAL HEALTH INTERVENTIONS.
JOHN MUIR MEDICAL CENTER WALNUT CREEK	PART V, SECTION B, LINE 20D: IF IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR JOHN MUIR HEALTH'S FINANCIAL ASSISTANCE PLAN, ANY BILLS PREVIOUSLY SENT TO THAT PATIENT ARE RECALCULATED TO $0.
JOHN MUIR MEDICAL CENTER CONCORD	PART V, SECTION B, LINE 20D: IF IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR JOHN MUIR HEALTH'S FINANCIAL ASSISTANCE PLAN, ANY BILLS PREVIOUSLY SENT TO THAT PATIENT ARE RECALCULATED TO $0.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
JOHN MUIR MEDICAL CENTER WALNUT CREEK	PART V, SECTION B, LINE 3: JOHN MUIR HEALTH COLLECTED COMMUNITY INPUT IN TWO FORMS. FIRST, THE FINDINGS REGARDING COMMUNITY HEALTH CONCERNS WAS GATHERED FROM THE SECONDARY DATA AND DISCUSSED WITH GROUPS OF PEOPLE FROM UNDERSERVED, MINORITY AND LOW-INCOME POPULATIONS. SEVEN COMMUNITY CONVERSATIONS WERE CONDUCTED IN THE JOHN MUIR HEALTH SERVICE AREA:- VILLAGE RESOURCE CENTER, BRENTWOOD (OCTOBER 1, 2012 IN SPANISH): 14 PARTICIPANTS AGED 23-65 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, AND LIVING WITH CHRONIC ILLNESSES- LOAVES AND FISHES, MARTINEZ (OCTOBER 3, 2012): 23 PARTICIPANTS AGED 29-65 REPRESENTING THE FOLLOWING POPULATIONS: HOMELESS, LOW-INCOME, LIVING WITH CHRONIC CONDITIONS- CAMBRIDGE SCHOOL, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS AGED 30-49 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, PARENTS- MONUMENT CRISIS CENTER, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS REPRESENTING THE FOLLOWING POPULATIONS: LOW INCOME AND LIVING WITH CHRONIC CONDITIONS- MIND, BODY AND SOUL, PITTSBURG (OCTOBER 8, 2012): 26 PARTICIPANTS AGED 18-60 REPRESENTING THE FOLLOWING POPULATIONS: LOW-INCOME AND AFRICAN AMERICAN- PROMOTORES, LOCATION VARIES (OCTOBER 9, 2012): 14 PARTICIPANTS AGED 23-79 REPRESENTING THE FOLLOWING POPULATIONS: LATINO AND LIVING WITH CHRONIC CONDITIONS- SOLOMON TEMPLE CHURCH, PITTSBURG (OCTOBER 10, 2012): 18 PARTICIPANTS AGED 30-72 REPRESENTING THE FOLLOWING POPULATIONS: AFRICAN AMERICAN AND LIVING WITH CHRONIC CONDITIONSTHE RESULTS OF THESE COMMUNITY CONVERSATIONS WERE CONSIDERED ALONG WITH THE SECONDARY DATA, AND A SET OF "COMMUNITY HEALTH NEEDS" WAS IDENTIFIED. THE DEFINED LIST OF COMMUNITY HEALTH NEEDS WAS SHARED AND DISCUSSED WITH A LARGE MEETING OF PUBLIC HEALTH AND SOCIAL SERVICE AGENCY LEADERS WHO WERE ASKED TO DETERMINE RELATIVE PRIORITY AMONG THE NEEDS USING ESTABLISHED CRITERIA (PERSONS INCLUDED BELOW).- ALEXIS ADORADOR, FAMILIAS UNIDAS- ALVARO FUENTES, COMMUNITY CLINIC CONSORTIUM- AUDREY TORMEY, YOUTH HOMES- BARBARA HUNT, ST VINCENT DE PAUL OF CONTRA COSTA COUNTY- BENJAMIN AUNE, OPERATION ACCESS- CHRISTY KAPLAN, JOHN MUIR HEALTH- CYNTHIA BELON, CONTRA COSTA HEALTH SERVICES - BEHAVIORAL HEALTH SERVICES ADMINISTRATION- GENNIFER MOUNTAIN, MEALS ON WHEELS AND SENIOR OUTREACH SERVICE- HELENE GLASSER, ROTACARE PITTSBURG FREE MEDICAL CLINIC AT ST VINCENT DE PAUL- JOANNE GENET, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- KATE GOHEEN, MD, CONTRA COSTA HEALTH SERVICES - CONCORD HEALTH CENTER- LUZ GOMEZ, OFFICE OF SUPERVISOR JOHN GIOIA- MARIANA MOORE, HUMAN SERVICES ALLIANCE OF CONTRA COSTA- NICOLE RAMOS, JOHN MUIR HEALTH- REBECCA ROZEN, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CA- ROBIN POPPINO-KUNTZ, PLANNED PARENTHOOD SHASTA PACIFIC- ROSA MARIA STEMBERG, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- SANDRA WASHINGTON, JOHN MUIR HEALTH- VIC MONTOYA, CONTRA COSTA HEALTH SERVICES - MENTAL HEALTH/OLDER ADULT PROGRAM- VIOLA LUJAN, LA CLINICA DE LA RAZA- WILLIAM WALKER, MD, CONTRA COSTA HEALTH SERVICES
JOHN MUIR MEDICAL CENTER CONCORD	PART V, SECTION B, LINE 3: JOHN MUIR HEALTH COLLECTED COMMUNITY INPUT IN TWO FORMS. FIRST, THE FINDINGS REGARDING COMMUNITY HEALTH CONCERNS WAS GATHERED FROM THE SECONDARY DATA AND DISCUSSED WITH GROUPS OF PEOPLE FROM UNDERSERVED, MINORITY AND LOW-INCOME POPULATIONS. SEVEN COMMUNITY CONVERSATIONS WERE CONDUCTED IN THE JOHN MUIR HEALTH SERVICE AREA:- VILLAGE RESOURCE CENTER, BRENTWOOD (OCTOBER 1, 2012 IN SPANISH): 14 PARTICIPANTS AGED 23-65 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, AND LIVING WITH CHRONIC ILLNESSES- LOAVES AND FISHES, MARTINEZ (OCTOBER 3, 2012): 23 PARTICIPANTS AGED 29-65 REPRESENTING THE FOLLOWING POPULATIONS: HOMELESS, LOW-INCOME, LIVING WITH CHRONIC CONDITIONS- CAMBRIDGE SCHOOL, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS AGED 30-49 REPRESENTING THE FOLLOWING POPULATIONS: LATINO, LOW-INCOME, PARENTS- MONUMENT CRISIS CENTER, CONCORD (OCTOBER 5, 2012 IN SPANISH): 12 PARTICIPANTS REPRESENTING THE FOLLOWING POPULATIONS: LOW INCOME AND LIVING WITH CHRONIC CONDITIONS- MIND, BODY AND SOUL, PITTSBURG (OCTOBER 8, 2012): 26 PARTICIPANTS AGED 18-60 REPRESENTING THE FOLLOWING POPULATIONS: LOW-INCOME AND AFRICAN AMERICAN- PROMOTORES, LOCATION VARIES (OCTOBER 9, 2012): 14 PARTICIPANTS AGED 23-79 REPRESENTING THE FOLLOWING POPULATIONS: LATINO AND LIVING WITH CHRONIC CONDITIONS- SOLOMON TEMPLE CHURCH, PITTSBURG (OCTOBER 10, 2012): 18 PARTICIPANTS AGED 30-72 REPRESENTING THE FOLLOWING POPULATIONS: AFRICAN AMERICAN AND LIVING WITH CHRONIC CONDITIONSTHE RESULTS OF THESE COMMUNITY CONVERSATIONS WERE CONSIDERED ALONG WITH THE SECONDARY DATA, AND A SET OF "COMMUNITY HEALTH NEEDS" WAS IDENTIFIED. THE DEFINED LIST OF COMMUNITY HEALTH NEEDS WAS SHARED AND DISCUSSED WITH A LARGE MEETING OF PUBLIC HEALTH AND SOCIAL SERVICE AGENCY LEADERS WHO WERE ASKED TO DETERMINE RELATIVE PRIORITY AMONG THE NEEDS USING ESTABLISHED CRITERIA (PERSONS INCLUDED BELOW).- ALEXIS ADORADOR, FAMILIAS UNIDAS- ALVARO FUENTES, COMMUNITY CLINIC CONSORTIUM- AUDREY TORMEY, YOUTH HOMES- BARBARA HUNT, ST VINCENT DE PAUL OF CONTRA COSTA COUNTY- BENJAMIN AUNE, OPERATION ACCESS- CHRISTY KAPLAN, JOHN MUIR HEALTH- CYNTHIA BELON, CONTRA COSTA HEALTH SERVICES - BEHAVIORAL HEALTH SERVICES ADMINISTRATION- GENNIFER MOUNTAIN, MEALS ON WHEELS AND SENIOR OUTREACH SERVICE- HELENE GLASSER, ROTACARE PITTSBURG FREE MEDICAL CLINIC AT ST VINCENT DE PAUL- JOANNE GENET, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- KATE GOHEEN, MD, CONTRA COSTA HEALTH SERVICES - CONCORD HEALTH CENTER- LUZ GOMEZ, OFFICE OF SUPERVISOR JOHN GIOIA- MARIANA MOORE, HUMAN SERVICES ALLIANCE OF CONTRA COSTA- NICOLE RAMOS, JOHN MUIR HEALTH- REBECCA ROZEN, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CA- ROBIN POPPINO-KUNTZ, PLANNED PARENTHOOD SHASTA PACIFIC- ROSA MARIA STEMBERG, PUBLIC AND ENVIRONMENTAL HEALTH ADVISORY BOARD- SANDRA WASHINGTON, JOHN MUIR HEALTH- VIC MONTOYA, CONTRA COSTA HEALTH SERVICES - MENTAL HEALTH/OLDER ADULT PROGRAM- VIOLA LUJAN, LA CLINICA DE LA RAZA- WILLIAM WALKER, MD, CONTRA COSTA HEALTH SERVICES
JOHN MUIR MEDICAL CENTER WALNUT CREEK	PART V, SECTION B, LINE 4: ALL JOHN MUIR HEALTH ENTITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK, JOHN MUIR MEDICAL CENTER, CONCORD AND JOHN MUIR HEALTH BEHAVIORAL HEALTH COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK AND KAISER FOUNDATION HOSPITAL ANTIOCH ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
JOHN MUIR MEDICAL CENTER CONCORD	PART V, SECTION B, LINE 4: ALL JOHN MUIR HEALTH ENTITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK, JOHN MUIR MEDICAL CENTER, CONCORD AND JOHN MUIR HEALTH BEHAVIORAL HEALTH COLLABORATED WITH KAISER FOUNDATION HOSPITAL WALNUT CREEK AND KAISER FOUNDATION HOSPITAL ANTIOCH ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
JOHN MUIR MEDICAL CENTER WALNUT CREEK	PART V, SECTION B, LINE 7: THE JOHN MUIR HEALTH COMMUNITY HEALTH NEEDS ADVISORY COMMITTEE SELECTED THREE OF THE TEN IDENTIFIED COMMUNITY HEALTH NEEDS TO FOCUS ON USING SELECTION CRITERIA INCLUDING ORGANIZATIONAL EXPERTISE AND RESOURCES. THE HEALTH NEED FOCUS AREAS INCLUDE: PRIMARY CARE SERVICES AND INFORMATION INCLUDING ADEQUATE SPANISH CAPACITY, SPECIALTY CARE, AND AFFORDABLE, LOCAL MENTAL HEALTH SERVICES. JMH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS A PART OF THIS COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO THE NEED TO ALLOCATE SIGNIFICANT, FOCUSED RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFIED ABOVE. INCREASE EXERCISE AND ACTIVITY & HEALTHY EATINGJMH BELIEVES THESE HEALTH NEEDS ARE IMPORTANT, HOWEVER WE ARE NOT EQUIPPED AT THIS TIME TO ADDRESS EXERCISE AND HEALTHY EATING ON A LARGE SCALE IN THE COMMUNITY. ADDITIONALLY, MANY OTHER ORGANIZATIONS HAVE BEEN ENGAGED IN THESE ACTIVITIES. WHILE NOT A PRIORITY FOCUS FOR JMH, WE WILL CONTINUE TO PROVIDE SUPPORT OF COLLABORATIONS THAT PROVIDE PRIMARY PREVENTION AND INFORMATION TO THE MOST VULNERABLE COMMUNITIES IN THE AREA. ECONOMIC SECURITYADDRESSING ECONOMIC SECURITY IS A LARGE SCOPE INITIATIVE THAT JMH CANNOT ADDRESS ALONE, DUE TO LIMITED INFRASTRUCTURE AND RESOURCES. OTHER ORGANIZATIONS ARE CURRENTLY WORKING TO ENHANCE THE SAFETY NET IN CONTRA COSTA COUNTY BY ADDRESSING ECONOMIC SECURITY. JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE ON THIS IMPORTANT ISSUE BUT WILL NOT CONTRIBUTE RESOURCES GIVEN ITS CONTRIBUTIONS IN OTHER AREAS.ASTHMA PREVENTION AND MANAGEMENT & PERI-NATAL CAREASTHMA PREVENTION AND MANAGEMENT AND PERI-NATAL CARE WERE NOT SPECIFICALLY SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF THE MAGNITUDE OF RESOURCES NEEDED FOR OUR SELECTED NEEDS. HOWEVER, JMH WILL SUPPORT ACCESS TO HEALTH CARE INCLUDING OUR CLINICAL EXPERTISE THAT WILL CONTRIBUTE TO IMPROVING NEGATIVE HEALTH OUTCOMES ASSOCIATED WITH ASTHMA AND PERI-NATAL CARE. AFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES & PARENTING SKILLS AND SUPPORTAFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES AND PARENTING SKILLS AND SUPPORT WERE NOT SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF RESOURCE CONSTRAINTS AND THE PRIORITY RANKING. HOWEVER, JMH BELIEVES THE SELECTED HEALTH NEEDS WILL ALSO ADDRESS SUBSTANCE ABUSE ISSUES, AND PARENTING NEEDS BY FOCUSING ON MENTAL HEALTH INTERVENTIONS.
JOHN MUIR MEDICAL CENTER CONCORD	PART V, SECTION B, LINE 7: THE JOHN MUIR HEALTH COMMUNITY HEALTH NEEDS ADVISORY COMMITTEE SELECTED THREE OF THE TEN IDENTIFIED COMMUNITY HEALTH NEEDS TO FOCUS ON USING SELECTION CRITERIA INCLUDING ORGANIZATIONAL EXPERTISE AND RESOURCES. THE HEALTH NEED FOCUS AREAS INCLUDE: PRIMARY CARE SERVICES AND INFORMATION INCLUDING ADEQUATE SPANISH CAPACITY, SPECIALTY CARE, AND AFFORDABLE, LOCAL MENTAL HEALTH SERVICES. JMH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA AS A PART OF THIS COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO THE NEED TO ALLOCATE SIGNIFICANT, FOCUSED RESOURCES TO THE THREE PRIORITY HEALTH NEEDS IDENTIFIED ABOVE. INCREASE EXERCISE AND ACTIVITY & HEALTHY EATINGJMH BELIEVES THESE HEALTH NEEDS ARE IMPORTANT, HOWEVER WE ARE NOT EQUIPPED AT THIS TIME TO ADDRESS EXERCISE AND HEALTHY EATING ON A LARGE SCALE IN THE COMMUNITY. ADDITIONALLY, MANY OTHER ORGANIZATIONS HAVE BEEN ENGAGED IN THESE ACTIVITIES. WHILE NOT A PRIORITY FOCUS FOR JMH, WE WILL CONTINUE TO PROVIDE SUPPORT OF COLLABORATIONS THAT PROVIDE PRIMARY PREVENTION AND INFORMATION TO THE MOST VULNERABLE COMMUNITIES IN THE AREA. ECONOMIC SECURITYADDRESSING ECONOMIC SECURITY IS A LARGE SCOPE INITIATIVE THAT JMH CANNOT ADDRESS ALONE, DUE TO LIMITED INFRASTRUCTURE AND RESOURCES. OTHER ORGANIZATIONS ARE CURRENTLY WORKING TO ENHANCE THE SAFETY NET IN CONTRA COSTA COUNTY BY ADDRESSING ECONOMIC SECURITY. JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE ON THIS IMPORTANT ISSUE BUT WILL NOT CONTRIBUTE RESOURCES GIVEN ITS CONTRIBUTIONS IN OTHER AREAS.ASTHMA PREVENTION AND MANAGEMENT & PERI-NATAL CAREASTHMA PREVENTION AND MANAGEMENT AND PERI-NATAL CARE WERE NOT SPECIFICALLY SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF THE MAGNITUDE OF RESOURCES NEEDED FOR OUR SELECTED NEEDS. HOWEVER, JMH WILL SUPPORT ACCESS TO HEALTH CARE INCLUDING OUR CLINICAL EXPERTISE THAT WILL CONTRIBUTE TO IMPROVING NEGATIVE HEALTH OUTCOMES ASSOCIATED WITH ASTHMA AND PERI-NATAL CARE. AFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES & PARENTING SKILLS AND SUPPORTAFFORDABLE, LOCAL SUBSTANCE ABUSE TREATMENT SERVICES AND PARENTING SKILLS AND SUPPORT WERE NOT SELECTED AS PRIORITY FOCUS AREAS BECAUSE OF RESOURCE CONSTRAINTS AND THE PRIORITY RANKING. HOWEVER, JMH BELIEVES THE SELECTED HEALTH NEEDS WILL ALSO ADDRESS SUBSTANCE ABUSE ISSUES, AND PARENTING NEEDS BY FOCUSING ON MENTAL HEALTH INTERVENTIONS.
JOHN MUIR MEDICAL CENTER WALNUT CREEK	PART V, SECTION B, LINE 20D: IF IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR JOHN MUIR HEALTH'S FINANCIAL ASSISTANCE PLAN, ANY BILLS PREVIOUSLY SENT TO THAT PATIENT ARE RECALCULATED TO $0.
JOHN MUIR MEDICAL CENTER CONCORD	PART V, SECTION B, LINE 20D: IF IT IS DETERMINED THAT A PATIENT IS ELIGIBLE FOR JOHN MUIR HEALTH'S FINANCIAL ASSISTANCE PLAN, ANY BILLS PREVIOUSLY SENT TO THAT PATIENT ARE RECALCULATED TO $0.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
JOHN MUIR HEALTH

Employer identification number
94-1461843

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(h) Purpose of grant or assistance
(1) JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND 1399 YGNACIO VALLEY ROAD SUITE 36 WALNUT CREEK,CA94598	91-1788973	501(C)(3)	2,378,691	CASH VALUE	COMMUNITY GRANTS
(2) JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BOULEVARD WALNUT CREEK,CA94597	68-0249685	501(C)(3)	7,271,355	CASH VALUE	GENERAL SUPPORT
(3) JOHN MUIR HEALTH FOUNDATION 1400 TREAT BOULEVARD SUITE 300 WALNUT CREEK,CA94597	94-2650855	501(C)(3)	3,085,059	CASH VALUE	GENERAL SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance
(1) SCHOLARSHIPS	10	40,000	0

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	JOHN MUIR HEALTH AND FINANCIAL MANAGEMENT MONITOR THE USE OF THE RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES. SCHOLARSHIPS MADE IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSE ARE SUBJECT TO CONDITIONS ESTABLISHED TO ENSURE THAT INDIVIDUALS RECEIVING SCHOLARSHIPS ARE ADEQUATELY INVESTIGATED TO VERIFY THEY ARE QUALIFIED RECIPIENTS.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

Yes

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)CALVIN KNIGHTPRESIDENT/CEO/DIRECTOR	(i) (ii)	912,343 0	470,936 0	84,992 0	683,676 0	20,276 0	2,172,223 0	470,936 0
(2)MICHAEL MOODYCFO	(i) (ii)	462,093 0	165,490 0	41,522 0	216,461 0	21,828 0	907,394 0	165,490 0
(3)NANCY OLSONASSISTANT SECRETARY	(i) (ii)	381,410 0	147,852 0	86,633 0	170,994 0	15,377 0	802,266 0	147,852 0
(4)IRVING PIKECMO	(i) (ii)	451,289 0	87,162 0	66,613 0	184,443 0	19,086 0	808,593 0	87,162 0
(5)JANE WILLEMSENCAO (WALNUT CREEK CAMPUS)	(i) (ii)	463,923 0	233,784 0	17,912 0	349,916 0	16,586 0	1,082,121 0	233,784 0
(6)MICHAEL THOMASCAO (CONCORD CAMPUS)	(i) (ii)	431,287 0	203,162 0	18,277 0	303,805 0	21,828 0	978,359 0	203,162 0
(7)GEORGE KAZAGLISVP/COO	(i) (ii)	254,072 0	365,262 0	15,424 0	134,561 0	18,507 0	787,826 0	0 0
(8)MARTI TARNOWSKIVP PLANNING & MARKETING	(i) (ii)	334,090 0	127,809 0	26,729 0	176,401 0	16,181 0	681,210 0	127,809 0
(9)MICHAEL MONALDOVP FACILITIES DEVELOPMENT	(i) (ii)	292,178 0	117,099 0	48,981 0	124,570 0	21,828 0	604,656 0	117,099 0
(10)DEBRA PENDERGASTVP PATIENT CARE SERVICES	(i) (ii)	321,360 0	110,152 0	37,534 0	147,046 0	19,086 0	635,178 0	110,152 0
(11)DONNA BRACKLEYCHIEF NURSING OFFICER	(i) (ii)	288,122 0	107,225 0	32,529 0	153,302 0	18,507 0	599,685 0	0 0
(12)KENNETH MEEHANFORMER EXECUTIVE VP OPERATIONS	(i) (ii)	0 0	254,182 0	627,312 0	447,673 0	23,481 0	1,352,648 0	254,182 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
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 AN USUAL OCCURRENCE AND ARE EVALUATED AND APPROVED BY THE CEO OR CFO. ADDITIONALLY, FOR CERTAIN MEMBERS OF MANAGEMENT THAT ARE RECRUITED FROM OUTSIDE OF THE AREA, A HOUSING ALLOWANCE MAY BE PROVIDED AS PART OF THE RECRUITMENT PROCESS. EACH RECRUITMENT IS EVALUATED ON A CASE-BY-CASE BASED ON THE CURRENT MARKET AND THE QUALIFICATIONS OF THE CANDIDATE TO DETERMINE WHETHER OR NOT THE INCLUSION OF A HOUSING ALLOWANCE WILL BE PART OF THE RECRUITMENT PACKAGE. FOR CERTAIN MEMBERS OF MANAGEMENT A REIMBURSEMENT OF UP TO 50% OF HEALTH CLUB DUES IS AVAILABLE. THIS PERQUISITE IS INCLUDED AS PART OF THE EVALUATION OF THE ANNUAL COMPENSATION EVALUATION PROCESS. ALL COMPONENTS DISCUSSED IN THIS SECTION ARE TREATED AS TAXABLE INCOME FOR THE EMPLOYEE RECEIVING THE PAYMENT.
PART I, LINE 1B	THE CORPORATION, WITH THE OVERSIGHT AND APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, BASES A PORTION OF ANNUAL MANAGEMENT INCENTIVE PAYMENTS ON THE CONSOLIDATED NET EARNINGS TARGETS OF JOHN MUIR HEALTH. IN ADDITION TO THE CONSOLIDATED NET EARNINGS THE MANAGEMENT INCENTIVE PAYMENTS ARE BASED ON VARIOUS QUALITY AND PATIENT SATISFACTION METRICS. PAYMENTS TO MANAGEMENT PERSONNEL ARE MADE IN THE SUBSEQUENT YEAR BASED ON THE LEVEL OF ACHIEVEMENT OF ALL ELEMENTS OF THE INCENTIVE PROGRAM, OF WHICH NET EARNINGS TARGETS ARE A COMPONENT. THEREFORE, EACH YEAR AN ACCRUAL OF THE ESTIMATED PAYMENTS FOR MANAGEMENT INCENTIVES IS INCLUDED IN THE CALCULATION OF NET EARNINGS TARGETS FOR THAT YEAR. THE INCENTIVE PROGRAMS FOR THE MANAGEMENT OF JOHN MUIR HEALTH ARE DEVELOPED AND REVIEWED BY AN OUTSIDE CONSULTANT WHOSE EXPERTISE IS IN COMPENSATION AND WHO DEVELOPS MARKET DATA FOR SIMILAR ORGANIZATIONS AS A BASIS FOR THE CORPORATION'S INCENTIVE PROGRAM. THE INCENTIVE PROGRAM AND MARKET DATA IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.
PART I, LINE 3	THE CORPORATION, WITH THE OVERSIGHT AND APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, BASES A PORTION OF ANNUAL MANAGEMENT INCENTIVE PAYMENTS ON THE CONSOLIDATED NET EARNINGS TARGETS OF JOHN MUIR HEALTH. PAYMENTS TO MANAGEMENT PERSONNEL ARE MADE IN THE SUBSEQUENT YEAR BASED ON THE LEVEL OF ACHIEVEMENT OF ALL ELEMENTS OF THE INCENTIVE PROGRAM, OF WHICH NET EARNINGS TARGETS ARE A COMPONENT. THEREFORE, EACH YEAR AN ACCRUAL OF THE ESTIMATED PAYMENTS FOR MANAGEMENT INCENTIVES IS INCLUDED IN THE CALCULATION OF NET EARNINGS TARGETS FOR THAT YEAR. THE INCENTIVE PROGRAMS FOR THE MANAGEMENT OF JOHN MUIR HEALTH ARE DEVELOPED AND REVIEWED BY AN OUTSIDE CONSULTANT WHOSE EXPERTISE IS IN COMPENSATION AND WHO DEVELOPS MARKET DATA FOR SIMILAR ORGANIZATIONS AS A BASIS FOR THE CORPORATION'S INCENTIVE PROGRAM. THE INCENTIVE PROGRAM AND MARKET DATA IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS.
PART I, LINES 4A-B	IN 2013, JMH IMPLEMENTED A "VOLUNTARY SEPARATION PROGRAM" (VSP) TO ALLOW ELIGIBLE EMPLOYEES TO EXIT JMH VOLUNTARILY BASED ON THEIR PERSONAL CHOICES AND CIRCUMSTANCES. THE VSP WAS OPEN TO ALL EMPLOYEES, WITH THOSE ACCEPTED RECEIVING A BASIC SEVERANCE PAYMENT PLUS ADDITIONAL FINANCIAL INCENTIVE BASED ON YEARS OF SERVICE IN EXCHANGE FOR THEIR AGREEMENT TO SEPARATE VOLUNTARILY FROM JMH. THE VSP WAS IMPLEMENTED AT JMH AND ALL JMH SUBSIDIARIES. KENNETH MEEHAN RECEIVED SEVERANCE OF $524,826 PART I, LINE 4B: JANE ANN WILLEMSEN $163,124 SERP PLAN MICHAEL THOMAS $128,220 SERP PLAN CALVIN KNIGHT $216,307 SERP PLAN MARTI TARNOWSKI $ 70,137 RESTORATION PLAN MICHAEL D MOODY $ 73,143 RESTORATION PLAN NANCY OLSON $ 48,908 RESTORATION PLAN MICHAEL MONALDO $ 27,831 RESTORATION PLAN IRVING PIKE $ 51,781 RESTORATION PLAN KENNETH MEEHAN $251,756 RESTORATION PLAN GEORGE KAZAGLIS $ 66,951 RESTORATION PLAN DEBRA PENDERGAST $ 41,782 RESTORATION PLAN DONNA BRACKLEY $ 57,925 RESTORTAION PLAN
SUPPLEMENTAL INFORMATION	COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE CONSULTANT WHO IS A COMPENSATION EXPERT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITIES AND THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT.
SCHEDULE J, PART II, COLUMN B(III):	IN DECEMBER 2013, JMH IMPLEMENTED A "PAID TIME OFF CAP" TO BE EFFECTIVE BEGINNING IN 2014. IN CONNECTION WITH THE NEW POLICY TO LIMIT BENEFIT-ELIGIBLE EMPLOYEE AT 125% OF THEIR TOTAL PAID TIME OFF ACCRUAL VALUE (BASED ON YEARS OF SERVICE), JMH CASHED OUT EMPLOYEE BALANCES IN EXCESS OF 100% OF THEIR PAID TIME OFF ACCRUAL CAPS. THE NEW POLICY IS EFFECTIVE AT JMH AND ALL JMH SUBSIDIARIES.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
JOHN MUIR HEALTH

Employer identification number
94-1461843

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	130911J84	05-10-2005	50,290,253	SEE PART VI		X		X		X
B	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	130911Y87	06-14-2006	203,016,972	SEE PART VI		X		X		X
C	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	130795UC9	05-02-2008	145,800,000	SEE PART VI		X		X		X
D	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	130795N86	10-29-2009	101,911,952	SEE PART VI		X		X		X
	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610		05-23-2012	89,800,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	23,805,000				50,700,000		5,850,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	50,290,253		231,090,613		145,800,000		101,922,259
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .	23,598,317		23,598,317
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	908,703		2,140,116		1,155,297		1,911,852
8 Credit enhancement from proceeds . . . . . . . . . . .	644,000				497,539
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	205,352,180		205,352,180				99,973,171
11 Other spent proceeds . . . . . . . . . . . . . .	48,737,550				144,165,164
12 Other unspent proceeds . . . . . . . . . . . . . .	37,236						37,236
13 Year of substantial completion . . . . . . . . . . . .	2011		2011				2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X	X			X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0.010 %		0.010 %		0.010 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0.010 %		0.010 %		0.010 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X	X			X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X				X		X
b Exception to rebate? . . . . . . . .		X				X		X
c No rebate due? . . . . . . . .	X				X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X	X			X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K SUPPLENTAL INFORMATION

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

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
JOHN MUIR HEALTH

Employer identification number
94-1461843

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	130911J84	05-10-2005	50,290,253	SEE PART VI		X		X		X
B	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	130911Y87	06-14-2006	203,016,972	SEE PART VI		X		X		X
C	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	130795UC9	05-02-2008	145,800,000	SEE PART VI		X		X		X
D	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	130795N86	10-29-2009	101,911,952	SEE PART VI		X		X		X
	CALIFORNIA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610		05-23-2012	89,800,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	23,805,000				50,700,000		5,850,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	50,290,253		231,090,613		145,800,000		101,922,259
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .	23,598,317		23,598,317
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	908,703		2,140,116		1,155,297		1,911,852
8 Credit enhancement from proceeds . . . . . . . . . . .	644,000				497,539
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	205,352,180		205,352,180				99,973,171
11 Other spent proceeds . . . . . . . . . . . . . .	48,737,550				144,165,164
12 Other unspent proceeds . . . . . . . . . . . . . .	37,236						37,236
13 Year of substantial completion . . . . . . . . . . . .	2011		2011				2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X	X			X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0.010 %		0.010 %		0.010 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0.010 %		0.010 %		0.010 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X	X			X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X				X		X
b Exception to rebate? . . . . . . . .		X				X		X
c No rebate due? . . . . . . . .	X				X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X	X			X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K SUPPLENTAL INFORMATION

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) CALVIN KNIGHT	CEO/OFFICER	HOUSING RELOCATION		X	250,000	129,167		No	Yes		Yes
(2) DEBRA PENDERGAST	HIGHEST COMPENSATED	HOUSING RELOCATION		X	125,000	101,250		No	Yes		Yes




Total ...... $						230,417

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) AMY ANDERSON	SPOUSE OF A BOARD MEMBER	143,805	EMPLOYEE		No
(2) BAY AREA SURGICAL SPECIALIST	BOARD MEMBER HAS OWNERSHIP INTEREST	1,376,958	CONTRACTS FOR PROFESSIONAL AND ADMINISTRATIVE SERVICES		No
(3) JOHN MUIR MEDICAL GROUP	COMMON BOARD MEMBERS	464,681	CONTRACTS FOR PROFESSIONAL AND ADMINISTRATIVE SERVICES		No
(4) EAST BAY MEDICAL ONCOLOGY HEMATOLOGY MEDICAL ASSOCIATES INC	BOARD MEMBER HAS OWNERSHIP INTEREST	400,598	CONTRACTS FOR PROFESSIONAL AND ADMINISTRATIVE SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	THOMAS RUNDALL (JMH VICE CHAIR AND DIRECTOR) IS A BOARD MEMBER OF ON LOK, INC., A NOT-FOR-PROFIT COMMUNITY ORGANIZATION WHICH EMPLOYS ROBERT EDMONDSON (JMH DIRECTOR) AS CEO.
FORM 990, PART VI, SECTION A, LINE 4	THROUGH THE WORK OF THE JMH AD HOC GOVERNANCE COMMITTEE OF THE JMH BOARD, THE JMH GOVERNANCE COMMITTEE AND BOARD EVALUATED AND RESTRUCTURED THE GOVERNANCE OF JOHN MUIR HEALTH (JMH) AND TWO OF ITS AFFILIATED ENTITIES, JOHN MUIR PHYSICIAN NETWORK (JMPN) AND JOHN MUIR BEHAVIORAL HEALTH (JMBH). THESE CHANGES WERE DEVELOPED TO (I) PROVIDE BROAD OVERSIGHT OF THE ACTIVITIES OF THE JMH HEALTH SYSTEM, (II) INCLUDE A DIVERSITY OF PERSPECTIVES OF BOTH COMMUNITY AND COMMUNITY PHYSICIANS AND (III) INCREASE TRANSPARENCY. THE JMH BYLAWS WERE AMENDED AS OF SEPTEMBER 1, 2013 TO IMPLEMENT GOVERNANCE CHANGES RELATED TO JMH. A. BOARD COMPOSITION. THE BOARD SIZE REMAINED THE SAME, INCLUDING THE CEO AS A VOTING MEMBER. THE NUMBER OF VOTING MEMBERS WAS CHANGED TO INCLUDE 8 COMMUNITY MEMBERS AND 6 PHYSICIANS (PREVIOUSLY, 10 COMMUNITY MEMBERS AND 4 PHYSICIANS). UNTIL JANUARY 1, 2018, MUIR MEDICAL GROUP IPA (IPA) WILL RECOMMEND FOUR OF THE PHYSICIAN VOTING MEMBERS OF THE BOARD AND JOHN MUIR MEDICAL GROUP (JMMG) WILL RECOMMEND TWO. THE BYLAWS PROVIDE THAT THESE RECOMMENDATIONS ARE SUBJECT TO APPROVAL BY THE JMH BOARD. B. DIRECTOR COMPENSATION. THE BYLAWS PERMIT (BUT DO NOT REQUIRE) COMPENSATION OF VOTING BOARD MEMBERS AND COMMITTEE MEMBERS. C. COMMITTEE MEMBERSHIP. I. EXECUTIVE COMMITTEE. THE COMPOSITION WAS CHANGED TO ADD AN ADDITIONAL PHYSICIAN BOARD MEMBER, SHIFTING FROM A TOTAL OF SIX OR SEVEN BOARD MEMBERS, TO SEVEN OR EIGHT (DEPENDING ON WHETHER THE PAST CHAIR CONTINUED TO BE A BOARD MEMBER). THE BYLAWS ALSO CLARIFIED THAT ONLY VOTING BOARD MEMBERS MAY VOTE WHEN THE COMMITTEE EXERCISES DELEGATED BOARD AUTHORITY. II. GOVERNANCE COMMITTEE. THE COMPOSITION WAS CHANGED FROM A RANGE OF FIVE TO SEVEN TO FIVE, WITH THREE COMMUNITY BOARD MEMBERS AND TWO PHYSICIAN BOARD MEMBERS (ONE RECOMMENDED BY EACH OF THE IPA AND JMMG THROUGH THE END OF 2019). THE BYLAWS CLARIFIED THAT ONLY VOTING BOARD MEMBERS MAY VOTE WHEN THE COMMITTEE EXERCISES DELEGATED BOARD AUTHORITY. III. FINANCE COMMITTEE. THE BYLAWS LIMITED THE NUMBER OF COMMITTEE MEMBERS TO 11, RESULTING IN A RANGE OF SEVEN TO 11 MEMBERS. IN ADDITION, THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE WAS ADDED AS A MEMBER. FINALLY, THE ROLE OF THE COMMITTEE WAS EXPANDED TO INCLUDE REAL ESTATE AND CONSTRUCTION OVERSIGHT. IV. INVESTMENT SUBCOMMITTEE. THE MINIMUM NUMBER OF MEMBERS AS INCREASED FROM SEVEN TO NINE, RESULTING IN A RANGE OF NINE TO 11. THE BYLAWS WERE ALSO CHANGED TO ADD A REQUIREMENT THAT THE CHAIR BE A VOTING BOARD MEMBER AND THAT MEMBERS HAVE FINANCE EXPERTISE. V. STRATEGIC PLANNING AND MARKETING COMMITTEE. THE MINIMUM NUMBER OF MEMBERS WAS INCREASED FROM SEVEN TO NINE, INCLUDING AN INCREASE IN THE MINIMUM NUMBER OF PHYSICIANS FROM TWO TO FOUR. THE BYLAWS ALSO ADDED THE JMH PRESIDENT/CEO AS AN EX OFFICIO NON-VOTING MEMBER. VI. AUDIT AND COMPLIANCE COMMITTEE. THE BYLAWS ADDED S REQUIREMENT THAT ALL MEMBERS BE "FINANCIALLY LITERATE," AND ALSO THAT AT LEAST ONE MEMBER BE A "FINANCIAL EXPERT" (AS DEFINED UNDER SARBANES-OXLEY). VII. QUALITY AND PATIENT SAFETY COMMITTEE. THE MINIMUM NUMBER OF MEMBERS WAS INCREASED FROM NINE TO 12 (INCLUDING AT LEAST FIVE PHYSICIANS). THE LIMIT ON THE NUMBER OF MEMBERS WAS REMOVED.
FORM 990, PART VI, SECTION A, LINE 6	MT. DIABLO HEALTHCARE DISTRICT AND JOHN MUIR ASSOCIATION HAVE THE RIGHT TO APPROVE CERTAIN SIGNIFICANT CORPORATE ACTIONS (AS DESCRIBED IN SCHEDULE O).
FORM 990, PART VI, SECTION A, LINE 7B	THE BYLAWS OF JOHN MUIR HEALTH PROVIDE THAT JOHN MUIR HEALTH MAY NOT, WITHOUT THE PRIOR WRITTEN CONSENT OF THE MT. DIABLO HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, AND THE JOHN MUIR ASSOCIATION, A CALIFORNIA NONPROFIT CORPORATION: (I) SELL, TRANSFER, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF JOHN MUIR HEALTH; (II) ISSUE A MEMBERSHIP IN JOHN MUIR HEALTH TO ANY PERSON OR ENTITY; (III) MERGE WITH ANY OTHER PERSON OR ENTITY, UNLESS JOHN MUIR HEALTH IS THE SURVIVING CORPORATION IN THE MERGER; OR (IV) AMEND SECTION 5.6 OF THE BYLAWS OF JOHN MUIR HEALTH (WHICH OBLIGATES JOHN MUIR HEALTH TO, AMONG OTHER THINGS, PROVIDE AT LEAST ONE MILLION DOLLARS ($1,000,000) ANNUALLY TO FUND CERTAIN COMMUNITY BENEFIT PROJECTS SPONSORED BY THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND).
FORM 990, PART VI, SECTION B, LINE 11	THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER OR HIS DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, THE JOHN MUIR HEALTH ("JMH") BOARD CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM REQUIRED TO BE COMPLETED AND SIGNED. FOLLOWING DISTRIBUTION OF THE POLICY, THE GENERAL COUNSEL PROVIDES AN EDUCATIONAL SESSION RELATING TO BOARD MEMBER FIDUCIARY DUTIES AND CONFLICTS OF INTEREST COVERING, AMONG OTHER THINGS, REQUIRED DISCLOSURES AND THE PROCESS FOR APPROVAL OF TRANSACTIONS INVOLVING A POTENTIAL CONFLICT. DISCLOSED CONFLICTS ARE COMPILED IN A DOCUMENT AND REVIEWED BY THE BOARD CHAIR, PRESIDENT/CEO AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTENDS BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL, THE GOVERNANCE COMMITTEE, AND FOR CERTAIN TRANSACTIONS WITH CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICTS DURING THE YEAR. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, THE PRESIDENT/CEO AND THE BOARD CHAIR.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE CONSULTANT WHO IS A COMPENSATION EXPERT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITIES AND THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT.
FORM 990, PART VI, SECTION C, LINE 19	JOHN MUIR HEALTH PROVIDES FINANCIAL INFORMATION ON A QUARTERLY BASIS THROUGH VARIOUS BOND DISCLOSURE DATABASES. THIS FINANCIAL INFORMATION IS AVAILABLE FOR JOHN MUIR HEALTH ON A CONSOLIDATED AND CONSOLIDATING BASIS, INCLUDING SUBSIDIARIES. REQUESTS FOR THE PROVISION OF GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE DIRECTED TO OUR LEGAL DEPARTMENT FOR THE APPROPRIATE RESPONSE.
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION FUND LIABILITY 54,824,000.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) JOHN MUIR HEALTH FOUNDATION 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 94-2650855	SOLICITATION OF FUNDS FOR JOHN MUIR HEALTH	CA	501(C)(3)	7	N/A	Yes
(2) JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 68-0360801	PROVIDE CLINIC SERVICES & MANAGE HEALTHCARE RISK OPERATIONS WITH JOHN MUIR	CA	501(C)(3)	11 TYPE I	N/A	Yes
(3) JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 68-0249685	PROVIDE BEHAVIORAL HEALTH SERVICES INCLUDING MENTAL HEALTH & SUBSTANCE ABUSE	CA	501(C)(3)	3	N/A	Yes
(4) JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 91-1788973	PROVIDE GRANTS THAT ENHANCE HEALTHCARE SERVICES TO UNDERSERVED	CA	501(C)(3)	11 TYPE III	N/A	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) JOHN MUIR MAGNETIC IMAGING 1400 TREAT BLVD WALNUT CREEK,CA94598 68-0202020	DIAGNOSTIC IMAGING	CA	N/A	RELATED	1,962,704	7,107,681		No		Yes
(2) NEUROSCAN 115 LA CASA VIA STE 202 WALNUT CREEK,CA94598 68-0017617	DIAGNOSTIC IMAGING	CA	N/A	RELATED	3,011,072	7,192,532		No		Yes
(3) BAY AREA SURGICAL VENTURES 30 S WACKER DR STE 2302 CHICAGO,IL60606 20-3052802	MEDICAL SERVICES	CA	N/A	RELATED	607,387	1,252,836		No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) CARIDIAN PHYSICIAN SERVICES INC 700 YGNACIO VALLEY BLVD WALNUT CREEK,CA94596 68-0297913	INACTIVE	CA	N/A	C			100.000 %	Yes
(2) MT DIABLO PRACTICE MANAGEMENT 1400 TREAT BLVD WALNUT CREEK,CA94597 68-0031326	INACTIVE	CA	N/A	C			100.000 %	Yes
(3) JOHN MUIRMT DIABLO PARENT COMPANY 1400 TREAT BLVD WALNUT CREEK,CA94597 90-0060434	INACTIVE	CA	N/A	C			100.000 %	Yes

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) JOHN MUIR BEHAVIORAL HEALTH	A	1,037,700	CASH VALUE
(2) JOHN MUIR BEHAVIORAL HEALTH	K	238,791	CASH VALUE
(3) JOHN MUIR BEHAVIORAL HEALTH	L	321,000	CASH VALUE
(4) JOHN MUIR BEHAVIORAL HEALTH	B	7,271,355	CASH VALUE
(5) JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND	B	2,378,691	CASH VALUE
(6) JOHN MUIR HEALTH FOUNDATION	A	123,696	CASH VALUE
(7) JOHN MUIR HEALTH FOUNDATION	C	3,143,185	CASH VALUE
(8) JOHN MUIR PHYSICIAN NETWORK	A	769,401	CASH VALUE
(9) JOHN MUIR PHYSICIAN NETWORK	L	41,143,617	CASH VALUE
(10) JOHN MUIR PHYSICIAN NETWORK	O	2,441,476	CASH VALUE
(11) JOHN MUIR MAGNETIC IMAGING CENTER	A	305,916	CASH VALUE
(12) JOHN MUIR MAGNETIC IMAGING CENTER	L	1,261,368	CASH VALUE
(13) JOHN MUIR MAGNETIC IMAGING CENTER	P	66,326	CASH VALUE
(14) NEUROSCAN	A	103,271	CASH VALUE
(15) NEUROSCAN	L	2,303,195	CASH VALUE
(16) NEUROSCAN	P	136,953	CASH VALUE
(17) BAY AREA SURGICAL VENTURES	A	1,808,048	CASH VALUE
(18) BAY AREA SURGICAL VENTURES	P	33,474	CASH VALUE
(19) JOHN MUIR HEALTH FOUNDATION	B	3,085,059	CASH VALUE

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	5,971
6	Total number of volunteers (estimate if necessary) .............	6	1,600
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,354,708
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-648,321

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,105,048	3,699,470
9	Program service revenue (Part VIII, line 2g) .........	1,195,995,964	1,166,718,051
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	47,101,504	64,226,111
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	42,940,493	38,283,080
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,290,143,009	1,272,926,712
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,134,770	12,775,105
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	659,774,951	648,015,674
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	496,753,347	525,245,038
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,162,663,068	1,186,035,817
19	Revenue less expenses. Subtract line 18 from line 12.......	127,479,941	86,890,895
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,150,008,139	2,419,203,102
21	Total liabilities (Part X, line 26).............	934,485,305	1,017,643,102
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,215,522,834	1,401,560,000

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 431,204,329 including grants of $ 12,775,105 ) (Revenue $ 426,283,556 )
	HOSPITAL SERVICES - GENERAL MEDICINE AND SURGERY. THE CORE OF JOHN MUIR HEALTH'S SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY SERVICES TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH FOR PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. NATIONAL RECOGNITIONS RECEIVED IN 2013 INCLUDE (1) RECOGNITION OF JOHN MUIR MEDICAL CENTER, WALNUT CREEK BY U.S. NEWS & WORLD REPORT FOR THE SEVENTH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS" FOR GASTROENTEROLOGY & GI SURGERY, GYNECOLOGY, GERIATRICS AND ORTHOPEDICS, (2) RECOGNITION OF JOHN MUIR MEDICAL CENTER, CONCORD BY U.S. NEWS & WORLD REPORT AS ONE OF "AMERICA'S BEST HOSPITALS" FOR DIABETES & ENDOCRINOLOGY AND ORTHOPEDICS, (3) RECOGNITION OF 12 SERVICES COMBINED AT THE WALNUT CREEK AND CONCORD HOSPITALS AS NATIONALLY RANKED OR HIGH PERFORMING BY U.S. NEWS & WORLD REPORT (4) U.S. NEWS AND WORLD REPORT ALSO RANKED JOHN MUIR MEDICAL CENTER, WALNUT CREEK #2 AND JOHN MUIR MEDICAL CENTER, CONCORD #3 OUT OF ALL 45 HOSPITALS IN THE SAN FRANCISCO-OAKLAND AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #7 AND #11 IN CALIFORNIA OUT OF 400 HOSPITALS, (5) JOHN MUIR MEDICAL CENTER, WALNUT CREEK WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS BY HEALTHGRADES, (6) JOHN MUIR MEDICAL CENTER , CONCORD WAS RANKED AS ONE OF THE COUNTRY'S 100 GREAT COMMUNITY HOSPITALS BY BECKER'S HEALTHCARE REVIEW (7) JOHN MUIR MEDICAL CENTER, WALNUT CREEK WAS RANKED AMONG THE TOP FIVE PERCENT OF HOSPITALS NATIONALLY FOR QUALITY OF CARE BY HEALTHGRADES, AND BOTH HOSPITALS RECEIVED FIVE-STAR RATINGS AND RANKINGS IN THE TOP 10% IN THE NATION FOR SEVERAL SERVICES, PROCEDURES AND TREATMENTS. OUR PROGRAM EMPHASIS IN 2013 WAS ON CONTINUED OUTREACH TO UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS TO PROVIDE DIRECT SERVICES INCLUDING GERIATRIC CARE COORDINATION, MOBILE DENTAL CLINIC, MOBILE HEALTH CLINIC, AND SUPPORT FOR TEEN PREGNANCY PROGRAMS, OPERATION ACCESS (A PROGRAM WHEREBY INDIGENT AND THOSE IN NEED RECEIVE FREE SURGICAL AND HOSPITAL CARE FOR ACUTE CONDITIONS), VIOLENCE PREVENTION, AND PARISH-BASED NURSING.

4b	(Code: ) (Expenses $ 115,380,581 including grants of $ ) (Revenue $ 125,680,138 )
	CARDIOVASCULAR CARE IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. ACHIEVEMENTS IN 2013 INCLUDED RECOGNITION BY THE AMERICAN HEART ASSOCIATION OF JOHN MUIR HEALTH'S CONCORD MEDICAL CENTER FOR PROVIDING OUTSTANDING CARE TO HIGH RISK HEART ATTACK PATIENTS BY AWARDING THE MISSION LIFELINE GOLD PERFORMANCE ACHIEVEMENT AWARD FOR STEMI CARE. JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO RECEIVED THE GOLD PLUS ACHIEVEMENT AWARD FOR HEART FAILURE CARE, AND THE GET WITH THE GUIDELINES PLATINUM AWARD FOR HEART ATTACK CARE. BOTH JOHN MUIR HEALTH MEDICAL CENTERS HOLD THE HIGHEST LEVEL OF ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS AND ARE DESIGNATED AS HIGH-RISK HEART ATTACK (STEMI) RECEIVING CENTERS BY THE COUNTY DEPARTMENT OF EMERGENCY MEDICAL SERVICES.

4c	(Code: ) (Expenses $ 95,461,361 including grants of $ ) (Revenue $ 156,532,418 )
	WOMEN'S AND CHILDREN'S IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. ACHIEVEMENTS IN 2013 INCLUDED, (1) REDUCED THE NUMBER OF TIMES CRITICALLY ILL NEWBORNS WERE TRANSFERRED TO OTHER HOSPITALS FOR PEDIATRIC SPECIALTY CARE AND MINOR SURGERIES BY ARRANGING FOR LOCAL CONSULTATIONS BY PEDIATRIC SPECIALISTS, (2) EXPERIENCED CONSISTENT GROWTH IN THE CENTER FOR WOMEN'S CONTINENCE AND PELVIC HEALTH RESULTING IN 70% OF PATIENTS REPORTING SUCCESSFUL TREATMENT WITHOUT INVASIVE SURGERY, (3)INTRODUCED NEW PEDIATRIC SURGICAL SUBSPECIALISTS IN GENERAL AND ORTHOPEDIC SURGERY AND PEDIATRIC MEDICAL SUBSPECIALISTS IN RHEUMATOLOGY AND PULMONOLOGY ALLOWING FOR CHILDREN REQUIRING THESE SERVICES TO STAY IN OUR COMMUNITY FOR THEIR CARE, (4) IMPLEMENTED QUALITY IMPROVEMENT INITIATIVES INCLUDING DVT PROPHYLAXIS FOR GYN SURGERIES AND CASE TRACKING FOR SERIAL READMISSIONS FOR UROSEPSIS THROUGH THE CENTER FOR WOMEN'S CONTINENCE, (5) CONTINUED CHILD-FRIENDLY POLICIES TO SUPPORT PROCESSES FOR PEDIATRIC PATIENTS INCLUDING FAMILY CENTERED CARE, POLICIES FOR PROCEDURES AND ADMISSIONS TO JOHN MUIR HEALTH AND ACCOMMODATION FOR FAMILIES WHO HAVE CHILDREN ADMITTED TO THE HOSPITAL, (6) ADDED A CHILD LIFE SPECIALIST WHO HELPS CHILDREN COPE WITH THE STRESS OF MEDICAL PROCEDURES OR STAYING IN THE HOSPITAL BY HELPING THEM FEEL MORE IN CONTROL AND GIVING THEM SPACE TO PLAY AND BE KIDS.

	(Code: ) (Expenses $ 407,731,137 including grants of $ ) (Revenue $ 488,283,726 )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 407,731,137 including grants of $ ) (Revenue $ 488,283,726 )
4e	Total program service expenses1,049,777,408

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	8,155,171	0	3,325,419

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		39,600
d	Related organizations...1d		3,659,870
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			3,699,470
			Business Code
2a	PATIENT REVENUE		900099	902,750,450	902,750,450
b	MEDICARE REVENUE		900099	258,129,154	258,129,154
c	PREMIUM REVENUE		900099	5,838,447	5,838,447
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,166,718,051
3	Investment income (including dividends, interest, and other similar amounts).......			9,633,557			9,633,557
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	6,040,828
b	Less: rental expenses	1,128,745
c	Rental income or (loss)	4,912,083
d	Net rental income or (loss).......			4,912,083			4,912,083
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	157,593,647	37,104,426
b	Less: cost or other basis and sales expenses	94,515,296	45,590,223
c	Gain or (loss)	63,078,351	-8,485,797
d	Net gain or (loss)..........			54,592,554	-8,143,000		62,735,554
8a	Gross income from fundraising events (not including $ 39,600 of contributions reported on line 1c). See Part IV, line 18 ..
	a		137,960
b	Less: direct expenses ...b		53,239
c	Net income or (loss) from fundraising events..			84,721			84,721
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	OTHER OPERATING INCOME		900099	33,286,276	28,931,568	4,354,708
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			33,286,276
12	Total revenue. See Instructions......			1,272,926,712	1,187,506,619	4,354,708	77,365,915


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............				1
2	Savings and temporary cash investments .........			122,027,751	2	141,431,635
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			223,441,904	4	203,581,685
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			7,023,087	8	6,606,789
9	Prepaid expenses and deferred charges ..........			14,409,227	9	15,783,218
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,510,286,352
b	Less: accumulated depreciation .....	10b	577,897,576	924,315,329	10c	932,388,776
11	Investments—publicly traded securities ..........			761,702,200	11	890,177,316
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....			0	13	106,022,000
14	Intangible assets ...............			0	14	6,501,811
15	Other assets. See Part IV, line 11 ...........			97,088,641	15	116,709,872
16	Total assets. Add lines 1 through 15 (must equal line 34)......			2,150,008,139	16	2,419,203,102
17	Accounts payable and accrued expenses .........			186,041,473	17	199,321,006
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			428,436,740	20	540,268,547
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			89,800,000	23	89,800,000
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			230,207,092	25	188,253,549
26	Total liabilities. Add lines 17 through 25.........			934,485,305	26	1,017,643,102
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,214,386,265	27	1,400,106,000
28	Temporarily restricted net assets ...........			1,136,569	28	1,454,000
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			1,215,522,834	33	1,401,560,000
34	Total liabilities and net assets/fund balances ........			2,150,008,139	34	2,419,203,102

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No