2014-02-18T13:20:19-06:00 2013-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-07-01 942237120 MARIN COMMUNITY CLINIC % SCOTT GOODIN MARI 4154481500 6090 REDWOOD BLVD Suite G NOVATO CA 94945 LINDA TAVASZI 4154481500 2014-02-11 true Brian D Todd 4178658701 2012 2015-11-30 17:44:51Z LINDA TAVASZI 1177 E FRANCISCO BLVD SAN RAFAEL CA 94901 26221162 false X WWW.MARINCLINIC.ORG X 1973 CA TO IMPROVE THE HEALTH AND WELL-BEING OF VULNERABLE LOW-INCOME CHILDREN AND ADULTS IN MARIN COUNTY, CALIFORNIA, BY PROVIDING PRIMARY CARE, ORAL HEALTH, MENTAL HEALTH, AND OTHER HEALTH CARE SERVICES. 16 16 270 20 0 0 6700469 3648719 22023420 22508006 321 4 -11760 41984 28712450 26198713 272093 112128 0 0 12793872 14295719 12390 31215 43839 9598675 10745157 22677030 25184219 6035420 1014494 20428141 21374908 2977338 2909611 17450803 18465297 X TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY, COST-EFFECTIVE, CULTURALLY SENSITIVE, PATIENT-CENTERED HEALTH CARE. false false 13470799 112128 15755605 PRIMARY CARE - PEDIATRIC CARE (INCLUDING AFTER HOURS), ADULT CARE (INCLUDING AFTER HOURS), TEEN HEALTH CARE, IMMUNIZATIONS, ANNUAL CHECKUPS, CHRONIC CARE MANAGEMENT, FAMILY PLANNING FOR MEN AND WOMEN, OBSTETRICS AND GYNECOLOGY, INCLUDING BREAST AND CERVICAL SCREENING & EDUCATION, POST-NATAL CARE, AND REFERRALS FOR SPECIALTY CARE. 4618559 5401921 ORAL HEALTH - PREVENTIVE & RESTORATIVE DENTISTRY. SERVICES INCLUDE: EXAMS AND X-RAYS, ORAL HYGIENE INSTRUCTIONS, CLEANINGS, TOOTH DECAY REMOVAL AND FILLINGS, EXTRACTIONS, ROOT CANALS AND CROWNS DENTURES. 962200 1125400 BEHAVIORAL HEALTH SERVICES - OFFERED TO CHILDREN, TEENS, AND ADULTS, AND INCLUDES PSYCHIATRY AND COUNSELING BY LICENSED CLINICAL SOCIAL WORKERS. 192440 225080 19243998 true true false true false false false false false true true false false true false false true false false false false false false true true false false true false true false false false false false false false false false false false false false false false false false true 64 0 true 270 true false false false false false false false false false false X 16 16 true false false false false false false true true false false false true true true true true true true false CA X SCOTT GOODIN 4155268532 6090 REDWOOD BLVD SUITE G NOVATO CA 94945 JENNIFER LOUCKS 1.0 X 0 0 0 DAVID KLINETOBE 1.0 X X 0 0 0 CARLOS GARCIA-BEDOYA 1.0 X 0 0 0 MICHAEL HOLLOWAY 1.0 X 0 0 0 FRESHTE KASHANI 1.0 X X 0 0 0 WILLIAM KERR 1.0 X 0 0 0 SUE MACE 1.0 X 0 0 0 TEO MARTINEZ 1.0 X 0 0 0 CHARLES J OKEN 1.0 X X 0 0 0 FRANK TAVEL 1.0 X 0 0 0 MICHAEL S HARRIS 1.0 X 0 0 0 CRAIG LINDQUIST MD 1.0 X 0 0 0 MARTIN SLEATH 1.0 X X 0 0 0 STACY SCOTT 1.0 X 0 0 0 VRANNA LYNN HINCK 1.0 X 0 0 0 JOHN BOLAND 1.0 X 0 0 0 MANUEL PANIAGUA 1.0 X 0 0 0 GEORGIANNA FARREN 40.0 X 209059 0 6684 LINDA TAVASZI PHD 40.0 X 164408 0 3077 SCOTT GOODIN 40.0 X 66341 0 5506 MALINI NIJAGAL 40.0 X 232140 0 15270 KATHY WINSTON 40.0 X 155194 0 12597 CONSTANZA KADERA 40.0 X 144534 0 30680 PAUL KIM 40.0 X 134972 0 25878 ERIK SCHTEN 40.0 X 132431 0 15597 1239079 0 115289 16 false true false PRIMA MEDICAL GROUP MEDICAL 588961 MONICA TONG DDS DENTAL 173572 BKD LLP CONSULTING/AUDIT/TAX 152254 NCCBG LLP LEASE 552891 MCC BUILDING MAINTENANCE MAINTENANCE 129011 7 15000 1837173 1796546 3648719 NET PATIENT SERVICE REVENUE 624100 21013790 21013790 EHR INCENTIVE REVENUE 624100 873310 873310 CAPITATION REVENUE 624100 611656 611656 OTHER REVENUE 624100 9250 9250 22508006 4 4 0 0 10800 10800 0 10800 10800 0 53633 15000 22449 31184 31184 0 0 0 26198713 22508006 41988 X 112128 112128 0 0 0 538178 210711 327467 0 10388307 8479811 1908496 109395 89235 20160 2418694 1988033 430661 841145 699918 141227 0 660201 660201 141432 141432 0 31215 31215 0 3564912 3351056 213856 0 754033 471963 269446 12624 458826 19128 439698 0 1635455 1403293 232162 29776 7410 22366 0 51386 20489 30897 22 22 0 1525663 865180 660483 82297 82297 MEDICAL SUPPLIES & DRUGS 1407129 1407129 RECRUITING & RETENTION 257568 5269 252299 BAD DEBT 83518 83518 LICENSES, DUES, SUBSCRIPTIONS 75094 24097 50997 17845 5630 12215 25184219 19243998 5896382 43839 3409980 4462081 12039 12043 269327 137303 2878609 3461526 0 0 0 0 0 0 116625 162310 258726 465946 17668106 6937448 11272170 10730658 0 0 0 0 0 0 0 0 2210665 1943041 20428141 21374908 2787701 2770508 0 0 119157 139103 0 0 0 0 0 0 50480 0 20000 0 0 0 2977338 2909611 X 16489510 17784048 961293 681249 0 0 17450803 18465297 20428141 21374908 1014494 X false true X true true true X 4371512 4455745 4418439 6700469 3648719 23594884 0 0 4371512 4455745 4418439 6700469 3648719 23594884 281645 23313239 23968 1642 611 7341 10804 44366 0 0 23639250 81142047 0.98621 0.95297 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, QUESTION 1I THE ORGANIZATION PAYS ANNUAL DUES TO CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) - A PORTION OF WHICH MAY BE ATTRIBUTABLE TO LOBBYING. 273816 23329 12628 284517 272888 928 273816 244707 40183 12002 272888 234349 23188 12830 244707 279990 -32267 13374 234349 1.00000 true false 1300000 1300000 7186961 2136785 5050176 4417649 1802657 2614992 4550688 2998006 1552682 212808 212808 10730658 EST DUE FROM 3RD PARTIES 1625000 OTHER RECEIVABLES 318041 1943041 26241699 104055 -83518 20537 26221162 -22449 -22449 26198713 25227205 104055 22449 126504 25100701 83518 83518 25184219 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE MARIN COMMUNITY FOUNDATION (THE "FOUNDATION") RECEIVES DONATIONS AND MANAGES AN ENDOWMENT FUND, THE MARIN COMMUNITY CLINIC ENDOWMENT OF THE MARIN COMMUNITY FOUNDATION. THE ASSETS FROM THIS 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. THE FOUNDATION MAKES QUARTERLY DISTRIBUTIONS TO THE ORGANIZATION FOR INVESTMENT RETURNS RECEIVED ON THESE ENDOWMENTS BASED ON THE FOUNDATION'S SPENDING POLICY. AS THE SPENDING POLICY IS AT THE DISCRETION OF THE FOUNDATION AND CAN BE CHANGED, THE ENDOWMENT CONTRIBUTIONS ARE CONSIDERED CONDITIONAL AND ARE NOT RECORDED AS ASSETS OF THE ORGANIZATION. DURING THE YEARS ENDED JUNE 30, 2013 AND 2012, THE FOUNDATION'S SPENDING POLICY WAS TO DISTRIBUTE 5.5% OF THE ROLLING 12 QUARTER AVERAGE OF THE MARKET VALUE OF THE POOLED FUND. THE ORGANIZATION RECEIVED DISTRIBUTIONS OF $12,628 AND $0 FOR THE YEARS ENDED JUNE 30, 2013 AND 2012, RESPECTIVELY, WHICH ARE INCLUDED IN THE STATEMENT OF OPERATIONS. AT JUNE 30, 2013 AND 2012, THE BALANCE OF THE ENDOWMENT FUND WAS $284,517 AND $273,816, RESPECTIVELY. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XI, LINE 2D $ (83,518) BAD DEBT EXPENSE OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 SCHEDULE D, PART XI, LINE 4B $ (22,449) SPECIAL EVENT EXPENSES OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XII, LINE 2D $ 22,449 SPECIAL EVENT EXPENSES OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B $ 83,518 BAD DEBT EXPENSE X X X X X X X true TERI JOLIN ASSOCIATES 849 S BROADWAY 1106 LOS ANGELES CA 90014 CONSULTING false 31215 31215 CA SUMMER SOLSTICE 68633 15000 53633 130 3695 60 1069 17495 0 68633 15000 53633 130 3695 60 1069 17495 22449 31184 true HUCKLEBERRY YOUTH PROGRAMS 361 THIRD ST STE G SAN RAFAEL CA 94901 941687559 501(C)(3) 23128 SUPPORT NOVATO YOUTH CENTER 1767 GRANT AVE NOVATO CA 94945 941735064 501(C)(3) 73840 SUPPORT PLANNED PARENTHOOD SHASTA PACIFIC 2185 PACHECO STREET CONCORD CA 94520 941575233 501(C)(3) 12000 SUPPORT 3 GRANT MONITORING SCHEDULE I, PART I, LINE 2 MARIN COMMUNITY CLINIC RECEIVES PASS-THROUGH GRANTS WHICH ARE GIVEN TO THE ORGANIZATIONS LISTED IN PART II BASED ON THEIR WORK WITH ADOLESCENT PROGRAMS. THE DIRECTOR OF GIVING AT MCC MONITORS THESE ORGANIZATIONS' PROGRESS TOWARD PROJECT GOALS BY PARTICIPATING IN THE MARIN ADOLESCENT HEALTH NETWORK MEETINGS AND REVIEWING WRITTEN REPORTS INCLUDING PROGRAM NARRATIVE AND BUDGET REPORTS. AFTER RECEIVING THE REPORTS FROM EACH AGENCY, THE REPORTS ARE COMPILED INTO A COMPOSITE REPORT AND IT IS SUBMITTED TO MARIN COMMUNITY FOUNDATION ALONG WITH COPIES TO EACH AGENCY. X X X false false false false false false false false false GEORGIANNA FARREN 209059 0 0 0 0 0 6031 0 653 0 215743 0 0 0 LINDA TAVASZI PHD 164408 0 0 0 0 0 1281 0 1796 0 167485 0 0 0 MALINI NIJAGAL 232140 0 0 0 0 0 6959 0 8311 0 247410 0 0 0 KATHY WINSTON 155194 0 0 0 0 0 0 0 12597 0 167791 0 0 0 CONSTANZA KADERA 144534 0 0 0 0 0 855 0 29825 0 175214 0 0 0 PAUL KIM 134972 0 0 0 0 0 1703 0 24175 0 160850 0 0 0 OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D HEALTH EDUCATION - ASTHMA, CARDIOVASCULAR, CHRONIC PAIN, DIABETES BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 2 MARTIN SLEATH, BOARD SECRETARY, & DAVID KLINETOBE, BOARD TREASURER, HAVE A BUSINESS RELATIONSHIP AS BOTH BOARD MEMBERS WORK FOR THE SAME COMPANY. 990 REVIEW POLICY FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE FORM 990 PRIOR TO FILING, AND RECORDS ITS APPROVAL OF THE FILINGS IN ITS REGULAR MEETING MINUTES. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE POLICIES OF MARIN COMMUNITY CLINIC BOARD OF DIRECTORS REQUIRE REGULAR DISCLOSURE OF MEMBER (1) AFFILIATIONS (AS TRUSTEE, BOARD MEMBER, OFFICER, EMPLOYEE, ADVISORY COMMITTEE MEMBER, DEVELOPMENT COMMITTEE MEMBER, VOLUNTEER, ETC.) WITH ANY OTHER ORGANIZATION WITH WHICH MCC MAY HAVE A FINANCIAL RELATIONSHIP, AND (2) AFFILIATIONS OF PERSONS WITH WHOM YOU HAVE A CLOSE PERSONAL RELATIONSHIP (SUCH AS A MEMBER OF THE YOUR IMMEDIATE FAMILY OR A MEMBER OF YOUR HOUSEHOLD) WITH ANY OTHER ORGANIZATION WITH WHICH THE MCC MAY HAVE A FINANCIAL RELATIONSHIP. EMPLOYEES, VOLUNTEERS AND BOARD MEMBERS HAVE A CONTINUING RESPONSIBILITY TO ADVISE THE BOARD SECRETARY OF ADDITIONAL AFFILIATIONS AS THEY MAY ARISE. ANY CONFLICT OF INTEREST WILL BE REVIEWED ON A CASE BY CASE BASIS ALONG WITH ANY APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. COMPENSATION SETTING PROCEDURE FORM 990, PART VI, SECTION B, LINES 15A & 15B THE ORGANIZATION'S HUMAN RESOURCE DIRECTOR OBTAINS INDUSTRY COMPENSATION DATA FROM LOCAL AND STATE RESOURCES TO BE USED FOR COMPARISON PURPOSES. DATA FROM ASSOCIATION SURVEYS (NACHC, CPCA) AND ANY RECOMMENDATIONS ARE REVIEWED AND REPORTED TO THE EXECUTIVE COMMITTEE FOR APPROVAL & DISCUSSION. THE BOARD REVIEWS CEO AND OTHER OFFICERS' PAY RATES ANNUALLY OR AS NECESSARY IF THERE IS A CHANGE IN STAFF. DOCUMENT DISCLOSURE FORM 990, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. REQUESTED DOCUMENTS WILL BE MAILED TO THE REQUESTOR. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G $ 2,961,729 CONTRACTED SERVICES - HEALTH PROVIDERS 143,747 MAINTENANCE SERVICES 113,452 TEMPORARY HELP 91,007 DATA/PAYROLL PROCESSING 64,985 CONTRACTED SERVICES - OTHER 57,238 CONTRACTED SERVICES - DEVELOPMENT 47,479 LABORATORY 45,096 CONTRACTED SERVICES - NURSE TRIAGE 37,450 CONSULTANT FEES - HEALTH CARE 2,729 OTHER FEES -------------- $ 3,564,912 TOTAL OTHER FEES FOR SERVICES