4A (Expenses $ 679977720 including grants of $ 0) (Revenue $ 754710884)
"HOSPITAL SERVICES - GENERAL MEDICINE AND SURGERYTHE CORE OF JOHN MUIR HEALTH'S SERVICE TO THE COMMUNITY IS IN ITS GENERAL MEDICINE AND SURGERY PROGRAM, WHICH PROVIDES COMPREHENSIVE CARE FROM EMERGENCY TO HIGH LEVEL CRITICAL CARE TO DISCHARGE SUPPORT AND HOME HEALTH PATIENTS WITH A VARIETY OF CONDITIONS. JOHN MUIR MEDICAL CENTER, WALNUT CREEK SERVES AS THE ONLY COUNTY-DESIGNATED TRAUMA CENTER FOR THE AREA, WORKING CLOSELY WITH LOCAL EMERGENCY SERVICES LEADERS. THE JOHN MUIR HEALTH TRAUMA CENTER RECEIVED THE AMERICAN COLLEGE OF SURGEON'S COMMITTEE ON TRAUMA UNCONDITIONAL RE-VERIFICATION AS A LEVEL II TRAUMA CENTER. NATIONAL RECOGNITIONS RECEIVED IN 2021 INCLUDE: (1) RECOGNITION OF JOHN MUIR HEALTH, WALNUT CREEK MEDICAL CENTER BY U.S. NEWS & WORLD REPORT FOR THE 15TH YEAR IN A ROW AS ONE OF ""AMERICA'S BEST HOSPITALS"". DIABETES & ENDOCRINOLOGY, GYNECOLOGY, ORTHOPEDICS AND PULMONOLOGY & LUNG SURGERY SERVICES AT THE WALNUT CREEK MEDICAL CENTER WERE RECOGNIZED AS AMONG THE TOP 50 IN THE UNITED STATES, (2) RECOGNITION BY U.S. NEWS & WORLD REPORT OF SIX SERVICES COMBINED AND 17 ADULT PROCEDURES AND CONDITIONS COMBINED AS HIGH PERFORMING AT JOHN MUIR HEALTH'S WALNUT CREEK AND CONCORD MEDICAL CENTERS, (3) U.S. NEWS AND WORLD REPORT ALSO RANKED THE WALNUT CREEK MEDICAL CENTER #2 AND CONCORD MEDICAL CENTER #3 OUT OF NEARLY 50 HOSPITALS IN THE SAN FRANCISCO METRO AREA BASED ON PATIENT SURVIVAL, PATIENT SAFETY, AND CARE-RELATED FACTORS SUCH AS NURSING AND PATIENT SERVICES, AND REPUTATION. THE TWO HOSPITALS WERE ALSO RANKED #10 AND #16 IN CALIFORNIA OUT OF 400 ACUTE CARE HOSPITALS, (4) JOHN MUIR HEALTH'S CONCORD AND WALNUT CREEK MEDICAL CENTERS ALSO EARNED THE DESIGNATION OF BEST REGIONAL HOSPITALS BY U.S. NEWS & WORLD REPORT - TWO OF JUST 531 HOSPITALS (JUST 11% OF THE HOSPITAL EVALUATED) TO ACHIEVE THIS DESIGNATION NATIONWIDE, (5) THE WALNUT CREEK MEDICAL CENTER WAS NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR PULMONARY CARE BY HEALTHGRADES AND RECEIVED CLINICAL EXCELLENCE AWARDS FOR CORONARY INTERVENTION AND JOINT REPLACEMENT, (6) THE CONCORD MEDICAL CENTER WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY FOR THE THIRD STRAIGHT YEAR, ONE OF AMERICA'S TOP 100 HOSPITALS FOR JOINT REPLACEMENT FOR THE THIRD STRAIGHT YEAR AND RECEIVED A PATIENT SAFETY EXCELLENCE AWARD FOR PREVENTING INFECTIONS, MEDICAL ERRORS AND OTHER PREVENTABLE COMPLICATIONS FOR THE SECOND STRAIGHT YEAR, (7) COMBINED, THE TWO MEDICAL CENTERS HAD 9 FIVE-STAR RATINGS FROM HEALTHGRADES FOR SERVICES, PROCEDURES AND TREATMENTS, (8) NEWSWEEK RANKED THE WALNUT CREEK AND CONCORD MEDICAL CENTERS AS TWO OF THE BEST IN THE U.S. (#136 AND #169) (9) THE WALNUT CREEK MEDICAL CENTER RECEIVED AN ""A"" SAFETY GRADE FROM LEAPFROG IN SPRING AND FALL 2021. THE CONCORD MEDICAL CENTER RECEIVED A ""B"" SAFETY GRADE FROM LEAPFROG IN SPRING AND FALL 2021. (10) BOTH MEDICAL CENTERS ARE MAGNET RECOGNIZED FOR NURSING EXCELLENCE AND QUALITY PATIENT OUTCOMES (11) THE JOHN MUIR HEALTH PHYSICIAN NETWORK RECEIVED ELITE STATUS FROM AMERICA'S PHYSICIAN GROUPS FOR THE 11TH CONSECUTIVE YEAR BASED UPON HOW WELL-EQUIPPED AND ORGANIZED THE NETWORK IS TO DELIVER A HIGH-QUALITY PATIENT EXPERIENCE, COORDINATE CARE AND PROVIDE FOR POPULATION HEALTH PROGRAMS, WHILE AT THE SAME TIME IMPROVING THE OVERALL AFFORDABILITY OF HEALTH CARE SERVICES. (12) THE JOHN MUIR HEALTH PHYSICIAN NETWORK ALSO RECEIVED INTEGRATED HEALTHCARE ASSOCIATION'S EXCELLENCE IN HEALTHCARE AWARD (CALIFORNIA'S TOP HONOR FOR PROVIDER ORGANIZATIONS) FOR STRONG RESULTS IN CLINICAL QUALITY, PATIENT EXPERIENCE AND TOTAL COST OF CARE.OUR PROGRAM EMPHASIS IN 2021 CONTINUED TO BE ON SERVING UNINSURED, UNDERSERVED, AND VULNERABLE POPULATIONS IN OUR SERVICE AREA THROUGH COMMUNITY PARTNERSHIPS, SUCH AS THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY, MOBILE HEALTH CLINIC, CONTRA COSTA CARES, AND SUPPORT FOR NONPROFIT ORGANIZATIONS PROVIDING ACCESS TO HEALTHCARE, MENTAL HEALTH SERVICES, FOOD, HOUSING AND VIOLENCE PREVENTION."

4B (Expenses $ 181327392 including grants of $ 0) (Revenue $ 205083420)
"CARDIOVASCULAR IS THE SECOND LARGEST HOSPITAL-BASED SERVICE OF JOHN MUIR HEALTH. CARDIOVASCULAR ACHIEVEMENTS IN 2021 INCLUDES: IN THE OSHPD CALIFORNIA CORONARY ARTERY BYPASS GRAFT OUTCOMES REPORTING PROGRAM (CCORP) REPORT, RELEASED IN 2021 AND BASED ON 2019 OUTCOMES, CONCORD MEDICAL CENTER WAS THE ONLY HOSPITAL OUT OF 123 IN CALIFORNIA WITH A PERFORMANCE RATING OF ""BETTER THAN EXPECTED"" FOR CABG OPERATIVE MORTALITY WITH ZERO MORTALITIES OUT OF 173 CASES. CONCORD MEDICAL CENTER WAS ALSO ONE OF ONLY SEVEN HOSPITALS IN CALIFORNIA TO RECEIVE A ""BETTER THAN EXPECTED"" RATING IN RISK-ADJUSTED 30-DAY READMISSION AFTER ISOLATED CABG FOR 2018-2019.CONCORD MEDICAL CENTER RECEIVED A 2021 QUALITY RECOGNITION FROM HEALTHGRADES, RANKING AMONG AMERICA'S TOP 50 HOSPITALS FOR CARDIAC SURGERY. THIS REPRESENTS THE TOP 1% OF HOSPITALS IN THE UNITED STATES. HEALTHGRADES AMERICA'S BEST HOSPITALS IS BASED SOLELY ON CLINICAL QUALITY OUTCOMES FOR 32 CONDITIONS AND PROCEDURES. THIS PREMIER DISTINCTION REWARDS HOSPITALS THAT CONSISTENTLY EXHIBIT EXCEPTIONAL, COMPREHENSIVE QUALITY CARE.WALNUT CREEK MEDICAL CENTER RECEIVED A 2021 CORONARY INTERVENTION EXCELLENCE AWARD FROM HEALTHGRADES. THIS AWARD RECOGNIZES SUPERIOR CLINICAL OUTCOMES IN CORONARY INTERVENTION PROCEDURES AND IS BASED UPON SUPERIOR IN-HOSPITAL AND 30-DAY MORTALITY RATES.JOHN MUIR CONCORD WAS RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS HIGH-PERFORMING IN ABDOMINAL AORTIC ANEURYSM REPAIR, AORTIC VALVE SURGERY, HEART ATTACK, HEART BYPASS SURGERY, HEART FAILURE, AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). JOHN MUIR WALNUT CREEK WAS RECOGNIZED BY U.S. NEWS AND WORLD REPORT AS HIGH PERFORMING IN HEART FAILURE. BOTH CONCORD AND WALNUT CREEK RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES- GOLD PLUS HEART FAILURE QUALITY ACHIEVEMENT AWARD FOR THEIR COMMITMENT TO MANAGING HEART FAILURE IN PATIENTS. GOLD PLUS IS THE HIGHEST ACHIEVEMENT LEVEL.JOHN MUIR CONCORD RECEIVED THE MISSION: LIFELINE STEMI RECEIVING CENTER GOLD PLUS ACHIEVEMENT AWARD AND JOHN MUIR WALNUT CREEK IS THE RECIPIENT OF THE MISSION: LIFELINE STEMI RECEIVING CENTER GOLD ACHIEVEMENT AWARD. THESE AWARDS RECOGNIZE HOSPITALS FOR IMPLEMENTING SPECIFIC QUALITY IMPROVEMENT MEASURES TO TREAT PATIENTS WHO SUFFER SEVERE HEART ATTACKS. JOHN MUIR HEALTH'S CARDIAC REHABILITATION PROGRAM ACHIEVED 2021 PROGRAM CERTIFICATION THROUGH THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) FOR A PERIOD OF THREE YEARS. AACVPR PROGRAM CERTIFICATION IS THE ONLY PEER-REVIEW ACCREDITATION PROCESS DESIGNED TO REVIEW INDIVIDUAL PROGRAMS FOR ADHERENCE TO STANDARDS AND GUIDELINES DEVELOPED AND PUBLISHED BY AACVPR AND OTHER RELATED PROFESSIONAL SOCIETIES. TWO NEW, STATE OF THE ART CARDIAC OPERATING ROOMS OPENED AT CONCORD IN 2021 (FEBRUARY AND NOVEMBER). BOTH ROOMS FEATURE CEILING MOUNTED, ROTATING BOOMS THAT REMOVE EQUIPMENT FROM THE FLOOR AND ALLOW ERGONOMIC VIEWING DURING SURGERY, DEDICATED VENTILATION SYSTEM, LED HIGH PERFORMANCE CHROMOPHORE SURGICAL LIGHTS AND A VIDEO MANAGEMENT SYSTEM THAT ALLOWS CLINICAL STAFF THE ABILITY TO DISTRIBUTE VIDEO IMAGES TO ANY MONITOR WITHIN THE SUITE."

4C (Expenses $ 211548624 including grants of $ 0) (Revenue $ 228670308)
WOMENS'S AND CHILDREN'S SERVICES IS THE THIRD LARGEST PROGRAM WITHIN JOHN MUIR HEALTH. THE PEDIATRIC INTENSIVE CARE UNIT AT THE WALNUT CREEK MEDICAL CENTER IS CERTIFIED BY THE CALIFORNIA CHILDREN'S SERVICES. ACCOMPLISHMENTS IN 2021 INCLUDE:RENEWED THE OPERATING AGREEMENT FOR THE PEDIATRIC PARTNERSHIP WITH STANFORD CHILDREN'S HEALTH. THE NEONATAL AND PEDIATRIC CRITICAL CARE TRANSPORT TEAM IS ON SITE AT THE WALNUT CREEK MEDICAL CENTER AND AVAILABLE FOR TRANSPORT 12 HOURS PER DAY SEVEN DAYS PER WEEK. THE TEAM ALSO PROVIDES OUTREACH AND TRAINING TO COMMUNITY HOSPITALS IN CONTRA COSTA AND ALAMEDA COUNTIES.RECRUITED AND ON-BOARDED 2 FULL TIME AND 1 PART-TIME EEG TECHNICIANS. THE TECHNICIANS ARE AVAILABLE 12 HOURS PER DAY SEVEN DAYS PER WEEK. THIS REDUCES THE NUMBER OF NEONATAL AND PEDIATRIC PATIENTS THAT NEED TO BE TRANSPORTED TO OTHER HOSPITALS FROM THE WALNUT CREEK CAMPUS.MONTHLY ZOOM LUNCH AND LEARNS WERE SCHEDULED AND IMPLEMENTED. PEDIATRICIANS AND FAMILY PRACTICE PHYSICIANS WERE INVITED TO ATTEND ZOOM SESSIONS PRESENTED BY THE PEDIATRIC SPECIALIST.JOHN MUIR HEALTH AND STANFORD CHILDREN'S HEALTH OPENED THE EAST BAY SPINAL DEFORMITY CENTER IN PLEASANT HILL. THE CENTER INCLUDES STATE OF THE ART IMAGING FOR SCOLIOSIS AND OTHER DEFORMITIES. THIS IS THE ONLY CENTER IN CONTRA COSTA COUNTY WITH EOS CAPABILITIES. THIS IS A MEDICAL IMAGING SYSTEM THAT PROVIDES FRONTAL AND LATERAL RADIOGRAPHIC IMAGES WHILE LIMITING THE X-RAY DOSE ABSORBED BY THE PATIENT IN A SITTING OR STANDING POSITION.THE FOLLOWING PEDIATRIC SPECIALTIES WERE ADDED OR EXPANDED IN 2021: PEDIATRIC GASTROENTEROLOGY PEDIATRIC OTOLARYNGOLOGY PEDIATRIC UROLOGY PEDIATRIC DERMATOLOGY PEDIATRIC HEMATOLOGY/ONCOLOGY PEDIATRIC NEUROLOGYWITH SUPPORT FROM THE JOINT VENTURE, A SIMULATIONS OPERATIONS SPECIALIST HAS BEEN RECRUITED AND ON-BOARDED. THE ROLE OF THE SIMULATIONS SPECIALIST IS TO SUPPORT PHYSICIAN AND NURSING EDUCATION THROUGHOUT THE HOSPITAL AS IT RELATES TO NEONATAL AND PEDIATRIC CARE.THE PEDIATRIC HOSPITALIST AND INTENSIVISTS COMPLETED VIRTUAL PRESENTATIONS AND POSTER SESSIONS FOR THE AMERICAN ACADEMY OF PEDIATRICS, THE SOCIETY FOR CRITICAL CARE MEDICINE AND THE AMERICAN PEDIATRIC ASSOCIATION REGIONS 9 & 10. PEDIATRIC SPECIALISTS ARE AVAILABLE FOR OUTPATIENT APPOINTMENTS IN THE JMH BRENTWOOD OUTPATIENT CENTER.

4D (Expenses $ 438207863 including grants of $ 139920400) (Revenue $ 491697842)

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: JOHN MUIR MEDICAL CENTER WALNUT CREEK, - FACILITY 2: JOHN MUIR MEDICAL CENTER CONCORD

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:
COMMUNITY INPUT PROCESSJOHN MUIR HEALTH (JMH) ENLISTED THE SERVICES OF ACTIONABLE INSIGHTS (AI), LLC, TO CONDUCT THE PRIMARY RESEARCH FOR THE 2019 CHNA. AI USED THREE STRATEGIES FOR COLLECTING COMMUNITY INPUT. KEY INFORMANT INTERVIEWS WITH HEALTH EXPERTS, FOCUS GROUPS WITH SERVICE PROVIDERS, AND FOCUS GROUPS WITH COMMUNITY MEMBERS.PRIMARY RESEARCH PROTOCOLS GENERATED BY AI IN COLLABORATION WITH THE HEALTH SYSTEM WERE BASED ON FACILITATED DISCUSSION AMONG HEALTH SYSTEM MEMBERS ABOUT WHAT THEY WISHED TO LEARN DURING THE 2019 CHNA. THE HEALTH SYSTEM SOUGHT TO BUILD UPON PRIOR CHNAS BY FOCUSING THE PRIMARY RESEARCH ON THE COMMUNITY'S PERCEPTION OF MENTAL HEALTH (IDENTIFIED AS A MAJOR HEALTH NEED IN THE 2016 CHNA) AND THEIR EXPERIENCE WITH HEALTH CARE ACCESS AND DELIVERY (ALSO IDENTIFIED AS A MAJOR HEALTH NEED IN 2016). RELATIVELY LITTLE TIMELY QUANTITATIVE DATA EXIST ON THESE SUBJECTS.EACH INTERVIEW AND FOCUS GROUP WAS RECORDED AS A STAND-ALONE PIECE OF DATA. RECORDINGS WERE TRANSCRIBED, AND THEN AI USED QUALITATIVE RESEARCH SOFTWARE TOOLS TO ANALYZE THE TRANSCRIPTS FOR COMMON THEMES. AI ALSO TABULATED HOW MANY TIMES HEALTH NEEDS HAD BEEN PRIORITIZED BY EACH OF THE FOCUS GROUPS OR DESCRIBED AS A PRIORITY IN A KEY INFORMANT INTERVIEW. THE HEALTH SYSTEM USED THIS TABULATION TO HELP ASSESS COMMUNITY HEALTH PRIORITIES.ACROSS THE KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, THE TEAM SOLICITED INPUT FROM 164 COMMUNITY LEADERS AND REPRESENTATIVES OF VARIOUS ORGANIZATIONS AND SECTORS. THESE REPRESENTATIVES EITHER WORK IN THE HEALTH FIELD OR IN COMMUNITY-BASED ORGANIZATIONS THAT FOCUS ON IMPROVING HEALTH AND QUALITY OF LIFE CONDITIONS BY SERVING THOSE FROM IRS-IDENTIFIED HIGH-NEED TARGET POPULATIONS. THE TEAM ALSO CONVENED FOCUS GROUPS WITH COMMUNITY MEMBERS/USERS OF THE HEALTH SYSTEM IN ALAMEDA AND CONTRA COSTA COUNTIES. CONTRA COSTA HEALTH SERVICES (THE PUBLIC HEALTH DEPARTMENT) PROVIDED INPUT INTO THE PROTOCOLS AND FACILITATED THE FOCUS GROUPS IN CONTRA COSTA COUNTY.KEY INFORMANT INTERVIEWS:BETWEEN JUNE AND OCTOBER 2018, AI CONDUCTED PRIMARY RESEARCH VIA KEY INFORMANT INTERVIEWS WITH 54 LOCAL AND/OR REGIONAL EXPERTS FROM VARIOUS ORGANIZATIONS. THESE EXPERTS INCLUDED INDIVIDUALS FROM THE PUBLIC HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER MANAGERS, COMMUNITY BASED ORGANIZATION REPRESENTATIVES AND CLINICIANS. INTERVIEWS WERE CONDUCTED IN PERSON OR BY TELEPHONE. FOR APPROXIMATELY ONE HOUR, AI ASKED INFORMANTS TO IDENTIFY AND DISCUSS THE TOP NEEDS OF THEIR CONSTITUENCIES, INCLUDING BARRIERS TO HEALTH, GIVE THEIR PERCEPTIONS OF ACCESS TO HEALTH CARE AND MENTAL HEALTH NEEDS, AND SHARE WHICH SOLUTIONS MAY IMPROVE HEALTH INCLUDING SERVICES AND POLICIES. AI ASKED FIVE QUESTIONS:- WHAT ARE THE MOST IMPORTANT/PRESSING HEALTH NEEDS IN THE LOCAL AREA?- WHAT DRIVERS OR BARRIERS ARE IMPACTING THE TOP HEALTH NEEDS?- TO WHAT EXTENT IS HEALTH CARE ACCESS A NEED IN THE COMMUNITY?- TO WHAT EXTENT IS MENTAL HEALTH A NEED IN THE COMMUNITY?- WHAT POLICIES OR RESOURCES ARE NEEDED TO IMPACT HEALTH NEEDS?FOCUS GROUPS WITH SERVICE PROVIDERS AND COMMUNITY MEMBERS:THIRTEEN FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 110 SERVICE PROVIDERS AND COMMUNITY LEADERS FROM JULY TO SEPTEMBER 2018. THE QUESTIONS WERE THE SAME AS THOSE USED WITH KEY INFORMANTS.FOURTEEN RESIDENT FOCUS GROUPS WERE CONDUCTED WITH A TOTAL OF 145 RESIDENTS BETWEEN JULY AND SEPTEMBER 2018. THE DISCUSSIONS CENTERED AROUND THE SAME FIVE QUESTIONS AS THE KEY INFORMANTS, WHICH WERE MODIFIED APPROPRIATELY FOR EACH AUDIENCE. NONPROFIT HOSTS, SUCH AS OPEN HEART KITCHEN IN LIVERMORE, RECRUITED PARTICIPANTS FOR THE GROUPS. TO PROVIDE A VOICE TO THE COMMUNITY IT SERVES, AND IN ALIGNMENT WITH IRS REGULATIONS, THE FOCUS GROUPS TARGETED RESIDENTS WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR OF A MINORITY POPULATION.A TOTAL OF 59 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN TRI-VALLEY/CENTRAL CONTRA COSTA COUNTY. A TOTAL OF 37 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN EASTERN CONTRA COSTA COUNTY. A TOTAL OF 21 COMMUNITY MEMBERS PARTICIPATED IN THE FOCUS GROUP DISCUSSION IN WESTERN CONTRA COSTA COUNTY.

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:
OTHER HOSPITAL FACILITIES INCLUDED IN CHNAALL JOHN MUIR HEALTH HOSPITAL FACILITIES (JOHN MUIR MEDICAL CENTER,WALNUT CREEK; JOHN MUIR MEDICAL CENTER, CONCORD; AND JOHN MUIR BEHAVIORAL HEALTH) COLLABORATED WITH KAISER PERMANENTE DIABLO AND EAST BAY, SAINT ROSE HOSPITAL, SAN RAMON REGIONAL MEDICAL CENTER, STANFORD HEALTH CARE, SUTTER HEALTH BAY AREA AND UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND ON THE COMMUNITY HEALTH NEEDS ASSESSMENT.

FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:
OTHER NON-HOSPITAL ORGANIZATIONS INCLUDED IN CHNAACTIONABLE INSIGHTS (AI), LLC, AN INDEPENDENT LOCAL RESEARCH FIRM, COMPLETED THE 2019 CHNA. FOR THIS ASSESSMENT, AI ASSISTED WITH CHNA PLANNING, CONDUCTED PRIMARY RESEARCH, COLLECTED SECONDARY DATA, SYNTHESIZED PRIMARY AND SECONDARY DATA, FACILITATED THE PROCESS OF IDENTIFYING COMMUNITY HEALTH NEEDS AND ASSETS, ASSISTED WITH DETERMINING THE PRIORITIZATION OF COMMUNITY HEALTH NEEDS, AND DOCUMENTED THE PROCESSES AND FINDINGS INTO A REPORT.ACTIONABLE INSIGHTS HELPS ORGANIZATIONS DISCOVER AND ACT ON DATA-DRIVEN INSIGHTS. THE FIRM SPECIALIZES IN RESEARCH AND EVALUATION IN THE AREAS OF HEALTH, STEM (SCIENCE, TECHNOLOGY, ENGINEERING, AND MATH) EDUCATION, YOUTH DEVELOPMENT, AND COMMUNITY COLLABORATION EFFORTS. AI HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS FOR OVER 25 HOSPITALS DURING THE 2018-19 CHNA CYCLE.

PART V, SECTION B, LINE 7A
CHNA REPORT MADE WIDELY AVAILABLE TO PUBLICTHE CHNA REPORT WAS MADE WIDELY AVAILABLE AT THE FOLLOWING URL:WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML

PART V, SECTION B, LINE 10A
WEBSITE FOR ADOPTED IMPLEMENTATION STRATEGYTHE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING URL:WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT.HTML

PART V, SECTION B, LINE 11
SIGNIFICANT NEEDS ADDRESSED IN CHNAIN COLLABORATION WITH KAISER PERMANENTE, SUTTER HEALTH, AND LOCAL COMMUNITY EXPERTS, THE HEALTH SYSTEM IDENTIFIED NINE COMMUNITY HEALTH NEEDS.1. HOUSING AND HOMELESSNESS2. BEHAVIORAL HEALTH3. ECONOMIC SECURITY4. HEALTH CARE ACCESS AND DELIVERY5. COMMUNITY AND FAMILY SAFETY6. EDUCATION AND LITERACY7. HEALTHY EATING/ACTIVE LIVING8. TRANSPORTATION AND TRAFFIC9. CLIMATE/NATURAL ENVIRONMENTHOSPITAL REPRESENTATIVES PRIORITIZED HEALTH NEEDS WITH LOCAL COMMUNITY, PUBLIC HEALTH REPRESENTATIVES. TO FURTHER REFINE AND SELECT THE COMMUNITY HEALTH NEEDS WE PLAN TO ADDRESS, FOUR CRITERIA WERE UTILIZED.SELECTION PROCESS:THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE IS CHARGED WITH OVERSEEING THE STRATEGIC DIRECTION OF COMMUNITY BENEFIT PROGRAMMING AND ACTIVITIES. THE COMMITTEE IS COMPOSED OF JOHN MUIR HEALTH SENIOR LEADERS AND BOARD OF DIRECTORS MEMBERS. THE COMMITTEE MET ON MARCH 25, 2019 TO REVIEW THE LIST OF COMMUNITY HEALTH NEEDS IDENTIFIED AND PRIORITIZED BY THE CHNA REPORT AND TO SELECT THE COMMUNITY HEALTH NEEDS THAT PROVIDE STRATEGIC DIRECTION FOR JOHN MUIR HEALTH COMMUNITY BENEFIT PROGRAMMING AND ACTIVITIES FROM 2020 THROUGH 2022.THE FOLLOWING SELECTION CRITERIA WERE USED AS A METHOD TO PRIORITIZE AND SELECT THE COMMUNITY BENEFIT PRIORITIES. THE SELECTION CRITERIA BUILT ON CHNA PRIORITIZATION CRITERIA, WHICH INCLUDED: (1) COMMUNITY PRIORITY; (2) MAGNITUDE/SCALE OF NEED; (3) SEVERITY OF NEED; (4) MULTIPLIER EFFECT; (5) CLEAR DISPARITIES OR INEQUITIES.THE COMMITTEE MEMBERS FIRST AGREED UPON THE SELECTION CRITERIA, THEN ENGAGED IN THOROUGH DISCUSSION ABOUT EACH OF THE NINE PRIORITIZED HEALTH NEEDS. AFTER DISCUSSION BY ALL MEMBERS REGARDING RATIONALE FOR SELECTION, SUPPORTING DATA, KEY INFORMANT INTERVIEW AND FOCUS GROUP RESULTS, THE COMMITTEE CAME TO A CONSENSUS.THE FOLLOWING NEEDS WERE SELECTED AS COMMUNITY BENEFITS PRIORITIES FOR 2020-2022. THE COMMITTEE SELECTED THE HEALTH NEEDS FOR IMPLEMENTATION BECAUSE OF THE FEASIBILITY OF INTERVENTION, ABILITY TO HAVE A MEASURABLE IMPACT, ABILITY TO PARTNER WITH OTHER ORGANIZATIONS, OPPORTUNITY TO PREVENT NEGATIVE OUTCOMES ASSOCIATED WITH THE HEALTH NEEDS, ALIGNMENT WITH POPULATION TRENDS AND JOHN MUIR HEALTH EXPERTISE AND ABILITY TO BUILD ON SUCCESSFUL, CURRENT COMMUNITY BENEFIT PROGRAMS.1. ACCESS TO CARE, INCLUDING PRIMARY AND SPECIALTY CARE. IN ORDER TO ACHIEVE THIS HEALTH NEEDS JOHN MUIR HEALTH WILL:-PROVIDE FINANCIAL ASSISTANCE TO SUPPORT LOW-INCOME PATIENTS BY SUBSIDIZING ALL OR A PORTION OF THEIR JOHN MUIR HEALTH MEDICAL EXPENSES AT JMMC-WC AND JMMC-CONCORD.-PARTICIPATE IN THE GOVERNMENT-SPONSORED MEDI-CAL PROGRAM TO PROVIDE COMPREHENSIVE INPATIENT CARE TO MEDI-CAL ENROLLEES THAT GENERATE UNPAID COSTS AT JMMC-WC, JMMC-CONCORD, JOHN MUIR PHYSICIAN NETWORK AND JOHN MUIR BEHAVIORAL HEALTH CENTER.-PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY BY OFFERING PROGRAMS SUCH AS THE MOBILE HEALTH CLINIC IN PARTNERSHIP WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM, CONTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, VILLAGE COMMUNITY RESOURCE CENTER, ROTOCARE BAY AREA AND ST. VINCENT DE PAUL.-PROVIDE HEALTH CARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY, WHICH INCLUDES LIFELONG MEDICAL CARE, LA CLINICAL DE LA RAZA AND CONTRA COSTA COUNTY ORAL HEALTH PROGRAM.-PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLINICAL SPECIALTY PROGRAM AND OPERATION ACCESS FOR ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE.-PROVIDE SCREENING PROGRAMS THROUGH THE EVERY WOMEN COUNTS PROGRAM AND THE LUNG CANCER SCREENING PROGRAM FOR LOW-INCOME ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE.-PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES THROUGH THE MEDICATION ASSISTANCE PROGRAM AND PATIENT NAVIGATOR PROGRAM FOR VULNERABLE ADULTS AND SENIORS THAT ADDRESS POOR HEALTH OUTCOMES, QUALITY, SATISFACTION AND EFFICIENCY.-PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES FOR VULNERABLE SENIORS THAT PROMOTE INDEPENDENT LIVING, ADDRESS POOR HEALTH OUTCOMES, QUALITY AND SATISFACTION WHILE IMPROVING EFFICIENCY THROUGH FALL PREVENTION SAFETY TRAININGS, HOME ASSESSMENTS AND MODIFICATIONS, EDUCATION, AND ASSISTIVE TECHNOLOGY THROUGH MEALS ON WHEELS OF DIABLO REGION AND INDEPENDENT LIVING RESOURCES.-PROVIDE DIABETES EMPOWERMENT EDUCATION PROGRAM IN COLLABORATION WITH MONUMENT IMPACT, JOHN MUIR HEALTH'S DIABETES PROGRAM AND HAPPY FEET PROGRAM, IN COLLABORATION WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM AND MONUMENT CRISIS CENTER.-PROVIDE TRANSPORTATION SUPPORT TO DECREASE ISOLATION AMONG VULNERABLE SENIORS BY INCREASING ACCESS TO EDUCATION PROGRAMMING AT THE WALNUT CREEK SENIOR CENTER AND MOBILITY MATTERS.2. BEHAVIORAL AND MENTAL HEALTH SERVICES. IN ORDER TO ACHIEVE THIS HEALTH NEEDS JOHN MUIR HEALTH WILL:-SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VULNERABLE COMMUNITIES THROUGH THE MENTES POSITIVAS EN ACCION (POSITIVE MINDS IN ACTION) PROMOTORES PROGRAM AT MONUMENT IMPACT.-SUPPORT AND/OR PROVIDE BEHAVIORAL HEALTH INTERVENTION SERVICES IN VULNERABLE ADULTS THROUGH PROGRAMS SUCH AS THE PUTNAM CLUBHOUSE AND SUPPORT4RECOVERY.-PROVIDE INTERVENTION AND REFERRALS TO TRAUMA VICTIMS IN ORDER TO SUPPORT YOUTH DIRECTLY IMPACTED BY INTENTIONAL VIOLENCE WITH JMMC-WC'S BEYOND VIOLENCE PROGRAMS IN PARTNERSHIP WITH CENTER FOR HUMAN DEVELOPMENT, RYSE CENTER AND ONE DAY AT A TIME.-PROVIDE DIRECT MENTAL HEALTH COUNSELING SERVICES TO YOUTH, ADULTS AND FAMILIES OFFERED BY FRED FINCH YOUTH CENTER AND RYSE CENTER IN COLLABORATION WITH THE JOHN MUIR HEALTH MOBILE HEALTH CLINIC, ANTIOCH HIGH SCHOOL CENTER FOR HUMAN DEVELOPMENT, AND ONE DAY AT A TIME.-PROVIDE LOW-INCOME WOMEN WITH CANCER WITH FREE PSYCHOTHERAPY, PATIENT NAVIGATION SERVICES, EMERGENCY FINANCIAL ASSISTANCE, INFORMATION AND REFERRAL HELPLINE AND WELLNESS WORKSHOPS OFFERED BY THE WOMEN'S CANCER RESOURCES CENTER.3. ECONOMIC SECURITY, TO INCLUDE HOUSING, FOOD, COMMUNITY AND FAMILY SAFETY. IN ORDER TO ACHIEVE THESE HEALTH NEEDS JOHN MUIR HEALTH WILL:HOUSING-CONNECT MEDICALLY FRAGILE HOMELESS ADULTS DISCHARGED FROM LOCAL HOSPITALS TO THE RESPITE CARE CENTER TO PROVIDE RECUPERATIVE CARE AND ON-SITE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES.-PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE AND UNSHELTERED INDIVIDUALS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES, TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY BY OFFERING PROGRAMS SUCH AS MOBILE HEALTH CLINIC IN PARTNERSHIP WITH THE JOHN MUIR FAMILY MEDICINE RESIDENCY PROGRAM, CONTRA COSTA HEALTH SERVICES HEALTHCARE FOR THE HOMELESS, VILLAGE COMMUNITY RESOURCE CENTER, ROTACARE PITTSBURG AND ST. VINCENT DE PAUL.-ENGAGE JOHN MUIR FAMILY MEDICINE RESIDENTS WITH CONTRA COSTA HEALTH SERVICES COORDINATED OUTREACH, REFERRAL AND ENGAGEMENT (CORE) PROGRAM TO PROVIDE BASIC HEALTH SERVICES AND CONNECT INDIVIDUALS TO SECURE HOUSING.-CONNECT INDIVIDUALS AND FAMILIES WHO ARE IN RECOVERY FROM ALCOHOL AND OTHER DRUGS WITH SAFE, AFFORDABLE HOUSING THROUGH PARTNERSHIP WITH SUPPORT4RECOVERY.-PROVIDE UNSHELTERED AND LOW-INCOME INDIVIDUALS WITH CLOTHING, FOOD AND SUPPLIES IN PARTNERSHIP WITH WHITE PONY EXPRESS.-PROVIDE SUPPORT TO TRINITY CENTER, WHICH PROVIDES HOMELESS ADULTS WITH RESPITE, FOOD, SHOWER AND LAUNDRY FACILITIES, CLOTHING AND FOOD PANTRY, EMPLOYMENT ASSISTANCE AND CONNECTION TO CONTRA COSTA COUNTY SUPPORT SERVICES.FOOD-PROVIDE YOUTH WITH A WORKFORCE TRAINING OPPORTUNITY AT THE CONCORD BIKE TENT IN PARTNERSHIP WITH BIKE EAST BAY AND OLYMPIC HIGH SCHOOL.-ENGAGE YOUTH AT DOZIER-LIBBEY MEDICAL HIGH SCHOOL IN A NUTRITION-BASED HEALTH EDUCATION TRAIN-THE-TRAINER PROGRAM OFFERED BY FRESH APPROACH.-SUPPORT HEALTHY AND ACTIVE BEFORE FIVE TO INCREASE COMMUNITY AND FAMILY SAFETY, AND PROMOTE HEALTHY EATING AND ACTIVE PLAY IN CHILDREN AGE 0 TO 5.-SUPPORT THE FOOD BANK OF CONTRA COSTA AND SOLANO'S COMMUNITY PRODUCE PROGRAM AND ALAMEDA COUNTY COMMUNITY FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW-INCOME FAMILIES IN CONTRA COSTA COUNTY.COMMUNITY AND FAMILY SAFETY-CONTRIBUTE TO ALLIANCE TO END ABUSE AS A HEALTH SYSTEM PARTNER IN COLLABORATION WITH CONTRA COSTA COUNTY AND THE PUBLIC HEALTH INSTITUTE TO CREATE A BLUEPRINT OF VIOLENCE PREVENTION.-PROVIDE INTERVENTION AND REFERRALS TO TRAUMA VICTIMS IN ORDER TO SUPPORT YOUTH DIRECTLY IMPACTED BY INTENTIONAL VIOLENCE WITH JMMC-WC'S BEYOND VIOLENCE PROGRAM IN PARTNERSHIP WITH CENTER FOR HUMAN DEVELOPMENT, RYSE CENTER AND ONE DAY AT A TIME.

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"-ENGAGE WITH PLANTING JUSTICE AND BORDERLANDS TO IMPLEMENT RESTORATIVE JUSTICE PRACTICES WITH LOCAL SCHOOLS TO CREATE HEALTHY, EQUITABLE AND CARING SCHOOL COMMUNITIES THAT PRECENT AND ADDRESS BEHAVIORAL DISRUPTION IN A NON-PUNITIVE WAY.-SUPPORT MONUMENT CRISIS CENTER TO SERVE LOW-INCOME FAMILIES AND INDIVIDUALS THROUGH DYNAMIC SERVICE PROGRAMS FOCUSED ON PROVIDING NUTRITIOUS FOOD, EDUCATION, GENERAL ASSISTANCE AND REFERRALS IN AN EFFORT TO ALLEVIATE POVERTY.-SUPPORT CONTRA COSTA CRISIS CENTER PROGRAMS THAT CENTER ON KEEPING PEOPLE ALIVE AND SAFE, HELPING THEM THROUGH CRISES, AND PROVIDING OR CONNECTING THEM WITH CULTURALLY RELEVANT SERVICES IN THE COMMUNITY.-SUPPORT CONTRA COSTA COUNTY FAMILY JUSTICE CENTERS (RICHMOND, CONCORD AND ANTIOCH) TO PROVIDE A ONE-STOP MULTI-SERVICE CENTER FOR VICTIMS OF DOMESTIC AND SEXUAL ABUSE, HUMAN TRAFFICKING AND ELDER ABUSE BY OFFERING COUNSELING, ASSISTANCE AND LEGAL ISSUES, HOUSING, EMERGENCY SHELTER, AND EMPLOYMENT.JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIP(S) WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AN UNDERSERVED POPULATIONS. THE FOLLOWING 2021 YEAR END RESULTS IN COLLABORATION WITH LOCAL ORGANIZATIONS ARE OUTLINED BY EACH OF THREE IDENTIFIED COMMUNITY HEALTH NEEDS.COMMUNITY HEALTH NEEDS: HEALTH CARE ACCESS AND DELIVERY, INCLUDING PRIMARY AND SPECIALTY CARE1) THE MOBILE CLINIC: PROVIDE COMPREHENSIVE PRIMARY CARE FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO INADEQUATE INSURANCE COVERAGE, AVAILABILITY OF SERVICES,TIMELINESS OF APPOINTMENTS OR ACCESSIBILITY.- IN 2021, THE MOBILE HEALTH CLINIC SERVED 418 PEOPLE FOR 545 ENCOUNTERS DURING SATURDAY CLINIC, WEDNESDAY RESIDENCY CLINIC AND VIA TELEHEALTH. IN-PERSON VISITS RESUMED WITH LIMITED PATIENTS DUE TO COVID-19 AND MOBILE CLINIC WAS REALLOCATED TO PROVIDE COVID-19 VACCINATIONS.- THE MOBILE HEALTH CLINIC CONTINUED TO PARTNER WITH ROTACARE AND HEALTHCARE FOR THE HOMELESS ALTHOUGH PATIENT CAPACITY WAS LIMITED DUE TO COVID-19. THE MOBILE HEALTH CLINIC SERVED 1,901 PATIENTS THROUGH PARTNERSHIP PROGRAMS.- 85% OF PATIENTS WERE NON-ENGLISH SPEAKING AND 100% OF SERVICES MET THEIR LINGUISTIC NEEDS (PRIMARILY SPANISH).- 98% OF PATIENTS SERVED WERE UNINSURED.- 100% OF PATIENTS WHO NEEDED ADDITIONAL CARE WERE REFERRED TO A SPECIALIST OR OTHER HEALTH ORGANIZATION.- 100% OF REFERRALS WERE TRACKED AND MONITORED BY MCH STAFF AND AMONG THEM, 100% REPORTED FOLLOW-THROUGH WITH THEIR REFERRAL.- COMMUNITY NURSE PROGRAM: PROVIDE HEALTH CARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES. BELOW ARE THE 2021 OUTCOMES:- FROM AUGUST 2020 TO JUNE 2021 (2020-21 SCHOOL YEAR), A TOTAL OF 13 INDIVIDUALS FOR A TOAL OF 7 INTERVENTIONS WERE PROVIDED TO SERVE STUDENTS, PARENTS AND SCHOOL STAFF. SCHOOLS WERE NOT IN PERSON FOR A MAJORITY OF THE YEAR DUE TO COVID-19 PANDEMIC.- 7 REFERRALS WERE RECEIVED BY THE COMMUNITY NURSE AND 1 REFERRAL WAS THEN MADE TO EXTERNAL COMMUNITY RESOURCES.- COMMUNITY NURSES PERFORMED A TOTAL OF 4 FIRST AID TREATMENTS.- PROVIDED NURSING SERVICES TO BRENTWOOD UNIFIED SCHOOL DISTRICT.2) MOBILE DENTAL CLINIC: PROVIDE HEALTH CARE SUPPORT SERVICES FOR CHILDREN IN SCHOOLS THAT SERVE LOW-INCOME FAMILIES THROUGH THE DENTAL COLLABORATIVE OF CONTRA COSTA COUNTY.- IN 2021, THE MOBILE DENTAL CLINIC PROVIDED 236 ORAL HEALTH SERVICES TO 162 UNDUPLICATED CHILDREN. SERVICES WERE SUSPENDED DURING THE COVID-19 PAMDEMIC AND DID NOT RESUME UNTIL AUGUST 2021.- ALL FAMILIES WERE PROVIDED WITH INSURANCE ENROLLMENT ASSISTANCE.- 100% OF MOBILE DENTAL PATIENTS WERE CONNECTED TO A DENTAL HOME THROUGH REFERRAL PARTNERSHIPS WITH LIFELONG BROOKSIDE, LA CLINICA DE LA RAZA OR CONTRA COSTA HEALTH SERVICES CLINICS.3) LA CLINICA SPECIALTY CARE PROGRAM: PROVIDE SPECIALTY CARE SERVICES THROUGH THE LA CLINICA SPECIALTY CARE PROGRAM FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE.- IN 2021, PROVIDERS WERE RECRUITED TO MEET THE NEEDS OF REFERRED PATIENTS, WHICH INCLUDED GYNECOLOGICAL ONCOLOGIST, GYNECOLOGIST, MEDICAL ONCOLOGIST, DIAGNOSTIC IMAGING, GASTROENTEROLOGIST, SURGEON, CANCER GENETICIST, AND UROLOGIST.- 100% OF PATIENTS WERE UNINSURED AND 73% OF PATIENTS REFERRED INDICATED A NON-ENGLISH LANGUAGE PREFERENCE AND 75% IDENTIFIED AS HISPANIC/LATINO.- IN TOTAL, 357 PATIENTS WERE REFERRED FROM LA CLINICA AND AMONG THEM, 335 WERE ACCEPTED INTO THE SPECIALTY CARE PROGRAM (ACCEPTANCE RATE OF 94%). THE TOP REFERRING HEALTH CONDITIONS INCLUDE: GASTROINTESTINAL, GYNECOLOGICAL, UROLOGICAL AND BREAST.- A TOTAL OF 8 CANCER DIAGNOSIS WERE MADE. IN ADDITION, 849 PROCEDURES AND INTERVENTIONS WERE PROVIDED THROUGHOUT THE YEAR. THE MAJORITY OF THE INTERVENTIONS WERE CONSULTATIONS/FOLLOW-UP WITH SPECIALIST AND IMAGING.- 94% OF PATIENTS COMPLETED TREATMENT OR RECEIVED/SCHEDULED FOR FOLLOW-UP.- OPERATION ACCESS: PROVIDE SPECIALTY CARE SERVICES THROUGH OPERATION ACCESS FOR VULNERABLE ADULTS WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE.- IN 2021, A TOTAL OF 229 SURGICAL PROCEDURES WERE PROVIDED IN A JOHN MUIR HEALTH OPERATING ROOM. THIS REPRESENTS A 45% INCREASE FROM THE PREVIOUS YEAR.- 100% OF OPERATION ACCESS PATIENTS WERE UNINSURED.- THE LINGUISTIC NEEDS WERE MET FOR 100% OF PATIENTS, INCLUDING SPANISH, ENGLISH, PORTUGUESE, HINDI, MANDARIN, AND TAGALOG.- 78% OF ALL OPERATION ACCESS SERVICES PROVIDED IN CONTRA COSTA COUNTY WERE PROVIDED BY JOHN MUIR HEALTH.- IN TOTAL, THERE WERE 31 ACTIVE VOLUNTEER PHYSICIANS FROM JOHN MUIR HEALTH WHO PROVIDED AT LEAST ONE SURGICAL SERVICE. 61% OF VOLUNTEERS WERE ""HIGH VOLUME"" PROVIDERS, WHO PROVIDED AT LEAST 4 SERVICES DURING THE YEAR.- IN 2021, 10 NEW PHYSICIANS WERE RECRUITED.- ALL PATIENT QUALITY OF LIFE IMPROVEMENT MEASURES REMAINED HIGH. RESULTING FROM OPERATION ACCESS SERVICES, 95% OF PATIENTS REPORTED IMPROVED HEALTH, 95% REPORTED IMPROVED QUALITY OF LIFE, 95% IMPROVED WORK ABILITY, 88% EXPERIENCED A RELIEF OF SYMPTOMS AND 95% IMPROVED ABILITY TO CARE FOR HOME AND/OR FAMILY.- EVERY WOMAN COUNTS PROGRAM: PROVIDE FREE BREAST CANCER SCREENING FOR LOW-INCOME WOMEN WHO ARE UNABLE TO ACCESS CARE DUE TO LACK OF COVERAGE.- IN 2021, THERE WERE 35 BREAST CANCER SCREENING CLINICS.- 100% OF ELIGIBLE PATIENTS WERE ACCEPTED TO CARE. THERE WERE 239 BREAST CANCER PATIENTS SERVED IN THE CLINICS FOR A TOTAL OF 276 ENCOUNTERS.- ALMOST HALF OF WOMEN SERVED AT THE BREAST CANCER CLINICS (46%) WERE BETWEEN AGES 40-49. 88% IDENTIFIED AS HISPANIC AND AMONG THEM, 88% INDICATED A NON-ENGLISH PREFERENCE. 100% OF PATIENTS WERE UNINSURED.- IN 2021, 98% OF BREAST CANCER PATIENTS WERE PROVIDED WITH SAME DAY ""ONE STOP"" SERVICES, INCLUDING: BREAST EXAMS, DIAGNOSTIC MAMMOGRAMS, ULTRASOUNDS AND BIOPSIES. THE PROGRAM PROVIDED 32 BREAST BIOPSIES AND 100% RECEIVED BIOPSY RESULTS WITHIN 2 WEEKS. 4 WOMEN WERE DIAGNOSED WITH BREAST CANCER AND 100% WERE PROVIDED WITH APPROPRIATE FOLLOW-UP TO MONITOR THEIR DIAGNOSIS. 100% OF DIAGNOSIS WERE ENROLLED IN THE BREAST AND CERVICAL CANCER TREATMENT PROGRAM. 100% OF PATIENTS RECEIVED HEALTH EDUCATION MATERIALS.4) MEALS ON WHEELS DIABLO REGION FALL PREVENTION PROGRAM (FPP): PROVIDE ACCESS TO HEALTH CARE SUPPORT AND CARE COORDINATION SERVICES FOR VULNERABLE ADULTS AND SENIORS THAT ADDRESS POOR HEALTH OUTCOMES, QUALITY AND SATISFACTION WHILE IMPROVING EFFICIENCY THROUGH FALL PREVENTION SAFETY TRAININGS, HOME ASSESSMENTS AND MODIFICATIONS, AND EDUCATION.- IN 2021, FPP RECEIVED 339 REFERRALS AND CONDUCTED 248 HOME SAFETY ASSESSMENTS AND MODIFICATIONS IN HOMES OF OLDER ADULTS. AMONG THESE REFERRALS, 22 PEOPLE ARE ON THE WAITLIST, 69 EITHER DECLINED SERVICES OR DID NOT QUALIFY FOR SERVICES. 95% OF SENIORS REPORTED INCREASED ACCESS TO FALL PREVENTION SERVICES. FPP CONDUCTED 20 EDUCATION PRESENTATIONS, REACHING 420 PARTICIPANTS. ON AVERAGE, 95% OF SENIORS REPORTED INCREASED KNOWLEDGE ABOUT FALL PREVENTION, RISK FACTORS, AND FALL REDUCTION STRATEGIES.- FPP CONDUCTED 248 HOME ASSESSMENTS AND COMPLETED HOME MODIFICATIONS IN 100% OF THOSE ASSESSED. 96% OF SENIORS WHO RECEIVED A HOME MODIFICATION REPORTED POSITIVE CHANGES IN THEIR LIVES. - IN 2021, 17 TOTAL EXERCISE SESSIONS WERE OFFERED WITH A TOTAL OF 236 PARTICIPANTS.5) MEALS ON WHEELS OF DIABLO REGION: PROVIDE OLDER ADULTS IN CONTRA COSTA COUNTY THE FRIENDLY VISITORS PROGRAM. WHICH CONNECTS SENIORS WITH VOLUNTEERS TO PROVIDE COMPANIONSHIP, RESOURCES AND ASSISTANCE, ULTIMATELY TO REDUCE SOCIAL ISOLATION.- IN 2021, VOLUNTEERS AND STAFF ANSWERED 12,430 RESOURCE CALLS. FRIENDLY VISITOR COMPANIONS MADE 1,256 VISITS TO 231 CLIENTS, AGE 60 AND OLDER."

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6) INDEPENDENT LIVING RESOURCES: PROVIDE COMMUNITY WITH MEDICAL EQUIPMENT LOANS, ASSISTIVE TECHNOLOGY AND OTHER SUPPORTIVE RESOURCES FOR INDIVIDUALS, MAINLY SENIORS.- INFORMATION AND REFERRALS ON A VARIETY OF ASSISTIVE TECHNOLOGY AND TRAINING ON DEVICES WAS PROVIDED TO THE COMMUNITY. 591 INDIVIDUALS WERE PROVIDED DEVICES FOR LOAN, AMOUNTING TO 998 DEVICES IN TOTAL. AVERAGE AGE OF USERS WAS 67 YEARS OLD. AMONG DEVICES OFFERED TO THE COMMUNITY INCLUDED: WHEELCHAIRS, TRANSPORT CHAIRS, WALKERS, CANES, BATH CHAIRS, TRANSFER BENCHES, BEDSIDE COMMODE CHAIRS, KNEE SCOOTER, HOSPITAL BEDSIDE TABLES, WALKERS AND SEATED WALKERS.7) MOBILITY MATTERS: PROVIDE TRANSPORTATION ASSISTANCE FOR SENIORS WHO OTHERWISE HAVE LIMITED CAPACITY TO TRAVEL THEMSELVES, TO INCLUDE TRAVEL TO MEDICAL APPOINTMENTS, GROCERY STORE AND OTHER ESSENTIAL NEEDS.- A TOTAL NUMBER OF 104 JOHN MUIR CLIENTS RECEIVED TRANSPORTATION ASSISTANCE WHICH WAS IMPACTED DUE TO THE COVID-19 PANDEMIC BUT STILL MAINTAINED A ROBUST VOLUNTEER BASE WHO PROVIDE RIDES FOR SENIORS IN NEED.8) WALNUT CREEK SENIOR TRANSPORTATION PROGRAM: PROVIDE TRANSPORTATION ASSISTANCE TO SENIORS OVER THE AGE OF 60. SERVICES CAN INCLUDE GROCERY SHOPPING, MEDICAL APPOINTMENTS, PRESCRIPTION PICK UP, AND OTHER ACTIVITIES TO IMPROVE ACCESS TO CARE AND REDUCE SOCIAL ISOLATION.- IN 2021, A TOTAL OF 2,879 RIDES WERE PROVIDED TO 177 SENIORS OVER 60 YEARS OLD, AND WERE ORGANIZED BY THE WALNUT CREEK SENIORS CLUB. AVERAGE COST PER RIDE AMOUNTED TO APPROXIMATELY $12.89 TOTALING OVER $34,544 FOR THE YEAR. A TOTAL OF 298 RIDES WERE PROVIDED TO MEDICAL APPOINTMENTS.9) DIABETES SERVICES: PROVIDE DIABETES PREVENTION PROGRAMS TO VULNERABLE ADULTS WHO ARE IDENTIFIED AS PRE-DIABETIC.- IN 2021, ONE JOHN MUIR HEALTH STAFF WAS TRAINED TO BE A DIABETES EDUCATION EMPOWERMENT PROGRAM (DEEP) CERTIFIED TRAINER. JOHN MUIR HEALTH IN COLLABORATION WITH MONUMENT IMPACT SUPPORTED THE DEEP PROGRAM FOR 4 SESSIONS. THE SESSIONS HAD A TOTAL PARTICIPANT OF 32 PEOPLE FOR 6 WEEKS. OF THE 32 PARTICIPANTS, 26 COMPLETED THE TRAINING. THE DEEP PROGRAM WAS CONDUCTED IN SPANISH.10) ORDER OF MALTA CLINIC: PROVIDE ACCESS TO CARE FOR UNINSURED AND UNDERINSURED PEOPLE WITH DIABETES.- IN 2021, ORDER OF MALTA CLINIC PROVIDED CARE TO 196 PATIENTS WITH DIABETES, FOR A TOTAL OF 1,593 ENCOUNTERS. OVERALL, MALTA CLINIC PROVIDED CARE TO UNINSURED PATIENTS OF 1,457 ENCOUNTERS VIA TELEHEALTH AND 2,061 ENCOUNTERS IN-PERSON. 100% OF OVERALL PATIENTS ARE UNINSURED OR UNDER-INSURED, AND 100% OF PATIENTS WITH DIABETES ARE UNINSURED OR UNDER-INSURED.COMMUNITY HEALTH NEEDS: BEHAVIORAL INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE. BELOW ARE THE ORGANIZATIONS JOHN MUIR HEALTH COLLABORATED WITH AND THE OUTCOMES OF THE COLLABORATIONS FOR 2021.1) COMPLEX COMMUNITY CARE COORDINATION (CCCC) PROGRAM: PROVIDE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES FOR INDIVIDUALS WHO FREQUENT THE EMERGENCY DEPARTMENT, HAVE EXCESSIVE HOSPITALIZATIONS AND MEET CRITERIA RELATED TO SOCIAL DETERMINATION OF HEALTH.- IN 2021, THERE WERE A TOTAL OF 194 PARTICIPANTS IN THE CCCC PROGRAM. 100% OF PARTICIPANTS HAVE MORE THAN 6 EMERGENCY DEPARTMENT VISITS IN THE LAST 6 MONTHS. 100% OF PATIENTS ARE REFERRED TO ENROLL IN MEDI-CAL, MEDICARE, BASIC ADULT CARE OR ARE COVERED BY ANOTHER INSURANCE PLAN, IF THEY QUALIFY. PROVIDED INTERVENTIONS RELATED TO BENEFITS, APPOINTMENT, CARE PLAN, CASE MANAGEMENT, COMMUNICATIONS, HOUSING, MENTAL HEALTH, SITE VISIT, TRANSPORTATION OR OTHER.2) FRED FINCH YOUTH AND FAMILY SERVICES: PROVIDE LINGUISTICALLY APPROPRIATE DIRECT MENTAL AND BEHAVIORAL HEALTH SERVICES AT NO COST TO LOW-INCOME AND UNINSURED INDIVIDUALS TO INCLUDE MOBILE HEALTH CLINIC SATURDAY CLINIC IN BRENTWOOD, ANTIOCH HIGH SCHOOL, DEER VALLEY HIGH SCHOOL, AND BEYOND VIOLENCE PARTNER ORGANIZATIONS, CENTER FOR HUMAN DEVELOPMENT AND ONE DAY AT A TIME.-A TOTAL OF 120 INDIVIDUALS WERE PROVIDED MENTAL HEALTH COUNSELING SERVICES FOR A TOTAL OF 1,865 SESSIONS. THE DISTRIBUTION OF SERVICES PROVIDED WERE AS FOLLOWS: MOBILE HEALTH CLINIC, 6%; ANTIOCH HIGH SCHOOL, 36%, DEER VALLEY HIGH SCHOOL, 28%; BEYOND VIOLENCE ONE DAY AT A TIME AND CENTER FOR HUMAN DEVELOPMENT, 30%. - IN TOTAL, APPROXIMATELY 11% OF SERVICES WERE PROVIDED IN SPANISH BY BILINGUAL THERAPIST. 42% OF CLIENTS WERE UNDER THE AGE OF 18 AND 66% IDENTIFY AS FEMALE. THE TYPE OF SERVICES PROVIDED WERE AS FOLLOWS (TOP 5): INDIVIDUAL THERAPY, ASSESSMENT, PLAN DEVELOPMENT, OUTREACH AND ENGAGEMENT AND COLLATERAL CONTACT.3) MENTES POSITIVAS EN ACCION (POSITIVE MINDS IN ACTION): SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VULNERABLE COMMUNITIES THROUGH THE POSITIVE MINDS IN ACTION PROMOTORES PROGRAM OFFERED BY MONUMENT IMPACT.- IN 2021, THERE WERE 8 TRAINED PROMOTORES FOR THE MENTES POSITIVAS EN ACCION PROMOTORES VIRTUAL PROGRAM (MPA-V). THE 40-HOUR TRAINING IS CONDUCTED BY ROSA MARIA STERNBERG PHD, RN, TO HELP WITH THE TRANSITION TO THE VIRTUAL PLATFORM. A 25-QUESTION TEST WAS ADMINISTERED TO TEST PROMOTORES' KNOWLEDGE OF STRESS AND DEPRESSION MANAGEMENT AND COGNITIVE BEHAVIORAL CONCEPTS. 75 PARTICIPANTS ENROLLED AND BEGAN THE MPA-V PROGRAM AND 58 GRADUATED.4) PUTNAM CLUBHOUSE: SUPPORT AND/OR PROVIDE BEHAVIORAL HEALTH INTERVENTION SERVICES TO VULNERABLE ADULTS WITH SEVERE MENTAL HEALTH ILLNESS THROUGH EDUCATION AND VOCATIONAL REHABILITATION SUPPORT SERVICES.- IN 2021, THERE WAS AN AVERAGE DAILY ATTENDANCE OF 51 MEMBERS AND A MONTHLY ATTENDANCE OF 154 MEMBERS REPRESENTING A TOTAL OF 497 MEMBERS WHO PARTICIPATED IN PROGRAM ACTIVITIES, WHERE THEY SPENT A TOTAL OF 59,034 HOURS PARTICIPATING IN CLUBHOUSE ACTIVITIES. 67 NEW MEMBERS OVERALL JOINED THE CLUBHOUSE IN 2021, AMONG THEM 21 NEW MEMBERS UNDER THE AGE OF 30 JOINED. 100% OF MEMBERS WHO INDICATED EDUCATION IN THEIR CAREER PLAN WERE REFERRED TO APPROPRIATE EDUCATION RESOURCES AND 82 MEMBERS ATTENDED SCHOOL AND AMONG THEM 23 RETURNED TO SCHOOL. 100% OF MEMBERS WHO INDICATED EMPLOYMENT IN THEIR CAREER PLAN WERE REFERRED TO EMPLOYMENT RESOURCES AND 119 MEMBERS WERE EMPLOYED AND AMONG THEM 37 WERE PLACED IN EMPLOYMENT EARNING $17.25/HOUR ON AVERAGE.- JOHN MUIR HEALTH PROVIDED HEALTH EDUCATION MATERIALS AROUND THE FOLLOWING TOPICS: COVID-19, VACCINATION EDUCATION, STRESS MANAGEMENT, WELLNESS AND HEALTH, SLEEP MANAGEMENT. THESE RESOURCES WERE EACH DISTRIBUTED TO 425 INDIVIDUALS.

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5) PLANTING JUSTICE: RESTORATIVE JUSTICE INITIATIVE- TIER 1 TRAININGS WERE HELD AT 6 SCHOOLS AND A TOTAL OF 157 TEACHERS, STAFF AND ADMINISTRATORS COMPLETED THE TRAINING. TIER 2 TRAININGS WERE HELD AT 4 SCHOOLS AND A TOTAL OF 58 TEACHERS, STAFF AND ADMINISTRATORS COMPLETED THE TRAINING. DEVELOPED CURRICULUM AND FACILITATED THE FIRST RJ AMBASSADOR COHORT MODEL THAT INCLUDED 12 PARTICIPANTS. 87% OF TIER 1 PARTICIPANTS GAINED INCREASE UNDERSTANDING OF RESTORATIVE JUSTICE AND 61% OF TIER 1 PARTICIPANTS REPORTED THEY ARE MORE LIKELY TO HOLD A COMMUNITY BUILDING CIRCLE IN THEIR CLASS AND/OR SCHOOL AFTER TAKING THE TRAINING. 6) VILLAGE COMMUNITY RESOURCE CENTER (VCRC): SUPPORT THE PREVENTION AND/OR IMPROVEMENT IN THE LEVELS OF STRESS AND DEPRESSION IN VULNERABLE COMMUNITIES THROUGH VCRC'S MENTAL WELLNESS PROMOTORES PROGRAM.- DEVELOPED A COMPREHENSIVE TRAINING PLAN WITH VISION Y COMPROMISO WHICH INCLUDES THREE COMPONENTS: MENTAL WELLNESS TRAINING FOR PROMOTORAS, A TRAINING THE TRAINER COURSE (FOR VCRC STAFF AND AT LEAST ONE OTHER PROMOTORA), AS WELL AS TECHNICAL ASSISTANCE. TRAINING CLASSES WILL BEGIN IN EARLY FEBRUARY 2022.- PARTICIPATED IN PROMOTORAS TRANSFORMADO FAMILIAS Y COMUNIDADES (PTFC), A POWERFUL COURSE WHICH COVERED A BROAD RANGE OF TOPICS INCLUDING THE ROLE OF A PROMOTORA, EFFECTIVE COMMUNICATION, POPULAR EDUCATION, GROUP FACILITATION, LEARNING STYLES, PUBLIC SPEAKING, ETHICS, SOCIAL DETERMINANTS OF HEALTH, PRACTICAL EXPERIENCE, AND MORE. FIVE PARENTS AS WELL AS THE COMMUNITY ORGANIZER PARTICIPATED WITH ALL BUT ONE INDIVIDUAL GRADUATING FROM THE PROGRAM.7) WOMEN'S CANCER RESOURCE CENTER: FREE THERAPY PROGRAM FOR LOW-INCOME EAST BAY WOMEN WITH CANCER.- 45 CLIENTS RECEIVED FREE THERAPY FROM VOLUNTEER THERAPIST, A WCRC STAFF MEMBER AND THERAPISTS AFFILIATED WITH THE WOMEN'S THERAPY CENTER (WTC). ACROSS 7 SUPPORT GROUPS, THERE WAS AN AVERAGE OF 75 PARTICIPANTS EACH QUARTER THROUGHOUT 2021. IN 2021, THERE WERE THREE EDUCATIONAL WORKSHOPS FOR THERAPISTS, FOR A TOTAL PARTICIPATION OF 89 THERAPISTS. SUCCESSFULLY RECRUITED SIX VOLUNTEER THERAPISTS IN 2021 FROM THE LOCAL THERAPIST COMMUNITY, THREE OF WHOM WERE THERAPIST OF COLOR. 92% OF SURVEY RESPONDENTS INDICATED THAT THERAPY HELPED THEM COPE WITH THE STRESS AND CHALLENGES OF DEALING WITH CANCER AND 96% RESPONDED THE THERAPY HELPED THEM ENJOY A BETTER QUALITY OF LIFE.COMMUNITY HEALTH NEED: ECONOMIC SECURITY, TO INCLUDE HOUSING, FOOD, COMMUNITY AND FAMILY SAFETY. BELOW ARE THE ORGANIZATIONS JOHN MUIR HEALTH COLLABORATED WITH AND THE OUTCOMES OF THE COLLABORATIONS FOR 2021.1) JUNIOR ACHIEVEMENT OF NORTHERN CALIFORNIA: PARTNER WITH JUNIOR ACHIEVEMENT TO LEAD YOUNG HEALERS, A HIGH SCHOOL INTERNSHIP PROGRAM FOR STUDENTS INTERESTED IN PURSUING HEALTH CAREERS, WITH A FOCUS ON UNDERREPRESENTED YOUTH.- TO SUPPORT WORKFORCE DEVELOPMENT, JOHN MUIR HEALTH PROVIDED OPPORTUNITIES FOR UNDERREPRESENTED YOUTH FROM CONTRA COSTA COUNTY SCHOOLS, WITH EDUCATION AFFILIATION AGREEMENTS WITH JOHN MUIR HEALTH TO PARTAKE IN YOUNG HEALERS SUMMER AND SPRING INTERNSHIP PROGRAM. A TOTAL OF 50 STUDENTS PARTICIPATED FOR THE 4 WEEK SUMMER PROGRAM AND 34 STUDENTS PARTICIPATED ON THE 10 WEEK SPRING PROGRAM. JOHN MUIR HEALTH MENTORS/VOLUNTEERS CONTRIBUTED A TOTAL OF 450 HOURS.

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TO SUPPORT HOUSING NEEDS, JOHN MUIR HEALTH PARTNERED WITH THE FOLLOWING ORGANIZATIONS:1) HOPE SOLUTIONS: SUPPORT FOR PERMANENT AFFORDABLE HOUSING AND SUPPORTIVE SERVICES FOR HOMELESS AND AT-RISK FAMILIES AND INDIVIDUALS.- IN 2021, 393 HOUSEHOLDS WERE NEW HOUSED, RESULTING IN 748 UNIQUE INDIVIDUALS NEWLY HOUSED. 1,218 ADULTS RECEIVED CASE MANAGEMENT SERVICES AND 232 YOUTH ACTIVELY PARTICIPATED IN THE YOUTH ENRICHMENT PROGRAM.2) RESPITE CARE CENTER: CONNECT HOMELESS PATIENTS DISCHARGED FROM HOSPITAL TO RESPITE CARE CENTER TO PROVIDE RECUPERATIVE CARE AND ON-SITE COMPREHENSIVE CASE MANAGEMENT AND SUPPORT SERVICES TO MEDICALLY FRAGILE HOMELESS ADULTS.- IN 2021, 50 PATIENTS WERE REFERRED TO THE RESPITE CENTER. 3 PATIENTS (6%) WERE APPROVED FOR RESPITE, AND AMONG THEM, 3 PATIENTS WERE PLACED IN RESPITE AND NONE WERE PLACED IN A COUNTY SHELTER. ON AVERAGE, THE MEAN LENGTH OF STAY WAS 36.67 DAYS AND THE MEDIAN WAS 19 DAYS. ADMITTED PATIENTS ON AVERAGE, WERE PROVIDED WITH 6.33 MEDICAL LINKAGES, WITH AN AVERAGE OF 3.67 MEDICAL CONDITIONS. FOR PATIENT WITH MENTAL HEALTH HISTORY, THEY HAD AN AVERAGE OF 1 CONDITION (DEPRESSION AS THE MOST COMMON). FOR PATIENTS WITH A SUBSTANCE ABUSE HISTORY, THEY WERE USING AN AVERAGE 1.67 SUBSTANCES. PATIENTS WHO WERE ADMITTED TO RESPITE FROM JOHN MUIR HEALTH SAVED 12 HOSPITAL DAYS.3) SUPPORT4RECOVERY: PROVIDE HOUSING GRANTS TO SUPPORT PEOPLE LEAVING TREATMENT PROGRAMS WITH A SOBER LIVING ENVIRONMENT, PREVENTING MANY FROM LIVING ON THE STREETS AND BECOMING UNSHELTERED.- IN 2021, 32 GRANTS OF 30 DAYS EACH WERE PROVIDED AND 5 GRANTS OF 15 DAYS EACH WERE PROVIDED. 25 PEOPLE PLACED IN SLE'S. 100% GOAL OF 30 DAYS SAFE AND AFFORDABLE PLACEMENT ACHIEVED. A TOTAL OF 25 INDIVIDUALS WERE PLACED AT CONTRA COSTA COUNTY SOBER LIVING RESIDENCIES. 4) TRINITY CENTER: SUPPORT TRINITY CENTER IN SERVING HOMELESS AND WORKING POOR ADULT MEN, ADULT WOMEN AND TRANSITIONAL AGE YOUTH IN WALNUT CREEK AND CENTRAL CONTRA COSTA COUNTY.- IN 2021, TRINITY CENTER HAD 16,086 MEMBER VISITS BY 1,092 UNIQUE INDIVIDUALS. EMERGENCY OVERNIGHT SHELTER EVENING PROGRAM OPERATED FROM JANUARY 11 THROUGH APRIL 9, AND OPENED FOR THE WINTER SEASON ON DECEMBER 13. A TOTAL OF 1,856 SHELTER NIGHTS WERE PROVIDED TO 38 UNIQUE INDIVIDUALS. 147 TRANSITION AGE YOUTH MEMBERS WERE SERVED AT TRINITY CENTER, 59 OF THEM ENGAGED WITH CASE MANAGERS ON A REGULAR BASIS TO PLAN AND ACHIEVE EDUCATION, EMPLOYMENT, HEALTH AND HOUSING GOALS. IN 2021, 138 INDIVIDUALS VISITED THE CONDUCT SUBSTANCE USE SUPPORT GROUP AND 159 UNIQUE INDIVIDUALS HAVE RECEIVED ONE ON ONE COUNSELING (183 TOTAL HOURS). THE DAY CENTER RECEIVED AN AVERAGE 60 VISITS FROM TENANTS EACH MONTH, WITH MANY ACCESSING MEALS, CLOTHING, EVENTS, SUBSTANCE USE GROUPS, AND OVERALL SOCIAL CONNECTIONS ON A REGULAR BASIS.TO SUPPORT FOOD NEEDS, JOHN MUIR HEALTH PARTNERED WITH THE FOLLOWING ORGANIZATIONS:1) 18 REASONS: SUPPORT COOKING MATTERS PROGRAM, WHICH PROVIDES PARENTS WITH SPANISH INSTRUCTION ON HEALTHY COOKING AND NUTRITION.- COOKING MATTERS FOR PARENTS WAS PROVIDED AS A 6-WEEK SERIES ON ZOOM WITH GROCERY DELIVERY DUE TO COVID-19. IN TOTAL, 34 PARENTS PARTICIPATED. THERE WERE A TOTAL OF FOUR 6-WEEK YOUTUBE LIVE SERIES PROVIDED AND PROMOTED TO PITTSBURG UNIFIED SCHOOL DISTRICT PARENTS. 198 FAMILIES ATTENDED. TWO 3-WEEK COOKING MATTERS AT HOME OR COOKING MATTERS EN CASA SERIES WERE PROVIDED VIA ZOOM TO A TOTAL OF 24 FAMILIES. ALL FAMILIES WERE PROVIDED WITH GROCERIES TO PARTICIPATE IN FOOD DEMONSTRATIONS.2) ALAMEDA COUNTY COMMUNITY FOOD BANK (ACCFB): SUPPORT THE FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW-INCOME FAMILIES IN ALAMEDA COUNTY.- OVER 7,454,586 POUNDS OF FOOD DISTRIBUTED BY 90 PARTNER ORGANIZATIONS, ACROSS MORE THAN 100 LOCATIONS, AMOUNTING TO 6.2 MILLION MEALS. ACCFB AWARDED GRANTS TO FIVE PARTNERS AGENCIES IN NORTHERN ALAMEDA COUNTY TO MAKE KEY INVESTMENTS IN THEIR FOOD DISTRIBUTION CAPACITY RESULTING IN APPROXIMATELY 1,127,423 POUNDS OF FOOD DISTRIBUTED AND 61,147 INDIVIDUALS MEALS SERVED.3) FOOD BANK OF CONTRA COSTA AND SOLANO COUNTY'S COMMUNITY PRODUCE PROGRAM: SUPPORT THE FOOD BANK TO PROVIDE ACCESS TO FRESH PRODUCE FOR LOW-INCOME FAMILIES IN CONTRA COSTA COUNTY.- DISTRIBUTED 16,285,290 POUNDS OF FOOD THROUGH DIRECT DISTRIBUTIONS TO 133,186 INDIVIDUALS IN CONTRA COSTA COUNTY. LAUNCHED FIVE SCHOOL SITES AND TWO SENIOR FOOD PROGRAM DISTRIBUTION SITES. EACH OF THESE NEW SITES WILL IMPROVE RESIDENTS' ACCESS TO FBCCC PROGRAMS IN CONTRA COSTA COUNTY.4) FRESH APPROACH: SUPPORT MOBILE FARMER'S MARKET TO PROVIDE EASY ACCESS TO HEALTHY, AFFORDABLE PRODUCE, NUTRITION EDUCATION AND RESOURCES, AS WELL AS ADDRESS BARRIERS TO PARTICIPATION IN FOOD BENEFITS IN EAST CONTRA COSTA COUNTY.- 124 UNIQUE PARTICIPANTS AND THEIR FAMILY MEMBERS RECEIVED FRUIT AND VEGETABLE VOUCHERS. 110 PEOPLE PARTICIPATED IN COOKING DEMOS, AND 14 PEOPLE PARTICIPATED IN ONLINE NUTRITION CLASSES. - FRESH APPROACH COLLECTED AND SUBMITTED 23 REFERRAL FORMS AT MOBILE FARMERS' MARKET STOP IN ANTIOCH AND 91 ADDITIONAL REFERRAL FORMS FROM NUTRITION CLASSES AND ADDITIONAL MOBILE AND TRADITIONAL FARMERS' MARKET SITES IN CONTRA COSTA COUNTY.5) MONUMENT CRISIS CENTER (MCC): SUPPORT MONUMENT CRISIS CENTER'S WEEKLY FOOD DISTRIBUTION PROGRAM TO IMPROVE FOOD SECURITY, NUTRITION AND DIET IN CONTRA COSTA COUNTY.- IN 2021, MCC'S FOOD DISTRIBUTION PROGRAM WAS AVAILABLE 3 TIMES EACH WEEK PROVIDING 7-10 DAY SUPPLY OF NUTRITIOUS FRESH FOODS, AS WELL AS SHELF-STABLE FOODS, BABY DIAPERS/WIPES, SENIOR DIAPERS, TOILETRIES, CLOTH MASKS, PET FOOD, ETC. SERVING A TOTAL OF 66,427 INDIVIDUALS (DUPLICATED TO REFLECT THE ASSISTANCE PROVIDED AS FAMILIES VISIT MCC MULTIPLE TIMES FOR ASSISTANCE THROUGHOUT THE YEAR). IN 2021, MCC SERVED 9,639 UNIQUE INDIVIDUALS.6) WHITE PONY EXPRESS (WPE): SUPPORT THE FOOD RESCUE PROGRAM IN EAST AND CENTRAL CONTRA COSTA COUNTY.- IN 2021, WPE PROVIDED HEALTHY, FRESH FOOD TO 80,000+ CLIENTS IN EAST AND CENTRAL CONTRA COSTA COUNTY SERVED BY NONPROFIT AGENCIES THAT WORK WITH THE UNHOUSED, LOW-INCOME SENIORS, NEW IMMIGRANT FAMILIES, STUDENTS AND THEIR FAMILIES, AND OTHER VULNERABLE, LOW/NO-INCOME POPULATIONS. WPE PROVIDED FRESH AND NUTRITIOUS FOOD TO 25,000+ INFANTS AND CHILDREN IN 2021.TO SUPPORT THE COMMUNITY AND FAMILY SAFETY OF THE COMMUNITY, JOHN MUIR HEALTH PARTNERED WITH THE FOLLOWING ORGANIZATIONS AND THE OUTCOME OF THOSE COLLABORATIONS ARE OUTLINED BELOW:1) BIKE EAST BAY: BUILD COMMUNITY AROUND SAFE BICYCLING, BICYCLING CAPACITY AND ADVOCACY AROUND CONCORD BY GROWING BIKE CONCORD'S BIKE KITCHEN AND BIKE TENT PROGRAMS IN PARTNERSHIP WITH OLYMPIC CONTINUATION HIGH SCHOOL (CONCORD BIKE KITCHEN FELLOWSHIP PROGRAM) AND SUPPORTING BIKE TO WORK DAY IN CONCORD.- THERE WERE 4 YOUTH INTERNS ACTIVE AT THE THURSDAY BIKE KITCHEN OPEN SHOPS HOURS DURING THE SUMMER MONTH OF 2021. TRAINEES HAVE SPENT TWO HOURS ONCE A WEEK OUTDOORS AT THE BIKE KITCHEN FROM JANUARY THROUGH JULY. THE TRAINING SCHEDULE WAS MODIFIED DUE TO COVID-19.2) BEYOND VIOLENCE PROGRAM: PROVIDE INTERVENTION AND REFERRALS TO VIOLENCE-RELATED TRAUMA VICTIMS IN ORDER TO PREVENT RECIDIVISM AND PROVIDE SUPPORT SERVICES FOR FULL RECOVERY. PARTNER ORGANIZATIONS INCLUDE: CENTER FOR HUMAN DEVELOPMENT, ONE DAY AT A TIME AND RYSE CENTER.- IN 2021, THERE WAS A TOTAL OF CLIENT LOAD OF 66 INDIVIDUALS WHO CONSENTED TO RECEIVE BEYOND VIOLENCE SERVICES AT THE FOLLOWING PARTNER NONPROFIT ORGANIZATIONS: RYSE CENTER IN RICHMOND, ONE DAY AT A TIME IN BRENTWOOD, AND CENTER FOR HUMAN DEVELOPMENT IN CONCORD. INTERVENTION SPECIALISTS PURSUED A TOTAL OF 25 SUPPORT SERVICE INTERVENTIONS FOR AN AVERAGE OF 3.9 INTERVENTION PER CLIENT.3) CONTRA COSTA FAMILY JUSTICE CENTERS: SUPPORT FAMILY JUSTICE CENTER TO PROVIDE NAVIGATION SERVICES AND MENTAL HEALTH SERVICES TO VICTIMS AND SURVIVORS OF INTERPERSONAL VIOLENCE IN CENTRAL AND EAST CONTRA COSTA COUNTY.- IN 2021, 1,898 INDIVIDUALS SERVED IN EAST AND CENTRAL FAMILY JUSTICE CENTERS. 223 CLIENTS WERE CONNECTED TO MENTAL HEALTH SERVICES. 89% OF CLIENTS DEMONSTRATED AN INCREASE IN MENTAL HEALTH AND WELLNESS KNOWLEDGE.

CONTINUED....
"4) HEALTHY AND ACTIVE BEFORE 5 (HAB45): SUPPORT HAB45 TO PREVENT OBESITY IN CHILDREN AGE 0 TO 5 BY ADDRESSING BARRIERS TO HEALTHY EATING AND ACTIVE PLAY.- IN 2021, HAB45 AWARDED MINI-GRANTS FOR HEALTHY POLICIES AT FIVE CHILDCARE FACILITIES. EACH SITE HAS REVISED THEIR WELLNESS POLICY TO INCORPORATE COVID-19 HEALTH AND SAFETY GUIDELINES, WHILE MAINTAINING PRACTICES THAT SUPPORT NUTRITION AND PHYSICAL ACTIVITY FOR CHILDREN. TOGETHER, THESE POLICIES BENEFIT APPROXIMATELY 82 CHILDREN AND 57 ADULTS.- HAB45 CONTINUES TO PROVIDE TECHNICAL ASSISTANCE TO PARENTS IN THE FIRST 5 REGIONAL GROUPS FOR THEIR ONGOING ADVOCACY FOR SAFER COMMUNITIES FOR LOW-INCOME FAMILIES WITH YOUNG CHILDREN.5) KIDPOWER: PROVIDE EMPOWERMENT TRAININGS FOR TRANSGENDER/GENDER DIVERSE YOUTH, FAMILIES AND ADVOCATE WITH A GOAL OF PROVIDING SKILLS AND STRATEGIES TO PREVENT PERSONAL HARM. TO PROTECT PHYSICAL AND EMOTIONAL SAFETY, AND TO REDUCE RISKS OF VICTIMIZATION.- PROVIDED 19 ZOOM TRAININGS AND COACHING PROGRAMS FOR A TOTAL OF 325 PEOPLE AT 8 PROGRAMS/SCHOOLS IN THE EAST BAY, CONSISTING OF 198 CHILDREN AND YOUTHS, INCLUDING THOSE WITH DISABILITIES, 24 ADULTS WITH INTELECTUAL DISABILITIES, 49 PARENTS, AND 54 TEACHERS/PROGRAM STAFF. - OF THOSE WHO COMPLETED THE POST-TRAINING EVALUATION, 92.9% IMPROVED IN ALL 7 SKILLS TAUGHT AND SHOWED AN INCREASE IN THEIR UNDERSTANDING AND APPLICATION OF ""PEOPLE SAFETY AND ""SOCIAL-EMOTIONAL HEALTH AND SAFETY"" SKILLS. - OF THOSE WHO COMPLETED THE POST-TRAINING EVALUATION, 91.4% HAD INCREASED THEIR ABILITY TO TEACH THEIR CHILDREN THE SKILLS IN ALL SEVEN CORE KIDPOWER AREAS.JOHN MUIR HEALTH WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS:1. EDUCATION AND LITERACY2. HEALTHY EATING/ACTIVE LIVING3. TRANSPORTATION AND TRAFFIC4. CLIMATE/NATURAL ENVIRONMENTJMH RECOGNIZES THE IMPORTANCE OF EACH OF THE PRIORITIZED COMMUNITY HEALTH NEEDS. HOWEVER, JMH'S EXPERIENCE IS THAT OUR INVESTMENTS COULD HAVE THE MOST IMPACT ON COMMUNITY HEALTH BY FOCUSING RESOURCES ON THE SELECTED COMMUNITY HEALTH NEEDS. THEREFORE, THE COMMUNITY BENEFIT OVERSIGHT COMMITTEE DECIDED TO ADDRESS THE COMMUNITY HEALTH NEEDS THAT ARE ALIGNED WITH OUR MISSION, LEVERAGE JMH'S EXPERTISE, AND HAVE FEASIBLE INTERVENTIONS AND PARTNERS FOR SCALABLE IMPACT.THE SELECTED HEALTH NEEDS DO NOT REPRESENT EVERYTHING JOHN MUIR HEALTH DOES TO IMPROVE COMMUNITY HEALTH. FOR THOSE NEEDS NOT SELECTED, GENERALLY, JOHN MUIR DOES NOT HAVE THE EXPERTISE OR CAPACITY TO ADDRESS THE NEED; HOWEVER, THERE ARE AREAS OF OVERLAP WITH CURRENT COMMUNITY BENEFIT STRATEGIES. FOR EXAMPLE, WHILE HEALTHY EATING AND ACTIVE LIVING WAS NOT EXPLICITLY SELECTED AS A PRIORITIZED NEED, JOHN MUIR HEALTH WILL SUPPORT EFFORTS TO PROMOTE HEALTHY EATING AND ACTIVE LIVING BY FOCUSING ON ECONOMIC SECURITY, WHICH INCLUDES REDUCING FOOD INSECURITY. IN ADDITION, WHILE TRANSPORTATION WAS NOT CHOSEN, JOHN MUIR HEALTH WILL SUPPORT TRANSPORTATION INITIATIVES THAT DECREASE ISOLATION AMONG VULNERABLE SENIORS AND INCREASE ACCESS TO HEALTH AND SUPPORT SERVICES AMONG VULNERABLE INDIVIDUALS.AS DEMONSTRATED, JMH WILL CONTINUE TO BE A PART OF THE DIALOGUE AND WILL LOOK FOR COLLABORATION OPPORTUNITIES RELATED TO THE HEALTH NEEDS THAT JMH DOES NOT INTEND TO DIRECTLY ADDRESS WITH THE MAJORITY OF OUR COMMUNITY BENEFIT RESOURCES."

PART V, SECTION B, LINE 13B
INCOME LEVEL OTHER THAN FPGOTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIA MEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTRY'S MEDICALLY INDIGENT PROGRAM. ADDITIONALLY, THE ORGANIZATION USES ESTIMATED FEDERAL POVERTY GUIDELINES DEVELOPED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD.

PART V, SECTION B, LINE 16A
THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML

PART V, SECTION B, LINE 16B
THE FAP APPLICATION FORM WAS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML

PART V, SECTION B, LINE 16C
A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE AT THE FOLLOWING URL: HTTPS://WWW.JOHNMUIRHEALTH.COM/PATIENTS-AND-VISITORS/PAYMENT-AND-INSURANCE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM.HTML

PART I, LINE 3C:
"ELIGIBILITY CRITERIA USED FOR DETERMINING FREE OR DISCOUNTED CARETHE MAJORITY OF CHARITY CARE IS GIVEN BASED EITHER IN THE FEDERAL POVERTY GUIDELINES (""FPG"") AS CALCULATED FROM DOCUMENTATION AND STATEMENTS MADE ON THE INTERNAL JOHN MUIR HEALTH CHARITY CARE APPLICATION, OR ON THE FPG AS ESTIMATED BY A CONTRACTED THIRD PARTY. THE THIRD PARTY HAD DEVELOPED AN ALGORITHM BASED ON ESTIMATED HOUSEHOLD INCOME, WHICH IS THEN TRANSLATED INTO FPG FOR THE HOUSEHOLD. JOHN MUIR HEALTH HAS NO INPUT INTO THE CRITERIA USED FOR THE ALGORITHM, WHICH IS THE SAME CALCULATION USED BY THE CONTRACTED THIRD PARTY FOR ALL OF THEIR CLIENTS NATIONWIDE.OTHER CRITERIA USED IS BASED ON THE PATIENT'S ELIGIBILITY FOR LOW-INCOME PROGRAMS THAT HAVE THE SAME OR MORE STRICT (LOWER) INCOME CRITERIA AS THE JOHN MUIR HEALTH CHARITY CARE PROGRAM. THIS INCLUDES PATIENTS WHO ARE QUALIFIED WITH SIX MONTHS OF THE DATE OF SERVICE FOR THE CALIFORNIAMEDICAID (MEDI-CAL) PROGRAM, OR FOR THE COUNTY'S MEDICALLY INDIGENT PROGRAM.IN ADDITION TO FORMAL QUALIFICATION IN A RECOGNIZED PROGRAM SERVING THE LOW-INCOME AND INDIGENT POPULATION, CHARITY CARE IS ALSO EXTENDED TO PATIENTS SEEN IN OUR EMERGENCY DEPARTMENTS AND WHO HAVE BEEN DOCUMENTED IN THE MEDICAL RECORDS AS BEING HOMELESS, OR HAVE A LACK OF HOUSING. CHARITY CARE IS ALSO APPLIED TO OUTSTANDING BALANCE FOR EMERGENCY SERVICES RENDERED TO DOCUMENTED MINOR AND ELDERLY VICTIMS OF ABUSE, BASED ON COMPASSION AS JOHN MUIR HEALTH HAS NO KNOWLEDGE OF THE CURRENT HOME ENVIRONMENT OF THESE PATIENTS. WE ALSO HAVE A PARTNERSHIP WITH A COMMUNITY PROGRAM, OPERATION ACCESS, WHICH SERVES THE LOW-INCOME INDIVIDUALS IN OUR COUNTY, TO PROVIDE FREE CARE ON A REFERRED, CASE-BY-CASE BASIS. OPERATION ACCESS HAS ALREADY PERFORMED THE SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.JMH CONTINUED A PARTNERSHIP WITH LA CLINICA DE LA RAZA TO PROVIDE SPECIALTY CARE FOR UNINSURED AND LOW INCOME PATIENTS. LA CLINICA DE LA RAZA HAS ALREADY PERFORMED SCREENING OF THEIR REFERRED PATIENTS FOR INCOME ELIGIBILITY.PART 1, LINE 4MEDICALLY INDIGENT CAREWE PROVIDE HEALTH CARE TO THE MOST VULNERABLE INDIVIDUALS OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY THROUGH OUR MEDICAL CENTERS IN WALNUT CREEK AND CONCORD. THIS INCLUDES THE CRITICAL EMERGENCY AND TRAUMA SERVICES AT OUR MEDICAL CAMPUSES.JOHN MUIR HEALTH HAS A NUMBER OF PROGRAMS TO HELP OUR PATIENTS WITH THEIR MEDICAL BILLS FOR SERVICES THEY RECEIVE AT ONE OF OUR MEDICAL CENTERS. THESE PROGRAMS INCLUDE A PATIENT ASSISTANCE PROGRAM TO ABSORB PART, OR ALL, OF THE BILL BASED ON INCOME AND OTHER PROGRAM GUIDELINES, ASSISTANCE ENROLLING IN A NUMBER OF INSURANCE PROGRAMS, AND EXTENDED PAYMENT PLANS. JOHN MUIR HEALTH MAY ALSO ASSIGN ACCOUNTS TO PRESUMPTIVE CHARITY, WITHOUT A PATIENT ASSISTANCE APPLICATION SUBMITTED BY THE PATIENT, BASED ON PREDETERMINED CRITERIA COLLECTED FROM APPROVED SOURCES. THIS CRITERIA INCLUDES:THE PATIENT HAVING DOCUMENTED IN HIS/HER MEDICAL RECORD AS BEING HOMELESS OR VERIFICATION RECEIVED THROUGH THE MEDICAL CENTER OR A FAMILY MEMBER THAT THE PATIENT IS CURRENTLY INCARCERATEDORTHE PATIENT QUALIFIES FOR A GOVERNMENT PROGRAM WITH ELIGIBILITY REQUIREMENTS THAT REASONABLY MEET THE QUALIFICATIONS FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM WITHIN SIX (6) MONTHS OF THE DATE THE PATIENT RECEIVED SERVICES AT THE MEDICAL CENTER.ORAFTER NORMAL COLLECTION EFFORTS HAVE NOT PRODUCED ANY PAYMENT, AND JOHN MUIR HEALTH HAS IDENTIFIED WITH REASONABLE EFFORT AND ASSURANCE THAT THE PATIENT'S ESTIMATED INCOME IS AT 250 PERCENT OR LESS OF THE FPL (FEDERAL POVERTY LEVEL)."

PART I, LINE 6A:
COMMUNITY BENEFIT REPORTALL JOHN MUIR HEALTH ENTITIES (WALNUT CREEK CAMPUS, CONCORD CAMPUS AND BEHAVIORAL HEALTH) REPORT COMMUNITY BENEFIT INFORMATION AS PART OF THE JOHN MUIR HEALTH ANNUAL COMMUNITY BENEFIT REPORT.

PART I, LINE 7:
FINANCIAL ASSISTANCE POLICYJOHN MUIR HEALTH HAS ADOPTED THE GUIDELINES DEVELOPED BY THE CATHOLIC HEALTHCARE ASSOCIATION AND VHA INC. FOR REPORTING THE ECONOMIC VALUE OF ITS COMMUNITY BENEFITS CONTRIBUTIONS.PART I, LINE 7, COLUMN (F)FINANCIAL ASSISTANCE PERCENT OF TOTAL EXPENSETHE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $28,499,935

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY BUILDING ACTIVITIESJOHN MUIR HEALTH'S COMMUNITY BUILDING PROGRAMS AND ACTIVITIES ADDRESS SOCIOECONOMIC BARRIERS TO OPTIMAL PHYSICAL AND MENTAL HEALTH SUCH AS JOBS, EDUCATION, POVERTY, LANGUAGE, CULTURE, RACE, ETHNICITY, TRANSPORTATION, ETC. MANY OF OUR COMMUNITY BUILDING ACTIVITIES ALSO MEET THE DEFINITION OF COMMUNITY BENEFIT. IN 2021, WE PROVIDED SUPPORT TO ORGANIZATIONS WHOSE MISSION IS TO ADDRESS UNDERLYING CAUSES OF HEALTH PROBLEMS THROUGH EVENT SPONSORSHIP. LASTLY, JOHN MUIR HEALTH WORKS WITH A WIDE RANGE OF ORGANIZATIONS TO SUPPORT GREATER EXPOSURE OF YOUTH TO HEALTH CAREERS THROUGH A SPEAKER'S BUREAU, HEALTH CAREER FAIRS,WORKSHOPS, PRESENTATIONS AND HANDS ON LEARNING OPPORTUNITIES IN THE FOLLOWING AREAS:1. REGISTERED NURSING2. MEDICAL ASSISTANTS3. MEDICAL IMAGING TECHNOLOGY4. SONOGRAPHERS5. CLINICAL LAB SCIENTIST6. PHARMACIST AND PHARMACY TECHS7. THERAPIST/PHYSICAL, OCCUPATIONAL AND SPEECH8. ENGINEERING AND BIO ENGINEERING9. NUTRITION SERVICES/DIETITIANS AND CHEFS10. INFORMATION TECHNOLOGY11. HEALTHCARE ADMINISTRATION12. FAMILY MEDICINE PHYSICIANS13. EMERGENCY SERVICES/ER TECHS, PHYSICIANS AND NURSESPARTNERS:1. EAST COUNTY BUSINESS EDUCATION ALLIANCE2. CONTRA COSTA ECONOMIC PARTNERSHIP (CCEP) TO HELP REACH UNDERSERVED POPULATION.3. JEWISH VOCATION SERVICES (JVS) - DISPLACED WORKER TRAINING TO GET BACK IN THE WORKFORCE4. CALIFORNIA HOSPITAL ASSOCIATION WORKFORCE COMMITTEE5. BAY AREA COUNCIL6. EAST BAY HEALTH WORKFORCE PARTNERSHIPSTUDENTS:1. 17 HIGH SCHOOLS AND HEALTH ACADEMIES2. 14 UNIVERSITIES3. 9 STATE COLLEGES4. 8 JUNIOR COLLEGES5. 7 PRIVATE COLLEGES

PART III, LINE 2:
BAD DEBT EXPENSEBAD DEBT IS DETERMINED USING THE COST-TO-CHARGE METHODOLOGY. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT IN COMMUNITY BENEFIT.

PART III, LINE 4:
FINANCIAL STATEMENT FOOTNOTETHE ORGANIZATION DOES NOT ISSUE SEPARATE, INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS INCLUDED IN THE JOHN MUIR HEALTH AND SUBSIDIARIES CONSOLIDATED, INDEPENDENT AUDITED FINANCIAL STATEMENTS.

PART III, LINE 8:
SHORTFALL TREATED AS COMMUNITY BENEFITTHE ORGANIZATION DOES NOT TREAT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE COST TO CHARGE RATIOS USED TO COMPUTE THE MEDICARE SHORTFALLS ARE FROM THE 2021 MEDICARE COST REPORT FILED WITH THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).

PART III, LINE 9B:
COLLECTION PRACTICESOTHER THAN SENDING STATEMENTS AND NOTIFICATIONS TO THE PATIENT, JOHN MUIR HEALTH DOES NOT CONDUCT PATIENT-OWED COLLECTION INTERNALLY. THESE TYPES OF FUNCTIONS ARE OUTSOURCED TO AN OUTSIDE AGENCY. THE COLLECTION POLICY IS IN THE FORM OF, AND INCORPORATED INTO, THE CONTRACT AGREEMENT WITH THE OUTSIDE AGENCY AS A FULL ADDENDUM TO THE CONTRACT, WITH A SEPARATESIGNATURE LINE FOR JOHN MUIR HEALTH AND THE AGENCY AS PART OF THE ADDENDUM. IN ADDITION TO THE CUSTOMIZED JOHN MUIR HEALTH COLLECTION GUIDELINES, THE ADDENDUM ALSO CONTAINS THE COLLECTION CRITERIA AND REQUIREMENTS FOUND IN CALIFORNIA LAW UNDER ASSEMBLY BILL 774.

PART VI, LINE 2:
NEEDS ASSESSMENTTHE 2019 HEALTH NEEDS ASSESSMENT INCLUDES A COMPREHENSIVE NEEDS ASSESSMENT OF THE COMMUNITY SERVED, WHICH HAS BEEN USED TO DEVELOP OUR ANNUAL AND TRIENNIAL COMMUNITY BENEFIT PLANS. FOR MORE INFORMATION, THE CHNA REPORT AND IMPLEMENTATION STRATEGY (A.K.A. COMMUNITY HEALTH IMPROVEMENT PLAN) CAN BE FOUND HERE:HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENTIN ADDITION TO THE CHNA, JMH IS CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY IN A VARIETY OF WAYS. JOHN MUIR HEALTH DEVELOPS COLLABORATIVE PARTNERSHIPS WITH LOCAL ORGANIZATIONS IN ORDER TO BE RESPONSIVE TO THE NEEDS OF THE MOST VULNERABLE AND UNDERSERVED POPULATIONS IN OUR COMMUNITY. JOHN MUIR HEALTH KEPT ABREAST OF CURRENT HEALTH ISSUES OF IMPORTANCE TO THE COMMUNITY BY ACTIVE PARTICIPATION AND COMMUNICATION WITH A VARIETY OF COMMUNITY GROUPS INCLUDING BUT NOT LIMITED TO: DENTAL COLLABORATIVE OF CONTRA COSTA, ACCESS TO CARE STAKEHOLDERS, EAST COUNTY ACCESS ACTION TEAM, HEALTHY AND ACTIVE BEFORE FIVE, FAMILIES COALITION FOR ACTIVITY AND NUTRITION, MOBILE HEALTH CLINIC ASSOCIATION, NORTHERN CALIFORNIA ROUNDTABLE, AND THE EAST COUNTY HEALTH AND WEALTH INITIATIVE. THESE SOURCES OF INFORMATION PROVIDE CURRENT INFORMATION REGARDING COMMUNITY HEALTH STATUS AND ALSO HELP IDENTIFY EMERGING NEEDS IN THE SERVICE AREA POPULATION.

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"PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEJOHN MUIR HEALTH HAS SIGNAGE POSTED IN PATIENT ACCESS AREA/LOBBIES INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR THEIR HEALTH CARE BILLS AND ELIGIBILITY. SERVICES TO AID THE PATIENT IN QUALIFYING FOR AN APPROPRIATE ASSISTANCE PROGRAM IS POSTED IN THE EMERGENCY DEPARTMENT.ALL PATIENTS RECEIVE A ""PATIENT ASSISTANCE"" BROCHURE, WHICH IDENTIFIES VARIOUS FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO THE PATIENT, INCLUDING THE JOHN MUIR HEALTH CHARITY CARE PROGRAM AS WELL AS PROGRAMS THROUGH GOVERNMENT AGENCIES (STATE, COUNTY, ETC). THE BROCHURE ALSO LISTS CONTACT INFORMATION FOR THESE PROGRAMS. PATIENTS IN THE EMERGENCY DEPARTMENT TALK TO A TRAINED FINANCIAL COUNSELOR, AND IF APPROPRIATE, ARE ALSO ASKED TO SIGN A FORM ACKNOWLEDGING RECEIPT OF THE PATIENT ASSISTANCE MATERIALS OR DECLINING TO ACCEPT THE MATERIAL. TRAINED FINANCIAL COUNSELORS ARE ALSO AVAILABLE FOR PATIENTS WHO ARE NOT PRESENT FOR SERVICES THROUGH THE EMERGENCY DEPARTMENT. THE APPLICATION FORM AND A COPY OF THE POLICY FOR THE JOHN MUIR HEALTH CHARITY CARE PROGRAM IS ALSO AVAILABLE IN THE EMERGENCY DEPARTMENT AS WELL AS THE MAJOR PATIENT ACCESS AREAS AND THE BUSINESS OFFICE.NOTIFICATIONS THAT PROGRAMS, INCLUDING CHARITY CARE, ARE AVAILABLE IS ALSO PRINTED ON PATIENT BILLING STATEMENTS, ACCOMPANIED BY THE ABILITY FOR A PATIENT TO REQUEST THE VARIOUS PROGRAM MATERIALS BE SENT TO HIS/HER HOME. CONTACT INFORMATION IS ALSO LISTED IN THE PATIENT STATEMENT. INFORMATION IN THE HEALTH SYSTEM'S CHARITY CARE PROGRAM IS POSTED ON THE JOHN MUIR HEALTH INTERNET WEBSITE AS WELL.PATIENTS ADMITTED TO THE HOSPITAL, AND WHO HAVE NO THIRD PARTY INSURANCE LISTED ARE INTERVIEWED BY TRAINED FINANCIAL COUNSELORS DURING THEIR HOSPITAL STAY TO INFORM THEM OF THE VARIOUS PROGRAMS WHICH ARE AVAILABLE, AND DETERMINE IF THE PATIENT WOULD LIKE ASSISTANCE TO OBTAIN ELIGIBILITY FOR THE STATE MEDICAID (MEDI-CAL) PROGRAM, STATE DISABILITY, CHARITY CARE OR OTHER AVAILABLE PROGRAM IN THE COUNTY. THIS ELIGIBILITY ASSISTANCE, WHICH INCLUDES HELP IN FILLING OUT THE APPLICATION, GATHERING REQUIRED DOCUMENTS, AND TRANSPORTATION TO ELIGIBILITY APPOINTMENTS, IF NECESSARY, IS OFFERED AT NO CHARGE TO THE PATIENT. IN ADDITION, PATIENT ACCOUNTING REPRESENTATIVES MAY ALSO CONTACT PATIENTS AFTER DISCHARGE TO ASK ABOUT PAYMENT ARRANGEMENTS AND TO INFORM THEM OF THE CHARITY CARE PROGRAM IF THE PATIENT NEEDS ASSISTANCE IN PAYING FOR THEIR MEDICAL BILLS."

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COMMUNITY INFORMATIONJOHN MUIR HEALTH'S PRIMARY AND SECONDARY SERVICE AREAS EXTENDS FROM SOUTHERN SOLANO COUNTY INTO EASTERN CONTRA COSTA COUNTY AND SOUTH TO SAN RAMON IN SOUTHERN CONTRA COSTA COUNTY. JMH'S TRAUMA CENTER SERVES ALL OF CONTRA COSTA COUNTY, AS WELL AS SOUTHERN SOLANO COUNTY, AND IS A BACKUP TRAUMA CENTER FOR ALAMEDA COUNTY. JMH ALSO SERVES EASTERN ALAMEDA COUNTY IN A JOINT VENTURE WITH SAN RAMON REGIONAL MEDICAL CENTER.OUR COMMUNITY BENEFIT PROGRAMS PRIMARILY FOCUS ON THE NEEDS OF THE VULNERABLE POPULATIONS IN CENTRAL AND EASTERN CONTRA COSTA COUNTY, OUR PRIMARY AND SECONDARY SERVICE AREA. WE DEFINE VULNERABLE POPULATIONS AS THOSE WITH EVIDENCED-BASED DISPARITIES IN HEALTH OUTCOMES, SIGNIFICANT BARRIERS TO CARE AND THE ECONOMICALLY DISADVANTAGED. THESE CRITERIARESULTS IN A PRIMARY COMMUNITY BENEFIT SERVICE AREA THAT INCLUDES THE COMMUNITIES OF THE MONUMENT AREA IN CONCORD AND THE EASTERN CONTRA COSTA COUNTY CITIES OF BAY POINT, PITTSBURG, ANTIOCH, OAKLEY, AND BRENTWOOD, AND THE FAR EAST PART OF UNINCORPORATED CONTRA COSTA COUNTY.THE JOHN MUIR HEALTH SERVICE AREA HAS THE FOLLOWING DEMOGRAPHIC PROFILE:CENTRAL CONTRA COSTA COUNTYTOTAL POPULATION: 750,748WHITE: 59.8%AFRICAN AMERICAN: 2.4%ASIAN: 18.2%NATIVE AMERICAN/ALASKAN NATIVE: 0.2%PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.4%SOME OTHER RACE: 0.2%MULTIPLE RACES: 4.2%HISPANIC/LATINO: 14.5%LIVING AT/BELOW 100% FPL: 6.2%CHILDREN LIVING AT BELOW 100% FPL: 6.3%UNEMPLOYED: 3.0%UNINSURED: 5.5%NO HIGH SCHOOL DIPLOMA: 5.8%EASTERN CONTRA COSTA COUNTYTOTAL POPULATION: 318,900WHITE: 35.9%AFRICAN AMERICAN: 13.1%ASIAN: 10.2%NATIVE AMERICAN/ALASKAN NATIVE: 0.4%PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.7%SOME OTHER RACE: 0.2%MULTIPLE RACES: 5.0%HISPANIC/LATINO: 34.6%LIVING AT/BELOW 100% FPL: 12.7%CHILDREN LIVING AT BELOW 100% FPL: 18.0%UNEMPLOYED: 3.1%UNINSURED: 9.6%NO HIGH SCHOOL DIPLOMA: 15.0%WESTERN CONTRA COSTA COUNTYTOTAL POPULATION: 254,267WHITE: 23.4%AFRICAN AMERICAN: 15.5%ASIAN: 20.1%NATIVE AMERICAN/ALASKAN NATIVE: 0.3%PACIFIC ISLANDER/NATIVE HAWAIIAN: 0.4%SOME OTHER RACE: 0.6%MULTIPLE RACES: 4.7%HISPANIC/LATINO: 5.2%LIVING AT/BELOW 100% FPL: 14.0%CHILDREN LIVING AT BELOW 100% FPL: 19.7%UNEMPLOYED: 3.1%UNINSURED: 12.9%NO HIGH SCHOOL DIPLOMA: 18.2%

PART VI, LINE 7, REPORTS FILED WITH STATES
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PROMOTION OF COMMUNITY HEALTHJOHN MUIR HEALTH IS A NOT-FOR-PROFIT, COMMUNITY BASED ORGANIZATION THAT IS GOVERNED BY THOSE WHO LIVE IN THE COMMUNITY WE SERVE. COMMUNITY RESIDENTS ARE ACTIVELY INVOLVED IN OUR VARIOUS BOARDS AND BOARD COMMUNITIES. THE BOARD OF JOHN MUIR HEALTH CONSISTS PRIMARILY OF MEMBERS OF THE COMMUNITY AND STAFF PRIVILEGES ARE AVAILABLE TO QUALIFIED PRACTITIONERS. OUR FOCUS REMAINS FIRMLY ON IMPROVING THE HEALTH OF THE PEOPLE OF CONTRA COSTA COUNTY AND SURROUNDING COMMUNITIES. AS A NOT-FOR-PROFIT ORGANIZATION, THERE ARE NO SHAREHOLDERS WHO BENEFIT FROM OUR FINANCIAL SURPLUSES. INSTEAD, WE REINVEST ANY SURPLUSES INTO THE COMMUNITY WITH NEW PROGRAM IMPLEMENTATION, ADVANCED TECHNOLOGY, COMMUNITY SERVICES AND BUILDING PROJECTS. JMH ALSO CONTRIBUTES SIGNIFICANTLY TO THE ECONOMIC VITALITY OF CONTRA COSTA COUNTY BY EMPLOYING OVER 6,300 IN 2021.JOHN MUIR MEDICAL CENTER, WALNUT CREEK ALSO SERVES AS CONTRA COSTA COUNTY'S ONLY TRAUMA CENTER, WHICH REPRESENTS AN ENORMOUS FINANCIAL AND SERVICE COMMITMENT TO THE ENTIRE REGION. OUR TWO HOSPITALS EMERGENCY DEPARTMENT SERVE ALL RESIDENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NOT-FOR-PROFIT, JMH HAS AN OBLIGATION TO MAKE A CHARITABLE CONTRIBUTION TO THE COMMUNITY, BUT OUR COMMITMENT TO KEEPING THE COMMUNITIES WE SERVE GOES FAR DEEPER THAN THAT. JMH'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE WITH QUALITY AND COMPASSION ACCURATELY REFLECTS OUR COMMUNITY HEALTH EFFORTS AS A CORPORATE LEADERAND COMMUNITY PARTNER. SOME OF THE PROGRAMS INCLUDE TREATING PATIENTS REFERRED BY LOCAL COMMUNITY CLINICS FOR SPECIALTY CARE SERVICES, PROVIDING MOBILE HEALTH CLINIC SERVICES IN UNDERSERVED COMMUNITIES, PROVIDING BREAST AND LUNG CANCER SCREENING FOR UNINSURED COMMUNITY MEMBERS AND SUPPORTING DEPRESSION PREVENTION ACTIVITIES FOR LOW-INCOME.JMH SERVED OVER 110,739 RESIDENTS THROUGH COMMUNITY BENEFIT ACTIVITIES IN2021.JMH'S COMMITMENT TO THE LOCAL COMMUNITY IS EXPRESSED IN THE MANY INITIATIVES WE DELIVER. JMH PROVIDES CHARITY CARE FOR MANY INDIVIDUALS AND FAMILIES WITH NO INSURANCE AND LIMITED MEANS. IN 2021, WE PROVIDED $8.3 MILLION IN CHARITY CARE COST. JMH ALSO ABSORBED $85.8 MILLION, THE COST OF PROVIDING CARE TO INDIVIDUALS THAT EXCEEDS THE PAYMENT WE RECEIVED FROM MEDI-CAL.JOHN MUIR HEALTH ALSO PROVIDES BROAD FINANCIAL AND TECHNICAL SUPPORT TO PROMOTE COMMUNITY WELLNESS. THE ORGANIZATION CONTRIBUTES $1 MILLION A YEAR TO THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND EACH YEAR, WHOSE GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EAST CONTRA COSTA COUNTY WHO ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES.LASTLY, JMH CONTRIBUTES TO THE COMMUNITY IN MANY NON-QUANTIFIABLE WAYS THAT IS NOT OUTLINED IN THE REPORT. THE HEALTH SYSTEM CONTINUALLY PROVIDES LEADERSHIP IN THE COMMUNITY, ASSISTS WITH LOCAL CAPACITY BUILDING AND PARTICIPATES IN COMMUNITY-WIDE HEALTH PLANNING. JOHN MUIR HEALTH STAFF ARE ACTIVELY INVOLVED IN COMMUNITY ORGANIZATIONS AS VOLUNTEERS. THEIR LEADERSHIP IN THE COMMUNITY HELPS TO DEVELOP PARTNERSHIPS TO ADDRESS THE NEEDS OF THE VULNERABLE AND UNDERSERVED. THE FOLLOWING ARE EXAMPLES OF NON-QUANTIFIABLE BENEFITS PROVIDED TO THE COMMUNITY IN 2019. JOHN MUIR HEALTH'S COMMITMENT TO ENVIRONMENTALSUSTAINABILITY IS EVIDENT THROUGH MANY INITIATIVES. JOHN MUIR HEALTH INSTALLED FORTY VEHICLE CHARGING STATIONS TO REDUCE FUEL CONSUMPTION AND CARBON DIOXIDE EMISSIONS. IN ADDITION, SYSTEM-WIDE-STYROFOAM USAGE HAS BEEN ELIMINATED. TO PRESERVE WATER, JOHN MUIR HEALTH FACILITIES WERE EQUIPPED WITH LOW-FLOW TOILETS, SHOWERS AND SINKS, AS WELL AS LIMITINGOUTDOOR WATERING TO TWO DAYS PER WEEK.JOHN MUIR HEALTH NURSES ARE DEEPLY INVOLVED IN THEIR COMMUNITY THROUGH VOLUNTEERING. JOHN MUIR HEALTH ENCOURAGES NURSING VOLUNTEERISM AND COMMUNITY INVOLVEMENT THROUGH MAGNET RECOGNITION STATUS WHERE NURSES SUPPORT HEALTH BY BUILDING PARTNERSHIPS WITH THE COMMUNITY. FOR EXAMPLE, NURSES AT JOHN MUIR HEALTH MEDICAL CENTER, CONCORD PROVIDE HEALTHEDUCATION MONTHLY AT THE LOCAL FARMER'S MARKET AND PARTICIPATE AS VOLUNTEERS ON OUR MOBILE DENTAL CLINIC.JOHN MUIR HEALTH EMPLOYEES DONATE BACKPACKS WITH SCHOOL SUPPLIES TO FOSTER YOUTH THROUGH THE ANNUAL FOSTER A DREAM BACKPACK CHALLENGE.JOHN MUIR HEALTH AND OUR EMPLOYEES ACTIVELY PARTICIPATE IN DISEASE AWARENESS EVENTS IN ORDER TO PROMOTE HEALTH IN OUR COMMUNITY. EVERY YEAR, JOHN MUIR EMPLOYEES PARTICIPATE IN THE NATIONAL ALLIANCE ON MENTAL HEALTH ILLNESS WALK, WALK TO WELLNESS, AMERICAN HEART ASSOCIATION HEART WALK, GO RED COMMUNITY EVENT, KIDNEY WALK, DIGESTIVE HEALTH FAIR AND OTHERCOMMUNITY EVENTS.

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AFFILIATED HEALTH CARE SYSTEMJOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND5003 COMMERCIAL CIRCLE, SUITE 275, CONCORD, CA 94520THE JOHN MUIR/MT. DIABLO COMMUNITY HEALTH FUND IS ONE ARM OF GRANT-MAKING AT JOHN MUIR HEALTH SYSTEM. THE FUND'S GOAL IS TO FOSTER SYSTEMIC CHANGE THAT IMPROVES THE HEALTH OF PEOPLE IN CENTRAL AND EASTERN CONTRA COSTA COUNTY WHO ARE UN- OR UNDER-INSURED, HAVE LIMITED ACCESS TO HEALTH CARE, ARE MORE AT-RISK FOR POOR HEALTH, AND ARE MOST LIKELY TO EXPERIENCE HEALTH CARE DISPARITIES. TO ACCOMPLISH THIS GOAL, THE FUND DEVELOPED A FUNDING PROCESS THAT NURTURES LONG TERM PARTNERSHIP WITH AND AMONG THE COMMUNITY BASED ORGANIZATIONS. THIS LEADS TO A VISIONARY HEALTH INITIATIVE THAT BUILD AND SUSTAIN THE CAPACITY TO DELIVER ON THE PROMISE OF GOOD HEALTH AND AFFORDABLE HEALTH CARE FOR ALL. FROM 1997, THE YEAR THE COMMUNITY HEALTH FUND WAS FORMED, THROUGH 2019, THE FUND HAS GRANTED OVER $29 MILLION JOHN MUIR HEALTH COMMUNITY BENEFIT DOLLARS INTO LOCAL COMMUNITY-BASED HEALTH PROJECTS. MORE DETAILED INFORMATION ABOUT THE FUNDS, ITS GOVERNANCE, GRANT PROGRAM AND COMMUNITY BENEFIT REPORTS CAN BE FOUND ON ITS WEBSITE: HTTPS://WWW.JOHNMUIRHEALTH.COM/ABOUT-JOHN-MUIR-HEALTH/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-FUND.HTMLJOHN MUIR PHYSICIAN NETWORK1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE JOHN MUIR PHYSICIAN NETWORK IS A NOT-FOR-PROFIT PUBLIC BENEFIT CORPORATION, WHOSE SOLE CORPORATE MEMBER IS JOHN MUIR HEALTH. SINCE ITS INCEPTION IN 1996, IT HAS BECOME ONE OF THE LARGEST PROVIDERS OF PHYSICIAN AND ALLIED HEALTH SERVICES IN NORTHERN CALIFORNIA, WITH OVER1,000 PRIMARY CARE AND SPECIALTY PHYSICIANS WHO DELIVER COORDINATED PATIENT CARE. PHYSICIANS ASSOCIATED WITH THE PHYSICIAN NETWORK BELONG TO EITHER JOHN MUIR MEDICAL GROUP (JMMG) OR JOHN MUIR SPECIALTY MEDICAL GROUP. THE PHYSICIAN NETWORK OWNS AND OPERATES PRIMARY CARE CENTERS STAFFED BY JMMG PHYSICIANS IN NUMEROUS LOCATIONS FROM BRENTWOOD TO PLEASANTON. JMMG ALSO PROVIDES HOSPITALIST (IN-PATIENT MEDICAL SERVICES) AT JOHN MUIR HEALTH'S HOSPITALS. THE PHYSICIAN NETWORK IS ACTIVE IN COMMUNITY SERVICE, HEALTH EDUCATION AND CLINICAL RESEARCH. THE PHYSICIAN NETWORK CURRENTLY HOLDS CONTRACTS WITH SEVEN MAJOR HEALTH PLANS FOR MORE THAN 50,000 COMMERCIAL AND SENIOR HMO MEMBERS. THE PHYSICIAN NETWORK MANAGES HEALTH PLAN CONTRACTING FOR JOHN MUIR HEALTH AND ITS HOSPITALS AND ENGAGES PHYSICIAN RECRUITMENT TO MEET COMMUNITY NEEDS. THE PHYSICIAN NETWORK ALSO OPERATES THE JMH MEDICARE ACCOUNTABLE CARE ORGANIZATION (ACO) WHICH PROVIDES THE COORDINATION OF CARE FOR ITS MEDICARE ACO MEMBERS.JOHN MUIR BEHAVIORAL HEALTH1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597JOHN MUIR HEALTH OFFERS COMPLETE INPATIENT AND OUTPATIENT BEHAVIORALHEALTH PROGRAMS AND SERVICES THROUGH JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER, THE HEALTH SYSTEM'S FULLY ACCREDITED, 73 BED PSYCHIATRIC HOSPITAL LOCATED IN CONCORD. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER OFFERS PSYCHIATRIC TREATMENT FOR ADULTS, CHILDREN AND ADOLESCENT WHO ARE EXPERIENCING EMOTIONAL OR BEHAVIORAL PROBLEMS. FOR THOSE WHO AREDEPENDENT ON ALCOHOL OR DRUGS, THE BEHAVIORAL HEALTH CENTER OFFERS A FULL ARRAY OF CHEMICAL DEPENDENCY TREATMENT PROGRAMS. THE JOHN MUIR HEALTH BEHAVIORAL HEALTH CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR BEHAVIORAL HEALTH.JOHN MUIR HEALTH FOUNDATION1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597THE JOHN MUIR HEALTH FOUNDATION RAISES FUNDS TO OFFSET THE COST OF CAPITAL AND OPERATING EXPENSES FOR THE JOHN MUIR HEALTH PROGRAMS, INCLUDING VARIOUS EDUCATIONAL PROGRAMS, OPERATIONS, BUILDINGS AND EQUIPMENT. IN THIS WAY, THE FOUNDATION HELPS TO MITIGATE THE COST OF CARE PROVIDED AND ASSISTS JOHN MUIR HEALTH IN MAINTAINING STATE-OF-THE-ART FACILITIES, EQUIPMENT AND PROGRAMS FOR THE COMMUNITY. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION. THE SOLE CORPORATE MEMBER OF THE JOHN MUIR HEALTH FOUNDATION.