2011-11-14T12:43:14-06:00 2010-12-31 MULLEN SCORPIO & CERILLI 67 CEDAR STREET PROVIDENCE RI 02903 990 2010-01-01 050501276 THE RHODE ISLAND FREE CLINIC INC RHOD 4012746347 655 BROAD STREET PROVIDENCE RI 02907 MARIE GHAZAL 4012746347 2011-11-14 1 ANTHONY W SCORPIO 4017513860 2010 2016-02-24 21:20:13Z MARIE GHAZAL 655 BROAD STREET PROVIDENCE RI 02907 956531 0 X WWW.RIFREECLINIC.ORG X 1998 RI THE 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. 18 18 13 511 0 0 1242667 942805 53220 0 3457 522 0 13204 1299344 956531 0 0 0 0 582937 573873 0 0 103167 340775 346820 923712 920693 375632 35838 1556943 1531816 215655 154691 1341288 1377125 X THE 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. 0 0 239178 CLINICAL - 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. 168442 VOLUNTEER - 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. 121365 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. 160897 PHYSICIANS 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. 160897 689882 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 3 0 1 13 1 0 0 0 0 0 0 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 104915 0 11283 BERNARD J MANSHEIM MD 1.00 X X 0 0 0 VALERIE M LITTLEFIELD PMP 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 MARK GIM 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 MARK MONTELLA 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 104915 0 11283 1 0 0 0 0 44235 898570 942805 522 522 OTHER INCOME 621300 13204 13204 13204 956531 13204 0 522 116199 81339 17430 17430 358509 269904 45634 42971 48515 36406 6226 5883 50650 37525 6708 6417 6739 5069 863 807 88038 64831 11990 11217 1726 1298 221 207 3077 2314 394 369 7293 6281 523 489 48838 42060 3502 3276 10566 7947 1353 1266 MEDICATIONS 37326 37326 CONSULTANTS 26568 23448 3120 WRITE-OFF OBSOLETE INVE 21028 21028 SECURITY 12836 9772 1583 1481 SUPPLIES 8908 6701 1140 1067 73877 57661 9049 7167 920693 689882 127644 103167 643179 686987 94157 41699 33941 9306 9600 10356 1019040 235572 776066 783468 1556943 1531816 109620 32864 22428 106035 99399 215655 154691 X 1162783 984511 83617 392614 94888 0 1341288 1377125 1556943 1531816 X 35838 X X 0 1 1 X 0 X 1008071 735170 342213 1186667 942805 4214926 1008071 735170 342213 1186667 942805 4214926 4214926 5442 32579 8580 3457 522 50580 7533 53220 13204 73957 4339463 0.97130 0.97600 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 98220 98220 94888 -94888 189776 94888 94888 91888 3000 94888 0 0 848840 103660 745180 170200 131912 38288 783468 956531 920693 35838 444726 -5131 -439595 0 35838 1414885 10617 444726 3011 458354 956531 0 956531 1366489 444726 1070 445796 920693 0 920693 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. 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. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. RHODE ISLAND CARES FOUNDATION 655 BROAD STREET PROVIDENCE RI 02907 432107840 TO SUPPORT THE RHODE ISLAND FREE CLINIC A TAX-EXEMPT, CHARITABLE ORGANIZ. 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