2023-11-14T16:42:14-06:00 2022-12-31 135565207 KPMG LLP MISSION TOWERS I 3975 FREEDOM CIRCLE DR SANTA CLARA CA 95054 990 2022-01-01 941461843 JOHN MUIR HEALTH JOHN 9259393000 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 MELINDA ESTEP CFO 9259393000 2023-11-13 1 MELINDA ESTEP XXX-XX-XXXX 0 CAREY MCKEE P01281067 4083675764 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL S THOMAS 1400 TREAT BLVD WALNUT CREEK CA 94597 2081962115 0 X WWW.JOHNMUIRHEALTH.COM X 1958 CA JOHN MUIR HEALTH IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION. 16 15 6016 375 -318356 0 24027211 28050686 1680165545 1666599909 224881264 45815211 9317863 13128997 1938391883 1753594803 139920400 113269585 0 0 841852214 916625796 0 0 0 768235398 776301208 1750008012 1806196589 188383871 -52601786 3688896996 3323424314 1292316074 1236241704 2396580922 2087182610 X THE MISSION OF JOHN MUIR HEALTH IS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION. JOHN MUIR HEALTH OFFERS THE COMMUNITY A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIANS, TWO MEDICAL CENTERS, INCLUDING THE COUNTY'S ONLY TRAUMA CENTER AND A BEHAVIORAL HEALTH CENTER. THE HEALTH SYSTEM ALSO OFFERS A FULL-RANGE OF MEDICAL SERVICES, INCLUDING PRIMARY CARE, OUTPATIENT AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, TRAUMA, EMERGENCY, PEDIATRICS AND HIGH-RISK OBSTETRICS CARE. 0 0 767692265 0 757142584 HOSPITAL SERVICES GENERAL MEDICINE AND SURGERYTHE CORE OF JOHN MUIR HEALTH'S SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. THE JOHN MUIR HEALTH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEON'S COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. NATIONAL AND STATE RECOGNITIONS RECEIVED IN 2022 INCLUDE: (1) RECOGNITION OF JOHN MUIR HEALTH (JMH), WALNUT CREEK MEDICAL CENTER BY U.S. NEWS & WORLD REPORT FOR THE 16TH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS". DIABETES & ENDOCRINOLOGY, OBSTETRICS & GYNECOLOGY, ORTHOPEDICS, AND PULMONOLOGY & LUNG SURGERY SERVICES AT THE WALNUT CREEK MEDICAL CENTER WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES, (2) RECOGNITION BY U.S. NEWS & WORLD REPORT OF NINE SPECIALTIES COMBINED AND 27 ADULT PROCEDURES AND CONDITIONS COMBINED AS HIGH PERFORMING AT JOHN MUIR HEALTH'S WALNUT CREEK AND CONCORD MEDICAL CENTERS, (3) U.S. NEWS AND WORLD REPORT ALSO RANKED THE WALNUT CREEK MEDICAL CENTER #2 AND CONCORD MEDICAL CENTER #3 OUT OF NEARLY 50 HOSPITALS IN THE SAN FRANCISCO METRO AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, AND CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #10 AND #17 IN CALIFORNIA OUT OF MORE THAN 400 ACUTE CARE HOSPITALS, (4) JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO EARNED THE DESIGNATION OF BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT - TWO OF JUST 493 HOSPITALS ( 11% OF THE HOSPITAL EVALUATED) TO ACHIEVE THIS DESIGNATION NATIONWIDE, (5) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE BY HEALTHGRADES AND RECEIVED A CLINICAL EXCELLENCE AWARD FOR JOINT REPLACEMENT, AS WELL AS THE OUTSTANDING PATIENT EXPERIENCE AWARD, (6) THE CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY FOR THE FOURTH STRAIGHT YEAR AND AMONG THE TOP 5 HOSPITALS FOR CARDIAC SURGERY IN CALIFORNIA. THE CONCORD MEDICAL CENTER ALSO RECEIVED A CLINICAL EXCELLENCE AWARD FOR JOINT REPLACEMENT, (7) COMBINED, THE TWO MEDICAL CENTERS HAD SEVEN FIVE-STAR RATINGS FROM HEALTHGRADES FOR SERVICES, PROCEDURES AND TREATMENTS, (8) NEWSWEEK RANKED THE WALNUT CREEK AND CONCORD MEDICAL CENTERS AS TWO OF THE BEST IN THE U.S. (#136 AND #169) (9) THE WALNUT CREEK MEDICAL CENTER RECEIVED AN "A" SAFETY GRADE FROM LEAPFROG IN SPRING 2022. THE CONCORD MEDICAL CENTER RECEIVED A "B" SAFETY GRADE FROM LEAPFROG IN SPRING 2022. (10) BOTH MEDICAL CENTERS ARE MAGNET RECOGNIZED FOR NURSING EXCELLENCE AND QUALITY PATIENT OUTCOMES. OUR PROGRAM EMPHASIS IN 2022 CONTINUED TO BE ON SERVING UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY, MOBILE HEALTH CLINIC, AND SUPPORT FOR NONPROFIT ORGANIZATIONS PROVIDING ACCESS TO HEALTHCARE, MENTAL HEALTH SERVICES, FOOD, HOUSING AND VIOLENCE PREVENTION. 223338727 0 225528240 CARDIOVASCULAR IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR ACHIEVEMENTS IN 2022 INCLUDES: FOR THE FIFTH YEAR IN A ROW, CONCORD MEDICAL CENTER WAS NAMED BY HEALTHGRADES AS "ONE OF AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY". JMH'S CARDIAC SURGERY PROGRAM WAS ALSO RECOGNIZED AMONG THE TOP 5 IN THE STATE OF CALIFORNIA BY HEALTHGRADES. HEALTHGRADES' CARDIAC SURGERY SPECIALTY AWARD RECOGNIZES HOSPITALS WITH SUPERIOR CLINICAL OUTCOMES IN HEART BYPASS SURGERY AND HEART VALVE SURGERY. THIS DISTINCTION REPRESENTS THE TOP 1% OF HOSPITALS IN THE UNITED STATES. HEALTHGRADES AMERICA'S BEST HOSPITALS IS BASED SOLELY ON CLINICAL QUALITY OUTCOMES AND REWARDS HOSPITALS THAT CONSISTENTLY EXHIBIT EXCEPTIONAL, COMPREHENSIVE QUALITY CARE.JOHN MUIR HEALTH'S CARDIAC SURGERY PROGRAM WAS RECOGNIZED BY THE SOCIETY OF THORACIC SURGEONS AS "BETTER THAN EXPECTED" FOR CORONARY BYPASS GRAFT SURGERY AND MITRAL VALVE REPAIR + CABG OUTCOMES. APPROXIMATELY 12-15% OF HOSPITALS RECEIVE THIS "3-STAR" RATING FROM STS, WHICH DENOTES THE HIGHEST CATEGORY OF QUALITY.CONCORD MEDICAL CENTER WAS RATED AS HIGH-PERFORMING BY U.S. NEWS & WORLD REPORT IN 2022 IN AORTIC VALVE SURGERY, HEART ATTACK, HEART BYPASS SURGERY, HEART FAILURE, TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). WALNUT CREEK MEDICAL CENTER WAS RATED AS HIGH-PERFORMING BY U.S. NEWS & WORLD REPORT IN 2022 IN HEART ATTACK AND HEART FAILURE. BOTH CONCORD AND WALNUT CREEK RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES - GOLD PLUS HEART FAILURE QUALITY ACHIEVEMENT AWARD FOR THEIR COMMITMENT TO MANAGING HEART FAILURE IN PATIENTS. GOLD PLUS IS THE HIGHEST ACHIEVEMENT LEVEL.JOHN MUIR CONCORD RECEIVED THE MISSION: LIFELINE STEMI RECEIVING CENTER GOLD PLUS ACHIEVEMENT AWARD AND JOHN MUIR WALNUT CREEK WAS THE RECIPIENT OF THE MISSION: LIFELINE STEMI RECEIVING CENTER GOLD ACHIEVEMENT AWARD. THESE AWARDS RECOGNIZE HOSPITALS FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES TO TREAT PATIENTS WHO SUFFER SEVERE HEART ATTACKS. CONCORD MEDICAL CENTER WAS RECOGNIZED AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE. BLUE DISTINCTION CENTERS ARE RECOGNIZED FOR DISTINGUISHED CLINICAL CARE AND PROCESSES BY THE BLUE CROSS AND BLUE SHIELD ASSOCIATION. FACILITIES EARN THESE DESIGNATIONS BASED ON RIGOROUS, EVIDENCE-BASED, OBJECTIVE CRITERIA AND INPUT FROM EXPERT PHYSICIANS AND MEDICAL ORGANIZATIONS. STUDIES INDICATE BLUE DISTINCTION CENTERS HAVE BETTER OVERALL OUTCOMES AND LOWER COSTS FOR CERTAIN PROCEDURES WHEN COMPARED TO NON-DESIGNATED MEDICAL FACILITIES. 148494161 0 227286082 WOMENS AND CHILDREN'S SERVICES IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. THE PEDIATRIC INTENSIVE CARE UNIT AT THE WALNUT CREEK MEDICAL CENTER IS CERTIFIED BY THE CALIFORNIA CHILDREN'S SERVICES. ACCOMPLISHMENTS IN 2022 INCLUDE:THE JOHN MUIR HEALTH, WALNUT CREEK MEDICAL CENTER PEDIATRIC DEPARTMENT RECEIVED A LETTER OF RECOGNITION FOR OUR HOSPITAL'S EFFORTS IN THE SIP (SIMULTANEOUSLY IMPLEMENTING PATHWAYS FOR IMPROVING ASTHMA, PNEUMONIA AND BRONCHIOLITIS CARE FOR HOSPITALIZED CHILDREN) STUDY, FOCUSED ON IMPROVING CARE AND OUTCOMES FOR CHILDREN HOSPITALIZED WITH RESPIRATORY ILLNESSES. THE CURRENT NATIONAL SURGE IN THESE ILLNESSES UNDERSCORES THE IMPORTANCE OF EQUIPPING FRONTLINE CLINICIANS WITH THE LATEST EVIDENCE BASED AND CUTTING-EDGE TOOLS TO ENSURE EVERY CHILD RECEIVES EXCELLENT CARE. IN THE LETTER, YEELEN EDWARDS, MSC AND SUNITHA KAISER, MD, MSC FROM THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO COMMENTED THE PHYSICIAN SITE LEAD, DR. YUNGTING LIAO IS DEEPLY COMMITTED TO IMPLEMENTING THESE TOOLS.THE NICU IS WORKING ON THE CPQCC NEOBRAIN COLLABORATIVE AND INTRODUCING THE SENSE PROGRAM TO OUR NURSING STAFF AND FAMILIES. THE SUPPORTING AND ENHANCING NICU SENSORY EXPERIENCES (SENSE) PROGRAM WAS DEVELOPED TO PROMOTE CONSISTENT, AGE-APPROPRIATE, RESPONSIVE, AND EVIDENCE-BASED POSITIVE SENSORY EXPOSURES FOR THE PRETERM INFANT EVERY DAY OF NICU HOSPITALIZATION. THE GOAL IS WITH THESE POSITIVE EXPOSURE THAT CAN HAVE POSITIVE EFFECTS ON NEURODEVELOPMENTAL OUTCOMES.AFTER A SUCCESSFUL BABIES WITH BOOKS READ A THON HELD IN THE NICU, ADDITIONAL BOOKS HAVE BEEN PURCHASED TO CONTINUE THE PROGRAM BY ENCOURAGING READING SESSIONS (BOTH PARENTS AND STAFF) WHILE THE INFANT IS INPATIENT AND PROVIDING FAMILIES WITH BOOKS TO TAKE HOME.THE PEDIATRIC HOSPITALISTS PARTICIPATED IN THE NATIONAL QI COLLABORATIVE RUN BY VIP NETWORK/AAP REVISE II REDUCING EXCESSIVE VARIABILITY IN INFANT SEPSIS EVALUATIONS. THERE WERE FOUR PRIMARY MEASURES: 1. APPROPRIATE CSF, 2. APPROPRIATE DISPOSITION FROM THE EMERGENCY DEPARTMENT, 3. APPROPRIATE RECEIPT OF ANTIBIOTICS AND 4. APPROPRIATE DISCHARGE FROM THE HOSPITAL. BASED ON THIS COLLABORATION THE FOLLOWING INTERVENTIONS WERE IMPLEMENTED: 1. ISSUED NEW/UPDATED CLINICAL PRACTICE GUIDELINES BASED ON THREE DIFFERENT AGE CATEGORIES, 2. CREATED DOT PHRASES FOR SHARED DECISION-MAKING DISCUSSION AND DOCUMENTATION, 3. PUBLISHED GUIDELINES IN EPIC/AGILE MD AND 4. PROVIDED STAKEHOLDER EDUCATION HOSPITALISTS/ER/RESIDENTS/PCP.THE PEDIATRIC HOSPITALISTS ARE WORKING TO FACILITATE EARLY DISCHARGE OF MOM-BABY DYADS IN THE JMH BIRTH CENTER. THE GOAL IS TO HAVE THE MD DISCHARGE ORDER BEFORE NOON FOR THE NEWBORN DISCHARGE AND NOON FOR THE OB DISCHARGE. THE RN WOULD THEN DISCHARGE THE DYAD WITHIN TWO HOURS OF THE LAST MD ORDER. IN 2022 THE NEONATAL AND PEDIATRIC CRITICAL CARE TRANSPORT TEAM PROVIDED TRANSPORT SERVICES IN AND OUT OF JOHN MUIR HEALTH TO 442 PATIENTS. 420416783 113269585 456636747 OTHER SERVICES OFFERED AT JOHN MUIR HEALTH ARE: 420416783 113269585 456636747 1559941936 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 856 0 1 6016 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 16 15 1 1 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X JEFF SMITH 9259393000 1400 TREAT BLVD WALNUT CREEK CA 94597 KATHLEEN ODNE CHAIRMAN 5.00 10.00 X X 25000 0 0 JAY HARRIS VICE CHAIRMAN 5.00 10.00 X X 0 0 0 JOHN SAYRES SECRETARY & TREASURER 5.00 10.00 X X 25000 0 0 LAURA MARKSTEIN DIRECTOR 5.00 10.00 X 0 0 0 ROGER BAILEY DIRECTOR 5.00 10.00 X 25000 0 0 JACK THOMPSON DIRECTOR 5.00 10.00 X 25000 0 0 ANNE GRODIN DIRECTOR 5.00 10.00 X 25000 0 0 PETER WILSON DIRECTOR 5.00 10.00 X 25000 0 0 FATIMA ANGELES DIRECTOR 5.00 10.00 X 25000 0 0 TAEJOON AHN MD DIRECTOR 5.00 10.00 X 25000 0 0 RAVI HUNDAL MD DIRECTOR 5.00 10.00 X 25000 0 0 CAROLYN LACEY MD DIRECTOR 5.00 10.00 X 25000 0 0 MARK MUSCO MD DIRECTOR 5.00 10.00 X 25000 0 0 CHI PERLROTH MD DIRECTOR 5.00 10.00 X 25000 0 0 JOHANNES PETERS MD DIRECTOR 5.00 10.00 X 25000 0 0 CALVIN KNIGHT CEO/DIR/PRES (THRU 09/30/22) 60.00 15.00 X X 2023236 0 1880373 MICHAEL S THOMAS CEO/DIR/PRES (AS OF 09/25/22) 60.00 15.00 X 1991172 0 795830 CHRISTIAN PASS SENIOR VP/CFO 60.00 15.00 X 1062044 0 399916 MAX REYNOLDS SR VP/GENERAL COUNSEL 60.00 0.00 X 765575 0 213896 JANE WILLEMSEN EXEC VP/PRESIDENT HOSPITAL OPS 60.00 12.00 X 2112595 0 502239 LISA FOUST SR VP HUMAN RESOURCES 60.00 0.00 X 782359 0 271764 GEORGE SAUTER SR VP/CHIEF STRATEGY OFFICER 60.00 0.00 X 741976 0 221550 MICHELLE LOPES RN CHIEF NURSING EXECUTIVE 60.00 0.00 X 623916 0 233400 ELIZABETH MAHLER MD VP/CHIEF VALUE BASED CARE 60.00 0.00 X 633177 0 175330 TOSON BOYO SR VP/HOSPITAL OPERATIONS 60.00 0.00 X 618756 0 146493 11679806 0 4840791 3017 0 1 0 OPTUMINSIGHT PO BOX 84019 CHICAGO IL 60689 PROFESSIONAL SERV 122170304 CROSS COUNTRY STAFFING LA LOCKBOX FILE 50941 LOS ANGELES CA 90074 TEMPORARY STAFFING 47968117 BAY AREA SURGICAL SPECIALISTS PO BOX 97297 LAS VEGAS NV 89193 MEDICAL 8754001 LUCILLE SALTER PACKARD CHILDRENS HOSP 725 WELCH ROAD MC 5553 PALO ALTO CA 94304 MEDICAL 7064385 MEDICAL ANESTESIA CONSULTANTS MEDICAL PO BOX 745724 ATLANTA GA 30374 MEDICAL 5917575 170 28050686 28050686 PATIENT SERVICE REVENU 621400 1613396230 1613396230 PREMIUM REVENUE 621400 55363248 55363248 OTHER OPERATING REVENU 621400 -2159569 -2165825 6256 1666599909 30299790 -324612 30624402 12310168 675631 11634537 11634537 11634537 341735721 1471381 326656511 1035170 15079210 436211 15515421 15515421 REBATES AND REFUNDS 621400 1053476 1053476 PROPERTY TAX REFUNDS 531390 426602 426602 VENDING INCOME 722515 14382 14382 1494460 1753594803 1666593653 -318356 59268820 113269585 113269585 16647120 14736713 1910407 722517176 614139600 108377576 31945548 25556438 6389110 98597087 86765437 11831650 46918865 40819413 6099452 151595541 128856210 22739331 16863696 8263211 8600485 1043908 511515 532393 272791 272791 7172802 7172802 163839898 163839898 15398584 12792541 2606043 22447762 673433 21774329 48501743 38845309 9656434 2145438 836238 1309200 22225772 20199796 2025976 83847685 59270489 24577196 9559741 5257858 4301883 MEDICAL SUPPLIES 138863928 138863928 UNCOLLECTIBLE ACCOUNTS 34239522 34239522 PHARMACEUTICALS 33726086 33726086 OTHER EXPENSES 14201999 11052194 3149805 10354312 7153731 3200581 1806196589 1559941936 246254653 0 13397 13402 113782230 29467530 0 0 280888620 241429079 0 0 0 0 0 0 10799840 11293135 33275742 31725253 2102538826 1104187046 896599318 998351780 1320825590 1067213079 565866579 567874282 174167579 138588369 0 0 292678101 237468405 3688896996 3323424314 280572002 329564071 0 0 89044426 2625393 588895371 579409976 0 0 0 0 0 0 0 0 333804275 324642264 1292316074 1236241704 X 2396283378 2086507602 297544 675008 2396580922 2087182610 3688896996 3323424314 X -52601786 -256314350 -482176 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 272791 272791 0 PART II-B, LINE 1I OTHER ACTIVITIES JOHN MUIR HEALTH CONTRIBUTED $272,791 TO CALIFORNIA COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEM (CAHHS) IN 2022 TO SUPPORT LOBBYING EFFORTS. 53228565 53228565 631486762 257661304 373825458 463036922 261470267 201566655 718730234 585055475 133674759 236056343 236056343 998351780 COMMINGLED FUNDS 117476236 F HEDGE FUNDS 180709069 F PRIVATE EQUITY 269688977 F 567874282 REAL ESTATE FOR FUTURE USE 2102089 HELD PURSUANT BOND INDENTURE 18179971 RIGHT OF USE ASSETS, NET 74532998 OTHER RECEIVABLES 112567576 PHYSICIAN LOANS 2538529 CLOUD COMPUTING REC AGMT 3486368 OTHER ASSETS 24060874 237468405 WORKERS COMPENSATION 28632000 POST RETIREMENT BENEFIT OBLIGATION 59028265 INTEREST PAYABLE 4739724 LEASE LIABILITY 83504570 ASSET RETIREMENT OBLIGATION 17145627 PROFESSIONAL LIABILITY 6417000 OTHER LIABILITIES 12312743 MANAGED CARE PREMIUMS DEFICIENCY 26506976 OTHER PAYABLES 73407222 PENSION LIABILITY 12948137 324642264 X 1456061584 -256314350 193455 -256120895 1712182479 7172802 34239522 41412324 1753594803 1765459896 675631 675631 1764784265 7172802 34239522 41412324 1806196589 PART X, LINE 2: UNCERTAIN TAX POSITIONS THE HEALTH SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED USING THE LARGEST AMOUNT THAT EXCEEDS A 50% PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATE OCCURS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL REVENUE REPORTED NET ON FORM 990 675,631. CHANGE IN UNAMORTIZED LOSS ON PENSION -482,176. PART XI, LINE 4B - OTHER ADJUSTMENTS: UNCOLLECTIBLE ACCOUNTS REPORTED GROSS ON FORM 990 34,239,522. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL REVENUE REPORTED NET ON FORM 990 675,631. PART XII, LINE 4B - OTHER ADJUSTMENTS: UNCOLLECTIBLE ACCOUNTS REPORTED GROSS ON FORM 990 34,239,522. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 161884366 EUROPE (INCLUDING ICELAND AND GREENLAND) INVESTMENTS 6472801 0 0 0 0 0 0 168357167 0 168357167 1 0 0 1 1 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 400.000000000000 1 X 1 1 1 0 1 1 7714641 7714641 0.00430 109541198 109541198 0.06060 117255839 117255839 0.06490 4207036 336983 3870053 0.00210 6839296 6839296 0.00380 407029 407029 0.00020 688784 157658 531126 0.00030 3451423 251637 3199786 0.00180 15593568 746278 14847290 0.00820 132849407 746278 132103129 0.07310 0.00000 0.00000 0.00000 8743 8743 0.00000 0.00000 214265 214265 0.00010 1705125 32572 1672553 0.00090 1928133 32572 1895561 0.00100 1 28499935 427938470 670462273 -242523803 X 1 1 1 ASPEN SURGERY CENTER OPERATES A MULTISPECIALTY SURGERY CENTER 0.28680 0.01000 0.46390 2 HACIENDA SURGERY CENTER OPERATES A MULTISPECIALTY SURGERY CENTER 0.12500 0.00000 0.47600 2 1 JOHN MUIR MEDICAL CENTER WALNUT CREEK 1601 YGNACIO VALLEY RD WALNUT CREEK CA 94598 WWW.JOHNMUIRHEALTH.COM 140000265 X X X A 2 JOHN MUIR MEDICAL CENTER CONCORD 2540 EAST ST CONCORD CA 94520 WWW.JOHNMUIRHEALTH.COM 140000128 X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 400.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: JOHN MUIR MEDICAL CENTER WALNUT CREEK, - FACILITY 2: JOHN MUIR MEDICAL CENTER CONCORD PART V, SECTION B, LINE 5 COMMUNITY INPUT PROCESSDESCRIPTION OF WHO WAS CONSULTEDCOMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH AND OTHER PUBLIC AGENCIES, COMMUNITY ORGANIZATIONS, AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND RACIAL/ETHNIC POPULATIONS.KEY INFORMANT INTERVIEW METHODOLOGY:APPLIED SURVEY RESEARCH (ASR) CONDUCTED 32 KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES FROM ORGANIZATIONS SERVING CONTRA COSTA COUNTY AND 43 KEY INFORMANT INTERVIEWS WITH INDIVIDUALS FROM ORGANIZATIONS SERVING ALAMEDA COUNTY. THOSE ORGANIZATIONS REPRESENT DIVERSE SECTORS. SECTORS REPRESENTED BY KEY INFORMANTS ARE: CHILDREN/YOUTH/FAMILIES, COMMUNITIES OF COLOR, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, OLDER ADULTS, PEOPLE WITH DISABILITIES, UNHOUSED AND VIOLENCE SURVIVORS. THE KEY INFORMANTS WERE IDENTIFIED COLLABORATIVELY BY KAISER PERMANENTE, THE PUBLIC HEALTH AGENCIES AND MEMBERS OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP. ALL INTERVIEWS WERE CONDUCTED IN ENGLISH AND FOLLOWED A STANDARD SET OF INTERVIEW QUESTIONS. CONFIDENTIALITY WAS ASSURED AT THE BEGINNING OF EACH INTERVIEW AND INTERVIEWERS TOOK DETAILED NOTES DURING THE CONVERSATION.INTERVIEW TOPICS: INTERVIEW QUESTIONS WERE DEVELOPED BY ASR AND ADDRESSED THE FOLLOWING TOPICS:-PRIORITY PLACED ON 2019 HEALTH NEEDS-OTHER PRIORITY HEALTH NEEDS-IMPACT OF COVID-19 ON PRIORITY HEALTH NEEDS-CHALLENGES TO ADDRESSING PRIORITY HEALTH NEEDS-SOURCES OF INFORMATION ON HEALTH NEEDS-STRATEGIES TO ADDRESS PRIORITY HEALTH NEEDS-HEALTH INEQUITIES AND DISPARITIES-STRATEGIES TO ADDRESS INEQUITIES/DISPARITIES-EXISTING COMMUNITY RESOURCES TO ADDRESS PRIORITY HEALTH NEEDSDATA ANALYSIS: ASR DELIVERED TO AD LUCEM CONSULTING A SPREADSHEET CONTAINING INDIVIDUAL INTERVIEWEE RESPONSES AND KEY THEMES. THE THEMES WERE FURTHER ORGANIZED BY AD LUCEM CONSULTING INTO THE HEALTH NEEDS DEFINED BY THE KAISER PERMANENTE COMMUNITY HEALTH DATA PLATFORM, THEN THE NUMBER OF MENTIONS FOR ALL THEMES RELATED TO A PARTICULAR HEALTH NEED WERE TALLIED TO DEVELOP AN INTERVIEW DATA SCORE. HEALTH NEEDS WERE ASSIGNED POINTS BASED ON THE FREQUENCY OF MENTIONS OF THE HEALTH NEED BY KEY INFORMANTS. POINTS FOR EACH HEALTH NEED WERE TALLIED ACROSS INTERVIEWEES TO DEVELOP INTERVIEW SCORES FOR HEALTH NEED PRIORITY, RACIAL/ETHNIC DISPARITIES, GEOGRAPHIC OR OTHER DISPARITIES AND IMPACT OF THE COVID-19 PANDEMIC ON THE HEALTH NEED.FOCUS GROUP METHODOLOGY:NINE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN EASTERN, CENTRAL, AND WESTERN CONTRA COSTA COUNTY. SEVEN GROUPS WERE CONDUCTED IN ENGLISH, AND TWO WERE CONDUCTED IN SPANISH. PARTICIPANTS WERE BLACK/AFRICAN AMERICAN AND LATINX COMMUNITY MEMBERS, AND ADULTS OVER THE AGE OF 65 FROM UNDERSERVED, LOW-INCOME, AND DIVERSE RACIAL/ETHNIC COMMUNITIES. TEN COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN NORTHERN AND CENTRAL ALAMEDA COUNTY AND THE TRI-VALLEY AREA. THREE GROUPS WERE CONDUCTED IN ENGLISH, FOUR WERE CONDUCTED IN SPANISH, ONE IN VIETNAMESE, ONE IN CANTONESE, AND ONE IN A COMBINATION OF ENGLISH AND SPANISH. PARTICIPANTS WERE FROM UNDERSERVED, LOW-INCOME, SENIOR, UNHOUSED, LGBTQIA+, AND DIVERSE RACIAL/ETHNIC COMMUNITIES (VIETNAMESE, CANTONESE, BLACK/AFRICAN AMERICAN, INDIGENOUS, AND LATINX). PART V, SECTION B, LINE 6A OTHER HOSPITAL FACILITIES INCLUDED IN CHNAALL JOHN MUIR HEALTH HOSPITAL FACILITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK; JOHN MUIR MEDICAL CENTER, CONCORD; AND JOHN MUIR BEHAVIORAL HEALTH) COLLABORATED WITH SUTTER HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, UCSF BENIOFF CHOLDRENS' HOSPITALS, KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT AND CONTRA COSTA HEALTH SERVICES ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. PART V, SECTION B, LINE 6B OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNAJOHN MUIR HEALTH CONTRACTED WITH AD LUCEM CONSULTING, A PUBLIC HEALTH CONSULTING FIRM, TO CONDUCT THE CHNA. AD LUCEM CONSULTING SPECIALIZES IN INITIATIVE DESIGN, STRATEGIC PLANNING, GRANTS MANAGEMENT, AND PROGRAM EVALUATION, TAILORING METHODS AND STRATEGIES TO EACH PROJECT AND ADAPTING TO CLIENT NEEDS AND PRIORITIES, POSITIONING CLIENTS FOR SUCCESS. AD LUCEM CONSULTING WORKS IN CLOSE COLLABORATION WITH CLIENTS, SYNTHESIZING COMPLEX INFORMATION INTO EASY-TO-UNDERSTAND, USABLE FORMATS, BRINGING A HANDS-ON, DOWN TO EARTH APPROACH TO EACH PROJECT. AD LUCEM CONSULTING SUPPORTS CLIENTS THROUGH A VARIETY OF SERVICES THAT CAN BE APPLIED TO A RANGE OF ISSUES. AD LUCEM CONSULTING HAS DEVELOPED NUMEROUS CHNA REPORTS AND IMPLEMENTATION STRATEGIES FOR HOSPITALS INCLUDING SYNTHESIS OF SECONDARY AND PRIMARY DATA, NEEDS PRIORITIZATION, AND IDENTIFICATION OF ASSETS AND IMPLEMENTATION STRATEGIES.APPLIED SURVEY RESEARCH (ASR) CONDUCTED KEY INFORMANT INTERVIEWS FOR CHNAS COVERING ALAMEDA AND CONTRA COSTA COUNTIES. SECONDARY DATA CHARTS/TABLES AND INTERVIEW DATA WERE GENEROUSLY SHARED WITH MEMBERS OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP AND ARE INCLUDED IN THIS CHNA REPORT. ASR ALSO CONVENED COMMUNITY STAKEHOLDERS AND HOSPITAL REPRESENTATIVES TO REVIEW SERVICE AREA DATA AND PARTICIPATE IN A HEALTH NEED RANKING PROCESS. ASR IS A SOCIAL RESEARCH ORGANIZATION DEDICATED TO HELPING PEOPLE BUILD BETTER COMMUNITIES THROUGH MEASURING AND IMPROVING ORGANIZATIONAL IMPACT AND SERVICES AND QUALITY OF LIFE. ASR HAS A STRONG HISTORY OF WORKING WITH VULNERABLE POPULATIONS AND EXTENSIVE EXPERIENCE WORKING WITH PUBLIC AND PRIVATE AGENCIES, FEDERAL AND LOCAL GOVERNMENT, HEALTH AND HUMAN SERVICE ORGANIZATIONS, CITIES AND COUNTY OFFICES, SCHOOL DISTRICTS, INSTITUTIONS OF HIGHER LEARNING AND CHARITABLE FOUNDATIONS. PART V, SECTION B, LINE 7A CHNA REPORT MADE WIDELY AVAILABLE TO PUBLICTHE CHNA REPORT IS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/CONTENT/DAM/JMH/DOCUMENTS/COMMUNITY/JOHN%20MUIR%20HEALTH%20CHNA%20REPORT%2012.14.2022_FINAL.PDF PART V, SECTION B, LINE 10A WEBSITE FOR ADOPTED IMPLEMENTATION STRATEGYTHE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/CONTENT/DAM/JMH/DOCUMENTS/COMMUNITY/JOHN%20MUIR%20HEALTH%20IS%20REPORT%2012.14.2022_FINAL.PDF PART V, SECTION B, LINE 11 SIGNIFICANT NEEDS ADDRESSED IN CHNATHE HEALTH SYSTEM IDENTIFIED NINE COMMUNITY HEALTH NEEDS.1. BEHAVIORAL HEALTH2. HOUSING AND HOMELESSNESS3. ECONOMIC SECURITY4. STRUCTURAL RACISM5. HEALTHCARE ACCESS AND DELIVERY6. COMMUNITY AND FAMILY SAFETY7. FOOD SECURITY8. EDUCATION9. TRANSPORTATIONTHE 2022 CHNA FOR JOHN MUIR HEALTH PLACED PARTICULAR EMPHASIS ON THE HEALTH ISSUES AND CONTRIBUTING FACTORS THAT IMPACT POPULATIONS WITH DISPROPORTIONATELY POOR HEALTH OUTCOMES. PRIORITY COMMUNITY PROFILES WERE DEVELOPED TO PRESENT LOCAL DATA AS A COMPLEMENT TO THE JOHN MUIR HEALTH SERVICE AREA DATA REPORTED ELSEWHERE IN THE CHNA. THE PROFILES INCLUDE DEMOGRAPHICS, DATA ON ROOT CAUSES OF HEALTH, AND ADDITIONAL STATISTICS.A. IDENTIFYING COMMUNITY HEALTH NEEDSI. DEFINITION OF "HEALTH NEED" FOR THE PURPOSES OF THE CHNA, HEALTH NEEDS ARE DEFINED AS INCLUDING THE ELEMENTS ESSENTIAL TO IMPROVING OR MAINTAINING HEALTH STATUS IN THE COMMUNITY AT LARGE AND IN PARTICULAR PARTS OF THE COMMUNITY, SUCH AS PARTICULAR GEOGRAPHIES OR POPULATIONS EXPERIENCING HEALTH INEQUITIES. ESSENTIAL ELEMENTS MAY INCLUDE ADDRESSING FINANCIAL AND OTHER BARRIERS TO CARE AS WELL AS PREVENTING ILLNESS, ENSURING ADEQUATE NUTRITION, OR ADDRESSING SOCIAL, BEHAVIORAL, AND ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH IN THE COMMUNITY. HEALTH NEEDS WERE IDENTIFIED BY THE COMPREHENSIVE IDENTIFICATION, INTERPRETATION, AND ANALYSIS OF A ROBUST SET OF PRIMARY AND SECONDARY DATA.II. CRITERIA AND ANALYTICAL METHODS USED TO IDENTIFY THE COMMUNITY HEALTH NEEDSMEASURES IN THE KAISER PERMANENTE COMMUNITY HEALTH DATA PLATFORM WERE CLUSTERED INTO 16 POTENTIAL HEALTH NEEDS, WHICH FORMED THE BACKBONE OF A PRIORITIZATION TOOL TO IDENTIFY SIGNIFICANT HEALTH NEEDS IN THE JOHN MUIR HEALTH SERVICE AREA. FOR SECONDARY DATA, A SCORE WAS ASSIGNED TO EACH NEED (4: VERY HIGH, 3: HIGH, 2: MEDIUM, 1: LOWER, 0: NO NEED) BASED ON HOW MANY MEASURES WERE WORSE THAN THE CALIFORNIA AVERAGE BY 20% OR MORE. THEMES FROM KEY INFORMANT INTERVIEWS AND OTHER PRIMARY DATA SOURCES WERE IDENTIFIED, CLUSTERED, AND ASSIGNED SCORES ON A 0-4 POINT SCALE BASED ON THE NUMBER OF TIMES THE THEME WAS MENTIONED. BOTH THE DATA PLATFORM AND PRIMARY DATA INFORMED SCORES FOR GEOGRAPHIC, RACIAL/ETHNIC AND OTHER DISPARITIES.EACH DATA COLLECTION METHOD WAS ASSIGNED A WEIGHT, BASED ON RIGOR OF THE DATA COLLECTION METHOD, TIMELINESS, AND ABILITY TO DESCRIBE INEQUITIES/DISPARITIES. PRIMARY DATA (KEY INFORMANT INTERVIEWS AND FOCUS GROUPS) WERE WEIGHTED SIGNIFICANTLY MORE THAN THE SECONDARY DATA GIVEN THE TIMELINESS OF THIS DATA AND THE REPRESENTATION FROM COMMUNITY MEMBERS FROM AND SERVICE PROVIDERS TO DIVERSE, UNDERSERVED COMMUNITIES. WEIGHTED VALUES FOR EACH POTENTIAL NEED WERE SUMMED, CONVERTED TO A PERCENTILE SCORE FOR EASY COMPARISON, AND THEN RANKED HIGHEST TO LOWEST. AFTER ANALYZING AND SCORING THE PRIMARY AND SECONDARY DATA, THE EIGHT HIGHEST SCORING HEALTH NEEDS WERE PRESENTED AT MEETINGS ATTENDED BY THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP, KAISER PERMANENTE AND COMMUNITY PARTNERS. DATA WERE EXPLORED FOR A NUMBER OF HEALTH NEEDS (CANCER, CHRONIC DISEASE AND DISABILITY, CLIMATE AND ENVIRONMENT, FAMILY AND SOCIAL SUPPORT, HEALTHY EATING ACTIVE LIVING OPPORTUNITIES, SUBSTANCE USE, SEXUAL HEALTH) THAT WERE SCORED, BUT NOT DISCUSSED AT THE HEALTH NEED RANKING MEETINGS DUE TO THEIR LOW SCORES.B. CRITERIA AND PROCESS USED FOR PRIORITIZATION OF HEALTH NEEDSI. PRIORITIZATION CRITERIATHE FOLLOWING CRITERIA WERE EMPLOYED TO PRIORITIZE THE LIST OF HEALTH NEEDS FOR THE JOHN MUIR HEALTH SERVICE AREA: -SEVERITY: HOW SEVERE THE HEALTH NEED IS (POTENTIAL TO CAUSE DEATH OR DISABILITY) -MAGNITUDE OR SCALE: THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH NEED -CLEAR DISPARITIES OR INEQUITIES: DIFFERENCES IN HEALTH OUTCOMES BY SUBGROUPS (BASED ON GEOGRAPHY, LANGUAGES, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHERS) -COMMUNITY PRIORITY: THE COMMUNITY PRIORITIZES THE ISSUE OVER OTHER ISSUES -MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMSII. PRIORITIZATION PROCESSA PROCESS WAS CONDUCTED TO RANK THE HEALTH NEEDS AND IDENTIFY THE TOP FOUR PRIORITY HEALTH NEEDS DURING VIRTUAL MEETINGS. IN PARTNERSHIP WITH KAISER PERMANENTE, ASR CONTACTED COMMUNITY LEADERS INCLUDING COUNTY HEALTH, PARTNER HOSPITALS, AND COMMUNITY ORGANIZATION LEADERS TO ATTEND COUNTY-LEVEL GROUP MEETINGS TO RANK TOP HEALTH NEEDS FOR SERVICE AREAS WITHIN CONTRA COSTA AND ALAMEDA COUNTIES. THE MEETING FOR CONTRA COSTA COUNTY WAS ATTENDED BY 12 PARTICIPANTS SERVING DIVERSE LOW-INCOME POPULATIONS EXPERIENCING HEALTH INEQUITIES, INCLUDING: HOSPITAL REPRESENTATIVES, CONTRA COSTA COUNTY HEALTH SERVICES, THE COMMUNITY CLINIC CONSORTIUM OF CONTRA COSTA AND SOLANO COUNTIES, THE CONTRA COSTA COUNTY OFFICE OF EDUCATION AND THE CALIFORNIA ENDOWMENT (A HEALTH FUNDER). THE MEETING FOR ALAMEDA COUNTY WAS ATTENDED BY 14 PARTICIPANTS SERVING DIVERSE LOW-INCOME POPULATIONS EXPERIENCING HEALTH INEQUITIES, INCLUDING: HOSPITAL REPRESENTATIVES, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER NETWORK, ALAMEDA COUNTY OFFICE OF EDUCATION AND THE CALIFORNIA ENDOWMENT (A HEALTH FUNDER). ASR PRESENTED QUALITATIVE AND QUANTITATIVE FINDINGS FOR THE TOP SCORING EIGHT HEALTH NEEDS IDENTIFIED THROUGH THE SCORING PROCESS DESCRIBED ABOVE. ONE REPRESENTATIVE FROM EACH ORGANIZATION AFFILIATED WITH EACH SERVICE AREA RANKED THE HEALTH NEEDS ON A SCALE OF 0-4, WITH 0 BEING NOT A PRIORITY" TO 4 BEING A "VERY HIGH PRIORITY". VOTE VALUES (0-4) FROM EACH VOTING ATTENDEE WERE AVERAGED.C. PRIORITIZED DESCRIPTION OF HEALTH NEEDS THE PRIORITIZATION RESULTED IN THE FOLLOWING FINAL RANK ORDERED HEALTH NEEDS FOR EACH REGION IN THE JOHN MUIR HEALTH SERVICE AREA, LISTED FROM HIGHEST TO LOWEST PER THE PROCESS DESCRIBED IN SECTION BII ABOVE. THE RESULTS OF THE PRIORITIZATION AND BRIEF DESCRIPTIONS OF THE TOP PRIORITY HEALTH NEEDS ACROSS JOHN MUIR HEALTH'S CONTRA COSTA AND ALAMEDA COUNTY SERVICE AREAS ARE PROVIDED BELOW. THE MAP BELOW DEFINES THE COUNTY REGIONS USED FOR THE RANKING PROCESS AND THE FOLLOWING TABLE LISTS THE HEALTH NEED RANKING RESULTS BY REGION. BRIEF DESCRIPTIONS ARE PROVIDED FOR THE TOP PRIORITY HEALTH NEEDS ACROSS JOHN MUIR HEALTH'S CONTRA COSTA COUNTY AND ALAMEDA COUNTY SERVICE AREAS.BEHAVIORAL HEALTH: BEHAVIORAL HEALTH WHICH INCLUDES MENTAL HEALTH, EMOTIONAL AND PSYCHOLOGICAL WELL-BEING, ALONG WITH THE ABILITY TO COPE WITH NORMAL, DAILY LIFE AFFECTS A PERSON'S PHYSICAL WELL-BEING, ABILITY TO WORK AND PERFORM WELL IN SCHOOL AND TO PARTICIPATE FULLY IN FAMILY AND COMMUNITY ACTIVITIES. BEHAVIORAL HEALTH ALSO COVERS SUBSTANCE ABUSE, WHICH IMPACTS MANY ASPECTS OF HEALTH. BEHAVIORAL HEALTH AND THE MAINTENANCE OF GOOD PHYSICAL HEALTH ARE CLOSELY RELATED; COMMON MENTAL HEALTH DISORDERS SUCH AS DEPRESSION AND ANXIETY CAN AFFECT ONE'S ABILITY FOR SELF-CARE WHILE CHRONIC DISEASES CAN LEAD TO NEGATIVE IMPACTS ON MENTAL HEALTH. AMONG CONTRA COSTA COUNTY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS IDENTIFYING BEHAVIORAL HEALTH AS A PRIORITY, MOST REPORTED THAT BEHAVIORAL HEALTH WAS OFTEN LINKED TO OTHER HEALTH NEEDS SUCH AS TRAUMA, COMMUNITY SAFETY (OVER-POLICING AND OVER-INCARCERATION IN COMMUNITIES OF COLOR), SUBSTANCE USE, ECONOMIC SECURITY CHALLENGES, AND HOMELESSNESS. MENTAL HEALTH PROVIDERS ARE LESS AVAILABLE IN CONTRA COSTA COUNTY WHEN COMPARED TO THE CA AVERAGE (339 VERSUS 352 PER 100,000 POPULATION). HOUSING AND HOMELESSNESS: THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT DEFINES HOUSING AS AFFORDABLE WHEN IT COSTS NO MORE THAN 30 % OF A HOUSEHOLD'S INCOME. THE EXPENDITURE OF GREATER SUMS CAN RESULT IN THE HOUSEHOLD BEING UNABLE TO AFFORD OTHER NECESSITIES SUCH AS FOOD, CLOTHING, TRANSPORTATION, AND MEDICAL CARE. THE PHYSICAL CONDITION OF A HOME, ITS NEIGHBORHOOD, AND THE COST OF RENT OR MORTGAGE ARE STRONGLY ASSOCIATED WITH THE HEALTH, WELLBEING, EDUCATIONAL ACHIEVEMENT, AND ECONOMIC SUCCESS OF THOSE WHO LIVE INSIDE. HOMELESSNESS IS CORRELATED WITH POOR HEALTH: POOR HEALTH CAN LEAD TO HOMELESSNESS AND HOMELESSNESS IS ASSOCIATED WITH GREATER RATES OF PREVENTABLE DISEASES, LONGER HOSPITAL STAYS, AND GREATER RISK OF PREMATURE DEATH. CONTRA COSTA COUNTY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS WHO IDENTIFIED HOUSING AND HOMELESSNESS AS A PRIORITY HEALTH NEED DISCUSSED HOW HOUSING CHALLENGES INFLUENCE OTHER HEALTH NEEDS BY INCREASING ECONOMIC AND FOOD INSECURITY, AND UNHEALTHY BEHAVIORS THAT EXACERBATE CHRONIC DISEASE AND DISABILITY. CONTINUED... ECONOMIC SECURITY: FACTORS CONTRIBUTING TO ECONOMIC SECURITY CHALLENGES IDENTIFIED IN CONTRA COSTA COUNTY KEY INFORMANT INTERVIEWS AND FOCUS GROUPS INCLUDED: INSUFFICIENT VOCATIONAL TRAINING, LIMITED LIVING WAGE JOBS, AND LACK OF CLEAR COMMUNICATION ON AVAILABILITY OF/REGISTRATION FOR EXISTING INCOME/EMPLOYMENT SUPPORTS. THEY REPORTED THAT THESE ECONOMIC SECURITY CHALLENGES EXACERBATE A VARIETY OF ISSUES FOR CONTRA COSTA COUNTY RESIDENTS, SUCH AS HOUSING, ACCESS TO HEALTHCARE, UNHEALTHY BEHAVIORS THAT PROMOTE CHRONIC DISEASE AND DISABILITY, FOOD INSECURITY, MENTAL HEALTH ISSUES AND SUBSTANCE USE. STRUCTURAL RACISM: STRUCTURAL RACISM REFERS TO SOCIAL, ECONOMIC AND POLITICAL SYSTEMS AND INSTITUTIONS THAT PERPETUATE RACIAL INEQUITIES THROUGH POLICIES, PRACTICES AND NORMS. STRUCTURAL RACISM IS EMBEDDED IN MANY HEALTH NEEDS. CENTURIES OF STRUCTURAL RACISM HAVE FUELED ENDURING HEALTH INEQUITIES. THE LEGACIES OF RACIAL DISCRIMINATION AND ENVIRONMENTAL INJUSTICE ARE REFLECTED IN STARK DIFFERENCES IN HEALTH OUTCOMES AND LIFE EXPECTANCY FOR BLACK/AFRICAN AMERICAN, LATINO/LATINX, INDIGENOUS, AND PEOPLE OF COLOR. STRUCTURAL RACISM WAS A MAJOR NEED IDENTIFIED BY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS IN CONTRA COSTA AND ALAMEDA COUNTIES. IN CONTRA COSTA COUNTY, SEVERAL KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS DESCRIBED HOW STRUCTURAL RACISM RESULTS IN LIMITED HEALTHCARE ACCESS AND DELIVERY, WORSE QUALITY OF SERVICES RECEIVED, DECREASED SENSE OF COMMUNITY AND FAMILY SAFETY, AND HIGHER RATES OF TRAUMA AND MENTAL HEALTH DISORDERS FOR PEOPLE OF COLOR COMPARED TO WHITE RESIDENTS. HEALTHCARE ACCESS AND DELIVERY: ACCESS TO COMPREHENSIVE, QUALITY HEALTHCARE HAS A PROFOUND EFFECT ON HEALTH AND QUALITY OF LIFE. COMPONENTS OF ACCESS TO AND DELIVERY OF CARE INCLUDE: INSURANCE COVERAGE, ADEQUATE NUMBERS OF PRIMARY AND SPECIALTY CARE PROVIDERS, HEALTHCARE TIMELINESS, QUALITY AND TRANSPARENCY, MULTI-LINGUISTIC CAPACITY, AND CULTURAL COMPETENCE/CULTURAL HUMILITY. LIMITED ACCESS TO HEALTHCARE AND COMPROMISED HEALTHCARE DELIVERY NEGATIVELY AFFECTS HEALTH OUTCOMES AND QUALITY OF LIFE. COMMUNITY AND FAMILY SAFETY: SAFE COMMUNITIES PROMOTE COMMUNITY COHESION, ECONOMIC DEVELOPMENT, AND OPPORTUNITIES TO BE ACTIVE WHILE REDUCING UNTIMELY DEATHS AND SERIOUS INJURIES. CRIME, VIOLENCE, AND INTENTIONAL INJURY ARE RELATED TO POORER PHYSICAL AND MENTAL HEALTH OUTCOMES. CHILDREN AND ADOLESCENTS EXPOSED TO VIOLENCE ARE AT RISK FOR POORER LONG-TERM BEHAVIORAL AND MENTAL HEALTH OUTCOMES. TWO KEY MEASURES OF COMMUNITY SAFETY, VIOLENT CRIME AND INJURY DEATHS, WERE SUBSTANTIALLY HIGHER IN ALAMEDA COUNTY THAN THE CA AVERAGE. KEY INFORMANTS IN CONTRA COSTA AND ALAMEDA COUNTIES IDENTIFIED SYSTEMIC RACISM AS NEGATIVELY IMPACTING COMMUNITY SAFETY.FOOD SECURITY: FOOD INSECURITY IS THE LACK OF CONSISTENT ACCESS TO ENOUGH FOOD FOR AN ACTIVE, HEALTHY LIFE. FOOD INSECURITY ENCOMPASSES: ANXIETY ABOUT FOOD INSUFFICIENCY, HOUSEHOLD FOOD SHORTAGES, REDUCED QUALITY, VARIETY, OR DESIRABILITY OF FOOD, DIMINISHED NUTRIENT INTAKE, AND DISRUPTED EATING PATTERNS. SEVERAL CONTRA COSTA COUNTY FOCUS GROUP PARTICIPANTS STATED THAT ACCESSING FRESH PRODUCE AND HEALTHY FOOD OPTIONS IS DIFFICULT THROUGHOUT THE COUNTY, REPORTING THAT STORES STOCKING HEALTHY FOODS ARE NOT IN WALKING DISTANCE FOR MOST RESIDENTS AND REQUIRE A CAR OR PUBLIC TRANSPORTATION TO ACCESS. CONTINUED... EDUCATION: THE LINK BETWEEN EDUCATION AND HEALTH IS WELL-KNOWN. THOSE WITH HIGHER LEVELS OF EDUCATION ARE MORE LIKELY TO BE HEALTHIER AND LIVE LONGER. PRE-SCHOOL EDUCATION IS POSITIVELY ASSOCIATED WITH READINESS FOR AND SUCCESS IN SCHOOL, AS WELL AS LONG-TERM ECONOMIC BENEFITS FOR INDIVIDUALS AND SOCIETY, INCLUDING GREATER EDUCATIONAL ATTAINMENT, HIGHER INCOME, AND LOWER ENGAGEMENT IN DELINQUENCY AND CRIME. INDIVIDUALS WITH AT LEAST A HIGH SCHOOL DIPLOMA DO BETTER ON A NUMBER OF MEASURES THAN HIGH SCHOOL DROPOUTS: INCOME, HEALTH OUTCOMES, LIFE SATISFACTION, AND SELF-ESTEEM. WEALTH AMONG FAMILIES IN WHICH THE HEAD OF HOUSEHOLD HAS A HIGH SCHOOL DIPLOMA IS 10 TIMES HIGHER THAN THAT OF FAMILIES IN WHICH THE HEAD OF HOUSEHOLD DROPPED OUT OF HIGH SCHOOL. TRANSPORTATION: WITHOUT RELIABLE AND SAFE TRANSPORTATION, INDIVIDUALS STRUGGLE TO MEET BASIC NEEDS SUCH AS EARNING AN INCOME, ACCESSING HEALTHCARE, AND SECURING FOOD. TRANSPORTATION INFRASTRUCTURE FAVORS INDIVIDUAL CAR USE, WHICH IS ASSOCIATED WITH A NUMBER OF ADVERSE CONSEQUENCES, INCLUDING MOTOR VEHICLE INJURIES AND DEATHS, THE EXPENSES OF OWNING A VEHICLE, AND GREENHOUSE GAS EMISSIONS WHICH ARE A RISK FACTOR FOR HEART DISEASE, STROKE, ASTHMA, AND CANCER. FOR HOUSEHOLDS WITHOUT ACCESS TO A CAR, INCLUDING MANY LOW-INCOME INDIVIDUALS AND PEOPLE OF COLOR, WALKING, BIKING AND USING PUBLIC TRANSPORTATION PROVIDE CRITICAL LINKS TO JOBS AND ESSENTIAL SERVICES AND PROMOTE EXERCISE AND SOCIAL COHESION. CONTRA COSTA COUNTY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS IDENTIFYING TRANSPORTATION AS A HEALTH NEED DESCRIBED HOW INADEQUATE TRANSPORTATION PRESENTS BARRIERS TO ACCESSING HEALTHCARE AND A NUMBER OF HEALTH RELATED ACTIVITIES OF DAILY LIVING, INCLUDING: ACCESS TO GROCERY STORES SELLING HEALTHY FOOD, ABILITY TO GET CHILDREN TO/FROM SCHOOL, ACCESS TO COMMUNITY EVENTS, AND ABILITY TO COMMUTE TO A LIVING WAGE JOB. HEALTH NEEDS JOHN MUIR HEALTH WILL ADDRESS ACROSS ITS SERVICE AREA DURING 2023-2025 ARE:1. STRUCTURAL RACISM (AN OVERARCHING NEED THAT CUTS ACROSS ALL OTHER HEALTH NEEDS) 2. HEALTHCARE ACCESS AND DELIVERY 3. BEHAVIORAL HEALTH 4. HOUSING AND HOMELESSNESSV. JOHN MUIR HEALTH IMPLEMENTATION STRATEGIESJOHN MUIR HEALTH HAS IDENTIFIED EXPECTED IMPACTS, STRATEGIES, FOCUS AREAS, AND PARTNERS FOR EACH PRIORITY HEALTH NEED, AS DESCRIBED IN THE MATRICES BELOW. STRATEGY IMPLEMENTATION WILL DRAW ON JOHN MUIR HEALTH'S ORGANIZATIONAL RESOURCES (GRANTMAKING, INTERNAL PROGRAMS, JOHN MUIR HEALTH STAFF, AND OTHER ASSETS) IN COMBINATION WITH AN ARRAY OF PARTNERSHIPS AND COLLABORATIONS WITH COMMUNITY ORGANIZATIONS, STAKEHOLDERS, AND LEADERS THROUGHOUT ITS SERVICE AREA. JOHN MUIR HEALTH HAS SELECTED THE FOLLOWING NEEDS TO ADDRESS, WITH STRUCTURAL RACISM AS THE DRIVER THAT ADDRESSES ALL FOCUS AREAS. WITHIN EACH FOCUS AREA, JOHN MUIR HEALTH PLANS TO IMPLEMENT PROGRAMMING THAT ALIGNS WITH SPECIFIC PROGRAMMATIC CATEGORIES, PROMOTING HEALTH VIA MULTIFACETED APPROACHES:-WORKFORCE DEVELOPMENT -PROMOTION AND PREVENTION -DIRECT SERVICES AND TREATMENT -RESILIENCY AND SUPPORT SERVICESPRIORITY HEALTH NEED: STRUCTURAL RACISMSTRUCTURAL RACISM IS A SELECTED PRIORITY NEED THAT WILL BE INFUSED INTO STRATEGIES IMPLEMENTED TO ADDRESS ALL SELECTED HEALTH NEEDS. STRATEGIES AIMED AT ELIMINATING STRUCTURAL RACISM FOCUS ON SUPPORTING SYSTEMS CHANGE AMONG JOHN MUIR HEALTH GRANTEES AND PARTNERS (COMMUNITY-BASED NONPROFIT ORGANIZATIONS SERVING THE JOHN MUIR HEALTH SERVICE AREA) BY FINANCIALLY SUPPORTING INTERVENTIONS THAT GUIDE ADOPTION OF ANTI-RACISM POLICIES, PRACTICES, SERVICES AND RESOURCES.LONG-TERM GOAL: ELIMINATE STRUCTURAL RACISM IN ITS ENTIRETY FOR ALL COMMUNITIES. INTERMEDIATE GOALS: -INCREASE FINANCIAL SUPPORT TO ALL JOHN MUIR HEALTH COMMUNITY BENEFIT PARTNER NONPROFIT ORGANIZATIONS TO SUPPORT ADOPTION OF NEW POLICIES, PRACTICES AND SERVICES THAT ADDRESS STRUCTURAL RACISM. -INCREASE COMMUNITY-BASED NONPROFIT ORGANIZATION ACCESS TO TOOLS THAT ADDRESS STRUCTURAL RACISM.TO PROMOTE ANTI-RACISM SYSTEMS CHANGE AT THE ORGANIZATIONAL LEVEL, JOHN MUIR HEALTH WILL AWARD ALL GRANTEES ADDITIONAL FUNDING TO BE RESTRICTED TOWARDS ADDRESSING STRUCTURAL RACISM AND WILL ENGAGE EVALUATION METHODOLOGIES TO MEASURE IMPACT ACROSS THE SERVICE AREA. JOHN MUIR HEALTH WILL GUIDE AND SUPPORT SYSTEMS CHANGE BY EXTERNALIZING INTERNAL RESOURCES AND EXPERTISE FROM THE OFFICE OF BELONGING AND EQUITY, PROVIDING GRANTEE AND PARTNER ORGANIZATIONS WITH A MENU OF ISSUES/STRATEGIES TO ADDRESS/IMPLEMENT, INCLUDING: -REPRESENTATION IN BOARD OF DIRECTORS AND LEADERSHIP COMPOSITION -HIRING AND WORKFORCE DEVELOPMENT PRACTICES -DIVERSITY, EQUITY, AND INCLUSION TRAININGS OR WORKSHOPS -EMPLOYEE ENGAGEMENT OPPORTUNITIES (I.E., EMPLOYEE RESOURCE GROUPS, CULTURAL CELEBRATIONS)PRIORITY HEALTH NEED: HEALTHCARE ACCESS AND DELIVERY LONG-TERM GOAL: THE ENTIRE COMMUNITY HAS ACCESS TO APPROPRIATE CULTURALLY AND LINGUISTICALLY-ALIGNED HEALTHCARE AND HEALTHCARE SUPPORT SERVICES THAT ARE DELIVERED WITH QUALITY AND COMPASSION. INTERMEDIATE GOALS: -INCREASE ACCESS TO A DIVERSE, LINGUISTICALLY AND CULTURALLY-ALIGNED HEALTHCARE WORKFORCE. -INCREASE ACCESS TO SUBSIDIZED CARE AND FINANCIAL ASSISTANCE FOR LOW-INCOME AND UNINSURED INDIVIDUALS. -INCREASE ACCESS TO COMPREHENSIVE PRIMARY CARE, SPECIALTY CARE SERVICES, SUPPORT SERVICES, AND PREVENTION PROGRAMMING FOR LOW-INCOME, VULNERABLE, AND UNINSURED INDIVIDUALS.EXPECTED IMPACT: -INCREASED OPPORTUNITIES FOR HEALTHCARE SECTOR CAREERS FOR POPULATIONS UNDERREPRESENTED IN THE HEALTHCARE WORKFORCE. -INCREASED ACCESS TO AND USE OF COMPREHENSIVE PRIMARY CARE AND SPECIALTY CARE FOR LOW INCOME AND UNINSURED POPULATIONS. STRATEGY TO ACHIEVE THIS INCLUDES: -IMPROVED QUALITY OF CARE FOR CLIENTS OF SAFETY NET ORGANIZATIONS. -INCREASED ACCESS TO COMMUNITY-BASED HEALTH SCREENINGS AND HEALTHCARE SUPPORT SERVICESSTRATEGY TO ACHIEVE THESE GOALS INCLUDES:PROVIDING WORKFORCE DEVELOPMENT PROGRAMMING TO HIGH SCHOOL, JUNIOR COLLEGE, AND MEDICAL SCHOOL STUDENTS UNDERREPRESENTED IN HEALTHCARE CAREERS TO INCLUDE YOUNG HEALERS AND CLIMB MENTORSHIP PROGRAMS.PROVIDE SUPPORT TO THE VULNERABLE POPULATIONS CURRICULUM OF THE JOHN MUIR HEALTH FAMILY MEDICINE RESIDENCY TO ENGAGE MEDICAL RESIDENTS IN COMMUNITY-BASED SERVICES IN PARTNERSHIP WITH LOCAL NONPROFIT ORGANIZATIONS. PROVIDE CHRONIC DISEASE PREVENTION EDUCATION, SCREENING, AND CLINICAL SERVICES TO VULNERABLE ADULTS THROUGH THE DIABETES EMPOWERMENT EDUCATION PROGRAM, JOHN MUIR HEALTH MOBILE HEALTH CLINIC, AND HAPPY FEET PROGRAM. PROVIDE SCREENING PROGRAMS THROUGH EVERY WOMAN COUNTS AND THE LUNG CANCER SCREENING PROGRAM FOR LOW-INCOME ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF INSURANCE COVERAGE.PROVIDE FINANCIAL ASSISTANCE, VIA THE JOHN MUIR HEALTH CHARITY CARE POLICY, TO SUPPORT LOW-INCOME PATIENTS BY SUBSIDIZING ALL OR A PORTION OF THEIR JOHN MUIR HEALTH MEDICAL EXPENSES. PARTICIPATE IN THE GOVERNMENT-SPONSORED MEDI-CAL PROGRAM TO PROVIDE COMPREHENSIVE INPATIENT CARE TO MEDI-CAL ENROLLEES THAT GENERATE UNPAID COSTS AT JOHN MUIR MEDICAL CENTER-WALNUT CREEK, JOHN MUIR MEDICAL CENTER-CONCORD, JOHN MUIR PHYSICIAN NETWORK, AND BEHAVIORAL HEALTH CENTER. PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES, VIA THE JOHN MUIR HEALTH MOBILE HEALTH CLINIC, FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, ACCESSIBILITY OF SERVICES, OR TIMELINESS OF APPOINTMENTS. PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLNICA/JOHN MUIR HEALTH SPECIALTY CARE PROGRAM AND OTHER SPECIALTY CARE PROGRAMS FOR ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF INSURANCE COVERAGE. LEAD THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY AND PROVIDE DENTAL SERVICES AND DENTAL EDUCATION, VIA RONALD MCDONALD/JOHN MUIR HEALTH MOBILE DENTAL CLINIC, FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES. PROVIDE HEALTHCARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH PROGRAMS SUCH AS THE JOHN MUIR HEALTH COMMUNITY SCHOOL NURSE PROGRAM. PROVIDE ACCESS TO HEALTHCARE SUPPORT SERVICES FOR VULNERABLE OLDER ADULTS THAT PROMOTE INDEPENDENT LIVING AND WELLNESS THROUGH FALL PREVENTION SAFETY TRAININGS, HOME ASSESSMENTS AND MODIFICATIONS, HEALTH EDUCATION, AND ACCESS TO ASSISTIVE TECHNOLOGIES.PRIORITY HEALTH NEED: BEHAVIORAL HEALTH LONG-TERM GOAL: THE ENTIRE COMMUNITY HAS ACCESS TO BEHAVIORAL AND MENTAL HEALTH PROGRAMMING, SUPPORT AND DIRECT SERVICES TO PROMOTE WHOLE HEALTH AND EMOTIONAL WELLNESS. INTERMEDIATE GOALS: INCREASE ACCESS TO ALTERNATIVE MENTAL HEALTH WORKFORCE TO INCLUDE COMMUNITY HEALTH WORKERS AND PROMOTORES TRAINING PROGRAMS. INCREASE ACCESS TO BEHAVIORAL AND MENTAL HEALTH SERVICES THAT PROVIDE PREVENTION, DIRECT SERVICE AND SUPPORT FOR VULNERABLE INDIVIDUALS AND FAMILIES. INCREASE VIOLENCE PREVENTION AND RESILIENCY PROGRAMMING FOR VULNERABLE COMMUNITIES. CONTINUED... EXPECTED IMPACT-INCREASED ACCESS TO AND USE OF BEHAVIORAL AND MENTAL HEALTH SERVICES. -INCREASED ACCESS TO CULTURALLY AND LINGUISTICALLY-ALIGNED BEHAVIORAL AND MENTAL HEALTH SERVICES. -IMPROVED YOUTH RESILIENCE. -INCREASED ACCESS TO SUPPORTIVE COMMUNITY-BASED SERVICES THAT PREVENT AND MITIGATE THE IMPACTS OF VIOLENCE AND TRAUMA.STRATEGY TO ACHIEVE THESE GOALS:SUPPORT COMMUNITY HEALTH WORKER AND PROMOTORES PROGRAMS THAT OFFER TRAINING TO COMMUNITY MEMBERS TO PREVENT AND/OR REDUCE LEVELS OF STRESS, ANXIETY AND DEPRESSION IN VULNERABLE COMMUNITIES. LEAD THE RESTORATIVE JUSTICE INITIATIVE ACROSS CONTRA COSTA COUNTY SCHOOLS TO PROMOTE VIOLENCE PREVENTION AND PROVIDE TRAININGS TO SCHOOL STAFF AND ADMINISTRATION ON HOW TO RESOLVE HARM AND REDUCE CONFLICT AMONG THE SCHOOL COMMUNITY. SUPPORT PROGRAMMING THAT FOCUSES ON SOCIAL CONNECTION AMONG OLDER ADULTS TO REDUCE ISOLATION AND PROMOTE WELLBEING. PROVIDE DIRECT MENTAL HEALTH THERAPY SERVICES TO YOUTH, ADULTS AND FAMILIES WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, ACCESSIBILITY OF SERVICES, OR TIMELINESS OF APPOINTMENTS. PROGRAMS INCLUDE: JOHN MUIR HEALTH BEYOND VIOLENCE, JOHN MUIR HEALTH MOBILE HEALTH CLINIC, CANCER SUPPORT SERVICES, AND SCHOOL-BASED SERVICES. LEAD THE BEYOND VIOLENCE PROGRAM AND ALL PARTNERS COLLABORATIVE TO PROVIDE HOSPITAL-BASED VIOLENCE INTERVENTION SERVICES TO INDIVIDUALS IMPACTED BY INTENTIONAL VIOLENCE AND PROMOTE RESILIENCY BY PROVIDING ROBUST COMMUNITY-BASED SUPPORT SERVICES TO INDIVIDUALS AND THEIR FAMILIES VIA PARTNERSHIPS WITH LOCAL NONPROFIT ORGANIZATIONS. PROVIDE PEER-DELIVERED SERVICES, SUPPORT GROUPS AND CONNECTION TO RESOURCES FOR VULNERABLE ADULTS DIAGNOSED WITH MENTAL ILLNESS.PRIORITY HEALTH NEED: HOUSING AND HOMELESSNESS LONG-TERM GOAL: THE ENTIRE COMMUNITY HAS ACCESS TO SAFE, HEALTHY, AND AFFORDABLE HOUSING. INTERMEDIATE GOALS: -INCREASE SUPPORT OF THE HOUSING NAVIGATORS WORKFORCE AND EMPLOYMENT OPPORTUNITIES TO COMMUNITIES PRONE TO HOMELESSNESS. -INCREASE ACCESS TO HOMELESSNESS PREVENTION RESOURCES TO LOW-INCOME AND VULNERABLE COMMUNITIES. -INCREASE ACCESS TO HOUSING RESOURCES AND SUPPORT SERVICES TO PROVIDE UNSHELTERED INDIVIDUALS AND FAMILIES WITH ACCESS TO TRANSITIONAL SUPPORTIVE HOUSING, RESPITE CARE AND RECUPERATIVE HOUSING, PERMANENT SUPPORTIVE HOUSING, AND ULTIMATELY INDEPENDENT PERMANENT AFFORDABLE HOUSING. -INCREASE FOOD SECURITY AND DECREASE THE FOOD COST BURDEN FOR LOW-INCOME FAMILIES TO FREE UP FUNDS TO COVER HOUSING COSTS.EXPECTED IMPACT:-INCREASED NUMBER OF COMMUNITY MEMBERS WITH STABLE HOUSING. -INCREASED ACCESS TO HOUSING SERVICES FOR COMMUNITY MEMBERS WHO ARE UNHOUSED AND AT RISK OF BECOMING UNHOUSED. -INCREASED COMMUNITY OUTREACH AND AWARENESS OF HOUSING RESOURCES. -INCREASED CONSISTENT ACCESS TO HEALTHY FOOD FOR LOWINCOME AND UNHOUSED INDIVIDUALS.STRATEGIES TO ACHIEVE THESE GOALS INCLUDES:PROVIDE SUPPORT TO HOUSING NAVIGATOR WORKFORCE PROGRAMS. PROVIDE SUPPORT TO EMPLOYMENT PROGRAMS THAT DIRECTLY IMPACT COMMUNITIES PRONE TO HOMELESSNESS. PROVIDE HOMELESSNESS PREVENTION SERVICES AND EMERGENCY FUNDING TO HOUSING INSECURE INDIVIDUALS AND FAMILIES TO ENSURE THAT COMMUNITY MEMBERS MAINTAIN STABLE HOUSING. PROVIDE CONNECTION TO RESPITE CARE AND RECUPERATIVE HOUSING FOR HOMELESS PATIENTS DISCHARGED FROM LOCAL HOSPITALS, INCLUDING JOHN MUIR HEALTH. PROVIDE CONNECTION TO TRANSITIONAL SUPPORTIVE HOUSING FOR INDIVIDUALS AND FAMILIES WHO ARE IN RECOVERY FROM ALCOHOL AND OTHER SUBSTANCES. PROVIDE CONNECTION TO PERMANENT SUPPORTIVE AND AFFORDABLE HOUSING FOR HOMELESS INDIVIDUALS AND FAMILIES. PROVIDE SUPPORT SERVICES TO UNHOUSED INDIVIDUALS AND FAMILIES TO INCLUDE: FOOD, SHOWER AND LAUNDRY FACILITIES, CLOTHING, EMPLOYMENT ASSISTANCE AND CONNECTION TO ADDITIONAL SUPPORT SERVICES. SUPPORT COMMUNITY OUTREACH AND AWARENESS-BUILDING OF HOUSING RESOURCES AVAILABLE TO THE COMMUNITY. SUPPORT FOOD ACCESS PROGRAMMING TO PROVIDE NUTRITIOUS FOODS, INCLUDING FRESH PRODUCE, FOR UNHOUSED AND LOW-INCOME INDIVIDUALS, FAMILIES AND COMMUNITIES.JOHN MUIR HEALTH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS:1. ECONOMIC SECURITY2. COMMUNITY AND FAMILY SAFETY3. FOOD SECURITY4. EDUCATION5. TRANSPORTATIONJMH RECOGNIZES THE IMPORTANCE OF EACH OF THE PRIORITIZED COMMUNITY HEALTH NEEDS. HOWEVER, JMH'S EXPERIENCE IS THAT OUR INVESTMENTS COULD HAVE THE MOST IMPACT ON COMMUNITY HEALTH BY FOCUSING RESOURCES ON THE SELECTED COMMUNITY HEALTH NEEDS. THEREFORE, THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE DECIDED TO ADDRESS THE COMMUNITY HEALTH NEEDS THAT ARE ALIGNED WITH OUR MISSION, LEVERAGE JMH'S EXPERTISE, AND HAVE FEASIBLE INTERVENTIONS AND PARTNERS FOR SCALABLE IMPACT.THE SELECTED HEALTH NEEDS DO NOT REPRESENT EVERYTHING JOHN MUIR HEALTH DOES TO IMPROVE COMMUNITY HEALTH. FOR THOSE NEEDS NOT SELECTED, GENERALLY, JOHN MUIR DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THE NEED; HOWEVER, THERE ARE AREAS OF OVERLAP WITH CURRENT COMMUNITY BENEFIT STRATEGIES. FOR EXAMPLE, WHILE FOOD SECURITY WAS NOT EXPLICITLY SELECTED AS A PRIORITIZED NEED, JOHN MUIR HEALTH CONTINUE TO SUPPORT AND DONATE TO LOCAL FOOD BANKS. IN ADDITION, WHILE TRANSPORTATION WAS NOT CHOSEN, JOHN MUIR HEALTH WILL SUPPORT TRANSPORTATION INITIATIVES THAT DECREASE ISOLATION AMONG VULNERABLE SENIORS AND INCREASE ACCESS TO HEALTH AND SUPPORT SERVICES AMONG VULNERABLE INDIVIDUALS.JOHN MUIR HEALTH REMAINS DEDICATED TO BEING A LEADER IN BUILDING A HEALTHIER COMMUNITY. BY LISTENING, ENGAGING AND COLLABORATING WITH SERVICE AREA COMMUNITIES, JOHN MUIR HEALTH IS COMMITTED TO CREATING A NETWORK OF HEALTH AND WELLNESS SERVICES AND SUPPORT. THIS 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS ADOPTED BY JOHN MUIR HEALTH'S BOARD OF DIRECTORS ON DECEMBER 14, 2022. PART V, SECTION B, LINE 13B INCOME LEVEL OTHER THAN FPGOTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTRY'S MEDICALLY INDIGENT PROGRAM. ADDITIONALLY, THE ORGANIZATION USES ESTIMATED FEDERAL POVERTY GUIDELINES DEVELOPED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. PART V, SECTION B, LINE 16A THE FAP IS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML PART V, SECTION B, LINE 16B THE FAP APPLICATION FORM IS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML PART V, SECTION B, LINE 16C A PLAIN LANGUAGE SUMMARY OF THE FAP IS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML PART I, LINE 3C: ELIGIBILITY CRITERIA USED FOR DETERMINING FREE OR DISCOUNTED CARETHE MAJORITY OF CHARITY CARE IS GIVEN BASED EITHER IN THE FEDERAL POVERTY GUIDELINES ("FPG") AS CALCULATED FROM DOCUMENTATION AND STATEMENTS MADE ON THE INTERNAL JOHN MUIR HEALTH CHARITY CARE APPLICATION, OR ON THE FPG AS ESTIMATED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY HAD DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. JOHN MUIR HEALTH HAS NO INPUT INTO THE CRITERIA USED FOR THE ALGORITHM, WHICH IS THE SAME CALCULATION USED BY THE CONTRACTED THIRD PARTY FOR ALL OF THEIR CLIENTS NATIONWIDE.OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIAMEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTY'S MEDICALLY INDIGENT PROGRAM.IN ADDITION TO FORMAL QUALIFICATION IN A RECOGNIZED PROGRAM SERVING THE LOW-INCOME AND INDIGENT POPULATION, CHARITY CARE IS ALSO EXTENDED TO PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS AND WHO HAVE BEEN DOCUMENTED IN THE MEDICAL RECORDS AS BEING HOMELESS, OR HAVE A LACK OF HOUSING. CHARITY CARE IS ALSO APPLIED TO OUTSTANDING BALANCE FOR EMERGENCY SERVICES RENDERED TO DOCUMENTED MINOR AND ELDERLY VICTIMS OF ABUSE, BASED ON COMPASSION AS JOHN MUIR HEALTH HAS NO KNOWLEDGE OF THE CURRENT HOME ENVIRONMENT OF THESE PATIENTS. WE ALSO HAVE A PARTNERSHIP WITH A COMMUNITY PROGRAM, OPERATION ACCESS, WHICH SERVES THE LOW-INCOME INDIVIDUALS IN OUR COUNTY, TO PROVIDE FREE CARE ON A REFERRED, CASE-BY-CASE BASIS. OPERATION ACCESS HAS ALREADY PERFORMED THE SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.JMH CONTINUED A PARTNERSHIP WITH LA CLINICA DE LA RAZA TO PROVIDE SPECIALTY CARE FOR UNINSURED AND LOW INCOME PATIENTS. LA CLINICA DE LA RAZA HAS ALREADY PERFORMED SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.PART 1, LINE 4MEDICALLY INDIGENT CAREWE PROVIDE HEALTH CARE TO THE MOST VULNERABLE INDIVIDUALS OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY THROUGH OUR MEDICAL CENTERS IN WALNUT CREEK AND CONCORD. THIS INCLUDES THE CRITICAL EMERGENCY AND TRAUMA SERVICES AT OUR MEDICAL CAMPUSES.JOHN MUIR HEALTH HAS A NUMBER OF PROGRAMS TO HELP OUR PATIENTS WITH THEIR MEDICAL BILLS FOR SERVICES THEY RECEIVE AT ONE OF OUR MEDICAL CENTERS. THESE PROGRAMS INCLUDE A PATIENT ASSISTANCE PROGRAM TO ABSORB PART, OR ALL, OF THE BILL BASED ON INCOME AND OTHER PROGRAM GUIDELINES, ASSISTANCE ENROLLING IN A NUMBER OF INSURANCE PROGRAMS, AND EXTENDED PAYMENT PLANS. JOHN MUIR HEALTH MAY ALSO ASSIGN ACCOUNTS TO PRESUMPTIVE CHARITY, WITHOUT A PATIENT ASSISTANCE APPLICATION SUBMITTED BY THE PATIENT, BASED ON PREDETERMINED CRITERIA COLLECTED FROM APPROVED SOURCES. THIS CRITERIA INCLUDES:THE PATIENT HAVING DOCUMENTED IN HIS/HER MEDICAL RECORD AS BEING HOMELESS OR VERIFICATION RECEIVED THROUGH THE MEDICAL CENTER OR A FAMILY MEMBER THAT THE PATIENT IS CURRENTLY INCARCERATEDORTHE PATIENT QUALIFIES FOR A GOVERNMENT PROGRAM WITH ELIGIBILITY REQUIREMENTS THAT REASONABLY MEET THE QUALIFICATIONS FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM WITHIN SIX (6) MONTHS OF THE DATE THE PATIENT RECEIVED SERVICES AT THE MEDICAL CENTER.ORAFTER NORMAL COLLECTION EFFORTS HAVE NOT PRODUCED ANY PAYMENT, AND JOHN MUIR HEALTH HAS IDENTIFIED WITH REASONABLE EFFORT AND ASSURANCE THAT THE PATIENT'S ESTIMATED INCOME IS AT 250 PERCENT OR LESS OF THE FPL (FEDERAL POVERTY LEVEL). PART I, LINE 6A: COMMUNITY BENEFIT REPORTALL JOHN MUIR HEALTH ENTITIES (WALNUT CREEK CAMPUS, CONCORD CAMPUS AND BEHAVIORAL HEALTH) REPORT COMMUNITY BENEFIT INFORMATION AS PART OF THE JOHN MUIR HEALTH ANNUAL COMMUNITY BENEFIT REPORT. PART I, LINE 7: FINANCIAL ASSISTANCE POLICYJOHN MUIR HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS.PART I, LINE 7, COLUMN (F)FINANCIAL ASSISTANCE PERCENT OF TOTAL EXPENSETHE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $34,239,522 PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESJOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEET THE DEFINITION OF COMMUNITY BENEFIT. IN 2022, WE PROVIDED SUPPORT TO ORGANIZATIONS WHOSE MISSION IS TO ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS THROUGH EVENT SPONSORSHIP. LASTLY, JOHN MUIR HEALTH WORKS WITH A WIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TO HEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS, WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THE FOLLOWING AREAS:1. REGISTERED NURSING2. MEDICAL ASSISTANTS3. MEDICAL IMAGING TECHNOLOGY4. SONOGRAPHERS5. CLINICAL LAB SCIENTIST6. PHARMACIST AND PHARMACY TECHS7. THERAPIST/PHYSICAL, OCCUPATIONAL AND SPEECH8. ENGINEERING AND BIO ENGINEERING9. NUTRITION SERVICES/DIETITIANS AND CHEFS10. INFORMATION TECHNOLOGY11. HEALTHCARE ADMINISTRATION12. FAMILY MEDICINE PHYSICIANS13. EMERGENCY SERVICES/ER TECHS, PHYSICIANS AND NURSINGSPARTNERS:1. EAST COUNTY BUSINESS EDUCATION ALLIANCE2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH UNDERSERVED POPULATION.3. JEWISH VOCATION SERVICES (JVS) - DISPLACED WORKER TRAINING TO GET BACK IN THE WORKFORCE4. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE5. BAY AREA COUNCIL6. EAST BAY HEALTH WORKFORCE PARTNERSHIPSTUDENTS:1. 17 HIGH SCHOOLS AND HEALTH ACADEMIES2. 14 UNIVERSITIES3. 9 STATE COLLEGES4. 8 JUNIOR COLLEGES5. 7 PRIVATE COLLEGES PART III, LINE 2: BAD DEBT EXPENSEBAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTETHE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN THE JOHN MUIR HEALTH AND SUBSIDIARIES CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: SHORTFALL TREATED AS COMMUNITY BENEFITTHE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2021 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). PART III, LINE 9B: COLLECTION PRACTICESOTHER THAN SENDING STATEMENTS AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTION INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO AN OUTSIDE AGENCY. THE COLLECTION POLICY IS IN THE FORM OF, AND INCORPORATED INTO, THE CONTRACT AGREEMENT WITH THE OUTSIDE AGENCY AS A FULL ADDENDUM TO THE CONTRACT, WITH A SEPARATESIGNATURE LINE FOR JOHN MUIR HEALTH AND THE AGENCY AS PART OF THE ADDENDUM. IN ADDITION TO THE CUSTOMIZED JOHN MUIR HEALTH COLLECTION GUIDELINES, THE ADDENDUM ALSO CONTAINS THE COLLECTION CRITERIA AND REQUIREMENTS FOUND IN CALIFORNIA LAW UNDER ASSEMBLY BILL 774. PART VI, LINE 2: NEEDS ASSESSMENTTHE 2022 HEALTH NEEDS ASSESSMENT INCLUDES A COMPREHENSIVE NEEDS ASSESSMENT OF THE COMMUNITY SERVED, WHICH HAS BEEN USED TO DEVELOP OUR ANNUAL AND TRIENNIAL COMMUNITY BENEFIT PLANS. FOR MORE INFORMATION, THE CHNA REPORT AND IMPLEMENTATION STRATEGY (A.K.A. COMMUNITY HEALTH IMPROVEMENT PLAN) CAN BE FOUND HERE:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-ALLIANCE.HTMLIN ADDITION TO THE CHNA, JMH IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY IN A VARIETY OF WAYS. JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIPS WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS IN OUR COMMUNITY. JOHN MUIR HEALTH KEPT ABREAST OF CURRENT HEALTH ISSUES OF IMPORTANCE TO THE COMMUNITY BY ACTIVE PARTICIPATION AND COMMUNICATION WITH A VARIETY OF COMMUNITY GROUPS INCLUDING BUT NOT LIMITED TO: DENTAL COLLABORATIVE OF CONTRA COSTA, ACCESS TO CARE STAKEHOLDERS, EAST COUNTY ACCESS ACTION TEAM, HEALTHY AND ACTIVE BEFORE FIVE, FAMILIES COALITION FOR ACTIVITY AND NUTRITION, MOBILE HEALTH CLINIC ASSOCIATION, NORTHERN CALIFORNIA ROUNDTABLE, AND THE EAST COUNTY HEALTH AND WEALTH INITIATIVE. THESE SOURCES OF INFORMATION PROVIDE CURRENT INFORMATION REGARDING COMMUNITY HEALTH STATUS AND ALSO HELP IDENTIFY EMERGING NEEDS IN THE SERVICE AREA POPULATION. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEJOHN MUIR HEALTH HAS SIGNAGE POSTED IN PATIENT ACCESS AREA/LOBBIES INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIR HEALTH CARE BILLS AND ELIGIBILITY. SERVICES TO AID THE PATIENT IN QUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IS POSTED IN THE EMERGENCY DEPARTMENT.ALL PATIENTS RECEIVE A "PATIENT ASSISTANCE" BROCHURE, WHICH IDENTIFIES VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENT, INCLUDING THE JOHN MUIR HEALTH CHARITY CARE PROGRAM AS WELL AS PROGRAMS THROUGH GOVERNMENT AGENCIES (STATE, COUNTY, ETC). THE BROCHURE ALSO LISTS CONTACT INFORMATION FOR THESE PROGRAMS. PATIENTS IN THE EMERGENCY DEPARTMENT TALK TO A TRAINED FINANCIAL COUNSELOR, AND IF APPROPRIATE, ARE ALSO ASKED TO SIGN A FORM ACKNOWLEDGING RECEIPT OF THE PATIENT ASSISTANCE MATERIALS OR DECLINING TO ACCEPT THE MATERIAL. TRAINED FINANCIAL COUNSELORS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE NOT PRESENT FOR SERVICES THROUGH THE EMERGENCY DEPARTMENT. THE APPLICATION FORM AND A COPY OF THE POLICY FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM IS ALSO AVAILABLE IN THE EMERGENCY DEPARTMENT AS WELL AS THE MAJOR PATIENT ACCESS AREAS AND THE BUSINESS OFFICE.NOTIFICATIONS THAT PROGRAMS, INCLUDING CHARITY CARE, ARE AVAILABLE ISALSO PRINTED ON PATIENT BILLING STATEMENTS, ACCOMPANIED BY THE ABILITY FOR A PATIENT TO REQUEST THE VARIOUS PROGRAM MATERIALS BE SENT TO HIS/HER HOME. CONTACT INFORMATION IS ALSO LISTED IN THE PATIENT STATEMENT. INFORMATION IN THE HEALTH SYSTEM'S CHARITY CARE PROGRAM IS POSTED ON THE JOHN MUIR HEALTH INTERNET WEBSITE AS WELL.PATIENTS ADMITTED TO THE HOSPITAL, AND WHO HAVE NO THIRD PARTY INSURANCE LISTED ARE INTERVIEWED BY TRAINED FINANCIAL COUNSELORS DURING THEIR HOSPITAL STAY TO INFORM THEM OF THE VARIOUS PROGRAMS WHICH ARE AVAILABLE, AND DETERMINE IF THE PATIENT WOULD LIKE ASSISTANCE TO OBTAIN ELIGIBILITY FOR THE STATE MEDICAID (MEDI-CAL) PROGRAM, STATE DISABILITY, CHARITY CARE OR OTHER AVAILABLE PROGRAM IN THE COUNTY. THIS ELIGIBILITY ASSISTANCE, WHICH INCLUDES HELP IN FILLING OUT THE APPLICATION, GATHERING REQUIRED DOCUMENTS, AND TRANSPORTATION TO ELIGIBILITY APPOINTMENTS, IF NECESSARY, IS OFFERED AT NO CHARGE TO THE PATIENT. IN ADDITION, PATIENT ACCOUNTING REPRESENTATIVES MAY ALSO CONTACT PATIENTS AFTER DISCHARGE TO ASK ABOUT PAYMENT ARRANGEMENTS AND TO INFORM THEM OF THE CHARITY CARE PROGRAM IF THE PATIENT NEEDS ASSISTANCE IN PAYING FOR THEIR MEDICAL BILLS. PART VI, LINE 4: COMMUNITY INFORMATIONJOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREAS EXTENDS FROM SOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SAN RAMON IN SOUTHERN CONTRA COSTA COUNTY. JOHN MUIR HEALTH'S TRAUMA CENTER SERVES ALL OF CONTRA COSTA COUNTY, SOLANO COUNTY, AND MARIN COUNTY. IT IS ALSO THE BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY. JOHN MUIR HEALTH ALSO SERVES EASTERN ALAMEDA COUNTY IN A JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER AND SERVES NORTHERN ALAMEDA COUNTY IN A JOINT VENTURE WITH UNIVERSITY OF CALIFORNIA, SAN FRANCISCO.JOHN MUIR HEALTH'S COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF THE VULNERABLE POPULATIONS IN CONTRA COSTA COUNTY, THE TRI-VALLEY, AND NORTHERN ALAMEDA COUNTY. WE DEFINE VULNERABLE POPULATIONS AS THOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED.THE JOHN MUIR HEALTH SERVICE AREA HAS THE FOLLOWING DEMOGRAPHIC PROFILE:CONTRA COSTA COUNTYTOTAL POPULATION:% AGE 65+: 16%% UNDER AGE 19: 25%RACE:WHITE: 52%AFRICAN AMERICAN: 9%ASIAN: 18%OTHER: 14%MULTIRACIAL: 6%AMERICAN INDIAN/ALASKAN NATIVE: <1%NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER: <1%ETHNICITY:HISPANIC: 26%NON-HISPANIC: 74%SOCIOECONOMIC DATA:LIVING IN POVERTY (<100% FEDERAL POVERTY LEVEL): 9%CHILDREN IN POVERTY: 12%SENIOR (>65) IN POVERTY: 6%UNEMPLOYMENT: 6%UNINSURED POPULATION: 6%ADULTS WITH NO HIGH SCHOOL DIPLOMA: 12% PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHJOHN MUIR HEALTH IS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION THATIS GOVERNED BY THOSE WHO LIVE IN THE COMMUNITY WE SERVE. COMMUNITYRESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARDCOMMUNITIES. THE BOARD OF JOHN MUIR HEALTH CONSISTS PRIMARILY OF MEMBERSOF THE COMMUNITY AND STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIEDPRACTITIONERS. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THEPEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES. AS ANOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROMOUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THECOMMUNITY WITH NEW PROGRAM IMPLEMENTATION, ADVANCED TECHNOLOGY, COMMUNITYSERVICES AND BUILDING PROJECTS. JMH ALSO CONTRIBUTES SIGNIFICANTLY TO THEECONOMIC VITALITY OF CONTRA COSTA COUNTY BY EMPLOYING OVER 6,600 INDIVIDUALS IN 2022.JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTACOUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENTS AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR TWO HOSPITALS' EMERGENCYDEPARTMENTS SERVE ALL RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT, JMH HAS AN OBLIGATION TO MAKE A CHARITABLECONTRIBUTION TO THE COMMUNITY, BUT OUR COMMITMENT TO KEEPING THECOMMUNITIES WE SERVE GOES FAR DEEPER THAN THAT. JMH'S MISSION TO IMPROVETHE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSIONACCURATELY REFLECTS OUR COMMUNITY HEALTH EFFORTS AS A CORPORATE LEADERAND COMMUNITY PARTNER. SOME OF THE PROGRAMS INCLUDE TREATING PATIENTSREFERRED BY LOCAL COMMUNITY CLINICS FOR SPECIALTY CARE SERVICES,PROVIDING MOBILE HEALTH CLINIC SERVICES IN UNDERSERVED COMMUNITIES,PROVIDING BREAST AND LUNG CANCER SCREENING FOR UNINSURED COMMUNITYMEMBERS AND SUPPORTING DEPRESSION PREVENTION ACTIVITIES FOR LOW-INCOME.JMH SERVED OVER 129,211 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN2022.JMH'S COMMITMENT TO THE LOCAL COMMUNITY IS EXPRESSED IN THE MANYINITIATIVES WE DELIVER. JMH PROVIDES CHARITY CARE FOR MANY INDIVIDUALS ANDFAMILIES WITH NO INSURANCE AND LIMITED MEANS. IN 2022, WE PROVIDED$7.7 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $109.4 MILLION, THECOST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE PAYMENT WERECEIVED FROM MEDI-CAL.JOHN MUIR HEALTH ALSO PROVIDES BROAD FINANCIAL AND TECHNICAL SUPPORT TOPROMOTE COMMUNITY WELLNESS. THE ORGANIZATION CONTRIBUTES $1 MILLION AYEAR TO THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND EACH YEAR, WHOSEGOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE INCENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE MOST LIKELY TO EXPERIENCEHEALTH CARE DISPARITIES.LASTLY, JMH CONTRIBUTES TO THE COMMUNITY IN MANY NON-QUANTIFIABLE WAYSTHAT IS NOT OUTLINED IN THE REPORT. THE HEALTH SYSTEM CONTINUALLYPROVIDES LEADERSHIP IN THE COMMUNITY, ASSISTS WITH LOCAL CAPACITYBUILDING AND PARTICIPATES IN COMMUNITY-WIDE HEALTH PLANNING. JOHN MUIRHEALTH STAFF ARE ACTIVELY INVOLVED IN COMMUNITY ORGANIZATIONS ASVOLUNTEERS. THEIR LEADERSHIP IN THE COMMUNITY HELPS TO DEVELOP PARTNERSHIPS TO ADDRESS THE NEEDS OF THE VULNERABLE AND UNDERSERVED. JOHN MUIR HEALTH NURSES ARE DEEPLY INVOLVED IN THEIR COMMUNITY THROUGHVOLUNTEERING. JOHN MUIR HEALTH ENCOURAGES NURSING VOLUNTEERISM ANDCOMMUNITY INVOLVEMENT THROUGH MAGNET RECOGNITION STATUS WHERE NURSESSUPPORT HEALTH BY BUILDING PARTNERSHIPS WITH THE COMMUNITY. FOR EXAMPLE,NURSES AT JOHN MUIR HEALTH MEDICAL CENTER, CONCORD PROVIDE HEALTHEDUCATION MONTHLY AT THE LOCAL FARMER'S MARKET AND PARTICIPATE ASVOLUNTEERS ON OUR MOBILE DENTAL CLINIC.JOHN MUIR HEALTH EMPLOYEES DONATE BACKPACKS WITH SCHOOL SUPPLIES TOFOSTER YOUTH THROUGH THE ANNUAL FOSTER A DREAM BACKPACK CHALLENGE.JOHN MUIR HEALTH AND OUR EMPLOYEES ACTIVELY PARTICIPATE IN DISEASEAWARENESS EVENTS IN ORDER TO PROMOTE HEALTH IN OUR COMMUNITY. EVERY YEARJOHN MUIR EMPLOYEES PARTICIPATE IN THE NATIONAL ALLIANCE ON MENTAL HEALTHILLNESS WALK, WALK TO WELLNESS, AMERICAN HEART ASSOCIATION HEART WALK, GORED COMMUNITY EVENT, KIDNEY WALK, DIGESTIVE HEALTH FAIR AND OTHERCOMMUNITY EVENTS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMJOHN MUIR BEHAVIORAL HEALTH1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597 JOHN MUIR HEALTH OFFERS COMPLETE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS AND SERVICES THROUGH JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER, THE HEALTH SYSTEM'S FULLY ACCREDITED, 73 BED PSYCHIATRIC HOSPITAL LOCATED IN CONCORD. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER OFFERS PSYCHIATRIC TREATMENT FOR ADULTS, CHILDREN AND ADOLESCENT WHO ARE EXPERIENCING EMOTIONAL OR BEHAVIORAL PROBLEMS. FOR THOSE WHO ARE DEPENDENT ON ALCOHOL OR DRUGS, THE BEHAVIORAL HEALTH CENTER OFFERS A FULL ARRAY OF CHEMICAL DEPENDENCY TREATMENT PROGRAMS. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH.JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND5003 COMMERCIAL CIRCLE, SUITE 275, CONCORD, CA 94520 THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUNDS IS ONE ARM OF GRANT-MAKING AT JOHN MUIR HEALTH SYSTEM. THE FUND'S GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EASTERN CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MORE AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE FUND DEVELOPED A FUNDING PROCESS THAT NURTURES LONG TERM PARTNERSHIP WITH AND AMONG THE COMMUNITY BASED ORGANIZATIONS. THIS LEADS TO VISIONARY HEALTH INITIATIVE THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 2022, THE FUND HAS GRANTED OVER $32 MILLION JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUNDS, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN BE FOUND ON ITS WEBSITE: HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-FUND.HTMLJOHN MUIR PHYSICIAN NETWORK1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597 THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH OVER 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG), JOHN MUIR SPECIALTY GROUP (JMSMG), JOHN MUIR CARDIOVASCULAR GROUP (JMCVMG) AND JOHN MUIR HEALTH CANCER MEDICAL GROUP (JMHCMG). THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN NUMEROUS LOCATIONS FROM BRENTWOOD TO PLEASANTON. JMMG ALSO PROVIDES HOSPITALIST (IN-PATIENT MEDICAL SERVICES) AT JOHN MUIR HEALTH'S HOSPITALS. THE PHYSICIAN NETWORK ALSO OWNS SPECIALTY CLINICS STAFFED BY JMSMG AND JMCVMG. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SEVEN MAJOR HEALTH PLANS FOR MORE THAN 50,000 COMMERCIAL AND SENIOR HMO MEMBERS. THE PHYSICIAN NETWORK MANAGES HEALTH PLAN CONTRACTING FOR JOHN MUIR HEALTH AND ITS HOSPITALS AND ENGAGES PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACCOUNTABLE CARE ORGANIZATION (ACO) WHICH PROVIDES THE COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS.JOHN MUIR HEALTH FOUNDATION1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION. PART VI, LINE 7, REPORTS FILED WITH STATES CA 1 JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BLVD WALNUT CREEK CA 94597 680360801 501(C)(3) 89071527 0 N/A N/A GENERAL SUPPORT JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BLVD WALNUT CREEK CA 94597 680249685 501(C)(3) 13480707 0 N/A N/A GENERAL SUPPORT JOHN MUIR HEALTH FOUNDATION 1400 TREAT BLVD WALNUT CREEK CA 94597 942650855 501(C)(3) 5544251 0 N/A N/A GENERAL SUPPORT JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND 5003 COMMERCIAL CIRCLE SUITE 275 CONCORD CA 94520 911788973 501(C)(3) 1470344 0 N/A N/A COMMUNITY SUPPORT 18 REASONS 3674 18TH STREET SAN FRANCISCO CA 94110 453059509 501(C)(3) 24000 0 N/A N/A COMMUNITY SUPPORT ALAMEDA COUNTY COMMUNITY FOOD BANK PO BOX 2599 OAKLAND CA 94614 942960297 501(C)(3) 55000 0 N/A N/A COMMUNITY SUPPORT ALAMO ROTARY FOUNDATION PO BOX 303 ALAMO CA 94507 770600752 501(C)(3) 70000 0 N/A N/A COMMUNITY SUPPORT ALS ASSOCIATION PO BOX 7082 WOODLAND HILLS CA 91365 954163338 501(C)(3) 7500 0 N/A N/A EAST BAY WALK TO DEFEAT ALS SPONSORSHIP ALZHEIMER'S ASSOCIATION 3675 MT DIABLO BLVD SUITE 250 LAFAYETTE CA 94549 133039601 501(C)(3) 6000 0 N/A N/A EAST BAY WALK TO END ALZHEIMER AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 10000 0 N/A N/A SPONSORSHIP BIKE EAST BAY PO BOX 1736 OAKLAND CA 94604 942585652 501(C)(3) 20000 0 N/A N/A COMMUNITY SUPPORT CANCER SUPPORT 3276 MCNUTT AVE WALNUT CREEK CA 94597 680157858 501(C)(3) 25000 0 N/A N/A FILM FESTICAL & CHARITY GALA CENTER FOR HUMAN DEVELOPMENT 901 SUNVALLEY BLVD CONCORD CA 94520 942520840 501(C)(3) 102500 0 N/A N/A COMMUNITY SUPPORT COALITION FOR COMPASSIONATE CARE OF CA 2530 RIVER PLAZA DRIVE SUITE 110 SACRAMENTO CA 95833 270419836 501(C)(3) 15000 0 N/A N/A COMMUNITY SUPPORT CONTRA COSTA CLUBHOUSE 3024 WILLOW PASS ROAD STE 230 CONCORD CA 94519 208873338 501(C)(3) 145000 0 N/A N/A COMMUNITY SUPPORT CONTRA COSTA COUNTY OFFICE OF EDUCATION 77 SANTA BARBARA RD PLEASANT HILL CA 94523 942675635 CONTRACOSTACNTY 8000 0 N/A N/A COMMUNITY SUPPORT CONTRA COSTA FAMILY JUSTICE CENTER 256 24TH STREET RICHMOND CA 94804 474082871 501(C)(3) 285000 0 N/A N/A COMMUNITY SUPPORT CONTRA COSTA HEALTH SERVICES 50 DOUGLAS DRIVE STE 320B MARTINEZ CA 94553 946000509 170(C)(1) 50000 0 N/A N/A COMMUNITY SUPPORT FOOD BANK OF CONTRA COSTA & SOLANO 4010 NELSON AVENUE CONCORD CA 94520 942418054 501(C)(3) 60000 0 N/A N/A COMMUNITY SUPPORT FRED FINCH YOUTH CENTER 3800 COOLIDGE AVENUE OAKLAND CA 94602 940474080 501(C)(3) 404081 0 N/A N/A COMMUNITY SUPPORT FRESH APPROACH 5060 COMMERCIAL CIRCLE CONCORD CA 94520 262438206 501(C)(3) 20000 0 N/A N/A COMMUNITY SUPPORT NAACP - FRIENDS OF THE OAKLAND BRANCH PO BOX 1319 OAKLAND CA 94604 472632562 501(C)(3) 8020 0 N/A N/A SPONSORSHIP HABITAT FOR HUMANITY 2619 BROADWAY OAKLAND CA 94612 943053687 501(C)(3) 10000 0 N/A N/A SPONSORSHIP HAVE A BALL FOUNDATION 662 ROCK ISLAND CIRCLE DANVILLE CA 94526 202420378 501(C)(3) 7500 0 N/A N/A SPONSORSHIP HEALTH CAREER CONNECTION 300 FRANK H OGAWA PLAZA NO 243 OAKLAND CA 94612 251904312 501(C)(3) 7900 0 N/A N/A INTERNSHIP SPONSORSHIP HEALTH RESOURCES IN ACTION 2 BOYLSTON ST 4TH FL BOSTON MA 02116 042229839 501(C)(3) 7500 0 N/A N/A SPONSORSHIP HEALTHIMPACT PO BOX 70007 OAKLAND CA 94612 820570413 509(A)(1) 10000 0 N/A N/A COMMUNITY SUPPORT HEALTHY AND ACTIVE BEFORE 5 1035 DETROIT AVE CONCORD CA 94518 942383037 501(C)(3) 35000 0 N/A N/A COMMUNITY SUPPORT HOPE SOLUTIONS 535 MAIN ST SE 209 MARTINEZ CA 94553 911797391 501(C)(3) 62000 0 N/A N/A COMMUNITY SUPPORT INDEPENDENT LIVING RESOURCES 1850 GATEWAY BLVD STE 170 CONCORD CA 94520 680048218 501(C)(3) 35000 0 N/A N/A COMMUNITY SUPPORT INSPIRING COMMUNITIES 1511 SYCAMORE AVE M134 HERCULES CA 94547 471136159 501(C)(3) 160000 0 N/A N/A COMMUNITY SUPPORT JUNIOR ACHIEVEMENT OF NORTHERN CALIFORNIA 3003 OAK ROAD NO 130 WALNUT CREEK CA 94597 941322179 501(C)(3) 134575 0 N/A N/A COMMUNITY SUPPORT KEROSENE LAMP FOUNDATION 174 CRESVIEW DRIVE ORINDA CA 94563 010857784 501(C)(3) 20220 0 N/A N/A BACK PACK DRIVE KIDPOWER 2817 ASHBY AVE BERKELEY CA 94705 770226712 501(C)(3) 20000 0 N/A N/A COMMUNITY SUPPORT LACLINICA DE LA RAZA PO BOX 22210 OAKLAND CA 94623 941744108 501(C)(3) 42500 0 N/A N/A SPONSORSHIP LIFELONG MEDICAL CARE PO BOX 11247 BERKELEY CA 94712 942502308 501(C)(3) 5500 0 N/A N/A SPONSORSHIP MARCH OF DIMES 44 MONTGOMERY ST STE 1230 SAN FRANCISCO CA 94104 131846366 501(C)(3) 7500 0 N/A N/A SPONSORSHIP MEALS ON WHEELS 1300 CIVIC DRIVE WALNUT CREEK CA 94596 680044205 501(C)(3) 245000 0 N/A N/A COMMUNITY SUPPORT MOBILITY MATTERS 1035 A CAROL LANE LAFAYETTE CA 94549 510206190 501(C)(3) 75000 0 N/A N/A COMMUNITY SUPPORT MONUMENT CRISIS CENTER 1900 MARKET ST CONCORD CA 94520 412111171 501(C)(3) 113760 0 N/A N/A COMMUNITY SUPPORT MONUMENT IMPACT 1760 CLAYTON ROAD CONCORD CA 94520 943370919 501(C)(3) 140000 0 N/A N/A 20TH ANNIVERSARY GALA ONE DAY AT A TIME 354 PINE ST STE 700 SAN FRANCISCO CA 94104 943255070 501(C)(3) 97500 0 N/A N/A COMMUNITY SUPPORT OPERATION ACCESS 1119 MARKET STREET SUITE 400 SAN FRANCISCO CA 94103 943180356 501(C)(3) 80000 0 N/A N/A COMMUNITY SUPPORT ORDER OF MALTA 2121 HARRISON STREET NO 110 OAKLAND CA 94612 205969389 501(C)(3) 35400 0 N/A N/A COMMUNITY SUPPORT PHILIP DORN RESPITE CENTER 2400 BISSO LANE SUITE D2 CONCORD CA 94520 946000509 CONTRACOSTACNTY 50000 0 N/A N/A COMMUNITY SUPPORT PLANTING JUSTICE 319 105TH AVENUE OAKLAND CA 94603 270334905 501(C)(3) 104800 0 N/A N/A COMMUNITY SUPPORT RYSE CENTER 205 41ST STREET RICHMOND CA 94805 260692904 501(C)(3) 180000 0 N/A N/A COMMUNITY SUPPORT SUPPORT 4 RECOVERY INC PO BOX 31114 WALNUT CREEK CA 94598 611538303 501(C)(3) 25000 0 N/A N/A COMMUNITY SUPPORT TRINITY CENTER WALNUT CREEK 1924 TRINITY AVENUE WALNUT CREEK CA 94596 371706813 501(C)(3) 50000 0 N/A N/A COMMUNITY SUPPORT ULTIMATE SPORTS ASSOCIATION 2675 MITCHELL DRIVE WALNUT CREEK CA 94598 474361038 501(C)(3) 187500 0 N/A N/A ULTIMATE FIELDHOUSE SPONSORSHIP VILLAGE COMMUNITY RESOURCE CENTER 633 VILLAGE DR BRENTWOOD CA 94513 412045701 501(C)(3) 44000 0 N/A N/A COMMUNITY SUPPORT VITUITY CARES FOUNDATION 2100 POWELL STREET SUITE 400 EMERYVILLE CA 94608 851805937 501(C)(3) 10000 0 N/A N/A COMMUNITY SUPPORT WALNUT CREEK SENIORS CLUB 1375 CIVIC DRIVE WALNUT CREEK CA 94596 942784218 501(C)(3) 10000 0 N/A N/A COMMUNITY SUPPORT WHITE PONY EXPRESS 3380 VINCENT ROAD 107 PLEASANT HILL CA 94523 465220565 501(C)(3) 81000 0 N/A N/A COMMUNITY SUPPORT WOMEN'S CANCER RESEARCH 2908 ELLSWORTH ST BERKELEY CA 94705 943131204 501(C)(3) 72500 0 N/A N/A COMMUNITY SUPPORT WRIGHT INSTITUTE 2728 DURANT AVENUE BERKELEY CA 94704 941674865 501(C)(3) 85500 0 N/A N/A COMMUNITY SUPPORT 56 0 PART I, LINE 2: GRANT MONITORING PROCESS JOHN MUIR HEALTH FINANCIAL MANAGEMENT MONITORS THE USE OF RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 CALVIN KNIGHT CEO/DIR/PRES (THRU 09/30/22) 1116992 0 854103 0 52141 0 1859546 0 20827 0 3903609 0 854103 0 MICHAEL S THOMAS CEO/DIR/PRES (AS OF 09/25/22) 864963 0 406931 0 719278 0 770574 0 25256 0 2787002 0 406931 0 JANE WILLEMSEN EXEC VP/PRESIDENT HOSPITAL OPS 897651 0 474989 0 739955 0 476186 0 26053 0 2614834 0 474989 0 CHRISTIAN PASS SENIOR VP/CFO 723512 0 326698 0 11834 0 366179 0 33737 0 1461960 0 326698 0 LISA FOUST SR VP HUMAN RESOURCES 564098 0 198107 0 20154 0 238027 0 33737 0 1054123 0 198107 0 MAX REYNOLDS SR VP/GENERAL COUNSEL 557612 0 196589 0 11374 0 195742 0 18154 0 979471 0 196589 0 GEORGE SAUTER SR VP/CHIEF STRATEGY OFFICER 528649 0 189675 0 23652 0 205422 0 16128 0 963526 0 189675 0 MICHELLE LOPES RN CHIEF NURSING EXECUTIVE 448156 0 158000 0 17760 0 213244 0 20156 0 857316 0 158000 0 ELIZABETH MAHLER MD VP/CHIEF VALUE BASED CARE 488308 0 126356 0 18513 0 160724 0 14606 0 808507 0 126356 0 TOSON BOYO SR VP/HOSPITAL OPERATIONS 448379 0 158079 0 12298 0 137610 0 8883 0 765249 0 158079 0 PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES JOHN MUIR HEALTH PAYS UP TO 50% OF HEALTH CLUB DUES FOR EXECUTIVE DIRECTORS OF OPERATIONS, VICE PRESIDENTS AND ABOVE. THESE BENEFITS ARE TREATED AS TAXABLE INCOME TO THESE INDIVIDUALS. PART-I LINE-4B NON-QUALIFIED RETIREMENT PLANS RETIREMENT RESTORATION PLAN EMPLOYEES ELIGIBLE FOR THE RETIREMENT RESTORATION PLAN ARE EITHER SENIOR VICE PRESIDENT OR VICE PRESIDENT LEVEL EMPLOYEES. EMPLOYER CONTRIBUTIONS ARE MADE TO THE PLAN ON BEHALF OF ELIGIBLE EMPLOYEES. THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLAN BENEFIT IS REPORTED IN PART II, COLUMN C. VESTING FOR THE RESTORATION PLAN IS AT THE EARLIEST OF THE FOLLOWING: REACHING AGE 65 WITH AT LEAST THREE YEARS OF SERVICE, BECOMING TOTALLY AND PERMANENTLY DISABLED, INVOLUNTARY TERMINATION FOR ANY REASON OTHER THAN CAUSE, CHANGE OF CONTROL OF JOHN MUIR HEALTH, OR DEATH. RESTORATION PLAN BENEFITS ARE PAYABLE AND TAXABLE UPON VESTING. NO PLAN BENEFIT PAYMENTS WERE MADE DURING THE YEAR. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT DURING THE YEAR: MAX REYNOLDS $35,319 GEORGE SAUTER $51,677 LISA FOUST $75,588 MICHELLE LOPES $82,516 ELIZABETH MAHLER, M.D. $37,405 TOSON BOYO $6,821 SUPPLEMENTAL EXECUTIVE PLAN EMPLOYEES ELIGIBLE FOR THE SUPPLEMENTAL EXECUTIVE PLAN ARE EITHER CEO OF JOHN MUIR HEALTH, CEO OR CAO OF JOHN MUIR PHYSICIAN NETWORK, AND CURRENT EMPLOYEES THAT PREVIOUSLY HELD ONE OF THOSE POSITIONS. EMPLOYER CONTRIBUTIONS ARE MADE TO THE PLAN ON BEHALF OF ELIGIBLE EMPLOYEES. THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLAN BENEFIT IS REPORTED IN PART II, COLUMN C. VESTING FOR THE SUPPLEMENTAL EXECUTIVE PLAN IS AT THE EARLIEST OF THE FOLLOWING: REACHING AGE 65 WITH AT LEAST THREE YEARS OF SERVICE, BECOMING DISABLED, INVOLUNTARY TERMINATION FOR ANY REASON OTHER THAN CAUSE, TERMINATION UPON CHANGE OF CONTROL OF JOHN MUIR HEALTH, OR DEATH. BENEFITS ARE PAYABLE AND TAXABLE UPON VESTING. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT DURING THE TAX YEAR: CALVIN KNIGHT $577,408 JANE WILLEMSEN $85,166 MICHAEL THOMAS $392,230 CHRISTIAN PASS $103,855 A CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY 680164610 NONEAVAIL 2012-05-23 89800000 SEE PART IV 0 0 0 B CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY 680164610 13080SMW1 2016-06-09 353140040 SEE PART IV 0 0 0 C CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY 680164610 13080STN4 2018-05-15 92473440 REFUNDING OF 2017 BONDS 0 0 0 D CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY 680164610 NONEAVAIL 2019-08-15 51532082 REFUNDING OF 2012B BONDS 0 0 0 A 85111250 89800000 502197 127803 89170000 2012 1 0 1 1 B 355203239 3133280 33677859 300002560 18179971 1 0 0 1 C 92473440 1419493 91053947 2018 1 0 1 1 D 51532082 482082 51050000 2019 0 1 1 1 A 0 0 1 0 0 0.00010 0.00010 0.00020 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 1 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 PART I, LINE A, COLUMN (F) DESCRIPTION OF BOND PURPOSE 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 I, LINE B, COLUMN (F) DESCRIPTION OF BOND PURPOSE THE BONDS WERE ISSUED FOR THE PURPOSES OF REFUNDING BONDS ISSUED 6/14/2006 AND 5/2/2008 AND FINANCING CAPITAL EXPENDITURES. PART II, LINE 3, COLUMN B TOTAL PROCEEDS FROM ISSUE THE $353,140,040 OF BOND PROCEEDS INCLUDE $2,063,199 OF TOTAL EARNINGS SINCE 2016 ON THE UNSPENT PROCEEDS. PART III, LINE 3B MANAGEMENT, SERVICES CONTRACTS OR RESEARCH AGREEMENTS 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 III, LINE 9 & PART V WRITTEN DISCLOSURES WHILE THE ORGANIZATION DID NOT HAVE BOARD APPROVED WRITTEN POLICIES AND PROCEDURES IN PLACE AS OF THE YEAR END, THE ORGANIZATION DID MONITOR COMPLIANCE WITH THE POST-ISSUANCE REQUIREMENTS IMPOSED ON THE BONDS. FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS: REHABILITATION SERVICES BOTH INPATIENT AND OUTPATIENT COMBINED, SAW A NEAR RETURN TO VOLUME FROM PRE-PANDEMIC SERVICES WHILE ADDING STAFF TO SUPPORT THAT VOLUME IN AN EFFORT TO MAINTAIN THE HIGH QUALITY OF REHABILITATION CARE. THE OUTPATIENT THERAPY DIVISION UNDERWENT A GROWTH AND ACCESS PROJECT TO BETTER INCREASE AVAILABILITY OF APPOINTMENT AND SERVICES FOR OUR COMMUNITY PATIENTS. JMH ADDED AND ENHANCED SPECIALTY PROGRAMS FOR PELVIC HEALTH, TEMPOROMANDIBULAR DISORDERS (TMD) AND VESTIBULAR REHABILITATION. THE WALNUT CREEK INPATIENT OCCUPATIONAL THERAPY DEPARTMENT WAS AWARDED THE FIELDWORK SITE OF THE YEAR FOR 2022 BY SAMUEL MERRIT UNIVERSITY. IN DECEMBER 2022, JMH HOSTED THE REGIONAL CERTIFIED STROKE REHABILITATION SPECIALIST (CSRS) COURSE. THE INPATIENT REHABILITATION UNIT ADMITTED 420 PATIENTS IN 2022, WITH STROKE REPRESENTING THE HIGHEST ADMITTING DIAGNOSIS AT 48.8%, FOLLOWED BY SPINAL CORD INJURY AT 16.6%, BRAIN INJURY AT 15.2%. THE AVERAGE LENGTH OF STAY IN 2022 WAS 13.8 DAYS. TOTAL REHAB PATIENT POPULATION IN 2022 DISPOSITION AT DISCHARGE TO COMMUNITY WAS 87.4%. JMH CONTINUES TO EXCEED REGIONAL AND NATIONAL OUTCOMES FOR MEDICARE QUALITY INDICATOR MEASURES AS PUBLISHED ON THE MEDICARE CARE COMPARE WEBSITE FOR PERIOD 7/1/2021 TO 6/30/2022: SKIN INTEGRITY-PRESSURE ULCER/INJURY; AND FALLS. ONCOLOGY AND SPECIALTY SERVICES ON JANUARY 14, 2022 ONCOLOGY SERVICES LAUNCHED AN QCARE (QUALITY, COMMUNICATION, ACCESS, RESEARCH AND EDUCATION) ORIENTATION SESSION. IN NEW PARTNERSHIP WITH UCSF, DEMONSTRATING A COMMITMENT TO HIGH-QUALITY CARE IN THE EAST BAY CANCER NETWORK INCLUDING: - INCREASE PATIENT ACCESS - ALIGN CARE STANDARDS ACROSS THE CONTINUUM - ENHANCE PATIENT EXPERIENCE - EXPAND PATIENT OFFERINGS QCARE ACCOMPLISHMENTS Q1 2022 QCARE STEERING COMMITTEE LAUNCHED MARCH 18 WITH ENTHUSIASM FOR THE WORK AHEAD - CO-BRANDING TEAM FACILITATED UCSF SITE VISITS TO CONCORD, PLEASANT HILL, VALLEJO & SAN RAMON AND DEMONSTRATED OUR HIGH QUALITY AND STANDARD OF CARE PRACTICES FOR MEDICAL ONCOLOGY AND INFUSION JMH AND UCSF QCARE (QUALITY, COMMUNICATION, ACCESS, RESEARCH AND EDUCATION) PARTNERSHIP WORK CONTINUES: - NEW WORK GROUP LAUNCHED TO STREAMLINE PROCESS FOR UCSF/JMH RAPID CONSULTS AND SECOND OPINIONS. - EDUCATION WORK GROUP LAUNCHED QCARE SPEAKER SERIES WITH CAR-T CELL THERAPY FOR MYELOMA SEMINAR IN MAY (PICTURED RIGHT). NEXT SEMINAR IS "EVOLVING TREATMENT PARADIGMS: HYPOFRACTIONATION FOR BREAST CANCER" ON AUGUST 25TH FOLLOWED BY GRAND ROUNDS NOVEMBER 16TH WHICH INCLUDES BEST OF THE YEAR; SELECTED PRACTICE CHANGING STUDIES IN SOLID TUMOR ONCOLOGY IN 2022 FOR HEMATOLOGY, BREAST, LUNG, AND GI. THE JOHN MUIR APHERESIS PROGRAM FELT IT WAS IMPORTANT TO PROVIDE EDUCATION TO OUR JMH PROVIDERS REGARDING THE USE OF LIPID APHERESIS FOR PATIENTS WITH A DIAGNOSIS OF FAMILIAR HYPERCHOLESTEROLEMIA (FH) FOR WHICH THE STANDARD TREATMENT OPTIONS HAVE NOT PREVENTED SIGNIFICANT CARDIAC EVENTS. JMH HAS THE CAPABILITY TO BE ABLE TO OFFER THIS TREATMENT TO PATIENTS NOT ONLY IN OUR SERVICE AREA BUT ALSO TO PATIENTS THROUGHOUT THE GREATER BAY AREA AND BEYOND. CONSOLIDATION OF RADIATION ONCOLOGY SERVICES - CONSOLIDATING JMH'S RADIATION ONCOLOGY SITES (PLEASANT HILL, WALNUT CREEK AND CONCORD) SUPPORTS INTEGRATION OF STAFF AND PHYSICIANS IN PREPARATION FOR THE TRANSITION TO THE NEW CANCER CENTER ON THE WALNUT CREEK CAMPUS IN 2024. - RADIATION ONCOLOGY PATIENTS ARE NOW SEEN AT THE WALNUT CREEK AND CONCORD CAMPUS. DIGESTIVE HEALTH SERVICES 2022 ACCOMPLISHMENTS: COLORECTAL CANCER AWARENESS MONTH ACTIVITIES: - TEDMOND SZETO, MD, JMH FOUNDATION GASTROENTEROLOGIST RECORDED A BRIEF VIDEO ON THE IMPORTANCE COLORECTAL CANCER SCREENING. - LILYE CHAFFIN, A MEMBER OF OUR BELONGING AND EQUITY TEAM OFFERED A PERSONAL STORY ON THE VALUE OF COLONOSCOPY. - A CLOSER LOOK "UPDATE ON COLON CANCER SCREENING: ONE OF THE MOST EFFECTIVE CANCER DETECTION AND PREVENTION PROGRAMS HAS GOTTEN BETTER" WEBINAR ON 03/10/2022, PRESENTED BY DREW SCHEMBRE, MD, MEDICAL DIRECTOR DIGESTIVE HEALTH SERVICES. 98 ATTENDEES INCLUDING: (51 MDS, 27 MIDLEVEL-NPS, PAS, 20 INTERNAL TEAM) - GUIDELINES CHANGED TO START AVERAGE RISK SCREENING AT AGE 45, NO LONGER AGE 50. - PROVIDE EDUCATION REGARDING JMH'S GI "DIRECT ACCESS COLONOSCOPY," WHERE APPROPRIATE PATIENTS AT AVERAGE RISK FOR COLORECTAL CANCER CAN PROCEED DIRECTLY TO COLONOSCOPY. FORM 990, PART VI, SECTION A, LINE 2 FAMILY OR BUSINESS RELATIONSHIP BOARD MEMBERS TAEJOON AHN, M.D. AND RAVI HUNDAL, M.D. HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT COMPANY JOHN MUIR HEALTH HAS ENGAGED OPTUM TO MANAGE NON CLINICAL FUNCTIONS, INCLUDING INFORMATION TECHNOLOGY, REVENUE CYCLE MANAGEMENT, ANALYTICS, PURCHASING AND CLAIMS PROCESSING. OPTUM BRINGS AN EXTENSIVE SET OF CAPABILITIES, INCLUDING OPERATIONAL TECHNOLOGIES, ANALYTIC SOLUTIONS AND TOOLS, AND ADMINISTRATIVE SERVICE EXPERTISE TO HELP JOHN MUIR HEALTH FURTHER ADVANCE ITS CLINICAL AND OPERATIONAL PERFORMANCE. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS SUBJECT TO APPROVAL THE BYLAWS OF JOHN MUIR HEALTH PROVIDE THAT JOHN MUIR HEALTH MAY NOT, WITHOUT THE PRIOR WRITTEN CONSENT OF THE MT. DIABLO HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, AND THE JOHN MUIR ASSOCIATION, A CALIFORNIA NONPROFIT CORPORATION: (I) SELL, TRANSFER, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF JOHN MUIR HEALTH; (II) ISSUE MEMBERSHIP IN JOHN MUIR HEALTH TO ANY PERSON OR ENTITY; (III) MERGER; WITH ANY OTHER PERSON OR ENTITY, UNLESS JOHN MUIR HEALTH IS THE SURVIVING CORPORATION IN THE MERGE: OR (IV) AMEND SECTION 5.6 OF THE BYLAWS OF JOHN MUIR HEALTH (WHICH OBLIGES JOHN MUIR HEALTH TO AMONG OTHER THINGS, PROVIDE AT LEAST ONE MILLION DOLLARS ($1,000,000) ANNUALLY TO FUND CERTAIN COMMUNITY BENEFIT PROJECTS SPONSORED BY THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND AND REASONABLE FUNDING FOR ADMINISTRATION, UP TO A MAXIMUM OF $200,000 PER YEAR. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY THE GOVERNING BODY THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER AND HIS DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, A COMPLETE COPY OF THE FORM 990 IS DISTRIBUTED TO THE FULL BOARD BEFORE JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST MONITORING ANNUALLY, THE JOHN MUIR HEALTH (JMH) BOARD CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM REQUIRED TO BE COMPLETED AND SIGNED. DISCLOSED CONFLICTS ARE COMPILED IN A DOCUMENT AND REVIEWED BY THE BOARD CHAIR, PRESIDENT/CEO, AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTEND BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL OR DESIGNEE, GOVERNANCE COMMITTEE AS INDICATED BY THE POLICY, AND FOR CERTAIN TRANSACTIONS WITH THE CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE CONFLICTS DURING THE YEAR AND RECUSE THEMSELVES FROM VOTING ON ANY MATTERS RELATED TO A CONFLICT. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, THE PRESIDENT/CEO AND THE BOARD CHAIR. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED, INCLUDING PERIODIC REVIEWS OF ITS TRANSACTIONS OR ARRANGEMENTS WITH ITS OFFICERS AND BOARD MEMBERS, AND ANY OTHER INDIVIDUAL OR ENTITIES THAT MAY HAVE A SUBSTANTIAL INFLUENCE OVER THE BUSINESS AND AFFAIRS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE OF JOHN MUIR HEALTH. THE COMPENSATION COMMITTEE IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF NO LESS THAN 5 VOTING DIRECTORS, NONE OF WHICH HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION TRANSACTIONS UNDER CONSIDERATION. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE EXPERT COMPENSATION CONSULTANT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA OF SIMILARLY SITUATED ORGANIZATIONS FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITES. THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT. THE COMMITTEE'S DELIBERATIONS AND DECISIONS REGARDING THESE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE COMMITTEE MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE DOCUMENTED MINUTES INCLUDE (1) TERMS OF THE COMPENSATION ARRANGEMENT, INCLUDING DATE IT WAS APPROVED; (2) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE COMMITTEE AND HOW IT WAS OBTAINED; 3) A LIST OF THE MEMBERS PRESENT DURING THE DELIBERATIONS AND HOW THE MEMBERS VOTED; 4) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF ANY MEMBER OF THE COMMITTEE WHO HAD A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE TO THE PUBLIC AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FROM THE JOHN MUIR HEALTH LEGAL DEPARTMENT UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN UNAMORTIZED LOSS ON PENSION PLANS -482,176. JOHN MUIR HEALTH FOUNDATION 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 942650855 FUNDRAISING CA 501(C)(3) 7 JM HEALTH 1 JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 680360801 HEALTHCARE CA 501(C)(3) 12A, III JM HEALTH 1 JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 680249685 HEALTHCARE CA 501(C)(3) 3 JM HEALTH 1 JOHN MUIRMT DIABLO COMMUNITY HEALTH 5003 COMMERCIAL CIRCLE SUITE 275 CONCORD CA 94520 911788973 GRANTMAKING CA 501(C)(3) 12C, III-FI JM HEALTH 1 JOHN MUIR MAGNETIC IMAGING 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 680202020 DIAG IMAGING CA JM HEALTH RELATED 1926728 6332734 0 1 0.90000 BAY AREA SURGICAL VENTURES 30 S WACKER DRIVE CHICAGO IL 60606 203052802 MED SERVICES CA JM HEALTH RELATED 953022 538607 0 0 0.54000 WALNUT CREEK CANCER CENTER 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 941461843 MED SERVICES CA JM HEALTH RELATED -1454495 8260983 0 0 0.60000 JOHN MUIRMT DIABLO PARENT COMPANY 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 900060434 INACTIVE CA JM HEALTH C 1.00000 1 1 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 JOHN MUIR BEHAVIORAL HEALTH B 13480707 EXPENSE PAID JOHN MUIR FOUNDATION B 5544251 SHARED SERVICES JOHN MUIR PHYSICIAN NETWORK B 89017527 EXPENSES PAID JOHN MUIR DIABLO COMMUNITY HEALTH FUND B 1470344 AGREEMENT TERMS JOHN MUIR PHYSICIAN NETWORK C 3747895 SHARED SERVICES JOHN MUIR BEHAVIORAL HEALTH C 8075265 SHARED SERVICES JOHN MUIR HEALTH FOUNDATION C 16227526 EXPENSES PAID JOHN MUIR PHYSICIAN NETWORK A 12310168 RENTS PAID JOHN MUIR PHYSICIAN NETWORK J 1955146 AGREEMENT TERMS JOHN MUIR BEHAVIORAL HEALTH J 1090260 SHARED SERVICES JOHN MUIR HEALTH FOUNDATION J 164367 AGREEMENT TERMS BAY AREA SURGICAL VENTURES J 1574489 AGREEMENT TERMS JOHN MUIR MAGNETIC IMAGING J 477361 AGREEMENT TERMS JOHN MUIR PHYSICIAN NETWORK K 131611 EXPENSES PAID JOHN MUIR PHYSICIAN NETWORK L 1683933 AGREEMENT TERMS BAY AREA SURGICAL VENTURES L 183362 AGREEMENT TERMS JOHN MUIR MAGNETIC IMAGING L 329045 AGREEMENT TERMS JOHN MUIR PHYSICIAN NETWORK M 3997917 AGREEMENT TERMS JOHN MUIR MAGNETIC IMAGING M 166245 AGREEMENT TERMS JOHN MUIR PHYSICIAN NETWORK P 33019350 EXPENSES PAID JOHN MUIR BEHAVIORAL HEALTH P 332826 EXPENSES PAID