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  5. PENINSULA BEHAVIORAL HEALTH

PENINSULA BEHAVIORAL HEALTH

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Company Details

Legal Name: PENINSULA BEHAVIORAL HEALTH
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 26th 1971
Expiration date: 30 Nov 2025
UBI Number: 601 141 592
FEIN Number: 91-0869129
Purpose: To provide quality comprehensive behaviorial health services to the residents of our community.
ZIP code: 98362
City: Port Angeles
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 118 E 8TH ST, PORT ANGELES, WA, 98362-6129, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $211,557

Contact Details

E-Mail: BRENDAG@PENINSULABEHAVIORAL.ORG
info@peninsulabehavioral.org
Phone Number: +1 360-457-0431

Nature of Business

EDUCATIONAL; BEHAVIORAL HEALTH SERVICES

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Registered Agent Information

Name Role Address
PENINSULA BEHAVIOR HEALTH Registered Agent 118 E 8TH ST, PORT ANGELES, WA, 98362-6129, UNITED STATES

Key Officers & Management

Name Role Address
WENDY SISK Governing Person 118 E 8TH ST, PORT ANGELES, WA, 98362-6129, UNITED STATES
WENDY SISK CHIEF EXECUTIVE OFFICER 118 E 8TH ST, PORT ANGELES, WA, 98362-6129, UNITED STATES
TOM O'DONNELL BOARD OF DIRECTORS PRESIDENT 118 E 8TH ST, PORT ANGELES, WA, 98362-6129, UNITED STATES

Unique Entity ID

Unique Entity ID:
JYATMDPPBTR8
CAGE Code:
306B8
UEI Expiration Date:
2026-01-16

Business Information

URL:
www.peninsulabehavioral.org
Division Name:
PENINSULA BEHAVIORAL HEALTH
Division Number:
00
Activation Date:
2025-01-20
Initial Registration Date:
2004-09-08

Commercial and government entity program

CAGE number:
306B8
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-20
SAM Expiration:
2026-01-16
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
BRENDA M. GILCHRIST
Corporate URL:
www.peninsulabehavioral.org

National Provider Identifier

NPI Number:
1760519060
Certification Date:
2021-03-17
Link:
View on NPI website

Authorized Person:

Name:
MR. WENDY A SISK
Role:
EXECUTIVE DIRECTOR
Phone:
3604570431

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Phone:
+1 360-457-0431
Fax:
3604570493

Form 5500 Series

Employer Identification Number (EIN):
910869129
Plan Year:
2023
Number Of Participants:
192
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
3604570431
File:
View File
Plan Administrator / Signatory:
WENDY SISK(Plan administrator)
Plan Year:
2022
Number Of Participants:
209
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
3604570431
File:
View File
Plan Administrator / Signatory:
WENDY SISK(Plan administrator)
Plan Year:
2021
Number Of Participants:
228
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
3604570431
File:
View File
Plan Administrator / Signatory:
WENDY SISK(Plan administrator)
Plan Year:
2020
Number Of Participants:
192
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
3604570431
File:
View File
Plan Administrator / Signatory:
WENDY SISK(Plan administrator) WENDY SISK(Employer/plan sponsor)
Plan Year:
2019
Number Of Participants:
174
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
3604570431
File:
View File
Plan Administrator / Signatory:
WENDY SISK(Plan administrator) WENDY SISK(Employer/plan sponsor)

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA26014J1630
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
BPA
Action Obligation:
$-13,000
Base And Exercised Options Value:
$-13,000
Base And All Options Value:
$-13,000
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-09-06
Description:
IGF::OT::IGF READJUSTMENT COUNSELING SERVICES DEOBLIGATE EXCESS FUNDING
Naics Code:
621330: OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
VA26012J1506
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
BPA
Action Obligation:
$40,000
Base And Exercised Options Value:
$40,000
Base And All Options Value:
$40,000
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-10-01
Description:
READJUSTMENT COUNSELING SERVICES
Naics Code:
621330: OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)
Product Or Service Code:
Q519: MEDICAL- PSYCHIATRY
Procurement Instrument Identifier:
VA663C21641
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
BPA
Action Obligation:
$40,000
Base And Exercised Options Value:
$40,000
Base And All Options Value:
$40,000
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2011-10-01
Description:
READJUSTMENT COUNSELING SERVICES
Naics Code:
621330: OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES

Tax Exempt

Employer Identification Number (EIN):
91-0869129
Ruling Date:
1972-01
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns

Return Type:
990
Tax Period:
202306
Link:
Download 990
Return Type:
990
Tax Period:
202206
Link:
Download 990
Return Type:
990
Tax Period:
202106
Link:
Download 990

Paycheck Protection Program

Jobs Reported:
130
Initial Approval Amount:
$750,000
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$750,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$754,047.95
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $750,000

Labor Condition Applications

Case Number:
I-200-24009-625976
Program:
H-1B
Job Title:
Mental Health Therapist
SOC (ONET/OES) code:
21-1014.00
SOC (ONET/OES) occupation title:
Mental Health Counselors
Begin Date:
2024-01-08
End Date:
2027-01-01

Employment and Wage Information

Address:
118 East 8th St., PORT ANGELES, CLALLAM, WA, 98362
Wage Rate Paid to Nonimmigrant Workers:
$72,500
Per:
Year
Prevailing Wage Rate:
$64,106

Charity/Fundraiser/Trust

Registration Number:
1103649
Type:
CHARITABLE ORGANIZATION
Status:
Active
Renewal Date:
2026-05-31

Financial History

Fiscal Begin Date:
2023-07-01
Fiscal End Date:
2024-06-30
Begin Assets:
$21,409,141.00
Revenue:
$16,795,590.00
Program Services:
$11,636,321.00
Expenses:
$16,293,501.00
End Assets:
$21,913,457.00
% To Program Services:
71%
Fiscal Begin Date:
2022-07-01
Fiscal End Date:
2023-06-30
Begin Assets:
$18,628,130.00
Revenue:
$16,306,340.00
Program Services:
$11,138,541.00
Expenses:
$15,785,376.00
End Assets:
$21,409,141.00
% To Program Services:
71%
Fiscal Begin Date:
2021-07-01
Fiscal End Date:
2022-06-30
Begin Assets:
$11,911,629.00
Revenue:
$19,238,936.00
Program Services:
$10,745,601.00
Expenses:
$15,424,469.00
End Assets:
$18,628,130.00
% To Program Services:
70%
Fiscal Begin Date:
2020-07-01
Fiscal End Date:
2021-06-30
Begin Assets:
$11,193,678.00
Revenue:
$13,708,997.00
Program Services:
$8,216,957.00
Expenses:
$12,917,334.00
End Assets:
$11,911,629.00
% To Program Services:
64%
Fiscal Begin Date:
2019-07-01
Fiscal End Date:
2020-06-30
Begin Assets:
$9,970,963.00
Revenue:
$11,382,632.00
Program Services:
$6,971,798.00
Expenses:
$10,671,352.00
End Assets:
$11,193,678.00
% To Program Services:
65%
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