MARIN COMMUNITY CLINIC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MARIN COMMUNITY CLINIC (EIN 94-2237120)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-02
- IRS object ID
- 201331229349300033
- Schema version
- 2011v1.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-02T11:13:42-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | 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 | 942237120 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIN COMMUNITY CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % SCOTT GOODIN | InCareOfName |
| Name Control | MARI | NameControl |
| Phone | 4154481500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6090 REDWOOD BLVD | AddressLine1 |
| City | NOVATO | City |
| State | CA | State |
| ZIP Code | 94945 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LINDA TAVASZI | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Date Signed | 2013-02-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LINDA TAVASZI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1177 E FRANCISCO BLVD | AddressLine1 |
| City | SAN RAFAEL | City |
| State | CA | State |
| ZIP Code | 94901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 28742312 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MARINCLINIC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 236 | TotalNbrEmployees |
| Total Nbr Volunteers | 33 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4418439 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6700469 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15611618 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 22023420 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1030 | InvestmentIncomePriorYear |
| Investment Income Current Year | 321 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -2849 | OtherRevenuePriorYear |
| Other Revenue Current Year | -11760 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20028238 | TotalRevenuePriorYear |
| Total Revenue Current Year | 28712450 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 272093 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10841097 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12793872 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 49855 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 12390 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 22097 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7990911 | OtherExpensePriorYear |
| Other Expenses Current Year | 9598675 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18881863 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22677030 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1146375 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6035420 | RevenuesLessExpensesCY |
| Total Assets BOY | 17776613 | TotalAssetsBOY |
| Total Assets EOY | 20428141 | TotalAssetsEOY |
| Total Liabilities BOY | 6361230 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2977338 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11415383 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17450803 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY, COST-EFFECTIVE, CULTURALLY SENSITIVE, PATIENT-CENTERED HEALTH CARE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 12133415 | Expense |
| Grants | 272093 | Grants |
| Revenue | 15416394 | Revenue |
| Description | 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4160028 | Expense |
| Revenue | 5285621 | Revenue |
| Description | 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 866672 | Expense |
| Revenue | 1101171 | Revenue |
| Description | BEHAVIORAL HEALTH SERVICES - OFFERED TO CHILDREN, TEENS, AND ADULTS, AND INCLUDES PSYCHIATRY AND COUNSELING BY LICENSED CLINICAL SOCIAL WORKERS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 173334 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 220234 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 17333449 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 237 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 236 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SCOTT GOODIN | NamePerson |
| Telephone Number | 4155268532 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6090 REDWOOD BLVD SUITE G | AddressLine1 |
| City | NOVATO | City |
| State | CA | State |
| ZIP Code | 94945 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| JENNIFER LOUCKS | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| WALTER KOPP | ||||||||
| BOARD VICE-CHAIR, END 11/2011 | 1.0 | X | 0 | 0 | 0 | X | ||
| DAVID KLINETOBE | ||||||||
| BOARD TREASURER | 1.0 | X | 0 | 0 | 0 | X | ||
| CARLOS GARCIA-BEDOYA | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| MICHAEL HOLLOWAY | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| FRESHTE KASHANI | ||||||||
| MEMBER AT LARGE | 1.0 | X | 0 | 0 | 0 | X | ||
| WILLIAM KERR | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| SUE MACE | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| TEO MARTINEZ | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| CHARLES J OKEN | ||||||||
| BOARD CHAIR | 1.0 | X | 0 | 0 | 0 | X | ||
| SHARON REPP | ||||||||
| BOARD MEMBER, ENDING 9/2011 | 1.0 | X | 0 | 0 | 0 | |||
| FRANK TAVEL | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| JEFFREY KRAFT | ||||||||
| BOARD MEMBER, ENDING 7/2011 | 1.0 | X | 0 | 0 | 0 | |||
| MICHAEL S HARRIS | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| CRAIG LINDQUIST MD | ||||||||
| EX OFFICIO MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| MARTIN SLEATH | ||||||||
| BOARD SECRETARY | 1.0 | X | 0 | 0 | 0 | X | ||
| STACY SCOTT | ||||||||
| BOARD MEMBER, BEG 1/2012 | 1.0 | X | 0 | 0 | 0 | |||
| GEORGIANNA FARREN | ||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 176958 | 0 | 6309 | X | |||
| LINDA TAVASZI PHD | ||||||||
| CEO, BEG 9/2011 | 40.0 | 145248 | 0 | 0 | X | |||
| STEVE AMOS | ||||||||
| CFO | 40.0 | 99227 | 0 | 13841 | X | |||
| KATHY WINSTON MD | ||||||||
| SITE MEDICAL DIRECTOR | 40.0 | 147603 | 1693 | X | ||||
| CONSTANCE KADERA DDS | ||||||||
| DENTAL DIRECTOR | 40.0 | 126985 | 0 | 25167 | X | |||
| COURTNEY BENEDICT | ||||||||
| DIRECTOR WOMENS HLTH SERVICES | 40.0 | 111897 | 329 | X | ||||
| DARRELL BOYCHUK | ||||||||
| DENTIST | 40.0 | 114697 | 1758 | X | ||||
| JOLAINE BEAL | ||||||||
| SITE MEDICAL DOCTOR | 40.0 | 112684 | 3450 | X | ||||
| JOHN SHEN | ||||||||
| FORMER EXECUTIVE DIRECTOR | 0.0 | 191020 | 0 | 3352 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1226319 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 55899 | TotalOtherCompensation |
| Number Individuals GT100 K | 19 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| PRIMA MEDICAL GROUP | |
| MEDICAL | 200452 |
| MONICA TONG DDS | |
| DENTAL | 130000 |
| BKD LLP | |
| CONSULTING/AUDIT/TAX | 102754 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Fundraising Events | 53735 | FundraisingEvents |
| Government Grants | 3943765 | GovernmentGrants |
| All Other Contributions | 2702969 | AllOtherContributions |
| Total Contributions | 6700469 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | 20861958 | 20861958 |
| EHR INCENTIVE | 624100 | 1062500 | 1062500 |
| OTHER INCOME | 624100 | 98962 | 98962 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 22023420 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 321 | TotalRevenueColumn |
| Exclusion | $321 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7020 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7020 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7020 | TotalRevenueColumn |
| Exclusion | $7,020 | ExclusionAmount |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 11082 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 53735 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 29862 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -18780 | TotalRevenueColumn |
| Exclusion | -$18,780 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28712450 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22023420 | RelatedOrExemptFunctionIncome |
| Exclusion | -$11,439 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 272093 | Total |
| Program Services | 272093 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 441583 | Total |
| Program Services | 183267 | ProgramServices |
| Management And General | 258316 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194372 | Total |
| Management And General | 194372 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9145671 | Total |
| Program Services | 7674598 | ProgramServices |
| Management And General | 1471073 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85377 | Total |
| Program Services | 68763 | ProgramServices |
| Management And General | 16614 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2076075 | Total |
| Program Services | 1702400 | ProgramServices |
| Management And General | 373675 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 850794 | Total |
| Program Services | 668248 | ProgramServices |
| Management And General | 182546 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183856 | Total |
| Management And General | 183856 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114808 | Total |
| Management And General | 114808 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12390 | Total |
| Fundraising | 12390 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3529920 | Total |
| Program Services | 2995888 | ProgramServices |
| Management And General | 534032 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 727491 | Total |
| Program Services | 410782 | ProgramServices |
| Management And General | 307002 | ManagementAndGeneral |
| Fundraising | 9707 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 465365 | Total |
| Program Services | 8989 | ProgramServices |
| Management And General | 456376 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1552187 | Total |
| Program Services | 1396535 | ProgramServices |
| Management And General | 155652 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37091 | Total |
| Program Services | 8384 | ProgramServices |
| Management And General | 28707 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61418 | Total |
| Program Services | 21234 | ProgramServices |
| Management And General | 40184 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104465 | Total |
| Program Services | 21936 | ProgramServices |
| Management And General | 82529 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1473086 | Total |
| Program Services | 865764 | ProgramServices |
| Management And General | 607322 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94977 | Total |
| Program Services | 1500 | ProgramServices |
| Management And General | 93477 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 138439 | 138439 | |
| MEDICAL SUPPLIES & DRUGS | 850860 | 850860 | |
| LICENSES, DUES, SUBSCRIPTIONS | 89408 | 32133 | 57275 |
| RECRUITING & RETENTION | 101324 | 10117 | 91207 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73980 | Total |
| Program Services | 1519 | ProgramServices |
| Management And General | 72461 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22677030 | Total |
| Program Services | 17333449 | ProgramServices |
| Management And General | 5321484 | ManagementAndGeneral |
| Fundraising | 22097 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1003745 | BOY |
| EOY | 3409980 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 783063 | BOY |
| EOY | 12039 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238984 | BOY |
| EOY | 269327 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1299395 | BOY |
| EOY | 2878609 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 116625 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168873 | BOY |
| EOY | 258726 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 16693485 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5421315 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12082553 | BOY |
| EOY | 11272170 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2200000 | BOY |
| EOY | 2210665 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17776613 | BOY |
| EOY | 20428141 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1962178 | BOY |
| EOY | 2787701 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31716 | BOY |
| EOY | 119157 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4327336 | BOY |
| EOY | 50480 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40000 | BOY |
| EOY | 20000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6361230 | BOY |
| EOY | 2977338 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10648667 | BOY |
| EOY | 16489510 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 766716 | BOY |
| EOY | 961293 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11415383 | BOY |
| EOY | 17450803 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17776613 | BOY |
| EOY | 20428141 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 6035420 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3366000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4371512 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4455745 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4418439 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6700469 | CurrentTaxYear |
| Total | 23312165 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3366000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4371512 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4455745 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4418439 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6700469 | CurrentTaxYear |
| Total | 23312165 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 988194 | AmountsSubstContributorsTotal |
| Public Support Total170 | 22323971 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 70901 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23968 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1642 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 611 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7341 | CurrentTaxYear |
| Total | 104463 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9099 | CurrentTaxYearMinus4Years |
| Total | 9099 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 23425727 | TotalSupport |
| Gross Receipts From Admissions Etc | 65194441 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.95297 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.91552 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B, QUESTION 1I | ReturnReference |
| Explanation | THE ORGANIZATION PAYS ANNUAL DUES TO CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) - A PORTION OF WHICH MAY BE ATTRIBUTABLE TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 272888 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 928 | InvestmentEarningsOrLosses |
| End Of Year Balance | 273816 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 244707 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 40183 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 12002 | GrantsOrScholarships |
| End Of Year Balance | 272888 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 234349 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 23188 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 12830 | GrantsOrScholarships |
| End Of Year Balance | 244707 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 279990 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -32267 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 13374 | GrantsOrScholarships |
| End Of Year Balance | 234349 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1300000 | OtherCostOrOtherBasis |
| Book Value | 1300000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7186971 | OtherCostOrOtherBasis |
| Depreciation | 1735647 | Depreciation |
| Book Value | 5451324 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4131124 | OtherCostOrOtherBasis |
| Depreciation | 1389002 | Depreciation |
| Book Value | 2742122 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4075390 | OtherCostOrOtherBasis |
| Depreciation | 2296666 | Depreciation |
| Book Value | 1778724 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Depreciation | 0 | Depreciation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11272170 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| EST AMT DUE FROM 3RD PTY PYR | 1675000 |
| OTHER RECEIVABLES | 535665 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2210665 | TotalBookValueOtherAssets |
| Total Revenue | 28712450 | TotalRevenue |
| Total Expenses | 22677030 | TotalExpenses |
| Excess Or Deficit For Year | 6035420 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 6035420 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 28858577 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 116265 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 116265 | RevenueNotRptdF990 |
| Revenue Subtotal | 28742312 | RevenueSubtotal |
| Other Revenues Not Included | -29862 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -29862 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 28712450 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 22823157 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 116265 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 29862 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 146127 | ExpensesNotRptdF990 |
| Expenses Subtotal | 22677030 | ExpensesSubtotal |
| Total Expenses Per Form990 | 22677030 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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, 2012 AND 2011, 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 $0 AND $12,002 FOR THE YEARS ENDED JUNE 30, 2012 AND 2011, RESPECTIVELY, WHICH ARE INCLUDED IN THE STATEMENT OF OPERATIONS. AT JUNE 30, 2012 AND 2011, THE BALANCE OF THE ENDOWMENT FUND WAS $273,816 AND $272,888, 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. |
| AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 | SCHEDULE D, PART XII, LINE 4B | (29,862) SPECIAL EVENTS EXPENSES |
| AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25 | SCHEDULE D, PART XIII, LINE 2D | 29,862 SPECIAL EVENTS EXPENSES |
Schedule G IRS990ScheduleG
Fundraiser Activity Information FundraiserActivityInformation (2 entries)
| Name Of IndividualNameOfIndividual | ActivityActivity | Fundraiser Control Of FundsFundraiserControlOfFunds |
|---|---|---|
| ELLIOT LEVIN PY CAMPAIGN ADVISOR | CONSULTING | false |
| KATHLEEN CLARK | FUNDRAISING | false |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | SUMMER SOLSTICE | NameOfEvent1 |
| Gross Receipts Event1 | 64817 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 53735 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 11082 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 386 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 1800 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 11082 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 350 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 16244 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 64817 | GrossReceiptsTotal |
| Charitable Contributions Total | 53735 | CharitableContributionsTotal |
| Gross Revenue Total Events | 11082 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 386 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 1800 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 11082 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 350 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 16244 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 29862 | DirectExpenseSummaryEvents |
| Net Income Summary | -18780 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| BAY AREA COMMUNITY RESOURCES | |||||||
| 171 CARLOS DRIVE | SAN RAFAEL | CA | 94903 | 942346815 | 501(C)(3) | 13160 | SUPPORT |
| HUCKLEBERRY YOUTH PROGRAMS | |||||||
| 361 THIRD STREET SUITE G | SAN RAFAEL | CA | 94901 | 941687559 | 501(C)(3) | 158013 | SUPPORT |
| NOVATO YOUTH CENTER | |||||||
| 1767 GRANT AVE | NOVATO | CA | 94945 | 941735064 | 501(C)(3) | 84920 | SUPPORT |
| PLANNED PARENTHOOD SHASTA PACIFIC | |||||||
| 2185 PACHECO STREET | CONCORD | CA | 94520 | 941575233 | 501(C)(3) | 16000 | SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANT MONITORING | Identifier |
| Return Reference | SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE DIRECTOR OF GIVING AT MCC MONITORS 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN SHEN | ||||||||||||
| 171227 | 0 | 0 | 19793 | 0 | 3352 | 0 | 0 | 0 | 194372 | 0 | 0 | 0 |
| GEORGIANNA FARREN | ||||||||||||
| 176958 | 0 | 0 | 0 | 5758 | 0 | 551 | 0 | 183267 | 0 | 0 | 0 | |
| CONSTANCE KADERA DDS | ||||||||||||
| 126985 | 0 | 0 | 0 | 0 | 0 | 25167 | 0 | 152152 | 0 | 0 | 0 | |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 | TO IMPROVE THE HEALTH AND WELL-BEING OF VULNERABLE LOW-INCOME CHILDREN AND ADULTS IN MARIN COUNTY CALIFORNIA - MOBILIZING A CARING AND COLLABORATIVE COMMUNITY RESPONSE TO PROVIDE HIGH QUALITY, ACCESSIBLE AND CULTURALLY RESPONSIVE HEALTH CARE SERVICES. VALUES THE INTERACTIONS OF OUR PHYSICIANS, NURSES, MEDICAL ASSISTANTS AND STAFF WITH OUR PATIENTS BEST ILLUSTRATE THE ORGANIZATIONAL VALUES THAT GUIDE OUR WORK: INTEGRITY - PROFESSIONAL EXCELLENCE REQUIRES PERSONAL AND ORGANIZATIONAL INTEGRITY AND A COLLECTIVE COMMITMENT TO ETHICAL BEHAVIOR. RESPECT - OUR RELATIONSHIPS AND REPUTATION ARE BASED ON PERSONAL TRUSTWORTHINESS AND MUTUAL RESPECT - FOR OUR PATIENTS, COLLEAGUES AND CONTRIBUTORS. DIVERSITY - WE DEDICATE OURSELVES TO CARING FOR, PROMOTING AND RESPECTING THE DIVERSITY AMONG OUR STAFF, OUR PATIENTS AND OUR COMMUNITY. COMPETENCY - WE COMMIT TO THE HIGHEST LEVEL OF ACCOUNTABILITY IN DEMONSTRATING OUR ABILITIES AND COMMITMENT TO QUALITY CARE FOR OUR PATIENTS AND COMMUNITY. TEAMWORK - WE VALUE TEAMWORK AND COLLABORATION IN ALL OUR ENDEAVORS. |
| TOTAL NUMBER OF VOLUNTEERS | FORM 990, PART 1, LINE 6 | THE TOTAL NUMBER OF VOLUNTEERS INCLUDES MEMBERS OF THE BOARD OF DIRECTORS AND VOLUNTEER LICENSED MEDICAL PROVIDERS. |
| 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. |
| BOARD COMMITTEES | FORM 990, PART VI, SECTION A, LINE 8B | Executive Committee shall have the full powers and authorities of the Board in the intervals between meetings of the Board, except that it may not: a) Elect officers b) Create or fill vacancies on any committee c) Amend, repeal or adopt new Bylaws d) Remove any member of the Board e) Sign any contract with a value in excess of $25,000 or with a duration exceeding one year, or incur any obligation in excess of $25,000 f) Amend or repeal any resolution of the Board |
| 990 REVIEW POLICY | FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. 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 | MARIN COMMUNITY CLINICS (MCC) REPRESENTATIVES SHALL NOT BE INVOLVED IN ACTIVITIES WHICH ADVERSELY AFFECT MCC'S REPUTATION OR RELATIONS WITH OTHERS, OR WHICH INTERFERE WITH THE FULFILLMENT OF ITS MISSION. NEITHER EMPLOYEES NOR VOLUNTEERS NOR BOARD MEMBERS SHALL USE THEIR POSITION OR INFLUENCE OR INFORMATION TO WHICH THEY HAVE ACCESS TO AS A RESULT OF THEIR ASSOCIATION OR ANY ASSETS OR RESOURCES MCC FOR THEIR OWN PERSONAL GAIN, FOR TRADING, OR FOR THE IMPROPER BENEFIT OF OTHERS. (A) NO MEMBER OF THE BOARD OF DIRECTORS SHALL BE AN EMPLOYEE OF MARIN COMMUNITY CLINIC, INC., OR SPOUSE OR CHILD, PARENT, BROTHER OR SISTER BY BLOOD OR MARRIAGE OF SUCH AN EMPLOYEE; (B) THE BOARD OF DIRECTORS SHALL STRICTLY COMPLY WITH PROVISIONS OF CALIFORNIA CORPORATE CODE 5233 IN APPROVING ANY TRANSACTION IN WHICH A BOARD MEMBER HAS FINANCIAL INTEREST; (C) ALL MEMBERS OF THE BOARD OF DIRECTORS SHALL COMPLY WITH THE DISCLOSURE REQUIREMENTS OF CALIFORNIA CORPORATE CODE 5234 CONCERNING TRANSACTIONS BETWEEN MARIN COMMUNITY CLINIC, INC. AND ANY OTHER ENTITY IN WHICH A DIRECTOR IS AN OFFICER OR DIRECTOR; AND (D) MARIN COMMUNITY CLINIC WILL MAKE NO LOAN OF MONEY OR OTHER PROPERTY, OR GUARANTEE THE OBLIGATION, OF ANY DIRECTOR OR OFFICER OF MARIN COMMUNITY CLINIC, INC., EXCEPT AS AUTHORIZED BY CALIFORNIA CORPORATION CODE 5236. (E) MARIN COMMUNITY CLINIC PROHIBITS ANY CONFLICT OF INTEREST OR THE APPEARANCE OF CONFLICT OF INTEREST BY BOARD MEMBERS, EMPLOYEES, CONSULTANTS OR THOSE WHO PROVIDE SERVICES OR FURNISH GOODS TO THE CORPORATION. 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. |
| COMPENSATION SETTING PROCEDURE | FORM 990, PART VI, SECTION B, LINE 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 OFFICERS' PAY RATES ARE REVIEWED ANNUALLY OR AS NECESSARY IF THERE IS A CHANGE IN STAFF. THE OTHER OFFICERS' COMPENSATION IS REVIEWED EACH YEAR WHEN THE BUDGET IS APPROVED. |
| 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. |