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Nonprofiteer
← PETALUMA HEALTH CENTER

Form 990 for tax year 2023

Filed by PETALUMA HEALTH CENTER.

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 Ramirez

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2
  • Tom Isaak

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    2
  • Phoebe Ellis

    SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • Elizabeth Goldblatt

    INTERIM TREASURER

    Total calculated
    $0
    Hours/week
    2
  • William Barrett

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Fernando Carrillo

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Cecilia G Castaneda

    BOARD MEMBER THROUGH 5/2024

    Total calculated
    $0
    Hours/week
    2
  • Anne Mirante

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Silvia Rodriguez

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Teresa Taylor-King

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Elisa Velasquez-Andrade

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Catherine West

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Kathryn 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 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 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 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 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 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 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-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 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 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 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 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 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 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 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 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 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 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 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 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

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