POMONA COMMUNITY HEALTH CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: POMONA COMMUNITY HEALTH CENTER (EIN 22-3914738)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-08-14
IRS object ID: 202302269349302985
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-14T16:50:15-05:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10700 NORTHUP WAY SUITE 200	AddressLine1Txt
City	BELLEVUE	CityNm
State Abbreviation	WA	StateAbbreviationCd
ZIP	98004	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	223914738	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	POMONA COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	POMO	BusinessNameControlTxt
Phone	9096307927	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1450 EAST HOLT AVENUE	AddressLine1Txt
City	POMONA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91767	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID KADAR DDS	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9096307927	PhoneNum
Signature	2023-08-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAVID	PersonFirstNm
Person Last	KADAR DDS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KURT BENNION CPA	PreparerPersonNm
PTIN	P01469618	PTIN
Phone	4252506100	PhoneNum
Preparation	2023-08-02	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PARKTREE COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DAVID KADAR DDS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1450 EAST HOLT AVENUE	AddressLine1Txt
City	POMONA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91767	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$14,162,102	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PARKTREECHC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2005	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO BE THE MEDICAL HOME FOR THE UNDERSERVED IN OUR COMMUNITY BY PROVIDING HIGH QUALITY PREVENTIVE AND PRIMARY CARE HEALTH SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	176	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,293,786	PYContributionsGrantsAmt
CY Contributions Grants	$5,353,019	CYContributionsGrantsAmt
PY Program Service Revenue	$7,657,623	PYProgramServiceRevenueAmt
CY Program Service Revenue	$8,797,278	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$138,322	PYOtherRevenueAmt
CY Other Revenue	$11,805	CYOtherRevenueAmt
PY Total Revenue	$13,089,731	PYTotalRevenueAmt
CY Total Revenue	$14,162,102	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$10,388,384	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$10,445,070	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,646,575	PYOtherExpensesAmt
CY Other Expenses	$3,856,438	CYOtherExpensesAmt
PY Total Expenses	$14,034,959	PYTotalExpensesAmt
CY Total Expenses	$14,301,508	CYTotalExpensesAmt
PY Revenues Less Expenses	-$945,228	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$139,406	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,919,334	TotalAssetsBOYAmt
Total Assets EOY	$9,416,200	TotalAssetsEOYAmt
Total Liabilities BOY	$7,396,336	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$9,032,608	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$522,998	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$383,592	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$10,960,801	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$8,797,278	RevenueAmt
Desc	POMONA COMMUNITY HEALTH CENTER IS A COMPREHENSIVE PRIMARY MEDICAL AND DENTAL CLINIC PROVIDING MEDICAL AND DENTAL 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	$10,960,801	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	21	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	176	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALFONSO AGUILERA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9096307927	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1450 EAST HOLT AVENUE	AddressLine1Txt
City	POMONA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91767	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DAVID KADAR DDS
CEO	40.00	Yes (X)	$255,945	$0	$16,561
RANJIT SHENOY
PHYSICIAN	40.00		$252,499	$0	$11,846	Yes (X)
OFER HO
CIO	40.00		$234,419	$0	$9,160		Yes (X)
GREG MALER
PHYSICIAN	40.00		$200,842	$0	$13,072	Yes (X)
ENRIQUE MELGOZA
CDO	40.00		$190,335	$0	$14,954		Yes (X)
LORRAINE WALKER
PHYSICIAN	26.00		$188,971	$0	$4,282	Yes (X)
NGOZI CHUKWU
CMO	40.00		$170,819	$0	$11,070		Yes (X)
ALFONSO AGUILERA
CFO	40.00	Yes (X)	$158,356	$0	$23,016
RAKHI SINHA
PHYSICIAN (THROUGH SEPTEMBER 2022)	40.00		$168,457	$0	$11,968	Yes (X)
ELANIE SENALUCK
DENTIST	40.00		$164,988	$0	$15,323	Yes (X)
CHRIS ALDWORTH
CHAIR (THROUGH MARCH 2022)	2.00	Yes (X)	$0	$0	$0			Yes (X)
PEGGY SANCHEZ
TREASURER & CHAIR	2.00	Yes (X)	$0	$0	$0			Yes (X)
FLOY BIGGS
VICE-CHAIR (THROUGH JUNE 2022)	2.00	Yes (X)	$0	$0	$0			Yes (X)
ABIGAIL PASCUA
VICE-CHAIR	2.00	Yes (X)	$0	$0	$0			Yes (X)
JONATHAN BERENDS
TREASURER	2.00	Yes (X)	$0	$0	$0			Yes (X)
AVA PHILLIPS
SECRETARY	2.00	Yes (X)	$0	$0	$0			Yes (X)
JAMES ALIG
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
SONIA BURNS
BOARD MEMBER (THROUGH MARCH 2022)	2.00		$0	$0	$0			Yes (X)
MICHELLE DONLEY
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
GWENDOLYN KEYS
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
MICHAEL NELSON
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)
ELVIA RIVAS
BOARD MEMBER	2.00		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,985,631	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$131,252	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	24	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
OHIO SHARED INFORMATION SERVICES
8790 GOVERNORS HILL DR 202	CINCINNATI	OH	45249	CLOUD-BASED SITE HOSTING	$334,208
ROBERT HALF
PO BOX 743295	LOS ANGELES	CA	90074	STAFFING SERVICES	$270,806
INSPERITY
6 POINTE DRIVE SUITE 150	BREA	CA	928216320	PROFESSIONAL EMPLOYER ORGANIZATION	$231,564
MERCHANTS BUILDING MAINTENANCE
1190 MONTEREY PASS RD	MONTEREY PARK	CA	91754	JANITORIAL SERVICES	$108,611
MERRILL AND ASSOCIATES
PO BOX 279	BREA	CA	92822	TELECOMMUNICATIONS SERVICES	$100,871

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,561,342	GovernmentGrantsAmt
All Other Contributions	$791,677	AllOtherContributionsAmt
Noncash Contributions	$228,970	NoncashContributionsAmt
Total Contributions	$5,353,019	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$8,797,278	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,797,278	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$8,797,278	TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS	Desc
Business	900099	BusinessCd
Total Revenue Column	$11,805	TotalRevenueColumnAmt
Exclusion	$11,805	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,805	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,162,102	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,797,278	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,805	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,084,635	TotalAmt
Program Services	$903,263	ProgramServicesAmt
Management And General	$181,372	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$7,436,267	TotalAmt
Program Services	$5,391,799	ProgramServicesAmt
Management And General	$2,044,468	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$77,956	TotalAmt
Program Services	$62,112	ProgramServicesAmt
Management And General	$15,844	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	-$273	TotalAmt
Program Services	-$1,170	ProgramServicesAmt
Management And General	$897	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,846,485	TotalAmt
Program Services	$1,364,929	ProgramServicesAmt
Management And General	$481,556	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$41,055	TotalAmt
Management And General	$41,055	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$554,433	TotalAmt
Program Services	$257,725	ProgramServicesAmt
Management And General	$296,708	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$164,443	TotalAmt
Program Services	$126,899	ProgramServicesAmt
Management And General	$37,544	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$505,859	TotalAmt
Program Services	$388,981	ProgramServicesAmt
Management And General	$116,878	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$580,812	TotalAmt
Program Services	$548,867	ProgramServicesAmt
Management And General	$31,945	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$15,599	TotalAmt
Program Services	$11,995	ProgramServicesAmt
Management And General	$3,604	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$20,282	TotalAmt
Program Services	$15,596	ProgramServicesAmt
Management And General	$4,686	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$33,607	TotalAmt
Program Services	$33,607	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$511,732	TotalAmt
Program Services	$483,587	ProgramServicesAmt
Management And General	$28,145	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$62,018	TotalAmt
Program Services	$48,073	ProgramServicesAmt
Management And General	$13,945	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$891,653	$891,653
REPAIRS AND MAINTENANCE	$245,147	$231,664	$13,483
BAD DEBT EXPENSE	$104,223	$104,223
LICENSES & PERMITS	$70,451	$54,610	$15,841

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,124	TotalAmt
Program Services	$42,388	ProgramServicesAmt
Management And General	$12,736	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,301,508	TotalAmt
Program Services	$10,960,801	ProgramServicesAmt
Management And General	$3,340,707	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,023,633	BOYAmt
EOY	$4,651,194	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$715,219	BOYAmt
EOY	$744,516	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$113,916	BOYAmt
EOY	$264,446	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,088,165	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,393,321	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,005,366	BOYAmt
EOY	$3,694,844	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$61,200	BOYAmt
EOY	$61,200	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,919,334	BOYAmt
EOY	$9,416,200	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,700,584	BOYAmt
EOY	$5,531,077	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$187,227	BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$1,099,514	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$2,402,017	BOYAmt
EOY	$2,402,017	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$106,508	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,396,336	BOYAmt
EOY	$9,032,608	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$227,974	BOYAmt
EOY	$192,110	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$295,024	BOYAmt
EOY	$191,482	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$522,998	BOYAmt
EOY	$383,592	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,919,334	BOYAmt
EOY	$9,416,200	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$139,406	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,158,827	OtherCostOrOtherBasisAmt
Depreciation	$1,485,824	DepreciationAmt
Book Value	$1,673,003	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,929,317	OtherCostOrOtherBasisAmt
Depreciation	$907,497	DepreciationAmt
Book Value	$1,021,820	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,000,021	OtherCostOrOtherBasisAmt
Book Value	$1,000,021	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,694,844	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$13,743,002	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$13,743,002	RevenueSubtotalAmt
Other Revenues Not Included	$419,100	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$419,100	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$14,162,102	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$14,197,285	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$14,197,285	ExpensesSubtotalAmt
Other Expenses Not Included	$104,223	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$104,223	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$14,301,508	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 TAXEXEMPT 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 191,482. CAPITAL GRANTS AND CONTRIBUTIONS 123,395. BAD DEBT EXPENSE 104,223.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 104,223.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID KADAR DDS
CEO	$255,945	$0	$0	$0	$0	$0	$11,387	$0	$5,174	$0	$272,506	$0	$0	$0
RANJIT SHENOY
PHYSICIAN	$252,499	$0	$0	$0	$0	$0	$6,796	$0	$5,050	$0	$264,345	$0	$0	$0
OFER HO
CIO	$234,419	$0	$0	$0	$0	$0	$8,431	$0	$729	$0	$243,579	$0	$0	$0
GREG MALER
PHYSICIAN	$200,842	$0	$0	$0	$0	$0	$11,187	$0	$1,885	$0	$213,914	$0	$0	$0
ENRIQUE MELGOZA
CDO	$190,335	$0	$0	$0	$0	$0	$11,147	$0	$3,807	$0	$205,289	$0	$0	$0
LORRAINE WALKER
PHYSICIAN	$188,971	$0	$0	$0	$0	$0	$502	$0	$3,780	$0	$193,253	$0	$0	$0
NGOZI CHUKWU
CMO	$170,819	$0	$0	$0	$0	$0	$7,591	$0	$3,479	$0	$181,889	$0	$0	$0
ALFONSO AGUILERA
CFO	$158,356	$0	$0	$0	$0	$0	$19,673	$0	$3,343	$0	$181,372	$0	$0	$0
RAKHI SINHA
PHYSICIAN (THROUGH SEPTEMBER 2022)	$168,457	$0	$0	$0	$0	$0	$8,525	$0	$3,443	$0	$180,425	$0	$0	$0
ELANIE SENALUCK
DENTIST	$164,988	$0	$0	$0	$0	$0	$11,864	$0	$3,459	$0	$180,311	$0	$0	$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	42	ContributionCnt
Noncash Contributions Rpt F990	$228,970	NoncashContributionsRptF990Amt
Method Of Determining Revenues	INVOICE PRICE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 REVIEWED BY THE CEO, CFO AND THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD 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 15	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 H.R. THIS PROCESS WAS LAST COMPLETED IN 2022.
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.