2020-07-13T14:17:25-05:00 2019-06-30 420714325 RSM US LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2018-07-01 520988386 COMMUNITY CLINIC INC COMM 3013407525 8630 FENTON STREET 12TH FLOOR SILVER SPRING MD 20910 DR SONYA BRUTON CEO & PRESIDENT 3013407525 2020-07-09 1 JULIA FLANNERY CPA P00928918 4102469300 73.213.141.28 2020-07-09 10:44:12 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 4EE6A31F760B3C5EA0809148B0E883CC4242B14C 2018 2020-09-23 17:36:50Z CCI HEALTH & WELLNESS SERVICES DR SONYA BRUTON 8630 FENTON STREET 12TH FLOOR SILVER SPRING MD 20910 26912445 0 X WWW.CCIWEB.ORG X 1972 MD EMPOWER PATIENTS TO PARTNER WITH STAFF FOR AN UNPARALLED HEALTHCARE EXPERIENCE THROUGH INTEGRATED TEAMS IN A LEARNING ENVIRONMENT, WE DELIVER HIGH QUALITY, AFFORDABLE CARE TO EVERY PATIENT DURING ALL STAGES OF LIFE. 9 9 339 10 0 0 10923033 10305076 14163067 14189523 69 783 1893528 2401233 26979697 26896615 0 0 0 0 16896383 18748390 0 0 315140 8220748 9360814 25117131 28109204 1862566 -1212589 16817496 18442923 1964975 4477127 14852521 13965796 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 14569358 13094993 HEALTH CENTERS; PROVIDED COMPREHENSIVE PRIMARY CARE SERVICES TO 74,975 INDIVIDUAL ENCOUNTERS MANY OF WHOM DO NOT HAVE HEALTH INSURANCE. CCI PROVIDES DIRECT CARE FOR PRE-NATAL SERVICES AS WELL AS ADOLESCENT SERVICES. 3777820 WOMAN, INFANTS AND CHILDREN (WIC): NUTRITION COUNSELING TO 31,786 INCOME-ELEGIBLE INFANTS AND CHILDREN AS WELL AS PREGNANT AND BREASTFEEDING WOMAN. 1897562 1094530 COMPREHENSIVE DENTAL SERVICE PROGRAM: PROVIDING 10,054 DENTAL ENCOUTNERS TO ALL PATIENTS IRRSPECTIVE OF THEIR ABILITY TO PAY. 2279322 OTHER 2279322 20244740 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 0 0 0 0 0 0 0 0 0 1 18 0 1 339 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X SEKOU MURPHY 2406381271 8630 FENTON STREET 12TH FLOOR SILVER SPRING MD 20910 ELIZABETH DURHAM CHAIR 1.00 X X 0 0 0 CARLA SATINSKY CHAIR-ELECT 1.00 X X 0 0 0 DELLA COX SECRETARY 1.00 X X 0 0 0 SHARON THAMES TREASURER 1.00 X X 0 0 0 LORIANN BEHM BOARD MEMBER 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 1.00 X 0 0 0 DR ROBERT WISE BOARD MEMBER 1.00 X 0 0 0 KATHLEEN KNOLHOFF CEO 40.00 X 429576 0 34006 SONYA BRUTON ASSOCIATES CEO & COO 40.00 X 341277 0 27253 SHELDON KRONZEK CFO 40.00 X 179600 0 13769 ROBERT BLAKE CMO 40.00 X 201174 0 9802 ROBERT BAROR CHIEF LEGAL OFFICER & GC 40.00 X 186210 0 13475 MELISSA CLARK ASSOCIATE CMO 40.00 X 205725 0 15141 FELIPE DIAZ CMO 40.00 X 183817 0 24766 PARVEJ MALIK HEALTH CENTER DIRECTOR 40.00 X 185872 0 38863 CECEILA HALL CARRINGTON PHYSICIAN 40.00 X 177136 0 39084 NNEOMA UGRJI PHYSICIAN 40.00 X 172308 0 37731 BEKELE MEAZA PHYSICIAN 40.00 X 166965 0 18046 MARTINE JASMIN PHYSICIAN 32.00 X 159432 0 20136 2589092 0 292072 15 0 1 0 BLUENOVO INC 8070 GEORGIA AVENUE SUITE 302 SILVER SPRING MD 20910 IT CONSULTING 1010854 QUADRANT INCORPORATED 1881 CAMPUS COMMONS DRIVE SUITE 30 RESTON VA 20191 CONTRACT LABOR 214662 RSM US LLP 5155 PAYSPHERE CIRCLE CHICAGO IL 60674 PROFESSIONAL SERVICES 111833 3 10200315 104761 12620 10305076 PATIENT SERVICE FEES 621400 14189523 14189523 14189523 783 783 15830 15830 0 OTHER HEALTH SERVICES 621400 1434565 1434565 QUALITY INCENTIVE 621400 844757 844757 OTHER INCOME 900099 121911 121911 2401233 26896615 16468845 0 122694 1742824 465712 1277112 14286327 11320201 2757690 208436 475811 401549 72113 2149 1019910 800654 215148 4108 1223518 857425 314260 51833 108847 108847 60459 60459 2865916 1641004 1224912 1074976 696915 378061 1723711 1303690 420021 178413 43727 134686 117470 69416 48054 1130137 873086 239323 17728 69189 45449 23740 MEDICAL SUPPLIES 1528934 1484321 44613 MEMBERSHIPS 224119 20198 203921 TRANSLATION SERVICES 202719 201061 1658 LICENSE 29388 14706 14682 46536 5626 10024 30886 28109204 20244740 7549324 315140 1530291 1892075 239458 201994 2098345 2103332 951866 1186212 60000 60000 269945 176487 14395084 8023014 5572304 6372070 5911945 6276055 100 100 183242 174598 16817496 18442923 1401177 2030296 96107 242349 1000000 467691 1204482 1964975 4477127 X 14852521 13965796 14852521 13965796 16817496 18442923 -1212589 325864 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8756445 4542847 4213598 4500551 3162989 1337562 1138088 317178 820910 6372070 DEFERRED RENT 1204482 1204482 X 27340698 325864 118219 444083 26896615 0 26896615 28227423 118219 118219 28109204 0 28109204 PART X, LINE 2: CCI HAS BEEN RECOGNIZED BY THE IRS AS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC 501(C)(3), EXCEPT FOR TAXES ON INCOME GENERATED FROM UNRELATED BUSINESS ACTIVITIES. 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. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THESE FINANCIAL STATEMENTS. INCOME THAT IS NOT RELATED TO EXEMPT PURPOSES, LESS APPLICABLE DEDUCTIONS, IS SUBJECT TO FEDERAL AND STATE INCOME TAXES. CCI HAD NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED JUNE 30, 2019 AND 2018. 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. AS OF JUNE 30, 2019AND 2018 THERE ARE NO MATERIAL UNRECOGNIZED/DERECOGNIZED TAX BENEFITS OR TAX PENALTIES OR INTEREST. CCI IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE JUNE 30, 2016 X X 0 0 0 0 0 0 0 1 0 KATHLEEN KNOLHOFF CEO 395976 0 33600 0 0 0 26617 0 7389 0 463582 0 0 0 SONYA BRUTON ASSOCIATES CEO & COO 283980 0 57000 0 297 0 18346 0 8907 0 368530 0 0 0 SHELDON KRONZEK CFO 157976 0 20100 0 1524 0 6807 0 6962 0 193369 0 0 0 ROBERT BLAKE CMO 200930 0 0 0 244 0 8105 0 1697 0 210976 0 0 0 ROBERT BAROR CHIEF LEGAL OFFICER & GC 186090 0 0 0 120 0 11165 0 2310 0 199685 0 0 0 MELISSA CLARK ASSOCIATE CMO 200538 0 5000 0 187 0 12143 0 2998 0 220866 0 0 0 FELIPE DIAZ CMO 178500 0 5000 0 317 0 11183 0 13583 0 208583 0 0 0 PARVEJ MALIK HEALTH CENTER DIRECTOR 185752 0 0 0 120 0 18135 0 20728 0 224735 0 0 0 CECEILA HALL CARRINGTON PHYSICIAN 176620 0 0 0 516 0 11337 0 27747 0 216220 0 0 0 NNEOMA UGRJI PHYSICIAN 171516 0 0 0 792 0 9754 0 27977 0 210039 0 0 0 BEKELE MEAZA PHYSICIAN 166173 0 0 0 792 0 10115 0 7931 0 185011 0 0 0 MARTINE JASMIN PHYSICIAN 149326 0 10000 0 106 0 8118 0 12018 0 179568 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. 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 COMMUNITY CLINIC, INC. 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(D).