2017-02-01T08:25:15-06:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2015-07-01 232176338 MAZZONI CENTER MAZZ 2155630663 21 S 12TH STREET 12TH FLOOR PHILADELPHIA PA 19107 NURIT SHEIN CEO 2155630663 2017-01-09 1 BRUCE BRAUNEWELLCPA P00075336 2156433900 2015 2021-01-29 14:40:06Z NURIT SHEIN 21 S 12TH STREET 12TH FLOOR PHILADELPHIA PA 19107 14146387 0 X WWW.MAZZONICENTER.ORG X 1979 PA TO PROVIDE QUALITY COMPREHENSIVE HEALTH, WELLNESS AND LEGAL SERVICES IN AN LGBT-FOCUSED ENVIRONMENT. 16 16 170 843 0 0 6568849 6780575 5431299 6493222 104869 96101 60045 220634 12165062 13590532 0 0 0 0 8043520 8321835 0 0 457987 3696089 3927386 11739609 12249221 425453 1341311 6487567 7751038 1529167 1516778 4958400 6234260 X THE MISSION OF MAZZONI CENTER IS TO "PROVIDE QUALITY COMPREHENSIVE HEALTH AND WELLNESS SERVICES IN AN LGBT-FOCUSED ENVIRONMENT, WHILE PRESERVING THE DIGNITY AND IMPROVING THE QUALITY OF LIFE OF THE INDIVIDUALS WE SERVE." 0 0 3376205 2333076 SOCIAL SERVICES: MAZZONI CENTER PROVIDES MEDICAL CASE MANAGEMENT FOR PEOPLE LIVING WITH HIV/AIDS AND AT-RISK LGBT YOUTH AND ADULTS. SERVICES INCLUDE BIOPSYCHOSOCIAL ASSESSMENT, COORDINATION OF MEDICAL CARE, AND ACCESS TO HEALTH INSURANCE AND OTHER BENEFITS. THE PROGRAM ALSO PROVIDES HOUSING SUBSIDIES AND FOOD BANK SERVICES FOR PEOPLE LIVING WITH HIV/AIDS AND THEIR FAMILIES. 2069272 1429940 PREVENTION, EDUCATION AND LEGAL: MAZZONI CENTER PROVIDES COMMUNITY OUTREACH (STREET, INTERNET, AND SOCIAL MEDIA) AIMED AT LINKING AT-RISK INDIVIDUALS WITH UNKNOWN HIV STATUS TO HIV TESTING SERVICES. THE OUTREACH TEAM DISTRIBUTES OVER 250,000 CONDOMS PER YEAR. MAZZONI CENTER OPERATES THE LARGEST COMMUNITY-BASED HIV TESTING AND STD SCREENING PROGRAM IN PHILADELPHIA TESTING AN AVERAGE OF 8,000 PEOPLE ANNUALLY. FOR INDIVIDUALS WHO ARE NEWLY DIAGNOSED WITH HIV, MAZZONI CENTER LINKS THEM TO APPROPRIATE MEDICAL CARE AND OTHER SUPPORT SERVICES.MAZZONI CENTER CONDUCTS EDUCATIONAL WORKSHOPS ON SEXUAL HEALTH, SEXUAL ORIENTATION, AND GENDER IDENTITY FOR YOUTH IN THE SCHOOL DISTRICT OF PHILADELPHIA AND OTHER YOUTH PROGRAM THROUGHOUT THE CITY. MAZZONI CENTER IS ALSO A MAJOR PROVIDER OF PROFESSIONAL DEVELOPMENT TRAINING FOR CURRENT AND FUTURE HEALTHCARE PROVIDERS ON LGBT CULTURAL AND CLINICAL COMPETENCE. MAZZONI ALSO PRODUCES THE ANNUAL PHILADELPHIA TRANS HEALTH CONFERENCE WHICH DRAWS APPROXIMATELY 5,000 ATTENDEES FROM ACROSS THE COUNTRY AND THE WORLD.MAZZONI CENTER PROVIDES DIRECT LEGAL ASSISTANCE FOR MEMBERS OF THE LGBT COMMUNITY WHO COULD NOT OTHERWISE AFFORD REPRESENTATION. MAZZONI CENTER SERVES INDIVIDUALS FACING DISCRIMINATION BASED ON SEXUAL ORIENTATION OR GENDER IDENTITY, OR WHO REQUIRE LEGAL ASSISTANCE IN THE AREA OF EMPLOYMENT RIGHTS, FAMILY LAW, YOUTH LAW, AND TRANS-SPECIFIC SERVICES. 2793944 1930713 PRIMARY MEDICAL CARE SERVICES: MAZZONI CENTER OPERATES THE ONLY COMMUNITY-BASED HEALTH CENTER IN PHILADELPHIA DIRECTLY TARGETING THE LGBT COMMUNITIES. THE CENTER PROVIDES PRIMARY MEDICAL CARE, HIV CARE, TRANSGENDER CARE, GYN SERVICES, AND STD SCREENING AND TREATMENT. 1400739 967959 BEHAVIORAL HEALTH SERVICES: MAZZONI CENTER IS A LICENSED MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT PROVIDER SPECIALIZING IN WORKING WITH LGBT COMMUNITIES. THROUGH THIS PROGRAM, MAZZONI CENTER CURRENTLY PROVIDES OVER 8,500 HOURS OF OUTPATIENT THERAPY EACH YEAR FOR INDIVIDUALS, COUPLES, FAMILIES, AND GROUPS. 1400739 967959 9640160 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 194 0 170 1 0 0 0 0 0 1 1 0 0 0 0 X 16 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X MANAGEMENT 2155630652 21 S 12TH STREET PHILADELPHIA PA 19107 MICHAEL WOLF MD MEMBER 1.00 X 0 0 0 KELLY HARRIS PAST PRESIDENT 1.00 X X 0 0 0 RUSSELL HARRIS MD MEMBER 1.00 X 0 0 0 MARK BLECHER MD MEMBER 1.00 X 0 0 0 MARLA J GOLD MD MEMBER 1.00 X 0 0 0 SHEILA PEOPPLES MEMBER 1.00 X 0 0 0 ANTHONY RODRIGUEZ MD MEMBER 1.00 X 0 0 0 JIMMY RUIZ MD PRESIDENT 1.00 X X 0 0 0 DORTHY MANN MEMBER 1.00 X 0 0 0 JASON K COHEN ESQ VICE PRESIDENT 1.00 X X 0 0 0 KATHY PADILLA MEMBER 1.00 X 0 0 0 ANTHONY F VERDI PHD TREASURER 1.00 X X 0 0 0 MICHAEL WEISS SECRETARY 1.00 X X 0 0 0 THOMAS I RUNKLE MEMBER 1.00 X 0 0 0 NURIT SHEIN CEO 40.00 X 162594 0 19165 RONALD POWERS CHIEF OPERATING OFFICER 40.00 X 117459 0 16245 RACQUEL ASSAYE CHIEF FINANCIAL OFFICER 40.00 X 102591 0 15662 ROBERT WINN MEDICAL DIRECTOR 40.00 X 188037 0 20286 MATTHEW FELLOWS PHYSICAN 40.00 X 132001 0 18186 LIN-FAN WANG PHYSICAN 40.00 X 131376 0 19697 DANE MENKIN NURSE PRACTIONER 40.00 X 111150 0 24638 ANDREW GOODMAN MD PHYSICAN 40.00 X 138172 0 18186 SCOTT STEVENS MD PHYSICAN 40.00 X 136313 0 25899 1219693 0 177964 10 0 1 0 THOMAS JEFFERSON UNIVERSITY 1020 WALNUT STREET SCOTT BLDG PHILADELPHIA PA 19107 WOMEN'S HEALTH 158271 1 21883 104905 5808916 844871 133124 6780575 THIRD PARTY BILLING 621400 6493222 6493222 6493222 111423 111423 363232 378554 -15322 -15322 -15322 188578 104905 177301 11277 11277 PROGRAM INCOME 621400 110371 110371 MISCELLANEOUS REVENUE 900099 40891 40891 PLANNED PARENTHOOD 621400 23375 23375 34720 34720 209357 13590532 6661688 0 148269 632519 379156 184157 69206 5815091 4466017 1091280 257794 281603 223054 45628 12921 1040725 839200 190383 11142 551897 435802 96205 19890 608 608 49850 49850 40995 40995 18739 4948 7993 5798 93129 55105 35973 2051 687527 602829 61735 22963 107454 98773 7610 1071 11801 8037 3446 318 7161 7161 110554 80832 16742 12980 133609 106631 25020 1958 PROGRAM EXPENSES 2256011 2040999 195243 19769 SUBCONTRACTORS 279374 208878 60333 10163 COMMUNICATIONS 40813 32997 6515 1301 EQUIPMENT MAINTENANCE 39016 31451 6320 1245 50745 25451 17877 7417 12249221 9640160 2151074 457987 1614839 818600 144028 68181 1922019 2156247 37651 47695 295010 439510 922363 781315 219487 141048 1910425 1916055 56125 125719 287983 2037983 6487567 7751038 1307535 1353803 221632 162975 1529167 1516778 X 4722895 6069741 235505 164519 4958400 6234260 6487567 7751038 1341311 -65451 0 X X 0 1 X 1 1 1 X 5974351 6603700 6426239 6568849 6780575 32353714 5974351 6603700 6426239 6568849 6780575 32353714 32353714 387 5854 16671 114293 111423 248628 83373 33951 7888 25253 52168 202633 32804975 23115350 0.98620 0.98710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING INCOME - 2011 AMOUNT: $ 55,602. 2015 AMOUNT: $ 11,277. OTHER INCOME - 2011 AMOUNT: $ 27,771. 2012 AMOUNT: $ 33,951. 2013 AMOUNT: $ 7,888. 2014 AMOUNT: $ 25,253. 2015 AMOUNT: $ 40,891. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 168972 111333 57639 753391 669982 83409 141048 TENANT CONTRIBUTION TO 1328-32 BAINBRIDGE STREET 2000000 SECURITY DEPOSIT 22283 DONATED ART 15700 2037983 DEFERRED RENT LIABILITY 162975 162975 X 13811111 -65451 108728 177302 220579 13590532 0 13590532 12535251 108728 177302 286030 12249221 0 12249221 PART X, LINE 2: THE ORGANIZATION IS A NON-PROFIT ENTITY AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ACCORDINGLY, THERE IS NO PROVISION FOR INCOME TAXES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME TAXES. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAD NO IMPACT ON ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 44,178. DONATED MATERIALS FOR SPECIAL EVENT 133,124. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 44,178. DONATED MATERIALS FOR SPECIAL EVENT 133,124. MAZZONI GALA 160695 104905 55790 17750 145521 CABARET AT THE CLOISTERS 58106 58106 900 2 74682 74682 10582 2548 293483 104905 188578 10582 17750 148969 177301 11277 X X 0 0 0 0 0 0 0 0 0 NURIT SHEIN CEO 162594 0 0 0 0 0 0 0 19165 0 181759 0 0 0 ROBERT WINN MEDICAL DIRECTOR 188037 0 0 0 0 0 0 0 20286 0 208323 0 0 0 MATTHEW FELLOWS PHYSICAN 132001 0 0 0 0 0 0 0 18186 0 150187 0 0 0 LIN-FAN WANG PHYSICAN 131376 0 0 0 0 0 0 0 19697 0 151073 0 0 0 ANDREW GOODMAN MD PHYSICAN 138172 0 0 0 0 0 0 0 18186 0 156358 0 0 0 SCOTT STEVENS MD PHYSICAN 136313 0 0 0 0 0 0 0 25899 0 162212 0 0 0 X 8 7100 FMV X 3 4952 FMV X AUCTION ITEMS 75 121072 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS VOTE TO NOMINATE NEW MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B ALL BOARD LEVEL DECISIONS ARE SUBJECTED TO A BOARD MEMBER VOTE. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE ALL BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY AND ALSO REVIEW THE VENDOR LISTING TO DETERMINE THAT NO CONFLICTS OF INTEREST EXIST. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTORS' COMPENSATION AND PERFORMANCE ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE. KEY EMPLOYEE'S COMPENSATION AND PERFORMANCE IS REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR AND THE PROGRAM DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS READILY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990. SECTION XII, LINE 2C: THERE HAS BEEN NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR.