2015-01-30T08:38:29-06:00 2014-06-30 420714325 MCGLADREY LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2013-07-01 520988386 COMMUNITY CLINIC INC COMM 3013407525 8630 FENTON STREET 12TH FLOOR SILVER SPRING MD 20910 KATHLEEN KNOLHOFF MPH CEO 3013407525 2015-01-29 1 JULIA FLANNERY CPA P00928918 4102469300 2013 2016-02-25 16:41:14Z KATHLEEN KNOLHOFF MPH 8630 FENTON STREET 12TH FLOOR SILVER SPRING MD 20910 17662155 0 X WWW.CCIWEB.ORG X 1972 MD PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES TO UNINSURED AND ALL OTHER PATIENTS WHO NEED CARE DUE TO ACCESS, LANGUAGE, OR FISCAL RESTRAINTS. 14 14 246 14 0 0 6746916 8595610 6298417 7611539 5743 5747 1123684 1449259 14174760 17662155 0 0 0 0 9437237 11868078 0 0 6207 4019284 4827173 13456521 16695251 718239 966904 7956544 9046459 3635958 3443773 4320586 5602686 X COMMUNITY CLINIC, INC. SEEKS TO FULFILL ITS MISSION OF PROVIDING HIGH-QUALITY PRIMARY CARE AND HEALTH-RELATED SERVICES FOR MEDICALLY UNDER-SERVED PERSONS, PROMOTING IMPROVED ACCESS TO HEALTH CARE SERVICES, AND CONDUCTING CCI'S MISSION IN A NONDISCRIMINATORY MANNER, SENSITIVE TO THE NEEDS OF THE COMMUNITY AND THE DIGNITY OF EVERY INDIVIDUAL. 0 0 9974513 6787791 HEALTH CENTERS: PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES TO 56,705 INDIVIDUAL ENCOUNTERS, MANY OF WHOM DO NOT HAVE ANY HEALTH INSURANCE. CCI-TAYA PROVIDES TEENS AND YOUNG ADULTS WITH AFFORDABLE, TIMELY AND CULTURALLY COMPETENT, DIRECT CLINICAL CARE AND EDUCATIONAL OUTREACH SERVICES. 3350442 WOMAN, INFANTS AND CHILDREN (WIC): NUTRITION COUNSELING TO 31,247 INCOME-ELIGIBLE INFANTS AND CHILDREN, AS WELL AS PREGNANT AND BREASTFEEDING WOMEN. 1153501 1704142 COMPREHENSIVE DENTAL SERVICE PROGRAM PROVIDING 11,157 DENTAL ENCOUNTERS TO PATIENTS PRIMARILY ON MEDICAID OR UN-INSURED. 14478456 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 14 0 1 246 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 MD X DR WILLIAM FLYNT CEO 2404992614 8630 FENTON STREET SUITE 1204 SILVER SPRING MD 20910 DONALD MCCLURE CHAIRPERSON 2.00 X X 0 0 0 LOUISE M BRADFORD SECRETARY 2.00 X X 0 0 0 SHARON THAMES TREASURER/CHAIR-ELECT 2.00 X X 0 0 0 MICHAEL L BOWIE SR DIRECTOR 2.00 X 0 0 0 BETH DURHAM DIRECTOR 2.00 X 0 0 0 GEORGE ESCOBAR DIRECTOR 2.00 X 0 0 0 SANJA GOMEZ DIRECTOR 2.00 X 0 0 0 THOM HARR DIRECTOR 2.00 X 0 0 0 LINA LEON DIRECTOR 2.00 X 0 0 0 PETER MBUGUA DIRECTOR 2.00 X 0 0 0 HERBERT PONCE DIRECTOR 2.00 X 0 0 0 CARLA SATINSKY DIRECTOR 2.00 X 0 0 0 ERIC ASHLEY STROUD DIRECTOR 2.00 X 0 0 0 ROBERT P WISE MD DIRECTOR 2.00 X 0 0 0 J WILLIAM FLYNT MD CEO 40.00 X 175488 0 0 JIAQI TAO CFO 40.00 X 135832 0 1803 KATHLEEN KNOLHOFF COO 40.00 X 168119 0 650 MARGARET CHANG MD MEDICAL DIRECTOR 40.00 X 154935 0 7707 ANDREW SWIDERSKI MD PHYSICIAN 40.00 X 137316 0 15679 PARVEJ MALIK MD PHYSICIAN 40.00 X 141692 0 11038 OLANREWAJU FALUSI ASSOCIATE MEDICAL DIRECTOR 40.00 X 136649 0 13047 SHERYL YOUNG MD PHYSICIAN 40.00 X 141440 0 6732 1191471 0 56656 13 0 1 0 THE KORTH COMPANIES INC 9101 GAITHER ROAD GAITHERSBURG MD 20877 CONSTRUCTION 617922 GE HEALTHCARE 15724 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 IT PM & EMR CONTRACTOR 191017 BLUENOVO INC 8070 GEORGIA AVENUE SILVER SPRING MD 20910 IT CONSULTING 152124 FULL-BRITE CLEANING SERVICES 15825 REDLAND ROAD ROCKVILLE MD 20850 CLEANING SERVICES 126448 4 8439538 156072 31663 8595610 PATIENT SERVICE FEES 621400 7611539 7611539 7611539 5747 5747 OTHER HEALTH SERVICES 621110 880394 880394 INCENTIVE & OTHER INCO 900099 568865 568865 1449259 17662155 8491933 0 574612 486092 486092 10018209 9082115 930592 5502 91774 81415 10311 48 536125 467749 68100 276 735878 638204 97293 381 52591 52591 70840 70840 215888 83211 132677 565995 442862 123133 1673529 1531962 141567 41965 26829 15136 71865 57530 14335 41586 9545 32041 527318 485967 41351 59671 46879 12792 MEDICAL SUPPLIES 774252 717688 56564 LICENSE 695868 671932 23936 MEMBERSHIPS 25031 9856 15175 MISCELLANEOUS 10774 1281 9493 16695251 14478456 2210588 6207 2818740 2848926 666241 671753 157722 306403 628165 493368 128657 148974 7966575 3498983 3447473 4467592 100 100 109446 109343 7956544 9046459 899275 1164696 1365338 570588 959719 790690 411626 917799 3635958 3443773 X 4320586 5602686 4320586 5602686 7956544 9046459 X 966904 315196 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5124297 1895104 3229193 2842278 1603879 1238399 4467592 DEFERRED RENT 473264 LINE OF CREDIT 444535 917799 X 18242274 264923 315196 580119 17662155 0 17662155 16960174 264923 264923 16695251 0 16695251 PART X, LINE 2: THE CLINIC HAS BEEN RECOGNIZED BY THE IRS AS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(C)(3), EXCEPT FOR TAXES ON INCOME GENERATED FROM UNRELATED BUSINESS ACTIVITIES. THE CLINIC HAS ADOPTED ACCOUNTING GUIDANCE REGARDING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS POLICY, THE CLINIC MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS EVALUATED THE CLINIC'S TAX POSITIONS AND HAS CONCLUDED THAT THE CLINIC HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. AS OF JUNE 30, 2014, THERE ARE NO MATERIAL UNRECOGNIZED/DERECOGNIZED TAX BENEFITS OR TAX PENALTIES OR INTEREST. THE CLINIC IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE JUNE 30, 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: ACQUISITION OF TAYA 315,196. X X 0 0 0 0 0 0 0 0 0 J WILLIAM FLYNT MD CEO 175363 0 125 0 0 0 0 0 0 0 175488 0 0 0 KATHLEEN KNOLHOFF COO 167994 0 125 0 0 0 650 0 0 0 168769 0 0 0 MARGARET CHANG MD MEDICAL DIRECTOR 154438 0 497 0 0 0 625 0 7082 0 162642 0 0 0 ANDREW SWIDERSKI MD PHYSICIAN 135552 0 1764 0 0 0 650 0 15029 0 152995 0 0 0 PARVEJ MALIK MD PHYSICIAN 140214 0 1478 0 0 0 650 0 10388 0 152730 0 0 0 X MEDICAL SUPPL 2 31663 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CFO. BOARD MEMBERS RECEIVE AN ELECTONIC COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ACTIVITIES OF THE CORPORATION SHALL BE CONDUCTED SO THAT NO PART OF ITS INCOME PROPERTY OR EARNINGS SHALL INURE TO THE BENEFIT OF ANY DIRECTOR, OFFICER, EMPLOYEE OR OTHER INDIVIDUAL, CORPORATION, INSTITUTION OR ASSOCIATION. ANY DIRECTOR HAVING AN OUTSIDE INTEREST IN A MATTER BEFORE THE BOARD SHALL DISCLOSE THE POTENTIAL CONFLICT TO THE BOARD BEFORE IT DELIBERATES AND ACTS ON THE MATTER AND IF THE BOARD DETERMINES A CONFLICT EXISTS, THE MEMBER SHALL ABSTAIN FROM ANY DELIBERATIONS OR VOTE ON THE MATTER. EACH DIRECTOR SHALL SIGN A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD AND SHALL SIGN AN UPDATED STATEMENT ANNUALLY THEREAFTER. FORM 990, PART VI, SECTION B, LINE 15 THE DETERMINATION OF COMPENSATION AMOUNTS FOR THE ORGANIZATION'S CEO OCCURS WHEN THE BOARD EVALUATES THE CEO'S PERFORMANCE AND MAKES THEIR RECOMMENDATION FOR THE SALARY INCREASE. THE DETERMINATION OF COMPENSATION AMOUNTS FOR THE CEO AND KEY EMPLOYEES INCLUDES A REVIEW OF LOCAL & NATIONAL COMPARABLES FOR PROFESSIONALS WITH REQUIRED SKILLS AND BACKGROUND, AS WELL AS A REVIEW OF ORGANIZATION FINANCIALS TO DETERMINE WHAT MAKES SENSE GIVING EXISTING BUDGET CONSTRAINTS. HUMAN RESOURCES & FINANCE ARE KEY CONTRIBUTORS TO SUCH A DECISION, AS IS THE ORGANIZATION'S MANAGEMENT. THE STEPS IN THIS PROCESS ARE DOCUMENTED BY THE BOARD AND HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 COMMUNITY CLINIC, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: ACQUISITION OF TAYA 315,196.