PETALUMA HEALTH CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
PETALUMA HEALTH CENTER (EIN 68-0437840)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-04-29
IRS object ID
202621199349302267
Schema version
2024v5.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-04-29T14:55:51-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY ADVISORY GROUP LPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1333 BUSH STREET STE 1000AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94104ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680437840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PETALUMA HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPETABusinessNameControlTxt
Phone7075597500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11016 CLEGG COURTAddressLine1Txt
CityPETALUMACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94954ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMOLLY JOUANEHPersonNm
Person TitleCFOPersonTitleTxt
Phone7075597500PhoneNum
Signature2026-04-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL LUMSDENPreparerPersonNm
PTINP01262236PTIN
Phone4159561500PhoneNum
Preparation2026-04-29PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPEDRO TOLEDO JD MA MHSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11016 CLEGG COURTAddressLine1Txt
CityPETALUMACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94954ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$85,024,740GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PHEALTHCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO ENSURE ACCESS & PROVIDE HIGH QUALITY PREVENTION-FOCUSED HEALTH CARE FOR THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee610TotalEmployeeCnt
Total Volunteers74TotalVolunteersCnt
Total Gross UBI$52,706TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,416,910PYContributionsGrantsAmt
CY Contributions Grants$10,447,707CYContributionsGrantsAmt
PY Program Service Revenue$62,917,381PYProgramServiceRevenueAmt
CY Program Service Revenue$73,161,939CYProgramServiceRevenueAmt
PY Investment Income$135,554PYInvestmentIncomeAmt
CY Investment Income$115,442CYInvestmentIncomeAmt
PY Other Revenue$111,642PYOtherRevenueAmt
CY Other Revenue$142,983CYOtherRevenueAmt
PY Total Revenue$76,581,487PYTotalRevenueAmt
CY Total Revenue$83,868,071CYTotalRevenueAmt
PY Grants And Similar Paid$36,760PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$51,562CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,423,572PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$53,006,504CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,675,306PYOtherExpensesAmt
CY Other Expenses$22,970,026CYOtherExpensesAmt
PY Total Expenses$76,135,638PYTotalExpensesAmt
CY Total Expenses$76,028,092CYTotalExpensesAmt
PY Revenues Less Expenses$445,849PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,839,979CYRevenuesLessExpensesAmt
Total Assets BOY$55,258,656TotalAssetsBOYAmt
Total Assets EOY$63,318,905TotalAssetsEOYAmt
Total Liabilities BOY$23,012,552TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,122,273TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,246,104NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,196,632NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPETALUMA HEALTH CENTER'S MISSION IS TO ENSURE ACCESS TO HIGH-QUALITY HEALTH CARE AND ACHIEVE HEALTH EQUITY FOR THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$28,692,139ExpenseAmt
Grant$0GrantAmt
Revenue$36,964,446RevenueAmt
DescFAMILY PRACTICE SERVICES PROVIDED TO PATIENTS. THE TOTAL NUMBER OF FAMILY PRACTICE VISITS DURING FISCAL YEAR-ENDING JUNE 30, 2025 WAS 118,845.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$8,738,426ExpenseAmt
Grant$0GrantAmt
Revenue$11,979,993RevenueAmt
DescGENERAL DENTISTRY AND FLUORIDE VARNISHING SERVICES PROVIDED TO PATIENTS. THE TOTAL NUMBER OF DENTAL VISITS DURING THE FISCAL YEAR-ENDING JUNE 30, 2025 WAS 32,687.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,581,575ExpenseAmt
Grant$0GrantAmt
Revenue$5,938,766RevenueAmt
DescOBSTETRIC 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, 2025 WAS 18,423.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$18,832,521ExpenseAmt
Grant$51,562GrantAmt
Revenue$18,278,734RevenueAmt
DescOTHER 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.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$18,832,521TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$51,562TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$18,278,734TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$59,844,661TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document72IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee610EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMOLLY JOUANEHPersonNm
Phone7075597578PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11016 CLEGG COURTAddressLine1Txt
CityPETALUMACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94954ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERT RAMIREZ
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
TOM ISAAK
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
PHOEBE ELLIS
SECRETARY2.00Yes (X)Yes (X)$0$0$0
ELIZABETH GOLDBLATT
TREASURER (THRU 2/2025) / DIRECTOR2.00Yes (X)Yes (X)$0$0$0
ANNE MIRANTE
TREASURER (START 2/2025)2.00Yes (X)Yes (X)$0$0$0
WILLIAM BARRETT
DIRECTOR2.00Yes (X)$0$0$0
FERNANDO CARRILLO
DIRECTOR2.00Yes (X)$0$0$0
MARIANA GUERRERO
DIRECTOR2.00Yes (X)$0$0$0
SILVIA RODRIGUEZ
DIRECTOR2.00Yes (X)$0$0$0
DARLENE SANDOVAL
DIRECTOR2.00Yes (X)$0$0$0
TERESA TAYLOR-KING
DIRECTOR2.00Yes (X)$0$0$0
CATHERINE WEST
DIRECTOR2.00Yes (X)$0$0$0
NURIT LICHT MD
CHIEF MEDICAL OFFICER40.00Yes (X)$348,046$0$46,671
PEDRO TOLEDO JD MA MHSA
CHIEF EXECUTIVE OFFICER40.00Yes (X)$341,314$0$51,749
MOLLY JOUANEH CMA
CHIEF FINANCIAL OFFICER40.00Yes (X)$302,876$0$37,485
RAMONA ENGLISH DDS
CHIEF DENTAL OFFICER40.00Yes (X)$302,204$0$36,482
SVEINN SIGURDSSON MA MS-HSM
CHIEF ADMINISTRATIVE OFFICER40.00Yes (X)$201,424$0$35,344
KIMBERLY KELLER MBA
CHIEF OPERATIONS OFFICER40.00Yes (X)$173,533$0$27,488
ALAN CHAN PHARMD
CHIEF PHARMACY OFFICER (START 1/2025)40.00Yes (X)$0$0$0
REBECCA KATZ MD
MED DIR OF PRIMARY CARE/CLINICAL INT40.00$308,082$0$43,785Yes (X)
CARLIN CHI MD
MEDICAL DIRECTOR, PRIMARY CARE36.00$259,855$0$42,067Yes (X)
CHRISTINA GOMEZ-MIRA MD
ASSOC MED DIR, RURAL HEALTH SERVICES36.00$237,581$0$13,649Yes (X)
KEN WEINSTOCK MD
DIRECTOR OF BEHAVIORAL HEALTH40.00$338,467$0$32,513Yes (X)
SCOTT HOLMES MD
MEDICAL DIRECTOR, PRIMARY CARE40.00$305,781$0$40,552Yes (X)
JONATHAN CHOE MD
FAMILY PHYSICIAN30.00$289,949$0$17,713Yes (X)
IAN HOPPER DO
PEDIATRICIAN40.00$275,269$0$31,090Yes (X)
IUN-IU CHEN DO
ASSOC MED DIR, PRIMARY CARE34.00$274,695$0$17,943Yes (X)
KATHRYN POWELL MHA MA
FORMER CEO (THRU 6/2024)40.00$293,299$0$14,352Yes (X)
JOHN PENDLETON
FORMER KEY EE / CURRENT PHYSICIAN32.00$251,040$0$28,044Yes (X)
FIONA REDWOOD MD
FORMER KEY EE / CURRENT PHYSICIAN40.00$240,345$0$33,782Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,743,760TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$550,709TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K131IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CX ADVANCED SOLUTIONS LLC
3450 N TRIUMPH BOULEVARD SUITE 102LEHIUT84043SOFTWARE SUPPORT/CONSULTING$329,736
MOSS ADAMS LLP
PO BOX 101822PASADENACA911891822AUDIT & TAX SERVICES$135,425
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$8,886,499GovernmentGrantsAmt
All Other Contributions$1,561,208AllOtherContributionsAmt
Noncash Contributions$1,237,542NoncashContributionsAmt
Total Contributions$10,447,707TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$59,416,102$59,416,102
PHARMACY REVENUE621400$4,936,368$4,936,368
PIP REVENUE621400$2,615,732$2,615,732
QIP REVENUE621400$2,487,039$2,487,039
CAPITATION REVENUE621400$721,365$721,365

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,985,333TotalRevenueColumnAmt
Related Or Exempt Func Income$2,985,333RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$73,161,939TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$119,977TotalRevenueColumnAmt
Exclusion$119,977ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,152TotalRevenueColumnAmt
Exclusion$16,152ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,135,982SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,135,916SecuritiesAmt
Other$20,753OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$66SecuritiesAmt
Other-$20,753OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$20,687TotalRevenueColumnAmt
Exclusion-$20,687ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER REVENUE900099$90,277$90,277
ADMIN SERVICES - OUTSIDE ORGS561000$48,506$48,506
PARKING LOT812930$4,200$4,200
FieldValueIRS element (for citing)
Other Revenue Total$142,983OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$83,868,071TotalRevenueColumnAmt
Related Or Exempt Func Income$73,161,939RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$52,706UnrelatedBusinessRevenueAmt
Exclusion$205,719ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$51,562TotalAmt
Program Services$51,562ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,260,457TotalAmt
Program Services$1,378,465ProgramServicesAmt
Management And General$1,881,992ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$122,147TotalAmt
Management And General$122,147ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$36,789,017TotalAmt
Program Services$32,126,724ProgramServicesAmt
Management And General$4,662,293ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,489,354TotalAmt
Program Services$1,310,365ProgramServicesAmt
Management And General$178,989ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,199,613TotalAmt
Program Services$6,777,147ProgramServicesAmt
Management And General$1,422,466ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,145,916TotalAmt
Program Services$2,636,554ProgramServicesAmt
Management And General$509,362ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$156,411TotalAmt
Management And General$156,411ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,582TotalAmt
Management And General$64,582ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,005,889TotalAmt
Program Services$4,383,518ProgramServicesAmt
Management And General$622,371ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$51,842TotalAmt
Program Services$50,138ProgramServicesAmt
Management And General$1,704ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$650,145TotalAmt
Program Services$121,754ProgramServicesAmt
Management And General$528,391ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,446,577TotalAmt
Program Services$492,397ProgramServicesAmt
Management And General$2,954,180ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,467,699TotalAmt
Program Services$2,907,739ProgramServicesAmt
Management And General$559,960ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$108,825TotalAmt
Program Services$47,035ProgramServicesAmt
Management And General$61,790ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$175,654TotalAmt
Program Services$75,920ProgramServicesAmt
Management And General$99,734ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$135,380TotalAmt
Program Services$79,179ProgramServicesAmt
Management And General$56,201ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,521,502TotalAmt
Program Services$1,439,878ProgramServicesAmt
Management And General$1,081,624ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$574,691TotalAmt
Program Services$165,900ProgramServicesAmt
Management And General$408,791ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES/DRUGS$3,968,767$3,968,767
IN-KIND VACCINES$1,234,378$1,234,378
RECRUITMENT$592,926$256,270$336,656
DUES AND SUBSCRIPTIONS$143,633$49,216$94,417

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$671,125TotalAmt
Program Services$291,755ProgramServicesAmt
Management And General$379,370ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$76,028,092TotalAmt
Program Services$59,844,661ProgramServicesAmt
Management And General$16,183,431ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,881,059BOYAmt
EOY$7,955,863EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,581,857BOYAmt
EOY$9,562,910EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,293,437BOYAmt
EOY$552,883EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,613,847BOYAmt
EOY$5,524,991EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,200BOYAmt
EOY$1,100EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$131,134BOYAmt
EOY$182,433EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$888,486BOYAmt
EOY$966,173EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$39,440,044LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,002,612LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,704,403BOYAmt
EOY$21,437,432EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,702,997BOYAmt
EOY$3,933,488EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,460,236BOYAmt
EOY$13,201,632EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$55,258,656BOYAmt
EOY$63,318,905EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,371,180BOYAmt
EOY$10,419,591EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,403,739BOYAmt
EOY$1,158,317EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,320,035BOYAmt
EOY$4,101,595EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,003,616BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,913,982BOYAmt
EOY$7,442,770EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,012,552BOYAmt
EOY$23,122,273EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,196,104BOYAmt
EOY$40,151,632EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$45,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,246,104BOYAmt
EOY$40,196,632EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,258,656BOYAmt
EOY$63,318,905EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,839,979ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$110,549NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,697,201CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,319,234CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,644,349CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,416,910CurrentTaxYearMinus1YearAmt
Current Tax Year$10,447,707CurrentTaxYearAmt
Total$81,525,401TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,697,201CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,319,234CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,644,349CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,416,910CurrentTaxYearMinus1YearAmt
Current Tax Year$10,447,707CurrentTaxYearAmt
Total$81,525,401TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$81,525,401PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,442CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,992CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76,779CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128,245CurrentTaxYearMinus1YearAmt
Current Tax Year$136,129CurrentTaxYearAmt
Total$413,587TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,008,112CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$107,856CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,158CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$111,642CurrentTaxYearMinus1YearAmt
Current Tax Year$90,277CurrentTaxYearAmt
Total$2,358,045TotalAmt
FieldValueIRS element (for citing)
Total Support$84,297,033TotalSupportAmt
Gross Receipts Rltd Activities$280,511,888GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96710PublicSupportCY170Pct
Public Support PY1700.95200PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2020 AMOUNT: $ 2,008,112. 2021 AMOUNT: $ 107,856. 2022 AMOUNT: $ 40,158. 2023 AMOUNT: $ 111,642. 2024 AMOUNT: $ 90,277.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$44,192GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$17,813OtherActivitiesAmt
Total Lobbying Expenditures$62,005TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA PRIMARY CARE ASSOCIATION; A PORTION OF THOSE MEMBERSHIP DUES WERE DESIGNATED AS UTILIZED FOR LOBBYING ACTIVITIES FOR LEGISLATION PERTINENT TO THE HEALTH CARE FIELD. THE ORGANIZATION ALSO PROVIDED A GRANT TO CALIFORNIA PRIMARY CARE ASSOCIATION ADVOCATES FOR ADVOCACY WORK IN SUPPORT OF PROPOSITION 35.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,820,000OtherCostOrOtherBasisAmt
Book Value$2,820,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,958,620OtherCostOrOtherBasisAmt
Depreciation$8,287,267DepreciationAmt
Book Value$11,671,353BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,483,996OtherCostOrOtherBasisAmt
Depreciation$2,070,125DepreciationAmt
Book Value$2,413,871BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,024,398OtherCostOrOtherBasisAmt
Depreciation$3,337,624DepreciationAmt
Book Value$1,686,774BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,153,030OtherCostOrOtherBasisAmt
Depreciation$4,307,596DepreciationAmt
Book Value$2,845,434BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,437,432TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$2,732,205
DEPOSITS$57,592
ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS$4,665,116
OPERATING LEASE RIGHT-OF-USE ASSETS$5,746,719
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,201,632TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYORS$1,645,864
OPERATING LEASE LIABILITIES$5,796,906
FieldValueIRS element (for citing)
Total Liability$7,442,770TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$84,142,658TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$110,549NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$164,038DonatedServicesAndUseFcltsAmt
Revenue Not Reported$274,587RevenueNotReportedAmt
Revenue Subtotal$83,868,071RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$83,868,071TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$76,192,130TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$164,038DonatedServicesUseFcltsAmt
Expenses Not Reported$164,038ExpensesNotReportedAmt
Expenses Subtotal$76,028,092ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$76,028,092TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2025 AND 2024, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA PRIMARY CARE ASSOCIATION ADVOCATESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11231 I STREET SUITE 400AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd
FieldValueIRS element (for citing)
Recipient EIN811326638RecipientEIN
IRC Section501(C)(4)IRCSectionDesc
Cash Grant$44,192CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantADVOCACY WORK IN SUPPORT OF PROPOSITION 35.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPROPER USE OF GRANT FUNDS IS MONITORED BY MAINTAINING A CLOSE, CONTINUOUS WORKING RELATIONSHIP WITH THE GRANTEE ORGANIZATION AND BY WITNESSING THE WORK THE GRANT FUNDS WERE INTENDED TO SUPPORT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
NURIT LICHT MD
CHIEF MEDICAL OFFICER$333,291$0$13,524$0$1,231$0$37,464$0$9,207$0$394,717$0$0$0
PEDRO TOLEDO JD MA MHSA
CHIEF EXECUTIVE OFFICER$340,534$0$0$0$780$0$34,538$0$17,211$0$393,063$0$0$0
KEN WEINSTOCK MD
DIRECTOR OF BEHAVIORAL HEALTH$326,340$0$9,859$0$2,268$0$17,541$0$14,972$0$370,980$0$0$0
REBECCA KATZ MD
MED DIR OF PRIMARY CARE/CLINICAL INT$301,453$0$6,010$0$619$0$13,790$0$29,995$0$351,867$0$0$0
SCOTT HOLMES MD
MEDICAL DIRECTOR, PRIMARY CARE$300,322$0$5,080$0$379$0$8,522$0$32,030$0$346,333$0$0$0
MOLLY JOUANEH CMA
CHIEF FINANCIAL OFFICER$277,096$0$25,385$0$395$0$35,006$0$2,479$0$340,361$0$0$0
RAMONA ENGLISH DDS
CHIEF DENTAL OFFICER$266,244$0$35,000$0$960$0$35,148$0$1,334$0$338,686$0$0$0
JONATHAN CHOE MD
FAMILY PHYSICIAN$275,383$0$13,780$0$786$0$13,216$0$4,497$0$307,662$0$0$0
KATHRYN POWELL MHA MA
FORMER CEO (THRU 6/2024)$184,457$0$52,169$0$56,673$0$7,119$0$7,233$0$307,651$0$0$0
IAN HOPPER DO
PEDIATRICIAN$270,953$0$4,110$0$206$0$7,045$0$24,045$0$306,359$0$0$0
CARLIN CHI MD
MEDICAL DIRECTOR, PRIMARY CARE$249,508$0$8,705$0$1,642$0$13,695$0$28,372$0$301,922$0$0$0
IUN-IU CHEN DO
ASSOC MED DIR, PRIMARY CARE$260,528$0$13,831$0$336$0$7,070$0$10,873$0$292,638$0$0$0
JOHN PENDLETON
FORMER KEY EE / CURRENT PHYSICIAN$225,690$0$24,546$0$804$0$13,185$0$14,859$0$279,084$0$0$0
FIONA REDWOOD MD
FORMER KEY EE / CURRENT PHYSICIAN$227,853$0$10,943$0$1,549$0$12,293$0$21,489$0$274,127$0$0$0
CHRISTINA GOMEZ-MIRA MD
ASSOC MED DIR, RURAL HEALTH SERVICES$228,541$0$8,513$0$527$0$12,361$0$1,288$0$251,230$0$0$0
SVEINN SIGURDSSON MA MS-HSM
CHIEF ADMINISTRATIVE OFFICER$201,141$0$0$0$283$0$11,170$0$24,174$0$236,768$0$0$0
KIMBERLY KELLER MBA
CHIEF OPERATIONS OFFICER$173,269$0$0$0$264$0$9,460$0$18,028$0$201,021$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521643828BondIssuerEIN
CUSIP13032UET1CUSIPNum
Bond Issued2016-09-13BondIssuedDt
Issue Price$5,955,305IssuePriceAmt
PurposeREFUND OF BONDS ORIGINALLY ISSUED 6/2/2010PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,575,000RetiredAmt
Total Proceeds$5,955,305TotalProceedsAmt
In Reserve Fund$175,271InReserveFundAmt
Issuance Costs From Proceeds$115,500IssuanceCostsFromProceedsAmt
Credit Enhancement$153,716CreditEnhancementAmt
Other Spent Proceeds$5,510,817OtherSpentProceedsAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2026ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonNORTH BAY OFFICE FURNITUREPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionENTITY IS SOLELY OWNED BY BOARD MEMBER ROBERT RAMIREZRelationshipDescriptionTxt
Transaction$2,193TransactionAmt
TransactionTHE ORGANIZATION PURCHASED OFFICE FURNITURE AT FAIR MARKET VALUE FROM NORTH BAY OFFICE FURNITURE, WHICH IS SOLELY OWNED BY BOARD MEMBER ROBERT RAMIREZ.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,234,378NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescDENTAL EQUIPMENTDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$3,164NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN SCHEDULE M, PART I, COLUMN (B).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN OUTSIDE TAX PREPARER IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING TEAM. THE CEO AND MEMBERS OF THE FINANCE AND ACCOUNTING STAFF OF THE ORGANIZATION THEN REVIEW THE FORM 990 AND, UPON APPROVAL, SUBMITS THE FORM 990 TO THE BOARD FINANCE COMMITTEE FOR REVIEW BEFORE FILING WITH THE IRS; THE FORM 990 IS ALSO MADE AVAILABLE TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CIT IS THE POLICY OF PETALUMA HEALTH CENTER THAT ALL FULL-TIME AND PART-TIME EMPLOYEES, CONTRACTORS, AND MEMBERS OF THE BOARD OF DIRECTORS AVOID CONFLICTS OF INTEREST, OR APPEARANCE OF CONFLICT, BETWEEN THEIR PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION WHEN DEALING WITH ANY INDIVIDUAL OR OUTSIDE ORGANIZATION HAVING, OR SEEKING TO HAVE, A BUSINESS RELATIONSHIP WITH PETALUMA HEALTH CENTER. ALL MEMBERS OF THE PETALUMA HEALTH CENTER BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT; ALL STAFF MEMBERS, VOLUNTEERS, AND CONTRACTORS ARE REQUIRED TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST THAT ARISES TO THE HUMAN RESOURCES DEPARTMENT WITHIN 10 BUSINESS DAYS OF LEARNING OF IT. AFTER DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST, THE CEO AFFORDS THE INTERESTED PERSON WHO MAKES THE DISCLOSURE AN OPPORTUNITY TO EXPLAIN TO THE SENIOR MANAGEMENT TEAM (FOR EMPLOYEES), OR THE EXECUTIVE COMMITTEE OF THE BOARD (FOR BOARD MEMBERS) THE FACTS AND CIRCUMSTANCES OF THE TRANSACTION OR ARRANGEMENT THAT LED TO SUCH DISCLOSURE. THE INTERESTED PERSON LEAVES THE SENIOR MANAGEMENT TEAM OR BOARD EXECUTIVE COMMITTEE MEETING WHILE THE INTEREST IS DISCUSSED AND VOTED UPON IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS AND CANNOT BE MITIGATED BY FURTHER ACTION.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING THE CHIEF EXECUTIVE OFFICER'S SALARY INCREASE INVOLVES A DISCUSSION AMONGST THE EXECUTIVE COMMITTEE OF THE BOARD, SALARY RESEARCH BY THE ORGANIZATION'S HR LEADERSHIP, AND RECOMMENDATION OF A NEW SALARY FROM THE EXECUTIVE COMMITTEE TO THE BOARD OF DIRECTORS FOR APPROVAL. THE CEO REVIEWS AND APPROVES THE COMPENSATION OF OTHER OFFICERS AND MANAGERS UTILIZING COMPARABILITY DATA.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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