John Muir Health

What it reported doing in 2024

Cardiovascular is the second largest hospital-based service of john muir health. Cardiovascular achievements in 2024 includes: - the concord medical center received a clinical excellence award for cardiac surgery, coronary intervention, joint replacement and outpatient joint replacement from healthgrades. Excellence awards place our medical centers among the top 5-10% of hospitals nationwide in those specialty care areas.- the concord medical center ranks #1 in California and #8 in us for coronary artery bypass graft surgery for 30-day patient survival rate after coronary artery bypass graft (cabg) surgery. The rankings are based on data from cms from their fiscal year 2025 hospital value-based purchasing (vbp)program.- concord medical center is one of only four hospitals in California performing significantly "better" than the state average in cabg mortality outcomes. During this reporting period, concord had an observed mortality rate of 0.41% while the state average observed mortality rate was 2.46%. - on june 3, vascular surgeon, dr. Niren angle, performed the first transcarotid artery revascularization (tcar) procedure at john muir health. Tcar is a hybrid procedure designed to treat patients with carotid artery disease who are at risk for open surgery. What's unique about tcar is it temporarily reverses the blood flow during the procedure, so that any plaque that may break off during the procedure is diverted away from the brain to prevent stroke. The carotid artery is then stented. Tcar is performed through a smaller incision in the neck and in less than half the time of a carotid endarterectomy. A second tcar procedure was performed by dr. Rajiv nagesetty on june 25.- the american heart association and american stroke association recently recognized john muir health's two acute care medical centers for treatment of heart disease patients. The recognitions include: a) get with the guidelines - heart failure gold plus (concord and walnut creek), commitment to improving outcomes for patients with heart failure, meaning reduced readmissions and more healthy days at home. B) get with the guidelines - coronary artery disease stemi receiving gold plus (concord) and gold (walnut creek), commitment to offering rapid, research-based care to people experiencing an st elevation myocardial infarction (stemi), known to be more severe and dangerous than other types of heart attacks. - concord medical center was one of just four hospitals in California to earn a performance rating of "better than expected" for superior clinical outcomes in coronary artery bypass graft (cabg) surgery. This recognition comes from the California department of health care access and information (hcai) in their newest public released 2022 cabg outcomes reporting program (ccorp) report. John muir health's 244 cabg cases performed were the third most of any hospital in the san francisco bay area. In their 2024 rankings, u.s. News and world report rated concord medical center as high performing in heart attack, heart bypass surgery, heart failure and transcatheter aortic valve replacement (tavr). Walnut creek medical center was rated as high performing in heart attack and heart failure.- healthgrades, recently recognized hospitals for clinical excellence in cardiovascular care. This year's awards recognize hospitals with outstanding performance and outstanding achievements in clinical care. John muir health's medical centers received the following cardiovascular recognitions: a) cardiac surgery excellence award (concord)superior clinical outcomes in heart bypass surgery and heart valve surgery.b) surgical care excellence award (concord and walnut creek)superior clinical outcomes in surgical care across 15 of the most common in-hospital surgical procedures including cardiac & vascular surgeries.c) excellence awards place our medical centers among the top 10% of hospitals nationwide in those specialty care areas. Congratulations on these exceptional recognition

Financial Efficiency

• Mission deployment rate: 80.2%; rating input score 80
• Program expense ratio: 81.6%; rating input score 82
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 94.8%; rating input score 95; 27th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 93.8%; rating input score 94; 44th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 2.8%; rating input score 47; 47th percentile among comparable filings
• Total-asset coverage ratio: 1.84; rating input score 60; 60th percentile among comparable filings
• Liabilities to assets ratio: 0.38; rating input score 47; 47th percentile among comparable filings
• Officer compensation ratio: 0.8%; rating input score 79; 79th percentile among comparable filings

Growth

• Program expense growth: 4% per year; rating input score 100; 31st percentile among comparable filings
• Revenue growth: 3.5% per year; rating input score 100; 27th percentile among comparable filings
• Asset growth: 4.3% per year; rating input score 100; 30th percentile among comparable filings