2016-11-07T10:08:20-06:00 2015-12-31 861065772 DELOITTE TAX LLP 555 MISSION STREET SAN FRANCISCO CA 94105 990 2015-01-01 942650855 JOHN MUIR HEALTH FOUNDATION JOHN 9259393000 1400 TREAT BOULEVARD NO 300 WALNUT CREEK CA 94597 CHRISTIAN PASS CFO 9259393000 2016-11-07 1 JEFFREY D FRANK P00287234 4157834000 2015 2017-02-10 21:41:12Z CHRISTIAN PASS 1400 TREAT BOULEVARD NO 300 WALNUT CREEK CA 94597 16929090 0 X WWW.JOHNMUIRHEALTH.COM X 1979 CA TO SOLICIT AND MANAGE FUNDS FOR JOHN MUIR HEALTH. 22 19 0 50 0 0 11819089 15388393 883000 1065864 202000 222455 -176528 -126597 12727561 16550115 5574000 6005541 0 0 2253 0 97400 66426 507881 3691228 4306510 9364881 10378477 3362680 6171638 26421602 34880032 1454000 4432819 24967602 30447213 TO SOLICIT AND MANAGE FUNDS FOR JOHN MUIR HEALTH. 0 0 8847128 6005541 1065864 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. 8847128 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 X 22 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X CHRISTIAN PASS 9259393000 1400 TREAT BOULEVARD WALNUT CREEK CA 94597 RICHARD O VANDENBERG JR DIRECTOR 5.00 0.00 X 0 0 0 ELLIOT D STEIN DIRECTOR 5.00 0.00 X 0 0 0 JOHN S SAYRES DIRECTOR 5.00 0.00 X 0 0 0 MARGARET S MURPHY DIRECTOR 5.00 0.00 X 0 0 0 REV DWANE MICHAEL DIRECTOR 5.00 0.00 X 0 0 0 ALICE HUNTER MD DIRECTOR 5.00 0.00 X 0 0 0 PAUL R GRAY DIRECTOR 5.00 0.00 X 0 0 0 NOUROLLAH B GHORBANI MD DIRECTOR 5.00 0.00 X 0 0 0 RICHARD M DEL MONTE DIRECTOR 5.00 0.00 X 0 0 0 F RYAN ANDERSON MD DIRECTOR 5.00 0.00 X 0 0 0 LAURIE DOYLE DIRECTOR 5.00 0.00 X 0 0 0 G MICHAEL FOSSAN DIRECTOR 5.00 0.00 X 0 0 0 GERALD D STROFFOLINO OFFICER AT LARGE 5.00 0.00 X X 0 0 0 BEVERLY A JONES OFFICER AT LARGE 5.00 0.00 X X 0 0 0 GUY R HENSHAW OFFICER AT LARGE 5.00 0.00 X X 0 0 0 CARLOTTA R DATHE OFFICER AT LARGE 5.00 0.00 X X 0 0 0 MICHELLE J BARTEL CHAIR OF GOVERNANCE 5.00 0.00 X X 0 0 0 JACK E THOMPSON SECRETARY/TREASURER 5.00 0.00 X X 0 0 0 PETER D GRUEBELE VICE CHAIRMAN 5.00 0.00 X X 0 0 0 DAVID D WOODWORTH CHAIRMAN 5.00 0.00 X X 0 0 0 PATRICK CAREW DIRECTOR/PRESIDENT 60.00 0.00 X X 0 596029 174059 CALVIN KNIGHT DIRECTOR 5.00 70.00 X X 0 1791584 759474 CHRISTIAN PASS CFO 5.00 70.00 X 0 540191 210317 MICHAEL MOODY FORMER CFO 0.00 60.00 X 0 794626 324568 0 3722430 1468418 0 1 1 0 0 1013718 4372624 85928 9916123 15388393 PROGRAM SERVICE REVENUES 900099 1065864 1065864 1065864 222455 222455 252378 1013718 378975 -126597 -126597 16550115 1065864 0 95858 6005541 6005541 66426 66426 61966 35929 26037 142909 107054 35855 PURCHASED SERVICES 2926900 1817554 667891 441455 SUPPLIES 161666 121251 40415 1013069 759799 253270 10378477 8847128 1023468 507881 6331001 8856000 16997867 20395781 3080867 4369251 11867 1259000 0 0 26421602 34880032 138000 46595 1316000 4386224 1454000 4432819 X 4888706 5856382 13632669 16564232 6446227 8026599 24967602 30447213 26421602 34880032 6171638 -692027 0 X 0 1 X 1 0 X 5587237 2037125 7293234 11819089 15388393 42125078 5587237 2037125 7293234 11819089 15388393 42125078 6746671 35378407 162209 113484 89169 202000 222455 789317 42914395 4736440 0.82440 0.80060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20078896 11033372 -691000 5831000 24590268 16987785 8119089 590899 5618877 20078896 16353302 4208174 1183086 4756777 16987785 17002903 2037125 859349 3546075 16353302 37397465 4810336 10029 25214927 17002903 0.32640 0.67360 0 0 0 PAYABLE TO AFFILIATES 4386224 4386224 PART V, LINE 4: FURTHERANCE OF THE MISSION AND MOST SIGNIFICANT ACTIVITIES OF JOHN MUIR HEALTH. X X 1 JAMES CRAWFORD 1800 PARK NEWPORT SUITE 308 NEWPORT BEACH CA 92660 MAIL AND PHONE SOLICITATION 0 1289032 49950 1239082 MARTS & LUNDY 1200 ALL STREET 5TH FLOOR LYNDHURTS NJ 07071 MAIL AND PHONE SOLICITATION 0 0 11476 -11476 MARIJKE JOY FAKASIIEKI 1323 S PERRY STREET SPOKANE WA 99202 MAIL AND PHONE SOLICITATION 0 0 5000 -5000 1289032 66426 1222606 GALA EVENT 1266096 1013718 252378 98476 280499 1266096 1013718 252378 98476 280499 378975 -126597 SCHEDULE G, PART I, LINE 2B, COLUMN (V) POSTAGE AND RELATED FEES BILLED SEPARATELY FROM FUNDRAISING FEES. 1 JOHN MUIR HEALTH 1400 TREAT BLVD WALNUT CREEK CA 94597 941461843 501(C)(3) 6005541 OTHER RESTRICTED FUNDS 1 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. X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 PATRICK CAREW DIRECTOR/PRESIDENT 0 372536 0 142253 0 81240 0 164430 0 9629 0 770088 0 0 CALVIN KNIGHT DIRECTOR 0 1033072 0 662069 0 96443 0 742457 0 17017 0 2551058 0 662069 CHRISTIAN PASS CFO 0 393622 0 130680 0 15889 0 186961 0 23356 0 750508 0 130680 MICHAEL MOODY FORMER CFO 0 566939 0 209872 0 17815 0 302217 0 22351 0 1119194 0 209872 PART I, LINE 1A THE COMPANY HAS A POLICY WHEREBY CERTAIN PAYMENT TO EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS ARE GROSSED UP. THESE PAYMENTS ARE NOT AN USUAL OCCURENCE AND ARE EVALUATED AND APPROVED BY THE CEO AND CFO. FOR CERTAIN MEMBERS OF MANAGEMENT, A REIMBURSEMENT OF UP TO 50% OF HEALTH CLUB DUES IS AVAILABLE. THIS PERQUISITE IS INCLUDED AS PART OF THE EVALUATION OF THE ANNUAL COMPENSATION PROCESS. ALL COMPONENTS DISCUSSED IN THIS SECTION ARE TREATED AS TAXABLE INCOME FOR THE EMPLOYEE RECEIVING THE PAYMENT. PART I, LINE 3 COMPENSATION FOR THE PRESIDENT IS ESTABLISHED ANNUALLY BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS UTILIZES AN OUTSIDE CONSULTANT WHO IS A COMPENSATION EXPERT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITIES AND THAT DATA IS USED BY THE BOARD OF DIRECTORS 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. PART I, LINE 4B PATRICK CAREW $43,235 RESTORATION PLAN CALVIN KNIGHT $502,972 SERP CHRISTIAN PASS $31,831 RESTORATION PLAN MICHAEL MOODY $181,700 SERP SCHEDULE J, PART II, COLUMN B(III): JMH IMPLEMENTED A "PAID TIME OFF CAP" THAT WAS EFFECTIVE BEGINNING IN 2014. IN CONNECTION WITH THE NEW POLICY TO LIMIT BENEFIT-ELIGIBLE EMPLOYEE AT 125% OF THEIR TOTAL PAID TIME OFF ACCRUAL VALUE (BASED ON YEARS OF SERVICE), JMH CASHED OUT EMPLOYEE BALANCES IN EXCESS OF 100% OF THEIR PAID TIME OFF ACCRUAL CAPS. THE NEW POLICY IS EFFECTIVE AT JMH AND ALL JMH SUBSIDIARIES. AMY ANDERSON SPOUSE OF A BOARD MEMBER 81386 EMPLOYEE 0 FORM 990, PART VI, SECTION A, LINE 6 JOHN MUIR HEALTH IS THE SOLE CORPORATE MEMBER OF JOHN MUIR HEALTH FOUNDATION, AND, IN SUCH CAPACITY, HAS THE RIGHT TO APPROVE THE ELECTION OF ALL OF THE DIRECTORS OF JOHN MUIR HEALTH FOUNDATION (OTHER THAN CERTAIN DIRECTORS WHO SERVE EX-OFFICIO), AS WELL AS THE RIGHT TO APPROVE CERTAIN SIGNIFICANT CORPORATE ACTIONS. FORM 990, PART VI, SECTION A, LINE 7A SEE SCHEDULE O, FORM 990, PART VI, SECTION A, LINE 6. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS OF JOHN MUIR HEALTH FOUNDATION PROVIDE THAT (I) JOHN MUIR HEALTH SHALL APPROVE THE ELECTION OF ALL OF THE DIRECTORS OF JOHN MUIR HEALTH FOUNDATION (OTHER THAN THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF JOHN MUIR HEALTH, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF JOHN MUIR HEALTH FOUNDATION, THE PRESIDENT OF THE JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS AUXILIARY, AND THE PRESIDENT OF JOHN MUIR MEDICAL CENTER - CONCORD VOLUNTEERS, EACH OF WHOM SERVE EX-OFFICIO AS A MEMBER OF THE JOHN MUIR HEALTH FOUNDATION BOARD OF DIRECTORS), (II) JOHN MUIR HEALTH MAY REMOVE ANY OR ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF JOHN MUIR HEALTH FOUNDATION AT ANY TIME, (III) JOHN MUIR HEALTH FOUNDATION MAY NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE PRIOR APPROVAL OF JOHN MUIR HEALTH: (A) THE MERGER, CONSOLIDATION OR DISSOLUTION OF JOHN MUIR HEALTH FOUNDATION; (B) THE AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF JOHN MUIR HEALTH FOUNDATION; (C) THE APPROVAL OF OPERATING AND CAPITAL BUDGETS, ALTHOUGH THE BOARD IS EMPOWERED TO DEVELOP ITS OWN BUDGET WITHIN THE GUIDELINES AND OBJECTIVES SET BY JOHN MUIR HEALTH; (D) ANY BORROWING OR INDEBTEDNESS (INCLUDING BUT NOT LIMITED TO LEASE AGREEMENTS AND CONTRACTS OF SALE); (E) THE PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE AND ENCUMBRANCE OF ANY ASSET, REAL OR PERSONAL IN EXCESS OF $250,000 OR SUCH GREATER AMOUNT AS MAY BE DETERMINED BY JOHN MUIR HEALTH FROM TIME TO TIME; (F) THE APPOINTMENT OF AN INDEPENDENT AUDITOR AND CORPORATE COUNSEL; (G) THE APPROVAL OF TRANSACTIONS OF JOHN MUIR HEALTH FOUNDATION IN WHICH A DIRECTOR OR OFFICER OF JOHN MUIR HEALTH FOUNDATION HAS A MATERIAL FINANCIAL INTEREST; AND (H) ANY OTHER ACTIVITIES OF JOHN MUIR HEALTH FOUNDATION WHICH JOHN MUIR HEALTH DETERMINES REPRESENT MAJOR TRANSACTIONS OR MAJOR POLICIES. FORM 990, PART VI, SECTION B, LINE 11 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. 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 APPRORPIATELY ADDRESSED, SENIOR MANAGEMENT OF JOHN MUIR HEALTH FOUNDATION WILL FILE THE FINAL FORM 990 AS REQUIRED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, BOARD MEMBERS ARE PROVIDED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND THEY ARE ASKED TO SIGN A STATEMENT ACKNOWLEDGING THEY HAVE READ THE POLICY AND AGREE TO COMPLY WITH ITS TERMS, INCLUDING THE DISCLOSURE OF ANY POTENTIAL CONFLICTS. THE JOHN MUIR HEALTH FOUNDATION PRESIDENT MONITORS ANY POTENTIAL CONFLICTS OF INTEREST AND DISCUSSES THEM WITH THE BOARD MEMBERS AND OFFICERS. IF A POTENTIAL CONFLICT AROSE, THE BOARD MEMBERS WOULD BE EXCUSED FROM THE MEETING FOR THE DISCUSSION AND VOTE. IN THE EVENT A BOARD MEMBER FAILED TO DISCLOSE A POTENTIAL CONFLICT, THE EXECUTIVE COMMITTEE WOULD DETERMINE ANY ACTION TO BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE PRESIDENT IS ESTABLISHED ANNUALLY BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS UTILIZES AN OUTSIDE CONSULTANT WHO IS A COMPENSATION EXPERT. THE OUTSIDE CONSULTANT PROVIDES MARKET DATA FOR EACH INDIVIDUAL BASED UPON THEIR LEVEL OF RESPONSIBILITIES AND THAT DATA IS USED BY THE BOARD OF DIRECTORS 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 REFELCTS THE MEDIAN OF THE MARKET AS ESTABLISHED BY THE OUTSIDE CONSULTANT. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER IS ESTABLISHED ANNUALLY BY THE COMPENSATION COMMITTEE OF JOHN MUIR HEALTH. FORM 990, PART VI, SECTION C, LINE 19 JOHN MUIR HEALTH PROVIDES FINANCIAL INFORMATION ON A QUARTERLY BASIS THROUGH VARIOUS BOND DISCLOSURES DATABASES. THIS FINANCIAL INFORMATION IS AVAILABLE FOR JOHN MUIR HEALTH ON A CONSOLIDATED AND CONSOLIDATING BASIS, INCLUDING SUBSIDIARIES. REQUEST FOR THE PROVISION OF OUR GOVERNING DOCUMENTS AND OUR CONFLICT OF INTEREST POLICY ARE DIRECTED TO THE JOHN MUIR HEALTH CHIEF GOVERNANCE OFFICER FOR THE APPROPRIATE RESPONSE. TANGIBLE PROPERTY REGULATIONS SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION TAXPAYER IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER TREAS. REG. 1.263(A)-1(F) FOR ALL ELIGIBLE AMOUNTS PAID OR INCURRED DURING THE TAXABLE YEAR. SECTION 1.263(A)-3(N) CAPITALIZATION ELECTION TAXPAYER HEREBY ELECTS TO CAPITALIZE REPAIR AND MAINTENANCE COSTS UNDER TREAS. REG. 1.263(A)-3(N). THE COSTS WERE INCURRED DURING THE TAXABLE YEAR IN THE ELECTING TAXPAYER'S TRADE OR BUSINESS AND THE ELECTING TAXPAYER TREATS SUCH COSTS AS CAPITAL EXPENDITURES ON ITS BOOKS AND RECORDS. JOHN MUIRMT DIABLO HEALTH FUND 1399 YGNACIO VALLEY ROAD SUITE 36 WALNUT CREEK CA 94598 911788973 PROVIDE GRANTS THAT ENHANCE HEALTHCARE SERVICES TO UNDERSERVED CA 501(C)(3) 11, TYPE III N/A 0 JOHN MUIR BEHAVIORAL HEALTH 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 680249685 PROVIDE BEHAVIORAL HEALTH SERVICES INCLUDING MENTAL HEALTH & SUBSTANCE ABUSE CA 501(C)(3) 3 N/A 0 JOHN MUIR PHYSICIAN NETWORK 1400 TREAT BLVD SUITE 400 WALNUT CREEK CA 94597 680360801 PROVIDE CLINIC SERVICES & MANAGE HEALTHCARE RISK OPERATIONS WITH JM HEALTH CA 501(C)(3) 11, TYPE I N/A 0 JOHN MUIR HEALTH 1400 TREAT BLVD SUITE 300 WALNUT CREEK CA 94597 941461843 PROVISION OF HEALTHCARE SERVICES TO THE COMMUNITY CA 501(C)(3) 3 N/A 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0