2025-05-15T15:28:08+00:00 2024-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-07-01 951643332 THE CHILDREN'S CLINIC SERVING CHILDREN AND THEIR FAMILIES CHIL 5622779448 701 EAST 28TH STREET 200 LONG BEACH CA 90806 ELISA NICHOLAS CEO 2025-05-15 true Krystal Creach P01248198 4178658701 2025-05-15 2023 2025-03-06 01:10:19Z TCC FAMILY HEALTH ELISA NICHOLAS 701 EAST 28TH STREET 200 LONG BEACH CA 90806 46539427 false X THECHILDRENSCLINIC.ORG X 1939 CA As the premier provider of primary and preventative health care to the most vulnerable in our community, TCC serves approximately 1 in 3 low-income residents throughout the greater Long Beach area. (See Schedule O) 9 5 483 79 0 0 14919089 13666639 30302642 32200669 491329 668339 -6105 -5761 45706955 46529886 100000 0 35624178 36146689 0 306357 11983667 11320258 47607845 47566947 -1900890 -1037061 53930288 80891420 24886569 52799819 29043719 28091601 TCC Family Health mission is 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 36679180 100000 29553603 PRIMARY HEALTH, WELLNESS AND BEHAVIORAL HEALTH CARE: TCC's multi-disciplinary team of caring MD's, DO's, NP's, LCSW's, LMFT's, PsyD, DDS's, MPH's and health educators tailor and deliver the following services in a manner that meets the specific needs of each patient and family: pediatric, adolescent, and adult comprehensive primary and preventative health care services promoting health, wellness and healing; gynecological, obstetrics, maternal and prenatal health care; dental health care; chronic disease management services for asthma, diabetes, hypertension, obesity and depression; walk-in immunizations; lab testing; mental/behavioral health services and medically assisted treatment for substance misuse. TCC provides approximately 175,000 medical, behavioral health, dental, enabling services and health education visits annually to almost 40,000 patients in the community via telehealth and in-person visits at our 13 sites and mobile medical clinic. TCC also served 1700 individuals experiencing homelessness, distributed over 30,000 lbs. of produce per month totaling 402,000 lbs. per year of fresh food and vegetables and distributed diapers, baby clothing and other necessities. Additionally, TCC is responding to the housing crisis by offering health and wellness services to the unhoused in our service area through the following collocated sites: (1) TCC at the City of Long Beach Multi-Service Center, (2) TCC at Century Villages at Cabrillo Gateway, and (3) TCC at Mental Health America, (4) TCC's Mobile Medical Clinic, and (5) TCC Family Health and Wellness which included planning, building and partnering with BRIDGE Housing to bring housing and health services to the Cambodia Town Neighborhood in Long Beach. TCC aims to break down barriers to healthcare by offering comprehensive, community-based services close to our patients' homes through our sites located in low-income neighborhoods. TCC also offers extended hours on-site and through telehealth appointments, care coordination, social and behavioral health services, health education and enabling services including health coverage linkage, enrollment and retention. TCC staff conduct consistent in-reach and outreach to assess the current circumstances of patients and their families in order to connect them back to health and wellness services as needed. 2143098 0 1931985 PROVIDING BEHAVIORAL HEALTH/MENTAL HEALTH: Expanded Mental/Behavioral Health Services: TCC provides critically needed services for behavioral health issues including anxiety, depression, suicidal ideation, educational setbacks, increased drug and alcohol use, adverse childhood events, and post traumatic stress disorder - all compounded by the ongoing challenges. TCC has specially trained physicians and nurse practitioners to serve unique populations with mental health issues such as children and people experiencing homelessness with support from a consulting psychiatrist. Addressing Adversity: Flourishing Families Long Beach (FFLB) was funded from fiscal year 2023-2024 through a grant from the LA County Department of Mental Health. This community partnership, a Mental Health Services Act Innovation II project, addressed and sought to prevent adversity and promote healing in our youngest children, families and elderly among generations focusing on the Latino, African American and Cambodian populations. Over 30 community and public based organizations worked side by side with TCC's Flourishing Families team to implement the selected strategies and help build the capacity of our communities to work collectively toward supporting community identification and reduction of adversity in children ages 0 to 5 and intergenerationally. This FFLB partnership/learning community coordinated online and in-person community-based activities, events and workshops that linked residents to resources and covered a multitude of mental health topics, including stress and anxiety management, as well as suicide, familial violence, child abuse, and drug and alcohol prevention. FFLB members were trained in the Community Resiliency Model (CRM), a skills-based program focusing on the biological reactions that occurs in response to stressful events and using wellness skills to help families move through the stressful event, and to return to a zone of resilience or the ability to tolerate the trauma-related symptoms. FFLB collaborative partner agencies played an essential role in coordinating outreach and engagement strategies to enhance mental health awareness and education. A few of these outreach strategies included children's theater workshops, parent and child mindfulness workshops, storytelling groups, support groups relating to community capacity building, folk-dance classes, Zumba classes, support groups for teens and elderly individuals, and budget friendly meal prepping classes among others. A highly reflective methodology was used to assess the impact of FFLB collaborative efforts which uncovered the following thematic highlights: * Basic resources helped stabilize individuals and families in times of need and opened the door to other services. * Front-line staff from the community who shared their lived experience with participants were key to making community members feel welcome, safe and heard. * Education and training provided community members with knowledge, tools and skills that were organically shared with extended family and friends, which has the potential for strengthening communities in the longer term. 1244559 0 715081 ADDRESSING SOCIAL DETERMINANTS OF HEALTH & PROVIDING CONCRETE SUPPORT: As the primary health care provider of the under insured and uninsured, low-income, children and families in our community, TCC's services include not only comprehensive health care, but also identifies and addresses barriers to care and includes supportive services such as: providing food, housing referrals, rental assistance, diaper distributions and other tangible needs; health education and outreach; support for those who have or are experiencing adverse childhood experiences; newborn home visits for families facing challenges; interpretation services; health coverage and Cal Fresh (SNAP) enrollment; transportation; and health-related legal services through our Medical Legal Partnership with the Legal Aid Foundation of Los Angeles. TCC recognizes the importance of concrete support in times of need so families can be clothed, fed and housed so they can achieve health, educational and emotional well-being. * Free Farmers Market and food pantries distributing fresh fruits & vegetables, Food Pantries at each clinical site provides much needed resources such as diapers. Over 30,000 lbs. per month/402,000 lbs. per year of fresh fruits and vegetables were given out to those we serve. * Rental and Utility assistance to those most in need. * Enhanced Care Management Program providing Intensive Case Management and Care Coordination while providing concrete needs to those with complex chronic health conditions, mental health disorders and who are most at risk and often experiencing homelessness. * Home Visitation Program - Providing developmental assessments, parent education and support through TCC's Family Support Specialists for families facing challenges with young children. * Concrete needs such as: Diapers, cribs, and other household items and necessities for daily living. 40066837 true true false false false false false false true true false false true true false false true false false false false false false true false false true false true false false false false false false false false false false false false false true true true false false true 64 0 true 483 true false false false false false false false false false false false false X 9 5 false false false false false false false true true false false true true true true true true true false false CA X EDEN BALLATAN 5622644682 701 EAST 28TH STREET SUITE 200 LONG BEACH CA 90806 Catalina Cruz Treasurer 1.0 0.0 X X 0 0 0 Jeremiah Rosborough Secretary 1.0 0.0 X X 550 0 0 Mike Van Dyke President 1.0 0.3 X X 0 0 0 Rosario Farias Vice President 1.0 0.0 X X 0 0 0 Graham Tse MD Board Member 1.0 0.0 X 0 0 0 Kate Marr Board Member 1.0 0.0 X 0 0 0 Lilia Ocampo Board Member 1.0 0.0 X 550 0 0 Maria Lopez Board Member 1.0 0.0 X 550 0 0 Sovachana Pou Board Member 1.0 0.0 X 250 0 0 Andrew Horvath Chief Information Officer 40.0 0.0 X 187593 0 68818 Eden Ballatan Chief Financial Officer 40.0 2.0 X 157859 0 15355 Elisa Nicholas Chief Executive Officer 40.0 2.0 X 394452 0 61341 Jina Lawler Chief Operations Officer 40.0 0.0 X 201097 0 33775 Maria Chandler Chief Medical Officer 36.0 0.0 X 278288 0 56812 Asma Khan Director of New Born Services 36.0 0.0 X 294732 0 51423 Clifford Hancock Physician 40.0 0.0 X 251599 0 29634 Jack Tsai ASSOCIATE MEDICAL DIRECTOR 40.0 0.0 X 277574 0 72352 Najma Gardezi Associate Medical Director 40.0 0.0 X 253356 0 36368 Uduak Iluore Medical Director 40.0 0.0 X 294947 0 32515 2593397 0 458393 63 false true false Allied Universal Eight Tower Bridge 161 Washington Street Conshohocken PA 19428 Security 738271 Employ Talent Solutions LLC 1881 Mitchell Avenue 38 Tustin CA 92780 Employment Agency 431290 JanSan Facility Solutions 9121 Atlanta Avenue Ste 602 Huntington Beach CA 92646 Facilities 194289 FORVIS MAZARS LLP PO BOX 200870 DALLAS TX 75320 AUDIT/CONSULTING/TAX 140764 A Paul Kurkjian A Medical Corporation PO Box 411748 Los Angeles CA 90041 Medical Provider 104250 5 39649 10638435 2988555 20090 13666639 NET PATIENT SERVICE REVENUE 624100 30120659 30120659 MANAGED CARE INCENTIVES 624100 1222542 1222542 CAPITATION REVENUE 624100 760987 760987 OTHER INCOME 900099 96481 96481 0 0 0 0 32200669 663635 663635 0 0 4704 4704 0 4704 4704 3780 39649 9541 -5761 -5761 0 0 0 0 0 46529886 32200669 0 662578 100000 100000 0 0 1457290 167550 1289740 26625933 24058098 2368132 199703 1148840 1030812 108043 9985 4945362 4296536 607417 41409 1969264 1688299 264584 16381 293759 293759 97650 97650 3235 3235 2722646 2159723 546471 16452 780293 634816 141944 3533 767879 623059 141827 2993 3680488 2921974 746924 11590 40450 32821 7471 158 167426 135849 30924 653 246014 246014 572782 441698 131084 323976 323976 MEDICAL SUPPLIES 711301 711301 REPAIRS & MAINTENANCE 495276 401867 91478 1931 LICENSES, DUES, SUBSCRIPTION 228865 185702 42271 892 RECRUITMENT & RETENTION 173601 140860 32064 677 14617 11896 2721 0 47566947 40066837 7193753 306357 1239184 9114951 14105519 2628934 4265204 2550668 5779047 6435252 0 0 0 0 12457450 12457450 13542 11465 419982 579150 14530610 10515923 3336143 4014687 0 0 99702 80542 12214515 43018321 53930288 80891420 10123236 5884179 1089999 1165238 0 0 6422938 6336796 7250396 39413606 24886569 52799819 X 20789765 17706014 8253954 10385587 29043719 28091601 53930288 80891420 X -1037061 23821 61122 X false true X true true true X 10272318 24312421 20516511 14919089 13666639 83686978 0 0 10272318 24312421 20516511 14919089 13666639 83686978 518340 83168638 190022 142084 158930 491329 663635 1646000 0 0 0 0 0 0 0 85332978 144396413 0.9746 0.9775 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1502598 39860 1542458 1415242 87356 1502598 1542876 -127634 1415242 1268842 274034 1542876 1298258 -29416 1268842 0.0 1.0 0.0 true false 125921 125921 5341374 4452085 889289 2280188 1212749 1067439 5795190 4851089 944101 987937 987937 4014687 DUE FROM THIRD-PARTY PAYORS 4690545 INTEREST IN ASSETS HELD BY MMCF 1542458 BENEFICIAL INTEREST IN TRUSTS 256292 INTEREST IN ASSETS HELD BY LBCF 303405 DEPOSITS 115897 DUE FROM RELATED PARTY 290 RIGHT-OF-USE ASSETS 36050065 OTHER RECEIVABLES 59369 43018321 LEASE LIABILITIES 37304033 DUE TO THIRD-PARTY PAYORS 2109573 39413606 44549842 23821 60340 62909 147070 44402772 3235 2123879 2127114 46529886 47633593 60340 9541 69881 47563712 3235 0 3235 47566947 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS 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 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 and Long Beach Community 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 TCC is used to further the organization's exempt purpose. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Net Assets Released from Restrictions - 62909 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED CONTRIBUTIONS - 2133420 SPECIAL EVENT EXPENSES RECLASSED - -9541 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 SPECIAL EVENT EXPENSES RECLASSED - 9541 Beachwalk 43429 39649 3780 93 2427 375 6646 0 0 43429 39649 3780 93 2427 375 6646 9541 -5761 true CPCA ADVOCATES 555 CAPITOL MALL SUITE 400 SACRAMENTO CA 95814 811326638 501(C)(4) 100000 SUPPORT 0 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION MADE A PLEDGE IN SUPPORT OF THE CPCA ADVOCATES COMMITTEE TO PROTECT PATIENT ACCESS TO CARE THROUGH COMMUNITY HEALTH CENTERS DURING FISCAL YEAR 2024. X X X false false false false false false false false false Elisa Nicholas Chief Executive Officer 367603 0 26849 0 0 0 27542 0 33799 0 455793 0 0 0 Maria Chandler Chief Medical Officer 276439 0 1849 0 0 0 19410 0 37402 0 335100 0 0 0 Jina Lawler Chief Operations Officer 200097 0 1000 0 0 0 13157 0 20618 0 234872 0 0 0 Andrew Horvath Chief Information Officer 185744 0 1849 0 0 0 13061 0 55757 0 256411 0 0 0 Eden Ballatan Chief Financial Officer 156010 0 1849 0 0 0 7843 0 7512 0 173214 0 0 0 Uduak Iluore Medical Director 292648 0 2299 0 0 0 9984 0 22531 0 327462 0 0 0 Asma Khan Director of New Born Services 292883 0 1849 0 0 0 17624 0 33799 0 346155 0 0 0 Jack Tsai ASSOCIATE MEDICAL DIRECTOR 275350 0 2224 0 0 0 16595 0 55757 0 349926 0 0 0 Najma Gardezi Associate Medical Director 251507 0 1849 0 0 0 17665 0 18703 0 289724 0 0 0 Clifford Hancock Physician 249750 0 1849 0 0 0 12530 0 17104 0 281233 0 0 0 Form 990, Part I, Line 1 ORGANIZATION'S MOST SIGNIFICANT ACTIVITIES Since 1939, TCC Family Health (TCC), has been responding to community identified health needs and working to meet the needs of patients by providing comprehensive, high quality, primary and preventative health care, chronic disease management, integrated behavioral/mental health care and wellness services focusing on low-income families, including the elderly and those experiencing homelessness, in communities of greater Long Beach, California. TCC, a 501(c)(3) Federally Qualified Health Center, serves approximately 40,000 patients of all lifecycles, through approximately 175,000 medical, behavioral health, dental and wellness visits annually via both in-person and telehealth, with 13 sites including three school-based health centers, a mobile medical clinic and a mobile dental clinic. TCC takes pride in advancing health and well-being of our community through empathetic and healing care. During FY 2023-2024, TCC steadily addressed compounding physical and behavioral health challenges and economic burden facing individuals and families in our community of all lifecycles through the following services: primary health care; preventive health services; gynecological and obstetrics health care; maternal health care, prenatal care; dental care; chronic disease management for asthma, diabetes, hypertension, obesity and depression; STD, Hep C, HIV screening and treatment; mental health services; walk-in immunizations; laboratory testing; dispensary of medications; early childhood programs; health education/outreach; case management; benefit enrollment (i.e. health insurance, Cal Fresh (SNAP)); care coordination; home visitation; translation/interpretation; medical-legal partnership; enhanced care management; food pantries; free farmer's markets; transportation services and comprehensive care for special populations including those with multiple chronic diseases, children with disabilities, individuals experiencing homelessness and/or substance use disorder. During July 1, 2023 - June 30, 2024, TCC was working to complete a new site - TCC Family Health and Wellness - an 18,000 sq. ft. health and wellness center located in the Cambodia Town Neighborhood of Long Beach, CA. Form 990, Part VI, Line 11b Review of form 990 by governing body The 990 form 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 and CFO/Finance Director review the 990 in detail. A final draft of the 990 form is then provided to all of the board members prior to filing. Form 990, Part VI, Line 12c 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, Line 15a Process to establish compensation of top management official The Compensation Committee, appointed by the Board of Directors, reviews and makes recommendations related to the CEO's compensation based on comparable salaries among California Primary Care Association (CPCA) and 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, Line 19 Required documents available to the public If a written request is made for such information, it is reviewed for appropriateness and disseminated accordingly. Form 990, Part VII, Section A Board Member Compensation No board members receive compensation for their roles as board members. Board members, Jeremiah Rosborogh, Lilia Ocampo, Maria Lopez, and Sovachana Pou were reimbursed for travelling and incidental expenses. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in beneficial interest in trusts - 21262; Return on assets held by Memorial Medical Center Foundation - 39860; TCC SUPPORT CORPORATION 701 EAST 28TH STREET SUITE 20 LONG BEACH CA 908062784 871702559 SUPPORT CA 501(c)(3) Type I TCC true CHARITABLE REMAINDER TRUST TRUST PA TCC Trust 256292 0.8000 true false false false false false false false false false false true false false false false false false false false TCC SUPPORT CORPORATION K 1038329 FMV