ST PETERSBURG FREE CLINIC INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST PETERSBURG FREE CLINIC INC (EIN 23-7208280)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-02-28
IRS object ID
201420599349300727
Schema version
2012v2.1
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)
Timestamp2014-02-28T14:52:18-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN273605969EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line113577 FEATHER SOUND DRIVE 400AddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code33762ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237208280EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST PETERSBURG FREE CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTPENameControl
Phone7278211200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1863 THIRD AVENUE NORTHAddressLine1
CityST PETERSBURGCity
StateFLState
ZIP Code33701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY COOPName
TitleCHAIRTitle
Phone7278211200Phone
Date Signed2014-02-28DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT BALDREEName
PTINP00746379PTIN
Phone7275721400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBETH A HOUGHTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1863 THIRD AVENUE NORTHAddressLine1
CityST PETERSBURGCity
StateFLState
ZIP Code33701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6742463GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STPETERSBURGFREECLINIC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionPROVIDE TEMPORARY ASSISTANCE FOR FAMILIES AND INDIVIDUALS IN NEED OF FOOD, SHELTER, AND HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees34TotalNbrEmployees
Total Nbr Volunteers4232TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5295379ContributionsGrantsPriorYear
Contributions Grants Current Year6382542ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-4320InvestmentIncomePriorYear
Investment Income Current Year5177InvestmentIncomeCurrentYear
Other Revenue Prior Year258088OtherRevenuePriorYear
Other Revenue Current Year281891OtherRevenueCurrentYear
Total Revenue Prior Year5549147TotalRevenuePriorYear
Total Revenue Current Year6669610TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year199098GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY200597GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1150416SalariesEtcPriorYear
Salaries Etc Current Year1305309SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year286462TotalFundrsngExpCurrentYear
Other Expense Prior Year3956964OtherExpensePriorYear
Other Expenses Current Year5197016OtherExpensesCurrentYear
Total Expenses Prior Year5306478TotalExpensesPriorYear
Total Expenses Current Year6702922TotalExpensesCurrentYear
Revenues Less Expenses Prior Year242669RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-33312RevenuesLessExpensesCY
Total Assets BOY2375551TotalAssetsBOY
Total Assets EOY2486235TotalAssetsEOY
Total Liabilities BOY397150TotalLiabilitiesBOY
Total Liabilities EOY530063TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1978401NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1956172NetAssetsOrFundBalancesEOY
Mission DescriptionST. 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense582197Expense
Grants31709Grants
DescriptionHEALTH 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. FREE CLINIC HEALTH CENTER OFFERS BASIC HEALTH AND WELLNESS SERVICES BY A FULL-TIME NURSE PRACTITIONER, A FULL-TIME HEALTH EDUCATOR, FULL-TIME NURSE COORDINATOR, PLUS VOLUNTEER PHYSICIANS AND NURSES. IN FISCAL YEAR 2013, FREE CLINIC HEALTH CENTER PROVIDED OVER 6,700 DOCTOR AND ARNP VISITS. THE DRUG ASSISTANCE PROGRAM FILLED OVER 8,000 PRESCRIPTIONS VALUED AT $1.5 MILLION. FREE CLINIC DENTAL CLINIC OFFERS DENTAL SERVICES TO UNINSURED ADULTS WHO HAVE NO OTHER ACCESS. IN THE PAST TWO FISCAL YEARS THE FREE CLINIC DENTAL PROGRAM SERVED 444 CLIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4866854Expense
Grants158182Grants
DescriptionFOOD: FREE CLINIC FOOD BANK SOLICITS AND THEN DISTRIBUTES FOOD FREE OF CHARGE TO OVER 63 PARTNER AGENCIES THROUGHOUT OUR COMMUNITY, INCLUDING FOOD PANTRIES, SHELTERS, COMMUNITY KITCHENS AND CHILD CARE CENTERS. THE FOOD BANK COLLECTED AND DISTRIBUTED OVER 2.5 MILLION POUNDS OF FOOD IN FISCAL YEAR 2013. 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 FREE CLINIC WE HELP SERVICES PROVIDED 42,000 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 OVER 39,000 WERE SERVED A HOT MEAL.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense763298Expense
Grants10706Grants
DescriptionSHELTER: FREE CLINIC BEACON HOUSE PROVIDES TRANSITIONAL SHELTER TO SINGLE, HOMELESS MEN. OVER 62 MEN WERE ASSISTED AT BEACON HOUSE IN FISCAL YEAR 2013. IN FEBRUARY OF 2013, THE FREE CLINIC ACQUIRED PROPERTY FOR THE PURPOSE OF BETTER SERVING HOMELESS FAMILIES. THE NEWLY LAUNCHED FAMILY RESIDENCE IS ABLE TO PROVIDE 14 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. RESIDENTS MAY STAY FROM ONE TO TWELVE MONTHS WHILE WORKING TO SAVE MONEY, SET GOALS AND BUILD LIFE SKILLS. FREE CLINIC WOMEN'S RESIDENCE PROVIDED SHELTER AND SUPPORT TO 64 WOMEN IN FISCAL YEAR 2013.Description
FieldValueIRS element (for citing)
Total Program Service Expense6212349TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
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 Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees34NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
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 Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7278211200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1863 THIRD AVENUE NORTHAddressLine1
CityST PETERSBURGCity
StateFLState
ZIP Code33701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
SANDRA AVERITT PHD
BOARD MEMBER1.00X000
MARYLOU BOURDOW
SECRETARY8.00X000X
ELISE MINKOFF
CHAIR3.00X000X
MARY WYATT ALLEN
BOARD MEMBER2.00X000
TIMOTHY COOP
VICE CHAIR2.00X000X
LYNDETTE AGUIRRE
BOARD MEMBER4.00X000
DAVE HOSICK
BOARD MEMBER1.00X000
ED AMEEN
BOARD MEMBER1.00X000
WAYNE HOOVER
BOARD MEMBER8.00X000
SARAH M LUCAS
BOARD MEMBER2.00X000
RICHARD MALCHON JR
TREASURER3.00X000X
MICHAEL BICE
BOARD MEMBER1.00X000
WILLIE B FELTON JR
BOARD MEMBER1.00X000
JUDY HOLLAND
BOARD MEMBER2.00X000
WALTER INMAN
BOARD MEMBER1.00X000
LYNNE MORMINO
BOARD MEMBER5.00X000
CHRIS NELSON JR
BOARD MEMBER1.00X000
JANICE G SHARP
BOARD MEMBER1.00X000
JEAN SPENCER-CARNES
BOARD MEMBER1.00X000
JANET PAROO
BOARD MEMBER1.00X000
BETH HOUGHTON
EXECUTIVE DIRECTOR45.007353000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org73530TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants136887GovernmentGrants
All Other Contributions6245655AllOtherContributions
Noncash Contributions4552660NoncashContributions
Total Contributions6382542TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3677TotalRevenueColumn
Exclusion$3,677ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1500TotalRevenueColumn
Exclusion$1,500ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events354744GrossIncomeFundraisingEvents
Fundraising Direct Expenses72853FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column281891TotalRevenueColumn
Exclusion$281,891ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6669610TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$287,068ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total200597Total
Program Services200597ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total75941Total
Program Services59137ProgramServices
Management And General5342ManagementAndGeneral
Fundraising11462Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1034375Total
Program Services805498ProgramServices
Management And General72761ManagementAndGeneral
Fundraising156116Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total25020Total
Management And General25020ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total75273Total
Program Services55585ProgramServices
Management And General6471ManagementAndGeneral
Fundraising13217Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total94700Total
Program Services72151ProgramServices
Management And General6672ManagementAndGeneral
Fundraising15877Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total41514Total
Program Services34795ProgramServices
Management And General4352ManagementAndGeneral
Fundraising2367Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total58517Total
Program Services43623ProgramServices
Management And General6169ManagementAndGeneral
Fundraising8725Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total53288Total
Program Services26308ProgramServices
Management And General18437ManagementAndGeneral
Fundraising8543Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total94531Total
Program Services73739ProgramServices
Management And General11858ManagementAndGeneral
Fundraising8934Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total250921Total
Program Services215289ProgramServices
Management And General25309ManagementAndGeneral
Fundraising10323Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total31319Total
Program Services30663ProgramServices
Fundraising656Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total13279Total
Program Services9957ProgramServices
Management And General1663ManagementAndGeneral
Fundraising1659Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total83674Total
Program Services75174ProgramServices
Management And General4250ManagementAndGeneral
Fundraising4250Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total99129Total
Program Services87819ProgramServices
Management And General5580ManagementAndGeneral
Fundraising5730Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DONATED FOOD USED/DISTR43534204353420
PROGRAM SUPPLIES9504362981567126391
STAFF TRAINING AND CONT93104787154508
RENTAL EXPENSE758132712555999

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5490Total
Program Services499ProgramServices
Management And General3286ManagementAndGeneral
Fundraising1705Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6702922Total
Program Services6212349ProgramServices
Management And General204111ManagementAndGeneral
Fundraising286462Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY59076BOY
EOY55161EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY543683BOY
EOY123236EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY435348BOY
EOY320429EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY110218BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY82912BOY
EOY53863EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY50613BOY
EOY67158EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2350460LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec735205LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1043701BOY
EOY1615255EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY50000BOY
EOY251133EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2375551BOY
EOY2486235EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY120170BOY
EOY139807EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY276980BOY
EOY390256EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY397150BOY
EOY530063EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1336116BOY
EOY1239610EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY424685BOY
EOY498962EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY217600BOY
EOY217600EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1978401BOY
EOY1956172EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2375551BOY
EOY2486235EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-33312ReconcilationRevenueExpenses
Reconciliation Unrealized Invest11083ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance824559BeginningOfYearBalance
Contributions30000Contributions
Investment Earnings Or Losses90937InvestmentEarningsOrLosses
End Of Year Balance945496EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance497643BeginningOfYearBalance
Contributions231103Contributions
Investment Earnings Or Losses95813InvestmentEarningsOrLosses
End Of Year Balance824559EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance442404BeginningOfYearBalance
Contributions48500Contributions
Investment Earnings Or Losses6739InvestmentEarningsOrLosses
End Of Year Balance497643EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance355634BeginningOfYearBalance
Contributions101428Contributions
Investment Earnings Or Losses30436InvestmentEarningsOrLosses
Other Expenditures45094OtherExpenditures
End Of Year Balance442404EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance272636BeginningOfYearBalance
Contributions62694Contributions
Investment Earnings Or Losses22602InvestmentEarningsOrLosses
Other Expenditures2298OtherExpenditures
End Of Year Balance355634EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.82550BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.17450PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis422987OtherCostOrOtherBasis
Book Value422987BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1493564OtherCostOrOtherBasis
Depreciation529433Depreciation
Book Value964131BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis433909OtherCostOrOtherBasis
Depreciation205772Depreciation
Book Value228137BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1615255TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENTS - RAYMOND JAMES33F
HANCOCK BANK C.D.201100F
SMFF - FOUNDER'S FUND FIDELITY50000F
FieldValueIRS element (for citing)
Total Of Book Value Securities251133TotalOfBookValueSecurities
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt7112447TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments11083NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities280041DonatedSrvcAndUseOfFacilities
Other Revenues151713OtherRevenues
Revenue Not Rptd F990442837RevenueNotRptdF990
Revenue Subtotal6669610RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9906669610TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6983149TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities280041DonatedServicesUseOfFacilities
Other Expenses Included186OtherExpensesIncluded
Expenses Not Rptd F990280227ExpensesNotRptdF990
Expenses Subtotal6702922ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906702922TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:PROVIDE A LONG-TERM PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY THE FREE CLINIC.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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, 2013 AND 2012. THE FREE CLINICS INFORMATION RETURNS ARE OPEN TO IRS EXAMINATION FOR THE 2009 TAX YEAR ENDED SEPTEMBER 30, 2010, AND ALL SUBSEQUENT YEARS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION ACTIVITY ON FS 60,775. ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION UNREALIZED GAIN/LOSS 90,938.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION ACTIVITY ON FS 186.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SOUP'S ON FUNDRAISERNameOfEvent1
Gross Receipts Event180798GrossReceiptsEvent1
Gross Revenue Event180798GrossRevenueEvent1
Other Direct Expenses Event19226OtherDirectExpensesEvent1
Name Of Event2BATTLE OF THE MINDS FUNDRAISERNameOfEvent2
Gross Receipts Event2273946GrossReceiptsEvent2
Gross Revenue Event2273946GrossRevenueEvent2
Other Direct Expenses Event263627OtherDirectExpensesEvent2
Gross Receipts Total354744GrossReceiptsTotal
Gross Revenue Total Events354744GrossRevenueTotalEvents
Other Direct Expenses Total Events72853OtherDirectExpensesTotalEvents
Direct Expense Summary Events72853DirectExpenseSummaryEvents
Net Income Summary281891NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSPECIFIC 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 RESIDENCETypeOfGrant
Number Of Recipients15500NumberOfRecipients
Amount Of Cash Grant200597AmountOfCashGrant
Method Of ValuationBOOKMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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.Explanation

Schedule M IRS990ScheduleM

Real Estate Residential RealEstateResidential

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990228288NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9904324372NoncashContribsRptdF990
Method Of Determining RevenuesESTIMATED $1.73/LBMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMETHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationLINE 15 ASAP FAMILY SERVICES CLOSED ITS DOORS AND DONATED 5 CONTIGUOUS PARCELS OF REAL ESTATE TO ST. PETERSBURG FREE CLINIC. LINE 19 CONTRIBUTORS DONATED APPROXIMATELY 2,500,000 POUNDS OF FOOD DURING THE YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15THE 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 19FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SISTER MARGARET FREEMAN FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1863 3RD AVENUE NORTHAddressLine1
CityST PETERSBURGCity
StateFLState
ZIP Code33701ZIPCode
FieldValueIRS element (for citing)
EIN311470427EIN
Primary ActivitiesPROVIDE FUNDS FOR THE ST. PETERSBURG FREE CLINICPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11A - TYPE 1PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
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 Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE R, PART V, LINE 1BReturnReference
ExplanationEACH YEAR, ST. PETERSBURG FREE CLINIC CONTRIBUTES $50,000 TO THE FOUNDERS FUND, IF BEQUESTS OF THAT AMOUNT ARE RECEIVED SISTER MARGARET FREEMAN FOUNDATION DISTRIBUTES 5% ANNUALLY OF THE VALUE OF THE FOUNDERS FUND TO ST PETERSBURG FREE CLINICExplanation

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