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CARE TRANSFORMATION COLLABORATIVE OF RI: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CARE TRANSFORMATION COLLABORATIVE OF RI (EIN 47-2304987)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-08
IRS object ID
202031909349302083
Schema version
2018v3.2
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)
Return2020-07-08T15:59:54-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Begin2018-07-01TaxPeriodBeginDt

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 BOX 18AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBRA HURWITZPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4015193921PhoneNum
Signature2020-07-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.111.239.2IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-07IPDt
IP Tm13:45:27IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4307CEFB529B85E6F11DB4DA0F09880548EE4425AtSubmissionCreationDeviceId
At Submission Filing Device Id310735FEDA00ABF85DAF5976D239C5F4A33DCDA7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
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$6,078,728GrossReceiptsAmt
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 Body24VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,285,589PYContributionsGrantsAmt
CY Contributions Grants$4,270,570CYContributionsGrantsAmt
PY Program Service Revenue$2,161,280PYProgramServiceRevenueAmt
CY Program Service Revenue$1,772,140CYProgramServiceRevenueAmt
PY Investment Income$630PYInvestmentIncomeAmt
CY Investment Income$817CYInvestmentIncomeAmt
PY Other Revenue$26,579PYOtherRevenueAmt
CY Other Revenue$35,201CYOtherRevenueAmt
PY Total Revenue$5,474,078PYTotalRevenueAmt
CY Total Revenue$6,078,728CYTotalRevenueAmt
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$235,263PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$568,002CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,960,295PYOtherExpensesAmt
CY Other Expenses$5,156,921CYOtherExpensesAmt
PY Total Expenses$5,195,558PYTotalExpensesAmt
CY Total Expenses$5,724,923CYTotalExpensesAmt
PY Revenues Less Expenses$278,520PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$353,805CYRevenuesLessExpensesAmt
Total Assets BOY$2,654,944TotalAssetsBOYAmt
Total Assets EOY$2,897,781TotalAssetsEOYAmt
Total Liabilities BOY$1,168,662TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,057,694TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,486,282NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,840,087NetAssetsOrFundBalancesEOYAmt
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$5,385,672ExpenseAmt
Revenue$1,772,140RevenueAmt
DescACCOMPLISHMENTS DURING FY2019 INCLUDE: CTC HAS SUCCESSFULLY EXECUTED YEAR 2 OF ITS 5 YEAR STRATEGIC PLAN. CTC HAS ACTIVELY ENGAGED A NEW COHORT OF 17 NEW PEDIATRIC PRACTICES TO OUR MULTI-PAYER, PATIENT CENTERED MEDICAL HOME TRANSFORMATION PROGRAM CALLED PCMH-KIDS. IN ADDITION, WE HAVE ENGAGED 30 ADULT AND PEDIATRIC PRIMARY CARE PRACTICES IN IMPLEMENTING INTEGRATED BEHAVIORAL HEALTH.APPROXIMATELY 650,000 RHODE ISLANDERS (2/3 OF THE STATE POPULATION) RECEIVE THEIR CARE FROM PRACTICES THAT PARTICIPATED IN CTC-RI AND PCMH-KIDS TRANSFORMATION PROGRAM. PCMH-KIDS NOW REPRESENTS MORE THAN 50% OF RHODE ISLAND CHILDREN (110,000 PATIENTS), AND MORE THAN 80% OF THE STATE'S TOTAL PEDIATRIC MEDICAID POPULATION.TO DATE, CTC HAS WORKED WITH 128 ADULT AND PEDIATRIC PRIMARY CARE PRACTICES, REPRESENTING OVER 800 PRIMARY CARE PROVIDERS.Desc
Total Program Service Expenses$5,385,672TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer EntYes (1)BusinessRlnWithOfficerEntInd
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 Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5EmployeeCnt
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 Members24GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARIE GANIM PHD
CO-CONVENER1.00Yes (X)Yes (X)$0$0$0
PATRICK TIGUE
CO-CONVENER1.00Yes (X)Yes (X)$0$0$0
THOMAS BLEDSOE MD
PRESIDENT1.00Yes (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)$125$0$0
SOLMAZ BEHTASH DO
DIRECTOR1.00Yes (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
JAYNE DAYLOR RNBSMS
DIRECTOR (UP TO 12/18)1.00Yes (X)$35,380$0$0
BARRY FABIUS MD
DIRECTOR (AS OF 10/18)1.00Yes (X)$0$0$0
SARAH FESSLER MD
DIRECTOR1.00Yes (X)$0$0$0
PATRICIA FLANAGAN MD
DIRECTOR1.00Yes (X)$0$0$0
NEAL GALINKO MD
DIRECTOR (UP TO 9/18)1.00Yes (X)$0$0$0
LOUIS GIANCOLA
DIRECTOR1.00Yes (X)$0$0$0
AL KUROSE MD
DIRECTOR1.00Yes (X)$0$0$0
STEVEN LAMBERT MD
DIRECTOR1.00Yes (X)$0$0$0
CLAIRE LEVESQUE MD
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL LICHTENSTEIN MS
DIRECTOR (AS OF 2/19)1.00Yes (X)$0$0$0
DEBORAH MASLAND
DIRECTOR1.00Yes (X)$0$0$0
KATHLEEN MULLALLY
DIRECTOR (AS OF 1/19)1.00Yes (X)$0$0$0
DEBORAH O'BRIEN BSRNMPA
DIRECTOR1.00Yes (X)$0$0$0
JOHN O'LEARY MD
DIRECTOR (UP TO 12/18)1.00Yes (X)$0$0$0
CHRISTOPHER OTTIANO MD
DIRECTOR1.00Yes (X)$0$0$0
DEBORAH POWERS RN MSN CCM
DIRECTOR (AS OF 7/18)1.00Yes (X)$0$0$0
AL PUERINI MD
DIRECTOR1.00Yes (X)$0$0$0
TINISHA RICHARDS
DIRECTOR (UP TO 4/19)1.00Yes (X)$0$0$0
ANA STANKOVIC
DIRECTOR (AS OF 5/19)1.00Yes (X)$0$0$0
DEBRA HURWITZ
EXECUTIVE DIRECTOR24.00Yes (X)$138,820$0$1,000
FieldValueIRS element (for citing)
Total Reportable Comp From Org$174,325TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,000TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
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$748,702
THE PROVIDENCE CENTER
528 NORTH MAIN STREETPROVIDENCERI02904SCREENING/INTERVENTION PROGRAM$660,410
THUNDERMIST HEALTH CENTER
25 JOHN CUMMINGS WAYWOONSOCKETRI02895COMMUNITY HEALTH TEAM SERVICES$562,609
UMASS MEDICAL SCHOOL
55 LAKE AVENUE NORTHWORCESTERMA01655PROJECT MANAGEMENT$365,338
FAMILY SERVICES OF RI
PO BOX 6688PROVIDENCERI029406688SBIRT PROGRAM$365,078
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
All Other Contributions$4,270,570AllOtherContributionsAmt
Total Contributions$4,270,570TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM INCOMEDesc
Business900099BusinessCd
Total Revenue Column$1,772,140TotalRevenueColumnAmt
Related Or Exempt Func Income$1,772,140RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,772,140TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$817TotalRevenueColumnAmt
Exclusion$817ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$35,201TotalRevenueColumnAmt
Exclusion$35,201ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$35,201OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,078,728TotalRevenueColumnAmt
Related Or Exempt Func Income$1,772,140RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$36,018ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$141,400TotalAmt
Program Services$113,120ProgramServicesAmt
Management And General$28,280ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$334,364TotalAmt
Program Services$267,491ProgramServicesAmt
Management And General$66,873ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$53,380TotalAmt
Program Services$42,704ProgramServicesAmt
Management And General$10,676ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$38,858TotalAmt
Program Services$31,086ProgramServicesAmt
Management And General$7,772ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,873TotalAmt
Management And General$7,873ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$70,530TotalAmt
Management And General$70,530ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$579,371TotalAmt
Program Services$554,539ProgramServicesAmt
Management And General$24,832ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$38,290TotalAmt
Management And General$38,290ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$31,600TotalAmt
Program Services$18,960ProgramServicesAmt
Management And General$12,640ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,933TotalAmt
Management And General$6,933ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,109TotalAmt
Program Services$1,944ProgramServicesAmt
Management And General$14,165ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,304TotalAmt
Management And General$12,304ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
GRANT EXPENSES$3,715,470$3,715,470
COMMUNITY HEALTH TEAMS$449,386$449,386
PROJECT MANAGEMENT EXPE$178,021$139,938$38,083
PROGRAM EVENT EXPENSES$51,034$51,034

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,724,923TotalAmt
Program Services$5,385,672ProgramServicesAmt
Management And General$339,251ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,261,978BOYAmt
EOY$1,714,549EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,354,287BOYAmt
EOY$1,155,631EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,500BOYAmt
EOY$12,531EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,329LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,259LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,179BOYAmt
EOY$15,070EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,654,944BOYAmt
EOY$2,897,781EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,168,662BOYAmt
EOY$1,052,694EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,168,662BOYAmt
EOY$1,057,694EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$980,716BOYAmt
EOY$1,025,032EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$505,566BOYAmt
EOY$815,055EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,486,282BOYAmt
EOY$1,840,087EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,654,944BOYAmt
EOY$2,897,781EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$353,805ReconcilationRevenueExpnssAmt
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 Minus3 Years$604,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,272,934CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,285,589CurrentTaxYearMinus1YearAmt
Current Tax Year$4,270,570CurrentTaxYearAmt
Total$9,433,395TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$3,180,197CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,230,713CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,161,280CurrentTaxYearMinus1YearAmt
Current Tax Year$1,772,140CurrentTaxYearAmt
Total$9,344,330TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$3,784,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,503,647CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,446,869CurrentTaxYearMinus1YearAmt
Current Tax Year$6,042,710CurrentTaxYearAmt
Total$18,777,725TotalAmt

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$18,777,725PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,337CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,437CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$630CurrentTaxYearMinus1YearAmt
Current Tax Year$817CurrentTaxYearAmt
Total$4,221TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,337CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,437CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$630CurrentTaxYearMinus1YearAmt
Current Tax Year$817CurrentTaxYearAmt
Total$4,221TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$26,579CurrentTaxYearMinus1YearAmt
Current Tax Year$35,201CurrentTaxYearAmt
Total$61,780TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$3,785,836CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,505,084CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,474,078CurrentTaxYearMinus1YearAmt
Current Tax Year$6,078,728CurrentTaxYearAmt
Total$18,843,726TotalAmt
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$33,259DepreciationAmt
Book Value$15,070BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,070TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,078,728TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$6,078,728RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,078,728TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,724,923TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,724,923ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,724,923TotalExpensesPerForm990Amt

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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LOUIS GIANCOLA
DIRECTOR$748,702LOUIS GIANCOLA, DIRECTOR, SERVED AS PRESIDENT/CEO (UNTIL HIS RETIREMENT IN 3/19) AT SOUTH COUNTY HEALTH, INC., TO WHICH THE ORGANIZATION AWARDED A CONTRACT TO PROVIDE COMMUNITY HEALTH TEAM SERVICES.0
DEBORAH O'BRIEN BS RN MPA
DIRECTOR$660,410DEBORAH O'BRIEN, MS, RN, MPA, DIRECTOR, IS THE PRESIDENT OF THE PROVIDENCE CENTER, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR PRACTICE FACILITATION SERVICES.0
JEFFREY BORKAN MD
DIRECTOR$122,210JEFFREY BORKAN, MD, DIRECTOR, IS THE CHAIR OF THE DEPARTMENT OF FAMILY MEDICINE AT BROWN UNIVERSITY, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR PRACTICE FACILITATION SERVICES.0
DEBORAH MASLAND
DIRECTOR$150,931DEBORAH MASLAND, DIRECTOR, IS THE DIRECTOR OF EARLY CHILDHOOD PROGRAMS AT RHODE ISLAND PARENT INFORMATION NETWORK, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR PRACTICE FACILITATION SERVICES.0
SARAH FESSLER MD
DIRECTOR$267,047SARAH FESSLER, MD, DIRECTOR, IS THE MEDICAL DIRECTOR OF EAST BAY COMMUNITY ACTION PROGRAM, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR PRACTICE FACILITATION SERVICES.0
MATTHEW COLLINS MD
DIRECTOR$98,886MATTHEW COLLINS, DIRECTOR, IS THE EXECUTIVE VICE PRESIDENT AND CHIEF MEDICAL OFFICER AT BLUE CROSS BLUE SHIELD OF RHODE ISLAND, TO WHICH THE ORGANIZATION GRANTED A CONTRACT FOR HEALTH INSURANCE.0
DAVID BOURASSA MD
DIRECTOR$562,609DAVID BOURASSA, MD, DIRECTOR, IS CHIEF MEDICAL OFFICER AT THUNDERMIST HEALTH CENTER, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR PRACTICE FACILITATION SERVICES.0

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 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.
FORM 990, PART IX, LINE 11GCONSULTING: PROGRAM SERVICE EXPENSES 554,539. MANAGEMENT AND GENERAL EXPENSES 22,570. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 577,109. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,262.