STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CARE TRANSFORMATION COLLABORATIVE OF RI: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CARE TRANSFORMATION COLLABORATIVE OF RI (EIN 47-2304987)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-05
IRS object ID
202211259349302751
Schema version
2020v4.2
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)
Return2022-05-05T14:53:20-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN050409384PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KAHN LITWIN RENZA & CO LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1951 NORTH MAIN STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02904ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472304987EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARE TRANSFORMATION COLLABORATIVE OF RIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAREBusinessNameControlTxt
Phone4015193921PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE STREET STE 500 BOXAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBRA HURWITZPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4015193921PhoneNum
Signature2022-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDEBRAPersonFirstNm
Person LastHURWITZPersonLastNm
FieldValueIRS element (for citing)
SSN888008888SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICK J MARTINPreparerPersonNm
PTINP00283486PTIN
Phone4012742001PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDEBRA HURWITZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE STREET STE 500 BOX 18AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,219,846GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CTC-RI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTO LEAD THE TRANSFORMATION OF PRIMARY CARE IN RHODE ISLAND IN THE CONTEXT OF AN INTEGRATED HEALTH CARE SYSTEM.ActivityOrMissionDesc
Voting Members Governing Body26VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee27TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,162,264PYContributionsGrantsAmt
CY Contributions Grants$6,527,983CYContributionsGrantsAmt
PY Program Service Revenue$1,899,323PYProgramServiceRevenueAmt
CY Program Service Revenue$1,689,964CYProgramServiceRevenueAmt
PY Investment Income$2,424PYInvestmentIncomeAmt
CY Investment Income$1,584CYInvestmentIncomeAmt
PY Other Revenue$4,028PYOtherRevenueAmt
CY Other Revenue$315CYOtherRevenueAmt
PY Total Revenue$7,068,039PYTotalRevenueAmt
CY Total Revenue$8,219,846CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$661,897PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$711,165CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,194,534PYOtherExpensesAmt
CY Other Expenses$5,848,314CYOtherExpensesAmt
PY Total Expenses$6,856,431PYTotalExpensesAmt
CY Total Expenses$6,559,479CYTotalExpensesAmt
PY Revenues Less Expenses$211,608PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,660,367CYRevenuesLessExpensesAmt
Total Assets BOY$3,504,530TotalAssetsBOYAmt
Total Assets EOY$5,216,226TotalAssetsEOYAmt
Total Liabilities BOY$1,452,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,504,164TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,051,695NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,712,062NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,253,852ExpenseAmt
Revenue$1,690,279RevenueAmt
DescCARE TRANSFORMATION COLLABORATIVE OF RI CONTINUED TO OPERATE REMOTELY DUE TO THE PANDEMIC. WE RECEIVED CARES ACT FUNDING TO SUPPORT A NUMBER OF KEY PRIORITIES RELATED TO THE DELIVERY OF HIGH QUALITY PRIMARY CARE. PEDIATRIC RELIEF FUNDING WAS PROVIDED TO SUPPORT PRIMARY CARE PRACTICES IN ACHIEVING PRE-COVID IMMUNIZATION RATES FOR CHILDREN GOING BACK TO SCHOOL. THE DIABETES HEALTH EQUITY CHALLENGE WAS LAUNCHED TO FOCUS ON IMPROVING OUTCOMES FOR PATIENTS WITH DIABETES LIVING IN UNDERSERVED REGIONS OF THE STATE. THE COMMUNITY HEALTH TEAMS CONTINUED TO SERVE HIGH RISK PATIENTS IN THE COMMUNITY DELIVERING FOOD AND SUPPLIES NEEDED DURING THE COVID 19 CRISIS. LEARNING COLLABORATIVE MEETINGS CONTINUED REMOTELY WITH GREAT SUCCESS DESPITE THE PUBLIC HEALTH EMERGENCY. INTEGRATING BEHAVIORAL HEALTH IN PRIMARY CARE PRACTICES CONTINUED THROUGHOUT THE YEAR AND TELEHEALTH SERVICES WERE WIDELY IMPLEMENTED.Desc
Total Program Service Expenses$6,253,852TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee27EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members26GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEBRA HURWITZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4015193921PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE STREET SUITE 525 -AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
PATRICIA FLANAGAN MD
DIRECTOR1.00Yes (X)$2,393$0$0
DAVID BOURASSA MD
DIRECTOR1.00Yes (X)$0$0$0
DEBORAH MASLAND
DIRECTOR1.00Yes (X)$0$0$0
SARAH FESSLER MD
DIRECTOR1.00Yes (X)$0$0$0
AL KUROSE MD
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW COLLINS MD
DIRECTOR1.00Yes (X)$0$0$0
JEFFREY BORKAN MD
DIRECTOR1.00Yes (X)$0$0$0
JOHN MINICHIELLO MBA
DIRECTOR (AS OF 4/20)1.00Yes (X)$0$0$0
HUGO YAMADA MD
DIRECTOR (AS OF 1/20)1.00Yes (X)$0$0$0
ELIZABETH LANGE MD
SECRETARY1.00Yes (X)$0$0$0Yes (X)
PATRICK TIGUE MPP
CO-CONVENER1.00Yes (X)$0$0$0Yes (X)
STEVEN LAMPERT MD
DIRECTOR1.00Yes (X)$0$0$0
THOMAS BLEDSOE MD
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
AL CHARBONNEAU MPS
TREASURER1.00Yes (X)$0$0$0Yes (X)
PETER HOLLMANN MD
VICE PRESIDENT -ELECT1.00Yes (X)$0$0$0Yes (X)
NOAH BENEDICT MHL
VICE-TREASURER1.00Yes (X)$0$0$0Yes (X)
MARIE GANIM PHD
CO-CONVENER (TO 12/20)1.00Yes (X)$0$0$0Yes (X)
BENJAMIN SHAFFER MPA
CO-CONVENER (AS OF 1/20)1.00Yes (X)$0$0$0Yes (X)
BARRY FABIUS MD
DIRECTOR1.00Yes (X)$0$0$0
LOUIS GIANCOLA
DIRECTOR1.00Yes (X)$0$0$0
CLAIRE LEVESQUE MD
DIRECTOR1.00Yes (X)$0$0$0
DEBORAH O'BRIEN BSRNMPA
DIRECTOR (TO 7/20)1.00Yes (X)$0$0$0
CHRISTOPHER OTTIANO MD
DIRECTOR1.00Yes (X)$0$0$0
ANA STANKOVIC MD
DIRECTOR1.00Yes (X)$0$0$0
MARGARET WINGATE
DIRECTOR (TO 9/20)1.00Yes (X)$0$0$0
MICHELLE ANVAR MD
DIRECTOR (AS OF 3/20)1.00Yes (X)$0$0$0
REBECCA PLONSKY LICSW
DIRECTOR (AS OF 10/20)1.00Yes (X)$0$0$0
LARRY WARNER MPH
DIRECTOR (AS OF 10/20)1.00Yes (X)$0$0$0
DEBRA HURWITZ
EXECUTIVE DIRECTOR24.00$150,450$0$2,376Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$152,843TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,376TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUTH COUNTY HOSPITAL HEATHCARE SYSTEM
100 KENYON AVENUEWAKEFIELDRI02879FACILITATE OUTREACH & MANAGEMENT OF HIGH$1,051,123
THUNDERMIST HEALTH CENTER
25 JOHN CUMMINGS WAYWOONSOCKETRI02895COMMUNITY HEALTH TEAM SERVICES$820,691
FAMILY SERVICES OF RI
PO BOX 6688PROVIDENCERI02940GRANT SUB RECEIPIENT$803,082
CARE NEW ENGLAND HEALTH SYSTEMS
45 WILLARD STREETPROVIDENCERI02905GRANT SUB CONTRACTOR$656,414
THE PROVIDENCE CENTER
528 NORTH MAIN STREETPROVIDENCERI02904SCREENING/INTERVENTION PROGRAM$571,859
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Government Grants$4,956,233GovernmentGrantsAmt
All Other Contributions$1,571,750AllOtherContributionsAmt
Total Contributions$6,527,983TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM INCOMEDesc
Business900099BusinessCd
Total Revenue Column$1,689,964TotalRevenueColumnAmt
Related Or Exempt Func Income$1,689,964RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,689,964TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,584TotalRevenueColumnAmt
Exclusion$1,584ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$315TotalRevenueColumnAmt
Related Or Exempt Func Income$315RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$315OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,219,846TotalRevenueColumnAmt
Related Or Exempt Func Income$1,690,279RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,584ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$146,411TotalAmt
Program Services$117,129ProgramServicesAmt
Management And General$29,282ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$443,387TotalAmt
Program Services$354,710ProgramServicesAmt
Management And General$88,677ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$71,273TotalAmt
Program Services$57,018ProgramServicesAmt
Management And General$14,255ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$50,094TotalAmt
Program Services$40,075ProgramServicesAmt
Management And General$10,019ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$215,150TotalAmt
Program Services$193,315ProgramServicesAmt
Management And General$21,835ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15,916TotalAmt
Management And General$15,916ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$68,048TotalAmt
Management And General$68,048ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$179,505TotalAmt
Program Services$145,341ProgramServicesAmt
Management And General$34,164ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,414TotalAmt
Program Services$25,931ProgramServicesAmt
Management And General$6,483ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,750TotalAmt
Program Services$24,600ProgramServicesAmt
Management And General$6,150ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$601TotalAmt
Management And General$601ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,850TotalAmt
Program Services$2,280ProgramServicesAmt
Management And General$570ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,561TotalAmt
Program Services$3,934ProgramServicesAmt
Management And General$9,627ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
COMMUNITY HEALTH TEAMS$3,387,114$3,387,114
PRACTICE FACILITATION A$1,253,852$1,253,852
GRANT EXPENSES$648,553$648,553

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,559,479TotalAmt
Program Services$6,253,852ProgramServicesAmt
Management And General$305,627ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,387,101BOYAmt
EOY$2,775,958EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$1,562,160EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,103,959BOYAmt
EOY$869,207EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,620BOYAmt
EOY$8,901EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,329LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$48,329LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,850BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,504,530BOYAmt
EOY$5,216,226EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,352,658BOYAmt
EOY$1,370,509EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$133,655EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$100,177BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,452,835BOYAmt
EOY$1,504,164EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,400,795BOYAmt
EOY$2,075,934EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$650,900BOYAmt
EOY$1,636,128EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,051,695BOYAmt
EOY$3,712,062EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,504,530BOYAmt
EOY$5,216,226EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,660,367ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,272,934CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,285,589CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,270,570CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,162,265CurrentTaxYearMinus1YearAmt
Current Tax Year$6,527,983CurrentTaxYearAmt
Total$20,519,341TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,230,713CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,161,280CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,772,140CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,899,323CurrentTaxYearMinus1YearAmt
Current Tax Year$1,689,964CurrentTaxYearAmt
Total$9,753,420TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,503,647CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,446,869CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,042,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,061,588CurrentTaxYearMinus1YearAmt
Current Tax Year$8,217,947CurrentTaxYearAmt
Total$30,272,761TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$30,272,761PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,437CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$630CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$817CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,424CurrentTaxYearMinus1YearAmt
Current Tax Year$1,584CurrentTaxYearAmt
Total$6,892TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,437CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$630CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$817CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,424CurrentTaxYearMinus1YearAmt
Current Tax Year$1,584CurrentTaxYearAmt
Total$6,892TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$26,579CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,201CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,028CurrentTaxYearMinus1YearAmt
Current Tax Year$315CurrentTaxYearAmt
Total$66,123TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,505,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,474,078CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,078,728CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,068,040CurrentTaxYearMinus1YearAmt
Current Tax Year$8,219,846CurrentTaxYearAmt
Total$30,345,776TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99760PublicSupportCY509Pct
Public Support PY5090.99650PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,329OtherCostOrOtherBasisAmt
Depreciation$48,329DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,219,846TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$8,219,846RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,219,846TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,559,479TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,559,479ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,559,479TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDEBRA HURWITZPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$150,450BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$2,376NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$152,826TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CEACH 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 C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS), ITS CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.