2015-02-24T10:43:40-06:00 2014-09-30 273605969 CBIZ MHM LLC 13577 FEATHER SOUND DRIVE 400 CLEARWATER FL 33762 990 2013-10-01 237208280 ST PETERSBURG FREE CLINIC INC STPE 7278211200 863 THIRD AVENUE NORTH ST PETERSBURG FL 33701 TIMOTHY COOP CHAIR 7278211200 2015-02-20 ROBERT BALDREE P00746379 7275721400 2013 2016-02-25 16:41:14Z BETH A HOUGHTON 863 THIRD AVENUE NORTH ST PETERSBURG FL 33701 11672889 0 X WWW.STPETERSBURGFREECLINIC.ORG X 1970 FL PROVIDE TEMPORARY ASSISTANCE FOR FAMILIES AND INDIVIDUALS IN NEED OF FOOD, SHELTER, AND HEALTH CARE. 22 22 44 4400 0 0 6382542 11226678 0 0 5177 8665 281891 355022 6669610 11590365 200597 199577 0 0 1305309 1443275 0 0 342893 5197016 5651947 6702922 7294799 -33312 4295566 2486235 6969950 530063 726976 1956172 6242974 X ST. PETERSBURG FREE CLINIC IS A MULTI-SERVICE, INDEPENDENT, NOT-FOR-PROFIT HUMAN SERVICES AGENCY PROVIDING OUR COMMUNITY NEIGHBORS ASSISTANCE WITH FOOD, SHELTER AND HEALTH CARE. 0 0 594559 30354 HEALTH CARE: FREE CLINIC HEALTH CENTER PROVIDES PRIMARY HEALTH CARE SERVICES FOR ADULTS AGED 18-64 WITHOUT PRIVATE INSURANCE, MEDICARE OR MEDICAID AND WHO DO NOT QUALIFY FOR COUNTY-SUBSIDIZED HEALTH CARE. THROUGH STAFF AND VOLUNTEER PHYSICIANS AND NURSES, OUR PATIENTS RECEIVED EPISODIC CARE, AS WELL AS EFFECTIVE MANAGEMENT OF CHRONIC DISEASES SUCH AS DIABETES. OUR DIABETIC PROGRAM EFFEFCTIVELY ASSISTED PATIENTS MANAGE THEIR DISEASE, AVOIDING HOSPITALIZATIONS AND SERIOUS COMPLICATIONS. IN FISCAL YEAR 2013-14, FREE CLINIC HEALTH CENTER PROVIDED OVER 11,600 POINTS OF SERVICE. THE DRUG ASSISTANCE PROGRAM FILLED PRESCRIPTIONS VALUED OVER $1.5 MILLION. FREE CLINIC DENTAL CLINIC OFFERS DENTAL SERVICES TO UNINSURED ADULTS WHO HAVE NO OTHER ACCESS. THE FREE CLINIC DENTAL PROGRAM PROVIDED OVER 740 DENTAL SERVICES. 5276658 157674 FOOD: FREE CLINIC FOOD BANK FIGHTS HUNGER IN OUR COMMUNITY BY COLLECTING AND DISTRIBUTING FOOD FREE OF CHARGE TO OVER 64 PARTNER AGENCIES THROUGHOUT OUR COMMUNITY, INCLUDING FOOD PANTRIES, SHELTERS, COMMUNITY KITCHENS AND CHILD CARE CENTERS. THE FOOD BANK COLLECTED AND DISTRIBUTED OVER 2.7 MILLION POUNDS OF FOOD IN FISCAL YEAR 2013-2014. EVERY MONTH, OVER 40,000 OF OUR NEIGHBORS IN NEED RECEIVE FOOD ASSISTANCE THROUGH THESE EFFORTS. FREE CLINIC WE HELP SERVICES PROVIDES EMERGENCY FOOD AND FINANCIAL ASSISTANCE, PERSONAL HYGIENE ITEMS, ASSISTANCE WITH OBTAINING PROPER IDENTIFICATION, AND REFERRAL INFORMATION. IN FISCAL YEAR 2013-14 FREE CLINIC WE HELP SERVICES PROVIDED OVER 46,000 SERVICES. LOCATED AT FREE CLINIC BEACON HOUSE THE COMMUNITY KITCHEN PROVIDES DINNER SIX NIGHTS A WEEK TO ANYONE WHO IS HUNGRY. IN FISCAL YEAR 2013-14 OVER 35,000 HOT MEALS WERE SERVED. 885554 11548 SHELTER: FREE CLINIC BEACON HOUSE PROVIDES TRANSITIONAL SHELTER TO SINGLE, HOMELESS MEN. OVER 90 MEN WERE ASSISTED AT BEACON HOUSE IN FISCAL YEAR 2013-14. IN PARTNERSHIP WITH TAMPA BAY 211, THE JUVENILE WELLFARE BOARD AND PERSONAL ENRICHMENT THROUGH MENTAL HEALTH SERVICES, THE FAMILY RESIDENCE ASSISTS FAMILIES THROUGH NAVIGATION TO WORK TOWARDS FINANCIAL AND HOUSING INDEPENDENCE. IN 2013-14 FISCAL YEAR THE FAMILY RESIDENCE PROVIDED 116 FAMILIES WITH TRANSITIONAL SHELTER. FREE CLINIC WOMEN'S RESIDENCE PROVIDES A SAFE PLACE TO STAY AS WELL AS SUPPORT SERVICES TO SINGLE, HOMELESS WOMEN AS THEY WORK TOWARD THEIR GOAL OF SELF-SUFFICIENCY. FREE CLINIC WOMEN'S RESIDENCE PROVIDED SHELTER AND SUPPORT TO 66 WOMEN IN FISCAL YEAR 2014. IN ALL THREE TRANSITIONAL PROGRAMS, OVER 70% OF THOSE SERVED LEFT WITH HOUSING AND INCOME. 6756771 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 10 0 1 44 1 0 0 0 0 0 1 1 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X THE ORGANIZATION 7278211200 863 THIRD AVENUE NORTH ST PETERSBURG FL 33701 SANDRA AVERITT PHD BOARD MEMBER 1.00 X 0 0 0 MARYLOU BOURDOW SECRETARY 8.00 X X 0 0 0 ELISE MINKOFF PAST CHAIR 1.00 X X 0 0 0 MARY WYATT ALLEN BOARD MEMBER 2.00 X 0 0 0 TIMOTHY COOP CHAIR 4.00 X X 0 0 0 DAVE HOSICK BOARD MEMBER 1.00 X 0 0 0 ED AMEEN BOARD MEMBER 1.00 X 0 0 0 WAYNE HOOVER BOARD MEMBER 8.00 X 0 0 0 SARAH M LUCAS VICE CHAIR 2.00 X X 0 0 0 RICHARD MALCHON JR TREASURER 3.00 X X 0 0 0 MICHAEL BICE BOARD MEMBER 1.00 X 0 0 0 WILLIE B FELTON JR BOARD MEMBER 1.00 X 0 0 0 JUDY HOLLAND BOARD MEMBER 1.00 X 0 0 0 WALTER INMAN BOARD MEMBER 1.00 X 0 0 0 LYNNE MORMINO BOARD MEMBER 6.00 X 0 0 0 JANICE G SHARP BOARD MEMBER 1.00 X 0 0 0 JEAN SPENCER-CARNES BOARD MEMBER 1.00 X 0 0 0 STACY CONROY BOARD MEMBER 1.00 X 0 0 0 JANET CRANE BOARD MEMBER 2.00 X 0 0 0 MATT FREY BOARD MEMBER 1.00 X 0 0 0 BILL VAN LAW BOARD MEMBER 1.00 X 0 0 0 LISA VICKERS BOARD MEMBER 1.00 X 0 0 0 BETH HOUGHTON EXECUTIVE DIRECTOR 45.00 X 78567 0 6376 78567 0 6376 0 0 0 0 0 114949 11111729 4853259 11226678 4165 4165 4500 0 4500 4500 4500 437546 82524 355022 355022 11590365 0 0 363687 199577 199577 95355 69967 8390 16998 1136284 863483 68401 204400 27129 27129 79821 55821 4052 19948 104686 81493 6694 16499 35423 30228 2666 2529 52020 42544 4356 5120 52154 22189 19675 10290 96069 78923 6728 10418 249413 216020 22294 11099 29238 28748 490 13359 9957 1743 1659 120830 104875 8273 7682 101337 87325 5652 8360 DONATED FOOD USED/DISTR 4805671 4805671 PROGRAM SUPPLIES 74169 49347 5865 18957 STAFF TRAINING AND CONT 11017 7108 239 3670 LICENSES AND FEES 8828 2168 2248 4412 2419 1327 730 362 7294799 6756771 195135 342893 55161 229933 123236 350082 320429 4044807 0 21813 53863 101542 67158 67570 2743172 841175 1615255 1901997 251133 252206 2486235 6969950 139807 323444 390256 403532 530063 726976 X 1239610 883052 498962 5142322 217600 217600 1956172 6242974 2486235 6969950 4295566 988 -9752 0 X 0 1 X 1 0 X 4610586 3752938 5295379 6382542 11226678 31268123 4610586 3752938 5295379 6382542 11226678 31268123 874187 30393936 7375 4282 3018 3677 4165 22517 31290640 1669853 0.97130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 945496 40000 85145 1070641 824559 30000 90937 945496 497643 231103 95813 824559 442404 48500 6739 497643 355634 101428 30436 45094 442404 0.84590 0.15410 0.00000 0 0 422987 422987 1521397 601087 920310 440926 240088 200838 357862 357862 1901997 X 12370142 988 272136 506653 779777 11590365 0 11590365 7567010 272136 75 272211 7294799 0 7294799 PART V, LINE 4: PROVIDE A LONG-TERM PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY THE FREE CLINIC. PART X, LINE 2: THE FREE CLINIC FOLLOWS ACCOUNTING STANDARDS CODIFICATION TOPIC 740, "INCOME TAXES" ("ASC 740"). A COMPONENT OF THIS STANDARD PRESCRIBES A RECOGNITION AND MEASUREMENT THRESHOLD OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. FOR THOSE BENEFITS TO BE RECOGNIZED, A TAX POSITION MUST BE MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE FREE CLINICS POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS UNDER THIS STANDARD AS A COMPONENT OF TAX EXPENSE, AND NONE WERE RECOGNIZED SINCE THERE WAS NO MATERIAL IMPACT OF THE APPLICATION OF THIS STANDARD FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND 2013. THE FREE CLINICS INFORMATION RETURNS ARE OPEN TO IRS EXAMINATION FOR THE 2010 TAX YEAR ENDED SEPTEMBER 30, 2011, AND ALL SUBSEQUENT YEARS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION ACTIVITY ON FS 438,951. ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION UNREALIZED GAIN/LOSS 67,702. PART XII, LINE 2D - OTHER ADJUSTMENTS: ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION ACTIVITY ON FS 75. SOUP'S ON FUNDRAISER 84776 84776 10056 BATTLE OF THE MINDS FUNDRAISER 352770 352770 72468 437546 437546 82524 82524 355022 1 SPECIFIC ASSISTANCE TO INDIVIDUALS IN NEED OF FOOD, MEDICAL CARE, SHELTER, LIMITED FINANCIAL ASSISTANCE, AND REFERRAL INFORMATION, THROUGH PROGRAMS SUCH AS BEACON HOUSE, WE HELP SERVICES, AND WOMEN'S RESIDENCE 15339 199577 BOOK PART I, LINE 2: THE VARIOUS PROGRAMS, SUCH AS BEACON HOUSE, WE HELP SERVICES, FAMILY RESIDENCE, HEALTH CENTER AND WOMEN'S RESIDENCE PROVIDE ASSISTANCE TO INDIVIDUALS IN THE FOLLOWING WAYS: - DIRECT MEDICINE - THE CLINIC PURCHASES AND DISTRIBUTES MEDICINE DIRECTLY TO PATIENTS. - UTILITIES - THE CLINIC PAYS UTILITY BILLS ON BEHALF OF INDIVIDUALS. - DIRECT ASSISTANCE - THE CLINIC PROVIDES FOOD (MOSTLY DONATED) ON BEHALF OF INDIVIDUALS. - TRANSPORTATION - THE CLINIC PURCHASES BUS PASSES ON BEHALF OF INDIVIDUALS. - ID SERVICES - THE CLINIC HELPS INDIVIDUALS WITH OBTAINING DRIVER LICENSES AND BIRTH CERTIFICATES. - DIABETIC SUPPLIES - THE CLINIC PROVIDES DIABETIC TESTING SUPPLIES. ALL APPLICANTS ARE INTERVIEWED AND SCREENED TO DETERMINE THEIR SPECIFIC NEEDS. ALL ASSISTANCE IS PAID FOR DIRECTLY BY THE CLINIC, AND NO MONEY GOES DIRECTLY TO INDIVIDUALS. X 4853259 ESTIMATED $1.74/LB 0 0 0 PART I, COLUMN (B): LINE 19 CONTRIBUTORS DONATED APPROXIMATELY 2,800,000 POUNDS OF FOOD DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990, AND PRESENTS THE EXACT IRS FILING COPY OF THE FORM 990 FOR EACH VOTING BOARD MEMBER'S REVIEW, BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE EXECUTIVE DIRECTOR MONITORS FOR ANY CONFLICT OF INTEREST AMONG EMPLOYEES, AND INVOLVES THE CHAIRPERSON OR BOARD AS NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD'S EXECUTIVE COMMITTEE DETERMINES THE EXECUTIVE DIRECTOR'S SALARY BASED ON THEIR KNOWLEDGE OF SALARIES AT COMPARABLE ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. SISTER MARGARET FREEMAN FOUNDATION 863 3RD AVENUE NORTH ST PETERSBURG FL 33701 311470427 PROVIDE SUPPORT FOR THE ST. PETERSBURG FREE CLINIC FL 501(C)(3) 11A - TYPE 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0