POMONA COMMUNITY HEALTH CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
POMONA COMMUNITY HEALTH CENTER (EIN 22-3914738)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-09-30
IRS object ID
202442749349301189
Schema version
2023v5.1
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)
Return2024-09-30T13:57:00-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223914738EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POMONA COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPOMOBusinessNameControlTxt
Phone9096307927PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 EAST HOLT AVENUEAddressLine1Txt
CityPOMONACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91767ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID KADAR DDSPersonNm
Person TitleCEOPersonTitleTxt
Phone9096307927PhoneNum
Signature2024-09-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2024-09-30PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PARKTREE COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDAVID KADAR DDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 EAST HOLT AVENUEAddressLine1Txt
CityPOMONACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91767ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,693,283GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PARKTREECHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO BE THE MEDICAL HOME FOR THE UNDERSERVED IN OUR COMMUNITY BY PROVIDING HIGH QUALITY PREVENTIVE AND PRIMARY CARE HEALTH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee177TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,353,019PYContributionsGrantsAmt
CY Contributions Grants$5,267,064CYContributionsGrantsAmt
PY Program Service Revenue$8,797,278PYProgramServiceRevenueAmt
CY Program Service Revenue$10,100,867CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income-$10,038CYInvestmentIncomeAmt
PY Other Revenue$11,805PYOtherRevenueAmt
CY Other Revenue$325,352CYOtherRevenueAmt
PY Total Revenue$14,162,102PYTotalRevenueAmt
CY Total Revenue$15,683,245CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,445,070PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,635,981CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,856,438PYOtherExpensesAmt
CY Other Expenses$4,406,860CYOtherExpensesAmt
PY Total Expenses$14,301,508PYTotalExpensesAmt
CY Total Expenses$16,042,841CYTotalExpensesAmt
PY Revenues Less Expenses-$139,406PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$359,596CYRevenuesLessExpensesAmt
Total Assets BOY$9,416,200TotalAssetsBOYAmt
Total Assets EOY$9,966,051TotalAssetsEOYAmt
Total Liabilities BOY$9,032,608TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,942,055TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$383,592NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,996NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPOMONA COMMUNITY HEALTH CENTER'S MISSION IS TO BE THE MEDICAL HOME FOR THE UNDERSERVED IN OUR COMMUNITY BY PROVIDING HIGH QUALITY PREVENTIVE AND PRIMARY CARE HEALTH SERVICES.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,330,305ExpenseAmt
Grant$0GrantAmt
Revenue$10,100,867RevenueAmt
DescPOMONA COMMUNITY HEALTH CENTER IS A COMPREHENSIVE MEDICAL CLINIC PROVIDING MEDICAL, DENTAL, BEHAVIORAL HEALTH AND CHIROPRACTIC SERVICES AND MEDICINE AT NO OR LOW COST TO LOW INCOME INDIVIDUALS AND FAMILIES (NO COST, LOW FEE OR MEDI-CAL / MEDI-CARE ACCEPTED BASED ON INCOME).Desc
Total Program Service Expenses$12,330,305TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 Ent0BusinessRlnWith35CtrlEntInd
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 Document27IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee177EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
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

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALFONSO AGUILERABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9096307927PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 EAST HOLT AVENUEAddressLine1Txt
CityPOMONACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91767ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DAVID KADAR DDS
CEO40.00Yes (X)$301,755$0$17,876
NGOZI CHUKWU
CMO40.00$278,425$0$17,965Yes (X)
RANJIT SHENOY
PHYSICIAN40.00$277,505$0$12,239Yes (X)
OFER HO
CIO40.00$246,502$0$6,007Yes (X)
GREG MALER
PHYSICIAN40.00$229,176$0$16,201Yes (X)
ENRIQUE MELGOZA
CDO40.00$198,616$0$15,527Yes (X)
LORRAINE WALKER
PHYSICIAN26.00$196,602$0$3,932Yes (X)
MARINA MARKOVA
DENTIST40.00$169,911$0$9,960Yes (X)
ELAINE SENALUCK
DENTIST40.00$169,323$0$15,713Yes (X)
ALFONSO AGUILERA
CFO40.00Yes (X)$169,259$0$19,403
ELVIA SANCHEZ
COO40.00$150,860$0$12,890Yes (X)
PEGGY SANCHEZ
CHAIR2.00Yes (X)$0$0$0Yes (X)
ABIGAIL PASCUA
VICE-CHAIR2.00Yes (X)$0$0$0Yes (X)
JONATHAN BERENDS
TREASURER2.00Yes (X)$0$0$0Yes (X)
AVA PHILLIPS
SECRETARY2.00Yes (X)$0$0$0Yes (X)
JAMES ALIG
BOARD MEMBER2.00$0$0$0Yes (X)
MICHELLE DONLEY
BOARD MEMBER2.00$0$0$0Yes (X)
GWENDOLYN KEYS
BOARD MEMBER2.00$0$0$0Yes (X)
MICHAEL NELSON
BOARD MEMBER2.00$0$0$0Yes (X)
ELVIA RIVAS
BOARD MEMBER2.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,387,934TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$147,713TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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
CT COACHWORKS LLC
9700 INDIANA AVENUERIVERSIDECA92503AUTOMOBILE MODIFICATION$299,922
PJ HILTON & CO
457 W ALLEN AVENUE SUITE 106SAN DIMASCA91773CONSULTING$129,758
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$4,508,735GovernmentGrantsAmt
All Other Contributions$758,329AllOtherContributionsAmt
Noncash Contributions$390,750NoncashContributionsAmt
Total Contributions$5,267,064TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621110BusinessCd
Total Revenue Column$10,100,867TotalRevenueColumnAmt
Related Or Exempt Func Income$10,100,867RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,100,867TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$10,038OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$10,038OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$10,038TotalRevenueColumnAmt
Exclusion-$10,038ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$325,352TotalRevenueColumnAmt
Exclusion$325,352ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$325,352OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,683,245TotalRevenueColumnAmt
Related Or Exempt Func Income$10,100,867RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$315,314ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,435,085TotalAmt
Program Services$1,246,423ProgramServicesAmt
Management And General$188,662ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,008,647TotalAmt
Program Services$5,738,579ProgramServicesAmt
Management And General$2,270,068ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$92,864TotalAmt
Program Services$64,670ProgramServicesAmt
Management And General$28,194ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,099,385TotalAmt
Program Services$1,551,942ProgramServicesAmt
Management And General$547,443ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,492TotalAmt
Management And General$31,492ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$52,208TotalAmt
Management And General$52,208ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$591,844TotalAmt
Program Services$306,984ProgramServicesAmt
Management And General$284,860ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$181,679TotalAmt
Program Services$140,035ProgramServicesAmt
Management And General$41,644ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$566,844TotalAmt
Program Services$434,953ProgramServicesAmt
Management And General$131,891ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$566,821TotalAmt
Program Services$535,646ProgramServicesAmt
Management And General$31,175ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$33,029TotalAmt
Program Services$25,344ProgramServicesAmt
Management And General$7,685ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34,916TotalAmt
Program Services$26,792ProgramServicesAmt
Management And General$8,124ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,882TotalAmt
Program Services$32,882ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$440,193TotalAmt
Program Services$418,616ProgramServicesAmt
Management And General$21,577ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$69,726TotalAmt
Program Services$54,048ProgramServicesAmt
Management And General$15,678ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,339,584$1,339,584
REPAIRS AND MAINTENANCE$315,250$297,911$17,339
DUES & SUBSCRIPTIONS$86,841$66,635$20,206
LICENSES & PERMITS$63,551$49,261$14,290

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,042,841TotalAmt
Program Services$12,330,305ProgramServicesAmt
Management And General$3,712,536ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,651,194BOYAmt
EOY$4,516,484EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$744,516BOYAmt
EOY$1,700,375EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$264,446BOYAmt
EOY$257,215EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,484,948LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,744,713LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,694,823BOYAmt
EOY$2,740,235EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$61,200BOYAmt
EOY$61,200EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,000,021BOYAmt
EOY$690,542EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,416,200BOYAmt
EOY$9,966,051EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,531,077BOYAmt
EOY$6,760,988EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$2,136EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,402,017BOYAmt
EOY$2,402,017EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,099,514BOYAmt
EOY$776,914EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,032,608BOYAmt
EOY$9,942,055EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$192,110BOYAmt
EOY-$293,467EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$191,482BOYAmt
EOY$317,463EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$383,592BOYAmt
EOY$23,996EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,416,200BOYAmt
EOY$9,966,051EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$359,596ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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)
HospitalYes (X)HospitalInd

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 D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,158,827OtherCostOrOtherBasisAmt
Depreciation$1,723,888DepreciationAmt
Book Value$1,434,939BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,870,546OtherCostOrOtherBasisAmt
Depreciation$1,020,825DepreciationAmt
Book Value$849,721BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$455,575OtherCostOrOtherBasisAmt
Book Value$455,575BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,740,235TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRIGHT-OF-USE LEASE ASSETSDesc
Book Value$690,542BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$690,542TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRIGHT-OF-USE LEASE LIABILITIESDesc
Amt$776,914Amt
FieldValueIRS element (for citing)
Total Liability$776,914TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,933,323TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$14,933,323RevenueSubtotalAmt
Other Revenues Not Included$749,922OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$749,922RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,683,245TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,042,841TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$16,042,841ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,042,841TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:PCHC IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC AND BY THE CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D. PCHC'S REVENUE COMES FROM PROVIDING OUTPATIENT PRIMARY MEDICAL CARE TO LOW-INCOME UNINSURED MEMBERS OF THE COMMUNITY AND IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. PCHC HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED ARE RELATED TO PCHC'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. PCHC FILES INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION, AND THE STATE OF CALIFORNIA. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA STATE PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS WITH DONOR RESTRICTIONS 450,000. CAPITAL GRANTS AND CONTRIBUTIONS 299,922.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (11 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
DAVID KADAR DDS
CEO$301,755$0$0$0$0$0$6,096$0$11,780$0$319,631$0$0$0
NGOZI CHUKWU
CMO$278,425$0$0$0$0$0$5,681$0$12,284$0$296,390$0$0$0
RANJIT SHENOY
PHYSICIAN$277,505$0$0$0$0$0$5,550$0$6,689$0$289,744$0$0$0
OFER HO
CIO$246,502$0$0$0$0$0$4,930$0$1,077$0$252,509$0$0$0
GREG MALER
PHYSICIAN$229,176$0$0$0$0$0$4,584$0$11,617$0$245,377$0$0$0
ENRIQUE MELGOZA
CDO$198,616$0$0$0$0$0$3,972$0$11,555$0$214,143$0$0$0
LORRAINE WALKER
PHYSICIAN$196,602$0$0$0$0$0$3,932$0$0$0$200,534$0$0$0
MARINA MARKOVA
DENTIST$169,911$0$0$0$0$0$3,422$0$6,538$0$179,871$0$0$0
ELAINE SENALUCK
DENTIST$169,323$0$0$0$0$0$3,560$0$12,153$0$185,036$0$0$0
ALFONSO AGUILERA
CFO$169,259$0$0$0$0$0$3,491$0$15,912$0$188,662$0$0$0
ELVIA SANCHEZ
COO$150,860$0$0$0$0$0$3,131$0$9,759$0$163,750$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution32ContributionCnt
Noncash Contributions Rpt F990$390,750NoncashContributionsRptF990Amt
Method Of Determining RevenuesINVOICE PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2DURING 2023, POMONA COMMUNITY HEALTH CENTER ADDED CHIROPRACTIC SERVICES AT OUR 1450 E HOLT AVENUE LOCATION.
FORM 990, PART VI, SECTION A, LINE 1ATHE OFFICERS OF THE BOARD CONSTITUTE AN EXECUTIVE COMMITTEE. THE BOARD OF DIRECTORS MAY DELEGATE TO THE EXECUTIVE COMMITTEE ANY OF THE BOARD'S POWERS AND AUTHORITY IN THE MANAGEMENT OF THE ORGANIZATION'S BUSINESS AND AFFAIRS BETWEEN MEETINGS OF THE BOARD, EXCEPT THE POWER TO ADOPT, AMEND OR REPEAL THE BYLAWS. THE FINANCE COMMITTEE AND AUDIT COMMITTEE HAVE ALSO BEEN DELEGATED CERTAIN AUTHORITY TO ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS REVIEWED BY THE CEO, CFO AND THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND ALL EMPLOYEES ARE COVERED AND SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. DETERMINATIONS AND RESTRICTIONS ARE ASSESSED ON A CASE BY CASE SCENARIO. ALL FORMS WILL BE AVAILABLE FOR REVIEW UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD ANNUALLY APPROVES A SALARY SCALE FOR ALL POSITIONS IN THE ORGANIZATION. THE SALARY SCALE IS PREPARED USING THE CALIFORNIA PRIMARY CARE ASSOCIATION'S SALARY SCALE. THE BOARD REVIEWS AND APPROVES THE CEO'S COMPENSATION. THE CEO REVIEWS AND APPROVES OTHER EXECUTIVES' COMPENSATION IN CONJUNCTION WITH H.R. THIS PROCESS WAS LAST COMPLETED IN 2023.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART XII, LINE 2C:THE RESPONSIBILITY FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.