2022-10-06T11:37:52-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-01-01 223914738 POMONA COMMUNITY HEALTH CENTER POMO 9096307927 1450 HOLT AVENUE POMONA CA 91767 DAVID KADAR CEO 9096307927 2022-09-26 1 DAVID KADAR 999009999 KURT BENNION CPA P01469618 4252506100 2022-09-26 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z PARKTREE COMMUNITY HEALTH CENTER DAVID KADAR 1450 HOLT AVENUE POMONA CA 91767 13089731 0 X WWW.PARKTREECHC.ORG X 2005 CA TO PROVIDE PREVENTIVE AND PRIMARY CARE SERVICES TO THE NEEDY IN THE COMMUNITY. 9 9 169 9 0 0 6765205 5293786 7898633 7657623 0 0 27444 138322 14691282 13089731 0 0 0 0 10072924 10388384 0 0 0 4006205 3646575 14079129 14034959 612153 -945228 8366631 7919334 6898405 7396336 1468226 522998 POMONA COMMUNITY HEALTH CENTER'S MISSION IS TO SERVE THE MEDICALLY UNDERSERVED AREA (MUA) PROVIDING A SAFETY NET OF MEDICAL AND DENTAL CARE REGARDLESS OF THE PATIENTS' ABILITY TO PAY. 0 0 10974112 0 7657623 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). 10974112 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 23 0 169 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 HOLT AVENUE POMONA CA 91767 RANJIT SHENOY PHYSICIAN 40.00 X 244885 0 11296 DAVID KADAR CEO 40.00 X 235440 0 15440 RAKHI SINHA PHYSICIAN 40.00 X 224718 0 15795 NGOZI CHUKWU CMO 40.00 X 202897 0 11458 ENRIQUE MELGOZA CDO 40.00 X 184226 0 13932 DIANNE QUINTANA PHYSICIAN 40.00 X 175201 0 21681 LORRAINE WALKER PHYSICIAN 40.00 X 163150 0 3727 ALFONSO AGUILERA CFO 40.00 X 152811 0 22588 MARINA MARKOVA DENTIST 40.00 X 160724 0 9429 ELVIA SANCHEZ COO 40.00 X 110539 0 11154 CHRIS ALDWORTH CHAIR 2.00 X X 0 0 0 FLOY BIGGS VICE-CHAIR 2.00 X X 0 0 0 AVA PHILLIPS SECRETARY 2.00 X X 0 0 0 PEGGY SANCHEZ TREASURER 2.00 X X 0 0 0 JAMES ALIG BOARD MEMBER 2.00 X 0 0 0 SONIA BURNS 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 1854591 0 136500 24 0 1 0 OHIO SHARED INFORMATION SERVICES 8790 GOVERNORS HILL DR 202 CINCINNATI OH 45249 CLOUD-BASED SITE HOSTING 275638 INSPERITY 6 POINTE DRIVE SUITE 150 BREA CA 928216320 PROFESSIONAL EMPLOYER ORGANIZATION 257425 OFER B HO INC 6520 PLATT AVENUE 625 WEST HILLS CA 91307 CONSULTANT 180235 3 4584504 709282 456225 5293786 PATIENT REVENUE 621110 7657623 7657623 7657623 MISCELLANEOUS 900099 138322 138322 138322 13089731 7657623 0 138322 960485 785086 175399 7475628 5563204 1912424 83437 67872 15565 6416 3953 2463 1862418 1402365 460053 18979 18979 33758 33758 387502 197566 189936 122780 92592 30188 417196 314356 102840 528014 497486 30528 8992 6775 2217 30022 22621 7401 121139 121139 436390 411159 25231 49681 37628 12053 MEDICAL SUPPLIES 1131494 1131494 REPAIRS AND MAINTENANCE 248308 233952 14356 LICENSES & PERMITS 59450 45027 14423 DUES & SUBSCRIPTIONS 52870 39837 13033 14034959 10974112 3060847 0 3407338 4023633 1625000 715219 129807 113916 4886956 1881590 3143286 3005366 61200 61200 8366631 7919334 4183133 4700584 205777 187227 2402017 2402017 107478 106508 6898405 7396336 X 1381506 227974 86720 295024 1468226 522998 8366631 7919334 -945228 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3158827 1216221 1942606 1728129 665369 1062760 3005366 DEFERRED LEASE LIABILITIES 106508 106508 X 12794707 0 12794707 295024 295024 13089731 14034959 0 14034959 0 14034959 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 295,024. X X 0 0 0 0 0 0 0 0 0 RANJIT SHENOY PHYSICIAN 244885 0 0 0 0 0 6398 0 4898 0 256181 0 0 0 DAVID KADAR CEO 235440 0 0 0 0 0 10676 0 4764 0 250880 0 0 0 RAKHI SINHA PHYSICIAN 224718 0 0 0 0 0 11204 0 4591 0 240513 0 0 0 NGOZI CHUKWU CMO 202897 0 0 0 0 0 8789 0 2669 0 214355 0 0 0 ENRIQUE MELGOZA CDO 184226 0 0 0 0 0 10247 0 3685 0 198158 0 0 0 DIANNE QUINTANA PHYSICIAN 175201 0 0 0 0 0 18008 0 3673 0 196882 0 0 0 LORRAINE WALKER PHYSICIAN 163150 0 0 0 0 0 464 0 3263 0 166877 0 0 0 ALFONSO AGUILERA CFO 152811 0 0 0 0 0 19348 0 3240 0 175399 0 0 0 MARINA MARKOVA DENTIST 160724 0 0 0 0 0 6215 0 3214 0 170153 0 0 0 X 96 456225 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 2021. 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.