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Nonprofiteer
← PENINSULA COMMUNITY HEALTH SERVICES

Form 990 for tax year 2023

Filed by PENINSULA COMMUNITY HEALTH SERVICES.

Totals

Total revenue
$55,982,076
Total expenses
$54,399,447
Contributions and grants received
$11,246,311
Grants paid
$0
Program service revenue
$42,761,950
Investment income
$915,065
Other revenue
$1,058,750
Total assets, end of year
$88,926,932
Total liabilities, end of year
$18,827,078
Net assets or fund balances, end of year
$70,099,854
Program services expenses (Part IX)
$44,126,164
Management and general expenses
$10,273,283
Fundraising expenses
$0
Program service expenses (Part III)
$44,126,164

Program services were 81.1% 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)

    $11,164,326

  • 1f · All other contributions, gifts and grants

    $81,985

  • 1g · Noncash contributions included above

    $1,174,268

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $42,761,950 · related or exempt $42,761,950

  • 3 · Investment income

    total $916,112 · excluded $916,112

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

    other assets $1,047

  • 7c · Gain or loss

    other assets -$1,047

  • 7d · Net gain or loss

    total -$1,047 · excluded -$1,047

  • 11a · Other revenue: OTHER INCOME

    total $1,058,750 · excluded $1,058,750

  • 11e · Other revenue, total

    $1,058,750

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,688,803 · program services $1,851,637 · management and general $837,166

  • 7 · Other salaries and wages

    total $28,123,145 · program services $23,341,740 · management and general $4,781,405

  • 9 · Other employee benefits

    total $3,572,223 · program services $2,922,988 · management and general $649,235

  • 10 · Payroll taxes

    total $2,854,954 · program services $2,334,531 · management and general $520,423

  • 11b · Fees: legal

    total $258,868 · program services $163,558 · management and general $95,310

  • 11c · Fees: accounting

    total $120,161 · program services $75,920 · management and general $44,241

  • 11f · Fees: investment management

    total $45,873 · management and general $45,873

  • 11g · Fees: other

    total $1,721,398 · program services $1,087,617 · management and general $633,781

  • 12 · Advertising and promotion

    total $23,040 · program services $15,076 · management and general $7,964

  • 13 · Office expenses

    total $723,246 · program services $556,443 · management and general $166,803

  • 16 · Occupancy

    total $2,106,245 · program services $1,781,684 · management and general $324,561

  • 17 · Travel

    total $253,783 · program services $47,363 · management and general $206,420

  • 19 · Conferences, conventions and meetings

    total $141,712 · program services $75,644 · management and general $66,068

  • 22 · Depreciation, depletion and amortization

    total $2,641,554 · program services $2,095,697 · management and general $545,857

  • 23 · Insurance

    total $268,148 · program services $216,287 · management and general $51,861

  • 24a · Other expenses: PHARMACEUTICALS

    total $3,427,494 · program services $3,340,169 · management and general $87,325

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $2,434,209 · program services $1,869,676 · management and general $564,533

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $1,791,628 · program services $1,722,192 · management and general $69,436

  • 24d · Other expenses: TAXES

    total $419,254 · program services $274,326 · management and general $144,928

  • 24e · All other expenses

    total $783,709 · program services $353,616 · management and general $430,093

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $40,695,488 · end of year $22,612,943

  • 2 · Savings and temporary cash investments

    beginning of year $117,467 · end of year $1,222,240

  • 3 · Pledges and grants receivable

    beginning of year $984,242 · end of year $340,222

  • 4 · Accounts receivable

    beginning of year $4,272,820 · end of year $15,060,397

  • 8 · Inventories for sale or use

    beginning of year $575,779 · end of year $776,162

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,296,522 · end of year $1,479,212

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

    $55,460,469

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

    $17,140,390

  • 10c · Land, buildings and equipment, net

    beginning of year $27,782,464 · end of year $38,320,079

  • 11 · Investments: publicly traded securities

    beginning of year $4,567,498 · end of year $5,879,066

  • 15 · Other assets

    beginning of year $2,842,985 · end of year $3,236,611

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,224,070 · end of year $11,482,766

  • 18 · Grants payable

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

  • 19 · Deferred revenue

    beginning of year $3,363,262 · end of year $302,746

  • 20 · Tax-exempt bond liabilities

    beginning of year $1,273,470 · end of year $1,116,382

  • 23 · Secured mortgages and notes payable

    beginning of year $3,778,926 · end of year $4,014,875

  • 27 · Net assets without donor restrictions

    beginning of year $67,338,145 · end of year $70,019,160

  • 28 · Net assets with donor restrictions

    beginning of year $247,083 · end of year $80,694

Mission and programs · 2023

Mission

PCHS EXEMPLIFIES A CULTURE OF COMMUNITY SERVICE.

  • MEDICAL - DURING 2023, PCHS PROVIDED 88,329 MEDICAL ENCOUNTERS TO 34,769 PATIENTS AT TWENTY-FOUR CLINICAL SITES LOCATED IN BREMERTON (TEN SITES), BELFAIR (TWO SITES), KINGSTON (TWO SITES), PORT ORCHARD (TWO SITES), POULSBO (TWO SITES), SHELTON, SILVERDALE (FOUR SITES) AND 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.

    Expenses $21,406,360 · Revenue $24,209,016

  • DENTAL - IN 2023, PCHS PROVIDED 35,409 DENTAL VISITS TO 17,908 CHILDREN AND ADULTS FOR PREVENTATIVE AND RESTORATIVE CARE. DENTAL SERVICES ARE PROVIDED AT NINE CLINICAL SITES IN BREMERTON (FOUR 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 $10,883,690 · Revenue $10,613,704

  • PHARMACY - IN 2023, PCHS PROVIDED 82,759 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 $7,104,561 · Revenue $6,153,289

  • BEHAVIORAL HEALTH - DURING 2023, PCHS PROVIDED 13,735 BEHAVIORAL HEALTH AND SUD ENCOUNTERS TO 3,225 PATIENTS AT TWENTY-THREE CLINICAL SITES LOCATED IN BREMERTON (TEN SITES), BELFAIR (TWO SITES), KEY PENINSULA, KINGSTON (TWO SITES), PORT ORCHARD (TWO SITES), POULSBO (TWO SITES), AND SILVERDALE (FOUR 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 $4,731,553 · Revenue $1,785,941

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Tanveer Johal MD

    PHYSICIAN

    Total calculated
    $640,616
    From this org
    $640,616
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,413
    Bonus
    $420,203
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $640,616

  • Jennifer Kreidler-Moss Pharmd

    CEO

    Total calculated
    $603,239
    From this org
    $493,916
    From related orgs
    $0
    Other
    $109,323
    Hours/week
    39.8 + 0.2 related

    Schedule J breakdown matched by us

    Base
    $346,383
    Bonus
    $147,533
    Other
    $0
    Deferred
    $99,323
    Nontaxable benefits
    $10,000
    Filer's total
    $603,239

  • Anthony Vance DDS

    DENTAL DIRECTOR (AS OF JULY 2023)

    Total calculated
    $590,171
    From this org
    $590,171
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,924
    Bonus
    $434,247
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $590,171

  • Kaitlyn Frey DMD

    DENTIST

    Total calculated
    $578,242
    From this org
    $578,242
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,943
    Bonus
    $426,299
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $578,242

  • Makinzee Thomas DDS

    DENTIST

    Total calculated
    $565,343
    From this org
    $565,343
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $146,742
    Bonus
    $418,601
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $565,343

  • Regina Bonnevie Rogers MD

    CHIEF MEDICAL OFFICER

    Total calculated
    $479,668
    From this org
    $479,668
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $377,180
    Bonus
    $102,488
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $479,668

  • Scott Smith DDS

    DENTIST

    Total calculated
    $465,725
    From this org
    $465,725
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $49,066
    Bonus
    $416,659
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $465,725

  • Geeta Tadepalli MD

    PSYCHIATRIST

    Total calculated
    $463,647
    From this org
    $463,647
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $93,230
    Bonus
    $370,417
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $463,647

  • Michael Insani DDS

    DENTAL DIRECTOR (THROUGH JULY 2023)

    Total calculated
    $299,207
    From this org
    $299,207
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,666
    Bonus
    $94,541
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $299,207

  • Brynn Felix

    GENERAL COUNSEL

    Total calculated
    $156,257
    From this org
    $156,257
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,757
    Bonus
    $5,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $156,257

  • Joel Emery

    CFO

    Total calculated
    $156,118
    From this org
    $156,118
    From related orgs
    $0
    Other
    $0
    Hours/week
    39.8 + 0.2 related

    Schedule J breakdown matched by us

    Base
    $154,618
    Bonus
    $1,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $156,118

  • Keith Stauffer

    CIO

    Total calculated
    $153,249
    From this org
    $153,249
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,749
    Bonus
    $1,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $153,249

  • Lynette Bird

    COO

    Total calculated
    $142,255
    From this org
    $142,255
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Angela Bland

    CCO

    Total calculated
    $108,639
    From this org
    $108,639
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Evelyn Hetrick

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1.5

  • Al Pinkham

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1.3

  • Christopher Cook

    TREASURER

    Total calculated
    $0
    Hours/week
    1.5

  • Susan Astle

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Mary Berglind

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.2 related

  • Monica Bernhard

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Scott Copass

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Michelle Dickerson

    DIRECTOR (AS OF APRIL 2023)

    Total calculated
    $0
    Hours/week
    0.5

  • Jill Guerrero

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.8 + 0.2 related

  • Jeanell Rasmussen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Tamasipani Sousou

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Rogelio Ron Valencia

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5 + 0.2 related

  • 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

  • 1a · Tax indemnification and gross-up payments
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 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 1A
IN 2023, PENINSULA COMMUNITY HEALTH SERVICES GROSSED UP LOAN REPAYMENT ASSISTANCE AND ENHANCED RETENTION BONUSES RECEIVED BY PROVIDERS. THE ORGANIZATION ALSO SUBSIDIZES YMCA MEMBERSHIPS OF ALL ELIGIBLE EMPLOYEES.
PART I, LINE 4B
THE ORGANIZATION HAS A 457(F) SUPPLEMENTAL RETIREMENT PLAN FOR JENNIFER KREIDLER-MOSS, CEO. DURING 2023, $99,323 WAS CONTRIBUTED INTO THE PLAN AND $51,371 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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
24 September 2024
IRS schema version
2023v5.1
Source object
202412699349300936

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