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RHODE ISLAND FREE CLINIC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND FREE CLINIC INC (EIN 05-0501276)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201243189349301259
Schema version
2011v1.2
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)
Timestamp2012-11-13T08:41:40-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN050392605EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line167 CEDAR STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050501276EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE RHODE ISLAND FREE CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRHODNameControl
Phone4012746347Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMARIE GHAZALName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone4012746347Phone
Date Signed2012-10-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANTHONY W SCORPIOName
PTINP01360145PTIN
Phone4017513860Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARIE GHAZALNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1655 BROAD STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02907ZIPCode
FieldValueIRS element (for citing)
Gross Receipts978474GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RIFREECLINIC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATIONS MISSION IS TO PROVIDE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees16TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year942805ContributionsGrantsPriorYear
Contributions Grants Current Year970559ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year522InvestmentIncomePriorYear
Investment Income Current Year372InvestmentIncomeCurrentYear
Other Revenue Prior Year13204OtherRevenuePriorYear
Other Revenue Current Year7543OtherRevenueCurrentYear
Total Revenue Prior Year956531TotalRevenuePriorYear
Total Revenue Current Year978474TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year573873SalariesEtcPriorYear
Salaries Etc Current Year655966SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year83337TotalFundrsngExpCurrentYear
Other Expense Prior Year346820OtherExpensePriorYear
Other Expenses Current Year367909OtherExpensesCurrentYear
Total Expenses Prior Year920693TotalExpensesPriorYear
Total Expenses Current Year1023875TotalExpensesCurrentYear
Revenues Less Expenses Prior Year35838RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-45401RevenuesLessExpensesCY
Total Assets BOY1531816TotalAssetsBOY
Total Assets EOY1487494TotalAssetsEOY
Total Liabilities BOY154691TotalLiabilitiesBOY
Total Liabilities EOY155770TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1377125NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1331724NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATIONS MISSION IS TO PROVIDE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense298508Expense
DescriptionCLINICAL - THE CLINIC IS THE ONLY 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense168269Expense
DescriptionVOLUNTEER - OVER 700 DOCTORS, NURSES, PHARMACISTS, PSYCHOLOGISTS, PHYSICIAN ASSISTANTS, INTERPRETERS, SOCIAL WORKERS, MEDICAL TECHNICIANS, AND NON-MEDICAL VOLUNTEERS PROVIDE FREE CARE IN 2011. FUNDS FOR THIS PROGRAM SUPPORT THE RECRUITMENT, RETENTION, AND RECOGNITION OF OUR VOLUNTEERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense129426Expense
DescriptionPHARMACY - 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense267321Expense
DescriptionPHYSICIANS 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp267321TotalOfOtherProgramServiceExp
Total Program Service Expense863524TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees16NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARVIN RONNINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4012746347TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
MARIE GHAZAL
CHIEF EXECUTIVE OFFICER40.00XX150127015072
VALERIE M LITTLEFIELD PMP
PRESIDENT1.00X000X
MARK GIM
VICE PRESIDENT1.00X000X
DAYLE JOSEPH EDD
SECRETARY1.00X000X
THOMAS N FORSYTHE
TREASURER1.00X000X
CAROLINE TROISE MD
MEDICAL DIRECTOR1.00X000
LELANI BONNER
BOARD MEMBER1.00X000
JEFFREY CHASE-LUBITZ ESQ
BOARD MEMBER1.00X000
ANDREW W DAVIS ESQ
BOARD MEMBER1.00X000
WILLIAM FITZGERALD
BOARD MEMBER1.00X000
KATHLEEN HITTNER MD
BOARD MEMBER1.00X000
GEORGE GREER
BOARD MEMBER1.00X000
RONALD P JORDAN
BOARD MEMBER1.00X000
PAMELA LAMBERT
BOARD MEMBER1.00X000
BERNARD J MANSHEIM MD
BOARD MEMBER1.00X000
MARK WAGGONER
BOARD MEMBER1.00X000
MARSHA WEISS
BOARD MEMBER1.00X000
MIRIAM WEIZENBAUM
BOARD MEMBER1.00X000
REVEREND J ALLEN WILLIAMS DMIN
BOARD MEMBER1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org150127TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation15072TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants77443GovernmentGrants
All Other Contributions893116AllOtherContributions
Total Contributions970559TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column372TotalRevenueColumn
Exclusion$372ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code621300BusinessCode
Total Revenue Column7543TotalRevenueColumn
Related Or Exempt Function Income7543RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue7543TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column978474TotalRevenueColumn
Related Or Exempt Function Income7543RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$372ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total165199Total
Program Services115639ProgramServices
Management And General24780ManagementAndGeneral
Fundraising24780Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total406059Total
Program Services371862ProgramServices
Management And General17084ManagementAndGeneral
Fundraising17113Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total40480Total
Program Services35845ProgramServices
Management And General1614ManagementAndGeneral
Fundraising3021Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total44228Total
Program Services36860ProgramServices
Management And General3189ManagementAndGeneral
Fundraising4179Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10083Total
Program Services8391ProgramServices
Management And General698ManagementAndGeneral
Fundraising994Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total86455Total
Program Services70646ProgramServices
Management And General6431ManagementAndGeneral
Fundraising9378Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2350Total
Program Services1984ProgramServices
Management And General206ManagementAndGeneral
Fundraising160Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4474Total
Program Services2480ProgramServices
Management And General710ManagementAndGeneral
Fundraising1284Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total6806Total
Management And General6806ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total37153Total
Program Services32623ProgramServices
Management And General1844ManagementAndGeneral
Fundraising2686Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total10102Total
Program Services8363ProgramServices
Management And General697ManagementAndGeneral
Fundraising1042Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICATIONS5716857168
CONSULTANTS515804250917947277
SUPPLIES175251378423981343
MEDICAL SUPPLIES1271912719

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total71494Total
Program Services52651ProgramServices
Management And General8763ManagementAndGeneral
Fundraising10080Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1023875Total
Program Services863524ProgramServices
Management And General77014ManagementAndGeneral
Fundraising83337Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY686987BOY
EOY559050EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY41699BOY
EOY161660EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9306BOY
EOY7116EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10356BOY
EOY4508EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1027885LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec272725LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY783468BOY
EOY755160EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1531816BOY
EOY1487494EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32864BOY
EOY63491EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY22428BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY99399BOY
EOY92279EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY154691BOY
EOY155770EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY984511BOY
EOY1215753EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY392614BOY
EOY115971EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1377125BOY
EOY1331724EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1531816BOY
EOY1487494EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-45401ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years735170CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years342213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1186667CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year942805CurrentTaxYearMinus1Year
Current Tax Year970559CurrentTaxYear
Total4177414Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years735170CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years342213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1186667CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year942805CurrentTaxYearMinus1Year
Current Tax Year970559CurrentTaxYear
Total4177414Total
FieldValueIRS element (for citing)
Public Support Total1704177414PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32579CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8580CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3457CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year522CurrentTaxYearMinus1Year
Current Tax Year372CurrentTaxYear
Total45510Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years7533CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53220CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13204CurrentTaxYearMinus1Year
Current Tax Year7543CurrentTaxYear
Total81500Total
FieldValueIRS element (for citing)
Total Support4304424TotalSupport
Public Support Pertcentage1700.97050PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97130PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Beginning Balance98220BeginningBalance
Ending Balance98220EndingBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance94888BeginningOfYearBalance
Other Expenditures-94888OtherExpenditures

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance94888BeginningOfYearBalance
End Of Year Balance94888EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance91888BeginningOfYearBalance
Contributions3000Contributions
End Of Year Balance94888EndOfYearBalance

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis848840OtherCostOrOtherBasis
Depreciation125148Depreciation
Book Value723692BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis179045OtherCostOrOtherBasis
Depreciation147577Depreciation
Book Value31468BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings755160TotalOfBookValueLandBuildings
Total Revenue978474TotalRevenue
Total Expenses1023875TotalExpenses
Excess Or Deficit For Year-45401ExcessOrDeficitForYear
Donated Services And Facilities430101DonatedServicesAndFacilities
Other-$430,101OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-45401ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1410955TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1055NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities430101DonatedSrvcAndUseOfFacilities
Other Revenues3435OtherRevenues
Revenue Not Rptd F990432481RevenueNotRptdF990
Revenue Subtotal978474RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990978474TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1455163TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities430101DonatedServicesUseOfFacilities
Other Expenses Included1187OtherExpensesIncluded
Expenses Not Rptd F990431288ExpensesNotRptdF990
Expenses Subtotal1023875ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901023875TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 8 - OTHER ADJUSTMENTS:IN-KIND SERVICES -430,101.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT INCOME - RHODE ISLAND CARES FOUNDATON 3,435.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT EXPENSES - RHODE ISLAND CARES FOUNDATION 1,187.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMARIE GHAZALNamePerson
Base Compensation Filing Org150127BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org15072NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org165199TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
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.
THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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 ORGANIZATIONPrimaryActivities
Legal Domicile StateRILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11B, IIPublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg