2026-05-12T14:44:19+00:00 2025-06-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-07-01 951643332 THE CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' CHIL 5622779448 701 EAST 28TH STREET 200 LONG BEACH CA 90806 ELISA NICHOLAS CEO 2026-05-12 true Krystal Creach P01248198 4178658701 2026-05-12 2024 2025-03-06 01:10:19Z TCC FAMILY HEALTH ELISA NICHOLAS 701 EAST 28TH STREET 200 LONG BEACH CA 90806 45266307 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 5 484 51 0 0 13666639 10549528 32200669 34162157 668339 470251 -5761 -6232 46529886 45175704 100000 1401000 0 36146689 38689513 0 332809 11320258 11791810 47566947 51882323 -1037061 -6706619 80891420 82237421 52799819 60693841 28091601 21543580 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 41018531 1401000 32429052 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, adult, and senior comprehensive primary and preventative health care services promoting health, wellness, and healing; gynecological, obstetrics, maternal, and prenatal health care; dental health care; optometry services; 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, optometric, 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 accessing 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. 1246600 0 938827 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 challenges, increased drug and alcohol use, adverse childhood events, and post-traumatic stress disorder. 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. * Patient Centered Behavioral Health Approach TCC provides care in a trauma-informed and healing manner and was the first health center in Los Angeles County to obtain Trauma Informed Care certification from the National Council of Behavioral Health. TCC administers multiple developmental and behavioral screenings devoted to early prevention and identification of traumas and protective factors. 979567 0 794278 ADDRESSING NON-CLINICAL FACTORS AFFECTING HEALTH OUTCOMES: TCC is the primary care health care provider for children, families, and individuals with limited access to care in our community. TCC's services not only include comprehensive health care, but also identify and address barriers to care and include supportive services such as: providing food, housing referrals, rental assistance, diaper distributions and other tangible needs; health education and outreach; support for those who are facing life challenges; newborn home visits for families in need; 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. * Healthy Food Distribution for patients with chronic diseases and other risk factors, 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 facing housing insecurity. * Enhanced Care Management Program providing Intensive Case Management and Care Coordination 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 with young children who are facing challenges. * Concrete needs such as: Diapers, cribs, and other household items and necessities for daily living. 43244698 true true false 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 false false true true true false false true 55 0 true 484 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 false true true true true true true true false 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 0 0 0 Mike Van Dyke President 1.0 0.5 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 0 0 0 Maria Lopez Board Member 1.0 0.0 X 0 0 0 Sovachana Pou Board Member 1.0 0.0 X 0 0 0 Andrew Horvath Chief Information Officer 40.0 0.0 X 177249 0 71915 Eden Martinez Ballatan Chief Financial Officer 40.0 2.0 X 160971 0 16548 Elisa Nicholas Chief Executive Officer 40.0 2.0 X 363420 0 61531 Maria Chandler Chief Medical Officer 36.0 0.0 X 270049 0 59095 Asma M Khan Director of New Born Services 36.0 0.0 X 295064 0 53539 Jack S Tsai Ass.Med.Dir.of HomelessCare/ProviderTraining 40.0 0.0 X 260315 0 75243 Najma Gardezi Associate Medical Director 40.0 0.0 X 259204 0 38030 Peter Yeh Physician 40.0 0.0 X 242533 0 25970 Uduak Iluore Medical Director 40.0 0.0 X 297196 0 40217 Cynthia Begazo FORMER Chief Human Resources Officer 0.0 0.0 X 178006 0 1400 2504007 0 443488 61 true true false Allied Universal Eight Tower Bridge 161 Washington Street Conshohocken PA 19428 Security 586576 JanSan Facility Solutions 9121 Atlanta Avenue Ste 602 Huntington Beach CA 92646 Facility Supplies/Services 213589 Employ Talent Solutions LLC 1881 Mitchell Ave 38 Tustin CA 92780 Employment Agency 134152 A Paul Kurkjian A Medical Corporation PO Box 411748 Los Angeles CA 90041 Medical Provider 114750 4 48099 8212814 2288615 15694 10549528 NET PATIENT SERVICE REVENUE 624100 31259558 31259558 MANAGED CARE INCENTIVES 624100 790538 790538 CAPITATION REVENUE 624100 610182 610182 OTHER INCOME 900099 146586 146586 IPA Distribution 624100 1355293 1355293 0 0 0 0 34162157 478520 478520 0 0 70957 62346 16880 8611 -16880 -8269 -8269 5145 48099 11377 -6232 -6232 0 0 0 0 0 45175704 34162157 0 464019 1401000 1401000 1180778 164573 1016205 179406 179406 28658390 25558346 2880347 219697 1135930 1028667 97258 10005 5432601 4785894 600415 46292 2102408 1832825 251566 18017 133736 133736 100475 100475 3659 3659 2069813 1517958 539382 12473 35408 17417 3117 14874 880062 436777 437990 5295 726414 221821 504593 5272226 4307263 964963 29754 23590 6164 150156 127391 17316 5449 238770 238770 555061 468694 86367 351615 332043 19572 MEDICAL SUPPLIES 731501 731501 LICENSES, DUES, SUBSCRIPTION 228177 164114 64063 RECRUITMENT & RETENTION 220062 67199 152863 EQUIPMENT RENTAL & MAINTENANCE 64921 57625 6589 707 0 0 0 0 51882323 43244698 8304816 332809 9114951 6817017 2628934 1432531 2550668 1360817 6435252 8829414 0 0 0 0 12457450 12457450 11465 11853 579150 1350946 15696461 10854445 4014687 4842016 0 0 80542 61382 43018321 45073995 80891420 82237421 5884179 7398950 1165238 3769612 0 0 6336796 6146690 39413606 43378589 52799819 60693841 X 17706014 19133992 10385587 2409588 28091601 21543580 80891420 82237421 X -6706619 20427 138171 X false true true true true X 24312421 20516511 14919089 13666639 10549528 83964188 0 0 24312421 20516511 14919089 13666639 10549528 83964188 407026 83557162 142084 158930 491329 663635 478520 1934498 0 0 0 0 0 0 0 85898686 152285312 0.97274 0.97464 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1542458 114412 1656870 1502598 39860 1542458 1415242 87356 1502598 1542876 -127634 1415242 1268842 274034 1542876 0.0 1.0 0.0 true false 102500 125921 228421 0 5378719 4495287 883432 0 3046366 1306471 1739895 0 6299568 5052687 1246881 0 743387 0 743387 4842016 DUE FROM THIRD-PARTY PAYORS 3733548 INTEREST IN ASSETS HELD BY MMCF 1656870 BENEFICIAL INTEREST IN TRUSTS 280051 INTEREST IN ASSETS HELD BY LBCF 337406 DEPOSITS 95633 DUE FROM RELATED PARTY RIGHT-OF-USE ASSETS 37764111 OTHER RECEIVABLES 1206376 45073995 Federal Income Taxes LEASE LIABILITIES 40963907 DUE TO THIRD-PARTY PAYORS 2414682 43378589 44430474 20427 75482 70052 165961 44264513 3659 907532 911191 45175704 51982403 75482 28257 103739 51878664 3659 0 3659 51882323 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 - 70052 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED CONTRIBUTIONS - 389200 SPECIAL EVENTS EXPENSES RECLASSED - -11377 Loss on Disposal of Fixed Asset - -16880 Grants For Property & Equipment - 546589 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 SPECIAL EVENTS EXPENSES RECLASSED - 11377 Loss on Disposal of Fixed Asset - 16880 Beach Walk 53244 48099 5145 93 2176 2150 6958 0 0 53244 48099 5145 93 2176 2150 6958 11377 -6232 true TCC SUPPORT CORPORATION 701 EAST 28TH STREET SUITE 200 LONG BEACH CA 90806 871702559 501(C)(3) 1400000 SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds During the year, the organization made a $1.4 million contribution to TCC Support to assist with the completion of construction of the TCC Family Health & Wellness property. Grant funds are monitored through ongoing communication with the recipient and review of project updates and supporting documentation to ensure the funds are used for their intended purpose. X X X false false false false false false false false false Cynthia Begazo FORMER Chief Human Resources Officer 178006 0 0 0 0 0 1400 0 0 0 179406 0 0 0 Elisa Nicholas Chief Executive Officer 362571 0 849 0 0 0 26044 0 35487 0 424951 0 0 0 Maria Chandler Chief Medical Officer 269200 0 849 0 0 0 19823 0 39272 0 329144 0 0 0 Andrew Horvath Chief Information Officer 176400 0 849 0 0 0 13370 0 58545 0 249164 0 0 0 Eden Martinez Ballatan Chief Financial Officer 160122 0 849 0 0 0 8159 0 8389 0 177519 0 0 0 Asma M Khan Director of New Born Services 294215 0 849 0 0 0 18052 0 35487 0 348603 0 0 0 Uduak Iluore Medical Director 296347 0 849 0 0 0 15054 0 25163 0 337413 0 0 0 Jack S Tsai Ass.Med.Dir.of HomelessCare/ProviderTraining 259466 0 849 0 0 0 16698 0 58545 0 335558 0 0 0 Najma Gardezi Associate Medical Director 258355 0 849 0 0 0 18394 0 19636 0 297234 0 0 0 Peter Yeh Physician 239709 0 2824 0 0 0 16992 0 8978 0 268503 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 to children, adolescents, adults and seniors, including 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 2024-2025, TCC has continued to address physical and behavioral health challenges, and economic burdens facing individuals and families in our community through the provision of the following services: primary health care and 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, including substance use disorder treatment; 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, 2024 - June 30, 2025, TCC opened two new sites: (1) TCC Family Health and Wellness - an 18,000 sq. ft. health and wellness center located in the Cambodia Town Neighborhood of Long Beach, CA, serving all ages; and (2) TCC Family Health, Healthy Aging at St. Mary, Long Beach, CA, dedicated to serving those ages 55 and over. 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. In addition, the finance committee members review the 990 form and ask any clarifying questions before the document is finalized. 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 XI, Line 9 Other changes in net assets or fund balances Change in beneficial interest in trusts - 23759; Return on assets held by Memorial Medical Center Foundation - 114412; Total - 138171; TCC SUPPORT CORPORATION 701 EAST 28TH STREET SUITE 200 LONG BEACH CA 908062784 871702559 SUPPORT CA 501(c)(3) Type I TCC true CHARITABLE REMAINDER TRUST TRUST PA TCC Trust 0 0.8000 true false true false false false false false false false false true false false false false false false false false TCC SUPPORT CORPORATION K 2076657 FMV TCC SUPPORT CORPORATION B 1400000 CASH