Civic Intelligence

Childrens Community Clinic

EIN 93-0811915 • 501(c)3 • Portland, OR

Profile

Provide pediatric care to underserved communities

2252 Lloyd CenterPortland, OR 97232-1311

www.ccc4kids.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

98th percentile

6.19x

Higher debt load relative to assets than 98% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Liabilities / Revenue

95th percentile

1.21x

Higher debt load relative to revenue than 95% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Net Margin

14th percentile

-49%

Higher net margin than 14% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2021

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

96th percentile

245%

Faster asset growth than 96% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

32nd percentile

-23%

Faster revenue growth than 32% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets98th percentile

Assets

Up

$89,792

Up $63,771 (+245%) from 2020

Liabilities

Up

$556,193

Up $288,908 (+108%) from 2020

Net Assets

Down

-$466,401

Down $225,137 (-93%) from 2020

Operations
Liabilities / Revenue95th percentileNet Margin14th percentile

Revenue

Down

$460,152

Down $136,280 (-23%) from 2020

Expenses

Up

$685,289

Up $169,952 (+33%) from 2020

Net Income

Down

-$225,137

Down $306,232 (-378%) from 2020

Trend Graphs

Balance Sheet Trend

Asset Growth96th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0M$500K$0-$500KAssets 2010: $82,285Liabilities 2010: -$2,994Net Assets 2010: $85,2792010Assets 2011: $15,250Liabilities 2011: $43,398Net Assets 2011: -$28,1482011Assets 2012: $29,388Liabilities 2012: $137,131Net Assets 2012: -$107,7432012Assets 2013: $43,358Liabilities 2013: $109,294Net Assets 2013: -$65,9362013Assets 2014: $89,490Liabilities 2014: $50,855Net Assets 2014: $38,6352014Assets 2015: $158,678Liabilities 2015: $45,948Net Assets 2015: $112,7302015Assets 2016: $54,351Liabilities 2016: $40,076Net Assets 2016: $14,2752016Assets 2017: $37,540Liabilities 2017: $71,817Net Assets 2017: -$34,2772017Assets 2018: $20,662Liabilities 2018: $88,997Net Assets 2018: -$68,3352018Assets 2019: $45,778Liabilities 2019: $211,529Net Assets 2019: -$165,7512019Assets 2020: $26,021Liabilities 2020: $267,285Net Assets 2020: -$241,2642020Assets 2021: $89,792Liabilities 2021: $556,193Net Assets 2021: -$466,4012021

Highlighted filing

2021

Assets$89,792
Liabilities$556,193
Net Assets-$466,401
Open 2021 Filing

Operations Trend

Revenue Growth32nd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KRevenue 2010: $318,978Expenses 2010: $326,224Net Income 2010: -$7,2462010Revenue 2011: $234,539Expenses 2011: $347,966Net Income 2011: -$113,4272011Revenue 2012: $294,036Expenses 2012: $373,555Net Income 2012: -$79,5192012Revenue 2013: $342,940Expenses 2013: $302,580Net Income 2013: $40,3602013Revenue 2014: $502,786Expenses 2014: $394,927Net Income 2014: $107,8592014Revenue 2015: $617,918Expenses 2015: $543,823Net Income 2015: $74,0952015Revenue 2016: $453,142Expenses 2016: $551,056Net Income 2016: -$97,9142016Revenue 2017: $242,077Expenses 2017: $290,629Net Income 2017: -$48,5522017Revenue 2018: $197,691Expenses 2018: $231,749Net Income 2018: -$34,0582018Revenue 2019: $161,114Expenses 2019: $258,530Net Income 2019: -$97,4162019Revenue 2020: $596,432Expenses 2020: $515,337Net Income 2020: $81,0952020Revenue 2021: $460,152Expenses 2021: $685,289Net Income 2021: -$225,1372021

Highlighted filing

2021

Revenue$460,152
Expenses$685,289
Net Income-$225,137
Open 2021 Filing

Filings

Most recent year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$89,792
Liabilities
$556,193
Net assets
-$466,401
Revenue
$460,152
Expenses
$685,289
Net income
-$225,137
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021Detailed filing. Detailed filing data is available for this year.$0.90$5.56$4.66$4.60$6.85$2.25
2020Detailed filing. Detailed filing data is available for this year.$0.26$2.67$2.41$5.96$5.15$0.81
2019Detailed filing. Detailed filing data is available for this year.$0.46$2.12$1.66$1.61$2.59$0.97
2018Detailed filing. Detailed filing data is available for this year.$0.21$0.89$0.68$1.98$2.32$0.34
2017Detailed filing. Detailed filing data is available for this year.$0.38$0.72$0.34$2.42$2.91$0.49
2016Summary only. Only limited summary data is available for this year.$0.54$0.40$0.14$4.53$5.51$0.98
2015Summary only. Only limited summary data is available for this year.$1.59$0.46$1.13$6.18$5.44$0.74
2014Summary only. Only limited summary data is available for this year.$0.89$0.51$0.39$5.03$3.95$1.08
2013Summary only. Only limited summary data is available for this year.$0.43$1.09$0.66$3.43$3.03$0.40
2012Summary only. Only limited summary data is available for this year.$0.29$1.37$1.08$2.94$3.74$0.80
2011Summary only. Only limited summary data is available for this year.$0.15$0.43$0.28$2.35$3.48$1.13
2010Summary only. Only limited summary data is available for this year.$0.82$0.03$0.85$3.19$3.26$0.07
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 15, 2022
Return Version
2021v4.0
Gross Receipts
$460,152
Mission and Program Overview

Mission

Provide pediatric care to underserved communities

Provide pediatric care to underserved communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,697$71,272▲ $67,575
Cash and Non-Interest-Bearing Accounts$19,809$15,945▼ $3,864
Prepaid Expenses and Deferred Charges$2,003$2,092▲ $89
Accounts Receivable$468$469▲ $1
Savings and Temporary Cash Investments$44$14▼ $30
Total Assets$26,021$89,792▲ $63,771
Liabilities
Unsecured Notes Loans Payable$128,000$421,068▲ $293,068
Accounts Payable and Accrued Expenses$139,285$135,125▼ $4,160
Total Liabilities$267,285$556,193▲ $288,908
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-241,264$-466,401▼ $225,137
Total Net Assets Fund Balance$-241,264$-466,401▼ $225,137
Total Liabilities and Net Assets / Fund Balance$26,021$89,792▲ $63,771

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$71,272$39,654$110,926
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
Mary Elizabeth HarperCo-chair, Tr
Mardica HicksCo-chair,CEO
Andrea DebnamDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$415,088
Program Service Revenue
$45,064
Investment Income
$0
Other Revenue
$0
All Other Contributions
$76,958
Change in Net Assets
$-225,137
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$542,100
Salaries, Compensation, and Employee Benefits$143,189
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$221,831$55,458-$277,289
Other Salaries and Wages$99,838$17,618-$117,456
Occupancy$84,600$14,929-$99,529
Interest$18,383$4,596-$22,979
Advertising$18,011--$18,011
Information Technology$15,790$2,153-$17,943
Office Expenses$13,055$2,304-$15,359
Other Employee Benefits$12,022$3,006-$15,028
Payroll Taxes$9,100$1,605-$10,705
All Other Expenses$5,235$3,220-$8,455
Fees for Services Accounting$1,009$5,022-$6,031
Insurance$4,324$1,442-$5,766
Other Expenses$1,715$429-$2,144
Depreciation Depletion$1,718$53-$1,771
Fees for Services Legal-$887-$887
Travel-$11-$11
Total Functional Expenses$548,056$137,233$0$685,289
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“The organization's process for review of form 990 by the finance committee and the board of directors will be as follows: the external accounting firm will prepare the form 990 and supplemental schedules as soon as possible after completion of the annual audit, and forward a draft of the return to the executive director for review. Once the executive director has approved the form 990 and supplemental schedules, the return will be filed with the internal revenue service. Form 990 is then made available to the board of directors.”

Form 990, Page 6, Part VI, Line 15A

“A periodic evaluation of the chief executive officer/board co-chair's salary is performed. Board members, led by the chief executive officer/co-chair meet to discuss whether or not the year's goals have been met. Compensation is determined accordingly.”

Form 990, Page 6, Part VI, Line 15B

“A periodic evaluation is performed. The chief executive officer/board co- chair leads the salary and review discussions with board members.”

Form 990, Page 6, Part VI, Line 19

“Documents are made available upon request.”

Filing and Contact Details

Filer

Filer Name
Childrens Community Clinic
EIN
93-0811915
Phone
5032845239
Address
2252 LLOYD CENTER, PORTLAND, OR 97232-1311

Signing Officer

Name
Mardica Hicks
Title
Co-chair,CEO,secreta
Phone
5032845239
Signed
2022-11-15

Organization Details

Principal Officer
Mardica Hicks
Formed
2005
Legal Domicile
Or
Voting Board Members
3
Independent Board Members
3
Employees
3
Volunteers
10

Preparer

Firm
Henick & Ylvisaker Cpas
Address
4475 SW SCHOLLS FERRY RD STE 170, PORTLAND, OR 97225-1980
Preparer
Donn J Ylvisaker
Phone
5032924299
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Part I, Line 6

“Volunteer services range from pediatricians, nurse practitioners, to students offering supporting services and the board of directors.”

Raw XML Appendix346 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleA/PublicSupportCY170Pct00.76890
IRS990ScheduleA/PublicSupportPY170Pct00.74220
IRS990ScheduleA/PublicSupportTotal170Amt0970408
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0415088
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0403106
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt088585
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt038033
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt025596
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0970408
IRS990ScheduleA/TotalSupportAmt01262013
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt071272
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt039654
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt0110926
IRS990ScheduleD/TotalBookValueLandBuildingsAmt071272
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0VOLUNTEER SERVICES RANGE FROM PEDIATRICIANS, NURSE PRACTITIONERS, TO STUDENTS OFFERING SUPPORTING SERVICES AND THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION'S PROCESS FOR REVIEW OF FORM 990 BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS WILL BE AS FOLLOWS: THE EXTERNAL ACCOUNTING FIRM WILL PREPARE THE FORM 990 AND SUPPLEMENTAL SCHEDULES AS SOON AS POSSIBLE AFTER COMPLETION OF THE ANNUAL AUDIT, AND FORWARD A DRAFT OF THE RETURN TO THE EXECUTIVE DIRECTOR FOR REVIEW. ONCE THE EXECUTIVE DIRECTOR HAS APPROVED THE FORM 990 AND SUPPLEMENTAL SCHEDULES, THE RETURN WILL BE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990 IS THEN MADE AVAILABLE TO THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2A PERIODIC EVALUATION OF THE CHIEF EXECUTIVE OFFICER/BOARD CO-CHAIR'S SALARY IS PERFORMED. BOARD MEMBERS, LED BY THE CHIEF EXECUTIVE OFFICER/CO-CHAIR MEET TO DISCUSS WHETHER OR NOT THE YEAR'S GOALS HAVE BEEN MET. COMPENSATION IS DETERMINED ACCORDINGLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3A PERIODIC EVALUATION IS PERFORMED. THE CHIEF EXECUTIVE OFFICER/BOARD CO- CHAIR LEADS THE SALARY AND REVIEW DISCUSSIONS WITH BOARD MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 1, PART I, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/SignificantChangeInd0false
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
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IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt026021
IRS990/TotalAssetsEOYAmt089792
IRS990/TotalAssetsGrp/BOYAmt026021
IRS990/TotalAssetsGrp/EOYAmt089792
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0415088
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0137233
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0548056
IRS990/TotalFunctionalExpensesGrp/TotalAmt0685289
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0267285
IRS990/TotalLiabilitiesEOYAmt0556193
IRS990/TotalLiabilitiesGrp/BOYAmt0267285
IRS990/TotalLiabilitiesGrp/EOYAmt0556193
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-241264
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-466401
IRS990/TotalOtherProgSrvcExpenseAmt0903
IRS990/TotalProgramServiceExpensesAmt0548056
IRS990/TotalProgramServiceRevenueAmt045064
IRS990/TotalRevenueGrp/ExclusionAmt045064
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0460152
IRS990/TotalVolunteersCnt010
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt026021
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt089792
IRS990/TravelGrp/ManagementAndGeneralAmt011
IRS990/TravelGrp/TotalAmt011
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt0128000
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt0421068
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02252 LLOYD CENTER
IRS990/USAddress/CityNm0PORTLAND
IRS990/USAddress/StateAbbreviationCd0OR
IRS990/USAddress/ZIPCd0972311311
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0HTTP://WWW.CCC4KIDS.ORG/
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/PersonNm0MARDICA HICKS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CO-CHAIR,CEO,SECRETA
ReturnHeader/BusinessOfficerGrp/PhoneNum05032845239
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CHILDRENS COMMUNITY CLINIC
ReturnHeader/Filer/BusinessNameControlTxt0CHIL
ReturnHeader/Filer/EIN0930811915
ReturnHeader/Filer/PhoneNum05032845239
ReturnHeader/Filer/USAddress/AddressLine1Txt02252 LLOYD CENTER
ReturnHeader/Filer/USAddress/CityNm0PORTLAND
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OR
ReturnHeader/Filer/USAddress/ZIPCd0972321311
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0931164639
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0HENICK & YLVISAKER CPAS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04475 SW SCHOLLS FERRY RD STE 170
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PORTLAND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0972251980
ReturnHeader/PreparerPersonGrp/PhoneNum05032924299
ReturnHeader/PreparerPersonGrp/PreparationDt02022-11-15
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DONN J YLVISAKER
ReturnHeader/ReturnTs02022-11-15T19:48:07-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MARDICA
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0HICKS
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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