2011-05-16T14:41:06-05:00 2010-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2009-07-01 942237120 MARIN COMMUNITY CLINIC MARI 4154481500 PO BOX 1868 NOVATO CA 94948 ART FEAGLES 4157983146 2011-05-15 true Brian D Todd 4178658701 2009 2016-02-24 21:20:13Z JOHN SHEN 6090 REDWOOD BLVD SUITE G NOVATO CA 94945 16886510 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. IN FY 10, STARTED CONSTRUCTION OF A NEW DENTAL CLINIC. SEE SCHEDULE O FOR MORE INFORMATION. 15 15 194 37 0 0 4371512 4455745 8571950 12427053 23968 1642 0 -9996 12967430 16874444 0 0 0 0 8101297 9373563 126969 27653 27653 4596516 7088937 12824782 16490153 142648 384291 15190214 16351626 5457187 6082618 9733027 10269008 TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY, COST-EFFECTIVE, CULTURALLY SENSITIVE, PATIENT-CENTERED HEALTH CARE. false false 9455721 9361299 PRIMARY CARE - PEDIATRIC CARE (INCLUDING AFTER HOURS), ADULT CARE (INCLUDING AFTER HOURS), POST-NATAL CARE, IMMUNIZATIONS, ANNUAL CHECKUPS, CHRONIC CARE MANAGEMENT, BREAST HEALTH SCREENING & EDUCATION, REPRODUCTIVE HEALTH SERVICES, REFERRAL FOR SPECIALTY CARE. 2108803 2087745 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. 987874 978009 MENTAL HEALTH SERVICES 12552398 true true false true false false false false true true true false false false false false false true true false false false false true false false false true false false false false true false false false false false false false false true 29 0 true 194 true false false false false false false false false false 15 15 true false false false false false false true false false false true true true true true true true true false CA X STEVEN AMOS 4157983146 6090 REDWOOD BLVD SUITE G NOVATO CA 94945 JENNIFER LOUCKS 1.0 X X 0 0 0 WALTER KOPP 1.0 X X 0 0 0 DAVID KLINETOBE 1.0 X X 0 0 0 LINDA TAVASZI 1.0 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 0 0 0 HARRY SCARBOROUGH 1.0 X 0 0 0 MARTIN SLEATH 1.0 X X 0 0 0 JOHN SHEN 40.0 X 147377 0 5110 ARTHUR FEAGLES 40.0 X 124730 0 8448 GEORGIANNA FARREN 40.0 X 163848 0 6400 JESSICA L HOLLMAN MD 40.0 X 129528 0 11550 CONSTANZA KADERA DDS 40.0 X 115041 0 11122 ERIC SCHTEN MD 28.0 X 105260 0 11095 DAVID ERNST MD 32.0 X 101610 0 2917 ANDREA GRAY MD 32.0 X 105735 0 6867 993129 0 63509 8 false true false JOHN ZWART CONSTRUCTION MANAGER CONSTRUCTION 332292 PRIMA MEDICAL GROUP MEDICAL 200820 BKD LLP ACCOUNTING 116000 3 570 38960 2367653 2048562 30851 4455745 NET PATIENT SERVICE REVENUE 624100 12420899 12420899 OTHER 624100 6154 6154 12427053 1642 1642 0 0 0 2070 38960 12066 -9996 -9996 0 0 0 16874444 12427053 -8354 0 0 0 0 455913 170248 285665 0 6529360 5281493 1247867 62018 48974 13044 1660225 1288893 371332 666047 515309 150738 0 35203 35203 220579 220579 0 27653 27653 0 2597933 1976767 621166 0 480250 362884 117366 0 0 993906 839616 154290 25012 3742 21270 0 53869 17112 36757 292789 261520 31269 0 1125631 742443 383188 133076 133076 BAD DEBT 372110 372110 LICENSES, DUES & SUBSCRIPTIONS 64889 19079 45810 RECRUITING 46715 15000 31715 MEDICAL SUPPLIES & DRUGS 539164 539164 REPAIRS & MAINTENANCE 75138 73697 1441 32673 24347 8326 16490153 12552398 3910102 27653 32074 412333 380056 41566 766436 764965 1309912 2099011 15000 662 208028 70676 14031150 2559550 12309082 11471600 184626 1475813 15190214 16351626 2566078 2846904 2811109 3175714 80000 60000 5457187 6082618 X 8655942 8581194 1077085 1687814 9733027 10269008 15190214 16351626 X false true true X true true X 579900 1921494 3366000 4371512 4455745 14694651 579900 1921494 3366000 4371512 4455745 14694651 1748638 12946013 28500 55201 70901 23968 1642 180212 15100 64771 9099 88970 14963833 38928168 0.86515 0.84291 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. 234349 23188 12830 244707 279990 -32267 13374 234349 1.00000 true false 2532899 253290 2279609 9309889 1243007 8066882 788343 310951 477392 1400019 752302 647717 11471600 EST DUE TO THIRD PARTY 1475813 1475813 16874444 16490153 384291 151690 151690 535981 17038200 151690 151690 16886510 -12066 -12066 16874444 16502219 12066 12066 16490153 16490153 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, 2010 AND 2009, 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 $12,830 AND $13,374 FOR THE YEARS ENDED JUNE 30, 2010 AND 2009, RESPECTIVELY, WHICH ARE INCLUDED IN THE STATEMENT OF OPERATIONS. AT JUNE 30, 2010 AND 2009, THE BALANCE OF THE ENDOWMENT FUND WAS $244,707 AND $234,349, 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 DIFFERENCES SCHEDULE D, PART XII, LINE 4B & PART XIII, LINE 2D (12,066) SPECIAL EVENTS EXPENSE RECLASSED TO REVENUE X X X X X X true ELLIOT LEVIN PY CAMPAIGN ADVISOR CONSULTING false 2200 9528 -7328 KATHLEEN CLARK FUNDRAISING false 37980 18125 19855 40180 27653 12527 CA SUMMER SOLSTICE 41030 38960 2070 128 400 262 11276 0 41030 38960 2070 128 400 262 11276 12066 -9996 X X X false false false false false false false false false JOHN SHEN 147377 0 0 0 0 0 3733 0 1377 0 152487 0 GEORGIANNA FARREN 163848 0 0 0 0 0 5598 0 802 0 170248 0 ARTHUR FEAGLES PERSONAL X 15000 15000 false true true 15000 X 9700 FMV X 1 21151 FMV 0 false false false DRUGS AND MEDICAL SUPPLIES SCHEDULE M, PART I, LINE 19 ALL DRUGS AND MEDICAL SUPPLIES WERE FROM DIRECT RELIEF INTERNATIONAL. ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 MISSION 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 NON-COMPENSATED 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 WALTER KOPP & TEO MARTINEZ HAVE A BUSINESS RELATIONSHIP. MARTIN SLEATH & DAVID KLINETOBE HAVE A BUSINESS RELATIONSHIP. MEETING DOCUMENTATION FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT OF BEHALF OF THE ENTIRE BOARD OF DIRECTORS. 990 REVIEW POLICY FORM 990, PART VI, SECTION B, LINE 11A 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. PRIOR TO FILING, THE FORM 990 IS REVIEWED FIRST BY TOP MANAGEMENT. A DRAFT IS THEN SENT TO THE BOARD PRIOR TO IT BEING FILED TO THE IRS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST - THE INFORMATION BELOW IS SUMMARIZED FROM THE ORAGNIZATION'S FORMAL CONFLICT OF INTEREST POLICY AND BYLAWS. 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 RECOURSES TO BE USED FOR COMPARISON PURPOSES. DATA FROM ASSOCIATION SURVEYS (NACHC, CPCA) THIS DATA AND ANY RECOMMENDATION ARE REVIEWED AND REPORTED TO THE EXECUTIVE COMMITTEE FOR APPROVAL & DISCUSSION. THE CEO RECEIVED A PAY RATE CHANGE EFFECTIVE JULY, 2010. CMO'S LAST CHANGE IN RATE WAS JULY 2009, AND THE CFO'S LAST CHANGE IN RATE WAS JULY 2008. 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.