ST PETERSBURG FREE CLINIC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST PETERSBURG FREE CLINIC INC (EIN 23-7208280)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-01-31
IRS object ID
201310319349300426
Schema version
2011v1.2
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)
Timestamp2013-01-31T13:37:55-06:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN273605969EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZ KIRKLAND RUSS MURPHY & TAPPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line113577 FEATHER SOUND DRIVE SUITE 400AddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code33762ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

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)
NameELISE MINKOFFName
TitleCHAIRTitle
Phone7278211200Phone
Date Signed2013-01-31DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRIS CORNEROLIName
PTINP01258051PTIN
Phone7275721400Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts5622978GrossReceipts
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 THE BASICS OF FOOD, SHELTER, HEALTH CARE, LIMITED FINANCIAL ASSISTANCE, AND REFERRAL INFORMATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees39TotalNbrEmployees
Total Nbr Volunteers4033TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3752938ContributionsGrantsPriorYear
Contributions Grants Current Year5295379ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-1990InvestmentIncomePriorYear
Investment Income Current Year-4320InvestmentIncomeCurrentYear
Other Revenue Prior Year211962OtherRevenuePriorYear
Other Revenue Current Year258088OtherRevenueCurrentYear
Total Revenue Prior Year3962910TotalRevenuePriorYear
Total Revenue Current Year5549147TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year201785GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY199098GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1034432SalariesEtcPriorYear
Salaries Etc Current Year1150416SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year241506TotalFundrsngExpCurrentYear
Other Expense Prior Year3018122OtherExpensePriorYear
Other Expenses Current Year3956964OtherExpensesCurrentYear
Total Expenses Prior Year4254339TotalExpensesPriorYear
Total Expenses Current Year5306478TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-291429RevenuesLessExpensesPriorYear
Revenues Less Expenses CY242669RevenuesLessExpensesCY
Total Assets BOY2100571TotalAssetsBOY
Total Assets EOY2375551TotalAssetsEOY
Total Liabilities BOY370399TotalLiabilitiesBOY
Total Liabilities EOY397150TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1730172NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1978401NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionFREE CLINIC'S MISSION IS TO PROVIDE TEMPORARY ASSISTANCE WITH HEALTH CARE, FOOD, AND SHELTER TO PEOPLE WHO ARE NOT ELIGIBLE FOR OTHER ASSISTANC PROGRAMS AND THOSE FACING EMERGENCY SITUATIONS SUCH AS JOB LOSS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense558902Expense
Grants61790Grants
DescriptionTHE FREE CLINIC HEALTH CENTER IS A WALK-IN CLINIC FOR ADULTS (AGES 18-64) WITHOUT PRIVATE INSURANCE, MEDICARE, MEDICAID, AND FOR THOSE WHO DO NOT QUALIFY BY LOW INCOME FOR COUNTY HEALTH CARE. A GRANT FUNDED ADVANCED REGISTERED NURSE PRACTITIONER TREATS PATIENTS ALONG WITH 36 LICENSED DOCTORS AND 35 NURSES WHO VOLUNTEER THEIR TIME AND SERVICES AT THE FREE CLINIC. 7,800 PHYSICIAN VISITS AND 11,000 PRESCRIPTIONS WERE PROVIDED. SERVICES ALSO INCLUDE HEALTH SCREENINGS, HEALTH EDUCATION, LIMITED NUMBER OF WORK PHYSICALS, DIABETIC CLASSES, OVER THE COUNTER MEDICINE AND MEDICAL EQUIPMENT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2811250Expense
Grants0Grants
DescriptionFREE CLINIC FOOD BANK ANNUALLY GATHERS 2,014,000 POUNDS OF DONATED AND SURPLUS FOOD FROM DISTRIBUTORS, RETAILERS, WHOLESALERS, GROWERS, COMMUNITY GROUPS, INDIVIDUALS, SCHOOLS, CHURCHES, AND BUSINESSES. THE FOOD IS DISTRIBUTED TO 62 PARTNER AGENCIES THROUGHOUT THE COMMUNITY WHICH INCLUDES FOOD PANTRIES, SOUP KITCHENS AND DAY-CARE GROUPS FOR CHILDREN AND THE ELDERLY. THE FOOD IS ALSO SUPPLIED TO THREE FREE CLINIC PROGRAMS INCLUDING WE HELP SERVICES (FOOD IS GIVEN DIRECTLY TO INDIVIDUALS AND FAMILIES IN NEED), THE WOMEN'S RESIDENCE (A SHELTER FOR SINGLE HOMELESS WOMEN), AND BEACON HOUSE (A MEN'S SHELTER AND COMMUNITY KITCHEN) WHICH PROVIDED 53,400 MEALS LAST YEAR.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1030085Expense
Grants132119Grants
DescriptionFREE CLINIC WE HELP SERVICES OFFERS INDIVIDUALS AND FAMILIES IN NEED WITH A VARIETY OF RESOURCES, EMERGENCY FOOD FROM THE ONSITE FOOD PANTRY, PERSONAL HYGIENE ITEMS, LIMITED FINANCIAL ASSISTANCE FOR WATER BILLS, LIMITED TRANSPORTATION ASSISTANCE, AND COMMUNITY REFERRAL GUIDANCE AND DIRECTION. APPROXIMATELY 50,000 PEOPLE WERE HELPED AND 517,344 POUNDS OF FOOD WERE DISTRIBUTED THROUGH THIS PROGRAM. OVER $97,000 IN FINANCIAL ASSISTANCE WAS PROVIDED FOR ASSISTANCE WITH WATER BILLS, TRANSPORTATION, AND IDENTIFICATION. ADDITIONALLY, OVER $41,000 IN FINANCIAL ASSISTANCE WAS PROVIDED FOR ELECTRIC BILLS TO THOSE SUFFERING FROM SEVERE MEDICAL CONDITIONS. 7,500 CHILDREN WERE ALSO PROVIDED FOOD THROUGH THIS PROGRAM.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseGrantsGrantsDescriptionDescription
1948573291THE FREE CLINIC WOMEN'S RESIDENCE PROVIDES A SAFE PLACE FOR SINGLE HOMELESS WOMEN TO STAY WHILE THEY ARE WORKING, SAVING, AND PLANNING FOR INDEPENDENT LIVING. UP TO 20 WOMEN MAY STAY AT ANY ONE TIME. THE WOMEN ARE SUPPORTED THROUGH REFERRAL AND INFORMATION PROGRAMS SUCH AS EDUCATION ABOUT BUDGETING, GOAL SETTING, JOB SEEKING, AND SELF-ESTEEM. WOMEN MAY STAY UP TO SIX MONTHS, WITH AN AVERAGE STAY OF FOUR MONTHS. 70 WOMEN WERE PROVIDED SHELTER DURING THE FISCAL YEAR WITH THE AVERAGE AGE BEING IN THE MID-FORTIES.
3411461898THE FREE CLINIC BEACON HOUSE IS A TEMPORARY AND TRANSITIONAL SHELTER OFFERING 30 BEDS, A SAFE PLACE TO STAY, AND JOB AND HOUSING INFORMATION FOR SINGLE, HOMELESS MEN. DINNER IS SERVED SIX NIGHTS A WEEK TO ANYONE IN THE COMMUNITY WHO IS HUNGRY. RESIDENTS WORK WITH STAFF TO SET GOALS, SAVE MONEY, AND WORK TOWARD INDEPENDENT LIVING. REFERRAL INFORMATION, CLOTHING, AND PERSONAL HYGIENE ITEMS ARE PROVIDED. DURING THE LAST FISCAL YEAR, APPROXIMATELY 7,800 NIGHTS OF SHELTER WERE PROVIDED TO 90 MEN. 32,000 EVENING MEALS WERE PROVIDED THROUGH THE BEACON HOUSE COMMUNITY KITCHEN.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp536003TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt5189TotalOfOtherProgramServiceGrnt
Total Program Service Expense4936240TotalProgramServiceExpense
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 Securities0ReportInvestOthSecurities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees39NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

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 (17 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
CHAIR4.00X000X
JOHN NICELY
TREASURER2.00X000X
MARY WYATT ALLEN
BOARD MEMBER2.00X000
TIM COOP
VICE CHAIR2.00X000X
LYNDETTE AGUIRRE
BOARD MEMBER4.00X000
GLENN MCKELVEY
BOARD MEMBER1.00X000
DAVE HOSICK
BOARD MEMBER1.00X000
GINNY ROWELL
BOARD MEMBER1.00X000
SHERWOOD WHITE
BOARD MEMBER1.00X000
ED AMEEN
BOARD MEMBER1.00X000
WAYNE HOOVER
BOARD MEMBER8.00X000
SARAH M LUCAS
BOARD MEMBER1.00X000
RICK MALCHON JR
BOARD MEMBER2.00X000
KATHY MATTHEWS
BOARD MEMBER1.00X000
BETH HOUGHTON
EXECUTIVE DIRECTOR40.00357000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3570TotalReportableCompFromOrg
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 Grants40130GovernmentGrants
All Other Contributions5255249AllOtherContributions
Noncash Contributions3422976NoncashContributions
Total Contributions5295379TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3018TotalRevenueColumn
Exclusion$3,018ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other7338Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-7338Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-7338TotalRevenueColumn
Exclusion-$7,338ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events324581GrossIncomeFundraisingEvents
Fundraising Direct Expenses66493FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column258088TotalRevenueColumn
Exclusion$258,088ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5549147TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$253,768ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total199098Total
Program Services199098ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total59575Total
Program Services46610ProgramServices
Management And General4186ManagementAndGeneral
Fundraising8779Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total946191Total
Program Services740283ProgramServices
Management And General66488ManagementAndGeneral
Fundraising139420Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total15001Total
Program Services13547ProgramServices
Fundraising1454Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total49763Total
Program Services40273ProgramServices
Management And General4553ManagementAndGeneral
Fundraising4937Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total79886Total
Program Services60483ProgramServices
Management And General4939ManagementAndGeneral
Fundraising14464Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31525Total
Program Services26555ProgramServices
Management And General2486ManagementAndGeneral
Fundraising2484Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total48353Total
Program Services31475ProgramServices
Management And General5454ManagementAndGeneral
Fundraising11424Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total31318Total
Program Services21862ProgramServices
Management And General5073ManagementAndGeneral
Fundraising4383Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total36322Total
Program Services27364ProgramServices
Management And General3945ManagementAndGeneral
Fundraising5013Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total171311Total
Program Services147296ProgramServices
Management And General13661ManagementAndGeneral
Fundraising10354Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total23324Total
Program Services22246ProgramServices
Management And General646ManagementAndGeneral
Fundraising432Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total13276Total
Program Services9957ProgramServices
Management And General1660ManagementAndGeneral
Fundraising1659Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total60116Total
Program Services55288ProgramServices
Management And General2414ManagementAndGeneral
Fundraising2414Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total80294Total
Program Services69791ProgramServices
Management And General6968ManagementAndGeneral
Fundraising3535Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DONATED FOOD USED/DISTR33852103385210
PROGRAM SUPPLIES5748234355385419273
LICENSES AND FEES1134913605419448
STAFF TRAINING AND CONT555431875001867

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1530Total
Management And General1364ManagementAndGeneral
Fundraising166Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5306478Total
Program Services4936240ProgramServices
Management And General128732ManagementAndGeneral
Fundraising241506Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY32956BOY
EOY59076EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY358363BOY
EOY543683EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY423309BOY
EOY435348EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY149247BOY
EOY110218EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY45146BOY
EOY82912EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY54017BOY
EOY50613EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2122641LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1078940LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY987533BOY
EOY1043701EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY50000BOY
EOY50000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2100571BOY
EOY2375551EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY106695BOY
EOY120170EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY263704BOY
EOY276980EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY370399BOY
EOY397150EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY896948BOY
EOY1336116EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY783224BOY
EOY424685EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY50000BOY
EOY217600EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1730172BOY
EOY1978401EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2100571BOY
EOY2375551EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses242669ReconcilationRevenueExpenses
Reconcilation Other Changes5560ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Balance846072BeginningOfYearBalance
Contributions381275Contributions
Investment Earnings Or Losses-26124InvestmentEarningsOrLosses
Grants Or Scholarships558938GrantsOrScholarships
End Of Year Balance642285EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance869503BeginningOfYearBalance
Contributions277211Contributions
Investment Earnings Or Losses-13276InvestmentEarningsOrLosses
Grants Or Scholarships287366GrantsOrScholarships
End Of Year Balance846072EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance641495BeginningOfYearBalance
Contributions642662Contributions
Investment Earnings Or Losses-13276InvestmentEarningsOrLosses
Grants Or Scholarships319034GrantsOrScholarships
Other Expenditures82344OtherExpenditures
End Of Year Balance869503EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance418040BeginningOfYearBalance
Contributions308304Contributions
Investment Earnings Or Losses-17849InvestmentEarningsOrLosses
Grants Or Scholarships60000GrantsOrScholarships
Other Expenditures7000OtherExpenditures
End Of Year Balance641495EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.34000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.66000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis346687OtherCostOrOtherBasis
Book Value346687BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1416043OtherCostOrOtherBasis
Depreciation860284Depreciation
Book Value555759BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis359911OtherCostOrOtherBasis
Depreciation218656Depreciation
Book Value141255BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1043701TotalOfBookValueLandBuildings
Total Revenue5549147TotalRevenue
Total Expenses5306478TotalExpenses
Excess Or Deficit For Year242669ExcessOrDeficitForYear
Net Unrealized GL On Investments5560NetUnrealizedGLOnInvestments
Total Adjustments5560TotalAdjustments
Excess Or Deficit Per FS248229ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6070469TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5560NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities285150DonatedSrvcAndUseOfFacilities
Other Revenues223275OtherRevenues
Revenue Not Rptd F990513985RevenueNotRptdF990
Revenue Subtotal5556484RevenueSubtotal
Other Revenues Not Included-7337OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-7337RevenueNotRptdOnFinStmt
Total Revenue Per Form9905549147TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5599202TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities285150DonatedServicesUseOfFacilities
Other Expenses Included7574OtherExpensesIncluded
Expenses Not Rptd F990292724ExpensesNotRptdF990
Expenses Subtotal5306478ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905306478TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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: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 CLINIC'S 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, 2012 AND 2011. THE FREE CLINIC'S INFORMATION RETURNS ARE OPEN TO IRS EXAMINATION FOR THE 2008 TAX YEAR ENDED SEPTEMBER 30, 2009, AND ALL SUBSEQUENT YEARS.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION ACTIVITY ON FS 134,672. ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION UNREALIZED GAIN/LOSS 88,603.
PART XII, LINE 4B - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS RECORDED AS EXPENSE ON FS -7,337.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS RECORDED AS EXPENSE ON FS 7,338. ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION ACTIVITY ON FS 71. EXPENSES NETTED AGAINST REVENUE 165.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SOUP'S ON FUNDRAISERNameOfEvent1
Gross Receipts Event168926GrossReceiptsEvent1
Gross Revenue Event168926GrossRevenueEvent1
Other Direct Expenses Event14982OtherDirectExpensesEvent1
Name Of Event2BATTLE OF THE MINDS FUNDRAISERNameOfEvent2
Gross Receipts Event2255655GrossReceiptsEvent2
Gross Revenue Event2255655GrossRevenueEvent2
Other Direct Expenses Event261511OtherDirectExpensesEvent2
Gross Receipts Total324581GrossReceiptsTotal
Gross Revenue Total Events324581GrossRevenueTotalEvents
Other Direct Expenses Total Events66493OtherDirectExpensesTotalEvents
Direct Expense Summary Events66493DirectExpenseSummaryEvents
Net Income Summary258088NetIncomeSummary

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 Recipients15000NumberOfRecipients
Amount Of Cash Grant199098AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
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, 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

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9903422976NoncashContribsRptdF990
Method Of Determining RevenuesESTIMATED $1.70/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 CONTRIBUTORS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationCONTRIBUTORS DONATED APPROXIMATELY 2,014,000 POUNDS OF FOOD DURING THE YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 15ATHE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PLEASE CALL 727-823-7866 TO MAKE A REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 5,560.CHANGES IN NET ASSETS OR FUND BALANCES:

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
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
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

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