Totals
- Total revenue
- $76,581,487
- Total expenses
- $76,135,638
- Contributions and grants received
- $13,416,910
- Grants paid
- $36,760
- Program service revenue
- $62,917,381
- Investment income
- $135,554
- Other revenue
- $111,642
- Total assets, end of year
- $55,258,656
- Total liabilities, end of year
- $23,012,552
- Net assets or fund balances, end of year
- $32,246,104
- Program services expenses (Part IX)
- $63,271,205
- Management and general expenses
- $12,864,433
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $63,271,205
Program services were 83.1% 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)
$11,930,528
-
1f · All other contributions, gifts and grants
$1,486,382
-
1g · Noncash contributions included above
$1,445,615
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $51,750,081 · related or exempt $51,750,081
-
2b · Program service revenue: PHARMACY REVENUE
total $5,075,612 · related or exempt $5,075,612
-
2c · Program service revenue: PIP REVENUE
total $2,618,972 · related or exempt $2,618,972
-
2d · Program service revenue: QIP REVENUE
total $2,246,597 · related or exempt $2,246,597
-
2e · Program service revenue: CAPITATION REVENUE
total $647,506 · related or exempt $647,506
-
2f · All other program service revenue
total $578,613 · related or exempt $578,613
-
3 · Investment income
total $110,666 · excluded $110,666
-
4 · Income from investment of tax-exempt bond proceeds
total $17,579 · excluded $17,579
-
7a · Gross sales of assets other than inventory
securities $1,259,786
-
7b · Less cost or other basis and sales expenses
securities $1,252,477
-
7c · Gain or loss
securities $7,309
-
7d · Net gain or loss
total $7,309 · excluded $7,309
-
11a · Other revenue: OTHER REVENUE
total $111,642 · excluded $111,642
-
11e · Other revenue, total
$111,642
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $2,236 · program services $2,236
-
3 · Grants to foreign organizations and individuals
total $34,524 · program services $34,524
-
5 · Compensation of officers, directors and key employees
total $3,111,615 · program services $1,142,594 · management and general $1,969,021
-
7 · Other salaries and wages
total $41,751,533 · program services $36,957,742 · management and general $4,793,791
-
8 · Pension plan contributions
total $1,529,598 · program services $1,430,047 · management and general $99,551
-
9 · Other employee benefits
total $3,648,623 · program services $3,167,361 · management and general $481,262
-
10 · Payroll taxes
total $3,382,203 · program services $2,885,861 · management and general $496,342
-
11b · Fees: legal
total $114,759 · management and general $114,759
-
11c · Fees: accounting
total $198,648 · management and general $198,648
-
11g · Fees: other
total $5,487,029 · program services $4,777,279 · management and general $709,750
-
12 · Advertising and promotion
total $68,816 · program services $37,051 · management and general $31,765
-
13 · Office expenses
total $603,367 · program services $427,142 · management and general $176,225
-
14 · Information technology
total $3,276,889 · program services $2,327,164 · management and general $949,725
-
16 · Occupancy
total $3,683,497 · program services $3,064,042 · management and general $619,455
-
17 · Travel
total $198,154 · program services $106,688 · management and general $91,466
-
19 · Conferences, conventions and meetings
total $121,400 · program services $65,363 · management and general $56,037
-
20 · Interest
total $283,174 · management and general $283,174
-
22 · Depreciation, depletion and amortization
total $2,509,448 · program services $1,258,381 · management and general $1,251,067
-
23 · Insurance
total $468,839 · program services $82,864 · management and general $385,975
-
24a · Other expenses: MEDICAL SUPPLIES/DRUGS
total $3,621,282 · program services $3,621,282
-
24b · Other expenses: IN-KIND VACCINES
total $1,445,615 · program services $1,445,615
-
24c · Other expenses: DUES AND SUBSCRIPTIONS
total $147,912 · program services $111,679 · management and general $36,233
-
24d · Other expenses: LICENSES
total $127,453 · program services $68,622 · management and general $58,831
-
24e · All other expenses
total $319,024 · program services $257,668 · management and general $61,356
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $6,533,960 · end of year $3,881,059
-
2 · Savings and temporary cash investments
beginning of year $4,069,657 · end of year $1,581,857
-
3 · Pledges and grants receivable
beginning of year $1,003,646 · end of year $2,293,437
-
4 · Accounts receivable
beginning of year $6,007,881 · end of year $6,613,847
-
7 · Other notes and loans receivable
beginning of year $6,646 · end of year $1,200
-
8 · Inventories for sale or use
beginning of year $217,505 · end of year $131,134
-
9 · Prepaid expenses and deferred charges
beginning of year $1,060,366 · end of year $888,486
-
10a · Land, buildings and equipment: cost or other basis
$39,010,203
-
10b · Land, buildings and equipment: accumulated depreciation
$16,305,800
-
10c · Land, buildings and equipment, net
beginning of year $21,627,293 · end of year $22,704,403
-
11 · Investments: publicly traded securities
beginning of year $3,980,226 · end of year $3,702,997
-
15 · Other assets
beginning of year $12,771,971 · end of year $13,460,236
-
17 · Accounts payable and accrued expenses
beginning of year $8,763,171 · end of year $9,371,180
-
19 · Deferred revenue
beginning of year $1,925,984 · end of year $1,403,739
-
20 · Tax-exempt bond liabilities
beginning of year $4,528,475 · end of year $4,320,035
-
23 · Secured mortgages and notes payable
end of year $1,003,616
-
25 · Other liabilities
beginning of year $10,469,308 · end of year $6,913,982
-
27 · Net assets without donor restrictions
beginning of year $31,532,513 · end of year $32,196,104
-
28 · Net assets with donor restrictions
beginning of year $59,700 · end of year $50,000
Mission and programs · 2023
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-ENDING JUNE 30, 2024 WAS 116,708.
Expenses $35,024,649 · Revenue $37,388,548
-
GENERAL DENTISTRY AND FLUORIDE VARNISHING SERVICES PROVIDED TO PATIENTS. THE TOTAL NUMBER OF DENTAL VISITS DURING THE FISCAL YEAR-ENDING JUNE 30, 2024 WAS 33,669.
Expenses $10,521,662 · Revenue $11,698,204
-
OBSTETRIC AND GYNECOLOGY SERVICES PROVIDED TO PATIENTS, INCLUDING BIRTHING AND PREGNANCY SERVICES. THE TOTAL NUMBER OF OB/GYN VISITS DURING FISCAL THE FISCAL YEAR-ENDING JUNE 30, 2024 WAS 15,753.
Expenses $4,478,120 · Revenue $5,134,116
-
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 $13,246,774 · Grants $36,760 · Revenue $8,696,513
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Robert RamirezROBERT RAMIREZ
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Tom IsaakTOM ISAAK
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Phoebe EllisPHOEBE ELLIS
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
Elizabeth GoldblattELIZABETH GOLDBLATT
INTERIM TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
William BarrettWILLIAM BARRETT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Fernando CarrilloFERNANDO CARRILLO
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Cecilia G CastanedaCECILIA G CASTANEDA
BOARD MEMBER THROUGH 5/2024
- Total calculated
- $0
- Hours/week
- 2
-
Anne MiranteANNE MIRANTE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Silvia RodriguezSILVIA RODRIGUEZ
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Teresa Taylor-KingTERESA TAYLOR-KING
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Elisa Velasquez-AndradeELISA VELASQUEZ-ANDRADE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Catherine WestCATHERINE WEST
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
Kathryn Powell Mha MaKATHRYN POWELL MHA MA
CEO THROUGH 2/2024 / CEO EMERITA
- Total calculated
- $529,589
- From this org
- $481,799
- From related orgs
- $0
- Other
- $47,790
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $431,987
- Bonus
- $45,700
- Other
- $4,112
- Deferred
- $35,638
- Nontaxable benefits
- $12,152
- Filer's total
- $529,589
-
Pedro Toledo MD Ma MhsaPEDRO TOLEDO MD MA MHSA
INTERIM CEO START 2/2024
- Total calculated
- $324,061
- From this org
- $279,896
- From related orgs
- $0
- Other
- $44,165
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $270,797
- Bonus
- $8,500
- Other
- $599
- Deferred
- $33,311
- Nontaxable benefits
- $10,854
- Filer's total
- $324,061
-
Nurit Licht MDNURIT LICHT MD
CHIEF MEDICAL OFFICER
- Total calculated
- $383,289
- From this org
- $337,737
- From related orgs
- $0
- Other
- $45,552
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $334,121
- Bonus
- $2,579
- Other
- $1,037
- Deferred
- $34,950
- Nontaxable benefits
- $10,602
- Filer's total
- $383,289
-
Ramona English DMDRAMONA ENGLISH DMD
CHIEF DENTAL OFFICER
- Total calculated
- $342,051
- From this org
- $307,442
- From related orgs
- $0
- Other
- $34,609
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $270,763
- Bonus
- $36,096
- Other
- $583
- Deferred
- $34,609
- Nontaxable benefits
- $0
- Filer's total
- $342,051
-
Molly Jouaneh CmaMOLLY JOUANEH CMA
CHIEF FINANCIAL OFFICER
- Total calculated
- $340,142
- From this org
- $304,906
- From related orgs
- $0
- Other
- $35,236
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $279,307
- Bonus
- $25,222
- Other
- $377
- Deferred
- $34,103
- Nontaxable benefits
- $1,133
- Filer's total
- $340,142
-
Tiffany Jimenez RNTIFFANY JIMENEZ RN
CHIEF OPERATING OFFICER THRU 3/2024
- Total calculated
- $259,267
- From this org
- $207,683
- From related orgs
- $0
- Other
- $51,584
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $188,418
- Bonus
- $19,000
- Other
- $265
- Deferred
- $24,958
- Nontaxable benefits
- $26,626
- Filer's total
- $259,267
-
Kimberly Keller MBAKIMBERLY KELLER MBA
CHIEF OPERATING OFFICER START 5/2024
- Total calculated
- $184,250
- From this org
- $159,353
- From related orgs
- $0
- Other
- $24,897
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $144,642
- Bonus
- $14,500
- Other
- $211
- Deferred
- $8,809
- Nontaxable benefits
- $16,088
- Filer's total
- $184,250
-
Sveinn Sigurdsson Ma Ms-HsmSVEINN SIGURDSSON MA MS-HSM
CHIEF ADMINISTRATIVE OFFICER
- Total calculated
- $226,865
- From this org
- $194,730
- From related orgs
- $0
- Other
- $32,135
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $174,490
- Bonus
- $20,000
- Other
- $240
- Deferred
- $10,113
- Nontaxable benefits
- $22,022
- Filer's total
- $226,865
-
Carlin Chi MDCARLIN CHI MD
MEDICAL DIRECTOR, PRIMARY CARE
- Total calculated
- $281,811
- From this org
- $245,604
- From related orgs
- $0
- Other
- $36,207
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $239,897
- Bonus
- $4,891
- Other
- $816
- Deferred
- $13,479
- Nontaxable benefits
- $22,728
- Filer's total
- $281,811
-
Rebecca Katz MDREBECCA KATZ MD
MED DIR OF PRIMARY CARE/CLINICAL INTG
- Total calculated
- $300,218
- From this org
- $261,629
- From related orgs
- $0
- Other
- $38,589
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $256,516
- Bonus
- $4,560
- Other
- $553
- Deferred
- $12,660
- Nontaxable benefits
- $25,929
- Filer's total
- $300,218
-
Ken Weinstock MDKEN WEINSTOCK MD
DIR OF BEHAVIORAL HEALTH SERVICES
- Total calculated
- $357,034
- From this org
- $323,002
- From related orgs
- $0
- Other
- $34,032
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $316,637
- Bonus
- $4,120
- Other
- $2,245
- Deferred
- $16,707
- Nontaxable benefits
- $17,325
- Filer's total
- $357,034
-
Philippe Edouard MD FacpPHILIPPE EDOUARD MD FACP
INTERNAL MEDICINE PHYS, GERIATRICS
- Total calculated
- $305,243
- From this org
- $285,260
- From related orgs
- $0
- Other
- $19,983
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $274,198
- Bonus
- $8,522
- Other
- $2,540
- Deferred
- $15,187
- Nontaxable benefits
- $4,796
- Filer's total
- $305,243
-
Scott Holmes MDSCOTT HOLMES MD
DIRECTOR OF CLINICAL INFORMATICS
- Total calculated
- $304,257
- From this org
- $270,080
- From related orgs
- $0
- Other
- $34,177
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $264,779
- Bonus
- $5,006
- Other
- $295
- Deferred
- $7,095
- Nontaxable benefits
- $27,082
- Filer's total
- $304,257
-
Jonathan Choe MDJONATHAN CHOE MD
FAMILY PHYSICIAN
- Total calculated
- $271,122
- From this org
- $255,922
- From related orgs
- $0
- Other
- $15,200
- Hours/week
- 30
Schedule J breakdown matched by us
- Base
- $251,163
- Bonus
- $4,272
- Other
- $487
- Deferred
- $12,150
- Nontaxable benefits
- $3,050
- Filer's total
- $271,122
-
Karl Greer MDKARL GREER MD
LEAD PHYSICIAN, ADDICTION MEDICINE
- Total calculated
- $279,845
- From this org
- $253,574
- From related orgs
- $0
- Other
- $26,271
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $244,886
- Bonus
- $8,161
- Other
- $527
- Deferred
- $14,016
- Nontaxable benefits
- $12,255
- Filer's total
- $279,845
-
Danielle Oryn Do MPHDANIELLE ORYN DO MPH
FORMER OFFICER / CURRENT PHYSICIAN
- Total calculated
- $205,892
- From this org
- $186,704
- From related orgs
- $0
- Other
- $19,188
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $186,387
- Bonus
- $0
- Other
- $317
- Deferred
- $10,599
- Nontaxable benefits
- $8,589
- Filer's total
- $205,892
-
Christina Gomez-Mira MDCHRISTINA GOMEZ-MIRA MD
FORMER KEY EE / CURRENT PHYSICIAN
- Total calculated
- $226,307
- From this org
- $214,896
- From related orgs
- $0
- Other
- $11,411
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $211,285
- Bonus
- $3,202
- Other
- $409
- Deferred
- $11,411
- Nontaxable benefits
- $0
- Filer's total
- $226,307
-
Iun-Lu Aileen Chen DoIUN-LU AILEEN CHEN DO
FORMER KEY EE / CURRENT PHYSICIAN
- Total calculated
- $249,474
- From this org
- $233,792
- From related orgs
- $0
- Other
- $15,682
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $229,126
- Bonus
- $4,450
- Other
- $216
- Deferred
- $6,580
- Nontaxable benefits
- $9,102
- Filer's total
- $249,474
-
John Pendleton MDJOHN PENDLETON MD
FORMER KEY EE / CURRENT PHYSICIAN
- Total calculated
- $250,455
- From this org
- $222,829
- From related orgs
- $0
- Other
- $27,626
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $213,948
- Bonus
- $8,143
- Other
- $738
- Deferred
- $12,522
- Nontaxable benefits
- $15,104
- Filer's total
- $250,455
-
Fiona Redwood MDFIONA REDWOOD MD
FORMER KEY EE / CURRENT PHYSICIAN
- Total calculated
- $263,757
- From this org
- $233,640
- From related orgs
- $0
- Other
- $30,117
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $227,586
- Bonus
- $4,527
- Other
- $1,527
- Deferred
- $12,483
- Nontaxable benefits
- $17,634
- Filer's total
- $263,757
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
- 2023
- Filed
- 5 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202531269349303068
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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