TY 2022 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)
(1) KATHLEEN ODNE...................................................................... CHAIRMAN	5.00 ................. 10.00	X	X	25,000	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	25,000	0
(4) LAURA MARKSTEIN...................................................................... DIRECTOR	5.00 ................. 10.00	X		0	0
(5) ROGER BAILEY...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(6) JACK THOMPSON...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(7) ANNE GRODIN...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(8) PETER WILSON...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(9) FATIMA ANGELES...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(10) TAEJOON AHN MD...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(11) RAVI HUNDAL MD...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(12) CAROLYN LACEY MD...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(13) MARK MUSCO MD...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(14) CHI PERLROTH MD...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(15) JOHANNES PETERS MD...................................................................... DIRECTOR	5.00 ................. 10.00	X		25,000	0
(16) CALVIN KNIGHT...................................................................... CEO/DIR/PRES (THRU 09/30/22)	60.00 ................. 15.00	X	X	2,023,236	1,880,373
(17) MICHAEL S THOMAS...................................................................... CEO/DIR/PRES (AS OF 09/25/22)	60.00 ................. 15.00		X	1,991,172	795,830

(A) Name and business address	(B) Description of services	(C) Compensation
OPTUMINSIGHT PO BOX 84019 CHICAGO,IL60689	PROFESSIONAL SERV	122,170,304
CROSS COUNTRY STAFFING LA LOCKBOX FILE 50941 LOS ANGELES,CA90074	TEMPORARY STAFFING	47,968,117
BAY AREA SURGICAL SPECIALISTS PO BOX 97297 LAS VEGAS,NV89193	MEDICAL	8,754,001
LUCILLE SALTER PACKARD CHILDRENS HOSP 725 WELCH ROAD MC 5553 PALO ALTO,CA94304	MEDICAL	7,064,385
MEDICAL ANESTESIA CONSULTANTS MEDICAL PO BOX 745724 ATLANTA,GA30374	MEDICAL	5,917,575
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 170

- 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

2022

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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (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—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

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) 2022

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) 2022

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) 2022

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 2022 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-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

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

2022

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) (2022)

Schedule B (Form 990) (2022) 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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

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

272,791

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

272,791

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 $272,791 TO CALIFORNIA COMMITTEE ON ISSUES (CHCI) SPONSORED BY CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEM (CAHHS) IN 2022 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	257,661,304	373,825,458
c	Leasehold improvements	463,036,922	261,470,267	201,566,655
d	Equipment ....	718,730,234	585,055,475	133,674,759
e	Other .....	236,056,343		236,056,343
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				998,351,780

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	117,476,236	F
(B) HEDGE FUNDS	180,709,069	F
(C) PRIVATE EQUITY	269,688,977	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	567,874,282

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				2,102,089
(2)HELD PURSUANT BOND INDENTURE				18,179,971
(3)RIGHT OF USE ASSETS, NET				74,532,998
(4)OTHER RECEIVABLES				112,567,576
(5)PHYSICIAN LOANS				2,538,529
(6)CLOUD COMPUTING REC AGMT				3,486,368
(7)OTHER ASSETS				24,060,874
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				237,468,405

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.)	324,642,264
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	1,456,061,584
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-256,314,350
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	193,455
e	Add lines 2a through 2d .....................			2e	-256,120,895
3	Subtract line 2e from line 1..................			3	1,712,182,479
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	7,172,802
b	Other (Describe in Part XIII.) ...........	4b	34,239,522
c	Add lines 4a and 4b....................			4c	41,412,324
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,753,594,803

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	1,765,459,896
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	675,631
e	Add lines 2a through 2d....................			2e	675,631
3	Subtract line 2e from line 1...................			3	1,764,784,265
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	7,172,802
b	Other (Describe in Part XIII.) ............	4b	34,239,522
c	Add lines 4a and 4b.....................			4c	41,412,324
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,806,196,589

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 990 675,631. CHANGE IN UNAMORTIZED LOSS ON PENSION -482,176.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	UNCOLLECTIBLE ACCOUNTS REPORTED GROSS ON FORM 990 34,239,522.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL REVENUE REPORTED NET ON FORM 990 675,631.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	UNCOLLECTIBLE ACCOUNTS REPORTED GROSS ON FORM 990 34,239,522.

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

2022

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	161,884,366
	EUROPE (INCLUDING ICELAND AND GREENLAND)			INVESTMENTS	6,472,801















3a	Sub-total ....	0	0		168,357,167
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		168,357,167

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022

Schedule F (Form 990) 2022

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) 2022

Schedule F (Form 990) 2022Page 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) 2022

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2022

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) 2022

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

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) . . .	7,714,641		7,714,641	0.430 %
b	Medicaid (from Worksheet 3, column a) . . . . .	109,541,198		109,541,198	6.060 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	117,255,839		117,255,839	6.490 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,207,036	336,983	3,870,053	0.210 %
f	Health professions education (from Worksheet 5) . . .	6,839,296		6,839,296	0.380 %
g	Subsidized health services (from Worksheet 6) . . . .	407,029		407,029	0.020 %
h	Research (from Worksheet 7) .	688,784	157,658	531,126	0.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	3,451,423	251,637	3,199,786	0.180 %
j	Total. Other Benefits . .	15,593,568	746,278	14,847,290	0.820 %
k	Total. Add lines 7d and 7j .	132,849,407	746,278	132,103,129	7.310 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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				0 %
4	Environmental improvements				0 %
5	Leadership development and training for community members				0 %
6	Coalition building	8,743		8,743	0 %
7	Community health improvement advocacy				0 %
8	Workforce development	214,265		214,265	0.010 %
9	Other	1,705,125	32,572	1,672,553	0.090 %
10	Total	1,928,133	32,572	1,895,561	0.100 %

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).....

427,938,470

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

670,462,273

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

-242,523,803

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 %	1.000 %	46.390 %
22 HACIENDA SURGERY CENTER	OPERATES A MULTISPECIALTY SURGERY CENTER	12.500 %	0 %	47.600 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

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) 2022

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 22

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 22

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) 2022

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) 2022

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) 2022

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) 2022

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
PART V, SECTION B, LINE 5	COMMUNITY INPUT PROCESSDESCRIPTION OF WHO WAS CONSULTEDCOMMUNITY INPUT WAS PROVIDED BY A BROAD RANGE OF COMMUNITY MEMBERS VIA KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH AND OTHER PUBLIC AGENCIES, COMMUNITY ORGANIZATIONS, AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND RACIAL/ETHNIC POPULATIONS.KEY INFORMANT INTERVIEW METHODOLOGY:APPLIED SURVEY RESEARCH (ASR) CONDUCTED 32 KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES FROM ORGANIZATIONS SERVING CONTRA COSTA COUNTY AND 43 KEY INFORMANT INTERVIEWS WITH INDIVIDUALS FROM ORGANIZATIONS SERVING ALAMEDA COUNTY. THOSE ORGANIZATIONS REPRESENT DIVERSE SECTORS. SECTORS REPRESENTED BY KEY INFORMANTS ARE: CHILDREN/YOUTH/FAMILIES, COMMUNITIES OF COLOR, FORMERLY INCARCERATED, IMMIGRANTS/UNDOCUMENTED, LGBTQIA+, OLDER ADULTS, PEOPLE WITH DISABILITIES, UNHOUSED AND VIOLENCE SURVIVORS. THE KEY INFORMANTS WERE IDENTIFIED COLLABORATIVELY BY KAISER PERMANENTE, THE PUBLIC HEALTH AGENCIES AND MEMBERS OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP. ALL INTERVIEWS WERE CONDUCTED IN ENGLISH AND FOLLOWED A STANDARD SET OF INTERVIEW QUESTIONS. CONFIDENTIALITY WAS ASSURED AT THE BEGINNING OF EACH INTERVIEW AND INTERVIEWERS TOOK DETAILED NOTES DURING THE CONVERSATION.INTERVIEW TOPICS: INTERVIEW QUESTIONS WERE DEVELOPED BY ASR AND ADDRESSED THE FOLLOWING TOPICS:-PRIORITY PLACED ON 2019 HEALTH NEEDS-OTHER PRIORITY HEALTH NEEDS-IMPACT OF COVID-19 ON PRIORITY HEALTH NEEDS-CHALLENGES TO ADDRESSING PRIORITY HEALTH NEEDS-SOURCES OF INFORMATION ON HEALTH NEEDS-STRATEGIES TO ADDRESS PRIORITY HEALTH NEEDS-HEALTH INEQUITIES AND DISPARITIES-STRATEGIES TO ADDRESS INEQUITIES/DISPARITIES-EXISTING COMMUNITY RESOURCES TO ADDRESS PRIORITY HEALTH NEEDSDATA ANALYSIS: ASR DELIVERED TO AD LUCEM CONSULTING A SPREADSHEET CONTAINING INDIVIDUAL INTERVIEWEE RESPONSES AND KEY THEMES. THE THEMES WERE FURTHER ORGANIZED BY AD LUCEM CONSULTING INTO THE HEALTH NEEDS DEFINED BY THE KAISER PERMANENTE COMMUNITY HEALTH DATA PLATFORM, THEN THE NUMBER OF MENTIONS FOR ALL THEMES RELATED TO A PARTICULAR HEALTH NEED WERE TALLIED TO DEVELOP AN INTERVIEW DATA SCORE. HEALTH NEEDS WERE ASSIGNED POINTS BASED ON THE FREQUENCY OF MENTIONS OF THE HEALTH NEED BY KEY INFORMANTS. POINTS FOR EACH HEALTH NEED WERE TALLIED ACROSS INTERVIEWEES TO DEVELOP INTERVIEW SCORES FOR HEALTH NEED PRIORITY, RACIAL/ETHNIC DISPARITIES, GEOGRAPHIC OR OTHER DISPARITIES AND IMPACT OF THE COVID-19 PANDEMIC ON THE HEALTH NEED.FOCUS GROUP METHODOLOGY:NINE COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN EASTERN, CENTRAL, AND WESTERN CONTRA COSTA COUNTY. SEVEN GROUPS WERE CONDUCTED IN ENGLISH, AND TWO WERE CONDUCTED IN SPANISH. PARTICIPANTS WERE BLACK/AFRICAN AMERICAN AND LATINX COMMUNITY MEMBERS, AND ADULTS OVER THE AGE OF 65 FROM UNDERSERVED, LOW-INCOME, AND DIVERSE RACIAL/ETHNIC COMMUNITIES. TEN COMMUNITY RESIDENT FOCUS GROUPS WERE CONDUCTED IN GEOGRAPHIC AREAS WITHIN NORTHERN AND CENTRAL ALAMEDA COUNTY AND THE TRI-VALLEY AREA. THREE GROUPS WERE CONDUCTED IN ENGLISH, FOUR WERE CONDUCTED IN SPANISH, ONE IN VIETNAMESE, ONE IN CANTONESE, AND ONE IN A COMBINATION OF ENGLISH AND SPANISH. PARTICIPANTS WERE FROM UNDERSERVED, LOW-INCOME, SENIOR, UNHOUSED, LGBTQIA+, AND DIVERSE RACIAL/ETHNIC COMMUNITIES (VIETNAMESE, CANTONESE, BLACK/AFRICAN AMERICAN, INDIGENOUS, AND LATINX).
PART V, SECTION B, LINE 6A	OTHER HOSPITAL FACILITIES INCLUDED IN CHNAALL JOHN MUIR HEALTH HOSPITAL FACILITIES (JOHN MUIR MEDICAL CENTER, WALNUT CREEK; JOHN MUIR MEDICAL CENTER, CONCORD; AND JOHN MUIR BEHAVIORAL HEALTH) COLLABORATED WITH SUTTER HEALTH, ST. ROSE HOSPITAL, STANFORD HEALTH CARE VALLEYCARE, UCSF BENIOFF CHOLDRENS' HOSPITALS, KAISER PERMANENTE, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT AND CONTRA COSTA HEALTH SERVICES ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.
PART V, SECTION B, LINE 6B	OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNAJOHN MUIR HEALTH CONTRACTED WITH AD LUCEM CONSULTING, A PUBLIC HEALTH CONSULTING FIRM, TO CONDUCT THE CHNA. AD LUCEM CONSULTING SPECIALIZES IN INITIATIVE DESIGN, STRATEGIC PLANNING, GRANTS MANAGEMENT, AND PROGRAM EVALUATION, TAILORING METHODS AND STRATEGIES TO EACH PROJECT AND ADAPTING TO CLIENT NEEDS AND PRIORITIES, POSITIONING CLIENTS FOR SUCCESS. AD LUCEM CONSULTING WORKS IN CLOSE COLLABORATION WITH CLIENTS, SYNTHESIZING COMPLEX INFORMATION INTO EASY-TO-UNDERSTAND, USABLE FORMATS, BRINGING A HANDS-ON, DOWN TO EARTH APPROACH TO EACH PROJECT. AD LUCEM CONSULTING SUPPORTS CLIENTS THROUGH A VARIETY OF SERVICES THAT CAN BE APPLIED TO A RANGE OF ISSUES. AD LUCEM CONSULTING HAS DEVELOPED NUMEROUS CHNA REPORTS AND IMPLEMENTATION STRATEGIES FOR HOSPITALS INCLUDING SYNTHESIS OF SECONDARY AND PRIMARY DATA, NEEDS PRIORITIZATION, AND IDENTIFICATION OF ASSETS AND IMPLEMENTATION STRATEGIES.APPLIED SURVEY RESEARCH (ASR) CONDUCTED KEY INFORMANT INTERVIEWS FOR CHNAS COVERING ALAMEDA AND CONTRA COSTA COUNTIES. SECONDARY DATA CHARTS/TABLES AND INTERVIEW DATA WERE GENEROUSLY SHARED WITH MEMBERS OF THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP AND ARE INCLUDED IN THIS CHNA REPORT. ASR ALSO CONVENED COMMUNITY STAKEHOLDERS AND HOSPITAL REPRESENTATIVES TO REVIEW SERVICE AREA DATA AND PARTICIPATE IN A HEALTH NEED RANKING PROCESS. ASR IS A SOCIAL RESEARCH ORGANIZATION DEDICATED TO HELPING PEOPLE BUILD BETTER COMMUNITIES THROUGH MEASURING AND IMPROVING ORGANIZATIONAL IMPACT AND SERVICES AND QUALITY OF LIFE. ASR HAS A STRONG HISTORY OF WORKING WITH VULNERABLE POPULATIONS AND EXTENSIVE EXPERIENCE WORKING WITH PUBLIC AND PRIVATE AGENCIES, FEDERAL AND LOCAL GOVERNMENT, HEALTH AND HUMAN SERVICE ORGANIZATIONS, CITIES AND COUNTY OFFICES, SCHOOL DISTRICTS, INSTITUTIONS OF HIGHER LEARNING AND CHARITABLE FOUNDATIONS.
PART V, SECTION B, LINE 7A	CHNA REPORT MADE WIDELY AVAILABLE TO PUBLICTHE CHNA REPORT IS MADE WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/CONTENT/DAM/JMH/DOCUMENTS/COMMUNITY/JOHN%20MUIR%20HEALTH%20CHNA%20REPORT%2012.14.2022_FINAL.PDF
PART V, SECTION B, LINE 10A	WEBSITE FOR ADOPTED IMPLEMENTATION STRATEGYTHE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/CONTENT/DAM/JMH/DOCUMENTS/COMMUNITY/JOHN%20MUIR%20HEALTH%20IS%20REPORT%2012.14.2022_FINAL.PDF
PART V, SECTION B, LINE 11	SIGNIFICANT NEEDS ADDRESSED IN CHNATHE HEALTH SYSTEM IDENTIFIED NINE COMMUNITY HEALTH NEEDS.1. BEHAVIORAL HEALTH2. HOUSING AND HOMELESSNESS3. ECONOMIC SECURITY4. STRUCTURAL RACISM5. HEALTHCARE ACCESS AND DELIVERY6. COMMUNITY AND FAMILY SAFETY7. FOOD SECURITY8. EDUCATION9. TRANSPORTATIONTHE 2022 CHNA FOR JOHN MUIR HEALTH PLACED PARTICULAR EMPHASIS ON THE HEALTH ISSUES AND CONTRIBUTING FACTORS THAT IMPACT POPULATIONS WITH DISPROPORTIONATELY POOR HEALTH OUTCOMES. PRIORITY COMMUNITY PROFILES WERE DEVELOPED TO PRESENT LOCAL DATA AS A COMPLEMENT TO THE JOHN MUIR HEALTH SERVICE AREA DATA REPORTED ELSEWHERE IN THE CHNA. THE PROFILES INCLUDE DEMOGRAPHICS, DATA ON ROOT CAUSES OF HEALTH, AND ADDITIONAL STATISTICS.A. IDENTIFYING COMMUNITY HEALTH NEEDSI. DEFINITION OF "HEALTH NEED" FOR THE PURPOSES OF THE CHNA, HEALTH NEEDS ARE DEFINED AS INCLUDING THE ELEMENTS ESSENTIAL TO IMPROVING OR MAINTAINING HEALTH STATUS IN THE COMMUNITY AT LARGE AND IN PARTICULAR PARTS OF THE COMMUNITY, SUCH AS PARTICULAR GEOGRAPHIES OR POPULATIONS EXPERIENCING HEALTH INEQUITIES. ESSENTIAL ELEMENTS MAY INCLUDE ADDRESSING FINANCIAL AND OTHER BARRIERS TO CARE AS WELL AS PREVENTING ILLNESS, ENSURING ADEQUATE NUTRITION, OR ADDRESSING SOCIAL, BEHAVIORAL, AND ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH IN THE COMMUNITY. HEALTH NEEDS WERE IDENTIFIED BY THE COMPREHENSIVE IDENTIFICATION, INTERPRETATION, AND ANALYSIS OF A ROBUST SET OF PRIMARY AND SECONDARY DATA.II. CRITERIA AND ANALYTICAL METHODS USED TO IDENTIFY THE COMMUNITY HEALTH NEEDSMEASURES IN THE KAISER PERMANENTE COMMUNITY HEALTH DATA PLATFORM WERE CLUSTERED INTO 16 POTENTIAL HEALTH NEEDS, WHICH FORMED THE BACKBONE OF A PRIORITIZATION TOOL TO IDENTIFY SIGNIFICANT HEALTH NEEDS IN THE JOHN MUIR HEALTH SERVICE AREA. FOR SECONDARY DATA, A SCORE WAS ASSIGNED TO EACH NEED (4: VERY HIGH, 3: HIGH, 2: MEDIUM, 1: LOWER, 0: NO NEED) BASED ON HOW MANY MEASURES WERE WORSE THAN THE CALIFORNIA AVERAGE BY 20% OR MORE. THEMES FROM KEY INFORMANT INTERVIEWS AND OTHER PRIMARY DATA SOURCES WERE IDENTIFIED, CLUSTERED, AND ASSIGNED SCORES ON A 0-4 POINT SCALE BASED ON THE NUMBER OF TIMES THE THEME WAS MENTIONED. BOTH THE DATA PLATFORM AND PRIMARY DATA INFORMED SCORES FOR GEOGRAPHIC, RACIAL/ETHNIC AND OTHER DISPARITIES.EACH DATA COLLECTION METHOD WAS ASSIGNED A WEIGHT, BASED ON RIGOR OF THE DATA COLLECTION METHOD, TIMELINESS, AND ABILITY TO DESCRIBE INEQUITIES/DISPARITIES. PRIMARY DATA (KEY INFORMANT INTERVIEWS AND FOCUS GROUPS) WERE WEIGHTED SIGNIFICANTLY MORE THAN THE SECONDARY DATA GIVEN THE TIMELINESS OF THIS DATA AND THE REPRESENTATION FROM COMMUNITY MEMBERS FROM AND SERVICE PROVIDERS TO DIVERSE, UNDERSERVED COMMUNITIES. WEIGHTED VALUES FOR EACH POTENTIAL NEED WERE SUMMED, CONVERTED TO A PERCENTILE SCORE FOR EASY COMPARISON, AND THEN RANKED HIGHEST TO LOWEST. AFTER ANALYZING AND SCORING THE PRIMARY AND SECONDARY DATA, THE EIGHT HIGHEST SCORING HEALTH NEEDS WERE PRESENTED AT MEETINGS ATTENDED BY THE ALAMEDA AND CONTRA COSTA COUNTIES HOSPITAL CHNA GROUP, KAISER PERMANENTE AND COMMUNITY PARTNERS. DATA WERE EXPLORED FOR A NUMBER OF HEALTH NEEDS (CANCER, CHRONIC DISEASE AND DISABILITY, CLIMATE AND ENVIRONMENT, FAMILY AND SOCIAL SUPPORT, HEALTHY EATING ACTIVE LIVING OPPORTUNITIES, SUBSTANCE USE, SEXUAL HEALTH) THAT WERE SCORED, BUT NOT DISCUSSED AT THE HEALTH NEED RANKING MEETINGS DUE TO THEIR LOW SCORES.B. CRITERIA AND PROCESS USED FOR PRIORITIZATION OF HEALTH NEEDSI. PRIORITIZATION CRITERIATHE FOLLOWING CRITERIA WERE EMPLOYED TO PRIORITIZE THE LIST OF HEALTH NEEDS FOR THE JOHN MUIR HEALTH SERVICE AREA: -SEVERITY: HOW SEVERE THE HEALTH NEED IS (POTENTIAL TO CAUSE DEATH OR DISABILITY) -MAGNITUDE OR SCALE: THE NUMBER OF PEOPLE AFFECTED BY THE HEALTH NEED -CLEAR DISPARITIES OR INEQUITIES: DIFFERENCES IN HEALTH OUTCOMES BY SUBGROUPS (BASED ON GEOGRAPHY, LANGUAGES, ETHNICITY, CULTURE, CITIZENSHIP STATUS, ECONOMIC STATUS, SEXUAL ORIENTATION, AGE, GENDER, OR OTHERS) -COMMUNITY PRIORITY: THE COMMUNITY PRIORITIZES THE ISSUE OVER OTHER ISSUES -MULTIPLIER EFFECT: A SUCCESSFUL SOLUTION TO THE HEALTH NEED HAS THE POTENTIAL TO SOLVE MULTIPLE PROBLEMSII. PRIORITIZATION PROCESSA PROCESS WAS CONDUCTED TO RANK THE HEALTH NEEDS AND IDENTIFY THE TOP FOUR PRIORITY HEALTH NEEDS DURING VIRTUAL MEETINGS. IN PARTNERSHIP WITH KAISER PERMANENTE, ASR CONTACTED COMMUNITY LEADERS INCLUDING COUNTY HEALTH, PARTNER HOSPITALS, AND COMMUNITY ORGANIZATION LEADERS TO ATTEND COUNTY-LEVEL GROUP MEETINGS TO RANK TOP HEALTH NEEDS FOR SERVICE AREAS WITHIN CONTRA COSTA AND ALAMEDA COUNTIES. THE MEETING FOR CONTRA COSTA COUNTY WAS ATTENDED BY 12 PARTICIPANTS SERVING DIVERSE LOW-INCOME POPULATIONS EXPERIENCING HEALTH INEQUITIES, INCLUDING: HOSPITAL REPRESENTATIVES, CONTRA COSTA COUNTY HEALTH SERVICES, THE COMMUNITY CLINIC CONSORTIUM OF CONTRA COSTA AND SOLANO COUNTIES, THE CONTRA COSTA COUNTY OFFICE OF EDUCATION AND THE CALIFORNIA ENDOWMENT (A HEALTH FUNDER). THE MEETING FOR ALAMEDA COUNTY WAS ATTENDED BY 14 PARTICIPANTS SERVING DIVERSE LOW-INCOME POPULATIONS EXPERIENCING HEALTH INEQUITIES, INCLUDING: HOSPITAL REPRESENTATIVES, ALAMEDA COUNTY PUBLIC HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER NETWORK, ALAMEDA COUNTY OFFICE OF EDUCATION AND THE CALIFORNIA ENDOWMENT (A HEALTH FUNDER). ASR PRESENTED QUALITATIVE AND QUANTITATIVE FINDINGS FOR THE TOP SCORING EIGHT HEALTH NEEDS IDENTIFIED THROUGH THE SCORING PROCESS DESCRIBED ABOVE. ONE REPRESENTATIVE FROM EACH ORGANIZATION AFFILIATED WITH EACH SERVICE AREA RANKED THE HEALTH NEEDS ON A SCALE OF 0-4, WITH 0 BEING NOT A PRIORITY" TO 4 BEING A "VERY HIGH PRIORITY". VOTE VALUES (0-4) FROM EACH VOTING ATTENDEE WERE AVERAGED.C. PRIORITIZED DESCRIPTION OF HEALTH NEEDS THE PRIORITIZATION RESULTED IN THE FOLLOWING FINAL RANK ORDERED HEALTH NEEDS FOR EACH REGION IN THE JOHN MUIR HEALTH SERVICE AREA, LISTED FROM HIGHEST TO LOWEST PER THE PROCESS DESCRIBED IN SECTION BII ABOVE. THE RESULTS OF THE PRIORITIZATION AND BRIEF DESCRIPTIONS OF THE TOP PRIORITY HEALTH NEEDS ACROSS JOHN MUIR HEALTH'S CONTRA COSTA AND ALAMEDA COUNTY SERVICE AREAS ARE PROVIDED BELOW. THE MAP BELOW DEFINES THE COUNTY REGIONS USED FOR THE RANKING PROCESS AND THE FOLLOWING TABLE LISTS THE HEALTH NEED RANKING RESULTS BY REGION. BRIEF DESCRIPTIONS ARE PROVIDED FOR THE TOP PRIORITY HEALTH NEEDS ACROSS JOHN MUIR HEALTH'S CONTRA COSTA COUNTY AND ALAMEDA COUNTY SERVICE AREAS.BEHAVIORAL HEALTH: BEHAVIORAL HEALTH WHICH INCLUDES MENTAL HEALTH, EMOTIONAL AND PSYCHOLOGICAL WELL-BEING, ALONG WITH THE ABILITY TO COPE WITH NORMAL, DAILY LIFE AFFECTS A PERSON'S PHYSICAL WELL-BEING, ABILITY TO WORK AND PERFORM WELL IN SCHOOL AND TO PARTICIPATE FULLY IN FAMILY AND COMMUNITY ACTIVITIES. BEHAVIORAL HEALTH ALSO COVERS SUBSTANCE ABUSE, WHICH IMPACTS MANY ASPECTS OF HEALTH. BEHAVIORAL HEALTH AND THE MAINTENANCE OF GOOD PHYSICAL HEALTH ARE CLOSELY RELATED; COMMON MENTAL HEALTH DISORDERS SUCH AS DEPRESSION AND ANXIETY CAN AFFECT ONE'S ABILITY FOR SELF-CARE WHILE CHRONIC DISEASES CAN LEAD TO NEGATIVE IMPACTS ON MENTAL HEALTH. AMONG CONTRA COSTA COUNTY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS IDENTIFYING BEHAVIORAL HEALTH AS A PRIORITY, MOST REPORTED THAT BEHAVIORAL HEALTH WAS OFTEN LINKED TO OTHER HEALTH NEEDS SUCH AS TRAUMA, COMMUNITY SAFETY (OVER-POLICING AND OVER-INCARCERATION IN COMMUNITIES OF COLOR), SUBSTANCE USE, ECONOMIC SECURITY CHALLENGES, AND HOMELESSNESS. MENTAL HEALTH PROVIDERS ARE LESS AVAILABLE IN CONTRA COSTA COUNTY WHEN COMPARED TO THE CA AVERAGE (339 VERSUS 352 PER 100,000 POPULATION). HOUSING AND HOMELESSNESS: THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT DEFINES HOUSING AS AFFORDABLE WHEN IT COSTS NO MORE THAN 30 % OF A HOUSEHOLD'S INCOME. THE EXPENDITURE OF GREATER SUMS CAN RESULT IN THE HOUSEHOLD BEING UNABLE TO AFFORD OTHER NECESSITIES SUCH AS FOOD, CLOTHING, TRANSPORTATION, AND MEDICAL CARE. THE PHYSICAL CONDITION OF A HOME, ITS NEIGHBORHOOD, AND THE COST OF RENT OR MORTGAGE ARE STRONGLY ASSOCIATED WITH THE HEALTH, WELLBEING, EDUCATIONAL ACHIEVEMENT, AND ECONOMIC SUCCESS OF THOSE WHO LIVE INSIDE. HOMELESSNESS IS CORRELATED WITH POOR HEALTH: POOR HEALTH CAN LEAD TO HOMELESSNESS AND HOMELESSNESS IS ASSOCIATED WITH GREATER RATES OF PREVENTABLE DISEASES, LONGER HOSPITAL STAYS, AND GREATER RISK OF PREMATURE DEATH. CONTRA COSTA COUNTY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS WHO IDENTIFIED HOUSING AND HOMELESSNESS AS A PRIORITY HEALTH NEED DISCUSSED HOW HOUSING CHALLENGES INFLUENCE OTHER HEALTH NEEDS BY INCREASING ECONOMIC AND FOOD INSECURITY, AND UNHEALTHY BEHAVIORS THAT EXACERBATE CHRONIC DISEASE AND DISABILITY.
CONTINUED...	ECONOMIC SECURITY: FACTORS CONTRIBUTING TO ECONOMIC SECURITY CHALLENGES IDENTIFIED IN CONTRA COSTA COUNTY KEY INFORMANT INTERVIEWS AND FOCUS GROUPS INCLUDED: INSUFFICIENT VOCATIONAL TRAINING, LIMITED LIVING WAGE JOBS, AND LACK OF CLEAR COMMUNICATION ON AVAILABILITY OF/REGISTRATION FOR EXISTING INCOME/EMPLOYMENT SUPPORTS. THEY REPORTED THAT THESE ECONOMIC SECURITY CHALLENGES EXACERBATE A VARIETY OF ISSUES FOR CONTRA COSTA COUNTY RESIDENTS, SUCH AS HOUSING, ACCESS TO HEALTHCARE, UNHEALTHY BEHAVIORS THAT PROMOTE CHRONIC DISEASE AND DISABILITY, FOOD INSECURITY, MENTAL HEALTH ISSUES AND SUBSTANCE USE. STRUCTURAL RACISM: STRUCTURAL RACISM REFERS TO SOCIAL, ECONOMIC AND POLITICAL SYSTEMS AND INSTITUTIONS THAT PERPETUATE RACIAL INEQUITIES THROUGH POLICIES, PRACTICES AND NORMS. STRUCTURAL RACISM IS EMBEDDED IN MANY HEALTH NEEDS. CENTURIES OF STRUCTURAL RACISM HAVE FUELED ENDURING HEALTH INEQUITIES. THE LEGACIES OF RACIAL DISCRIMINATION AND ENVIRONMENTAL INJUSTICE ARE REFLECTED IN STARK DIFFERENCES IN HEALTH OUTCOMES AND LIFE EXPECTANCY FOR BLACK/AFRICAN AMERICAN, LATINO/LATINX, INDIGENOUS, AND PEOPLE OF COLOR. STRUCTURAL RACISM WAS A MAJOR NEED IDENTIFIED BY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS IN CONTRA COSTA AND ALAMEDA COUNTIES. IN CONTRA COSTA COUNTY, SEVERAL KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS DESCRIBED HOW STRUCTURAL RACISM RESULTS IN LIMITED HEALTHCARE ACCESS AND DELIVERY, WORSE QUALITY OF SERVICES RECEIVED, DECREASED SENSE OF COMMUNITY AND FAMILY SAFETY, AND HIGHER RATES OF TRAUMA AND MENTAL HEALTH DISORDERS FOR PEOPLE OF COLOR COMPARED TO WHITE RESIDENTS. HEALTHCARE ACCESS AND DELIVERY: ACCESS TO COMPREHENSIVE, QUALITY HEALTHCARE HAS A PROFOUND EFFECT ON HEALTH AND QUALITY OF LIFE. COMPONENTS OF ACCESS TO AND DELIVERY OF CARE INCLUDE: INSURANCE COVERAGE, ADEQUATE NUMBERS OF PRIMARY AND SPECIALTY CARE PROVIDERS, HEALTHCARE TIMELINESS, QUALITY AND TRANSPARENCY, MULTI-LINGUISTIC CAPACITY, AND CULTURAL COMPETENCE/CULTURAL HUMILITY. LIMITED ACCESS TO HEALTHCARE AND COMPROMISED HEALTHCARE DELIVERY NEGATIVELY AFFECTS HEALTH OUTCOMES AND QUALITY OF LIFE. COMMUNITY AND FAMILY SAFETY: SAFE COMMUNITIES PROMOTE COMMUNITY COHESION, ECONOMIC DEVELOPMENT, AND OPPORTUNITIES TO BE ACTIVE WHILE REDUCING UNTIMELY DEATHS AND SERIOUS INJURIES. CRIME, VIOLENCE, AND INTENTIONAL INJURY ARE RELATED TO POORER PHYSICAL AND MENTAL HEALTH OUTCOMES. CHILDREN AND ADOLESCENTS EXPOSED TO VIOLENCE ARE AT RISK FOR POORER LONG-TERM BEHAVIORAL AND MENTAL HEALTH OUTCOMES. TWO KEY MEASURES OF COMMUNITY SAFETY, VIOLENT CRIME AND INJURY DEATHS, WERE SUBSTANTIALLY HIGHER IN ALAMEDA COUNTY THAN THE CA AVERAGE. KEY INFORMANTS IN CONTRA COSTA AND ALAMEDA COUNTIES IDENTIFIED SYSTEMIC RACISM AS NEGATIVELY IMPACTING COMMUNITY SAFETY.FOOD SECURITY: FOOD INSECURITY IS THE LACK OF CONSISTENT ACCESS TO ENOUGH FOOD FOR AN ACTIVE, HEALTHY LIFE. FOOD INSECURITY ENCOMPASSES: ANXIETY ABOUT FOOD INSUFFICIENCY, HOUSEHOLD FOOD SHORTAGES, REDUCED QUALITY, VARIETY, OR DESIRABILITY OF FOOD, DIMINISHED NUTRIENT INTAKE, AND DISRUPTED EATING PATTERNS. SEVERAL CONTRA COSTA COUNTY FOCUS GROUP PARTICIPANTS STATED THAT ACCESSING FRESH PRODUCE AND HEALTHY FOOD OPTIONS IS DIFFICULT THROUGHOUT THE COUNTY, REPORTING THAT STORES STOCKING HEALTHY FOODS ARE NOT IN WALKING DISTANCE FOR MOST RESIDENTS AND REQUIRE A CAR OR PUBLIC TRANSPORTATION TO ACCESS.
CONTINUED...	EDUCATION: THE LINK BETWEEN EDUCATION AND HEALTH IS WELL-KNOWN. THOSE WITH HIGHER LEVELS OF EDUCATION ARE MORE LIKELY TO BE HEALTHIER AND LIVE LONGER. PRE-SCHOOL EDUCATION IS POSITIVELY ASSOCIATED WITH READINESS FOR AND SUCCESS IN SCHOOL, AS WELL AS LONG-TERM ECONOMIC BENEFITS FOR INDIVIDUALS AND SOCIETY, INCLUDING GREATER EDUCATIONAL ATTAINMENT, HIGHER INCOME, AND LOWER ENGAGEMENT IN DELINQUENCY AND CRIME. INDIVIDUALS WITH AT LEAST A HIGH SCHOOL DIPLOMA DO BETTER ON A NUMBER OF MEASURES THAN HIGH SCHOOL DROPOUTS: INCOME, HEALTH OUTCOMES, LIFE SATISFACTION, AND SELF-ESTEEM. WEALTH AMONG FAMILIES IN WHICH THE HEAD OF HOUSEHOLD HAS A HIGH SCHOOL DIPLOMA IS 10 TIMES HIGHER THAN THAT OF FAMILIES IN WHICH THE HEAD OF HOUSEHOLD DROPPED OUT OF HIGH SCHOOL. TRANSPORTATION: WITHOUT RELIABLE AND SAFE TRANSPORTATION, INDIVIDUALS STRUGGLE TO MEET BASIC NEEDS SUCH AS EARNING AN INCOME, ACCESSING HEALTHCARE, AND SECURING FOOD. TRANSPORTATION INFRASTRUCTURE FAVORS INDIVIDUAL CAR USE, WHICH IS ASSOCIATED WITH A NUMBER OF ADVERSE CONSEQUENCES, INCLUDING MOTOR VEHICLE INJURIES AND DEATHS, THE EXPENSES OF OWNING A VEHICLE, AND GREENHOUSE GAS EMISSIONS WHICH ARE A RISK FACTOR FOR HEART DISEASE, STROKE, ASTHMA, AND CANCER. FOR HOUSEHOLDS WITHOUT ACCESS TO A CAR, INCLUDING MANY LOW-INCOME INDIVIDUALS AND PEOPLE OF COLOR, WALKING, BIKING AND USING PUBLIC TRANSPORTATION PROVIDE CRITICAL LINKS TO JOBS AND ESSENTIAL SERVICES AND PROMOTE EXERCISE AND SOCIAL COHESION. CONTRA COSTA COUNTY KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS IDENTIFYING TRANSPORTATION AS A HEALTH NEED DESCRIBED HOW INADEQUATE TRANSPORTATION PRESENTS BARRIERS TO ACCESSING HEALTHCARE AND A NUMBER OF HEALTH RELATED ACTIVITIES OF DAILY LIVING, INCLUDING: ACCESS TO GROCERY STORES SELLING HEALTHY FOOD, ABILITY TO GET CHILDREN TO/FROM SCHOOL, ACCESS TO COMMUNITY EVENTS, AND ABILITY TO COMMUTE TO A LIVING WAGE JOB. HEALTH NEEDS JOHN MUIR HEALTH WILL ADDRESS ACROSS ITS SERVICE AREA DURING 2023-2025 ARE:1. STRUCTURAL RACISM (AN OVERARCHING NEED THAT CUTS ACROSS ALL OTHER HEALTH NEEDS) 2. HEALTHCARE ACCESS AND DELIVERY 3. BEHAVIORAL HEALTH 4. HOUSING AND HOMELESSNESSV. JOHN MUIR HEALTH IMPLEMENTATION STRATEGIESJOHN MUIR HEALTH HAS IDENTIFIED EXPECTED IMPACTS, STRATEGIES, FOCUS AREAS, AND PARTNERS FOR EACH PRIORITY HEALTH NEED, AS DESCRIBED IN THE MATRICES BELOW. STRATEGY IMPLEMENTATION WILL DRAW ON JOHN MUIR HEALTH'S ORGANIZATIONAL RESOURCES (GRANTMAKING, INTERNAL PROGRAMS, JOHN MUIR HEALTH STAFF, AND OTHER ASSETS) IN COMBINATION WITH AN ARRAY OF PARTNERSHIPS AND COLLABORATIONS WITH COMMUNITY ORGANIZATIONS, STAKEHOLDERS, AND LEADERS THROUGHOUT ITS SERVICE AREA. JOHN MUIR HEALTH HAS SELECTED THE FOLLOWING NEEDS TO ADDRESS, WITH STRUCTURAL RACISM AS THE DRIVER THAT ADDRESSES ALL FOCUS AREAS. WITHIN EACH FOCUS AREA, JOHN MUIR HEALTH PLANS TO IMPLEMENT PROGRAMMING THAT ALIGNS WITH SPECIFIC PROGRAMMATIC CATEGORIES, PROMOTING HEALTH VIA MULTIFACETED APPROACHES:-WORKFORCE DEVELOPMENT -PROMOTION AND PREVENTION -DIRECT SERVICES AND TREATMENT -RESILIENCY AND SUPPORT SERVICESPRIORITY HEALTH NEED: STRUCTURAL RACISMSTRUCTURAL RACISM IS A SELECTED PRIORITY NEED THAT WILL BE INFUSED INTO STRATEGIES IMPLEMENTED TO ADDRESS ALL SELECTED HEALTH NEEDS. STRATEGIES AIMED AT ELIMINATING STRUCTURAL RACISM FOCUS ON SUPPORTING SYSTEMS CHANGE AMONG JOHN MUIR HEALTH GRANTEES AND PARTNERS (COMMUNITY-BASED NONPROFIT ORGANIZATIONS SERVING THE JOHN MUIR HEALTH SERVICE AREA) BY FINANCIALLY SUPPORTING INTERVENTIONS THAT GUIDE ADOPTION OF ANTI-RACISM POLICIES, PRACTICES, SERVICES AND RESOURCES.LONG-TERM GOAL: ELIMINATE STRUCTURAL RACISM IN ITS ENTIRETY FOR ALL COMMUNITIES. INTERMEDIATE GOALS: -INCREASE FINANCIAL SUPPORT TO ALL JOHN MUIR HEALTH COMMUNITY BENEFIT PARTNER NONPROFIT ORGANIZATIONS TO SUPPORT ADOPTION OF NEW POLICIES, PRACTICES AND SERVICES THAT ADDRESS STRUCTURAL RACISM. -INCREASE COMMUNITY-BASED NONPROFIT ORGANIZATION ACCESS TO TOOLS THAT ADDRESS STRUCTURAL RACISM.TO PROMOTE ANTI-RACISM SYSTEMS CHANGE AT THE ORGANIZATIONAL LEVEL, JOHN MUIR HEALTH WILL AWARD ALL GRANTEES ADDITIONAL FUNDING TO BE RESTRICTED TOWARDS ADDRESSING STRUCTURAL RACISM AND WILL ENGAGE EVALUATION METHODOLOGIES TO MEASURE IMPACT ACROSS THE SERVICE AREA. JOHN MUIR HEALTH WILL GUIDE AND SUPPORT SYSTEMS CHANGE BY EXTERNALIZING INTERNAL RESOURCES AND EXPERTISE FROM THE OFFICE OF BELONGING AND EQUITY, PROVIDING GRANTEE AND PARTNER ORGANIZATIONS WITH A MENU OF ISSUES/STRATEGIES TO ADDRESS/IMPLEMENT, INCLUDING: -REPRESENTATION IN BOARD OF DIRECTORS AND LEADERSHIP COMPOSITION -HIRING AND WORKFORCE DEVELOPMENT PRACTICES -DIVERSITY, EQUITY, AND INCLUSION TRAININGS OR WORKSHOPS -EMPLOYEE ENGAGEMENT OPPORTUNITIES (I.E., EMPLOYEE RESOURCE GROUPS, CULTURAL CELEBRATIONS)PRIORITY HEALTH NEED: HEALTHCARE ACCESS AND DELIVERY LONG-TERM GOAL: THE ENTIRE COMMUNITY HAS ACCESS TO APPROPRIATE CULTURALLY AND LINGUISTICALLY-ALIGNED HEALTHCARE AND HEALTHCARE SUPPORT SERVICES THAT ARE DELIVERED WITH QUALITY AND COMPASSION. INTERMEDIATE GOALS: -INCREASE ACCESS TO A DIVERSE, LINGUISTICALLY AND CULTURALLY-ALIGNED HEALTHCARE WORKFORCE. -INCREASE ACCESS TO SUBSIDIZED CARE AND FINANCIAL ASSISTANCE FOR LOW-INCOME AND UNINSURED INDIVIDUALS. -INCREASE ACCESS TO COMPREHENSIVE PRIMARY CARE, SPECIALTY CARE SERVICES, SUPPORT SERVICES, AND PREVENTION PROGRAMMING FOR LOW-INCOME, VULNERABLE, AND UNINSURED INDIVIDUALS.EXPECTED IMPACT: -INCREASED OPPORTUNITIES FOR HEALTHCARE SECTOR CAREERS FOR POPULATIONS UNDERREPRESENTED IN THE HEALTHCARE WORKFORCE. -INCREASED ACCESS TO AND USE OF COMPREHENSIVE PRIMARY CARE AND SPECIALTY CARE FOR LOW INCOME AND UNINSURED POPULATIONS. STRATEGY TO ACHIEVE THIS INCLUDES: -IMPROVED QUALITY OF CARE FOR CLIENTS OF SAFETY NET ORGANIZATIONS. -INCREASED ACCESS TO COMMUNITY-BASED HEALTH SCREENINGS AND HEALTHCARE SUPPORT SERVICESSTRATEGY TO ACHIEVE THESE GOALS INCLUDES:PROVIDING WORKFORCE DEVELOPMENT PROGRAMMING TO HIGH SCHOOL, JUNIOR COLLEGE, AND MEDICAL SCHOOL STUDENTS UNDERREPRESENTED IN HEALTHCARE CAREERS TO INCLUDE YOUNG HEALERS AND CLIMB MENTORSHIP PROGRAMS.PROVIDE SUPPORT TO THE VULNERABLE POPULATIONS CURRICULUM OF THE JOHN MUIR HEALTH FAMILY MEDICINE RESIDENCY TO ENGAGE MEDICAL RESIDENTS IN COMMUNITY-BASED SERVICES IN PARTNERSHIP WITH LOCAL NONPROFIT ORGANIZATIONS. PROVIDE CHRONIC DISEASE PREVENTION EDUCATION, SCREENING, AND CLINICAL SERVICES TO VULNERABLE ADULTS THROUGH THE DIABETES EMPOWERMENT EDUCATION PROGRAM, JOHN MUIR HEALTH MOBILE HEALTH CLINIC, AND HAPPY FEET PROGRAM. PROVIDE SCREENING PROGRAMS THROUGH EVERY WOMAN COUNTS AND THE LUNG CANCER SCREENING PROGRAM FOR LOW-INCOME ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF INSURANCE COVERAGE.PROVIDE FINANCIAL ASSISTANCE, VIA THE JOHN MUIR HEALTH CHARITY CARE POLICY, TO SUPPORT LOW-INCOME PATIENTS BY SUBSIDIZING ALL OR A PORTION OF THEIR JOHN MUIR HEALTH MEDICAL EXPENSES. PARTICIPATE IN THE GOVERNMENT-SPONSORED MEDI-CAL PROGRAM TO PROVIDE COMPREHENSIVE INPATIENT CARE TO MEDI-CAL ENROLLEES THAT GENERATE UNPAID COSTS AT JOHN MUIR MEDICAL CENTER-WALNUT CREEK, JOHN MUIR MEDICAL CENTER-CONCORD, JOHN MUIR PHYSICIAN NETWORK, AND BEHAVIORAL HEALTH CENTER. PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES, VIA THE JOHN MUIR HEALTH MOBILE HEALTH CLINIC, FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, ACCESSIBILITY OF SERVICES, OR TIMELINESS OF APPOINTMENTS. PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLNICA/JOHN MUIR HEALTH SPECIALTY CARE PROGRAM AND OTHER SPECIALTY CARE PROGRAMS FOR ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF INSURANCE COVERAGE. LEAD THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY AND PROVIDE DENTAL SERVICES AND DENTAL EDUCATION, VIA RONALD MCDONALD/JOHN MUIR HEALTH MOBILE DENTAL CLINIC, FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES. PROVIDE HEALTHCARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH PROGRAMS SUCH AS THE JOHN MUIR HEALTH COMMUNITY SCHOOL NURSE PROGRAM. PROVIDE ACCESS TO HEALTHCARE SUPPORT SERVICES FOR VULNERABLE OLDER ADULTS THAT PROMOTE INDEPENDENT LIVING AND WELLNESS THROUGH FALL PREVENTION SAFETY TRAININGS, HOME ASSESSMENTS AND MODIFICATIONS, HEALTH EDUCATION, AND ACCESS TO ASSISTIVE TECHNOLOGIES.PRIORITY HEALTH NEED: BEHAVIORAL HEALTH LONG-TERM GOAL: THE ENTIRE COMMUNITY HAS ACCESS TO BEHAVIORAL AND MENTAL HEALTH PROGRAMMING, SUPPORT AND DIRECT SERVICES TO PROMOTE WHOLE HEALTH AND EMOTIONAL WELLNESS. INTERMEDIATE GOALS: INCREASE ACCESS TO ALTERNATIVE MENTAL HEALTH WORKFORCE TO INCLUDE COMMUNITY HEALTH WORKERS AND PROMOTORES TRAINING PROGRAMS. INCREASE ACCESS TO BEHAVIORAL AND MENTAL HEALTH SERVICES THAT PROVIDE PREVENTION, DIRECT SERVICE AND SUPPORT FOR VULNERABLE INDIVIDUALS AND FAMILIES. INCREASE VIOLENCE PREVENTION AND RESILIENCY PROGRAMMING FOR VULNERABLE COMMUNITIES.
CONTINUED...	EXPECTED IMPACT-INCREASED ACCESS TO AND USE OF BEHAVIORAL AND MENTAL HEALTH SERVICES. -INCREASED ACCESS TO CULTURALLY AND LINGUISTICALLY-ALIGNED BEHAVIORAL AND MENTAL HEALTH SERVICES. -IMPROVED YOUTH RESILIENCE. -INCREASED ACCESS TO SUPPORTIVE COMMUNITY-BASED SERVICES THAT PREVENT AND MITIGATE THE IMPACTS OF VIOLENCE AND TRAUMA.STRATEGY TO ACHIEVE THESE GOALS:SUPPORT COMMUNITY HEALTH WORKER AND PROMOTORES PROGRAMS THAT OFFER TRAINING TO COMMUNITY MEMBERS TO PREVENT AND/OR REDUCE LEVELS OF STRESS, ANXIETY AND DEPRESSION IN VULNERABLE COMMUNITIES. LEAD THE RESTORATIVE JUSTICE INITIATIVE ACROSS CONTRA COSTA COUNTY SCHOOLS TO PROMOTE VIOLENCE PREVENTION AND PROVIDE TRAININGS TO SCHOOL STAFF AND ADMINISTRATION ON HOW TO RESOLVE HARM AND REDUCE CONFLICT AMONG THE SCHOOL COMMUNITY. SUPPORT PROGRAMMING THAT FOCUSES ON SOCIAL CONNECTION AMONG OLDER ADULTS TO REDUCE ISOLATION AND PROMOTE WELLBEING. PROVIDE DIRECT MENTAL HEALTH THERAPY SERVICES TO YOUTH, ADULTS AND FAMILIES WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, ACCESSIBILITY OF SERVICES, OR TIMELINESS OF APPOINTMENTS. PROGRAMS INCLUDE: JOHN MUIR HEALTH BEYOND VIOLENCE, JOHN MUIR HEALTH MOBILE HEALTH CLINIC, CANCER SUPPORT SERVICES, AND SCHOOL-BASED SERVICES. LEAD THE BEYOND VIOLENCE PROGRAM AND ALL PARTNERS COLLABORATIVE TO PROVIDE HOSPITAL-BASED VIOLENCE INTERVENTION SERVICES TO INDIVIDUALS IMPACTED BY INTENTIONAL VIOLENCE AND PROMOTE RESILIENCY BY PROVIDING ROBUST COMMUNITY-BASED SUPPORT SERVICES TO INDIVIDUALS AND THEIR FAMILIES VIA PARTNERSHIPS WITH LOCAL NONPROFIT ORGANIZATIONS. PROVIDE PEER-DELIVERED SERVICES, SUPPORT GROUPS AND CONNECTION TO RESOURCES FOR VULNERABLE ADULTS DIAGNOSED WITH MENTAL ILLNESS.PRIORITY HEALTH NEED: HOUSING AND HOMELESSNESS LONG-TERM GOAL: THE ENTIRE COMMUNITY HAS ACCESS TO SAFE, HEALTHY, AND AFFORDABLE HOUSING. INTERMEDIATE GOALS: -INCREASE SUPPORT OF THE HOUSING NAVIGATORS WORKFORCE AND EMPLOYMENT OPPORTUNITIES TO COMMUNITIES PRONE TO HOMELESSNESS. -INCREASE ACCESS TO HOMELESSNESS PREVENTION RESOURCES TO LOW-INCOME AND VULNERABLE COMMUNITIES. -INCREASE ACCESS TO HOUSING RESOURCES AND SUPPORT SERVICES TO PROVIDE UNSHELTERED INDIVIDUALS AND FAMILIES WITH ACCESS TO TRANSITIONAL SUPPORTIVE HOUSING, RESPITE CARE AND RECUPERATIVE HOUSING, PERMANENT SUPPORTIVE HOUSING, AND ULTIMATELY INDEPENDENT PERMANENT AFFORDABLE HOUSING. -INCREASE FOOD SECURITY AND DECREASE THE FOOD COST BURDEN FOR LOW-INCOME FAMILIES TO FREE UP FUNDS TO COVER HOUSING COSTS.EXPECTED IMPACT:-INCREASED NUMBER OF COMMUNITY MEMBERS WITH STABLE HOUSING. -INCREASED ACCESS TO HOUSING SERVICES FOR COMMUNITY MEMBERS WHO ARE UNHOUSED AND AT RISK OF BECOMING UNHOUSED. -INCREASED COMMUNITY OUTREACH AND AWARENESS OF HOUSING RESOURCES. -INCREASED CONSISTENT ACCESS TO HEALTHY FOOD FOR LOWINCOME AND UNHOUSED INDIVIDUALS.STRATEGIES TO ACHIEVE THESE GOALS INCLUDES:PROVIDE SUPPORT TO HOUSING NAVIGATOR WORKFORCE PROGRAMS. PROVIDE SUPPORT TO EMPLOYMENT PROGRAMS THAT DIRECTLY IMPACT COMMUNITIES PRONE TO HOMELESSNESS. PROVIDE HOMELESSNESS PREVENTION SERVICES AND EMERGENCY FUNDING TO HOUSING INSECURE INDIVIDUALS AND FAMILIES TO ENSURE THAT COMMUNITY MEMBERS MAINTAIN STABLE HOUSING. PROVIDE CONNECTION TO RESPITE CARE AND RECUPERATIVE HOUSING FOR HOMELESS PATIENTS DISCHARGED FROM LOCAL HOSPITALS, INCLUDING JOHN MUIR HEALTH. PROVIDE CONNECTION TO TRANSITIONAL SUPPORTIVE HOUSING FOR INDIVIDUALS AND FAMILIES WHO ARE IN RECOVERY FROM ALCOHOL AND OTHER SUBSTANCES. PROVIDE CONNECTION TO PERMANENT SUPPORTIVE AND AFFORDABLE HOUSING FOR HOMELESS INDIVIDUALS AND FAMILIES. PROVIDE SUPPORT SERVICES TO UNHOUSED INDIVIDUALS AND FAMILIES TO INCLUDE: FOOD, SHOWER AND LAUNDRY FACILITIES, CLOTHING, EMPLOYMENT ASSISTANCE AND CONNECTION TO ADDITIONAL SUPPORT SERVICES. SUPPORT COMMUNITY OUTREACH AND AWARENESS-BUILDING OF HOUSING RESOURCES AVAILABLE TO THE COMMUNITY. SUPPORT FOOD ACCESS PROGRAMMING TO PROVIDE NUTRITIOUS FOODS, INCLUDING FRESH PRODUCE, FOR UNHOUSED AND LOW-INCOME INDIVIDUALS, FAMILIES AND COMMUNITIES.JOHN MUIR HEALTH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS:1. ECONOMIC SECURITY2. COMMUNITY AND FAMILY SAFETY3. FOOD SECURITY4. EDUCATION5. TRANSPORTATIONJMH RECOGNIZES THE IMPORTANCE OF EACH OF THE PRIORITIZED COMMUNITY HEALTH NEEDS. HOWEVER, JMH'S EXPERIENCE IS THAT OUR INVESTMENTS COULD HAVE THE MOST IMPACT ON COMMUNITY HEALTH BY FOCUSING RESOURCES ON THE SELECTED COMMUNITY HEALTH NEEDS. THEREFORE, THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE DECIDED TO ADDRESS THE COMMUNITY HEALTH NEEDS THAT ARE ALIGNED WITH OUR MISSION, LEVERAGE JMH'S EXPERTISE, AND HAVE FEASIBLE INTERVENTIONS AND PARTNERS FOR SCALABLE IMPACT.THE SELECTED HEALTH NEEDS DO NOT REPRESENT EVERYTHING JOHN MUIR HEALTH DOES TO IMPROVE COMMUNITY HEALTH. FOR THOSE NEEDS NOT SELECTED, GENERALLY, JOHN MUIR DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THE NEED; HOWEVER, THERE ARE AREAS OF OVERLAP WITH CURRENT COMMUNITY BENEFIT STRATEGIES. FOR EXAMPLE, WHILE FOOD SECURITY WAS NOT EXPLICITLY SELECTED AS A PRIORITIZED NEED, JOHN MUIR HEALTH CONTINUE TO SUPPORT AND DONATE TO LOCAL FOOD BANKS. IN ADDITION, WHILE TRANSPORTATION WAS NOT CHOSEN, JOHN MUIR HEALTH WILL SUPPORT TRANSPORTATION INITIATIVES THAT DECREASE ISOLATION AMONG VULNERABLE SENIORS AND INCREASE ACCESS TO HEALTH AND SUPPORT SERVICES AMONG VULNERABLE INDIVIDUALS.JOHN MUIR HEALTH REMAINS DEDICATED TO BEING A LEADER IN BUILDING A HEALTHIER COMMUNITY. BY LISTENING, ENGAGING AND COLLABORATING WITH SERVICE AREA COMMUNITIES, JOHN MUIR HEALTH IS COMMITTED TO CREATING A NETWORK OF HEALTH AND WELLNESS SERVICES AND SUPPORT. THIS 2023-2025 COMMUNITY HEALTH IMPLEMENTATION STRATEGY WAS ADOPTED BY JOHN MUIR HEALTH'S BOARD OF DIRECTORS ON DECEMBER 14, 2022.
PART V, SECTION B, LINE 13B	INCOME LEVEL OTHER THAN FPGOTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTRY'S MEDICALLY INDIGENT PROGRAM. ADDITIONALLY, THE ORGANIZATION USES ESTIMATED FEDERAL POVERTY GUIDELINES DEVELOPED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD.
PART V, SECTION B, LINE 16A	THE FAP IS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML
PART V, SECTION B, LINE 16B	THE FAP APPLICATION FORM IS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML
PART V, SECTION B, LINE 16C	A PLAIN LANGUAGE SUMMARY OF THE FAP IS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML

Schedule H (Form 990) 2022

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) 2022

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 $34,239,522
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIESJOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEET THE DEFINITION OF COMMUNITY BENEFIT. IN 2022, WE PROVIDED SUPPORT TO ORGANIZATIONS WHOSE MISSION IS TO ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS THROUGH EVENT SPONSORSHIP. LASTLY, JOHN MUIR HEALTH WORKS WITH A WIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TO HEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS, WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THE FOLLOWING AREAS:1. REGISTERED NURSING2. MEDICAL ASSISTANTS3. MEDICAL IMAGING TECHNOLOGY4. SONOGRAPHERS5. CLINICAL LAB SCIENTIST6. PHARMACIST AND PHARMACY TECHS7. THERAPIST/PHYSICAL, OCCUPATIONAL AND SPEECH8. ENGINEERING AND BIO ENGINEERING9. NUTRITION SERVICES/DIETITIANS AND CHEFS10. INFORMATION TECHNOLOGY11. HEALTHCARE ADMINISTRATION12. FAMILY MEDICINE PHYSICIANS13. EMERGENCY SERVICES/ER TECHS, PHYSICIANS AND NURSINGSPARTNERS:1. EAST COUNTY BUSINESS EDUCATION ALLIANCE2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH UNDERSERVED POPULATION.3. JEWISH VOCATION SERVICES (JVS) - DISPLACED WORKER TRAINING TO GET BACK IN THE WORKFORCE4. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE5. BAY AREA COUNCIL6. EAST BAY HEALTH WORKFORCE PARTNERSHIPSTUDENTS:1. 17 HIGH SCHOOLS AND HEALTH ACADEMIES2. 14 UNIVERSITIES3. 9 STATE COLLEGES4. 8 JUNIOR COLLEGES5. 7 PRIVATE COLLEGES
PART III, LINE 2:	BAD DEBT EXPENSEBAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT.
PART III, LINE 4:	FINANCIAL STATEMENT FOOTNOTETHE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN THE JOHN MUIR HEALTH AND SUBSIDIARIES CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	SHORTFALL TREATED AS COMMUNITY BENEFITTHE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2021 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).
PART III, LINE 9B:	COLLECTION PRACTICESOTHER THAN SENDING STATEMENTS AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTION INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO AN OUTSIDE AGENCY. THE COLLECTION POLICY IS IN THE FORM OF, AND INCORPORATED INTO, THE CONTRACT AGREEMENT WITH THE OUTSIDE AGENCY AS A FULL ADDENDUM TO THE CONTRACT, WITH A SEPARATESIGNATURE LINE FOR JOHN MUIR HEALTH AND THE AGENCY AS PART OF THE ADDENDUM. IN ADDITION TO THE CUSTOMIZED JOHN MUIR HEALTH COLLECTION GUIDELINES, THE ADDENDUM ALSO CONTAINS THE COLLECTION CRITERIA AND REQUIREMENTS FOUND IN CALIFORNIA LAW UNDER ASSEMBLY BILL 774.
PART VI, LINE 2:	NEEDS ASSESSMENTTHE 2022 HEALTH NEEDS ASSESSMENT INCLUDES A COMPREHENSIVE NEEDS ASSESSMENT OF THE COMMUNITY SERVED, WHICH HAS BEEN USED TO DEVELOP OUR ANNUAL AND TRIENNIAL COMMUNITY BENEFIT PLANS. FOR MORE INFORMATION, THE CHNA REPORT AND IMPLEMENTATION STRATEGY (A.K.A. COMMUNITY HEALTH IMPROVEMENT PLAN) CAN BE FOUND HERE:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-ALLIANCE.HTMLIN ADDITION TO THE CHNA, JMH IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY IN A VARIETY OF WAYS. JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIPS WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS IN OUR COMMUNITY. JOHN MUIR HEALTH KEPT ABREAST OF CURRENT HEALTH ISSUES OF IMPORTANCE TO THE COMMUNITY BY ACTIVE PARTICIPATION AND COMMUNICATION WITH A VARIETY OF COMMUNITY GROUPS INCLUDING BUT NOT LIMITED TO: DENTAL COLLABORATIVE OF CONTRA COSTA, ACCESS TO CARE STAKEHOLDERS, EAST COUNTY ACCESS ACTION TEAM, HEALTHY AND ACTIVE BEFORE FIVE, FAMILIES COALITION FOR ACTIVITY AND NUTRITION, MOBILE HEALTH CLINIC ASSOCIATION, NORTHERN CALIFORNIA ROUNDTABLE, AND THE EAST COUNTY HEALTH AND WEALTH INITIATIVE. THESE SOURCES OF INFORMATION PROVIDE CURRENT INFORMATION REGARDING COMMUNITY HEALTH STATUS AND ALSO HELP IDENTIFY EMERGING NEEDS IN THE SERVICE AREA POPULATION.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEJOHN MUIR HEALTH HAS SIGNAGE POSTED IN PATIENT ACCESS AREA/LOBBIES INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIR HEALTH CARE BILLS AND ELIGIBILITY. SERVICES TO AID THE PATIENT IN QUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IS POSTED IN THE EMERGENCY DEPARTMENT.ALL PATIENTS RECEIVE A "PATIENT ASSISTANCE" BROCHURE, WHICH IDENTIFIES VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENT, INCLUDING THE JOHN MUIR HEALTH CHARITY CARE PROGRAM AS WELL AS PROGRAMS THROUGH GOVERNMENT AGENCIES (STATE, COUNTY, ETC). THE BROCHURE ALSO LISTS CONTACT INFORMATION FOR THESE PROGRAMS. PATIENTS IN THE EMERGENCY DEPARTMENT TALK TO A TRAINED FINANCIAL COUNSELOR, AND IF APPROPRIATE, ARE ALSO ASKED TO SIGN A FORM ACKNOWLEDGING RECEIPT OF THE PATIENT ASSISTANCE MATERIALS OR DECLINING TO ACCEPT THE MATERIAL. TRAINED FINANCIAL COUNSELORS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE NOT PRESENT FOR SERVICES THROUGH THE EMERGENCY DEPARTMENT. THE APPLICATION FORM AND A COPY OF THE POLICY FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM IS ALSO AVAILABLE IN THE EMERGENCY DEPARTMENT AS WELL AS THE MAJOR PATIENT ACCESS AREAS AND THE BUSINESS OFFICE.NOTIFICATIONS THAT PROGRAMS, INCLUDING CHARITY CARE, ARE AVAILABLE ISALSO PRINTED ON PATIENT BILLING STATEMENTS, ACCOMPANIED BY THE ABILITY FOR A PATIENT TO REQUEST THE VARIOUS PROGRAM MATERIALS BE SENT TO HIS/HER HOME. CONTACT INFORMATION IS ALSO LISTED IN THE PATIENT STATEMENT. INFORMATION IN THE HEALTH SYSTEM'S CHARITY CARE PROGRAM IS POSTED ON THE JOHN MUIR HEALTH INTERNET WEBSITE AS WELL.PATIENTS ADMITTED TO THE HOSPITAL, AND WHO HAVE NO THIRD PARTY INSURANCE LISTED ARE INTERVIEWED BY TRAINED FINANCIAL COUNSELORS DURING THEIR HOSPITAL STAY TO INFORM THEM OF THE VARIOUS PROGRAMS WHICH ARE AVAILABLE, AND DETERMINE IF THE PATIENT WOULD LIKE ASSISTANCE TO OBTAIN ELIGIBILITY FOR THE STATE MEDICAID (MEDI-CAL) PROGRAM, STATE DISABILITY, CHARITY CARE OR OTHER AVAILABLE PROGRAM IN THE COUNTY. THIS ELIGIBILITY ASSISTANCE, WHICH INCLUDES HELP IN FILLING OUT THE APPLICATION, GATHERING REQUIRED DOCUMENTS, AND TRANSPORTATION TO ELIGIBILITY APPOINTMENTS, IF NECESSARY, IS OFFERED AT NO CHARGE TO THE PATIENT. IN ADDITION, PATIENT ACCOUNTING REPRESENTATIVES MAY ALSO CONTACT PATIENTS AFTER DISCHARGE TO ASK ABOUT PAYMENT ARRANGEMENTS AND TO INFORM THEM OF THE CHARITY CARE PROGRAM IF THE PATIENT NEEDS ASSISTANCE IN PAYING FOR THEIR MEDICAL BILLS.
PART VI, LINE 4:	COMMUNITY INFORMATIONJOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREAS EXTENDS FROM SOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SAN RAMON IN SOUTHERN CONTRA COSTA COUNTY. JOHN MUIR HEALTH'S TRAUMA CENTER SERVES ALL OF CONTRA COSTA COUNTY, SOLANO COUNTY, AND MARIN COUNTY. IT IS ALSO THE BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY. JOHN MUIR HEALTH ALSO SERVES EASTERN ALAMEDA COUNTY IN A JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER AND SERVES NORTHERN ALAMEDA COUNTY IN A JOINT VENTURE WITH UNIVERSITY OF CALIFORNIA, SAN FRANCISCO.JOHN MUIR HEALTH'S COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF THE VULNERABLE POPULATIONS IN CONTRA COSTA COUNTY, THE TRI-VALLEY, AND NORTHERN ALAMEDA COUNTY. WE DEFINE VULNERABLE POPULATIONS AS THOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED.THE JOHN MUIR HEALTH SERVICE AREA HAS THE FOLLOWING DEMOGRAPHIC PROFILE:CONTRA COSTA COUNTYTOTAL POPULATION:% AGE 65+: 16%% UNDER AGE 19: 25%RACE:WHITE: 52%AFRICAN AMERICAN: 9%ASIAN: 18%OTHER: 14%MULTIRACIAL: 6%AMERICAN INDIAN/ALASKAN NATIVE: <1%NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER: <1%ETHNICITY:HISPANIC: 26%NON-HISPANIC: 74%SOCIOECONOMIC DATA:LIVING IN POVERTY (<100% FEDERAL POVERTY LEVEL): 9%CHILDREN IN POVERTY: 12%SENIOR (>65) IN POVERTY: 6%UNEMPLOYMENT: 6%UNINSURED POPULATION: 6%ADULTS WITH NO HIGH SCHOOL DIPLOMA: 12%
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHJOHN MUIR HEALTH IS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION THATIS GOVERNED BY THOSE WHO LIVE IN THE COMMUNITY WE SERVE. COMMUNITYRESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARDCOMMUNITIES. THE BOARD OF JOHN MUIR HEALTH CONSISTS PRIMARILY OF MEMBERSOF THE COMMUNITY AND STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIEDPRACTITIONERS. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THEPEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES. AS ANOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROMOUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THECOMMUNITY WITH NEW PROGRAM IMPLEMENTATION, ADVANCED TECHNOLOGY, COMMUNITYSERVICES AND BUILDING PROJECTS. JMH ALSO CONTRIBUTES SIGNIFICANTLY TO THEECONOMIC VITALITY OF CONTRA COSTA COUNTY BY EMPLOYING OVER 6,600 INDIVIDUALS IN 2022.JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTACOUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENTS AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR TWO HOSPITALS' EMERGENCYDEPARTMENTS SERVE ALL RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT, JMH HAS AN OBLIGATION TO MAKE A CHARITABLECONTRIBUTION TO THE COMMUNITY, BUT OUR COMMITMENT TO KEEPING THECOMMUNITIES WE SERVE GOES FAR DEEPER THAN THAT. JMH'S MISSION TO IMPROVETHE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSIONACCURATELY REFLECTS OUR COMMUNITY HEALTH EFFORTS AS A CORPORATE LEADERAND COMMUNITY PARTNER. SOME OF THE PROGRAMS INCLUDE TREATING PATIENTSREFERRED BY LOCAL COMMUNITY CLINICS FOR SPECIALTY CARE SERVICES,PROVIDING MOBILE HEALTH CLINIC SERVICES IN UNDERSERVED COMMUNITIES,PROVIDING BREAST AND LUNG CANCER SCREENING FOR UNINSURED COMMUNITYMEMBERS AND SUPPORTING DEPRESSION PREVENTION ACTIVITIES FOR LOW-INCOME.JMH SERVED OVER 129,211 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN2022.JMH'S COMMITMENT TO THE LOCAL COMMUNITY IS EXPRESSED IN THE MANYINITIATIVES WE DELIVER. JMH PROVIDES CHARITY CARE FOR MANY INDIVIDUALS ANDFAMILIES WITH NO INSURANCE AND LIMITED MEANS. IN 2022, WE PROVIDED$7.7 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $109.4 MILLION, THECOST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE PAYMENT WERECEIVED FROM MEDI-CAL.JOHN MUIR HEALTH ALSO PROVIDES BROAD FINANCIAL AND TECHNICAL SUPPORT TOPROMOTE COMMUNITY WELLNESS. THE ORGANIZATION CONTRIBUTES $1 MILLION AYEAR TO THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND EACH YEAR, WHOSEGOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE INCENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE MOST LIKELY TO EXPERIENCEHEALTH CARE DISPARITIES.LASTLY, JMH CONTRIBUTES TO THE COMMUNITY IN MANY NON-QUANTIFIABLE WAYSTHAT IS NOT OUTLINED IN THE REPORT. THE HEALTH SYSTEM CONTINUALLYPROVIDES LEADERSHIP IN THE COMMUNITY, ASSISTS WITH LOCAL CAPACITYBUILDING AND PARTICIPATES IN COMMUNITY-WIDE HEALTH PLANNING. JOHN MUIRHEALTH STAFF ARE ACTIVELY INVOLVED IN COMMUNITY ORGANIZATIONS ASVOLUNTEERS. THEIR LEADERSHIP IN THE COMMUNITY HELPS TO DEVELOP PARTNERSHIPS TO ADDRESS THE NEEDS OF THE VULNERABLE AND UNDERSERVED. JOHN MUIR HEALTH NURSES ARE DEEPLY INVOLVED IN THEIR COMMUNITY THROUGHVOLUNTEERING. JOHN MUIR HEALTH ENCOURAGES NURSING VOLUNTEERISM ANDCOMMUNITY INVOLVEMENT THROUGH MAGNET RECOGNITION STATUS WHERE NURSESSUPPORT HEALTH BY BUILDING PARTNERSHIPS WITH THE COMMUNITY. FOR EXAMPLE,NURSES AT JOHN MUIR HEALTH MEDICAL CENTER, CONCORD PROVIDE HEALTHEDUCATION MONTHLY AT THE LOCAL FARMER'S MARKET AND PARTICIPATE ASVOLUNTEERS ON OUR MOBILE DENTAL CLINIC.JOHN MUIR HEALTH EMPLOYEES DONATE BACKPACKS WITH SCHOOL SUPPLIES TOFOSTER YOUTH THROUGH THE ANNUAL FOSTER A DREAM BACKPACK CHALLENGE.JOHN MUIR HEALTH AND OUR EMPLOYEES ACTIVELY PARTICIPATE IN DISEASEAWARENESS EVENTS IN ORDER TO PROMOTE HEALTH IN OUR COMMUNITY. EVERY YEARJOHN MUIR EMPLOYEES PARTICIPATE IN THE NATIONAL ALLIANCE ON MENTAL HEALTHILLNESS WALK, WALK TO WELLNESS, AMERICAN HEART ASSOCIATION HEART WALK, GORED COMMUNITY EVENT, KIDNEY WALK, DIGESTIVE HEALTH FAIR AND OTHERCOMMUNITY EVENTS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMJOHN MUIR BEHAVIORAL HEALTH1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597 JOHN MUIR HEALTH OFFERS COMPLETE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH PROGRAMS AND SERVICES THROUGH JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER, THE HEALTH SYSTEM'S FULLY ACCREDITED, 73 BED PSYCHIATRIC HOSPITAL LOCATED IN CONCORD. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER OFFERS PSYCHIATRIC TREATMENT FOR ADULTS, CHILDREN AND ADOLESCENT WHO ARE EXPERIENCING EMOTIONAL OR BEHAVIORAL PROBLEMS. FOR THOSE WHO ARE DEPENDENT ON ALCOHOL OR DRUGS, THE BEHAVIORAL HEALTH CENTER OFFERS A FULL ARRAY OF CHEMICAL DEPENDENCY TREATMENT PROGRAMS. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH.JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND5003 COMMERCIAL CIRCLE, SUITE 275, CONCORD, CA 94520 THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUNDS IS ONE ARM OF GRANT-MAKING AT JOHN MUIR HEALTH SYSTEM. THE FUND'S GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EASTERN CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MORE AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE FUND DEVELOPED A FUNDING PROCESS THAT NURTURES LONG TERM PARTNERSHIP WITH AND AMONG THE COMMUNITY BASED ORGANIZATIONS. THIS LEADS TO VISIONARY HEALTH INITIATIVE THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 2022, THE FUND HAS GRANTED OVER $32 MILLION JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUNDS, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN BE FOUND ON ITS WEBSITE: HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-FUND.HTMLJOHN MUIR PHYSICIAN NETWORK1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597 THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH OVER 1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG), JOHN MUIR SPECIALTY GROUP (JMSMG), JOHN MUIR CARDIOVASCULAR GROUP (JMCVMG) AND JOHN MUIR HEALTH CANCER MEDICAL GROUP (JMHCMG). THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN NUMEROUS LOCATIONS FROM BRENTWOOD TO PLEASANTON. JMMG ALSO PROVIDES HOSPITALIST (IN-PATIENT MEDICAL SERVICES) AT JOHN MUIR HEALTH'S HOSPITALS. THE PHYSICIAN NETWORK ALSO OWNS SPECIALTY CLINICS STAFFED BY JMSMG AND JMCVMG. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SEVEN MAJOR HEALTH PLANS FOR MORE THAN 50,000 COMMERCIAL AND SENIOR HMO MEMBERS. THE PHYSICIAN NETWORK MANAGES HEALTH PLAN CONTRACTING FOR JOHN MUIR HEALTH AND ITS HOSPITALS AND ENGAGES PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACCOUNTABLE CARE ORGANIZATION (ACO) WHICH PROVIDES THE COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS.JOHN MUIR HEALTH FOUNDATION1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule H (Form 990) 2022

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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

2022

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)	89,071,527	N/A	N/A	GENERAL SUPPORT
(2) JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BLVD WALNUT CREEK,CA94597	68-0249685	501(C)(3)	13,480,707	N/A	N/A	GENERAL SUPPORT
(3) JOHN MUIR HEALTH FOUNDATION 1400 TREAT BLVD WALNUT CREEK,CA94597	94-2650855	501(C)(3)	5,544,251	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)	1,470,344	N/A	N/A	COMMUNITY SUPPORT
(5) 18 REASONS 3674 18TH STREET SAN FRANCISCO,CA94110	45-3059509	501(C)(3)	24,000	N/A	N/A	COMMUNITY SUPPORT
(6) ALAMEDA COUNTY COMMUNITY FOOD BANK PO BOX 2599 OAKLAND,CA94614	94-2960297	501(C)(3)	55,000	N/A	N/A	COMMUNITY SUPPORT
(7) ALAMO ROTARY FOUNDATION PO BOX 303 ALAMO,CA94507	77-0600752	501(C)(3)	70,000	N/A	N/A	COMMUNITY SUPPORT
(8) ALS ASSOCIATION PO BOX 7082 WOODLAND HILLS,CA91365	95-4163338	501(C)(3)	7,500	N/A	N/A	EAST BAY WALK TO DEFEAT ALS SPONSORSHIP
(9) 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
(10) AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS,TX75231	13-5613797	501(C)(3)	10,000	N/A	N/A	SPONSORSHIP
(11) BIKE EAST BAY PO BOX 1736 OAKLAND,CA94604	94-2585652	501(C)(3)	20,000	N/A	N/A	COMMUNITY SUPPORT
(12) CANCER SUPPORT 3276 MCNUTT AVE WALNUT CREEK,CA94597	68-0157858	501(C)(3)	25,000	N/A	N/A	FILM FESTICAL & CHARITY GALA
(13) CENTER FOR HUMAN DEVELOPMENT 901 SUNVALLEY BLVD CONCORD,CA94520	94-2520840	501(C)(3)	102,500	N/A	N/A	COMMUNITY SUPPORT
(14) COALITION FOR COMPASSIONATE CARE OF CA 2530 RIVER PLAZA DRIVE SUITE 110 SACRAMENTO,CA95833	27-0419836	501(C)(3)	15,000	N/A	N/A	COMMUNITY SUPPORT
(15) CONTRA COSTA CLUBHOUSE 3024 WILLOW PASS ROAD STE 230 CONCORD,CA94519	20-8873338	501(C)(3)	145,000	N/A	N/A	COMMUNITY SUPPORT
(16) CONTRA COSTA COUNTY OFFICE OF EDUCATION 77 SANTA BARBARA RD PLEASANT HILL,CA94523	94-2675635	CONTRACOSTACNTY	8,000	N/A	N/A	COMMUNITY SUPPORT
(17) CONTRA COSTA FAMILY JUSTICE CENTER 256 24TH STREET RICHMOND,CA94804	47-4082871	501(C)(3)	285,000	N/A	N/A	COMMUNITY SUPPORT
(18) CONTRA COSTA HEALTH SERVICES 50 DOUGLAS DRIVE STE 320B MARTINEZ,CA94553	94-6000509	170(C)(1)	50,000	N/A	N/A	COMMUNITY SUPPORT
(19) FOOD BANK OF CONTRA COSTA & SOLANO 4010 NELSON AVENUE CONCORD,CA94520	94-2418054	501(C)(3)	60,000	N/A	N/A	COMMUNITY SUPPORT
(20) FRED FINCH YOUTH CENTER 3800 COOLIDGE AVENUE OAKLAND,CA94602	94-0474080	501(C)(3)	404,081	N/A	N/A	COMMUNITY SUPPORT
(21) FRESH APPROACH 5060 COMMERCIAL CIRCLE CONCORD,CA94520	26-2438206	501(C)(3)	20,000	N/A	N/A	COMMUNITY SUPPORT
(22) NAACP - FRIENDS OF THE OAKLAND BRANCH PO BOX 1319 OAKLAND,CA94604	47-2632562	501(C)(3)	8,020	N/A	N/A	SPONSORSHIP
(23) HABITAT FOR HUMANITY 2619 BROADWAY OAKLAND,CA94612	94-3053687	501(C)(3)	10,000	N/A	N/A	SPONSORSHIP
(24) HAVE A BALL FOUNDATION 662 ROCK ISLAND CIRCLE DANVILLE,CA94526	20-2420378	501(C)(3)	7,500	N/A	N/A	SPONSORSHIP
(25) HEALTH CAREER CONNECTION 300 FRANK H OGAWA PLAZA NO 243 OAKLAND,CA94612	25-1904312	501(C)(3)	7,900	N/A	N/A	INTERNSHIP SPONSORSHIP
(26) HEALTH RESOURCES IN ACTION 2 BOYLSTON ST 4TH FL BOSTON,MA02116	04-2229839	501(C)(3)	7,500	N/A	N/A	SPONSORSHIP
(27) HEALTHIMPACT PO BOX 70007 OAKLAND,CA94612	82-0570413	509(A)(1)	10,000	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) HOPE SOLUTIONS 535 MAIN ST SE 209 MARTINEZ,CA94553	91-1797391	501(C)(3)	62,000	N/A	N/A	COMMUNITY SUPPORT
(30) INDEPENDENT LIVING RESOURCES 1850 GATEWAY BLVD STE 170 CONCORD,CA94520	68-0048218	501(C)(3)	35,000	N/A	N/A	COMMUNITY SUPPORT
(31) INSPIRING COMMUNITIES 1511 SYCAMORE AVE M134 HERCULES,CA94547	47-1136159	501(C)(3)	160,000	N/A	N/A	COMMUNITY SUPPORT
(32) JUNIOR ACHIEVEMENT OF NORTHERN CALIFORNIA 3003 OAK ROAD NO 130 WALNUT CREEK,CA94597	94-1322179	501(C)(3)	134,575	N/A	N/A	COMMUNITY SUPPORT
(33) KEROSENE LAMP FOUNDATION 174 CRESVIEW DRIVE ORINDA,CA94563	01-0857784	501(C)(3)	20,220	N/A	N/A	BACK PACK DRIVE
(34) KIDPOWER 2817 ASHBY AVE BERKELEY,CA94705	77-0226712	501(C)(3)	20,000	N/A	N/A	COMMUNITY SUPPORT
(35) LACLINICA DE LA RAZA PO BOX 22210 OAKLAND,CA94623	94-1744108	501(C)(3)	42,500	N/A	N/A	SPONSORSHIP
(36) LIFELONG MEDICAL CARE PO BOX 11247 BERKELEY,CA94712	94-2502308	501(C)(3)	5,500	N/A	N/A	SPONSORSHIP
(37) MARCH OF DIMES 44 MONTGOMERY ST STE 1230 SAN FRANCISCO,CA94104	13-1846366	501(C)(3)	7,500	N/A	N/A	SPONSORSHIP
(38) MEALS ON WHEELS 1300 CIVIC DRIVE WALNUT CREEK,CA94596	68-0044205	501(C)(3)	245,000	N/A	N/A	COMMUNITY SUPPORT
(39) MOBILITY MATTERS 1035 A CAROL LANE LAFAYETTE,CA94549	51-0206190	501(C)(3)	75,000	N/A	N/A	COMMUNITY SUPPORT
(40) MONUMENT CRISIS CENTER 1900 MARKET ST CONCORD,CA94520	41-2111171	501(C)(3)	113,760	N/A	N/A	COMMUNITY SUPPORT
(41) MONUMENT IMPACT 1760 CLAYTON ROAD CONCORD,CA94520	94-3370919	501(C)(3)	140,000	N/A	N/A	20TH ANNIVERSARY GALA
(42) ONE DAY AT A TIME 354 PINE ST STE 700 SAN FRANCISCO,CA94104	94-3255070	501(C)(3)	97,500	N/A	N/A	COMMUNITY SUPPORT
(43) OPERATION ACCESS 1119 MARKET STREET SUITE 400 SAN FRANCISCO,CA94103	94-3180356	501(C)(3)	80,000	N/A	N/A	COMMUNITY SUPPORT
(44) ORDER OF MALTA 2121 HARRISON STREET NO 110 OAKLAND,CA94612	20-5969389	501(C)(3)	35,400	N/A	N/A	COMMUNITY SUPPORT
(45) PHILIP DORN RESPITE CENTER 2400 BISSO LANE SUITE D2 CONCORD,CA94520	94-6000509	CONTRACOSTACNTY	50,000	N/A	N/A	COMMUNITY SUPPORT
(46) PLANTING JUSTICE 319 105TH AVENUE OAKLAND,CA94603	27-0334905	501(C)(3)	104,800	N/A	N/A	COMMUNITY SUPPORT
(47) RYSE CENTER 205 41ST STREET RICHMOND,CA94805	26-0692904	501(C)(3)	180,000	N/A	N/A	COMMUNITY SUPPORT
(48) SUPPORT 4 RECOVERY INC PO BOX 31114 WALNUT CREEK,CA94598	61-1538303	501(C)(3)	25,000	N/A	N/A	COMMUNITY SUPPORT
(49) TRINITY CENTER WALNUT CREEK 1924 TRINITY AVENUE WALNUT CREEK,CA94596	37-1706813	501(C)(3)	50,000	N/A	N/A	COMMUNITY SUPPORT
(50) ULTIMATE SPORTS ASSOCIATION 2675 MITCHELL DRIVE WALNUT CREEK,CA94598	47-4361038	501(C)(3)	187,500	N/A	N/A	ULTIMATE FIELDHOUSE SPONSORSHIP
(51) VILLAGE COMMUNITY RESOURCE CENTER 633 VILLAGE DR BRENTWOOD,CA94513	41-2045701	501(C)(3)	44,000	N/A	N/A	COMMUNITY SUPPORT
(52) VITUITY CARES FOUNDATION 2100 POWELL STREET SUITE 400 EMERYVILLE,CA94608	85-1805937	501(C)(3)	10,000	N/A	N/A	COMMUNITY SUPPORT
(53) WALNUT CREEK SENIORS CLUB 1375 CIVIC DRIVE WALNUT CREEK,CA94596	94-2784218	501(C)(3)	10,000	N/A	N/A	COMMUNITY SUPPORT
(54) WHITE PONY EXPRESS 3380 VINCENT ROAD 107 PLEASANT HILL,CA94523	46-5220565	501(C)(3)	81,000	N/A	N/A	COMMUNITY SUPPORT
(55) WOMEN'S CANCER RESEARCH 2908 ELLSWORTH ST BERKELEY,CA94705	94-3131204	501(C)(3)	72,500	N/A	N/A	COMMUNITY SUPPORT
(56) WRIGHT INSTITUTE 2728 DURANT AVENUE BERKELEY,CA94704	94-1674865	501(C)(3)	85,500	N/A	N/A	COMMUNITY SUPPORT

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) 2022

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) 2022

Additional Data

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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

2022

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? .............

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) 2022

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/DIR/PRES (THRU 09/30/22)	(i) (ii)	1,116,992 ------------- 0	854,103 ------------- 0	52,141 ------------- 0	1,859,546 ------------- 0	20,827 ------------- 0	3,903,609 ------------- 0	854,103 ------------- 0
2MICHAEL S THOMAS CEO/DIR/PRES (AS OF 09/25/22)	(i) (ii)	864,963 ------------- 0	406,931 ------------- 0	719,278 ------------- 0	770,574 ------------- 0	25,256 ------------- 0	2,787,002 ------------- 0	406,931 ------------- 0
3JANE WILLEMSEN EXEC VP/PRESIDENT HOSPITAL OPS	(i) (ii)	897,651 ------------- 0	474,989 ------------- 0	739,955 ------------- 0	476,186 ------------- 0	26,053 ------------- 0	2,614,834 ------------- 0	474,989 ------------- 0
4CHRISTIAN PASS SENIOR VP/CFO	(i) (ii)	723,512 ------------- 0	326,698 ------------- 0	11,834 ------------- 0	366,179 ------------- 0	33,737 ------------- 0	1,461,960 ------------- 0	326,698 ------------- 0
5LISA FOUST SR VP HUMAN RESOURCES	(i) (ii)	564,098 ------------- 0	198,107 ------------- 0	20,154 ------------- 0	238,027 ------------- 0	33,737 ------------- 0	1,054,123 ------------- 0	198,107 ------------- 0
6MAX REYNOLDS SR VP/GENERAL COUNSEL	(i) (ii)	557,612 ------------- 0	196,589 ------------- 0	11,374 ------------- 0	195,742 ------------- 0	18,154 ------------- 0	979,471 ------------- 0	196,589 ------------- 0
7GEORGE SAUTER SR VP/CHIEF STRATEGY OFFICER	(i) (ii)	528,649 ------------- 0	189,675 ------------- 0	23,652 ------------- 0	205,422 ------------- 0	16,128 ------------- 0	963,526 ------------- 0	189,675 ------------- 0
8MICHELLE LOPES RN CHIEF NURSING EXECUTIVE	(i) (ii)	448,156 ------------- 0	158,000 ------------- 0	17,760 ------------- 0	213,244 ------------- 0	20,156 ------------- 0	857,316 ------------- 0	158,000 ------------- 0
9ELIZABETH MAHLER MD VP/CHIEF VALUE BASED CARE	(i) (ii)	488,308 ------------- 0	126,356 ------------- 0	18,513 ------------- 0	160,724 ------------- 0	14,606 ------------- 0	808,507 ------------- 0	126,356 ------------- 0
10TOSON BOYO SR VP/HOSPITAL OPERATIONS	(i) (ii)	448,379 ------------- 0	158,079 ------------- 0	12,298 ------------- 0	137,610 ------------- 0	8,883 ------------- 0	765,249 ------------- 0	158,079 ------------- 0

Schedule J (Form 990) 2022

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-4B

NON-QUALIFIED RETIREMENT PLANS RETIREMENT RESTORATION PLAN EMPLOYEES ELIGIBLE FOR THE RETIREMENT RESTORATION PLAN ARE EITHER SENIOR VICE PRESIDENT OR VICE PRESIDENT LEVEL EMPLOYEES. EMPLOYER CONTRIBUTIONS ARE MADE TO THE PLAN ON BEHALF OF ELIGIBLE EMPLOYEES. THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLAN BENEFIT IS REPORTED IN PART II, COLUMN C. VESTING FOR THE RESTORATION PLAN IS AT THE EARLIEST OF THE FOLLOWING: REACHING AGE 65 WITH AT LEAST THREE YEARS OF SERVICE, BECOMING TOTALLY AND PERMANENTLY DISABLED, INVOLUNTARY TERMINATION FOR ANY REASON OTHER THAN CAUSE, CHANGE OF CONTROL OF JOHN MUIR HEALTH, OR DEATH. RESTORATION PLAN BENEFITS ARE PAYABLE AND TAXABLE UPON VESTING. NO PLAN BENEFIT PAYMENTS WERE MADE DURING THE YEAR. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT DURING THE YEAR: MAX REYNOLDS $35,319 GEORGE SAUTER $51,677 LISA FOUST $75,588 MICHELLE LOPES $82,516 ELIZABETH MAHLER, M.D. $37,405 TOSON BOYO $6,821 SUPPLEMENTAL EXECUTIVE PLAN EMPLOYEES ELIGIBLE FOR THE SUPPLEMENTAL EXECUTIVE PLAN ARE EITHER CEO OF JOHN MUIR HEALTH, CEO OR CAO OF JOHN MUIR PHYSICIAN NETWORK, AND CURRENT EMPLOYEES THAT PREVIOUSLY HELD ONE OF THOSE POSITIONS. EMPLOYER CONTRIBUTIONS ARE MADE TO THE PLAN ON BEHALF OF ELIGIBLE EMPLOYEES. THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLAN BENEFIT IS REPORTED IN PART II, COLUMN C. VESTING FOR THE SUPPLEMENTAL EXECUTIVE PLAN IS AT THE EARLIEST OF THE FOLLOWING: REACHING AGE 65 WITH AT LEAST THREE YEARS OF SERVICE, BECOMING DISABLED, INVOLUNTARY TERMINATION FOR ANY REASON OTHER THAN CAUSE, TERMINATION UPON CHANGE OF CONTROL OF JOHN MUIR HEALTH, OR DEATH. BENEFITS ARE PAYABLE AND TAXABLE UPON VESTING. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT DURING THE TAX YEAR: CALVIN KNIGHT $577,408 JANE WILLEMSEN $85,166 MICHAEL THOMAS $392,230 CHRISTIAN PASS $103,855

Schedule J (Form 990) 2022

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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 ..................	85,111,250
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	89,800,000		355,203,239		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 .............			33,677,859
11 Other spent proceeds .............	89,170,000		300,002,560		91,053,947		51,050,000
12 Other unspent proceeds .............			18,179,971
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?		X		X		X		X
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 $2,063,199 OF TOTAL EARNINGS SINCE 2016 ON THE UNSPENT PROCEEDS.
PART III, LINE 3B	MANAGEMENT, SERVICES CONTRACTS OR RESEARCH AGREEMENTS JOHN MUIR HEALTH ENGAGES BOND COUNSEL IN CONNECTION WITH PUBLIC DEBT OFFERINGS OR REFINANCING, DURING WHICH BOND COUNSEL REVIEWS MANAGEMENT OR SERVICE CONTRACTS RELATED TO FINANCED PROPERTY.
PART III, LINE 9 & PART V	WRITTEN DISCLOSURES WHILE THE ORGANIZATION DID NOT HAVE BOARD APPROVED WRITTEN POLICIES AND PROCEDURES IN PLACE AS OF THE YEAR END, THE ORGANIZATION DID MONITOR COMPLIANCE WITH THE POST-ISSUANCE REQUIREMENTS IMPOSED ON THE BONDS.

Schedule K (Form 990) 2021

Additional Data

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Software Version:

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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 4D, PROGRAM SERVICE ACCOMPLISHMENTS:	REHABILITATION SERVICES BOTH INPATIENT AND OUTPATIENT COMBINED, SAW A NEAR RETURN TO VOLUME FROM PRE-PANDEMIC SERVICES WHILE ADDING STAFF TO SUPPORT THAT VOLUME IN AN EFFORT TO MAINTAIN THE HIGH QUALITY OF REHABILITATION CARE. THE OUTPATIENT THERAPY DIVISION UNDERWENT A GROWTH AND ACCESS PROJECT TO BETTER INCREASE AVAILABILITY OF APPOINTMENT AND SERVICES FOR OUR COMMUNITY PATIENTS. JMH ADDED AND ENHANCED SPECIALTY PROGRAMS FOR PELVIC HEALTH, TEMPOROMANDIBULAR DISORDERS (TMD) AND VESTIBULAR REHABILITATION. THE WALNUT CREEK INPATIENT OCCUPATIONAL THERAPY DEPARTMENT WAS AWARDED THE FIELDWORK SITE OF THE YEAR FOR 2022 BY SAMUEL MERRIT UNIVERSITY. IN DECEMBER 2022, JMH HOSTED THE REGIONAL CERTIFIED STROKE REHABILITATION SPECIALIST (CSRS) COURSE. THE INPATIENT REHABILITATION UNIT ADMITTED 420 PATIENTS IN 2022, WITH STROKE REPRESENTING THE HIGHEST ADMITTING DIAGNOSIS AT 48.8%, FOLLOWED BY SPINAL CORD INJURY AT 16.6%, BRAIN INJURY AT 15.2%. THE AVERAGE LENGTH OF STAY IN 2022 WAS 13.8 DAYS. TOTAL REHAB PATIENT POPULATION IN 2022 DISPOSITION AT DISCHARGE TO COMMUNITY WAS 87.4%. JMH CONTINUES TO EXCEED REGIONAL AND NATIONAL OUTCOMES FOR MEDICARE QUALITY INDICATOR MEASURES AS PUBLISHED ON THE MEDICARE CARE COMPARE WEBSITE FOR PERIOD 7/1/2021 TO 6/30/2022: SKIN INTEGRITY-PRESSURE ULCER/INJURY; AND FALLS. ONCOLOGY AND SPECIALTY SERVICES ON JANUARY 14, 2022 ONCOLOGY SERVICES LAUNCHED AN QCARE (QUALITY, COMMUNICATION, ACCESS, RESEARCH AND EDUCATION) ORIENTATION SESSION. IN NEW PARTNERSHIP WITH UCSF, DEMONSTRATING A COMMITMENT TO HIGH-QUALITY CARE IN THE EAST BAY CANCER NETWORK INCLUDING: - INCREASE PATIENT ACCESS - ALIGN CARE STANDARDS ACROSS THE CONTINUUM - ENHANCE PATIENT EXPERIENCE - EXPAND PATIENT OFFERINGS QCARE ACCOMPLISHMENTS Q1 2022 QCARE STEERING COMMITTEE LAUNCHED MARCH 18 WITH ENTHUSIASM FOR THE WORK AHEAD - CO-BRANDING TEAM FACILITATED UCSF SITE VISITS TO CONCORD, PLEASANT HILL, VALLEJO & SAN RAMON AND DEMONSTRATED OUR HIGH QUALITY AND STANDARD OF CARE PRACTICES FOR MEDICAL ONCOLOGY AND INFUSION JMH AND UCSF QCARE (QUALITY, COMMUNICATION, ACCESS, RESEARCH AND EDUCATION) PARTNERSHIP WORK CONTINUES: - NEW WORK GROUP LAUNCHED TO STREAMLINE PROCESS FOR UCSF/JMH RAPID CONSULTS AND SECOND OPINIONS. - EDUCATION WORK GROUP LAUNCHED QCARE SPEAKER SERIES WITH CAR-T CELL THERAPY FOR MYELOMA SEMINAR IN MAY (PICTURED RIGHT). NEXT SEMINAR IS "EVOLVING TREATMENT PARADIGMS: HYPOFRACTIONATION FOR BREAST CANCER" ON AUGUST 25TH FOLLOWED BY GRAND ROUNDS NOVEMBER 16TH WHICH INCLUDES BEST OF THE YEAR; SELECTED PRACTICE CHANGING STUDIES IN SOLID TUMOR ONCOLOGY IN 2022 FOR HEMATOLOGY, BREAST, LUNG, AND GI. THE JOHN MUIR APHERESIS PROGRAM FELT IT WAS IMPORTANT TO PROVIDE EDUCATION TO OUR JMH PROVIDERS REGARDING THE USE OF LIPID APHERESIS FOR PATIENTS WITH A DIAGNOSIS OF FAMILIAR HYPERCHOLESTEROLEMIA (FH) FOR WHICH THE STANDARD TREATMENT OPTIONS HAVE NOT PREVENTED SIGNIFICANT CARDIAC EVENTS. JMH HAS THE CAPABILITY TO BE ABLE TO OFFER THIS TREATMENT TO PATIENTS NOT ONLY IN OUR SERVICE AREA BUT ALSO TO PATIENTS THROUGHOUT THE GREATER BAY AREA AND BEYOND. CONSOLIDATION OF RADIATION ONCOLOGY SERVICES - CONSOLIDATING JMH'S RADIATION ONCOLOGY SITES (PLEASANT HILL, WALNUT CREEK AND CONCORD) SUPPORTS INTEGRATION OF STAFF AND PHYSICIANS IN PREPARATION FOR THE TRANSITION TO THE NEW CANCER CENTER ON THE WALNUT CREEK CAMPUS IN 2024. - RADIATION ONCOLOGY PATIENTS ARE NOW SEEN AT THE WALNUT CREEK AND CONCORD CAMPUS. DIGESTIVE HEALTH SERVICES 2022 ACCOMPLISHMENTS: COLORECTAL CANCER AWARENESS MONTH ACTIVITIES: - TEDMOND SZETO, MD, JMH FOUNDATION GASTROENTEROLOGIST RECORDED A BRIEF VIDEO ON THE IMPORTANCE COLORECTAL CANCER SCREENING. - LILYE CHAFFIN, A MEMBER OF OUR BELONGING AND EQUITY TEAM OFFERED A PERSONAL STORY ON THE VALUE OF COLONOSCOPY. - A CLOSER LOOK "UPDATE ON COLON CANCER SCREENING: ONE OF THE MOST EFFECTIVE CANCER DETECTION AND PREVENTION PROGRAMS HAS GOTTEN BETTER" WEBINAR ON 03/10/2022, PRESENTED BY DREW SCHEMBRE, MD, MEDICAL DIRECTOR DIGESTIVE HEALTH SERVICES. 98 ATTENDEES INCLUDING: (51 MDS, 27 MIDLEVEL-NPS, PAS, 20 INTERNAL TEAM) - GUIDELINES CHANGED TO START AVERAGE RISK SCREENING AT AGE 45, NO LONGER AGE 50. - PROVIDE EDUCATION REGARDING JMH'S GI "DIRECT ACCESS COLONOSCOPY," WHERE APPROPRIATE PATIENTS AT AVERAGE RISK FOR COLORECTAL CANCER CAN PROCEED DIRECTLY TO COLONOSCOPY.
FORM 990, PART VI, SECTION A, LINE 2	FAMILY OR BUSINESS RELATIONSHIP BOARD MEMBERS TAEJOON AHN, M.D. AND RAVI HUNDAL, M.D. HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3	MANAGEMENT COMPANY JOHN MUIR HEALTH HAS ENGAGED OPTUM TO MANAGE NON CLINICAL FUNCTIONS, INCLUDING INFORMATION TECHNOLOGY, REVENUE CYCLE MANAGEMENT, ANALYTICS, PURCHASING AND CLAIMS PROCESSING. OPTUM BRINGS AN EXTENSIVE SET OF CAPABILITIES, INCLUDING OPERATIONAL TECHNOLOGIES, ANALYTIC SOLUTIONS AND TOOLS, AND ADMINISTRATIVE SERVICE EXPERTISE TO HELP JOHN MUIR HEALTH FURTHER ADVANCE ITS CLINICAL AND OPERATIONAL PERFORMANCE.
FORM 990, PART VI, SECTION A, LINE 7B	GOVERNANCE DECISIONS SUBJECT TO APPROVAL THE BYLAWS OF JOHN MUIR HEALTH PROVIDE THAT JOHN MUIR HEALTH MAY NOT, WITHOUT THE PRIOR WRITTEN CONSENT OF THE MT. DIABLO HEALTHCARE DISTRICT, A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA, AND THE JOHN MUIR ASSOCIATION, A CALIFORNIA NONPROFIT CORPORATION: (I) SELL, TRANSFER, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF JOHN MUIR HEALTH; (II) ISSUE MEMBERSHIP IN JOHN MUIR HEALTH TO ANY PERSON OR ENTITY; (III) MERGER; WITH ANY OTHER PERSON OR ENTITY, UNLESS JOHN MUIR HEALTH IS THE SURVIVING CORPORATION IN THE MERGE: OR (IV) AMEND SECTION 5.6 OF THE BYLAWS OF JOHN MUIR HEALTH (WHICH OBLIGES JOHN MUIR HEALTH TO AMONG OTHER THINGS, PROVIDE AT LEAST ONE MILLION DOLLARS ($1,000,000) ANNUALLY TO FUND CERTAIN COMMUNITY BENEFIT PROJECTS SPONSORED BY THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND AND REASONABLE FUNDING FOR ADMINISTRATION, UP TO A MAXIMUM OF $200,000 PER YEAR.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990 BY THE GOVERNING BODY THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER AND HIS DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, A COMPLETE COPY OF THE FORM 990 IS DISTRIBUTED TO THE FULL BOARD BEFORE JOHN MUIR HEALTH WILL FILE THE FINAL FORM 990 AS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST MONITORING ANNUALLY, THE JOHN MUIR HEALTH (JMH) BOARD CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM REQUIRED TO BE COMPLETED AND SIGNED. DISCLOSED CONFLICTS ARE COMPILED IN A DOCUMENT AND REVIEWED BY THE BOARD CHAIR, PRESIDENT/CEO, AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTEND BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL OR DESIGNEE, GOVERNANCE COMMITTEE AS INDICATED BY THE POLICY, AND FOR CERTAIN TRANSACTIONS WITH THE CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE CONFLICTS DURING THE YEAR AND RECUSE THEMSELVES FROM VOTING ON ANY MATTERS RELATED TO A CONFLICT. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, THE PRESIDENT/CEO AND THE BOARD CHAIR. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED, INCLUDING PERIODIC REVIEWS OF ITS TRANSACTIONS OR ARRANGEMENTS WITH ITS OFFICERS AND BOARD MEMBERS, AND ANY OTHER INDIVIDUAL OR ENTITIES THAT MAY HAVE A SUBSTANTIAL INFLUENCE OVER THE BUSINESS AND AFFAIRS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE OF JOHN MUIR HEALTH. THE COMPENSATION COMMITTEE IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF NO LESS THAN 5 VOTING DIRECTORS, NONE OF WHICH HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION TRANSACTIONS UNDER CONSIDERATION. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE EXPERT COMPENSATION CONSULTANT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA OF SIMILARLY SITUATED ORGANIZATIONS FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITES. THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT. THE COMMITTEE'S DELIBERATIONS AND DECISIONS REGARDING THESE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE COMMITTEE MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE DOCUMENTED MINUTES INCLUDE (1) TERMS OF THE COMPENSATION ARRANGEMENT, INCLUDING DATE IT WAS APPROVED; (2) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE COMMITTEE AND HOW IT WAS OBTAINED; 3) A LIST OF THE MEMBERS PRESENT DURING THE DELIBERATIONS AND HOW THE MEMBERS VOTED; 4) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF ANY MEMBER OF THE COMMITTEE WHO HAD A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS AVAILABLE TO THE PUBLIC AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FROM THE JOHN MUIR HEALTH LEGAL DEPARTMENT UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN UNAMORTIZED LOSS ON PENSION PLANS -482,176.

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	1,926,728	6,332,734		No		Yes		90.000 %
(2) BAY AREA SURGICAL VENTURES 30 S WACKER DRIVE CHICAGO,IL60606 20-3052802	MED SERVICES	CA	JM HEALTH	RELATED	953,022	538,607		No			No	54.000 %
(3) WALNUT CREEK CANCER CENTER 1400 TREAT BOULEVARD WALNUT CREEK,CA94597 94-1461843	MED SERVICES	CA	JM HEALTH	RELATED	-1,454,495	8,260,983		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 BEHAVIORAL HEALTH	B	13,480,707	EXPENSE PAID
(2) JOHN MUIR FOUNDATION	B	5,544,251	SHARED SERVICES
(3) JOHN MUIR PHYSICIAN NETWORK	B	89,017,527	EXPENSES PAID
(4) JOHN MUIR DIABLO COMMUNITY HEALTH FUND	B	1,470,344	AGREEMENT TERMS
(5) JOHN MUIR PHYSICIAN NETWORK	C	3,747,895	SHARED SERVICES
(6) JOHN MUIR BEHAVIORAL HEALTH	C	8,075,265	SHARED SERVICES
(7) JOHN MUIR HEALTH FOUNDATION	C	16,227,526	EXPENSES PAID
(8) JOHN MUIR PHYSICIAN NETWORK	A	12,310,168	RENTS PAID
(9) JOHN MUIR PHYSICIAN NETWORK	J	1,955,146	AGREEMENT TERMS
(10) JOHN MUIR BEHAVIORAL HEALTH	J	1,090,260	SHARED SERVICES
(11) JOHN MUIR HEALTH FOUNDATION	J	164,367	AGREEMENT TERMS
(12) BAY AREA SURGICAL VENTURES	J	1,574,489	AGREEMENT TERMS
(13) JOHN MUIR MAGNETIC IMAGING	J	477,361	AGREEMENT TERMS
(14) JOHN MUIR PHYSICIAN NETWORK	K	131,611	EXPENSES PAID
(15) JOHN MUIR PHYSICIAN NETWORK	L	1,683,933	AGREEMENT TERMS
(16) BAY AREA SURGICAL VENTURES	L	183,362	AGREEMENT TERMS
(17) JOHN MUIR MAGNETIC IMAGING	L	329,045	AGREEMENT TERMS
(18) JOHN MUIR PHYSICIAN NETWORK	M	3,997,917	AGREEMENT TERMS
(19) JOHN MUIR MAGNETIC IMAGING	M	166,245	AGREEMENT TERMS
(20) JOHN MUIR PHYSICIAN NETWORK	P	33,019,350	EXPENSES PAID
(21) JOHN MUIR BEHAVIORAL HEALTH	P	332,826	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 COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	6,016
6	Total number of volunteers (estimate if necessary) .............	6	375
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-318,356
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) .........	24,027,211	28,050,686
9	Program service revenue (Part VIII, line 2g) .........	1,680,165,545	1,666,599,909
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	224,881,264	45,815,211
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,317,863	13,128,997
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,938,391,883	1,753,594,803
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	139,920,400	113,269,585
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)	841,852,214	916,625,796
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)....	768,235,398	776,301,208
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,750,008,012	1,806,196,589
19	Revenue less expenses. Subtract line 18 from line 12.......	188,383,871	-52,601,786
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,688,896,996	3,323,424,314
21	Total liabilities (Part X, line 26).............	1,292,316,074	1,236,241,704
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,396,580,922	2,087,182,610

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 767,692,265 including grants of $ 0 ) (Revenue $ 757,142,584 )
	HOSPITAL SERVICES GENERAL MEDICINE AND SURGERYTHE CORE OF JOHN MUIR HEALTH'S SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. THE JOHN MUIR HEALTH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEON'S COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. NATIONAL AND STATE RECOGNITIONS RECEIVED IN 2022 INCLUDE: (1) RECOGNITION OF JOHN MUIR HEALTH (JMH), WALNUT CREEK MEDICAL CENTER BY U.S. NEWS & WORLD REPORT FOR THE 16TH YEAR IN A ROW AS ONE OF "AMERICA'S BEST HOSPITALS". DIABETES & ENDOCRINOLOGY, OBSTETRICS & GYNECOLOGY, ORTHOPEDICS, AND PULMONOLOGY & LUNG SURGERY SERVICES AT THE WALNUT CREEK MEDICAL CENTER WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES, (2) RECOGNITION BY U.S. NEWS & WORLD REPORT OF NINE SPECIALTIES COMBINED AND 27 ADULT PROCEDURES AND CONDITIONS COMBINED AS HIGH PERFORMING AT JOHN MUIR HEALTH'S WALNUT CREEK AND CONCORD MEDICAL CENTERS, (3) U.S. NEWS AND WORLD REPORT ALSO RANKED THE WALNUT CREEK MEDICAL CENTER #2 AND CONCORD MEDICAL CENTER #3 OUT OF NEARLY 50 HOSPITALS IN THE SAN FRANCISCO METRO AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, AND CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #10 AND #17 IN CALIFORNIA OUT OF MORE THAN 400 ACUTE CARE HOSPITALS, (4) JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO EARNED THE DESIGNATION OF BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT - TWO OF JUST 493 HOSPITALS ( 11% OF THE HOSPITAL EVALUATED) TO ACHIEVE THIS DESIGNATION NATIONWIDE, (5) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE BY HEALTHGRADES AND RECEIVED A CLINICAL EXCELLENCE AWARD FOR JOINT REPLACEMENT, AS WELL AS THE OUTSTANDING PATIENT EXPERIENCE AWARD, (6) THE CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY FOR THE FOURTH STRAIGHT YEAR AND AMONG THE TOP 5 HOSPITALS FOR CARDIAC SURGERY IN CALIFORNIA. THE CONCORD MEDICAL CENTER ALSO RECEIVED A CLINICAL EXCELLENCE AWARD FOR JOINT REPLACEMENT, (7) COMBINED, THE TWO MEDICAL CENTERS HAD SEVEN FIVE-STAR RATINGS FROM HEALTHGRADES FOR SERVICES, PROCEDURES AND TREATMENTS, (8) NEWSWEEK RANKED THE WALNUT CREEK AND CONCORD MEDICAL CENTERS AS TWO OF THE BEST IN THE U.S. (#136 AND #169) (9) THE WALNUT CREEK MEDICAL CENTER RECEIVED AN "A" SAFETY GRADE FROM LEAPFROG IN SPRING 2022. THE CONCORD MEDICAL CENTER RECEIVED A "B" SAFETY GRADE FROM LEAPFROG IN SPRING 2022. (10) BOTH MEDICAL CENTERS ARE MAGNET RECOGNIZED FOR NURSING EXCELLENCE AND QUALITY PATIENT OUTCOMES. OUR PROGRAM EMPHASIS IN 2022 CONTINUED TO BE ON SERVING UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY, MOBILE HEALTH CLINIC, AND SUPPORT FOR NONPROFIT ORGANIZATIONS PROVIDING ACCESS TO HEALTHCARE, MENTAL HEALTH SERVICES, FOOD, HOUSING AND VIOLENCE PREVENTION.

4b	(Code: ) (Expenses $ 223,338,727 including grants of $ 0 ) (Revenue $ 225,528,240 )
	CARDIOVASCULAR IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR ACHIEVEMENTS IN 2022 INCLUDES: FOR THE FIFTH YEAR IN A ROW, CONCORD MEDICAL CENTER WAS NAMED BY HEALTHGRADES AS "ONE OF AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY". JMH'S CARDIAC SURGERY PROGRAM WAS ALSO RECOGNIZED AMONG THE TOP 5 IN THE STATE OF CALIFORNIA BY HEALTHGRADES. HEALTHGRADES' CARDIAC SURGERY SPECIALTY AWARD RECOGNIZES HOSPITALS WITH SUPERIOR CLINICAL OUTCOMES IN HEART BYPASS SURGERY AND HEART VALVE SURGERY. THIS DISTINCTION REPRESENTS THE TOP 1% OF HOSPITALS IN THE UNITED STATES. HEALTHGRADES AMERICA'S BEST HOSPITALS IS BASED SOLELY ON CLINICAL QUALITY OUTCOMES AND REWARDS HOSPITALS THAT CONSISTENTLY EXHIBIT EXCEPTIONAL, COMPREHENSIVE QUALITY CARE.JOHN MUIR HEALTH'S CARDIAC SURGERY PROGRAM WAS RECOGNIZED BY THE SOCIETY OF THORACIC SURGEONS AS "BETTER THAN EXPECTED" FOR CORONARY BYPASS GRAFT SURGERY AND MITRAL VALVE REPAIR + CABG OUTCOMES. APPROXIMATELY 12-15% OF HOSPITALS RECEIVE THIS "3-STAR" RATING FROM STS, WHICH DENOTES THE HIGHEST CATEGORY OF QUALITY.CONCORD MEDICAL CENTER WAS RATED AS HIGH-PERFORMING BY U.S. NEWS & WORLD REPORT IN 2022 IN AORTIC VALVE SURGERY, HEART ATTACK, HEART BYPASS SURGERY, HEART FAILURE, TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). WALNUT CREEK MEDICAL CENTER WAS RATED AS HIGH-PERFORMING BY U.S. NEWS & WORLD REPORT IN 2022 IN HEART ATTACK AND HEART FAILURE. BOTH CONCORD AND WALNUT CREEK RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES - GOLD PLUS HEART FAILURE QUALITY ACHIEVEMENT AWARD FOR THEIR COMMITMENT TO MANAGING HEART FAILURE IN PATIENTS. GOLD PLUS IS THE HIGHEST ACHIEVEMENT LEVEL.JOHN MUIR CONCORD RECEIVED THE MISSION: LIFELINE STEMI RECEIVING CENTER GOLD PLUS ACHIEVEMENT AWARD AND JOHN MUIR WALNUT CREEK WAS THE RECIPIENT OF THE MISSION: LIFELINE STEMI RECEIVING CENTER GOLD ACHIEVEMENT AWARD. THESE AWARDS RECOGNIZE HOSPITALS FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES TO TREAT PATIENTS WHO SUFFER SEVERE HEART ATTACKS. CONCORD MEDICAL CENTER WAS RECOGNIZED AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE. BLUE DISTINCTION CENTERS ARE RECOGNIZED FOR DISTINGUISHED CLINICAL CARE AND PROCESSES BY THE BLUE CROSS AND BLUE SHIELD ASSOCIATION. FACILITIES EARN THESE DESIGNATIONS BASED ON RIGOROUS, EVIDENCE-BASED, OBJECTIVE CRITERIA AND INPUT FROM EXPERT PHYSICIANS AND MEDICAL ORGANIZATIONS. STUDIES INDICATE BLUE DISTINCTION CENTERS HAVE BETTER OVERALL OUTCOMES AND LOWER COSTS FOR CERTAIN PROCEDURES WHEN COMPARED TO NON-DESIGNATED MEDICAL FACILITIES.

4c	(Code: ) (Expenses $ 148,494,161 including grants of $ 0 ) (Revenue $ 227,286,082 )
	WOMENS AND CHILDREN'S SERVICES IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. THE PEDIATRIC INTENSIVE CARE UNIT AT THE WALNUT CREEK MEDICAL CENTER IS CERTIFIED BY THE CALIFORNIA CHILDREN'S SERVICES. ACCOMPLISHMENTS IN 2022 INCLUDE:THE JOHN MUIR HEALTH, WALNUT CREEK MEDICAL CENTER PEDIATRIC DEPARTMENT RECEIVED A LETTER OF RECOGNITION FOR OUR HOSPITAL'S EFFORTS IN THE SIP (SIMULTANEOUSLY IMPLEMENTING PATHWAYS FOR IMPROVING ASTHMA, PNEUMONIA AND BRONCHIOLITIS CARE FOR HOSPITALIZED CHILDREN) STUDY, FOCUSED ON IMPROVING CARE AND OUTCOMES FOR CHILDREN HOSPITALIZED WITH RESPIRATORY ILLNESSES. THE CURRENT NATIONAL SURGE IN THESE ILLNESSES UNDERSCORES THE IMPORTANCE OF EQUIPPING FRONTLINE CLINICIANS WITH THE LATEST EVIDENCE BASED AND CUTTING-EDGE TOOLS TO ENSURE EVERY CHILD RECEIVES EXCELLENT CARE. IN THE LETTER, YEELEN EDWARDS, MSC AND SUNITHA KAISER, MD, MSC FROM THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO COMMENTED THE PHYSICIAN SITE LEAD, DR. YUNGTING LIAO IS DEEPLY COMMITTED TO IMPLEMENTING THESE TOOLS.THE NICU IS WORKING ON THE CPQCC NEOBRAIN COLLABORATIVE AND INTRODUCING THE SENSE PROGRAM TO OUR NURSING STAFF AND FAMILIES. THE SUPPORTING AND ENHANCING NICU SENSORY EXPERIENCES (SENSE) PROGRAM WAS DEVELOPED TO PROMOTE CONSISTENT, AGE-APPROPRIATE, RESPONSIVE, AND EVIDENCE-BASED POSITIVE SENSORY EXPOSURES FOR THE PRETERM INFANT EVERY DAY OF NICU HOSPITALIZATION. THE GOAL IS WITH THESE POSITIVE EXPOSURE THAT CAN HAVE POSITIVE EFFECTS ON NEURODEVELOPMENTAL OUTCOMES.AFTER A SUCCESSFUL BABIES WITH BOOKS READ A THON HELD IN THE NICU, ADDITIONAL BOOKS HAVE BEEN PURCHASED TO CONTINUE THE PROGRAM BY ENCOURAGING READING SESSIONS (BOTH PARENTS AND STAFF) WHILE THE INFANT IS INPATIENT AND PROVIDING FAMILIES WITH BOOKS TO TAKE HOME.THE PEDIATRIC HOSPITALISTS PARTICIPATED IN THE NATIONAL QI COLLABORATIVE RUN BY VIP NETWORK/AAP REVISE II REDUCING EXCESSIVE VARIABILITY IN INFANT SEPSIS EVALUATIONS. THERE WERE FOUR PRIMARY MEASURES: 1. APPROPRIATE CSF, 2. APPROPRIATE DISPOSITION FROM THE EMERGENCY DEPARTMENT, 3. APPROPRIATE RECEIPT OF ANTIBIOTICS AND 4. APPROPRIATE DISCHARGE FROM THE HOSPITAL. BASED ON THIS COLLABORATION THE FOLLOWING INTERVENTIONS WERE IMPLEMENTED: 1. ISSUED NEW/UPDATED CLINICAL PRACTICE GUIDELINES BASED ON THREE DIFFERENT AGE CATEGORIES, 2. CREATED DOT PHRASES FOR SHARED DECISION-MAKING DISCUSSION AND DOCUMENTATION, 3. PUBLISHED GUIDELINES IN EPIC/AGILE MD AND 4. PROVIDED STAKEHOLDER EDUCATION HOSPITALISTS/ER/RESIDENTS/PCP.THE PEDIATRIC HOSPITALISTS ARE WORKING TO FACILITATE EARLY DISCHARGE OF MOM-BABY DYADS IN THE JMH BIRTH CENTER. THE GOAL IS TO HAVE THE MD DISCHARGE ORDER BEFORE NOON FOR THE NEWBORN DISCHARGE AND NOON FOR THE OB DISCHARGE. THE RN WOULD THEN DISCHARGE THE DYAD WITHIN TWO HOURS OF THE LAST MD ORDER. IN 2022 THE NEONATAL AND PEDIATRIC CRITICAL CARE TRANSPORT TEAM PROVIDED TRANSPORT SERVICES IN AND OUT OF JOHN MUIR HEALTH TO 442 PATIENTS.

	(Code: ) (Expenses $ 420,416,783 including grants of $ 113,269,585 ) (Revenue $ 456,636,747 )
	OTHER SERVICES OFFERED AT JOHN MUIR HEALTH ARE:

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 420,416,783 including grants of $ 113,269,585 ) (Revenue $ 456,636,747 )
4e	Total program service expenses1,559,941,936

(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) CHRISTIAN PASS........................................................................ SENIOR VP/CFO	60.00 .......................15.00	X			1,062,044	0	399,916
(19) MAX REYNOLDS........................................................................ SR VP/GENERAL COUNSEL	60.00 .......................0.00		X		765,575	0	213,896
(20) JANE WILLEMSEN........................................................................ EXEC VP/PRESIDENT HOSPITAL OPS	60.00 .......................12.00		X		2,112,595	0	502,239
(21) LISA FOUST........................................................................ SR VP HUMAN RESOURCES	60.00 .......................0.00			X	782,359	0	271,764
(22) GEORGE SAUTER........................................................................ SR VP/CHIEF STRATEGY OFFICER	60.00 .......................0.00			X	741,976	0	221,550
(23) MICHELLE LOPES RN........................................................................ CHIEF NURSING EXECUTIVE	60.00 .......................0.00			X	623,916	0	233,400
(24) ELIZABETH MAHLER MD........................................................................ VP/CHIEF VALUE BASED CARE	60.00 .......................0.00			X	633,177	0	175,330
(25) TOSON BOYO........................................................................ SR VP/HOSPITAL OPERATIONS	60.00 .......................0.00			X	618,756	0	146,493

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,679,806	0	4,840,791

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	28,050,686
e	Government grants (contributions)		1e

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

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

h Total. Add lines 1a-1f.......		28,050,686

		Business Code
2a	PATIENT SERVICE REVENU	621400	1,613,396,230	1,613,396,230
b	PREMIUM REVENUE	621400	55,363,248	55,363,248
c	OTHER OPERATING REVENU	621400	-2,159,569	-2,165,825	6,256
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,666,599,909

3 Investment income (including dividends, interest, and othersimilar amounts) ......			30,299,790		-324,612	30,624,402
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		12,310,168	6a
b	Less: rental expenses		675,631	6b
c	Rental income or (loss)		11,634,537	6c
d	Net rental income or (loss).......			11,634,537			11,634,537
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	1,471,381	341,735,721	7a
b	Less: cost or other basis and sales expenses	1,035,170	326,656,511	7b
c	Gain or (loss)	436,211	15,079,210	7c
d	Net gain or (loss).........			15,515,421			15,515,421
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	1,053,476			1,053,476
b	PROPERTY TAX REFUNDS		531390	426,602			426,602
c	VENDING INCOME		722515	14,382			14,382
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,494,460
12	Total revenue. See instructions.....			1,753,594,803	1,666,593,653	-318,356	59,268,820

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	113,269,585	113,269,585
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 ...........	16,647,120	14,736,713	1,910,407
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........	722,517,176	614,139,600	108,377,576
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	31,945,548	25,556,438	6,389,110
9	Other employee benefits .......	98,597,087	86,765,437	11,831,650
10	Payroll taxes ...........	46,918,865	40,819,413	6,099,452
11	Fees for services (non-employees):
a	Management ......	151,595,541	128,856,210	22,739,331
b	Legal .........	16,863,696	8,263,211	8,600,485
c	Accounting ...........	1,043,908	511,515	532,393
d	Lobbying ...........	272,791	272,791
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	7,172,802		7,172,802
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	163,839,898	163,839,898
12	Advertising and promotion ....
13	Office expenses .......	15,398,584	12,792,541	2,606,043
14	Information technology ......	22,447,762	673,433	21,774,329
15	Royalties ..
16	Occupancy ...........	48,501,743	38,845,309	9,656,434
17	Travel ............	2,145,438	836,238	1,309,200
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	22,225,772	20,199,796	2,025,976
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	83,847,685	59,270,489	24,577,196
23	Insurance ...	9,559,741	5,257,858	4,301,883
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	138,863,928	138,863,928
b	UNCOLLECTIBLE ACCOUNTS	34,239,522	34,239,522
c	PHARMACEUTICALS	33,726,086	33,726,086
d	OTHER EXPENSES	14,201,999	11,052,194	3,149,805
e	All other expenses	10,354,312	7,153,731	3,200,581
25	Total functional expenses. Add lines 1 through 24e	1,806,196,589	1,559,941,936	246,254,653	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 ........			13,397	1	13,402
2	Savings and temporary cash investments .........			113,782,230	2	29,467,530
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			280,888,620	4	241,429,079
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 ............			10,799,840	8	11,293,135
9	Prepaid expenses and deferred charges ......			33,275,742	9	31,725,253
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,102,538,826
b	Less: accumulated depreciation	10b	1,104,187,046	896,599,318	10c	998,351,780
11	Investments—publicly traded securities .			1,320,825,590	11	1,067,213,079
12	Investments—other securities. See Part IV, line 11 .....			565,866,579	12	567,874,282
13	Investments—program-related. See Part IV, line 11 ..			174,167,579	13	138,588,369
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			292,678,101	15	237,468,405
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,688,896,996	16	3,323,424,314

17	Accounts payable and accrued expenses .....	280,572,002	17	329,564,071
18	Grants payable ...	0	18	0
19	Deferred revenue .........	89,044,426	19	2,625,393
20	Tax-exempt bond liabilities .........	588,895,371	20	579,409,976
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	333,804,275	25	324,642,264
26	Total liabilities. Add lines 17 through 25..	1,292,316,074	26	1,236,241,704

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	2,396,283,378	27	2,086,507,602
28	Net assets with donor restrictions ...........	297,544	28	675,008
	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 ...........	2,396,580,922	32	2,087,182,610
33	Total liabilities and net assets/fund balances ........	3,688,896,996	33	3,323,424,314

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