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RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED (EIN 23-7404795)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-03-15
IRS object ID
201800749349300730
Schema version
2016v3.0
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)
Return2018-03-15T13:49:46-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN222428965PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1TEN WEYBOSSET STREET - SUITE 700AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237404795EIN

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE ST NO 455AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANE HAYWARDPersonNm
Person TitlePRESIDENT & CHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone4012741771PhoneNum
Signature2018-03-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL E CRISCIONEPreparerPersonNm
PTINP01456801PTIN
Phone4014214800PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.108.113.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-03-15IPDt
IP Tm12:53:22IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id57A755BDCB2D55C1B18F0CE92BE596C3BD8AA607AtSubmissionCreationDeviceId
At Submission Filing Device Id030D4CCD4B4817F2901C247573968243827E363AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANE HAYWARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE ST NO 455AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,646,426GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RIHCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTHE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,464,381PYContributionsGrantsAmt
CY Contributions Grants$1,228,713CYContributionsGrantsAmt
PY Program Service Revenue$325,000PYProgramServiceRevenueAmt
CY Program Service Revenue$325,000CYProgramServiceRevenueAmt
PY Investment Income$6,620PYInvestmentIncomeAmt
CY Investment Income$15,697CYInvestmentIncomeAmt
PY Other Revenue$46,547PYOtherRevenueAmt
CY Other Revenue$49,412CYOtherRevenueAmt
PY Total Revenue$1,842,548PYTotalRevenueAmt
CY Total Revenue$1,618,822CYTotalRevenueAmt
PY Grants And Similar Paid$422,762PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$367,088CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$703,890PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$621,344CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$489,020PYOtherExpensesAmt
CY Other Expenses$676,683CYOtherExpensesAmt
PY Total Expenses$1,615,672PYTotalExpensesAmt
CY Total Expenses$1,665,115CYTotalExpensesAmt
PY Revenues Less Expenses$226,876PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$46,293CYRevenuesLessExpensesAmt
Total Assets BOY$1,260,549TotalAssetsBOYAmt
Total Assets EOY$1,291,245TotalAssetsEOYAmt
Total Liabilities BOY$58,469TotalLiabilitiesBOYAmt
Total Liabilities EOY$80,097TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,202,080NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,211,148NetAssetsOrFundBalancesEOYAmt
MissionTHE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN, AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,384,811ExpenseAmt
Grant$367,088GrantAmt
Revenue$374,412RevenueAmt
DescTHE ASSOCIATION SUPPORTS THE PROGRAMS OF ITS TEN ORGANIZATIONAL MEMBERS THROUGH JOINT EDUCATIONAL PROGRAMS AND OTHER POOLED SERVICESDesc
Total Program Service Expenses$1,384,811TotalProgramServiceExpensesAmt
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANNAH DEANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4012741771PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BRENDA DOWLATSHAHI
DIRECTOR1.00Yes (X)$0$0$0
MERRILL THOMAS
TREASURER1.00Yes (X)$0$0$0Yes (X)
MICHAEL LICHTENSTEIN
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
DENNIS ROY
CHAIR1.00Yes (X)$0$0$0Yes (X)
BARBARA BALDWIN
DIRECTOR1.00Yes (X)$0$0$0
PETER BANCROFT
DIRECTOR1.00Yes (X)$0$0$0
CHUCK JONES
DIRECTOR1.00Yes (X)$0$0$0
DALE KLATZKER
DIRECTOR1.00Yes (X)$0$0$0
RAYMOND LAVOIE
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM HOCHSTRASSER-WALSH
SECRETARY1.00Yes (X)$0$0$0Yes (X)
ANDREA MARCOTTE FNP
DIRECTOR1.00Yes (X)$0$0$0
JEANNE LACHANCE
DIRECTOR1.00Yes (X)$0$0$0
MARK CLARK MD
DIRECTOR1.00Yes (X)$0$0$0
DEB O'BRIEN
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW MALEK MD
DIRECTOR1.00Yes (X)$0$0$0
JANE HAYWARD
PRESIDENT & CEO35.00$152,625$0$6,165Yes (X)
MARY EVANS
COO35.00$120,461$0$18,179Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$273,086TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$24,344TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH MANAGEMENT ASSOCIATESBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 MICHIGAN AVENUE BUILDING120 N WAAddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48933ZIPCd
FieldValueIRS element (for citing)
ServicesHEALTHCARE RESEARCH AND CONSULTINGServicesDesc
Compensation$103,988CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$1,228,713GovernmentGrantsAmt
Total Contributions$1,228,713TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE REVENUE624100$200,000$200,000
MEMBERSHIP DUES624100$125,000$125,000
FieldValueIRS element (for citing)
Total Program Service Revenue$325,000TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,810TotalRevenueColumnAmt
Exclusion$15,810ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$27,491SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$27,604SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$113SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$113TotalRevenueColumnAmt
Exclusion-$113ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ANNUAL MEETING INCOME624100$20,905$20,905
MISC NON-GRANT INCOME624100$18,057$18,057
UDS INCOME624100$10,450$10,450
FieldValueIRS element (for citing)
Other Revenue Total$49,412OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,618,822TotalRevenueColumnAmt
Related Or Exempt Func Income$374,412RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,697ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$367,088TotalAmt
Program Services$367,088ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$300,572TotalAmt
Program Services$261,709ProgramServicesAmt
Management And General$38,863ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$248,306TotalAmt
Program Services$222,270ProgramServicesAmt
Management And General$26,036ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,500TotalAmt
Program Services$5,446ProgramServicesAmt
Management And General$1,054ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$25,499TotalAmt
Program Services$25,499ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$40,467TotalAmt
Program Services$38,837ProgramServicesAmt
Management And General$1,630ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,726TotalAmt
Program Services$10,616ProgramServicesAmt
Management And General$3,110ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,973TotalAmt
Program Services$11,384ProgramServicesAmt
Management And General$7,589ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$334,936TotalAmt
Program Services$283,101ProgramServicesAmt
Management And General$51,835ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,927TotalAmt
Management And General$12,927ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,113TotalAmt
Program Services$5,113ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$89,323TotalAmt
Program Services$56,764ProgramServicesAmt
Management And General$32,559ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$26,482TotalAmt
Program Services$23,289ProgramServicesAmt
Management And General$3,193ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$62,294TotalAmt
Program Services$14,734ProgramServicesAmt
Management And General$47,560ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,019TotalAmt
Program Services$5,078ProgramServicesAmt
Management And General$2,941ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE$29,345$17,280$12,065
MISCELLANEOUS$27,682$10,576$17,106
BANK FEES$20,766$9,516$11,250
TELEPHONE$11,143$6,964$4,179

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,954TotalAmt
Program Services$9,547ProgramServicesAmt
Management And General$6,407ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,665,115TotalAmt
Program Services$1,384,811ProgramServicesAmt
Management And General$280,304ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$544,695BOYAmt
EOY$507,458EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$79,533BOYAmt
EOY$49,509EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,503BOYAmt
EOY$12,620EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,825BOYAmt
EOY$9,859EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$43,025LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,034LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,989BOYAmt
EOY$5,991EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$585,004BOYAmt
EOY$705,808EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,260,549BOYAmt
EOY$1,291,245EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$58,469BOYAmt
EOY$80,097EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,469BOYAmt
EOY$80,097EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,062,395BOYAmt
EOY$1,186,694EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$139,685BOYAmt
EOY$24,454EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,202,080BOYAmt
EOY$1,211,148EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,260,549BOYAmt
EOY$1,291,245EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$46,293ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$55,361NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$952,851CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,550,684CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,962,620CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,464,381CurrentTaxYearMinus1YearAmt
Current Tax Year$1,228,713CurrentTaxYearAmt
Total$7,159,249TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$952,851CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,550,684CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,962,620CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,464,381CurrentTaxYearMinus1YearAmt
Current Tax Year$1,228,713CurrentTaxYearAmt
Total$7,159,249TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$7,159,249PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,053CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,706CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,620CurrentTaxYearMinus1YearAmt
Current Tax Year$15,697CurrentTaxYearAmt
Total$52,988TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,692CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,547CurrentTaxYearMinus1YearAmt
Current Tax Year$49,412CurrentTaxYearAmt
Total$211,770TotalAmt
FieldValueIRS element (for citing)
Total Support$7,424,007TotalSupportAmt
Public Support CY1700.96430PublicSupportCY170Pct
Public Support PY1700.96670PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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$43,025OtherCostOrOtherBasisAmt
Depreciation$37,034DepreciationAmt
Book Value$5,991BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,991TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMUTUAL FUND EQUITY SECURITIESDesc
Book Value$705,808BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$705,808TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,674,183TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$55,361NetUnrealizedGainsInvstAmt
Revenue Not Reported$55,361RevenueNotReportedAmt
Revenue Subtotal$1,618,822RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,618,822TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,665,115TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,665,115ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,665,115TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ASSOCIATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A NOT-FOR-PROFIT ENTITY, THE ASSOCIATION IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ("UBIT"), IF APPLICABLE. IN ACCORDANCE WITH FASB ACCOUNTING STANDARDS CODIFICATION ASC 740, INCOME TAXES, THE ASSOCIATION APPLIES THE "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION AND DERECOGNITION OF TAX POSITIONS FOR ITS FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITIONS AND HAS CONCLUDED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN THE ACCOMPANYING STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS. THE ASSOCIATION FILES A TAX RETURN IN THE U.S. FEDERAL JURISDICTION.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMOS HOUSE
460 PINE STREETPROVIDENCERI02907050387218501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
CARE NEW ENGLAND
45 WILLARD AVENUEPROVIDENCERI02905050490997501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
CENTER FOR SOUTHEAST ASIANS
270 ELMWOOD AVENUEPROVIDENCERI02907222914654501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
COMMUNITY CARE ALLIANCE
245 MAIN STREETWOONSOCKETRI02895050312278501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
LATINO PUBLIC RADIO
1246 CRANSTON STREETCRANSTONRI02920205823948501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
NARRAGANSETT INDIAN HEALTH CENTER
51 OLD MILL ROADCHARLESTOWNRI02813050402864501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
THE PROVIDENCE CENTER
528 NORTH MAIN STREETPROVIDENCERI02904050316969501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
RHODE ISLAND PARENT INFORMATION NETWORK
1210 PONTIAC AVENUECRANSTONRI02920050457336501(C)(3)$37,500OUTREACH AND ENROLLMENT SUPPORT PROGRAM
UNITED WAY OF RHODE ISLAND
50 VALLEY STREETPROVIDENCERI02909050276059501(C)(3)$37,500OUTREACH AND ENROLLMENT SUPPORT PROGRAM
BLACKSTONE VALLEY COMMUNITY HEALTH CENTER
38 EAST AVENUEPAWTUCKETRI02860510183476501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
RI DEPARTMENT OF HEALTH-HEALTH PROFESSIONALS LOAN REPAYMENT PROGRAM
3 CAPITOL HILLPROVIDENCERI02908RI DEPART OF HEALTH$50,000HEALTH EDUCATION ASSISTANCE TO ELIGIBLE PROFESSIONALS
EAST BAY COMMUNITY ACTION PROGRAM
19 BROADWAYNEWPORTRI02840050310024501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
CRANSTON COMMUNITY ACTION PROGRAM
311 DORIC AVENUECRANSTONRI02910056018801501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
PROVIDENCE COMMUNITY HEALTH CENTERS
375 ALLENS AVEPROVIDENCERI02905050368134501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
THUNDERMIST HEALTH CENTER OF WOONSOCKET
450 CLINTON STREETWOONSOCKETRI02895050355097501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
WELLONE COMMUNITY HEALTH CENTER
36 BRIDGE WAYPASCOAGRI02859050258811501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
TRI-TOWN HEALTH CENTER
1126 HARTFORD AVENUEJOHNSTONRI02919050309695501(C)(3)$17,292OUTREACH AND ENROLLMENT SUPPORT PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org17Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE ASSOCIATION RECEIVES FUNDING FROM THE RHODE ISLAND EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES, AND HEALTHSOURCE RI, TO DEVELOP AND MANAGE A COMPREHENSIVE NETWORK OF ASSISTOR AND NAVIGATOR ENTITIES THAT PROVIDE COMMUNITY-BASED OUTREACH, APPLICATION, AND ENROLLMENT ASSISTANCE TO INDIVIDUALS AND FAMILIES WISHING TO ENROLL IN HEALTH COVERAGE THROUGH AN OUTREACH AND ENROLLMENT SUPPORT PROGRAM (OESP). ALL FUNDS PAID TO THE ENTITIES ARE FOR THE PURPOSE OF CARRYING OUT OUTREACH AND ENROLLMENT ACTIVITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJANE HAYWARDPersonNm
TitlePRESIDENT & CEOTitleTxt
Base Compensation Filing Org$152,625BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$5,636DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$529NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$158,790TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THAT BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AEACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THE BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS.UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BEACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THAT BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BA THOROUGH REVIEW OF THE FORM 990 IS CONDUCTED BY THE CEO & PRESIDENT, SR. DIRECTOR OF FINANCE & ACCOUNTING, AND MEMBERS OF THE FINANCE COMMITTEE. THEN THE ORGANIZATION'S FORM 990 IS PASSED OUT TO MEMBERS OF THE GOVERNING BODY AT A BOARD MEETING. AS REFLECTED IN THE MINUTES OF THIS MEETING, THE FORM 990 IS APPROVED FOR SUBMISSION BY SUCH MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS ENLISTED THE ONGOING SERVICES OF AN EXPERT IN ALL COMPLIANCE ISSUES AS THEY RELATE TO ALL EMPLOYEES AND DIRECTORS, INCLUDING THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15ALL HIRING AND COMPENSATION ISSUES RELATED TO POSITIONS REFERENCED ARE REVIEWED AND APPROVED BY THE DIRECTORS (MEMBERS OF THE GOVERNING BODY). IN THE CASE OF THE CEO, THIS IS BASED ON THE RECOMMENDATIONS OF AN AD-HOC SUB-COMMITTEE OF THE BOARD WHO ACCUMULATED INFORMATION CONCERNING QUALIFICATIONS AND COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES AND FINANCIAL STATEMENTS ARE APPROVED BY THE GOVERNING BODY AND MAINTAINED IN A COMMON LOCATION AT 235 PROMENADE STREET, SUITE 455, PROVIDENCE, RI 02908. THIS LOCATION IS AVAILABLE TO MEMBERS OF THE GOVERNING BODY, EMPLOYEES AND MEMBERS OF THE PUBLIC BY APPOINTMENT.
FORM 990, PART IX, LINE 11GCONSULTANTS: PROGRAM SERVICE EXPENSES 283,101. MANAGEMENT AND GENERAL EXPENSES 51,835. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 334,936.
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN THE OVERSIGHT OF THE AUDIT.