FURP.ORG / PUBLIC DATA EXPLORER

THE CHILDRENS CLINIC SERVING CHILDREN AND THEIR FAMILIES: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE CHILDRENS CLINIC SERVING CHILDREN AND THEIR FAMILIES (EIN 95-1643332)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201921359349304607
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-15T10:26:28-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951643332EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CHILDREN'S CLINICBusinessNameLine1Txt
Business Name Line2SERVING CHILDREN AND THEIR FAMILIESBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% RICARDO ORNELAS FINANCE DIRInCareOfNm
Business Name ControlCHILBusinessNameControlTxt
Phone5622644638PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 EAST 28TH STREET Suite 200AddressLine1Txt
CityLONG BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90806ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICARDO ORNELASPersonNm
Person TitleFINANCE DIRECTORPersonTitleTxt
Phone5622644638PhoneNum
Signature2019-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKrystal K CreachPreparerPersonNm
PTINP01248198PTIN
Phone4178658701PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43032920191355000010FederalOriginalSubmissionId
Federal Original Submission Id2019-05-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6BA24EE1EE52420C92A102596A407E158EEEA553AtSubmissionCreationDeviceId
At Submission Filing Device Id9D69DC47BE7AD8B6E4E58A9FC2CA369D0D853B01AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELISA NICHOLASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 EAST 28TH STREET200AddressLine1Txt
CityLONG BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90806ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,367,894GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressTHECHILDRENSCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTCC, A CLINICAL SYSTEM OF 13 HEALTH CENTERS AND MOBILE MEDICAL CLINIC, PROVIDES PRIMARY, PREVENTIVE, CHRONIC AND ACUTE CARE TO ALL AGES. (SEE SCHEDULE O)ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee406TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$11,690NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,552,154PYContributionsGrantsAmt
CY Contributions Grants$8,013,419CYContributionsGrantsAmt
PY Program Service Revenue$23,460,919PYProgramServiceRevenueAmt
CY Program Service Revenue$26,086,068CYProgramServiceRevenueAmt
PY Investment Income$177,700PYInvestmentIncomeAmt
CY Investment Income$243,667CYInvestmentIncomeAmt
PY Other Revenue$14,540PYOtherRevenueAmt
CY Other Revenue-$8,635CYOtherRevenueAmt
PY Total Revenue$31,205,313PYTotalRevenueAmt
CY Total Revenue$34,334,519CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,021,015PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,525,333CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,208,640PYOtherExpensesAmt
CY Other Expenses$6,907,303CYOtherExpensesAmt
PY Total Expenses$31,229,655PYTotalExpensesAmt
CY Total Expenses$32,432,636CYTotalExpensesAmt
PY Revenues Less Expenses-$24,342PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,901,883CYRevenuesLessExpensesAmt
Total Assets BOY$22,900,331TotalAssetsBOYAmt
Total Assets EOY$24,892,251TotalAssetsEOYAmt
Total Liabilities BOY$2,895,587TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,895,460TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,004,744NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,996,791NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$27,388,701ExpenseAmt
Revenue$26,086,068RevenueAmt
DescDIRECT 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.Desc
Total Program Service Expenses$27,388,701TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee406EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICARDO ORNELAS FINANCE DIRPersonNm
Phone5622644638PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 EAST 28TH STREET SUITE 200AddressLine1Txt
CityLONG BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90806ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MIKE VAN DYKE
PRESIDENT1.00.0Yes (X)Yes (X)$0$0$0
CATALINA CRUZ
BOARD MEMBER1.00.0Yes (X)$0$0$0
LASHELL DIGGS
BOARD MEMBER1.00.0Yes (X)$0$0$0
ROSARIO FARIAS
TREASURER1.00.0Yes (X)Yes (X)$0$0$0
MARTHA HERRERA
VICE PRESIDENT1.00.0Yes (X)Yes (X)$0$0$0
MARIA LOPEZ
BOARD MEMBER BEG 06/181.00.0Yes (X)$0$0$0
KATE MARR
BOARD MEMBER BEG 06/181.00.0Yes (X)$0$0$0
FOMBE NDIFORCHU
BOARD MEMBER1.00.0Yes (X)$0$0$0
PHANSY PEANG
BOARD MEMBER1.00.0Yes (X)$0$0$0
EVANGELINA RAMIREZ
BOARD MEMBER1.00.0Yes (X)$0$0$0
JERAMIAH ROSBOROUGH
BOARD MEMBER BEG 06/181.00.0Yes (X)$0$0$0
STEPHEN ROMANSKY
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
MYNOR AGUIRRE
BOARD MEMBER1.00.0Yes (X)$0$0$0
D'ETTE COMMUNGS
BOARD MEMBER END 06/181.00.0Yes (X)$0$0$0
SOCHEAT KUCH
BOARD MEMBER END 06/181.00.0Yes (X)$0$0$0
ELISA NICHOLAS
CEO40.00.0Yes (X)$313,183$0$51,619
MARIA CHANDLER
CMO40.00.0Yes (X)$237,934$0$51,861
JINA LAWLER
COO40.00.0Yes (X)$159,786$0$29,116
CYNTHIA BEGAZO
CHRO40.00.0Yes (X)$127,368$0$38,019
RICARDO ORNELAS
FINANCE DIRECTOR40.00.0Yes (X)$127,726$0$6,966
ASMA KHAN
PHYSICIAN40.00.0$248,781$0$24,230Yes (X)
NAJMA GARDEZI
ASSOC. MEDICAL DIRECTOR40.00.0$201,843$0$24,594Yes (X)
CAROL GRABOWSKI
WOMEN'S HEALTH DIRECTOR40.00.0$194,420$0$21,193Yes (X)
RYAN NGUYEN
PHYSICIAN40.00.0$190,723$0$30,669Yes (X)
CLIFFORD HANCOCK
PHYSICIAN40.00.0$189,105$0$26,737Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,990,869TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$305,004TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K44IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE LAW OFFICE OF OMID NOSRATI CLIE
1875 CENTURY PARK EAST STE 600LOS ANGELESCA90067LEGAL SERVICES$135,000
NOSSAMAN LLP
777 S FIGUEROA STREET 34TH FLOORLOS ANGELESCA90017LEGAL SERVICES$117,685
JANSAN FACILITY SOLUTIONS
9121 ATLANTA AVENUE STE 602HUNTINGTON BEACHCA92646JANITORIAL SERVICE$102,570
BKD LLP
PO BOX 1190SPRINGFIELDMO65801ACCOUNTING/AUDITING$100,220
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Fundraising$31,500FundraisingAmt
Government Grants$6,025,849GovernmentGrantsAmt
All Other Contributions$1,956,070AllOtherContributionsAmt
Total Contributions$8,013,419TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue624100$21,891,982$21,891,982
Capitation Revenue624100$2,000,505$2,000,505
Managed Care Incentives624100$1,719,017$1,719,017
EHR REVENUE624100$297,500$297,500
OTHER INCOME624100$128,041$128,041

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,023TotalRevenueColumnAmt
Related Or Exempt Func Income$49,023RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$26,086,068TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$224,836TotalRevenueColumnAmt
Exclusion$224,836ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$18,831SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$18,831SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,831TotalRevenueColumnAmt
Exclusion$18,831ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$24,740FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$31,500ContriRptFundraisingEventAmt
Fundraising Direct Expenses$33,375FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,635TotalRevenueColumnAmt
Exclusion-$8,635ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,334,519TotalRevenueColumnAmt
Related Or Exempt Func Income$26,086,068RelatedOrExemptFuncIncomeAmt
Exclusion$235,032ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,143,578TotalAmt
Program Services$144,898ProgramServicesAmt
Management And General$998,680ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,344,207TotalAmt
Program Services$16,586,167ProgramServicesAmt
Management And General$1,758,040ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$658,419TotalAmt
Program Services$619,015ProgramServicesAmt
Management And General$39,404ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,997,456TotalAmt
Program Services$3,535,994ProgramServicesAmt
Management And General$461,462ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,381,673TotalAmt
Program Services$1,195,147ProgramServicesAmt
Management And General$186,526ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$141,135TotalAmt
Management And General$141,135ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$116,394TotalAmt
Management And General$116,394ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,988TotalAmt
Management And General$11,988ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,745,002TotalAmt
Program Services$1,459,036ProgramServicesAmt
Management And General$285,966ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,609TotalAmt
Program Services$16,011ProgramServicesAmt
Management And General$598ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$524,928TotalAmt
Program Services$425,954ProgramServicesAmt
Management And General$98,974ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$708,665TotalAmt
Program Services$625,117ProgramServicesAmt
Management And General$83,548ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,337,671TotalAmt
Program Services$1,750,405ProgramServicesAmt
Management And General$587,266ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48,159TotalAmt
Program Services$25,988ProgramServicesAmt
Management And General$22,171ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$140,357TotalAmt
Program Services$49,125ProgramServicesAmt
Management And General$91,232ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$438,896TotalAmt
Program Services$341,246ProgramServicesAmt
Management And General$97,650ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$77,421TotalAmt
Program Services$43,415ProgramServicesAmt
Management And General$34,006ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$360,773$360,773
LICENSES, DUES, SUBSCRIPTIONS$194,261$176,627$17,634
REPAIRS & MAINTENANCE$45,044$33,783$11,261

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$32,432,636TotalAmt
Program Services$27,388,701ProgramServicesAmt
Management And General$5,043,935ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$721,120BOYAmt
EOY$584,268EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,669,548BOYAmt
EOY$10,645,687EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$585,550BOYAmt
EOY$487,432EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,842,233BOYAmt
EOY$4,273,076EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$41,408BOYAmt
EOY$46,645EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$551,705BOYAmt
EOY$425,804EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,528,633LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,023,621LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,477,270BOYAmt
EOY$3,505,012EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$124,676BOYAmt
EOY$124,676EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,886,821BOYAmt
EOY$4,799,651EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,900,331BOYAmt
EOY$24,892,251EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,895,587BOYAmt
EOY$2,895,460EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,895,587BOYAmt
EOY$2,895,460EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,605,783BOYAmt
EOY$19,456,699EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,170,988BOYAmt
EOY$1,266,945EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,227,973BOYAmt
EOY$1,273,147EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,004,744BOYAmt
EOY$21,996,791EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,900,331BOYAmt
EOY$24,892,251EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,901,883ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$32,352NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$57,812OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,877,258CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,689,163CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,854,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,552,154CurrentTaxYearMinus1YearAmt
Current Tax Year$8,013,419CurrentTaxYearAmt
Total$37,986,113TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,877,258CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,689,163CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,854,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,552,154CurrentTaxYearMinus1YearAmt
Current Tax Year$8,013,419CurrentTaxYearAmt
Total$37,986,113TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$699,934SubstantialContributorsTotAmt
Public Support Total170$37,286,179PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$99,289CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$95,799CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,973CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,700CurrentTaxYearMinus1YearAmt
Current Tax Year$224,836CurrentTaxYearAmt
Total$631,597TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$38,617,710TotalSupportAmt
Gross Receipts Rltd Activities$110,342,860GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96552PublicSupportCY170Pct
Public Support PY1700.95640PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,227,973BeginningYearBalanceAmt
Investment Earnings Or Losses$45,174InvestmentEarningsOrLossesAmt
End Year Balance$1,273,147EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,210,388BeginningYearBalanceAmt
Investment Earnings Or Losses$17,585InvestmentEarningsOrLossesAmt
End Year Balance$1,227,973EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,267,614BeginningYearBalanceAmt
Investment Earnings Or Losses-$57,226InvestmentEarningsOrLossesAmt
End Year Balance$1,210,388EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,320,959BeginningYearBalanceAmt
Investment Earnings Or Losses-$53,345InvestmentEarningsOrLossesAmt
End Year Balance$1,267,614EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,171,828BeginningYearBalanceAmt
Investment Earnings Or Losses$149,131InvestmentEarningsOrLossesAmt
End Year Balance$1,320,959EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$125,921OtherCostOrOtherBasisAmt
Book Value$125,921BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$121,079OtherCostOrOtherBasisAmt
Depreciation$48,639DepreciationAmt
Book Value$72,440BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,122,279OtherCostOrOtherBasisAmt
Depreciation$4,120,641DepreciationAmt
Book Value$2,001,638BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,893,722OtherCostOrOtherBasisAmt
Depreciation$2,854,341DepreciationAmt
Book Value$1,039,381BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$265,632OtherCostOrOtherBasisAmt
Book Value$265,632BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,505,012TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Est. Due from 3rd Parties$1,982,747
Ben Int in assets held by MMCF$1,273,147
Ben Int in trusts$239,856
Other Receivables$243,230
Int in Assets Held by LBCF$1,060,671
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,799,651TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$34,304,939TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$32,352NetUnrealizedGainsInvstAmt
Other Revenue$791,224OtherRevenueAmt
Revenue Not Reported$823,576RevenueNotReportedAmt
Revenue Subtotal$33,481,363RevenueSubtotalAmt
Investment Expenses Not Incld$11,988InvestmentExpensesNotIncldAmt
Other Revenues Not Included$841,168OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$853,156RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$34,334,519TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$32,454,023TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$33,375OtherExpensesIncludedAmt
Expenses Not Reported$33,375ExpensesNotReportedAmt
Expenses Subtotal$32,420,648ExpensesSubtotalAmt
Investment Expenses Not Incld2$11,988InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$11,988ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$32,432,636TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED 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 2UNCERTAIN 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 2DAMOUNTS 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 4BAMOUNTS 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 2DAMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 33,375 SPECIAL EVENTS EXPENSES

Schedule G IRS990ScheduleG

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

ActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsInd
GARY BESS ASSOCIATES
GRANT WRITINGfalse
LU ASSOCIATES
FUND SEEKINGfalse
MISSIONQUEST
FUND SEEKINGfalse

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BEACH WALKEvent1Nm
Gross Receipts Event1$56,240GrossReceiptsEvent1Amt
Charitable Contri Event1$31,500CharitableContriEvent1Amt
Gross Revenue Event1$24,740GrossRevenueEvent1Amt
Rent Facility Costs Event1$1,494RentFacilityCostsEvent1Amt
Food And Beverage Event1$7,645FoodAndBeverageEvent1Amt
Entertainment Event1$1,000EntertainmentEvent1Amt
Other Direct Expenses Event1$23,236OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$56,240GrossReceiptsTotalAmt
Charitable Contributions Tot$31,500CharitableContributionsTotAmt
Gross Revenue Total Events$24,740GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$1,494RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$7,645FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$23,236OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,375DirectExpenseSummaryEventsAmt
Net Income Summary-$8,635NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ASMA KHAN
PHYSICIAN$248,781$0$0$0$0$0$12,335$0$11,895$0$273,011$0$0$0
NAJMA GARDEZI
ASSOC. MEDICAL DIRECTOR$201,843$0$0$0$0$0$14,330$0$10,264$0$226,437$0$0$0
CAROL GRABOWSKI
WOMEN'S HEALTH DIRECTOR$194,420$0$0$0$0$0$5,910$0$15,283$0$215,613$0$0$0
RYAN NGUYEN
PHYSICIAN$190,723$0$0$0$0$0$9,707$0$20,962$0$221,392$0$0$0
CLIFFORD HANCOCK
PHYSICIAN$189,105$0$0$0$0$0$5,775$0$20,962$0$215,842$0$0$0
ELISA NICHOLAS
CEO$293,051$0$0$0$20,132$0$24,000$0$27,619$0$364,802$0$0$0
MARIA CHANDLER
CMO$221,703$0$0$0$16,231$0$21,300$0$30,561$0$289,795$0$0$0
JINA LAWLER
COO$151,989$0$0$0$7,797$0$12,417$0$16,699$0$188,902$0$0$0
CYNTHIA BEGAZO
CHRO$122,856$0$0$0$4,512$0$10,400$0$27,619$0$165,387$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1ORGANIZATION'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 4AORGANIZATION'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 VI, SECTION B, LINE 11BPROCESS 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 12CMONITORING 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 15ACOMPENSATION 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 19DOCUMENT DISCLOSURE: IF A WRITTEN REQUEST IS MADE FOR SUCH INFORMATION, IT IS REVIEWED FOR APPROPRIATENESS AND DISSEMINATED ACCORDINGLY.
FORM 990, PART XI, LINE 9OTHER 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

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE REMAINDER TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesTRUSTPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TCCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeTRUSTEntityTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$239,856ShareOfEOYAssetsAmt
Ownership0.80000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd