2023-11-15T13:58:57-06:00 2022-12-31 050392605 MULLEN SCORPIO & CERILLI 67 CEDAR STREET PROVIDENCE RI 02903 990 2022-01-01 050501276 THE RHODE ISLAND FREE CLINIC INC RHOD 4012746347 655 BROAD STREET PROVIDENCE RI 02907 CARRIE BRIDGES FELIZ MPH PRESIDENT 4012746347 2023-11-14 1 CARRIE BRIDGES FELIZ MPH XXX-XX-XXXX 0 ANTHONY W SCORPIO P01360145 4017513860 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CARRIE BRIDGES FELIZ MPH 655 BROAD STREET PROVIDENCE RI 02907 1622642 0 X RIFREECLINIC.ORG X 1998 RI RHODE ISLAND FREE CLINIC'S MISSION IS TO PROVIDE COMPREHENSIVE MEDICAL CARE AND PREVENTIVE HEALTH SERVICES TO UNINSURED, LOW-INCOME RHODE ISLAND ADULTS, AND TO SERVE AS A TRAINING SITE FOR ASPIRING HEALTHCARE TRAINEES. IN 2021 THE CLINIC MOBILIZED A STATEWIDE CORPS OF MORE THAN 525 VOLUNTEERS AND COMMUNITY PARTNERS, TO SERVE OVER 4,400 ADULTS THROUGH OVER 14,000 VISITS AND ENCOUNTERS, AND TRAINING FOR OVER 195 STUDENT TRAINEES. 21 21 25 456 0 0 1919439 1477935 0 0 6289 8401 132930 136306 2058658 1622642 0 0 0 0 1168338 1245762 0 0 75818 538551 547723 1706889 1793485 351769 -170843 2540511 2312863 85390 58447 2455121 2254416 X RHODE ISLAND FREE CLINIC'S MISSION IS TO PROVIDE COMPREHENSIVE MEDICAL CARE AND PREVENTIVE HEALTH SERVICES TO UNINSURED, LOW-INCOME RHODE ISLAND ADULTS, AND TO SERVE AS A TRAINING SITE FOR ASPIRING HEALTHCARE TRAINEES. IN 2022 THE CLINIC MOBILIZED A STATEWIDE CORPS OF MORE THAN 525 VOLUNTEERS AND COMMUNITY PARTNERS, TO SERVE OVER 4,400 ADULTS THROUGH OVER 14,000 VISITS AND ENCOUNTERS, AND TRAINING FOR OVER 195 STUDENT TRAINEES. 0 0 673805 CLINICAL - IN 2022 THE CLINIC PROVIDED A COMPREHENSIVE MEDICAL HOME FOR UNINSURED RHODE ISLAND ADULTS WHO EARNED BELOW 200% OF THE FEDERAL POVERTY LEVEL. CARE INCLUDED INTEGRATED PRIMARY, SPECIALTY, BEHAVIORAL HEALTH, AND DENTAL SERVICES, LABS AND DIAGNOSTIC TESTING, MEDICINE, AND WELLNESS EDUCATION - ALL FREE TO PATIENTS. 75169 VOLUNTEER - IN 2022 THE CLINIC MOBILIZED A CORPS OF OVER 525 VOLUNTEERS AND COMMUNITY PARTNERS TO DELIVER COMPREHENSIVE HEALTH CARE AND COVID-19 RESPONSE SERVICES TO UNINSURED, LOW-INCOME RHODE ISLAND ADULTS. VOLUNTEERS INCLUDED DOCTORS, DENTISTS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, NURSES, BEHAVIORAL HEALTH CLINICIANS, PHYSICAL THERAPISTS, DIABETES EDUCATORS, LANGUAGE INTERPRETERS, MEDICAL ASSISTANTS, AND MORE. CARE WAS PROVIDED AT THE CLINIC'S STATE-OF-THE-ART FACILITY AT 655 BROAD STREET, PROVIDENCE. 302097 THE CLINIC WAS ON THE FRONT LINE OF COVID-RESPONSE FOR UNDERSERVED ADULTS IN RHODE ISLAND. SERVICES INCLUDED OVER 5,800 TESTS AND VACCINATIONS, AND FOLLOW UP CARE FOR THOSE WHO TESTED POSITIVE. 550774 TRAINING - THE CLINIC IS THE NORTHERN RHODE ISLAND AREA HEALTH EDUCATION CENTER (AHEC). THROUGH IT THE CLINIC COLLABORATED WITH 17 ACADEMIC AND TRAINING PARTNERS TO PROVIDE OVER 195 HEALTHCARE TRAINEES WITH FACULTY-SUPERVISED TRAINING. TRAINING INCLUDED SKILLS AND SITE-BASED EXPERIENCE IN OVER 12 DISCIPLINES. DENTAL - DENTAL CARE IS INTEGRATED INTO PATIENTS' COMPREHENSIVE MEDICAL HOME AT THE CLINIC. PATIENTS RECEIVED PREVENTIVE, RESTORATIVE, ENDODONTIC, PERIODONTAL, AND SURGICAL TREATMENTS, THROUGH OVER 990 VISITS. 550774 1601845 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 1 5 0 25 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 X X FORREST A DANIELS MPA DSC FACHE 4012746347 655 BROAD STREET PROVIDENCE RI 02907 WILLIAM FITZGERALD PRESIDENT EMERITUS 1.00 X X 0 0 0 JEFFREY CHASE LUBITZ ESQ SECRETARY 1.00 X X 0 0 0 CARRIE BRIDGES FELIZ MPH PRESIDENT 1.00 X X 0 0 0 CAROLINE TROISE MD BOARD MEMBER 1.00 X 0 0 0 CARRIE BRIDGES FELIZ MPH VICE PRESIDENT 1.00 X X 0 0 0 ANDREW DAVIS ESQ BOARD MEMBER 1.00 X 0 0 0 JERRY FINGERUT MD BOARD MEMBER 1.00 X 0 0 0 LOREE DUBOIS BOARD MEMBER 1.00 X 0 0 0 WHITNEY CLARKE BOARD MEMBER 1.00 X 0 0 0 HERBERT RAKATANSKY MD FACG BOARD MEMBER 1.00 X 0 0 0 MICHELLE LEDERBERG ESQ BOARD MEMBER 1.00 X 0 0 0 PHILIP R RIZZUTO MD BOARD MEMBER 1.00 X 0 0 0 JEHANNE BJORNBYE ESQ BOARD MEMBER 1.00 X 0 0 0 GEORGE GREER TREASURER 1.00 X X 0 0 0 JOSEPH PERRONI BOARD MEMBER 1.00 X 0 0 0 ROSS HILLIARD MD VOLUNTEER MEDICAL DIRECTOR 1.00 X 0 0 0 DIANA DUCHARME ESQ BOARD MEMBER 1.00 X 0 0 0 TRAVIS ESCOBAR BOARD MEMBER 1.00 X 0 0 0 RILWAN FEYISITAN JR BOARD MEMBER 1.00 X 0 0 0 BRENDAN KANE BOARD MEMBER 1.00 X 0 0 0 MARINA RODRIGUEZ MD BOARD MEMBER/PART-TIME PRI 1.00 X 0 0 0 MARIE GHAZAL CHIEF EXECUTIVE OFFICER (RETIRED 3/31/2022) 40.00 X 100995 0 13526 MARVIN RONNING DEPUTY DIRECTOR 40.00 X 93613 0 14027 FORREST A DANIELS MPA DSC FACHE CHIEF EXECUTIVE OFFICER AS OF 3/21/2022 40.00 X 107280 0 9887 301888 0 37440 2 0 0 0 0 1477935 1477935 5364 5364 3037 0 3037 3037 3037 102460 0 102460 102460 OTHER INCOME 621300 33846 33846 33846 1622642 36883 0 107824 114521 103069 11452 964273 897622 28731 37920 69955 57349 10639 1967 97013 90179 3502 3332 69281 55295 12391 1595 7435 650 5698 1087 131587 124395 3651 3541 2557 -12 2569 137754 123674 6427 7653 18722 17694 543 485 COMPUTER HARDWARE AND S 39106 32961 4940 1205 COVID-19 EXPENSES 22933 22934 -1 MISCELLANEOUS EXPENSE 21353 8815 7770 4768 CLEANING AND MAINTENANC 16465 15709 386 370 80530 51511 17124 11895 1793485 1601845 115822 75818 862902 1022234 520791 161838 69429 69873 1735853 1277209 464133 458644 366101 372378 257155 227896 2540511 2312863 85390 58447 85390 58447 X 1995543 2081957 459578 172459 2455121 2254416 2540511 2312863 -170843 -29863 0 X X 0 1 X 1 0 X 1206846 1217098 1833733 1907977 1580395 7746049 1206846 1217098 1833733 1907977 1580395 7746049 7746049 33956 27734 47320 -26826 82184 50309 28424 28469 18680 39210 165092 7993325 0.96910 0.96400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 257155 -29259 227896 214306 42849 257155 192845 21461 214306 164408 28437 192845 172685 8277 164408 1 0 1264852 896124 368728 466456 376540 89916 4545 4545 0 458644 INVESTMENTS HELD BY OTHERS 227896 F 227896 X 3034814 -29863 1442035 1412172 1622642 0 1622642 3235520 1442035 1442035 1793485 0 1793485 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. X 0 0 0 0 0 0 0 0 0 FORREST A DANIELS MPA DSC FACHE CHIEF EXECUTIVE OFFICER AS OF 3/21/2 107280 0 0 0 0 0 3604 0 6283 0 117167 0 0 0 MARIE GHAZAL CHIEF EXECUTIVE OFFICER (RETIRED 3/3 100995 0 0 0 0 0 4332 0 9194 0 114521 0 0 0 MARVIN RONNING DEPUTY DIRECTOR 93613 0 0 0 0 0 4849 0 9178 0 107640 0 0 0 BRENDAN KANE PRINCIPAL AT THE PEREGRINE GROUP THE BOARD MEMEBER IS PRINCIPAL AT THE PEREGRINE GROUP, THE PROPERTY MANAGEMENT COMPANY THAT MANAGES THE HINDLE BUILDING, IN WHICH RHODE ISLAND FREE CLINIC REALTY IS CONDO OWNER OF. 0 X CLINICAL, PRIMARY CARE AND PHARMACY SERVICES 0 1442035 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND RECOMMENDS TO THE BOARD FOR APPROVAL. 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 B, LINE 15A THE CHIEF EXECUTIVE OFFICER'S COMPENSATION WAS DETERMINED BY REVIEW OF COMPARABILITY DATA AND WAS APPROVED BY THE BOARD OF DIRECTORS. 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. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. RHODE ISLAND FREE CLINIC REALTY CORPORATION 655 BROAD STREET PROVIDENCE RI 02907 872273706 TO HOLD TITLE OF PROPERTY FOR THE RHODE ISLAND FREE CLINIC. RI 501(C) LINE 12B, II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0