Laguna Beach Community Clinic

What it reported doing in 2024

As a health services organization with a target population of economically disadvantaged, low-income, and underserved individuals and families, lbcc is a safety net organization. 90% of lbcc patients are living below 200% federal poverty level: approximately 67% live in severe poverty (2024 office of statewide health planning and development utilization report). 36% of patients are hispanic, many of whom speak only spanish. Patients are local shop staff, hotel and restaurant employees, artists, household workers, gardeners, day laborers, and nannies. The patients we serve are at risk of foregoing early medical care of conditions, which would negatively affect their morbidity rates, and also burden the healthcare system in the long run. Their needs to access healthcare include finding:- a registered medi-cal provider.- a provider which accepts uninsured patients and offers low-cost service: many will never qualify for government subsidized insurance through medi-cal or will opt-out and will remain uninsured. These patients risk falling through the gaps in the safety net.- care that it is accessible both linguistically and geographically.- high quality care.a safety-net provider, laguna beach community clinic (lbcc) serves disadvantaged, low-income, and underserved patients. Lbcc is an independent, non-profit, primary care health facility that provides family-centered medical and dental care. The clinic offers non-emergency curative and preventive care, as well as educational services for individuals and families in orange county and serves as a training site for health care professionals. The agency's mission is to provide excellent medical care to individuals in orange county, regardless of their ability to pay. The clinic was founded in 1970 when a group of concerned physicians and community leaders established a free clinic to meet the needs of low-income and medically uninsured people of south orange county. In 1985, lbcc became a licensed community clinic dedicated to meeting the comprehensive medical needs of the disadvantaged. The clinic became a patient centered medical home (pcmh) in 2015 and received designation as a federally qualified health center (fqhc) look-alike in late 2018. The designation AIDS in future financial sustainability and is indicative of higher patient care standards, lower patient costs, expanded services to include medical and dental, higher governance standards, and commitment to providing access for underserved patients. No longer a free clinic, today services are delivered with respect for client dignity, and patient payments are based on a sliding fee scale. The clinic is a registered medi-cal provider with covered California certified enrollment counselors on-site, and additionally welcomes patients without health insurance. The clinic offers care in the areas of: primary care; diagnostic and radiology screenings; family planning, obstetrical and gynecological care; specialty services of endocrinology, urology, nephrology, and neurology; preventive dental; substance abuse services; immunizations; well-child services; health education; mental health; pharmaceutical; nutrition; referral to optometry and additional dental; and insurance eligibility assistance. Lbcc delivers the full scope of primary care services, including offering walk-in urgent care hours six days per week.

Financial Efficiency

• Mission deployment rate: 79.6%; rating input score 80
• Program expense ratio: 83.9%; rating input score 84
• Fundraising efficiency: $7.23 raised per $1 spent on fundraising; rating input score 27; 27th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 5.9%; rating input score 53; 53rd percentile among comparable filings
• Total-asset coverage ratio: 1.13; rating input score 41; 41st percentile among comparable filings
• Liabilities to assets ratio: 0.06; rating input score 66; 66th percentile among comparable filings
• Officer compensation ratio: 31.6%; rating input score 5; 5th percentile among comparable filings

Growth

• Program expense growth: 7.8% per year; rating input score 100; 54th percentile among comparable filings
• Revenue growth: 7.9% per year; rating input score 100; 59th percentile among comparable filings
• Asset growth: 10.4% per year; rating input score 100; 60th percentile among comparable filings