Skip to content
Nonprofiteer
← PEACH TREE HEALTHCARE

Form 990 for tax year 2022

Filed by PEACH TREE HEALTHCARE.

Totals

Total revenue
$34,737,120
Total expenses
$35,805,157
Contributions and grants received
$6,600,957
Grants paid
$0
Program service revenue
$27,991,870
Investment income
$144,293
Other revenue
$0
Total assets, end of year
$24,220,451
Total liabilities, end of year
$7,627,256
Net assets or fund balances, end of year
$16,593,195
Program services expenses (Part IX)
$23,976,264
Management and general expenses
$11,828,893
Fundraising expenses
$0
Program service expenses (Part III)
$23,976,264

Program services were 67.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $5,848,737

  • 1f · All other contributions, gifts and grants

    $752,220

  • 1g · Noncash contributions included above

    $974,997

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $26,597,038 · related or exempt $26,597,038

  • 2b · Program service revenue: OTHER OPERATING REVENUE

    total $1,394,832 · related or exempt $1,394,832

  • 3 · Investment income

    total $144,293 · excluded $144,293

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,550,662 · program services $650,184 · management and general $900,478

  • 7 · Other salaries and wages

    total $15,505,912 · program services $10,535,006 · management and general $4,970,906

  • 8 · Pension plan contributions

    total $271,584 · program services $181,765 · management and general $89,819

  • 9 · Other employee benefits

    total $2,545,052 · program services $1,692,427 · management and general $852,625

  • 10 · Payroll taxes

    total $1,178,704 · program services $774,568 · management and general $404,136

  • 11b · Fees: legal

    total $124,916 · management and general $124,916

  • 11c · Fees: accounting

    total $89,513 · management and general $89,513

  • 11g · Fees: other

    total $6,630,533 · program services $4,274,921 · management and general $2,355,612

  • 12 · Advertising and promotion

    total $85,146 · program services $32,334 · management and general $52,812

  • 13 · Office expenses

    total $145,173 · program services $99,878 · management and general $45,295

  • 14 · Information technology

    total $824,108 · program services $109,928 · management and general $714,180

  • 16 · Occupancy

    total $2,283,440 · program services $1,824,396 · management and general $459,044

  • 17 · Travel

    total $102,460 · program services $38,908 · management and general $63,552

  • 19 · Conferences, conventions and meetings

    total $23,799 · program services $9,038 · management and general $14,761

  • 20 · Interest

    total $23,878 · program services $21,085 · management and general $2,793

  • 22 · Depreciation, depletion and amortization

    total $835,304 · program services $648,855 · management and general $186,449

  • 23 · Insurance

    total $284,269 · program services $68,652 · management and general $215,617

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUG

    total $2,797,797 · program services $2,797,797

  • 24b · Other expenses: RECRUITMENT

    total $165,816 · program services $66,000 · management and general $99,816

  • 24c · Other expenses: LICENSES & FEES

    total $64,756 · program services $47,105 · management and general $17,651

  • 24e · All other expenses

    total $272,335 · program services $103,417 · management and general $168,918

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $408,521 · end of year $875,583

  • 2 · Savings and temporary cash investments

    beginning of year $8,251,994 · end of year $8,165,928

  • 3 · Pledges and grants receivable

    beginning of year $27,000 · end of year $200,171

  • 4 · Accounts receivable

    beginning of year $2,601,752 · end of year $3,445,165

  • 8 · Inventories for sale or use

    beginning of year $285,594 · end of year $681,016

  • 9 · Prepaid expenses and deferred charges

    beginning of year $480,084 · end of year $530,357

  • 10a · Land, buildings and equipment: cost or other basis

    $11,905,463

  • 10b · Land, buildings and equipment: accumulated depreciation

    $7,834,820

  • 10c · Land, buildings and equipment, net

    beginning of year $3,061,527 · end of year $4,070,643

  • 15 · Other assets

    beginning of year $5,287,166 · end of year $6,251,588

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,309,314 · end of year $3,113,884

  • 19 · Deferred revenue

    beginning of year $140,260 · end of year $355,331

  • 25 · Other liabilities

    beginning of year $292,832 · end of year $4,158,041

  • 27 · Net assets without donor restrictions

    beginning of year $17,661,232 · end of year $16,593,195

Mission and programs · 2022

Mission

PEACH TREE HEALTHCARE IS COMMITTED TO PROVIDING PERSONALIZED, AFFORDABLE, HIGH-QUALITY HEALTH SERVICES.

Activities or mission (Part I)

PEACH TREE HEALTH IS COMMITTED TO PROVIDING PERSONALIZED, AFFORDABLE, HIGH-QUALITY HEALTH SERVICES.

  • PEACH TREE HEALTHCARE IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) OPERATING AT THE FOLLOWING LOCATIONS: THARP ROAD DENTAL CLINIC, LIVE OAK MEDICAL CLINIC (INCLUDING PEACH TREE VISION LIVE OAK AND PEACH TREE CHIROPRACTIC), PEACH TREE YUBA CITY/COLUSA, PEACH TREE CLINIC (INCLUDING PEACH TREE VISION LINDA), PEACH TREE OROVILLE EYE CENTER, PEACH TREE NORTH SACRAMENTO (INCLUDING PEACH TREE VISION NORTH SACRAMENTO AND SACRAMENTO IMMEDIATE CARE), AND PEACH TREE CHICO EYE CENTER. PEACH TREE HEALTHCARE PROVIDES PERSONALIZED, AFFORDABLE, HIGH-QUALITY HEALTH SERVICES INCLUDING DENTAL, VISION, BEHAVIORAL HEALTH, AND MEDICAL SPECIALTY SERVICES (FAMILY MEDICINE, PEDIATRICS, IMMEDIATE CARE, WOMEN'S HEALTH, ACUPUNCTURE, DIABETES, SPORTS PHYSICALS, NON-SURGERY ORTHOPEDICS, PHARMACY, AND PODIATRY). DURING THE JUNE 30, 2023 TAX YEAR, 121,036 PATIENTS RECEIVED SERVICES AT OUR VARIOUS CLINICS.

    Expenses $23,976,264 · Revenue $27,991,870

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dawn Treharne-Esparza

    CHAIR THROUGH 8/2022

    Total calculated
    $0
    Hours/week
    1

  • Matt Williams

    CHAIR START 8/2022

    Total calculated
    $0
    Hours/week
    1

  • Andrew Potter

    VICE CHAIR THROUGH 3/2023

    Total calculated
    $0
    Hours/week
    1

  • Ericka Summers

    VICE CHAIR START 3/2023

    Total calculated
    $0
    Hours/week
    1

  • Kiran Sibia

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Awni Allababidi

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Don Blaser

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Camilla Castaldo

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Nailah Kokayi

    DIRECTOR THROUGH 2/2023

    Total calculated
    $0
    Hours/week
    1

  • Atien Kouassi

    DIRECTOR THROUGH 5/2023

    Total calculated
    $0
    Hours/week
    1

  • Phuong Luu MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jason Roberts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Pamela Tumber

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Greg Stone

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $307,202
    From this org
    $281,167
    From related orgs
    $0
    Other
    $26,035
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $259,220
    Bonus
    $20,947
    Other
    $1,000
    Deferred
    $0
    Nontaxable benefits
    $26,035
    Filer's total
    $307,202

  • James Ellsworth

    CHIEF FINANCIAL OFFICER

    Total calculated
    $232,066
    From this org
    $216,478
    From related orgs
    $0
    Other
    $15,588
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $216,328
    Bonus
    $0
    Other
    $150
    Deferred
    $3,881
    Nontaxable benefits
    $11,707
    Filer's total
    $232,066

  • Keith Hopkins MD

    CHIEF MEDICAL OFFICER THROUGH 9/2022

    Total calculated
    $125,107
    From this org
    $121,576
    From related orgs
    $0
    Other
    $3,531
    Hours/week
    40

  • Kaumakaokalani Shimatsu MD

    CHIEF MEDICAL OFFICER START 1/2023

    Total calculated
    $0
    Hours/week
    40

  • Rupaul Ghuman DDS

    DENTAL DIRECTOR

    Total calculated
    $255,806
    From this org
    $225,340
    From related orgs
    $0
    Other
    $30,466
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $222,215
    Bonus
    $2,625
    Other
    $500
    Deferred
    $4,431
    Nontaxable benefits
    $26,035
    Filer's total
    $255,806

  • Eric Hernandez

    CHIEF OPERATIONS OFFICER

    Total calculated
    $203,786
    From this org
    $191,573
    From related orgs
    $0
    Other
    $12,213
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,423
    Bonus
    $0
    Other
    $150
    Deferred
    $3,818
    Nontaxable benefits
    $8,395
    Filer's total
    $203,786

  • Gina Rossetti MD

    CHIEF HEALTH OFFICER

    Total calculated
    $179,514
    From this org
    $173,249
    From related orgs
    $0
    Other
    $6,265
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,231
    Bonus
    $20,000
    Other
    $9,018
    Deferred
    $3,459
    Nontaxable benefits
    $2,806
    Filer's total
    $179,514

  • Michelle Woodard

    CHIEF ADMINISTRATIVE OFFICER

    Total calculated
    $157,424
    From this org
    $153,190
    From related orgs
    $0
    Other
    $4,234
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $148,907
    Bonus
    $2,783
    Other
    $1,500
    Deferred
    $3,064
    Nontaxable benefits
    $1,170
    Filer's total
    $157,424

  • Sumit Johl MD

    PEDIATRICIAN

    Total calculated
    $395,672
    From this org
    $371,103
    From related orgs
    $0
    Other
    $24,569
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $336,174
    Bonus
    $24,505
    Other
    $10,424
    Deferred
    $6,100
    Nontaxable benefits
    $18,469
    Filer's total
    $395,672

  • Tejinder Ghuman MD

    PEDIATRICIAN

    Total calculated
    $384,884
    From this org
    $360,315
    From related orgs
    $0
    Other
    $24,569
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $328,213
    Bonus
    $22,100
    Other
    $10,002
    Deferred
    $6,100
    Nontaxable benefits
    $18,469
    Filer's total
    $384,884

  • Rashmi Tunuguntla Do

    PHYSICIAN

    Total calculated
    $311,609
    From this org
    $305,509
    From related orgs
    $0
    Other
    $6,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,319
    Bonus
    $2,040
    Other
    $150
    Deferred
    $6,100
    Nontaxable benefits
    $0
    Filer's total
    $311,609

  • Amanda Tagle MD

    PHYSICIAN

    Total calculated
    $292,784
    From this org
    $269,017
    From related orgs
    $0
    Other
    $23,767
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $259,717
    Bonus
    $9,000
    Other
    $300
    Deferred
    $5,298
    Nontaxable benefits
    $18,469
    Filer's total
    $292,784

  • Ramesh Pundi MD

    PHYSICIAN

    Total calculated
    $279,448
    From this org
    $247,487
    From related orgs
    $0
    Other
    $31,961
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $217,111
    Bonus
    $9,060
    Other
    $21,316
    Deferred
    $3,309
    Nontaxable benefits
    $28,652
    Filer's total
    $279,448

  • Richard Fury MD

    FORMER CHIEF MEDICAL OFFICER

    Total calculated
    $136,526
    From this org
    $112,738
    From related orgs
    $0
    Other
    $23,788
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $112,528
    Bonus
    $210
    Other
    $0
    Deferred
    $2,255
    Nontaxable benefits
    $21,533
    Filer's total
    $136,526

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4A
DURING THE 2022 CALENDAR YEAR, KEITH HOPKINS, MD RECEIVED A SEVERANCE PAYMENT OF $24,471 WHICH WAS REPORTED AS TAXABLE COMPENSATION ON HIS 2022 FORM W-2.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202421349349307502

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.