2022-04-29T13:49:36-05:00 2021-06-30 111986323 MARCUM LLP 1899 L STREET NW 850 WASHINGTON DC 20036 990 2020-07-01 520988386 COMMUNITY CLINIC INC COMM 3013407525 8630 FENTON STREET NO 1204 SILVER SPRING MD 20910 DR SONYA BRUTON CEO & PRESIDENT 3013407525 2022-04-28 1 DR SONYA BRUTON XXX-XX-XXXX FRANK H SMITH P00639053 2028225000 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z CCI HEALTH & WELLNESS SERVICES DR SONYA BRUTON 8630 FENTON STREET NO 1204 SILVER SPRING MD 20910 42224579 0 X WWW. CCIWEB.ORG X 1972 MD EMPOWER PATIENTS TO PARTNER WITH STAFF FOR AN UNPARALLELED HEALTHCARE EXPERIENCE THROUGH INTEGRATED TEAMS IN A LEARNING ENVIRONMENT. WE DELIVER HIGH QUALITY, AFFORDABLE CARE TO EVERY PATIENT DURING ALL STAGES OF LIFE. 10 10 413 14 0 0 13328027 22783505 14454380 16199763 -44632 361088 1981911 1673141 29719686 41017497 0 0 0 0 20097965 22627349 0 0 564721 11011607 12155691 31109572 34783040 -1389886 6234457 20293117 24970527 7520258 5489280 12772859 19481247 X CCI HEALTH & WELLNESS SERVICES, A GROUP PRACTICE, EMPOWERS PATIENTS TO PARTNER WITH STAFF FOR AN UNPARALLELED HEALTHCARE EXPERIENCE. THROUGH INTEGRATED TEAMS IN A LEARNING ENVIRONMENT, WE DELIVER HIGH-QUALITY, AFFORDABLE CARE TO EVERY PATIENT DURING ALL STAGES OF LIFE. 0 0 23707349 14483101 HEALTH CENTERS: PROVIDED COMPREHENSIVE PRIMARY CARE SERVICES TO 91,392 INDIVIDUAL ENCOUNTERS MANY OF WHICH AREN'T COVERED BY HEALTH INSURANCE. CCI PROVIDES DIRECT CARE FOR PRE-NATAL SERVICES AS WELL AS ADOLESCENT SERVICES. 5410826 WOMEN, INFANTS AND CHILDREN (WIC): NUTRITION COUNSELING TO 30,507 INCOME-ELIGIBLE INFANTS AND CHILDREN AS WELL AS PREGNANT AND BREASTFEEDING WOMEN. 2613659 1195917 COMPREHENSIVE DENTAL SERVICE PROGRAM: PROVIDING 7,062 DENTAL ENCOUNTERS TO ALL PATIENTS IRRESPECTIVE OF THEIR ABILITY TO PAY. 2193886 OTHER 2193886 31731834 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 36 0 1 413 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 MD X SEKOU MURPHY 3013407525 8630 FENTON STREET NO 1204 SILVER SPRING MD 20910 SONYA BRUTON CEO & PRESIDENT 40.00 X 394416 0 26914 DR FELIPE DIAZ CMO 40.00 X 262387 0 24345 DR MELISSA CLARK ASSOCIATE CMO 40.00 X 247017 0 32893 PARVEJ MALIK HEALTH CENTER MEDICAL DIRECTOR 40.00 X 219147 0 24765 ROBERT BAROR CHIEF LEGAL OFFICER & GENERAL COUNSEL 40.00 X 224934 0 6930 MARLA HOPKINNSON PSYCHIATRIST 24.00 X 207667 0 22742 SEKOU MURPHY CFO 40.00 X 197923 0 23309 ROBERT MILES PROVIDER 40.00 X 211890 0 1506 BETHLEHEM KASSAYE HEALTH CENTER MEDICAL DIRECTOR 40.00 X 192259 0 20493 CECEILA HALL CARRINGTON HEALTH CENTER MEDICAL DIRECTOR 40.00 X 205952 0 1366 MICHELLE PRESTON COO 40.00 X 170842 0 1631 JOSE LUIS DIAZ CAO 40.00 X 157378 0 14339 ELIZABETH DURHAM CHAIRPERSON 1.00 X X 0 0 0 CARLA SATINSKY CHAIR-ELECT - UNTIL 3/2021 1.00 X X 0 0 0 ERIC STROUD BOARD MEMBER UNTIL 10/2020, VICE-CHAIR 1.00 X X 0 0 0 DELLA COX SECRETARY 1.00 X X 0 0 0 DR ROBERT WISE BOARD MEMBER UNTIL 10/2020, TREASURER 1.00 X X 0 0 0 SHARON THAMES TREASURER UNTIL 10/2020, BOARD MEMBER 1.00 X X 0 0 0 LORIANN BEHM BOARD MEMBER - UNTIL 12/2020 1.00 X 0 0 0 LOUISE BRADFORD BOARD MEMBER 1.00 X 0 0 0 MARIANA CORDIER BOARD MEMBER 1.00 X 0 0 0 DR JUDITH FALLON BOARD MEMBER - UNTIL 8/2020 1.00 X 0 0 0 SUSAN LEGGETT-JOHNSON BOARD MEMBER 1.00 X 0 0 0 MARGUERITE LUCEA BOARD MEMBER 1.00 X 0 0 0 MONICA D POULARD-HAWKINS BOARD MEMBER 1.00 X 0 0 0 2691812 0 201233 49 0 1 0 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB TEST MEDICAL SERVICES 541628 HEALTH CENTER NETWORK OF NEW YORK DBAHE 1950 E GREYHOND PASS SUITE 18-367 CARMEL IN 46033 IT SERVICES 495404 BLUENOVO INC 8070 GEORGIA AVENUE SUITE 302 SILVER SPRING MD 20910 IT SERVICES 310861 PRO SCRIBE 16414 SAN PEDRO AVENUE SUITE 525 SAN ANTONIO TX 78232 SCRIBE SERVICES 206793 WOMEN BUILDERS GROUP LLC 8701 GEORGIA AVENUE SUITE 511 SILVER SPRING MD 20190 JANITORIAL SERVICES 163468 8 21329507 1453998 966067 22783505 PATIENT SERVICE FEES 621400 15679018 15679018 QUALITY INCENTIVES 621400 330000 330000 PHARMACY COMISSIONS 621400 190745 190745 16199763 198965 198965 1364705 4500 1207082 0 157623 4500 162123 162123 OTHER HEALTH SERVICES 621400 1673141 1673141 1673141 41017497 17872904 0 361088 1746504 1589319 122258 34927 17600552 16191440 1071329 337783 523891 491081 29821 2989 1351426 1262201 79119 10106 1404976 1239654 83930 81392 41382 23239 17404 739 99061 68140 28753 2168 64951 64951 1894622 1696565 182299 15758 177828 132142 41482 4204 1236300 1121100 104644 10556 1111444 959304 139574 12566 2171926 2081474 83992 6460 48028 42559 5036 433 185057 160342 23006 1709 31581 31581 1339704 1021218 295737 22749 66317 61513 4461 343 MEDICAL SUPPLIES 3277143 3277143 MEMBERSHIPS 191351 148419 29489 13443 BAD DEBT 166472 119860 43283 3329 LICENSES 43041 37345 2834 2862 9483 7776 1502 205 34783040 31731834 2486485 564721 438770 1276623 2541609 4650621 1441976 1489711 2452982 3921924 60000 67322 122949 216022 16826877 10566238 7493176 6260639 5566930 6458495 100 100 174625 629070 20293117 24970527 2488240 3490732 279037 689981 3445185 0 1307796 1308567 7520258 5489280 X 12648331 19272493 124528 208754 12772859 19481247 20293117 24970527 6234457 473931 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10665651 5882934 4782717 5023138 4126911 896227 1138088 556393 581695 6260639 DEFERRED RENT 1308567 1308567 X 41576477 473931 150000 623931 40952546 64951 64951 41017497 34868089 150000 150000 34718089 64951 64951 34783040 PART X, LINE 2: CCI HAS ADOPTED ACCOUNTING GUIDANCE REGARDING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS POLICY, CCI MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS EVALUATED CCI'S TAX POSITIONS AND HAS CONCLUDED THAT CCI HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. X X 0 0 0 0 0 0 0 1 0 SONYA BRUTON CEO & PRESIDENT 394416 0 0 0 0 0 26000 0 914 0 421330 0 0 0 DR FELIPE DIAZ CMO 262387 0 0 0 0 0 16886 0 7459 0 286732 0 0 0 DR MELISSA CLARK ASSOCIATE CMO 247017 0 0 0 0 0 14821 0 18072 0 279910 0 0 0 PARVEJ MALIK HEALTH CENTER MEDICAL DIRECTOR 219147 0 0 0 0 0 13149 0 11616 0 243912 0 0 0 ROBERT BAROR CHIEF LEGAL OFFICER & GENERAL COUNSEL 224934 0 0 0 0 0 4499 0 2431 0 231864 0 0 0 MARLA HOPKINNSON PSYCHIATRIST 207667 0 0 0 0 0 20767 0 1975 0 230409 0 0 0 SEKOU MURPHY CFO 197923 0 0 0 0 0 15834 0 7475 0 221232 0 0 0 ROBERT MILES PROVIDER 211890 0 0 0 0 0 0 0 1506 0 213396 0 0 0 BETHLEHEM KASSAYE HEALTH CENTER MEDICAL DIRECTOR 192259 0 0 0 0 0 19219 0 1274 0 212752 0 0 0 CECEILA HALL CARRINGTON HEALTH CENTER MEDICAL DIRECTOR 205952 0 0 0 0 0 1366 0 0 0 207318 0 0 0 MICHELLE PRESTON COO 170842 0 0 0 0 0 0 0 1631 0 172473 0 0 0 JOSE LUIS DIAZ CAO 157378 0 0 0 0 0 6295 0 8044 0 171717 0 0 0 PART I, LINE 7 DISCRETIONARY BONUSES FOR EXEMPLARY PERFORMANCE AND EXCEEDING GOALS WERE AWARDED DURING THE CALENDAR YEAR. STAFF BONUSES ARE APPROVED BY THE CEO AND ONE ADDITIONAL EXECUTIVE STAFF MEMBER. THE CEO'S BONUS IS APPROVED BY THE BOARD OF DIRECTORS. X 34 966067 FMV 0 0 0 PART I, COLUMN (B): REPORTING THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO AND CFO. BOARD MEMBERS RECEIVE AN ELECTRONIC COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ACTIVITIES OF THE CORPORATION SHALL BE CONDUCTED SO THAT NO PART OF ITS INCOME PROPERTY OR EARNINGS SHALL INURE TO THE BENEFIT OF ANY DIRECTOR, OFFICER, EMPLOYEE OR OTHER INDIVIDUAL, CORPORATION, INSTITUTION OR ASSOCIATION. ANY DIRECTOR HAVING AN OUTSIDE INTEREST IN A MATTER BEFORE THE BOARD SHALL DISCLOSE THE POTENTIAL CONFLICT TO THE BOARD BEFORE IT DELIBERATES AND ACTS ON THE MATTER AND IF THE BOARD DETERMINES A CONFLICT EXISTS, THE MEMBER SHALL ABSTAIN FROM ANY DELIBERATIONS OR VOTE ON THE MATTER. EACH DIRECTOR SHALL SIGN A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD AND SHALL SIGN AN UPDATED STATEMENT ANNUALLY THEREAFTER. FORM 990, PART VI, SECTION B, LINE 15 THE DETERMINATION OF COMPENSATION AMOUNTS FOR THE ORGANIZATION'S CEO OCCURS WHEN THE BOARD EVALUATES THE CEO'S PERFORMANCE AND MAKES THEIR RECOMMENDATION FOR THE SALARY INCREASE. THE DETERMINATION OF COMPENSATION AMOUNTS FOR THE CEO AND KEY EMPLOYEES INCLUDES A REVIEW OF LOCAL & NATIONAL COMPARABLES FOR PROFESSIONALS WITH REQUIRED SKILLS AND BACKGROUND, AS WELL AS A REVIEW OF ORGANIZATION FINANCIALS TO DETERMINE WHAT MAKES SENSE GIVING EXISTING BUDGET CONSTRAINTS. FORM 990, PART VI, SECTION C, LINE 19 CCI MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(0).