2018-03-15T13:49:46-05:00 2017-06-30 222428965 CITRIN COOPERMAN & COMPANY LLP TEN WEYBOSSET STREET - SUITE 700 PROVIDENCE RI 02903 990 2016-07-01 237404795 RHODE ISLAND HEALTH CENTER ASSOCIATION RHOD 4012741771 235 PROMENADE ST NO 455 PROVIDENCE RI 02908 JANE HAYWARD PRESIDENT & CHIEF EXECUTIVE OFFICER 4012741771 2018-03-15 1 MICHAEL E CRISCIONE P01456801 4014214800 38.108.113.34 2018-03-15 12:53:22 ED P 57A755BDCB2D55C1B18F0CE92BE596C3BD8AA607 030D4CCD4B4817F2901C247573968243827E363A 2016 2021-01-29 14:40:06Z JANE HAYWARD 235 PROMENADE ST NO 455 PROVIDENCE RI 02908 1646426 0 X WWW.RIHCA.ORG X 1977 RI THE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE. 10 10 10 0 0 0 1464381 1228713 325000 325000 6620 15697 46547 49412 1842548 1618822 422762 367088 0 0 703890 621344 0 0 0 489020 676683 1615672 1665115 226876 -46293 1260549 1291245 58469 80097 1202080 1211148 THE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN, AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE. 0 0 1384811 367088 374412 THE ASSOCIATION SUPPORTS THE PROGRAMS OF ITS TEN ORGANIZATIONAL MEMBERS THROUGH JOINT EDUCATIONAL PROGRAMS AND OTHER POOLED SERVICES 1384811 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 10 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X HANNAH DEAN 4012741771 235 PROMENADE STREET STE 455 PROVIDENCE RI 02908 BRENDA DOWLATSHAHI DIRECTOR 1.00 X 0 0 0 MERRILL THOMAS TREASURER 1.00 X X 0 0 0 MICHAEL LICHTENSTEIN VICE CHAIR 1.00 X X 0 0 0 DENNIS ROY CHAIR 1.00 X X 0 0 0 BARBARA BALDWIN DIRECTOR 1.00 X 0 0 0 PETER BANCROFT DIRECTOR 1.00 X 0 0 0 CHUCK JONES DIRECTOR 1.00 X 0 0 0 DALE KLATZKER DIRECTOR 1.00 X 0 0 0 RAYMOND LAVOIE DIRECTOR 1.00 X 0 0 0 WILLIAM HOCHSTRASSER-WALSH SECRETARY 1.00 X X 0 0 0 ANDREA MARCOTTE FNP DIRECTOR 1.00 X 0 0 0 JEANNE LACHANCE DIRECTOR 1.00 X 0 0 0 MARK CLARK MD DIRECTOR 1.00 X 0 0 0 DEB O'BRIEN DIRECTOR 1.00 X 0 0 0 MATTHEW MALEK MD DIRECTOR 1.00 X 0 0 0 JANE HAYWARD PRESIDENT & CEO 35.00 X 152625 0 6165 MARY EVANS COO 35.00 X 120461 0 18179 273086 0 24344 2 0 1 0 HEALTH MANAGEMENT ASSOCIATES 1 MICHIGAN AVENUE BUILDING120 N WA LANSING MI 48933 HEALTHCARE RESEARCH AND CONSULTING 103988 1 1228713 1228713 SERVICE REVENUE 624100 200000 200000 MEMBERSHIP DUES 624100 125000 125000 325000 15810 15810 27491 27604 -113 -113 -113 ANNUAL MEETING INCOME 624100 20905 20905 MISC NON-GRANT INCOME 624100 18057 18057 UDS INCOME 624100 10450 10450 49412 1618822 374412 0 15697 X 367088 367088 300572 261709 38863 248306 222270 26036 6500 5446 1054 25499 25499 40467 38837 1630 13726 10616 3110 18973 11384 7589 334936 283101 51835 12927 12927 5113 5113 89323 56764 32559 26482 23289 3193 62294 14734 47560 8019 5078 2941 REPAIRS AND MAINTENANCE 29345 17280 12065 MISCELLANEOUS 27682 10576 17106 BANK FEES 20766 9516 11250 TELEPHONE 11143 6964 4179 15954 9547 6407 1665115 1384811 280304 0 544695 507458 79533 49509 29503 12620 13825 9859 43025 37034 7989 5991 585004 705808 1260549 1291245 58469 80097 58469 80097 X 1062395 1186694 139685 24454 1202080 1211148 1260549 1291245 -46293 55361 0 X X 0 1 X 1 1 1 X 952851 1550684 1962620 1464381 1228713 7159249 952851 1550684 1962620 1464381 1228713 7159249 7159249 2053 6912 21706 6620 15697 52988 46048 29692 40071 46547 49412 211770 7424007 0.96430 0.96670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 43025 37034 5991 5991 MUTUAL FUND EQUITY SECURITIES 705808 F 705808 X 1674183 55361 55361 1618822 0 1618822 1665115 0 1665115 0 1665115 PART X, LINE 2: THE ASSOCIATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A NOT-FOR-PROFIT ENTITY, THE ASSOCIATION IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ("UBIT"), IF APPLICABLE. IN ACCORDANCE WITH FASB 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. 1 AMOS HOUSE 460 PINE STREET PROVIDENCE RI 02907 050387218 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM CARE NEW ENGLAND 45 WILLARD AVENUE PROVIDENCE RI 02905 050490997 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM CENTER FOR SOUTHEAST ASIANS 270 ELMWOOD AVENUE PROVIDENCE RI 02907 222914654 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM COMMUNITY CARE ALLIANCE 245 MAIN STREET WOONSOCKET RI 02895 050312278 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM LATINO PUBLIC RADIO 1246 CRANSTON STREET CRANSTON RI 02920 205823948 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM NARRAGANSETT INDIAN HEALTH CENTER 51 OLD MILL ROAD CHARLESTOWN RI 02813 050402864 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM THE PROVIDENCE CENTER 528 NORTH MAIN STREET PROVIDENCE RI 02904 050316969 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM RHODE ISLAND PARENT INFORMATION NETWORK 1210 PONTIAC AVENUE CRANSTON RI 02920 050457336 501(C)(3) 37500 OUTREACH AND ENROLLMENT SUPPORT PROGRAM UNITED WAY OF RHODE ISLAND 50 VALLEY STREET PROVIDENCE RI 02909 050276059 501(C)(3) 37500 OUTREACH AND ENROLLMENT SUPPORT PROGRAM BLACKSTONE VALLEY COMMUNITY HEALTH CENTER 38 EAST AVENUE PAWTUCKET RI 02860 510183476 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM RI DEPARTMENT OF HEALTH-HEALTH PROFESSIONALS LOAN REPAYMENT PROGRAM 3 CAPITOL HILL PROVIDENCE RI 02908 RI DEPART OF HEALTH 50000 HEALTH EDUCATION ASSISTANCE TO ELIGIBLE PROFESSIONALS EAST BAY COMMUNITY ACTION PROGRAM 19 BROADWAY NEWPORT RI 02840 050310024 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM CRANSTON COMMUNITY ACTION PROGRAM 311 DORIC AVENUE CRANSTON RI 02910 056018801 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM PROVIDENCE COMMUNITY HEALTH CENTERS 375 ALLENS AVE PROVIDENCE RI 02905 050368134 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM THUNDERMIST HEALTH CENTER OF WOONSOCKET 450 CLINTON STREET WOONSOCKET RI 02895 050355097 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM WELLONE COMMUNITY HEALTH CENTER 36 BRIDGE WAY PASCOAG RI 02859 050258811 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM TRI-TOWN HEALTH CENTER 1126 HARTFORD AVENUE JOHNSTON RI 02919 050309695 501(C)(3) 17292 OUTREACH AND ENROLLMENT SUPPORT PROGRAM 17 0 SCHEDULE I, PART I, LINE 2 THE ASSOCIATION RECEIVES FUNDING FROM THE RHODE ISLAND EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES, AND HEALTHSOURCE RI, TO DEVELOP AND MANAGE A COMPREHENSIVE NETWORK OF ASSISTOR AND NAVIGATOR ENTITIES THAT PROVIDE COMMUNITY-BASED OUTREACH, APPLICATION, AND ENROLLMENT ASSISTANCE TO INDIVIDUALS AND FAMILIES WISHING TO ENROLL IN HEALTH COVERAGE THROUGH AN OUTREACH AND ENROLLMENT SUPPORT PROGRAM (OESP). ALL FUNDS PAID TO THE ENTITIES ARE FOR THE PURPOSE OF CARRYING OUT OUTREACH AND ENROLLMENT ACTIVITIES. X X 0 0 0 0 0 0 0 0 0 JANE HAYWARD PRESIDENT & CEO 152625 0 0 0 0 0 5636 0 529 0 158790 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 EACH 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 7A EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THE BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS.UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. 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 11B A THOROUGH REVIEW OF THE FORM 990 IS CONDUCTED BY THE CEO & PRESIDENT, SR. DIRECTOR OF FINANCE & ACCOUNTING, AND MEMBERS OF THE FINANCE COMMITTEE. THEN THE ORGANIZATION'S FORM 990 IS 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 12C THE ORGANIZATION HAS ENLISTED THE ONGOING SERVICES OF AN EXPERT IN ALL COMPLIANCE ISSUES AS THEY RELATE TO ALL EMPLOYEES AND DIRECTORS, INCLUDING THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 ALL HIRING AND COMPENSATION ISSUES RELATED TO POSITIONS REFERENCED ARE REVIEWED AND APPROVED BY THE DIRECTORS (MEMBERS OF THE GOVERNING BODY). IN THE CASE OF THE 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 19 COPIES OF ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES AND FINANCIAL STATEMENTS ARE APPROVED BY THE GOVERNING BODY AND MAINTAINED IN A COMMON LOCATION AT 235 PROMENADE STREET, SUITE 455, PROVIDENCE, RI 02908. THIS LOCATION IS AVAILABLE TO MEMBERS OF THE GOVERNING BODY, EMPLOYEES AND MEMBERS OF THE PUBLIC BY APPOINTMENT. FORM 990, PART IX, LINE 11G CONSULTANTS: 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.