2023-08-14T16:50:15-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-01-01 223914738 POMONA COMMUNITY HEALTH CENTER POMO 9096307927 1450 EAST HOLT AVENUE POMONA CA 91767 DAVID KADAR DDS CEO 9096307927 2023-08-14 1 DAVID KADAR DDS 999009999 0 KURT BENNION CPA P01469618 4252506100 2023-08-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X PARKTREE COMMUNITY HEALTH CENTER DAVID KADAR DDS 1450 EAST HOLT AVENUE POMONA CA 91767 14162102 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 9 176 12 0 0 5293786 5353019 7657623 8797278 0 0 138322 11805 13089731 14162102 0 0 0 0 10388384 10445070 0 0 0 3646575 3856438 14034959 14301508 -945228 -139406 7919334 9416200 7396336 9032608 522998 383592 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 10960801 0 8797278 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). 10960801 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 21 0 176 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 DAVID KADAR DDS CEO 40.00 X 255945 0 16561 RANJIT SHENOY PHYSICIAN 40.00 X 252499 0 11846 OFER HO CIO 40.00 X 234419 0 9160 GREG MALER PHYSICIAN 40.00 X 200842 0 13072 ENRIQUE MELGOZA CDO 40.00 X 190335 0 14954 LORRAINE WALKER PHYSICIAN 26.00 X 188971 0 4282 NGOZI CHUKWU CMO 40.00 X 170819 0 11070 ALFONSO AGUILERA CFO 40.00 X 158356 0 23016 RAKHI SINHA PHYSICIAN (THROUGH SEPTEMBER 2022) 40.00 X 168457 0 11968 ELANIE SENALUCK DENTIST 40.00 X 164988 0 15323 CHRIS ALDWORTH CHAIR (THROUGH MARCH 2022) 2.00 X X 0 0 0 PEGGY SANCHEZ TREASURER & CHAIR 2.00 X X 0 0 0 FLOY BIGGS VICE-CHAIR (THROUGH JUNE 2022) 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 SONIA BURNS BOARD MEMBER (THROUGH MARCH 2022) 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 MICHAEL NELSON BOARD MEMBER 2.00 X 0 0 0 ELVIA RIVAS BOARD MEMBER 2.00 X 0 0 0 1985631 0 131252 24 0 1 0 OHIO SHARED INFORMATION SERVICES 8790 GOVERNORS HILL DR 202 CINCINNATI OH 45249 CLOUD-BASED SITE HOSTING 334208 ROBERT HALF PO BOX 743295 LOS ANGELES CA 90074 STAFFING SERVICES 270806 INSPERITY 6 POINTE DRIVE SUITE 150 BREA CA 928216320 PROFESSIONAL EMPLOYER ORGANIZATION 231564 MERCHANTS BUILDING MAINTENANCE 1190 MONTEREY PASS RD MONTEREY PARK CA 91754 JANITORIAL SERVICES 108611 MERRILL AND ASSOCIATES PO BOX 279 BREA CA 92822 TELECOMMUNICATIONS SERVICES 100871 5 4561342 791677 228970 5353019 PATIENT REVENUE 621110 8797278 8797278 8797278 MISCELLANEOUS 900099 11805 11805 11805 14162102 8797278 0 11805 1084635 903263 181372 7436267 5391799 2044468 77956 62112 15844 -273 -1170 897 1846485 1364929 481556 41055 41055 554433 257725 296708 164443 126899 37544 505859 388981 116878 580812 548867 31945 15599 11995 3604 20282 15596 4686 33607 33607 511732 483587 28145 62018 48073 13945 MEDICAL SUPPLIES 891653 891653 REPAIRS AND MAINTENANCE 245147 231664 13483 BAD DEBT EXPENSE 104223 104223 LICENSES & PERMITS 70451 54610 15841 55124 42388 12736 14301508 10960801 3340707 0 4023633 4651194 715219 744516 113916 264446 6088165 2393321 3005366 3694844 61200 61200 7919334 9416200 4700584 5531077 187227 1099514 2402017 2402017 106508 0 7396336 9032608 X 227974 192110 295024 191482 522998 383592 7919334 9416200 -139406 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3158827 1485824 1673003 1929317 907497 1021820 1000021 1000021 3694844 X 13743002 0 13743002 419100 419100 14162102 14197285 0 14197285 104223 104223 14301508 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. X X 0 0 0 0 0 0 0 0 0 DAVID KADAR DDS CEO 255945 0 0 0 0 0 11387 0 5174 0 272506 0 0 0 RANJIT SHENOY PHYSICIAN 252499 0 0 0 0 0 6796 0 5050 0 264345 0 0 0 OFER HO CIO 234419 0 0 0 0 0 8431 0 729 0 243579 0 0 0 GREG MALER PHYSICIAN 200842 0 0 0 0 0 11187 0 1885 0 213914 0 0 0 ENRIQUE MELGOZA CDO 190335 0 0 0 0 0 11147 0 3807 0 205289 0 0 0 LORRAINE WALKER PHYSICIAN 188971 0 0 0 0 0 502 0 3780 0 193253 0 0 0 NGOZI CHUKWU CMO 170819 0 0 0 0 0 7591 0 3479 0 181889 0 0 0 ALFONSO AGUILERA CFO 158356 0 0 0 0 0 19673 0 3343 0 181372 0 0 0 RAKHI SINHA PHYSICIAN (THROUGH SEPTEMBER 2022) 168457 0 0 0 0 0 8525 0 3443 0 180425 0 0 0 ELANIE SENALUCK DENTIST 164988 0 0 0 0 0 11864 0 3459 0 180311 0 0 0 X 42 228970 INVOICE PRICE 0 0 1 0 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.