2012-11-30T15:54:25-06:00 2012-06-30 410746749 CLIFTONLARSONALLEN LLP 610 WGERMANTOWN PIKESTE 400 PLYMOUTH MTG PA 19462 990 2011-07-01 232176338 MAZZONI CENTER MAZZ 2155630663 21 S 12TH STREET 12TH FLOOR PHILADELPHIA PA 19107 NURIT SHEIN 2155630663 2012-11-30 1 BRUCE BRAUNEWELL CPA P00075336 2156433900 2011 2016-02-24 21:20:13Z NURIT SHEIN 21 S 12TH STREET 12TH FLOOR PHILADELPHIA PA 19107 8530276 0 X WWW.MAZZONICENTER.ORG X 1979 PA TO PROVIDE QUALITY COMPREHENSIVE HEALTH, WELLNESS AND LEGAL SERVICES IN AN LGBT-FOCUSED ENVIRONMENT. 14 14 132 85 0 0 5638569 5974351 1943113 2482297 0 -1486 77908 27294 7659590 8482456 0 0 0 0 4510334 5156811 0 0 219823 2645140 2935704 7155474 8092515 504116 389941 2416320 2760446 637643 591828 1778677 2168618 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 2529953 299955 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. 1674834 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. 1374812 1841630 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. 1037885 340712 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. 1037885 340712 6617484 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 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 92 0 1 132 1 0 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X MANAGEMENT 2155630652 21 S 12TH STREET PHILADELPHIA PA 19107 MICHAEL WOLF MD 1.00 X 0 0 0 KELLY HARRIS 1.00 X X 0 0 0 RAJNISH DAVE 1.00 X X 0 0 0 RUSSELL HARRIS MD 1.00 X X 0 0 0 MARK BLECHER MD 1.00 X 0 0 0 LEONORE CARPENTER ESQ 1.00 X 0 0 0 MARK E COYNERPH 1.00 X 0 0 0 MICHAEL GEORGE FACHE 1.00 X 0 0 0 PATTY INACKER 1.00 X 0 0 0 SHEILA PEOPPLES 1.00 X 0 0 0 ANTHONY RODRIGUEZ MD 1.00 X 0 0 0 JIMMY RUIZ MD 1.00 X X 0 0 0 JAYDEN SAMPSON ESQ 1.00 X 0 0 0 JASON K COHEN ESQ 1.00 X 0 0 0 JAMES H KELLEHER 1.00 X 0 0 0 EILEEN Y WANG MD 1.00 X 0 0 0 NURIT SHEIN 40.00 X 133750 0 12661 NICHOLAS CHABAN 40.00 X 110002 0 12904 243752 0 25565 2 0 0 0 0 126613 5208925 638813 131895 5974351 THIRD PARTY BILLING 621400 2482297 2482297 2482297 387 387 1873 -1873 -1873 -1873 45470 126613 45947 -477 -477 BIOLYTICAL 621400 21200 21200 MISCELLANEOUS REVENUE 900099 5211 5211 CONCENTRICS RESEARCH L 621400 1360 1360 27771 8482456 2482297 0 25808 266391 266391 3873119 3128764 613278 131077 115823 93863 18028 3932 596060 483424 96090 16546 305418 233444 62147 9827 1000 1000 22000 22000 9845 9845 16955 3152 11048 2755 180593 128221 44586 7786 466654 389531 67277 9846 59624 57950 1514 160 4318 2740 1033 545 111 111 78804 63804 13388 1612 67833 58288 8190 1355 PROGRAM EXPENSES 1377442 1350547 26895 SUBCONTRACTORS 548115 541294 1190 5631 EQUIPMENT MAINTENANCE 102410 82462 18092 1856 8092515 6617484 1255208 219823 222570 43443 252280 25000 134154 1899587 1502083 11488 254711 273612 683483 357207 155796 326276 37783 37983 2416320 2760446 609205 571500 28438 20328 637643 591828 X 1676082 2018651 102595 149967 1778677 2168618 2416320 2760446 389941 0 X X 0 1 1 X 1 1 X 3804597 4397105 5398124 5660417 5974351 25234594 3804597 4397105 5398124 5660417 5974351 25234594 25234594 3789 5506 387 9682 54826 121215 61798 119208 83373 440420 25684696 6548603 0.98250 0.98420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 79177 28056 51121 604306 329151 275155 326276 DEFERRED RENT LIABILITY 20328 20328 8482456 8092515 389941 389941 8540848 10572 47820 58392 8482456 0 8482456 8150907 10572 47820 58392 8092515 0 8092515 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2009, 2010 AND 2011 ARE OPEN FOR FEDERAL AND STATE TAX EXAMINATIONS. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 45,947. RECLASS LOSS ON DISPOSAL 1,873. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 45,947. RECLASS LOSS ON DISPOSAL 1,873. ELIXIR 66395 26358 40037 3775 16725 4414 15123 BOYS IN THE COUNTRY 17176 17176 480 9 88512 83079 5433 5430 172083 126613 45470 3775 22155 4894 15123 45947 -477 X FUNDRAISING SUPPLIES 4 6446 FAIR MARKET VALUE X COMPUTER EQUIPMENT/SOFTWARE 3 109272 FAIR MARKET VALUE X OFFICE MATERIALS 2 16178 FAIR MARKET VALUE 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.