Nonprofit · EIN 93-0858825
PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION
Tax-exempt · NEWPORT, OR 97365
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $497,262 | $745,852 | -$248,590 | $2,154,973 | $1,648 | $2,153,325 |
| June 30, 2024 | 990 | $434,715 | $852,040 | -$417,325 | $2,339,270 | $8,483 | $2,330,787 |
| June 30, 2023 | 990 | $1,810,820 | $151,848 | $1,658,972 | $2,693,864 | $10,721 | $2,683,143 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $385,858
- Program service revenue
- $0
- Investment income
- $80,428
- Net gain from sales of assets
- $21,619
- Net income from fundraising events
- $24,076
- Net income from gaming
- $6,900
- Other revenue
- $30,976
Expenses
- Grants and similar amounts paid
- $723,640
- Salaries, compensation and benefits (total)
- $0
- Professional fundraising fees
- $0
- Accounting fees
- $7,000
- Program services (functional)
- $723,640
- Management and general (functional)
- $22,212
Balance sheet and other
- Total assets, start of year
- $2,339,270
- Total assets, end of year
- $2,154,973
- Total liabilities, end of year
- $1,648
- Net assets, end of year
- $2,153,325
- Publicly traded securities
- $1,752,762
- Net assets without donor restrictions
- $541,123
- Net assets with donor restrictions
- $1,612,202
- Gross receipts
- $1,476,371
- Employees
- 0
- Volunteers
- 31
- Year formed
- 1996
- State of legal domicile
- OR
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| DAVID LARSEN MD | SECRETARY / PHYSICIAN Trustee or director, Officer | 1 | $0 | $480,698 | $71,327 |
| KARLA CLEM | EXECUTIVE DIRECTOR Officer | 40 | $0 | $119,923 | $26,831 |
| TIANA DEVRIES | PRESIDENT Trustee or director, Officer | 1 | $0 | $0 | $0 |
| MARK MIRANDA | VICE PRESIDENT Trustee or director, Officer | 1 | $0 | $0 | $0 |
| JULIA CARLSON | TREASURER Trustee or director, Officer | 1 | $0 | $0 | $0 |
| MATT UPDENKELDER | PAST PRESIDENT Trustee or director, Officer | 1 | $0 | $0 | $0 |
| CLAIRE BARTON | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| KATHLEEN GRADY | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| SONIA GRAHAM | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| SHELLY HEIM | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JOHN JOHNSON | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| K SCARLETT KIER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| LALORI LAGER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| TIM MILLER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| LANCE NUNN | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
5 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| RICHARD O'HEARN | TRUSTEE Trustee or director | 1 | $0 |
| GEORGE PLANT | TRUSTEE Trustee or director | 1 | $0 |
| TAMI ROCKHOLT | TRUSTEE Trustee or director | 1 | $0 |
| JACKIE STANKEY | TRUSTEE Trustee or director | 1 | $0 |
| NANCY STEVENS | TRUSTEE Trustee or director | 1 | $0 |
990 for the year ended June 30, 2024: 23 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| DAVID LARSEN MD | SECRETARY / PHYSICIAN Trustee or director, Officer | 1 | $0 | $497,029 | $67,459 |
| URSULA MARINELLI | REGIONAL EXEC DIR Officer | 40 | $0 | $144,493 | $19,727 |
| KARLA CLEM | EXECUTIVE DIRECTOR Officer | 40 | $0 | $92,569 | $36,574 |
| MATT UPDENKELDER | PRESIDENT Trustee or director, Officer | 1 | $0 | $0 | $0 |
| TIANA DEVRIES | VICE PRESIDENT Trustee or director, Officer | 1 | $0 | $0 | $0 |
| GEORGE PLANT | TREASURER Trustee or director, Officer | 1 | $0 | $0 | $0 |
| JULIA CARLSON | PAST PRESIDENT Trustee or director, Officer | 1 | $0 | $0 | $0 |
| LALORI LAGER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| CLAIRE BARTON | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| KATHLEEN GRADY | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| CM HALL | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| K SCARLETT KIER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JENNIFER LANDERS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| TIM MILLER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JACKIE STANKEY | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| NANCY STEVENS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| MARK MIRANDA | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| LANCE NUNN | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| SONIA GRAHAM | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| SHELLY HEIM | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JOHN JOHNSON | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| RICHARD O'HEARN | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| TAMI ROCKHOLT | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
990 for the year ended June 30, 2023: 21 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| DAVID LARSEN MD | SECRETARY / PHYSICIAN Trustee or director, Officer | 1 | $0 | $516,963 | $62,483 |
| URSULA MARINELLI | EXECUTIVE DIRECTOR Officer | 40 | $0 | $138,633 | $20,632 |
| JULIA CARLSON | PRESIDENT Trustee or director, Officer | 1 | $0 | $0 | $0 |
| MATT UPDENKELDER | VICE PRESIDENT Trustee or director, Officer | 1 | $0 | $0 | $0 |
| GEORGE PLANT | TREASURER Trustee or director, Officer | 1 | $0 | $0 | $0 |
| LALORI LAGER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JOHN BAKER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| CLAIRE BARTON | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| ROSA COPPOLA | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| TIANA DEVRIES | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| MARK FARLEY | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| KATHLEEN GRADY | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| CM HALL | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| K SCARLETT KIER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JENNIFER LANDERS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| TIM MILLER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JACKIE STANKEY | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| NANCY STEVENS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| MARK MIRANDA | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| LANCE NUNN | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| JAMIE RUSSELL | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- PO BOX 945, NEWPORT, OR 97365-0072
- Principal officer (990 for 2024)
- KARLA CLEM, PO BOX 945, NEWPORT, OR 97365
- Signed the 990
- KARLA CLEM, EXECUTIVE DIRECTOR
- Phone
- (541) 574-4745
- Website
- WWW.SAMHEALTH.ORG/PCHDF
Mission
PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION WAS ESTABLISHED FOR THE PURPOSE OF DEVELOPING PHILANTHROPIC FUNDS FOR THE BENEFIT OF PACIFIC COMMUNITIES HEALTH DISTRICT (PCHD) AND/OR SAMARITAN PACIFIC HEALTH SERVICES, DBA SAMARITAN PACIFIC COMMUNITIES HOSPITAL (SPCH).
Program accomplishments
- GRANTS TO SAMARITAN PACIFIC COMMUNITIES HOSPITAL (SPCH) AND PACIFIC COMMUNITIES HEALTH DISTRICT FOR CONSTRUCTION OF A DRUG TREATMENT FACILITY, CAPITAL EQUIPMENT, AND OPERATING NEEDS. SEE SCHEDULE I, PART II FOR GRANTS GREATER THAN $5,000.Expenses $691,436 · grants $691,436
- GRANTS TO INDIVIDUALS. SEE SCHEDULE I, PART III FOR GRANTS GREATER THAN $5,000.Expenses $32,204 · grants $32,204
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990 on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990 on file |
IRS record
- EIN
- 93-0858825
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (170(b)(1)(A)(vi))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 1986
- Accounting year ends
- June
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E99)
- Assets (IRS master file)
- $2,154,973
- Income (IRS master file)
- $1,476,371
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $497,262 | $745,852 | $2,154,973 | XML |
| 990 | June 2024 | $434,715 | $852,040 | $2,339,270 | XML |
| 990 | June 2023 | $1,810,820 | $151,848 | $2,693,864 | XML |
| 990 | June 2022 | $604,929 | $595,599 | $1,012,813 | IRS |
| 990 | June 2021 | – | – | – | IRS |
| 990 | June 2020 | – | – | – | IRS |
| 990 | June 2019 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 93-0858825).
Questions about PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION
- What is the EIN of PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION?
- The employer identification number (EIN) of PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION is 93-0858825.
- Is PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1986.
- Are donations to PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended June 2025.
- Who is the principal officer of PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION?
- The 990 for the year ended June 30, 2025 names KARLA CLEM.
- Who are the officers and directors of PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION?
- The 990 for the year ended June 30, 2025 lists 20 people; 0 received compensation from the organization.
- How much revenue does PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $497,262, expenses of $745,852 and total assets of $2,154,973 at year end.
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