2013-11-15T11:18:39-06:00 2012-12-31 050392605 MULLEN SCORPIO & CERILLI 67 CEDAR STREET PROVIDENCE RI 02903 990 2012-01-01 050501276 THE RHODE ISLAND FREE CLINIC INC RHOD 4012746347 655 BROAD STREET PROVIDENCE RI 02907 MARIE GHAZAL 4012746347 2013-11-04 1 ANTHONY W SCORPIO P01360145 4017513860 2012 2016-03-07 17:11:31Z MARIE GHAZAL 655 BROAD STREET PROVIDENCE RI 02907 950151 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 A PHARMACY. 18 18 12 0 0 0 970559 921634 0 0 372 190 7543 28327 978474 950151 0 0 0 0 655966 649378 0 0 104786 367909 398784 1023875 1048162 -45401 -98011 1487494 1359456 155770 125743 1331724 1233713 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 A PHARMACY. 0 0 286572 CLINICAL - THE CLINIC IS THE 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. 191294 VOLUNTEER - OVER 700 DOCTORS, NURSES, PHARMACISTS, PSYCHOLOGISTS, PHYSICIAN ASSISTANTS, INTERPRETERS, SOCIAL WORKERS, MEDICAL TECHNICIANS, AND NON-MEDICAL VOLUNTEERS PROVIDE FREE CARE IN 2012. FUNDS FOR THIS PROGRAM SUPPORT THE RECRUITMENT, RETENTION, AND RECOGNITION OF OUR VOLUNTEERS. 125487 PHARMACY - PATIENTS RECEIVE GENERIC MEDICATIONS PROVIDED FREE BY THE CLINIC AND BRAND NAME PRESCRIPTIONS FREE FROM THE MANUFACTURER THROUGH THE PATIENT ASSISTANCE PROGRAM COORDINATED BY THE CLINIC. IN 2012, THE CLINIC ALSO PARTNERED WITH CVS CAREMARK, TO PROVIDE GENERIC MEDICATIONS FOR FREE TO CLINIC PATIENTS AT CVS PHARMACIES. 251586 PHYSICIANS NETWORK - VOLUNTEER DOCTORS AND SPECIALISTS PROVIDE CARE TO ELIGIBLE PAITENTS IN THEIR OWN OFFICES THROUGHOUT RHODE ISLAND. ADDITIONAL PATIENT CARE AND ANCILLARY SUPPORT INCLUDING LABORATORY, DIAGNOSTIC AND TESTING SERVICES ARE COORDINATED BY THE CLINIC THROUGH OUR NETWORK OF COMMUNITY PARTNERS. 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. 251586 854939 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 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 9 0 1 12 1 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 0 0 0 X X MARVIN RONNING 4012746347 655 BROAD STREET PROVIDENCE RI 02907 MARIE GHAZAL 40.00 X X 152939 0 16106 VALERIE M LITTLEFIELD PMP 1.00 X X 0 0 0 MARK GIM 1.00 X X 0 0 0 DAYLE JOSEPH EDD 1.00 X X 0 0 0 THOMAS N FORSYTHE 1.00 X X 0 0 0 CAROLINE TROISE MD 1.00 X 0 0 0 LELANI BONNER 1.00 X 0 0 0 JEFFREY CHASE-LUBITZ ESQ 1.00 X 0 0 0 ANDREW W DAVIS ESQ 1.00 X 0 0 0 WILLIAM FITZGERALD 1.00 X 0 0 0 KATHLEEN HITTNER MD 1.00 X 0 0 0 GEORGE GREER 1.00 X 0 0 0 RONALD P JORDAN 1.00 X 0 0 0 PAMELA LAMBERT 1.00 X 0 0 0 BERNARD J MANSHEIM MD 1.00 X 0 0 0 MARK WAGGONER 1.00 X 0 0 0 MARSHA WEISS 1.00 X 0 0 0 MIRIAM WEIZENBAUM 1.00 X 0 0 0 REVEREND J ALLEN WILLIAMS DMIN 1.00 X 0 0 0 152939 0 16106 1 0 1 0 0 921634 921634 190 190 OTHER INCOME 621300 28327 28327 28327 950151 28327 0 190 169045 118331 25357 25357 363827 326573 18264 18990 65473 55683 4387 5403 51033 41967 3552 5514 8785 7185 644 956 86454 72562 6017 7875 2568 231 1770 567 4584 865 2158 1561 6305 6305 34016 27930 2368 3718 10021 8228 698 1095 CONSULTANTS 82558 66238 3999 12321 MEDICATIONS 35925 35925 VISTA 24727 20499 1721 2507 COPYING AND PRINTING 11581 9065 923 1593 91260 63657 10274 17329 1048162 854939 88437 104786 559050 323583 161660 301100 7116 4618 4508 3411 1033485 306741 755160 726744 1487494 1359456 63491 41087 92279 84656 155770 125743 X 1215753 1002879 115971 230834 1331724 1233713 1487494 1359456 -98011 0 X 0 0 0 X 342213 1186667 942805 970559 921634 4363878 342213 1186667 942805 970559 921634 4363878 4363878 8580 3457 522 372 190 13121 7533 53220 13204 7543 28327 109827 4486826 0.97260 0.97050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 98220 98220 94888 -94888 189776 94888 94888 91888 3000 94888 848840 146638 702202 180100 155558 24542 4545 4545 0 726744 X 2079601 10229 1115342 3879 1129450 950151 0 950151 2164847 1115342 1343 1116685 1048162 0 1048162 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 3,879. PART XII, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES - RHODE ISLAND CARES FOUNDATION 1,343. X 0 0 0 0 0 0 0 0 0 MARIE GHAZAL 152939 0 0 0 0 0 0 0 16106 0 169045 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. 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