TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) ELISA NICHOLAS...................................................................... CEO	40.0 ................. 0.0		X		365,739	51,360
(2) MARIA CHANDLER...................................................................... CMO	40.0 ................. 0.0		X		274,369	54,261
(3) UDUAK ILUORE...................................................................... PHYSICIAN	40.0 ................. 0.0			X	293,862	34,236
(4) ASMA KHAN...................................................................... PHYSICIAN	40.0 ................. 0.0			X	256,887	51,191
(5) NAJMA GARDEZI...................................................................... PHYSICIAN	40.0 ................. 0.0			X	257,162	40,655
(6) JACK TSAI...................................................................... PHYSICIAN	40.0 ................. 0.0			X	243,979	30,017
(7) CLIFFORD HANCOCK...................................................................... PHYSICIAN	40.0 ................. 0.0			X	231,346	39,578
(8) JINA LAWLER...................................................................... COO	40.0 ................. 0.0		X		194,324	33,186
(9) ANDREW HORVATH...................................................................... CIO	40.0 ................. 0.0		X		182,322	43,557
(10) CYNTHIA BEGAZO...................................................................... CHRO	26.0 ................. 0.0		X		160,686	26,098
(11) EDEN BALLATAN...................................................................... CFO	40.0 ................. 0.0		X		158,175	15,352
(12) MIKE VAN DYKE...................................................................... PRESIDENT	1.0 ................. 0.0	X	X		0	0
(13) MARTHA HERRERA...................................................................... VICE PRESIDENT	1.0 ................. 0.0	X	X		0	0
(14) ROSARIO FARIAS...................................................................... TREASURER	1.0 ................. 0.0	X	X		0	0
(15) STEPHEN ROMANSKY...................................................................... SECRETARY	1.0 ................. 0.0	X	X		0	0
(16) CATALINA CRUZ...................................................................... BOARD MEMBER	1.0 ................. 0.0	X			0	0
(17) JEREMIAH ROSBOROUGH...................................................................... BOARD MEMBER	1.0 ................. 0.0	X			0	0

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

THE CHILDREN'S CLINIC
SERVING CHILDREN AND THEIR FAMILIES

Employer identification number

95-1643332

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	8,013,419	8,352,995	10,272,318	24,312,421	20,516,511	71,467,664
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
4	Total. Add lines 1 through 3	8,013,419	8,352,995	10,272,318	24,312,421	20,516,511	71,467,664
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..						902,304
6	Public support. Subtract line 5 from line 4.						70,565,360

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..	8,013,419	8,352,995	10,272,318	24,312,421	20,516,511	71,467,664
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	224,836	201,247	190,022	142,084	158,930	917,119
9	Net income from unrelated business activities, whether or not the business is regularly carried on..						0
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..						0
11	Total support. Add lines 7 through 10						72,384,783

Gross receipts from related activities, etc. (see instructions) ..................

134,871,262

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

97.486 %

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

96.556 %

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

THE CHILDREN'S CLINIC
SERVING CHILDREN AND THEIR FAMILIES

Employer identification number

95-1643332

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization THE CHILDREN'S CLINIC SERVING CHILDREN AND THEIR FAMILIES

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization THE CHILDREN'S CLINIC SERVING CHILDREN AND THEIR FAMILIES		Employer identification number 95-1643332

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization THE CHILDREN'S CLINIC SERVING CHILDREN AND THEIR FAMILIES			Employer identification number 95-1643332
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE CHILDREN'S CLINIC
SERVING CHILDREN AND THEIR FAMILIES

Employer identification number

95-1643332

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	1,542,876	1,268,842	1,298,258	1,273,147	1,227,973
b	Contributions ...
c	Net investment earnings, gains, and losses	-127,634	274,034	-29,416	25,111	45,174
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	1,415,242	1,542,876	1,268,842	1,298,258	1,273,147

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

Yes

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	125,921		125,921
b	Buildings ....	121,079	61,058	60,021
c	Leasehold improvements	7,363,205	4,993,981	2,369,224
d	Equipment ....	5,292,962	4,182,677	1,110,285
e	Other .....	2,855		2,855
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,668,306

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)Est. Due from 3rd Parties				2,816,346
(2)Ben Int in assets held by MMCF				1,415,242
(3)Ben Int in trusts				236,842
(4)DUE FROM RELATED PARTY				21,968
(5)Int in Assets Held by LBCF				248,252
(6)DEPOSITS				110,534
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				4,849,184

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	7,450,000
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	47,424,607
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-50,938
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	448,117
e	Add lines 2a through 2d .....................			2e	397,179
3	Subtract line 2e from line 1..................			3	47,027,428
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	10,866
b	Other (Describe in Part XIII.) ...........	4b	3,330,094
c	Add lines 4a and 4b....................			4c	3,340,960
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	50,368,388

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	45,655,754
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e
3	Subtract line 2e from line 1...................			3	45,655,754
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	10,866
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	10,866
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	45,666,620

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART VI, 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: $ 448,117 NET ASSETS RELEASED FROM RESTRICTION
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VII, LINE 7B: $ 3,330,094 CONTRIBUTIONS WITH DONOR RESTRICTIONS

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization
THE CHILDREN'S CLINIC
SERVING CHILDREN AND THEIR FAMILIES

Employer identification number

95-1643332

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(v) Amount paid to (or retained by) fundraiser listed in col. (i)
			Yes	No
	GARY ERICKSON 16083 CAMINITO TOMAS SAN DIEGO, CA92128	FUNDRAISING CAMPAIGN		No	11,000









Total . . . . . . . . . . . . . . . . . . . .					11,000

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990) 2021

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2021

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
THE CHILDREN'S CLINIC
SERVING CHILDREN AND THEIR FAMILIES

Employer identification number
95-1643332

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) TCC SUPPORT CORPORATION 701 EAST 28TH STREET LONG BEACH,CA908062784	87-1702559	501(C)(3)	624,359				SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
SCHEDULE I, PART I, LINE 2	GRANT MONITORING PROCEDURES: THE ORGANIZATION MONITORS THE USE OF THE GRANT FUNDS. GRANTEE WAS ORGANIZED TO SUPPORT EXCLUSIVELY FOR THE BENEFIT OF THE ORGANIZATION.

Schedule I (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE CHILDREN'S CLINIC
SERVING CHILDREN AND THEIR FAMILIES

Employer identification number

95-1643332

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ELISA NICHOLAS CEO	(i) (ii)	338,189 ------------- 0	3,397 ------------- 0	24,153 ------------- 0	26,000 ------------- 0	25,360 ------------- 0	417,099 ------------- 0	0 ------------- 0
2MARIA CHANDLER CMO	(i) (ii)	252,503 ------------- 0	3,397 ------------- 0	18,469 ------------- 0	26,000 ------------- 0	28,261 ------------- 0	328,630 ------------- 0	0 ------------- 0
3JINA LAWLER COO	(i) (ii)	179,534 ------------- 0	3,397 ------------- 0	11,393 ------------- 0	17,150 ------------- 0	16,036 ------------- 0	227,510 ------------- 0	0 ------------- 0
4EDEN BALLATAN CFO	(i) (ii)	147,267 ------------- 0	3,397 ------------- 0	7,511 ------------- 0	9,742 ------------- 0	5,610 ------------- 0	173,527 ------------- 0	0 ------------- 0
5CYNTHIA BEGAZO CHRO	(i) (ii)	149,538 ------------- 0	3,397 ------------- 0	7,751 ------------- 0	10,400 ------------- 0	15,698 ------------- 0	186,784 ------------- 0	0 ------------- 0
6ANDREW HORVATH CIO	(i) (ii)	167,782 ------------- 0	3,397 ------------- 0	11,143 ------------- 0	1,300 ------------- 0	42,257 ------------- 0	225,879 ------------- 0	0 ------------- 0
7UDUAK ILUORE PHYSICIAN	(i) (ii)	281,878 ------------- 0	3,397 ------------- 0	8,587 ------------- 0	18,200 ------------- 0	16,036 ------------- 0	328,098 ------------- 0	0 ------------- 0
8ASMA KHAN PHYSICIAN	(i) (ii)	240,991 ------------- 0	3,397 ------------- 0	12,499 ------------- 0	26,000 ------------- 0	25,191 ------------- 0	308,078 ------------- 0	0 ------------- 0
9NAJMA GARDEZI PHYSICIAN	(i) (ii)	236,904 ------------- 0	3,397 ------------- 0	16,861 ------------- 0	26,000 ------------- 0	14,655 ------------- 0	297,817 ------------- 0	0 ------------- 0
10JACK TSAI PHYSICIAN	(i) (ii)	228,821 ------------- 0	3,397 ------------- 0	11,761 ------------- 0	9,680 ------------- 0	20,337 ------------- 0	273,996 ------------- 0	0 ------------- 0
11CLIFFORD HANCOCK PHYSICIAN	(i) (ii)	216,980 ------------- 0	3,397 ------------- 0	10,969 ------------- 0	26,000 ------------- 0	13,578 ------------- 0	270,924 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE CHILDREN'S CLINIC
SERVING CHILDREN AND THEIR FAMILIES

Employer identification number

95-1643332

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	12	854,364	FMV
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	4	3,092	FMV
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2021)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, PART I, COLUMN B	NUMBER OF CONTRIBUTORS: THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.

Schedule M (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

THE CHILDREN'S CLINIC
SERVING CHILDREN AND THEIR FAMILIES

Employer identification number

95-1643332

Return Reference	Explanation
FORM 990, PART I, LINE 1	ORGANIZATION'S MOST SIGNIFICANT ACTIVITIES: ...BY PROVIDING COMPREHENSIVE, HIGH QUALITY HEALTH CARE, INTEGRATED BEHAVIORAL/MENTAL HEALTH CARE AND WELLNESS SERVICES FOCUSING ON THE ETHNICALLY DIVERSE, UNDER RESOURCED AND MOST VULNERABLE, INCLUDING THOSE EXPERIENCING HOMELESSNESS, IN THE HISTORICALLY DIVERSE COMMUNITIES OF GREATER LONG BEACH, CALIFORNIA. TCC, A 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER, SERVES APPROXIMATELY 40,000 PATIENTS OF ALL AGES, THROUGH APPROXIMATELY 175,000 MEDICAL, BEHAVIORAL HEALTH, DENTAL AND WELLNESS VISITS ANNUALLY VIA BOTH TELEHEALTH AND IN-PERSON TO ALL AGES, WITH 13 SITES INCLUDING THREE SCHOOL-BASED HEALTH CENTERS, A MOBILE MEDICAL CLINIC AND A MOBILE DENTAL CLINIC. TCC HAS BEEN ON THE FRONT LINES OF ADDRESSING THE COVID-19 PANDEMIC AND RAPIDLY PIVOTED TO RESPOND TO THE HEALTH, ECONOMIC AND SOCIAL INEQUITIES THE PANDEMIC HAS EXPOSED SUCH AS THE MENTAL HEALTH CRISIS, INCREASED RISKS OF HOMELESSNESS, UNEMPLOYMENT, LACK OF FOOD, DIAPERS AND OTHER NECESSITIES WHICH HAVE AFFECTED THE LOW INCOME, DIVERSE AND ETHNIC COMMUNITIES THE MOST. TO RESPOND, TCC SHIFTED AND INCREASED SERVICES TO INCLUDE THE ADDITION OF TELEHEALTH AND TELEPHONIC OPTIONS FOR HEALTH AND MENTAL HEALTH VISITS; RELOCATED ALL PRENATAL AND WELL CHILD VISITS TO ONE SPECIFIC SITE FOR PATIENTS; PROVIDED COVID-19 EDUCATION, PREVENTION, TESTING, TREATMENT AND FOLLOW-UP CARE AND OVER 20,000 COVID-19 VACCINATIONS AND BOOSTERS DIRECTLY IN THE HARDEST HIT AREAS OF OUR COMMUNITY. TCC PROVIDED THOSE WE SERVE WITH OVER 900,000 LBS. OF FRESH PRODUCE, HOME DELIVERIES OF MEDICAL SUPPLIES, FOOD AND DIAPERS; PROVIDED RENTAL AND UTILITY ASSISTANCE AND TRANSPORTATION TO APPOINTMENTS. TCC ALSO PROVIDED ONLINE CLASSES AND GROUPS TO ENGAGE, EDUCATE, PROMOTE WELLNESS AND COMBAT SOCIAL ISOLATION SUCH AS OUR HEALTHY, MIND BODY & SOUL CLASS, BILINGUAL STORY TIME IN ENGLISH/SPANISH AND ENGLISH/KHMER, ZUMBA, TEEN SPEAK AND OTHERS. TCC CONTINUES PARTNER CLOSELY WITH OUR LOCAL BLACK, LATINX, AND CAMBODIAN COMMUNITY BASED ORGANIZATIONS AND COMMUNITY MEMBERS TO PROVIDE A GRASS ROOTS RESPONSE TO THOSE MOST IN NEED IN AN EQUITABLE MANNER NOT ONLY ADDRESSING HEALTH AND WELLNESS ISSUES BUT ALSO DECREASING SOCIAL ISOLATION AND LONELINESS WHILE BUILDING POWER, SOCIAL CONNECTIONS AND ENHANCING RESILIENCE AND PROMOTING HEALING. TCC SERVES APPROXIMATELY 40,000 PATIENTS OF ALL AGES IN OVER 175,000 MEDICAL, BEHAVIORAL HEALTH, DENTAL AND WELLNESS VISITS ANNUALLY, SEEING ABOUT 500 PATIENTS PER DAY. OUR TRACK RECORD OF PROVIDING EXCEPTIONAL HEALTH AND WELLNESS SERVICES HAS PLACED TCC IN HIGH DEMAND. TCC ALSO SERVES APPROXIMATELY 1 IN 3 LOW-INCOME RESIDENTS THROUGHOUT THE GREATER LONG BEACH AREA.
FORM 990, PART III, LINE 4A	ORGANIZATION'S EXEMPT PURPOSE ACHIEVEMENTS: 1. PRIMARY HEALTH, WELLNESS AND BEHAVIORAL HEALTH CARE: TCC'S MULTI-DISCIPLINARY TEAM OF MDS, DOS, NPS, LCSWS, MFTS, PSYD AND DENTISTS, AND HEALTH EDUCATORS PROVIDE THE FOLLOWING CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES: PEDIATRIC AND ADULT COMPREHENSIVE HEALTH CARE SERVICES PROMOTING HEALTH, WELLNESS AND HEALING; WOMEN'S HEALTH CARE AND PRENATAL CARE; DENTAL HEALTH CARE; CHRONIC DISEASE MANAGEMENT SERVICES FOR ASTHMA, DIABETES, HYPERTENSION, OBESITY AND DEPRESSION; WALK-IN IMMUNIZATIONS; PHARMACY SERVICES PROVIDING LOW COST PRESCRIPTIONS; LAB TESTING; AND SOCIAL AND EMOTIONAL SUPPORT, INCLUDING MENTAL/BEHAVIORAL HEALTH SERVICES AND MEDICALLY ASSISTED TREATMENT FOR SUBSTANCE MISUSE. TCC'S SERVICES ALSO INCLUDE SUPPORTIVE SERVICES SUCH AS: PROVIDING FOOD, HOUSING REFERRALS, RENTAL ASSISTANCE, DIAPER DISTRIBUTIONS AND OTHER CONCRETE NEEDS; HEALTH EDUCATION AND OUTREACH; SUPPORT FOR TRAUMA AND 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 ALSO 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. COVID-19 PANDEMIC - AS THE PRIMARY HEALTH CARE PROVIDER TO THE VULNERABLE CHILDREN AND FAMILIES WE SERVE, TCC HAS HAD A TREMENDOUS RESPONSIBILITY IN ADDRESSING THE HEALTH INEQUITIES THE COVID-19 PANDEMIC HAS EXACERBATED AS WELL AS CARING FOR THEIR ONGOING HEALTH, DENTAL AND MENTAL HEALTH ISSUES AND CHALLENGES. DESPITE THE CHALLENGES, OUR INCREDIBLE STAFF HAVE ROSE TO THE OCCASION WITH A COORDINATED COVID-19 RESPONSE AS DEMONSTRATED THROUGH THE FOLLOWING: . EXPANDED HEALTH CARE AND BEHAVIORAL HEALTH CARE SERVICES TO INCLUDE TELEPHONIC AND TELEHEALTH VISITS . TCC SHIFTED AND EXPANDED SERVICES TO INCLUDE: SCREENING ALL CALLERS AND ALL PERSONS ENTERING CLINICS FOR COVID-19 SYMPTOMS AND EXPOSURES TO ASSURE THE SAFETY OF OUR PATIENTS AND OUR STAFF . RELOCATED WELL-CHILD AND PRENATAL VISITS TO ONE SPECIFIC SITE DESIGNATED FOR SYMPTOM FREE PATIENTS ONLY . PROVIDED COVID-19 TESTING, TREATMENT AND FOLLOW-UP CARE . PROVIDED OVER 20,000 FREE COVID-19 VACCINATIONS AND BOOSTERS TO OUR PATIENTS, STAFF, FAMILIES, AND COMMUNITY MEMBERS, INCLUDING THOSE EXPERIENCING HOMELESSNESS, AND CONTINUES TO OFFER THREE VACCINATION CLINICS WEEKLY DIRECTLY IN THE COMMUNITY WHERE OUR PATIENTS LIVE INCLUDING COVID-19 BOOSTERS TO THOSE AT GREATEST RISK AND VACCINATIONS TO CHILDREN AGES 5 AND OVER . PROVIDED OVER 900,000 LBS. OF FRESH FRUITS AND VEGETABLES THROUGH WEEKLY FARMERS' MARKETS AND FOOD PANTRIES . PROVIDED HEALTH EDUCATION, DIAPER DISTRIBUTIONS, RENTAL AND UTILITY ASSISTANCE, AND TRANSPORTATION TO APPOINTMENTS . PROVIDED HOME DELIVERIES OF MEDICAL SUPPLIES, FOOD, DIAPERS AND OTHER CONCRETE NEEDS. . PARTNERED WITH MANY LOCAL AND ETHNICALLY DIVERSE COMMUNITY BASED ORGANIZATIONS AND NEIGHBORHOOD GROUPS TO REACH OUT AND TO PROVIDE SERVICES WITHIN THE COMMUNITY AT PARKS, SCHOOLS AND OTHER COMMUNITY LOCATIONS 2. TRAUMA INFORMED CARE - . THROUGH THE EVERYCHILD FOUNDATION FUNDING, TCC BECAME THE FIRST HEALTH CENTER IN SOUTHERN CALIFORNIA TO BE CERTIFIED AS A TRAUMA INFORMED CARE PRACTICE BY THE NATIONAL COUNCIL OF BEHAVIORAL HEALTH (NCBH). SINCE THEN TCC HAS PROVIDED TRAUMA INFORMED AND HEALING HEALTH AND WELLNESS SERVICES THROUGH THE SCREENING FOR ADVERSE CHILDHOOD EVENTS (ACES) AND INCREASED EFFORTS TO ADDRESS TRAUMA IN FAMILIES WITH CHILDREN AGES THREE AND UNDER, INCLUDING PREGNANT WOMEN. TO ENHANCE TRAUMA INFORMED SERVICES TO OUR PATIENTS AND THE COMMUNITY, TCC DEVELOPED CROSS-AGENCY PROGRAMS AND REFERRALS WITH OTHER COMMUNITY BASED ORGANIZATIONS SUCH AS THE CITY OF LONG BEACH DEPT. OF HEALTH AND HUMAN SERVICES, FOR THE CHILD, LONG BEACH UNIFIED SCHOOL DISTRICT CENTRO CHA, SUCCESS IN CHALLENGES, PACIFIC ASIAN COUNSELING SERVICES (PACS), KHMER GIRLS IN ACTION, UNITED CAMBODIAN COMMUNITY, CAMBODIAN ASSOCIATION OF AMERICA AS WELL AS A NUMBER OF OTHER SOCIAL SERVICE AGENCIES AND COMMUNITY LEADERS WORKING ACROSS OUR DIVERSE COMMUNITY IN MENTAL HEALTH, HOUSING, LEGAL ISSUES, DOMESTIC VIOLENCE, SUPPORTIVE SERVICES, AND OTHERS. . HOME VISITING PROGRAM- TCC PROVIDES HOME VISITING SERVICES USING THE HEALTHY FAMILIES AMERICA MODEL TO NEW PARENTS FACING CHALLENGES TO PROMOTE CHILD WELL-BEING THROUGH FAMILY FOCUSED AND EMPATHIC SUPPORT PROVIDED IN THE HOME. DURING COVID, HOME VISITATIONS SHIFTED TO TELEPHONIC VISITS AND ALSO PROVIDED HOME DELIVERIES OF MEDICAL SUPPLIES, FOOD, TOYS AND DIAPERS. . DMH INNOVATIONS II/FLOURISHING FAMILIES LONG BEACH - IN 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 DIVERSE LONG BEACH COMMUNITY. FLOURISHING FAMILIES IS ADDRESSING AND SEEKS TO PREVENT TRAUMA AND ADVERSITY IN OUR YOUNGEST CHILDREN AND FAMILIES AND BETWEEN GENERATIONS FOCUSING ON THE LATINO, AFRICAN AMERICAN AND CAMBODIAN POPULATIONS. OVER 30 COMMUNITY AND PUBLIC BASED ORGANIZATIONS ARE WORKING 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 TRAUMA IN CHILDREN AGES 0 TO 5 AND INTERGENERATIONALLY. 3. TCC'S SERVICES TO ADDRESS HEALTH INEQUITIES AND PROVIDE CONCRETE NEEDS AS THE PRIMARY HEALTH CARE PROVIDER OF THE UNINSURED, ECONOMICALLY DISADVANTAGED, AND VULNERABLE CHILDREN AND FAMILIES IN OUR COMMUNITY TCC'S SERVICES INCLUDE NOT ONLY COMPREHENSIVE HEALTH CARE, BUT ALSO ADDRESS HEALTH INEQUITIES AND SOCIAL DETERMINANTS OF HEALTH (SDOH) SUCH AS UNEMPLOYMENT, DEPRESSION, ANXIETY, ADVERSE CHILDHOOD EXPERIENCES (ACES), AND LACK OF FOOD & ADEQUATE HOUSING, AND LACK OTHER CONCRETE NEEDS MUCH OF WHICH INCREASED DURING COVID-19. . FREE FARMERS MARKET AND FOOD PANTRIES DISTRIBUTING FRESH FRUITS & VEGETABLES, FOOD PANTRIES AT EACH CLINICAL SITE AS WELL AS FOOD VOUCHERS AND MUCH NEEDED RESOURCES SUCH AS DIAPERS. OVER 900,000 LBS OF FRESH FRUITS AND VEGETABLES WERE GIVEN OUT TO THOSE WE SERVE IN FY 21/22. . 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 ARE OFTEN HOMELESS OR MOST AT RISK . EXPANDED MENTAL/BEHAVIORAL HEALTH SERVICES TO PROVIDE CRITICALLY NEEDED SERVICES FOR BEHAVIORAL HEALTH ISSUES SUCH AS ANXIETY, DEPRESSION, SUICIDAL IDEATION, EDUCATIONAL SETBACKS, INCREASED DRUG AND ALCOHOL USE, ADVERSE CHILDHOOD EVENTS, AND POST-TRAUMATIC STRESS DISORDER - ALL COMPOUNDED BY THE ONGOING INEQUITIES EXACERBATED BY THE CHALLENGES OF THE PANDEMIC. . FLOURISHING FAMILIES LONG BEACH IS FUNDED THROUGH A GRANT FROM THE LA COUNTY DEPARTMENT OF MENTAL HEALTH. THIS COMMUNITY PARTNERSHIP, INNOVATION II PROJECT, KNOWN AS FLOURISHING FAMILIES LONG BEACH, HAS BEEN ADDRESSING AND SEEKING TO PREVENT TRAUMA AND ADVERSITY AND PROMOTE HEALING IN OUR YOUNGEST CHILDREN AND FAMILIES AND BETWEEN GENERATIONS FOCUSING ON THE LATINO, AFRICAN AMERICAN AND CAMBODIAN POPULATIONS. OVER 30 COMMUNITY AND PUBLIC BASED ORGANIZATIONS HAVE BEEN WORKING 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 TRAUMA IN CHILDREN AGES 0 TO 5 AND INTERGENERATIONALLY WHILE ADDRESSING THE COVID-19 PANDEMIC. . HOME VISITATION PROGRAM - PROVIDING HOME DELIVERIES OF MEDICAL SUPPLIES, FOOD AND DIAPERS DURING COVID. . CONCRETE NEEDS SUCH AS: FOOD VOUCHERS, DIAPERS, CRIBS, AND OTHER HOUSEHOLD ITEMS AND NECESSITIES FOR DAILY LIVING
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 AND FINANCE DIRECTOR REVIEW THE 990 IN DETAIL. A FINAL COPY OF THE 990 IS THEN PROVIDED TO ALL OF THE BOARD MEMBERS AFTER 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 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, 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 CHANGE IN NET ASSETS: $ (37,097) CHANGE IN BENEFICIAL INTEREST IN TRUSTS (127,634) CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY MMCF --------- $ (164,731)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE CHILDREN'S CLINIC
SERVING CHILDREN AND THEIR FAMILIES

Employer identification number

95-1643332

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)TCC SUPPORT CORPORATION 701 EAST 28TH STREET SUITE 200 LONG BEACH,CA908062784 87-1702559	SUPPORT	CA	501(C)(3)	12 A I	TCC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) CHARITABLE REMAINDER TRUST	TRUST	PA	TCC	TRUST		236,842	80.000 %	Yes

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) TCC SUPPORT CORPORATION	D	7,450,000	BOOK VALUE
(2) TCC SUPPORT CORPORATION	B	624,359	FMV

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: FOR OVER 80 YEARS, TCC FAMILY HEALTH (TCC), HAS BEEN RESPONDING TO COMMUNITY IDENTIFIED HEALTH NEEDS AND WORKING TO ADDRESS HEALTH DISPARITIES AND INEQUITIES. SEE SCHEDULE O.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	459
6	Total number of volunteers (estimate if necessary) .............	6	54
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	24,312,421	20,516,511
9	Program service revenue (Part VIII, line 2g) .........	25,926,897	29,692,947
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	142,084	158,930
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	50,381,402	50,368,388
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	624,359
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	34,287,635	34,426,311
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	70,125	11,000
b	Total fundraising expenses (Part IX, column (D), line 25) 288,051
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	8,218,381	10,604,950
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	42,576,141	45,666,620
19	Revenue less expenses. Subtract line 18 from line 12.......	7,805,261	4,701,768
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	34,190,659	46,104,721
21	Total liabilities (Part X, line 26).............	7,834,229	15,262,192
22	Net assets or fund balances. Subtract line 21 from line 20.....	26,356,430	30,842,529

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 38,797,045 including grants of $ 624,359 ) (Revenue $ 29,692,947 )
	DIRECT PATIENT CARE - TCC PROVIDES APPROXIMATELY 175,000 MEDICAL, BEHAVIORAL HEALTH AND DENTAL VISITS AND OVER 55,000 SOCIAL SERVICE AND EDUCATION VISITS ANNUALLY TO ALMOST 40,000 PATIENTS AND IN THE COMMUNITY. TCC ALSO SERVED 1,200 INDIVIDUALS EXPERIENCING HOMELESSNESS, DISTRIBUTED OVER 900,000 LBS. OF FRESH FOOD AND VEGETABLES AND PROVIDED EXTENSIVE COVID-19 EDUCATION, SCREENING, TESTING AND TREATMENT AND FOLLOW-UP CARE, AND OVER 15,000 COVID-19 VACCINATIONS AND BOOSTERS BOTH IN TCC'S HEALTH CENTER SITES AND IN SCHOOLS AND PARKS LOCATED IN THE DIVERSE COMMUNITIES AFFECTED INEQUITABLY BY THE PANDEMIC.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses38,797,045

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) MARIA LOPEZ........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0	0
(19) MYNOR AGUIRRE........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0	0
(20) KATE MARR........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0	0
(21) PHANSY PEANG........................................................................ BOARD MEMBER	1.0 .......................0.0	X	0	0	0
(22) FOMBE NDIFORCHU........................................................................ BOARD MEMBER END 05/22	1.0 .......................0.0	X	0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,618,851	0	419,491

(A) Name and business address	(B) Description of services	(C) Compensation
JAN SAN FACILITY SOLUTIONS, 9121 ATLANTA AVE STE 602 SIGNAL HILL,CA92646	JANITORIAL SERVICE	311,622




2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	17,152,535

f	All other contributions, gifts, grants, and similar amounts not included above		1f	3,363,976

g	Noncash contributions included in lines 1a - 1f:$		1g	857,456

h Total. Add lines 1a-1f.......		20,516,511

		Business Code
2a	Net Patient Service Revenue	624100	27,654,354	27,654,354
b	CAPITATION REVENUE	624100	1,331,423	1,331,423
c	MANAGED CARE INCENTIVES	624100	563,939	563,939
d	EHR USE INCENTIVE	624100	51,000	51,000
e	OTHER REVENUE	900099	92,231	92,231
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		29,692,947

3 Investment income (including dividends, interest, and othersimilar amounts) ......			158,930			158,930
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See instructions.....			50,368,388	29,692,947		158,930

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	624,359	624,359
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	1,559,429	164,315	1,395,114
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	25,117,447	22,749,218	2,158,185	210,044
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	996,743	921,149	67,024	8,570
9	Other employee benefits .......	4,928,675	4,334,635	554,143	39,897
10	Payroll taxes ...........	1,824,017	1,564,573	244,217	15,227
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	166,465		166,465
c	Accounting ...........	133,312		133,312
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	11,000			11,000
f	Investment management fees ......	10,866		10,866
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	2,197,914	1,890,206	307,708
12	Advertising and promotion ....	8,680	7,211	727	742
13	Office expenses .......	1,101,032	1,099,009		2,023
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	3,511,629	2,630,666	880,963
17	Travel ............	37,098	34,369	2,729
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	124,047	104,294	19,205	548
20	Interest ...........	228,982		228,982
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	647,177	324,013	323,164
23	Insurance ...	213,050	213,050
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MED SUPPLIES	1,780,286	1,780,286
b	REPAIRS & MAINTENANCE	227,356	204,189	23,167
c	LICENSES, DUES, SUBSCRIPTION	217,056	151,503	65,553
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	45,666,620	38,797,045	6,581,524	288,051
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1,645,592	1	313,160
2	Savings and temporary cash investments .........			15,092,848	2	12,790,669
3	Pledges and grants receivable, net ......			4,678,234	3	4,645,061
4	Accounts receivable, net .............			5,423,657	4	7,012,080
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	12,457,450
8	Inventories for sale or use ............			39,276	8	33,482
9	Prepaid expenses and deferred charges ......			226,386	9	216,467
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	12,906,022
b	Less: accumulated depreciation	10b	9,237,716	3,382,148	10c	3,668,306
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			138,022	14	118,862
15	Other assets. See Part IV, line 11 ...........			3,564,496	15	4,849,184
16	Total assets. Add lines 1 through 15 (must equal line 33)...			34,190,659	16	46,104,721

17	Accounts payable and accrued expenses .....	6,834,229	17	6,745,962
18	Grants payable ...	0	18	0
19	Deferred revenue .........	1,000,000	19	1,066,230
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	0	25	7,450,000
26	Total liabilities. Add lines 17 through 25..	7,834,229	26	15,262,192

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	21,071,077	27	22,839,930
28	Net assets with donor restrictions ...........	5,285,353	28	8,002,599
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	26,356,430	32	30,842,529
33	Total liabilities and net assets/fund balances ........	34,190,659	33	46,104,721