Childrens Community Clinic

IRS exemption revoked

Portland, ORUnknown exempt organization EIN 93-0811915Revenue $460K in FY2021

On file with the IRSccc4kids.org2252 Lloyd Center · Portland, OR

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Provide pediatric care to underserved communities.

80¢ of each $1 spent went to programs.
Run by 10 volunteers and 3 employees.
Mission: Form 990 Part I, line 1 · Programs: Part IX · People: Part I, lines 5–6

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FY2021 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
Revoked
IRS exemption revoked
Concern: the IRS revoked its tax exemption.
IRS Auto-Revocation List
Latest return
FY2021
latest Form 990
Concern: the latest return is for FY2021, 5 tax years back; more than 4 tax years.
IRS e-file · Filing history
Surplus or deficit
0 of 2
filings with a surplus
Average deficit $154K a year · 35% of revenue · last 2 filings
Concern: a surplus in 0 of the last 2 filings.
Pt I · Ln 19 · 2 filings
Spent on programs
80%
of spending
Looks good: 80% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
<1 mo
of spending, in cash
Concern: 0.3 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $48K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$556K
619% of total assets
Concern: liabilities are 619% of assets; over 80%.
Pt X · Ln 26
Independent board members
3
of 3 voting members
Looks good: 3 of 3 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$460K
+6% vs prior year
Spent
$685K
To programs
80%
Net assets
−$466K
By yearFY2020–FY2021
Revenue
$460K
FY2021▲ +6%
Tap a bar for its year
Revenue by fiscal year
FY2020$432K
FY2021$460K
Expenses
$685K
FY2021▲ +33%
Tap a bar for its year
Expenses by fiscal year
FY2020$515K
FY2021$685K
Net assets
−$466K
FY2021▼ -93%
Tap a bar for its year
Net assets by fiscal year
FY2020−$241K
FY2021−$466K

From the FY2021 Form 990 · see the original

990 PDF Claim
IRS revoked this organization's tax-exempt status on May 15, 2025

Is it real?

No. The IRS revoked its tax exemption. Latest filing on record: FY2021.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

80 cents of each dollar spent went to programs.

Program services 80% · $548K Management & general 20% · $137K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

3 people listed on the 990.

Part VII, Section A · reportable compensation
$0Pt VII · Sec A
$0Pt VII · Sec A
Co-Chair,ceo
$0Pt VII · Sec A
See Childrens Community Clinic executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes

Programs and updates

Delivers healthcare to children in communities lacking access.

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Provided by the organization

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1 program · $547K · in their own filed words · FY2021
01

Children's community clinic (CCC) provided high quality and compassionate healthcare for children of underserved families regarless of ethnicity or ability to pay, focusing on wellness and prevention. In 2021, CCC provided 261 healthcare visits for 166 children.

$547Kprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · funders on record
Grants received · FY2024
Total grants receivedfrom 1 funder$48K

By the numbers

The FY2021 990, line by line.

1The main four
Money inPt VIII
$460K
Ln 12
Gifts and grantsLn 1h$415K
Fees for servicesLn 2g$45K
Money outPt IX
$685K
Ln 25
Programscol B$548K
Managementcol C$137K
Owns and owesPt X
−$466K
net assets · Ln 32
Cash and savingsLn 1–2$16K
Total assetsLn 16$90K
LiabilitiesLn 26$556K
PeoplePt VI, VII
3
listed · VII A
PaidVII A0
Voting boardVI 1a3
IndependentVI 1b3
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$415K
Government grantsLn 1e$338K
Fees for servicesLn 2g$45K
Total revenueLn 12$460K
Assets in detailPt X, end of year
CashLn 1$16K
SavingsLn 2$14
Cash and savings togetherLn 1–2$16K
Land, buildings, equipmentLn 10c$71K
Total assetsLn 16$90K
LiabilitiesLn 26$556K
Net assetsLn 32−$466K
OperationsPt I, VI
EmployeesI 53
VolunteersI 610
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13No
Records policyVI 14No
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY21End FY21
Cash and savingsLn 1–2$20K$16K
Land, buildings, equipmentLn 10c$4K$71K
Total assetsLn 16$26K$90K
LiabilitiesLn 26$267K$556K
Net assetsLn 32−$241K−$466K
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Other salaries and wagesLn 7$117K$100K$18K
Other employee benefitsLn 9$15K$12K$3K
Payroll taxesLn 10$11K$9K$2K
Management feesLn 11a$277K$222K$55K
Legal feesLn 11b$887$887
Accounting feesLn 11c$6K$1K$5K
Advertising and promotionLn 12$18K$18K
Office expensesLn 13$15K$13K$2K
Information technologyLn 14$18K$16K$2K
OccupancyLn 16$100K$85K$15K
TravelLn 17$11$11
InterestLn 20$23K$18K$5K
Depreciation, depletion and amortizationLn 22$2K$2K$53
InsuranceLn 23$6K$4K$1K
Other expenses (24a–d)Ln 24$68K$43K$25K
All other expensesLn 24e$8K$5K$3K
Total functional expensesLn 25$685K$548K$137K$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2021 Latest Viewing $460K$685K−$225K−$466K 990 PDF
FY2020 $432K$515K−$83K−$241K 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants O · Explanations
See the full FY2021 990 (6 parts)
Part I · Summary $460,152 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $403,106$415,088
I-9 Program service revenuePrior year $29,326$45,064
I-10 Investment income$0
I-11 Other revenue$0
I-12 Total revenuePrior year $432,432$460,152
I-13 Grants and similar amounts paid$0
I-14 Benefits paid to members$0
I-15 Salaries and benefitsPrior year $70,378$143,189
I-16a Professional fundraising fees$0
I-17 Other expensesPrior year $444,959$542,100
I-18 Total expensesPrior year $515,337$685,289
I-19 Revenue less expensesPrior year −$82,905−$225,137
Part VI · Governance 3 of 3 board members independent, 2 to look at
VI-1a Voting members of the governing body3
VI-1b Independent voting members3
VI-13 Written whistleblower policyNo
VI-14 Document retention and destruction policyNo
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $460,152 across 5 lines filed
VIII-1e Government grants$338,130
VIII-1f All other contributions, gifts and grants$76,958
VIII-1h Total contributions, gifts and grants$415,088
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Excluded from tax $45,064$45,064
VIII-12 Total revenueExcluded from tax $45,064$460,152
Part IX · Statement of functional expenses $685,289 across 16 lines filed
IX-7 Other salaries and wagesPrograms $99,838 · Management $17,618$117,456
IX-9 Other employee benefitsPrograms $12,022 · Management $3,006$15,028
IX-10 Payroll taxesPrograms $9,100 · Management $1,605$10,705
IX-11a Management feesPrograms $221,831 · Management $55,458$277,289
IX-11b Legal feesManagement $887$887
IX-11c Accounting feesPrograms $1,009 · Management $5,022$6,031
IX-12 Advertising and promotionPrograms $18,011$18,011
IX-13 Office expensesPrograms $13,055 · Management $2,304$15,359
IX-14 Information technologyPrograms $15,790 · Management $2,153$17,943
IX-16 OccupancyPrograms $84,600 · Management $14,929$99,529
IX-17 TravelManagement $11$11
IX-20 InterestPrograms $18,383 · Management $4,596$22,979
IX-22 Depreciation, depletion and amortizationPrograms $1,718 · Management $53$1,771
IX-23 InsurancePrograms $4,324 · Management $1,442$5,766
IX-24 Other expenses (24a–d)Programs $43,140 · Management $24,929$68,069
IX-24e All other expensesPrograms $5,235 · Management $3,220$8,455
IX-25 Total functional expensesPrograms $548,056 · Management $137,233 · Fundraising $0$685,289
Part X · Balance sheet $89,792 assets, 12 lines filed
X-1 Cash, non-interest-bearingStart of year $19,809$15,945
X-2 Savings and temporary cash investmentsStart of year $44$14
X-4 Accounts receivableStart of year $468$469
X-9 Prepaid expenses and deferred chargesStart of year $2,003$2,092
X-10c Land, buildings and equipment, netStart of year $3,697$71,272
X-16 Total assetsStart of year $26,021$89,792
X-17 Accounts payable and accrued expensesStart of year $139,285$135,125
X-24 Unsecured notes and loans payableStart of year $128,000$421,068
X-26 Total liabilitiesStart of year $267,285$556,193
X-27 Net assets without donor restrictionsStart of year −$241,264−$466,401
X-32 Total net assets or fund balancesStart of year −$241,264−$466,401
X-33 Total liabilities and net assetsStart of year $26,021$89,792
Part XI · Reconciliation of net assets −$466,401 net assets at year end
XI-1 Total revenue$460,152
XI-2 Total expenses$685,289
XI-3 Revenue less expenses−$225,137
XI-4 Net assets at start of year−$241,264
XI-10 Net assets at end of year−$466,401

Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File

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