Form 990 for tax year 2024
Filed by PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION.
Totals
- Total revenue
- $497,262
- Total expenses
- $745,852
- Contributions and grants received
- $385,858
- Grants paid
- $723,640
- Program service revenue
- $0
- Investment income
- $80,428
- Other revenue
- $30,976
- Total assets, end of year
- $2,154,973
- Total liabilities, end of year
- $1,648
- Net assets or fund balances, end of year
- $2,153,325
- Program services expenses (Part IX)
- $723,640
- Management and general expenses
- $22,212
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $723,640
Program services were 97.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1c · Fundraising events
$62,500
-
1d · Related organizations
$19,173
-
1f · All other contributions, gifts and grants
$304,185
-
3 · Investment income
total $58,809 · excluded $58,809
-
7a · Gross sales of assets other than inventory
securities $971,111
-
7b · Less cost or other basis and sales expenses
securities $949,492
-
7c · Gain or loss
securities $21,619
-
7d · Net gain or loss
total $21,619 · excluded $21,619
-
8a · Fundraising events: gross income
$53,693
-
8a · Fundraising events: contributions included on line 1c
$62,500
-
8b · Fundraising events: direct expenses
$29,617
-
8c · Net income from fundraising events
total $24,076 · excluded $24,076
-
9a · Gaming: gross income
$6,900
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $6,900 · excluded $6,900
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $691,436 · program services $691,436
-
2 · Grants to domestic individuals
total $32,204 · program services $32,204
-
11c · Fees: accounting
total $7,000 · management and general $7,000
-
11f · Fees: investment management
total $3,051 · management and general $3,051
-
13 · Office expenses
total $11,728 · management and general $11,728
-
24a · Other expenses: LICENSES & FEES
total $433 · management and general $433
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $58,172
-
2 · Savings and temporary cash investments
beginning of year $340,069 · end of year $359,037
-
3 · Pledges and grants receivable
beginning of year $513,542 · end of year $42,858
-
11 · Investments: publicly traded securities
beginning of year $1,423,520 · end of year $1,752,762
-
15 · Other assets
beginning of year $3,967 · end of year $316
-
17 · Accounts payable and accrued expenses
beginning of year $8,483 · end of year $1,648
-
27 · Net assets without donor restrictions
beginning of year $398,968 · end of year $541,123
-
28 · Net assets with donor restrictions
beginning of year $1,931,819 · end of year $1,612,202
Mission and programs · 2024
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).
Activities or mission (Part I)
TO SUPPORT HEALTH DISTRICT CAPITAL PURCHASES AND TO SUPPORT HOSPITAL OPERATIONS.
-
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
As filed on the 2024 return.
Listed in Part VII
-
David Larsen MDDAVID LARSEN MD
SECRETARY / PHYSICIAN
- Total calculated
- $552,025
- From this org
- $0
- From related orgs
- $480,698
- Other
- $71,327
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $479,111 related
- Bonus
- $0
- Other
- $0 + $1,587 related
- Deferred
- $0 + $27,756 related
- Nontaxable benefits
- $0 + $43,571 related
- Filer's total
- $0 + $552,025 related
-
Tiana DevriesTIANA DEVRIES
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Mark MirandaMARK MIRANDA
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Julia CarlsonJULIA CARLSON
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Matt UpdenkelderMATT UPDENKELDER
PAST PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Claire BartonCLAIRE BARTON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Kathleen GradyKATHLEEN GRADY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Sonia GrahamSONIA GRAHAM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Shelly HeimSHELLY HEIM
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
John JohnsonJOHN JOHNSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
K Scarlett KierK SCARLETT KIER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Lalori LagerLALORI LAGER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Tim MillerTIM MILLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Lance NunnLANCE NUNN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Richard O'HearnRICHARD O'HEARN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
George PlantGEORGE PLANT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Tami RockholtTAMI ROCKHOLT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Jackie StankeyJACKIE STANKEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Nancy StevensNANCY STEVENS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Karla ClemKARLA CLEM
EXECUTIVE DIRECTOR
- Total calculated
- $146,754
- From this org
- $0
- From related orgs
- $119,923
- Other
- $26,831
- 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 EXECUTIVE DIRECTOR IS 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
$625,000
CONSTRUCTION - DRUG TREATMENT FACILITY
-
HOSPITAL OPERATIONS
-
PACIFIC COMMUNITIES HEALTH DISTRICT
$16,174
EQUIPMENT
-
READ OUT LOUD PROGRAM SUPPORT
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
- 2024
- Filed
- 9 April 2026
- IRS schema version
- 2024v5.5
- Source object
- 202611079349300126
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