340B at John Muir Health
By the Numbers (FY 2024) :
  • Realized 340B program Savings: $34.1 million
  • Medicare Disproportionate Adjustment Percentage:
    • Walnut Creek Medical Center: 12.19%
    • Concord Medical Center: 16.17%

About John Muir Health

John Muir Health is a nationally recognized, not-for-profit health care organization east of San Francisco serving patients in Contra Costa, Alameda, and southern Solano Counties. It includes a network of more than 1,000 primary care and specialty physicians, 6,400 employees, medical centers in Concord and Walnut Creek, including Contra Costa County’s only trauma center, and an Acute Psychiatric Hospital. John Muir Health also has partnerships with UCSF Health, Tenet Healthcare/San Ramon Regional Medical Center, Stanford Children's Health, Carbon Health and Optum. The health system offers a full-range of medical services, including primary care, outpatient, and imaging services, and is widely recognized as a leader in many specialties – neurosciences, orthopedic, cancer, cardiovascular, trauma, emergency, pediatrics, and high-risk obstetrics care.

We are committed to caring for all members of our community regardless of their insurance and ability to pay. John Muir Health is the largest provider of Medi-Cal hospital services in Contra Costa County. Our payor mix is now between 70%-75% Medicare and Medi-Cal and rising as the population ages. Collectively, John Muir Health provided more than $600 million in uncompensated care to Medicare and Medi-Cal patients in 2024.

Benefits of the 340B Program

The 340B Drug Pricing Program enables our hospitals to purchase medications at reduced prices. The savings allow us to invest in programs and partnerships to help meet the health care needs of our community. As a not-for-profit health system, John Muir Health is responsible for investing in and caring for vulnerable communities. This includes our low-income, unhoused and uninsured communities throughout Contra Costa County, Alameda County and the Tri-Valley region. We work with our community partners to design programming that is responsive to health needs and proactive in preventing health conditions. We focus our efforts on grant making and direct service programming in ways that are collaborative, innovative and effective.

John Muir Health also relies heavily on savings generated from participating in the 340B Program to offset the costs associated with caring for patients with cancer, a significant number of whom have Medicare or Medi-Cal insurance coverage. These savings allow more patients to access our services and receive the treatments they need.

In addition, savings from the 340B Program have enabled John Muir Health to invest in cutting-edge infrastructure, such as the new UCSF-John Muir Health Jean and Ken Hoffman Cancer Center and an expanded specialty pharmacy, and a wide range of services, from early detection and diagnosis to innovative therapies, as well as more infusion access. John Muir Health is also actively working to expand our services further into local clinics, which the 340B program makes possible. This expansion will broaden the reach of our care to more locations, ensuring access to cancer care and specialty medications for more patients closer to home in the East Bay.