Skip to content
Nonprofiteer
← PENINSULA COMMUNITY HEALTH SERVICES

Form 990 for tax year 2022

Filed by PENINSULA COMMUNITY HEALTH SERVICES.

Totals

Total revenue
$57,879,479
Total expenses
$44,621,195
Contributions and grants received
$11,730,563
Grants paid
$0
Program service revenue
$45,647,227
Investment income
$63,471
Other revenue
$438,218
Total assets, end of year
$83,135,265
Total liabilities, end of year
$15,550,037
Net assets or fund balances, end of year
$67,585,228
Program services expenses (Part IX)
$36,348,104
Management and general expenses
$8,273,091
Fundraising expenses
$0
Program service expenses (Part III)
$36,348,104

Program services were 81.5% 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)

    $11,391,126

  • 1f · All other contributions, gifts and grants

    $339,437

  • 1g · Noncash contributions included above

    $1,076,094

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $45,647,227 · related or exempt $45,647,227

  • 3 · Investment income

    total $357,377 · excluded $357,377

  • 7b · Less cost or other basis and sales expenses

    other assets $293,906

  • 7c · Gain or loss

    other assets -$293,906

  • 7d · Net gain or loss

    total -$293,906 · excluded -$293,906

  • 11a · Other revenue: OTHER INCOME

    total $438,218 · excluded $438,218

  • 11e · Other revenue, total

    $438,218

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,394,681 · program services $1,018,587 · management and general $376,094

  • 7 · Other salaries and wages

    total $22,067,580 · program services $18,209,134 · management and general $3,858,446

  • 9 · Other employee benefits

    total $2,836,522 · program services $2,330,448 · management and general $506,074

  • 10 · Payroll taxes

    total $2,221,799 · program services $1,823,727 · management and general $398,072

  • 11b · Fees: legal

    total $248,489 · management and general $248,489

  • 11c · Fees: accounting

    total $112,140 · management and general $112,140

  • 11f · Fees: investment management

    total $32,946 · management and general $32,946

  • 11g · Fees: other

    total $1,787,276 · program services $1,556,439 · management and general $230,837

  • 12 · Advertising and promotion

    total $17,291 · program services $11,773 · management and general $5,518

  • 13 · Office expenses

    total $748,344 · program services $513,443 · management and general $234,901

  • 14 · Information technology

    total $1,119,961 · program services $885,827 · management and general $234,134

  • 16 · Occupancy

    total $2,299,817 · program services $1,985,168 · management and general $314,649

  • 17 · Travel

    total $210,394 · program services $27,930 · management and general $182,464

  • 19 · Conferences, conventions and meetings

    total $393,990 · program services $286,914 · management and general $107,076

  • 20 · Interest

    total $1,022 · program services $696 · management and general $326

  • 22 · Depreciation, depletion and amortization

    total $2,378,511 · program services $1,929,448 · management and general $449,063

  • 23 · Insurance

    total $269,488 · program services $223,668 · management and general $45,820

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $4,142,371 · program services $4,142,371

  • 24b · Other expenses: MISCELLANEOUS

    total $1,089,516 · program services $448,295 · management and general $641,221

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $942,886 · program services $745,771 · management and general $197,115

  • 24d · Other expenses: TAXES

    total $306,171 · program services $208,465 · management and general $97,706

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $32,963,927 · end of year $40,695,488

  • 2 · Savings and temporary cash investments

    beginning of year $111,552 · end of year $117,467

  • 3 · Pledges and grants receivable

    beginning of year $1,340,420 · end of year $984,242

  • 4 · Accounts receivable

    beginning of year $3,468,601 · end of year $4,272,820

  • 8 · Inventories for sale or use

    beginning of year $636,926 · end of year $575,779

  • 9 · Prepaid expenses and deferred charges

    beginning of year $731,849 · end of year $1,296,522

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

    $42,290,723

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

    $14,508,259

  • 10c · Land, buildings and equipment, net

    beginning of year $21,068,485 · end of year $27,782,464

  • 11 · Investments: publicly traded securities

    beginning of year $4,746,030 · end of year $4,567,498

  • 15 · Other assets

    beginning of year $0 · end of year $2,842,985

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,601,502 · end of year $5,224,070

  • 18 · Grants payable

    beginning of year $1,910,309 · end of year $1,910,309

  • 19 · Deferred revenue

    beginning of year $922,764 · end of year $3,363,262

  • 20 · Tax-exempt bond liabilities

    beginning of year $1,431,653 · end of year $1,273,470

  • 23 · Secured mortgages and notes payable

    beginning of year $1,083,742 · end of year $3,778,926

  • 27 · Net assets without donor restrictions

    beginning of year $55,064,311 · end of year $67,338,145

  • 28 · Net assets with donor restrictions

    beginning of year $53,509 · end of year $247,083

Mission and programs · 2022

Mission

PCHS EXEMPLIFIES A CULTURE OF COMMUNITY SERVICE.

  • MEDICAL - DURING 2022, PCHS PROVIDED 91,482 MEDICAL ENCOUNTERS TO 32,622 PATIENTS AT TWENTY-ONE CLINICAL SITES LOCATED IN BREMERTON (TEN SITES), BELFAIR (TWO SITES), KINGSTON (TWO SITES), PORT ORCHARD (TWO SITES), POULSBO, SHELTON, SILVERDALE (TWO SITES), KEY PENINSULA, AS WELL AS TWO MOBILE SITES. SERVICES INCLUDE COMPREHENSIVE PRIMARY MEDICAL SERVICES FOR CHILDREN AND ADULTS, EMPHASIZING A WHOLE-PERSON, PATIENT-CENTERED APPROACH. PCHS CONTINUED TO TAKE ON ADDITIONAL COVID-RELATED WORK BY OFFERING COVID TESTING AND RELATED CARE TO MUCH OF OUR REGION.

    Expenses $19,493,138 · Revenue $29,342,473

  • DENTAL - IN 2022, PCHS PROVIDED 30,203 DENTAL VISITS TO 14,851 CHILDREN AND ADULTS FOR PREVENTATIVE AND RESTORATIVE CARE. DENTAL SERVICES ARE PROVIDED AT EIGHT CLINICAL SITES IN BREMERTON (THREE SITES), POULSBO, PORT ORCHARD, SILVERDALE, KEY PENINSULA AND BELFAIR, AS WELL AS ONE MOBILE SITE. SERVICES INCLUDE PREVENTATIVE CARE, ORAL EXAMS, ORAL HYGIENE, X-RAYS, EMERGENCY CARE AND DENTAL EDUCATION. REFERRAL SERVICES ARE OFFERED FOR MORE SPECIALIZED CARE.

    Expenses $8,154,167 · Revenue $9,102,343

  • PHARMACY - IN 2022, PCHS PROVIDED 85,166 PRESCRIPTIONS TO ITS ELIGIBLE PATIENTS. FULLY LICENSED PHARMACIES ARE LOCATED AT SIX CLINICAL SITES IN BREMERTON (TWO SITES), BELFAIR, POULSBO, KEY PENINSULA AND PORT ORCHARD.

    Expenses $5,796,003 · Revenue $5,346,122

  • BEHAVIORAL HEALTH - DURING 2022, PCHS PROVIDED 13,703 BEHAVIORAL HEALTH ENCOUNTERS TO 4,009 PATIENTS AT TWENTY CLINICAL SITES LOCATED IN BREMERTON (TEN SITES), BELFAIR (TWO SITES), KEY PENINSULA, KINGSTON (TWO SITES), PORT ORCHARD (TWO SITES), POULSBO, AND SILVERDALE (TWO SITES) AS WELL AS THREE MOBILE SITES. BY FOCUSING ON A PATIENT'S BEHAVIORAL HEALTH AS PART OF AN INTEGRATED CARE MODEL, WE ARE ABLE TO BETTER COORDINATE COMPLETE AND TIMELY ACCESS TO CARE. OUR LICENSED, CERTIFIED COUNSELORS AND SUBSTANCE USE DISORDER PROFESSIONALS ADDRESS THE INDIVIDUALIZED NEEDS OF OUR PATIENTS BY WORKING ALONGSIDE OUR PRIMARY CARE PROVIDERS.

    Expenses $2,904,796 · Revenue $1,856,289

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

Listed in Part VII

  • Jennifer Kreidler-Moss Pharmd

    CEO

    Total calculated
    $472,079
    From this org
    $369,565
    From related orgs
    $0
    Other
    $102,514
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $352,065
    Bonus
    $17,500
    Other
    $0
    Deferred
    $92,514
    Nontaxable benefits
    $10,000
    Filer's total
    $472,079

  • Regina Bonnevie Rogers MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $378,330
    From this org
    $378,330
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $360,830
    Bonus
    $17,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $378,330

  • Mandeep Dhawan MD

    PHYSICIAN

    Total calculated
    $306,985
    From this org
    $306,985
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $299,485
    Bonus
    $7,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $306,985

  • Donnaville Ortiz MD

    PHYSICIAN

    Total calculated
    $304,771
    From this org
    $304,771
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $292,271
    Bonus
    $12,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $304,771

  • Michael Insani DDS

    DENTAL DIRECTOR

    Total calculated
    $268,594
    From this org
    $268,594
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $260,594
    Bonus
    $8,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $268,594

  • Clement Le Thanh MD

    PHYSICIAN

    Total calculated
    $260,541
    From this org
    $260,541
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $255,541
    Bonus
    $5,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $260,541

  • Eric Grunow DMD

    DENTIST

    Total calculated
    $250,257
    From this org
    $250,257
    From related orgs
    $0
    Other
    $0
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $235,177
    Bonus
    $15,080
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $250,257

  • Kristoffer Valenzuela MD

    PHYSICIAN

    Total calculated
    $241,378
    From this org
    $241,378
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,878
    Bonus
    $12,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $241,378

  • Joel Emery

    CFO

    Total calculated
    $154,685
    From this org
    $154,685
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,685
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $154,685

  • Brynn Felix

    GENERAL COUNSEL

    Total calculated
    $128,493
    From this org
    $128,493
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Monica Bernhard

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Evelyn Hetrick

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1.5

  • Shannon Turner

    SECRETARY (THROUGH JANUARY 2022)

    Total calculated
    $0
    Hours/week
    2

  • Susan Astle

    DIRECTOR & SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Christopher Cook

    TREASURER

    Total calculated
    $0
    Hours/week
    1.5

  • Sharon Cromley

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Jill Guerrero

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.8

  • Al Pinkham

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.3

  • Jeanell Rasmussen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Tamasipani Sousou

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • David Windom

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

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 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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 4B
THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL RETIREMENT PLAN FOR JENNIFER KREIDLER-MOSS, CEO. DURING 2022, $92,514 WAS CONTRIBUTED INTO THE PLAN AND ($44,543) ACCRUED WITHIN THE PLAN.

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
25 September 2023
IRS schema version
2022v5.0
Source object
202312719349300011

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.