2025-09-04T09:34:19-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-01-01 223914738 POMONA COMMUNITY HEALTH CENTER POMO 9096307927 1450 EAST HOLT AVENUE POMONA CA 91767 DAVID KADAR DDS CEO 9096307927 2025-08-19 1 1 KURT BENNION CPA P01469618 4252506100 2025-07-31 2024 2025-03-06 01:10:19Z PARKTREE COMMUNITY HEALTH CENTER DAVID KADAR DDS 1450 EAST HOLT AVENUE POMONA CA 91767 15924673 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. 8 8 185 9 0 0 5267064 4089803 10100867 11249523 -10038 0 325352 585347 15683245 15924673 0 0 0 0 11635981 12246645 0 0 0 4406860 4170070 16042841 16416715 -359596 -492042 9966051 9211480 9942055 9679526 23996 -468046 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 12895083 0 11249523 POMONA 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). 12895083 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 22 0 1 185 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 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 302378 0 24855 RANJIT SHENOY PHYSICIAN 40.00 X 260905 0 17468 OFER HO CIO 40.00 X 248882 0 11032 GREG MALER PHYSICIAN 40.00 X 231264 0 12408 KRYSTAL DE LA ROSA PHYSICIAN 40.00 X 210136 0 21898 ENRIQUE MELGOZA CDO 40.00 X 200296 0 20368 JING FON MOY PHYSICIAN 40.00 X 197110 0 16574 LORRAINE WALKER PHYSICIAN 26.00 X 197782 0 0 ALFONSO AGUILERA CFO 40.00 X 170231 0 24149 ELVIA SANCHEZ COO 40.00 X 151794 0 16144 NGOZI CHUKWU CMO (THROUGH MAY 2024) 40.00 X 159543 0 5801 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 MICHAEL NELSON BOARD MEMBER (THROUGH APRIL 2024) 2.00 X 0 0 0 ELVIA RIVAS BOARD MEMBER 2.00 X 0 0 0 2330321 0 170697 20 0 1 0 AWENDER CHIROPRACTIC 2342 EL CAMINO REAL SUITE 100 REDWOOD CITY CA 94063 CHIROPRACTIC SERVICES 263516 PJ HILTON & CO 457 W ALLEN AVENUE SUITE 106 SAN DIMAS CA 91773 CONSULTING 139556 2 3548217 541586 109812 4089803 PATIENT SERVICE REVENUE 621110 8345898 8345898 CAPITATION REVENUE 621110 2903625 2903625 11249523 MISCELLANEOUS 900099 585347 585347 585347 15924673 11249523 0 585347 1335473 1141093 194380 8680596 6336777 2343819 136610 98565 38045 2093966 1562951 531015 25088 25088 68817 68817 627813 581276 46537 68973 55551 13422 581317 468196 113121 710578 672088 38490 25027 20157 4870 36485 29385 7100 112285 90435 21850 475172 449433 25739 65825 53016 12809 MEDICAL SUPPLIES 1059023 1059023 REPAIRS AND MAINTENANCE 174521 165068 9453 DUES & SUBSCRIPTIONS 103309 83206 20103 LICENSES & PERMITS 35837 28863 6974 16416715 12895083 3521632 0 4516484 2594833 1700375 1942420 257215 297114 5877222 3219885 2740235 2657337 61200 61200 690542 1658576 9966051 9211480 6760988 5592033 2136 2402017 2402017 776914 1685476 9942055 9679526 X -293467 -638835 317463 170789 23996 -468046 9966051 9211480 -492042 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3158827 1723878 1434949 2204220 1496007 708213 514175 514175 2657337 RIGHT-OF-USE LEASE ASSETS 1658576 1658576 RIGHT-OF-USE LEASE LIABILITIES 1685476 1685476 X 15924673 0 15924673 0 15924673 16416715 0 16416715 0 16416715 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 DAVID KADAR DDS CEO 302378 0 0 0 0 0 12223 0 12632 0 327233 0 0 0 RANJIT SHENOY PHYSICIAN 260905 0 0 0 0 0 10436 0 7032 0 278373 0 0 0 OFER HO CIO 248882 0 0 0 0 0 9955 0 1077 0 259914 0 0 0 GREG MALER PHYSICIAN 231264 0 0 0 0 0 0 0 12408 0 243672 0 0 0 KRYSTAL DE LA ROSA PHYSICIAN 210136 0 0 0 0 0 8960 0 12938 0 232034 0 0 0 ENRIQUE MELGOZA CDO 200296 0 0 0 0 0 8012 0 12356 0 220664 0 0 0 JING FON MOY PHYSICIAN 197110 0 0 0 0 0 4644 0 11930 0 213684 0 0 0 LORRAINE WALKER PHYSICIAN 197782 0 0 0 0 0 0 0 0 0 197782 0 0 0 ALFONSO AGUILERA CFO 170231 0 0 0 0 0 7037 0 17112 0 194380 0 0 0 ELVIA SANCHEZ COO 151794 0 0 0 0 0 5827 0 10317 0 167938 0 0 0 NGOZI CHUKWU CMO (THROUGH MAY 2024) 159543 0 0 0 0 0 0 0 5801 0 165344 0 0 0 X 1500 109812 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 IS PREPARED BY AN INDEPENDENT CPA FIRM. THE RETURN IS REVIEWED BY THE CEO, CFO AND THE BOARD. A COPY OF THE FULL 990 IS 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 2024. 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.