STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

JOHN MUIR HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
JOHN MUIR HEALTH (EIN 94-1461843)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202103169349312825
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-12T18:28:45-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1MISSION TOWERS I 3975 FREEDOMAddressLine1Txt
Address Line2CIRCLE DRAddressLine2Txt
CitySANTA CLARACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95054ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941461843EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN MUIR HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone9259393000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BOULEVARDAddressLine1Txt
CityWALNUT CREEKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94597ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTIAN PASSPersonNm
Person TitleSENIOR VP/CFOPersonTitleTxt
Phone9259363000PhoneNum
Signature2021-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISTIANPersonFirstNm
Person LastPASSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCAREY MCKEEPreparerPersonNm
PTINP01281067PTIN
Phone4083675764PhoneNum
Preparation2021-11-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCALVIN KNIGHTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BLVDAddressLine1Txt
CityWALNUT CREEKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94597ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,352,990,452GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JOHNMUIRHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionJOHN MUIR HEALTH IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES (CONTINUED ON SCHEDULE O) WE SERVE WITH QUALITY AND COMPASSION.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee5918TotalEmployeeCnt
Total Volunteers601TotalVolunteersCnt
Total Gross UBI$32,520TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,147,986PYContributionsGrantsAmt
CY Contributions Grants$108,764,306CYContributionsGrantsAmt
PY Program Service Revenue$1,562,929,993PYProgramServiceRevenueAmt
CY Program Service Revenue$1,556,018,369CYProgramServiceRevenueAmt
PY Investment Income$84,529,057PYInvestmentIncomeAmt
CY Investment Income$82,597,317CYInvestmentIncomeAmt
PY Other Revenue$141,534PYOtherRevenueAmt
CY Other Revenue$4,008,756CYOtherRevenueAmt
PY Total Revenue$1,670,748,570PYTotalRevenueAmt
CY Total Revenue$1,751,388,748CYTotalRevenueAmt
PY Grants And Similar Paid$64,758,195PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$77,146,004CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$797,182,167PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$765,453,617CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$667,449,236PYOtherExpensesAmt
CY Other Expenses$834,494,319CYOtherExpensesAmt
PY Total Expenses$1,529,389,598PYTotalExpensesAmt
CY Total Expenses$1,677,093,940CYTotalExpensesAmt
PY Revenues Less Expenses$141,358,972PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$74,294,808CYRevenuesLessExpensesAmt
Total Assets BOY$3,035,811,373TotalAssetsBOYAmt
Total Assets EOY$3,391,962,500TotalAssetsEOYAmt
Total Liabilities BOY$1,092,105,036TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,285,199,576TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,943,706,337NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,106,762,924NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$561,275,449ExpenseAmt
Grant$0GrantAmt
Revenue$603,333,322RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$179,763,724ExpenseAmt
Grant$0GrantAmt
Revenue$193,233,902RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$180,713,364ExpenseAmt
Grant$0GrantAmt
Revenue$194,254,701RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$530,114,618ExpenseAmt
Grant$77,146,004GrantAmt
Revenue$565,182,485RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$530,114,618TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$77,146,004TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$565,182,485TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,451,867,155TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document680IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5918EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTIAN PASSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9259363000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BLVDAddressLine1Txt
CityWALNUT CREEKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94597ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CALVIN KNIGHT
CEO/DIRECTOR/PRESIDENT60.0015.00Yes (X)Yes (X)$3,533,221$0$1,600,335
JOHN SAYRES
SECRETARY5.0010.00Yes (X)Yes (X)$25,000$0$0
KATHLEEN ODNE
VICE CHAIRMAN5.0010.00Yes (X)Yes (X)$25,000$0$0
ROBERT E EDMONDSON
CHAIRMAN/TREASURER5.0010.00Yes (X)Yes (X)$25,000$0$0
ANNE GRODIN
DIRECTOR5.0010.00Yes (X)$25,000$0$0
CHI PERLROTH MD
DIRECTOR5.0010.00Yes (X)$25,000$0$0
JACK THOMPSON
DIRECTOR5.0010.00Yes (X)$25,000$0$0
JAY HARRIS
DIRECTOR5.0010.00Yes (X)$0$0$0
JOHANNES PETERS MD
DIRECTOR5.0010.00Yes (X)$25,000$0$0
JOHN MERSON MD
DIRECTOR5.0010.00Yes (X)$25,000$0$0
LAURA MARKSTEIN
SECRETARY5.0010.00Yes (X)$0$0$0
MARK MUSCO MD
DIRECTOR5.0010.00Yes (X)$22,500$0$0
PETER WILSON
DIRECTOR (AS OF 8/31/20)5.0010.00Yes (X)$4,166$0$0
RAVI HUNDAL MD
DIRECTOR5.0010.00Yes (X)$23,333$0$0
ROGER BAILEY
DIRECTOR5.0010.00Yes (X)$25,000$0$0
TAEJOON AHN MD
DIRECTOR5.0010.00Yes (X)$25,000$0$0
CHRISTIAN PASS
SENIOR VP/CFO60.0015.00Yes (X)$913,037$0$531,939
IRVING PIKE MD
SR VP/CHIEF MEDICAL OFFICER60.000.00$883,508$0$376,736Yes (X)
JANE WILLEMSEN
EXEC VP/PRESIDENT HOSPITAL OPS60.0012.00$1,468,943$0$1,121,895Yes (X)
MAX REYNOLDS
SR VP/GENERAL COUNSEL60.000.00$710,584$0$286,205Yes (X)
MICHAEL THOMAS
EXEC VP/CHIEF TRANSFORMATION60.000.00$1,410,804$0$713,344Yes (X)
GEORGE SAUTER
SR VP/CHIEF STRATEGY OFFICER60.000.00$693,669$0$286,358Yes (X)
LISA FOUST
SR VP/HUMAN RESOURCES60.000.00$707,275$0$326,593Yes (X)
MICHELLE LOPES RN
CHIEF NURSING EXECUTIVE60.000.00$570,543$0$308,368Yes (X)
WILLIAM HUDSON
SR VP/CIO (AS OF 07/01/19)60.000.00$591,745$0$235,976Yes (X)
RAY NASSIEF
SR VP/HOSPITAL OPERATIONS60.000.00$566,565$0$219,944Yes (X)
MICHAEL MOODY
FORMER SR VP60.000.00$1,114,773$0$0Yes (X)
JON RUSSELL
FORMER SR VP/CIO60.000.00$615,075$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,079,741TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$6,007,693TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2544IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OPTUMINSIGHT
PO BOX 84019CHICAGOIL60689PROFESSIONAL SERV$94,805,916
CROSS COUNTRY STAFFING
LA LOCKBOX FILE 50941LOS ANGELESCA90074TEMPORARY STAFFING$23,280,776
MEDICAL ANESTESIA CONSULTANTS MEDICAL
2175 N CALIFORNIA BLVWALNUT CREEKCA94596MEDICAL$9,175,348
BAY AREA SURGICAL SPECIALIST
PO BOX 97297LAS VEGASNV89193MEDICAL$8,780,342
LUCILLE SALTER PACKARD CHILDRENS HOSP
725 WELCH ROAD MC 5553PALO ALTOCA94304MEDICAL$5,725,958
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K114CntrctRcvdGreaterThan100KCnt
Related Organizations$29,604,467RelatedOrganizationsAmt
Government Grants$78,959,839GovernmentGrantsAmt
All Other Contributions$200,000AllOtherContributionsAmt
Total Contributions$108,764,306TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE621400$1,473,363,686$1,473,363,686
PREMIUM REVENUE621400$57,663,961$57,663,961
OTHER OPERATING REV621400$24,990,722$24,976,763$13,959
FieldValueIRS element (for citing)
Total Program Service Revenue$1,556,018,369TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,076,571TotalRevenueColumnAmt
Unrelated Business Revenue-$321,618UnrelatedBusinessRevenueAmt
Exclusion$5,398,189ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,008,756RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,008,756RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,008,756TotalRevenueColumnAmt
Exclusion$4,008,756ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$678,991,668SecuritiesAmt
Other$130,782OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$600,704,987SecuritiesAmt
Other$896,717OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$78,286,681SecuritiesAmt
Other-$765,935OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,520,746TotalRevenueColumnAmt
Unrelated Business Revenue$340,179UnrelatedBusinessRevenueAmt
Exclusion$77,180,567ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,751,388,748TotalRevenueColumnAmt
Related Or Exempt Func Income$1,556,004,410RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$32,520UnrelatedBusinessRevenueAmt
Exclusion$86,587,512ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$77,146,004TotalAmt
Program Services$77,146,004ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$14,665,324TotalAmt
Program Services$12,418,878ProgramServicesAmt
Management And General$2,246,446ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$594,440,728TotalAmt
Program Services$505,274,619ProgramServicesAmt
Management And General$89,166,109ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$43,694,403TotalAmt
Program Services$38,146,342ProgramServicesAmt
Management And General$5,548,061ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$73,616,232TotalAmt
Program Services$56,003,890ProgramServicesAmt
Management And General$17,612,342ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$39,036,930TotalAmt
Program Services$33,380,333ProgramServicesAmt
Management And General$5,656,597ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$102,552,357TotalAmt
Program Services$87,169,503ProgramServicesAmt
Management And General$15,382,854ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,684,083TotalAmt
Program Services$2,248,360ProgramServicesAmt
Management And General$2,435,723ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$685,757TotalAmt
Program Services$342,879ProgramServicesAmt
Management And General$342,878ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$65,735TotalAmt
Program Services$65,735ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$5,991,276TotalAmt
Management And General$5,991,276ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$268,801,904TotalAmt
Program Services$265,629,861ProgramServicesAmt
Management And General$3,172,043ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,411,618TotalAmt
Program Services$15,996,686ProgramServicesAmt
Management And General$2,414,932ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,798,998TotalAmt
Program Services$319,047ProgramServicesAmt
Management And General$27,479,951ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$44,499,950TotalAmt
Program Services$28,479,968ProgramServicesAmt
Management And General$16,019,982ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,034,253TotalAmt
Program Services$578,548ProgramServicesAmt
Management And General$455,705ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$21,552,375TotalAmt
Program Services$17,613,929ProgramServicesAmt
Management And General$3,938,446ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$83,560,521TotalAmt
Program Services$59,083,461ProgramServicesAmt
Management And General$24,477,060ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,141,235TotalAmt
Program Services$3,254,855ProgramServicesAmt
Management And General$2,886,380ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$119,272,258$119,272,258
UNCOLLECTIBLE ACCOUNTS$74,419,972$74,419,972
PHARMACEUTICALS$30,285,657$30,285,657
LICENSES AND TAXES$6,455,707$6,455,707

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,280,663TotalAmt
Program Services$18,280,663ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,677,093,940TotalAmt
Program Services$1,451,867,155ProgramServicesAmt
Management And General$225,226,785ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,947BOYAmt
EOY$13,947EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$82,896,485BOYAmt
EOY$264,652,569EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$228,299,152BOYAmt
EOY$213,157,802EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,665,691BOYAmt
EOY$9,687,951EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,853,797BOYAmt
EOY$24,137,222EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,884,185,891LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,026,493,794LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$863,522,540BOYAmt
EOY$857,692,097EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,065,611,496BOYAmt
EOY$1,207,715,699EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$378,078,730BOYAmt
EOY$427,901,758EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$157,263,133BOYAmt
EOY$150,827,073EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$227,606,402BOYAmt
EOY$236,176,382EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,035,811,373BOYAmt
EOY$3,391,962,500EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$182,772,542BOYAmt
EOY$256,784,261EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,697,001BOYAmt
EOY$142,010,177EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$607,520,004BOYAmt
EOY$598,264,139EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$292,115,489BOYAmt
EOY$288,140,999EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,092,105,036BOYAmt
EOY$1,285,199,576EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,942,810,621BOYAmt
EOY$2,105,664,531EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$895,716BOYAmt
EOY$1,098,393EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,943,706,337BOYAmt
EOY$2,106,762,924EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,035,811,373BOYAmt
EOY$3,391,962,500EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$74,294,808ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$102,453,576NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$13,691,797OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$65,735OtherActivitiesAmt
Total Lobbying Expenditures$65,735TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationOTHER ACTIVITIES JOHN MUIR HEALTH CONTRIBUTED $65,735 TO CALIFORNIA COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEM (CAHHS) IN 2020 TO SUPPORT LOBBYING EFFORTS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,779,733OtherCostOrOtherBasisAmt
Book Value$42,779,733BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$631,486,762OtherCostOrOtherBasisAmt
Depreciation$223,795,826DepreciationAmt
Book Value$407,690,936BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$390,658,843OtherCostOrOtherBasisAmt
Depreciation$223,509,117DepreciationAmt
Book Value$167,149,726BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$743,665,177OtherCostOrOtherBasisAmt
Depreciation$579,188,851DepreciationAmt
Book Value$164,476,326BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,595,376OtherCostOrOtherBasisAmt
Book Value$75,595,376BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$857,692,097TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMINGLED FUNDS$83,514,109F
HEDGE FUNDS$172,334,685F
PRIVATE EQUITY$172,052,964F
FieldValueIRS element (for citing)
Total Book Value Securities$427,901,758TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
REAL ESTATE FOR FUTURE USE$5,902,964
HELD PURSUANT BOND INDENTURE$33,891,510
RIGHT OF USE ASSETS, NET$76,484,243
OTHER RECEIVABLES$91,126,441
INTANGIBLE ASSETS AND OTHER$27,335,831
PROJECT RECEIVABLES$1,435,393
FieldValueIRS element (for citing)
Total Book Value Other Assets$236,176,382TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
WORKERS COMPENSATION$32,769,000
POST RETIREMENT BENEFIT OBLIGA$79,559,979
INTEREST PAYABLE$4,814,730
LEASE LIABILITY$85,076,834
ASSET RETIREMENT OBLIGATION$16,161,394
PENSION LIABLITY$5,301,966
PROFESSIONAL LIABILITY$5,275,404
OTHER LIABILITIES$7,404,194
MANAGED CARE PREMIUMS DEFICIEN$33,946,670
OTHER PAYABLES$17,830,828
FieldValueIRS element (for citing)
Total Liability$288,140,999TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,759,739,279TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$102,453,576NetUnrealizedGainsInvstAmt
Other Revenue-$13,691,797OtherRevenueAmt
Revenue Not Reported$88,761,779RevenueNotReportedAmt
Revenue Subtotal$1,670,977,500RevenueSubtotalAmt
Investment Expenses Not Incld$5,991,276InvestmentExpensesNotIncldAmt
Other Revenues Not Included$74,419,972OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$80,411,248RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,751,388,748TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,596,682,692TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,596,682,692ExpensesSubtotalAmt
Investment Expenses Not Incld2$5,991,276InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$74,419,972OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$80,411,248ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,677,093,940TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2DREPORTED ON AUDITED FIN STMT, NOT ON FORM 990 CHANGE IN UNAMORTIZED LOSS AND PRIOR SERVICE COSTS RELATED TO PENSION AND POST RETIREMENT BENEFITS ($13,691,797)
PART XI, LINE 4BREVENUE REPORTED GROSS ON FORM 990, NET ON AUDITED FIN STMT UNCOLLECTIBLE ACCOUNTS $74,419,972
PART XII, LINE 4BEXPENSES REPORTED GROSS ON FORM 990, NET ON AUDITED FIN STMT UNCOLLECTIBLE ACCOUNTS $74,419,972

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEANINVESTMENTS$158,673,058
EUROPE (INCLUDING ICELAND AND GREENLAND)INVESTMENTS$16,219,342
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$174,892,400SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$174,892,400TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,801,479TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,801,479NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,746,865TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$90,746,865NetCommunityBenefitExpnsAmt
Total Expense0.05440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,548,344TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$96,548,344NetCommunityBenefitExpnsAmt
Total Expense0.05790TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,337,789TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$734,882DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,602,907NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,228,599TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,923,225DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,305,374NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$500,771TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$500,771NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$751,751TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$108,247DirectOffsettingRevenueAmt
Net Community Benefit Expns$643,504NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,695,319TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$213,946DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,481,373NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,514,229TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,980,300DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,533,929NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,062,573TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,980,300DirectOffsettingRevenueAmt
Net Community Benefit Expns$109,082,273NetCommunityBenefitExpnsAmt
Total Expense0.06550TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,053TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,053NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,449TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,449NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$158,310TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$158,310NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,754,423TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$342,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,412,185NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,920,235TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$342,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,577,997NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$74,419,972BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$382,551,045ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$616,304,243CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$233,753,198MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ASPEN SURGERY CENTER
OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER0.286800.010000.46390
2 BRENTWOOD SURGERY CENTER
OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER0.334400.000000.37500
3 HACIENDA SURGERY CENTER
OPERATES A MULTISPECIALTY AMBULATORY SURGERY CENTER0.125000.000000.47600
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
JOHN MUIR MEDICAL CENTER WALNUT CREEK
11601 YGNACIO VALLEY RDWALNUT CREEKCA94598WWW.JOHNMUIRHEALTH.COM140000265Yes (X)Yes (X)Yes (X)A
JOHN MUIR MEDICAL CENTER CONCORD
22540 EAST STCONCORDCA94520WWW.JOHNMUIRHEALTH.COM140000128Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: JOHN MUIR MEDICAL CENTER WALNUT CREEK, - FACILITY 2: JOHN MUIR MEDICAL CENTER CONCORD
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:COMMUNITY INPUT PROCESSJOHN MUIR HEALTH (JMH) ENLISTED THE SERVICES OF ACTIONABLE INSIGHTS (AI), LLC, TO CONDUCT THE PRIMARY RESEARCH FOR THE 2019 CHNA. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT. KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH SERVICE PROVIDERS, AND FOCUS GROUPS WITH COMMUNITY MEMBERS.PRIMARY RESEARCH PROTOCOLS GENERATED BY AI IN COLLABORATION WITH THE HEALTH SYSTEM WERE BASED ON FACILITATED DISCUSSION AMONG HEALTH SYSTEM MEMBERS ABOUT WHAT THEY WISHED TO LEARN DURING THE 2019 CHNA. THE HEALTH SYSTEM SOUGHT TO BUILD UPON PRIOR CHNAS BY FOCUSING THE PRIMARY RESEARCH ON THE COMMUNITY'S PERCEPTION OF MENTAL HEALTH (IDENTIFIED AS A MAJOR HEALTH NEED IN THE 2016 CHNA) AND THEIR EXPERIENCE WITH HEALTH CARE ACCESS AND DELIVERY (ALSO IDENTIFIED AS A MAJOR HEALTH NEED IN 2016). RELATIVELY LITTLE TIMELY QUANTITATIVE DATA EXIST ON THESE SUBJECTS.EACH INTERVIEW AND FOCUS GROUP WAS RECORDED AS A STAND-ALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AND THEN AI USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. THE HEALTH SYSTEM USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES.ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, THE TEAM SOLICITED INPUT FROM 164 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN COMMUNITY-BASED ORGANIZATIONS THAT FOCUS ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. THE TEAM ALSO CONVENED FOCUS GROUPS WITH COMMUNITY MEMBERS/USERS OF THE HEALTH SYSTEM IN ALAMEDA AND CONTRA COSTA COUNTIES. CONTRA COSTA HEALTH SERVICES (THE PUBLIC HEALTH DEPARTMENT) PROVIDED INPUT INTO THE PROTOCOLS AND FACILITATED THE FOCUS GROUPS IN CONTRA COSTA COUNTY.KEY INFORMANT INTERVIEWS:BETWEEN JUNE AND OCTOBER 2018, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 54 LOCAL AND/OR REGIONAL EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED INDIVIDUALS FROM THE PUBLIC HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER MANAGERS, COMMUNITY BASED ORGANIZATION REPRESENTATIVES AND CLINICIANS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE. FOR APPROXIMATELY ONE HOUR, AI ASKED INFORMANT TO IDENTIFY AND DISCUSS THE TOP NEEDS OF THEIR CONSTITUENCIES, INCLUDING BARRIERS TO HEALTH, GIVE THEIR PERCEPTIONS OF ACCESS TO HEALTH CARE AND MENTAL HEALTH NEEDS, AND SHARE WHICH SOLUTIONS MAY IMPROVE HEALTH INCLUDING SERVICES AND POLICIES. AI ASKED FIVE QUESTIONS: WHAT ARE THE MOST IMPORTANT/PRESSING HEALTH NEEDS IN THE LOCAL AREA? WHAT DRIVERS OR BARRIERS ARE IMPACTING THE TOP HEALTH NEEDS? TO WHAT EXTENT IS HEALTH CARE ACCESS A NEED IN THE COMMUNITY? TO WHAT EXTENT IS MENTAL HEALTH A NEED IN THE COMMUNITY? WHAT POLICIES OR RESOURCES ARE NEEDED TO IMPACT HEALTH NEEDS?FOCUS GROUPS WITH SERVICE PROVIDERS AND COMMUNITY MEMBERS:THIRTEEN FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 110 SERVICE PROVIDERS AND COMMUNITY LEADERS FROM JULY TO SEPTEMBER 2018. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANTS.FOURTEEN RESIDENT FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 145 RESIDENTS BETWEEN JULY AND SEPTEMBER 2018. THE DISCUSSIONS CENTERED AROUND THE SAME FIVE QUESTIONS AS THE KEY INFORMANTS, WHICH WERE MODIFIED APPROPRIATELY FOR EACH AUDIENCE. NONPROFIT HOSTS, SUCH AS OPEN HEART KITCHEN IN LIVERMORE, RECRUITED PARTICIPANTS FOR THE GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY IT SERVES, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION.A TOTAL OF 59 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN TRI-VALLEY/CENTRAL CONTRA COSTA COUNTY. A TOTAL OF 37 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN EASTERN CONTRA COSTA COUNTY. A TOTAL OF 21 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN WESTERN CONTRA COSTA COUNTY.
FACILITY REPORTING GROUP - A 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 BEHAVIORALHEALTH) COLLABORATED WITH KAISER PERMANENTE DIABLO AND EAST BAY, SAINT ROSE HOSPITAL, SAN RAMON REGIONAL MEDICAL CENTER, STANFORD HEALTH CARE, SUTTER HEALTH BAY AREA AND UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND ON THE COMMUNIY HEALTH NEEDS ASSESSMENT.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNAACTIONABLE INSIGHTS (AI), LLC, AN INDEPENDENT LOCAL RESEARCH FIRM, COMPLETED THE 2019 CHNA. FOR THIS ASSESSMENT, AI ASSISTED WITH CHNA PLANNING, CONDUCTED PRIMARY RESEARCH, COLLECTED SECONDARY DATA, SYNTHESIZED PRIMARY AND SECONDARY DATA, FACILITATED THE PROCESS OF IDENTIFYING COMMUNITY HEALTH NEEDS AND ASSETS, ASSISTED WITH DETERMINING THE PRIORITIZATION OF COMMUNITY HEALTH NEEDS, AND DOCUMENTED THE PROCESSES AND FINDINGS INTO A REPORT. ACTIONABLE INSIGHTS HELPS ORGANIZATIONS DISCOVER AND ACT ON DATA-DRIVEN INSIGHTS. THE FIRM SPECIALIZES IN RESEARCH AND EVALUATION IN THE AREAS OF HEALTH, STEM (SCIENCE, TECHNOLOGY, ENGINEERING, AND MATH) EDUCATION, YOUTH DEVELOPMENT, AND COMMUNITY COLLABORATION EFFORTS. AI HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS FOR OVER 25 HOSPITALS DURING THE 2018-19 CHNA CYCLE.
PART V, SECTION B, LINE 7ACHNA REPORT MADE WIDELY AVAILABLE TO PUBLICTHE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML
PART V, SECTION B, LINE 10AWEBSITE FOR ADOPTED IMPLEMENTATION STRATEGYTHE HOSPITALS ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML
PART V, SECTION B, LINE 11SIGNIFICANT NEEDS ADDRESSED IN CHNAIN COLLABORATION WITH KAISER PERMANENTE, SUTTER HEALTH, AND LOCAL COMMUNITY EXPERTS, THE HEALTH SYSTEM IDENTIFIED NINE COMMUNITY HEALTH NEEDS.1. HOUSING AND HOMELESSNESS2. BEHAVIORAL HEALTH3. ECONOMIC SECURITY4. HEALTH CARE ACCESS AND DELIVERY5. COMMUNITY AND FAMILY SAFETY6. EDUCATION AND LITERACY7. HEALTHY EATING/ACTIVE LIVING8. TRANSPORTATION AND TRAFFIC9. CLIMATE/NATURAL ENVIRONMENTHOSPITAL REPRESENTATIVES PRIORITIZED HEALTH NEEDS WITH LOCAL COMMUNITY,PUBLIC HEALTH REPRESENTATIVES. TO FURTHER REFINE AND SELECT THE COMMUNITYHEALTH NEEDS WE PLAN TO ADDRESS, FOUR CRITERIA WERE UTILIZED.SELECTION PROCESS:THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE IS CHARGED WITH OVERSEEING THE STRATEGIC DIRECTION OF COMMUNITY BENEFIT PROGRAMMING AND ACTIVITIES. THE COMMITTEE IS COMPOSED OF JOHN MUIR HEALTH SENIOR LEADERS AND BOARD OF DIRECTORS MEMBERS. THE COMMITTEE MET ON MARCH 25, 2019 TO REVIEW THE LIST OF COMMUNITY HEALTH NEEDS IDENTIFIED AND PRIORITIZED BY THE CHNA REPORT AND TO SEECT THE COMMUNITY HEALTH NEEDS THAT PROVIDE STRATEGIC DIRECTION FOR JOHN MUIR HEALTH COMMUNITY BENEFIT PROGRAMMING AND ACTIVITIES FROM 2020 THROUGH 2022.THE FOLLOWING SELECTION CRITERIA WERE USED AS A METHOD TO PRIORITIZE AND SELECT THE COMMUNITY BENEFIT PRIORITIES. THE SELECTION CRITERIA BUILT ON CHNA PRIORITIZATION CRITERIA, WHICH INCLUDED: (1) COMMUNITY PRIORITY; (2) MAGNITUDE/SCALE OF NEED; (3) SEVERITY OF NEED; (4)MULTIPLIER EFFECT; (5) CLEAR DISPARITIES OR INEQUITIES.THE COMMITTEE MEMBERS FIRST AGREED UPON THE SELECTION CRITERIA, THEN ENGAGED IN THOROUGH DISCUSSION ABOUT EACH OF THR NINE PRIORITIZED HEALTH NEEDS. AFTER DISCUSSION BY ALL MEMBERS REGARDING RATIONALE FOR SELECTION, SUPPORTING DATA, KEY INFORMANT INTERVIEW AND FOCUS GROUP RESULTS, THE COMMITTEE CAME TO A CONSENSUS.THE FOLLOWING NEEDS WERE SELECTED AS COMMUNITY BENEFITS PRIORITIES FOR 2020-2022. THE COMMITTEE SELECTED THE HEALTH NEEDS FOR IMPLEMENTATION BECAUSE OF THE FEASIBILITY OF INTERVENTION, ABILITY TO HAVE A MEASURABLE IMPACT, ABILITY TO PARTNER WITH OTHER ORGANIZATIONS, OPPORTUNITY TO PREVENT NEGATIVE OUTCOMES ASSOCIATED WITH THE HEALTH NEEDS, ALIGNMENT WITH POPULATION TRENDS AND JOHN MUIR HEALTH EXPERTISE AND ABILITY TO BUILD ON SUCCESSFUL, CURRENT COMMUNITY BENEFIT PROGRAMS.1. ACCESS TO CARE, INCLUDING PRIMARY AND SPECIALTY CARE IN ORDER TO ACHIEVE THIS HEALTH NEEDS JOHN MUIR HEALTH WILL: PROVIDE FINANCIAL ASSISTANCE TO SUPPORT LOW-INCOME PATIENTS BY SUBSIDIZING ALL OR A PORTION OF THEIR JOHN MUIR HEALTH MEDICAL EXPENSES AT JMMC-WC AND JMMC-CONCORD. PARTICIPATE IN THE GOVERNMENT-SPONSORED MEDI-CAL PROGRAM TO PROVIDE COMPREHENSIVE INPATIENT CARE TO MEDI-CAL ENROLLEES THAT GENERATE UNPAID COSTS AT JMMC-WC, JMMC-CONCORD, JOHN MUIR PHYSICIAN NETWORK AND JOHN MUIR BEHAVIORAL HEALTH CENTER. PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY BY OFFERING PROGRAMS SUCH AS THE MOBILE HEALTH CLINIC IN PARTNERSHIP WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM, CONTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, VILLAGE COMMUNITY RESOURCE CENTER, ROTOCARE BAY AREA AND ST. VINCENT DE PAUL. PROVIDE HEALTH CARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY, WHICH INCLUDES LIFELONG MEDICAL CARE, LA CLINICAL DE LA RAZA AND CONTRA COSTA COUNTY ORAL HEALTH PROGRAM. PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLINICAL SPECIALTY PROGRAM AND OPERATION ACCESS FOR ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. PROVIDE SCREENING PROGRAMS THROUGH THE EVERY WOMEN COUNTS PROGRAM AND THE LUNG CANCER SCREENING PROGRAM FOR LOW-INCOME ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES THROUGH THE MEDICATION ASSISTANCE PROGRAM AND PATIENT NAVIGATOR PROGRAM FOR VULNERABLE ADULTS AND SENIORS THAT ADDRESS POOR HEALTH OUTCOMES, QUALITY, SATISFACTION AND EFFICIENCY. PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES FOR VULNERABLE SENIORS THAT PROMOTE INDEPENDENT LIVING, ADDRESS POOR HEALTH OUTCOMES, QUALITY AND SATISFACTION WHILE IMPROVING EFFICIENCY THROUGH FALL PREVENTION SAFETY TRAININGS, HOME ASSESSMENTS AND MODIFICATIONS, EDUCATION, AND ASSISTIVE TECHNOLOGY THROUGH MEALS ON WHEELS OF DIBALO REGION AND INDEPENDENT LIVING RESOURCES PROVIDE DIABETES EMPOWERMENT EDUCATION PROGRAM IN COLLABORATION WITH MONUMNENT IMPACT, JOHN MUIR HEALTH'S DIABETES PROGRAM AND HAPPY FEET PROGRAM, IN COLLABORATION WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM AND MONUMENT CRISIS CENTER. PROVIDE TRANSPORTATION SUPPORT TO DECREASE ISOLATION AMONG VULNERABLE SENIORS BY INCREASING ACCESS TO EDUCATION PROGRAMMING AT THE WALNUT CREEK SENIOR CENTER AND MOBILITY MATTERS.2. BEHAVIORAL AND MENTAL HEALTH SERVICES IN ORDER TO ACHIEVE THIS HEALTH NEEDS JOHN MUIR HEALTH WILL: SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VULNERABLE COMMUNITIES THROUGH THE MENTES POSITIVAS EN ACCION (POSITIVE MINDS IN ACTION) PROMOTES PROGRAM AT MONUMENT IMPACT. SUPPORT AND/OR PROVIDE BEHAVIORAL HEALTH INTERVENTION SERVICES IN VULNERABLE ADULTS THROUGH PROGRAMS SUCH AS THE PUTNAM CLUBHOUSE AND SUPPORT4RECOVERY. PROVIDE INTERVENTION AND REFERRALS TO TRAUMA VICTIMS IN ORDER TO SUPPORT YOUTH DIRECTLY IMPACTED BY INTENTIONAL VIOLENCE WITH JMMC-WC'S BEYOND VIOLENCE PROGRAMS IN PARTNERSHIP WITH CENTER FOR HUMAN DEVELOPMENT, RYSE CENTER AND ONE DAY AT A TIME. PROVIDE DIRECT MENTAL HEALTH COUNSELING SERVICES TO YOUTH, ADULTS AND FAMILIES OFFERED BY FRED FINCH YOUTH CENTER AND RYSE CENTER IN COLLABORATION WITH THE JOHN MUIR HEALTH MOBILE HEALTH CLINIC, ANTIOCH HIGH SCHOOL,CENTER FOR HUMAN DEVELOPMENT, AND ONE DAY AT A TIME. PROVIDE LOW-INCOME WOMEN WITH CANCER WITH FREE PSYCHOTHERAPY, PATIENT NAVIGATION SERVICES, EMERGENCY FINANCIAL ASSISTANCE, INFORMATION AND REFERRAL HELPLINE AND WELLNESS WORKSHOPS OFFERED BY THE WOMEN'S CANCER RESOURCES CENTER.3. ECONOMIC SECURITY, TO INCLUDE HOUSING, FOOD, COMMUNITY AND FAMILY SAFETY IN ORDER TO ACHIEVE THESE HEALTH NEEDS JOHN MUIR HEALTH WILL:HOUSING CONNECT MEDICALLY FRAGILE HOMELESS ADULTS DISCHARGED FROM LOCAL HOSPITALS TO THE RESPITE CARE CENTER TO PROVIDE RECUPERATIVE CARE AND ON-SITE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES. PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY BY OFFERING PROGRAMS SUCH AS MOBILE HEALTH CLINIC IN PARTNERSHIP WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM, COTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, VILLAGE COMMUNITY RESOURCE CENTER, ROTACARE PITTSBURG AND ST. VINCENT DE PAUL. ENGAGE JOHN MUIR FAMILY MEDICINE RESIDENTS WITH CONTRA COSTA HEALTH SERVICES COORDINATED OUTREACH, REFERRAL AND ENGAGEMENT (CORE) PROGRAM TO PROVIDE BASIC HEALTH SERVICES AND CONNECT INDIVIDUALS TO SECURE HOUSING. CONNECT INDIVIDUALS AND FAMILIES WHO ARE IN RECOVERY FROM ALCOHOL AND OTHER DRUGS WITH SAFE, AFFORDABLE HOUSING THROUGH PARTNERSHIP WITH SUPPORT4RECOVERY. PROVIDE UNSHELTERED AND LOW-INCOME INDIVIDUALS WITH CLOTHING, FOOD AND SUPPLIES IN PARTNERSHIP WITH WHITE PONY EXPRESS. PROVIDE SUPPORT TO TRINITY CENTER, WHICH PROVIDES HOMELESS ADULTS WITH RESPITE, FOOD, SHOWER AND LAUNDRY FACILITIES, CLOTHING AND FOOD PANTRY, EMPLOYMENT ASSISTANCE AND CONNECTION TO CONTRA COSTA COUNTY SUPPORT SERVICES.FOOD PROVIDE YOUTH WITH A WORKFORCE TRAINING OPPORTUNITY AT THE CONCORD BIKE TENT IN PARTNERSHIP WITH BIKE EAST BAY AND OLYMPIC HIGH SCHOOL. ENGAGE YOUTH AT DOZIER-LIBBEY MEDICAL HIGH SCHOOL IN A NUTRITION-BASED HEALTH EDUCATION TRAIN-THE-TRAINER PROGRAM OFFERED BY FRESH APPROACH. SUPPORT HEALTHY AND ACTIVE BEFORE FIVE TO INCREASE COMMUNITY AND FAMILY SAFETY, AND PROMOTE HEALTHY EATING AND ACTIVE PLAY IN CHILDREN AGE 0 TO 5. SUPPORT THE FOOD BANK OF CONTRA COSTA AND SOLANO'S COMMUNITY PRODUCE PROGRAM AND ALAMEDA COUNTY COMMUNITY FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW-INCOME FAMILIES IN CONTRA COSTA COUNTY.COMMUNITY AND FAMILY SAFETY CONTRIBUTE TO ALLIANCE TO END ABUSE AS A HEALTH SYSTEM PARTNER IN COLLABORATION WITH CONTRA COSTA COUNTY AND THE PUBLIC HEALTH INSTITUTE TO CREATE A BLUEPRINT OF VIOLENCE PREVENTION. PROVIDE INTERVENTION AND REFERRALS TO TRAUMA VICTIMS IN ORDER TO SUPPORT YOUTH DIRECTLY IMPACTED BY INTETIONAL VIOLENCE WITH JMMC-WC'S BEYOND VIOLENCE PROGRAM IN PARTNERSHIP WITH CENTER FOR HUMAN DEVELOPMENT, RYSE CENTER AND ONE DAY AT A TIME.
CONTINUED....- ENGAGE WITH PLANTING JUSTICE AND BORDERLANDS TO IMPLEMENT RESTORATIVE JUSTICE PRACTICES WITH LOCAL SCHOOLS TO CREATE HEALTHY, EQUITABLE AND CARING SCHOOL COMMUNITIES THAT PREVENT AND ADDRESS BEHAVIORAL DISRUPTION IN A NON-PUNITIVE WAY. - SUPPORT MONUMENT CRISIS CENTER TO SERVE LOW-INCOME FAMILIES AND INDIVIDUALS THROUGH DYNAMIC SERVICE PROGRAMS FOCUSED ON PROVIDING NUTRITIOUS FOOD, EDUCATION, GENERAL ASSISTANCE AND REFERRALS IN AN EFFORT TO ALLEVIATE POVERTY. - SUPPORT CONTRA COSTA CRISIS CENTER PROGRAMS THAT CENTER ON KEEPING PEOPLE ALIVE AND SAFE, HELPING THEM THROUGH CRISES, AND PROVIDING OR CONNECTING THEM WITH CULTURALLY RELEVANT SERVICES IN THE COMMUNITY. - SUPPORT CONTRA COSTA COUNTY FAMILY JUSTICE CENTERS (RICHMOND, CONCORD AND ANTIOCH) TO PROVIDE A ONE-STOP MULTI-SERVICE CENTER FOR VICTIMS OF DOMESTIC AND SEXUAL ABUSE, HUMAN TRAFFICKING AND ELDER ABUSE BY OFFERING COUNSELING, ASSISTANCE AND LEGAL ISSUES, HOUSING, EMERGENCY SHELTER, AND EMPLOYMENT.JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIPS WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS. THE FOLLOWING 2020 YEAR END RESULTS IN COLLABORATION WITH LOCAL ORGANIZATIONS ARE OUTLINED BY EACH OF THREE IDENTIFIED COMMUNITY HEALTH NEEDS.COMMUNITY HEALTH NEEDS: HEALTH CARE ACCESS AND DELIVERY, INCLUDING PRIMARY AND SPECIALTY CAREMOBILE HEALTH CLINIC: PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY. OUTCOMES FOR 2020 INCLUDES: - MOBILE HEALTH CLINIC SERVED 266 PEOPLE FOR 416 ENCOUNTERS DURING SATURDAY CLINIC, WEDNESDAY RESIDENCY CLINIC AND VIA TELEHEALTH. IN-PERSON WERE SUSPENDED DUE TO COVID-19 AND MOBILE CLINIC WAS REALLOCATED TO PROVIDE COVID-19 VACCINATIONS. - THE MOBILE HEALTH CLINIC CONTINUED TO PARTNER WITH ROTACARE AND HEALTHCARE FOR THE HOMELESS THROUGH MARCH, AND SERVICES WERE SUSPENDED DUE TO THE COVID-19 PANDEMIC. - 82% OF PATIENTS WERE NON-ENGLISH SPEAKING AND 100% OF SERVICES MET THEIR LINGUISTIC NEEDS (PRIMARILY SPANISH). - 96% OF PATIENTS SERVED WERE UNINSURED. - 100% OF PATIENTS WHO NEEDED ADDITIONAL CARE WERE REFERRED TO A SPECIALIST OR OTHER HEALTH ORGANIZATION.COMMUNITY NURSE PROGRAM: PROVIDE HEALTH CARE SUPPORT SERVICE FOR CHILDREN IN SCHOOLS THAT SERVE LOW INCOME FAMILIES. OUTCOMES FOR 2020 INCLUDES: - FROM AUGUST 2019 TO JUNE 2020 (2020-21 SCHOOL YEAR), A TOTAL OF 5,695 INDIVIDUALS FOR A TOTAL OF 2,640 INTERVENTIONS WERE PROVIDED TO SERVE STUDENTS, PARENTS AND SCHOOL STAFF. - ONSITE COMMUNITY NURSE SERVICES WERE PROVIDED AT FOUR SCHOOLS TO INCLUDE: CAMBRIDGE, FOOTHILL, MEADOW HOME AND WILLOW COVE ELEMENTARY SCHOOLS. - 39 REFERRALS WERE RECEIVED BY THE COMMUNITY NURSE AND 13 REFERRALS WERE THEN MADE TO EXTERNAL COMMUNITY RESOURCES. - A TOTAL OF 26 MASS SCREENINGS WERE CONDUCTED FOR VISION, HEARING AND LICE, REACHING 2,713 STUDENTS. - COMMUNITY NURSES PERFORMED A TOTAL OF 2535 FIRST AID TREATMENTS, AND MOST MEDICAL INTERVENTIONS WERE RELATED TO MEDICATION ADMINISTRATION OR MANAGEMENT, OR ASTHMA-RELATED. - ON AVERAGE, 1.1 SUPPORT ASSISTANCE WAS PROVIDED TO FAMILIES INCLUDING FOOD, HOUSING, TRANSPORTATION, HEALTH INSURANCE, CLOTHING, HEALTH EDUCATION, MEDICATION ASSISTANCE, AMONG OTHERS. - PROVIDED NURSING SERVICES TO BRENTWOOD UNIFIED SCHOOL DISTRICT SARB.MOBILE DENTAL CLINIC: PROVIDE HEALTH CARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY. OUTCOMES FOR 2020 INCLUDES: - MOBILE DENTAL CLINIC PROVIDED ORAL HEALTH SERVICES TO 8,344 CHILDREN. THE DENTAL COLLABORATIVE PROVIDED THE FOLLOWING IN SCHOOLS: 8,016 DENTAL EDUCATION ENCOUNTERS; 3,406 ASSESSMENTS; 3,391 FLUORIDE; 798 SEALANTS. - ALL FAMILIES WERE PROVIDED WITH INSURANCE ENROLLMENT ASSISTANCE. - 100% OF MOBILE DENTAL CLINIC PATIENTS WERE CONNECTED TO A DENTAL HOME THROUGH REFERRAL PARTNERSHIPS WITH LIFELONG BROOKSIDE, LA CLNICA DE LA RAZA OR CONTRA COSTA HEALTH SERVICES CLINICS.LA CLINICA SPECIALTY CARE PROGRAM: PROVIDE SPECIALTY CARE SERVICES TO VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. OUTCOMES FOR 2020 INCLUDES: - PROVIDERS WERE RECRUITED TO MEET THE NEEDS OF REFERRED PATIENTS, WHICH INCLUDED GYNECOLOGICAL ONCOLOGIST, GYNECOLOGIST, MEDICAL ONCOLOGIST, DIAGNOSTIC IMAGING, GASTROENTEROLOGIST, SURGEON, CANCER GENETICIST, AND UROLOGIST. - 100% OF PATIENTS WERE UNINSURED AND 73% OF PATIENTS REFERRED INDICATED A NON-ENGLISH LANGUAGE PREFERENCE AND 76% IDENTIFIED AS HISPANIC/LATINO. - IN TOTAL, 275 PATIENTS WERE REFERRED FROM LA CLNICA AND AMONG THEM, 246 WERE ACCEPTED INTO THE SPECIALTY CARE PROGRAM (ACCEPTANCE RATE OF 89%). THE TOP REFERRING HEALTH CONDITIONS INCLUDE: GASTROINTESTINAL, GYNECOLOGICAL, UROLOGICAL, LUNG AND BREAST. - A TOTAL OF 12 CANCER DIAGNOSES WERE MADE. IN ADDITION, 855 PROCEDURES AND INTERVENTIONS WERE PROVIDED THROUGHOUT THE YEAR. THE MAJORITY OF INTERVENTIONS WERE CONSULTATIONS/FOLLOW-UP WITH SPECIALIST AND IMAGING. - 96% OF PATIENTS COMPLETED TREATMENT OR RECEIVED/SCHEDULED FOR FOLLOW-UP.OPERATION ACCESS: PROVIDE SPECIALTY CARE SERVICES THROUGH OPERATION ACCESS (OA) FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. OUTCOMES FOR 2020 INCLUDES: - 100% OF OPERATION ACCESS PATIENTS WERE UNINSURED. - THE LINGUISTIC NEEDS WERE MET FOR 100% OF PATIENTS, INCLUDING ENGLISH, SPANISH, PORTUGUESE, AMHARIC AND FRENCH. - 77% OF ALL OA SERVICES PROVIDED IN CCC WERE PROVIDED BY JOHN MUIR HEALTH. - A TOTAL OF 158 SURGICAL PROCEDURES WERE PROVIDED IN A JOHN MUIR HEALTH OPERATING ROOM. THIS REPRESENTS AN 8% INCREASE FROM THE PREVIOUS YEAR. - AVERAGE WAIT TIME FROM REFERRAL TO FIRST APPOINTMENT WAS 107 DAYS AND THE AVERAGE WAIT TIME FROM REFERRAL TO SURGERY WAS 127 DAYS. - 64% OF PATIENT REFERRALS HAD TO TRAVEL TO COUNTIES OTHER THAN CONTRA COSTA COUNTY. - IN TOTAL, THERE WERE 30 ACTIVE VOLUNTEER PHYSICIANS FROM JOHN MUIR HEALTH WHO PROVIDED AT LEAST ONE SURGICAL SERVICE. - 50% OF VOLUNTEERS WERE "HIGH VOLUME" PROVIDERS, WHO PROVIDED AT LEAST 4 SERVICES DURING THE YEAR. - IN 2020, 9 NEW PHYSICIANS WERE RECRUITED. - 97% OF PATIENTS REPORTED HIGH LEVELS OF SATISFACTION WITH THEIR OA EXPERIENCE. - ALL PATIENT QUALITY OF LIFE IMPROVEMENT MEASURES REMAINED HIGH. RESULTING FROM OA SERVICES, 93% OF PATIENTS REPORTED IMPROVED HEALTH, 91% REPORTED IMPROVED QUALITY OF LIFE, 95% IMPROVED WORK ABILITY, 83% EXPERIENCED A RELIEF OF SYMPTOMS AND 95% IMPROVED ABILITY TO CARE FOR HOME AND/OR FAMILY. - PRIOR TO UTILIZING OA SERVICES, 19% OF PATIENTS REPORTED THAT THEY VISITED THE EMERGENCY ROOM. - ONE STORY ABOUT JOHN MUIR HEALTH VOLUNTEER PHYSICIANS WAS HIGHLIGHTED AND ONE PHYSICIAN WAS AWARDED AN HONOR.EVERY WOMAN COUNTS PROGRAM: PROVIDE FREE BREAST SCREENING FOR LOW-INCOME WOMEN WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. OUTCOMES FOR 2020 INCLUDES: - IN 2020, THERE WERE 23 BREAST CANCER SCREENING CLINICS. - 100% OF ELIGIBLE PATIENTS WERE ACCEPTED TO CARE. THERE WERE 221 BREAST CANCER PATIENTS SERVED IN THE CLINICS FOR A TOTAL OF 239 ENCOUNTERS. - ALMOST HALF OF WOMEN SERVED AT THE BREAST CANCER CLINICS (47%) WERE BETWEEN AGES 40-49. 86% IDENTIFIED AS HISPANIC AND AMONG THEM, 81% INDICATED A NON-ENGLISH LANGUAGE PREFERENCE.- IN 2020, 100% OF PATIENTS WERE UNINSURED. - 60% OF PATIENTS WERE SCREENED WITHIN 18 MONTHS OF THEIR INITIAL SCREENING. - 97% OF BREAST CANCER PATIENTS WERE PROVIDED WITH SAME DAY, "ONE STOP" SERVICES, INCLUDING: BREAST EXAMS, DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES. - THE PROGRAM PROVIDED 14 BREAST BIOPSIES AND 86% RECEIVED BIOPSY RESULTS WITHIN 2 WEEKS. 5 WOMEN WERE DIAGNOSED WITH BREAST CANCER AND 100% WERE PROVIDED WITH APPROPRIATE FOLLOW-UP TO MONITOR THEIR DIAGNOSIS. - 100% OF DIAGNOSES WERE ENROLLED IN THE BREAST AND CERVICAL CANCER TREATMENT PROGRAM. - 99% OF PATIENTS RECEIVED HEALTH EDUCATION MATERIALS.LUNG CANCER SCREENING PROGRAM: PROVIDE SCREENING PROGRAMS FOR LOW-INCOME ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE. OUTCOMES FOR 2020 INCLUDES: - 31% OF NEW REFERRALS WERE ACCEPTED TO RECEIVE LUNG CANCER SCREENINGS AT THE CLINICAL TRIAL AND OTHERS WHO HAD INSURANCE COVERAGE WERE ACCEPTED TO THE LUNG CANCER SCREENING PROGRAM. - IN 2020, A TOTAL OF 150 SCREENINGS WERE CONDUCTED. - OF THE TOTAL PARTICIPANTS RECEIVING SCREENS IN 2020, 25% LIVED IN HOUSEHOLDS WITH INCOMES LESS THAN 200% OF THE FPL. - OF THE TOTAL PARTICIPANTS WHO DISCLOSED THEIR DEMOGRAPHIC INFORMATION, 53% IDENTIFIED AS MALE AND 85% IDENTIFIED WHITE AS THEIR RACE/ETHNICITY (2% IDENTIFIED AS BLACK/AFRICAN AMERICAN, 10% AS ASIAN). - 99% OF PARTICIPANTS WERE PROVIDED SCAN RESULTS WITHIN 10 DAYS.
CONTINUED....- 75% OF PARTICIPANTS RATED THEIR EXPERIENCE AS A SUBJECT IN A RESEARCH STUDY AS "EXCELLENT AND 25% AS "VERY GOOD." - ACCORDING TO THE PARTICIPANT SURVEY, 94% REPORTED INCREASED KNOWLEDGE ABOUT THEIR HEALTH CONDITION. - ACCORDING TO THE PARTICIPANT SURVEY, 69% OF PARTICIPANTS REPORTED THAT THEY ARE MORE LIKELY TO MAKE A LIFESTYLE CHANGE AS A RESULT OF THE EDUCATION AND SERVICES RECEIVED AND 94% REPORTED THAT THEY FELT MORE PROACTIVE IN THEIR HEALTHCARE. - AS A RESULT OF THE SCREENINGS PROVIDED, 22 PARTICIPANTS WERE RECOMMENDED FOR FOLLOW-UP CARE, AND 2 PARTICIPANTS RECEIVED A BIOPSY AND 22 RECEIVED TREATMENT. 2 PARTICIPANTS WERE DIAGNOSED WITH LUNG CANCER AND RECEIVED TREATMENT.MEALS ON WHEELS DIABLO REGION FALL PREVENTION PROGRAM (FPP): PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES FOR VULNERABLE ADULTS AND SENIORS THAT ADDRESS POOR HEALTH OUTCOMES, QUALITY AND SATISFACTION WHILE IMPROVING EFFICIENCY THROUGH FALL PREVENTION SAFETY TRAININGS, HOME ASSESSMENTS AND MODIFICATIONS, AND EDUCATION. OUTCOMES FOR 2020 INCLUDES: - THREE COALITION MEETINGS WERE HELD AND ON AVERAGE 34 INDIVIDUALS ATTENDED, REPRESENTING 68 AGENCIES. - IN 2020, 63% OF INDIVIDUALS HAD INCOMES AT OR BELOW 200% FPL. - 74 INDIVIDUALS SERVED RESIDED IN COMMUNITY BENEFIT DESIGNATED AREAS, OF WHICH 33% WERE RESIDENTS OF CENTRAL CONTRA COSTA COUNTY, 46% IN EAST AND 20% IN WEST. - 21% OF OLDER ADULTS WHO RECEIVED HOME SAFETY MODIFICATION SERVICES REPORTED A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY LANGUAGE. THE MAJORITY OF THESE ARE SPANISH SPEAKING. OTHER LANGUAGES INCLUDED CHINESE, FARSI, TAGALOG, AND PUNJABI. - FPP RECEIVED 287 REFERRALS AND CONDUCTED 135 HOME SAFETY ASSESSMENTS AND MODIFICATIONS THE HOMES OF OLDER ADULTS. AMONG THESE REFERRALS, 46 PEOPLE ARE ON THE WAITLIST, 83 EITHER DECLINED SERVICES OR DID NOT QUALIFY FOR SERVICES. - 83% OF SENIORS REPORTED INCREASED ACCESS TO FALL PREVENTION SERVICES. - FPP CONDUCTED 21 EDUCATION PRESENTATIONS, REACHING 530 SENIORS. - ON AVERAGE 94% OF SENIORS REPORTED INCREASED KNOWLEDGE ABOUT FALL PREVENTION, RISK FACTORS, AND FALL REDUCTION STRATEGIES. - FPP CONDUCTED 211 HOME ASSESSMENTS AND COMPLETED HOME MODIFICATIONS IN 100% OF THOSE ASSESSED. - 96% OF SENIORS WHO RECEIVED A HOME MODIFICATION REPORTED POSITIVE CHANGES IN THEIR LIVES. - 29 TOTAL EXERCISE SESSIONS WERE OFFERED WITH A TOTAL OF 100. PARTICIPANTS. - SATISFACTION SURVEY NOT ADMINISTERED DUE TO COVID-19 PANDEMIC. - 2 MATTER OF BALANCE WORKSHOPS WERE COMPLETED, WITH 24 ATTENDEES. THERE ARE 12 COACHES VOLUNTEERING FOR MOB; NO NEW COACHES TRAINED.MEALS ON WHEELS OF DIABLO REGION: PROVIDE OLDER ADULTS IN CONTRA COSTA COUNTY FRIENDLY VISITORS PROGRAM, WHICH CONNECTS SENIORS WITH VOLUNTEERS TO PROVIDE COMPANIONSHIP, RESOURCES AND ASSISTANCE, ULTIMATELY TO REDUCE ISOLATION. OUTCOMES FOR 2020 INCLUDES:- IN 2020, 12,244 RESOURCE CALLS WERE ANSWERED BY VOLUNTEERS AND STAFF. - A TOTAL OF 1,698 VISITS WERE MADE BY FRIENDLY VISITOR COMPANIONS TO 222 CLIENTS, AGE 60 AND OLDER. - DUE TO COVID-19, FRIENDLY VISITORS PROGRAM ADJUSTED SERVICES TO OFFER LESS IN-PERSON ASSISTANCE AND MORE TELEPHONIC OR VIRTUAL ASSISTANCE, OVERALL.INDEPENDENT LIVING RESOURCES: PROVIDE COMMUNITY WITH MEDICAL EQUIPMENT LOANS, ASSISTIVE TECHNOLOGY AND OTHER SUPPORTIVE RESOURCES FOR INDIVIDUALS, MAINLY SENIORS. 2020 OUTCOMES INCLUDE: - INFORMATION AND REFERRALS ON A VARIETY OF ASSISTIVE TECHNOLOGY AND TRAINING ON DEVICES WAS PROVIDED TO THE COMMUNITY. - 438 INDIVIDUALS WERE PROVIDED DEVICES FOR LOAN, AMOUNTING TO 913 DEVICES IN TOTAL. AVERAGE AGE OF USERS WAS 70 YEARS OLD. SERVICES WERE IMPACTED DUE TO THE COVID-19 PANDEMIC. - AMONG DEVICES OFFERED TO THE COMMUNITY INCLUDED: WHEELCHAIRS, TRANSPORT CHAIRS, WALKERS, CANES, BATH CHAIRS, TRANSFER BENCHES, BEDSIDE COMMODE CHAIRS, KNEE SCOOTER, HOSPITAL BEDSIDE TABLES, WALKERS AND SEATED WALKERSMOBILITY MATTERS: PROVIDE TRANSPORTATION ASSISTANCE FOR SENIORS WHO OTHERWISE HAVE LIMITED CAPACITY TO TRAVEL THEMSELVES, TO INCLUDE TRAVEL TO MEDICAL APPOINTMENTS, GROCERY STORE AND OTHER ESSENTIAL NEEDS. OUTCOMES FOR 2020 INCLUDES: - A TOTAL NUMBER OF 152 JOHN MUIR HEALTH CLIENTS RECEIVED TRANSPORTATION ASSISTANCE FOR A TOTAL OF 864 TRIPS PROVIDED. SERVICES WERE IMPACTED DUE TO THE COVID-19 PANDEMIC. - FOR 2020, MAINTAINED 48 VOLUNTEERS. SERVICES WERE IMPACTED DUE TO THE COVID-19 PANDEMIC.WALNUT CREEK SENIOR TRANSPORTATION PROGRAM: PROVIDE TRANSPORTATION ASSISTANCE TO SENIORS OVER THE AGE OF 60. SERVICES CAN INCLUDE GROCERY SHOPPING, MEDICAL APPOINTMENTS, PRESCRIPTION PICK UP, AND OTHER ACTIVITIES TO IMPROVE ACCESS TO CARE AND REDUCE SOCIAL ISOLATION. OUTCOMES FOR 2020 INCLUDES: - IN 2020, A TOTAL OF 2,540 RIDES WERE PROVIDED TO 212 SENIORS OVER 60 YEARS OLD, AND WERE ORGANIZED BY THE WALNUT CREEK SENIORS CLUB. SERVICES WERE IMPACTED BY THE COVID-19 PANDEMIC. - AVERAGE COST PER RIDE AMOUNTED TO APPROXIMATELY $10.54 TOTALING OVER $26,000 FOR THE YEAR. - A TOTAL OF 153 RIDES WERE PROVIDED TO MEDICAL APPOINTMENTS. DIABETES SERVICES: PROVIDE DIABETES PREVENTION PROGRAMS TO VULNERABLE ADULTS WHO ARE IDENTIFIED AS PRE-DIABETIC. OUTCOMES FOR 2020 INCLUDES: - IN 2020, ONE JOHN MUIR HEALTH STAFF WAS TRAINED TO A DEEP-CERTIFIED TRAINER. - IN 2020, JOHN MUIR HEALTH IN COLLABORATION WITH LA CLNICA DE LA RAZA AND MONUMENT IMPACT SUPPORTED THE DEEP PROGRAM FOR ONE SESSION. THE SESSION HAD A TOTAL PARTICIPATION OF 8 PEOPLE FOR 6 WEEKS. - THE DEEP PROGRAM WAS CONDUCTED IN SPANISH. - 50% OF PARTICIPANTS WERE UNINSURED AND THE REMAINDER WERE INSURED BY MEDICAL OR MEDICARE. - SINCE THE PROGRAM WAS OFFERED VIRTUALLY, DUE TO COVID-19, CLINICAL METRICS WERE NOT TRACKED. PARTICIPANTS INDIVIDUALLY TRACKED WEIGHT.ORDER OF MALTA CLINIC: PROVIDE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED WITH DIABETES. OUTCOMES FOR 2020 INCLUDES: - IN 2020, ORDER OF MALTA CLINIC PROVIDED CARE TO 215 PATIENTS WITH DIABETES, FOR A TOTAL OF 1,100 ENCOUNTERS. - OVERALL, MALTA CLINIC PROVIDED CARE TO UNINSURED PATIENTS FOR 1,930 ENCOUNTERS VIA TELEHEALTH AND 740 ENCOUNTERS IN-PERSON. - 100% OF OVERALL PATIENTS ARE UNINSURED OR UNDER-INSURED, AND 100% OF PATIENTS WITH DIABETES ARE UNINSURED OR UNDER-INSURED.COMMUNITY HEALTH NEED: BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE:COMPLEX COMMUNITY CARE COORDINATION (CCCC) PROGRAM: PROVIDE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES FOR INDIVIDUALS WHO FREQUENT THE EMERGENCY DEPARTMENT, HAVE EXCESSIVE HOSPITALIZATION AND MEET CRITERIA RELATED TO SOCIAL DETERMINATIN OF HEALTH. OUTCOMES FOR 2020 INCLUDES: - IN 2020, THERE WERE A TOTAL OF 1,608 EMERGENCY ROOM VISITS BY HOMELESS OR UNSHELTERED INDIVIDUALS, AND 158 PARTICIPATED IN THE CCCC PROGRAM. TOTAL COUNT IN CONCORD: 1147 TOTAL COUNT IN WALNUT CREEK: 461 - 100% OF PATIENTS ARE REFERRED TO ENROLL IN MEDI-CAL, MEDICARE, BASIC ADULT CARE OR ARE COVERED BY ANOTHER INSURANCE PLAN, IF THEY QUALIFY. - PROVIDED INTERVENTIONS RELATED TO BENEFITS, APPOINTMENT, CARE PLAN, CASE MANAGEMENT, COMMUNICATIONS, HOUSING, MENTAL HEALTH, SITE VISIT, TRANSPORTATION OR OTHER. FRED FINCH YOUTH AND FAMILY SERVICES: PROVIDE LINGUISTICALLY APPROPRIATE DIRECT MENTAL AND BEHAVIORAL HEALTH SERVICES AT NO COST TO LOW-INCOME AND UNINSURED INDIVIDUALS TO INCLUDE MOBILE HEALTH CLINIC SATURDAY CLINIC IN BRENTWOOD, ANTIOCH HIGH SCHOOL, DEER VALLEY HIGH SCHOOL, AND BEYOND VIOLENCE PARTNER ORGANIZATIONS, CENTER FOR HUMAN DEVELOPMENT AND ONE DAY AT A TME. OUTCOMES FOR 2020 INCLUDES: - A TOTAL OF 87 INDIVIDUALS WERE PROVIDED MENTAL HEALTH COUNSELING SERVICES FOR A TOTAL OF 1,385 SESSIONS. - THE DISTRIBUTION OF SERVICES PROVIDED WERE AS FOLLOWS: MOBILE HEALTH CLINIC, 6%; ANTIOCH HIGH SCHOOL, 50%, DEER VALLEY HIGH SCHOOL, 4%; BEYOND VIOLENCE ONE DAY AT A TIME, 25%; BEYOND VIOLENCE CENTER FOR HUMAN DEVELOPMENT, 15% - IN TOTAL, APPROXIMATELY ONE-THIRD (25.6%) OF SERVICES WERE PROVIDED IN SPANISH BY BILINGUAL THERAPISTS. - 51% OF CLIENTS WERE UNDER THE AGE OF 18 (44 TOTAL CHILDREN). 71% IDENTIFY AS FEMALE. ETHNICITY - 53% IDENTIFY AS HISPANIC/LATINO; RACE - WHITE, 27%; BLACK/AFRICAN AMERICAN, 12%; AMERICAN INDIAN/ALASKAN NATIVE, 6%; ANOTHER RACE, 53%; MORE THAN ONE RACE, 2% - THE TYPE OF SERVICES PROVIDED WERE AS FOLLOWS (TOP 5): - 48% INDIVIDUAL THERAPY - 15% ASSESSMENT - 13% PLAN DEVELOPMENT - 7% OUTREACH AND ENGAGEMENT - 4% COLLATERAL CONTACTMENTES POSITIVAS EN ACCION (POSITIVE MINDS IN ACTION) PROMOTORES PROGRAM: SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VLNERABLE COMMUNITIES THROUGH THE POSITIVE MINDS IN ACTION PROMOTORES PROGRAM OFFERED BY MONUMENT IMPACT. OUTCOMES FOR 2020 INCLUDES:- IN 2020, THERE WERE 14 TRAINED PROMOTORES FOR THE MENTES POSITIVAS EN ACCION PROMOTORES VIRTUAL PROGRAM (MPA-V).
CONTINUED....THE 6 WEEK TRAINING IS CONDUCTED BY ROSA MARIA STERNBERG PHD, RN TO HELP WITH THE TRANSITION TO THE VIRTUAL PLATFORM. - A 25-QUESTION TEST WAS ADMINISTERED TO TEST PROMOTORES' KNOWLEDGE OF STRESS AND DEPRESSION MANAGEMENT AND COGNITIVE BEHAVIORAL CONCEPTS. - DUE TO COVID-19, THE TRAINING SHIFTED TO THE MPA-V PROGRAM. - 102 PARTICIPANTS ENROLLED AND BEGAN THE MPA-V PROGRAM AND 85 GRADUATED (COMPLETED AT LEAST 5 CLASSES). - DUE TO COVID-19, NO ADDITIONAL SITES WERE ADDED. HOWEVER, THE ADDITION OF A VIRTUAL PROGRAM (MPA-V) HAS ALLOWED FOR EXPANDED GEOGRAPHICAL ACCESS. PUTNAM CLUBHOUSE: SUPPORT AND/OR PROVIDE BEHAVIORAL HEALTH INTERVENTION SERVICES TO VULNERABLE ADULTS WITH SEVERE MENTSL HEALTH ILLNESS THROUGH EDUCATION AND VOCATIONAL REHABILITATION SUPPORT SERVICES. OUTCOMES FOR 2020 INCLUDES: - IN 2020, THERE WAS AN AVERAGE DAILY ATTENDANCE OF 48 MEMBERS AND A MONTHLY ATTENDANCE OF 190 MEMBERS REPRESENTING A TOTAL OF 507 MEMBERS WHO PARTICIPATED IN PROGRAM ACTIVITIES, WHERE THEY SPENT A TOTAL OF 57,344 HOURS PARTICIPATING IN CLUBHOUSE ACTIVITIES. - 47 NEW MEMBERS OVERALL JOINED THE CLUBHOUSE IN 2020, AMONG THEM 6 NEW MEMBERS UNDER THE AGE OF 30 JOINED. - 100% OF MEMBERS WHO INDICATED EDUCATION IN THEIR CAREER PLAN WERE REFERRED TO APPROPRIATE EDUCATION RESOURCES AND 80 MEMBERS ATTENDED SCHOOL AND AMONG THEM 13 RETURNED TO SCHOOL. - 100% OF MEMBERS WHO INDICATED EMPLOYMENT IN THEIR CAREER PLAN WERE REFERRED TO EMPLOYMENT RESOURCES AND 61 MEMBERS WERE EMPLOYED AND AMONG THEM 28 WERE PLACED IN EMPLOYMENT EARNING $14.98/HOUR ON AVERAGE. - 42% OF MEMBERS PARTICIPATED IN HEALTH WATCH (214 MEMBERS). - 70% OF MEMBERS WHO RESPONDED TO THE SURVEY REPORTED AN INCREASE IN THEIR INDEPENDENCE. - 81% OF MEMBERS WHO RESPONDED TO THE SURVEY REPORTED AN IMPROVEMENT IN THEIR EMOTIONAL WELLBEING AND 81% REPORTED AN IMPROVEMENT IN THEIR MENTAL WELLBEING. - 100% OF MEMBERS WHO COMPLETED THE ANNUAL HOSPITALIZATION SURVEY SHOWED DECREASED HOSPITALIZATIONS AND OUT-OF-HOME PLACEMENTS (P<.05). - JOHN MUIR HEALTH PROVIDED HEALTH EDUCATION MATERIALS AROUND THE FOLLOWING TOPICS: MEDICATION SIDE EFFECTS, HEALTHY FRIENDSHIPS, FLU/COLD PREVENTION, AGING, STRESS AND HEALTH. THESE RESOURCES WERE EACH DISTRIBUTED TO 220 INDIVIDUALS. - DUE TO COVID-19, THERE WERE NOT ANY ON-SITE MEMBER PRESENTATIONS OR WORKSHOPS.WOMEN'S CANCER RESOURCE CENTER (WCRC): FREE THERAPY PROGRAM FOR LOW-INCOME EAST BAY WOMEN WITH CANCER. OUTCOMES FOR 2020 INCLUDES: - 51 CLIENTS RECEIVED FREE THERAPY FROM VOLUNTEER THERAPISTS, A WCRC STAFF MEMBER AND THERAPISTS AFFILIATED WITH THE WOMEN'S THERAPY CENTER (WTC) - ACROSS 9 SUPPORT GROUPS, THERE WAS AN AVERAGE OF 77 PARTICIPANTS EACH QUARTER THROUGHOUT 2020 - TWO PSYCHO-ONCOLOGY TRAININGS WERE OFFERED. - IN 2020, THERE WERE TWO EDUCATIONAL WORKSHOPS FOR THERAPISTS, FOR A TOTAL PARTICIPATION OF 50 THERAPISTS. - SUCCESSFULLY RECRUITED SIX VOLUNTEER THERAPISTS OF COLOR FROM THE LOCAL THERAPIST COMMUNITY. FIVE OF THESE THERAPISTS SPEAK LANGUAGES OTHER THAN ENGLISH (TWO SPEAK MANDARIN, TWO SPEAK SPANISH, AND ONE SPEAKS TAGALOG). - 85 PERCENT OF SURVEY RESPONDENTS INDICATED THAT THERAPY HELPED THEM COPE WITH THE STRESS AND CHALLENGES OF DEALING WITH CANCER. - 85 PERCENT RESPONDED THAT THERAPY HELPED THEM ENJOY A BETTER QUALITY OF LIFE.COMMUNITY HEALTH NEEDS: ECONOMIC SECURITY, TO INCLUDE HOUSING, FOOD, COMMUNITY AND FAMILY SAFETYJUNIOR ACHIEVEMENT OF NORTHERN CALIFORNIA: PARTNER WITH JUNIOR ACHIEVEMENT TO LEAD YOUNG HEALERS, A HIGH SCHOOL INTERNSHIP PROGRAM FOR STUDENTS INTERESTED IN PURSUING HEALTH CAREERS, WITH A FOCUS ON UNDERREPRESENTED YOUTH. OUTCOMES FOR 2020 INCLUDES: - NUMBER OF STUDENTS: 36 - NUMBER OF HOURS PARTICIPATING IN PROGRAM: 60 HOURS PER STUDENT - NUMBER OF JMH MENTORS/VOLUNTEERS: 13 - NUMBER OF HOURS JMH MENTORS/VOLUNTEERS PARTICIPATED IN THE PROGRAM (TRAINING/PREPARATION/DELIVER): 48 HOURS - LENGTH OF PROGRAM (WEEKS): 2 WEEKS - NUMBER OF STUDENTS REGISTERED: 168 - NUMBER OF HOURS PARTICIPATING IN PROGRAM: 1 HOUR PER SESSION - NUMBER OF JMH MENTORS/VOLUNTEERS: 3 - NUMBER OF HOURS JMH MENTORS PARTICIPATED IN THE PROGRAM (TRAINING/PREPARATION/DELIVERY): 9 HOURS - LENGTH OF PROGRAM (WEEKS) MONTHLY SPEAKER'S SERIES (OCTOBER/NOVEMBER/DECEMBER 2020): 1 PER MONTH FOR 3 MONTHS.RESPITE CARE CENTER: CONNECT HOMELESS PATIENTS DISCHARGED FROM HOSPITAL TO RESPITE CARE CENTER TO PROVIDE RECUPERATIVE CARE AND ON-SITE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES TO MEDICALLY FRAGILE HOMELESS ADULTS. OUTCOMES FOR 2020 INCLUDES: - IN 2020, 37 PATIENTS WERE REFERRED TO THE RESPITE CENTER. - 19 PATIENTS (51%) WERE APPROVED FOR RESPITE, AND AMONG THEM, 9 PATIENTS WERE PLACED IN RESPITE AND 11 WERE PLACED IN A COUNTY SHELTER. - ON AVERAGE, THE MEAN LENGTH OF STAY WAS 41.17 DAYS AND THE MEDIAN WAS 27.5 DAYS. - ON AVERAGE, ADMITTED PATIENTS WERE PROVIDED WITH 5.58 MEDICAL LINKAGES, WITH AN AVERAGE OF 3.17 MEDICAL CONDITIONS. - FOR PATIENTS WITH A MENTAL HEALTH HISTORY, THEY HAD AN AVERAGE OF 1.3 CONDITIONS (DEPRESSION AS MOST COMMON). FOR PATIENTS WITH A SUBSTANCE ABUSE HISTORY, THEY WERE USING ON AVERAGE 1.67 SUBSTANCES (NICOTINE AND METHAMPHETAMINE AS MOST COMMON). - PATIENTS WHO WERE ADMITTED TO RESPITE FROM JOHN MUIR HEALTH SAVED 36 HOSPITAL DAYS.SUPPORT4RECOVERY: PROVIDE HOUSING GRANTS TO SUPPORT PEOPLE LEAVING TREATMENT PROGRAMS WITH SOBER LIVING ENVIRONMENT, PREVENTING MANY FROM LIVING ON THE STREETS AND BECOMING UNSHELTERED. OUTCOMES FOR 2020 INCLUDES: - 34 GRANTS OF 30 DAYS EACH WERE PROVIDED. - 34 PEOPLE PLACED IN SLE'S. 100% GOAL OF 30 DAYS SAFE AND AFFORDABLE PLACEMENT ACHIEVED. - A TOTAL OF 18 INDIVIDUALS WERE PLACED AT CONTRA COSTA COUNTY SOBER LIVING RESIDENCIES. - AVERAGE LOS: 38 DAYS - 74% SUCCESSFULLY DISCHARGED FROM THE S4H PROGRAM. - 7 PARTICIPANTS RELAPSED AND WERE REFERRED BACK TO TREATMENT BUT IT IS UNKNOWN IF THEY WENT. - 94% OF PARTICIPANTS ARRIVED IN NEED OF EMPLOYMENT. 94% ACTIVELY SOUGHT EMPLOYMENT AND OF THE 94%, 73% HAVE FOUND EMPLOYMENT.18 REASONS: SUPPORT COOKING MATTERS PROGRAM, WHICH PROVIDES PARENTS WITH SPANISH INSTRUCTION ON HEALTHY COOKING AND NUTRITION. OUTCOMES FOR 2020 INCLUDES: - COOKING MATTERS FOR PARENTS WAS PROVIDED AT STONEMAN ELEMENTARY SCHOOL AND WILLOW COVE ELEMENTARY SCHOOL; HOWEVER, WAS CANCELLED MIDWAY DUE TO COVID-19. IN TOTAL, 32 PARENTS PARTICIPATED. - ONE YOUTUBE LIVE 6-WEEK SERIES WAS PROVIDED AND PROMOTED TO PITTSBURG UNIFIED SCHOOL DISTRICT PARENTS. 28 PARENTS ATTENDED. - TWO 3-WEEK COOKING MATTERS AT HOME OR COOKING MATTERS EN CASA SERIES WERE PROVIDED TO A TOTAL OF 30 FAMILIES. ALL FAMILIES WERE PROVIDED WITH GROCERIES TO PARTICIPATE IN FOOD DEMONSTRATIONS.ALAMEDA COUNTY COMMUNITY FOOD BANK: SUPPORT THE FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW INCOME. OUTCOMES FOR 2020 INCLUDES: - PROVIDED DRIVE THRU FOOD DISTRIBUTIONS AT FOUR SITES: OAKLAND, HAYWARD, PLEASANTON AND FREMONT. COMBINED, THESE DRIVE-THROUGH DISTRIBUTIONS ARE SERVING ALMOST 20,000 INDIVIDUALS WEEKLY. OUR OAKLAND-BASED DRIVE-THROUGH DISTRIBUTION SERVED 250,000 INDIVIDUALS IN ITS FIRST FIVE MONTHS AND HAS PROVIDED 2 MILLION MEALS SINCE MARCH 30. - MET THE INCREASED COMMUNITY NEED AND GREW OUR FOOD DISTRIBUTION FROM 600,000 POUNDS PER WEEK TO MORE THAN 1 MILLION POUNDS OF FOOD WEEKLY.FOOD BANK OF CONTRA COSTA AND SOLANO COUNTY'S COMMUNITY PRODUCE PROGRAM: SUPPORT THE FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW-INCOME FAMILIES IN CONTRA COSTA COUNTY. OUTCOMES FOR 2020 INCLUDES: - THE COMMUNITY PRODUCE PROGRAM DISTRIBUTED 6,232,774 POUNDS OF FOOD, 2,458,258 POUNDS OF WHICH WAS FRESH PRODUCE AND 3,774,516 POUNDS WERE FROM SUPPLEMENTAL EMERGENCY BOXES. - THE COMMUNITY PRODUCE PROGRAM PROVIDED FRESH FRUITS AND VEGETABLES TO OVER 28,814 PEOPLE. - CLIENTS OVERALL REPORTED INCREASED CONSUMPTION OF FRESH FRUITS AND VEGETABLES AND HAVING MORE BALANCED DIETS SINCE RECEIVING FOOD FROM THE PROGRAM. - COVID-19 PANDEMIC INCREASED THE NEED AND REACH OF THE FOOD BANK.FRESH APPROACH: SUPPORT THE MOBILE FARMER'S MARKET TO PROVIDE EASY ACCESS TO HEALTHY, AFFORDABLE PRODUCE, NUTRITION EDUCATION AND RESOURCES, AS WELL AS ADDRESS BARRIERS TO PARTICIPATION IN FOOD BENEFITS IN EAST CONTRA COSTA COUNTY. OUTCOMES FOR 2020 INCLUDES: - PROVIDED 73,644 POUNDS OF FRESH PRODUCE THROUGH BOXES DELIVERED TO ANTIOCH UNIFIED SCHOOL DISTRICT, BELLA MONTE APARTMENTS, COLUMBIA PARK MANOR, AND VILLAGE COMMUNITY RESOURCE CENTER TO REACH A TOTAL OF 7,515 HOUSEHOLDS. - PROVIDED 8,400 POUNDS OF FRESH PRODUCE IN BULK TO MONUMENT CRISIS CENTER TO REACH A TOTAL OF 1,800 HOUSEHOLDS. - DUE TO THE COVID-19 PANDEMIC, FUNDS WERE REALLOCATED TOWARDS THE ABOVE EFFORTS, NOT A NUTRITION-BASED TRAIN THE TRAINER HIGH SCHOOL PROGRAM, AS ORIGINALLY INTENDED.
CONTINUED....BIKE EAST BAY: BUILD COMMUNITY AROUND SAFE BICYCLING, BICYCLING CAPACITY AND ADVOCACY AROUND CONCORD BY GROWING BIKE CONCORD'S BIKE KITCHEN AND BIKE TENT PROGRAMS IN PARTNERSHIP WITH OLYMPIC CONTINUATION HIGH SCHOOL (CONCORD BIKE KITCHEN FELLOWSHIP PROGRAM) AND SUPPORTING BIKE TO WORK DAY IN CONCORD. OUTCOMES FOR 2020 INCLUDES:FIVE STUDENTS WERE TRAINED AT A REDUCED SCHEDULE WITH THE TENTATIVE PLAN TO BEGIN INTERNING WITH THE BIKE TENT IN THE SPRING.TRAINEES HAVE SPENT TWO HOURS ONCE A WEEK OUTDOORS AT THE BIKE KITCHEN SINCE SEPTEMBER 1ST FOR A TOTAL OF 170 TRAINING HOURS. THE CONCORD BIKE TENT HAS BEEN TEMPORARILY CLOSED DUE TO COVID-19. THOUGH THE BIKE TENT WAS NOT OPERATIONAL, VOLUNTEERS AND OLYMPIC HIGH STUDENTS SERVICED OR REFURBISHED AND DONATED APPROXIMATELY 45 BICYCLES IN 2020 FOR COMMUNITY MEMBERS IN NEED.BECAUSE THE PROGRAM WAS ON HOLD UNTIL SEPTEMBER, A POST-PROGRAM SURVEY HAS NOT YET BEEN ADMINISTERED. ALL STUDENTS HAVE TAKEN A PRE-PROGRAM SURVEY TO MEASURE THEIR BASELINE KNOWLEDGE OF BICYCLING SAFETY AND MECHANICS.DUE TO COVID-19, BIKE TO WORK DAY WAS CANCELLED IN 2020.BEYOND VIOLENCE PROGRAM: PROVIDE INTERVENTION AND REFERRALS TO VIOLENCE-RELATED TRAUMA VICTIMS IN ORDER TO PREVENT RACIDIVISM AND PROVIDE SUPPORT SERVICES FOR FULL RECOVERY. PARTNER ORGANIZATION INCLUDES: CENTER FOR HUMAN DEVELOPMENT, ONE DAY AT A TIME AND RYSE CENTER. OUTCOMES FOR 2020 INCLUDES: - IN 2020, THERE WAS A TOTAL CLIENT LOAD OF 42 INDIVIDUALS WHO CONSENTED TO RECEIVE BEYOND VIOLENCE SERVICES AT THE FOLLOWING PARTNER NONPROFIT ORGANIZATIONS: RYSE CENTER IN RICHMOND, ONE DAY AT A TIME IN BRENTWOOD, AND CENTER FOR HUMAN DEVELOPMENT IN CONCORD. ADDITIONALLY, 3 CLIENTS CARRIED OVER FROM THE PREVIOUS YEAR. - 100% OF CLIENTS CONSENTED TO SERVICES. - MECHANISM OF INJURY GUN SHOT WOUND: 28 STAB WOUND: 8 ASSAULT: 5 OTHER INJURY: 1 - AMONG THE CLIENTS FOR THE YEAR AND DURING THEIR PARTICIPATION IN THE PROGRAM: 98% AVOIDED RE-INJURY 98% AVOIDED ARREST 95% REMAINED ALIVE - INTERVENTION SPECIALISTS PURSUED A TOTAL OF 315 SUPPORT SERVICE INTERVENTIONS FOR AN AVERAGE OF 7 INTERVENTIONS PER CLIENT. NEEDS IDENTIFIED (TOTAL 135): LEGAL NEEDS: 35 MENTAL HEALTH: 18 FOOD SUPPORT:12 EMERGENCY SUPPORT: 14 EDUCATION: 10 HEALTH: 37 EMPLOYMENT: 9HEALTHY AND ACTIVE BEFORE 5 (HAB45): SUPPORT HAB45 TO PREVENT OBESITY IN CHILDREN AGE 0 TO 5 BY ADDRESSING BARRIERS TO HEALTHY EATING AND ACTIVE PLAY. OUTCOMES FOR 2020 INCLUDES: - HAB45 CONVENED ONE LEADERSHIP COUNCIL MEETINGS IN FALL 2020. 40 LEADERSHIP COUNCIL MEMBERS FROM CONTRA COSTA AGENCIES ATTENDED THE LEADERSHIP COUNCIL MEETINGS. THE SPRING LEADERSHIP COUNCIL MEETING WAS CANCELED DUE TO COVID-19; HOWEVER, 200 PARTNERS WERE SENT TIMELY UPDATES, INFORMATION AND RESOURCES ON HOW TO BEST SUPPORT THE COMMUNITY DURING THE PANDEMIC. - HAB45 AND ITS PARTNERS IN THE 0-5 CENSUS WORKING GROUP LED THE CHARGE TO MAKE SURE THAT ALL YOUNG CHILDREN IN CONTRA COSTA WERE COUNTED IN THE 2020 CENSUS. DESPITE SHIFTING OUTREACH STRATEGIES AND DEADLINES, TOGETHER WE: TRAINED OVER 200 STAFF AND COMMUNITY LEADERS FROM OVER TWO DOZEN ORGANIZATIONS. DISTRIBUTED OUTREACH MATERIALS TO FAMILIES WITH YOUNG CHILDREN IN HISTORICALLY UNDERCOUNTED COMMUNITIES THROUGH CLINICS, FAMILY CHILD CARE HOMES, PRESCHOOLS, AND OTHER SETTINGS. SECURED AN OVERALL SELF-RESPONSE RATE OF 77%, EXCEEDING THE COUNTY'S 2010 RATE. - IN 2020, 4 NEW POLICIES WITH MINI-GRANT FUNDS WILL BENEFIT AN ADDITIONAL 201 CHILDREN AND 364 ADULTS AT THE YMCA OF THE EAST BAY CHILD DEVELOPMENT CENTERS IN WEST CONTRA COSTA. - HAB45 SUPPORTED COMMUNITY PARTNERS WITH RESEARCH, DATA ANALYSIS, AND TECHNICAL ASSISTANCE. - HAB45 AND COCO KIDS WORKED TOGETHER TO DELIVER NUTRITION AND PHYSICAL ACTIVITY TRAININGS FOR EARLY CHILDHOOD ENVIRONMENTS. TOGETHER, THESE EFFORTS WILL BENEFIT HUNDREDS OF CHILDREN COUNTYWIDE. - HAB45 MANAGED AND ANALYZED SURVEY DATA FOR EXTENSIVE PEER-TO-PEER OUTREACH CONDUCTED BY THE EAST, WEST, AND CENTRAL COUNTY REGIONAL GROUPS FOR THE 2020 CENSUS AND ELECTION.KIDPOWER: PROVIDE EMPOWERMENT TRAININGS FOR TRANSGENDER/GENDER DIVERSE OUTH, FAMILIES AND ADVOCATES WITH A GOAL OF PROVIDING SKILLS AND STRATEGIES TO PREVENT PERSONAL HARM, TO PROTECT PHYSICAL AND EMOTIONAL SAFETY, AND TO REDUCE RISKS OF VICTIMIZATION. OUTCOMES FOR 2020 INCLUDES: - DUE TO COVID-19, PROVIDED 3 IN-PERSON WORKSHOPS WITH STAND WITH TRANS BAY AREA. TRAININGS REACHED 30 PEOPLE (16 YOUTH AND 14 PARENTS) - PROVIDED 3 ONLINE WORKSHOPS IN OCTOBER, REACHING 23 PARENTS AND 37 GENDER DIVERSE YOUTH.
CONTINUED....- PROVIDED SAFETY SKILLS SERVICES TO 174 PEOPLE. TRAININGS CONDUCTED FOR RICHMOND TECHNOLOGY ACADEMY, SHEPHERD'S GATE AND CONGRESO FAMILIAR.JOHN MUIR HEALTH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS:1. EDUCATION AND LITERACY2. HEALTHY EATING/ACTIVE LIVING3. TRANSPORTATION AND TRAFFIC4. CLIMATE/NATURAL ENVIRONMENTJMH 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 HEALTHY EATING AND ACTIVE LIVING WAS NOT EXPLICITLY SELECTED AS A PRIORITIZED NEED, JOHN MUIR HEALTH WILL SUPPORT EFFORTS TO PROMOTE HEALTHY EATING AND ACTIVE LIVING BY FOCUSING ON ECONOMIC SECURITY, WHICH INCLUDES REDUCING FOOD INSECURITY. 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.AS DEMONSTRATED, JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE AND WILL LOOK FOR COLLABORATION OPPORTUNITIES RELATED TO THE HEALTH NEEDS THAT JMH DOES NOT INTEND TO DIRECTLY ADDRESS WITH THE MAJORITY OF OUR COMMUNITY BENEFIT RESOURCES.
PART V, SECTION B, LINE 13BINCOME 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 16ATHE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML
PART V, SECTION B, LINE 16BTHE FAP APPLICATION FORM WAS 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 16CA PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML

Supplemental Information Detail SupplementalInformationDetail (14 entries)

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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 OURCOMMUNITY REGARDLESS OF THEIR ABILITY TO PAY THROUGH OUR MEDICAL CENTERSIN WALNUT CREEK AND CONCORD. THIS INCLUDES THE CRITICAL EMERGENCY ANDTRAUMA 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 ELIGIBILITYREQUIREMENTS THAT REASONABLY MEET THE QUALIFICATIONS FOR THE JOHN MUIRHEALTH 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 JOHNMUIR HEALTH HAS IDENTIFIED WITH REASONABLE EFFORT AND ASSURANCE THAT THEPATIENT'S ESTIMATED INCOME IS AT 250 PERCENT OR LESS OF THE FPL (FEDERALPOVERTY LEVEL).
PART I, LINE 6A:COMMUNITY BENEFIT REPORTALL JOHN MUIR HEALTH ENTITIES (WALNUT CREEK CAMPUS, CONCORD CAMPUS ANDBEHAVIORAL HEALTH) REPORT COMMUNITY BENEFIT INFORMATION AS PART OF THEJOHN MUIR HEALTH ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:FINANCIAL ASSISTANCE POLICYJOHN MUIR HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLICHEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OFITS 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 INTHIS COLUMN IS $ 74,419,972
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIESJOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESSSOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH ASJOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY,TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEETTHE DEFINITION OF COMMUNITY BENEFIT. IN 2020, WE PROVIDED SUPPORT TOORGANIZATIONS WHOSE MISSION IS TO ADDRESS UNDERLYING CAUSES OF HEALTHPROBLEMS THROUGH EVENT SPONSORSHIP. LASTLY, JOHN MUIR HEALTH WORKS WITH AWIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TOHEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS,WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THEFOLLOWING 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 UNDERSERVEDPOPULATION.3. JEWISH VOCATION SERVICES (JVS) - DISPLACED WORKER TRAINING TO GETBACK 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. THEORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT. BAD DEBT IS DISCUSSED ON PAGE 19 OF THE AUDITED FINANCIAL STATEMENTS.
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 2019 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 2019 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-COMMITMENTIN 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/LOBBIESINFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIRHEALTH CARE BILLS AND ELIGIBILITY. SERVICES TO AID THE PATIENT INQUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IS POSTED IN THE EMERGENCY DEPARTMENT.ALL PATIENTS RECEIVE A "PATIENT ASSISTANCE" BROCHURE, WHICH IDENTIFIESVARIOUS 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 INSURANCELISTED ARE INTERVIEWED BY TRAINED FINANCIAL COUNSELORS DURING THEIRHOSPITAL 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 FROMSOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SANRAMON IN SOUTHERN CONTRA COSTA COUNTY. JMH'S TRAUMA CENTER SERVES ALL OFCONTRA COSTA COUNTY, AS WELL AS SOUTHERN SOLANO COUNTY, AND IS A BACKUPTRAUMA CENTER FOR ALAMEDA COUNTY. JMH ALSO SERVES EASTERN ALAMEDA COUNTYIN JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER AND SERVES NORTHERN ALAMEDA COUNTY IN A JOINT VENTURE WITH UNIVERSITY OF CALIFORNIA, SAN FRANCISCO.OUR COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF THEVULNERABLE POPULATIONS IN CENTRAL AND EASTERN CONTRA COSTA COUNTY, OURPRIMARY AND SECONDARY SERVICE AREA. WE DEFINE VULNERABLE POPULATIONS ASTHOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANTBARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED. THESE CRITERIARESULTS IN A PRIMARY COMMUNITY BENEFIT SERVICE AREA THAT INCLUDES THECOMMUNITIES OF THE MONUMENT AREA IN CONCORD AND THE EASTERN CONTRA COSTACOUNTY CITIES OF BAY POINT, PITTSBURG, ANTIOCH, OAKLEY, AND BRENTWOOD,AND THE FAR EAST PART OF UNINCORPORATED CONTRA COSTA COUNTY.THE JOHN MUIR HEALTH SERVICE AREA HAS THE FOLLOWING DEMOGRAPHIC PROFILE:CENTRAL CONTRA COSTA COUNTYTOTAL POPULATION: 750,748WHITE: 59.8%AFRICAN AMERICAN: 2.4%ASIAN: 18.2%NATIVE AMERICAN/ALASKAN NATIVE: 0.2%PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.4%SOME OTHER RACE: 0.2%MULTIPLE RACES: 4.2%HISPANIC/LATINO: 14.5%LIVING AT/BELOW 100% FPL: 6.2%CHILDREN LIVING AT BELOW 100% FPL: 6.3%UNEMPLOYED: 3.0%UNINSURED: 5.5%NO HIGH SCHOOL DIPLOMA: 5.8%EASTERN CONTRA COSTA COUNTYTOTAL POPULATION: 318,900WHITE: 35.9%AFRICAN AMERICAN: 13.1%ASIAN: 10.2%NATIVE AMERICAN/ALASKAN NATIVE: 0.4%PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.7%SOME OTHER RACE: 0.2%MULTIPLE RACES: 5.0%HISPANIC/LATINO: 34.6%LIVING AT/BELOW 100% FPL: 12.7%CHILDREN LIVING AT BELOW 100% FPL: 18.0%UNEMPLOYED: 3.1%UNINSURED: 9.6%NO HIGH SCHOOL DIPLOMA: 15.0%WESTERN CONTRA COSTA COUNTYTOTAL POPULATION: 254,267WHITE: 23.4%AFRICAN AMERICAN: 15.5%ASIAN: 20.1%NATIVE AMERICAN/ALASKAN NATIVE: 0.3%PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.4%SOME OTHER RACE: 0.6%MULTIPLE RACES: 4.7%HISPANIC/LATINO: 5.2%LIVING AT/BELOW 100% FPL: 14.0%CHILDREN LIVING AT BELOW 100% FPL: 19.7%UNEMPLOYED: 3.1%UNINSURED: 12.9%NO HIGH SCHOOL DIPLOMA: 18.2%
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHJOHN MUIR HEALTH IS A NOT-FOR-PROFIT, COMMUNITY BASED ORGANIZATION THAT IS GOVERNED BY THOSE WHO LIVE IN THE COMMUNITY WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMUNITIES. THE BOARD OF JOHN MUIR HEALTH CONSISTS PRIMARILY OF MEMBERS OF THE COMMUNITY AND STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIED PRACTITIONERS. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES. AS A NOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROM OUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. JMH ALSO CONTRIBUTES SIGNIFICANTLY TO THE ECONOMIC VITALITY OF CONTRA COSTA COUNTY BY EMPLOYING OVER 6,000 IN 2020.JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTA COUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENTS AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR TWO HOSPITALS EMERGENCY DEPARTMENT SERVE ALL RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT, JMH HAS AN OBLIGATION TO MAKE A CHARITABLE CONTRIBUTION TO THE COMMUNITY, BUT OUR COMMITMENT TO KEEPING THE COMMUNITIES WE SERVE GOES FAR DEEPER THAN THAT. JMH'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION ACCURATELY REFLECTS OUR COMMUNITY HEALTH EFFORTS AS A CORPORATE LEADER AND COMMUNITY PARTNER. SOME OF THE PROGRAMS INCLUDE TREATING PATIENTS REFERRED BY LOCAL COMMUNITY CLINICS FOR SPECIALTY CARE SERVICES, PROVIDING MOBILE HEALTH CLINIC SERVICES IN UNDERSERVED COMMUNITIES, PROVIDING BREAST AND LUNG CANCER SCREENING FOR UNINSURED COMMUNITY MEMBERS AND SUPPORTING DEPRESSION PREVENTION ACTIVITIES FOR LOW-INCOME.JMH SERVED OVER 186,233 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN 2020.JMH'S COMMITMENT TO THE LOCAL COMMUNITY IS EXPRESSED IN THE MANY INITIATIVES WE DELIVER. JMH PROVIDES CHARITY CARE FOR MANY INDIVIDUALS AND FAMILIES WITH NO INSURANCE AND LIMITED MEANS. IN 2020, WE PROVIDED $5.8 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $90.7 MILLION, THE COST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE PAYMENT WERECEIVED FROM MEDI-CAL.JOHN MUIR HEALTH ALSO PROVIDES BROAD FINANCIAL AND TECHNICAL SUPPORT TO PROMOTE COMMUNITY WELLNESS. THE ORGANIZATION CONTRIBUTES $1 MILLION A YEAR TO THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND EACH YEAR, WHOSE GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITITES.LASTLY, JMH CONTRIBUTES TO THE COMMUNITY IN MANY NON-QUANTIFIABLE WAYS THAT IS NOT OUTLINED IN THE REPORT. THE HEALTH SYSTEM CONTINUALLY PROVIDES LEADERSHIP IN THE COMMUNITY, ASSISTS WITH LOCAL CAPACITY BUILDING AND PARTICIPATES IN COMMUNITY-WIDE HEALTH PLANNING. JOHN MUIR HEALTH 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. THE FOLLOWING ARE EXAMPLES OF NON-QUANTIFIABLE BENEFITS PROVIDED TO THE COMMUNITY IN 2020. JOHN MUIR HEALTH'S COMMITMENT TO ENVIRONMENTALSUSTAINABILITY IS EVIDENT THROUGH MANY INITIATIVES. JOHN MUIR HEALTH INSTALLED FORTY VEHICLE CHARGING STATIONS TO REDUCE FUEL CONSUMPTION AND CARBON DIOXIDE EMISSIONS. IN ADDITION, SYSTEM-WIDE-STYROFOAM USAGE HAS BEEN ELIMINATED. TO PRESERVE WATER, JOHN MUIR HEALTH FACILITIES WERE EQUIPPED WITH LOW-FLOW TOILETS, SHOWERS AND SINKS, AS WELL AS LIMITINGOUTDOOR WATERING TO TWO DAYS PER WEEK.JOHN MUIR HEALTH NURSES ARE DEEPLY INVOLVED IN THEIR COMMUNITY THROUGH VOLUNTEERING. JOHN MUIR HEALTH ENCOURAGES NURSING VOLUNTEERISM AND COMMUNITY INVOLVEMENT THROUGH MAGNET RECOGNITION STATUS WHERE NURSES SUPPORT 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 AS VOLUNTEERS ON OUR MOBILE DENTAL CLINIC.JOHN MUIR HEALTH EMPLOYEES DONATE BACKPACKS WITH SCHOOL SUPPLIES TO FOSTER YOUTH THROUGH THE ANNUAL FOSTER A DREAM BACKPACK CHALLENGE.JOHN MUIR HEALTH AND OUR EMPLOYEES ACTIVELY PARTICIPATE IN DISEASE AWARENESS EVENTS IN ORDER TO PROMOTE HEALTH IN OUR COMMUNITY. EVERY YEAR JOHN MUIR EMPLOYEES PARTICIPATE IN THE NATIONAL ALLIANCE ON MENTAL HEALTH ILLNESS WALK, WALK TO WELLNESS, AMERICAN HEART ASSOCIATION HEART WALK, GO RED COMMUNITY EVENT, KIDNEY WALK, DIGESTIVE HEALTH FAIR AND OTHERCOMMUNITY EVENTS.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEMJOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND5003 COMMERCIAL CIRCLE, SUITE 275, CONCORD, CA 94520THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUNDS IS ONE ARM OFGRANT-MAKING AT JOHN MUIR HEALTH SYSTEM. THE FUND'S GOAL IS TO FOSTERSYSTEMIC 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 2019, THE FUND HAS GRANTED OVER $29 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: WWW.JMMDCOMMUNITYHEALTHFUND.COMJOHN MUIR PHYSICIAN NETWORK1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFITCORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITSINCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH OVER1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATEDPATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TOEITHER JOHN MUIR MEDICAL GROUP (JMMG), JOHN MUIR SPECIALTY MEDICAL GROUP, OR MUIR MEDICAL GROUP IPA, INC. 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 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 BEHAVIORAL HEALTH1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597JOHN MUIR HEALTH OFFERS COMPLETE INPATIENT AND OUTPATIENT BEHAVIORALHEALTH PROGRAMS AND SERVICES THROUGH JOHN MUIR HEALTH BEHAVIORAL HEALTHCENTER, 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 AREDEPENDENT ON ALCOHOL OR DRUGS, THE BEHAVIORAL HEALTH CENTER OFFERS AFULL 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 HEALTH FOUNDATION1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OFCAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS,INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS ANDEQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION. THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
JOHN MUIR PHYSICIAN NETWORK
1400 TREAT BLVDWALNUT CREEKCA94597680360801501(C)(3)$59,347,669N/AN/AGENERAL SUPPORT
JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND
5003 COMMERCIAL CIRCLE SUITE 275CONCORDCA94520911788973501(C)(3)$1,309,533N/AN/ACOMMUNITY SUPPORT
JOHN MUIR BEHAVIORAL HEALTH
1400 TREAT BLVDWALNUT CREEKCA94597680249685501(C)(3)$12,515,632N/AN/AGENERAL SUPPORT
JOHN MUIR HEALTH FOUNDATION
1400 TREAT BLVDWALNUT CREEKCA94597942650855501(C)(3)$3,973,170N/AN/AGENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANT MONITORING PROCESS JOHN MUIR HEALTH FINANCIAL MANAGEMENT MONITORS THE USE OF RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CALVIN KNIGHT
CEO/DIRECTOR/PRESIDENT$1,316,377$0$779,465$0$1,437,379$0$1,575,679$0$24,656$0$5,133,556$0$779,465$0
JANE WILLEMSEN
EXEC VP/PRESIDENT HOSPITAL OPS$750,612$0$693,361$0$24,970$0$1,096,914$0$24,981$0$2,590,838$0$693,361$0
MICHAEL THOMAS
EXEC VP/CHIEF TRANSFORMATION$698,115$0$693,361$0$19,328$0$689,129$0$24,215$0$2,124,148$0$693,361$0
CHRISTIAN PASS
SENIOR VP/CFO$670,561$0$231,397$0$11,079$0$499,572$0$32,367$0$1,444,976$0$231,397$0
IRVING PIKE MD
SR VP/CHIEF MEDICAL OFFICER$626,925$0$221,699$0$34,884$0$352,780$0$23,956$0$1,260,244$0$221,669$0
MICHAEL MOODY
FORMER SR VP$16,690$0$285,153$0$812,930$0$0$0$0$0$1,114,773$0$285,153$0
LISA FOUST
SR VP/HUMAN RESOURCES$515,879$0$171,844$0$19,552$0$294,226$0$32,367$0$1,033,868$0$171,844$0
MAX REYNOLDS
SR VP/GENERAL COUNSEL$518,640$0$178,505$0$13,439$0$264,596$0$21,609$0$996,789$0$178,505$0
GEORGE SAUTER
SR VP/CHIEF STRATEGY OFFICER$493,635$0$177,415$0$22,619$0$265,749$0$20,609$0$980,027$0$177,415$0
MICHELLE LOPES RN
CHIEF NURSING EXECUTIVE$412,307$0$145,724$0$12,512$0$286,759$0$21,609$0$878,911$0$145,724$0
WILLIAM HUDSON
SR VP/CIO (AS OF 07/01/19)$426,548$0$153,303$0$11,894$0$210,751$0$25,225$0$827,721$0$153,303$0
RAY NASSIEF
SR VP/HOSPITAL OPERATIONS$292,444$0$235,000$0$39,121$0$196,389$0$23,555$0$786,509$0$235,000$0
JON RUSSELL
FORMER SR VP/CIO$0$0$125,295$0$489,780$0$0$0$0$0$615,075$0$125,295$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHEALTH 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, LINES 4A-BSEVERANCE PAYMENTS A SEVERANCE PAYMENT OF $480,780 WAS MADE TO JON RUSSELL IN CONNECTION WITH HIS SEPERATION OF SERVICE ON SEPTEMBER 30, 2019. A SEVERANCE PAYMENT OF $607,530 WAS MADE TO MICHAEL MOODY IN CONNECTION WITH HIS SEPARATION OF SERVICE ON MARCH 30, 2020. THIS TAXABLE COMPENSATION WAS REPORTED IN PART II, COLUMN (B)(III). 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: IRVING PIKE, M.D. $111,143 MAX REYNOLDS $61,036 GEORGE SAUTER $74,938 LISA FOUST $89,160 MICHELLE LOPES $120,714 WILLIAM HUDSON $44,711 RAY NASSIEF $81,156 SUPPLEMENTAL EXECUTIVE PLAN EMPLOYEES ELIGIBLE FOR THE SUPPLEMENTAL EXECUTIVE PLAN ARE EITHER CEO OR CFO 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. PLAN BENEFIT PAYMENTS OF $205,400 AND $1,396,435 WERE MADE TO MICHAEL MOODY AND CALVIN KNIGHT, RESPECTIVELY, DURING THE TAX YEAR. THESE AMOUNTS WERE REPORTED IN PART II, COLUMN (B)(III). THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT DURING THE TAX YEAR: CHRISTIAN PASS $168,579 CALVIN KNIGHT $716,716 JANE WILLEMSEN $642,692 MICHAEL THOMAS $278,277

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY
A680164610NONEAVAIL2012-05-23$89,800,000SEE PART IV000
CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY
B68016461013080SMW12016-06-09$353,140,040SEE PART IV000
CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY
C68016461013080STN42018-05-15$92,473,440REFUNDING OF 2017 BONDS000
CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY
D680164610NONEAVAIL2019-08-15$51,532,082REFUNDING OF 2012B BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$77,361,250$89,800,000$502,197$127,803$89,170,0002012Yes (1)0Yes (1)Yes (1)
B$354,953,565$3,133,280$300,002,560Yes (1)00Yes (1)$17,965,830$33,723,745
C$92,473,440$1,419,493$91,053,9472018Yes (1)0Yes (1)Yes (1)
D$51,532,082$482,082$51,050,00020190Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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A00Yes (1)000.000000.000000.00000000
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Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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A00Yes (1)00000
B0Yes (1)00Yes (1)000
C0Yes (1)00Yes (1)000
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Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
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Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 BTOTAL PROCEEDS FROM ISSUE THE $353,140,040 OF BOND PROCEEDS INCLUDE $1,813,760 OF TOTAL EARNINGS SINCE 2016 ON THE UNSPENT PROCEEDS.
PART III, LINE 3BMANAGEMENT, 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 VWRITTEN 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. THE ORGANIZATION HAS DRAFTED FORMAL WRITTEN POLICIES AND PROCEDURES THAT ARE PENDING BOARD REVIEW AND APPROVAL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: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.
FORM 990, PART III, LINE 3JOHN MUIR HEALTH'S RESPONSE TO COVID-19 INCLUDED IMMEDIATE ACTIONS TO MAINTAIN CONTINUITY OF ESSENTIAL OPERATIONS, WHILE ALSO TAKING STEPS TO SUPPORT THE HEALTH AND SAFETY OF PATIENTS, EMPLOYEES, AND THE COMMUNITIES THAT IT SERVES. TO ENSURE CONTINUED ADEQUATE SAFETY MEASURES THROUGH OUT THE PANDEMIC, ADHERE TO SOCIAL DISTANCING RECOMMENDATIONS, AND MEET THE PATIENTS AND COMMUNITY NEEDS, JOHN MUIR HEALTH: - EXTENDED THE USE OF TELEHEALTH APPOINTMENTS VIA VIDEO AND PHONE; - CANCELED OR POSTPONED ALL NON-EMERGENT PROCEDURES; - MINIMIZED OR TEMPORARILY CLOSED SERVICES AT PHYSICIANS' OFFICES TO ALLOW FOR PRESERVATION OF PERSONAL PROTECTIVE EQUIPMENT TO LIMIT EXPOSURE TO COVID-19 FOR PATIENTS AND EMPLOYEES; - INVESTED IN ADDITIONAL EQUIPMENT AND SUPPLIES, EXPANDED TESTING RESOURCES, AND CREATED ADDITIONAL CAPACITY TO CARE FOR COVID-19 PATIENTS; - DEPLOYED COVID-19 SPECIFIC SAFETY MEASURES REQUIRED BY THE PUBLIC HEALTH DEPARTMENT TO KEEP PATIENTS AND EMPLOYEES SAFE; -TRANSITIONED MANY NON-CLINICAL OFFICE BASED STAFF TO A TEMPORARY REMOTE WORK ENVIRONMENT.
FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:HOSPITAL SERVICES GENERAL MEDICINE AND SURGERY THE CORE OF JOHN MUIR HEALTH'S SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY 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 JMH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEON'S COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. NATIONAL RECOGNITIONS RECEIVED IN 2020 INCLUDE: (1) RECOGNITION OF JOHN MUIR HEALTH, WALNUT CREEK MEDICAL CENTER BY U.S. NEWS & WORLD REPORT FOR THE 14TH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS". GASTROENTEROLOGY AND GI SURGERY, GYNECOLOGY, NEPHROLOGY, ORTHOPEDICS AND PULMONOLOGY & LUNG SURGERY SERVICES AT THE WALNUT CREEK CAMPUS WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES, (2) RECOGNITION BY U.S. NEWS & WORLD REPORT OF EIGHT SERVICES COMBINED AND TEN ADULT PROCEDURES AND CONDITIONS COMBINED AS HIGH PERFORMING AT JOHN MUIR HEALTH'S WALNUT CREEK AND CONCORD MEDICAL CENTERS, (3) FOR THE FOURTH STRAIGHT YEAR, THE CONCORD MEDICAL CENTER WAS ONE OF ONLY 37 HOSPITALS NATIONWIDE (LESS THAN 1%) TO RECEIVE A HIGH PERFORMING RATING IN ALL TEN ADULT PROCEDURES AND CONDITIONS EVALUATED. (4) U.S. NEWS AND WORLD REPORT ALSO RANKED THE WALNUT CREEK MEDICAL CENTER #2 AND CONCORD MEDICAL CENTER #3 OUT OF ALL 44 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 #12 IN CALIFORNIA OUT OF 400 ACUTE CARE HOSPITALS, (5) JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO EARNED THE DESIGNATION OF BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT, (6) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE BY HEALTHGRADES AND RECEIVED CLINICAL EXCELLENCE AWARDS FOR CORONARY INTERVENTION AND JOINT REPLACEMENT, (7) THE CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY FOR THE SECOND STRAIGHT YEAR, ONE OF AMERICA'S TOP 100 HOSPITALS FOR JOINT REPLACEMENT FOR THE SECOND STRAIGHT YEAR AND RECEIVED A PATIENT SAFETY EXCELLENCE AWARD FOR PREVENTING INFECTIONS, MEDICAL ERRORS AND OTHER PREVENTABLE COMPLICATIONS, (8) COMBINED, THE TWO MEDICAL CENTERS HAD 14 FIVE-STAR RATINGS FOR SERVICES, PROCEDURES AND TREATMENTS, (9) NEWSWEEK RANKED THE WALNUT CREEK AND CONCORD MEDICAL CENTERS AS TWO OF THE BEST IN THE U.S. (#113 AND #181) (10) BOTH MEDICAL CENTERS RECEIVED "A" SAFETY GRADES FROM LEAPFROG IN SPRING 2020. OUR PROGRAM EMPHASIS IN 2020 WAS ON CONTINUED OUTREACH TO UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATION OF CONTRA COSTA COUNTY, MOBILE HEALTH CLINIC, AND SUPPORT FOR OPERATION ACCESS, VIOLENCE PREVENTION, CONTRA COSTA CARES, AND ELEMENTARY SCHOOL-BASED NURSING.
FORM 990, PART III, LINE 4B, DESCRIPTION OF PROGRAM SERVICE:CARDIOVASCULAR IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR ACHIEVEMENTS IN 2020 INCLUDES: CONCORD MEDICAL CENTER WAS RECOGNIZED IN U.S. NEWS AND WORLD REPORT "AMERICA'S BEST HOSPITALS" AS HIGH PERFORMING IN ABDOMINAL AORTIC ANEURYSM REPAIR, AORTIC VALVE SURGERY, HEART BYPASS SURGERY, HEART FAILURE AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF "AMERICA'S 50 BEST HOSPITALS FOR CARDIAC SURGERY" FOR SUPERIOR CLINICAL OUTCOMES IN CORONARY BYPASS AND HEART VALVE SURGERY. CONCORD MEDICAL CENTER RECEIVED A 3-STAR RATING (THE HIGHEST) FROM THE SOCIETY OF THORACIC SURGEONS (STS) FOR PERFORMANCE IN THREE CATEGORIES: CORONARY ARTERY BYPASS GRAFTING (CABG), AORTIC VALVE REPLACEMENT (AVR), AND MITRAL VALVE REPAIR/REPLACEMENT (MVRR). WALNUT CREEK AND CONCORD MEDICAL CENTERS EARNED THE GET WITH THE GUIDELINES HEART FAILURE GOLD PLUS QUALITY ACHIEVEMENT AWARD. WALNUT CREEK MEDICAL CENTER EARNED THE MISSION LIFELINE STEMI RECEIVING CENTER SILVER QUALITY ACHIEVEMENT AWARD AND CONCORD MEDICAL CENTER EARNED THE MISSION: LIFELINE STEMI RECEIVING SILVER PLUS AWARD. WALNUT CREEK AND CONCORD MEDICAL CENTERS EARNED THE GET WITH THE GUIDELINES STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD AND ALSO QUALIFIED FOR RECOGNITION ON THE TARGET STROKE: ELITE HONOR ROLL. WALNUT CREEK AND CONCORD MEDICAL CENTERS NON-INVASIVE CARDIOLOGY DEPARTMENTS ACHIEVED ECHOCARDIOLOGY ACCREDITATION BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC).
FORM 990, PART III, LINE 4C, DESCRIPTION OF PROGRAM SERVICE:WOMENS'S 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 2020 INCLUDES: DEVELOPMENT AND IMPLEMENTATION OF PEDIATRIC AND NEONATAL CRITICAL CARE TRANSPORT LOCATED AT JOHN MUIR MEDICAL CENTER WALNUT CREEK. THE TRANSPORT TEAM HAS SPECIALLY TRAINED REGISTERED NURSES AND RESPIRATORY THERAPIST AVAILABLE 12 HOURS PER DAY 7 DAYS PER WEEK. PEDIATRIC SPECIALTY OUTREACH WAS PROVIDED TO COMMUNITY PEDIATRICIANS ON VARIETY OF TOPICS SUCH AS CELICA AND IBD, LUMPS AND BUMPS, SUDDEN DEATH, ASHTMA UPDATES, DIABETIC KETOACIDOSIS, COVID-19 TO NAME A FEW. JOHN MUIR MEDICAL CENTER WALNUT CREEK PURCHASED NIC VIEW CAMERAS THAT ALLOW FAMILY MEMBERS AT HOME WHO CANNOT VISIT DUE TO COVID-19 TO VIEW INFANTS IN THE NICU. SLEEP CHAIRS WERE ALSO AVAILABLE SO MOMS AND DADS CAN STAY IN THE NICU ROOM OVERNIGHT WITH THEIR INFANTS. GAMING SYSTEMS ARE ALSO AVAILABLE IN THE PEDIATRIC UNIT, PICU AMD OUTPATIENT HEMATOLOGY/ONCOLOGY. THESE GAMING SYSTEMS ARE A GREAT DISTRACTION FOR CHILDREN WHO HAVE LONG INPATIENT STAYS OR EXTENDED OUTPATIENT TREATMENTS. DURING COVID, IMPLEMENTED TELEHEALTH FOR PEDIATRIC SPECIALIST TO PROVIDE CONSULTATION TO INPATIENTS. IMPLEMENTED THE USE OF IPADS AND ZOOM FOR PEDIATRIC PATIENTS TO VISIT WITH FAMILY MEMBERS WHO WERE NOT ALLOWED TO VISIT DUE TO COVID RESTRICTIONS.
FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS:OTHER SERVICES OFFERED AT JOHN MUIR HEALTH (JMH) ARE: NEUROSCIENCES WHICH OFFERS THE MOST ADVANCED TECHNIQUES AND TECHNOLOGY TO DIAGNOSE AND TREAT NEUROLOGICAL DISORDERS OF THE BRAIN AND SPINE. THE COMPREHENSIVE PROGRAMS AVAILABLE AT JMH INCLUDE TREATMENT FOR CEREBROVASCULAR DISEASE (E.G. STROKE, ANEURYSM, BRAIN AND SPINAL CORD TUMORS, DEMENTIA (E.G. ALZHEIMER'S), SPINE DISEASES, AND NEUROLOGICAL DISORDERS. NEUROSCIENCES IS COMPRISED OF HEALTHCARE PROFESSIONALS AND MEDICAL STAFF SPECIALIZING IN NEUROLOGY, NEUROSURGERY, NEUROCRITICAL CARE, NEUROPSYCHOLOGY AND REHABILITATION TO CARE FOR THE DISEASE OF THE BRAIN AND SPINE. IN 2020, THE CONCORD MEDICAL CENTER RECEIVED THE AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS STROKE HONOR ROLL ELITE AND THE WALNUT CREEK MEDICAL CENTER RECEIVED THE AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES GOLD PLUS STROKE HONOR ROLL ELITE ADVANCED THERAPY. JOHN MUIR HEALTH'S INPATIENT REHABILITATION UNIT EARNED A 3-YEAR CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) ACCREDITATION FOR GENERAL MEDICAL REHABILITATION IN OCTOBER 2020. THIS RECOGNITION EXTENDS THROUGH OCTOBER 2023 AND DEMONSTRATES OUR COMMITMENT TO QUALITY IMPROVEMENT AND A FOCUS ON THE UNIQUE NEEDS OF OUR PATIENT POPULATION. JOHN MUIR HEALTH'S REHABILITATION UNIT PARTICIPATED IN THE FIRST CALIFORNIA HOSPITAL ASSOCIATION SPECIAL PAC PROVIDER FORUM ON IRF RESPONSE TO COVID-19, SHARING EXPERIENCES AND OUTCOMES OF TREATING PATIENTS WITHIN THE STATE OF CALIFORNIA. JOHN MUIR HEALTH ALSO SUCCESSFULLY NAVIGATED THE PUBLIC HEALTH EMERGENCY COVID WAIVERS, AS WE WERE ABLE TO MANAGE ONGOING REHAB SERVICES WHILE ALSO SUPPORTING THE MEDICAL-SURGICAL NEEDS OF THE ACUTE INPATIENT HOSPITAL ESPECIALLY DURING CENSUS SURGE WITHIN THE ACUTE CARE SETTING. JOHN MUIR HEALTH'S REHABILITATION UNIT ADMITTED 519 PATIENTS IN 2020, WITH STROKE REPRESENTING OUR HIGHEST ADMITTING DIAGNOSIS AT 37.8%, FOLLOWED BY NON TRAUMATIC BRAIN INJURY AT 13.3%, NON TRAUMATIC SPINAL CORD INJURY AT 13.3% AND TRAUMATIC BRAIN INJURY AT 9.4%. THE AVERAGE LENGH OF STAY IN 2020 WAS 12.7. JOHN MUIR HRALTH WAS ABLE TO IMPLEMENT TELEHEALTH PATIENT CARE CAPABILITIES AT ALL OF OUR OUTPATIENT REHABILIATION SITES DURING THE PANDEMIC. JOHN MUIR HEALTH'S DIGESTIVE HEALTH SERVICES CONTINUE TO GROW AND EXPAND. THE CONTINUED GROWTH OF THERAPEUTIC ENDOSCOPY PROCEDURES ERCP (ENDOSCOPIC RETROGRADE CHOLANGIO PANCREATOGRAPHY) AND EUS (ENDOSCOPIC ULTRASOUND) NECESSITATED THE ADDITION OF AN ON-SITE HEPATOBILIARY PANCREATIC (HBP) SURGICAL SPECIALIST AS WELL AS THE CONSTRUCTION OF THE THIRD INTERVENTIONAL ENDOSCOPY PROCEDURE ROOM, SLATED FOR OPENING IN 2023. BOTH MEDICAL CENTERS NOW HAVE UPGRADED OR REPLACED ENDOSCOPES TO RIGHT SIZE THE INVENTORY WITH STATE-OF-THE-ART ENDOSCOPE TECHNOLOGY REQUIRED TO PERFORM DIAGNOSTIC AND THERAPEUTIC ENDOSCOPY. JMH IS IN THE EARLY STAGES OF BUILDING A NEW OUTPATIENT CLINIC/CANCER CENTER IN WALNUT CREEK THAT IS SLATED TO OPEN IN 2024. JMH INITIATED DEVELOPMENT OF CANCER NETWORK IN PARTNERSHIP WITH UCSF. BERKELY OUTPATIENT CANCER CENTER OPENED FEBRUARY, 2020. JOHN MUIR HEALTH CANCER INSTITUTE RECEIVED FULL ACCREDITATION STATUS IN 2020. THORACIC PROGRAM CONCORD MEDICAL CENTER HAS BEEN DESIGNATED AS A FOREGUT MENTOR SITE FOR DA VINCI XI SURGICAL SYSTEM ROBOTIC PROCEDURES. THE FOREGUT IS THE SECTION OF THE UPPER GASTROINTESTINAL TRACT THAT INCLUDES THE ESOPHAGUS, STOMACH, PANCREAS, LIVER AND BILE DUCTS. AS ONE OF FIVE FOREGUT MENTOR SITES IN THE COUNTRY AND THE FIRST IN CALIFORNIA, JOHN MUIR HEALTH WILL HOST SURGEONS FROM ACROSS THE UNITED STATES TO OBSERVE AND STUDY ROBOTIC-ASSISTED SURGERIES UNDER THE GUIDANCE OF WILSON TSAI, MD, MEDICAL DIRECTOR OF THE THORACIC SURGICAL PROGRAM. DR. TSAI HAS PERFORMED MORE THAN 600 ROBOTIC-ASSISTED SURGERIES. HE WAS SELECTED ALONG WITH JOHN MUIR HEALTH BASED ON A DEMONSTRATED COMMITMENT TO POSITIVE PATIENT OUTCOMES AND SUBSTANTIAL EXPERIENCE IN FOREGUT PROCEDURES. ROBOTIC-ASSISTED SURGERY ALLOWS SURGEONS TO MAKE SMALLER INCISIONS THROUGH MORE PRECISE MOVEMENTS. AS A RESULT, THERE IS A POTENTIAL REDUCED RISK OF INFECTION, BLOOD LOSS AND NEED FOR TRANSFUSIONS, ALONG WITH MINIMAL SCARRING. ON JUNE 29TH 2020 THE CONCORD CAMPUS RECEIVED THE MONARCH PLATFORM, AN INNOVATIVE TECHNOLOGY THAT PROVIDES A UNIQUE APPROACH FOR VISUALIZING AND ACCESSING SMALL, PERIPHERAL NODULES IN HARD-TO-REACH AREAS OF THE LUNG, ENABLING THE ABILITY TO MAKE A MORE ACCURATE DIAGNOSIS OF EARLY LUNG CANCER STAGING. PHYSICIANS TRAINED AND PRIVILEGED IN THESE NEW ROBOTIC ASSISTED BRONCHOSCOPY PROCEDURES INCLUDE CHAMPION DR. TSAI AND DR. UBHAYAKAR. JOHN MUIR HEALTH WAS THE FIRST HOSPITAL IN THE BAY AREA TO ACQUIRE THIS EQUIPMENT. GENETIC COUNSELING PROGRAM CONTINUED INVOLVEMENT WITH THE JMH PRIMARY CARE RESIDENCY PROGRAM: RESIDENTS ROTATE THROUGH OUR CLINIC OBSERVING GENETIC COUNSELING SESSIONS AND DEBRIEFING WITH GCS AFTERWARD. CLINICAL SUPERVISION OF GENETIC COUNSELING GRADUATE STUDENTS: 10-WEEK INTERNSHIPS WITH INTENSIVE SUPERVISION FROM CASE PREP TO FINAL DOCUMENTATION. CONTINUE TO HOLD BI-MONTHLY HIGH-RISK SUPPORT GROUP; HAVE EXPANDED TO INCLUDE MUTATION CARRIERS FOR GENES OTHER THAN BRCA1/2 (ANY WOMAN WHOSE MEDICAL MANAGEMENT IS IMPACTED BY INCREASED RISK FOR BREAST OR OVARIAN CANCER). PSYCHOSOCIAL DISTRESS SCREENING CONTINUED INVOLVEMENT WITH THE JMH PRIMARY CARE RESIDENCY PROGRAM: JOHN MUIR HEALTH SELECTED THE NCCN DISTRESS THERMOMETER AS OUR VALIDATED TOOL FOR SCREENING ONCOLOGY PATIENTS, WITH A SCORE OF 4 OR GREATER ACTIVATING REFERRAL TO APPROPRIATE RESOURCES. THE NCCN DISTRESS THERMOMETER AND THE LEVEL OF 4 IDENTIFYING DISTRESS WERE VOTED ON AND APPROVED AT OUR JANUARY 2020 COMMISSION ON CANCER MEETING. JMH IS NOW SCREENING PATIENTS IN INPATIENT ONCOLOGY AND SURGICAL ONCOLOGY, DIAGNOSTIC IMAGING FOR BREAST PATIENTS, AND IN OUR RADIATION ONCOLOGY DEPARTMENTS ON BOTH CAMPUSES. WE HAVE REPORTS AVAILABLE THROUGH EPIC-EMR NOW. IN ADDITION TO OUR JMH ONSITE RESOURCES, PATIENTS ARE REFERRED TO OUR COMMUNITY PARTNERS: THE CANCER SUPPORT COMMUNITY, AND THE AMERICAN CANCER SOCIETY, AS WELL AS ADDITIONAL WEB-BASED TUMOR SITE ORGANIZATIONS AND RESOURCES. TUMOR BOARDS ONE OF THE CHALLENGES WE HAD WAS CONTINUATION OF TUMOR BOARDS. NOT BEING ABLE TO HAVE ALL THE MULTIDISCIPLINARY PHYSICIANS MEET IN PERSON, WE NEEDED TO PROVIDE REMOTE ACCESS OPTION DURING COVID-19 AND AS CONTINUING PLATFORM FOR FUTURE TUMOR BOARDS. A RESEARCH AND IMPLEMENTATION TEAMS WAS CREATED THAT CONSISTED OF CANCER PROGRAM ADMINISTRATOR, TUMOR BOARD COORDINATOR, COMPLIANCE OFFICE, HEALTHCARE TECHNOLOGY SPECIALIST, EXECUTIVE ASSISTANT AND NURSE NAVIGATORS. CONSULTED WITH COMPLIANCE TO ASSURE IF IN COMPLIANCE WITH HIPPA. CONSULTED WITH IT SECURITY FOR PLATFORM APPROVAL IT SECURITY APPROVED MICROSOFT TEAMS AS SECURE PLATFORM PILOTED MICROSOFT TEAMS TUMOR BOARD WITH GI TUMOR BOARD.
FORM 990, PART VI, SECTION A, LINE 2FAMILY 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 3MANAGEMENT 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 7BGOVERNANCE 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 11BREVIEW 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, SENIOR MANAGEMENT OF JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT 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 ATTENDS BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL, GOVERNANCE COMMITTEE, AND FOR CERTAIN TRANSACTIONS WITH THE CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE CONFLICTS DURING THE YEAR END 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 15EXECUTIVE 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 19DOCUMENTS 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 IX, LINE 11GOTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 30,576,744. MANAGEMENT AND GENERAL EXPENSES 3,172,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,748,787. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 85,697,775. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,697,775. HOSPITAL PROVIDER FEE: PROGRAM SERVICE EXPENSES 82,657,531. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,657,531. CAPITATED SERVICES: PROGRAM SERVICE EXPENSES 40,870,975. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,870,975. PHYSICIAN NTWRK PURCHASED SVS: PROGRAM SERVICE EXPENSES 25,826,836. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,826,836.
FORM 990, PART XI, LINE 9:CHANGE IN UNAMORTIZED LOSS ON PENSION PLANS -13,691,797.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
JOHN MUIR HEALTH FOUNDATION
1400 TREAT BOULEVARDWALNUT CREEKCA94597942650855FUNDRAISINGCA501(C)(3)7JM HEALTHYes (1)
JOHN MUIR PHYSICIAN NETWORK
1400 TREAT BOULEVARDWALNUT CREEKCA94597680360801HEALTHCARECA501(C)(3)12A, IIIJM HEALTHYes (1)
JOHN MUIR BEHAVIORAL HEALTH
1400 TREAT BOULEVARDWALNUT CREEKCA94597680249685HEALTHCARECA501(C)(3)3JM HEALTHYes (1)
JOHN MUIRMT DIABLO COMMUNITY HEALTH
5003 COMMERCIAL CIRCLE SUITE 275CONCORDCA94520911788973GRANTMAKINGCA501(C)(3)12C, III-FIJM HEALTHYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
JOHN MUIR MAGNETIC IMAGING
1400 TREAT BOULEVARDWALNUT CREEKCA94597680202020DIAG IMAGINGCAJM HEALTH$554,859$4,242,3640Yes (1)0.90000
BAY AREA SURGICAL VENTURES
30 S WACKER DRIVECHICAGOIL60606203052802MED SERVICESCAJM HEALTH$657,213$368,547000.53500

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1JOHN MUIRMT DIABLO PARENT COMPANYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11400 TREAT BOULEVARDAddressLine1Txt
CityWALNUT CREEKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94597ZIPCd
FieldValueIRS element (for citing)
EIN900060434EIN
Primary ActivitiesINACTIVEPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1JM HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JOHN MUIR PHYSICIAN NETWORK
A$4,008,756RENTS PAID
JOHN MUIR BEHAVIORAL HEALTH
B$12,515,632EXPENSES PAID
JOHN MUIR FOUNDATION
B$3,973,170SHARED SERVICES
JOHN MUIR PHYSICIAN NETWORK
B$59,347,669EXPENSES PAID
JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND
B$1,309,533AGREEMENT TERMS
JOHN MUIR BEHAVIORAL HEALTH
C$7,702,546SHARED SERVICES
JOHN MUIR FOUNDATION
C$8,866,923EXPENSES PAID
JOHN MUIR PHYSICIAN NETWORK
C$13,034,998SHARED SERVICES
BAY AREA SURGICAL VENTURES
J$1,771,825AGREEMENT TERMS
JOHN MUIR BEHAVIORAL HEALTH
J$1,090,260SHARED SERVICES
JOHN MUIR FOUNDATION
J$190,859AGREEMENT TERMS
JOHN MUIR PHYSICIAN NETWORK
J$1,892,340EXPENSES PAID
JOHN MUIR PHYSICIAN NETWORK
J$131,611EXPENSES PAID
JOHN MUIR MAGNETIC IMAGING
J$430,868AGREEMENT TERMS
BAY AREA SURGICAL VENTURES
L$128,021AGREEMENT TERMS
JOHN MUIR PHYSICIAN NETWORK
L$8,204,237EXPENSES PAID
JOHN MUIR MAGNETIC IMAGING
L$409,439AGREEMENT TERMS
JOHN MUIR MAGNETIC IMAGING
M$127,432AGREEMENT TERMS
JOHN MUIR BEHAVIORAL HEALTH
P$275,516EXPENSES PAID
JOHN MUIR PHYSICIAN NETWORK
P$86,028,875EXPENSES PAID