CARE TRANSFORMATION COLLABORATIVE OF RI: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CARE TRANSFORMATION COLLABORATIVE OF RI (EIN 47-2304987)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-02
- IRS object ID
- 201931229349300208
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-02T07:56:34-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 050409384 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAHN LITWIN RENZA & CO LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 951 NORTH MAIN STREET | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472304987 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE TRANSFORMATION COLLABORATIVE OF RI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 4015193921 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET STE 500 BOX 18 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBRA HURWITZ | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 4015193921 | PhoneNum |
| Signature | 2019-05-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBORAH A HOPKINS | PreparerPersonNm |
| PTIN | P00167843 | PTIN |
| Phone | 4012742001 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.117.160.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-01 | IPDt |
| IP Tm | 12:39:01 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 943C2B779621AE68CF3E0BED5C235FDF89DF7949 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBRA HURWITZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET STE 500 BOX 18 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,474,078 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CTC-RI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | TO LEAD THE TRANSFORMATION OF PRIMARY CARE IN RHODE ISLAND IN THE CONTEXT OF AN INTEGRATED HEALTH CARE SYSTEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,272,934 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,285,589 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,230,713 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,161,280 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,437 | PYInvestmentIncomeAmt |
| CY Investment Income | $630 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $26,579 | CYOtherRevenueAmt |
| PY Total Revenue | $3,505,084 | PYTotalRevenueAmt |
| CY Total Revenue | $5,474,078 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $235,263 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,049,464 | PYOtherExpensesAmt |
| CY Other Expenses | $4,960,295 | CYOtherExpensesAmt |
| PY Total Expenses | $3,049,464 | PYTotalExpensesAmt |
| CY Total Expenses | $5,195,558 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $455,620 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $278,520 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,581,353 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,654,944 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $373,591 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,168,662 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,207,762 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,486,282 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,935,191 | ExpenseAmt |
| Revenue | $2,161,280 | RevenueAmt |
| Desc | ACCOMPLISHMENTS DURING FY2018 INCLUDE: CTC HAS IMPLEMENTED A NEW 5 YEAR STRATEGIC PLAN. CTC ACCEPTED 17 NEW PEDIATRIC PRACTICES TO PARTICIPATE IN PCMHKIDS PRIMARY CARE TRANSFORMATION INTO PATIENT CENTER MEDICAL HOMES (PCMH).TO DATE, CTC HAS WORKED WITH 105 PRIMARY CARE PRACTICES, OVER 750 PRIMARY CARE PROVIDERS WHO COLLECTIVELY SERVE 650,000 RHODE ISLANDERS - 2/3 OF THE STATE POPULATION IS RECEIVING CARE IN A PCMH OR COMPREHENSIVE PRIMARY CARE PRACTICE.IN RECENT YEARS, CTC HAS EXPANDED ITS FOCUS TO INCREASE THE CAPACITY OF PRIMARY CARE PRACTICES TO PROVIDE BEHAVIORAL HEALTH SERVICES AND EXTEND OUTREACH TO HIGH-RISK PATIENTS THROUGH GEOGRAPHICALLY-BASED COMMUNITY HEALTH TEAMS.THIS YEAR, CTC IS WRAPPING UP A 3-YEAR PILOT PROGRAM FUNDED BY THE RHODE ISLAND FOUNDATION, TUFTS HEALTH PLAN AND STATE INNOVATION MODEL GRANT, WHERE CTC SOUGHT TO INTEGRATE BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE. THIS MODE REQUIRED PRACTICES TO ADD A BEHAVIORAL HEALTH CLINICIAN TO THE CARE TEAM AND TO IMPLEMENT UNIVERSAL SCREENING FOR DEPRESSION, ANXIETY AND SUBSTANCE USE DISORDER. RESULTS ARE IMPRESSIVE - DEMONSTRATING THAT PRACTICES WERE ABLE TO SUCCESSFULLY IMPLEMENT UNIVERSAL SCREENING TO TARGET THRESHOLD AND SIGNIFICANTLY LOWER TOTAL COST OF CARE. USING DATA FROM THE RI ALL-PAYER CLAIMS DATABASE, THE DATA SHOWS THAT THE CTC COMPREHENSIVE PRIMARY CARE PRACTICES HAD A GREATER REDUCTION FROM 2016 TO 2017 IN RISK-ADJUSTED TOTAL COST OF CARE THAN THE COMPARISON GROUP ($24 PER MEMBER PER MONTH). THOSE REDUCTIONS WERE EVEN GREATER FOR PRACTICES THAT IMPLEMENTED INTEGRATED BEHAVIORAL HEALTH INTO PRIMARY CARE ($62 PER MEMBER PER MONTH). THERE ARE ALSO VERY SIGNIFICANT COMPARATIVE REDUCTIONS FOR THE MEDICAID POPULATION.IN ADDITION, THIS YEAR, CTC HAS IMPLEMENTED A LARGE STATE GRANT ROLLING OUT 6 COMMUNITY HEALTH TEAMS AROUND THE STATE WORKING AS AN EXTENSION OF PRIMARY CARE TO REACH OUT TO HIGH RISK PATIENTS IN THE COMMUNITY AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND BEHAVIORAL HEALTH NEEDS. | Desc |
| Total Program Service Expenses | $4,935,191 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | Yes (1) | 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 | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2 | 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 |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | RI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBRA HURWITZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4015193921 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET SUITE 500 - | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02908 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| MARIE GANIM PHD | ||||||
| CO-CONVENER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PATRICK TIGUE | ||||||
| CO-CONVENER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| THOMAS BLEDSOE MD | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| AL CHARBONNEAU ED | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MAUREEN CLAFLIN MSN RN | ||||||
| SECRETARY (UP TO 1/18) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ELIZABETH LANGE MD | ||||||
| DIRECTOR/SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SOLMAZ BEHTASH DO | ||||||
| DIRECTOR (AS OF 10/17) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEFFREY BORKAN MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID BOURASSA MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TRACY COHENMD | ||||||
| DIRECTOR (UP TO 12/17) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MATTHEW COLLINS MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAYNE DAYLOR RNBSMS | ||||||
| DIRECTOR (AS OF 11/17) | 1.00 | Yes (X) | $37,948 | $0 | $0 | |
| HOWARD DULUDE | ||||||
| DIRECTOR (UP TO 4/18) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SARAH FESSLER MD | ||||||
| DIRECTOR (AS OF 10/17) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA FLANAGAN MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NEAL GALINKO MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LOUIS GIANCOLA | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHRISTINE HANSEN | ||||||
| DIRECTOR (UP TO 5/18) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DALE KLATZKER PHD | ||||||
| DIRECTOR (UP TO 8/17) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| AL KUROSE MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEVEN LAMBERT MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CLAIRE LEVESQUE MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH MASLAND | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH O'BRIEN BSRNMPA | ||||||
| DIRECTOR (AS OF 10/17) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN O'LEARY MD | ||||||
| DIRECTOR (AS OF 6/18) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER OTTIANO MD | ||||||
| DIRECTOR (AS OF 1/18) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| AL PUERINI MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEBRA HURWITZ | ||||||
| EXECUTIVE DIRECTOR | 24.00 | Yes (X) | $57,040 | $0 | $176 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $94,988 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $176 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UMASS MEDICAL SCHOOL | |||||
| 55 LAKE AVENUE NORTH | WORCESTER | MA | 01655 | PROJECT MANAGEMENT | $553,651 |
| SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM | |||||
| 100 KENYON AVENUE | WAKEFIELD | RI | 02879 | FACILITATE OUTREACH & MANAGEMENT | $464,352 |
| THE PROVIDENCE CENTER | |||||
| 528 NORTH MAIN STREET | PROVIDENCE | RI | 02904 | SCREENING/INTERVENTION PROGRAM | $376,392 |
| HEALTHCENTRIC ADVISORS | |||||
| 235 PROMENADE STREET STE 500 | PROVIDENCE | RI | 02908 | ADMIN & PRACTICE FACILITATION PRACTICE S | $273,810 |
| THUNDERMIST HEALTH CENTER | |||||
| 25 JOHN CUMMINGS WAY | WOONSOCKET | RI | 02895 | COMMUNITY HEALTH TEAM SERVICES | $254,872 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $3,285,589 | AllOtherContributionsAmt |
| Total Contributions | $3,285,589 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,161,280 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,161,280 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,161,280 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $630 | TotalRevenueColumnAmt |
| Exclusion | $630 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $26,579 | TotalRevenueColumnAmt |
| Exclusion | $26,579 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $26,579 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,474,078 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,161,280 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $27,209 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,651 | TotalAmt |
| Program Services | $99,721 | ProgramServicesAmt |
| Management And General | $24,930 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,122 | TotalAmt |
| Program Services | $65,698 | ProgramServicesAmt |
| Management And General | $16,424 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,370 | TotalAmt |
| Program Services | $9,096 | ProgramServicesAmt |
| Management And General | $2,274 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,120 | TotalAmt |
| Program Services | $13,696 | ProgramServicesAmt |
| Management And General | $3,424 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,343 | TotalAmt |
| Management And General | $17,343 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,079 | TotalAmt |
| Management And General | $52,079 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $529,945 | TotalAmt |
| Program Services | $492,503 | ProgramServicesAmt |
| Management And General | $37,442 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,723 | TotalAmt |
| Program Services | $23,059 | ProgramServicesAmt |
| Management And General | $9,664 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,320 | TotalAmt |
| Program Services | $21,856 | ProgramServicesAmt |
| Management And General | $5,464 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,825 | TotalAmt |
| Management And General | $6,825 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,315 | TotalAmt |
| Program Services | $7,425 | ProgramServicesAmt |
| Management And General | $3,890 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,988 | TotalAmt |
| Program Services | $1,998 | ProgramServicesAmt |
| Management And General | $7,990 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| GRANT EXPENSES | $3,107,587 | $3,107,587 | |
| PROJECT MANAGEMENT EXPE | $595,558 | $522,940 | $72,618 |
| COMMUNITY HEALTH TEAMS | $442,789 | $442,789 | |
| PROGRAM EVENT EXPENSES | $126,823 | $126,823 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,195,558 | TotalAmt |
| Program Services | $4,935,191 | ProgramServicesAmt |
| Management And General | $260,367 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,328,269 | BOYAmt |
| EOY | $1,261,978 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,198 | BOYAmt |
| EOY | $1,354,287 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,051 | BOYAmt |
| EOY | $7,500 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $48,329 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,150 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,835 | BOYAmt |
| EOY | $31,179 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,581,353 | BOYAmt |
| EOY | $2,654,944 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,141 | BOYAmt |
| EOY | $1,168,662 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,450 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $373,591 | BOYAmt |
| EOY | $1,168,662 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $509,283 | BOYAmt |
| EOY | $980,716 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $698,479 | BOYAmt |
| EOY | $505,566 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,207,762 | BOYAmt |
| EOY | $1,486,282 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,581,353 | BOYAmt |
| EOY | $2,654,944 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $278,520 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $604,302 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,272,934 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,285,589 | CurrentTaxYearAmt |
| Total | $5,162,825 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $3,180,197 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,230,713 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,161,280 | CurrentTaxYearAmt |
| Total | $7,572,190 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $3,784,499 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,503,647 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,446,869 | CurrentTaxYearAmt |
| Total | $12,735,015 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $12,735,015 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $1,337 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,437 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $630 | CurrentTaxYearAmt |
| Total | $3,404 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $1,337 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,437 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $630 | CurrentTaxYearAmt |
| Total | $3,404 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $26,579 | CurrentTaxYearAmt |
| Total | $26,579 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $3,785,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,505,084 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,474,078 | CurrentTaxYearAmt |
| Total | $12,764,998 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,329 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,150 | DepreciationAmt |
| Book Value | $31,179 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,179 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,474,078 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,474,078 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,474,078 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,195,558 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,195,558 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,195,558 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| LOUIS GIANCOLA | |||
| DIRECTOR | $464,352 | LOUIS GIANCOLA, DIRECTOR, IS EMPLOYED AS PRESIDENT/CEO 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 | $376,392 | DEBORAH O'BRIEN, MS, RN, MPA, DIRECTOR, IS THE PRESIDENT AND CHIEF OPERATING OFFICER OF THE PROVIDENCE CENTER, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR SBIRT PRACTICE SERVICES. | 0 |
| JEFFREY BORKAN MD | |||
| DIRECTOR | $101,151 | JEFFREY BORKAN BROWN, MD, DIRECTOR, IS THE ASSOCIATE DEAN FOR PRIMARY CARE POPULATION HEALTH AT BROWN UNIVERSITY, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR PRACTICE FACILITATION SERVICES. | 0 |
| DEBORAH MASLAND | |||
| DIRECTOR | $80,356 | DEBORAH MASLAND, DIRECTOR, IS THE DIRECTOR OF EARLY CHILDHOOD PROGRAMS AT RHODE ISLAND PARENT INFORMATION NETWORK, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR SBIRT PRACTICE SERVICES. | 0 |
| SARAH FESSLER MD | |||
| DIRECTOR | $156,043 | SARAH FESSLER, MD, DIRECTOR, IS THE MEDICAL DIRECTOR OF EAST BAY COMMUNITY ACTION PROGRAM, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR COMMUNITY HEALTH TEAM SERVICES. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 492,503. MANAGEMENT AND GENERAL EXPENSES 36,140. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 528,643. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,302. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,302. |