2020-11-13T02:25:12-06:00 2019-12-31 KPMG LLP 3975 Freedom Circle Dr Suite 100 Santa Clara CA 95054 990 2019-01-01 942650855 JOHN MUIR HEALTH FOUNDATION % CHRISTIAN PASS JOHN 9259393000 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 CHRISTIAN PASS CFO 9259393000 2020-11-11 true CAREY MCKEE P01281067 2139724000 2020-11-11 127.0.0.1 77070920203185000044 2020-11-13 P 3552989A2390F043C66F3E79E440C14B5EBF8FAB DC6468F60D59AC6C1D5A1B545B884D03AB814C1D 2019 2021-01-29 14:40:06Z X CHRISTIAN PASS 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 16967016 false X WWW.GIVEHEALTHJMH.ORG X 1979 CA JOHN MUIR HEALTH FOUNDATION IS DEDICATED TO INSPIRING AND STEWARDING PHILANTHROPIC SUPPORT FOR ALL PROGRAMS, SERVICES AND FACILITIES OF JOHN MUIR HEALTH. 21 19 0 50 0 0 17301570 15713221 0 0 860850 959274 -255018 -369465 17907402 16303030 8391351 9502218 0 0 0 0 362400 258000 1524592 4314144 5052838 13067895 14813056 4839507 1489974 48044404 51715095 6618346 6558740 41426058 45156355 JOHN MUIR HEALTH FOUNDATION IS 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Montage Circle East Palo Alto CA 94303 Professional Serv. 258000 Taste Catering 201 Adrian Road Millbrae CA 94030 Professional Serv. 198010 Aimee Murray dba Beeline Design 13621 Red Dog Road Nevada City CA 95959 Professional Serv. 158013 Got Light 211 Industrial Street San Francisco CA 94124 Professional Serv. 151625 Blueprint Studios 352 Shaw Road S San Frnacisco CA 94080 Professional Serv. 122275 5 2980430 5053787 677976 7001028 15713221 0 959274 959274 0 0 0 0 0 0 294521 2980430 663986 -369465 -369465 0 0 0 0 0 0 0 16303030 589809 X 9502218 9502218 0 0 0 0 0 0 0 0 0 0 3737 2803 934 0 0 258000 258000 0 3581201 2209964 768631 602606 1016238 264170 88082 663986 46768 35076 11692 0 0 200381 149920 50461 35394 26546 8848 0 0 0 0 0 0 OTHER EXPENSES 122680 87102 35578 SUPPLIES 30882 23161 7721 DUES AND SUBSCRIPTIONS 15286 15286 LICENSES AND TAXES 271 203 68 14813056 12316449 972015 1524592 6057448 6302984 14599128 13515046 13254256 14394665 0 0 0 0 0 0 0 0 0 0 0 0 51649 51649 13903572 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SIGNIFICANT ACTIVITIES OF JOHN MUIR HEALTH. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 THE HEALTH SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED USING THE LARGEST AMOUNT THAT EXCEEDS A 50% PROBABILITY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN ESTIMATED OCCURS. X X X X X X X true LIFT LEADERSHIP 628 MONTAGE CIRCLE EAST PALO ALTO CA 94303 GRANT PROP WRITING false 1000000 258000 742000 1000000 258000 742000 CA GALA 3274951 2980430 294521 12288 207282 1600 442816 0 3274951 2980430 294521 12288 207282 1600 442816 663986 -369465 CA 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 true JOHN MUIR HEALTH 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 941461843 501(C)(3) 9502218 N/A N/A EQUIPMENT 1 GRANT MONITORING PROCESS SCHEDULE I, PART 1, LINE 2 JOHN MUIR HEALTH FOUNDATION AND JOHN MUIR HEALTH FINANCIAL MANAGEMENT MONITOR AND APPROVE THE USE OF THE RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES. false true false false false false false false false Calvin Knight Ex-Officio Director 0 1229077 0 687227 0 614063 0 1419944 0 14426 0 3964737 0 1259503 Patrick Carew Ex-Officio Dir/President/CAO 0 392989 0 129006 0 22897 0 249939 0 8644 0 803475 0 129006 Christian Pass CFO 0 618445 0 195695 0 9795 0 399474 0 32417 0 1255826 0 195695 COMPENSATION OVERSIGHT SCHEDULE J, PART I, LINE 3 JOHN MUIR HEALTH, A RELATED TAX-EXEMPT ORGANIZATION OF JOHN MUIR HEALTH FOUNDATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE NON-QUALIFIED RETIREMENT PLANS SCHEDULE J, PART I, LINE 4B RETIREMENT RESTORATION PLAN EMPLOYEES ELIGIBLE FOR THE RETIREMENT RESTORATION PLAN ARE EITHER SENIOR VICE PRESIDENT OR VICE PRESIDENT LEVEL EMPLOYEES. EMPLOYER CONTRIBUTIONS ARE MADE TO THE PLAN ON BEHALF OF ELIGIBLE EMPLOYEES. THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLAN BENEFIT IS REPORTED IN PART II, COLUMN C. VESTING FOR THE RESTORATION PLAN IS AT THE EARLIEST OF THE FOLLOWING: REACHING AGE 65 WITH AT LEAST THREE YEARS OF SERVICE, BECOMING TOTALLY AND PERMANENTLY DISABLED, INVOLUNTARY TERMINATION FOR ANY REASON OTHER THAN CAUSE, CHANGE OF CONTROL OF JOHN MUIR HEALTH, OR DEATH. RESTORATION PLAN BENEFITS ARE PAYABLE AND TAXABLE UPON VESTING. NO PLAN BENEFIT PAYMENTS WERE MADE DURING THE YEAR. PATRICK CAREW PARTICIPATED IN THE PLAN AND EARNED $58,263 OF BENEFIT DURING THE YEAR. SUPPLEMENTAL EXECUTIVE PLAN EMPLOYEES ELIGIBLE FOR THE SUPPLEMENTAL EXECUTIVE PLAN ARE EITHER CEO, CFO OF JOHN MUIR HEALTH, CEO OR CAO OF JOHN MUIR PHYSICIAN NETWORK, AND CURRENT EMPLOYEES THAT PREVIOUSLY HELD ONE OF THOSE POSITIONS. EMPLOYER CONTRIBUTIONS ARE MADE TO THE PLAN ON BEHALF OF ELIGIBLE EMPLOYEES. THE ANNUAL INCREASE IN ACTUARIAL VALUE OF THE PLAN BENEFIT IS REPORTED IN PART II, COLUMN C. VESTING FOR THE SUPPLEMENTAL EXECUTIVE PLAN IS AT THE EARLIEST OF THE FOLLOWING: REACHING AGE 65 WITH AT LEAST THREE YEARS OF SERVICE, BECOMING DISABLED, INVOLUNTARY TERMINATION FOR ANY REASON OTHER THAN CAUSE, TERMINATION UPON CHANGE OF CONTROL OF JOHN MUIR HEALTH, OR DEATH. BENEFITS ARE PAYABLE AND TAXABLE UPON VESTING. CALVIN KNIGHT RECEIVED A LUMP SUM PAYMENT OF $572,276 DURING 2019. THE FOLLOWING EXECUTIVES PARTICIPATED IN THE PLAN AND EARNED THE FOLLOWING BENEFIT DURING THE TAX YEAR: CALVIN KNIGHT $639,331 CHRISTIAN PASS $165,026 COMMON PAYMASTER FORM 990, PART V, LINE 1A AND 2A THE FORM 1096 AND RELATED 1099 FORMs, FORM W-3 AND RELATED W-2 FORMs ARE ISSUED BY JOHN MUIR HEALTH UNDER EIN 94-1461843. JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR HEALTH FOUNDATION. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, SECTION A, LINE 6 JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR HEALTH FOUNDATION. POWER TO ELECT OR APPOINT MEMBERS OF GOVERNING BODY FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT AND CEO OF THE CORPORATE MEMBER IS A VOTING EX OFFICIO MEMBER OF THE BOARD OF JOHN MUIR HEALTH FOUNDATION. THE ELECTION OF DIRECTORS, OTHER THAN EX OFFICIO DIRECTORS, IS SUBJECT TO THE APPROVAL OF THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY ALSO REMOVE ANY DIRECTOR WITH OR WITHOUT CAUSE OR REASON AT ANY TIME. GOVERNANCE DECISIONS SUBJECT TO APPROVAL BY THE MEMBER FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING CORPORATE ACTIONS REQUIRE THE PRE-APPROVAL BY THE CORPORATE MEMBER: (A) MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; (B) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; (C) APPROVAL OF OPERATING AND CAPITAL BUDGETS, ALTHOUGH THE BOARD IS EMPOWERED TO DEVELOP ITS OWN BUDGET WITHIN THE GUIDELINES AND OBJECTIVES SET BY THE CORPORATE MEMBER; (D) ANY BORROWING OR INDEBTEDNESS, INCLUDING BUT NOT LIMTED TO LEASE AGREEMENTS AND CONTRACTS OF SALE; (E) PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE AND ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL IN EXCESS OF $250,000 OR SUCH GREATER DOLLAR AMOUNT AS MAY BE DETERMINED BY THE CORPORATE MEMBER FROM TIME-TO-TIME; (F) APPOINTMENT OF AN INDEPENDENT AUDITOR AND CORPORATE COUNSEL; (G) APPROVAL OF TRANSACTIONS OF THE CORPORATION IN WHICH A DIRECTOR OR OFFICER OF THE CORPORATION HAS A MATERIAL FINANCIAL INTEREST AS DEFINED IN THE CONFLICT OF INTEREST POLICY; AND (H) ANY OTHER MAJOR TRANSACTIONS OR MAJOR POLICIES AS DETERMINED BY THE CORPORATE MEMBER IN ITS SOLE DISCRETION. REVIEW OF FORM 990 BY THE GOVERNING BODY FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS SUFFICIENTLY IN ADVANCE OF THE FILING DEADLINE TO ENABLE A DETAILED AND CONSCIENTIOUS REVIEW BY ALL MEMBERS. AN OVERVIEW OF THE FORM 990, WITH SUFFICIENT DETAIL, IS PRESENTED TO THE BOARD WITH THE COMPLETED FORM 990. ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS WILL BE ADDRESSED BY THE CHIEF FINANCIAL OFFICER OR THEIR DESIGNEE AND INCORPORATED INTO THE FORM 990 AS APPROPRIATE. AFTER ALL OF THE INPUT FROM THE BOARD OF DIRECTORS HAS BEEN APPROPRIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR HEALTH FOUNDATION WILL FILE THE FINAL FORM 990 AS REQUIRED. CONFLICT OF INTEREST MONITORING FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE JOHN MUIR HEALTH (JMH)BOARD CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO BOARD MEMBERS, ALONG WITH A CONFLICT OF INTEREST DISCLOSURE FORM REQUIRED TO BE COMPLETED AND SIGNED. DISCLOSED CONFLICTS ARE COMPILED IN A DOCUMENT AND REVIEWED BY THE BOARD CHAIR, PRESIDENT/CEO, AND GENERAL COUNSEL. TOGETHER, THESE INDIVIDUALS MONITOR ANY POTENTIAL CONFLICTS AND THE GENERAL COUNSEL ATTEND BOARD MEETINGS TO ENSURE COMPLIANCE WITH THE POLICY. TRANSACTIONS INVOLVING A POTENTIAL CONFLICT ARE REVIEWED AND APPROVED IN ADVANCE BY THE GENERAL COUNSEL, GOVERNANCE COMMITTEE AND FOR CERTAIN TRANSACTIONS WITH THE CURRENT BOARD MEMBERS, THE BOARD. THE POLICY ALSO REQUIRES BOARD MEMBERS TO DISCLOSE CONFLICTS DURING THE YEAR AND RECUSE THEMSELVES FROM VOTING ON ANY MATTERS RELATED TO A CONFLICT. AS QUESTIONS ABOUT POTENTIAL CONFLICTS ARISE DURING THE YEAR, THE GENERAL COUNSEL REVIEWS THEM WITH THE AFFECTED BOARD MEMBER, THE PRESIDENT/CEO AND THE BOARD CHAIR. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED, INCLUDING PERIODIC REVIEWS OF ITS TRANSACTIONS OR ARRANGEMENTS WITH ITS OFFICERS AND BOARD MEMBERS, AND ANY OTHER INDIVIDUAL OR ENTITIES THAT MAY HAVE A SUBSTANTIAL INFLUENCE OVER THE BUSINESS AND AFFAIRS OF THE ORGANIZATION. EXECUTIVE COMPENSATION FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES ARE ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE OF JOHN MUIR HEALTH. THE COMPENSATION COMMITTEE IS A STANDING COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF NO LESS THAN 5 VOTING DIRECTORS, NONE OF WHICH HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION TRANSACTIONS UNDER CONSIDERATION. THE COMPENSATION COMMITTEE UTILIZES AN OUTSIDE EXPERT COMPENSATION CONSULTANT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA OF SIMILARLY SITUATED ORGANIZATIONS FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITES. THAT DATA IS USED BY THE COMPENSATION COMMITTEE TO ESTABLISH THE ANNUAL COMPENSATION PACKAGE FOR EACH INDIVIDUAL. IT IS THE PHILOSOPHY OF THE ORGANIZATION TO ESTABLISH A COMPENSATION PACKAGE FOR EACH INDIVIDUAL THAT REFLECTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT. THE COMMITTEE'S DELIBERATIONS AND DECISIONS AND DECISIONS REGARDING THESE COMPENSATION ARRANGEMENTS ARE DOCUMENTED IN THE COMMITTEE MINUTES THAT ARE REVIEWED AT ITS NEXT MEETING. THE DOCUMENTED MINUTES INCLUDE (1) TERMS OF THE COMPENSATION ARRANGEMENT, INCLUDING DATE IT WAS APPROVED; (2) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE COMMITTEE AND HOW IT WAS OBTAINED; 3) A LIST OF THE MEMBERS PRESENT DURING THE DELIBERATIONS AND HOW THE MEMBERS VOTED; 4) ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF ANY MEMBER OF THE COMMITTEE WHO HAD A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION. DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FROM THE JOHN MUIR HEALTH LEGAL DEPARTMENT UPON REQUEST. . FORM 990 PART IX LINE 11G DESCRIPTION:Other Purchased Services TOTAL FEES:507761 FORM 990 PART IX LINE 11G DESCRIPTION:INTERCOMPANY PURCHASED SVCS TOTAL FEES:3073440 JOHN MUIRMT DIABLO COMMUNITY HEALTH 5003 COMMERCIAL CIR STE 275 CONCORD CA 94520 981788973 GRANT MAKING CA 501(C)(3) 12,III-FI JM HEALTH true JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BOULEVARD STE 300 WALNUT CREEK CA 94597 680249685 HEALTHCARE CA 501(C)(3) 3 JM HEALTH true JOHN MUIR PHYSICIAL NETWORK 1400 TREAT BOULEVARD STE 300 WALNUT CREEK CA 94597 680360801 CLINIC SRVS CA 501(C)(3) 12, TYPE I JM HEALTH true JOHN MUIR HEALTH 1400 TREAT BOULEVARD STE 300 WALNUT CREEK CA 94597 941461843 HEALTHCARE CA 501(C)(3) 3 NA false JOHN MUIR MAGNETIC IMAGING 1400 TREAT BLVD WALNUT CREEK CA 94597 680202020 DIAGNOSTIC IMAG CA NA NEUROSCAN 115 CASA VIA SUITE 202 WALNUT CREEK CA 94596 680017617 DIAGNOSTIC IMAG CA NA BAY AREA SURGICAL VENTURES 30 S WACKER DRIVE CHICAGO IL 60606 203052802 MEDICAL SERVICES CA NA JOHN MUIRMT DIABLO PARENT COMPANY 1400 TREAT BLVD WALNUT CREEK CA 94597 900060434 INACTIVE CA NA C Corp false false true true false false false false false false false true false false false false true true false false JOHN MUIR HEALTH B 9502218 AGREEMENT TERMS JOHN MUIR HEALTH C 5053787 EXPENSES PAID JOHN MUIR HEALTH K 182000 AGREEMENT TERMS