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RHODE ISLAND FREE CLINIC INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND FREE CLINIC INC (EIN 05-0501276)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-14
IRS object ID
201412879349301016
Schema version
2013v3.0
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)
Return2014-10-14T07:40:39-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN050392605PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MULLEN SCORPIO & CERILLIBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line167 CEDAR STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050501276EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE RHODE ISLAND FREE CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlRHODBusinessNameControlTxt
Phone4012746347PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02907ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARIE GHAZALPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone4012746347PhoneNum
Signature2014-10-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY W SCORPIOPreparerPersonNm
PTINP01360145PTIN
Phone4017513860PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARIE GHAZALPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02907ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$946,193GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressRIFREECLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionPROVIDES 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.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$921,634PYContributionsGrantsAmt
CY Contributions Grants$928,157CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$190PYInvestmentIncomeAmt
CY Investment Income$158CYInvestmentIncomeAmt
PY Other Revenue$28,327PYOtherRevenueAmt
CY Other Revenue$17,878CYOtherRevenueAmt
PY Total Revenue$950,151PYTotalRevenueAmt
CY Total Revenue$946,193CYTotalRevenueAmt
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$649,378PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$539,707CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$142,866CYTotalFundraisingExpenseAmt
PY Other Expenses$398,784PYOtherExpensesAmt
CY Other Expenses$362,052CYOtherExpensesAmt
PY Total Expenses$1,048,162PYTotalExpensesAmt
CY Total Expenses$901,759CYTotalExpensesAmt
PY Revenues Less Expenses-$98,011PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$44,434CYRevenuesLessExpensesAmt
Total Assets BOY$1,359,456TotalAssetsBOYAmt
Total Assets EOY$1,315,160TotalAssetsEOYAmt
Total Liabilities BOY$125,743TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,013TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,233,713NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,278,147NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDES 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 A PHARMACY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$229,433ExpenseAmt
DescCLINICAL - 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$129,127ExpenseAmt
DescVOLUNTEER - OVER 700 DOCTORS, NURSES, PHARMACISTS, PSYCHOLOGISTS, PHYSICIAN ASSISTANTS, INTERPRETERS, SOCIAL WORKERS, MEDICAL TECHNICIANS, AND NON-MEDICAL VOLUNTEERS PROVIDED FREE CARE IN 2013. FUNDS FOR THIS PROGRAM SUPPORT THE RECRUITMENT, RETENTION, AND RECOGNITION OF OUR VOLUNTEERS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$81,242ExpenseAmt
DescPHYSICIAN'S NETWORK - VOLUNTEER DOCTORS AND SPECIALISTS PROVIDE CARE TO ELIGIBLE PATIENTS IN THEIR OWN OFFICES THROUGHOUT RHODE ISLAND. THESE SERVICES ARE VALUED AT APPROXIMATELY $452,000. ADDITIONAL PATIENT CARE AND ANCILLARY SUPPORT INCLUDING LABORATORY, DIAGNOSTIC AND TESTING SERVICES ARE COORDINATED BY THE CLINIC THROUGH OUR NETWORK OF COMMUNITY PARTNERS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$259,174ExpenseAmt
DescTRAINING PROGRAM - STUDENTS RECEIVE TRAINING AND EXPERIENCE AT THE CLINIC THROUGH PARTNERSHIPS WITH LEADING ACADEMIC INSTITUITIONS 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.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$259,174TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$698,976TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee12EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
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 CEO0CompensationProcessCEOInd
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 Line1MARVIN RONNINGBusinessNameLine1
FieldValueIRS element (for citing)
Phone4012746347PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02907ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MARIE GHAZAL
CHIEF EXECUTIVE OFFICER40.00Yes (X)Yes (X)$155,734$0$17,373
VALERIE M LITTLEFIELD PMP
PRESIDENT UNTIL 11/18/131.00Yes (X)$0$0$0Yes (X)
MARK GIM
PRESIDENT AS OF 11/18/131.00Yes (X)$0$0$0Yes (X)
DAYLE JOSEPH EDD RN
SECRETARY UNTIL 11/18/131.00Yes (X)$0$0$0Yes (X)
THOMAS N FORSYTHE
TREASURER UNTIL 11/18/131.00Yes (X)$0$0$0Yes (X)
CAROLINE TROISE MD
BOARD MEMBER/MEDICAL DIRECTOR1.00Yes (X)$0$0$0
JEFFREY CHASE-LUBITZ ESQ
VICE PRESIDENT AS OF 11/18/131.00Yes (X)$0$0$0Yes (X)
ANDREW W DAVIS ESQ
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM FITZGERALD
SECRETARY AS OF 11/18/131.00Yes (X)$0$0$0Yes (X)
KATHLEEN HITTNER MD
BOARD MEMBER1.00Yes (X)$0$0$0
GEORGE GREER
BOARD MEMBER1.00Yes (X)$0$0$0
RONALD P JORDAN
BOARD MEMBER JAN 20131.00Yes (X)$0$0$0
MARK WAGGONER
BOARD MEMBER1.00Yes (X)$0$0$0
MIRIAM WEIZENBAUM
BOARD MEMBER1.00Yes (X)$0$0$0
REVEREND J ALLEN WILLIAMS DMIN
BOARD MEMBER1.00Yes (X)$0$0$0
DOMENIC DELMONICO
TREASURER AS OF NOV 18, 20132.00Yes (X)$0$0$0Yes (X)
NANCY GAGLIANO MD
BOARD MEMBER0.00Yes (X)$0$0$0
JERRY FINGERUT MD
BOARD MEMBER NOV- DEC 20130.00Yes (X)$0$0$0
JUDY DIAZ
BOARD MEMBER0.00Yes (X)$0$0$0
HERBERT RAKATANSKY MD FACG
BOARD MEMBER0.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$155,734TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$17,373TotalOtherCompensationAmt
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
All Other Contributions$928,157AllOtherContributionsAmt
Total Contributions$928,157TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$158TotalRevenueColumnAmt
Exclusion$158ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business621300BusinessCd
Total Revenue Column$17,878TotalRevenueColumnAmt
Related Or Exempt Func Income$17,878RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$17,878OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$946,193TotalRevenueColumnAmt
Related Or Exempt Func Income$17,878RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$158ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$173,104TotalAmt
Program Services$112,516ProgramServicesAmt
Management And General$17,311ManagementAndGeneralAmt
Fundraising$43,277FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$286,752TotalAmt
Program Services$266,151ProgramServicesAmt
Management And General$7,163ManagementAndGeneralAmt
Fundraising$13,438FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$36,009TotalAmt
Program Services$32,058ProgramServicesAmt
Management And General$798ManagementAndGeneralAmt
Fundraising$3,153FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$43,842TotalAmt
Program Services$35,579ProgramServicesAmt
Management And General$1,950ManagementAndGeneralAmt
Fundraising$6,313FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Management And General$1,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,000TotalAmt
Program Services$7,298ProgramServicesAmt
Management And General$402ManagementAndGeneralAmt
Fundraising$1,300FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$94,693TotalAmt
Program Services$56,145ProgramServicesAmt
Management And General$2,472ManagementAndGeneralAmt
Fundraising$36,076FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$86,452TotalAmt
Program Services$70,178ProgramServicesAmt
Management And General$4,035ManagementAndGeneralAmt
Fundraising$12,239FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$846TotalAmt
Program Services$319ProgramServicesAmt
Management And General$421ManagementAndGeneralAmt
Fundraising$106FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,416TotalAmt
Program Services$869ProgramServicesAmt
Management And General$5,158ManagementAndGeneralAmt
Fundraising$7,389FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,995TotalAmt
Management And General$5,995ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,654TotalAmt
Program Services$27,290ProgramServicesAmt
Management And General$1,501ManagementAndGeneralAmt
Fundraising$4,863FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,536TotalAmt
Program Services$7,754ProgramServicesAmt
Management And General$401ManagementAndGeneralAmt
Fundraising$1,381FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
VISTA$25,267$21,088$986$3,193
SUPPLIES$19,618$16,091$2,151$1,376
MEDICATIONS AND MEDICAL$9,600$9,579$21
TELEPHONE$8,922$6,813$597$1,512

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$44,053TotalAmt
Program Services$29,248ProgramServicesAmt
Management And General$7,555ManagementAndGeneralAmt
Fundraising$7,250FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$901,759TotalAmt
Program Services$698,976ProgramServicesAmt
Management And General$59,917ManagementAndGeneralAmt
Fundraising$142,866FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$323,583BOYAmt
EOY$483,094EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$301,100BOYAmt
EOY$126,041EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,618BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,411BOYAmt
EOY$12,935EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,033,485LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$340,395LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$726,744BOYAmt
EOY$693,090EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,359,456BOYAmt
EOY$1,315,160EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$41,087BOYAmt
EOY$37,013EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$84,656BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$125,743BOYAmt
EOY$37,013EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,002,879BOYAmt
EOY$1,074,602EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$230,834BOYAmt
EOY$203,545EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,233,713BOYAmt
EOY$1,278,147EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,359,456BOYAmt
EOY$1,315,160EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$44,434ReconcilationRevenueExpnssAmt
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$1,186,667CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$942,805CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$970,559CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$921,634CurrentTaxYearMinus1YearAmt
Current Tax Year$928,157CurrentTaxYearAmt
Total$4,949,822TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,186,667CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$942,805CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$970,559CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$921,634CurrentTaxYearMinus1YearAmt
Current Tax Year$928,157CurrentTaxYearAmt
Total$4,949,822TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,949,822PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,457CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$522CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$372CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$190CurrentTaxYearMinus1YearAmt
Current Tax Year$158CurrentTaxYearAmt
Total$4,699TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,220CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,543CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,327CurrentTaxYearMinus1YearAmt
Current Tax Year$17,878CurrentTaxYearAmt
Total$120,172TotalAmt
FieldValueIRS element (for citing)
Total Support$5,074,693TotalSupportAmt
Public Support CY1700.97540PublicSupportCY170Pct
Public Support PY1700.97260PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$119,607BeginningBalanceAmt
Additions During Year$16,425AdditionsDuringYearAmt
Distributions During Year$0DistributionsDuringYearAmt
Ending Balance$136,032EndingBalanceAmt

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$119,607BeginningYearBalanceAmt
Investment Earnings Or Losses$16,425InvestmentEarningsOrLossesAmt
End Year Balance$136,032EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$106,841BeginningYearBalanceAmt
Investment Earnings Or Losses$12,766InvestmentEarningsOrLossesAmt
End Year Balance$119,607EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$105,647BeginningYearBalanceAmt
Investment Earnings Or Losses$1,194InvestmentEarningsOrLossesAmt
End Year Balance$106,841EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$93,089BeginningYearBalanceAmt
Investment Earnings Or Losses$12,558InvestmentEarningsOrLossesAmt
End Year Balance$105,647EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$98,220BeginningYearBalanceAmt
Investment Earnings Or Losses-$5,131InvestmentEarningsOrLossesAmt
End Year Balance$93,089EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.18000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.82000PrmnntEndowmentBalanceEOYPct
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$848,840OtherCostOrOtherBasisAmt
Depreciation$168,127DepreciationAmt
Book Value$680,713BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$180,100OtherCostOrOtherBasisAmt
Depreciation$167,723DepreciationAmt
Book Value$12,377BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,545OtherCostOrOtherBasisAmt
Depreciation$4,545DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$693,090TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,706,314TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$14,727NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$1,743,696DonatedServicesAndUseFcltsAmt
Other Revenue$1,698OtherRevenueAmt
Revenue Not Reported$1,760,121RevenueNotReportedAmt
Revenue Subtotal$946,193RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$946,193TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,645,455TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,743,696DonatedServicesUseFcltsAmt
Expenses Not Reported$1,743,696ExpensesNotReportedAmt
Expenses Subtotal$901,759ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$901,759TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 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 - RHODE ISLAND CARES FOUNDATON 1,698.

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$155,734BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$17,373NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$173,107TotalCompensationFilingOrgAmt
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 11THE 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 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 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 IX, LINE 11GDEVELOPMENT & GRANT CONSULTANTS: PROGRAM SERVICE EXPENSES 10,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 33,606. TOTAL EXPENSES 44,356. VOLUNTEER SERVICES - CONSULTANT: PROGRAM SERVICE EXPENSES 13,642. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,642. NURSE AND NURSE PRACTITIONER: PROGRAM SERVICE EXPENSES 19,424. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,424. BOOKKEEPING SERVICES: PROGRAM SERVICE EXPENSES 12,329. MANAGEMENT AND GENERAL EXPENSES 2,472. FUNDRAISING EXPENSES 2,470. TOTAL EXPENSES 17,271.
FORM 990, PART XII, LINE 2C:THE FINANCE COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITORS

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RHODE ISLAND CARES FOUNDATIONBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02907ZIPCode
FieldValueIRS element (for citing)
EIN432107840EIN
Primary ActivitiesTO SUPPORT THE RHODE ISLAND FREE CLINIC A TAX-EXEMPT ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 11B, IIPublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd