2020-05-13T11:43:32-05:00 2019-12-31 050392605 MULLEN SCORPIO & CERILLI 67 CEDAR STREET PROVIDENCE RI 02903 990 2019-01-01 050501276 THE RHODE ISLAND FREE CLINIC INC RHOD 4012746347 655 BROAD STREET PROVIDENCE RI 02907 MARIE GHAZAL CHIEF EXECUTIVE OFFICER 4012746347 2020-05-13 1 ANTHONY W SCORPIO P01360145 4017513860 2020-05-13 70.167.19.136 2020-05-13 11:19:33 ED P F0F47B8A0998BC3EFE7F28EDA9DA744FEBF56F11 0A287434F87532182F3C5BCD63CE88F4B92EF7F0 2019 2021-01-29 14:40:06Z MARIE GHAZAL 655 BROAD STREET PROVIDENCE RI 02907 1356029 0 X RIFREECLINIC.ORG X 1998 RI RHODE ISLAND FREE CLINIC'S MISSION IS TO PROVIDE FREE COMPREHENSIVE HEALTH CARE TO UNINSURED, LOW-INCOME RHODE ISLAND ADULTS, AND TO SERVE AS A TRAINING SITE FOR HEALTH CARE PROFESSIONALS. IN 2018 THE CLINIC MOBILIZED A STATEWIDE CORPS OF VOLUNTEERS AND COMMUNITY PARTNERS TO PROVIDE A COMPREHENSIVE MEDICAL AND DENTAL HOME TO 2,400 PATIENTS, AND SITE-BASED TRAINING FOR OVER 200 HEALTHCARE TRAINEES. 15 14 21 650 0 0 1064716 1097712 0 0 0 15812 176357 129690 1241073 1243214 0 0 0 0 776576 800070 0 0 113429 406617 526845 1183193 1326915 57880 -83701 1766164 1675972 96372 70018 1669792 1605954 X RHODE ISLAND FREE CLINIC'S MISSION IS TO PROVIDE FREE COMPREHENSIVE HEALTH CARE TO UNINSURED, LOW-INCOME RHODE ISLAND ADULTS, AND TO SERVE AS A TRAINING SITE FOR HEALTH CARE PROFESSIONALS. IN 2018 THE CLINIC MOBILIZED A STATEWIDE CORPS OF VOLUNTEERS AND COMMUNITY PARTNERS TO PROVIDE A COMPREHENSIVE MEDICAL AND DENTAL HOME TO 2,400 PATIENTS, AND SITE-BASED TRAINING FOR OVER 200 HEALTHCARE TRAINEES. 0 0 555963 CLINICAL - THE CLINIC PROVIDED A COMPREHENSIVE MEDICAL HOME FOR UNINSURED, RI ADULTS WHO EARN BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE CLINIC SERVED 2,600 PATIENTS THROUGH OVER 10,680 PATIENT VISITS, INCLUDING INTEGRATED MEDICAL AND BEHAVIORAL HEALTH SERVICES, LAB AND DIAGNOSTIC TESTS, AND MEDICATIONS - ALL FREE TO PATIENTS. PATIENTS' MEDICAL HOME ALSO INCLUDED DENTAL AND WELLNESS PROGRAM DESCRIBED ELSEWHERE. 148209 VOLUNTEER - IN 2019 THE CLINIC MOBILIZED A STATEWIDE CORPS OF OVER 650 VOLUNTEER DOCTORS AND DENTISTS INCLUDING PRIMARY CARE AND OVER 25 SPECIALTIES, AND MEDICAL AND SUPPORT PROFESSIONALS INCLUDING NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, NURSES, PSYCHOLOGISTS, SOCIAL WORKERS, PHYSICAL THERAPISTS, DIABETES EDUCATORS, NUTRITIONISTS, WELLNESS INSTRUCTORS, INTERPRETERS, AND MEDICAL ASSISTANTS TO PROVIDE COMPREHENSIVE, COST-EFFECTIVE HEALTHCARE TO UNINSURED, LOW-INCOME ADULTS. CARE IS PROVIDED AT THE CLINIC'S STATE-OF THE-ART FACILITY AT 655 BROAD STREET, PROVIDENCE. FUNDS USED TO RECRUIT, SUPPORT, RECOGNIZE, AND MOBILIZE THE VOLUNTEER CORPS. 72041 WELLNESS - PATIENTS GAINED SKILLS AND SUPPORT TO CONTROL OR PREVENT CHRONIC DISEASE THROUGH HEALTHY LIVING CLASSES AND 1:1 COACHING THAT INCLUDED CERTIFIED DIABETES OUTPATIENT EDUCATION, NUTRITION, FITNESS, CHRONIC DISEASE MANAGEMENT, WISE WOMAN PROGRAM, AND MORE. 384202 TRAINING - THE CLINIC IS THE NORTHERN RHODE ISLAND HEALTH EDUCATION CENTER (AHEC), AND THROUGH IT COLLABORATED WITH 19 PUBLIC AND PRIVATE ACADEMIC AND TRAINING PARTNERS TO PROVIDE OVER 260 HEALTH CARE TRAINEES WITH MORE THAN 7,900 HOURS OF FACULTY-SUPERVISED TRAINING. TRAINING INCLUDED SKILLS AND SITE-BASED EXPERIENCE IN OVER 20 DISCIPLINES, AS WELL AS CULTURAL COMPETENCY, INTERPROFESSIONAL EDUCATION, AND EFFECTIVE CARE TO UNDERSERVED AND HEALTH DISPARITY POPULATIONS. DENTAL - DENTAL CARE WAS INTEGRATED INTO THE CLINIC'S COMPREHENSIVE MEDICAL HOME. PATIENTS RECEIVED OVER 825 URGENTLY NEEDED ORAL HEALTHCARE SERVICES INCLUDING DENTAL CLEANINGS, RADIOGRAPHS, SIMPLE EXTRACTIONS, AND ORAL HYGIENE EDUCATION. 384202 1160415 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 21 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 X X MARIE GHAZAL 4012746347 655 BROAD STREET PROVIDENCE RI 02907 MARK GIM PRESIDENT 1.00 X X 0 0 0 JEFFREY CHASE LUBITZ ESQ SECRETARY 1.00 X X 0 0 0 WILLIAM FITZGERALD TREASURER 1.00 X X 0 0 0 DOMENIC DELMONICO BOARD MEMBER 1.00 X 0 0 0 CAROLINE TROISE MD BOARD MEMBER 1.00 X 0 0 0 CARRIE BRIDGES FELIZ VICE PRESIDENT 1.00 X X 0 0 0 ANDREW DAVIS ESQ BOARD MEMBER 1.00 X 0 0 0 JERRY FINGERUT MD BOARD MEMBER 1.00 X 0 0 0 GEORGE GREER BOARD MEMBER 1.00 X 0 0 0 WHITNEY CLARKE BOARD MEMBER 1.00 X 0 0 0 HERBERT RAKATANSKY MD FACG BOARD MEMBER 1.00 X 0 0 0 MICHELLE LEDERBERG ESQ BOARD MEMBER 1.00 X 0 0 0 PHILIP R RIZZUTO MD BOARD MEMBER 1.00 X 0 0 0 JEHANNE BJORNBYE ESQ BOARD MEMBER 1.00 X 0 0 0 MARIE GHAZAL CHIEF EXECUTIVE OFFICER 40.00 X X X 204255 0 24716 204255 0 24716 1 0 1 0 0 55425 1042287 1097712 8083 8083 102424 94695 7729 7729 7729 119386 55425 18120 101266 101266 OTHER INCOME 621300 28424 28424 28424 1243214 36153 0 109349 228970 203784 4579 20607 454620 406785 7949 39886 55373 52779 -1335 3929 61107 54698 1143 5266 58535 52650 1205 4680 1719 1719 5283 2116 2979 188 182566 148964 20361 13241 1320 600 666 54 104651 94198 2090 8363 10573 10669 -925 829 VISTA 46844 46844 COPYING AND PRINTING 14362 10058 636 3668 COMPUTER HARDWARE AND S 13946 11163 1802 981 CLEANING AND MAINTENANC 12430 11233 239 958 74616 53874 9963 10779 1326915 1160415 53071 113429 810753 421538 146649 182473 7558 3181 1418638 898059 536959 520579 99837 355356 164408 192845 1766164 1675972 43256 70018 53116 96372 70018 X 1249672 1303932 420120 302022 1669792 1605954 1766164 1675972 -83701 19863 0 X X 0 1 X 1 0 X 927817 1270600 1187300 1206846 1217098 5809661 927817 1270600 1187300 1206846 1217098 5809661 5809661 200 33956 34156 13599 30667 39873 50309 28424 162872 6006689 0.96720 0.97430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 164408 28437 192845 172685 8277 164408 155412 17685 172685 143799 11613 155412 146279 -2480 143799 0 1 1 1067144 655829 411315 344111 234847 109264 7383 7383 0 520579 INVESTMENTS HELD BY OTHERS 192845 F 192845 X 2818669 19863 1539191 18120 1577174 1241495 1719 1719 1243214 2882507 1539191 18120 1557311 1325196 1719 1719 1326915 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 XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES NETTED WITH REVENUE 18,120. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES NETTED WITH REVENUE 18,120. FOUNDERS EVENT 174811 55425 119386 18120 174811 55425 119386 18120 18120 101266 X 0 0 0 0 0 0 0 0 0 MARIE GHAZAL CHIEF EXECUTIVE OFFICER 179255 0 25000 0 0 0 5998 0 18718 0 228971 0 0 0 STEPHANIE CHAFEE FOUNDER OF THE RHODE ISLAND FREE CLINIC INC. 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND RECOMMENDS TO THE BOARD FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE 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 15A THE 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR'S WEBSITE. . THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.