COMMUNITY CLINIC INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CLINIC INC (EIN 52-0988386)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-02-04
- IRS object ID
- 201320359349300107
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-04T15:05:26-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 INTERNATIONAL DRIVE SUITE 1400 | AddressLine1 |
| City | BALTIMORE | City |
| State | MD | State |
| ZIP Code | 21202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520988386 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 3013407525 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8630 FENTON STREET 12TH FLOOR NO | AddressLine1 |
| Address Line2 | 1204 | AddressLine2 |
| City | SILVER SPRING | City |
| State | MD | State |
| ZIP Code | 209103806 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | J WILLIAM FLYNT MD | Name |
| Title | CEO | Title |
| Phone | 3013407525 | Phone |
| Date Signed | 2013-02-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIA FLANNERY CPA | Name |
| PTIN | P00928918 | PTIN |
| Phone | 4102469300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | J WILLIAM FLYNT MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8630 FENTON STREET 12TH FLOOR NO | AddressLine1 |
| Address Line2 | 1204 | AddressLine2 |
| City | SILVER SPRING | City |
| State | MD | State |
| ZIP Code | 209103806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13682618 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CCIWEB.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | MD | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES TO UNINSURED AND ALL OTHER PATIENTS WHO NEED CARE DUE TO ACCESS, LANGUAGE, OR FISCAL RESTRAINTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 188 | TotalNbrEmployees |
| Total Nbr Volunteers | 14 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7485979 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7073294 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4263459 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5357557 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 80 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1627 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 913213 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1250140 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12662731 | TotalRevenuePriorYear |
| Total Revenue Current Year | 13682618 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7406533 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8327529 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 6955 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4180776 | OtherExpensePriorYear |
| Other Expenses Current Year | 4253027 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11587309 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12580556 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1075422 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1102062 | RevenuesLessExpensesCY |
| Total Assets BOY | 4223923 | TotalAssetsBOY |
| Total Assets EOY | 5942680 | TotalAssetsEOY |
| Total Liabilities BOY | 1723638 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2340333 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2500285 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3602347 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6548403 | Expense |
| Revenue | 5513528 | Revenue |
| Description | HEALTH CENTERS: PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES TO 56,823 INDIVIDUAL ENCOUNTERS, MANY OF WHOM DO NOT HAVE ANY HEALTH INSURANCE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3641096 | Expense |
| Description | WOMAN, INFANTS AND CHILDREN (WIC): NUTRITION COUNSELING TO 30,000 INCOME-ELIGIBLE INFANTS AND CHILDREN, AS WELL AS PREGNANT AND BREASTFEEDING WOMEN. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 812119 | Expense |
| Revenue | 758615 | Revenue |
| Description | COMPREHENSIVE DENTAL SERVICE PROGRAM PROVIDING 2,124 DENTAL ENCOUNTERS TO PATIENTS PRIMARILY ON MEDICAID OR UN-INSURED. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 11001618 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 13 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 188 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MD | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | J WILLIAM FLYNT CEO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3013407525 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8630 FENTON STREET 12TH FLOOR SUITE | AddressLine1 |
| City | SILVER SPRING | City |
| State | MD | State |
| ZIP Code | 209103806 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DONALD MCCLURE | ||||||||
| CHAIRPERSON | 2.00 | X | X | 0 | 0 | 0 | ||
| THERSA REGIL | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| LOUISE M BRADFORD | ||||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | ||
| BETH DURHAM | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| THOM HARR | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| HERBERT PONCE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| GEORGE ESCOBAR | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| LINA LEON | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| TERESA MENIJIVAR | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| SHARON THAMES | ||||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| CARLA SATINSKY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT WISE MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| J WILLIAM FLYNT MD | ||||||||
| CEO | 40.00 | X | 172056 | 0 | 0 | |||
| KAREN WHITE | ||||||||
| CFO | 20.00 | X | 27586 | 0 | 0 | |||
| KATHLEEN KNOLHOFF | ||||||||
| COO | 40.00 | 157995 | 0 | 650 | X | |||
| MARGARET CHANG MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | 163756 | 0 | 9449 | X | |||
| MELISSA CLARK MD | ||||||||
| PHYSICIAN | 40.00 | 128387 | 0 | 650 | X | |||
| SOENDA NORMAN MD | ||||||||
| PHYSICIAN | 40.00 | 141532 | 0 | 425 | X | |||
| OLANDREWAJU OMOJOKUN MD | ||||||||
| PHYSICIAN | 40.00 | 139028 | 0 | 3559 | X | |||
| ANDREW SWIDERSKI MD | ||||||||
| PHYSICIAN | 40.00 | 142196 | 0 | 22074 | X | |||
| PARVEJ MALIK MD | ||||||||
| PHYSICIAN | 40.00 | 144315 | 0 | 14068 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1216851 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 50875 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| THE KORTH COMPANIES INC | |||||
| 9101 GAITHER ROAD | GAITHERSBURG | MD | 20877 | CONSTRUCTION | 351114 |
| QUEST DIAGNOSTICS | |||||
| 3 GIRALDA FARMS | MADISON | NJ | 07940 | LAB SERVICES | 200900 |
| HENRY SCHEIN | |||||
| 801 SOUTH PAULINA STREET | CHICAGO | IL | 60612 | MEDICAL SUPPLIES | 190644 |
| ICORE NETWORKS INC | |||||
| 7900 WESTPARK DRIVE SUITE A-315 | MCLEAN | VA | 22102 | INTERNET/PHONE SERVICES | 171685 |
| STANDARD OFFICE SUPPLY | |||||
| 35 SHERIDAN STREET NW | WASHINGTON | DC | 20011 | OFFICE/MEDICAL SUPPLIES | 126184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Government Grants | 7058494 | GovernmentGrants |
| All Other Contributions | 14800 | AllOtherContributions |
| Total Contributions | 7073294 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE FEES | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 5357557 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5357557 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5357557 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1627 | TotalRevenueColumn |
| Exclusion | $1,627 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| OTHER HEALTH SERVICES | 621110 | 914586 | 914586 | |
| OTHER INCOME | 900099 | 335554 | $335,554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1250140 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13682618 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6272143 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $337,181 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 592052 | Total |
| Program Services | 169982 | ProgramServices |
| Management And General | 422070 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6815805 | Total |
| Program Services | 6453064 | ProgramServices |
| Management And General | 356993 | ManagementAndGeneral |
| Fundraising | 5748 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45251 | Total |
| Program Services | 39926 | ProgramServices |
| Management And General | 5247 | ManagementAndGeneral |
| Fundraising | 78 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 347434 | Total |
| Program Services | 302338 | ProgramServices |
| Management And General | 44510 | ManagementAndGeneral |
| Fundraising | 586 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 526987 | Total |
| Program Services | 455046 | ProgramServices |
| Management And General | 71398 | ManagementAndGeneral |
| Fundraising | 543 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30609 | Total |
| Program Services | 30609 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7171 | Total |
| Program Services | 7171 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 758488 | Total |
| Program Services | 452758 | ProgramServices |
| Management And General | 305730 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 448388 | Total |
| Program Services | 351933 | ProgramServices |
| Management And General | 96455 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1504222 | Total |
| Program Services | 1430460 | ProgramServices |
| Management And General | 73762 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28593 | Total |
| Program Services | 18853 | ProgramServices |
| Management And General | 9740 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55670 | Total |
| Program Services | 23277 | ProgramServices |
| Management And General | 32393 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6607 | Total |
| Management And General | 6607 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 379990 | Total |
| Program Services | 287606 | ProgramServices |
| Management And General | 92384 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28844 | Total |
| Program Services | 23664 | ProgramServices |
| Management And General | 5180 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 657228 | 637219 | 20009 |
| LICENSE | 293367 | 293367 | |
| MISCELLANEOUS | 35684 | 14789 | 20895 |
| MEMBERSHIPS | 18166 | 9556 | 8610 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12580556 | Total |
| Program Services | 11001618 | ProgramServices |
| Management And General | 1571983 | ManagementAndGeneral |
| Fundraising | 6955 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 821163 | BOY |
| EOY | 1467177 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109372 | BOY |
| EOY | 660792 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 583101 | BOY |
| EOY | 503786 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 622077 | BOY |
| EOY | 549344 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26284 | BOY |
| EOY | 162307 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4963368 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2492814 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1939417 | BOY |
| EOY | 2470554 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100 | BOY |
| EOY | 100 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122409 | BOY |
| EOY | 128620 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4223923 | BOY |
| EOY | 5942680 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 957279 | BOY |
| EOY | 809793 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 484746 | BOY |
| EOY | 959763 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 272994 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 281613 | BOY |
| EOY | 297783 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1723638 | BOY |
| EOY | 2340333 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2500285 | BOY |
| EOY | 3602347 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2500285 | BOY |
| EOY | 3602347 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4223923 | BOY |
| EOY | 5942680 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1102062 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2988103 | OtherCostOrOtherBasis |
| Depreciation | 1336835 | Depreciation |
| Book Value | 1651268 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 547602 | OtherCostOrOtherBasis |
| Depreciation | 256030 | Depreciation |
| Book Value | 291572 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1427663 | OtherCostOrOtherBasis |
| Depreciation | 899949 | Depreciation |
| Book Value | 527714 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2470554 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED RENT | Description |
| Amount | $297,783 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 297783 | TotalOfAmounts |
| Total Revenue | 13682618 | TotalRevenue |
| Total Expenses | 12580556 | TotalExpenses |
| Excess Or Deficit For Year | 1102062 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 1102062 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 13682618 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 13682618 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 13682618 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12580556 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12580556 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12580556 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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, 2012, 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, 2009. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J WILLIAM FLYNT MD | |||||||||||||
| 172056 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 172056 | 0 | 0 | 0 |
| KATHLEEN KNOLHOFF | |||||||||||||
| 157995 | 0 | 0 | 0 | 0 | 0 | 650 | 0 | 0 | 0 | 158645 | 0 | 0 | 0 |
| MARGARET CHANG MD | |||||||||||||
| 163756 | 0 | 0 | 0 | 0 | 0 | 550 | 0 | 8899 | 0 | 173205 | 0 | 0 | 0 |
| ANDREW SWIDERSKI MD | |||||||||||||
| 142196 | 0 | 0 | 0 | 0 | 0 | 650 | 0 | 21424 | 0 | 164270 | 0 | 0 | 0 |
| PARVEJ MALIK MD | |||||||||||||
| 144315 | 0 | 0 | 0 | 0 | 0 | 650 | 0 | 13418 | 0 | 158383 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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. |
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