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Nonprofiteer
← PETALUMA HEALTH CENTER

Form 990 for tax year 2022

Filed by PETALUMA HEALTH CENTER.

Totals

Total revenue
$73,522,685
Total expenses
$71,250,151
Contributions and grants received
$18,644,349
Grants paid
$0
Program service revenue
$54,761,399
Investment income
$76,779
Other revenue
$40,158
Total assets, end of year
$57,279,151
Total liabilities, end of year
$25,686,938
Net assets or fund balances, end of year
$31,592,213
Program services expenses (Part IX)
$59,426,126
Management and general expenses
$11,824,025
Fundraising expenses
$0
Program service expenses (Part III)
$59,426,126

Program services were 83.4% 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)

    $16,128,905

  • 1f · All other contributions, gifts and grants

    $2,515,444

  • 1g · Noncash contributions included above

    $1,618,939

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

    total $43,503,373 · related or exempt $43,503,373

  • 2b · Program service revenue: PHARMACY REVENUE

    total $3,960,075 · related or exempt $3,960,075

  • 2c · Program service revenue: QIP REVENUE

    total $2,805,865 · related or exempt $2,805,865

  • 2d · Program service revenue: PIP REVENUE

    total $2,714,350 · related or exempt $2,714,350

  • 2e · Program service revenue: CAPITATION REVENUE

    total $713,960 · related or exempt $713,960

  • 2f · All other program service revenue

    total $1,063,776 · related or exempt $1,063,776

  • 3 · Investment income

    total $65,924 · excluded $65,924

  • 4 · Income from investment of tax-exempt bond proceeds

    total $10,855 · excluded $10,855

  • 11a · Other revenue: OTHER REVENUE

    total $40,158 · excluded $40,158

  • 11e · Other revenue, total

    $40,158

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $4,479,664 · program services $2,737,092 · management and general $1,742,572

  • 7 · Other salaries and wages

    total $34,522,811 · program services $30,574,628 · management and general $3,948,183

  • 8 · Pension plan contributions

    total $1,487,481 · program services $1,349,962 · management and general $137,519

  • 9 · Other employee benefits

    total $7,340,274 · program services $6,141,274 · management and general $1,199,000

  • 10 · Payroll taxes

    total $2,966,743 · program services $2,526,121 · management and general $440,622

  • 11b · Fees: legal

    total $45,091 · management and general $45,091

  • 11c · Fees: accounting

    total $164,067 · management and general $164,067

  • 11g · Fees: other

    total $5,537,086 · program services $4,857,082 · management and general $680,004

  • 12 · Advertising and promotion

    total $40,121 · program services $485 · management and general $39,636

  • 13 · Office expenses

    total $1,053,423 · program services $797,420 · management and general $256,003

  • 14 · Information technology

    total $129,329 · program services $103,944 · management and general $25,385

  • 16 · Occupancy

    total $2,934,392 · program services $2,406,252 · management and general $528,140

  • 17 · Travel

    total $180,254 · program services $145,640 · management and general $34,614

  • 19 · Conferences, conventions and meetings

    total $363,275 · program services $281,967 · management and general $81,308

  • 20 · Interest

    total $142,597 · management and general $142,597

  • 22 · Depreciation, depletion and amortization

    total $1,704,834 · program services $1,212,430 · management and general $492,404

  • 23 · Insurance

    total $169,542 · program services $88,493 · management and general $81,049

  • 24a · Other expenses: MEDICAL SUPPLIES/DRUGS

    total $3,905,142 · program services $3,905,142

  • 24b · Other expenses: MINOR EQUIPMENT

    total $737,978 · program services $621,197 · management and general $116,781

  • 24c · Other expenses: IN-KIND FOOD

    total $657,100 · program services $657,100

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $122,562 · program services $95,902 · management and general $26,660

  • 24e · All other expenses

    total $2,566,385 · program services $923,995 · management and general $1,642,390

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $8,800,879 · end of year $6,533,960

  • 2 · Savings and temporary cash investments

    beginning of year $821,961 · end of year $4,069,657

  • 3 · Pledges and grants receivable

    beginning of year $843,240 · end of year $1,003,646

  • 4 · Accounts receivable

    beginning of year $5,838,489 · end of year $6,007,881

  • 7 · Other notes and loans receivable

    beginning of year $23,973 · end of year $6,646

  • 8 · Inventories for sale or use

    beginning of year $198,202 · end of year $217,505

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,079,317 · end of year $1,060,366

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

    $36,326,625

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

    $14,699,332

  • 10c · Land, buildings and equipment, net

    beginning of year $20,340,794 · end of year $21,627,293

  • 11 · Investments: publicly traded securities

    beginning of year $3,733,756 · end of year $3,980,226

  • 15 · Other assets

    beginning of year $12,598,691 · end of year $12,771,971

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,239,295 · end of year $8,763,171

  • 19 · Deferred revenue

    beginning of year $1,776,888 · end of year $1,925,984

  • 20 · Tax-exempt bond liabilities

    beginning of year $4,726,914 · end of year $4,528,475

  • 25 · Other liabilities

    beginning of year $11,349,913 · end of year $10,469,308

  • 27 · Net assets without donor restrictions

    beginning of year $29,126,592 · end of year $31,532,513

  • 28 · Net assets with donor restrictions

    beginning of year $59,700 · end of year $59,700

Mission and programs · 2022

Mission

PETALUMA HEALTH CENTER'S MISSION IS TO ENSURE ACCESS TO HIGH-QUALITY HEALTH CARE AND ACHIEVE HEALTH EQUITY FOR THE COMMUNITIES WE SERVE.

Activities or mission (Part I)

TO ENSURE ACCESS & PROVIDE HIGH QUALITY PREVENTION-FOCUSED HEALTH CARE FOR THE COMMUNITIES WE SERVE.

  • FAMILY PRACTICE SERVICES PROVIDED TO PATIENTS. THE TOTAL NUMBER OF FAMILY PRACTICE VISITS DURING FISCAL YEAR 2023 WAS 104,789.

    Expenses $32,185,204 · Revenue $33,975,843

  • GENERAL DENTISTRY AND FLUORIDE VARNISHING SERVICES PROVIDED TO PATIENTS. THE TOTAL NUMBER OF DENTAL VISITS DURING FISCAL YEAR 2023 WAS 24,951.

    Expenses $8,141,623 · Revenue $11,103,247

  • OBSTETRIC AND GYNECOLOGY SERVICES PROVIDED TO PATIENTS, INCLUDING BIRTHING AND PREGNANCY SERVICES. THE TOTAL NUMBER OF OB/GYN VISITS DURING FISCAL YEAR 2023 WERE 13,926.

    Expenses $4,298,328 · Revenue $5,425,813

  • OTHER PROGRAM SERVICES INCLUDE INTEGRATED BEHAVIORAL HEALTH, VISION, WELLNESS, AND NUTRITION PROGRAMS FOR PATIENTS; ADDITIONALLY, THE ORGANIZATION OPERATES A NURSE PRACTITIONER AND PHYSICIAN'S ASSISTANT RESIDENCY PROGRAM TO TRAIN NEW NP/PA'S IN THE COMMUNITY MEDICINE MODEL OF CARE.

    Expenses $14,800,971 · Revenue $4,256,496

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

Listed in Part VII

  • Robert Ramirez

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Elisa Velasquez-Andrade Ma PhD

    VP THROUGH 1/2023 / BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Tom Isaak Bs

    VICE PRESIDENT START 1/2023

    Total calculated
    $0
    Hours/week
    2

  • Vanessa Luna Shannon

    SECRETARY THROUGH 10/2022

    Total calculated
    $0
    Hours/week
    2

  • Phoebe Ellis Jdmsw Bs

    SECRETARY START 10/2022

    Total calculated
    $0
    Hours/week
    2

  • Marc Pounds CPA

    TREASURER THROUGH 5/2023

    Total calculated
    $0
    Hours/week
    2

  • Elizabeth Liza Goldblatt PhD Mpa

    INTERIM TREASURER START 5/2023

    Total calculated
    $0
    Hours/week
    2

  • William Barrett

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Fernando Carrillo Ba Cpfa

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Cecilia Castaneda Ba LCSW

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Silvia Rodriguez

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Teresa Taylor-King Mpa

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Catherine West MD Drph

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Kathryn Powell Mha Ma

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $485,571
    From this org
    $434,511
    From related orgs
    $0
    Other
    $51,060
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $391,617
    Bonus
    $36,500
    Other
    $6,394
    Deferred
    $37,857
    Nontaxable benefits
    $13,203
    Filer's total
    $485,571

  • Ramona English DMD

    CHIEF DENTAL OFFICER

    Total calculated
    $342,520
    From this org
    $319,419
    From related orgs
    $0
    Other
    $23,101
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $293,842
    Bonus
    $25,000
    Other
    $577
    Deferred
    $14,383
    Nontaxable benefits
    $8,718
    Filer's total
    $342,520

  • Nurit Licht MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $360,781
    From this org
    $318,847
    From related orgs
    $0
    Other
    $41,934
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $305,053
    Bonus
    $12,807
    Other
    $987
    Deferred
    $32,707
    Nontaxable benefits
    $9,227
    Filer's total
    $360,781

  • Molly Jouaneh Cma

    CHIEF FINANCIAL OFFICER

    Total calculated
    $320,126
    From this org
    $308,373
    From related orgs
    $0
    Other
    $11,753
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $283,027
    Bonus
    $25,000
    Other
    $346
    Deferred
    $9,177
    Nontaxable benefits
    $2,576
    Filer's total
    $320,126

  • Pedro Toledo JD Ma Mhsa

    CHIEF ADMINISTRATIVE OFFICER

    Total calculated
    $328,104
    From this org
    $286,447
    From related orgs
    $0
    Other
    $41,657
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $275,818
    Bonus
    $10,087
    Other
    $542
    Deferred
    $29,608
    Nontaxable benefits
    $12,049
    Filer's total
    $328,104

  • Tiffany Jimenez RN

    CHIEF OPERATING OFFICER

    Total calculated
    $243,854
    From this org
    $205,322
    From related orgs
    $0
    Other
    $38,532
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,069
    Bonus
    $19,000
    Other
    $253
    Deferred
    $10,527
    Nontaxable benefits
    $28,005
    Filer's total
    $243,854

  • Michelle Glancy MBA

    CHRO THROUGH 10/2022

    Total calculated
    $143,535
    From this org
    $131,642
    From related orgs
    $0
    Other
    $11,893
    Hours/week
    40

  • Danielle Oryn Do MPH

    CHIEF MEDICAL INFORMATICS OFFICER

    Total calculated
    $284,980
    From this org
    $253,744
    From related orgs
    $0
    Other
    $31,236
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,170
    Bonus
    $0
    Other
    $574
    Deferred
    $11,598
    Nontaxable benefits
    $19,638
    Filer's total
    $284,980

  • Ken Weinstock MD

    DIR. OF BEHAVIORAL HEALTH SERVICES

    Total calculated
    $365,949
    From this org
    $326,470
    From related orgs
    $0
    Other
    $39,479
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $316,161
    Bonus
    $8,064
    Other
    $2,245
    Deferred
    $15,645
    Nontaxable benefits
    $23,834
    Filer's total
    $365,949

  • Rebecca Katz MD

    PRIMARY CARE SITE DIRECTOR

    Total calculated
    $274,174
    From this org
    $233,256
    From related orgs
    $0
    Other
    $40,918
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $225,903
    Bonus
    $6,860
    Other
    $493
    Deferred
    $13,012
    Nontaxable benefits
    $27,906
    Filer's total
    $274,174

  • Carlin Chi MD

    MEDICAL DIRECTOR, PRIMARY CARE

    Total calculated
    $275,718
    From this org
    $242,016
    From related orgs
    $0
    Other
    $33,702
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $235,507
    Bonus
    $5,756
    Other
    $753
    Deferred
    $12,660
    Nontaxable benefits
    $21,042
    Filer's total
    $275,718

  • Jonathan Choe MD

    ASSOC. MEDICAL DIR., WOMEN'S HEALTH

    Total calculated
    $260,963
    From this org
    $248,562
    From related orgs
    $0
    Other
    $12,401
    Hours/week
    34

    Schedule J breakdown matched by us

    Base
    $243,974
    Bonus
    $4,157
    Other
    $431
    Deferred
    $11,144
    Nontaxable benefits
    $1,257
    Filer's total
    $260,963

  • John Pendleton MD

    ASSOC. MEDICAL DIRECTOR, OPERATIONS

    Total calculated
    $250,872
    From this org
    $220,768
    From related orgs
    $0
    Other
    $30,104
    Hours/week
    34

    Schedule J breakdown matched by us

    Base
    $212,710
    Bonus
    $7,675
    Other
    $383
    Deferred
    $11,972
    Nontaxable benefits
    $18,132
    Filer's total
    $250,872

  • Fiona Redwood MD

    CLINICAL SERV. DIR. - WOMEN'S HEALTH

    Total calculated
    $270,614
    From this org
    $239,108
    From related orgs
    $0
    Other
    $31,506
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $237,620
    Bonus
    $0
    Other
    $1,488
    Deferred
    $11,088
    Nontaxable benefits
    $20,418
    Filer's total
    $270,614

  • Scott Holmes Do

    ASSOC. MEDICAL DIR., PRIMARY CARE

    Total calculated
    $250,918
    From this org
    $234,411
    From related orgs
    $0
    Other
    $16,507
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $229,570
    Bonus
    $4,572
    Other
    $269
    Deferred
    $6,077
    Nontaxable benefits
    $10,430
    Filer's total
    $250,918

  • Christina Gomez-Mira MD

    LEAD PHYS, RURAL PRIMARY CARE SERV

    Total calculated
    $213,774
    From this org
    $201,615
    From related orgs
    $0
    Other
    $12,159
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $198,724
    Bonus
    $2,617
    Other
    $274
    Deferred
    $10,720
    Nontaxable benefits
    $1,439
    Filer's total
    $213,774

  • Iun-Lu Aileen Chen Do

    ASSOC. MEDICAL DIR., PRIMARY CARE

    Total calculated
    $235,842
    From this org
    $217,258
    From related orgs
    $0
    Other
    $18,584
    Hours/week
    38

    Schedule J breakdown matched by us

    Base
    $212,744
    Bonus
    $4,270
    Other
    $244
    Deferred
    $6,411
    Nontaxable benefits
    $12,173
    Filer's total
    $235,842

  • Philippe Edouard MD Facp

    FAMILY PHYSICIAN

    Total calculated
    $318,932
    From this org
    $295,086
    From related orgs
    $0
    Other
    $23,846
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $281,541
    Bonus
    $12,189
    Other
    $1,356
    Deferred
    $13,361
    Nontaxable benefits
    $10,485
    Filer's total
    $318,932

  • Karl Greer MD

    FAMILY PHYSICIAN

    Total calculated
    $297,643
    From this org
    $273,980
    From related orgs
    $0
    Other
    $23,663
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $260,571
    Bonus
    $13,135
    Other
    $274
    Deferred
    $11,378
    Nontaxable benefits
    $12,285
    Filer's total
    $297,643

  • Shannon Mentock MD

    FAMILY PHYSICIAN

    Total calculated
    $278,504
    From this org
    $270,787
    From related orgs
    $0
    Other
    $7,717
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $216,374
    Bonus
    $54,191
    Other
    $222
    Deferred
    $0
    Nontaxable benefits
    $7,717
    Filer's total
    $278,504

  • Cassie Iutzi MD MPH

    FAMILY PHYSICIAN

    Total calculated
    $279,954
    From this org
    $245,201
    From related orgs
    $0
    Other
    $34,753
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $240,132
    Bonus
    $4,791
    Other
    $278
    Deferred
    $11,143
    Nontaxable benefits
    $23,610
    Filer's total
    $279,954

  • Andrew Aschroft MD MPH

    FAMILY PHYSICIAN

    Total calculated
    $267,180
    From this org
    $226,912
    From related orgs
    $0
    Other
    $40,268
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $220,334
    Bonus
    $5,878
    Other
    $700
    Deferred
    $12,262
    Nontaxable benefits
    $28,006
    Filer's total
    $267,180

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 committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 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

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
2 May 2024
IRS schema version
2022v5.0
Source object
202411239349301681

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