Civic Intelligence

The Children'S Clinic Serving Children and Their Families

990 • Fiscal year 2018 • EIN 95-1643332

Jul 01, 2017 to Jun 30, 2018 • Filed on May 14, 2019

701 EAST 28TH STREET Suite 200Long Beach, CA 90806

(562) 264-4638

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

34th percentile

0.12x

Higher debt load relative to assets than 34% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Liabilities / Revenue

19th percentile

0.08x

Higher debt load relative to revenue than 19% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Net Margin

57th percentile

5.5%

Higher net margin than 57% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Top Officer Pay

72nd percentile

$364,802

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 1.1% of source-year revenue.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Asset Growth

72nd percentile

8.7%

Faster asset growth than 72% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Revenue Growth

64th percentile

10%

Faster revenue growth than 64% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Assets

Up

$24,892,251

Up $1,991,920 (+8.7%) from 2017

Net Assets

Up

$21,996,791

Up $1,992,047 (+10.0%) from 2017

Liabilities

Down

$2,895,460

Down $127 (-0.0%) from 2017

Revenue

Up

$34,334,519

Up $3,129,206 (+10%) from 2017

Expenses

Up

$32,432,636

Up $1,202,981 (+3.9%) from 2017

Net Income

Up

$1,901,883

Up $1,926,225 (+7913%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$100M$50M$0Assets 2010: $12,225,478Liabilities 2010: $2,211,944Net Assets 2010: $10,013,5342010Assets 2011: $12,762,062Liabilities 2011: $1,016,087Net Assets 2011: $11,745,9752011Assets 2012: $14,272,432Liabilities 2012: $1,934,808Net Assets 2012: $12,337,6242012Assets 2013: $17,934,041Liabilities 2013: $2,258,177Net Assets 2013: $15,675,8642013Assets 2014: $20,348,579Liabilities 2014: $2,324,753Net Assets 2014: $18,023,8262014Assets 2015: $20,991,420Liabilities 2015: $2,300,980Net Assets 2015: $18,690,4402015Assets 2016: $22,647,907Liabilities 2016: $2,655,118Net Assets 2016: $19,992,7892016Assets 2017: $22,900,331Liabilities 2017: $2,895,587Net Assets 2017: $20,004,7442017Assets 2018: $24,892,251Liabilities 2018: $2,895,460Net Assets 2018: $21,996,7912018Assets 2019: $25,724,516Liabilities 2019: $3,580,235Net Assets 2019: $22,144,2812019Assets 2020: $28,277,284Liabilities 2020: $9,746,383Net Assets 2020: $18,530,9012020Assets 2021: $34,190,659Liabilities 2021: $7,834,229Net Assets 2021: $26,356,4302021Assets 2022: $46,104,721Liabilities 2022: $15,262,192Net Assets 2022: $30,842,5292022Assets 2023: $53,930,288Liabilities 2023: $24,886,569Net Assets 2023: $29,043,7192023Assets 2024: $80,891,420Liabilities 2024: $52,799,819Net Assets 2024: $28,091,6012024

Highlighted filing

2018

Assets$24,892,251
Liabilities$2,895,460
Net Assets$21,996,791

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $12,340,6802010Expenses 2011: $12,466,7132011Expenses 2012: $15,899,2612012Expenses 2013: $19,918,7512013Revenue 2014: $24,947,668Expenses 2014: $22,769,206Net Income 2014: $2,178,4622014Revenue 2015: $27,698,697Expenses 2015: $26,968,739Net Income 2015: $729,9582015Revenue 2016: $30,713,141Expenses 2016: $29,337,973Net Income 2016: $1,375,1682016Revenue 2017: $31,205,313Expenses 2017: $31,229,655Net Income 2017: -$24,3422017Revenue 2018: $34,334,519Expenses 2018: $32,432,636Net Income 2018: $1,901,8832018Revenue 2019: $35,402,462Expenses 2019: $35,306,383Net Income 2019: $96,0792019Revenue 2020: $36,796,190Expenses 2020: $40,360,051Net Income 2020: -$3,563,8612020Revenue 2021: $50,381,402Expenses 2021: $42,576,141Net Income 2021: $7,805,2612021Revenue 2022: $50,368,388Expenses 2022: $45,666,620Net Income 2022: $4,701,7682022Revenue 2023: $45,706,955Expenses 2023: $47,607,845Net Income 2023: -$1,900,8902023Revenue 2024: $46,529,886Expenses 2024: $47,566,947Net Income 2024: -$1,037,0612024

Highlighted filing

2018

Revenue$34,334,519
Expenses$32,432,636
Net Income$1,901,883
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 14, 2019
Return Version
2017v2.3
Gross Receipts
$34,367,894
Mission and Program Overview

Mission

To provide innovative, integrated, quality health care that will contribute to a healthy community, focusing on those in need and working with patients and the community as partners in their overall well-being.

Tcc, a clinical system of 13 health centers and mobile medical clinic, provides primary, preventive, chronic and acute care to all ages. (see schedule o)

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$9,669,548$10,645,687▲ $976,139
Accounts Receivable$3,842,233$4,273,076▲ $430,843
Land, Buildings, and Equipment, Net$3,477,270$3,505,012▲ $27,742
Cash and Non-Interest-Bearing Accounts$721,120$584,268▼ $136,852
Pledges and Grants Receivable$585,550$487,432▼ $98,118
Prepaid Expenses and Deferred Charges$551,705$425,804▼ $125,901
Intangible Assets$124,676$124,676→ $0
Inventories for Sale or Use$41,408$46,645▲ $5,237
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$22,900,331$24,892,251▲ $1,991,920
Other Assets Total$3,886,821$4,799,651▲ $912,830
Liabilities
Accounts Payable and Accrued Expenses$2,895,587$2,895,460▼ $127
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,895,587$2,895,460▼ $127
Net Assets / Fund Balance
Unrestricted Net Assets$17,605,783$19,456,699▲ $1,850,916
Permanently Rstr Net Assets$1,227,973$1,273,147▲ $45,174
Temporarily Rstr Net Assets$1,170,988$1,266,945▲ $95,957
Total Net Assets Fund Balance$20,004,744$21,996,791▲ $1,992,047
Total Liabilities and Net Assets / Fund Balance$22,900,331$24,892,251▲ $1,991,920

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$2,001,638$4,120,641$6,122,279
Equipment$1,039,381$2,854,341$3,893,722
Other Land Buildings$265,632-$265,632
Land$125,921-$125,921
Buildings$72,440$48,639$121,079
Other Assets Org$1,060,671--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$1,227,973-▲ $45,174-$1,273,147
2016$1,210,388-▲ $17,585-$1,227,973
2015$1,267,614-▼ $57,226-$1,210,388
2014$1,320,959-▼ $53,345-$1,267,614
2013$1,171,828-▲ $149,131-$1,320,959
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Elisa NicholasCEOFT$293,051$71,751$364,802
Maria ChandlerCMOFT$221,703$68,092$289,795
Asma KhanPhysicianFT$248,781$24,230$273,011
Najma GardeziAssoc. Medical DirectorFT$201,843$24,594$226,437
Ryan NguyenPhysicianFT$190,723$30,669$221,392
Clifford HancockPhysicianFT$189,105$26,737$215,842
Carol GrabowskiWOMEN'S HEALTH DIRECTORFT$194,420$21,193$215,613
Jina LawlerCOOFT$151,989$36,913$188,902
Cynthia BegazoChroFT$122,856$42,531$165,387
Ricardo OrnelasFinance DirectorFT$127,726$6,966$134,692

Board Members and Trustees

NameTitle
Mike Van DykePresident
Martha HerreraVice President
Catalina CruzBoard Member
Evangelina RamirezBoard Member
Fombe NdiforchuBoard Member
Lashell DiggsBoard Member
Mynor AguirreBoard Member
Phansy PeangBoard Member
Jeramiah RosboroughBoard Member Beg 06/18
Kate MarrBoard Member Beg 06/18
Maria LopezBoard Member Beg 06/18
D'ETTE COMMUNGSBoard Member End 06/18
Socheat KuchBoard Member End 06/18
Stephen RomanskySecretary
Rosario FariasTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
The Law Office Of Omid Nosrati ClieLegal Services1875 CENTURY PARK EAST STE 600, Los Angeles, CA 90067$135,000
Nossaman LLPLegal Services777 S FIGUEROA STREET 34TH FLOOR, Los Angeles, CA 90017$117,685
Jansan Facility SolutionsJanitorial Service9121 ATLANTA AVENUE STE 602, Huntington Beach, CA 92646$102,570
Bkd LLPAccounting/auditingPO BOX 1190, Springfield, MO 65801$100,220
Revenue and Support

Revenue Composition

Contributions and Grants
$8,013,419
Program Service Revenue
$26,086,068
Investment Income
$243,667
Other Revenue
$-8,635
All Other Contributions
$1,956,070
Change in Net Assets
$1,901,883

Audited Revenue Reconciliation

Revenue per Audited Statements
$33,481,363
Revenue Not Reported on Financial Statements
$853,156
Revenue Not Reported on Form 990
$823,576
Other Revenue Adjustments
$841,168
Total Revenue per Audited Statements
$34,304,939
Total Revenue per Form 990
$34,334,519
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$25,525,333
Other Expenses$6,907,303
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,586,167$1,758,040-$18,344,207
Other Employee Benefits$3,535,994$461,462-$3,997,456
Occupancy$1,750,405$587,266-$2,337,671
Fees for Services Other$1,459,036$285,966-$1,745,002
Payroll Taxes$1,195,147$186,526-$1,381,673
Current Officers, Directors, Trustees, and Key Employees$144,898$998,680-$1,143,578
Information Technology$625,117$83,548-$708,665
Pension Plan Contributions$619,015$39,404-$658,419
Office Expenses$425,954$98,974-$524,928
Depreciation Depletion$341,246$97,650-$438,896
Fees for Services Legal-$141,135-$141,135
Conferences and Meetings$49,125$91,232-$140,357
Fees for Services Accounting-$116,394-$116,394
Insurance$43,415$34,006-$77,421
Travel$25,988$22,171-$48,159
Other Expenses$33,783$11,261-$45,044
Advertising$16,011$598-$16,609
Fees for Service Investment Mgmnt Fees-$11,988-$11,988
Total Functional Expenses$27,388,701$5,043,935$0$32,432,636

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$32,454,023
Total Expenses per Form 990$32,432,636
Expenses per Audited Statements$32,420,648
Expenses Not Reported on Form 990$33,375
Expenses Not Reported on Financial Statements$11,988
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$33,375
Fundraising Gross Income$24,740
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Beach Walk$56,240$24,740$23,236$1,504
Total Events$56,240$24,740$33,375$-8,635
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
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
No
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, Part VI, Section B, Line 11B

Process to review the form 990: the form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. The ceo & finance director review the 990 in detail. In addition, the finance committee members review the 990 as a group and ask any questions that need clarified before the final processing. A final draft of the 990 is then provided to all of the board members prior to filing.

Form 990, Part VI, Section B, Line 12C

Monitoring compliance with conflict of interest policy: members of the board of directors should avoid any matter that could create a conflict of interest or appearance of conflict of interest. The board will review any conflicts of interest identified. If an interest is identified, the board member shall abstain from any vote that could materially benefit or create gain for himself or any family member. No board member may be an employee of the clinic, or immediate family member of an employee.

Form 990, Part VI, Section B, Line 15A

Compensation review: the compensation committee, appointed by the board of directors, reviews and makes recommendations related to the ceo's compensation based on comparable salaries among community clinic association of los angeles county (ccalac) members. The review process and decisions of the compensation committee and board of directors are documented within the minutes of the meeting where the annual reviews are conducted. Reviews occur annually.

Form 990, Part VI, Section B, Line 19

Document disclosure: if a written request is made for such information, it is reviewed for appropriateness and disseminated accordingly.

Filing and Contact Details

Filer

Filer Name
THE CHILDREN'S CLINIC
EIN
95-1643332
In Care Of
% RICARDO ORNELAS FINANCE DIR
Phone
5622644638
Address
701 EAST 28TH STREET Suite 200, LONG BEACH, CA 90806

Signing Officer

Name
Ricardo Ornelas
Title
Finance Director
Phone
5622644638
Signed
2019-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Elisa Nicholas
Formed
1939
Legal Domicile
CA
Voting Board Members
13
Independent Board Members
13
Employees
406
Volunteers
50

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Krystal K Creach
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

Organization's most significant activities: tcc serves almost 500 patients per day and 130,000 patients a year. Our track record of providing exceptional health and wellness services has placed tcc in high demand. We serve approximately 1 in 3 low-income residents throughout greater long beach.

Form 990, Part III, Line 4A

Organization's exempt purpose achievements: tcc maintains a multi-disciplinary team of 340 highly qualified professionals using a patient centered medical home model of primary care, which delivers comprehensive, confidential and coordinated care within an environment of trust, respect and compassion. Tcc's dedicated and mission driven primary care team is made up of pediatricians, family physicians, nurse practitioners, obstetricians and gynecologists, licensed clinical social workers and dentists who are recruited from some of the best schools and training programs in the country and reflect the multi-cultural community we serve. Many of our clinical support staff were recruited directly from the communities we serve. We encourage growth and provide opportunities through a workforce development scholarship program to retain and enable medical assistants and licensed vocational nursing staff to progress in their careers. Through the every child foundation funding, tcc became the first health center in los angeles county to be certified as a trauma informed care practice by the national council of behavioral health. Tcc shares its experience at the local, state, and national levels. Tcc partnered with the city of long beach to join a u.s. Department of justice national forum on youth violence prevention entitled safe long beach. Tcc's role involves using our expertise to train professionals, community groups and public service agencies on the issues of trauma, toxic stress and how to respond as individuals and as a community. In the fall of 2018, tcc was awarded a 4 year, 8 million grant to develop strategies to build trauma resilient families and to provide nontraditional self-help activities for families with multi-generational trauma experiences for the greater long beach community.

Form 990, Part XI, Line 9

Other changes in net assets: $ 45,174 change in beneficial interest in assets held by mmch 12,638 change in beneficial interest in trusts -------- $ 57,812

Financial Statement Notes

Schedule D, Part V, Line 4

Intended uses of endowment funds: the organization has a beneficial interest in certain endowments held by the long beach memorial medical center foundation. This interest is carried at fair value as confirmed by the foundation. The assets from these and other endowments are maintained in the foundation's endowment fund and are pooled on a market value basis. Investment return from securities in the endowment fund is allocated to the individual endowments based on the relationship of the fair value of the interest of each endowment to the total fair value of the endowment fund, as adjusted for additions to or deductions from these accounts. Investment income distributed to the children's clinic is used to further the organization's exempt purpose.

Schedule D, Part X, Line 2

Uncertain tax position: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part XI, Line 2D

Amounts included on line 1 but not on form 990, part viii, line 12: $ 791,224 net assets released from restrictions

Schedule D, Part XI, Line 4B

Amounts included on form 990, part viii, line 12, but not on line 1: $( 33,375) special events expenses 874,543 temporarily restricted contributions ---------- $ 841,168

Schedule D, Part XII, Line 2D

Amounts included on line 1 but not on form 990, part ix, line 25: $ 33,375 special events expenses

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IRS990/Desc0DIRECT PATIENT CARE - TCC IS THE SAFETY NET PROVIDER FOR 39,065 PATIENTS, 50% OF WHOM ARE CHILDREN UNDER 18. TCC PROVIDED 140,000 MEDICAL AND BEHAVIORAL HEALTH VISITS AND 55,000 SOCIAL SERVICE AND EDUCATION VISITS. TCC SERVED 1,798 HOMELESS PATIENTS AND ASSISTED NEARLY 13,000 INDIVIDUALS WITH HEALTH AND SOCIAL SERVICE ENROLLMENT. OUR 13 CLINICS ARE STRATEGICALLY LOCATED AND DEDICATED TO SERVING THOSE LIVING IN THE HIGHEST NEED AREAS. SEE SCHEDULE O FOR MORE INFORMATION.
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$80.9$52.8$28.1$46.5$47.6$1.04
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$53.9$24.9$29.0$45.7$47.6$1.90
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$46.1$15.3$30.8$50.4$45.7$4.70
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$34.2$7.83$26.4$50.4$42.6$7.81
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.3$9.75$18.5$36.8$40.4$3.56
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$25.7$3.58$22.1$35.4$35.3$0.10
2018Detailed filing. Detailed filing data is available for this year.$24.9$2.90$22.0$34.3$32.4$1.90
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.9$2.90$20.0$31.2$31.2$0.02
2016Detailed filing. Detailed filing data is available for this year.$22.6$2.66$20.0$30.7$29.3$1.38
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.0$2.30$18.7$27.7$27.0$0.73
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.3$2.32$18.0$24.9$22.8$2.18
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.9$2.26$15.7$19.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.3$1.93$12.3$15.9
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.8$1.02$11.7$12.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.2$2.21$10.0$12.3
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2018 filings • 501(c)3 • $25M-$50M nonprofits