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← PACIFIC COMMUNITIES HEALTH DISTRICT FOUNDATION

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 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 Devries

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Mark Miranda

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Julia Carlson

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Matt Updenkelder

    PAST PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Claire Barton

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Kathleen Grady

    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
  • K Scarlett Kier

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Lalori Lager

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Tim Miller

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Lance Nunn

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Richard O'Hearn

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • George Plant

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1
  • Tami Rockholt

    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
  • Karla 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

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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