STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

RHODE ISLAND FREE CLINIC INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND FREE CLINIC INC (EIN 05-0501276)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-07-11
IRS object ID
201921929349300712
Schema version
2018v3.1
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)
Return2019-07-11T08:32:24-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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)
PersonMARIE GHAZALPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone4012746347PhoneNum
Signature2019-07-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY W SCORPIOPreparerPersonNm
PTINP01360145PTIN
Phone4017513860PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address70.167.19.136IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-08IPDt
IP Tm09:21:05IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id44147897058594C54F7EF447388A3261BD0F811CAtSubmissionCreationDeviceId
At Submission Filing Device Id0A287434F87532182F3C5BCD63CE88F4B92EF7F0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARIE GHAZALPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02907ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,257,155GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressRIFREECLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionRHODE 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.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee20TotalEmployeeCnt
Total Volunteers807TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,059,883PYContributionsGrantsAmt
CY Contributions Grants$1,064,716CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$147,010PYOtherRevenueAmt
CY Other Revenue$176,357CYOtherRevenueAmt
PY Total Revenue$1,206,893PYTotalRevenueAmt
CY Total Revenue$1,241,073CYTotalRevenueAmt
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$743,494PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$776,576CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$96,273CYTotalFundraisingExpenseAmt
PY Other Expenses$343,420PYOtherExpensesAmt
CY Other Expenses$406,617CYOtherExpensesAmt
PY Total Expenses$1,086,914PYTotalExpensesAmt
CY Total Expenses$1,183,193CYTotalExpensesAmt
PY Revenues Less Expenses$119,979PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$57,880CYRevenuesLessExpensesAmt
Total Assets BOY$1,649,688TotalAssetsBOYAmt
Total Assets EOY$1,766,164TotalAssetsEOYAmt
Total Liabilities BOY$29,332TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,372TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,620,356NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,669,792NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRHODE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$427,430ExpenseAmt
DescCLINICAL - THE CLINIC PROVIDED A COMPREHENSIVE MEDICAL HOME FOR UNINSURED, RI ADULTS WHO EARN BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE CLINIC SERVED 2,400 PATIENTS THROUGH OVER 8,600 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$163,856ExpenseAmt
DescVOLUNTEER - IN 2018 THE CLINIC MOBILIZED A STATEWIDE CORPS OF OVER 700 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$106,615ExpenseAmt
DescWELLNESS - 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.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$298,582ExpenseAmt
DescTRAINING - THE CLINIC IS THE NORTHERN RHODE ISLAND HEALTH EDUCATION CENTER (AHEC), AND THROUGH IT COLLABORATED WITH 18 PUBLIC AND PRIVATE ACADEMIC AND TRAINING PARTNERS TO PROVIDE OVER 200 HEALTH CARE TRAINEES WITH MORE THAN 6,000 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 - IN 2018 DENTAL CARE WAS LAUNCHED AND INTEGRATED INTO THE CLINIC'S COMPREHENSIVE MEDICAL HOME. PATIENTS RECEIVED URGENTLY NEEDED ORAL HEALTHCARE SERVICES INCLUDING DENTAL CLEANINGS, RADIOGRAPHS, SIMPLE EXTRACTIONS, AND ORAL HYGIENE EDUCATION.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$298,582TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$996,483TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee20EmployeeCnt
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
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 Line1MARIE GHAZALBusinessNameLine1Txt
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 (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK GIM
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JEFFREY CHASE LUBITZ ESQ
SECRETARY1.00Yes (X)Yes (X)$0$0$0
WILLIAM FITZGERALD
TREASURER1.00Yes (X)Yes (X)$0$0$0
DOMENIC DELMONICO
BOARD MEMBER1.00Yes (X)$0$0$0
CAROLINE TROISE MD
BOARD MEMBER1.00Yes (X)$0$0$0
CARRIE BRIDGES FELIZ
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
ANDREW DAVIS ESQ
BOARD MEMBER1.00Yes (X)$0$0$0
JERRY FINGERUT MD
BOARD MEMBER1.00Yes (X)$0$0$0
GEORGE GREER
BOARD MEMBER1.00Yes (X)$0$0$0
WHITNEY CLARKE
BOARD MEMBER1.00Yes (X)$0$0$0
HERBERT RAKATANSKY MD FACG
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE LEDERBERG ESQ
BOARD MEMBER1.00Yes (X)$0$0$0
PHILIP R RIZZUTO MD
BOARD MEMBER1.00Yes (X)$0$0$0
MARIE GHAZAL
CHIEF EXECUTIVE OFFICER40.00Yes (X)Yes (X)$192,868$0$30,872Yes (X)
JEHANNE BJORNBYE ESQ
BOARD MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$192,868TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$30,872TotalOtherCompensationAmt
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
Fundraising$142,065FundraisingAmt
All Other Contributions$922,651AllOtherContributionsAmt
Total Contributions$1,064,716TotalContributionsAmt
Fundraising Gross Income$142,130FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$142,065ContriRptFundraisingEventAmt
Fundraising Direct Expenses$16,082FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,048TotalRevenueColumnAmt
Exclusion$126,048ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business621300BusinessCd
Total Revenue Column$50,309TotalRevenueColumnAmt
Related Or Exempt Func Income$50,309RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$50,309OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,241,073TotalRevenueColumnAmt
Related Or Exempt Func Income$50,309RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$126,048ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$223,740TotalAmt
Program Services$156,618ProgramServicesAmt
Management And General$33,561ManagementAndGeneralAmt
Fundraising$33,561FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$446,494TotalAmt
Program Services$393,327ProgramServicesAmt
Management And General$18,367ManagementAndGeneralAmt
Fundraising$34,800FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$47,431TotalAmt
Program Services$40,097ProgramServicesAmt
Management And General$4,057ManagementAndGeneralAmt
Fundraising$3,277FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$58,911TotalAmt
Program Services$47,695ProgramServicesAmt
Management And General$4,948ManagementAndGeneralAmt
Fundraising$6,268FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Program Services$9,000ProgramServicesAmt
Management And General$400ManagementAndGeneralAmt
Fundraising$600FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,091TotalAmt
Program Services$4,572ProgramServicesAmt
Management And General$210ManagementAndGeneralAmt
Fundraising$309FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$133,742TotalAmt
Program Services$110,774ProgramServicesAmt
Management And General$10,065ManagementAndGeneralAmt
Fundraising$12,903FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$920TotalAmt
Program Services$628ProgramServicesAmt
Management And General$254ManagementAndGeneralAmt
Fundraising$38FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$60,038TotalAmt
Program Services$49,317ProgramServicesAmt
Management And General$4,594ManagementAndGeneralAmt
Fundraising$6,127FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,606TotalAmt
Program Services$8,585ProgramServicesAmt
Management And General$415ManagementAndGeneralAmt
Fundraising$606FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
VISTA$40,273$39,329$944$0
COMPUTER HARDWARE AND S$24,676$18,659$1,465$4,552
EVENT AND MEETINGS$22,493$19,681$1,537$1,275
DENTAL SUPPLIES$21,483$21,345$0$138

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$78,295TotalAmt
Program Services$76,856ProgramServicesAmt
Management And General$9,620ManagementAndGeneralAmt
Fundraising-$8,181FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,183,193TotalAmt
Program Services$996,483ProgramServicesAmt
Management And General$90,437ManagementAndGeneralAmt
Fundraising$96,273FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,008,704BOYAmt
EOY$810,753EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$108,230BOYAmt
EOY$146,649EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,884BOYAmt
EOY$7,558EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,330,367LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$793,408LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$345,185BOYAmt
EOY$536,959EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$99,837EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$172,685BOYAmt
EOY$164,408EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,649,688BOYAmt
EOY$1,766,164EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,332BOYAmt
EOY$43,256EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$53,116EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,332BOYAmt
EOY$96,372EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,122,307BOYAmt
EOY$1,249,672EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$399,829BOYAmt
EOY$321,900EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$98,220BOYAmt
EOY$98,220EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,620,356BOYAmt
EOY$1,669,792EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,649,688BOYAmt
EOY$1,766,164EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$57,880ReconcilationRevenueExpnssAmt
Investment Expense-$8,444InvestmentExpenseAmt
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 Required0FederalGrantAuditRequiredInd

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$888,199CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$927,817CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,270,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,187,300CurrentTaxYearMinus1YearAmt
Current Tax Year$1,206,846CurrentTaxYearAmt
Total$5,480,762TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$888,199CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$927,817CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,270,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,187,300CurrentTaxYearMinus1YearAmt
Current Tax Year$1,206,846CurrentTaxYearAmt
Total$5,480,762TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,480,762PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$149CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$200CurrentTaxYearMinus3YearsAmt
Total$349TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,747CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,599CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,667CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,873CurrentTaxYearMinus1YearAmt
Current Tax Year$50,309CurrentTaxYearAmt
Total$144,195TotalAmt
FieldValueIRS element (for citing)
Total Support$5,625,306TotalSupportAmt
Public Support CY1700.97430PublicSupportCY170Pct
Public Support PY1700.97890PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$136,032BeginningBalanceAmt
Ending Balance$136,032EndingBalanceAmt

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$155,412BeginningYearBalanceAmt
End Year Balance$155,412EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$155,412BeginningYearBalanceAmt
End Year Balance$155,412EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$143,799BeginningYearBalanceAmt
Investment Earnings Or Losses$11,613InvestmentEarningsOrLossesAmt
End Year Balance$155,412EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$146,279BeginningYearBalanceAmt
Investment Earnings Or Losses-$2,480InvestmentEarningsOrLossesAmt
End Year Balance$143,799EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$136,032BeginningYearBalanceAmt
Investment Earnings Or Losses$10,247InvestmentEarningsOrLossesAmt
End Year Balance$146,279EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$985,669OtherCostOrOtherBasisAmt
Depreciation$581,838DepreciationAmt
Book Value$403,831BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$344,698OtherCostOrOtherBasisAmt
Depreciation$211,570DepreciationAmt
Book Value$133,128BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$536,959TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS HELD BY OTHERSDesc
Book Value$164,408BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$164,408TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,769,596TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,520,882DonatedServicesAndUseFcltsAmt
Other Revenue$7,641OtherRevenueAmt
Revenue Not Reported$1,528,523RevenueNotReportedAmt
Revenue Subtotal$1,241,073RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,241,073TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,720,157TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,520,882DonatedServicesUseFcltsAmt
Other Expenses Included$16,082OtherExpensesIncludedAmt
Expenses Not Reported$1,536,964ExpensesNotReportedAmt
Expenses Subtotal$1,183,193ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,183,193TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 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 XI, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT INCOME -8,441. SPECIAL EVENT EXPENSES NETTED WITH REVENUE 16,082.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES NETTED WITH REVENUE 16,082.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FALL EVENTEvent1Nm
Gross Receipts Event1$148,510GrossReceiptsEvent1Amt
Charitable Contri Event1$11,600CharitableContriEvent1Amt
Gross Revenue Event1$136,910GrossRevenueEvent1Amt
Other Direct Expenses Event1$16,082OtherDirectExpensesEvent1Amt
Event2DANCING WITH THE DOCTORSEvent2Nm
Charitable Contri Event2$130,465CharitableContriEvent2Amt
Gross Revenue Event2-$130,465GrossRevenueEvent2Amt
Gross Receipts Total$148,510GrossReceiptsTotalAmt
Charitable Contributions Tot$142,065CharitableContributionsTotAmt
Gross Revenue Total Events$6,445GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$16,082OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$16,082DirectExpenseSummaryEventsAmt
Net Income Summary-$9,637NetIncomeSummaryAmt

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)
PersonMARIE GHAZALPersonNm
TitleCHIEF EXECUTIVE OFFICERTitleTxt
Base Compensation Filing Org$167,308BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$25,560BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$4,351DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$26,521NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$223,740TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

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.