2020-11-13T02:16:29-06:00 2019-12-31 KPMG LLP 3975 Freedom Circle Dr Suite 100 Santa Clara CA 95054 990 2019-01-01 680249685 JOHN MUIR BEHAVIORAL HEALTH % CHRISTIAN PASS JOHN 9259393000 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 CHRISTIAN PASS CFO 9259393000 2020-11-11 true CAREY MCKEE P01281067 4083675764 2020-11-11 199.207.253.101 77070920203185000042 2020-11-13 P 142284C040319A5B2FED0EA50B062FC5C2478189 AFC1CABF2724952AFBFC3879A4882118A11459E7 2019 2021-01-29 14:40:06Z X CHRISTIAN PASS 1400 TREAT BLVD WALNUT CREEK CA 94597 47648222 false X WWW.JOHNMUIRHEALTH.COM X 1991 CA 73 BED ACUTE PSYCHIATRIC HOSPITAL PROVIDING CARE TO CHILDREN, ADOLESCENTS AND ADULTS. 15 14 303 0 0 0 9854739 7674032 37022861 34974190 0 0 0 5000000 46877600 47648222 377177 996376 0 0 25538566 25333444 0 0 0 16365437 19684429 42281180 46014249 4596420 1633973 20809754 28094268 6101488 11752029 14708266 16342239 X JOHN MUIR BEHAVIORAL HEALTH PROVIDES PSYCHIATRIC AND SUBSTANCE ABUSE TREATMENT TO CHILDREN, ADOLESCENTS AND ADULTS IN THREE DISTINCT UNITS:CHEMICAL DEPENDENCY, DETOX AND OUTPATIENT SERVICES INCLUDING RESIDENTIAL TREATMENT. false false 30900885 996376 34974190 PATIENT CARE ACTIVITIES SUPPORT THE HEALTHCARE MISSION OF THE ORGANIZATION TO PROVIDE HIGH QUALITY, COST-EFFECTIVE PSYCHIATRIC ACUTE CARE TO THE COMMUNITY. JOHN MUIR BEHAVIORAL HEALTH OWNS AND OPERATES A FREESTANDING ACUTE PSYCHIATRIC FACILITY WITH A TOTAL OF 73 LICENSED BEDS. PROGRAM SERVICES PROVIDED INCLUDE: - INPATIENT PSYCHIATRIC HOSPITALIZATION (ADULT, ADOLESCENT AND CHILD SERVICES) - ADULT CHEMICAL DEPENDENCY SERVICES - OUTPATIENT PSYCHIATRIC SERVICES - PSYCHIATRIC PARTIAL HOSPITALIZATION - CHEMICAL DEPENDENCY PARTIAL HOSPITALIZATION - CHEMICAL DEPENDENCY OUTPATIENT - YOUTH INTENSIVE OUTPATIENT 30900885 true true false false false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 34 0 true 303 true false false false false false false false false false false false false X 15 14 true false false false true true true true true false false true true true true true true false false false CA X CHRISTIAN PASS 9259393000 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 X Calvin Knight CEO/Director/President 5.0 70.0 X X 0 2530367 1434370 Jane Willemsen Exec VP/Pres Hospital Ops 12.0 60.0 X 0 1054349 993845 Christian Pass Senior VP/CFO 5.0 70.0 X 0 823946 431991 Cindy Bolter Chief Nursing & Operations Ofr 60.0 0.0 X 318491 0 115265 Julia Olson Director, Quality & Clinical 60.0 0.0 X 222304 0 49712 Sheila Sasser Lead Registered Nurse 60.0 0.0 X 203449 0 56234 Eugenia Ekeh Registered Nurse 60.0 0.0 X 205360 0 49399 Janis Laiacona Director, Accredt (Thru 09/19) 60.0 0.0 X 188073 0 62764 Robert E Edmondson Chairman & Treasurer 5.0 10.0 X X 0 25000 0 Taejoon Ahn MD Director 5.0 10.0 X 0 25000 0 Anne Grodin Director 5.0 10.0 X 0 25000 0 Kathleen Odne Vice Chairman 5.0 10.0 X X 0 25000 0 John Sayres Secretary 5.0 10.0 X X 0 25000 0 Chi Perloth MD Director 5.0 10.0 X 0 22500 0 Johnannes Peters MD Director 5.0 10.0 X 0 22500 0 John Merson MD Director 5.0 10.0 X 0 18750 0 Roger Bailey Director 5.0 10.0 X 0 18750 0 Mark Musco MD Director 5.0 10.0 X 0 15000 0 Jay Harris Director 5.0 10.0 X 0 0 0 Ravi Hundal MD Director 5.0 10.0 X 0 0 0 Jack Thompson Director 5.0 10.0 X 0 0 0 Lauren Markstein Director (As of 5/31/19) 5.0 10.0 X 0 0 0 1137677 4631162 3193580 72 true true false ORIGIN SOLUTIONS PO BOX 14459 SAN FRANCISCO CA 94144 PROFESSIONAL SERV 267334 KIRAN KOKA MD A PROFESSIONAL CORP 604 TIMBERLEAF COURT WALNUT CREEK CA 94598 MEDICAL 260350 ARMAN DANIELYAN MD PO BOX 1326 LAFAYETTE CA 94549 MEDICAL 167900 FRED VON STIEFF MD 2481 PACHECO STREET CONCORD CA 94519 MEDICAL 103950 YANNI RHO MD MPH 36 BACON COURT LAFAYETTE CA 94549 MEDICAL 101900 5 7649032 25000 7674032 NET PATIENT REVENUE 621400 34681220 34681220 OTHER OPERATING REVENUE 621400 292970 292970 34974190 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Insurance Claim Reimbursement 900099 5000000 5000000 5000000 47648222 34974190 5000000 996376 996376 0 0 0 0 0 20133650 13429144 6704506 1297256 856189 441067 2483051 1887119 595932 1419487 922666 496821 2067751 2067751 63566 52111 11455 0 0 0 0 2743007 2743007 0 0 0 914206 886779 27427 0 0 4855942 4855942 14151 5660 8491 0 0 0 0 1026686 1026686 0 HEALTH ASSESSMENT 6819124 6819124 UNCOLLECTIBLE ACCOUNTS 930300 930300 OTHER DIRECT EXPENSES 170816 162275 8541 LICENSES & TAXES 78880 78880 46014249 30900885 15113364 0 0 -722776 0 0 0 0 7828262 6954742 0 0 0 0 0 0 85120 67331 172265 100541 18822006 3880721 12647250 14941285 0 0 0 0 0 0 0 0 76857 6753145 20809754 28094268 5095163 4279708 0 0 942473 0 0 0 0 0 0 0 0 0 0 0 63852 7472321 6101488 11752029 X 14708266 16342239 0 0 14708266 16342239 20809754 28094268 X 1633973 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false X 14201804 2984634 11217170 2659113 896087 1763026 1961089 1961089 14941285 RIGHT OF USE ASSETS 6464217 OTHER RECEIVABLES 200395 OTHER ASSETS 88533 6753145 0 LEASE LIABILITIES 7393788 OTHER LIABILITES 78533 7472321 X 41717922 41717922 5930300 5930300 47648222 40083949 40083949 5930300 5930300 46014249 UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2: 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 ESTIMATED OCCURS. REVENUE REPORTED GROSS ON FORM 990, REPORTED NET ON AUDITED FIN'L STMTS SCHEDULE D, PART XI, LINE 4B UNCOLLECTIBLE ACCOUNTS $930,300 INSURANCE REIMBURSEMENT $5,000,000 ------------ TOTAL $5,930,300 EXPENSES REPORTED GROSS ON FORM 990, REPORTED NET ON AUDITED FIN'L STMTS SCHEDULE D, PART XII, LINE 4B UNCOLLECTIBLE ACCOUNTS $930,300 INSURANCE REIMBURSEMENT $5,000,000 ------------ TOTAL $5,930,300 true true X true X 400. true X true true true false true true 328 487776 487776 0.01060 328 487776 487776 0.01060 4586 4586 0.00010 332488 332488 0.00720 4556308 4556308 0.09900 120000 120000 0.00260 5013382 5013382 0.10890 328 5501158 5501158 0.11950 false 930300 9856727 11802086 -1945359 X true true NONE 1 1 John Muir Behavioral Health 2740 Grant St Concord CA 94520 www.johnmuirhealth.com 140000418 X JOHN MUIR BEHAVIORAL HEALTH 1 false false true X X X X X X X X 19 true true true true X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 400. 400. X X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false COMMUNITY INPUT PROCESS PART V, SECTION B, LINE 5 JOHN MUIR BEHAVIORAL HEALTH, IN CONNECTION WITH ITS ASSOCIATION WITH JOHN 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 COMMUNITYS 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 CONTAR 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 DISCSSION IN WESTERN CONTRA COSTA COUNTY. OTHER HOSPITAL FACILITIES INCLUDED IN CHNA PART V, SECTION B, LINE 6A ALL JOHN MUIR HEALTH HOSPITAL FACILITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK; JOHN MUIR MEDICAL CENTER, CONCORD; AND JOHN MUIR BEHAVIORAL HEALTH) 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 CHILDRENS HOSPITAL OAKLAND ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNA PART V, SECTION B, LINE 6B ACTIONABLE 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. CHNA REPORT MADE WIDELY AVAILABLE TO PUBLIC PART V, SECTION B, LINE 7A THE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML WEBSITE FOR ADOPTED IMPLEMENTATION STRATEGY PART V, SECTION B, LINE 10A THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML SIGNIFICANT NEEDS ADDRESSED IN CHNA PART V, SECTION B, LINE 11 IN COLLABORATION WITH KAISER PERMANENTE, SUTTER HEALTH, AND LOCAL COMMUNITY EXPERTS, THE HEALTH SYSTEM IDENTIFIED NINE COMMUNITY HEALTH NEEDS. 1. HOUSING AND HOMELESSNESS 2. BEHAVIORAL HEALTH 3. ECONOMIC SECURITY 4. HEALTH CARE ACCESS AND DELIVERY 5. COMMUNITY AND FAMILY SAFETY 6. EDUCATION AND LITERACY 7. HEALTHY EATING/ACTIVE LIVING 8. TRANSPORTATION AND TRAFFIC 9. CLIMATE/NATURAL ENVIRONMENT HOSPITAL REPRESENTATIVES PRIORITIZED HEALTH NEEDS WITH LOCAL COMMUNITY, PUBLIC HEALTH REPRESENTATIVES. TO FURTHER REFINE AND SELECT THE COMMUNITY HEALTH 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 SElECT 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 THE 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 MEHAVIORAL 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 MONUMENT IMPACT, JOHN MUIR HEALTHS 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-WCS 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 WOMENS 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 SOLANOS 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 INTENTIONAL VIOLENCE WITH JMMC-WCS BEYOND VIOLENCE PROGRAM IN PARTNERSHIP WITH CENTER FOR HUMAN DEVELOPMENT, RYSE CENTER AND ONE DAY AT A TIME. - ENGAGE WITH PLANTING JUSTICE AND BORDERLANDS TO IMPLEMENT RESTORATIVE JUSTICE PRACTICES WITH LOCAL SCHOOLS TO CREATE HEALTHY, EQUITABLE AND CARING SCHOOL COMMUNITIES THAT PREVENT INCOME LEVEL OTHER THAN FPG PART V, SECTION B, LINE 13B 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 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. WEBSITE ADDRESS FOR FINANCIAL ASSISTANCE POLICY PART V, SECTION B, LINE 16A THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATI ENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML WEBSITE ADDRESS FOR FINANCIAL ASSISTANCE POLICY APPLICATION FORM PART V, SECTION B, LINE 16B THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATI ENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE.HTML WEBSITE ADDRESS FOR PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE POLICY PART V, SECTION B, LINE 16C A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANC E.HTML ELIGIBILITY CRITERIA USED FOR DETERMINING FREE OR DISCOUNTED CARE PART I, LINE 3C THE 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 THEJOHN 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 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. MEDICALLY INDIGENT CARE PART I, LINE 4 WE PROVIDE HEALTH CARE TO THE MOST VULNERABLE INDIVIDUALS OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY THROUGH OUR MEDICAL CENTERS IN WALNUT CREEK AND CONCORD. THIS INCLUDES THE CRITICAL EMERGENCY AND TRAUMA SERVICES AT OUR MEDICAL CAMPUSES. JOHN MUIR HEALTH HAS A NUMBER OF PROGRAMS TO HELP OUR PATIENTS WITH THEIR MEDICAL BILLS FOR SERVICES THEY RECEIVE AT ONE OF OUR MEDICAL CENTERS. THESE PROGRAMS INCLUDE A PATIENT ASSISTANCE PROGRAM TO ABSORB PART, OR ALL, OF THE BILL BASED ON INCOME AND OTHER PROGRAM GUIDELINES, ASSISTANCE ENROLLING IN A NUMBER OF INSURANCE PROGRAMS, AND EXTENDED PAYMENT PLANS. JOHN MUIR HEALTH MAY ALSO ASSIGN ACCOUNTS TO PRESUMPTIVE CHARITY, WITHOUT A PATIENT ASSISTANCE APPLICATION SUBMITTED BY THE PATIENT, BASED ON PREDETERMINED CRITERIA COLLECTED FROM APPROVED SOURCES. THIS CRITERIA INCLUDES: THE PATIENT HAVING DOCUMENTED IN HIS/HER MEDICAL RECORD AS BEING HOMELESS OR VERIFICATION RECEIVED THROUGH THE MEDICAL CENTER OR A FAMILY MEMBER THAT THE PATIENT IS CURRENTLY INCARCERATED. OR THE PATIENT QUALIFIES FOR A GOVERNMENT PROGRAM WITH ELIGIBILITY REQUIREMENTS THAT REASONABLY MEET THE QUALIFICATIONS FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM WITHIN SIX (6) MONTHS OF THE DATE THE PATIENT RECEIVED SERVICES AT THE MEDICAL CENTER. OR AFTER NORMAL COLLECTION EFFORTS HAVE NOT PRODUCED ANY PAYMENT, AND JOHN MUIR HEALTH HAS IDENTIFIED WITH REASONABLE EFFORT AND ASSURANCE THAT THE PATIENT'S ESTIMATED INCOME IS AT 250 PERCENT OR LESS OF THE FPL (FEDERAL POVERTY LEVEL). COMMUNITY BENEFIT REPORT PART I, LINE 6A ALL JOHN MUIR HEALTH ENTITIES (WALNUT CREEK CAMPUS, CONCORD CAMPUS AND BEHAVIORAL HEALTH) REPORT COMMUNITY BENEFIT INFORMATION AS PART OF THE JOHN MUIR HEALTH ANNUAL COMMUNITY BENEFIT REPORT. FINANCIAL ASSISTANCE POLICY PART I, LINE 7 JOHN MUIR HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS. FINANCIAL ASSISTANCE PERCENT OF TOTAL EXPENSE PART I, LINE 7, COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 35,827,775. COMMUNITY BUILDING ACTIVITIES PART II JOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEET THE DEFINITION OF COMMUNITY BENEFIT. IN 2019, WE PROVIDED SUPPORT TO ORGANIZATIONS WHOSE MISSION IS TO ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS THROUGH EVENT SPONSORSHIP. LASTLY, JOHN MUIR HEALTH WORKS WITH A WIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TO HEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS, WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THE FOLLOWING AREAS: 1. REGISTERED NURSING 2. MEDICAL ASSISTANTS 3. MEDICAL IMAGING TECHNOLOGY 4. SONOGRAPHERS 5. CLINICAL LAB SCIENTIST 6. PHARMACIST AND PHARMACY TECHS 7. THERAPIST/PHYSICAL, OCCUPATIONAL AND SPEECH 8. ENGINEERING AND BIO ENGINEERING 9. NUTRITION SERVICES/DIETITIANS AND CHEFS 10. INFORMATION TECHNOLOGY 11. HEALTHCARE ADMINISTRATION 12. FAMILY MEDICINE PHYSICIANS 13. EMERGENCY SERVICES/ER TECHS, PHYSICIANS AND NURSINGS PARTNERS: 1. EAST COUNTY BUSINESS EDUCATION ALLIANCE 2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH UNDERSERVED POPULATION. 3. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE 4. BAY AREA COUNCIL 5. EAST BAY HEALTH WORKFORCE PARTNERSHIP STUDENTS: 1. 17 HIGH SCHOOLS AND HEALTH ACADEMIES 2. 14 UNIVERSITIES 3. 9 STATE COLLEGES 4. 8 JUNIOR COLLEGES 5. 7 PRIVATE COLLEGES BAD DEBT EXPENSE PART III, LINE 2 BAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT. FINANCIAL STATEMENT FOOTNOTE PART III, LINE 4 THE 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. SEE PAGES 10 AND 14 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. SHORTFALL TREATED AS COMMUNITY BENEFIT PART III, LINE 8 THE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2017 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). COLLECTION PRACTICES PART III, LINE 9B OTHER 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 SEPARATE SIGNATURE 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. NEEDS ASSESSMENT PART VI, LINE 2 THE 2018 HEALTH NEEDS ASSESSMENT INCLUDES A COMPREHENSIVE NEEDS ASSESSMENT OF THE COMMUNITY SERVED, WHICH HAS BEEN USED TO DEVELOP OUR ANNUAL AND TRIENNIAL COMMUNITY BENEFIT PLANS. FOR MORE INFORMATION, THE CHNA REPORT AND IMPLEMENTATION STRATEGY (A.K.A. COMMUNITY HEALTH IMPROVEMENT PLAN) CAN BE FOUND HERE: HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT IN 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 JOHN MUIR HEALTH HAS SIGNAGE POSTED IN PATIENT ACCESS AREA/LOBBIES INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIR HEALTH CARE BILLS AND ELIGIBILITY. SERVICES TO AID THE PATIENT IN QUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IS POSTED IN THE EMERGENCY DEPARTMENT. ALL PATIENTS RECEIVE A "PATIENT ASSISTANCE" BROCHURE, WHICH IDENTIFIES VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENT, INCLUDING THE JOHN MUIR HEALTH CHARITY CARE PROGRAM AS WELL AS PROGRAMS THROUGH GOVERNMENT AGENCIES (STATE, COUNTY, ETC). THE BROCHURE ALSO LISTS CONTACT INFORMATION FOR THESE PROGRAMS. PATIENTS IN THE EMERGENCY DEPARTMENT TALK TO A TRAINED FINANCIAL COUNSELOR, AND IF APPROPRIATE, ARE ALSO ASKED TO SIGN A FORM ACKNOWLEDGING RECEIPT OF THE PATIENT ASSISTANCE MATERIALS OR DECLINING TO ACCEPT THE MATERIAL. TRAINED FINANCIAL COUNSELORS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE NOT PRESENT FOR SERVICES THROUGH THE EMERGENCY DEPARTMENT. THE APPLICATION FORM AND A COPY OF THE POLICY FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM IS ALSO AVAILABLE IN THE EMERGENCY DEPARTMENT AS WELL AS THE MAJOR PATIENT ACCESS AREAS AND THE BUSINESS OFFICE. NOTIFICATIONS THAT PROGRAMS, INCLUDING CHARITY CARE, ARE AVAILABLE IS ALSO PRINTED ON PATIENT BILLING STATEMENTS, ACCOMPANIED BY THE ABILITY FOR A PATIENT TO REQUEST THE VARIOUS PROGRAM MATERIALS BE SENT TO HIS/HER HOME. CONTACT INFORMATION IS ALSO LISTED IN THE PATIENT STATEMENT. INFORMATION IN THE HEALTH SYSTEM'S CHARITY CARE PROGRAM IS POSTED ON THE JOHN MUIR HEALTH INTERNET WEBSITE AS WELL. PATIENTS ADMITTED TO THE HOSPITAL, AND WHO HAVE NO THIRD PARTY INSURANCE LISTED ARE INTERVIEWED BY TRAINED FINANCIAL COUNSELORS DURING THEIR HOSPITAL STAY TO INFORM THEM OF THE VARIOUS PROGRAMS WHICH ARE AVAILABLE, AND DETERMINE IF THE PATIENT WOULD LIKE ASSISTANCE TO OBTAIN ELIGIBILITY FOR THE STATE MEDICAID (MEDI-CAL) PROGRAM, STATE DISABILITY, CHARITY CARE OR OTHER AVAILABLE PROGRAM IN THE COUNTY. THIS ELIGIBILITY ASSISTANCE, WHICH INCLUDES HELP IN FILLING OUT THE APPLICATION, GATHERING REQUIRED DOCUMENTS, AND TRANSPORTATION TO ELIGIBILITY APPOINTMENTS, IF NECESSARY, IS OFFERED AT NO CHARGE TO THE PATIENT. IN ADDITION, PATIENT ACCOUNTING REPRESENTATIVES MAY ALSO CONTACT PATIENTS AFTER DISCHARGE TO ASK ABOUT PAYMENT ARRANGEMENTS AND TO INFORM THEM OF THE CHARITY CARE PROGRAM IF THE PATIENT NEEDS ASSISTANCE IN PAYING FOR THEIR MEDICAL BILLS. COMMUNITY INFORMATION PART VI, LINE 4 JOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREAS EXTENDS FROM SOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SAN RAMON IN SOUTHERN CONTRA COSTA COUNTY. JMH'S TRAUMA CENTER SERVES ALL OF CONTRA COSTA COUNTY, AS WELL AS SOUTHERN SOLANO COUNTY, AND IS A BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY. JMH ALSO SERVES EASTERN ALAMEDA COUNTY IN JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER. OUR COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF THE VULNERABLE POPULATIONS IN CENTRAL AND EASTERN CONTRA COSTA COUNTY, OUR PRIMARY AND SECONDARY SERVICE AREA. WE DEFINE VULNERABLE POPULATIONS AS THOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED. THESE CRITERIA RESULTS IN A PRIMARY COMMUNITY BENEFIT SERVICE AREA THAT INCLUDES THE COMMUNITIES OF THE MONUMENT AREA IN CONCORD AND THE EASTERN CONTRA COSTA COUNTY 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 COUNTY TOTAL POPULATION: 750,748 WHITE: 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 COUNTY TOTAL POPULATION: 318,900 WHITE: 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 COUNTY TOTAL POPULATION: 254,267 WHITE: 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% PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 JOHN 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 2019. 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 155,510 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN 2019. 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 2019, WE PROVIDED $3.6 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $86.9 MILLION, THE COST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE PAYMENT WE RECEIVED 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 DISPARITIES. 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 AS VOLUNTEERS. 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 2019. JOHN MUIR HEALTH'S COMMITMENT TO ENVIRONMENTAL SUSTAINABILITY 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 LIMITING OUTDOOR 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 HEALTH EDUCATION 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 OTHER COMMUNITY EVENTS. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 JOHN MUIR HEALTH JOHN MUIR HEALTH IS A NATIONALLY RECOGNIZED, NOT-FOR-PROFIT HEALTH CARE ORGANIZATION LOCATED EAST OF SAN FRANCISCO, SERVING PATIENTS IN CONTRA COSTA, EASTERN ALAMEDA AND SOUTHERN SOLANO COUNTIES. IT INCLUDES A NETWORK OF OVER 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS, 6,500 EMPLOYEES, MEDICAL CENTERS IN CONCORD AND WALNUT CREEK, 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, LAB AND IMAGING SERVICES, AND IS WIDELY RECOGNIZED AS A LEADER IN MANY SPECIALTIES - NEUROSCIENCES, ORTHOPEDIC, CANCER, CARDIOVASCULAR, EMERGENCY AND HIGH-RISK OBSTETRICS CARE. JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND 1399 YGNACIO VALLEY ROAD, SUITE 36, WALNUT CREEK, CA 94598 THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUNDS IS ONE ARM OF GRANT-MAKING AT JOHN MUIR HEALTH SYSTEM. THE FUND'S GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EASTERN CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MORE AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE FUND DEVELOPED A FUNDING PROCESS THAT NURTURES LONG TERM PARTNERSHIP WITH AND AMONG THE COMMUNITY BASED ORGANIZATIONS. THIS LEADS TO VISIONARY HEALTH INITIATIVE THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 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.COM JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BOULEVARD, SUITE 400, WALNUT CREEK, CA 94597 THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH OVER 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG), JOHN MUIR SPECIALTY 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 HEALTH FOUNDATION 1400 TREAT BOULEVARD, SUITE 300, WALNUT CREEK, CA 94597 THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION.CAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION. true JOHN MUIR HEALTH 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 941461843 501(C)(3) 996376 N/A N/A GENERAL SUPPORT 1 GRANT MONITORING PROCESS SCHEDULE I, PART I, LINE 2 JOHN MUIR HEALTH FINANCIAL MANAGEMENT MONITORS THE USE OF RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES. true true false false false false false false false Calvin Knight CEO/Director/President 1229077 687227 614063 0 1419944 0 14426 0 3964737 0 1259503 Christian Pass Senior VP/CFO 618455 195695 9796 0 399574 0 32417 0 1255937 0 195695 Jane Willemsen Exec VP/Pres Hospital Ops 680088 349241 25020 0 969839 0 24006 0 2048194 0 349241 Cindy Bolter Chief Nursing & Operations Ofr 274708 37872 5911 89408 0 25857 0 433756 0 37872 0 Julia Olson Director, Quality & Clinical 202766 17793 1745 49612 0 100 0 272016 0 17793 0 Janis Laiacona Director, Accredt (Thru 09/19) 135503 14447 38123 38487 0 24277 0 250837 0 14447 0 Sheila Sasser Lead Registered Nurse 165840 0 37609 30677 0 25557 0 259683 0 0 0 Eugenia Ekeh Registered Nurse 178184 0 27176 23842 0 25557 0 254759 0 0 0 EXECUTIVE COMPENSATION PROCESS SCHEDULE J, PART I, LINE 3 JOHN MUIR HEALTH, A RELATED TAX-EXEMPT ORGANIZATION OF JOHN MUIR BEHAVIORAL HEALTH, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SEVERANCE PAYMENTS SCHEDULE J, PART 1, LINE 4A A SEVERANCE PAYMENT OF $40,632 WAS MADE TO JANIS LAIACONA IN CONJUNCTION WITH THEIR SEPARATION OF SERVICE IN SEPTEMBER 2019, THIS TAXABLE COMPENSATION WAS REPORTED IN PART II, Column (B) (III) NON-QUALIFIED RETIREMENT PLANS SCHEDULE J, PART I, LINE 4B 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: CINDY BOLTER $35,151 SUPPLEMENTAL EXECUTIVE PLAN EMPLOYEES ELIGIBLE FOR THE SUPPLEMENTAL EXECUTIVE PLAN ARE EITHER CEO, 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. CALVIN KNIGHT RECEIVED A LUMP SUM PAYMENT OF $572,276 DURING 2019. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT DURING THE TAX YEAR: CALVIN KNIGHT $639,331 JANE WILLEMSEN $570,000 CHRISTIAN PASS $165,026 FAMILY OR BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS TAEJOON AHN, M.D. AND RAVI HUNDAL, M.D. HAVE A BUSINESS RELATIONSHIP. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH. POWER TO ELECT OR APPOINT MEMBERS OF GOVERNING BODY FORM 990, PART VI, LINE 7A THE BYLAWS OF JOHN MUIR BEHAVIORAL HEALTH PROVIDE THAT THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH, THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, SHALL SERVE EX OFFICIO AS THE VOTING AND NON-VOTING MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH. AS A RESULT, THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH CONTROLS THE NUMBER, APPOINTMENT, TERM AND REMOVAL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR BEHAVIORAL HEALTH. GOVERNANCE DECISIONS SUBJECT TO APPROVAL BY THE MEMBER FORM 990, PART IV, SECTION A, LINE 7B JOHN MUIR HEALTH, AS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH, ALSO HAS THE RIGHT TO APPROVE CERTAIN ACTIONS IN ACCORDANCE WITH THE CALIFORNIA NONPROFIT PUBLIC CORPORATION LAW, INCLUDING THE VOLUNTARY DISSOLUTION OF JOHN MUIR BEHAVIORAL HEALTH, THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF JOHN MUIR BEHAVIORAL HEALTH, AND THE MERGER OF JOHN MUIR BEHAVIORAL HEALTH WITH OR INTO ANY OTHER ENTITY. REVIEW OF FORM 990 BY THE GOVERNING BODY FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER OR THEIR 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 BEHAVIORAL HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED. CONFLICT OF INTEREST MONITORING FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE JOHN MUIR HEALTH (JMH) BOARD CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM REQUIRED TO BE COMPLETED AND SIGNED. DISCLOSED CONFLICTS ARE COMPILED IN A DOCUMENT AND REVIEWED BY THE BOARD CHAIR, PRESIDENT/CEO, AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTEND BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL, 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 AND RECUSE THEMSELVES FROM VOTING ON ANY MATTERS RELATED TO A CONFLICT. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, THE PRESIDENT/CEO AND THE BOARD CHAIR. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED, INCLUDING PERIODIC REVIEWS OF ITS TRANSACTIONS OR ARRANGEMENTS WITH ITS OFFICERS AND BOARD MEMBERS, AND ANY OTHER INDIVIDUAL OR ENTITIES THAT MAY HAVE A SUBSTANTIAL INFLUENCE OVER THE BUSINESS AND AFFAIRS OF THE ORGANIZATION. EXECUTIVE COMPENSATION FORM 990, PART VI, SECTION B, LINE 15 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. DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FROM THE JOHN MUIR HEALTH LEGAL DEPARTMENT UPON REQUEST. 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