2024-05-13T09:58:31-05:00 2023-06-30 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-07-01 942237120 MARIN COMMUNITY CLINIC % AMY GEHRKE MARI 4154481500 9 COMMERCIAL BLVD Suite 100 NOVATO CA 94949 DR FARHAN FADOO CEO 1111111111 2024-05-15 true LEIGHA ANDREWS XXX-XX-XXXX Krystal K Creach P01248198 4178658701 2024-03-07 2 2022 2023-04-26 12:10:37Z MARIN COMMUNITY CLINIC DR FARHAN FADOO 9 COMMERCIAL BLVD SUITE 100 NOVATO CA 94949 64750378 false X WWW.MARINCLINIC.ORG X 1973 CA TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY, COST-EFFECTIVE, CULTURALLY SENSITIVE, PATIENT-CENTERED HEALTH CARE. 13 13 736 13 0 0 19410129 11031041 54407010 52792757 296050 774678 5533 -628 74118722 64597848 0 0 0 0 46211224 48479735 0 0 729561 17515377 18420110 63726601 66899845 10392121 -2301997 64134827 68653486 8298621 14429659 55836206 54223827 TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY, COST-EFFECTIVE, CULTURALLY SENSITIVE, PATIENT-CENTERED HEALTH CARE. false false 42000239 41013137 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 AND EDUCATION, POST-NATAL CARE, AND REFERRALS FOR SPECIALTY CARE. PHYSICAL MEDICINE AND REHABILITATION, NEUROLOGY, NUTRITION, ORTHOPEDIC SURGERY, COMPLEMENTARY AND ALTERNATIVE MEDICINE, UROLOGY, GASTROENTEROLOGY, DIAGNOSTIC RADIOLOGY, COVERAGE FOR EMERGENCIES DURING AND AFTER HOURS, CANCER SERVICE, VISION SERVICES. 15466486 9092760 ORAL HEALTH - PREVENTIVE AND RESTORATIVE DENTISTRY. SERVICES INCLUDE: EXAMS AND X-RAYS, ORAL HYGIENE INSTRUCTIONS, CLEANINGS, TOOTH DECAY REMOVAL AND FILLINGS, EXTRACTIONS, ROOT CANALS AND CROWNS DENTURES. EXPANDED SERVICES SEVEN DAYS A WEEK, DENTAL EMERGENCY SERVICES. 3536327 2686860 BEHAVIORAL HEALTH SERVICES - OFFERED TO CHILDREN, TEENS, AND ADULTS AND INCLUDES PSYCHIATRY AND COUNSELING BY LICENSED CLINICAL SOCIAL WORKERS. 61003052 true true false true false false false false false true true false false true true false true false false false false false false false true false false false false true false false false false false false false false true false false false false false false false false true 73 0 true 736 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false CA X AMY GEHRKE 4154481500 9 COMMERCIAL BLVD SUITE 100 NOVATO CA 94949 MITESH POPAT CEO END 12/22 40.0 0.0 X 447882 0 26593 MELANIE ROSE THOMPSON CHIEF MEDICAL OFFICER 40.0 0.0 X 293888 0 18765 DAVID KLINETOBE CFO END 04/23 40.0 0.0 X 295043 0 15492 LISA WARD MEDICAL DIRECTOR 40.0 0.0 X 281528 0 22756 ELIZABETH SHAW MEDICAL DIRECTOR 40.0 0.0 X 257257 0 21383 XAVIER PEREZ MEDICAL DIRECTOR 40.0 0.0 X 254698 0 8115 CONSTANZA KADERA CHIEF DENTAL OFFICER 40.0 0.0 X 241975 0 14750 CAROLYN SHORE MD INT 40.0 0.0 X 233939 0 12373 LEAH CANVASSER CHIEF INFORMATION OFFICER 40.0 0.0 X 239458 0 6693 JOSE CHIBRAS ADOLFO MEDICAL DIRECTOR 40.0 0.0 X 228446 0 13364 JERRY OKEN SECRETARY 3.0 0.0 X X 0 0 0 DANIEL A SEGEDIN CHAIR 3.0 0.0 X X 0 0 0 ALYSSA MORRIS BOARD MEMBER 1.0 0.0 X 0 0 0 FRESHTE KASHANI MEMBER-AT-LARGE 3.0 0.0 X X 0 0 0 MARTIN WEIL TREASURER 3.0 0.0 X X 0 0 0 WADE FLORES BOARD MEMBER 1.0 0.0 X 0 0 0 JIM TAVASZI BOARD MEMBER 1.0 0.0 X 0 0 0 NELSON BRANCO CHAIR ELECT 3.0 0.0 X X 0 0 0 KATHLEEN ROCHE BOARD MEMBER 1.0 0.0 X 0 0 0 MARK JACOBS BOARD MEMBER 1.0 0.0 X 0 0 0 MICHAEL HARRIS BOARD MEMBER BEG 10/22 1.0 0.0 X 0 0 0 MARCY NORENIUS BOARD MEMBER BEG 10/22 1.0 0.0 X 0 0 0 CHRSTAL LEWIS BOARD MEMBER BEG 12/22 1.0 0.0 X 0 0 0 ELIZABETH VILLALOBOS BOARD MEMBER END 08/22 1.0 0.0 X 0 0 0 LEIGHA ANDREWS INTERIM CEO BEG 01/23 40.0 0.0 X 0 0 0 2774114 0 160284 105 false true false HOLLY CONSTRUCTION 73 ST JAMES DR SANTA ROSA CA 95403 CONSTRUCTION 943476 WATECH COMPUTER SERVICES INC 900 DORIS RD AUBURN HILLS MI 48326 PROFESSIONAL SERVICE 767391 MCC BUILDING MAINTENANCE 83 HAMILTON DRIVE STE 104 NOVATO CA 94949 CLEANING & MAINTENAN 466918 MARIN HEALTH 9 COMMERCIAL BLVD STE 200 NOVATO CA 94949 PROFESSIONAL SERVICE 407491 FORVIS LLP PO BOX 1190 SPRINGFIELD MO 65801 PROFESSIONAL SERVICE 230258 7 168058 6777215 4085768 230211 11031041 NET PATIENT SERVICE REVENUE 624100 44186088 44186088 CAPITATION REVENUE 624100 4370336 4370336 QUALITY IMPROVEMENT PROGRAM 624100 3469474 3469474 OTHER INCOME 624100 766859 766859 52792757 779319 779319 0 0 75261 75261 0 75261 75261 2299 2342 -2299 -2342 -4641 -4641 72000 168058 147889 -75889 -75889 0 0 0 0 0 0 0 64597848 52792757 774050 0 0 0 0 1600539 815529 785010 0 36276362 34316571 1521896 437895 500634 478724 15656 6254 6948175 6473617 393556 81002 3154025 2928479 189003 36543 0 36520 36520 254458 254458 0 0 0 3500272 3223514 276758 0 1702178 1383331 271569 47278 2402801 1988694 352704 61403 0 2384244 2165804 194765 23675 98930 81880 14522 2528 0 208984 172967 30676 5341 71359 71359 0 2388227 1736378 649308 2541 243270 206624 36646 MEDICAL SUPPLIES & DRUGS 4146608 4146608 RECRUITING & RETENTION 760036 629049 111565 19422 LICENSES, DUES, SUBSCRIPTIONS 222223 183924 32620 5679 66899845 61003052 5167232 729561 2440887 2855649 19969349 14048475 1623477 1083129 5281612 9015234 0 0 0 0 0 0 600201 572829 706494 660332 40273221 20931084 19195341 19342137 10142658 11030169 0 0 0 0 1341356 1392047 2833452 8653485 64134827 68653486 5078728 5400821 0 0 584887 406717 0 0 0 0 0 0 0 1472509 59006 39452 2576000 7110160 8298621 14429659 X 52107217 50574087 3728989 3649740 55836206 54223827 64134827 68653486 -2301997 689618 X false true X true true true X 5773047 8960885 12007352 19410129 11031041 57182454 47639308 47998044 52682044 54407010 52792757 255519163 0 0 0 53412355 56958929 64689396 73817139 63823798 312701617 0 0 0 312701617 367318 329623 181131 265235 854580 1997887 0 367318 329623 181131 265235 854580 1997887 0 0 53779673 57288552 64870527 74082374 64678378 314699504 0.99365 0.99550 0.00635 0.00450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 28500 28500 false SCHEDULE C, PART II-B, QUESTION 1I OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS ANNUAL DUES TO CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) - A PORTION OF WHICH MAY BE ATTRIBUTABLE TO LOBBYING. 1297983 198667 60023 12151 1424476 1595068 -237977 49521 9587 1297983 1093265 557001 45461 9737 1595068 1108290 37410 43366 9069 1093265 1068897 89456 41350 8713 1108290 1.00000 true false 5644750 5644750 23059746 13857966 9201780 1637824 1288673 349151 8161406 5784445 2376961 1769495 1769495 19342137 DUE FROM 3RD PARTY PAYORS 2379000 OTHER RECEIVABLES 1545388 ROU ASSET 4729097 8653485 0 EST DUE TO THIRD PARTIES 2073000 OPERATING LEASE LIABILITY 5037160 7110160 63379582 689618 69008 766955 1525581 61854001 2743847 2743847 64597848 67119084 69008 150231 219239 66899845 66899845 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS: 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, 2023 AND 2022, THE FOUNDATION'S SPENDING POLICY WAS TO DISTRIBUTE 4.50 PERCENT OF THE ROLLING 12 QUARTER AVERAGE OF THE MARKET VALUE OF THE POOLED FUND. THE ORGANIZATION RECEIVED DISTRIBUTIONS OF $60,023 AND $49,521 FOR THE YEARS ENDED JUNE 30, 2023 AND 2022, RESPECTIVELY, WHICH ARE INCLUDED IN CONTRIBUTION REVENUE ON THE STATEMENT OF OPERATIONS. AT JUNE 30, 2023 AND 2022, THE BALANCES OF THE ENDOWMENT FUND WERE $1,424,476 AND 1,297,983, RESPECTIVELY. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: 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. SCHEDULE D, PART XI, LINE 2D OTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 766,955 NET ASSETS RELEASED FROM RESTRICTION SCHEDULE D, PART XI, LINE 4B OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 2,392,640 TEMPORARILY RESTRICTED CONTRIBUTIONS 501,438 CONTRIBUTIONS FOR PROPERTY, PLANT & EQUIPMENT (147,889) SPECIAL EVENT EXPENSES (2,342) LOSS ON DISPOSAL OF ASSETS ------------ $ 2,743,847 SCHEDULE D, PART XII, LINE 2D OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 147,889 SPECIAL EVENT EXPENSES 2,342 LOSS ON DISPOSAL OF ASSETS ------------ $ 150,231 JUDITH SNEAD GRANT WRITI false SUMMER SOLSTICE 148000 111250 36750 0 0 750 40289 975 50742 GOLF TOURNAMENT 92058 56808 35250 0 0 24220 22965 0 7948 0 240058 168058 72000 0 0 24970 63254 975 58690 147889 -75889 X X false false false false false false false false false LISA WARD MEDICAL DIRECTOR 281324 0 0 0 204 0 8529 0 14227 0 304284 0 0 0 JOSE CHIBRAS ADOLFO MEDICAL DIRECTOR 227593 0 0 0 853 0 6955 0 6409 0 241810 0 0 0 ELIZABETH SHAW MEDICAL DIRECTOR 257128 0 0 0 129 0 6264 0 15119 0 278640 0 0 0 XAVIER PEREZ MEDICAL DIRECTOR 254504 0 0 0 194 0 7641 0 474 0 262813 0 0 0 CAROLYN SHORE MD INT 231229 0 0 0 2710 0 7064 0 5309 0 246312 0 0 0 CONSTANZA KADERA CHIEF DENTAL OFFICER 241678 0 0 0 297 0 7428 0 7322 0 256725 0 0 0 LEAH CANVASSER CHIEF INFORMATION OFFICER 239323 0 0 0 135 0 6204 0 489 0 246151 0 0 0 MELANIE ROSE THOMPSON CHIEF MEDICAL OFFICER 293694 0 0 0 194 0 8852 0 9913 0 312653 0 0 0 DAVID KLINETOBE CFO END 04/23 294068 0 0 0 975 0 8870 0 6622 0 310535 0 0 0 MITESH POPAT CEO END 12/22 447743 0 0 0 139 0 7822 0 18771 0 474475 0 0 0 X 2 230211 FMV false false false SCHEDULE M, PART I, LINE 19, COLUMN (B) NUMBER OF CONTRIBUTIONS: THE NUMBERS ENTERED IN COLUMN B REPRESENT THE NUMBER OF DONORS WHO CONTRIBUTED THESE ITEMS DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: THE AUDIT COMMITTEE REVIEWS THE FORM 990 PRIOR TO FILING AND WORKS WITH THE FINANCE COMMITTEE AND MANAGEMENT TO IMPLEMENT ANY CHANGES. THE AUDIT COMMITTEE REPORTS TO THE BOARD AND THE BOARD APPROVES THE FORM 990 SUBMISSION WHICH IS RECORDED IN ITS REGULAR MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ANNUALLY MEMBERS OF THE BOARD AS WELL AS MCC KEY EMPLOYEES ARE PROVIDED WITH A COPY OF THE CURRENT CONFLICT OF INTEREST POLICY. BOARD MEMBERS AS WELL AS MCC KEY EMPLOYEES ARE REQUIRED TO SELF-DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. CONTRACTS AND MAJOR PURCHASES ARE ALSO SCRUTINIZED FOR POTENTIAL CONFLICT OF INTEREST. THE POLICIES OF MARIN COMMUNITY CLINIC BOARD OF DIRECTORS REQUIRE REGULAR DISCLOSURE OF MEMBER (1) AFFILIATIONS (AS TRUSTEE, BOARD MEMBER, OFFICER, EMPLOYEE, ADVISORY COMMIT 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 IMMEDIATE FAMILY OR A MEMBER OF 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. ANY CONFLICT OF INTEREST WILL BE REVIEWED ON A CASE BY CASE BASIS ALONG WITH ANY APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION SETTING PROCEDURE: THE ORGANIZATION'S HR DIRECTOR OBTAINS INDUSTRY COMPENSATION DATA FROM LOCAL AND STATE RESOURCES TO BE USED FOR COMPARISON PURPOSES. DATA FROM ASSOCIATION SURVEYS (NACHC, CPCA, PAYSCALE) AND ANY RECOMMENDATIONS ARE REVIEWED AND REPORTED TO THE EXECUTIVE COMMITTEE FOR APPROVAL AND DISCUSSION. THE BOARD REVIEWS THE CEO'S PAY RATE ANNUALLY OR AS NECESSARY IF THERE IS A CHANGE IN STAFF. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION SETTING PROCEDURE: THE ORGANIZATION'S HR DIRECTOR OBTAINS INDUSTRY COMPENSATION DATA FROM LOCAL AND STATE RESOURCES TO BE USED FOR COMPARISON PURPOSES. DATA FROM ASSOCIATION SURVEYS (NACHC, CPCA, PAYSCALE) AND ANY RECOMMENDATIONS ARE REVIEWED AND REPORTED TO THE CEO. THE CEO REVIEWS THE PAY RATE ANNUALLY OR AS NECESSARY IF THERE IS A CHANGE IN STAFF. THE BOARD THEN APPROVES ANY INCREASES IN COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: 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.