RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED (EIN 23-7404795)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-03-05
IRS object ID: 202020659349300912
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-03-05T09:16:45-06:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	222428965	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CITRIN COOPERMAN & COMPANY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 EXCHANGE STREET SUITE 9-100	AddressLine1Txt
City	PROVIDENCE	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02903	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237404795	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RHODE ISLAND HEALTH CENTER ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RHOD	BusinessNameControlTxt
Phone	4012741771	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	235 PROMENADE ST NO 455 NO 455	AddressLine1Txt
City	PROVIDENCE	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02908	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JANE HAYWARD	PersonNm
Person Title	PRESIDENT & CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	4012741771	PhoneNum
Signature	2020-03-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL CRISCIONE	PreparerPersonNm
PTIN	P01456801	PTIN
Phone	4014214800	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	68.15.50.214	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-03-04	IPDt
IP Tm	14:07:12	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	929ECFC6041A7AA0A002473F659B1DCCC03AFB20	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JANE HAYWARD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	235 PROMENADE ST NO 455 NO 455	AddressLine1Txt
City	PROVIDENCE	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02908	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,107,494	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RIHCA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	RI	LegalDomicileStateCd
Activity Or Mission	THE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	11	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,292,450	PYContributionsGrantsAmt
CY Contributions Grants	$1,479,070	CYContributionsGrantsAmt
PY Program Service Revenue	$325,000	PYProgramServiceRevenueAmt
CY Program Service Revenue	$325,000	CYProgramServiceRevenueAmt
PY Investment Income	$17,987	PYInvestmentIncomeAmt
CY Investment Income	$39,654	CYInvestmentIncomeAmt
PY Other Revenue	$70,633	PYOtherRevenueAmt
CY Other Revenue	$40,821	CYOtherRevenueAmt
PY Total Revenue	$1,706,070	PYTotalRevenueAmt
CY Total Revenue	$1,884,545	CYTotalRevenueAmt
PY Grants And Similar Paid	$507,023	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$655,940	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$665,489	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$759,783	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$491,164	PYOtherExpensesAmt
CY Other Expenses	$409,329	CYOtherExpensesAmt
PY Total Expenses	$1,663,676	PYTotalExpensesAmt
CY Total Expenses	$1,825,052	CYTotalExpensesAmt
PY Revenues Less Expenses	$42,394	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$59,493	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,449,778	TotalAssetsBOYAmt
Total Assets EOY	$1,520,111	TotalAssetsEOYAmt
Total Liabilities BOY	$156,660	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$145,873	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,293,118	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,374,238	NetAssetsOrFundBalancesEOYAmt
Mission	THE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN, AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,530,725	ExpenseAmt
Grant	$655,940	GrantAmt
Revenue	$365,821	RevenueAmt
Desc	THE ASSOCIATION SUPPORTS THE PROGRAMS OF ITS TEN ORGANIZATIONAL MEMBERS THROUGH JOINT EDUCATIONAL PROGRAMS AND OTHER POOLED SERVICES	Desc
Total Program Service Expenses	$1,530,725	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	5	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	11	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HANNAH MARSTON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4012741771	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	235 PROMENADE STREET STE 455	AddressLine1Txt
City	PROVIDENCE	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02908	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
ALISON CROKE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
PETER BANCROFT
DIRECTOR	1.00	Yes (X)	$0	$0	$0
RAYMOND LAVOIE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
JEANNE LACHANCE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MARK CLARK MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
DEB O'BRIEN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MATTHEW MALEK MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BRENDA DOWLATSHAHI
SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
MERRILL THOMAS
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
WILLIAM HOCHSTRASSER-WALSH
VICE CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
DENNIS ROY
CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
JANE HAYWARD
PRESIDENT & CEO	35.00		$162,698	$0	$6,334	Yes (X)
MARY EVANS
COO	35.00		$129,144	$0	$18,518	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$291,842	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$24,852	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,469,270	GovernmentGrantsAmt
All Other Contributions	$9,800	AllOtherContributionsAmt
Total Contributions	$1,479,070	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE REVENUE	624100	$200,000	$200,000
MEMBERSHIP DUES	624100	$125,000	$125,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$325,000	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,832	TotalRevenueColumnAmt
Exclusion	$25,832	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$236,771	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$222,949	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$13,822	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,822	TotalRevenueColumnAmt
Exclusion	$13,822	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ANNUAL MEETING INCOME	624100	$21,230	$21,230
UDS INCOME	624100	$16,160	$16,160
MISC NON-GRANT INCOME	624100	$3,131	$3,131

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$300	TotalRevenueColumnAmt
Related Or Exempt Func Income	$300	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$40,821	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,884,545	TotalRevenueColumnAmt
Related Or Exempt Func Income	$365,821	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$39,654	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$655,940	TotalAmt
Program Services	$655,940	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$324,154	TotalAmt
Program Services	$291,739	ProgramServicesAmt
Management And General	$32,415	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$335,635	TotalAmt
Program Services	$275,810	ProgramServicesAmt
Management And General	$59,825	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$46,586	TotalAmt
Program Services	$43,110	ProgramServicesAmt
Management And General	$3,476	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$53,408	TotalAmt
Program Services	$45,710	ProgramServicesAmt
Management And General	$7,698	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,903	TotalAmt
Program Services	$9,503	ProgramServicesAmt
Management And General	$400	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$17,120	TotalAmt
Program Services	$11,340	ProgramServicesAmt
Management And General	$5,780	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$75,082	TotalAmt
Program Services	$27,082	ProgramServicesAmt
Management And General	$48,000	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,822	TotalAmt
Management And General	$5,822	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,742	TotalAmt
Program Services	$21,562	ProgramServicesAmt
Management And General	$7,180	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$98,931	TotalAmt
Program Services	$63,264	ProgramServicesAmt
Management And General	$35,667	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$21,964	TotalAmt
Program Services	$21,964	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$62,647	TotalAmt
Program Services	$12,163	ProgramServicesAmt
Management And General	$50,484	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,997	TotalAmt
Program Services	$1,248	ProgramServicesAmt
Management And General	$749	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,941	TotalAmt
Program Services	$4,275	ProgramServicesAmt
Management And General	$2,666	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BANK FEES	$25,151	$11,245	$13,906
REPAIRS AND MAINTENANCE	$22,563	$14,818	$7,745
MISCELLANEOUS	$15,300	$9,180	$6,120
SMALL EQUIPMENT AND SOF	$11,598	$10,772	$826

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,568	TotalAmt
Management And General	$5,568	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,825,052	TotalAmt
Program Services	$1,530,725	ProgramServicesAmt
Management And General	$294,327	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$516,091	BOYAmt
EOY	$513,127	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$170,654	BOYAmt
EOY	$202,233	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,389	BOYAmt
EOY	$11,647	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$36,773	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$34,776	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,994	BOYAmt
EOY	$1,997	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$746,650	BOYAmt
EOY	$791,107	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,449,778	BOYAmt
EOY	$1,520,111	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$156,660	BOYAmt
EOY	$143,373	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$2,500	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,660	BOYAmt
EOY	$145,873	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,274,269	BOYAmt
EOY	$1,358,692	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,849	BOYAmt
EOY	$15,546	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,293,118	BOYAmt
EOY	$1,374,238	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,449,778	BOYAmt
EOY	$1,520,111	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$59,493	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$21,627	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,962,620	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,464,381	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,228,713	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,292,450	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,479,070	CurrentTaxYearAmt
Total	$7,427,234	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,962,620	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,464,381	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,228,713	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,292,450	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,479,070	CurrentTaxYearAmt
Total	$7,427,234	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$7,427,234	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21,706	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,620	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,697	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,229	CurrentTaxYearMinus1YearAmt
Current Tax Year	$25,832	CurrentTaxYearAmt
Total	$89,084	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$40,071	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$46,547	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$49,412	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$70,633	CurrentTaxYearMinus1YearAmt
Current Tax Year	$40,821	CurrentTaxYearAmt
Total	$247,484	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$7,763,802	TotalSupportAmt
Public Support CY170	0.95660	PublicSupportCY170Pct
Public Support PY170	0.96070	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Political Expenditures	$0	PoliticalExpendituresAmt
Volunteer Hours	0	VolunteerHoursCnt
Section4955 Organization Tax	$0	Section4955OrganizationTaxAmt
Section4955 Managers Tax	$0	Section4955ManagersTaxAmt
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$2,302	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$533	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$48,000	OtherActivitiesAmt
Total Lobbying Expenditures	$50,835	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES RELATING TO HEALTHCARE PUBLIC POLICY AND REFORM. AMOUNTS ON 1I ARE PAID TO DOME CONSULTANTS, LLC ($4,000 EACH FOR 12 MONTHS).	ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,773	OtherCostOrOtherBasisAmt
Depreciation	$34,776	DepreciationAmt
Book Value	$1,997	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,997	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,906,172	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$21,627	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$21,627	RevenueNotReportedAmt
Revenue Subtotal	$1,884,545	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,884,545	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,825,052	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$1,825,052	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,825,052	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ASSOCIATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A NOT-FOR-PROFIT ENTITY, THE ASSOCIATION IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ("UBIT"), IF APPLICABLE. IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, THE ASSOCIATION APPLIES THE "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION AND DERECOGNITION OF TAX POSITIONS FOR ITS FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITIONS AND HAS CONCLUDED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMOS HOUSE
460 PINE STREET	PROVIDENCE	RI	02907	050387218	501(C)(3)	$16,500	OESP
CARE NEW ENGLAND HEALTH SYSTEM
45 WILLARD AVENUE	PROVIDENCE	RI	02905	050490997	501(C)(3)	$45,000	OESP
CENTER FOR SOUTHEAST ASIANS
270 ELMWOOD AVENUE	PROVIDENCE	RI	02907	222914654	501(C)(3)	$16,500	OESP
COMMUNITY CARE ALLIANCE
245 MAIN STREET	WOONSOCKET	RI	02895	050312278	501(C)(3)	$16,500	OESP
NARRAGANSETT INDIAN HEALTH CENTER
51 OLD MILL ROAD	CHARLESTOWN	RI	02813	050402864	501(C)(3)	$16,500	OESP
RHODE ISLAND PARENT INFORMATION NETWORK INC
1210 PONTIAC AVENUE	CRANSTON	RI	02920	050457336	501(C)(3)	$37,500	OESP
UNITED WAY OF RHODE ISLAND INC
50 VALLEY STREET	PROVIDENCE	RI	02909	050276059	501(C)(3)	$37,500	OESP
BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC
38 EAST AVENUE	PAWTUCKET	RI	02860	510183476	501(C)(3)	$56,725	OESP; QUALITY IMPROVEMENT PROJECT AND IMPROVING HCV INTERVENTIONS
RI DEPARTMENT OF HEALTH-HEALTH PROFESSIONALS LOAN REPAYMENT PROGRAM
3 CAPITOL HILL	PROVIDENCE	RI	02908			$50,000	HEALTH EDUCATION ASSISTANCE TO ELIGIBLE PROFESSIONALS.
EAST BAY COMMUNITY ACTION PROGRAM
19 BROADWAY	NEWPORT	RI	02840	050310024	501(C)(3)	$56,725	OESP; QUALITY IMPROVEMENT PROJECT AND IMPROVING HCV INTERVENTIONS
COMPREHENSIVE COMMUNITY ACTION INC
311 DORIC AVENUE	CRANSTON	RI	02910	056018801	501(C)(3)	$56,725	OESP; QUALITY IMPROVEMENT PROJECT AND IMPROVING HCV INTERVENTIONS
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC
375 ALLENS AVE	PROVIDENCE	RI	02905	050368134	501(C)(3)	$63,725	OESP; QUALITY IMPROVEMENT PROJECT AND IMPROVING HCV INTERVENTIONS
THUNDERMIST HEALTH CENTER
171 SERVICE AVENUE BUILDING 2	WARWICK	RI	02886	050355097	501(C)(3)	$56,725	OESP; QUALITY IMPROVEMENT PROJECT AND IMPROVING HCV INTERVENTIONS
NORTHWEST COMMUNITY HEALTH CARE
36 BRIDGE WAY	PASCOAG	RI	02859	050258811	501(C)(3)	$41,005	OESP; QUALITY IMPROVEMENT PROJECT AND IMPROVING HCV INTERVENTIONS
TRI-COUNTY COMMUNITY ACTION AGENCY
1126 HARTFORD AVENUE	JOHNSTON	RI	02919	050309695	501(C)(3)	$41,005	OESP; QUALITY IMPROVEMENT PROJECT AND IMPROVING HCV INTERVENTIONS
WOOD RIVER HEALTH SERVICES
823 MAIN STREET	HOPE VALLEY	RI	02832	050378071	501(C)(3)	$41,005	OESP; QUALITY IMPROVEMENT PROJECT AND IMPROVING HCV INTERVENTIONS
HOSPITAL RESEARCH AND EDUCATION FOUNDATION OF RHODE ISLAND
405 PROMENADE ST STEC	PROVIDENCE	RI	02908	056033914	501(C)(3)	$6,300	RHODE ISLAND CANCER SUMMIT SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE ASSOCIATION RECEIVES FUNDING FROM 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. THE ASSOCIATION RECEIVED FUNDING FROM THE RI DEPARTMENT OF HEALTH TO FUND HEALTH CENTERS FOR HEALTH INFORMATION TECHNOLOGY NEEDS AND FOR PROVIDING TECHNICAL ASSISTANCE AND IN SERVICE TRAINING. THESE HEALTH CENTERS HAVE PROVIDED CLOSE OUT REPORTS TO DEMONSTRATE THEIR USE OF THE FUNDS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	JANE HAYWARD	PersonNm
Title	PRESIDENT & CEO	TitleTxt
Base Compensation Filing Org	$162,698	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$0	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$5,739	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$595	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$169,032	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$0	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THE BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THE BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B	EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THE BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11B	A THOROUGH REVIEW OF THE FORM 990 IS CONDUCTED BY THE CEO & PRESIDENT, SR. DIRECTOR OF FINANCE & ACCOUNTING, AND MEMBERS OF THE FINANCE COMMITTEE. THEN THE ORGANIZATION'S FORM 990 IS PROVIDED TO MEMBERS OF THE GOVERNING BODY VIA E-MAIL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS ENLISTED THE ONGOING SERVICES OF AN EXPERT IN ALL COMPLIANCE ISSUES AS THEY RELATE TO ALL EMPLOYEES AND DIRECTORS, INCLUDING THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	ALL HIRING AND COMPENSATION ISSUES RELATED TO POSITIONS REFERENCED ARE REVIEWED AND APPROVED BY THE DIRECTORS (MEMBERS OF THE GOVERNING BODY). IN THE CASE OF THE PRESIDENT & CEO, THIS IS BASED ON THE RECOMMENDATIONS OF AN AD-HOC SUB-COMMITTEE OF THE BOARD WHO ACCUMULATES INFORMATION CONCERNING QUALIFICATIONS AND COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	COPIES OF ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES AND FINANCIAL STATEMENTS ARE APPROVED BY THE GOVERNING BODY AND MAINTAINED IN A COMMON LOCATION AT 235 PROMENADE STREET, SUITE 455, PROVIDENCE, RI 02908. THIS LOCATION IS AVAILABLE TO MEMBERS OF THE GOVERNING BODY, EMPLOYEES AND MEMBERS OF THE PUBLIC BY APPOINTMENT.
FORM 990, PART XII, LINE 2C:	THERE HAS BEEN NO CHANGE IN THE OVERSIGHT OF THE AUDIT.