2015-05-12T09:22:25-05:00 2014-12-31 050392605 MULLEN SCORPIO & CERILLI 67 CEDAR STREET PROVIDENCE RI 02903 990 2014-01-01 050501276 THE RHODE ISLAND FREE CLINIC INC RHOD 4012746347 655 BROAD STREET PROVIDENCE RI 02907 MARIE GHAZAL CHIEF EXECUTIVE OFFICER 4012746347 2015-05-04 1 ANTHONY W SCORPIO P01360145 4017513860 2014 2016-03-07 17:11:31Z MARIE GHAZAL 655 BROAD STREET PROVIDENCE RI 02907 897946 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. 15 15 12 0 0 0 928157 888199 0 0 158 0 17878 9747 946193 897946 0 0 0 0 539707 615832 0 0 87378 362052 288869 901759 904701 44434 -6755 1315160 1283244 37013 11852 1278147 1271392 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. 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 292335 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. 197591 VOLUNTEER - OVER 700 DOCTORS, NURSES, PSYCHOLOGISTS, PHYSICIAN ASSISTANTS, INTERPRETERS, SOCIAL WORKERS, MEDICAL TECHNICIANS, AND NON-MEDICAL VOLUNTEERS PROVIDED FREE CARE IN 2014. FUNDS FOR THIS PROGRAM SUPPORT THE RECRUITMENT, RETENTION, AND RECOGNITION OF OUR VOLUNTEERS. 83653 PHYSICIAN'S NETWORK - VOLUNTEER DOCTORS AND SPECIALISTS PROVIDE CARE TO ELIGIBLE PATIENTS IN THEIR OWN OFFICES THROUGHOUT RHODE ISLAND. THESE SERVICES ARE VALUED AT APPROXIMATELY $397,059. ADDITIONAL PATIENT CARE AND ANCILLARY SUPPORT INCLUDING LABORATORY, DIAGNOSTIC AND TESTING SERVICES ARE COORDINATED BY THE CLINIC THROUGH OUR NETWORK OF COMMUNITY PARTNERS. 166632 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.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. 166632 740211 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 12 1 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 0 0 0 RI X X MARVIN RONNING 4012746347 655 BROAD STREET PROVIDENCE RI 02907 MARIE GHAZAL CHIEF EXECUTIVE OFFICER 40.00 X X 161412 0 14205 MARK GIM PRESIDENT 1.00 X X 0 0 0 WILLIAM FITZGERALD SECRETARY 1.00 X X 0 0 0 DOMENIC DELMONICO TREASURER 1.00 X X 0 0 0 CAROLINE TROISE MD MEDICAL DIRECTOR 1.00 X X 0 0 0 JEFFREY CHASE-LUBITZ ESQ VICE PRESIDENT 1.00 X 0 0 0 ANDREW W DAVIS ESQ BOARD MEMBER 1.00 X X 0 0 0 JUDY DIAZ BOARD MEMBER 1.00 X 0 0 0 JERRY FINGERUT MD BOARD MEMBER 1.00 X X 0 0 0 NANCY GAGLIANO MD BOARD MEMBER 1.00 X 0 0 0 GEORGE GREER BOARD MEMBER 1.00 X 0 0 0 DAYLE JOSEPHEDDRNMSMED BOARD MEMBER 1.00 X 0 0 0 VALERIE M LITTLEFIELD PMP BOARD MEMBER 1.00 X 0 0 0 HERBERT RAKATANSKY MD FACG BOARD MEMBER 1.00 X 0 0 0 MARK WAGGONER BOARD MEMBER 1.00 X 0 0 0 REVEREND J ALLEN WILLIAMSDMINMPA BOARD MEMBER 1.00 X X 0 0 0 161412 0 14205 1 0 1 0 0 888199 888199 OTHER INCOME 621300 9747 9747 9747 897946 9747 0 0 175617 122931 26343 26343 347140 293264 19981 33895 42083 37679 1389 3015 50992 42470 4365 4157 9035 7656 617 762 27347 27347 86454 73252 5449 7753 1350 410 643 297 12833 9466 1482 1885 32054 26200 3245 2609 10618 9093 620 905 VISTA 31094 29349 1745 SUPPLIES 9320 7579 780 961 MISCELLANEOUS EXPENSE 9279 7007 1604 668 SECURITY 9058 7655 641 762 50427 38853 8208 3366 904701 740211 77112 87378 483094 563094 126041 41710 12935 8016 1042875 372451 693090 670424 1315160 1283244 37013 11852 37013 11852 X 1074602 1165959 203545 105433 1278147 1271392 1315160 1283244 -6755 0 X X 0 1 X 1 0 X 942805 970559 921634 928157 888199 4651354 942805 970559 921634 928157 888199 4651354 4651354 522 372 190 158 149 1391 13204 7543 28327 17878 9747 76699 4729444 0.98350 0.97540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 136032 136032 136032 136032 119607 16425 136032 106841 12766 119607 105647 1194 106841 93089 12558 105647 0 1 1 848840 189618 659222 189490 178288 11202 4545 4545 0 670424 X 2331222 1423029 10247 1433276 897946 0 897946 2327730 1423029 1423029 904701 0 904701 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 10,247. X 0 0 0 0 0 0 0 0 0 MARIE GHAZAL CHIEF EXECUTIVE OFFICER 161412 0 0 0 0 0 0 0 14205 0 175617 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD TREASURER ON BEHALF OF THE BOARD OF DIRECTORS. THE BOARD TREASURER 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 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: THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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 11B, II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0