John Muir Health

“Family or business relationship board members taejoon ahn, m.d. And ravi hundal, m.d. Have a business relationship.”

“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.”

“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.”

“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.”

“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.”

“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.”

“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.”

“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 servic”

“Change in unamortized loss on pension plans -482,176.”