TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) KATHLEEN ODNE...................................................................... CHAIRMAN	5.00 ................. 10.00	X	X		31,250	0
(2) JAY HARRIS...................................................................... VICE CHAIRMAN	5.00 ................. 10.00	X	X		0	0
(3) JOHN SAYRES...................................................................... SECRETARY/TREASURER	5.00 ................. 10.00	X	X		31,250	0
(4) LAURA MARKSTEIN...................................................................... DIRECTOR	5.00 ................. 10.00	X			0	0
(5) ROGER BAILEY...................................................................... DIRECTOR	5.00 ................. 10.00	X			31,250	0
(6) JACK THOMPSON...................................................................... DIRECTOR	5.00 ................. 10.00	X			31,250	0
(7) ANNE GRODIN...................................................................... DIRECTOR	5.00 ................. 10.00	X			31,250	0
(8) PETER WILSON...................................................................... DIRECTOR	5.00 ................. 10.00	X			0	0
(9) TAEJOON AHN MD...................................................................... DIRECTOR	5.00 ................. 10.00	X			31,250	0
(10) RAVI HUNDAL MD...................................................................... DIRECTOR	5.00 ................. 10.00	X			31,250	0
(11) JOHN MERSON MD...................................................................... DIRECTOR	5.00 ................. 10.00	X			0	0
(12) MARK MUSCO MD...................................................................... DIRECTOR	5.00 ................. 10.00	X			31,250	0
(13) CHI PERLROTH MD...................................................................... DIRECTOR	5.00 ................. 10.00	X			31,250	0
(14) JOHANNES PETERS MD...................................................................... DIRECTOR	5.00 ................. 10.00	X			31,250	0
(15) CALVIN KNIGHT...................................................................... CEO/DIRECTOR/PRESIDENT	60.00 ................. 15.00	X	X		4,227,689	1,614,584
(16) CHRISTIAN PASS...................................................................... SENIOR VP/CFO	60.00 ................. 15.00		X		1,035,722	535,300
(17) IRVING PIKE MD...................................................................... SR VP/CHIEF MEDICAL OFFICER	60.00 ................. 0.00			X	705,895	251,352

(A) Name and business address	(B) Description of services	(C) Compensation
OPTUMINSIGHT PO BOX 84019 CHICAGO,IL60689	PROFESSIONAL SERV	137,325,321
CROSS COUNTRY STAFFING LA LOCKBOX FILE 50941 LOS ANGELES,CA90074	TEMPORARY STAFFING	40,962,170
BAY AREA SURGICAL SPECIALIST PO BOX 97297 LAS VEGAS,NV89193	MEDICAL	8,719,540
MEDICAL ANESTESIA CONSULTANTS MEDICAL 2175 N CALIFORNIA BLV WALNUT CREEK,CA94596	MEDICAL	7,104,833
EAST BAY CARDIOVASCULAR & THORACIC ASSN 350 PACHECO ST CONCORD,CA94520	MEDICAL	3,287,524
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 142

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization JOHN MUIR HEALTH

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization JOHN MUIR HEALTH		Employer identification number 94-1461843

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization JOHN MUIR HEALTH			Employer identification number 94-1461843
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

64,974

Total. Add lines 1c through 1i ....................................................................................................

64,974

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1I	OTHER ACTIVITIES JOHN MUIR HEALTH CONTRIBUTED $64,974 TO CALIFORNIA COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEM (CAHHS) IN 2021 TO SUPPORT LOBBYING EFFORTS.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	53,228,565		53,228,565
b	Buildings ....	631,486,762	240,857,839	390,628,923
c	Leasehold improvements	455,058,277	241,433,655	213,624,622
d	Equipment ....	698,819,561	560,030,170	138,789,391
e	Other .....	100,327,817		100,327,817
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				896,599,318

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) COMMINGLED FUNDS	126,292,069	F
(B) HEDGE FUNDS	190,358,811	F
(C) PRIVATE EQUITY	249,215,699	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	565,866,579

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)REAL ESTATE FOR FUTURE USE				3,130,075
(2)HELD PURSUANT BOND INDENTURE				33,895,623
(3)RIGHT OF USE ASSETS, NET				84,122,085
(4)OTHER RECEIVABLES				110,910,944
(5)INTANGIBLE ASSETS AND OTHER				35,335,903
(6)PREPAID PENSION COST				25,283,471
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				292,678,101

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	333,804,275
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	2,004,379,053
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	38,253,986
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	63,688,765
e	Add lines 2a through 2d .....................			2e	101,942,751
3	Subtract line 2e from line 1..................			3	1,902,436,302
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	7,455,646
b	Other (Describe in Part XIII.) ...........	4b	28,499,935
c	Add lines 4a and 4b....................			4c	35,955,581
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,938,391,883

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,714,561,055
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	508,624
e	Add lines 2a through 2d....................			2e	508,624
3	Subtract line 2e from line 1...................			3	1,714,052,431
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	7,455,646
b	Other (Describe in Part XIII.) ............	4b	28,499,935
c	Add lines 4a and 4b.....................			4c	35,955,581
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,750,008,012

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	UNCERTAIN TAX POSITIONS THE HEALTH SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED USING THE LARGEST AMOUNT THAT EXCEEDS A 50% PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATE OCCURS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL REVENUE REPORTED NET ON FORM 990 508,624. CHANGE IN UNAMORTIZED LOSS ON PENSION 63,180,141.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	UNCOLLECTIBLE ACCOUNTS 28,499,935.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL REVENUE REPORTED NET ON FORM 990 508,624.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	UNCOLLECTIBLE ACCOUNTS 28,499,935.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN			INVESTMENTS	176,113,079
	EUROPE (INCLUDING ICELAND AND GREENLAND)			INVESTMENTS	19,901,489















3a	Sub-total ....	0	0		196,014,568
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		196,014,568

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2021

Schedule F (Form 990) 2021Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART III ACCOUNTING METHOD:

Schedule F (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 40000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	8,334,608		8,334,608	0.480 %
b	Medicaid (from Worksheet 3, column a) . . . . .	85,808,574		85,808,574	4.900 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	94,143,182		94,143,182	5.380 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,522,515	451,805	4,070,710	0.230 %
f	Health professions education (from Worksheet 5) . . .	3,438,268		3,438,268	0.200 %
g	Subsidized health services (from Worksheet 6) . . . .	388,669		388,669	0.020 %
h	Research (from Worksheet 7) .	823,880	147,736	676,144	0.040 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	3,247,582	254,140	2,993,442	0.170 %
j	Total. Other Benefits . .	12,420,914	853,681	11,567,233	0.660 %
k	Total. Add lines 7d and 7j .	106,564,096	853,681	105,710,415	6.040 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	11,496		11,496	0 %
7	Community health improvement advocacy
8	Workforce development	107,171		107,171	0.010 %
9	Other	1,910,585	119,557	1,791,028	0.100 %
10	Total	2,029,252	119,557	1,909,695	0.110 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

28,499,935

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

402,799,500

Enter Medicare allowable costs of care relating to payments on line 5.....

586,435,978

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-183,636,478

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 ASPEN SURGERY CENTER	OPERATES A MULTISPECIALTY SURGERY CENTER	28.680 %	0 %	55.400 %
22 BRENTWOOD SURGERY CENTER	OPERATES A MULTISPECIALTY SURGERY CENTER	33.440 %	0 %	16.670 %
33 HACIENDA SURGERY CENTER	OPERATES A MULTISPECIALTY SURGERY CENTER	12.500 %	0 %	47.600 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	JOHN MUIR MEDICAL CENTER WALNUT CREEK 1601 YGNACIO VALLEY RD WALNUT CREEK,CA94598 WWW.JOHNMUIRHEALTH.COM 140000265	X	X	X	A
2	JOHN MUIR MEDICAL CENTER CONCORD 2540 EAST ST CONCORD,CA94520 WWW.JOHNMUIRHEALTH.COM 140000128	X	X	X	A

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: JOHN MUIR MEDICAL CENTER WALNUT CREEK, - FACILITY 2: JOHN MUIR MEDICAL CENTER CONCORD
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 INFORMANTS 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 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 CHILDREN'S HOSPITAL OAKLAND ON THE COMMUNITY 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 7A	CHNA REPORT MADE WIDELY AVAILABLE TO PUBLICTHE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML
PART V, SECTION B, LINE 10A	WEBSITE FOR ADOPTED IMPLEMENTATION STRATEGYTHE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL:WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML
PART V, SECTION B, LINE 11	SIGNIFICANT 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 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 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 DIABLO REGION AND INDEPENDENT LIVING RESOURCES.-PROVIDE DIABETES EMPOWERMENT EDUCATION PROGRAM IN COLLABORATION WITH MONUMENT 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) PROMOTORES 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, CONTRA 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 INTENTIONAL 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 PRECENT 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 PARTNERSHIP(S) WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AN UNDERSERVED POPULATIONS. THE FOLLOWING 2021 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 CARE1) THE MOBILE 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.- IN 2021, THE MOBILE HEALTH CLINIC SERVED 418 PEOPLE FOR 545 ENCOUNTERS DURING SATURDAY CLINIC, WEDNESDAY RESIDENCY CLINIC AND VIA TELEHEALTH. IN-PERSON VISITS RESUMED WITH LIMITED PATIENTS 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 ALTHOUGH PATIENT CAPACITY WAS LIMITED DUE TO COVID-19. THE MOBILE HEALTH CLINIC SERVED 1,901 PATIENTS THROUGH PARTNERSHIP PROGRAMS.- 85% OF PATIENTS WERE NON-ENGLISH SPEAKING AND 100% OF SERVICES MET THEIR LINGUISTIC NEEDS (PRIMARILY SPANISH).- 98% OF PATIENTS SERVED WERE UNINSURED.- 100% OF PATIENTS WHO NEEDED ADDITIONAL CARE WERE REFERRED TO A SPECIALIST OR OTHER HEALTH ORGANIZATION.- 100% OF REFERRALS WERE TRACKED AND MONITORED BY MCH STAFF AND AMONG THEM, 100% REPORTED FOLLOW-THROUGH WITH THEIR REFERRAL.- COMMUNITY NURSE PROGRAM: PROVIDE HEALTH CARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES. BELOW ARE THE 2021 OUTCOMES:- FROM AUGUST 2020 TO JUNE 2021 (2020-21 SCHOOL YEAR), A TOTAL OF 13 INDIVIDUALS FOR A TOAL OF 7 INTERVENTIONS WERE PROVIDED TO SERVE STUDENTS, PARENTS AND SCHOOL STAFF. SCHOOLS WERE NOT IN PERSON FOR A MAJORITY OF THE YEAR DUE TO COVID-19 PANDEMIC.- 7 REFERRALS WERE RECEIVED BY THE COMMUNITY NURSE AND 1 REFERRAL WAS THEN MADE TO EXTERNAL COMMUNITY RESOURCES.- COMMUNITY NURSES PERFORMED A TOTAL OF 4 FIRST AID TREATMENTS.- PROVIDED NURSING SERVICES TO BRENTWOOD UNIFIED SCHOOL DISTRICT.2) 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.- IN 2021, THE MOBILE DENTAL CLINIC PROVIDED 236 ORAL HEALTH SERVICES TO 162 UNDUPLICATED CHILDREN. SERVICES WERE SUSPENDED DURING THE COVID-19 PAMDEMIC AND DID NOT RESUME UNTIL AUGUST 2021.- ALL FAMILIES WERE PROVIDED WITH INSURANCE ENROLLMENT ASSISTANCE.- 100% OF MOBILE DENTAL PATIENTS WERE CONNECTED TO A DENTAL HOME THROUGH REFERRAL PARTNERSHIPS WITH LIFELONG BROOKSIDE, LA CLINICA DE LA RAZA OR CONTRA COSTA HEALTH SERVICES CLINICS.3) LA CLINICA SPECIALTY CARE PROGRAM: PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLINICA SPECIALTY CARE PROGRAM FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE.- IN 2021, 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 75% IDENTIFIED AS HISPANIC/LATINO.- IN TOTAL, 357 PATIENTS WERE REFERRED FROM LA CLINICA AND AMONG THEM, 335 WERE ACCEPTED INTO THE SPECIALTY CARE PROGRAM (ACCEPTANCE RATE OF 94%). THE TOP REFERRING HEALTH CONDITIONS INCLUDE: GASTROINTESTINAL, GYNECOLOGICAL, UROLOGICAL AND BREAST.- A TOTAL OF 8 CANCER DIAGNOSIS WERE MADE. IN ADDITION, 849 PROCEDURES AND INTERVENTIONS WERE PROVIDED THROUGHOUT THE YEAR. THE MAJORITY OF THE INTERVENTIONS WERE CONSULTATIONS/FOLLOW-UP WITH SPECIALIST AND IMAGING.- 94% OF PATIENTS COMPLETED TREATMENT OR RECEIVED/SCHEDULED FOR FOLLOW-UP.- OPERATION ACCESS: PROVIDE SPECIALTY CARE SERVICES THROUGH OPERATION ACCESS FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE.- IN 2021, A TOTAL OF 229 SURGICAL PROCEDURES WERE PROVIDED IN A JOHN MUIR HEALTH OPERATING ROOM. THIS REPRESENTS A 45% INCREASE FROM THE PREVIOUS YEAR.- 100% OF OPERATION ACCESS PATIENTS WERE UNINSURED.- THE LINGUISTIC NEEDS WERE MET FOR 100% OF PATIENTS, INCLUDING SPANISH, ENGLISH, PORTUGUESE, HINDI, MANDARIN, AND TAGALOG.- 78% OF ALL OPERATION ACCESS SERVICES PROVIDED IN CONTRA COSTA COUNTY WERE PROVIDED BY JOHN MUIR HEALTH.- IN TOTAL, THERE WERE 31 ACTIVE VOLUNTEER PHYSICIANS FROM JOHN MUIR HEALTH WHO PROVIDED AT LEAST ONE SURGICAL SERVICE. 61% OF VOLUNTEERS WERE "HIGH VOLUME" PROVIDERS, WHO PROVIDED AT LEAST 4 SERVICES DURING THE YEAR.- IN 2021, 10 NEW PHYSICIANS WERE RECRUITED.- ALL PATIENT QUALITY OF LIFE IMPROVEMENT MEASURES REMAINED HIGH. RESULTING FROM OPERATION ACCESS SERVICES, 95% OF PATIENTS REPORTED IMPROVED HEALTH, 95% REPORTED IMPROVED QUALITY OF LIFE, 95% IMPROVED WORK ABILITY, 88% EXPERIENCED A RELIEF OF SYMPTOMS AND 95% IMPROVED ABILITY TO CARE FOR HOME AND/OR FAMILY.- EVERY WOMAN COUNTS PROGRAM: PROVIDE FREE BREAST CANCER SCREENING FOR LOW-INCOME WOMEN WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE.- IN 2021, THERE WERE 35 BREAST CANCER SCREENING CLINICS.- 100% OF ELIGIBLE PATIENTS WERE ACCEPTED TO CARE. THERE WERE 239 BREAST CANCER PATIENTS SERVED IN THE CLINICS FOR A TOTAL OF 276 ENCOUNTERS.- ALMOST HALF OF WOMEN SERVED AT THE BREAST CANCER CLINICS (46%) WERE BETWEEN AGES 40-49. 88% IDENTIFIED AS HISPANIC AND AMONG THEM, 88% INDICATED A NON-ENGLISH PREFERENCE. 100% OF PATIENTS WERE UNINSURED.- IN 2021, 98% OF BREAST CANCER PATIENTS WERE PROVIDED WITH SAME DAY "ONE STOP" SERVICES, INCLUDING: BREAST EXAMS, DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES. THE PROGRAM PROVIDED 32 BREAST BIOPSIES AND 100% RECEIVED BIOPSY RESULTS WITHIN 2 WEEKS. 4 WOMEN WERE DIAGNOSED WITH BREAST CANCER AND 100% WERE PROVIDED WITH APPROPRIATE FOLLOW-UP TO MONITOR THEIR DIAGNOSIS. 100% OF DIAGNOSIS WERE ENROLLED IN THE BREAST AND CERVICAL CANCER TREATMENT PROGRAM. 100% OF PATIENTS RECEIVED HEALTH EDUCATION MATERIALS.4) 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.- IN 2021, FPP RECEIVED 339 REFERRALS AND CONDUCTED 248 HOME SAFETY ASSESSMENTS AND MODIFICATIONS IN HOMES OF OLDER ADULTS. AMONG THESE REFERRALS, 22 PEOPLE ARE ON THE WAITLIST, 69 EITHER DECLINED SERVICES OR DID NOT QUALIFY FOR SERVICES. 95% OF SENIORS REPORTED INCREASED ACCESS TO FALL PREVENTION SERVICES. FPP CONDUCTED 20 EDUCATION PRESENTATIONS, REACHING 420 PARTICIPANTS. ON AVERAGE, 95% OF SENIORS REPORTED INCREASED KNOWLEDGE ABOUT FALL PREVENTION, RISK FACTORS, AND FALL REDUCTION STRATEGIES.- FPP CONDUCTED 248 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. - IN 2021, 17 TOTAL EXERCISE SESSIONS WERE OFFERED WITH A TOTAL OF 236 PARTICIPANTS.5) MEALS ON WHEELS OF DIABLO REGION: PROVIDE OLDER ADULTS IN CONTRA COSTA COUNTY THE FRIENDLY VISITORS PROGRAM. WHICH CONNECTS SENIORS WITH VOLUNTEERS TO PROVIDE COMPANIONSHIP, RESOURCES AND ASSISTANCE, ULTIMATELY TO REDUCE SOCIAL ISOLATION.- IN 2021, VOLUNTEERS AND STAFF ANSWERED 12,430 RESOURCE CALLS. FRIENDLY VISITOR COMPANIONS MADE 1,256 VISITS TO 231 CLIENTS, AGE 60 AND OLDER.
CONTINUED....	6) INDEPENDENT LIVING RESOURCES: PROVIDE COMMUNITY WITH MEDICAL EQUIPMENT LOANS, ASSISTIVE TECHNOLOGY AND OTHER SUPPORTIVE RESOURCES FOR INDIVIDUALS, MAINLY SENIORS.- INFORMATION AND REFERRALS ON A VARIETY OF ASSISTIVE TECHNOLOGY AND TRAINING ON DEVICES WAS PROVIDED TO THE COMMUNITY. 591 INDIVIDUALS WERE PROVIDED DEVICES FOR LOAN, AMOUNTING TO 998 DEVICES IN TOTAL. AVERAGE AGE OF USERS WAS 67 YEARS OLD. 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 WALKERS.7) MOBILITY 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.- A TOTAL NUMBER OF 104 JOHN MUIR CLIENTS RECEIVED TRANSPORTATION ASSISTANCE WHICH WAS IMPACTED DUE TO THE COVID-19 PANDEMIC BUT STILL MAINTAINED A ROBUST VOLUNTEER BASE WHO PROVIDE RIDES FOR SENIORS IN NEED.8) 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.- IN 2021, A TOTAL OF 2,879 RIDES WERE PROVIDED TO 177 SENIORS OVER 60 YEARS OLD, AND WERE ORGANIZED BY THE WALNUT CREEK SENIORS CLUB. AVERAGE COST PER RIDE AMOUNTED TO APPROXIMATELY $12.89 TOTALING OVER $34,544 FOR THE YEAR. A TOTAL OF 298 RIDES WERE PROVIDED TO MEDICAL APPOINTMENTS.9) DIABETES SERVICES: PROVIDE DIABETES PREVENTION PROGRAMS TO VULNERABLE ADULTS WHO ARE IDENTIFIED AS PRE-DIABETIC.- IN 2021, ONE JOHN MUIR HEALTH STAFF WAS TRAINED TO BE A DIABETES EDUCATION EMPOWERMENT PROGRAM (DEEP) CERTIFIED TRAINER. JOHN MUIR HEALTH IN COLLABORATION WITH MONUMENT IMPACT SUPPORTED THE DEEP PROGRAM FOR 4 SESSIONS. THE SESSIONS HAD A TOTAL PARTICIPANT OF 32 PEOPLE FOR 6 WEEKS. OF THE 32 PARTICIPANTS, 26 COMPLETED THE TRAINING. THE DEEP PROGRAM WAS CONDUCTED IN SPANISH.10) ORDER OF MALTA CLINIC: PROVIDE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED PEOPLE WITH DIABETES.- IN 2021, ORDER OF MALTA CLINIC PROVIDED CARE TO 196 PATIENTS WITH DIABETES, FOR A TOTAL OF 1,593 ENCOUNTERS. OVERALL, MALTA CLINIC PROVIDED CARE TO UNINSURED PATIENTS OF 1,457 ENCOUNTERS VIA TELEHEALTH AND 2,061 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 NEEDS: BEHAVIORAL INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. BELOW ARE THE ORGANIZATIONS JOHN MUIR HEALTH COLLABORATED WITH AND THE OUTCOMES OF THE COLLABORATIONS FOR 2021.1) COMPLEX COMMUNITY CARE COORDINATION (CCCC) PROGRAM: PROVIDE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES FOR INDIVIDUALS WHO FREQUENT THE EMERGENCY DEPARTMENT, HAVE EXCESSIVE HOSPITALIZATIONS AND MEET CRITERIA RELATED TO SOCIAL DETERMINATION OF HEALTH.- IN 2021, THERE WERE A TOTAL OF 194 PARTICIPANTS IN THE CCCC PROGRAM. 100% OF PARTICIPANTS HAVE MORE THAN 6 EMERGENCY DEPARTMENT VISITS IN THE LAST 6 MONTHS. 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.2) 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 TIME.-A TOTAL OF 120 INDIVIDUALS WERE PROVIDED MENTAL HEALTH COUNSELING SERVICES FOR A TOTAL OF 1,865 SESSIONS. THE DISTRIBUTION OF SERVICES PROVIDED WERE AS FOLLOWS: MOBILE HEALTH CLINIC, 6%; ANTIOCH HIGH SCHOOL, 36%, DEER VALLEY HIGH SCHOOL, 28%; BEYOND VIOLENCE ONE DAY AT A TIME AND CENTER FOR HUMAN DEVELOPMENT, 30%. - IN TOTAL, APPROXIMATELY 11% OF SERVICES WERE PROVIDED IN SPANISH BY BILINGUAL THERAPIST. 42% OF CLIENTS WERE UNDER THE AGE OF 18 AND 66% IDENTIFY AS FEMALE. THE TYPE OF SERVICES PROVIDED WERE AS FOLLOWS (TOP 5): INDIVIDUAL THERAPY, ASSESSMENT, PLAN DEVELOPMENT, OUTREACH AND ENGAGEMENT AND COLLATERAL CONTACT.3) MENTES POSITIVAS EN ACCION (POSITIVE MINDS IN ACTION): SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VULNERABLE COMMUNITIES THROUGH THE POSITIVE MINDS IN ACTION PROMOTORES PROGRAM OFFERED BY MONUMENT IMPACT.- IN 2021, THERE WERE 8 TRAINED PROMOTORES FOR THE MENTES POSITIVAS EN ACCION PROMOTORES VIRTUAL PROGRAM (MPA-V). THE 40-HOUR 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. 75 PARTICIPANTS ENROLLED AND BEGAN THE MPA-V PROGRAM AND 58 GRADUATED.4) PUTNAM CLUBHOUSE: SUPPORT AND/OR PROVIDE BEHAVIORAL HEALTH INTERVENTION SERVICES TO VULNERABLE ADULTS WITH SEVERE MENTAL HEALTH ILLNESS THROUGH EDUCATION AND VOCATIONAL REHABILITATION SUPPORT SERVICES.- IN 2021, THERE WAS AN AVERAGE DAILY ATTENDANCE OF 51 MEMBERS AND A MONTHLY ATTENDANCE OF 154 MEMBERS REPRESENTING A TOTAL OF 497 MEMBERS WHO PARTICIPATED IN PROGRAM ACTIVITIES, WHERE THEY SPENT A TOTAL OF 59,034 HOURS PARTICIPATING IN CLUBHOUSE ACTIVITIES. 67 NEW MEMBERS OVERALL JOINED THE CLUBHOUSE IN 2021, AMONG THEM 21 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 82 MEMBERS ATTENDED SCHOOL AND AMONG THEM 23 RETURNED TO SCHOOL. 100% OF MEMBERS WHO INDICATED EMPLOYMENT IN THEIR CAREER PLAN WERE REFERRED TO EMPLOYMENT RESOURCES AND 119 MEMBERS WERE EMPLOYED AND AMONG THEM 37 WERE PLACED IN EMPLOYMENT EARNING $17.25/HOUR ON AVERAGE.- JOHN MUIR HEALTH PROVIDED HEALTH EDUCATION MATERIALS AROUND THE FOLLOWING TOPICS: COVID-19, VACCINATION EDUCATION, STRESS MANAGEMENT, WELLNESS AND HEALTH, SLEEP MANAGEMENT. THESE RESOURCES WERE EACH DISTRIBUTED TO 425 INDIVIDUALS.
CONTINUED....	5) PLANTING JUSTICE: RESTORATIVE JUSTICE INITIATIVE- TIER 1 TRAININGS WERE HELD AT 6 SCHOOLS AND A TOTAL OF 157 TEACHERS, STAFF AND ADMINISTRATORS COMPLETED THE TRAINING. TIER 2 TRAININGS WERE HELD AT 4 SCHOOLS AND A TOTAL OF 58 TEACHERS, STAFF AND ADMINISTRATORS COMPLETED THE TRAINING. DEVELOPED CURRICULUM AND FACILITATED THE FIRST RJ AMBASSADOR COHORT MODEL THAT INCLUDED 12 PARTICIPANTS. 87% OF TIER 1 PARTICIPANTS GAINED INCREASE UNDERSTANDING OF RESTORATIVE JUSTICE AND 61% OF TIER 1 PARTICIPANTS REPORTED THEY ARE MORE LIKELY TO HOLD A COMMUNITY BUILDING CIRCLE IN THEIR CLASS AND/OR SCHOOL AFTER TAKING THE TRAINING. 6) VILLAGE COMMUNITY RESOURCE CENTER (VCRC): SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VULNERABLE COMMUNITIES THROUGH VCRC'S MENTAL WELLNESS PROMOTORES PROGRAM.- DEVELOPED A COMPREHENSIVE TRAINING PLAN WITH VISION Y COMPROMISO WHICH INCLUDES THREE COMPONENTS: MENTAL WELLNESS TRAINING FOR PROMOTORAS, A TRAINING THE TRAINER COURSE (FOR VCRC STAFF AND AT LEAST ONE OTHER PROMOTORA), AS WELL AS TECHNICAL ASSISTANCE. TRAINING CLASSES WILL BEGIN IN EARLY FEBRUARY 2022.- PARTICIPATED IN PROMOTORAS TRANSFORMADO FAMILIAS Y COMUNIDADES (PTFC), A POWERFUL COURSE WHICH COVERED A BROAD RANGE OF TOPICS INCLUDING THE ROLE OF A PROMOTORA, EFFECTIVE COMMUNICATION, POPULAR EDUCATION, GROUP FACILITATION, LEARNING STYLES, PUBLIC SPEAKING, ETHICS, SOCIAL DETERMINANTS OF HEALTH, PRACTICAL EXPERIENCE, AND MORE. FIVE PARENTS AS WELL AS THE COMMUNITY ORGANIZER PARTICIPATED WITH ALL BUT ONE INDIVIDUAL GRADUATING FROM THE PROGRAM.7) WOMEN'S CANCER RESOURCE CENTER: FREE THERAPY PROGRAM FOR LOW-INCOME EAST BAY WOMEN WITH CANCER.- 45 CLIENTS RECEIVED FREE THERAPY FROM VOLUNTEER THERAPIST, A WCRC STAFF MEMBER AND THERAPISTS AFFILIATED WITH THE WOMEN'S THERAPY CENTER (WTC). ACROSS 7 SUPPORT GROUPS, THERE WAS AN AVERAGE OF 75 PARTICIPANTS EACH QUARTER THROUGHOUT 2021. IN 2021, THERE WERE THREE EDUCATIONAL WORKSHOPS FOR THERAPISTS, FOR A TOTAL PARTICIPATION OF 89 THERAPISTS. SUCCESSFULLY RECRUITED SIX VOLUNTEER THERAPISTS IN 2021 FROM THE LOCAL THERAPIST COMMUNITY, THREE OF WHOM WERE THERAPIST OF COLOR. 92% OF SURVEY RESPONDENTS INDICATED THAT THERAPY HELPED THEM COPE WITH THE STRESS AND CHALLENGES OF DEALING WITH CANCER AND 96% RESPONDED THE THERAPY HELPED THEM ENJOY A BETTER QUALITY OF LIFE.COMMUNITY HEALTH NEED: ECONOMIC SECURITY, TO INCLUDE HOUSING, FOOD, COMMUNITY AND FAMILY SAFETY. BELOW ARE THE ORGANIZATIONS JOHN MUIR HEALTH COLLABORATED WITH AND THE OUTCOMES OF THE COLLABORATIONS FOR 2021.1) JUNIOR 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.- TO SUPPORT WORKFORCE DEVELOPMENT, JOHN MUIR HEALTH PROVIDED OPPORTUNITIES FOR UNDERREPRESENTED YOUTH FROM CONTRA COSTA COUNTY SCHOOLS, WITH EDUCATION AFFILIATION AGREEMENTS WITH JOHN MUIR HEALTH TO PARTAKE IN YOUNG HEALERS SUMMER AND SPRING INTERNSHIP PROGRAM. A TOTAL OF 50 STUDENTS PARTICIPATED FOR THE 4 WEEK SUMMER PROGRAM AND 34 STUDENTS PARTICIPATED ON THE 10 WEEK SPRING PROGRAM. JOHN MUIR HEALTH MENTORS/VOLUNTEERS CONTRIBUTED A TOTAL OF 450 HOURS.
CONTINUED....	TO SUPPORT HOUSING NEEDS, JOHN MUIR HEALTH PARTNERED WITH THE FOLLOWING ORGANIZATIONS:1) HOPE SOLUTIONS: SUPPORT FOR PERMANENT AFFORDABLE HOUSING AND SUPPORTIVE SERVICES FOR HOMELESS AND AT-RISK FAMILIES AND INDIVIDUALS.- IN 2021, 393 HOUSEHOLDS WERE NEW HOUSED, RESULTING IN 748 UNIQUE INDIVIDUALS NEWLY HOUSED. 1,218 ADULTS RECEIVED CASE MANAGEMENT SERVICES AND 232 YOUTH ACTIVELY PARTICIPATED IN THE YOUTH ENRICHMENT PROGRAM.2) 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.- IN 2021, 50 PATIENTS WERE REFERRED TO THE RESPITE CENTER. 3 PATIENTS (6%) WERE APPROVED FOR RESPITE, AND AMONG THEM, 3 PATIENTS WERE PLACED IN RESPITE AND NONE WERE PLACED IN A COUNTY SHELTER. ON AVERAGE, THE MEAN LENGTH OF STAY WAS 36.67 DAYS AND THE MEDIAN WAS 19 DAYS. ADMITTED PATIENTS ON AVERAGE, WERE PROVIDED WITH 6.33 MEDICAL LINKAGES, WITH AN AVERAGE OF 3.67 MEDICAL CONDITIONS. FOR PATIENT WITH MENTAL HEALTH HISTORY, THEY HAD AN AVERAGE OF 1 CONDITION (DEPRESSION AS THE MOST COMMON). FOR PATIENTS WITH A SUBSTANCE ABUSE HISTORY, THEY WERE USING AN AVERAGE 1.67 SUBSTANCES. PATIENTS WHO WERE ADMITTED TO RESPITE FROM JOHN MUIR HEALTH SAVED 12 HOSPITAL DAYS.3) SUPPORT4RECOVERY: PROVIDE HOUSING GRANTS TO SUPPORT PEOPLE LEAVING TREATMENT PROGRAMS WITH A SOBER LIVING ENVIRONMENT, PREVENTING MANY FROM LIVING ON THE STREETS AND BECOMING UNSHELTERED.- IN 2021, 32 GRANTS OF 30 DAYS EACH WERE PROVIDED AND 5 GRANTS OF 15 DAYS EACH WERE PROVIDED. 25 PEOPLE PLACED IN SLE'S. 100% GOAL OF 30 DAYS SAFE AND AFFORDABLE PLACEMENT ACHIEVED. A TOTAL OF 25 INDIVIDUALS WERE PLACED AT CONTRA COSTA COUNTY SOBER LIVING RESIDENCIES. 4) TRINITY CENTER: SUPPORT TRINITY CENTER IN SERVING HOMELESS AND WORKING POOR ADULT MEN, ADULT WOMEN AND TRANSITIONAL AGE YOUTH IN WALNUT CREEK AND CENTRAL CONTRA COSTA COUNTY.- IN 2021, TRINITY CENTER HAD 16,086 MEMBER VISITS BY 1,092 UNIQUE INDIVIDUALS. EMERGENCY OVERNIGHT SHELTER EVENING PROGRAM OPERATED FROM JANUARY 11 THROUGH APRIL 9, AND OPENED FOR THE WINTER SEASON ON DECEMBER 13. A TOTAL OF 1,856 SHELTER NIGHTS WERE PROVIDED TO 38 UNIQUE INDIVIDUALS. 147 TRANSITION AGE YOUTH MEMBERS WERE SERVED AT TRINITY CENTER, 59 OF THEM ENGAGED WITH CASE MANAGERS ON A REGULAR BASIS TO PLAN AND ACHIEVE EDUCATION, EMPLOYMENT, HEALTH AND HOUSING GOALS. IN 2021, 138 INDIVIDUALS VISITED THE CONDUCT SUBSTANCE USE SUPPORT GROUP AND 159 UNIQUE INDIVIDUALS HAVE RECEIVED ONE ON ONE COUNSELING (183 TOTAL HOURS). THE DAY CENTER RECEIVED AN AVERAGE 60 VISITS FROM TENANTS EACH MONTH, WITH MANY ACCESSING MEALS, CLOTHING, EVENTS, SUBSTANCE USE GROUPS, AND OVERALL SOCIAL CONNECTIONS ON A REGULAR BASIS.TO SUPPORT FOOD NEEDS, JOHN MUIR HEALTH PARTNERED WITH THE FOLLOWING ORGANIZATIONS:1) 18 REASONS: SUPPORT COOKING MATTERS PROGRAM, WHICH PROVIDES PARENTS WITH SPANISH INSTRUCTION ON HEALTHY COOKING AND NUTRITION.- COOKING MATTERS FOR PARENTS WAS PROVIDED AS A 6-WEEK SERIES ON ZOOM WITH GROCERY DELIVERY DUE TO COVID-19. IN TOTAL, 34 PARENTS PARTICIPATED. THERE WERE A TOTAL OF FOUR 6-WEEK YOUTUBE LIVE SERIES PROVIDED AND PROMOTED TO PITTSBURG UNIFIED SCHOOL DISTRICT PARENTS. 198 FAMILIES ATTENDED. TWO 3-WEEK COOKING MATTERS AT HOME OR COOKING MATTERS EN CASA SERIES WERE PROVIDED VIA ZOOM TO A TOTAL OF 24 FAMILIES. ALL FAMILIES WERE PROVIDED WITH GROCERIES TO PARTICIPATE IN FOOD DEMONSTRATIONS.2) ALAMEDA COUNTY COMMUNITY FOOD BANK (ACCFB): SUPPORT THE FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW-INCOME FAMILIES IN ALAMEDA COUNTY.- OVER 7,454,586 POUNDS OF FOOD DISTRIBUTED BY 90 PARTNER ORGANIZATIONS, ACROSS MORE THAN 100 LOCATIONS, AMOUNTING TO 6.2 MILLION MEALS. ACCFB AWARDED GRANTS TO FIVE PARTNERS AGENCIES IN NORTHERN ALAMEDA COUNTY TO MAKE KEY INVESTMENTS IN THEIR FOOD DISTRIBUTION CAPACITY RESULTING IN APPROXIMATELY 1,127,423 POUNDS OF FOOD DISTRIBUTED AND 61,147 INDIVIDUALS MEALS SERVED.3) 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.- DISTRIBUTED 16,285,290 POUNDS OF FOOD THROUGH DIRECT DISTRIBUTIONS TO 133,186 INDIVIDUALS IN CONTRA COSTA COUNTY. LAUNCHED FIVE SCHOOL SITES AND TWO SENIOR FOOD PROGRAM DISTRIBUTION SITES. EACH OF THESE NEW SITES WILL IMPROVE RESIDENTS' ACCESS TO FBCCC PROGRAMS IN CONTRA COSTA COUNTY.4) FRESH APPROACH: SUPPORT 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.- 124 UNIQUE PARTICIPANTS AND THEIR FAMILY MEMBERS RECEIVED FRUIT AND VEGETABLE VOUCHERS. 110 PEOPLE PARTICIPATED IN COOKING DEMOS, AND 14 PEOPLE PARTICIPATED IN ONLINE NUTRITION CLASSES. - FRESH APPROACH COLLECTED AND SUBMITTED 23 REFERRAL FORMS AT MOBILE FARMERS' MARKET STOP IN ANTIOCH AND 91 ADDITIONAL REFERRAL FORMS FROM NUTRITION CLASSES AND ADDITIONAL MOBILE AND TRADITIONAL FARMERS' MARKET SITES IN CONTRA COSTA COUNTY.5) MONUMENT CRISIS CENTER (MCC): SUPPORT MONUMENT CRISIS CENTER'S WEEKLY FOOD DISTRIBUTION PROGRAM TO IMPROVE FOOD SECURITY, NUTRITION AND DIET IN CONTRA COSTA COUNTY.- IN 2021, MCC'S FOOD DISTRIBUTION PROGRAM WAS AVAILABLE 3 TIMES EACH WEEK PROVIDING 7-10 DAY SUPPLY OF NUTRITIOUS FRESH FOODS, AS WELL AS SHELF-STABLE FOODS, BABY DIAPERS/WIPES, SENIOR DIAPERS, TOILETRIES, CLOTH MASKS, PET FOOD, ETC. SERVING A TOTAL OF 66,427 INDIVIDUALS (DUPLICATED TO REFLECT THE ASSISTANCE PROVIDED AS FAMILIES VISIT MCC MULTIPLE TIMES FOR ASSISTANCE THROUGHOUT THE YEAR). IN 2021, MCC SERVED 9,639 UNIQUE INDIVIDUALS.6) WHITE PONY EXPRESS (WPE): SUPPORT THE FOOD RESCUE PROGRAM IN EAST AND CENTRAL CONTRA COSTA COUNTY.- IN 2021, WPE PROVIDED HEALTHY, FRESH FOOD TO 80,000+ CLIENTS IN EAST AND CENTRAL CONTRA COSTA COUNTY SERVED BY NONPROFIT AGENCIES THAT WORK WITH THE UNHOUSED, LOW-INCOME SENIORS, NEW IMMIGRANT FAMILIES, STUDENTS AND THEIR FAMILIES, AND OTHER VULNERABLE, LOW/NO-INCOME POPULATIONS. WPE PROVIDED FRESH AND NUTRITIOUS FOOD TO 25,000+ INFANTS AND CHILDREN IN 2021.TO SUPPORT THE COMMUNITY AND FAMILY SAFETY OF THE COMMUNITY, JOHN MUIR HEALTH PARTNERED WITH THE FOLLOWING ORGANIZATIONS AND THE OUTCOME OF THOSE COLLABORATIONS ARE OUTLINED BELOW:1) 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.- THERE WERE 4 YOUTH INTERNS ACTIVE AT THE THURSDAY BIKE KITCHEN OPEN SHOPS HOURS DURING THE SUMMER MONTH OF 2021. TRAINEES HAVE SPENT TWO HOURS ONCE A WEEK OUTDOORS AT THE BIKE KITCHEN FROM JANUARY THROUGH JULY. THE TRAINING SCHEDULE WAS MODIFIED DUE TO COVID-19.2) BEYOND VIOLENCE PROGRAM: PROVIDE INTERVENTION AND REFERRALS TO VIOLENCE-RELATED TRAUMA VICTIMS IN ORDER TO PREVENT RECIDIVISM AND PROVIDE SUPPORT SERVICES FOR FULL RECOVERY. PARTNER ORGANIZATIONS INCLUDE: CENTER FOR HUMAN DEVELOPMENT, ONE DAY AT A TIME AND RYSE CENTER.- IN 2021, THERE WAS A TOTAL OF CLIENT LOAD OF 66 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. INTERVENTION SPECIALISTS PURSUED A TOTAL OF 25 SUPPORT SERVICE INTERVENTIONS FOR AN AVERAGE OF 3.9 INTERVENTION PER CLIENT.3) CONTRA COSTA FAMILY JUSTICE CENTERS: SUPPORT FAMILY JUSTICE CENTER TO PROVIDE NAVIGATION SERVICES AND MENTAL HEALTH SERVICES TO VICTIMS AND SURVIVORS OF INTERPERSONAL VIOLENCE IN CENTRAL AND EAST CONTRA COSTA COUNTY.- IN 2021, 1,898 INDIVIDUALS SERVED IN EAST AND CENTRAL FAMILY JUSTICE CENTERS. 223 CLIENTS WERE CONNECTED TO MENTAL HEALTH SERVICES. 89% OF CLIENTS DEMONSTRATED AN INCREASE IN MENTAL HEALTH AND WELLNESS KNOWLEDGE.
CONTINUED....	4) HEALTHY 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.- IN 2021, HAB45 AWARDED MINI-GRANTS FOR HEALTHY POLICIES AT FIVE CHILDCARE FACILITIES. EACH SITE HAS REVISED THEIR WELLNESS POLICY TO INCORPORATE COVID-19 HEALTH AND SAFETY GUIDELINES, WHILE MAINTAINING PRACTICES THAT SUPPORT NUTRITION AND PHYSICAL ACTIVITY FOR CHILDREN. TOGETHER, THESE POLICIES BENEFIT APPROXIMATELY 82 CHILDREN AND 57 ADULTS.- HAB45 CONTINUES TO PROVIDE TECHNICAL ASSISTANCE TO PARENTS IN THE FIRST 5 REGIONAL GROUPS FOR THEIR ONGOING ADVOCACY FOR SAFER COMMUNITIES FOR LOW-INCOME FAMILIES WITH YOUNG CHILDREN.5) KIDPOWER: PROVIDE EMPOWERMENT TRAININGS FOR TRANSGENDER/GENDER DIVERSE YOUTH, FAMILIES AND ADVOCATE WITH A GOAL OF PROVIDING SKILLS AND STRATEGIES TO PREVENT PERSONAL HARM. TO PROTECT PHYSICAL AND EMOTIONAL SAFETY, AND TO REDUCE RISKS OF VICTIMIZATION.- PROVIDED 19 ZOOM TRAININGS AND COACHING PROGRAMS FOR A TOTAL OF 325 PEOPLE AT 8 PROGRAMS/SCHOOLS IN THE EAST BAY, CONSISTING OF 198 CHILDREN AND YOUTHS, INCLUDING THOSE WITH DISABILITIES, 24 ADULTS WITH INTELECTUAL DISABILITIES, 49 PARENTS, AND 54 TEACHERS/PROGRAM STAFF. - OF THOSE WHO COMPLETED THE POST-TRAINING EVALUATION, 92.9% IMPROVED IN ALL 7 SKILLS TAUGHT AND SHOWED AN INCREASE IN THEIR UNDERSTANDING AND APPLICATION OF "PEOPLE SAFETY AND "SOCIAL-EMOTIONAL HEALTH AND SAFETY" SKILLS. - OF THOSE WHO COMPLETED THE POST-TRAINING EVALUATION, 91.4% HAD INCREASED THEIR ABILITY TO TEACH THEIR CHILDREN THE SKILLS IN ALL SEVEN CORE KIDPOWER AREAS.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 13B	INCOME LEVEL OTHER THAN FPGOTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTRY'S MEDICALLY INDIGENT PROGRAM. ADDITIONALLY, THE ORGANIZATION USES ESTIMATED FEDERAL POVERTY GUIDELINES DEVELOPED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD.
PART V, SECTION B, LINE 16A	THE FAP 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 16B	THE 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 16C	A 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

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	ELIGIBILITY CRITERIA USED FOR DETERMINING FREE OR DISCOUNTED CARETHE MAJORITY OF CHARITY CARE IS GIVEN BASED EITHER IN THE FEDERAL POVERTY GUIDELINES ("FPG") AS CALCULATED FROM DOCUMENTATION AND STATEMENTS MADE ON THE INTERNAL JOHN MUIR HEALTH CHARITY CARE APPLICATION, OR ON THE FPG AS ESTIMATED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY HAD DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. JOHN MUIR HEALTH HAS NO INPUT INTO THE CRITERIA USED FOR THE ALGORITHM, WHICH IS THE SAME CALCULATION USED BY THE CONTRACTED THIRD PARTY FOR ALL OF THEIR CLIENTS NATIONWIDE.OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIAMEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTY'S MEDICALLY INDIGENT PROGRAM.IN ADDITION TO FORMAL QUALIFICATION IN A RECOGNIZED PROGRAM SERVING THE LOW-INCOME AND INDIGENT POPULATION, CHARITY CARE IS ALSO EXTENDED TO PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS AND WHO HAVE BEEN DOCUMENTED IN THE MEDICAL RECORDS AS BEING HOMELESS, OR HAVE A LACK OF HOUSING. CHARITY CARE IS ALSO APPLIED TO OUTSTANDING BALANCE FOR EMERGENCY SERVICES RENDERED TO DOCUMENTED MINOR AND ELDERLY VICTIMS OF ABUSE, BASED ON COMPASSION AS JOHN MUIR HEALTH HAS NO KNOWLEDGE OF THE CURRENT HOME ENVIRONMENT OF THESE PATIENTS. WE ALSO HAVE A PARTNERSHIP WITH A COMMUNITY PROGRAM, OPERATION ACCESS, WHICH SERVES THE LOW-INCOME INDIVIDUALS IN OUR COUNTY, TO PROVIDE FREE CARE ON A REFERRED, CASE-BY-CASE BASIS. OPERATION ACCESS HAS ALREADY PERFORMED THE SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.JMH CONTINUED A PARTNERSHIP WITH LA CLINICA DE LA RAZA TO PROVIDE SPECIALTY CARE FOR UNINSURED AND LOW INCOME PATIENTS. LA CLINICA DE LA RAZA HAS ALREADY PERFORMED SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.PART 1, LINE 4MEDICALLY INDIGENT CAREWE PROVIDE HEALTH CARE TO THE MOST VULNERABLE INDIVIDUALS OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY THROUGH OUR MEDICAL CENTERS IN WALNUT CREEK AND CONCORD. THIS INCLUDES THE CRITICAL EMERGENCY AND TRAUMA SERVICES AT OUR MEDICAL CAMPUSES.JOHN MUIR HEALTH HAS A NUMBER OF PROGRAMS TO HELP OUR PATIENTS WITH THEIR MEDICAL BILLS FOR SERVICES THEY RECEIVE AT ONE OF OUR MEDICAL CENTERS. THESE PROGRAMS INCLUDE A PATIENT ASSISTANCE PROGRAM TO ABSORB PART, OR ALL, OF THE BILL BASED ON INCOME AND OTHER PROGRAM GUIDELINES, ASSISTANCE ENROLLING IN A NUMBER OF INSURANCE PROGRAMS, AND EXTENDED PAYMENT PLANS. JOHN MUIR HEALTH MAY ALSO ASSIGN ACCOUNTS TO PRESUMPTIVE CHARITY, WITHOUT A PATIENT ASSISTANCE APPLICATION SUBMITTED BY THE PATIENT, BASED ON PREDETERMINED CRITERIA COLLECTED FROM APPROVED SOURCES. THIS CRITERIA INCLUDES:THE PATIENT HAVING DOCUMENTED IN HIS/HER MEDICAL RECORD AS BEING HOMELESS OR VERIFICATION RECEIVED THROUGH THE MEDICAL CENTER OR A FAMILY MEMBER THAT THE PATIENT IS CURRENTLY INCARCERATEDORTHE PATIENT QUALIFIES FOR A GOVERNMENT PROGRAM WITH ELIGIBILITY REQUIREMENTS THAT REASONABLY MEET THE QUALIFICATIONS FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM WITHIN SIX (6) MONTHS OF THE DATE THE PATIENT RECEIVED SERVICES AT THE MEDICAL CENTER.ORAFTER NORMAL COLLECTION EFFORTS HAVE NOT PRODUCED ANY PAYMENT, AND JOHN MUIR HEALTH HAS IDENTIFIED WITH REASONABLE EFFORT AND ASSURANCE THAT THE PATIENT'S ESTIMATED INCOME IS AT 250 PERCENT OR LESS OF THE FPL (FEDERAL POVERTY LEVEL).
PART I, LINE 6A:	COMMUNITY BENEFIT REPORTALL JOHN MUIR HEALTH ENTITIES (WALNUT CREEK CAMPUS, CONCORD CAMPUS AND BEHAVIORAL HEALTH) REPORT COMMUNITY BENEFIT INFORMATION AS PART OF THE JOHN MUIR HEALTH ANNUAL COMMUNITY BENEFIT REPORT.
PART I, LINE 7:	FINANCIAL ASSISTANCE POLICYJOHN MUIR HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS.PART I, LINE 7, COLUMN (F)FINANCIAL ASSISTANCE PERCENT OF TOTAL EXPENSETHE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $28,499,935
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIESJOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEET THE DEFINITION OF COMMUNITY BENEFIT. IN 2021, WE PROVIDED SUPPORT TO ORGANIZATIONS WHOSE MISSION IS TO ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS THROUGH EVENT SPONSORSHIP. LASTLY, JOHN MUIR HEALTH WORKS WITH A WIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TO HEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS,WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THE FOLLOWING AREAS:1. REGISTERED NURSING2. MEDICAL ASSISTANTS3. MEDICAL IMAGING TECHNOLOGY4. SONOGRAPHERS5. CLINICAL LAB SCIENTIST6. PHARMACIST AND PHARMACY TECHS7. THERAPIST/PHYSICAL, OCCUPATIONAL AND SPEECH8. ENGINEERING AND BIO ENGINEERING9. NUTRITION SERVICES/DIETITIANS AND CHEFS10. INFORMATION TECHNOLOGY11. HEALTHCARE ADMINISTRATION12. FAMILY MEDICINE PHYSICIANS13. EMERGENCY SERVICES/ER TECHS, PHYSICIANS AND NURSESPARTNERS:1. EAST COUNTY BUSINESS EDUCATION ALLIANCE2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH UNDERSERVED POPULATION.3. JEWISH VOCATION SERVICES (JVS) - DISPLACED WORKER TRAINING TO GET BACK IN THE WORKFORCE4. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE5. BAY AREA COUNCIL6. EAST BAY HEALTH WORKFORCE PARTNERSHIPSTUDENTS:1. 17 HIGH SCHOOLS AND HEALTH ACADEMIES2. 14 UNIVERSITIES3. 9 STATE COLLEGES4. 8 JUNIOR COLLEGES5. 7 PRIVATE COLLEGES
PART III, LINE 2:	BAD DEBT EXPENSEBAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT.
PART III, LINE 4:	FINANCIAL STATEMENT FOOTNOTETHE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN THE JOHN MUIR HEALTH AND SUBSIDIARIES CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	SHORTFALL TREATED AS COMMUNITY BENEFITTHE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2021 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).
PART III, LINE 9B:	COLLECTION PRACTICESOTHER THAN SENDING STATEMENTS AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTION INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO AN OUTSIDE AGENCY. THE COLLECTION POLICY IS IN THE FORM OF, AND INCORPORATED INTO, THE CONTRACT AGREEMENT WITH THE OUTSIDE AGENCY AS A FULL ADDENDUM TO THE CONTRACT, WITH A SEPARATESIGNATURE LINE FOR JOHN MUIR HEALTH AND THE AGENCY AS PART OF THE ADDENDUM. IN ADDITION TO THE CUSTOMIZED JOHN MUIR HEALTH COLLECTION GUIDELINES, THE ADDENDUM ALSO CONTAINS THE COLLECTION CRITERIA AND REQUIREMENTS FOUND IN CALIFORNIA LAW UNDER ASSEMBLY BILL 774.
PART VI, LINE 2:	NEEDS ASSESSMENTTHE 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/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.
PART VI, LINE 4:	COMMUNITY INFORMATIONJOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREAS EXTENDS FROM SOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SAN RAMON IN SOUTHERN CONTRA COSTA COUNTY. 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 A 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 CRITERIARESULTS 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 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 6,300 IN 2021.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 LEADERAND 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 110,739 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN2021.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 2021, WE PROVIDED $8.3 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $85.8 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 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 FUND 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 A 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: HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-FUND.HTMLJOHN MUIR PHYSICIAN NETWORK1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE 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 OVER1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG) OR JOHN MUIR SPECIALTY MEDICAL GROUP. 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 HEALTH CENTER, THE HEALTH SYSTEM'S FULLY ACCREDITED, 73 BED PSYCHIATRIC HOSPITAL LOCATED IN CONCORD. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER OFFERS PSYCHIATRIC TREATMENT FOR ADULTS, CHILDREN AND ADOLESCENT WHO ARE EXPERIENCING EMOTIONAL OR BEHAVIORAL PROBLEMS. FOR THOSE WHO AREDEPENDENT ON ALCOHOL OR DRUGS, THE BEHAVIORAL HEALTH CENTER OFFERS A FULL ARRAY OF CHEMICAL DEPENDENCY TREATMENT PROGRAMS. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH.JOHN MUIR HEALTH FOUNDATION1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION. THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule H (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
JOHN MUIR HEALTH

Employer identification number
94-1461843

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BLVD WALNUT CREEK,CA94597	68-0360801	501(C)(3)	123,500,170	N/A	N/A	GENERAL SUPPORT
(2) JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BLVD WALNUT CREEK,CA94597	68-0249685	501(C)(3)	6,807,010	N/A	N/A	GENERAL SUPPORT
(3) JOHN MUIR HEALTH FOUNDATION 1400 TREAT BLVD WALNUT CREEK,CA94597	94-2650855	501(C)(3)	3,952,102	N/A	N/A	GENERAL SUPPORT
(4) JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND 5003 COMMERCIAL CIRCLE SUITE 275 CONCORD,CA94520	91-1788973	501(C)(3)	1,334,193	N/A	N/A	COMMUNITY SUPPORT
(5) FRED FINCH YOUTH CENTER 3800 COOLIDGE AVENUE OAKLAND,CA94602	94-0474080	501(C)(3)	393,079	N/A	N/A	COMMUNITY SUPPORT
(6) MEALS ON WHEELS 1300 CIVIC DRIVE WALNUT CREEK,CA94596	68-0044205	501(C)(3)	235,000	N/A	N/A	COMMUNITY SUPPORT
(7) RYSE CENTER 205 41ST STREET RICHMOND,CA94805	26-0692904	501(C)(3)	180,000	N/A	N/A	COMMUNITY SUPPORT
(8) ULTIMATE SPORTS ASSOCIATION 2675 MITCHELL DRIVE WALNUT CREEK,CA94598	47-4361038	501(C)(3)	178,388	N/A	N/A	ULTIMATE FIELDHOUSE SPONSORSHIP
(9) OPERATION ACCESS 1119 MARKET STREET SUITE 400 SAN FRANCISCO,CA94103	94-3180356	501(C)(3)	150,000	N/A	N/A	COMMUNITY SUPPORT
(10) MONUMENT IMPACT 1760 CLAYTON ROAD CONCORD,CA94520	94-3370919	501(C)(3)	138,500	N/A	N/A	20TH ANNIVERSARY GALA
(11) CONTRA COSTA CARES 3720 BARRETT AVE RICHMOND,CA94805	68-0325428	501(C)(3)	125,000	N/A	N/A	FINANCIAL SUPPORT
(12) CONTRA COSTA CLUBHOUSES INC 3024 WILLOW PASS ROAD STE 230 CONCORD,CA94519	20-8873338	501(C)(3)	125,000	N/A	N/A	COMMUNITY SUPPORT
(13) CENTER FOR HUMAN DEVELOPMENT 901 SUNVALLEY BLVD CONCORD,CA94520	94-2520840	501(C)(3)	90,000	N/A	N/A	COMMUNITY SUPPORT
(14) PLANTING JUSTICE 319 105TH AVENUE OAKLAND,CA94603	27-0334905	501(C)(3)	82,000	N/A	N/A	COMMUNITY SUPPORT
(15) MOBILITY MATTERS 1035 A CAROL LANE LAFAYETTE,CA94549	51-0206190	501(C)(3)	70,000	N/A	N/A	COMMUNITY SUPPORT
(16) WOMEN'S CANCER RESEARCH CENTER 2908 ELLSWORTH ST BERKELEY,CA94705	94-3131204	501(C)(3)	70,000	N/A	N/A	COMMUNITY SUPPORT
(17) ALAMO ROTARY FOUNDATION PO BOX 303 ALAMO,CA94507	77-0600752	501(C)(3)	60,000	N/A	N/A	COMMUNITY SUPPORT
(18) CONTRA COSTA FAMILY JUSTICE CENTER 256 24TH STREET RICHMOND,CA94804	47-4082871	501(C)(3)	60,000	N/A	N/A	COMMUNITY SUPPORT
(19) ALAMEDA COUNTY COMMUNITY FOOD BANK INC PO BOX 2599 OAKLAND,CA94614	94-2960297	501(C)(3)	50,000	N/A	N/A	COMMUNITY SUPPORT
(20) FOOD BANK OF CONTRA COSTA & SOLANO 4010 NELSON AVENUE CONCORD,CA94520	94-2418054	501(C)(3)	50,000	N/A	N/A	COMMUNITY SUPPORT
(21) HOPE SOLUTIONS 535 MAIN ST SE 209 MARTINEZ,CA94553	91-1797391	501(C)(3)	50,000	N/A	N/A	COMMUNITY SUPPORT
(22) MONUMENT CRISIS CENTER 1900 MARKET ST CONCORD,CA94520	41-2111171	501(C)(3)	50,000	N/A	N/A	COMMUNITY SUPPORT
(23) PHILLIP DORN RESPITE CENTER 2400 BISSO DRIVE SUITE D2 CONCORD,CA94520	94-6000509	CONTRA COSTA CTY	50,000	N/A	N/A	COMMUNITY SUPPORT
(24) TRINITY CENTER WALNUT CREEK 1924 TRINITY AVENUE WALNUT CREEK,CA94596	37-1706813	501(C)(3)	50,000	N/A	N/A	COMMUNITY SUPPORT
(25) VILLAGE COMMUNITY RESOURCES CENTER 633 VILLAGE DR BRENTWOOD,CA94513	41-2045701	501(C)(3)	50,000	N/A	N/A	COMMUNITY SUPPORT
(26) WHITE PONY EXPRESS 3380 VINCENT ROAD 107 PLEASANT HILL,CA94523	46-5220565	501(C)(3)	40,175	N/A	N/A	COMMUNITY SUPPORT
(27) ONE DAY AT A TIME (COMMUNITY INITIATIVES) 354 PINE ST STE 700 SAN FRANCISCO,CA94104	94-3255070	501(C)(3)	37,500	N/A	N/A	COMMUNITY SUPPORT
(28) HEALTHY AND ACTIVE BEFORE 5 1035 DETROIT AVE CONCORD,CA94518	94-2383037	501(C)(3)	35,000	N/A	N/A	COMMUNITY SUPPORT
(29) INDEPENDENT LIVING RESOURCES 1850 GATEWAY BLVD STE 170 CONCORD,CA94520	68-0048218	501(C)(3)	35,000	N/A	N/A	COMMUNITY SUPPORT
(30) JUNIOR ACHIEVEMENT OF NORTHERN CALIFORNIA 3003 OAK ROAD NO 130 WALNUT CREEK,CA94597	94-1322179	501(C)(3)	34,650	N/A	N/A	COMMUNITY SUPPORT
(31) KEROSENE LAMP FOUNDATION 174 CRESVIEW DRIVE ORINDA,CA94563	01-0857784	501(C)(3)	25,000	N/A	N/A	BACK PACK DRIVE
(32) SUPPORT 4 RECOVERY INC PO BOX 31114 WALNUT CREEK,CA94598	61-1538303	501(C)(3)	25,000	N/A	N/A	COMMUNITY SUPPORT
(33) BIKE EAST BAY PO BOX 1736 OAKLAND,CA94604	94-2585652	501(C)(3)	20,000	N/A	N/A	COMMUNITY SUPPORT
(34) CANCER SUPPORT COMMUNITY 3276 MCNUTT AVE WALNUT CREEK,CA94597	68-0157858	501(C)(3)	20,000	N/A	N/A	FILM FESTICAL & CHARITY GALA
(35) DENTISTS ON WHEELS 3049 STONEGATE DR ALAMO,CA94507	84-2234407	501(C)(3)	20,000	N/A	N/A	COMMUNITY SUPPORT
(36) FRESH APPROACH 5060 COMMERCIAL CIRCLE CONCORD,CA94520	26-2438206	501(C)(3)	20,000	N/A	N/A	COMMUNITY SUPPORT
(37) HOSPICE OF THE EAST BAY 3470 BUSKIRK AVE PLEASANT HILL,CA94523	94-2515405	501(C)(3)	20,000	N/A	N/A	CELEBRATION CARE
(38) ORDER OF MALTA CLINIC OF NORTHERN CA 2121 HARRISON STREET NO 110 OAKLAND,CA94612	20-5969389	501(C)(3)	20,000	N/A	N/A	COMMUNITY SUPPORT
(39) HEALTH CAREER CONNECTION INC 300 FRANK H OGAWA PLAZA NO 243 OAKLAND,CA94612	25-1904312	501(C)(3)	15,000	N/A	N/A	SUMMER 2021 - NORCAL
(40) ROCK THE CASA 1839 YGNACIO VALLEY ROAD NO 312 WALNUT CREEK,CA94598	45-5443924	501(C)(3)	15,000	N/A	N/A	COMMUNITY SUPPORT
(41) 18 REASONS 3674 18TH STREET SAN FRANCISCO,CA94110	45-3059509	501(C)(3)	12,000	N/A	N/A	COMMUNITY SUPPORT
(42) SUPERINTENDENT OF SCHOOLS CCCOE 77 SANTA BARBARA ROAD PLEASANT HILL,CA94523	94-2675635	CONTRA COSTA CTY	12,000	N/A	N/A	COMMUNITY SUPPORT
(43) AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS,TX75231	13-5613797	501(C)(3)	10,000	N/A	N/A	COMMUNITY SUPPORT
(44) CONTRA COSTA REGIONAL HEALTH FOUNDATION 50 DOUGLAS DRIVE NO 310A MARTINEZ,CA94553	20-0555977	501(C)(3)	10,000	N/A	N/A	COMMUNITY PLANNING
(45) KIDPOWER 2817 ASHBY AVE BERKELEY,CA94705	77-0226712	501(C)(3)	10,000	N/A	N/A	COMMUNITY SUPPORT
(46) LA CLINICA DE LA RAZA INC PO BOX 22210 OAKLAND,CA94623	94-1744108	501(C)(3)	10,000	N/A	N/A	FUND-A-NEED & 50 YEAR CELEBRATION
(47) RISE UP AGAINST RACISM INC 3737 WATERFORD LN WALNUT CREEK,CA94598	85-2472161	501(C)(3)	10,000	N/A	N/A	COMMUNITY SUPPORT
(48) THE UNITY COUNCIL 1900 FRUITVALE AVE OAKLAND,CA94601	94-1670490	501(C)(3)	10,000	N/A	N/A	PROGRAM SUPPORT-DIA DE LOS MUERTOS
(49) WALNUT CREEK SENIORS CLUB 1375 CIVIC DRIVE WALNUT CREEK,CA94596	94-2784218	501(C)(3)	10,000	N/A	N/A	COMMUNITY SUPPORT
(50) OPPORTUNITY JUNCTION 3102 DELTA FAIR BOULEVARD ANTIOCH,CA94509	68-0459131	501(C)(3)	9,000	N/A	N/A	GALA SPONSORSHIP
(51) ASIAN HEALTH SERVICES 818 WEBSTER STREET OAKLAND,CA94607	94-2235908	501(C)(3)	7,500	N/A	N/A	4TH ANNULA GAA SPONSORSHIP
(52) ALZHEIMER'S ASSOCIATION 3675 MT DIABLO BLVD SUITE 250 LAFAYETTE,CA94549	13-3039601	501(C)(3)	6,000	N/A	N/A	EAST BAY WALK TO END ALZHEIMER

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	GRANT MONITORING PROCESS JOHN MUIR HEALTH FINANCIAL MANAGEMENT MONITORS THE USE OF RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES.

Schedule I (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CALVIN KNIGHT CEO/DIRECTOR/PRESIDENT	(i) (ii)	1,377,460 ------------- 0	2,050,413 ------------- 0	799,816 ------------- 0	1,588,903 ------------- 0	25,681 ------------- 0	5,842,273 ------------- 0	2,050,413 ------------- 0
2JANE WILLEMSEN EXEC VP/PRESIDENT HOSPITAL OPS	(i) (ii)	820,442 ------------- 0	445,672 ------------- 0	1,884,297 ------------- 0	903,870 ------------- 0	23,906 ------------- 0	4,078,187 ------------- 0	445,672 ------------- 0
3MICHAEL THOMAS EXEC VP/CHIEF TRANSFORMATION	(i) (ii)	715,568 ------------- 0	402,302 ------------- 0	19,278 ------------- 0	684,519 ------------- 0	23,168 ------------- 0	1,844,835 ------------- 0	402,302 ------------- 0
4CHRISTIAN PASS SENIOR VP/CFO	(i) (ii)	701,583 ------------- 0	322,443 ------------- 0	11,696 ------------- 0	502,984 ------------- 0	32,316 ------------- 0	1,571,022 ------------- 0	322,443 ------------- 0
5LISA FOUST SR VP HUMAN RESOURCES	(i) (ii)	547,408 ------------- 0	196,516 ------------- 0	19,758 ------------- 0	288,548 ------------- 0	32,316 ------------- 0	1,084,546 ------------- 0	196,516 ------------- 0
6MAX REYNOLDS SR VP/GENERAL COUNSEL	(i) (ii)	543,213 ------------- 0	195,010 ------------- 0	13,474 ------------- 0	256,843 ------------- 0	20,904 ------------- 0	1,029,444 ------------- 0	195,010 ------------- 0
7GEORGE SAUTER SR VP/CHIEF STRATEGY OFFICER	(i) (ii)	505,976 ------------- 0	182,261 ------------- 0	23,165 ------------- 0	263,613 ------------- 0	19,519 ------------- 0	994,534 ------------- 0	182,261 ------------- 0
8IRVING PIKE MD SR VP/CHIEF MEDICAL OFFICER	(i) (ii)	343,301 ------------- 0	233,087 ------------- 0	129,507 ------------- 0	238,480 ------------- 0	12,872 ------------- 0	957,247 ------------- 0	233,087 ------------- 0
9MICHELLE LOPES RN CHIEF NURSING EXECUTIVE	(i) (ii)	437,226 ------------- 0	157,495 ------------- 0	16,871 ------------- 0	285,794 ------------- 0	20,904 ------------- 0	918,290 ------------- 0	157,495 ------------- 0
10WILLIAM HUDSON SR VP/CIO (THRU 9/3/21)	(i) (ii)	321,858 ------------- 0	157,490 ------------- 0	149,105 ------------- 0	180,246 ------------- 0	16,752 ------------- 0	825,451 ------------- 0	157,490 ------------- 0
11MICHAEL MONALDO VP/FACILITIES DEVELOPMENT	(i) (ii)	380,600 ------------- 0	137,098 ------------- 0	10,948 ------------- 0	194,572 ------------- 0	18,154 ------------- 0	741,372 ------------- 0	137,098 ------------- 0
12JON RUSSELL FORMER SR VP/CIO	(i) (ii)	0 ------------- 0	0 ------------- 0	226,053 ------------- 0	0 ------------- 0	0 ------------- 0	226,053 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES JOHN MUIR HEALTH PAYS UP TO 50% OF HEALTH CLUB DUES FOR EXECUTIVE DIRECTORS OF OPERATIONS, VICE PRESIDENTS AND ABOVE. THESE BENEFITS ARE TREATED AS TAXABLE INCOME TO THESE INDIVIDUALS.
PART I, LINE 4A:	SEVERANCE PAYMENTS A SEVERANCE PAYMENT OF $226,052,780 WAS MADE TO JON RUSSELL IN CONNECTION WITH HIS SEPERATION OF SERVICE ON SEPTEMBER 30, 2019. A SEVERANCE PAYMENT OF $137,669 WAS MADE TO WILLIAM HUDSON IN CONNECTION WITH HIS SEPARATION OF SERVICE ON SEPTEMBER 3, 2021. THIS TAXABLE COMPENSATION WAS REPORTED IN PART II, COLUMN (B)(III).
PART I, LINE 4B:	NON-QUALIFIED RETIREMENT PLANS RETIREMENT RESTORATION PLAN EMPLOYEES ELIGIBLE FOR THE RETIREMENT RESTORATION PLAN ARE EITHER SENIOR VICE PRESIDENT OR VICE PRESIDENT LEVEL EMPLOYEES. EMPLOYER CONTRIBUTIONS ARE MADE TO THE PLAN ON BEHALF OF ELIGIBLE EMPLOYEES. THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLAN BENEFIT IS REPORTED IN PART II, COLUMN C. VESTING FOR THE RESTORATION PLAN IS AT THE EARLIEST OF THE FOLLOWING: REACHING AGE 65 WITH AT LEAST THREE YEARS OF SERVICE, BECOMING TOTALLY AND PERMANENTLY DISABLED, INVOLUNTARY TERMINATION FOR ANY REASON OTHER THAN CAUSE, CHANGE OF CONTROL OF JOHN MUIR HEALTH, OR DEATH. RESTORATION PLAN BENEFITS ARE PAYABLE AND TAXABLE UPON VESTING. NO PLAN BENEFIT PAYMENTS WERE MADE DURING THE YEAR. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT DURING THE YEAR: IRVING PIKE, M.D. $103,257 MAX REYNOLDS $51,554 GEORGE SAUTER $65,238 LISA FOUST $81,741 WILLIAM HUDSON $41,461 MICHELLE LOPES $119,094 MICHAEL MNALDO $48,335 SUPPLEMENTAL EXECUTIVE PLAN EMPLOYEES ELIGIBLE FOR THE SUPPLEMENTAL EXECUTIVE PLAN ARE EITHER CEO OF JOHN MUIR HEALTH, CEO OR CAO OF JOHN MUIR PHYSICIAN NETWORK, AND CURRENT EMPLOYEES THAT PREVIOUSLY HELD ONE OF THOSE POSITIONS. EMPLOYER CONTRIBUTIONS ARE MADE TO THE PLAN ON BEHALF OF ELIGIBLE EMPLOYEES. THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLAN BENEFIT IS REPORTED IN PART II, COLUMN C. VESTING FOR THE SUPPLEMENTAL EXECUTIVE PLAN IS AT THE EARLIEST OF THE FOLLOWING: REACHING AGE 65 WITH AT LEAST THREE YEARS OF SERVICE, BECOMING DISABLED, INVOLUNTARY TERMINATION FOR ANY REASON OTHER THAN CAUSE, TERMINATION UPON CHANGE OF CONTROL OF JOHN MUIR HEALTH, OR DEATH. BENEFITS ARE PAYABLE AND TAXABLE UPON VESTING. THE FOLLOWING PLAN BENEFIT PAYMENTS WERE MADE DURING THE YEAR - $740,386 TO CALVIN KNIGHT AND $1,845,103 TO JANE WILLEMSEN. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT DURING THE TAX YEAR: CHRISTIAN PASS $167,586 CALVIN KNIGHT $729,790 JANE WILLEMSEN $420,181 MICHAEL THOMAS $268,888

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
JOHN MUIR HEALTH

Employer identification number
94-1461843

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	NONEAVAIL	05-23-2012	89,800,000	SEE PART IV		X		X		X
B	CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	13080SMW1	06-09-2016	353,140,040	SEE PART IV		X		X		X
C	CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	13080STN4	05-15-2018	92,473,440	REFUNDING OF 2017 BONDS		X		X		X
D	CA STATEWIDE COMMUNITY DEVELOPMENT AUTHORITY	68-0164610	NONEAVAIL	08-15-2019	51,532,082	REFUNDING OF 2012B BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	81,236,250
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	89,800,000		354,957,913		92,473,440		51,532,082
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	502,197		3,133,280		1,419,493		482,082
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	127,803
10 Capital expenditures from proceeds .............			17,965,830
11 Other spent proceeds .............	89,170,000		300,002,560		91,053,947		51,050,000
12 Other unspent proceeds .............			33,723,745
13 Year of substantial completion .............	2012				2018		2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X	X
16 Has the final allocation of proceeds been made? ..........	X			X	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.010 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.010 %		0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.020 %		0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X			X
b Exception to rebate? ........	X			X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X		X			X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
PART I, LINE A, COLUMN (F)	DESCRIPTION OF BOND PURPOSE THE BONDS WERE ISSUED FOR THE PURPOSE OF REFUND AND PAYMENT IN FULL OF THE OUTSTANDING PRINCIPAL AMOUNT AND INTEREST DUE ON THE 1997 CERTIFICATES OF PARTICIPATION AND THE SERIES 2008B BONDS ISSUED 10/29/1997 AND 5/2/2008 RESPECTIVELY.
PART I, LINE B, COLUMN (F)	DESCRIPTION OF BOND PURPOSE THE BONDS WERE ISSUED FOR THE PURPOSES OF REFUNDING BONDS ISSUED 6/14/2006 AND 5/2/2008 AND FINANCING CAPITAL EXPENDITURES.
PART II, LINE 3, COLUMN B	TOTAL PROCEEDS FROM ISSUE THE $353,140,040 OF BOND PROCEEDS INCLUDE $1,817,873 OF TOTAL EARNINGS SINCE 2016 ON THE UNSPENT PROCEEDS.
PART III, LINE 3B	MANAGEMENT, SERVICES CONTRACTS OR RESEARCH AGREEMENTS JOHN MUIR HEALTH ENGAGES BOND COUNSEL IN CONNECTION WITH PUBLIC DEBT OFFERINGS OR REFINANCING, DURING WHICH BOND COUNSEL REVIEWS MANAGEMENT OR SERVICE CONTRACTS RELATED TO FINANCED PROPERTY.
PART III, LINE 9 & PART V	WRITTEN DISCLOSURES WHILE THE ORGANIZATION DID NOT HAVE BOARD APPROVED WRITTEN POLICIES AND PROCEDURES IN PLACE AS OF THE YEAR END, THE ORGANIZATION DID MONITOR COMPLIANCE WITH THE POST-ISSUANCE REQUIREMENTS IMPOSED ON THE BONDS. THE ORGANIZATION HAS DRAFTED FORMAL WRITTEN POLICIES AND PROCEDURES THAT ARE PENDING BOARD REVIEW AND APPROVAL.

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Return Reference	Explanation
FORM 990, PART III, LINE 3	JOHN 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 4D, PROGRAM SERVICE ACCOMPLISHMENTS:	OTHER SERVICES OFFERED AT JOHN MUIR HEALTH (JMH) ARE: REHABILITATION SERVICES BOTH INPATIENT AND OUTPATIENT, IN 2021 CONTINUED TO SUPPORT THE HEALTH SYSTEM IN DELIVERING HIGH QUALITY THERAPY REHABILITATION CARE AS PART OF THE EFFORT TO FIGHT THE COVID-19 PANDEMIC. JOHN MUIR HEALTH'S REHABILITATION DEPARTMENT SUCCESSFULLY NAVIGATED THE PUBLIC HEALTH EMERGENCY COVID WAIVERS, WE THE DEPARTMENT 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. THE OUTPATIENT DIVISION, BY QUARTER 4, SAW A NEAR FULL RESUMPTION OF SERVICES AND VOLUMES COMMENSURATE TO PRE-PANDEMIC STATUS. THE NEW TICE VALLEY ROSSMOOR OUTPATIENT CLINIC PARTICIPATE IN THE FALL PREVENTION AWARENESS EVENT FOR THE ROSSMOOR COMMUNITY. JOHN MUIR HEALTH'S INPATIENT REHABILITATION UNIT ADMITTED 479 PATIENTS IN 2021, WITH STROKE REPRESENTING THE HIGHEST ADMITTING DIAGNOSIS AT 40.6%, WITH 88.2% DISCHARGING TO HOME; FOLLOWED BY NON TRAUMATIC SPINAL CORD INJURY AT 14.8%, NON TRAUMATIC BRAIN INJURY AT 10.6%. THE AVERAGE LENGTH OF STAY IN 2021 WAS 13.5 DAYS. TOTAL REHAB POPULATION IN 2021 DISPOSITION AT DISCHARGE TO COMMUNITY WAS AT 85.4%. WE CONTINUE TO EXCEED REGIONAL AND NATIONAL OUTCOMES FOR MEDICARE QUALITY INDICATOR MEASURES AS PUBLISHED ON THE MEDICARE CARE COMPARE WEBSITE: INPATIENT REHABILITATION FACILITY PATIENT ASSESSMENT INSTRUMENT (IRF-PAI) DATA COMPLETENESS; DISCHARGE IN MOBILITY; SKIN INTEGRITY-PRESSURE ULCER/INJURY; AND FALLS. QUALITY MEASURES FOR SELF-CARE AND PATIENT MOBILITY SCORES ARE ALSO AREAS WHERE JMH'S REHAB IRF EXCELLED IN. INPATIENT ACUTE REHABILITATION ALSO UNDERWENT MEDICARE REVIEW AUDITS IN 2021 BY TWO DIFFERENT REVIEWER SUBCONTRACTORS. REHABILITATION SUCCESSFULLY PASSED BOTH AUDITS WITH ZERO FINDINGS. DEVELOPMENT OF CANCER NETWORK IN PARTNERSHIP WITH UCSF - JANUARY 21, 2021, DIABLO VALLEY ONCOLOGY, PACIFIC UROLOGY AND WEST COAST SURGICAL ASSOCIATES CAME INTO AGREEMENT TO JOIN JOHN MUIR HEALTH. THIS IS A SIGNIFICANT STEP FORWARD TOWARD REALIZING OUR CANCER NETWORK VISION WITH UCSF HEALTH TO CONQUER CANCER BY IMPROVING PREVENTION, DIAGNOSIS, TREATMENT, AND CARE COORDINATION FOR PATIENTS CLOSE TO HOME. - THE ADDITION OF THESE OUTSTANDING PROVIDER GROUPS WILL CONTINUE THE GROWTH, CAPABILITIES, AND EXCELLENCE OF JOHN MUIR HEALTH'S MEDICAL ONCOLOGY, RADIATION ONCOLOGY, HEMATOLOGY, UROLOGY AND GENERAL AND SPECIALIZED SURGICAL SERVICES. THEY WILL BE INSTRUMENTAL IN THE DEVELOPMENT OF THE UCSF-JOHN MUIR HEALTH CANCER NETWORK, WHICH INCLUDES THE BERKELEY OUTPATIENT CENTER AND THE BUILDING OF A NEW CANCER CENTER ON OUR WALNUT CREEK MEDICAL CENTER CAMPUS. DIABLO VALLEY ONCOLOGY, PACIFIC UROLOGY AND WEST COAST SURGICAL ASSOCIATES HAVE LONG-STANDING AND DEEP COMMITMENTS TO THEIR PATIENTS, JOHN MUIR HEALTH AND THE COMMUNITIES WE SERVE. CANCER CENTER DESIGN/DEVELOPMENT ON WALNUT CREEK CAMPUS IS IN PROGRESS WITH BUILDING SCHEDULED FOR COMPLETION IN FEBRUARY 2024. QUALITY/COMMUNICATION/ACCESS/RESEARCH/EDUCATION (QCARE) LAUNCH PLANS DECEMBER - QCARE STEERING CHARTERED AND MEMBERS CONFIRMED. - WORKGROUP STRUCTURE AND COMPOSITION DRAFTED. - JMH & UCSF WORKGROUP LEADERS MEETING TO DISCUSS HIGH LEVEL PLANS FOR IMPLEMENTATION. ALREADY BEGUN: - PHASE 1 CO-BRANDING DISCUSSIONS FOR MEDICAL ONCOLOGY AND INFUSION CLINICS. - UCSF HEMATOLOGY AND ONCOLOGY CONFERENCE INVITES FOR JOHN MUIR HEALTH CANCER MEDICAL GROUP. ONCOLOGY AND SPECIALTY SERVICES THORACIC PROGRAM - JOHN MUIR HEALTH'S THORACIC PROGRAM WILL BE 1 OF 2 CENTERS IN THE COUNTRY AND THE ONLY ONE IN THE WESTERN US TO BE ASKED TO PARTICIPATE IN JOHNSON AND JOHNSON'S LUNG CANCER INITIATIVE'S CLEAR STUDY. - THORACIC STUDIES OPEN AND ENROLLING FOR BOTH TREATMENT TRIALS AND BIOMARKER STUDIES. - PENDING 2 NEW LUNG CANCER STUDIES. - CESSATION AND SCREENING TO SAVE LIVES (CASTL) SMOKING CESSATION STUDY DONE IN CONJUNCTION WITH MEMORIAL SLOAN KETTERING FOR CURRENT SMOKER IN THE LUNG CANCER SCREENING PROGRAM HAS NOW CLOSED TO ACCRUAL. NEW TECHNOLOGY - AQUYRE BIOSCIENCES CELTIVITY PURCHASED AND FIRST CASE DONE IN 10/2021 ALLOWING FOR BIOPSY RESULTS TO BE AVAILABLE WITHIN 2 MINUTES. MARKETING /SOCIAL MEDIA ACTIVITY - KTVU INTERVIEW LUNG CANCER AWARENESS MONTH 11/10/2021. - BBC INTERVIEW 5/2021. - SOCIAL MEDIA POSTING FOREGUT CENTER OF EXCELLENCE - 5/2021. - SOCIAL MEDIA POSTING ESOPHAGEAL CANCER AWARENESS MONTH 4/2021. - JOHNSON & JOHNSON MONARCH COMMERCIAL FEATURING DR. TSAI. - CELEBRATION ON 5/5/2021 TO ACKNOWLEDGE DR. TSAI'S 1000 ROBOTIC SURGERIES. PHYSICIAN EDUCATION - A CLOSER LOOK ROBOTIC-ASSISTED BRONCHOSCOPY" WEBINAR ON 4/29/2021. - STAGING, AND TREATMENT OF LUNG CANCER AT JOHN MUIR HEALTH." WEBINAR ON 11/19/2021. PULMONARY PROGRAM (PNP) - 536 EXAMS WERE ADDED FOR 422 PATIENTS. LUNG CANCER SCREENING PROGRAM - 593 ANNUAL LUNG CANCER SCREENING EXAMS. - 50 INTERIM EXAMS COMPLETED FOR A 3 OR 6 MONTH FOLLOW UP. - 7 PATIENTS SENT FOR A BIOPSY. - 6 PATIENTS DIAGNOSED. ROBOTIC ASSISTED BRONCHOSCOPY (MONARCH) - 43 ROBOTIC NAVIGATIONAL BRONCHOSCOPY CASES USING THE MONARCH SYSTEM IN 2021. WITH AN AVERAGE OF 3 HOURS. - ADDITIONAL PHYSICIANS TRAINED AND RECEIVED PRIVILEGES, 3 PULMONOLOGISTS. - FOREGUT CENTER OF EXCELLENCE - MENTORING SITE 15 PHYSICIANS ATTENDED. APHERESIS PROGRAM - 2021 TOTAL: 151 APHERESIS TREATMENTS FOR BOTH WCMC AND CMC. - PHYSICIAN EDUCATION, DECEMBER 9, 2021, BY DR. JAN HOFMANN ON FH, ELEVATED LP(A), FSGS, AND THE EFFICACY OF LIPOPROTEIN APHERESIS: 2019 ASFA APHERESIS GUIDELINES AND UNMET NEED. LIPID APHERESIS IS USED TO TREAT PATIENTS WITH SEVERE HYPERLIPIDEMIA IN CASES WHERE STANDARD MEDICATION DOES NOT WORK. THESE PATIENTS ARE AT HIGH RISK OF CARDIAC EVENT. CLINICAL RESEARCH ONCOLOGY - CLINICAL TRIAL PORTFOLIO EXPANSION: ACCRUAL OF 8% ANALYTIC CASES 2021 (INTEGRATED NETWORK CANCER PROGRAM STANDARD > 6% ACCRUAL). GENETIC COUNSELING PROGRAM - GENETIC COUNSELING, PATIENTS SEEN 2035, OTHER ENCOUNTERS 193. BREAST HEALTH SERVICES PROGRAM / NURSE PRACTITIONER AND NURSE NAVIGATION - NURSE NAVIGATOR /PRACTITIONER SERVICES: 3,345 ENCOUNTERS. - PATIENT EDUCATION & SUPPORT FROM SCREENING, DIAGNOSIS, THROUGH SURVIVORSHIP. - ASSIST PATIENTS DURING VISITS TO MEDICAL IMAGING, HOSPITALS, AND/OR BREAST HEALTH CENTERS. - FACILITATE THE COORDINATION OF DIAGNOSIS & TREATMENT. - COORDINATE WEEKLY PRETREATMENT PLANNING CONFERENCES & BREAST TUMOR BOARDS. - COUNSEL ON MEDICATIONS & SIDE EFFECT MANAGEMENT. - ASSIST PATIENTS WITH ACCESS OR INFORMATION TO THE FOLLOWING PROGRAMS: - GENETIC COUNSELING/TESTING & CANCER RISK ASSESSMENT. - HIGH-RISK CANCER PROGRAM. - CLINICAL TRIALS. - PHYSICAL THERAPY & LYMPHEDEMA PROGRAM. INTENTIONAL CHARITY CARE/ UNDERSERVED SCREENING/TREATMENT PROGRAM EXPANSION: INPATIENT/OUTPATIENT SPECIALTY CARE: UNINSURED / UNDERSERVED INDIVIDUALS REFERRED - PATIENT CENTRIC SERVICES: BREAST NURSE NAVIGATION=1,640. HIGH RISK CANCER PROGRAM CONSULTS=304. - INTENTIONAL CHARITY CARE / UNDERSERVED CANCER SCREENING PROGRAM EXPANSION: INPATIENT/OUTPATIENT SPECIALTY CARE: UNINSURED / UNDERSERVED INDIVIDUALS REFERRED FROM LA CLINICA RECEIVE ALL DIAGNOSTIC AND TREATMENT AT JMH. STARTED NOV 2011. 295 REFERRALS; 763 VISITS; NURSE NAVIGATION PROVIDED. - "EVERY WOMAN COUNTS" (BREAST AND CERVICAL CANCER SCREENING FOR UNINSURED/UNDERSERVED POPULATIONS) PROGRAM: 260 VISITS; NURSE NAVIGATION PROVIDED. SURVIVORSHIP PROGRAM SERVICES SURVIVORSHIP CARE PLANS - 334 CARE PLANS PROVIDED TO PATIENTS, WITH MAJORITY GIVEN IN RADIATION ONCOLOGY. REHAB SERVICES - 332 TOTAL PATIENT VISITS. OVER HALF VISITS ARE FOR BREAST CANCER POPULATION. - SERVICES INCLUDE LYMPHEDEMA, OT, PT, PELVIC FLOOR PROGRAM, AND SPEECH THERAPY. SURVIVORSHIP SUPPORT GROUPS AND WORKSHOPS - 110 JMH SURVIVORSHIP ATTENDEES SUPPORT GROUPS WITH EATING FOR HEALING, EATING THE MEDITERRANEAN WAY, AND YOGA AS THE MOST ATTENDED. (THESE THREE VITAL PROGRAMS ARE AVAILABLE THROUGH OUR PARTNERSHIP WITH THE CANCER SUPPORT COMMUNITY.)
CONTINUED...	PSYCHOSOCIAL DISTRESS SCREENING CONTINUED INVOLVEMENT WITH 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. TOTAL NUMBER OF PATIENTS SCREENED: 1669 TOTAL NUMBER OF PATIENT SCREENED OVER A SCORE OF 4: 672 NUMBER OF PATIENTS REFERRED AND TYPES OF REFERRAL: 647 -REFERRAL TO REGISTERED NURSE 609 -REFERRAL TO SOCIAL WORKER 200 -REFERRAL TO DIETICIAN 126 -REFERRAL TO CHAPLAIN 12 -REFERRAL TO PHYSICAL THERAPY 30 -REFERRAL TO SPEECH THERAPY 4 -REFERRAL TO OCCUPATIONAL THERAPY 13 -REFERRAL TO OTHER 2 CASE MANAGEMENT AND PALLIATIVE CARE DIGESTIVE HEALTH SERVICES 2021 ACCOMPLISHMENTS: I. ONBOARDED HEPATOBILIARY AND PANCREATIC (HPB) SURGEON JOHN MUIR HEALTH TOOK A SIGNIFICANT STEP FORWARD IN THE GROWTH AND EXPANSION OF OUR ONCOLOGY AND DIGESTIVE HEALTH SERVICE LINES WITH THE ADDITION OF AN ON-SITE HEPATOBILIARY AND PANCREATIC (HPB) SURGICAL SPECIALIST. ON JUNE 21, 2021, CARLOS CORVERA, MD, CHIEF OF HEPATOBILIARY AND PANCREATIC SURGERY AT UCSF BEGAN PROVIDING HEPATOBILIARY SERVICES AT JOHN MUIR HEALTH. HE ALSO SERVES AS MEDICAL DIRECTOR FOR THE HEPATIC PANCREATIC BILIARY PROGRAM. II. CONTINUED GROWTH GASTROENTEROLOGY / ENDOSCOPY 9 JMHSMG GASTROENTEROLOGISTS AND 3 NURSE PRACTITIONERS SUPPORT THE CONTINUED GROWTH OF GASTROENTEROLOGY AND ENDOSCOPY SERVICES UNDER LEADERSHIP AND GUIDANCE OF DREW SCHEMBRE, MD, MEDICAL DIRECTOR DIGESTIVE HEALTH SERVICES. JMHSMG DIGESTIVE HEALTH SERVICES ARE OFFERED IN BRENTWOOD, BERKELEY, AND SAN RAMON. ENDOSCOPIC PROCEDURES ARE OFFERED AT JMMC WALNUT CREEK, JMMC CONCORD, ASPEN SURGERY CENTER, TRESANTI ASC AND EAST BAY ENDOSCOPY CENTER (BERKELEY). III. CONTINUED GROWTH OF HOSPITAL ENDOSCOPY VOLUME A. JMMC-WALNUT CREEK ENDOSCOPY 1. FACILITATED BY GI HOSPITALIST PROGRAM INTRODUCED IN 2016, JMHSMG PHYSICIANS PROVIDED 79% ALL ENDOSCOPIC PROCEDURES PERFORMED IN THE JMMC-WC ENDOSCOPY UNIT. 2. MUCH OF THE 2021 OUTPATIENT JMMC-WC ENDOSCOPY GROWTH RESULTED FROM PATIENT AND REFERRING PROVIDER RECOGNITION OF JMH AS THE REFERRAL DESTINATION OF CHOICE FOR THERAPEUTIC AND ADVANCED GI AND ENDOSCOPY SERVICES IN THE EAST BAY. 3. BETWEEN 2019 AND 2021, THERAPEUTIC ENDOSCOPIC PROCEDURES ERCP (ENDOSCOPIC RETROGRADE CHOLANGIO PANCREATOGRAPHY) AND EUS (ENDOSCOPIC ULTRASOUND) GREW FROM 23% TO 29% OF TOTAL PROCEDURES AT JMMC-WC. THIS CONTINUED GROWTH OF THERAPEUTIC ENDOSCOPY PROCEDURES FURTHER SUPPORTED THE ADDITION OF AN ON-SITE HEPATOBILIARY PANCREATIC (HBP) SURGICAL SPECIALIST IN 2021, AS WELL AS THE CONSTRUCTION OF THE THIRD INTERVENTIONAL ENDOSCOPY PROCEDURE ROOM, SLATED FOR OPENING IN 2024. EAST BAY PATIENTS NO LONGER HAVE TO CROSS A BRIDGE TO HAVE THESE, AND OTHER INTERVENTIONAL ENDOSCOPIC PROCEDURES USED TO DIAGNOSE AND TREAT DISEASES THAT ARE TYPICALLY BEYOND THE SCOPE OF REGULAR ENDOSCOPIC TECHNIQUES. BY COMBINING ADVANCED IMAGING AND DEVICE TECHNOLOGY WITH TECHNICAL EXPERTISE, PATIENTS CAN AVOID MORE INVASIVE TRADITIONAL TREATMENT APPROACHES SUCH AS SURGERY. B. JMMC-CONCORD ENDOSCOPY 1. POST PANDEMIC PRIMARY ENDOSCOPIC PROCEDURE VOLUME CONTINUED AN UPWARD TRAJECTORY IN 2021. 2. VOLUME GREW 20% BETWEEN 2020 AND 2021 FOSTERED BY JMHSMG PROVIDING 50% GI HOSPITALIST COVERAGE WHICH BEGAN IN 2020. JMHSMG PHYSICIANS PROVIDED 46% ALL PRIMARY ENDOSCOPIC PROCEDURES. C. CROSS-CAMPUS ENDOSCOPY SKILLS FAIR, AUGUST 27, 2021 IN BALL AUDITORIUM 22 ENDOSCOPY STAFF MEMBERS FROM BOTH CAMPUSES ROTATED THROUGH 15 HANDS-ON STATIONS TO DEMONSTRATE COMPETENCIES IN DEVICE AND INSTRUMENT HANDLING AND KNOWLEDGE OF NURSING POLICIES AND PROCEDURES. TO MAINTAIN ITS POSITION AS A REGIONAL REFERRAL ENDOSCOPY CENTER, THERE IS A NEED TO CONSTANTLY UPDATE PRACTICE AND KNOWLEDGE TO ENSURE THAT PATIENTS RECEIVE THE HIGHEST STANDARD OF CARE. ADDITIONALLY, AS OUR ENDOSCOPY UNITS STRIVE TO REDUCE COSTS, IT IS IMPORTANT THAT ENDOSCOPY NURSES DEMONSTRATE COMPETENCE DEVICES NOW STANDARDIZED TO BOTH CAMPUSES. IV. OPEN ACCESS COLONOSCOPY PROGRAM OPEN ACCESS ALLOWS PATIENTS WHO MEET CERTAIN CRITERIA TO SCHEDULE A SCREENING COLONOSCOPY WITHOUT THE NEED FOR A FULL IN-PERSON GASTROINTESTINAL CONSULTATION. OPEN ACCESS IS APPROPRIATE FOR HEALTHY PATIENTS WHO HAVE NO SERIOUS MEDICAL CONDITIONS. V. MARCH IS NATIONAL COLORECTAL CANCER AWARENESS MONTH ACTIVITIES A. 3/29/2021: AS PART OF PHYSICIAN OUTREACH EFFORTS, 42 ATTENDEES INCLUDING 33 PROVIDERS ATTENDED JMHSMG SHIREEN GHORBANI, MD ZOOM VIDEO LUNCH AND LEARN PRESENTATION: "A CLOSER LOOK COLORECTAL CANCER SCREENING." B. FACEBOOK TESTIMONIALS FROM 2 JMH POST COLORECTAL CANCER SURGERY PATIENTS GARNERED A 21% ENGAGEMENT SCORE, MEANING 21% OF PEOPLE WHO SAW THE POST, REACTED BY "SHARING," "LIKING, OR COMMENTING ON THE STORY. TYPICALLY, OUR POSTS HAVE A 4% ENGAGEMENT. C. OUTREACH EFFORTS INCLUDED CRC INFOGRAPHIC AS PART OF TARGETED OUTREACH CAMPAIGN. VI. PHYSICIAN OUTREACH AND EDUCATION: JMH GI ONCOLOGY AUTUMN ZOOM AUTUMN LUNCH AND LEARN ONE HOUR EACH CME SERIES DEVELOPED BY DRS. SAM OOMMEN AND PIYUSH AGGARWAL. TARGET AUDIENCE: JOHN MUIR PHYSICIANS AND OTHER INTERESTED ALLIED HEALTH CARE PROFESSIONS OF JOHN MUIR HEALTH. AS THE JM GI ONCOLOGY PROGRAM GROWS, IT IS IMPORTANT TO EDUCATE CLINICIANS ON LATEST ADVANCES IN SURGICAL AND NOON-SURGICAL TREATMENT OF COLORECTAL AND OTHER GI CANCERS. A. SEPTEMBER 9, 2021: "UPDATES IN THE MANAGEMENT OF GI AND PANCREAS NEUROENDOCRINE NEOPLASMS (GEPNENS)," EMILY BERGSLAND, MD, DIRECTOR FOR NEUROENDOCRINE TUMORS, UCSF B. SEPTEMBER 23, 2021: "UPDATE: SURGICAL MANAGEMENT OF METASTATIC COLON CANCER TO THE LIVER," CARLOS CORVERA, MD, CHIEF OF HEPATOBILIARY AND PANCREAS SURGERY, UCSF DIRECTOR, JOHN MUIR HEALTH MEDICAL DIRECTOR HEPATOBILIARY SERVICES. C. OCTOBER 14, 2021: "NON-OPERATIVE MANAGEMENT OF RECTAL CANCER THE MEMORIAL SLOAN KETTERING CANCER CENTER (MSKCC) EXPERIENCE," J. JOSHUA SMITH, MD, PHD, FACS, SURGICAL ONCOLOGIST, MSKCC. VII. BARIATRIC SERVICES ON MAY 27, 2021, THE JOHN MUIR METABOLIC AND BARIATRIC SURGERY CENTER, HOUSED ON JMCC CAMPUS, WAS SUCCESSFULLY SURVEYED FOR ACCREDITATION BY THE AMERICAN COLLEGE OF SURGEONS METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP). FINDING NO ISSUES, THE CENTER WAS AWARDED 3-YEAR ACCREDITATION.
FORM 990, PART VI, SECTION A, LINE 2	FAMILY OR BUSINESS RELATIONSHIP BOARD MEMBERS TAEJOON AHN, M.D. AND RAVI HUNDAL, M.D. HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3	MANAGEMENT COMPANY JOHN MUIR HEALTH HAS ENGAGED OPTUM TO MANAGE NON CLINICAL FUNCTIONS, INCLUDING INFORMATION TECHNOLOGY, REVENUE CYCLE MANAGEMENT, ANALYTICS, PURCHASING AND CLAIMS PROCESSING. OPTUM BRINGS AN EXTENSIVE SET OF CAPABILITIES, INCLUDING OPERATIONAL TECHNOLOGIES, ANALYTIC SOLUTIONS AND TOOLS, AND ADMINISTRATIVE SERVICE EXPERTISE TO HELP JOHN MUIR HEALTH FURTHER ADVANCE ITS CLINICAL AND OPERATIONAL PERFORMANCE.
FORM 990, PART VI, SECTION A, LINE 7B	GOVERNANCE DECISIONS SUBJECT TO APPROVAL THE BYLAWS OF JOHN MUIR HEALTH PROVIDE THAT JOHN MUIR HEALTH MAY NOT, WITHOUT THE PRIOR WRITTEN CONSENT OF THE MT. DIABLO HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, AND THE JOHN MUIR ASSOCIATION, A CALIFORNIA NONPROFIT CORPORATION: (I) SELL, TRANSFER, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF JOHN MUIR HEALTH; (II) ISSUE MEMBERSHIP IN JOHN MUIR HEALTH TO ANY PERSON OR ENTITY; (III) MERGER; WITH ANY OTHER PERSON OR ENTITY, UNLESS JOHN MUIR HEALTH IS THE SURVIVING CORPORATION IN THE MERGE: OR (IV) AMEND SECTION 5.6 OF THE BYLAWS OF JOHN MUIR HEALTH (WHICH OBLIGES JOHN MUIR HEALTH TO AMONG OTHER THINGS, PROVIDE AT LEAST ONE MILLION DOLLARS ($1,000,000) ANNUALLY TO FUND CERTAIN COMMUNITY BENEFIT PROJECTS SPONSORED BY THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND AND REASONABLE FUNDING FOR ADMINISTRATION, UP TO A MAXIMUM OF $200,000 PER YEAR.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990 BY THE GOVERNING BODY THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER AND HIS DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST MONITORING ANNUALLY, THE JOHN MUIR HEALTH (JMH) BOARD CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM REQUIRED TO BE COMPLETED AND SIGNED. DISCLOSED CONFLICTS ARE COMPILED IN A DOCUMENT AND REVIEWED BY THE BOARD CHAIR, PRESIDENT/CEO, AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTEND BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL, 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 15	EXECUTIVE COMPENSATION COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE OF JOHN MUIR HEALTH. THE COMPENSATION COMMITTEE IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF NO LESS THAN 5 VOTING DIRECTORS, NONE OF WHICH HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION TRANSACTIONS UNDER CONSIDERATION. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE EXPERT COMPENSATION CONSULTANT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA OF SIMILARLY SITUATED ORGANIZATIONS FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITES. THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT. THE COMMITTEE'S DELIBERATIONS AND DECISIONS REGARDING THESE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE COMMITTEE MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE DOCUMENTED MINUTES INCLUDE (1) TERMS OF THE COMPENSATION ARRANGEMENT, INCLUDING DATE IT WAS APPROVED; (2) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE COMMITTEE AND HOW IT WAS OBTAINED; (3) A LIST OF THE MEMBERS PRESENT DURING THE DELIBERATIONS AND HOW THE MEMBERS VOTED; (4) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF ANY MEMBER OF THE COMMITTEE WHO HAD A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS AVAILABLE TO THE PUBLIC AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FROM THE JOHN MUIR HEALTH LEGAL DEPARTMENT UPON REQUEST.
FORM 990, PART IX, LINE 11G	MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 102,010,451. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,010,451. HOSPITAL PROVIDER FEE: PROGRAM SERVICE EXPENSES 57,738,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,738,550. CAPITATED SERVICES: PROGRAM SERVICE EXPENSES 42,462,612. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,462,612. PHYSICIAN NTWRK PURCHASED SVS: PROGRAM SERVICE EXPENSES 15,972,322. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,972,322.
FORM 990, PART XI, LINE 9:	CHANGE IN UNAMORTIZED LOSS ON PENSION PLANS 63,180,141.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

JOHN MUIR HEALTH

Employer identification number

94-1461843

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)JOHN MUIR HEALTH FOUNDATION 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 94-2650855	FUNDRAISING	CA	501(C)(3)	7	JM HEALTH	Yes
(2)JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 68-0360801	HEALTHCARE	CA	501(C)(3)	12A, III	JM HEALTH	Yes
(3)JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 68-0249685	HEALTHCARE	CA	501(C)(3)	3	JM HEALTH	Yes
(4)JOHN MUIRMT DIABLO COMMUNITY HEALTH 5003 COMMERCIAL CIRCLE SUITE 275 CONCORD,CA94520 91-1788973	GRANTMAKING	CA	501(C)(3)	12C, III-FI	JM HEALTH	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) JOHN MUIR MAGNETIC IMAGING 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 68-0202020	DIAG IMAGING	CA	JM HEALTH	RELATED	2,347,268	5,846,606		No		Yes		90.000 %
(2) BAY AREA SURGICAL VENTURES 30 S WACKER DRIVE CHICAGO,IL60606 20-3052802	MED SERVICES	CA	JM HEALTH	RELATED	1,314,634	803,299		No			No	53.500 %
(3) WALNUT CREEK CANCER CENTER 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 94-1461843	MED SERVICES	CA	JM HEALTH	RELATED	-5,987,186	11,381,130		No			No	60.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) JOHN MUIRMT DIABLO PARENT COMPANY 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 90-0060434	INACTIVE	CA	JM HEALTH	C			100.000 %	Yes

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) JOHN MUIR PHYSICIAN NETWORK	A	9,098,549	RENTS PAID
(2) JOHN MUIR BEHAVIORAL HEALTH	B	6,807,010	EXPENSES PAID
(3) JOHN MUIR FOUNDATION	B	3,952,102	SHARED SERVICES
(4) JOHN MUIR PHYSICIAN NETWORK	B	123,500,170	EXPENSES PAID
(5) JOHN MUIRMT DIABLO COMMUNITY HEALTH FUND	B	1,334,193	AGREEMENT TERMS
(6) JOHN MUIR BEHAVIORAL HEALTH	C	6,076,986	SHARED SERVICES
(7) JOHN MUIR FOUNDATION	C	9,990,802	EXPENSES PAID
(8) JOHN MUIR PHYSICIAN NETWORK	C	7,158,478	SHARED SERVICES
(9) BAY AREA SURGICAL VENTURES	J	1,639,596	AGREEMENT TERMS
(10) JOHN MUIR BEHAVIORAL HEALTH	J	1,090,260	SHARED SERVICES
(11) JOHN MUIR FOUNDATION	J	192,430	AGREEMENT TERMS
(12) JOHN MUIR PHYSICIAN NETWORK	J	1,927,771	EXPENSES PAID
(13) JOHN MUIR MAGNETIC IMAGING	J	441,529	AGREEMENT TERMS
(14) BAY AREA SURGICAL VENTURES	L	187,924	AGREEMENT TERMS
(15) JOHN MUIR MAGNETIC IMAGING	L	226,734	AGREEMENT TERMS
(16) JOHN MUIR PHYSICIAN NETWORK	L	1,787,643	SHARED SERVICES
(17) JOHN MUIR MAGNETIC IMAGING	M	153,856	AGREEMENT TERMS
(18) JOHN MUIR PHYSICIAN NETWORK	M	4,052,437	EXPENSES PAID
(19) JOHN MUIR BEHAVIORAL HEALTH	P	346,548	EXPENSES PAID
(20) JOHN MUIR PHYSICIAN NETWORK	P	39,547,950	EXPENSES PAID

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: JOHN MUIR HEALTH IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIESWE SERVE WITH QUALITY AND COMPASSION.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	5,777
6	Total number of volunteers (estimate if necessary) .............	6	476
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-345,930
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	108,764,306	24,027,211
9	Program service revenue (Part VIII, line 2g) .........	1,556,018,369	1,680,165,545
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	82,597,317	224,881,264
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,008,756	9,317,863
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,751,388,748	1,938,391,883
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	77,146,004	139,920,400
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	765,453,617	841,852,214
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	834,494,319	768,235,398
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,677,093,940	1,750,008,012
19	Revenue less expenses. Subtract line 18 from line 12.......	74,294,808	188,383,871
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,391,962,500	3,688,896,996
21	Total liabilities (Part X, line 26).............	1,285,199,576	1,292,316,074
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,106,762,924	2,396,580,922

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 679,977,720 including grants of $ 0 ) (Revenue $ 754,710,884 )
	HOSPITAL SERVICES - GENERAL MEDICINE AND SURGERYTHE CORE OF JOHN MUIR HEALTH'S SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. THE JOHN MUIR HEALTH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEON'S COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. NATIONAL RECOGNITIONS RECEIVED IN 2021 INCLUDE: (1) RECOGNITION OF JOHN MUIR HEALTH, WALNUT CREEK MEDICAL CENTER BY U.S. NEWS & WORLD REPORT FOR THE 15TH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS". DIABETES & ENDOCRINOLOGY, GYNECOLOGY, ORTHOPEDICS AND PULMONOLOGY & LUNG SURGERY SERVICES AT THE WALNUT CREEK MEDICAL CENTER WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES, (2) RECOGNITION BY U.S. NEWS & WORLD REPORT OF SIX SERVICES COMBINED AND 17 ADULT PROCEDURES AND CONDITIONS COMBINED AS HIGH PERFORMING AT JOHN MUIR HEALTH'S WALNUT CREEK AND CONCORD MEDICAL CENTERS, (3) U.S. NEWS AND WORLD REPORT ALSO RANKED THE WALNUT CREEK MEDICAL CENTER #2 AND CONCORD MEDICAL CENTER #3 OUT OF NEARLY 50 HOSPITALS IN THE SAN FRANCISCO METRO AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, AND CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #10 AND #16 IN CALIFORNIA OUT OF 400 ACUTE CARE HOSPITALS, (4) JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO EARNED THE DESIGNATION OF BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT - TWO OF JUST 531 HOSPITALS (JUST 11% OF THE HOSPITAL EVALUATED) TO ACHIEVE THIS DESIGNATION NATIONWIDE, (5) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE BY HEALTHGRADES AND RECEIVED CLINICAL EXCELLENCE AWARDS FOR CORONARY INTERVENTION AND JOINT REPLACEMENT, (6) THE CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY FOR THE THIRD STRAIGHT YEAR, ONE OF AMERICA'S TOP 100 HOSPITALS FOR JOINT REPLACEMENT FOR THE THIRD STRAIGHT YEAR AND RECEIVED A PATIENT SAFETY EXCELLENCE AWARD FOR PREVENTING INFECTIONS, MEDICAL ERRORS AND OTHER PREVENTABLE COMPLICATIONS FOR THE SECOND STRAIGHT YEAR, (7) COMBINED, THE TWO MEDICAL CENTERS HAD 9 FIVE-STAR RATINGS FROM HEALTHGRADES FOR SERVICES, PROCEDURES AND TREATMENTS, (8) NEWSWEEK RANKED THE WALNUT CREEK AND CONCORD MEDICAL CENTERS AS TWO OF THE BEST IN THE U.S. (#136 AND #169) (9) THE WALNUT CREEK MEDICAL CENTER RECEIVED AN "A" SAFETY GRADE FROM LEAPFROG IN SPRING AND FALL 2021. THE CONCORD MEDICAL CENTER RECEIVED A "B" SAFETY GRADE FROM LEAPFROG IN SPRING AND FALL 2021. (10) BOTH MEDICAL CENTERS ARE MAGNET RECOGNIZED FOR NURSING EXCELLENCE AND QUALITY PATIENT OUTCOMES (11) THE JOHN MUIR HEALTH PHYSICIAN NETWORK RECEIVED ELITE STATUS FROM AMERICA'S PHYSICIAN GROUPS FOR THE 11TH CONSECUTIVE YEAR BASED UPON HOW WELL-EQUIPPED AND ORGANIZED THE NETWORK IS TO DELIVER A HIGH-QUALITY PATIENT EXPERIENCE, COORDINATE CARE AND PROVIDE FOR POPULATION HEALTH PROGRAMS, WHILE AT THE SAME TIME IMPROVING THE OVERALL AFFORDABILITY OF HEALTH CARE SERVICES. (12) THE JOHN MUIR HEALTH PHYSICIAN NETWORK ALSO RECEIVED INTEGRATED HEALTHCARE ASSOCIATION'S EXCELLENCE IN HEALTHCARE AWARD (CALIFORNIA'S TOP HONOR FOR PROVIDER ORGANIZATIONS) FOR STRONG RESULTS IN CLINICAL QUALITY, PATIENT EXPERIENCE AND TOTAL COST OF CARE.OUR PROGRAM EMPHASIS IN 2021 CONTINUED TO BE ON SERVING UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY, MOBILE HEALTH CLINIC, CONTRA COSTA CARES, AND SUPPORT FOR NONPROFIT ORGANIZATIONS PROVIDING ACCESS TO HEALTHCARE, MENTAL HEALTH SERVICES, FOOD, HOUSING AND VIOLENCE PREVENTION.

4b	(Code: ) (Expenses $ 181,327,392 including grants of $ 0 ) (Revenue $ 205,083,420 )
	CARDIOVASCULAR IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR ACHIEVEMENTS IN 2021 INCLUDES: IN THE OSHPD CALIFORNIA CORONARY ARTERY BYPASS GRAFT OUTCOMES REPORTING PROGRAM (CCORP) REPORT, RELEASED IN 2021 AND BASED ON 2019 OUTCOMES, CONCORD MEDICAL CENTER WAS THE ONLY HOSPITAL OUT OF 123 IN CALIFORNIA WITH A PERFORMANCE RATING OF "BETTER THAN EXPECTED" FOR CABG OPERATIVE MORTALITY WITH ZERO MORTALITIES OUT OF 173 CASES. CONCORD MEDICAL CENTER WAS ALSO ONE OF ONLY SEVEN HOSPITALS IN CALIFORNIA TO RECEIVE A "BETTER THAN EXPECTED" RATING IN RISK-ADJUSTED 30-DAY READMISSION AFTER ISOLATED CABG FOR 2018-2019.CONCORD MEDICAL CENTER RECEIVED A 2021 QUALITY RECOGNITION FROM HEALTHGRADES, RANKING AMONG AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY. THIS REPRESENTS THE TOP 1% OF HOSPITALS IN THE UNITED STATES. HEALTHGRADES AMERICA'S BEST HOSPITALS IS BASED SOLELY ON CLINICAL QUALITY OUTCOMES FOR 32 CONDITIONS AND PROCEDURES. THIS PREMIER DISTINCTION REWARDS HOSPITALS THAT CONSISTENTLY EXHIBIT EXCEPTIONAL, COMPREHENSIVE QUALITY CARE.WALNUT CREEK MEDICAL CENTER RECEIVED A 2021 CORONARY INTERVENTION EXCELLENCE AWARD FROM HEALTHGRADES. THIS AWARD RECOGNIZES SUPERIOR CLINICAL OUTCOMES IN CORONARY INTERVENTION PROCEDURES AND IS BASED UPON SUPERIOR IN-HOSPITAL AND 30-DAY MORTALITY RATES.JOHN MUIR CONCORD WAS RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS HIGH-PERFORMING IN ABDOMINAL AORTIC ANEURYSM REPAIR, AORTIC VALVE SURGERY, HEART ATTACK, HEART BYPASS SURGERY, HEART FAILURE, AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). JOHN MUIR WALNUT CREEK WAS RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS HIGH PERFORMING IN HEART FAILURE. BOTH CONCORD AND WALNUT CREEK RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES- GOLD PLUS HEART FAILURE QUALITY ACHIEVEMENT AWARD FOR THEIR COMMITMENT TO MANAGING HEART FAILURE IN PATIENTS. GOLD PLUS IS THE HIGHEST ACHIEVEMENT LEVEL.JOHN MUIR CONCORD RECEIVED THE MISSION: LIFELINE STEMI RECEIVING CENTER GOLD PLUS ACHIEVEMENT AWARD AND JOHN MUIR WALNUT CREEK IS THE RECIPIENT OF THE MISSION: LIFELINE STEMI RECEIVING CENTER GOLD ACHIEVEMENT AWARD. THESE AWARDS RECOGNIZE HOSPITALS FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES TO TREAT PATIENTS WHO SUFFER SEVERE HEART ATTACKS. JOHN MUIR HEALTH'S CARDIAC REHABILITATION PROGRAM ACHIEVED 2021 PROGRAM CERTIFICATION THROUGH THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) FOR A PERIOD OF THREE YEARS. AACVPR PROGRAM CERTIFICATION IS THE ONLY PEER-REVIEW ACCREDITATION PROCESS DESIGNED TO REVIEW INDIVIDUAL PROGRAMS FOR ADHERENCE TO STANDARDS AND GUIDELINES DEVELOPED AND PUBLISHED BY AACVPR AND OTHER RELATED PROFESSIONAL SOCIETIES. TWO NEW, STATE OF THE ART CARDIAC OPERATING ROOMS OPENED AT CONCORD IN 2021 (FEBRUARY AND NOVEMBER). BOTH ROOMS FEATURE CEILING MOUNTED, ROTATING BOOMS THAT REMOVE EQUIPMENT FROM THE FLOOR AND ALLOW ERGONOMIC VIEWING DURING SURGERY, DEDICATED VENTILATION SYSTEM, LED HIGH PERFORMANCE CHROMOPHORE SURGICAL LIGHTS AND A VIDEO MANAGEMENT SYSTEM THAT ALLOWS CLINICAL STAFF THE ABILITY TO DISTRIBUTE VIDEO IMAGES TO ANY MONITOR WITHIN THE SUITE.

4c	(Code: ) (Expenses $ 211,548,624 including grants of $ 0 ) (Revenue $ 228,670,308 )
	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 2021 INCLUDE:RENEWED THE OPERATING AGREEMENT FOR THE PEDIATRIC PARTNERSHIP WITH STANFORD CHILDREN'S HEALTH. THE NEONATAL AND PEDIATRIC CRITICAL CARE TRANSPORT TEAM IS ON SITE AT THE WALNUT CREEK MEDICAL CENTER AND AVAILABLE FOR TRANSPORT 12 HOURS PER DAY SEVEN DAYS PER WEEK. THE TEAM ALSO PROVIDES OUTREACH AND TRAINING TO COMMUNITY HOSPITALS IN CONTRA COSTA AND ALAMEDA COUNTIES.RECRUITED AND ON-BOARDED 2 FULL TIME AND 1 PART-TIME EEG TECHNICIANS. THE TECHNICIANS ARE AVAILABLE 12 HOURS PER DAY SEVEN DAYS PER WEEK. THIS REDUCES THE NUMBER OF NEONATAL AND PEDIATRIC PATIENTS THAT NEED TO BE TRANSPORTED TO OTHER HOSPITALS FROM THE WALNUT CREEK CAMPUS.MONTHLY ZOOM LUNCH AND LEARNS WERE SCHEDULED AND IMPLEMENTED. PEDIATRICIANS AND FAMILY PRACTICE PHYSICIANS WERE INVITED TO ATTEND ZOOM SESSIONS PRESENTED BY THE PEDIATRIC SPECIALIST.JOHN MUIR HEALTH AND STANFORD CHILDREN'S HEALTH OPENED THE EAST BAY SPINAL DEFORMITY CENTER IN PLEASANT HILL. THE CENTER INCLUDES STATE OF THE ART IMAGING FOR SCOLIOSIS AND OTHER DEFORMITIES. THIS IS THE ONLY CENTER IN CONTRA COSTA COUNTY WITH EOS CAPABILITIES. THIS IS A MEDICAL IMAGING SYSTEM THAT PROVIDES FRONTAL AND LATERAL RADIOGRAPHIC IMAGES WHILE LIMITING THE X-RAY DOSE ABSORBED BY THE PATIENT IN A SITTING OR STANDING POSITION.THE FOLLOWING PEDIATRIC SPECIALTIES WERE ADDED OR EXPANDED IN 2021: PEDIATRIC GASTROENTEROLOGY PEDIATRIC OTOLARYNGOLOGY PEDIATRIC UROLOGY PEDIATRIC DERMATOLOGY PEDIATRIC HEMATOLOGY/ONCOLOGY PEDIATRIC NEUROLOGYWITH SUPPORT FROM THE JOINT VENTURE, A SIMULATIONS OPERATIONS SPECIALIST HAS BEEN RECRUITED AND ON-BOARDED. THE ROLE OF THE SIMULATIONS SPECIALIST IS TO SUPPORT PHYSICIAN AND NURSING EDUCATION THROUGHOUT THE HOSPITAL AS IT RELATES TO NEONATAL AND PEDIATRIC CARE.THE PEDIATRIC HOSPITALIST AND INTENSIVISTS COMPLETED VIRTUAL PRESENTATIONS AND POSTER SESSIONS FOR THE AMERICAN ACADEMY OF PEDIATRICS, THE SOCIETY FOR CRITICAL CARE MEDICINE AND THE AMERICAN PEDIATRIC ASSOCIATION REGIONS 9 & 10. PEDIATRIC SPECIALISTS ARE AVAILABLE FOR OUTPATIENT APPOINTMENTS IN THE JMH BRENTWOOD OUTPATIENT CENTER.

	(Code: ) (Expenses $ 438,207,863 including grants of $ 139,920,400 ) (Revenue $ 491,697,842 )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 438,207,863 including grants of $ 139,920,400 ) (Revenue $ 491,697,842 )
4e	Total program service expenses1,511,061,599

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) MAX REYNOLDS........................................................................ SR VP/GENERAL COUNSEL	60.00 .......................0.00	X			751,697	0	277,747
(19) MICHAEL THOMAS........................................................................ EXEC VP/CHIEF TRANSFORMATION	60.00 .......................0.00	X			1,137,148	0	707,687
(20) JANE WILLEMSEN........................................................................ EXEC VP/PRESIDENT HOSPITAL OPS	60.00 .......................12.00	X			3,150,411	0	927,776
(21) LISA FOUST........................................................................ SR VP HUMAN RESOURCES	60.00 .......................0.00		X		763,682	0	320,864
(22) WILLIAM HUDSON........................................................................ SR VP/CIO (THRU 9/3/21)	60.00 .......................0.00		X		628,453	0	196,998
(23) MICHELLE LOPES RN........................................................................ CHIEF NURSING EXECUTIVE	60.00 .......................0.00		X		611,592	0	306,698
(24) MICHAEL MONALDO........................................................................ VP/FACILITIES DEVELOPMENT	60.00 .......................0.00		X		528,646	0	212,726
(25) GEORGE SAUTER........................................................................ SR VP/CHIEF STRATEGY OFFICER	60.00 .......................0.00		X		711,402	0	283,132
(26) JON RUSSELL........................................................................ FORMER SR VP/CIO	0.00 .......................0.00			X	226,053	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	14,790,890	0	5,634,864

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	23,226,266
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	800,945

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		24,027,211

		Business Code
2a	PATIENT REVENUE	621400	1,598,203,163	1,598,203,163
b	PREMIUM REVENUE	621400	52,966,555	52,966,555
c	OTHER OPERATING REV	621400	28,995,827	28,992,736	3,091
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,680,165,545

3 Investment income (including dividends, interest, and othersimilar amounts) ......			26,779,320		-369,281	27,148,601
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		9,098,549	6a
b	Less: rental expenses		508,624	6b
c	Rental income or (loss)		8,589,925	6c
d	Net rental income or (loss).......			8,589,925		20,260	8,569,665
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	974,094	611,156,580	7a
b	Less: cost or other basis and sales expenses	434,912	413,593,818	7b
c	Gain or (loss)	539,182	197,562,762	7c
d	Net gain or (loss).........			198,101,944			198,101,944
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	REBATES AND REFUNDS		621400	423,185			423,185
b	PROPERTY TAX REFUND		531390	302,302			302,302
c	VENDING INCOME		722515	2,451			2,451
d	All other revenue ....
e	Total. Add lines 11a–11d ......			727,938
12	Total revenue. See instructions.....			1,938,391,883	1,680,162,454	-345,930	234,548,148

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	139,920,400	139,920,400
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	15,323,008	13,024,557	2,298,451
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	665,695,921	565,841,533	99,854,388
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	35,409,940	30,452,548	4,957,392
9	Other employee benefits .......	84,589,062	64,287,687	20,301,375
10	Payroll taxes ...........	40,834,283	36,293,297	4,540,986
11	Fees for services (non-employees):
a	Management ......	122,866,864	104,436,834	18,430,030
b	Legal .........	10,982,000	5,381,180	5,600,820
c	Accounting ...........	942,000	461,580	480,420
d	Lobbying ...........	64,974	64,974
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	7,455,646		7,455,646
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	218,183,935	218,183,935
12	Advertising and promotion ....
13	Office expenses .......	16,369,375	14,077,663	2,291,712
14	Information technology ......	22,732,516	681,975	22,050,541
15	Royalties ..
16	Occupancy ...........	42,529,259	30,195,774	12,333,485
17	Travel ............	1,525,680	776,565	749,115
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	23,083,931	18,697,984	4,385,947
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	83,904,712	59,260,246	24,644,466
23	Insurance ...	8,196,723	4,508,198	3,688,525
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	130,995,564	130,995,564
b	PHARMACEUTICALS	33,626,603	33,626,603
c	UNCOLLECTIBLE ACCOUNTS	28,499,935	28,499,935
d	LICENSES AND TAXES	6,868,131	3,846,153	3,021,978
e	All other expenses	9,407,550	7,546,414	1,861,136
25	Total functional expenses. Add lines 1 through 24e	1,750,008,012	1,511,061,599	238,946,413	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			13,947	1	13,397
2	Savings and temporary cash investments .........			264,652,569	2	113,782,230
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			213,157,802	4	280,888,620
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			9,687,951	8	10,799,840
9	Prepaid expenses and deferred charges ......			24,137,222	9	33,275,742
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,938,920,982
b	Less: accumulated depreciation	10b	1,042,321,664	857,692,097	10c	896,599,318
11	Investments—publicly traded securities .			1,207,715,699	11	1,320,825,590
12	Investments—other securities. See Part IV, line 11 .....			427,901,758	12	565,866,579
13	Investments—program-related. See Part IV, line 11 ..			150,827,073	13	174,167,579
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			236,176,382	15	292,678,101
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,391,962,500	16	3,688,896,996

17	Accounts payable and accrued expenses .....	256,784,261	17	280,572,002
18	Grants payable ...	0	18	0
19	Deferred revenue .........	142,010,177	19	89,044,426
20	Tax-exempt bond liabilities .........	598,264,139	20	588,895,371
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	288,140,999	25	333,804,275
26	Total liabilities. Add lines 17 through 25..	1,285,199,576	26	1,292,316,074

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,105,664,531	27	2,396,283,378
28	Net assets with donor restrictions ...........	1,098,393	28	297,544
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	2,106,762,924	32	2,396,580,922
33	Total liabilities and net assets/fund balances ........	3,391,962,500	33	3,688,896,996

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No