2017-07-06T17:55:18-05:00 2016-12-31 450250958 Eide Bailly LLP 5 Triad Center Ste 600 Salt Lake City UT 841801128 990 2016-01-01 202313461 Maliheh Free Clinic MALI 8012663700 415 East 3900 South Salt Lake City UT 84107 Dr Scott Browning President 8012663700 2017-06-21 1 Mark C Furniss CPA P00242966 8015322200 199.19.248.73 2017-06-21 14:45:06 MD P A72655B2F7E14BD7684A4902134C1D5928547D66 7941FD8240EC44F8AFDF1D509067A71DA55F2CD1 2016 2021-01-29 14:40:06Z Dr Scott Browning 415 East 3900 South Salt Lake City UT 84107 1441565 0 X www.malihehfreeclinic.org X 2005 UT Provide free quality medical services to uninsured and low-income individuals and families. 11 10 33 600 0 0 1281681 1441565 0 0 0 0 -5910 -8306 1275771 1433259 0 0 0 0 585858 665650 29271 25033 70043 212528 203296 827657 893979 448114 539280 4025089 4839606 55295 59195 3969794 4780411 Maliheh Free Clinic seeks to improve the quality of life in the greater Salt Lake City area by providing free, quality medical services for uninsured and low income individuals and families to help reverse the cycle of poverty and suffering created by poor health. 0 0 754806 Maliheh Free Clinic provides free, quality medical care to uninsured and low income individuals and families in the greater Salt Lake City area. Patients are all living below 150% of federal poverty guidelines and are not eligible for Medicare, Medicaid, CHIP and other programs. IN 2016, the clinic provided nearly 16,000 medical appointments for 6,000 individuals in need in our community. This was accomplished with a small core paid staff and the services of over 500 volunteers who gave their time and talents to those in need. 754806 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 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 1 1 0 1 33 1 0 0 0 0 0 0 0 0 0 0 X 11 10 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 1 0 UT X X Jeanie Ashby 8012663700 415 East 3900 South Salt Lake City UT 84107 Dr Scott Browning President 2.00 X X 0 0 0 Elaine Ellis Vice President 2.00 X X 0 0 0 Doug White Esq Secretary 2.00 X X 0 0 0 Kym McClelland Treasurer 2.00 X X 0 0 0 Dr Mansour Emam Director 2.00 X 0 0 0 Sue Ferry Director 2.00 X 0 0 0 Ghazaleh Semnani Director 2.00 X 0 0 0 Khosrow Semnani Director 2.00 X 0 0 0 Dr David Sundwall Director 2.00 X 0 0 0 Dr Karen Miller Director 2.00 X 0 0 0 Mikelle Moore Director 2.00 X 0 0 0 Jeanie Ashby Executive Director 40.00 X 88917 0 0 88917 0 0 0 0 0 0 0 248291 116250 1077024 1441565 0 248291 8306 -8306 -8306 1433259 0 0 -8306 88918 44459 44459 528580 524784 3796 48152 47824 328 10396 10396 25033 25033 2 2 27572 24953 2068 551 49312 45614 3698 7288 5351 1937 Medical Supplies 45737 45737 Cancer Screening 29265 29265 Utilities 16791 15532 1259 Maintenance 15851 14662 1189 1082 1082 893979 754806 69130 70043 198391 266745 513948 25350 1110631 374250 762957 736381 2549793 3811130 4025089 4839606 55295 59195 55295 59195 X 340656 351827 1119138 1378584 2510000 3050000 3969794 4780411 4025089 4839606 539280 271337 0 X 0 1 X 1 0 X 663469 513724 681122 1281681 1441565 4581561 663469 513724 681122 1281681 1441565 4581561 2088397 2493164 425 45560 69651 115636 4697197 0.53080 0.53190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2549793 990000 271337 3811130 2580105 -30312 2549793 2407318 172787 2580105 2074008 333310 2407318 373583 1700000 425 2074008 0.80000 0.20000 0 0 90000 90000 695000 133444 561556 85707 71187 14520 239924 169619 70305 736381 X 3743048 271337 2038452 2309789 1433259 0 1433259 2932431 2038452 2038452 893979 0 893979 Part X, Line 2: The Clinic is organized as a Utah nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Section 501(a) of the Internal Revenue Code as an organization described in Section 501(c)(3), qualifies for the charitable contribution deduction under Section 170(b)(1)(A)(vi), and has been determined not to be a private foundation under Section 509(a)(1). The Clinic is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Clinic is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Clinic has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Clinic believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Clinic would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The Clinic's forms 990 are no longer subject to tax examination for years before 2012. X X X X X 1 FRCI 8 East Broadway SLC UT 84111 Grant writing 0 0 24038 -24038 24038 -24038 UT GALA 221002 221002 8306 STUDENT PHARMACIST GALA 27289 27289 248291 248291 8306 8306 -8306 Form 990, Part VI, Section A, line 2 Khosrow Semnani and Ghazaleh Semnani are husband and wife. Douglas White is employed by a company owned and operated by Khosrow Semnani. Form 990, Part VI, Section B, line 11b The Organization will review the Form 990 with all board members at its next quarterly meeting. Form 990, Part VI, Section B, line 12c All board members sign a conflict of interest statement annually. The conflict of interest policy is addressed annually in a quarterly board meeting. Form 990, Part VI, Section B, line 15 Compensation is determined looking at nationwide statistics and compares wages with other non-profit organizations, locally and nationally. Form 990, Part VI, Section C, line 19 All governing documents, conflict of interest policy and financial statements are available from the Executive Director, as requested.