Civic Intelligence

Prima Medical Foundation

990 • Fiscal year 2015 • EIN 27-1376321

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 09, 2016

9 Commercial Blvd No 200Novato, CA 94949

(415) 842-5000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

83rd percentile

0.73x

Higher debt load relative to assets than 83% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Liabilities / Revenue

33rd percentile

0.17x

Higher debt load relative to revenue than 33% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Net Margin

39th percentile

1.4%

Higher net margin than 39% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Top Officer Pay

97th percentile

$1,586,194

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 3.9% of source-year revenue.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2015

Asset Growth

2nd percentile

-30%

Faster asset growth than 2% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Revenue Growth

48th percentile

3.5%

Faster revenue growth than 48% of similar nonprofits.

2015 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2014 to 2015

Assets

Down

$9,707,341

Down $4,067,755 (-30%) from 2014

Net Assets

Up

$2,643,213

Up $570,579 (+28%) from 2014

Liabilities

Down

$7,064,128

Down $4,638,334 (-40%) from 2014

Revenue

Up

$41,018,281

Up $1,378,382 (+3.5%) from 2014

Expenses

Up

$40,447,702

Up $1,379,822 (+3.5%) from 2014

Net Income

Down

$570,579

Down $1,440 (-0.3%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2013: $11,733,596Liabilities 2013: $10,232,981Net Assets 2013: $1,500,6152013Assets 2014: $13,775,096Liabilities 2014: $11,702,462Net Assets 2014: $2,072,6342014Assets 2015: $9,707,341Liabilities 2015: $7,064,128Net Assets 2015: $2,643,2132015Assets 2016: $7,875,184Liabilities 2016: $5,370,895Net Assets 2016: $2,504,2892016Assets 2017: $8,768,573Liabilities 2017: $5,341,257Net Assets 2017: $3,427,3162017Assets 2018: $10,158,106Liabilities 2018: $4,730,792Net Assets 2018: $5,427,3142018Assets 2019: $43,874,441Liabilities 2019: $38,447,128Net Assets 2019: $5,427,3132019Assets 2020: $44,883,953Liabilities 2020: $39,456,637Net Assets 2020: $5,427,3162020Assets 2021: $59,866,922Liabilities 2021: $54,437,618Net Assets 2021: $5,429,3042021Assets 2022: $64,247,344Liabilities 2022: $58,835,257Net Assets 2022: $5,412,0872022Assets 2023: $75,637,554Liabilities 2023: $70,303,136Net Assets 2023: $5,334,4182023Assets 2024: $120,278,411Liabilities 2024: $114,728,931Net Assets 2024: $5,549,4802024

Highlighted filing

2015

Assets$9,707,341
Liabilities$7,064,128
Net Assets$2,643,213

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MRevenue 2013: $40,559,086Expenses 2013: $39,095,102Net Income 2013: $1,463,9842013Revenue 2014: $39,639,899Expenses 2014: $39,067,880Net Income 2014: $572,0192014Revenue 2015: $41,018,281Expenses 2015: $40,447,702Net Income 2015: $570,5792015Revenue 2016: $36,360,435Expenses 2016: $36,499,359Net Income 2016: -$138,9242016Revenue 2017: $39,560,273Expenses 2017: $38,637,246Net Income 2017: $923,0272017Revenue 2018: $44,506,261Expenses 2018: $42,506,263Net Income 2018: $1,999,9982018Revenue 2019: $94,016,723Expenses 2019: $94,016,724Net Income 2019: -$12019Revenue 2020: $105,459,292Expenses 2020: $105,459,289Net Income 2020: $32020Revenue 2021: $134,953,752Expenses 2021: $134,951,764Net Income 2021: $1,9882021Revenue 2022: $141,773,309Expenses 2022: $141,790,526Net Income 2022: -$17,2172022Revenue 2023: $172,856,317Expenses 2023: $172,933,986Net Income 2023: -$77,6692023Revenue 2024: $208,703,440Expenses 2024: $208,703,440Net Income 2024: $02024

Highlighted filing

2015

Revenue$41,018,281
Expenses$40,447,702
Net Income$570,579
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 9, 2016
Return Version
2015v2.1
Gross Receipts
$41,044,165
Mission and Program Overview

Mission

To perform and carry out charitable healthcare functions and purposes by establishing, operating, and maintaining multi-specialty medical clinics for the provision of healthcare services in california; and by engaging in, sponsoring, advancing, encouraging, and promoting charitable healthcare, educational, and medical research activities.

To provide the recruitment and retention of physicians, become the model of choice for physicians, improve clinical quality, patient access and enhance on-going stability and financial viability for physicians and their sponsors.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$3,146,039$3,148,810▲ $2,771
Land, Buildings, and Equipment, Net$3,668,467$2,856,373▼ $812,094
Prepaid Expenses and Deferred Charges$738,874$664,934▼ $73,940
Inventories for Sale or Use$227,679$415,862▲ $188,183
Cash and Non-Interest-Bearing Accounts$293,991$240,527▼ $53,464
Total Assets$13,775,096$9,707,341▼ $4,067,755
Other Assets Total$5,700,046$2,380,835▼ $3,319,211
Liabilities
Other Liabilities$7,665,866$2,907,064▼ $4,758,802
Accounts Payable and Accrued Expenses$2,036,596$2,157,064▲ $120,468
Mortgage Notes Payable Secured by Investment Property$2,000,000$2,000,000→ $0
Total Liabilities$11,702,462$7,064,128▼ $4,638,334
Net Assets / Fund Balance
Unrestricted Net Assets$2,072,634$2,643,213▲ $570,579
Total Net Assets Fund Balance$2,072,634$2,643,213▲ $570,579
Total Liabilities and Net Assets / Fund Balance$13,775,096$9,707,341▼ $4,067,755

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$1,246,661$1,368,610$2,615,271
Leasehold Improvements$922,879$1,531,420$2,454,299
Equipment$686,833$872,272$1,559,105
Other Assets Org$2,380,835--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Wayne FairchildCEO (Thru 10/2015)FT$209,478$81,618$291,096
Cheri HawkinsCFO (Thru 12/2015)FT$163,796$26,716$190,512
Linda ChotkevysDirector of Human ResourcesFT$154,783$27,305$182,088
Alfredo LimjocoDirector OF IT (Thru 12/16/2016)FT$165,227$6,241$171,468
Sheri MatteoDirector of MidwiferyFT$138,683$19,658$158,341
Jody BranhamCertified Nurse MidwifeFT$106,699$25,506$132,205
Randall IchihanaPulmonary Services ManagerFT$120,711$9,142$129,853
Robert Newbury MdChief Executive OfficerFT$75,000-$75,000

Board Members and Trustees

NameTitle
Lee DomanicoChairman/mgh CEO
Steve SchroederVice Chairman
Jon FriedenbergBoard Member
Joseph Habis MdBoard Member
Kelly MatherBoard Member
Mark ZielazinskiBoard Member
Paul KirincicBoard Member
Joel CristeBoard Member/MMN CEO (thru 8/2015)
GENE O'CONNELLSecretary
Jeremy FairTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Jones DayLegal SERVICES555 California Street 26th Floor, San Francisco, CA 94104$334,469
Moss Adams LLPAccounting ServicesPO Box 748369, Los Angeles, CA 90074-8369$144,780
-Nurse Practioner34 WATERBURY LANE, Novato, CA 94949$111,381
Revenue and Support

Revenue Composition

Contributions and Grants
$10,764,328
Program Service Revenue
$30,101,848
Investment Income
$7,293
Other Revenue
$144,812
All Other Contributions
$450,000
Change in Net Assets
$570,579

Audited Revenue Reconciliation

Revenue per Audited Statements
$41,018,281
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$41,018,281
Total Revenue per Form 990
$41,018,281
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$29,928,214
Salaries, Compensation, and Employee Benefits$10,519,488
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$19,210,040$1,612,080-$20,822,120
Other Salaries and Wages$4,715,981$2,423,393-$7,139,374
Occupancy$2,325,572$209,551-$2,535,123
Other Employee Benefits$1,555,287$490,923-$2,046,210
Office Expenses$1,081,677$445,951-$1,527,628
Insurance$978,053$27,604-$1,005,657
Depreciation Depletion$544,820$436,028-$980,848
Payroll Taxes$467,917$180,384-$648,301
Current Officers, Directors, Trustees, and Key Employees-$556,607-$556,607
Fees for Services Other-$343,414-$343,414
Information Technology$177,446--$177,446
Fees for Services Accounting-$172,305-$172,305
Other Expenses$157,760--$157,760
Pension Plan Contributions$84,416$44,580-$128,996
All Other Expenses$90,879$28,289-$119,168
Fees for Services Legal-$100,066-$100,066
Interest-$92,373-$92,373
Conferences and Meetings$66,092--$66,092
Advertising$46,690--$46,690
Travel$32,980--$32,980
Total Functional Expenses$33,284,154$7,163,548$0$40,447,702

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$40,447,702
Total Expenses per Audited Statements$40,447,702
Total Expenses per Form 990$40,447,702
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Rent Liability$967,442
Payable to Prima Medical Group$880,377
Lease Payable$510,039
Insurance CLAIMS Payable$374,000
Related Party Payables$175,206
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

Effective october 1, 2015, dr. Robert newbury was appointed ceo of prima medical foundation.

Form 990, Part VI, Section B, line 11

PRIMA MEDICAL FOUNDATION'S FORM 990 IS REVIEWED BY THE CONTROLLER AND THE CEO OR COO. An electronic copy is sent to the board of directors 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 and requires disclosures to the Board of any financial interests in a proposed transaction or agreement. If the Board determines that the financial interest is a conflict of interest, the interested director will not be a voting member on the issue in question. The policy requires an annual distribution to officers and directors as well as periodic reviews as needed.

Form 990, Part VI, Section B, line 15

The CEO and CFO's compensation are set by the Foundation's board through negotiation regarding complete listing of duties and agreement to accomplish certain goals. Comparability data was used to the extent that it was available and a written contract was signed. Other key employees in PMF are generally hired through recruiting agencies. Salary is established at market rates represented in the region by job title and description of duties to be accomplished. These are compared with other salary surveys and publications such as MGMA.

Form 990, Part VI, Section C, line 19

Prima Medical Foundation makes this information readily available for public inspection during regular business hours at their principal office.

990, Part VII

Lee Domanico, CEO of MGH, Jon Friedenberg, CAO of MGH, and Mark Zielazinski, CITIO of MGH are listed as members of the board of Prima Medical Foundation. They are employed and compensated by Marin General Hospital (MGH), a related organization. MGH reports 100% of the individual's compensation on W-2's which are issued by MGH. They devoted an average of one hour per week relating to their duties associated with serving on the Board of Directors. The reportable compensation is related to their services provided to Marin General Hospital and is unrelated to the average number of hours per week for their duties as a board member.

Filing and Contact Details

Filer

Filer Name
Prima Medical Foundation
EIN
27-1376321
Phone
4158425000
Address
9 Commercial Blvd No 200, Novato, CA 94949

Signing Officer

Name
Robert Newbury MD
Title
CEO
Phone
4158425000
Signed
2016-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Newbury MD
Formed
2010
Legal Domicile
CA
Voting Board Members
11
Independent Board Members
7
Employees
177
Volunteers
7

Preparer

Firm
Moss Adams LLP
Address
101 Second Street Suite 900, San Francisco, CA 94105
Preparer
Renie Burbank
Phone
4159561500
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

Prima medical foundation accounts for uncertain tax positions in accordance with asc 740. Asc 740 clarifies the accounting for income taxes by presenting a minimum probability threshold that a tax position must meet before a financial statement benefit is recognized. The minimum threshold is defined by asc 740 as a tax position that is more likely than not to be sustained upon examination by the applicable taxing authority, including resolution of any related appeals or litigation processes, based on the technical merits of the position. The tax benefit to be recognized is measured as the largest amount of benefit that is greater than fifty percent of being realized upon ultimate settlement. At december 31, 2015 and 2014, there were no such uncertain tax positions.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt547642
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt935285
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1121791
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1226716
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt136241
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IRS990/Form990PartVIISectionAGrp/PersonNm0LEE DOMANICO
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IRS990/Form990PartVIISectionAGrp/PersonNm2GENE O'CONNELL
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IRS990/Form990PartVIISectionAGrp/PersonNm4JOEL CRISTE
IRS990/Form990PartVIISectionAGrp/PersonNm5JON FRIEDENBERG
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IRS990/Form990PartVIISectionAGrp/PersonNm7PAUL KIRINCIC
IRS990/Form990PartVIISectionAGrp/PersonNm8KELLY MATHER
IRS990/Form990PartVIISectionAGrp/PersonNm9MARK ZIELAZINSKI
IRS990/Form990PartVIISectionAGrp/PersonNm10ROBERT NEWBURY MD
IRS990/Form990PartVIISectionAGrp/PersonNm11WAYNE FAIRCHILD
IRS990/Form990PartVIISectionAGrp/PersonNm12CHERI HAWKINS
IRS990/Form990PartVIISectionAGrp/PersonNm13ALFREDO LIMJOCO
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IRS990/Form990PartVIISectionAGrp/PersonNm15SHERI MATTEO
IRS990/Form990PartVIISectionAGrp/PersonNm16RANDALL ICHIHANA
IRS990/Form990PartVIISectionAGrp/PersonNm17JODY BRANHAM
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIRMAN/MGH CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt3TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member/MMN CEO (thru 8/2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt10Chief Executive Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt11CEO (Thru 10/2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO (Thru 12/2015)
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIR OF IT (Thru 12/16/2016)
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIR OF HUMAN RESOURCES
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR OF MIDWIFERY
IRS990/Form990PartVIISectionAGrp/TitleTxt16PULMONARY SERVICES MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt17CERTIFIED NURSE MIDWIFE
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IRS990/MissionDesc0To provide the recruitment and retention of physicians, become the model of choice for physicians, improve clinical quality, patient access and enhance on-going stability and financial viability for physicians and their sponsors.
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IRS990/OtherExpensesGrp/Desc0drugs AND IMMUNIZATIONS
IRS990/OtherExpensesGrp/Desc1Triage service
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IRS990/ProgramServiceRevenueGrp/Desc0NET PATIENT SERVICES
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IRS990/ProgSrvcAccomActy2Grp/Desc0OBGYN Program provides OBGYN Services including Labor & Delivery to Marin & Sonoma Counties as well as provides physician & CNM hospitalists call coverage for Marin General Hospital and Sonoma Valley Hospital.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt08268787
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IRS990/ProgSrvcAccomActy3Grp/Desc0See Schedule OPrima Medical Foundation provides surgical services for Marin & Sonoma Counties in the areas of General surgery, Orthopedics, and Breast Oncology. In addition, the COmpany provides intesivist services and offers a pediatric after hours clinic and hospitalist call coverage.PMF is a nonprofit public benefit corporation which provides medical services pursuant to a Professional Services Agreement with the Prima Medical Group, Inc., a California professional medical corporation. PMF provides these medical services to both insured and uninsured residents located primarily in Marin and Sonoma counties in California. These services are provided at twelve outpatient clinics that it owns and operates and at three local hospitals. The medical services encompass multiple specialties including: Internal Medicine, Family Medicine, General Practice, Geriatrics, Pediatrics, Obstetrics, Gynecology, Infectious Disease, General Surgery, Colorectal Surgery, Breast Surgery, Bariatrics, Orthopedics, Dermatology, Pulmonary Medicine, and Critical Care. These services are funded by patient, insurance and other third party billings and by collections, contributions and loans from local hospitals. Patients are served without limitation based on their ability to pay, provided they are residents of Marin or Sonoma counties.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt011534242
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt012404215
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IRS990/PYRevenuesLessExpensesAmt0572019
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IRS990/PYTotalProfFndrsngExpnsAmt00
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IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0570579
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/RelatedOrganizationsAmt010151648

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