2020-07-08T15:59:54-05:00 2019-06-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2018-07-01 472304987 CARE TRANSFORMATION COLLABORATIVE OF RI CARE 4015193921 235 PROMENADE STREET STE 525 BOX 18 PROVIDENCE RI 02908 DEBRA HURWITZ EXECUTIVE DIRECTOR 4015193921 2020-07-07 1 PATRICK J MARTIN P00283486 4012742001 38.111.239.2 2020-07-07 13:45:27 ED P 4307CEFB529B85E6F11DB4DA0F09880548EE4425 310735FEDA00ABF85DAF5976D239C5F4A33DCDA7 2018 2020-11-06 18:47:13Z X DEBRA HURWITZ 235 PROMENADE STREET STE 525 BOX 18 PROVIDENCE RI 02908 6078728 0 X WWW.CTC-RI.ORG X 2015 RI TO LEAD THE TRANSFORMATION OF PRIMARY CARE IN RHODE ISLAND IN THE CONTEXT OF AN INTEGRATED HEALTH CARE SYSTEM. 24 17 5 0 0 0 3285589 4270570 2161280 1772140 630 817 26579 35201 5474078 6078728 0 0 0 0 235263 568002 0 0 0 4960295 5156921 5195558 5724923 278520 353805 2654944 2897781 1168662 1057694 1486282 1840087 X TO 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. 0 0 5385672 1772140 ACCOMPLISHMENTS 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. 5385672 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 26 0 5 1 0 0 0 0 0 0 0 0 0 0 0 0 X 24 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 RI X DEBRA HURWITZ 4015193921 235 PROMENADE STREET SUITE 525 - PROVIDENCE RI 02908 MARIE GANIM PHD CO-CONVENER 1.00 X X 0 0 0 PATRICK TIGUE CO-CONVENER 1.00 X X 0 0 0 THOMAS BLEDSOE MD PRESIDENT 1.00 X X 0 0 0 AL CHARBONNEAU ED TREASURER 1.00 X X 0 0 0 ELIZABETH LANGE MD SECRETARY 1.00 X X 125 0 0 SOLMAZ BEHTASH DO DIRECTOR 1.00 X 0 0 0 JEFFREY BORKAN MD DIRECTOR 1.00 X 0 0 0 DAVID BOURASSA MD DIRECTOR 1.00 X 0 0 0 MATTHEW COLLINS MD DIRECTOR 1.00 X 0 0 0 JAYNE DAYLOR RNBSMS DIRECTOR (UP TO 12/18) 1.00 X 35380 0 0 BARRY FABIUS MD DIRECTOR (AS OF 10/18) 1.00 X 0 0 0 SARAH FESSLER MD DIRECTOR 1.00 X 0 0 0 PATRICIA FLANAGAN MD DIRECTOR 1.00 X 0 0 0 NEAL GALINKO MD DIRECTOR (UP TO 9/18) 1.00 X 0 0 0 LOUIS GIANCOLA DIRECTOR 1.00 X 0 0 0 AL KUROSE MD DIRECTOR 1.00 X 0 0 0 STEVEN LAMBERT MD DIRECTOR 1.00 X 0 0 0 CLAIRE LEVESQUE MD DIRECTOR 1.00 X 0 0 0 MICHAEL LICHTENSTEIN MS DIRECTOR (AS OF 2/19) 1.00 X 0 0 0 DEBORAH MASLAND DIRECTOR 1.00 X 0 0 0 KATHLEEN MULLALLY DIRECTOR (AS OF 1/19) 1.00 X 0 0 0 DEBORAH O'BRIEN BSRNMPA DIRECTOR 1.00 X 0 0 0 JOHN O'LEARY MD DIRECTOR (UP TO 12/18) 1.00 X 0 0 0 CHRISTOPHER OTTIANO MD DIRECTOR 1.00 X 0 0 0 DEBORAH POWERS RN MSN CCM DIRECTOR (AS OF 7/18) 1.00 X 0 0 0 AL PUERINI MD DIRECTOR 1.00 X 0 0 0 TINISHA RICHARDS DIRECTOR (UP TO 4/19) 1.00 X 0 0 0 ANA STANKOVIC DIRECTOR (AS OF 5/19) 1.00 X 0 0 0 DEBRA HURWITZ EXECUTIVE DIRECTOR 24.00 X 138820 0 1000 174325 0 1000 1 0 0 0 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 100 KENYON AVENUE WAKEFIELD RI 02879 FACILITATE OUTREACH & MANAGEMENT 748702 THE PROVIDENCE CENTER 528 NORTH MAIN STREET PROVIDENCE RI 02904 SCREENING/INTERVENTION PROGRAM 660410 THUNDERMIST HEALTH CENTER 25 JOHN CUMMINGS WAY WOONSOCKET RI 02895 COMMUNITY HEALTH TEAM SERVICES 562609 UMASS MEDICAL SCHOOL 55 LAKE AVENUE NORTH WORCESTER MA 01655 PROJECT MANAGEMENT 365338 FAMILY SERVICES OF RI PO BOX 6688 PROVIDENCE RI 029406688 SBIRT PROGRAM 365078 15 4270570 4270570 PROGRAM INCOME 900099 1772140 1772140 1772140 817 817 OTHER REVENUE 900099 35201 35201 35201 6078728 1772140 0 36018 X 141400 113120 28280 334364 267491 66873 53380 42704 10676 38858 31086 7772 7873 7873 70530 70530 579371 554539 24832 38290 38290 31600 18960 12640 6933 6933 16109 1944 14165 12304 12304 GRANT EXPENSES 3715470 3715470 COMMUNITY HEALTH TEAMS 449386 449386 PROJECT MANAGEMENT EXPE 178021 139938 38083 PROGRAM EVENT EXPENSES 51034 51034 5724923 5385672 339251 0 1261978 1714549 1354287 1155631 7500 12531 48329 33259 31179 15070 2654944 2897781 1168662 1052694 5000 1168662 1057694 X 980716 1025032 505566 815055 1486282 1840087 2654944 2897781 353805 0 X 0 1 X 1 1 1 X 604302 1272934 3285589 4270570 9433395 3180197 2230713 2161280 1772140 9344330 3784499 3503647 5446869 6042710 18777725 0 0 0 18777725 1337 1437 630 817 4221 1337 1437 630 817 4221 26579 35201 61780 3785836 3505084 5474078 6078728 18843726 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48329 33259 15070 15070 X 6078728 0 6078728 0 6078728 5724923 0 5724923 0 5724923 PART X, LINE 2: THE 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. LOUIS GIANCOLA DIRECTOR 748702 LOUIS 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 660410 DEBORAH 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 122210 JEFFREY 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 150931 DEBORAH 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 267047 SARAH 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 98886 MATTHEW 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 562609 DAVID BOURASSA, MD, DIRECTOR, IS CHIEF MEDICAL OFFICER AT THUNDERMIST HEALTH CENTER, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR PRACTICE FACILITATION SERVICES. 0 FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C EACH 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 19 THE 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 11G CONSULTING: 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.