RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED: Form 990, tax year 2021
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- Organization
- RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED (EIN 23-7404795)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-08
- IRS object ID
- 202321289349300042
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-08T11:50:11-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 872525370 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITRIN COOPERMAN ADVISORS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 EXCHANGE STREET SUITE 9-100 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237404795 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHODE ISLAND HEALTH CENTER ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RHOD | BusinessNameControlTxt |
| Phone | 4012741771 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE ST 455 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELENA NICOLELLA | PersonNm |
| Person Title | PRESIDENT & CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 4012741771 | PhoneNum |
| Signature | 2023-05-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ELENA | PersonFirstNm |
| Person Last | NICOLELLA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL E CRISCIONE | PreparerPersonNm |
| PTIN | P01456801 | PTIN |
| Phone | 4014214800 | PhoneNum |
| Preparation | 2023-05-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELENA NICOLELLA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE ST 455 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,112,326 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RIHCA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | THE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 11 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,672,980 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,542,233 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $350,000 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $350,000 | CYProgramServiceRevenueAmt |
| PY Investment Income | $393,842 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,388 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,374 | PYOtherRevenueAmt |
| CY Other Revenue | $13,259 | CYOtherRevenueAmt |
| PY Total Revenue | $2,428,196 | PYTotalRevenueAmt |
| CY Total Revenue | $1,915,880 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $639,783 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $547,218 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $998,765 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,003,340 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $397,324 | PYOtherExpensesAmt |
| CY Other Expenses | $440,144 | CYOtherExpensesAmt |
| PY Total Expenses | $2,035,872 | PYTotalExpensesAmt |
| CY Total Expenses | $1,990,702 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $392,324 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$74,822 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,268,935 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,666,988 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $628,174 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $262,944 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,640,761 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,404,044 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN, AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $808,503 | ExpenseAmt |
| Desc | THROUGH FUNDING OBTAINED FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), THE ASSOCIATION PROVIDES TRAINING AND TECHNICAL ASSISTANCE TO SUPPORT COMMUNITY HEALTH CENTERS IN PROVIDING HIGH-QUALITY, COMPREHENSIVE HEALTH CARE TO IMPROVE THE HEALTH OF INDIVIDUALS AND COMMUNITIES WITHIN RHODE ISLAND. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $744,329 | ExpenseAmt |
| Grant | $497,218 | GrantAmt |
| Desc | UNDER THE TERMS OF A CONTRACT WITH HEALTHSOURCE RI, THE ASSOCIATION OPERATES THE OUTREACH AND ENROLLMENT SUPPORT PROGRAM (OESP). AS PART OF THIS PROGRAM, THE ASSOCIATION MANAGES A STATE-WIDE NETWORK OF IN-PERSON ASSISTER AND NAVIGATOR AGENCIES TO HELP RHODE ISLANDERS OBTAIN HEALTH CARE COVERAGE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $97,376 | ExpenseAmt |
| Grant | $50,000 | GrantAmt |
| Revenue | $363,259 | RevenueAmt |
| Desc | THE ASSOCIATION SUPPORTS FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN RHODE ISLAND THROUGH SEVERAL PROGRAMS AND GRANTS INCLUDING CARE+COMMUNITY+EQUITY, THE QUALITY IMPROVEMENT PROJECT TO INCREASE CANCER SCREENING RATES WITHIN FQHCS, AND THE RHODE ISLAND HEALTH PROFESSIONAL LOAN REPAYMENT PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,650,208 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | 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 | 8 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HANNAH MARSTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4012741771 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET STE 455 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 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 |
|---|---|---|---|---|---|---|---|
| WILLIAM HOCHSTRASSER-WALSH | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MERRILL THOMAS | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RAYMOND LAVOIE | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRENDA DOWLATSHAHI | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DENNIS ROY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALISON CROKE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER BANCROFT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANNE LACHANCE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS K WARCUP DO MHA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SARAH FESSLER MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY MARRAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TIFFNEY DAVIDSON PARKER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY EVANS TIL 10182022 | |||||||
| COO | 35.00 | Yes (X) | $148,050 | $0 | $22,211 | ||
| JANE HAYWARD TIL 11302021 | |||||||
| PRESIDENT & CEO | 35.00 | Yes (X) | $168,100 | $0 | $7,468 | ||
| ELENA NICOLELLA | |||||||
| PRESIDENT & CEO | 35.00 | Yes (X) | $12,727 | $0 | $262 | ||
| HANNAH MARSTON | |||||||
| SR. DIRECTOR OF FINANCE & ACCOUNTING | 35.00 | $119,906 | $0 | $11,575 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $448,783 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $41,516 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,523,123 | GovernmentGrantsAmt |
| All Other Contributions | $19,110 | AllOtherContributionsAmt |
| Total Contributions | $1,542,233 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SERVICE REVENUE | 624100 | $200,000 | $200,000 |
| MEMBERSHIP DUES | 624100 | $150,000 | $150,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $350,000 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,202 | TotalRevenueColumnAmt |
| Exclusion | $23,202 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $183,632 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $196,446 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$12,814 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,814 | TotalRevenueColumnAmt |
| Exclusion | -$12,814 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC INCOME | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $13,259 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,259 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $13,259 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,915,880 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $363,259 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,388 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $547,218 | TotalAmt |
| Program Services | $547,218 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,720 | TotalAmt |
| Program Services | $362,241 | ProgramServicesAmt |
| Management And General | $83,479 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,993 | TotalAmt |
| Program Services | $367,998 | ProgramServicesAmt |
| Management And General | $54,995 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,332 | TotalAmt |
| Program Services | $14,201 | ProgramServicesAmt |
| Management And General | $3,131 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,990 | TotalAmt |
| Program Services | $36,874 | ProgramServicesAmt |
| Management And General | $8,116 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,305 | TotalAmt |
| Program Services | $59,066 | ProgramServicesAmt |
| Management And General | $13,239 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,537 | TotalAmt |
| Program Services | $6,265 | ProgramServicesAmt |
| Management And General | $8,272 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,660 | TotalAmt |
| Program Services | $14,651 | ProgramServicesAmt |
| Management And General | $4,009 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,654 | TotalAmt |
| Program Services | $83,404 | ProgramServicesAmt |
| Management And General | $55,250 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $965 | TotalAmt |
| Management And General | $965 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,836 | TotalAmt |
| Program Services | $16,089 | ProgramServicesAmt |
| Management And General | $6,747 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,094 | TotalAmt |
| Program Services | $65,379 | ProgramServicesAmt |
| Management And General | $35,715 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274 | TotalAmt |
| Program Services | $274 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,816 | TotalAmt |
| Program Services | $26,329 | ProgramServicesAmt |
| Management And General | $16,487 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,887 | TotalAmt |
| Management And General | $1,887 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,757 | TotalAmt |
| Program Services | $5,792 | ProgramServicesAmt |
| Management And General | $1,965 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SMALL EQUIPMENT AND SOF | $30,204 | $20,932 | $9,272 |
| REPAIRS AND MAINTENANCE | $27,641 | $16,852 | $10,789 |
| BANK FEES | $19,686 | $6,643 | $13,043 |
| OTHER EXPENSES | $12,597 | $12,597 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536 | TotalAmt |
| Management And General | $536 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,990,702 | TotalAmt |
| Program Services | $1,650,208 | ProgramServicesAmt |
| Management And General | $340,494 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $852,696 | BOYAmt |
| EOY | $406,131 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,151 | BOYAmt |
| EOY | $121,582 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,790 | BOYAmt |
| EOY | $8,135 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,386 | BOYAmt |
| EOY | $26,076 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,328 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,063 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $12,265 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,261,912 | BOYAmt |
| EOY | $1,092,799 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,268,935 | BOYAmt |
| EOY | $1,666,988 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $494,012 | BOYAmt |
| EOY | $131,600 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,162 | BOYAmt |
| EOY | $131,344 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $628,174 | BOYAmt |
| EOY | $262,944 | 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 | $1,620,372 | BOYAmt |
| EOY | $1,386,761 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,389 | BOYAmt |
| EOY | $17,283 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,640,761 | BOYAmt |
| EOY | $1,404,044 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,268,935 | BOYAmt |
| EOY | $1,666,988 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$74,822 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$161,895 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,292,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,479,070 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,472,495 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,672,980 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,542,233 | CurrentTaxYearAmt |
| Total | $7,459,228 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,292,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,479,070 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,472,495 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,672,980 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,542,233 | CurrentTaxYearAmt |
| Total | $7,459,228 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $7,459,228 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,229 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,832 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,888 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,202 | CurrentTaxYearAmt |
| Total | $117,775 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $70,633 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,821 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,880 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,374 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,259 | CurrentTaxYearAmt |
| Total | $185,967 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,762,970 | TotalSupportAmt |
| Public Support CY170 | 0.96090 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95560 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MEETING TRAINING AND OTHER INCOME - 2017 AMOUNT: $ 70,633. 2018 AMOUNT: $ 40,821. 2019 AMOUNT: $ 49,880. 2020 AMOUNT: $ 11,374. 2021 AMOUNT: $ 13,259. | ExplanationTxt |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | $0 | PoliticalExpendituresAmt |
| Volunteer Hours | 0 | VolunteerHoursCnt |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Mailings Members | $2,376 | MailingsMembersAmt |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $489 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $36,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $38,865 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES RELATING TO HEALTHCARE PUBLIC POLICY AND REFORM. AMOUNTS ON LINE 1I ARE PAID TO DOME CONSULTANTS, LLC ($3,000 PER MONTH FOR 12 MONTHS). | ExplanationTxt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,328 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,063 | DepreciationAmt |
| Book Value | $12,265 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,265 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,753,985 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$161,895 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$161,895 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,915,880 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,915,880 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,990,702 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,990,702 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,990,702 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ASSOCIATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A NOT-FOR-PROFIT ENTITY, THE ASSOCIATION IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ("UBIT"), IF APPLICABLE. IN ACCORDANCE WITH FASB ACCOUNTING STANDARDS CODIFICATION ("ASC") 740, INCOME TAXES, THE ASSOCIATION APPLIES THE "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION AND DERECOGNITION OF TAX POSITIONS FOR ITS FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITIONS AND HAS CONCLUDED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| AMOS HOUSE | ||||||||
| 460 PINE STREET | PROVIDENCE | RI | 02907 | 050387218 | 501(C)(3) | $16,908 | $0 | OESP |
| CARE NEW ENGLAND HEALTH SYSTEM | ||||||||
| 45 WILLARD AVENUE | PROVIDENCE | RI | 02905 | 050490997 | 501(C)(3) | $46,128 | $0 | OESP |
| CENTER FOR SOUTHEAST ASIANS | ||||||||
| 270 ELMWOOD AVENUE | PROVIDENCE | RI | 02907 | 222914654 | 501(C)(3) | $16,908 | $0 | OESP |
| COMMUNITY CARE ALLIANCE | ||||||||
| 245 MAIN STREET | WOONSOCKET | RI | 02895 | 050312278 | 501(C)(3) | $16,908 | $0 | OESP |
| NARRAGANSETT INDIAN HEALTH CENTER | ||||||||
| 51 OLD MILL ROAD | CHARLESTOWN | RI | 02813 | 050402864 | 501(C)(3) | $2,818 | $0 | OESP |
| RHODE ISLAND PARENT INFORMATION NETWORK INC | ||||||||
| 1210 PONTIAC AVENUE | CRANSTON | RI | 02920 | 050457336 | 501(C)(3) | $38,436 | $0 | OESP |
| UNITED WAY OF RHODE ISLAND INC | ||||||||
| 50 VALLEY STREET | PROVIDENCE | RI | 02909 | 050276059 | 501(C)(3) | $38,436 | $0 | OESP |
| BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC | ||||||||
| 38 EAST AVENUE | PAWTUCKET | RI | 02860 | 510183476 | 501(C)(3) | $46,128 | $0 | OESP |
| RI DEPARTMENT OF HEALTH-HEALTH PROFESSIONALS LOAN REPAYMENT PROGRAM | ||||||||
| 3 CAPITOL HILL | PROVIDENCE | RI | 02908 | $50,000 | $0 | HEALTH EDUCATION ASSISTANCE TO ELIGIBLE PROFESSIONALS. | ||
| EAST BAY COMMUNITY ACTION PROGRAM | ||||||||
| 19 BROADWAY | NEWPORT | RI | 02840 | 050310024 | 501(C)(3) | $30,012 | $0 | OESP |
| COMPREHENSIVE COMMUNITY ACTION INC | ||||||||
| 311 DORIC AVENUE | CRANSTON | RI | 02910 | 056018801 | 501(C)(3) | $46,128 | $0 | OESP |
| THE PROVIDENCE COMMUNITY HEALTH CENTERS INC | ||||||||
| 375 ALLENS AVE | PROVIDENCE | RI | 02905 | 050368134 | 501(C)(3) | $46,128 | $0 | OESP |
| THUNDERMIST HEALTH CENTER | ||||||||
| 171 SERVICE AVENUE BUILDING 2 | WARWICK | RI | 02886 | 050355097 | 501(C)(3) | $46,128 | $0 | OESP |
| NORTHWEST COMMUNITY HEALTH CARE | ||||||||
| 36 BRIDGE WAY | PASCOAG | RI | 02859 | 050258811 | 501(C)(3) | $30,012 | $0 | OESP |
| TRI-COUNTY COMMUNITY ACTION AGENCY | ||||||||
| 1126 HARTFORD AVENUE | JOHNSTON | RI | 02919 | 050309695 | 501(C)(3) | $46,128 | $0 | OESP |
| WOOD RIVER HEALTH SERVICES | ||||||||
| 823 MAIN STREET | HOPE VALLEY | RI | 02832 | 050378071 | 501(C)(3) | $30,012 | $0 | OESP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 16 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ASSOCIATION RECEIVES FUNDING FROM HEALTHSOURCE RI TO DEVELOP AND MANAGE A COMPREHENSIVE NETWORK OF ASSISTOR AND NAVIGATOR ENTITIES THAT PROVIDE COMMUNITY-BASED OUTREACH, APPLICATION, AND ENROLLMENT ASSISTANCE TO INDIVIDUALS AND FAMILIES WISHING TO ENROLL IN HEALTH COVERAGE THROUGH AN OUTREACH AND ENROLLMENT SUPPORT PROGRAM ("OESP"). ALL FUNDS PAID TO THE ENTITIES ARE FOR THE PURPOSE OF CARRYING OUT OUTREACH AND ENROLLMENT ACTIVITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JANE HAYWARD TIL 11302021 | ||||||||||||||
| PRESIDENT & CEO | $168,100 | $0 | $0 | $0 | $0 | $0 | $6,724 | $0 | $744 | $0 | $175,568 | $0 | $0 | $0 |
| MARY EVANS TIL 10182022 | ||||||||||||||
| COO | $148,050 | $0 | $0 | $0 | $0 | $0 | $4,631 | $0 | $17,580 | $0 | $170,261 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THE BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THE BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THE BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | A THOROUGH REVIEW OF THE FORM 990 IS CONDUCTED BY THE PRESIDENT & CEO, SR. DIRECTOR OF FINANCE & ACCOUNTING, AND MEMBERS OF THE FINANCE COMMITTEE. THEN THE ORGANIZATION'S FORM 990 IS PROVIDED TO MEMBERS OF THE GOVERNING BODY VIA E-MAIL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS ENLISTED THE ONGOING SERVICES OF AN EXPERT IN ALL COMPLIANCE ISSUES AS THEY RELATE TO ALL EMPLOYEES AND DIRECTORS, INCLUDING THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL HIRING AND COMPENSATION ISSUES RELATED TO POSITIONS REFERENCED ARE REVIEWED AND APPROVED BY THE DIRECTORS (MEMBERS OF THE GOVERNING BODY). IN THE CASE OF THE PRESIDENT & CEO, THIS IS BASED ON THE RECOMMENDATIONS OF AN AD-HOC SUB-COMMITTEE OF THE BOARD WHO ACCUMULATES INFORMATION CONCERNING QUALIFICATIONS AND COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES AND FINANCIAL STATEMENTS ARE APPROVED BY THE GOVERNING BODY AND MAINTAINED IN A COMMON LOCATION AT 235 PROMENADE STREET, SUITE 455, PROVIDENCE, RI 02908. THIS LOCATION IS AVAILABLE TO MEMBERS OF THE GOVERNING BODY, EMPLOYEES AND MEMBERS OF THE PUBLIC BY APPOINTMENT. |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE IN THE OVERSIGHT OF THE AUDIT. |