Civic Intelligence

Prima Medical Foundation

990 • Fiscal year 2017 • EIN 27-1376321

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 14, 2018

9 Commercial Boulevard 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

78th percentile

0.61x

Higher debt load relative to assets than 78% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

29th percentile

0.14x

Higher debt load relative to revenue than 29% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Net Margin

47th percentile

2.3%

Higher net margin than 47% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

96th percentile

$1,341,478

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 3.4% of source-year revenue.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Asset Growth

72nd percentile

11%

Faster asset growth than 72% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

61st percentile

8.8%

Faster revenue growth than 61% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Assets

Up

$8,768,573

Up $893,389 (+11%) from 2016

Net Assets

Up

$3,427,316

Up $923,027 (+37%) from 2016

Liabilities

Down

$5,341,257

Down $29,638 (-0.6%) from 2016

Revenue

Up

$39,560,273

Up $3,199,838 (+8.8%) from 2016

Expenses

Up

$38,637,246

Up $2,137,887 (+5.9%) from 2016

Net Income

Up

$923,027

Up $1,061,951 (+764%) from 2016

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

2017

Assets$8,768,573
Liabilities$5,341,257
Net Assets$3,427,316

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

2017

Revenue$39,560,273
Expenses$38,637,246
Net Income$923,027
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 14, 2018
Return Version
2017v2.3
Gross Receipts
$39,560,273
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 and patient access; and enhance on-going stability and financial viability for physicians and their sponsors.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$2,942,085$3,942,589▲ $1,000,504
Cash and Non-Interest-Bearing Accounts$1,032,216$1,743,795▲ $711,579
Land, Buildings, and Equipment, Net$2,016,498$1,468,408▼ $548,090
Prepaid Expenses and Deferred Charges$395,010$484,384▲ $89,374
Inventories for Sale or Use$379,747$396,853▲ $17,106
Total Assets$7,875,184$8,768,573▲ $893,389
Other Assets Total$1,109,628$732,544▼ $377,084
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,000,000$2,000,000→ $0
Accounts Payable and Accrued Expenses$1,390,636$1,664,589▲ $273,953
Other Liabilities$1,805,029$1,501,438▼ $303,591
Unsecured Notes Loans Payable$175,230$175,230→ $0
Total Liabilities$5,370,895$5,341,257▼ $29,638
Net Assets / Fund Balance
Unrestricted Net Assets$2,504,289$3,427,316▲ $923,027
Total Net Assets Fund Balance$2,504,289$3,427,316▲ $923,027
Total Liabilities and Net Assets / Fund Balance$7,875,184$8,768,573▲ $893,389

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$236,055$2,475,366$2,711,421
Leasehold Improvements$859,436$1,841,257$2,700,693
Equipment$372,917$1,193,301$1,566,218
Other Assets Org$220,620--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Robert Newbury MdBoard Member / CEOFT$347,197$35,047$382,244
Sheri MatteoDirector of MidwiferyFT$160,697$21,235$181,932
Lindsey LevinsonNurse PractitionerFT$152,898$20,540$173,438
Amy DugganChief Operating OfficerFT$147,275$6,948$154,223
Rajdeep SinghNurse PractitionerFT$139,326$9,565$148,891
Erinn LanceCertified Nurse MidwifeFT$134,707$3,725$138,432

Board Members and Trustees

NameTitle
Lee DomanicoChair / Mgh CEO
Timothy Sowerby MdVice Chair
David Galland MdBoard Member
Dennis Orwig MdBoard Member
Paul KirincicBoard Member
Steven a Schroeder MdBoard Member
Mark ZielazinskiBoard Member / Mgh Citio
Jon FriedenbergBoard Member / Mgh COO
GENE MARIE O'CONNELLSecretary
James McmanusTreasurer / Mgh CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$8,331,190
Program Service Revenue
$31,108,681
Investment Income
$0
Other Revenue
$120,402
All Other Contributions
$656,200
Change in Net Assets
$923,027
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$27,980,755
Salaries, Compensation, and Employee Benefits$10,656,491
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$18,569,612$1,476,084-$20,045,696
Other Salaries and Wages$7,151,752$834,447-$7,986,199
Occupancy$2,427,856$131,281-$2,559,137
Other Employee Benefits$1,608,990$187,733-$1,796,723
Office Expenses$679,861$205,763-$885,624
Depreciation Depletion$505,009$290,803-$795,812
Insurance$681,513$8,977-$690,490
Current Officers, Directors, Trustees, and Key Employees-$382,244-$382,244
Payroll Taxes$335,615$39,159-$374,774
Information Technology$254,889--$254,889
Fees for Services Legal-$149,639-$149,639
Pension Plan Contributions$116,551--$116,551
Advertising$99,857--$99,857
Interest-$85,925-$85,925
All Other Expenses$29,871$43,640-$73,511
Conferences and Meetings$69,952--$69,952
Other Expenses$30,647$12,394-$43,041
Fees for Services Accounting-$27,400-$27,400
Travel$17,187--$17,187
Total Functional Expenses$34,680,209$3,957,037$0$38,637,246
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
Payable to Prima Medical Group$727,559
Deferred Rent Liability$415,879
Insurance Claims Payable$358,000
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The organization has one sole member, marin general hospital (mgh).

Form 990, Part VI, Section A, Line 7A

The organization's sole member, mgh, has the power to select 8 of the 10 voting directors, which are selected as follows: 4 of the member appointed directors are persons who are not employees of mgh and are selected by mgh from candidates identified by the nominating committee of prima medical foundation; the additional 4 member appointed directors may be employees of mgh and are selected by mgh without any nomination process.

Form 990, Part VI, Section A, Line 7B

The board of pmf shall not, without prior written approval of the member, perform or commit or authorize or direct any officer of pmf to perform or commit any of the following actions: (i) file for bankruptcy, make a general assignment for the benefit of creditors, or take any similar action; (ii) make any material change in the nature of the pmf's business; (iii) sell, exchange, or otherwise dispose of any assets outside the ordinary course of business; (iv) engage in any dissolution, liquidation, merger, consolidation, conversion, or reorganization or issue any corporate members; (v) amend pmf's article's of incorporation or bylaws; (vi) borrow money in the name of pmf or utilize property (real or personal) owned by pmf as security for such loans; (vii) enter into a management agreement with any person or entity pursuant to which it would reasonable be interpreted that pmf is transferring management control of its operations to a third party; (viii) acquire, purchase, develop, improve, sell, lease, or mortgage any corporate real estate or any interest therein or enter into any contract for any such purposes; (ix) make any loan, investment, transfer, or disposition of any assets of pmf or enter into any conract or incur any liabilities on behalf of pmf other than for fair consideration and in the ordinary course of business relating to its normal daily operation; (x) establish capital and operating budgets for the foundation or adopt material changes thereto; and (xi) any other action that could reasonably be excpected to have a material adverse effect on the 501(c)(3) status or tax-exempt bonds of pmf or marin general hospital.

Form 990, Part VI, Section B, Line 11B

The form 990 is prepared by an independent accounting firm, in conjunction with the organization's accounting and finance department. A draft of the form 990 is then reviewed by the controller, cfo, and ceo of mgh, the organization's sole member; items are discussed, and appropriate updates and revisions are then made. An electronic copy of the finalized form 990 is sent to all members of 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 thereof, 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 review as needed.

Form 990, Part VI, Section B, Line 15A

The ceo's compensation is set by the board of directors through negotiations based upon duties and goals. Market comparability data was used to establish parameters of compensation, and the decision regarding the compensation arrangement was contemporaneously documented in the board minutes. Part vi, section b, line 15b has been marked "no", as the organization does not compensate any of its other officers or key employees (per the form 990 definition); these individuals are compensated by marin general hospital, a related organization.

Form 990, Part VI, Section C, Line 19

Pmf makes its governing documents, conflict of interest policy, and financial statements available for public inspection during regular business hours at its principal office.

FORM 990, PART VII:

Lee domanico (ceo of mgh), jon friedenberg (coo of mgh), james mcmanus (cfo of mgh), and mark zielazinski (citio of mgh) are listed as members of the board of prima medical foundation; they are also employed and compensated by marin general hospital (mgh), a related organization. Mgh reports 100% of the individual's compensation from w-2's, which are issued by mgh. They devoted an average of two hours per week to pmf related to their duties associated with serving on the board of directors. The compensation reported on form 990, part vii is related to their services provided to mgh and is unrelated to the average number of hours per week for their duties as a board members.

Filing and Contact Details

Filer

Filer Name
Prima Medical Foundation
EIN
27-1376321
Phone
4158425000
Address
9 COMMERCIAL BOULEVARD NO 200, NOVATO, CA 94949

Signing Officer

Name
James P Mcmanus
Title
CFO
Phone
4158425000
Signed
2018-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Newbury Md
Formed
2010
Legal Domicile
CA
Voting Board Members
11
Independent Board Members
6
Employees
284
Volunteers
6

Preparer

Firm
Moss Adams Llp
Address
101 SECOND STREET SUITE 900, SAN FRANCISCO, CA 94105
Preparer
Richard Croghan
Phone
4159561500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Professional service agreement fees: program service expenses 18,211,034. Management and general expenses 1,297,451. Fundraising expenses 0. Total expenses 19,508,485. Recruiting and temporary agency fees: program service expenses 318,094. Management and general expenses 0. Fundraising expenses 0. Total expenses 318,094. Triage services: program service expenses 40,484. Management and general expenses 0. Fundraising expenses 0. Total expenses 40,484. Other fees for services: program service expenses 0. Management and general expenses 178,633. Fundraising expenses 0. Total expenses 178,633.

Financial Statement Notes

PART X, LINE 2:

Pmf is organized as a not-for-profit entity under the general nonprofit corporation laws of the state of california. Exemptions from federal income taxation under internal revenue code section 501(c)(3) and california franchise taxation have been obtained. Certain activities and affiliates may be subject to income taxes; however, such activities are not significant to the consolidated financial statements. Accordingly, no provision for income taxes has been provided in the accompanying consolidated financial statements.

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IRS990/Desc0PRIMA MEDICAL FOUNDATION (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 TWO 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 AND CONTRIBUTIONS FROM LOCAL HOSPITALS. PATIENTS ARE SERVED WITHOUT LIMITATION BASED ON THEIR ABILITY TO PAY, PROVIDED THEY ARE RESIDENTS OF MARIN OR SONOMA COUNTIES.
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt735047
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt116948
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1221235
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1320540
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt153725
IRS990/Form990PartVIISectionAGrp/PersonNm0LEE DOMANICO
IRS990/Form990PartVIISectionAGrp/PersonNm1TIMOTHY SOWERBY MD
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IRS990/Form990PartVIISectionAGrp/PersonNm4JON FRIEDENBERG
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IRS990/Form990PartVIISectionAGrp/PersonNm7ROBERT NEWBURY MD
IRS990/Form990PartVIISectionAGrp/PersonNm8DENNIS ORWIG MD
IRS990/Form990PartVIISectionAGrp/PersonNm9STEVEN A SCHROEDER MD
IRS990/Form990PartVIISectionAGrp/PersonNm10MARK ZIELAZINSKI
IRS990/Form990PartVIISectionAGrp/PersonNm11AMY DUGGAN
IRS990/Form990PartVIISectionAGrp/PersonNm12SHERI MATTEO
IRS990/Form990PartVIISectionAGrp/PersonNm13LINDSEY LEVINSON
IRS990/Form990PartVIISectionAGrp/PersonNm14RAJDEEP SINGH
IRS990/Form990PartVIISectionAGrp/PersonNm15ERINN LANCE
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
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IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
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IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR OF MIDWIFERY
IRS990/Form990PartVIISectionAGrp/TitleTxt13NURSE PRACTITIONER
IRS990/Form990PartVIISectionAGrp/TitleTxt14NURSE PRACTITIONER
IRS990/Form990PartVIISectionAGrp/TitleTxt15CERTIFIED NURSE MIDWIFE
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IRS990ScheduleA/InvestmentIncomeCYPct00.00290
IRS990ScheduleA/InvestmentIncomePYPct00.00240
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X

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