2019-05-15T10:26:28-05:00 2018-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-07-01 951643332 THE CHILDREN'S CLINIC SERVING CHILDREN AND THEIR FAMILIES % RICARDO ORNELAS FINANCE DIR CHIL 5622644638 701 EAST 28TH STREET Suite 200 LONG BEACH CA 90806 RICARDO ORNELAS FINANCE DIRECTOR 5622644638 2019-05-14 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920191355000010 2019-05-15 P 6BA24EE1EE52420C92A102596A407E158EEEA553 9D69DC47BE7AD8B6E4E58A9FC2CA369D0D853B01 2017 2019-02-21 02:37:17Z ELISA NICHOLAS 701 EAST 28TH STREET200 LONG BEACH CA 90806 34367894 false X THECHILDRENSCLINIC.ORG X 1939 CA 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) 13 13 406 50 0 11690 7552154 8013419 23460919 26086068 177700 243667 14540 -8635 31205313 34334519 0 0 0 0 24021015 25525333 0 0 0 7208640 6907303 31229655 32432636 -24342 1901883 22900331 24892251 2895587 2895460 20004744 21996791 X 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. false false 27388701 26086068 DIRECT 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. 27388701 true true false false false false false false false true true false false true false false true false false false false false false false true false false false false true false false false false false false false false false false false false false true true false false false true 29 0 true 406 true true true false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true false false CA X RICARDO ORNELAS FINANCE DIR 5622644638 701 EAST 28TH STREET SUITE 200 LONG BEACH CA 90806 MIKE VAN DYKE PRESIDENT 1.0 0.0 X X 0 0 0 CATALINA CRUZ BOARD MEMBER 1.0 0.0 X 0 0 0 LASHELL DIGGS BOARD MEMBER 1.0 0.0 X 0 0 0 ROSARIO FARIAS TREASURER 1.0 0.0 X X 0 0 0 MARTHA HERRERA VICE PRESIDENT 1.0 0.0 X X 0 0 0 MARIA LOPEZ BOARD MEMBER BEG 06/18 1.0 0.0 X 0 0 0 KATE MARR BOARD MEMBER BEG 06/18 1.0 0.0 X 0 0 0 FOMBE NDIFORCHU BOARD MEMBER 1.0 0.0 X 0 0 0 PHANSY PEANG BOARD MEMBER 1.0 0.0 X 0 0 0 EVANGELINA RAMIREZ BOARD MEMBER 1.0 0.0 X 0 0 0 JERAMIAH ROSBOROUGH BOARD MEMBER BEG 06/18 1.0 0.0 X 0 0 0 STEPHEN ROMANSKY SECRETARY 1.0 0.0 X X 0 0 0 MYNOR AGUIRRE BOARD MEMBER 1.0 0.0 X 0 0 0 D'ETTE COMMUNGS BOARD MEMBER END 06/18 1.0 0.0 X 0 0 0 SOCHEAT KUCH BOARD MEMBER END 06/18 1.0 0.0 X 0 0 0 ELISA NICHOLAS CEO 40.0 0.0 X 313183 0 51619 MARIA CHANDLER CMO 40.0 0.0 X 237934 0 51861 JINA LAWLER COO 40.0 0.0 X 159786 0 29116 CYNTHIA BEGAZO CHRO 40.0 0.0 X 127368 0 38019 RICARDO ORNELAS FINANCE DIRECTOR 40.0 0.0 X 127726 0 6966 ASMA KHAN PHYSICIAN 40.0 0.0 X 248781 0 24230 NAJMA GARDEZI ASSOC. MEDICAL DIRECTOR 40.0 0.0 X 201843 0 24594 CAROL GRABOWSKI WOMEN'S HEALTH DIRECTOR 40.0 0.0 X 194420 0 21193 RYAN NGUYEN PHYSICIAN 40.0 0.0 X 190723 0 30669 CLIFFORD HANCOCK PHYSICIAN 40.0 0.0 X 189105 0 26737 1990869 0 305004 44 false true false THE LAW OFFICE OF OMID NOSRATI CLIE 1875 CENTURY PARK EAST STE 600 LOS ANGELES CA 90067 LEGAL SERVICES 135000 NOSSAMAN LLP 777 S FIGUEROA STREET 34TH FLOOR LOS ANGELES CA 90017 LEGAL SERVICES 117685 JANSAN FACILITY SOLUTIONS 9121 ATLANTA AVENUE STE 602 HUNTINGTON BEACH CA 92646 JANITORIAL SERVICE 102570 BKD LLP PO BOX 1190 SPRINGFIELD MO 65801 ACCOUNTING/AUDITING 100220 4 31500 6025849 1956070 8013419 Net Patient Service Revenue 624100 21891982 21891982 Capitation Revenue 624100 2000505 2000505 Managed Care Incentives 624100 1719017 1719017 EHR REVENUE 624100 297500 297500 OTHER INCOME 624100 128041 128041 49023 49023 26086068 224836 224836 0 0 0 0 0 18831 18831 18831 18831 24740 31500 33375 -8635 -8635 0 0 0 0 0 0 0 34334519 26086068 235032 0 0 0 0 1143578 144898 998680 0 18344207 16586167 1758040 658419 619015 39404 3997456 3535994 461462 1381673 1195147 186526 0 141135 141135 116394 116394 0 0 11988 11988 1745002 1459036 285966 16609 16011 598 524928 425954 98974 708665 625117 83548 0 2337671 1750405 587266 48159 25988 22171 0 140357 49125 91232 0 0 438896 341246 97650 77421 43415 34006 MEDICAL SUPPLIES & DRUGS 360773 360773 LICENSES, DUES, SUBSCRIPTIONS 194261 176627 17634 REPAIRS & MAINTENANCE 45044 33783 11261 32432636 27388701 5043935 0 721120 584268 9669548 10645687 585550 487432 3842233 4273076 0 0 0 0 0 0 41408 46645 551705 425804 10528633 7023621 3477270 3505012 0 0 0 0 0 0 124676 124676 3886821 4799651 22900331 24892251 2895587 2895460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2895587 2895460 X 17605783 19456699 1170988 1266945 1227973 1273147 20004744 21996791 22900331 24892251 X 1901883 32352 57812 X false true X true true true X 6877258 7689163 7854119 7552154 8013419 37986113 0 0 6877258 7689163 7854119 7552154 8013419 37986113 699934 37286179 99289 95799 33973 177700 224836 631597 0 0 38617710 110342860 0.96552 0.95640 X 1227973 45174 1273147 1210388 17585 1227973 1267614 -57226 1210388 1320959 -53345 1267614 1171828 149131 1320959 1.00000 true false 125921 125921 121079 48639 72440 6122279 4120641 2001638 3893722 2854341 1039381 265632 265632 3505012 Est. Due from 3rd Parties 1982747 Ben Int in assets held by MMCF 1273147 Ben Int in trusts 239856 Other Receivables 243230 Int in Assets Held by LBCF 1060671 4799651 34304939 32352 791224 823576 33481363 11988 841168 853156 34334519 32454023 33375 33375 32420648 11988 11988 32432636 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 GARY BESS ASSOCIATES GRANT WRITING false LU ASSOCIATES FUND SEEKING false MISSIONQUEST FUND SEEKING false BEACH WALK 56240 31500 24740 1494 7645 1000 23236 0 56240 31500 24740 1494 7645 1000 23236 33375 -8635 X X X false false false false false false false false false ASMA KHAN PHYSICIAN 248781 0 0 0 0 0 12335 0 11895 0 273011 0 0 0 NAJMA GARDEZI ASSOC. MEDICAL DIRECTOR 201843 0 0 0 0 0 14330 0 10264 0 226437 0 0 0 CAROL GRABOWSKI WOMEN'S HEALTH DIRECTOR 194420 0 0 0 0 0 5910 0 15283 0 215613 0 0 0 RYAN NGUYEN PHYSICIAN 190723 0 0 0 0 0 9707 0 20962 0 221392 0 0 0 CLIFFORD HANCOCK PHYSICIAN 189105 0 0 0 0 0 5775 0 20962 0 215842 0 0 0 ELISA NICHOLAS CEO 293051 0 0 0 20132 0 24000 0 27619 0 364802 0 0 0 MARIA CHANDLER CMO 221703 0 0 0 16231 0 21300 0 30561 0 289795 0 0 0 JINA LAWLER COO 151989 0 0 0 7797 0 12417 0 16699 0 188902 0 0 0 CYNTHIA BEGAZO CHRO 122856 0 0 0 4512 0 10400 0 27619 0 165387 0 0 0 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 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. 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 CHARITABLE REMAINDER TRUST TRUST PA TCC TRUST 0 239856 0.80000 true false false false false false false false false false false false false false false false false false false false