Civic Intelligence

John Muir Physician Network

990 • Fiscal year 2019 • EIN 68-0360801

Jan 01, 2019 to Dec 31, 2019 • Filed on May 01, 2020

1400 Treat BoulevardWalnut Creek, CA 94597

(925) 939-3000

Siviq Scores

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

Liabilities / Assets

79th percentile

0.66x

Higher debt load relative to assets than 79% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Liabilities / Revenue

29th percentile

0.30x

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

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Net Margin

19th percentile

-2.3%

Higher net margin than 19% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Top Officer Pay

94th percentile

$3,964,737

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Asset Growth

97th percentile

47%

Faster asset growth than 97% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Revenue Growth

79th percentile

13%

Faster revenue growth than 79% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Assets

Up

$193,593,405

Up $61,945,419 (+47%) from 2018

Net Assets

Down

$65,622,313

Down $5,212,028 (-7.4%) from 2018

Liabilities

Up

$127,971,092

Up $67,157,447 (+110%) from 2018

Revenue

Up

$426,379,639

Up $48,544,980 (+13%) from 2018

Expenses

Up

$435,982,331

Up $51,200,267 (+13%) from 2018

Net Income

Down

-$9,602,692

Down $2,655,287 (-38%) from 2018

Historical Trend

Balance Sheet Trend

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

$300M$200M$100M$0Assets 2010: $45,547,535Liabilities 2010: $9,245,631Net Assets 2010: $36,301,9042010Assets 2011: $49,140,552Liabilities 2011: $10,151,588Net Assets 2011: $38,988,9642011Assets 2012: $98,055,219Liabilities 2012: $53,335,355Net Assets 2012: $44,719,8642012Assets 2013: $112,241,932Liabilities 2013: $61,570,283Net Assets 2013: $50,671,6492013Assets 2014: $103,836,526Liabilities 2014: $56,980,776Net Assets 2014: $46,855,7502014Assets 2015: $118,565,873Liabilities 2015: $63,027,524Net Assets 2015: $55,538,3492015Assets 2016: $132,197,667Liabilities 2016: $59,174,796Net Assets 2016: $73,022,8712016Assets 2017: $132,871,189Liabilities 2017: $55,089,443Net Assets 2017: $77,781,7462017Assets 2018: $131,647,986Liabilities 2018: $60,813,645Net Assets 2018: $70,834,3412018Assets 2019: $193,593,405Liabilities 2019: $127,971,092Net Assets 2019: $65,622,3132019Assets 2020: $195,368,788Liabilities 2020: $133,019,323Net Assets 2020: $62,349,4652020Assets 2021: $217,370,876Liabilities 2021: $130,660,803Net Assets 2021: $86,710,0732021Assets 2022: $205,132,147Liabilities 2022: $124,633,106Net Assets 2022: $80,499,0412022Assets 2023: $185,336,528Liabilities 2023: $121,576,496Net Assets 2023: $63,760,0322023Assets 2024: $167,418,772Liabilities 2024: $113,492,897Net Assets 2024: $53,925,8752024

Highlighted filing

2019

Assets$193,593,405
Liabilities$127,971,092
Net Assets$65,622,313

Operations Trend

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

$600M$400M$200M$0-$200MExpenses 2010: $210,626,4622010Expenses 2011: $208,914,1212011Expenses 2012: $215,264,6602012Revenue 2013: $234,283,517Expenses 2013: $228,331,732Net Income 2013: $5,951,7852013Revenue 2014: $245,267,317Expenses 2014: $249,083,216Net Income 2014: -$3,815,8992014Revenue 2015: $292,426,067Expenses 2015: $283,743,468Net Income 2015: $8,682,5992015Revenue 2016: $338,752,026Expenses 2016: $321,267,504Net Income 2016: $17,484,5222016Revenue 2017: $367,548,704Expenses 2017: $362,789,829Net Income 2017: $4,758,8752017Revenue 2018: $377,834,659Expenses 2018: $384,782,064Net Income 2018: -$6,947,4052018Revenue 2019: $426,379,639Expenses 2019: $435,982,331Net Income 2019: -$9,602,6922019Revenue 2020: $437,709,023Expenses 2020: $440,982,117Net Income 2020: -$3,273,0942020Revenue 2021: $548,794,015Expenses 2021: $524,433,647Net Income 2021: $24,360,3682021Revenue 2022: $572,725,768Expenses 2022: $588,596,568Net Income 2022: -$15,870,8002022Revenue 2023: $582,031,651Expenses 2023: $598,770,660Net Income 2023: -$16,739,0092023Revenue 2024: $519,192,918Expenses 2024: $529,027,075Net Income 2024: -$9,834,1572024

Highlighted filing

2019

Revenue$426,379,639
Expenses$435,982,331
Net Income-$9,602,692
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
May 1, 2020
Return Version
2019v5.1
Gross Receipts
$426,453,711
Mission and Program Overview

Mission

To establish, operate and maintain multi-specialty medical clinics for the provision of healthcare services and engage in, sponsor and promote charitable healthcare , educational, and medical research activities.

To improve the health of the communities we serve with quality and compassion.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$100,294,987$151,956,243▲ $51,661,256
Accounts Receivable$19,540,943$22,310,509▲ $2,769,566
Savings and Temporary Cash Investments$8,421,145$14,021,663▲ $5,600,518
Intangible Assets$2,292,276$2,287,276▼ $5,000
Prepaid Expenses and Deferred Charges$316,199$1,841,204▲ $1,525,005
Inventories for Sale or Use$0$114,598▲ $114,598
Cash and Non-Interest-Bearing Accounts$12,434$12,749▲ $315
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$131,647,986$193,593,405▲ $61,945,419
Other Assets Total$770,002$1,049,163▲ $279,161
Liabilities
Other Liabilities$43,229,817$110,279,497▲ $67,049,680
Accounts Payable and Accrued Expenses$15,912,011$17,526,071▲ $1,614,060
Deferred Revenue$1,671,817$165,524▼ $1,506,293
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$60,813,645$127,971,092▲ $67,157,447
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$70,834,341$65,622,313▼ $5,212,028
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$70,834,341$65,622,313▼ $5,212,028
Total Liabilities and Net Assets / Fund Balance$131,647,986$193,593,405▲ $61,945,419

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$72,692,535$13,719,848$86,412,383
Leasehold Improvements$53,171,192$13,763,563$66,934,755
Equipment$10,528,407$19,175,138$29,703,545
Land$14,640,000-$14,640,000
Other Land Buildings$924,109-$924,109
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Lee HuskinsPresident/CAOPT$414,467$444,152$1,088,710
Paul DeeringerVP Strategy and Emerging BusFT$167,563$216,108$653,178
Laura KazaglisVP Primary Care OperationsFT$197,878$186,491$541,359
Keith PuglieseVP Contracting and Risk OpsFT$272,258$163,892$449,332
Shelley HorwitzVP Physician Relations and IntFT$212,537$121,563$437,188
Tom MacmillanDirector, Physician ServicesFT$273,687$62,587$336,274
Bazil FonsecaExecutive Dir, Practice MgmtFT$185,463$91,368$290,415
Darren DuncanEx Dir, Network Dev and RiskFT$249,364$83,045$266,619
Mariam MiaManager, Clinical ImagingFT$201,773$56,413$258,186
Krystal FongSupervisor, PharmacyFT$224,726$33,379$258,105
Anne GrodinDirectorPT-$25,000$25,000
Kathleen OdneVice ChairmanPT-$25,000$25,000
Robert E EdmondsonChairman and TreasurerPT-$25,000$25,000
Taejoon Ahn MDDirectorPT-$25,000$25,000
Chi Perloth MDDirectorPT-$22,500$22,500
Johnannes Peters MDDirectorPT-$22,500$22,500
John Merson MDDirectorPT-$18,750$18,750
Roger BaileyDirectorPT-$18,750$18,750
Mark Musco MDDirectorPT-$15,000$15,000

Board Members and Trustees

NameTitle
Jack ThompsonDirector
Jay HarrisDirector
Ravi Hundal MDDirector
Laura MarksteinDIRECTOR (As of 5/31/19)
Calvin KnightEx-Officio Director
John SayresSecretary
Christian PassSenior VP/CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
John Muir Medical GroupMedical1450 TREAT BOULEVARD, Walnut Creek, CA 94598$116,594,106
John Muir Cardiovascular GroupMedical1450 TREAT BOULEVARD, Walnut Creek, CA 94598$17,868,782
Bay Area Surgical SpecialistMedicalPO BOX 97297, Las Vegas, NV 89193$14,942,629
John Muir Speciality GroupMedical1450 TREAT BOULEVARD, Walnut Creek, CA 94598$12,003,192
Allergy Asthma Medical GroupMedical370 N WIGET LANE SUITE 210, Walnut Creek, CA 94598$6,808,468
Revenue and Support

Revenue Composition

Contributions and Grants
$50,909,068
Program Service Revenue
$375,444,810
Investment Income
$-54,831
Other Revenue
$80,592
All Other Contributions
$0
Change in Net Assets
$-9,602,692

Audited Revenue Reconciliation

Revenue per Audited Statements
$424,185,888
Revenue Not Reported on Financial Statements
$2,193,751
Other Revenue Adjustments
$2,193,751
Total Revenue per Audited Statements
$424,185,888
Total Revenue per Form 990
$426,379,639
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$344,301,006
Salaries, Compensation, and Employee Benefits$78,803,476
Grants and Similar Amounts Paid$12,877,849
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$245,324,739$1,206,540-$246,531,279
Other Salaries and Wages$55,135,019$1,971,853-$57,106,872
Occupancy$16,576,682$690,695-$17,267,377
Depreciation Depletion$11,545,675$1,601,972-$13,147,647
Grants to Domestic Orgs$12,877,849--$12,877,849
Other Employee Benefits$10,492,862$375,268-$10,868,130
Payroll Taxes$3,824,728$241,536-$4,066,264
Pension Plan Contributions$3,223,860$368,584-$3,592,444
Current Officers, Directors, Trustees, and Key Employees$2,725,999$443,767-$3,169,766
Insurance$1,856,384--$1,856,384
Interest$1,839,736--$1,839,736
Other Expenses$1,825,621$32,424,349-$1,825,621
Office Expenses$877,870$538,049-$1,415,919
All Other Expenses$747,233$262,541-$1,009,774
Fees for Services Management$791,569$197,892-$989,461
Fees for Services Legal$94,325$23,581-$117,906
Travel$72,416$18,104-$90,520
Total Functional Expenses$395,617,600$40,364,731$0$435,982,331

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$435,982,331
Expenses per Audited Statements$433,788,580
Total Expenses per Audited Statements$433,788,580
Expenses Not Reported on Financial Statements$2,193,751
Other Expense Adjustments$2,193,751
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
John Muir HealthWalnut Creek, CA501 (c ) (3)General Support$12,497,157
John Muir Behavioral HealthWalnut Creek, CA501 (c ) (3)General Support$380,692
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$106,690,023
Liability to Related Party$2,546,466
Other Liabilites$1,043,008
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 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
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
Yes
Filing and Contact Details

Filer

Filer Name
John Muir Physician Network
EIN
68-0360801
In Care Of
% CHRISTIAN PASS
Phone
9259393000
Address
1400 TREAT BOULEVARD, WALNUT CREEK, CA 94597

Signing Officer

Name
Christian Pass
Title
CFO
Phone
9259393000
Signed
2020-05-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Christian Pass
Formed
1995
Legal Domicile
CA
Voting Board Members
15
Independent Board Members
14
Employees
1,048
Volunteers
50

Preparer

Firm
Kpmg Llp
Address
3975 Freedom Circle Dr Suite 100, Santa Clara, CA 95054
Preparer
Carey Mckee
Phone
4083675764
Supplemental Narrative

Additional Explanations

Family or Business Relationship

Form 990, part vi, section a, line 2 board members taejoon ahn, m.d. And ravi hundal, m.d. Have a business relationship. Management company form 990, part vi, section a, line 3 john muir health has engaged optum to manage non clinical functions, including information technology, revenue cycle management, analytics, purchasing and claims processing. Optum also supports and furthur enhances john muir physician network's ambulatory care coordination and utilization management services. Optum brings an extensive set of capabilities, including operational technologies, analytic solutions and tools, and administrative service expertise to help john muir health further advance its clinical and operational performance. One employee reported in part vii, darren duncan, was compensated by john muir physician network from january 1 to september 30 and optum from october 1 to december 31, 2019. See additional compensation information in schedule j, part iii.

Members or Stockholders

Form 990, part vi, section a, line 6 john muir health is the sole corporate member of the john muir physician network.

Power to Elect or Appoint Members of Governing Body

Form 990, part vi, section a, line 7a the bylaws of john muir physician network provide that the voting and non-voting members of the board of directors of john muir health, the sole corporate member of john muir physician network, shall serve ex-officio as the voting and non-voting members of the board of directors of john muir physician network. As a result, the board of directors of john muir health controls the number, appointment, term and removal of the members of the board of directors of john muir physician network.

Governance Decisions Subject to Approval by the Member

Form 990, part vi, section a, line 7b john muir health, as the sole corporate member of john muir physician network, also has the right to approve certain actions in accordance with the california nonprofit public benefit corporation law, including the voluntary dissolution of john muir physician network, the sale of all or substantially all of the assets of john muir physician network, and the merger of john muir physician network with or into any other entity.

Review of Form 990 by Governing Body

Form 990, part vi, 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 the john muir physician network 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. Prior period adjustments form 990, part xi, line 8 the adjustment to prior period net assets was a result of john muir physician network adopting a new accounting pronouncement (topic 842) for lease accounting.

Form 990 Part IX Line 11G

Description:other professional fees total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:other purchased services total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:other physician fees total fees:1762

Financial Statement Notes

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 estimate occurs.

REVENUE REPORTED GROSS ON FORM 990, REPORTTED NET ON AUDITED FIN'L STMTS

Schedule d, part ix, line 4b uncollectible accounts $2,193,751

EXPENSES REPORTED GROSS ON FORM 990, REPORTED NET ON AUDITED FIN'L STMTS

Schedule d, part xii, line 4b uncollectible accounts $2,193,751

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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$167$113$53.9$519$529$9.83
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$185$122$63.8$582$599$16.7
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$205$125$80.5$573$589$15.9
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$217$131$86.7$549$524$24.4
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$195$133$62.3$438$441$3.27
2019Detailed filing. Detailed filing data is available for this year.$194$128$65.6$426$436$9.60
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$132$60.8$70.8$378$385$6.95
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$133$55.1$77.8$368$363$4.76
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$132$59.2$73.0$339$321$17.5
2015Detailed filing. Detailed filing data is available for this year.$119$63.0$55.5$292$284$8.68
2014Detailed filing. Detailed filing data is available for this year.$104$57.0$46.9$245$249$3.82
2013Detailed filing. Detailed filing data is available for this year.$112$61.6$50.7$234$228$5.95
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$98.1$53.3$44.7$215
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$49.1$10.2$39.0$209
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$45.5$9.25$36.3$211
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2019 filings • 501(c)3 • $250M-$1B nonprofits