2012-05-14T16:18:33-05:00 2011-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-07-01 942237120 MARIN COMMUNITY CLINIC MARI 4154481500 6090 REDWOOD BLVD NOVATO CA 94945 LINDA TAVASZI 2012-03-30 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z X LINDA TAVASZI 6090 REDWOOD BLVD SUITE G NOVATO CA 94945 20052773 false X WWW.MARINCLINIC.ORG X 1973 CA TO IMPROVE THE HEALTH AND WELL-BEING OF VULNERABLE LOW-INCOME CHILDREN AND ADULTS IN MARIN COUNTY, CALIFORNIA, BY PROVIDING PRIMARY CARE, ORAL HEALTH, MENTAL HEALTH, AND OTHER HEALTH CARE SERVICES. 18 18 198 44 0 0 4455745 4418439 12427053 15611618 1642 1030 -9996 -2849 16874444 20028238 0 0 0 0 9373563 10841097 27653 49855 49855 7088937 7990911 16490153 18881863 384291 1146375 16351626 17776613 6082618 6361230 10269008 11415383 X TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY, COST-EFFECTIVE, CULTURALLY SENSITIVE, PATIENT-CENTERED HEALTH CARE. true false 10348459 11552598 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. 2377349 2653975 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. 1118752 1248930 BEHAVIORAL HEALTH SERVICES - OFFERED TO CHILDREN, TEENS, AND ADULTS, AND INCLUDES PSYCHIATRY AND COUNSELING BY LICENSED CLINICAL SOCIAL WORKERS. 139844 156115 13984404 true true false true false false false false true true false false true false false true false false false false false false true true false false false false true false false false false false false false false true false false false false false false false false false true 39 0 true 198 true false false false false false false false false false false X 18 18 true false false false false false false true true false false false true true true true true true true false CA X ART FEAGLES 4157983146 6090 REDWOOD BLVD SUITE G NOVATO CA 94945 JENNIFER LOUCKS 1.0 X 0 0 0 WALTER KOPP 1.0 X X 0 0 0 DAVID KLINETOBE 1.0 X X 0 0 0 LINDA TAVASZI PHD 1.0 X X 0 0 0 CAROLS GARCIA-BEDOYA 1.0 X 0 0 0 MICHAEL HOLLOWAY 1.0 X 0 0 0 FRESHTE KASHANI 1.0 X 0 0 0 WILLIAM KERR 1.0 X 0 0 0 SUE MACE 1.0 X 0 0 0 TEO MARTINEZ 1.0 X 0 0 0 SANDIE MCCREARY 1.0 X 0 0 0 KAREN MCNEILL 1.0 X X 0 0 0 CHARLES J OKEN 1.0 X X 0 0 0 HARRY SCARBOROUGH 1.0 X 0 0 0 MARTIN SLEATH 1.0 X X 0 0 0 SHARON REPP 1.0 X 0 0 0 FRANK TAVEL 1.0 X 0 0 0 JEFFREY KRAFT 1.0 X 0 0 0 JOHN SHEN 40.0 X 158857 0 6321 ARTHUR FEAGLES 40.0 X 129480 0 8527 GEORGIANNA FARREN 40.0 X 176594 0 6500 KATHY WINSTON MD 40.0 X 143627 0 7808 JESSICA HOLMAN MD 40.0 X 133999 0 10439 CONSTANCE KADERA DDS 40.0 X 126157 0 12315 MIRANDA VON DORNUM MD 40.0 X 120938 0 7436 COURTNEY BENEDICT 40.0 X 111122 0 5865 1100774 0 65211 8 false true false PRIMA MEDICAL GROUP MEDICAL 200452 MONICA TONG DDS DENTAL 130000 BKD LLP CONSULTING/AUDIT/TAX 149131 3 28350 2701134 1688955 30000 4418439 NET PATIENT SERVICE REVENUE 624100 15604546 15604546 OTHER REVENUE 624100 7072 7072 15611618 611 611 0 0 975 556 419 419 419 21130 28350 23979 -2849 -2849 0 0 0 20028238 15611618 -1819 0 0 0 0 486279 183094 303185 0 7932672 6339811 1592861 69701 53548 16153 1568900 1359102 209798 783545 620957 162588 0 12000 12000 82083 82083 0 49855 49855 0 2553007 2216590 336417 0 473156 183398 289758 495370 36567 458803 0 1128683 975364 153319 16201 4012 12189 0 90473 18911 71562 200084 131148 68936 0 1389793 859787 530006 0 MEDICAL SUPPLIES & DRUGS 769768 769768 BAD DEBT 578812 128812 450000 REPAIRS & MAINTENANCE 77447 77447 LICENSES, DUES & SUBSCRIPTIONS 73583 24986 48597 RECRUITING 37284 37284 13167 1102 12065 18881863 13984404 4847604 49855 412333 1003745 41566 783063 764965 238984 2099011 1299395 15000 0 662 0 70676 168873 16030783 3948230 11471600 12082553 1475813 2200000 16351626 17776613 2846904 1962178 31716 3175714 4327336 60000 40000 6082618 6361230 X 8581194 10648667 1687814 766716 10269008 11415383 16351626 17776613 1146375 X false true true X true true X 1921494 3366000 4371512 4455745 4418439 18533190 1921494 3366000 4371512 4455745 4418439 18533190 1358543 17174647 55201 70901 23968 1642 611 152323 64771 9099 73870 18759383 47719987 0.91552 0.86515 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, QUESTION 1I THE ORGANIZATION PAYS ANNUAL DUES TO CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) - A PORTION OF WHICH MAY BE ATTRIBUTABLE TO LOBBYING. 244707 40183 12002 272888 234349 23188 12830 244707 279990 -32267 13374 234349 1.00000 true false 2698106 435004 2263102 9887223 1935179 7952044 2305633 1137523 1168110 1139821 440524 699297 12082553 EST AMT DUE FROM 3RD PTY PYR 2200000 2200000 20028238 18881863 1146375 1146375 20138633 86835 86835 20051798 -23560 -23560 20028238 18992258 86835 23560 110395 18881863 18881863 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, 2011 AND 2010, THE FOUNDATION'S SPENDING POLICY WAS TO DISTRIBUTE 5.5% OF THE ROLLING 12 QUARTER AVERAGE OF THE MARKET VALUE OF THE POOLED FUND. THE ORGANIZATION RECEIVED DISTRIBUTIONS OF $12,002 AND $12,830 FOR THE YEARS ENDED JUNE 30, 2011 AND 2010, RESPECTIVELY, WHICH ARE INCLUDED IN THE STATEMENT OF OPERATIONS. AT JUNE 30, 2011 AND 2010, THE BALANCE OF THE ENDOWMENT FUND WAS $272,888 AND $244,707, RESPECTIVELY. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. OTHER RECONCILING ITEMS SCHEDULE D, PART XII, LINE 4B & PART XIII, LINE 2D ($ 23,979) SPECIAL EVENTS EXPENSE RECLASSED TO REVENUE $ 419 GAIN ON SALE OF FIXED ASSETS ----------- ($ 23,560) X X X X X X true ELLIOT LEVIN PY CAMPAIGN ADVISOR CONSULTING false 40600 KATHLEEN CLARK FUNDRAISING false 9255 49855 CA SUMMER SOLSTICE 49480 28350 21130 140 1600 7163 15076 0 49480 28350 21130 140 1600 7163 15076 23979 -2849 X X X false false false false false false false false false JOHN SHEN 158857 0 0 0 0 0 5067 0 1254 0 165178 0 0 0 GEORGIANNA FARREN 176594 0 0 0 0 0 5792 0 708 0 183094 0 0 0 KATHY WINSTON MD 143627 0 0 0 0 0 0 0 7808 0 151435 0 0 0 X 10000 FMV X BABY SUPPLIES 1 20000 FMV 0 false false false NUMBER OF CONTRIBUTIONS SCHEDULE M, PART 1, COLUMN B THE NUMBER OF CONTRIBUTIONS LISTED IS THE NUMBER OF CONTRIBUTORS. 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. SIGNIFICANT NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 MARIN COMMUNITY CLINICS BEGAN OFFERING OBSTETRICAL CARE IN ADDITION TO FULL-SCOPE GYNECOLOGY AND PRIMARY HEALTH CARE SERVICES IN APRIL OF 2011. OBSTETRICS AND GYNECOLOGY (OB/GYN) SERVICES WERE TRANSFERRED FROM THE COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT TO MARIN COMMUNITY CLINICS, AND AN INNOVATIVE COLLABORATION WITH PRIMA MEDICAL FOUNDATION AND MARIN GENERAL HOSPITAL WAS CRAFTED TO PROVIDE EXCELLENT CONTINUITY OF CARE BETWEEN THE PRENATAL AND LABOR AND DELIVERY SETTINGS FOR ALL MARIN COUNTY FAMILIES. TO PROVIDE OB/GYN SERVICES, OUR FOURTH MEDICAL CLINIC WAS OPENED AT THE COUNTY'S HEALTH AND WELLNESS CAMPUS. 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 WALTER KOPP & TEO MARTINEZ HAVE A BUSINESS RELATIONSHIP. MARTIN SLEATH & DAVID KLINETOBE 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 MANAGER 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 CEO RECEIVED A PAY RATE CHANGE EFFECTIVE MAY, 2011. CMO'S LAST CHANGE IN RATE WAS JULY 2010, AND THE CFO'S LAST CHANGE IN RATE WAS JUNE 2011. 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.