2025-11-14T12:49:11-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2024-01-01 946127213 MARIN GENERAL HOSPITAL FOUNDATION MARI 4159257770 1350 SOUTH ELISEO DRIVE 110 GREENBRAE CA 94904 ERIC BRETTNER CFO 4159257770 2025-11-14 1 0 MICHAEL LUMSDEN P01262236 4159561500 2025-11-14 2024 2025-03-06 01:10:19Z MARINHEALTH FOUNDATION ELIZABETH KOLCUN 1350 SOUTH ELISEO DRIVE 110 GREENBRAE CA 94904 25427755 0 X WWW.MYMARINHEALTH.ORG/FOUNDATION/ X 1966 CA FUNDRAISING SERVICES TO SUPPORT MARINHEALTH PROGRAMS AND SERVICES. 23 21 0 135 0 0 7473841 23603706 0 0 383724 781393 -191986 -337736 7665579 24047363 4698988 9318280 0 0 210576 277046 161121 311246 525036 157082 156059 5227767 10062631 2437812 13984732 33875152 48136599 939957 240955 32935195 47895644 X TO INSPIRE PHILANTHROPY FOR THE BENEFIT OF MARINHEALTH. 0 0 9318280 9318280 0 THROUGHOUT 2024 MARINHEALTH FOUNDATION RAISED FUNDS AND TRANSFERRED AMOUNTS TO MARINHEALTH MEDICAL CENTER. RECENT PROGRAMS AND SERVICES MADE POSSIBLE WITH PHILANTHROPIC SUPPORT INCLUDE: A NEW GRADUATE NURSE RESIDENCY PROGRAM; A MARINHEALTH OUTPATIENT PSYCHIATRY CLINIC IN NOVATO; A NEW HYBRID OPERATING ROOM IN THE OAK PAVILION; A NEW CT SIMULATOR AT MARINHEALTH CANCER CARE; A SURGICAL IMAGING C-ARM; A DEPUYS SYNTHES VELYS ROBOTIC-ASSISTED SOLUTION FOR KNEE REPLACEMENT; UPGRADED SOFTWARE AND HARDWARE FOR THE BREAST HEALTH CENTER; THE CONTINUED EXPANSION OF OUR STRUCTURAL HEART PROGRAM, OFFERING AN EVEN LARGER ARRAY OF NON-INVASIVE LIFESAVING PROCEDURES TO THOSE WHO WOULD HAVE IN THE PAST NEEDED OPEN HEART SURGERY; SUPPORT FOR UNDERINSURED CANCER PATIENTS, INCLUDING MAMMOGRAMS, PHYSICAL THERAPY, WIGS, PROSTHETICS, AND FINANCIAL ASSISTANCE; SUPPORT FOR THE BRADEN DIABETES CENTER; AND SUPPORT FOR THE HAYNES HEART & VASCULAR INSTITUTE. SUPPORT WAS RECEIVED THROUGH FUNDRAISING EVENTS AS WELL AS THROUGH GENEROUS SUPPORT FROM COMMUNITY DONORS. 9318280 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 23 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X ERIC BRETTNER 4154642090 100B DRAKES LANDING ROAD SUITE 190 GREENBRAE CA 94904 X DAVID KLEIN MD MBA BOARD MEMBER / CEO OF MHMC 2.00 48.00 X 0 2084686 40382 ELIZABETH KOLCUN BOARD MEMBER / PRESIDENT & CDO 46.00 4.00 X X 0 458591 58690 STEPHANIE ROBINSON CHAIR 1.00 0.00 X X 0 0 0 MIKE STONE VICE-CHAIR 0.50 0.00 X X 0 0 0 JULIE VAN VORIS TREASURER 0.50 0.00 X X 0 0 0 JINNIE SIMONSEN SECRETARY 0.50 0.00 X X 0 0 0 BRUCE BRADEN MEMBER-AT-LARGE 0.50 0.00 X X 0 0 0 NANCY KNIESCHE MEMBER-AT-LARGE 0.50 0.00 X X 0 0 0 PAT ABRAMS BOARD MEMBER 0.50 0.00 X 0 0 0 ROBERT BURMEISTER BOARD MEMBER 0.50 0.00 X 0 0 0 HEATHER D CARLBERG MD BOARD MEMBER 0.50 0.00 X 0 0 0 JUSTIN CHEN BOARD MEMBER 0.50 0.00 X 0 0 0 LESLIE FERGUSON-DIETZ BOARD MEMBER 0.50 0.00 X 0 0 0 SUSAN GILARDI BOARD MEMBER 0.50 0.00 X 0 0 0 ALEX METZGER MD BOARD MEMBER 0.50 0.00 X 0 0 0 ALFRED OPPENHEIM MD BOARD MEMBER 0.50 0.00 X 0 0 0 AJ ROHDE BOARD MEMBER 0.50 0.00 X 0 0 0 JASON RUBEN MD BOARD MEMBER 0.50 0.00 X 0 0 0 RON RUBIN BOARD MEMBER 0.50 0.00 X 0 0 0 ANDREA SCHULTZ BOARD MEMBER 0.50 2.00 X 0 0 0 BRIAN STRUNK MD BOARD MEMBER 0.50 0.00 X 0 0 0 SPENCER WANG BOARD MEMBER 0.50 0.00 X 0 0 0 MARC WATROUS PHD BOARD MEMBER 0.50 0.00 X 0 0 0 ERIC BRETTNER CHIEF FINANCIAL OFFICER 2.00 48.00 X 0 789007 51663 0 3332284 150735 0 0 1 0 COMMUNITY COUNSELING SERVICE CO LLC 527 MADISON AVE 5TH FLOOR NEW YORK NY 10022 CAPITAL CAMPAIGN - CONSULTING/MGMT FEES 311246 CI PARTNER DIRECT INC 1601 EASTMAN AVE STE 202 VENTURA CA 93003 CONSULTING SERVICES 119556 DEBORAH MANN PRODUCTIONS 3255 JACKSON STREET SAN FRANCISCO CA 94118 EVENT PRODUCTION 107702 3 1120050 22483656 1625220 23603706 769601 769601 969448 957656 11792 11792 11792 85000 1120050 422736 -337736 -337736 24047363 0 0 443657 9318280 9318280 277046 90871 186175 66244 66244 311246 311246 25188 25188 9062 9062 27751 27751 3058 3058 PROSPECT DEVELOPMENT 19779 19779 DUES & SUBSCRIPTIONS 4778 4778 LICENSES & TAXES 79 79 120 120 10062631 9318280 219315 525036 4534017 2889509 701 0 3649021 17000292 17553649 19420430 6895217 7464403 1242547 1361965 33875152 48136599 939957 240955 939957 240955 X 10199179 10355771 22736016 37539873 32935195 47895644 33875152 48136599 X 13984732 856299 119418 X 0 1 X 1 0 X X 1 MARIN GENERAL HOSPITAL 942823538 3 1 9318280 0 1 9318280 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2481845 500000 345319 3327164 2248684 233161 2481845 2097194 500000 -348510 2248684 2076482 50000 75867 105155 2097194 1932841 143641 264502 264502 2076482 0.18740 0.81259 0.00000 0 0 0 LIMITED PARTNERSHIP INVESTMENT 7464403 F 7464403 X 25985816 856299 540000 119418 1515717 24470099 -422736 -422736 24047363 11025367 540000 422736 962736 10062631 0 10062631 PART V, LINE 4: ENDOWMENT FUNDS ARE TO BE USED FOR OPERATIONAL SUPPORT FOR MARINHEALTH MEDICAL CENTER. PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND 23701D OF THE CALIFORNIA FRANCHISE TAX BOARD EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THESE FINANCIAL STATEMENTS. THE FOUNDATION RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN SUPPORT SERVICES EXPENSE. DURING THE YEARS ENDED DECEMBER 31, 2024 AND 2023, THERE WERE NO EXPENSES RELATED TO UNCERTAIN TAX POSITIONS RECOGNIZED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN TRUSTS 119,418. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES -422,736. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 422,736. X X X X X X 1 COMMUNITY COUNSELING SERVICE CO LLC 527 MADISON AVENUE 5TH FLOOR NEW YORK NY 10022 CAPITAL CAMPAIGN CONSULTING 0 18478592 311246 18167346 18478592 311246 18167346 CA GALA 1205050 1120050 85000 33635 85000 304101 1205050 1120050 85000 33635 85000 304101 422736 -337736 1 MARIN GENERAL HOSPITAL DBA MARINHEALTH MEDICAL CENTER 250 BON AIR ROAD GREENBRAE CA 94904 942823538 501(C)(3) 9318280 0 GENERAL SUPPORT 1 0 PART I, LINE 2: THERE ARE NO SPECIFIC PROCEDURES IN PLACE TO MONITOR THE USE OF GRANT FUNDS THE ORGANIZATION GRANTS TO MARIN GENERAL HOSPITAL (DBA MARINHEALTH MEDICAL CENTER), THE SUPPORTED ORGANIZATION OF THE FOUNDATION; HOWEVER, BOTH THE FOUNDATION AND MARINHEALTH MEDICAL CENTER HAVE OVERLAPPING MANAGEMENT PERSONNEL, WHO WILL OCCASIONALLY REPORT BACK TO THE BOARD OF DIRECTORS REGARDING PROJECTS AND SERVICES FUNDED BY GRANTS OF THE FOUNDATION. 0 0 0 0 0 0 0 0 0 DAVID KLEIN MD MBA BOARD MEMBER / CEO OF MHMC 0 1253028 0 510300 0 321358 0 19382 0 21000 0 2125068 0 0 ERIC BRETTNER CHIEF FINANCIAL OFFICER 0 618927 0 167800 0 2280 0 20075 0 31588 0 840670 0 0 ELIZABETH KOLCUN BOARD MEMBER / PRESIDENT & CDO 0 354527 0 103036 0 1028 0 26525 0 32165 0 517281 0 0 PART I, LINE 3 MARINHEALTH FOUNDATION'S PRESIDENT IS AN EMPLOYEE OF MARINHEALTH MEDICAL CENTER, THE ORGANIZATION'S SOLE MEMBER AND A RELATED ORGANIZATION. MARINHEALTH MEDICAL CENTER UTILIZED THE FOLLOWING METHODS TO DETERMINE COMPENSATION OF THE MARINHEALTH FOUNDATION PRESIDENT: INDEPENDENT COMPENSATION CONSULTANT AND APPROVAL BY THE BOARD. X 10 1625220 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED (DEFINED AS EACH SEPARATE GIFT) IN SCHEDULE M, PART I, COLUMN (B). FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION HAS ONE SOLE MEMBER, MARIN GENERAL HOSPITAL (DBA MARINHEALTH MEDICAL CENTER). FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE FOUNDATION ARE APPOINTED OR ELECTED BY ITS SOLE MEMBER, MARINHEALTH MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD, NOR ANY OFFICER OF FOUNDATION, MAY NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT FIRST OBTAINING THE AUTHORITY OF MARINHEALTH MEDICAL CENTER, THE ORGANIZATION'S SOLE MEMBER: (I) THE MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THE FOUNDATION; (II) THE AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE FOUNDATION; (III) THE ADOPTION OF OPERATING BUDGETS FOR FOUNDATION; (IV) THE ADOPTION OF CAPITAL BUDGETS FOR FOUNDATION; (V) AGGREGATE OPERATING EXPENDITURES ON AN ANNUAL BASIS WHICH EXCEED APPROVED OPERATING BUDGETS BY A DOLLAR AMOUNT WHICH IS AT LEAST 5% OF THE APPROVED OPERATING BUDGET OF FOUNDATION OR AGGREGATE CAPITAL EXPENDITURES ON AN ANNUAL BASIS WHICH EXCEED APPROVED CAPITAL BUDGETS BY A DOLLAR AMOUNT WHICH IS AT LEAST 20% OF FOUNDATION APPROVED CAPITAL BUDGET; (VI) LONG-TERM BORROWING; (VII) THE PURCHASE, SALE, LEASE, DISPOSITION, HYPOTHECATION, EXCHANGE, GIFT, PLEDGE, OR ENCUMBRANCE BY FOUNDATION OF ANY ASSET, REAL OR PERSONAL, WITH A FAIR MARKET VALUE IN EXCESS OF A DOLLAR AMOUNT EQUAL TO 10% OF THE CONSOLIDATED FUND BALANCE OF THE FOUNDATION (IF THE TRANSACTION IS NOT INCLUDED IN AN APPROVED CAPITAL BUDGET); (VIII) APPOINTMENT OF AN INDEPENDENT AUDITOR AND APPROVAL OF INDEPENDENT COUNSEL; (IX) THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ENTITY; (X) CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL OR SUBSTANTIALLY ALL OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE FOUNDATION; AND (XI) APPROVAL OF MAJOR NEW PROGRAMS OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B MARINHEALTH FOUNDATION'S TAX ADVISOR PROVIDES AND PREPARES THE FORM 990 IN CONSULTATION WITH THE ORGANIZATION'S INTERNAL ACCOUNTING DEPARTMENT. THE FOUNDATION'S PRESIDENT THEN REVIEWS THE FORM 990 AND REVISIONS (IF NECESSARY) ARE MADE. A COPY OF THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BODY FOR THEIR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO OFFICERS, DIRECTORS, AND IMMEDIATE FAMILY MEMBERS THEREOF, AND REQUIRES DISCLOSURES TO THE BOARD OF ANY FINANCIAL INTEREST IN A PROPOSED TRANSACTION OR AGREEMENT FOR WHICH THE FOUNDATION IS ALSO A PARTICIPANT IN. IF THE BOARD DETERMINES THAT THE FINANCIAL INTEREST IS A CONFLICT OF INTEREST, THE INTERESTED DIRECTOR/OFFICER WILL NOT BE A VOTING MEMBER ON THE ISSUE IN QUESTION. A DISINTERESTED PERSON OR COMMITTEE CAN ALSO BE APPOINTED TO IDENTIFY ALTERNATIVES TO THE PROPOSAL. THE POLICY REQUIRES AN ANNUAL DISCLOSURES STATEMENTS COLLECTED FROM OFFICERS AND DIRECTORS, AS WELL AS PERIODIC REVIEWS AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINES 15A AND 15B HAVE BEEN MARKED "NO", AS MANDATED BY THE FORM 990 INSTRUCTIONS, AS THE ORGANIZATION DOES NOT COMPENSATE ANY OF THE OFFICERS OR KEY EMPLOYEES APPEARING ON FORM 990, PART VII; RATHER, THESE INDIVIDUALS ARE COMPENSATED BY MARINHEALTH MEDICAL CENTER, A RELATED ORGANIZATION. PLEASE REFERENCE THE DISCLOSURE IN MARINHEALTH MEDICAL CENTER'S FORM 990 FOR A DESCRIPTION ON HOW COMPENSATION FOR THESE INDIVIDUALS IS DETERMINED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII: THE INDIVIDUALS APPEARING ON FORM 990, PART VII ARE COMPENSATED BY MARINHEALTH MEDICAL CENTER, A RELATED ORGANIZATION; AS SUCH, ALL OF THE COMPENSATION FOR THESE EMPLOYEES IS REPORTED ON FORM 990, PART VII, COLUMNS (E) AND (F). THESE INDIVIDUALS PERFORM WORK FOR THE FOUNDATION AS WELL AS FOR OTHER RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN TRUSTS 119,418. MARIN HEALTHCARE DISTRICT 100B DRAKES LANDING ROAD SUITE 250 GREENBRAE CA 94904 911886269 HEALTHCARE CA N/A 0 MARIN GENERAL HOSPITAL 250 BON AIR ROAD GREENBRAE CA 94904 942823538 HOSPITAL CA 501(C)(3) LINE 3 MARIN HEALTHCARE DISTRICT 0 PRIMA MEDICAL FOUNDATION 9 COMMERCIAL BOULEVARD SUITE 200 NOVATO CA 94949 271376321 MEDICAL FOUNDATION CA 501(C)(3) LINE 10 MARIN GENERAL HOSPITAL 0 MARIN PETCT IMAGING LLC 4000 CIVIC CENTER DRIVE SUITE 110 SAN RAFAEL CA 94903 833116653 DIAGNOSTIC IMAGING CA N/A 0 0 MARIN ASC HOLDCO LLC 250 BON AIR ROAD GREENBRAE CA 94904 990397457 JOINT VENTURE SURGERY CENTER INVESTMENT DE N/A 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0