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CARE TRANSFORMATION COLLABORATIVE OF RI: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CARE TRANSFORMATION COLLABORATIVE OF RI (EIN 47-2304987)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-05
IRS object ID
202121259349302802
Schema version
2019v5.2
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)
Return2021-05-05T15:37:42-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

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 525 BOXAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBRA HURWITZPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4015193921PhoneNum
Signature2021-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICK J MARTINPreparerPersonNm
PTINP00283486PTIN
Phone4012742001PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
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 525 BOX 18AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,068,039GrossReceiptsAmt
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 Body23VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,270,570PYContributionsGrantsAmt
CY Contributions Grants$5,162,264CYContributionsGrantsAmt
PY Program Service Revenue$1,772,140PYProgramServiceRevenueAmt
CY Program Service Revenue$1,899,323CYProgramServiceRevenueAmt
PY Investment Income$817PYInvestmentIncomeAmt
CY Investment Income$2,424CYInvestmentIncomeAmt
PY Other Revenue$35,201PYOtherRevenueAmt
CY Other Revenue$4,028CYOtherRevenueAmt
PY Total Revenue$6,078,728PYTotalRevenueAmt
CY Total Revenue$7,068,039CYTotalRevenueAmt
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$568,002PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$661,897CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,156,921PYOtherExpensesAmt
CY Other Expenses$6,194,534CYOtherExpensesAmt
PY Total Expenses$5,724,923PYTotalExpensesAmt
CY Total Expenses$6,856,431CYTotalExpensesAmt
PY Revenues Less Expenses$353,805PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$211,608CYRevenuesLessExpensesAmt
Total Assets BOY$2,897,781TotalAssetsBOYAmt
Total Assets EOY$3,504,530TotalAssetsEOYAmt
Total Liabilities BOY$1,057,694TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,452,835TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,840,087NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,051,695NetAssetsOrFundBalancesEOYAmt
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$6,454,706ExpenseAmt
Revenue$1,899,323RevenueAmt
DescCTC-RI ESTABLISHED COMMUNITY HEALTH TEAM (CHT) OVERSIGHT COMMITTEE TO PURSUE LONG-TERM SUSTAINABILITY PLAN FOR CHTS (SECURED FUNDING FROM HSTP, BCBS, UHC, TUFTS AND RIF FOR THIS YEAR.) CTC-RI IMPLEMENTED PCMH KIDS COHORT 3 PROGRAM AND GRADUATED 15 ADULTS AND 10 PEDIATRIC PRACTICES SUCCESSFULLY - ALL COMPLETED THE COMMON CONTRACT AND ACHIEVED RI PCMH STATUS. RIDOH CONTRACTED WITH CTC-RI FOR CHT EXPANSION PILOT WHICH PROVIDED ADDITIONAL FUNDING TO 2 CHTS TO ENHANCE THE SKILLSET OF COMMUNITY HEALTH WORKERS WHO ARE WORKING WITHIN A CHT AND IMPROVE OUTCOMES FOR PATIENTS WITH DIABETES, HYPERTENSION AND CARDIOVASCULAR DISEASE. CTC-RI ROLLOUT ENHANCED CHTS (MEDICAID/BHDDH FUNDING) - EXPANDED POPULATION FROM HIGH-RISK ADULTS TO SUBSTANCE-EXPOSED NEWBORNS AND FAMILIES. CTC-RI ADDED FOCUS ON PEDIATRIC AT-RISK FAMILIES (VIA SOR FUNDING) BY ESTABLISHING FHV AND FSRI MULTI-DISCIPLINARY TEAM APPROACH WITH SUCCESS - PRESENTED TO CHILDREN'S CABINET AND WELL RECEIVED. CTC-RI SUCCESSFULLY BROUGHT CHT DATA COLLECTION IN-HOUSE TO CTC-RI FOR AGGREGATE DATA REPORTING. CTC-RI CONTINUES TO WORK WITH URI (INDEPENDENT EVALUATOR) FOR PROGRAM OUTCOME MEASURES. CTC-RI HOSTED OCTOBER 2019 ANNUAL CONFERENCE FOR 350+ ATTENDEES. CTC-RI COMPLETED IMPLEMENTATION AND EVALUATION OF PEDIATRIC IBH PROGRAM, ADULT IBH PROGRAM, AND ONLINE IBH PRACTICE FACILITATION TRAINING PROGRAM. CTC-RI'S COVID-19 RESPONSE INCLUDED SUBMITTING POLICY BRIEF TO GOVERNOR'S COVID TASK FORCE. CTC-RI RECEIVED SMALL BUSINESS ASSOCIATION PAYCHECK PROTECTION PLAN LOAN OF $101K TO ENSURE STAFF COVERAGE. CTC-RI ESTABLISHED A WEEKLY PROVIDER ZOOM MEETING TO DISCUSS COVID-19 RESPONSE, SHARE BEST PRACTICES AND RIDOH/CDC GUIDANCE. CTC-RI ENCOURAGED PARTICIPATION IN NATIONAL SURVEY SPONSORED BY PCC AND THE LARRY A. GREENE CENTER FOCUSED ON COVID-19 IMPACT ON PRIMARY CARE. CTC-RI ESTABLISHED A WEEKLY PROVIDER COVID-19 UPDATE WITH RIDOH GUIDANCE, BEST PRACTICES, AND LOCAL RESOURCES (E.G. PPE). CTC-RI SUPPORTED STAFF IN TRANSITION TO REMOTE WORK FROM HOME.Desc
Total Program Service Expenses$6,454,706TotalProgramServiceExpensesAmt
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 Required0ScheduleJRequiredInd
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 Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee6EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members23GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
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 PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
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 (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARIE GANIM PHD
CO-CONVENER1.00Yes (X)Yes (X)$0$0$0
PATRICK TIGUE
CO-CONVENER (TO 12/19)1.00Yes (X)Yes (X)$0$0$0
BENJAMIN SHAFFER MPA
CO-CONVENER (AS OF 1/20)1.00Yes (X)Yes (X)$0$0$0
THOMAS BLEDSOE MD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
PETER HOLLMANN
VICE PRESIDENT-ELECT1.00Yes (X)Yes (X)$0$0$0
AL CHARBONNEAU ED
TREASURER1.00Yes (X)Yes (X)$0$0$0
ELIZABETH LANGE MD
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JEFFREY BORKAN MD
DIRECTOR1.00Yes (X)$0$0$0
DAVID BOURASSA MD
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW COLLINS MD
DIRECTOR1.00Yes (X)$0$0$0
BARRY FABIUS MD
DIRECTOR1.00Yes (X)$0$0$0
SARAH FESSLER MD
DIRECTOR1.00Yes (X)$0$0$0
PATRICIA FLANAGAN MD
DIRECTOR1.00Yes (X)$0$0$0
LOUIS GIANCOLA
DIRECTOR1.00Yes (X)$0$0$0
AL KUROSE MD
DIRECTOR1.00Yes (X)$0$0$0
STEVEN LAMPERT MD
DIRECTOR1.00Yes (X)$0$0$0
CLAIRE LEVESQUE MD
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL LICHTENSTEIN MS
DIRECTOR (TO 3/20)1.00Yes (X)$0$0$0
DEBORAH MASLAND
DIRECTOR1.00Yes (X)$0$0$0
KATHLEEN MULLALLY
DIRECTOR (TO 9/19)1.00Yes (X)$0$0$0
DEBORAH O'BRIEN BSRNMPA
DIRECTOR1.00Yes (X)$0$0$0
CHRISTOPHER OTTIANO MD
DIRECTOR1.00Yes (X)$0$0$0
DEBORAH POWERS RN MSN CCM
DIRECTOR (TO 11/19)1.00Yes (X)$0$0$0
AL PUERINI MD
DIRECTOR (TO 11/19)1.00Yes (X)$0$0$0
ANA STANKOVIC
DIRECTOR1.00Yes (X)$0$0$0
SOLMAZ BEHTASH DO
DIRECTOR (TO 11/19)1.00Yes (X)$0$0$0
HUGO YAMADA MD
DIRECTOR (AS OF 3/20)1.00Yes (X)$0$0$0
JOHN MINICHIELLO MBA
DIRECTOR (AS OF 4/20)1.00Yes (X)$0$0$0
MARGARET WINGATE
DIRECTOR (AS OF 11/19)1.00Yes (X)$0$0$0
MICHELLE ANVAR MD
DIRECTOR (AS OF 3/20)1.00Yes (X)$0$0$0
NOAH BENEDICT MHL
DIRECTOR (AS OF 3/20)1.00Yes (X)$0$0$0
SUSANNE CAMPBELL RN MS PCMH CCE
SENIOR PROGRAM DIRECTOR40.00$121,656$0$4,983Yes (X)
DEBRA HURWITZ
EXECUTIVE DIRECTOR24.00Yes (X)$142,650$0$2,376
FieldValueIRS element (for citing)
Total Reportable Comp From Org$264,306TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$7,359TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
100 KENYON AVENUEWAKEFIELDRI02879FACILITATE OUTREACH & MANAGEMENT$870,477
FAMILY SERVICES OF RI
PO BOX 6688PROVIDENCERI029406688SBIRT PROGRAM$722,585
THUNDERMIST HEALTH CENTER
25 JOHN CUMMINGS WAYWOONSOCKETRI02895COMMUNITY HEALTH TEAM SERVICES$655,213
THE PROVIDENCE CENTER
528 NORTH MAIN STREETPROVIDENCERI02904SCREENING/INTERVENTION PROGRAM$520,455
CARE NEW ENGLAND HEALTH SYSTEMS
45 WILLARD STREETPROVIDENCERI02905PRACTICE FACILITATION SERVICES$464,550
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,162,264AllOtherContributionsAmt
Total Contributions$5,162,264TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM INCOMEDesc
Business900099BusinessCd
Total Revenue Column$1,899,323TotalRevenueColumnAmt
Related Or Exempt Func Income$1,899,323RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,899,323TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,424TotalRevenueColumnAmt
Exclusion$2,424ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$4,028TotalRevenueColumnAmt
Exclusion$4,028ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,028OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,068,039TotalRevenueColumnAmt
Related Or Exempt Func Income$1,899,323RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,452ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$148,595TotalAmt
Program Services$118,876ProgramServicesAmt
Management And General$29,719ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$400,376TotalAmt
Program Services$320,301ProgramServicesAmt
Management And General$80,075ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$70,327TotalAmt
Program Services$56,262ProgramServicesAmt
Management And General$14,065ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$42,599TotalAmt
Program Services$34,079ProgramServicesAmt
Management And General$8,520ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,800TotalAmt
Management And General$9,800ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,535TotalAmt
Management And General$64,535ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$467,071TotalAmt
Program Services$404,522ProgramServicesAmt
Management And General$62,549ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,241TotalAmt
Program Services$1,946ProgramServicesAmt
Management And General$30,295ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$33,166TotalAmt
Program Services$13,166ProgramServicesAmt
Management And General$20,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,148TotalAmt
Management And General$10,148ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,220TotalAmt
Program Services$1,944ProgramServicesAmt
Management And General$10,276ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,343TotalAmt
Management And General$11,343ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COMMUNITY HEALTH TEAMS$4,323,052$4,323,052
GRANT EXPENSES$683,970$683,970
PRACTICE FACILITATION$317,420$317,420
PROJECT MANAGEMENT EXPE$176,341$126,341$50,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$53,227TotalAmt
Program Services$52,827ProgramServicesAmt
Management And General$400ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,856,431TotalAmt
Program Services$6,454,706ProgramServicesAmt
Management And General$401,725ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,714,549BOYAmt
EOY$2,387,101EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,155,631BOYAmt
EOY$1,103,959EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,531BOYAmt
EOY$10,620EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,329LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$45,479LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,070BOYAmt
EOY$2,850EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,897,781BOYAmt
EOY$3,504,530EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,052,694BOYAmt
EOY$1,352,658EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$100,177EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,057,694BOYAmt
EOY$1,452,835EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,025,032BOYAmt
EOY$1,400,795EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$815,055BOYAmt
EOY$650,900EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,840,087BOYAmt
EOY$2,051,695EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,897,781BOYAmt
EOY$3,504,530EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$211,608ReconcilationRevenueExpnssAmt
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$604,302CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,272,934CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,285,589CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,270,570CurrentTaxYearMinus1YearAmt
Current Tax Year$5,162,265CurrentTaxYearAmt
Total$14,595,660TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,180,197CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,230,713CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,161,280CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,772,140CurrentTaxYearMinus1YearAmt
Current Tax Year$1,899,323CurrentTaxYearAmt
Total$11,243,653TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,784,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,503,647CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,446,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,042,710CurrentTaxYearMinus1YearAmt
Current Tax Year$7,061,588CurrentTaxYearAmt
Total$25,839,313TotalAmt

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$25,839,313PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,337CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,437CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$630CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$817CurrentTaxYearMinus1YearAmt
Current Tax Year$2,424CurrentTaxYearAmt
Total$6,645TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,337CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,437CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$630CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$817CurrentTaxYearMinus1YearAmt
Current Tax Year$2,424CurrentTaxYearAmt
Total$6,645TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$26,579CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,201CurrentTaxYearMinus1YearAmt
Current Tax Year$4,028CurrentTaxYearAmt
Total$65,808TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,785,836CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,505,084CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,474,078CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,078,728CurrentTaxYearMinus1YearAmt
Current Tax Year$7,068,040CurrentTaxYearAmt
Total$25,911,766TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

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$45,479DepreciationAmt
Book Value$2,850BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,850TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,068,039TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$7,068,039RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,068,039TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,856,431TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,856,431ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,856,431TotalExpensesPerForm990Amt

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 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 B, LINE 15AANNUALLY, THE PRESIDENT AND EXECUTIVE COMMITTEE CONDUCTS A PERFORMANCE REVIEW AND EVALUATION WITH RECOMMENDATIONS TO THE BOARD OF THE EXECUTIVE DIRECTOR. THE REVIEW ALSO ESTABLISHES THE INDIVIDUAL'S COMPENSATION FOR THE FOLLOWING YEAR. THIS PROCESS INVOLVES THE EVALUATION OF THE INDIVIDUAL AND A REVIEW OF COMPENSATION OF COMPARABLE POSITIONS OBTAINED FROM COMPENSATION SURVEYS. THE BOARD'S DELIBERATION AND DECISION IS NOTED IN THE MINUTES OF THE MEETING.
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.