STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

RHODE ISLAND FREE CLINIC INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND FREE CLINIC INC (EIN 05-0501276)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201133189349304018
Schema version
2010v3.2
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)
Timestamp2011-11-14T12:43:14-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANTHONY W SCORPIOName
Phone4017513860Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts956531GrossReceipts
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 Employees13TotalNbrEmployees
Total Nbr Volunteers511TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1242667ContributionsGrantsPriorYear
Contributions Grants Current Year942805ContributionsGrantsCurrentYear
Program Service Revenue Prior Year53220ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3457InvestmentIncomePriorYear
Investment Income Current Year522InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year13204OtherRevenueCurrentYear
Total Revenue Prior Year1299344TotalRevenuePriorYear
Total Revenue Current Year956531TotalRevenueCurrentYear
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 Year582937SalariesEtcPriorYear
Salaries Etc Current Year573873SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year103167TotalFundrsngExpCurrentYear
Other Expense Prior Year340775OtherExpensePriorYear
Other Expenses Current Year346820OtherExpensesCurrentYear
Total Expenses Prior Year923712TotalExpensesPriorYear
Total Expenses Current Year920693TotalExpensesCurrentYear
Revenues Less Expenses Prior Year375632RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35838RevenuesLessExpensesCY
Total Assets BOY1556943TotalAssetsBOY
Total Assets EOY1531816TotalAssetsEOY
Total Liabilities BOY215655TotalLiabilitiesBOY
Total Liabilities EOY154691TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1341288NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1377125NetAssetsOrFundBalancesEOY
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
Expense239178Expense
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 500 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)
Expense168442Expense
DescriptionVOLUNTEER - OVER 500 DOCTORS, NURSES, PHARMACISTS, PSYCHOLOGISTS, PHYSICIAN ASSISTANTS, INTERPRETERS, SOCIAL WORKERS, MEDICAL TECHNICIANS, AND NON-MEDICAL VOLUNTEERS PROVIDE FREE CARE IN 2010. FUNDS FOR THIS PROGRAM SUPPORT THE RECRUITMENT, RETENTION, AND RECOGNITION OF OUR VOLUNTEERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense121365Expense
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)
Expense160897Expense
DescriptionPHYSICIANS NETWORK - VOLUNTEER DOCTORS AND SPECIALISTS PROVIDE CARE TO ELIGIBLE PARTNERS 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. 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 Exp160897TotalOfOtherProgramServiceExp
Total Program Service Expense689882TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Required0ScheduleJRequired
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 Employees13NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
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 OFFICER40.00XX104915011283
BERNARD J MANSHEIM MD
PRESIDENT1.00X000X
VALERIE M LITTLEFIELD PMP
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
MARK GIM
BOARD MEMBER1.00X000
GEORGE GREER
BOARD MEMBER1.00X000
RONALD P JORDAN
BOARD MEMBER1.00X000
PAMELA LAMBERT
BOARD MEMBER1.00X000
MARK MONTELLA
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 Org104915TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation11283TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants44235GovernmentGrants
All Other Contributions898570AllOtherContributions
Total Contributions942805TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column522TotalRevenueColumn
Exclusion$522ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code621300BusinessCode
Total Revenue Column13204TotalRevenueColumn
Related Or Exempt Function Income13204RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue13204TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column956531TotalRevenueColumn
Related Or Exempt Function Income13204RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$522ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total116199Total
Program Services81339ProgramServices
Management And General17430ManagementAndGeneral
Fundraising17430Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total358509Total
Program Services269904ProgramServices
Management And General45634ManagementAndGeneral
Fundraising42971Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total48515Total
Program Services36406ProgramServices
Management And General6226ManagementAndGeneral
Fundraising5883Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total50650Total
Program Services37525ProgramServices
Management And General6708ManagementAndGeneral
Fundraising6417Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6739Total
Program Services5069ProgramServices
Management And General863ManagementAndGeneral
Fundraising807Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total88038Total
Program Services64831ProgramServices
Management And General11990ManagementAndGeneral
Fundraising11217Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1726Total
Program Services1298ProgramServices
Management And General221ManagementAndGeneral
Fundraising207Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3077Total
Program Services2314ProgramServices
Management And General394ManagementAndGeneral
Fundraising369Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total7293Total
Program Services6281ProgramServices
Management And General523ManagementAndGeneral
Fundraising489Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total48838Total
Program Services42060ProgramServices
Management And General3502ManagementAndGeneral
Fundraising3276Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total10566Total
Program Services7947ProgramServices
Management And General1353ManagementAndGeneral
Fundraising1266Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
MEDICATIONS3732637326
CONSULTANTS26568234483120
WRITE-OFF OBSOLETE INVE2102821028
SECURITY12836977214811583
SUPPLIES8908670110671140

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total73877Total
Program Services57661ProgramServices
Management And General9049ManagementAndGeneral
Fundraising7167Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total920693Total
Program Services689882ProgramServices
Management And General127644ManagementAndGeneral
Fundraising103167Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY643179BOY
EOY686987EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY94157BOY
EOY41699EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY33941BOY
EOY9306EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9600BOY
EOY10356EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1019040LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec235572LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY776066BOY
EOY783468EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1556943BOY
EOY1531816EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY109620BOY
EOY32864EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY22428EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY106035BOY
EOY99399EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY215655BOY
EOY154691EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1162783BOY
EOY984511EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY83617BOY
EOY392614EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY94888BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1341288BOY
EOY1377125EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1556943BOY
EOY1531816EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses35838ReconcilationRevenueExpenses
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 Years1008071CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years735170CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years342213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1186667CurrentTaxYearMinus1Year
Current Tax Year942805CurrentTaxYear
Total4214926Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1008071CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years735170CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years342213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1186667CurrentTaxYearMinus1Year
Current Tax Year942805CurrentTaxYear
Total4214926Total
FieldValueIRS element (for citing)
Public Support Total1704214926PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5442CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32579CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8580CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3457CurrentTaxYearMinus1Year
Current Tax Year522CurrentTaxYear
Total50580Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years7533CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53220CurrentTaxYearMinus1Year
Current Tax Year13204CurrentTaxYear
Total73957Total
FieldValueIRS element (for citing)
Total Support4339463TotalSupport
Public Support Pertcentage1700.97130PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97600PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOMEGeneralExplanation

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 CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance94888BeginningOfYearBalance
Other Expenditures-94888OtherExpenditures
End Of Year Balance189776EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance91888BeginningOfYearBalance
Contributions3000Contributions
End Of Year Balance94888EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis848840OtherCostOrOtherBasis
Depreciation103660Depreciation
Book Value745180BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis170200OtherCostOrOtherBasis
Depreciation131912Depreciation
Book Value38288BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings783468TotalOfBookValueLandBuildings
Total Revenue956531TotalRevenue
Total Expenses920693TotalExpenses
Excess Or Deficit For Year35838ExcessOrDeficitForYear
Donated Services And Facilities444726DonatedServicesAndFacilities
Prior Period Adjustments-5131PriorPeriodAdjustments
Other-$439,595OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS35838ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1414885TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments10617NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities444726DonatedSrvcAndUseOfFacilities
Other Revenues3011OtherRevenues
Revenue Not Rptd F990458354RevenueNotRptdF990
Revenue Subtotal956531RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990956531TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1366489TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities444726DonatedServicesUseOfFacilities
Other Expenses Included1070OtherExpensesIncluded
Expenses Not Rptd F990445796ExpensesNotRptdF990
Expenses Subtotal920693ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990920693TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:IN-KIND SERVICES -444,726. INVESTMENT INCOME - RHODE ISLAND CARES FOUNDATION 3,011. BOARD DESIGNATED FOR INVESTMENTS - RHODE ISLAND CARES FOUNDATION -7,427. NET UNREALIZED GAINS(LOSSES) ON INVESTMENT - RHODE ISLAND CARES FOUNDATION 10,617. INVESTMENT EXPENSES - RHODE ISLAND CARES FOUNDATION -1,070.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT INCOME - RHODE ISLAND CARES FOUNDATON 3,011.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT EXPENSES - RHODE ISLAND CARES FOUNDATION 1,070.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 B, LINE 12C
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.FORM 990, PART VI, SECTION C, LINE 19
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, CHARITABLE ORGANIZ.PrimaryActivities
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