2013-02-04T15:05:26-06:00 2012-06-30 420714325 MCGLADREY LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2011-07-01 520988386 COMMUNITY CLINIC INC COMM 3013407525 8630 FENTON STREET 12TH FLOOR NO 1204 SILVER SPRING MD 209103806 J WILLIAM FLYNT MD 3013407525 2013-02-04 1 JULIA FLANNERY CPA P00928918 4102469300 2011 2016-02-25 16:41:14Z X J WILLIAM FLYNT MD 8630 FENTON STREET 12TH FLOOR NO 1204 SILVER SPRING MD 209103806 13682618 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. 12 12 188 14 0 0 7485979 7073294 4263459 5357557 80 1627 913213 1250140 12662731 13682618 0 0 0 0 7406533 8327529 0 0 6955 4180776 4253027 11587309 12580556 1075422 1102062 4223923 5942680 1723638 2340333 2500285 3602347 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 6548403 5513528 HEALTH CENTERS: PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES TO 56,823 INDIVIDUAL ENCOUNTERS, MANY OF WHOM DO NOT HAVE ANY HEALTH INSURANCE. 3641096 WOMAN, INFANTS AND CHILDREN (WIC): NUTRITION COUNSELING TO 30,000 INCOME-ELIGIBLE INFANTS AND CHILDREN, AS WELL AS PREGNANT AND BREASTFEEDING WOMEN. 812119 758615 COMPREHENSIVE DENTAL SERVICE PROGRAM PROVIDING 2,124 DENTAL ENCOUNTERS TO PATIENTS PRIMARILY ON MEDICAID OR UN-INSURED. 11001618 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 0 0 0 0 0 0 0 0 0 0 1 13 0 1 188 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 MD X J WILLIAM FLYNT CEO 3013407525 8630 FENTON STREET 12TH FLOOR SUITE SILVER SPRING MD 209103806 DONALD MCCLURE 2.00 X X 0 0 0 THERSA REGIL 2.00 X 0 0 0 LOUISE M BRADFORD 2.00 X X 0 0 0 BETH DURHAM 2.00 X 0 0 0 THOM HARR 2.00 X 0 0 0 HERBERT PONCE 2.00 X 0 0 0 GEORGE ESCOBAR 2.00 X 0 0 0 LINA LEON 2.00 X 0 0 0 TERESA MENIJIVAR 2.00 X 0 0 0 SHARON THAMES 2.00 X X 0 0 0 CARLA SATINSKY 2.00 X 0 0 0 ROBERT WISE MD 2.00 X 0 0 0 J WILLIAM FLYNT MD 40.00 X 172056 0 0 KAREN WHITE 20.00 X 27586 0 0 KATHLEEN KNOLHOFF 40.00 X 157995 0 650 MARGARET CHANG MD 40.00 X 163756 0 9449 MELISSA CLARK MD 40.00 X 128387 0 650 SOENDA NORMAN MD 40.00 X 141532 0 425 OLANDREWAJU OMOJOKUN MD 40.00 X 139028 0 3559 ANDREW SWIDERSKI MD 40.00 X 142196 0 22074 PARVEJ MALIK MD 40.00 X 144315 0 14068 1216851 0 50875 8 0 1 0 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 8 7058494 14800 7073294 PATIENT SERVICE FEES 621400 5357557 5357557 5357557 1627 1627 OTHER HEALTH SERVICES 621110 914586 914586 OTHER INCOME 900099 335554 335554 1250140 13682618 6272143 0 337181 592052 169982 422070 6815805 6453064 356993 5748 45251 39926 5247 78 347434 302338 44510 586 526987 455046 71398 543 30609 30609 7171 7171 758488 452758 305730 448388 351933 96455 1504222 1430460 73762 28593 18853 9740 55670 23277 32393 6607 6607 379990 287606 92384 28844 23664 5180 MEDICAL SUPPLIES 657228 637219 20009 LICENSE 293367 293367 MISCELLANEOUS 35684 14789 20895 MEMBERSHIPS 18166 9556 8610 12580556 11001618 1571983 6955 821163 1467177 109372 660792 583101 503786 622077 549344 26284 162307 4963368 2492814 1939417 2470554 100 100 122409 128620 4223923 5942680 957279 809793 484746 959763 272994 281613 297783 1723638 2340333 X 2500285 3602347 2500285 3602347 4223923 5942680 1102062 0 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2988103 1336835 1651268 547602 256030 291572 1427663 899949 527714 2470554 DEFERRED RENT 297783 297783 13682618 12580556 1102062 1102062 13682618 0 13682618 0 13682618 12580556 0 12580556 0 12580556 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. X X 0 0 0 0 0 0 0 0 0 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 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.