CARE TRANSFORMATION COLLABORATIVE OF RI: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CARE TRANSFORMATION COLLABORATIVE OF RI (EIN 47-2304987)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-07
- IRS object ID
- 202421289349302167
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-07T11:27:06-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 050409384 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAHN LITWIN RENZA & CO LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 951 NORTH MAIN STREET | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472304987 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE TRANSFORMATION COLLABORATIVE OF RI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 4015193921 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET STE 500 BOX | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBRA HURWITZ | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 4015193921 | PhoneNum |
| Signature | 2024-05-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DEBRA | PersonFirstNm |
| Person Last | HURWITZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 888008888 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICK J MARTIN | PreparerPersonNm |
| PTIN | P00283486 | PTIN |
| Phone | 4012742001 | PhoneNum |
| Preparation | 2024-05-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBRA HURWITZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET STE 500 BOX 18 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,963,991 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CTC-RI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | TO LEAD THE TRANSFORMATION OF PRIMARY CARE IN RHODE ISLAND IN THE CONTEXT OF AN INTEGRATED HEALTH CARE SYSTEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 27 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 27 | VotingMembersIndependentCnt |
| Total Employee | 11 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,685,791 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,546,898 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,968,002 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,354,838 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,251 | PYInvestmentIncomeAmt |
| CY Investment Income | $61,655 | CYInvestmentIncomeAmt |
| PY Other Revenue | $500 | PYOtherRevenueAmt |
| CY Other Revenue | $600 | CYOtherRevenueAmt |
| PY Total Revenue | $6,655,544 | PYTotalRevenueAmt |
| CY Total Revenue | $5,963,991 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $801,424 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,032,116 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,093,572 | PYOtherExpensesAmt |
| CY Other Expenses | $3,738,241 | CYOtherExpensesAmt |
| PY Total Expenses | $5,894,996 | PYTotalExpensesAmt |
| CY Total Expenses | $4,770,357 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $760,548 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,193,634 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,109,176 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,188,533 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $636,566 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $522,289 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,472,610 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,666,244 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO LEAD THE TRANSFORMATION OF PRIMARY CARE IN RHODE ISLAND IN THE CONTEXT OF AN INTEGRATED HEALTH CARE SYSTEM; AND TO IMPROVE THE QUALITY OF CARE, THE PATIENT EXPERIENCE OF CARE, THE AFFORDABILITY OF CARE, AND THE HEALTH OF THE POPULATIONS WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,323,714 | ExpenseAmt |
| Revenue | $1,355,438 | RevenueAmt |
| Desc | MEDICAID PEDIATRIC HEALTHCARE RECOVERY PROJECT: EOHHS CONTRACTED WITH THE CARE TRANSFORMATION COLLABORATIVE OF RI TO ASSIST PRACTICES WITH IMPROVING ACCESS TO PRIMARY CARE WITH A FOCUS ON IMMUNIZATIONS AND LEAD SCREENING RATES FOR HEALTHY PHYSICAL, COGNITIVE AND SOCIAL-EMOTIONAL DEVELOPMENT. CTC-RI PROVIDED TRAINING AND WORKFLOW RE-DESIGN, DATA COLLECTION AND REPORTING AND BEST PRACTICE SHARING TO AID PROVIDERS IN SUCCESSFULLY IMPROVING PERFORMANCE, AS WELL AS EVALUATION OF PRACTICE PERFORMANCE. CTC-RI PROVIDED QUALITY IMPROVEMENT PRACTICE FACILITATION SERVICES AND IMPLEMENTED A BEHAVIORAL HEALTH LEARNING INITIATIVE DESIGNED TO ASSIST PRACTICES WITH PROVIDING CHILDREN AND FAMILIES WITH PSYCHOSOCIAL GUIDANCE AND SUPPORT. PRACTICES HAD ACCESS TO CUSTOMIZED BEHAVIORAL HEALTH PRACTICE FACILITATION SERVICES AS AN OPTIONAL SERVICE TO ASSIST PRACTICES WITH DEVELOPING PRACTICE RESPONSE TO BEHAVIORAL HEALTH NEEDS. PROJECT AND DATA MANAGEMENT SUPPORT INCLUDED ASSISTING EOHHS WITH DESIGNING THE YEAR 2 PEDIATRIC RELIEF APPLICATION PROCESS, DETERMINING MEASUREMENT SPECIFICATIONS AND TARGETS AND PROVIDING EOHHS WITH PRACTICE PERFORMANCE AGAINST TARGETS WHICH EOHHS USED TO DETERMINE PAYMENT ELIGIBILITY.FIFTY-TWO (52) PRACTICES PARTICIPATED IN THE PROGRAM. FROM OCTOBER 2022-OCTOBER 2023, PRACTICE PERFORMANCE WITH MEETING 3 OUT OF 4 MEASURES INCREASED FROM 75% TO 80%. 100% OF THE PRACTICES PARTICIPATED IN 4 OUT OF 6 OF THE ECHO BEHAVIORAL HEALTH LEARNING SESSIONS. THIS PROJECT RESULTED IN $7.3 MILLION PAID TO PEDIATRIC AND FAMILY MEDICINE PRACTICES.PRIMARY CARE/SPECIALIST PROJECT CTC-RI, WITH FUNDING FROM UNITEDHEALTHCARE, BLUE CROSS AND BLUE SHIELD OF RI AND POINT 32HEALTH/TUFTS HEALTH PLAN WORKED WITH THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES TO IMPLEMENT PROJECT CORE (COORDINATING OPTIMAL REFERRAL EXPERIENCES) WITHIN TWO SYSTEMS OF CARE (CARE NEW ENGLAND AND LIFESPAN). AIMED AT IMPROVING CARE AT THE INTERFACE OF PRIMARY AND SPECIALTY CARE, THIS PROJECT UTILIZED A) AN ENHANCED AND STANDARDIZED REFERRAL PROCESS IN WHICH THE PRIMARY CARE PROVIDER PROVIDES THE SPECIALIST WITH A CLEAR CLINICAL QUESTION AND RELEVANT DATA TO IMPROVE THE IN-PERSON SPECIALIST VISIT EXPERIENCE AND B) A STANDARDIZED ECONSULT PROGRAM IN WHICH THE PRIMARY CARE PROVIDER REQUESTS A RECOMMENDATION AND NEXT STEPS SO THE PROVIDER CAN CONTINUE TO MANAGE THE PATIENTS CARE. THIS COLLABORATIVE HELPED TO IMPROVE TIMELY AND EQUITABLE ACCESS TO SPECIALTY CARE, IMPROVE THE QUALITY AND EXPERIENCE FOR PATIENTS, PROVIDERS AND SPECIALISTS AND REDUCE COST OF CARE. | Desc |
| Total Program Service Expenses | $4,323,714 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 11 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 27 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 27 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | RI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBRA HURWITZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4015193921 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET SUITE 500 - | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ELIZABETH LANGE MD | |||||||
| VP/PRESIDENT ELECT (AS OF 9/22) | 1.00 | Yes (X) | Yes (X) | $18,841 | $0 | $0 | |
| NOAH BENEDICT MHL | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $2,000 | $0 | $0 | |
| MAUREEN MAIGRET RN BS MPA | |||||||
| DIRECTOR (AS OF 10/22) | 1.00 | Yes (X) | $1,500 | $0 | $0 | ||
| JOHN MINICHIELLO MBA | |||||||
| DIRECTOR (TO 03/23) | 1.00 | Yes (X) | $1,500 | $0 | $0 | ||
| LARRY WARNER MPH | |||||||
| SECRETARY-ELECT (AS OF 10/22) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RAJ HAZARIKA MD SM | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AMY NUNN MS SCD | |||||||
| DIRECTOR (AS OF 02/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| EUGENIO FERNANDEZ JR PHARMD MBA M | |||||||
| DIRECTOR (AS OF 2/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BEATA NELKEN MD | |||||||
| DIRECTOR (AS OF 10/22) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LAURA STANTON MD | |||||||
| DIRECTOR (AS OF 10/22) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DENISE COPPA PHD MS NP | |||||||
| DIRECTOR (AS OF 10/22) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW HARVEY MPP | |||||||
| DIRECTOR(AS OF 04/2023) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL LARSON MD MS MBA CPE DIMPH | |||||||
| DIRECTOR (AS OF 07/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROLINE RICHARDSON MD | |||||||
| DIRECTOR (AS OF 04/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE ANVAR MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER OTTIANO MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BARRY FABIUS MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BENJAMIN SHAFFER MPA | |||||||
| CO-CONVENER (TO 12/22) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER HOLLMANN MD | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SARAH FESSLER MD | |||||||
| DIRECTOR (TO 10/22) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS BLEDSOE MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEVEN LAMPERT MD | |||||||
| DIRECTOR (TO 04/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CORY KING | |||||||
| CO-CONVENER (AS OF 1/23) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| G ALAN KUROSE D | |||||||
| DIRECTOR (TO 6/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GONZALO PAZ-SOLDAN MD FAAP CPE | |||||||
| DIRECTOR (TO 6/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KRISTIN SOUSA | |||||||
| CO-CONVENER (AS OF 1/23) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID BOURASSA MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REBECCA PLONSKY LICSW | |||||||
| DIRECTOR (TO 07/22) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH MASLAND | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW COLLINS MD | |||||||
| DIRECTOR (TO 01/23) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY BORKAN MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HUGO YAMADA MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK TIGUE MPP | |||||||
| CO-CONVENER (TO 12/22) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SARAH MANGIARELLI CPA | |||||||
| DIRECTOR (AS OF 10/22) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBRA HURWITZ | |||||||
| EXECUTIVE DIRECTOR | 28.00 | Yes (X) | $152,016 | $0 | $1,983 | ||
| SUSANNE CAMPBELL | |||||||
| SENIOR PROGRAM ADMINISTRATOR | 40.00 | $134,288 | $0 | $32,071 | Yes (X) | ||
| LINDA CABRAL | |||||||
| SENIOR PROJECT MANAGER | 40.00 | $100,954 | $0 | $25,903 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $411,099 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $59,957 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUTH COUNTY HOSPITAL HEATHCARE SYSTEM | |||||
| 100 KENYON AVENUE | WAKEFIELD | RI | 02879 | GRANT SUB RECEIPIENT | $496,993 |
| FAMILY SERVICES OF RI | |||||
| PO BOX 6688 | PROVIDENCE | RI | 02940 | GRANT SUB RECEIPIENT | $392,942 |
| HELENA HEALTH | |||||
| 13300 CROSSROADS PARKWAY NORTH | CITY OF INDUSTRY | CA | 91746 | CONSULTANT | $367,072 |
| THUNDERMIST HEALTH CENTER | |||||
| 25 JOHN CUMMINGS WAY | WOONSOCKET | RI | 02895 | GRANT SUB RECEIPIENT | $324,078 |
| EAST BAY COMMUNITY ACTION PROGRAM | |||||
| 19 BROADWAY | NEWPORT | RI | 02840 | GRANT SUB RECEIPIENT | $247,783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,706,642 | GovernmentGrantsAmt |
| All Other Contributions | $840,256 | AllOtherContributionsAmt |
| Total Contributions | $4,546,898 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,354,838 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,354,838 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,354,838 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,655 | TotalRevenueColumnAmt |
| Exclusion | $61,655 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $600 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $600 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $600 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,963,991 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,355,438 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $61,655 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,222 | TotalAmt |
| Program Services | $149,777 | ProgramServicesAmt |
| Management And General | $37,445 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $659,297 | TotalAmt |
| Program Services | $527,438 | ProgramServicesAmt |
| Management And General | $131,859 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,986 | TotalAmt |
| Program Services | $91,189 | ProgramServicesAmt |
| Management And General | $22,797 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,611 | TotalAmt |
| Program Services | $57,289 | ProgramServicesAmt |
| Management And General | $14,322 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,933 | TotalAmt |
| Program Services | $128,051 | ProgramServicesAmt |
| Management And General | $35,882 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432 | TotalAmt |
| Management And General | $432 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,839 | TotalAmt |
| Management And General | $88,839 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,038 | TotalAmt |
| Program Services | $118,350 | ProgramServicesAmt |
| Management And General | $32,688 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,492 | TotalAmt |
| Program Services | $28,394 | ProgramServicesAmt |
| Management And General | $7,098 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,600 | TotalAmt |
| Program Services | $22,080 | ProgramServicesAmt |
| Management And General | $5,520 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,655 | TotalAmt |
| Management And General | $12,655 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,818 | TotalAmt |
| Program Services | $1,166 | ProgramServicesAmt |
| Management And General | $9,652 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PRACTICE FACILITATION A | $2,418,934 | $2,418,934 | |
| GRANT EXPENSES | $781,046 | $781,046 | |
| BAD DEBT | $47,454 | $47,454 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,770,357 | TotalAmt |
| Program Services | $4,323,714 | ProgramServicesAmt |
| Management And General | $446,643 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $717,630 | BOYAmt |
| EOY | $719,332 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,313,326 | BOYAmt |
| EOY | $4,274,851 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,051,916 | BOYAmt |
| EOY | $1,139,388 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,304 | BOYAmt |
| EOY | $54,962 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $48,329 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $48,329 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,109,176 | BOYAmt |
| EOY | $6,188,533 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $635,513 | BOYAmt |
| EOY | $420,787 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,053 | BOYAmt |
| EOY | $101,502 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $636,566 | BOYAmt |
| EOY | $522,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,910,172 | BOYAmt |
| EOY | $3,456,925 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,562,438 | BOYAmt |
| EOY | $2,209,319 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,472,610 | BOYAmt |
| EOY | $5,666,244 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,109,176 | BOYAmt |
| EOY | $6,188,533 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,193,634 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,270,570 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,162,265 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,527,983 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,685,791 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,546,898 | CurrentTaxYearAmt |
| Total | $25,193,507 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,772,140 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,899,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,689,964 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,968,002 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,354,838 | CurrentTaxYearAmt |
| Total | $8,684,267 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,042,710 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,061,588 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,217,947 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,653,793 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,901,736 | CurrentTaxYearAmt |
| Total | $33,877,774 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $33,877,774 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $817 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,424 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,584 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,251 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,655 | CurrentTaxYearAmt |
| Total | $67,731 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $817 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,424 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,584 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,251 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,655 | CurrentTaxYearAmt |
| Total | $67,731 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,201 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,028 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $315 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $600 | CurrentTaxYearAmt |
| Total | $40,644 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,078,728 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,068,040 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,219,846 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,655,544 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,963,991 | CurrentTaxYearAmt |
| Total | $33,986,149 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99680 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99780 | PublicSupportPY509Pct |
| Investment Income CY | 0.00200 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00020 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,329 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,329 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,963,991 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,963,991 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,963,991 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,770,357 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,770,357 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,770,357 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES AS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH THEIR TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVELS. THE ORGANIZATION ANNUALLY FILES IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THEY WERE FILED. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSANNE CAMPBELL | ||||||||||||||
| SENIOR PROGRAM ADMINISTRATOR | $134,288 | $0 | $0 | $0 | $0 | $0 | $4,000 | $0 | $28,071 | $0 | $166,359 | $0 | $0 | $0 |
| DEBRA HURWITZ | ||||||||||||||
| EXECUTIVE DIRECTOR | $152,016 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,983 | $0 | $153,999 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITORS AND REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS. REVISIONS, CORRECTIONS, ETC. ARE MADE AS NECESSARY. ONCE ALL ARE SATISFIED WITH THE FORM, IT IS FINALIZED AND A COPY IS SENT TO ALL BOARD MEMBERS AND IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THESE PEOPLE ARE ASKED TO REVIEW THE POLICY AND SIGN A STATEMENT INDICATING THAT THEY UNDERSTAND THE POLICY AND HAVE REPORTED ALL POTENTIAL CONFLICTS DURING THE PAST YEAR IN ACCORDANCE WITH THE POLICY AND WILL REPORT POTENTIAL CONFLICTS DURING THE COMING YEAR. ALL POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD TO DETERMINE IF A CONFLICT ACTUALLY EXISTS. IN THOSE INSTANCES WHERE THE POTENTIAL TRANSACTION IS A CONFLICT, THE BOARD EXAMINES THE TRANSACTION AND A VOTE IS TAKEN (WITH THOSE INVOLVED RECUSING THEMSELVES) AS TO WHETHER THE ORGANIZATION WILL ENTER INTO THE TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | MANAGEMENT CONDUCTS A COMPENSATION REVIEW ANNUALLY WHICH IS BENCHMARKED AGAINST MARKET RATES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS), ITS CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |