STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

RHODE ISLAND FREE CLINIC INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND FREE CLINIC INC (EIN 05-0501276)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202433209349312148
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-15T12:27:42-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN050392605PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MULLEN SCORPIO & CERILLIBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line167 CEDAR STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050501276EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE RHODE ISLAND FREE CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRHODBusinessNameControlTxt
Phone4012746347PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02907ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARRIE BRIDGES FELIZ MPHPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4012746347PhoneNum
Signature2024-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY W SCORPIOPreparerPersonNm
PTINP01360145PTIN
Phone4017513860PhoneNum
Preparation2024-10-30PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCARRIE BRIDGES FELIZ MPHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02907ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,199,417GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressRIFREECLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTHE RHODE ISLAND FREE CLINIC (RIFC) PROVIDES COMPREHENSIVE AND HIGH-QUALITY HEALTHCARE SERVICES TO UNINSURED ADULTS RESIDING IN RHODE ISLAND. IT ALSO SERVES AS A TRAINING SIRE FOR ASPIRING HEALTHCARE PROFESSIONAL. IN 2023, 522 VOLUNTEERS AND COMMUNITY PARTNERS SERVED 1,877 PATIENTS THROUGH 8,474 PATIENT VISITS AND ENCOUNTERS, AND OVER 150 TRAINEES PERFORMED 5,003 HANDS-ON TRAINING HOURS.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee23TotalEmployeeCnt
Total Volunteers522TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,477,935PYContributionsGrantsAmt
CY Contributions Grants$1,888,529CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$8,401PYInvestmentIncomeAmt
CY Investment Income$25,569CYInvestmentIncomeAmt
PY Other Revenue$136,306PYOtherRevenueAmt
CY Other Revenue$285,319CYOtherRevenueAmt
PY Total Revenue$1,622,642PYTotalRevenueAmt
CY Total Revenue$2,199,417CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,245,762PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,204,335CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$171,871CYTotalFundraisingExpenseAmt
PY Other Expenses$547,723PYOtherExpensesAmt
CY Other Expenses$706,156CYOtherExpensesAmt
PY Total Expenses$1,793,485PYTotalExpensesAmt
CY Total Expenses$1,910,491CYTotalExpensesAmt
PY Revenues Less Expenses-$170,843PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$288,926CYRevenuesLessExpensesAmt
Total Assets BOY$2,312,863TotalAssetsBOYAmt
Total Assets EOY$3,018,924TotalAssetsEOYAmt
Total Liabilities BOY$58,447TotalLiabilitiesBOYAmt
Total Liabilities EOY$447,228TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,254,416NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,571,696NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE RHODE ISLAND FREE CLINIC (RIFC) PROVIDES COMPREHENSIVE AND HIGH-QUALITY HEALTHCARE SERVICES TO UNINSURED ADULTS RESIDING IN RHODE ISLAND. IT ALSO SERVES AS A TRAINING SIRE FOR ASPIRING HEALTHCARE PROFESSIONAL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$938,903ExpenseAmt
DescTRAINING - THE CLINIC IS THE NORTHERN RHODE ISLAND HEALTH EDUCATION CENTER (AHEC). THROUGH IT THE CLINIC COLLABORATED WITH 17 ACADEMIC AND TRAINING PARTNERS TO PROVIDE OVER 150 HEALTHCARE TRAINEES WITH FACULTY-SUPERVISED TRAINING. TRAINING INCLUDED SKILLS AND SITE-BASED EXPERIENCE IN OVER 12 DISCIPLINES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$64,124ExpenseAmt
DescIN 2023 THE CLINIC MOBILIZED 522 VOLUNTEERS AND COMMUNITY PARTNERS TO DELIVER COMPREHENSIVE HEALTHCARE. VOLUNTEERS INCLUDED DOCTORS, DENTISTS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, NURSES, BEHAVIORAL HEALTH CLINICIANS, PHYSICAL THERAPISTS, DIABETES EDUCATORS, LANGUAGE INTERPRETERS, MEDICAL ASSISTANTS, AND OTHERS. CARE WAS PROVIDED AT THE CLINIC'S STATE-OF-THE-ART FACILITY AT 655 BROAD STREET, PROVIDENCE, RI.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$569,254ExpenseAmt
DescIN 2023 THE FREE CLINIC PROVIDED A COMPREHENSIVE MEDICAL HOME FOR UNINSURED RHODE ISLAND ADULTS WHO EARN BELOW 200% OF THE FEDERAL POVERTY LEVEL. CARE INCLUDED INTEGRATED PRIMARY, SPECIALTY, DENTAL, BEHAVIORAL AND PHYSICAL THERAPY, LABS AND DIAGNOSTIC TESTING AN D SCREENING, MEDICINE AND WELLNESS EDUCATION - ALL FREE TO PATIENTS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$569,254TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$1,572,281TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee23EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4012746347PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02907ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
WILLIAM FITZGERALD
PRESIDENT EMERITUS1.00Yes (X)Yes (X)$0$0$0
JEFFREY CHASE LUBITZ ESQ
SECRETARY1.00Yes (X)Yes (X)$0$0$0
CARRIE BRIDGES FELIZ MPH
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CAROLINE TROISE MD
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELE LEDERBERG ESQ
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
PATRICK MARTIN CPA
TREASURER1.00Yes (X)Yes (X)$0$0$0
JERRY FINGERUT MD
BOARD MEMBER1.00Yes (X)$0$0$0
LOREE DUBOIS
BOARD MEMBER1.00Yes (X)$0$0$0
SAMUEL BRADNER
BOARD MEMBER1.00Yes (X)$0$0$0
HERBERT RAKATANSKY MD FACG
BOARD MEMBER1.00Yes (X)$0$0$0
PHILIP R RIZZUTO MD
BOARD MEMBER1.00Yes (X)$0$0$0
JEHANNE BJORNBYE ESQ
BOARD MEMBER1.00Yes (X)$0$0$0
GEORGE GREER
BOARD MEMBER1.00Yes (X)$0$0$0
JOSEPH PERRONI
BOARD MEMBER1.00Yes (X)$0$0$0
MELINDA DELANEY MD
VOLUNTEER MEDICAL DIRECTOR1.00Yes (X)$0$0$0
DIANA DUCHARME ESQ
BOARD MEMBER1.00Yes (X)$0$0$0
TRAVIS ESCOBAR
BOARD MEMBER1.00Yes (X)$0$0$0
RILWAN FEYISITAN JR
BOARD MEMBER1.00Yes (X)$0$0$0
BRENDAN KANE
BOARD MEMBER1.00Yes (X)$0$0$0
MARINA RODRIGUEZ MD
BOARD MEMBER1.00Yes (X)$27,857$0$0
FORREST A DANIELS MPA DSC FACHE
CHIEF EXECUTIVE OFFICER UNTIL MARCH 202440.00Yes (X)$186,875$0$14,792
FieldValueIRS element (for citing)
Total Reportable Comp From Org$214,732TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$14,792TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,888,529AllOtherContributionsAmt
Total Contributions$1,888,529TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,569TotalRevenueColumnAmt
Exclusion$25,569ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$255,152FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$255,152TotalRevenueColumnAmt
Exclusion$255,152ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business621300BusinessCd
Total Revenue Column$30,167TotalRevenueColumnAmt
Related Or Exempt Func Income$30,167RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$30,167OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,199,417TotalRevenueColumnAmt
Related Or Exempt Func Income$30,167RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$280,721ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$201,668TotalAmt
Program Services$181,501ProgramServicesAmt
Management And General$20,167ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$853,733TotalAmt
Program Services$725,454ProgramServicesAmt
Management And General$45,315ManagementAndGeneralAmt
Fundraising$82,964FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$56,794TotalAmt
Program Services$45,554ProgramServicesAmt
Management And General$5,455ManagementAndGeneralAmt
Fundraising$5,785FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$92,140TotalAmt
Program Services$76,522ProgramServicesAmt
Management And General$8,819ManagementAndGeneralAmt
Fundraising$6,799FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$89,593TotalAmt
Program Services$67,054ProgramServicesAmt
Management And General$18,463ManagementAndGeneralAmt
Fundraising$4,076FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$39,478TotalAmt
Program Services$15,771ProgramServicesAmt
Management And General$17,407ManagementAndGeneralAmt
Fundraising$6,300FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$131,700TotalAmt
Program Services$115,236ProgramServicesAmt
Management And General$9,617ManagementAndGeneralAmt
Fundraising$6,847FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,113TotalAmt
Program Services$2,867ProgramServicesAmt
Management And General-$1,052ManagementAndGeneralAmt
Fundraising$298FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$134,443TotalAmt
Program Services$115,716ProgramServicesAmt
Management And General$10,431ManagementAndGeneralAmt
Fundraising$8,296FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,800TotalAmt
Program Services$15,602ProgramServicesAmt
Management And General$1,272ManagementAndGeneralAmt
Fundraising$926FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
COMPUTER HARDWARE AND S$57,268$52,750$3,319$1,199
EVENTS AND MEETINGS$40,370$540$39,830
MISCELLANEOUS EXPENSE$34,243$22,126$7,826$4,291
BAD DEBT EXPENSE$25,000$25,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$134,148TotalAmt
Program Services$111,128ProgramServicesAmt
Management And General$18,760ManagementAndGeneralAmt
Fundraising$4,260FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,910,491TotalAmt
Program Services$1,572,281ProgramServicesAmt
Management And General$166,339ManagementAndGeneralAmt
Fundraising$171,871FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,022,234BOYAmt
EOY$1,545,552EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$161,838BOYAmt
EOY$174,787EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$69,873BOYAmt
EOY$54,711EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,759,085LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,411,651LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$458,644BOYAmt
EOY$347,434EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$372,378BOYAmt
EOY$639,453EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$227,896BOYAmt
EOY$256,987EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,312,863BOYAmt
EOY$3,018,924EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$58,447BOYAmt
EOY$82,942EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$364,286EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,447BOYAmt
EOY$447,228EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,081,957BOYAmt
EOY$2,193,988EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$172,459BOYAmt
EOY$377,708EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,254,416BOYAmt
EOY$2,571,696EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,312,863BOYAmt
EOY$3,018,924EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$288,926ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$28,354NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,217,098CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,833,733CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,907,977CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,580,395CurrentTaxYearMinus1YearAmt
Current Tax Year$1,888,529CurrentTaxYearAmt
Total$8,427,732TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,217,098CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,833,733CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,907,977CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,580,395CurrentTaxYearMinus1YearAmt
Current Tax Year$1,888,529CurrentTaxYearAmt
Total$8,427,732TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$8,427,732PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,956CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,734CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$47,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$26,826CurrentTaxYearMinus1YearAmt
Current Tax Year$25,569CurrentTaxYearAmt
Total$107,753TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,424CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,469CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,680CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,210CurrentTaxYearMinus1YearAmt
Current Tax Year$30,164CurrentTaxYearAmt
Total$144,947TotalAmt
FieldValueIRS element (for citing)
Total Support$8,680,432TotalSupportAmt
Public Support CY1700.97090PublicSupportCY170Pct
Public Support PY1700.96910PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$227,896BeginningYearBalanceAmt
Investment Earnings Or Losses$29,091InvestmentEarningsOrLossesAmt
End Year Balance$256,987EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$257,155BeginningYearBalanceAmt
Investment Earnings Or Losses-$29,259InvestmentEarningsOrLossesAmt
End Year Balance$227,896EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$214,306BeginningYearBalanceAmt
Investment Earnings Or Losses$42,849InvestmentEarningsOrLossesAmt
End Year Balance$257,155EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$192,845BeginningYearBalanceAmt
Investment Earnings Or Losses$21,461InvestmentEarningsOrLossesAmt
End Year Balance$214,306EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$164,408BeginningYearBalanceAmt
Investment Earnings Or Losses$28,437InvestmentEarningsOrLossesAmt
End Year Balance$192,845EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,264,852OtherCostOrOtherBasisAmt
Depreciation$985,040DepreciationAmt
Book Value$279,812BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$488,671OtherCostOrOtherBasisAmt
Depreciation$424,880DepreciationAmt
Book Value$63,791BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,562OtherCostOrOtherBasisAmt
Depreciation$1,731DepreciationAmt
Book Value$3,831BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$347,434TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS HELD BY OTHERSDesc
Book Value$256,987BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$256,987TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,149,891TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$28,354NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$1,922,120DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,950,474RevenueNotReportedAmt
Revenue Subtotal$2,199,417RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,199,417TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,861,844TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,922,120DonatedServicesUseFcltsAmt
Other Expenses Included$29,233OtherExpensesIncludedAmt
Expenses Not Reported$1,951,353ExpensesNotReportedAmt
Expenses Subtotal$1,910,491ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,910,491TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION EVALUATES THEIR UNCERTAIN TAX POSITION USING GUIDANCE FOR CONTINGENCIES AS CONTAINED IN US GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ORGANIZATION WAS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES FROM RHODE ISLAND FREE CLINIC REALTY 29,233.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FOUNDERS EVENTEvent1Nm
Gross Receipts Event1$255,152GrossReceiptsEvent1Amt
Gross Revenue Event1$255,152GrossRevenueEvent1Amt
Gross Receipts Total$255,152GrossReceiptsTotalAmt
Gross Revenue Total Events$255,152GrossRevenueTotalEventsAmt
Net Income Summary$255,152NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonFORREST A DANIELS MPA DSC FACHEPersonNm
TitleCHIEF EXECUTIVE OFFICER UNTIL MARCHTitleTxt
Base Compensation Filing Org$186,875BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$4,641DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$10,151NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$201,667TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonBRENDAN KANEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionPRINCIPAL AT THE PEREGRINE GROUPRelationshipDescriptionTxt
TransactionTHE BOARD MEMEBER IS PRINCIPAL AT THE PEREGRINE GROUP, THE PROPERTY MANAGEMENT COMPANY THAT MANAGES THE HINDLE BUILDING, IN WHICH RHODE ISLAND FREE CLINIC REALTY IS CONDO OWNER OF.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescCLINICAL, PRIMARY CARE AND PHARMACY SERVICESDesc
Contribution0ContributionCnt
Noncash Contributions Rpt F990$1,922,120NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE REVIEWS THE FORM 990 AND RECOMMENDS TO THE BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT ALL BOARD OF DIRECTOR MEMBERS AND STAFF MUST REVIEW AND SIGN THE POLICY. A SIGNED COPY OF THE CONFLICT OF INTEREST POLICY IS KEPT ON FILE AND REVIEWED EACH YEAR.
FORM 990, PART VI, SECTION B, LINE 15ATHE CHIEF EXECUTIVE OFFICER'S COMPENSATION WAS DETERMINED BY REVIEW OF COMPARABILITY DATA AND WAS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR'S WEBSITE.
FORM 990, PART XII, LINE 2C:THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RHODE ISLAND FREE CLINIC REALTY CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02907ZIPCd
FieldValueIRS element (for citing)
EIN872273706EIN
Primary ActivitiesTO HOLD TITLE OF PROPERTY FOR THE RHODE ISLAND FREE CLINIC.PrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd
Exempt Code Section501(C)ExemptCodeSectionTxt
Public Charity StatusLINE 12B, IIPublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd