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  5. PENINSULA COMMUNITY HEALTH SERVICES

PENINSULA COMMUNITY HEALTH SERVICES

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Company Details

Legal Name: PENINSULA COMMUNITY HEALTH SERVICES
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 11th 1987
Expiration date: 30 Sep 2025
UBI Number: 601 045 332
FEIN Number: 94-3079770
Purpose: PENINSULA COMMUNITY HEALTH SERVICES EXEMPLIFIES A CULTURE OF COMMUNITY SERVICE.
ZIP code: 98337
City: Bremerton
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 400 WARREN AVE STE 200, BREMERTON, WA, 98337-1467, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 960, BREMERTON, WA, 98337, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $3,292,028

Contact Details

E-Mail: HREYNOLDS@PCHSWEB.ORG
ACCOUNTING@PCHSWEB.ORG
Phone Number: +1 360-475-6750

Nature of Business

HEALTH CARE

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Registered Agent Information

Name Role Address
HEATHER JACOBOVITCH Registered Agent 400 WARREN AVE STE 200, BREMERTON, WA, 98337-1467, UNITED STATES

Key Officers & Management

Name Role Address
JENNIFER KREIDLER-MOSS Governing Person -
BRYNN FELIX Governing Person -
HEATHER JACOBOVITCH Governing Person -
JENNIFER KREIDLER-MOSS CEO PO BOX 960, BREMERTON, WA, 98337-0212, UNITED STATES
HEATHER JACOBOVITCH CFO 400 WARREN AVE, SUITE 200, BREMERTON, WA, 98337-1467, UNITED STATES

Unique Entity ID

Unique Entity ID:
NNZ8MACLJHC3
CAGE Code:
4BLR1
UEI Expiration Date:
2025-10-10

Business Information

URL:
http://www.pchsweb.org
Activation Date:
2024-10-14
Initial Registration Date:
2006-02-28

Commercial and government entity program

CAGE number:
4BLR1
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-14
SAM Expiration:
2025-10-10
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
JENNIFER KREIDLER-MOSS
Corporate URL:
http://www.pchsweb.org

National Provider Identifier

NPI Number:
1699573634
Certification Date:
2025-03-04
Link:
View on NPI website

Authorized Person:

Name:
MR. BRUCE BRAZIER
Role:
ADMINISTRATIVE SERVICES DIRECTOR
Phone:
3604756715

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Phone:
+1 360-377-3776

Form 5500 Series

Employer Identification Number (EIN):
943079770
Plan Year:
2023
Number Of Participants:
337
Sponsor's telephone number:
3604756710
File:
View File
Plan Administrator / Signatory:
HEATHER JACOBOVITCH(Plan administrator) HEATHER JACOBOVITCH(Employer/plan sponsor)
Plan Year:
2022
Number Of Participants:
292
Sponsor's telephone number:
3604756710
File:
View File
Plan Administrator / Signatory:
JOEL EMERY(Plan administrator) JOEL EMERY(Employer/plan sponsor) JOEL EMERY(DFE)
Plan Year:
2021
Number Of Participants:
248
Sponsor's telephone number:
3604756710
File:
View File
Plan Administrator / Signatory:
JOEL EMERY(Plan administrator) JOEL EMERY(Employer/plan sponsor) JOEL EMERY(DFE)
Plan Year:
2020
Number Of Participants:
168
Sponsor's telephone number:
3604756710
File:
View File
Plan Year:
2019
Number Of Participants:
146
Sponsor's telephone number:
3604782366
File:
View File
Plan Administrator / Signatory:
JOEL EMERY(Plan administrator) JOEL EMERY(Employer/plan sponsor)

Tax Exempt

Employer Identification Number (EIN):
94-3079770
Ruling Date:
1993-05
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:
202112
Link:
Download 990
Return Type:
990
Tax Period:
202112
Link:
Download 990
Return Type:
990
Tax Period:
202012
Link:
Download 990

Paycheck Protection Program

Jobs Reported:
269
Initial Approval Amount:
$3,713,417.27
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,713,417.27
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$3,754,519.2
Servicing Lender:
Kitsap CU
Use of Proceeds:
Payroll: $3,713,417.27

Facilities

FRS ID:
110050634756
Facility Address:
GRAYS HARBOR, WA
Link:
View a detailed facility report on Enforcement and Compliance History (ECHO)

Labor Condition Applications

Case Number:
I-200-24086-830685
Program:
H-1B
Job Title:
Psychiatrist
SOC (ONET/OES) code:
29-1223.00
SOC (ONET/OES) occupation title:
Psychiatrists
Begin Date:
2024-09-25
End Date:
2027-09-24

Employment and Wage Information

Address:
616 6th St., Bremerton, KITSAP, WA, 98337
Wage Rate Paid to Nonimmigrant Workers:
$260,000
Per:
Year
Prevailing Wage Rate:
$65,915
Case Number:
I-200-23195-190334
Program:
H-1B
Job Title:
Psychiatrist
SOC (ONET/OES) code:
29-1223.00
SOC (ONET/OES) occupation title:
Psychiatrists
Begin Date:
2023-08-15
End Date:
2026-08-14

Employment and Wage Information

Address:
616 6th St., Bremerton, KITSAP, WA, 98337
Wage Rate Paid to Nonimmigrant Workers:
$260,000
Per:
Year
Prevailing Wage Rate:
$65,915
Case Number:
I-200-22201-365216
Program:
H-1B
Job Title:
Family Practice Physician
SOC (ONET/OES) code:
29-1215.00
SOC (ONET/OES) occupation title:
Family Medicine Physicians
Begin Date:
2022-08-01
End Date:
2025-07-31

Employment and Wage Information

Address:
11901 137th Ave Ct NW, Ste A, Gig Harbor, KITSAP, WA, 98329-6617
Wage Rate Paid to Nonimmigrant Workers:
$205,000
Per:
Year
Prevailing Wage Rate:
$132,205
Case Number:
I-200-20121-532128
Program:
H-1B
Job Title:
Family Practice physician
SOC (ONET/OES) code:
29-1062.00
SOC (ONET/OES) occupation title:
Family and General Practitioners
Begin Date:
2020-09-11
End Date:
2023-09-10

Employment and Wage Information

Address:
320 S Kitsap Blvd, Port Orchard, KITSAP, WA, 98366
Wage Rate Paid to Nonimmigrant Workers:
$180,000
Per:
Year
Prevailing Wage Rate:
$149,448
Case Number:
I-200-19073-253064
Program:
H-1B
Job Title:
FAMILY MEDICINE PHYSICIAN
SOC (ONET/OES) code:
29-1062
SOC (ONET/OES) occupation title:
FAMILY AND GENERAL PRACTITIONERS
Begin Date:
2019-07-01
End Date:
2022-06-30

Employment and Wage Information

Address:
2508 Wheaton Way, Bremerton, Kitsap, WASHINGTON, 98310
Wage Rate Paid to Nonimmigrant Workers:
$180,000
Per:
Year
Prevailing Wage Rate:
$134,187

Charity/Fundraiser/Trust

Registration Number:
1102499
Type:
CHARITABLE ORGANIZATION
Status:
Active
Renewal Date:
2025-11-30

Financial History

Fiscal Begin Date:
2023-01-01
Fiscal End Date:
2023-12-31
Begin Assets:
$67,585,228.00
Revenue:
$56,914,073.00
Program Services:
$44,126,164.00
Expenses:
$54,399,447.00
End Assets:
$70,099,854.00
% To Program Services:
81%
Fiscal Begin Date:
2022-01-01
Fiscal End Date:
2022-12-31
Begin Assets:
$65,223,571.00
Revenue:
$46,982,852.00
Program Services:
$36,348,104.00
Expenses:
$44,621,195.00
End Assets:
$67,585,228.00
% To Program Services:
81%
Fiscal Begin Date:
2021-01-01
Fiscal End Date:
2021-12-31
Begin Assets:
$52,071,400.00
Revenue:
$58,328,969.00
Program Services:
$33,034,764.00
Expenses:
$41,788,032.00
End Assets:
$65,223,571.00
% To Program Services:
79%
Fiscal Begin Date:
2020-01-01
Fiscal End Date:
2020-12-31
Begin Assets:
$38,636,440.00
Revenue:
$41,919,858.00
Program Services:
$28,556,743.00
Expenses:
$35,292,961.00
End Assets:
$52,071,400.00
% To Program Services:
81%
Fiscal Begin Date:
2019-01-01
Fiscal End Date:
2019-12-31
Begin Assets:
$34,693,512.00
Revenue:
$38,495,462.00
Program Services:
$27,225,727.00
Expenses:
$33,875,848.00
End Assets:
$38,636,440.00
% To Program Services:
80%

Related by address

400 WARREN AVE STE 200, BREMERTON, WA, 98337-1467, UNITED STATES

PENINSULA COMMUNITY HEALTH SERVICES FOUNDATION
WA NONPROFIT CORPORATION - Active
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