Form 990 for tax year 2023
Filed by PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION.
Totals
- Total revenue
- $434,715
- Total expenses
- $852,040
- Contributions and grants received
- $347,848
- Grants paid
- $834,253
- Program service revenue
- $0
- Investment income
- $62,440
- Other revenue
- $24,427
- Total assets, end of year
- $2,339,270
- Total liabilities, end of year
- $8,483
- Net assets or fund balances, end of year
- $2,330,787
- Program services expenses (Part IX)
- $834,253
- Management and general expenses
- $17,787
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $834,253
Program services were 97.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
DAVID LARSEN MD
SECRETARY / PHYSICIAN
- Total calculated
- $564,488
- From this org
- $0
- From related orgs
- $497,029
- Other
- $67,459
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $488,995 related
- Bonus
- $0 + $6,847 related
- Other
- $0 + $1,187 related
- Deferred
- $0 + $26,592 related
- Nontaxable benefits
- $0 + $40,867 related
- Filer's total
- $0 + $564,488 related
-
MATT UPDENKELDER
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
TIANA DEVRIES
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
GEORGE PLANT
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
JULIA CARLSON
PAST PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
LALORI LAGER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
CLAIRE BARTON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
KATHLEEN GRADY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
CM HALL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
K SCARLETT KIER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JENNIFER LANDERS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
TIM MILLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JACKIE STANKEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
NANCY STEVENS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MARK MIRANDA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
LANCE NUNN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
SONIA GRAHAM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
SHELLY HEIM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOHN JOHNSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
RICHARD O'HEARN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
TAMI ROCKHOLT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
URSULA MARINELLI
REGIONAL EXEC DIR
- Total calculated
- $164,220
- From this org
- $0
- From related orgs
- $144,493
- Other
- $19,727
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $105,063 related
- Bonus
- $0
- Other
- $0 + $39,430 related
- Deferred
- $0 + $8,154 related
- Nontaxable benefits
- $0 + $11,573 related
- Filer's total
- $0 + $164,220 related
-
KARLA CLEM
EXECUTIVE DIRECTOR
- Total calculated
- $129,143
- From this org
- $0
- From related orgs
- $92,569
- Other
- $36,574
- Hours/week
- 40
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE REGIONAL EXECUTIVE DIRECTOR AND THE EXECUTIVE DIRECTOR ARE EMPLOYED AND PAID BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION CONDUCTS A COMPENSATION ANALYSIS EACH YEAR TO COMPARE COMPENSATION OF ALL PAID POSITIONS TO MARKET SURVEYS OF COMPENSATION FOR SIMILAR POSITIONS IN OTHER ORGANIZATIONS.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
PACIFIC COMMUNITIES HEALTH DISTRICT
$375,202
CONSTRUCTION - DRUG TREATMENT FACILITY
-
PACIFIC COMMUNITIES HEALTH DISTRICT
$355,913
EQUIPMENT
-
HOSPITAL OPERATIONS
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
SAMARITAN PACIFIC HEALTH SERVICES
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
PACIFIC COMMUNITIES HEALTH DISTRICT
GOV'T · HEALTHCARE DISTRICT · OR
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 April 2025
- IRS schema version
- 2023v6.0
- Source object
- 202541059349302579
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