2018-09-12T09:57:07-05:00 2017-12-31 050392605 MULLEN SCORPIO & CERILLI 67 CEDAR STREET PROVIDENCE RI 02903 990 2017-01-01 050501276 THE RHODE ISLAND FREE CLINIC INC RHOD 4012746347 655 BROAD STREET PROVIDENCE RI 02907 MARIE GHAZAL CHIEF EXECUTIVE OFFICER 4012746347 2018-09-08 1 ANTHONY W SCORPIO P01360145 4017513860 70.167.19.136 2018-09-08 12:30:01 ED P 1285A3A96D99AC22B71123BC56C19736BA9606D3 2AECB79A66BA2C96631828437C7E7AD44EFF8FE8 2017 2018-06-14 16:35:46Z MARIE GHAZAL 655 BROAD STREET PROVIDENCE RI 02907 1227173 0 X RIFREECLINIC.ORG X 1998 RI PROVIDES HIGH-QUALITY MEDICAL CARE AND PREVENTATIVE HEALTH SERVICES TO RI ADULTS WHO DO NOT HAVE HEALTH INSURANCE OR CANNOT AFFORD TO PURCHASE THOSE SERVICES, AND TO SERVE AS AN EDUCATIONAL SITE FOR TRAINEES IN HEALTH CARE FIELDS. CARE IS PROVIDED BY VOLUNTEER PROFESSIONALS IN PARTNERSHIP WITH LEADING HOSPITALS, INSTITUTIONS OF HIGHER LEARNING, AND COMMUNITY AGENCIES, AND INCLUDES ACUTE AND CHRONIC MEDICAL CARE, PREVENTATIVE SERVICES, HOSPITAL CARE, HEALTH EDUCATION, AND PHARMACY SERVICES. 14 13 13 210 0 0 1270600 1059883 0 0 245 0 30422 147010 1301267 1206893 0 0 0 0 674492 743494 0 0 124603 296656 343420 971148 1086914 330119 119979 1607046 1477003 23454 29332 1583592 1447671 X PROVIDES HIGH-QUALITY MEDICAL CARE AND PREVENTATIVE HEALTH SERVICES TO RHODE ISLAND ADULTS WHO DO NOT HAVE HEALTH INSURANCE OR CANNOT AFFORD TO PURCHASE THOSE SERVICES, AND TO SERVE AS AN EDUCATIONAL SITE FOR TRAINEES IN HEALTH CARE FIELDS. (CONTINUED ON SCHEDULE O) CARE IS PROVIDED BY VOLUNTEER PROFESSIONALS IN PARTNERSHIP WITH LEADING HOSPITALS, INSTITUTIONS OF HIGHER LEARNING, AND COMMUNITY AGENCIES, AND INCLUDES ACUTE AND CHRONIC MEDICAL CARE, PREVENTATIVE SERVICES, HOSPITAL CARE, HEALTH EDUCATION, AND PHARMACY SERVICES. 0 0 472634 CLINICAL - THE CLINIC IS A MEDICAL HOME FOR RHODE ISLAND'S UNINSURED WORKING POOR AND LOW-INCOME RESIDENTS. PATIENTS RECEIVE CARE FROM AN ACTIVE CORPS OF OVER 700 MEDICAL PROVIDERS AND VOLUNTEERS WORKING WITH MEDICAL, ACADEMIC, AND COMMUNITY PARTNERS THROUGHOUT RHODE ISLAND. FREE, COMPREHENSIVE PRIMARY CARE AND PREVENTION SERVICES ARE PROVIDED AT THE CLINIC'S STATE-OF-THE-ART FACILITY AT 655 BROAD STREET, PROVIDENCE. 184683 VOLUNTEER - OVER 700 DOCTORS, NURSES, PSYCHOLOGISTS, PHYSICIAN ASSISTANTS, INTERPRETERS, SOCIAL WORKERS, MEDICAL TECHNICIANS, AND NON-MEDICAL VOLUNTEERS PROVIDED FREE CARE IN 2015. FUNDS FOR THIS PROGRAM SUPPORT THE RECRUITMENT, RETENTION, AND RECOGNITION OF OUR VOLUNTEERS. 111173 WELLNESS PROGRAM - HEALTHY LIVING CLASSES INCLUDING CHRONIC DISEASE MANAGEMENT, NUTRITION, FITNESS AND INDIVIDUAL COUNSELING PROMOTE SKILL DEVELOPMENT FOR SELF-MANAGEMENT AND PREVENTION OF CHRONIC DISEASES. 101811 TRAINING PROGRAM - STUDENTS RECEIVE TRAINING AND EXPERIENCE AT THE CLINIC THROUGH PARTNERSHIPS WITH LEADING ACADEMIC INSTITUTIONS LEADING TO CERTIFICATE AND LICENSURE IN THE HEALTH CARE FIELD.PHYSICIAN NETWORK - VOLUNTEER DOCTORS AND SPECIALISTS PROVIDE CARE TO ELIGIBLE PATIENTS IN THEIR OWN OFFICES THROUGHOUT RHODE ISLAND. THESE SERVICES ARE VALUED AT APPROXIMATELY $352,132. ADDITIONAL PATIENT CARE AND ANCILLARY SUPPORT INCLUDING LABORATORY, DIAGNOSTIC AND TESTING SERVICES ARE COORDINATED BY THE CLINIC THROUGH OUR NETWORK OF COMMUNITY PARTNERS. 101811 870301 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 13 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 X X JOHN DOMALESKI 4012746347 655 BROAD STREET PROVIDENCE RI 02907 MARIE GHAZAL CHIEF EXECUTIVE OFFICER 40.00 X X 191372 0 38096 MARK GIM PRESIDENT 1.00 X X 0 0 0 JEFFREY CHASE LUBITZ ESQ VICE PRESIDENT 1.00 X X 0 0 0 WILLIAM FITZGERALD TREASURER 1.00 X 0 0 0 DOMENIC DELMONICO BOARD MEMBER 1.00 X X 0 0 0 CAROLINE TROISE MD BOARD MEMBER 1.00 X 0 0 0 CARRIE BRIDGES FELIZ BOARD MEMBER 1.00 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 HARDY BOARD MEMBER 1.00 X 0 0 0 HERBERT RAKATANSKY MD FACG BOARD MEMBER 1.00 X 0 0 0 VALERIE LITTLEFIELD BOARD MEMBER 1.00 X 0 0 0 MARK WAGGONER BOARD MEMBER 1.00 X 0 0 0 191372 0 38096 1 0 1 0 0 47418 1012465 1059883 127417 47418 20280 107137 107137 OTHER INCOME 621300 39873 39873 39873 1206893 39873 0 107137 197141 147935 29433 19773 413143 338683 25210 49250 80505 60455 11924 8126 52705 41982 4741 5982 10000 7820 980 1200 20852 20852 122346 99180 726 22440 1243 1043 90 110 49673 39206 4671 5796 8906 7154 756 996 VISTA 29668 29668 MISCELLANEOUS EXPENSE 23995 15782 6155 2058 SUPPLIES 12100 9480 1274 1346 COMPUTER HARDWARE AND S 11042 5952 2066 3024 53595 45109 3984 4502 1086914 870301 92010 124603 916140 1008704 54733 108230 12096 14884 1078555 733370 624077 345185 1607046 1477003 23454 29332 23454 29332 X 1244842 1047842 338750 399829 1583592 1447671 1607046 1477003 119979 -255900 0 X X 0 1 X 1 0 X 928157 888199 927817 1270600 1187300 5202073 928157 888199 927817 1270600 1187300 5202073 5202073 158 149 200 507 17878 9747 13599 30667 39873 111764 5314344 0.97890 0.98000 X 1 136032 136032 155412 155412 143799 11613 155412 146279 -2480 143799 136032 10247 146279 119607 16425 136032 0 1 1 848840 533538 315302 229715 199832 29883 345185 X 2546127 1301681 37553 1339234 1206893 0 1206893 2408875 1301681 20280 1321961 1086914 0 1086914 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 - RHODE ISLAND CARES FOUNDATON 17,273. SPECIAL EVENT EXPENSES NETTED WITH REVENUE 20,280. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES NETTED WITH REVENUE 20,280. FALL EVENT 174835 47418 127417 20280 174835 47418 127417 20280 20280 107137 X 0 0 0 0 0 0 0 0 0 MARIE GHAZAL CHIEF EXECUTIVE OFFICER 191372 0 0 0 0 0 0 0 38096 0 229468 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE CHIEF EXECUTIVE OFFICER, BUSINESS MANAGER, A QUALIFIED BOARD MEMBER, AND THE BOARD TREASURER ON BEHALF OF THE BOARD OF DIRECTORS. THE BOARD OFFICER REPORTS THE REVIEW TO THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED MEETING. 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. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS PROCESS OF OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT FROM PRIOR YEARS. RHODE ISLAND CARES FOUNDATION 655 BROAD STREET PROVIDENCE RI 02907 432107840 TO SUPPORT THE RHODE ISLAND FREE CLINIC A TAX-EXEMPT ORGANIZATION RI 501(C)(3) LINE 12C, III-FI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0