2025-11-14T12:44:17-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2024-01-01 271376321 PRIMA MEDICAL FOUNDATION PRIM 4158425000 9 COMMERCIAL BOULEVARD 200 NOVATO CA 94949 ERIC BRETTNER TREASURER / CFO 4158425000 2025-11-14 1 0 MICHAEL LUMSDEN P01262236 4159561500 2025-11-14 2024 2025-03-06 01:10:19Z MARINHEALTH MEDICAL NETWORK JENNIFER SCHAAB MBA MPH 9 COMMERCIAL BOULEVARD 200 NOVATO CA 94949 208703440 0 X MYMARINHEALTH.ORG/ABOUT-US/MEDICAL-NETWORK/ X 2010 CA ESTABLISHING, OPERATING, AND MAINTAINING MULTI-SPECIALTY MEDICAL CLINICS THROUGHOUT MARIN AND SONOMA COUNTIES. 11 7 535 10 0 0 27412429 36121367 145410196 172527318 33692 54755 0 0 172856317 208703440 0 0 0 0 42324933 51476842 0 0 0 130609053 157226598 172933986 208703440 -77669 0 75637554 120278411 70303136 114728931 5334418 5549480 X 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. 0 0 206843141 0 172527318 PRIMA MEDICAL FOUNDATION (DBA MARINHEALTH MEDICAL NETWORK) IS A NONPROFIT PUBLIC BENEFIT CORPORATION WHICH PROVIDES MEDICAL SERVICES IN CONJUNCTION WITH PRIMA MEDICAL GROUP, INC. (PURSUANT TO A PROFESSIONAL SERVICES AGREEMENT), A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION. MARINHEALTH MEDICAL NETWORK PROVIDES THESE MEDICAL SERVICES TO BOTH INSURED AND UNINSURED RESIDENTS LOCATED PRIMARILY IN MARIN AND SONOMA COUNTIES. THANKS TO A STRATEGIC ALLIANCE, MARINHEALTH MEDICAL NETWORK PRACTICES ARE PART OF UCSF HEALTH, AND BACKED BY THE EXPERTISE OF MARINHEALTH MEDICAL CENTER. OUR PRIMARY CARE PROVIDERS AND SPECIALISTS COVER A WIDE RANGE OF PRACTICES, INCLUDING: AFTER-HOURS CARE (ADULT & PEDIATRIC); CARDIOVASCULAR MEDICINE; EAR, NOSE AND THROAT; FAMILY MEDICINE; GENERAL & COLORECTAL SURGERY; HEAD & NECK SURGERY; INTERNAL MEDICINE; OB/GYN & MIDWIFERY; PEDIATRIC CARE; PSYCHIATRY; SUPPORTIVE CARE; UROLOGY; WOMEN'S CARE; BREAST SURGICAL ONCOLOGY; CRITICAL CARE & PULMONOLOGY; ENDOCRINE & DIABETES CARE; GASTROENTEROLOGY; GYNECOLOGIC SURGERY; INFECTIOUS DISEASE; NEUROLOGY; ORTHOPEDIC SURGERY; PRIMARY CARE; RHEUMATOLOGY; UROGYNECOLOGY; AND VASCULAR MEDICINE. 206843141 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 109 0 1 535 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 7 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 CHAIR / CEO OF MHMC 2.00 48.00 X X 0 2084686 40382 JOE ABRAMS VICE CHAIR 2.00 2.00 X X 0 0 0 ERIC BRETTNER TREASURER / CFO 2.00 48.00 X X 0 789007 51663 BRIAN KEEFFE MD SECRETARY 2.00 0.00 X X 0 0 0 ANJULI BASU MD BOARD MEMBER THORUGH 11/2024 1.00 0.00 X 0 0 0 SALLY BOERO MD BOARD MEMBER 1.00 0.00 X 0 0 0 LISA CARMEL BOARD MEMBER THROUGH 7/2024 1.00 2.00 X 0 0 0 KEITH CHAMBERLIN MD BOARD MEMBER 1.00 0.00 X 0 0 0 MARY FRIEDMAN BOARD MEMBER 2.00 48.00 X 0 500474 64805 TARIN M KOEHLER DO BOARD MEMBER THROUGH 5/2024 1.00 0.00 X 0 0 0 ISABELLE KING MD BOARD MEMBER 1.00 0.00 X 0 0 0 EUGENE LEWIS BOARD MEMBER 2.00 48.00 X 0 475248 36786 RUSSELL PECKENPAUGH BOARD MEMBER THROUGH 7/2024 2.00 40.00 X 0 276988 6627 RIPPLE SHARMA MD FACG BOARD MEMBER 1.00 0.00 X 0 0 0 DANIEL VASQUEZ CBE MBA MPP BOARD MEMBER 1.00 2.00 X 0 0 0 JENNIFER SCHAAB MBA MPH PRESIDENT MHMN 40.00 0.00 X 0 632835 18684 MICHAEL KIM MD VP OF MEDICAL AFFAIRS (THRU 9/2024) 40.00 0.00 X 0 931738 0 LISA DE LA FUENTE CERTIFIED NURSE MIDWIFE LEAD 40.00 0.00 X 239699 0 45804 SARAH LAMB DIR OF CLINICAL PROGRAMS - CARDIOLOGY 40.00 0.00 X 239276 0 23911 BIANCA VIVAS EXEC DIRECTOR - CLINIC OPERATIONS 40.00 0.00 X 231038 0 53246 JOLINE TELLECHEA NURSE (RN) - SPECIALIST 40.00 0.00 X 225783 0 24547 EILEEN PUMMER CLINICAL OPERATIONS DIRECTOR 40.00 0.00 X 217164 0 43871 1152960 5690976 410326 63 0 1 0 PRIMA MEDICAL GROUP 4 HAMILTON LANDING SUITE 100 NOVATO CA 94949 PHYSICIAN SERVICES 30340492 CARDIOVASCULAR ASSOCIATES 2 BON AIR ROAD STE 100 LARKSPUR CA 94939 PHYSICIAN SERVICES 17481279 MARIN GASTROENTEROLOGY PARTNERSHIP 200 TAMAL PLAZA 200 CORTE MADERA CA 94925 PHYSICIAN SERVICES 8371343 DERMATOLOGY CONSULTANTS OF MARIN INC 5000 CIVIC CENTER DR SAN RAFAEL CA 94903 PHYSICIAN SERVICES 8131782 SANTA ROSA HEAD AND NECK SURGICAL ASSOC 75 ROWLAND BLVD 330 NOVATO CA 94945 PHYSICIAN SERVICES 2724446 54 36121367 36121367 CONTRACT REVENUE 621400 150132748 150132748 OTHER OPERATING REVENUE 621400 13059859 13059859 NET PATIENT SERVICE REVENUE 621400 9334711 9334711 172527318 54755 54755 208703440 172527318 0 54755 X 40234855 40234855 511318 511318 8235854 8235854 2494815 2494815 176290 176290 -8621 -8621 130930563 130930563 2176921 2176921 13168 13168 11146062 11146062 112405 112405 236117 236117 2271333 2271333 1692630 1692630 DRUGS, IMMUNIZATIONS, M 6877528 6877528 REPAIRS & MAINTENANCE 1245631 1245631 EQUIPMENT LEASES 219987 219987 TAXES 127720 127720 8864 8864 208703440 206843141 1860299 0 8304912 11249208 33440055 42267059 1074865 1290716 910471 1060239 2027002 3220960 27577065 16433052 5950213 11144013 171627 114387 23758409 49931829 75637554 120278411 9878726 11824752 8252 0 60416158 102904179 70303136 114728931 X 5334418 5549480 5334418 5549480 75637554 120278411 X 0 215062 X 0 1 X 1 0 X 29968934 27743135 22641121 27412429 36121367 143886986 75376047 107171262 119116590 145410196 172527318 619601413 105344981 134914397 141757711 172822625 208648685 763488399 0 0 0 763488399 114311 39355 15598 33692 54755 257711 114311 39355 15598 33692 54755 257711 105459292 134953752 141773309 172856317 208703440 763746110 0.99970 0.99950 0.00030 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9390440 2999715 6390725 18186625 13433337 4753288 11144013 DEPOSITS 384130 OPERATING / FINANCE LEASE RIGHT OF USE ASSETS 49547699 49931829 DUE TO RELATED ORGANIZATIONS / AFFILIATES 48019385 OPERATING / FINANCE LEASE LIABILITY 53338437 CONTRACT LIABILITY 1546357 102904179 1 0 0 0 0 0 0 0 0 DAVID KLEIN MD CHAIR / CEO OF MHMC 0 1253028 0 510300 0 321358 0 19382 0 21000 0 2125068 0 0 MICHAEL KIM MD VP OF MEDICAL AFFAIRS (THRU 9/2024) 0 348924 0 101115 0 481699 0 0 0 0 0 931738 0 0 ERIC BRETTNER TREASURER / CFO 0 618927 0 167800 0 2280 0 20075 0 31588 0 840670 0 0 JENNIFER SCHAAB MBA MPH PRESIDENT MHMN 0 495000 0 137025 0 810 0 18684 0 0 0 651519 0 0 MARY FRIEDMAN BOARD MEMBER 0 391628 0 108461 0 385 0 33217 0 31588 0 565279 0 0 EUGENE LEWIS BOARD MEMBER 0 376000 0 98998 0 250 0 25299 0 11487 0 512034 0 0 LISA DE LA FUENTE CERTIFIED NURSE MIDWIFE LEAD 239199 0 500 0 0 0 7334 0 38470 0 285503 0 0 0 BIANCA VIVAS EXEC DIRECTOR - CLINIC OPERATIONS 222038 0 9000 0 0 0 0 0 53246 0 284284 0 0 0 RUSSELL PECKENPAUGH BOARD MEMBER THROUGH 7/2024 0 205616 0 68819 0 2553 0 0 0 6627 0 283615 0 0 SARAH LAMB DIR OF CLINICAL PROGRAMS - CARDIOLOG 232276 0 7000 0 0 0 6138 0 17773 0 263187 0 0 0 EILEEN PUMMER CLINICAL OPERATIONS DIRECTOR 217164 0 0 0 0 0 5401 0 38470 0 261035 0 0 0 JOLINE TELLECHEA NURSE (RN) - SPECIALIST 225783 0 0 0 0 0 6774 0 17773 0 250330 0 0 0 PART I, LINE 3 THE PRESIDENT OF MARINHEALTH MEDICAL NETWORK IS A PAID EMPLOYEE OF MARINHEALTH MEDICAL CENTER, A RELATED ORGANIZATION. MARINHEALTH MEDICAL CENTER UTILIZED THE FOLLOWING METHODS TO DETERMINE COMPENSATION OF THE PRESIDENT OF MARINHEALTH MEDICAL NETWORK: INDEPENDENT COMPENSATION CONSULTANT AND APPROVAL BY THE BOARD. PART I, LINE 4A AN INDIVIDUAL REPORTED ON FORM 990, PART VII AND/OR SCHEDULE J, PART II RECEIVED A TAXABLE SEVERANCE PAYMENT AS A PART OF THEIR SEPARATION AGREEMENT FROM A RELATED ORGANIZATION; DUE TO A CONFIDENTIALITY CLAUSE WITHIN THAT SEPARATION AGREEMENT, THE NAME OF THE INDIVIDUAL AND THE AMOUNT OF SEVERANCE IS NOT BEING DISCLOSED. ADDITIONAL INFORMATION IS AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE SOLE MEMBER (BY DEFINITION OF THE BYLAWS), MARINHEALTH MEDICAL CENTER. THE FORM 990 INSTRUCTIONS ALSO DEFINE "MEMBER" AS ANY PERSON (INCLUDING A CORPORATION) WITH THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY. ACCORDINGLY, THE ORGANIZATION HAS TWO ADDITIONAL MEMBERS: PRIMA MEDICAL GROUP AND MARIN HEALTHCARE DISTRICT MEDICAL CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER (BY DEFINITION OF THE BYLAWS), MARINHEALTH MEDICAL CENTER, HAS THE POWER TO SELECT 10 OF THE VOTING DIRECTORS, WHICH ARE SELECTED AS FOLLOWS: 5 OF THE APPOINTED DIRECTORS ARE PERSONS WHO ARE NOT EMPLOYEES OF MARINHEALTH MEDICAL CENTER AND ARE SELECTED BY MARINHEALTH MEDICAL CENTER FROM CANDIDATES IDENTIFIED BY THE NOMINATING COMMITTEE OF MARINHEALTH MEDICAL NETWORK; THE ADDITIONAL 5 APPOINTED DIRECTORS MAY BE EMPLOYEES OF MARINHEALTH MEDICAL CENTER AND ARE SELECTED BY MARINHEALTH MEDICAL CENTER WITHOUT ANY NOMINATION PROCESS. IN ADDITION, PRIMA MEDICAL GROUP HAS THE POWER TO APPOINT 2 DIRECTORS, WHO ARE FULL-TIME PHYSICIAN EMPLOYEES OF PRIMA MEDICAL GROUP. LASTLY, THE MEDICAL STAFF OF MARIN HEALTHCARE DISTRICT MEDICAL CARE CENTERS ALSO HAS THE POWER TO APPOINT 2 DIRECTORS WHO ARE MARIN HEALTHCARE DISTRICT MEDICAL CARE CENTER-BASED PHYSICIANS. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF MARINHEALTH MEDICAL NETWORK SHALL NOT, WITHOUT PRIOR WRITTEN APPROVAL OF THE MARINHEALTH MEDICAL CENTER (THE ORGANIZATION'S SOLE MEMBER, PER THE BYLAWS), PERFORM OR COMMIT OR AUTHORIZE OR DIRECT ANY OFFICER OF MARINHEALTH MEDICAL NETWORK 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 MARINHEALTH MEDICAL NETWORK'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 MARINHEALTH MEDICAL NETWORK'S ARTICLES OF INCORPORATION OR BYLAWS; (VI) BORROW MONEY IN THE NAME OF MARINHEALTH MEDICAL NETWORK OR UTILIZE PROPERTY (REAL OR PERSONAL) OWNED BY MARINHEALTH MEDICAL NETWORK 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 MARINHEALTH MEDICAL NETWORK 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 MARINHEALTH MEDICAL NETWORK OR ENTER INTO ANY CONTRACT OR INCUR ANY LIABILITIES ON BEHALF OF MARINHEALTH MEDICAL NETWORK 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 MARINHEALTH MEDICAL NETWORK OR ADOPT MATERIAL CHANGES THERETO; AND (XI) ANY OTHER ACTION THAT COULD REASONABLY BE EXPECTED TO HAVE A MATERIAL ADVERSE EFFECT ON THE 501(C)(3) STATUS OR TAX-EXEMPT BONDS OF MARINHEALTH MEDICAL NETWORK OR MARINHEALTH MEDICAL CENTER. 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. THE FORM 990 IS THEN REVIEWED BY THE ORGANIZATION'S CFO AND MADE AVAILABLE TO ALL MEMBERS OF THE GOVERNING BODY 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 15 THE ORGANIZATION DID NOT DIRECTLY COMPENSATE A CEO, OTHER OFFICERS, OR KEY EMPLOYEES DURING 2024. ACCORDINGLY, FORM 990, PART VI, SECTION B, LINES 15A AND 15B HAS BEEN ANSWERED "NO". FORM 990, PART VI, SECTION C, LINE 19 MARINHEALTH MEDICAL NETWORK 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, SECTION A: DAVID KLEIN, MD (CEO OF MHMC), ERIC BRETTNER (CFO OF MHMC), MARY FRIEDMAN (CHIEF STRATEGY OFFICER OF MHMC), EUGENE LEWIS (CHIEF HUMAN RESOURCES OFFICER OF MHMC) AND RUSSELL PECKENPAUGH (VP OF INFORMATION SYSTEMS OF MHMC) ARE LISTED AS MEMBERS OF THE BOARD OF MARINHEALTH MEDICAL NETWORK; THEY ARE ALSO EMPLOYED AND COMPENSATED BY MARINHEALTH MEDICAL CENTER (MHMC), A RELATED ORGANIZATION. FORM 990, PART VII AND SCHEDULE J, PART II REPORTS 100% OF THESE INDIVIDUALS' COMPENSATION AS FROM A RELATED ORGANIZATION. IN ADDITION TO THEIR DUTIES WITH MHMC, EACH INDIVIDUAL DEVOTED AN AVERAGE OF TWO HOURS PER WEEK TO MARINHEALTH MEDICAL NETWORK RELATING TO THEIR DUTIES ASSOCIATED WITH SERVING ON THE BOARD OF DIRECTORS. THE COMPENSATION REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II IS RELATED TO THEIR SERVICES PROVIDED TO MHMC AND IS UNRELATED TO THE AVERAGE NUMBER OF HOURS PER WEEK FOR THEIR DUTIES AS BOARD MEMBERS OF MARINHEALTH MEDICAL NETWORK. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERICES: PROGRAM SERVICE EXPENSES 20,816,836. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,816,836. PROFESSIONAL SERVICES AGREEMENT FEES: PROGRAM SERVICE EXPENSES 109,133,613. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,133,613. RECRUITMENT & TEMP AGENCY: PROGRAM SERVICE EXPENSES 968,114. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 968,114. TRIAGE SERVICE: PROGRAM SERVICE EXPENSES 12,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,000. FORM 990, PART XI, LINE 9: RELIEF OF INTERCOMPANY PAYABLE DUE TO RELATED ORGANIZATIONS 215,062. MARIN HEALTHCARE DISTRICT 100B DRAKES LANDING ROAD SUITE 250 GREENBRAE CA 94904 911886269 CORPORATE PARENT 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 MARIN GENERAL HOSPITAL FOUNDATION 1350 SOUTH ELISEO DRIVE SUITE 110 GREENBRAE CA 94904 946127213 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I 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 0 1 1 1 0 0 0 0 0 1 1 1 0 1 1 1 0 0