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RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED (EIN 23-7404795)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-03-12
IRS object ID
202130719349301403
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)
Return2021-03-12T15:00:33-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN222428965PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CITRIN COOPERMAN & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 EXCHANGE STREET SUITE 9-100AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237404795EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RHODE ISLAND HEALTH CENTER ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRHODBusinessNameControlTxt
Phone4012741771PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE ST STE 455AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANE HAYWARDPersonNm
Person TitlePRESIDENT & CHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone4012741771PhoneNum
Signature2021-03-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL E CRISCIONEPreparerPersonNm
PTINP01456801PTIN
Phone4014214800PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANE HAYWARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE ST STE 455AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,856,499GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RIHCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTHE 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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,479,070PYContributionsGrantsAmt
CY Contributions Grants$1,472,495CYContributionsGrantsAmt
PY Program Service Revenue$325,000PYProgramServiceRevenueAmt
CY Program Service Revenue$312,500CYProgramServiceRevenueAmt
PY Investment Income$39,654PYInvestmentIncomeAmt
CY Investment Income$21,624CYInvestmentIncomeAmt
PY Other Revenue$40,821PYOtherRevenueAmt
CY Other Revenue$49,880CYOtherRevenueAmt
PY Total Revenue$1,884,545PYTotalRevenueAmt
CY Total Revenue$1,856,499CYTotalRevenueAmt
PY Grants And Similar Paid$655,940PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$559,230CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$759,783PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$889,581CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$409,329PYOtherExpensesAmt
CY Other Expenses$410,814CYOtherExpensesAmt
PY Total Expenses$1,825,052PYTotalExpensesAmt
CY Total Expenses$1,859,625CYTotalExpensesAmt
PY Revenues Less Expenses$59,493PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,126CYRevenuesLessExpensesAmt
Total Assets BOY$1,520,111TotalAssetsBOYAmt
Total Assets EOY$1,854,071TotalAssetsEOYAmt
Total Liabilities BOY$145,873TotalLiabilitiesBOYAmt
Total Liabilities EOY$459,872TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,374,238NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,394,199NetAssetsOrFundBalancesEOYAmt
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,526,848ExpenseAmt
Grant$559,230GrantAmt
Revenue$362,380RevenueAmt
DescTHE ASSOCIATION SUPPORTS THE PROGRAMS OF ITS TEN ORGANIZATIONAL MEMBERS THROUGH JOINT EDUCATIONAL PROGRAMS AND OTHER POOLED SERVICESDesc
Total Program Service Expenses$1,526,848TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANNAH MARSTONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4012741771PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE STREET STE 455AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DENNIS ROY
CHAIR1.00Yes (X)Yes (X)$0$0$0
WILLIAM HOCHSTRASSER-WALSH
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
MERRILL THOMAS
TREASURER1.00Yes (X)Yes (X)$0$0$0
BRENDA DOWLATSHAHI
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ALISON CROKE
DIRECTOR1.00Yes (X)$0$0$0
PETER BANCROFT
DIRECTOR1.00Yes (X)$0$0$0
RAYMOND LAVOIE
DIRECTOR1.00Yes (X)$0$0$0
JEANNE LACHANCE
DIRECTOR1.00Yes (X)$0$0$0
MARK CLARK MD
DIRECTOR1.00Yes (X)$0$0$0
DEB O'BRIEN
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW MALEK MD
DIRECTOR1.00Yes (X)$0$0$0
THOMAS K WARCUP
DIRECTOR1.00Yes (X)$0$0$0
JANE HAYWARD
PRESIDENT & CEO35.00Yes (X)$166,666$0$7,246
MARY EVANS
COO35.00Yes (X)$135,821$0$19,189
FieldValueIRS element (for citing)
Total Reportable Comp From Org$302,487TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$26,435TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$1,447,495GovernmentGrantsAmt
All Other Contributions$25,000AllOtherContributionsAmt
Total Contributions$1,472,495TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE REVENUE624100$200,000$200,000
MEMBERSHIP DUES624100$112,500$112,500
FieldValueIRS element (for citing)
Total Program Service Revenue$312,500TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,624TotalRevenueColumnAmt
Exclusion$21,624ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
UDS INCOME624100$19,745$19,745
ANNUAL MEETING INCOME624100$18,665$18,665
MISC NON-GRANT INCOME624100$3,895$3,895

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,575TotalRevenueColumnAmt
Related Or Exempt Func Income$7,575RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$49,880OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,856,499TotalRevenueColumnAmt
Related Or Exempt Func Income$362,380RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$21,624ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$559,230TotalAmt
Program Services$559,230ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$345,394TotalAmt
Program Services$289,099ProgramServicesAmt
Management And General$56,295ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$429,417TotalAmt
Program Services$373,223ProgramServicesAmt
Management And General$56,194ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$54,995TotalAmt
Program Services$54,006ProgramServicesAmt
Management And General$989ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$59,775TotalAmt
Program Services$50,650ProgramServicesAmt
Management And General$9,125ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,125TotalAmt
Program Services$6,075ProgramServicesAmt
Management And General$4,050ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,475TotalAmt
Program Services$11,085ProgramServicesAmt
Management And General$7,390ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$79,001TotalAmt
Program Services$13,046ProgramServicesAmt
Management And General$65,955ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,010TotalAmt
Management And General$3,010ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,414TotalAmt
Program Services$15,425ProgramServicesAmt
Management And General$6,989ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$101,279TotalAmt
Program Services$63,300ProgramServicesAmt
Management And General$37,979ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,300TotalAmt
Program Services$9,300ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$68,130TotalAmt
Program Services$25,203ProgramServicesAmt
Management And General$42,927ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,997TotalAmt
Management And General$1,997ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,390TotalAmt
Program Services$4,821ProgramServicesAmt
Management And General$2,569ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BANK FEES$24,641$10,192$14,449
SMALL EQUIPMENT AND SOF$24,425$20,671$3,754
REPAIRS AND MAINTENANCE$21,885$13,098$8,787
OTHER EXPENSES$9,909$9,909

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,833TotalAmt
Program Services$8,424ProgramServicesAmt
Management And General$409ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,859,625TotalAmt
Program Services$1,526,848ProgramServicesAmt
Management And General$332,777ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$513,127BOYAmt
EOY$555,259EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$202,233BOYAmt
EOY$143,220EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$163,245EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,647BOYAmt
EOY$13,408EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,773LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,773LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,997BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$791,107BOYAmt
EOY$978,939EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,520,111BOYAmt
EOY$1,854,071EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$143,373BOYAmt
EOY$240,492EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$219,380EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$145,873BOYAmt
EOY$459,872EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,358,692BOYAmt
EOY$1,374,310EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,546BOYAmt
EOY$19,889EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,374,238BOYAmt
EOY$1,394,199EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,520,111BOYAmt
EOY$1,854,071EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,126ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$23,087NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,464,381CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,228,713CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,292,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,479,070CurrentTaxYearMinus1YearAmt
Current Tax Year$1,472,495CurrentTaxYearAmt
Total$6,937,109TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,464,381CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,228,713CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,292,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,479,070CurrentTaxYearMinus1YearAmt
Current Tax Year$1,472,495CurrentTaxYearAmt
Total$6,937,109TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$6,937,109PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,620CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,697CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,229CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,832CurrentTaxYearMinus1YearAmt
Current Tax Year$21,624CurrentTaxYearAmt
Total$89,002TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,412CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,633CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,821CurrentTaxYearMinus1YearAmt
Current Tax Year$49,880CurrentTaxYearAmt
Total$257,293TotalAmt
FieldValueIRS element (for citing)
Total Support$7,283,404TotalSupportAmt
Public Support CY1700.95250PublicSupportCY170Pct
Public Support PY1700.95660PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMEETING TRAINING AND OTHER INCOME - 2015 AMOUNT: $ 46,547. 2016 AMOUNT: $ 49,412. 2017 AMOUNT: $ 70,633. 2018 AMOUNT: $ 40,821. 2019 AMOUNT: $ 49,880.ExplanationTxt

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures$0PoliticalExpendituresAmt
Volunteer Hours0VolunteerHoursCnt
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$2,362MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$406DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$42,000OtherActivitiesAmt
Total Lobbying Expenditures$44,768TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES RELATING TO HEALTHCARE PUBLIC POLICY AND REFORM. AMOUNTS ON 1I ARE PAID TO DOME CONSULTANTS, LLC ($4,000 EACH FOR 6 MONTHS AND $3,000 EACH FOR 6 MONTHS).ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,773OtherCostOrOtherBasisAmt
Depreciation$36,773DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,879,586TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$23,087NetUnrealizedGainsInvstAmt
Revenue Not Reported$23,087RevenueNotReportedAmt
Revenue Subtotal$1,856,499RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,856,499TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,859,625TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,859,625ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,859,625TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMOS HOUSE
460 PINE STREETPROVIDENCERI02907050387218501(C)(3)$16,840OESP
CARE NEW ENGLAND HEALTH SYSTEM
45 WILLARD AVENUEPROVIDENCERI02905050490997501(C)(3)$45,940OESP
CENTER FOR SOUTHEAST ASIANS
270 ELMWOOD AVENUEPROVIDENCERI02907222914654501(C)(3)$16,840OESP
COMMUNITY CARE ALLIANCE
245 MAIN STREETWOONSOCKETRI02895050312278501(C)(3)$16,840OESP
NARRAGANSETT INDIAN HEALTH CENTER
51 OLD MILL ROADCHARLESTOWNRI02813050402864501(C)(3)$16,840OESP
RHODE ISLAND PARENT INFORMATION NETWORK INC
1210 PONTIAC AVENUECRANSTONRI02920050457336501(C)(3)$38,280OESP
UNITED WAY OF RHODE ISLAND INC
50 VALLEY STREETPROVIDENCERI02909050276059501(C)(3)$38,280OESP
BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC
38 EAST AVENUEPAWTUCKETRI02860510183476501(C)(3)$45,940OESP
RI DEPARTMENT OF HEALTH-HEALTH PROFESSIONALS LOAN REPAYMENT PROGRAM
3 CAPITOL HILLPROVIDENCERI02908$50,000HEALTH EDUCATION ASSISTANCE TO ELIGIBLE PROFESSIONALS.
EAST BAY COMMUNITY ACTION PROGRAM
19 BROADWAYNEWPORTRI02840050310024501(C)(3)$45,940OESP
COMPREHENSIVE COMMUNITY ACTION INC
311 DORIC AVENUECRANSTONRI02910056018801501(C)(3)$45,940OESP
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC
375 ALLENS AVEPROVIDENCERI02905050368134501(C)(3)$45,940OESP
THUNDERMIST HEALTH CENTER
171 SERVICE AVENUE BUILDING 2WARWICKRI02886050355097501(C)(3)$45,940OESP
NORTHWEST COMMUNITY HEALTH CARE
36 BRIDGE WAYPASCOAGRI02859050258811501(C)(3)$29,890OESP
TRI-COUNTY COMMUNITY ACTION AGENCY
1126 HARTFORD AVENUEJOHNSTONRI02919050309695501(C)(3)$29,890OESP
WOOD RIVER HEALTH SERVICES
823 MAIN STREETHOPE VALLEYRI02832050378071501(C)(3)$29,890OESP
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE ASSOCIATION RECEIVES FUNDING FROM THE RHODE ISLAND EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES, AND 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

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
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 (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JANE HAYWARD
PRESIDENT & CEO$166,666$0$0$0$0$0$6,666$0$580$0$173,912$0$0$0
MARY EVANS
COO$135,821$0$0$0$0$0$3,237$0$15,952$0$155,010$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6EACH 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 7AEACH 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 7BEACH 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 11BA 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 12CTHE 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 15ALL 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 19COPIES 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.