BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC (EIN 51-0183476)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-15
- IRS object ID
- 201302909349300235
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-10-15T14:48:42-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453994797 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LGC&D LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TEN WEYBOSSET STREET - SUITE 700 | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510183476 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLAC | NameControl |
| Phone | 4017290080 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 39 EAST AVENUE | AddressLine1 |
| City | PAWTUCKET | City |
| State | RI | State |
| ZIP Code | 02860 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RAYMOND J LAVOIE | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 4017290080 | Phone |
| Date Signed | 2013-10-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GERALD IADELUCA | Name |
| PTIN | P00247569 | PTIN |
| Phone | 4014214800 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | RAYMOND J LAVOIE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 39 EAST AVENUE | AddressLine1 |
| City | PAWTUCKET | City |
| State | RI | State |
| ZIP Code | 02860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12245299 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BLACKSTONECHC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC. (THE CENTER) OPERATES HEALTHCARE CENTERS IN CENTRAL FALLS AND PAWTUCKET, RHODE ISLAND. THE CENTER PROVIDES A BROAD RANGE OF HEALTH, DENTAL, AND SOCIAL SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 114 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3041644 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3683828 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7503981 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8259490 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 910 | InvestmentIncomePriorYear |
| Investment Income Current Year | 759 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 82701 | OtherRevenuePriorYear |
| Other Revenue Current Year | 144932 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10629236 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12089009 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6693113 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7758445 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3903950 | OtherExpensePriorYear |
| Other Expenses Current Year | 3722207 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10597063 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11480652 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 32173 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 608357 | RevenuesLessExpensesCY |
| Total Assets BOY | 12000593 | TotalAssetsBOY |
| Total Assets EOY | 16777011 | TotalAssetsEOY |
| Total Liabilities BOY | 3393151 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7561212 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8607442 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9215799 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC. IS COMMITTED TO PROVIDING HIGH QUALITY, ACCESSIBLE, AFFORDABLE, COMPREHENSIVE HEALTH CARE AVAILABLE FOR THE RESIDENTS OF THE LOWER BLACKSTONE VALLEY. THE CENTER USES A MODEL OF PRIMARY CARE THAT STRESSES PREVENTION, EDUCATION, AND PATIENT EMPOWERMENT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8515464 | Expense |
| Revenue | 8274399 | Revenue |
| Description | OPERATED A COMMUNITY HEALTHCARE CENTER WHICH SERVED APPROXIMATELY 57,000 ENCOUNTERS DURING THE YEAR ENDED DECEMBER 31, 2012. | Description |
| Total Program Service Expense | 8515464 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 40 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 114 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | RI | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAYMOND J LAVOIE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4017290080 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 39 EAST AVENUE | AddressLine1 |
| City | PAWTUCKET | City |
| State | RI | State |
| ZIP Code | 02860 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| RONALD WINTER | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| JOHN LEFRONCOIS | |||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| JEAN KUGEL | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| MICHELLE ENOS | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| WARREN BREER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CARLOS DEBRITO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOHN T GANNON ESQ | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ROSALINA LIMARDO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM MCCUSKER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ELIZABETH MORAIS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RAYMOND J LAVOIE | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 176247 | 0 | 10904 | X | ||
| JERALD C FINGERUT | |||||||
| MEDICAL DIRECTOR | 40.00 | 211046 | 0 | 20223 | X | ||
| CHRISTINE GREY | |||||||
| CHIEF OPERATING OFFICER | 40.00 | 26826 | 0 | 1718 | X | ||
| ANITA KURBIEC | |||||||
| FINANCE DIRECTOR | 40.00 | 60439 | 0 | 20234 | X | ||
| HEATHER BUDD | |||||||
| CHIEF OPERATING OFFICER(RESIGNED) | 40.00 | 140348 | 0 | 15104 | X | ||
| LALITA BHATTACHARYA | |||||||
| DENTIST | 40.00 | 134686 | 0 | 15191 | X | ||
| AMERICA FOSTER | |||||||
| PHYSICIAN | 40.00 | 135972 | 0 | 25569 | X | ||
| KARLA KIKER | |||||||
| PHYSICIAN | 40.00 | 149079 | 0 | 9457 | X | ||
| KUNJBALA SHARMA | |||||||
| PHYSICIAN | 40.00 | 154962 | 0 | 9788 | X | ||
| WILLIAM RUSH | |||||||
| FINANCE DIRECTOR (TERMINATED) | 40.00 | 65264 | 0 | 3492 | X | ||
| NEELAM THAPA | |||||||
| PHYSICIAN | 40.00 | 142048 | 0 | 2609 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1396917 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 134289 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CASE CONSTRUCTION | |||||
| 225 WAMPANOAG TRAIL | EAST PROVIDENCE | RI | 02915 | CONSTRUCTION | 4942571 |
| WOMEN'S CARE INC | |||||
| 407 EAST AVENUE SUITE 150 | PAWTUCKET | RI | 02860 | OBSTETRICS | 450345 |
| ARCADIA SOLUTIONS | |||||
| 3500 AMERICAN BLVD WEST SUITE 350 | BLOOMINGTON | MN | 55431 | REPORT WRITING & IT CONSULTATION | 334160 |
| NEXTGEN | |||||
| 18111 VON KARMAN AVENUE | IRVINE | CA | 92612 | EMR SOFTWARE SERVICES | 246880 |
| QUALITY SYSTEMS INC | |||||
| 18111 VON KARMAN AVENUE | IRVINE | CA | 92612 | EMR SOFTWARE SERVICES | 245873 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 3683828 | GovernmentGrants |
| Total Contributions | 3683828 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID | 900099 | 6532623 | 6532623 |
| SELF-PAY | 900099 | 628837 | 628837 |
| MEDICARE | 900099 | 574957 | 574957 |
| OTHER THIRD PARTY | 900099 | 523073 | 523073 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8259490 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 759 | TotalRevenueColumn |
| Exclusion | $759 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10200 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10200 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 276113 | GrossSalesOfInventory |
| Cost Of Goods Sold | 146090 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130023 | TotalRevenueColumn |
| Exclusion | $130,023 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 14909 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14909 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 14909 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12089009 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8274399 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $130,782 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 751924 | Total |
| Program Services | 231269 | ProgramServices |
| Management And General | 520655 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5306829 | Total |
| Program Services | 4345047 | ProgramServices |
| Management And General | 961782 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 213502 | Total |
| Management And General | 213502 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1054330 | Total |
| Program Services | 966325 | ProgramServices |
| Management And General | 88005 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 431860 | Total |
| Program Services | 317492 | ProgramServices |
| Management And General | 114368 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1773579 | Total |
| Program Services | 1348996 | ProgramServices |
| Management And General | 424583 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1345 | Total |
| Management And General | 1345 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268569 | Total |
| Program Services | 225291 | ProgramServices |
| Management And General | 43278 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162357 | Total |
| Program Services | 126209 | ProgramServices |
| Management And General | 36148 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115037 | Total |
| Program Services | 30559 | ProgramServices |
| Management And General | 84478 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20655 | Total |
| Management And General | 20655 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 812890 | Total |
| Program Services | 566394 | ProgramServices |
| Management And General | 246496 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86701 | Total |
| Management And General | 86701 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 242390 | 242390 | |
| REPAIRS AND MAINTENANCE | 59850 | 49492 | 10358 |
| TELEPHONE | 57760 | 33974 | 23786 |
| DUES AND SUBSCRIPTIONS | 52479 | 13813 | 38666 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68595 | Total |
| Program Services | 18213 | ProgramServices |
| Management And General | 50382 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11480652 | Total |
| Program Services | 8515464 | ProgramServices |
| Management And General | 2965188 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2896 | BOY |
| EOY | 3000 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1761319 | BOY |
| EOY | 1635194 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 263487 | BOY |
| EOY | 477864 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 924646 | BOY |
| EOY | 477367 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8797 | BOY |
| EOY | 7450 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187353 | BOY |
| EOY | 324804 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17704013 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3975754 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8656298 | BOY |
| EOY | 13728259 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82700 | BOY |
| EOY | 82700 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113097 | BOY |
| EOY | 40373 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12000593 | BOY |
| EOY | 16777011 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2028994 | BOY |
| EOY | 1286879 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1364157 | BOY |
| EOY | 6274333 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3393151 | BOY |
| EOY | 7561212 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8517442 | BOY |
| EOY | 9215799 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90000 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8607442 | BOY |
| EOY | 9215799 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12000593 | BOY |
| EOY | 16777011 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 608357 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3399839 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3195598 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3976240 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3041644 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3683828 | CurrentTaxYear |
| Total | 17297149 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3399839 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3195598 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3976240 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3041644 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3683828 | CurrentTaxYear |
| Total | 17297149 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 17297149 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29132 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12167 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14999 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11110 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10959 | CurrentTaxYear |
| Total | 78367 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 84703 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7235 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8468 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16770 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14909 | CurrentTaxYear |
| Total | 132085 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 17507601 | TotalSupport |
| Public Support Pertcentage170 | 0.98800 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.97580 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1019166 | OtherCostOrOtherBasis |
| Book Value | 1019166 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11225614 | OtherCostOrOtherBasis |
| Depreciation | 1539491 | Depreciation |
| Book Value | 9686123 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4351702 | OtherCostOrOtherBasis |
| Depreciation | 2424217 | Depreciation |
| Book Value | 1927485 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1107531 | OtherCostOrOtherBasis |
| Depreciation | 12046 | Depreciation |
| Book Value | 1095485 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13728259 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 12245299 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 156290 | OtherRevenues |
| Revenue Not Rptd F990 | 156290 | RevenueNotRptdF990 |
| Revenue Subtotal | 12089009 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12089009 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11636942 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 156290 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 156290 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11480652 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11480652 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE OFFSET AGAINST RENTAL INCOME 10,200. COST OF GOODS SOLD INCLUDED IN REVENUE 146,090. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE OFFSET AGAINST RENTAL INCOME 10,200. COST OF GOODS SOLD INCLUDED IN REVENUE 146,090. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAYMOND J LAVOIE | ||||||||||||||
| EXECUTIVE DIRECTOR | 176247 | 0 | 0 | 0 | 0 | 0 | 8812 | 0 | 2092 | 0 | 187151 | 0 | 0 | 0 |
| JERALD C FINGERUT | ||||||||||||||
| MEDICAL DIRECTOR | 211046 | 0 | 0 | 0 | 0 | 0 | 10552 | 0 | 9671 | 0 | 231269 | 0 | 0 | 0 |
| HEATHER BUDD | ||||||||||||||
| CHIEF OPERATING OFFICER(RESIGNED) | 140348 | 0 | 0 | 0 | 0 | 0 | 7017 | 0 | 8087 | 0 | 155452 | 0 | 0 | 0 |
| AMERICA FOSTER | ||||||||||||||
| PHYSICIAN | 135972 | 0 | 0 | 0 | 0 | 0 | 6799 | 0 | 18770 | 0 | 161541 | 0 | 0 | 0 |
| KARLA KIKER | ||||||||||||||
| PHYSICIAN | 149079 | 0 | 0 | 0 | 0 | 0 | 7454 | 0 | 2003 | 0 | 158536 | 0 | 0 | 0 |
| KUNJBALA SHARMA | ||||||||||||||
| PHYSICIAN | 154962 | 0 | 0 | 0 | 0 | 0 | 7748 | 0 | 2040 | 0 | 164750 | 0 | 0 | 0 |
| WILLIAM RUSH | ||||||||||||||
| FINANCE DIRECTOR (TERMINATED) | 65264 | 0 | 0 | 0 | 0 | 0 | 3263 | 0 | 229 | 0 | 68756 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4A | ReturnReference |
| Explanation | WILLIAM RUSH, FORMER FINANCE DIRECTOR RECEIVED SEVERANCE PAY INCLUDED IN HIS W-2 GROSS INCOME OF $65,264. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RI HEALTH AND EDUCATIONAL BUILDNG CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521300173 | IssuerEIN |
| Date Issued | 2011-08-02 | DateIssued |
| Issue Price | 6450000 | IssuePrice |
| Description Of Purpose | CONSTRUCTION OF NEW MEDICAL BUILDING | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 6450000 | TotalProceeds |
| Issuance Costs From Proceeds | 75000 | IssuanceCostsFromProceeds |
| Capital Expenditures | 6274333 | CapitalExpenditures |
| Amount Unspent | 100667 | AmountUnspent |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 1 | ExceptionToRebate |
| No Rebate Due | 1 | NoRebateDue |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 0 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K SUPPLENTAL INFORMATION | Identifier |
| Explanation | OTHER UNSPENT PROCEEDS ARE NOT REFLECTED ON THE ORGANIZATION'S BOOKS AND RECORDS AS THE PROCEEDS ARE NOT UNDER ITS DIRECT CONTROL. AS OF DECEMBER 31, 2012 ISSUANCE COSTS OF $30,896 HAVE BEEN DISBURSED AND THE BALANCE ALLOCATED TO THESE COSTS IS NOT REFLECTED ON THE ORGANIZATION'S BOOKS AND RECORDS PER THE ABOVE FOR OTHER UNSPENT PROCEEDS. SCHEDULE K, PART IV , ARBITRAGE: THE ORGANIZATION BY ITS TAX REGULATORY AGREEMENT DATED AUGUST 2, 2011 IS REQUIRED TO CALCULATE ANY REBATE DUE EVERY FIVE YEARS SUBSEQUENT TO THE DATE OF THE AGREEMENT. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART I, LINE 6: | VOLUNTEERS PLAYED AN INTEGRAL PART IN ALLOWING THE CENTER TO PARTICIPATE IN VARIOUS HEALTH FESTIVALS AND FAIRS THAT PROMOTE HEALTH, WELLNESS, AND SAFETY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | INTERNAL MANAGEMENT DOES A DETAILED LINE BY LINE REVIEW OF THE FORM 990 PRIOR TO IT BEING FILED. ANY QUESTIONS FROM THIS REVIEW ARE DISCUSSED AND RESOLVED WITH THE PREPARER PRIOR TO BEING SHARED WITH THE BOARD. THE FORM 990 WILL ONLY BE RELEASED ONCE ALL QUESTIONS RAISED BY INTERNAL STAFF AND THE BOARD HAVE BEEN RESOLVED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | IF THE BOARD BECOMES AWARE OF A POTENTIAL CONFLICT OF INTEREST THROUGH SELF DISCLOSURE OR SOME OTHER MANNER, THE BOARD WOULD IMMEDIATELY FOLLOW-UP TO DETERMINE IF A CONFLICT TRULY EXISTS. IF A CONFLICT DOES EXIST THE BOARD WOULD TAKE APPROPRIATE ACTION THAT MAY INCLUDE TERMINATION, WHERE WARRANTED. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE DIRECTOR'S COMPENSATION IS APPROVED BY THE BOARD CHAIRMAN. TO ASSIST IN DETERMINING THE EXECUTIVE DIRECTOR'S COMPENSATION LEVEL, THE BOARD CHAIR LOOKS AT JOB DUTIES, JOB PERFORMANCE, ACCOMPLISHMENTS, NEW GOALS AND OBJECTIVES, AND SALARY INFORMATION OF OTHER HEALTH CENTERS OF SIMILAR SIZE AND SCOPE. THE EXECUTIVE DIRECTOR APPROVES THE COMPENSATION FOR ALL OTHER OFFICERS. IN DETERMINING THE COMPENSATION LEVEL OF EACH OFFICER, THE EXECUTIVE DIRECTOR WILL REVIEW JOB DUTIES, JOB PERFORMANCE, ACCOMPLISHMENTS, NEW GOALS AND OBJECTIVES, AND SALARY INFORMATION OF OTHER HEALTH CENTERS OF SIMILAR SIZE AND SCOPE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART IX, LINE 11G | CONSULTING: PROGRAM SERVICE EXPENSES 1,348,996. MANAGEMENT AND GENERAL EXPENSES 424,583. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,773,579. | OTHER FEES |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANTS. |