2026-08-25T13:58:16-05:00 2025-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2025-01-01 223914738 POMONA COMMUNITY HEALTH CENTER POMO 9096307927 1450 EAST HOLT AVENUE POMONA CA 91767 DAVID KADAR DDS CEO 9096307927 2026-08-24 1 KURT BENNION CPA P01469618 4252506100 2026-08-24 2025 2025-03-06 01:10:19Z PARKTREE COMMUNITY HEALTH CENTER DAVID KADAR DDS 1450 EAST HOLT AVENUE POMONA CA 91767 20792920 0 X WWW.PARKTREECHC.ORG X 2005 CA TO BE THE MEDICAL HOME FOR THE UNDERSERVED IN OUR COMMUNITY BY PROVIDING HIGH QUALITY PREVENTIVE AND PRIMARY CARE HEALTH SERVICES. 9 9 186 9 0 0 4089803 4520366 11249523 15775595 0 0 585347 496959 15924673 20792920 0 0 0 0 12246645 13447575 0 0 0 4170070 5475167 16416715 18922742 -492042 1870178 9211480 9564163 9679526 8162031 -468046 1402132 POMONA 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. 0 0 16589760 0 15775595 POMONA COMMUNITY HEALTH CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF MEDICALLY UNDERSERVED COMMUNITIES. THE ORGANIZATION PROVIDES COMPREHENSIVE PRIMARY HEALTH CARE SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, CHIROPRACTIC, PODIATRY, OPTOMETRY, AND OTHER INTEGRATED PRIMARY CARE SERVICES. CONSISTENT WITH ITS CHARITABLE MISSION, THE CENTER PROVIDES SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY. FEES ARE DETERMINED BASED ON ELIGIBILITY UNDER THE ORGANIZATION'S SLIDING FEE DISCOUNT PROGRAM, AND SERVICES ARE FUNDED THROUGH A COMBINATION OF MEDI-CAL, MEDICARE, COMMERCIAL INSURANCE, GRANTS, AND PATIENT FEES. NO INDIVIDUAL IS DENIED ACCESS TO MEDICALLY NECESSARY SERVICES BECAUSE OF AN INABILITY TO PAY. 16589760 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 25 0 1 186 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X ALFONSO AGUILERA 9096307927 1450 EAST HOLT AVENUE POMONA CA 91767 RAYMOND WALIANY CMO 40.00 X 358619 0 40045 DAVID KADAR DDS CEO 40.00 X 322435 0 29730 GREG MALER PHYSICIAN 40.00 X 256821 0 21780 JING FON MOY PHYSICIAN 40.00 X 247836 0 30195 OFER HO CIO 40.00 X 251512 0 14382 RANJIT SHENOY PHYSICIAN 40.00 X 237447 0 18156 KRYSTAL DE LA ROSA PHYSICIAN 40.00 X 217151 0 27515 LORRAINE WALKER PHYSICIAN 40.00 X 202352 0 5840 ALFONSO AGUILERA CFO 40.00 X 173602 0 34286 ELVIA SANCHEZ COO 40.00 X 155416 0 22833 PEGGY SANCHEZ CHAIR 2.00 X X 0 0 0 ABIGAIL PASCUA VICE-CHAIR 2.00 X X 0 0 0 JONATHAN BERENDS TREASURER 2.00 X X 0 0 0 AVA PHILLIPS SECRETARY 2.00 X X 0 0 0 JAMES ALIG BOARD MEMBER 2.00 X 0 0 0 MICHELLE DONLEY BOARD MEMBER 2.00 X 0 0 0 GWENDOLYN KEYS BOARD MEMBER 2.00 X 0 0 0 LARISSA MATZEK BOARD MEMBER 2.00 X 0 0 0 ELVIA RIVAS BOARD MEMBER 2.00 X 0 0 0 2423191 0 244762 24 0 1 0 AWENDER CHIROPRACTIC 2342 EL CAMINO REAL SUITE 100 REDWOOD CITY CA 94063 CHIROPRACTIC SERVICES 438980 MERCHANTS BUILDING MAINTENANCE 1190 MONTEREY PASS RD MONTEREY PARK CA 91754 BUILDING MAINTENANCE SERVICES 147322 THE REDESIGN GROUP 2629 MANHATTAN AVENUE SUITE 307 HERMOSA BEACH CA 90254 I.T. INFRASTRUCTURE SERVICES 103458 ROBERT HALF PO BOX 743295 LOS ANGELES CA 90074 TEMPORARY STAFFING SERVICES 100816 4 3992515 527851 419068 4520366 PATIENT SERVICE REV. 621110 12871288 12871288 CAPITATION REVENUE 621110 2904307 2904307 15775595 MISCELLANEOUS 900099 496959 496959 496959 20792920 15775595 0 496959 1402860 1194972 207888 9824831 8519122 1305709 234276 218450 15826 1985608 1720659 264949 15836 15836 45247 45247 999596 846098 153498 270523 245139 25384 674998 596411 78587 597751 569205 28546 26754 23639 3115 22582 19953 2629 95368 95368 616175 586749 29426 96402 83539 12863 MEDICAL SUPPLIES 1388376 1388376 REPAIRS & MAINTENANCE 381424 363209 18215 DUES & SUBSCRIPTIONS 172446 152369 20077 LICENSES & PERMITS 71689 61870 9819 18922742 16589760 2332982 0 2594833 2570874 303371 1942420 2481109 297114 375329 6449040 3836060 2657337 2612980 61200 61200 1658576 1159300 9211480 9564163 5592033 4569890 2402017 2402017 1685476 1190124 9679526 8162031 X -638835 1201202 170789 200930 -468046 1402132 9211480 9564163 1870178 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3158827 1940414 1218413 3270653 1895646 1375007 19560 19560 2612980 RIGHT-OF-USE LEASE ASSETS 1159300 1159300 RIGHT-OF-USE LEASE LIABILITIES 1190124 1190124 X 20792920 0 20792920 0 20792920 18922742 0 18922742 0 18922742 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. X X 0 0 0 0 0 0 0 0 0 RAYMOND WALIANY CMO 358619 0 0 0 0 0 14000 0 26045 0 398664 0 0 0 DAVID KADAR DDS CEO 322435 0 0 0 0 0 13035 0 16695 0 352165 0 0 0 GREG MALER PHYSICIAN 256821 0 0 0 0 0 8767 0 13013 0 278601 0 0 0 JING FON MOY PHYSICIAN 247836 0 0 0 0 0 10189 0 20006 0 278031 0 0 0 OFER HO CIO 251512 0 0 0 0 0 10185 0 4197 0 265894 0 0 0 RANJIT SHENOY PHYSICIAN 237447 0 0 0 0 0 9605 0 8551 0 255603 0 0 0 KRYSTAL DE LA ROSA PHYSICIAN 217151 0 0 0 0 0 8916 0 18599 0 244666 0 0 0 LORRAINE WALKER PHYSICIAN 202352 0 0 0 0 0 5840 0 0 0 208192 0 0 0 ALFONSO AGUILERA CFO 173602 0 0 0 0 0 7200 0 27086 0 207888 0 0 0 ELVIA SANCHEZ COO 155416 0 0 0 0 0 6453 0 16380 0 178249 0 0 0 X 4458 419068 INVOICE PRICE 0 0 1 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN (B) REFERS TO THE NUMBER OF ITEMS RECEIVED. FORM 990, PART VI, SECTION A, LINE 1A THE 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 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM. THE RETURN WAS REVIEWED BY THE CONTROLLER, THE CEO, THE CFO, AND THE BOARD. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL OFFICERS AND DIRECTORS AND KEY EMPLOYEES, WITH A DIRECT OR INDIRECT CONFLICTING INTEREST, INCLUDING ANY FINANCIAL INTEREST. ALL BOARD MEMBERS, KEY MANAGEMENT AND/OR FINANCE STAFF ARE REQUIRED TO COMPLETE DISCLOSURE FORMS ANNUALLY TO COMPLY WITH THE CONFLICT OF INTEREST POLICY AND COMPLETE AN ANNUAL STATEMENT REPORTING ANY POTENTIAL CONFLICTS. IT IS THE POLICY OF PARKTREE THAT ALL INTERESTS WHICH COULD CONCEIVABLY BE CONSIDERED TO CONSTITUTE A POTENTIAL CONFLICT SHALL BE FULLY DISCLOSED BY ANY INDIVIDUAL REGARDLESS OF WHETHER A CONFLICT OF INTEREST IS DETERMINED TO EXIST. THIS DISCLOSURE SHALL TAKE PLACE FOR BOARD MEMBERS IN THE ANNUAL DISCLOSURE FORM AND BY EMPLOYEES THROUGH A CONFLICT OF INTEREST ACKNOWLEDGMENT FORM COMPLETED AT THE TIME OF HIRE. INDIVIDUALS ARE UNDER CONTINUING OBLIGATION TO REPORT ANY CONFLICTS OR POTENTIAL CONFLICTS AS THEY ARISE. FAILURE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY WILL BE INVESTIGATED BY THE COMPLIANCE OFFICER AND BROUGHT TO THE CEO AND BOARD. CONSEQUENCE FOR NON-COMPLIANCE WITH THIS POLICY CAN INCLUDE: VERBAL AND/OR WRITTEN DISCIPLINE UP TO TERMINATION FROM EMPLOYMENT OR REMOVAL FROM BOARD SERVICE. FORM 990, PART VI, SECTION B, LINE 15 THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF BOTH THE TOP MANAGEMENT OFFICIAL (CEO) AND OF OTHER OFFICERS/KEY EMPLOYEES INCLUDES REVIEW AND APPROVAL BY BOARD, USE OF COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE DELIBERATION AND DECISION. THE 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 HUMAN RESOURCES. THIS PROCESS WAS LAST COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 19 THE 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.