2014-12-17T09:35:12-06:00 2014-06-30 410746749 CLIFTONLARSONALLEN LLP 610 WGERMANTOWN PIKE STE400 PLYMOUTH MEETING PA 19462 990 2013-07-01 232176338 MAZZONI CENTER MAZZ 2155630663 21 S 12TH STREET 12TH FLOOR PHILADELPHIA PA 19107 NURIT SHEIN EXECUTIVE DIRECTOR 2155630663 2014-12-12 1 BRUCE BRAUNEWELLCPA P00075336 2156433900 2013 2015-11-30 17:44:51Z NURIT SHEIN 21 S 12TH STREET 12TH FLOOR PHILADELPHIA PA 19107 12253253 0 X WWW.MAZZONICENTER.ORG X 1979 PA TO PROVIDE QUALITY COMPREHENSIVE HEALTH, WELLNESS AND LEGAL SERVICES IN AN LGBT-FOCUSED ENVIRONMENT. 16 16 149 371 0 0 6603700 6426239 3589621 5044672 5854 15284 33364 85218 10232539 11571413 0 0 0 0 5597323 7031138 0 0 653291 3553018 3229381 9150341 10260519 1082198 1310894 4210949 6025786 964304 1465268 3246645 4560518 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 1657934 1061871 SOCIAL SERVICES: MAZZONI CENTER PROVIDES MEDICAL CASE MANAGEMENT FOR OVER 750 INDIVIDUALS EACH YEAR WHO ARE LIVING WITH HIV DISEASE. THROUGH OUR MEDICAL PRACTICE, CASE MANAGEMENT SERVICES ARE ALSO PROVIDED FOR ADOLESCENTS AND HIGH-NEED LGBT INDIVIDUALS. 2781114 1781244 PREVENTION, EDUCATION AND LEGAL: MAZZONI CENTER PROVIDES COMMUNITY-BASED HIV TESTING AND STD SCREENING TO OVER 5,000 INDIVIDUALS PER YEAR. IN ADDITION, WE PROVIDE INDIVIDUAL AND GROUP LEVEL INTERVENTIONS THAT ASSIST INDIVIDUALS WITH REDUCING THEIR RISK OF HIV AND OTHER STDS. MAZZONI CENTER IS THE ONLY LEGAL SERVICE PROVIDER IN PENNSYLVANIA, AND ONE OF THE FEW IN THE NATION, PROVIDING DIRECT LEGAL REPRESENTATION TO PERSONS WITH LEGAL ISSUES RELATED TO LGBT STATUS. 2659179 1703147 PRIMARY MEDICAL CARE SERVICES: MAZZONI CENTER FAMILY AND COMMUNITY MEDICINE IS ONE OF EIGHT LGBT OUTPATIENT MEDICAL FACILITIES IN THE NATION. WE CURRENTLY HAVE A PATIENT ROSTER OF 6,000 INDIVIDUALS AND PROVIDE OVER 11,000 PATIENT VISITS PER YEAR. 853695 538885 BEHAVIORAL HEALTH SERVICES: MAZZONI CENTER'S OPEN DOOR PROGRAM IS A LICENSED OUTPATIENT MENTAL HEALTH COUNSELING AND SUBSTANCE ABUSE TREATMENT FACILITY WHICH TARGETS SERVICES TO PHILADELPHIA'S LGBT COMMUNITIES. CURRENTLY THE PROGRAM PROVIDES OVER 6,000 HOURS OF CLINICAL SERVICE PER YEAR. MAZZONI'S SUBSTANCE ABUSE TREATMENT, COUNSELING AND RISK REDUCTION PROGRAMS ARE DESIGNED TO INCREASE AWARENESS OF SUBSTANCE ABUSE ISSUES AMONG MEN WHO HAVE SEX WITH MEN (MSM) IN PHILADELPHIA. 853695 538885 7951922 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 1 104 0 149 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 PAST PRESIDENT 1.00 X 0 0 0 KELLY HARRIS PRESIDENT 1.00 X X 0 0 0 RUSSELL HARRIS MD MEMBER 1.00 X X 0 0 0 MARK BLECHER MD BOARD MEMBER 1.00 X 0 0 0 MARK E COYNERPH BOARD MEMBER 1.00 X 0 0 0 MARLA J GOLD MD BOARD MEMBER 1.00 X 0 0 0 SHEILA PEOPPLES BOARD MEMBER 1.00 X 0 0 0 ANTHONY RODRIGUEZ MD BOARD MEMBER 1.00 X 0 0 0 JIMMY RUIZ MD VICE PRESIDENT 1.00 X X 0 0 0 DORTHY MANN BOARD MEMBER 1.00 X 0 0 0 JASON K COHEN ESQ SECRETARY 1.00 X 0 0 0 JAMES H KELLEHER BOARD MEMBER 1.00 X 0 0 0 KATHY PADILL BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER POPE TREASUER 1.00 X 0 0 0 ANTHONY F VERDI PHD BOARD MEMBER 1.00 X 0 0 0 MICHAEL WEISS BOARD MEMBER 1.00 X 0 0 0 NURIT SHEIN EXECUTIVE DIRECTOR 40.00 X 144045 0 25914 NICHOLAS CHABAN CHIEF FINANCIAL OFFICER 40.00 X 120162 0 22536 RONALD POWERS DIRECTOR OF PROGRAMS 40.00 X 105625 0 20903 369832 0 69353 3 0 1 0 0 25554 153442 5324419 922824 99620 6426239 THIRD PARTY BILLING 621400 5044672 5044672 5044672 16671 16671 647720 649107 -1387 -1387 -1387 69588 153442 32733 36855 36855 CLINICAL TRIAL HIV STUDY 621400 28400 28400 PENN MEDICINE TEACHING 621400 12075 12075 MISCELLANEOUS REVENUE 900099 7888 7888 48363 11571413 5085147 0 60027 319054 34078 199782 85194 5376323 4150528 859427 366368 161030 101449 48309 11272 691591 606124 80992 4475 483140 393447 77109 12584 1236 1236 23000 23000 13144 13144 36820 6004 25895 4921 78591 66615 10489 1487 575199 466445 98300 10454 130445 90655 39163 627 9548 7379 2169 575 575 138382 101406 34699 2277 107061 93962 11078 2021 PROGRAM EXPENSES 1466714 1312655 13512 140547 SUBCONTRACTORS 375787 311249 64538 EQUIPMENT MAINTENANCE 129896 110983 16649 2264 COMMUNICATIONS 55349 47597 6686 1066 87634 51346 28554 7734 10260519 7951922 1655306 653291 478835 539252 852487 0 91313 68836 1788506 2440753 12763 25506 273299 279693 862722 536103 275055 326619 400708 2307144 37983 37983 4210949 6025786 881443 1367854 82861 97414 964304 1465268 X 2899980 4406496 346665 154022 3246645 4560518 4210949 6025786 1310894 2979 0 X X 0 1 X 1 1 1 X 5398124 5660417 5974351 6603700 6426239 30062831 5398124 5660417 5974351 6603700 6426239 30062831 30062831 387 5854 16671 22912 61798 119208 83373 33951 7888 306218 30391961 13989292 0.98920 0.98480 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 151296 57202 94094 711426 478901 232525 326619 DEFERRED RENT LIABILITY 97414 97414 X 11914536 2979 307411 32733 343123 11571413 0 11571413 10600663 307411 32733 340144 10260519 0 10260519 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. THE TAX RETURNS FOR THE YEARS 2013, 2012 AND 2011 ARE OPEN FOR FEDERAL AND STATE TAX EXAMINATIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 32,733. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 32,733. MAZZONI GALA 171709 118133 53576 15131 10482 HOLIDAY DRIVE 40076 27572 12504 7120 12 11245 7737 3508 223030 153442 69588 15131 17602 32733 36855 X X 0 0 0 0 0 0 0 0 0 NURIT SHEIN EXECUTIVE DIRECTOR 144045 0 0 0 0 0 4321 0 21593 0 169959 0 0 0 X MATERIALS FOR 39 64818 X AUCTION 17 34802 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.