2018-10-29T14:36:40-05:00 2017-12-31 KPMG LLP 550 S HOPE ST SUITE 1500 LOS ANGELES CA 90071 990 2017-01-01 942650855 JOHN MUIR HEALTH FOUNDATION % CHRISTIAN PASS JOHN 9259393000 1400 TREAT BOULEVARD Suite 300 WALNUT CREEK CA 94597 CHRISTIAN PASS CFO 9259393000 2018-10-26 true CAREY MCKEE P01281067 2139724000 167.68.102.5 77070920183025000000 2018-10-29 P 4931415151B363AB723B41476C53B0BD4972C176 164FA9FDD4A18A30677B9C9ED78991B59AF5BA8D 2017 2018-06-14 16:35:46Z CHRISTIAN PASS 1400 TREAT BLVD STE 300 WALNUT CREEK CA 94597 21549980 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. 20 17 0 50 0 7204516 18049710 839499 0 225222 1064468 -256438 -189628 8012799 18924550 8552877 1468172 0 0 0 0 76800 159833 683001 4662363 4790081 13292040 6418086 -5279241 12506464 34609214 38421848 10366169 67447 24243045 38354401 JOHN MUIR HEALTH FOUNDATION IS DEDICATED TO INSPIRING AND STEWARDING PHILANTHROPIC SUPPORT FOR ALL PROGRAMS, SERVICES AND FACILITIES OF JOHN MUIR HEALTH. false false 4549636 1468172 0 ALL EXPENSES ARE RELATED TO THE ACTIVITIES OF ARRANGING FOR, AND THE SOLICITATION OF, FUNDS AND CONTRIBUTIONS FOR, AND ON BEHALF OF, JOHN MUIR HEALTH. 4549636 true true false false false false false false false true true false false false false true false true false false false false false true true true false true false true false false false false false false true false false false false false false true true true false false true 0 0 0 false false false false false true true false false false false X 20 17 false false false false true true true true true false false true true true true true true false false false CA X CHRISTIAN PASS 9259393000 1400 TREAT BOULEVARD walnut creek CA 94597 David D Woodworth Chairman 5.0 0.0 X X 0 0 0 Richard M Del Monte Vice Chair 5.0 0.0 X X 0 0 0 Paul R Gray Secretary-Treasurer 5.0 0.0 X X 0 0 0 Guy R Henshaw Chair, Advisory Council 5.0 0.0 X X 0 0 0 Jack E Thompson Chair, Governance 5.0 0.0 X X 0 0 0 F Ryan Anderson MD Officer at Large 5.0 0.0 X 0 0 0 Beverly A Jones Officer at Large 5.0 0.0 X 0 0 0 John C Sayres Officer at Large 5.0 0.0 X 0 0 0 Kathryn J Bennett MD Director 5.0 0.0 X 0 0 0 Sally L Davis MD Director 5.0 0.0 X 0 0 0 Laurie Doyle Director 5.0 0.0 X 0 0 0 Mark W Flower Director 5.0 0.0 X 0 0 0 Frederick M Gutterson Director 5.0 0.0 X 0 0 0 Alice D Hunter MD Director 5.0 0.0 X 0 0 0 Calvin Knight Ex-Officio Director 5.0 70.0 X 0 1896972 1249145 Lolita C Lopez Director 5.0 0.0 X 0 0 0 Reverend Dwane L Michael Director 5.0 0.0 X 0 0 0 Margaret S Murphy Director 5.0 0.0 X 0 0 0 Richard O Vandenberg Director 5.0 0.0 X 0 0 0 Patrick Carew Ex-Off Director/President/CAO 60.0 0.0 X X 0 599345 197495 Christian Pass CFO 5.0 70.0 X 0 702862 280590 Michael Moody Former Officer 0.0 60.0 X 0 871765 485240 0 4070944 2212470 0 true true false 0 1318386 9561626 91916 7077782 3000 18049710 0 347224 347224 0 0 0 0 0 2810000 2092756 717244 717244 717244 310250 1318386 528674 -218424 -218424 32796 4000 28796 28796 0 0 0 0 18924550 874840 1468172 1468172 0 0 0 0 0 0 0 0 0 0 1808 1356 452 0 0 159833 159833 0 3353797 2009259 821370 523168 747846 560845 187001 66466 46850 19616 0 0 186492 138862 47630 34186 25640 8546 0 92911 68683 24228 0 0 0 0 OTHER EXPENSES 293297 219973 73324 DUES AND SUBSCRIPTIONS 13128 9846 3282 TAXES AND LICENSES 150 150 6418086 4549636 1185449 683001 6481962 3209363 7715930 10875351 5568504 9331630 0 0 0 0 0 0 0 0 0 0 0 0 51649 51649 14842818 15005504 0 0 0 0 0 0 0 0 34609214 38421848 120630 67447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10245539 0 10366169 67447 X -1980627 3432487 13654735 19556698 12568937 15365216 24243045 38354401 34609214 38421848 12506464 1604892 X false true X true false X 7293234 11819089 15388393 7204516 18046710 59751942 0 0 7293234 11819089 15388393 7204516 18046710 59751942 27342034 32409908 89169 202000 222455 225222 347224 1086070 0 201110 252378 353886 343046 1150420 61988432 4063968 0.52284 0.79700 X 26224494 7788084 1910633 1001163 34922048 24590268 5853636 514043 4733453 26224494 20078896 11033372 -691000 5831000 24590268 16987785 8119089 590899 5618877 20078896 16353302 4208174 1183086 4756777 16987785 0.43999 0.56001 false false 0 0 51649 51649 0 0 0 0 X 21059116 1604892 529674 2134566 18924550 18924550 6947760 529674 529674 6418086 6418086 ENDOWMENT PURPOSE SCHEDULE D, PART V, LINE 4 FURTHERANCE OF THE MISSION AND MOST 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. REVENUE INCLUDED ON AUDITED FINANCIAL STATEMENTS, NOT ON FORM 990 SCHEDULE D, PART XI, LINE 2D FUNDRAISING EVENT AND GAMING EXPENSES REPORTED NET OF REVENUE ON FORM 990 $529,674 EXPENSES INCLUDED ON AUDITED FINANCIALS, NOT ON FORM 990 SCHEDULE D, PART XII, LINE 2B FUNDRAISING EVENT AND GAMING EXPENSES REPORTED AS PART OF TOTAL EXPENSES ON FINANCIAL STATEMENTS $529,674 X X true James Crawford 1800 Park Newport Suite 308 Newport CA 92660 GRANT PROP WRITING false 290694 76475 214219 Anne Marie Taylor 1008 Springfield Drive Walnut Creek CA 94598 FUND EVENTS CAPITAL CAM false 314918 83358 231560 605612 159833 445779 CA GALA 1628636 1318386 310250 177987 350687 0 1628636 1318386 310250 177987 350687 528674 -218424 32796 4000 true 1.00000 32796 4000 4000 28796 CA true false true false 1.00000 PATRICK CAREW 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 false PATRICK CAREW 0 SUPERVISION X true 29516 SCHEDULE G, PART III, LINE 17 THE NET GAMING REVENUE REPORTED IN PART III, LINE 8 INCLUDES A DONATED RAFFLE PRIZE VALUED AT $3,000. AFTER EXCLUDING THE VALUE OF THE DONATED PRIZE, THE NET GAMING REVENUE OF $31,796 EXCEEDS THE 90% GROSS RECEIPTS REQUIREMENT UNDER THE CALIFORNIA PENAL CODE SECTION 320.5. true JOHN MUIR HEALTH 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 941461843 501(C)(3) 1468172 N/A N/A EQUIPMENT 1 GRANT MONITORING PROCESS SCHEDULE I, PART I, LINE 2 JOHN MUIR HEALTH FOUNDATION AND JOHN MUIR HEALTH FINANCIAL MANAGEMENT MONITORS AND APPROVES THE USE OF THE RESTRICTED FUNDS TO MEET THE INTENDED PURPOSES. false true false false false false false Calvin Knight Ex-Officio Director 0 1124607 0 730615 0 41750 0 1229888 0 19257 0 3146117 0 730615 Patrick Carew Ex-Off Director/President/CAO 0 376881 0 143101 0 79363 0 189773 0 7722 0 796840 0 143101 Christian Pass CFO 0 525946 0 168753 0 8163 0 255226 0 25364 0 983452 0 168783 Michael Moody Former Officer 0 579138 0 273637 0 18990 0 466938 0 18302 0 1357005 0 273637 EXECUTIVE COMPENSATION PROCESS 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. Christian Pass participated in the plan and earned $47,828 of benefit during the year. Patrick Carew participated in the plan and earned $53,495 of benefit during the year. Supplemental Executive Plan Employees eligible for the Supplemental Executive Plan are either CEO of John Muir Health, CEO or CAO of John Muir Physician Network, and current employees that previously held one of those positions. Employer contributions are made to the plan on behalf of eligible employees. The annual increase in actuarial value of the plan benefit is reported in Part II, Column C. Vesting for the Supplemental Executive Plan is at the earliest of the following: reaching age 65 with at least three years of service, becoming disabled, involuntary termination for any reason other than cause, termination upon change of control of John Muir Health, or death. Benefits are payable and taxable upon vesting. No plan benefit payments were made during the year. Calvin Knight participated in the plan and earned $568,622 of benefit during the tax year. Michael Moody participated in the plan and earned $203,595 of benefit during the tax year. AMY ANDERSON SPOUSE OF DIR/OFFICER 22194 COMPENSATION & BENEFITS false MEMBERS OR STOCKHOLDERS FORM 990, PART IV, SECTION A, LINE 6 JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR HEALTH FOUNDATION. POWER TO ELECT OR APPOIINT 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 IV, 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 IV, 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 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:PURCHASED SERVICES TOTAL FEES:3225647 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:128150 JOHN MUIRMT DIABLO COMMUNITY HEALTH 1399 YGANCIO VALLEY ROAD STE 36 WALNUT CREEK CA 94598 981788973 GRANT MAKING CA 501(C)(3) 12C, 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) 12A, III 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 BOULEVARD WALNUT CREEK CA 94597 680202020 DIAGNOSTIC IMAG CA N/A NEUROSCAN 115 LA CASA VIA SUITE 202 WALNUT CA 94597 680017617 DIAGNOSTIC IMAG CA N/A BAY AREA SURGICAL VENTURES 30 S WACKER DRIVE CHICAGO ID 60606 203052802 MEDICAL SERVICES CA N/A CARIDIAN PHYSICIAN SERVICES INC 700 YGNACIO VALLEY BLVD WALNUT CREEK CA 94596 680297913 INACTIVE CA NA C-CORP false MT DIABLO PRACTICE MGMT 1400 TREAT BLVD WALNUT CREEK CA 94597 680031326 INACTIVE CA NA C-CORP false 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 false false false false JOHN MUIR HEALTH B 1468172 EXPENSES PAID JOHN MUIR HEALTH C 9561626 CASH RECEIVED JOHN MUIR HEALTH K 177084 AGREEMENT TERMS