2019-07-10T12:35:52-05:00 2018-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2017-10-01 050316969 THE PROVIDENCE CENTER INC PROV 4012764000 528 NORTH MAIN STREET PROVIDENCE RI 02904 DEBORAH M O'BRIEN PRESIDENT/COO 4012764000 2019-07-08 1 DEBORAH A HOPKINS P00167843 4012742001 71.117.160.66 2019-07-08 08:56:50 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2017 2019-02-21 02:37:17Z DEBORAH M O'BRIEN 528 NORTH MAIN STREET PROVIDENCE RI 02904 49577172 0 X WWW.THEPROVIDENCECENTER.ORG X 1971 RI TO PROVIDE PERSON-CENTERED, RECOVERY-FOCUSED TREATMENT AND SUPPORTIVE SERVICES. 16 13 1013 59 0 15576 10820122 10688482 34816593 34060278 63620 65773 7369751 4705101 53070086 49519634 0 0 0 0 42951150 42408820 0 0 146011 9572875 9325633 52524025 51734453 546061 -2214819 26512747 26268010 6028259 8596124 20484488 17671886 X TO HELP ADULTS, ADOLESCENTS AND CHILDREN AFFECTED BY PSYCHIATRIC ILLNESSES, EMOTIONAL PROBLEMS AND ADDICTIONS BY PROVIDING PERSON-CENTERED, RECOVERY-FOCUSED TREATMENT AND SUPPORTIVE SERVICES WITHIN A COMMUNITY SETTING. 0 0 37766541 31475920 ADULT MENTAL HEALTH AND SUBSTANCE USE - THE PROVIDENCE CENTER PROVIDED A BROAD CONTINUUM OF PERSON-CENTERED, RECOVERY-FOCUSED MENTAL HEALTH AND SUBSTANCE USE SERVICES FOR ADULTS TO OVER 12,200 INDIVIDUALS IN FISCAL YEAR 2018 THAT RANGE FROM OUTPATIENT COUNSELING SERVICES TO INTENSIVE OUTPATIENT AND PARTIAL HOSPITAL PROGRAMS TO RESIDENTIAL PLACEMENTS. ALL SERVICES ADDRESS THE CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE NEEDS OF CLIENTS. A RANGE OF INTENSIVE COMMUNITY-BASED SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS STABILIZES THEIR CONDITIONS; REDUCES SYMPTOMS; HELPS THEM TO LOCATE SAFE, AFFORDABLE HOUSING; DEVELOP INDEPENDENT LIVING SKILLS; SECURE AND MAINTAIN MEANINGFUL EMPLOYMENT; IDENTIFY EDUCATION OPPORTUNITIES; AND PARTICIPATE IN COMMUNITY, THERAPEUTIC, SOCIAL AND RECREATIONAL ACTIVITIES. GROUP HOMES OFFER RESIDENTIAL SERVICES FOR ADULTS WITH SEVERE AND PERSISTENT MENTAL ILLNESS WHO NEED 24-HOUR SUPERVISION AND ASSISTANCE TO PERFORM DAILY LIVING SKILLS. INTEGRATED HEALTH HOME TEAMS ACROSS RHODE ISLAND PROVIDE COORDINATION OF ALL ASPECTS OF CARE, INCLUDING PSYCHIATRY, PRIMARY CARE, SPECIALTY CARE, MEDICATION, HOSPITAL DISCHARGE AND WELLNESS NEEDS.EMERGENCY SERVICES AND CRISIS CARE ARE PROVIDED ON-SITE, IN THE COMMUNITY AND AT CARE NEW ENGLAND HOSPITALS 24 HOURS A DAY, SEVEN DAYS A WEEK. THE CRISIS STABILIZATION UNIT PROVIDES SPECIALIZED CARE 24/7 TO PATIENTS EXPERIENCING AN ACUTE PSYCHIATRIC AND/OR SUBSTANCE USE CRISIS. HOMELESS SERVICES PROVIDE HOMELESS INDIVIDUALS, INCLUDING SPECIALIZED SERVICES FOR VETERANS, IN RHODE ISLAND WITH PERMANENT SUPPORTED HOUSING, MENTAL HEALTH TREATMENT, SUBSTANCE USE AND MEDICAL SERVICES AND OTHER COMMUNITY SUPPORTS.RECOVERY SERVICES IN OUTPATIENT COUNSELING, INTENSIVE OUTPATIENT, PARTIAL HOSPITAL, AND RESIDENTIAL SETTINGS FOCUS ON PROVIDING THE CLIENT WITH TREATMENT AND ACCESS TO SUPPORTS NECESSARY TO MAINTAIN SUCCESSFUL RECOVERY. RESIDENTIAL TREATMENT PROGRAMS LIKE ROADS TO RECOVERY PROVIDE STABILIZATION, INDIVIDUAL AND GROUP TREATMENT, EDUCATION AND CONNECTIONS TO THE AFTER CARE SERVICES ESSENTIAL FOR LONG-TERM RECOVERY. SOBER HOUSING OFFERS COMMUNITY LIVING AND SUPPORTIVE SERVICES TO PEOPLE IN THE EARLY STAGES OF RECOVERY WHO ARE HOMELESS AND HAVE SERIOUS PROBLEMS RELATED TO SUBSTANCE USE. WOMEN-SPECIFIC, AND CULTURALLY SPECIFIC SERVICES FOR THE LATINO AND SOUTHEAST ASIAN COMMUNITIES, ARE ALSO AVAILABLE. ANCHOR RECOVERY COMMUNITY CENTERS OFFER PEER-TO-PEER SUPPORT, ACTIVITIES AND GROUPS TO HELP OVERCOME BARRIERS AND MAINTAIN RECOVERY. SUBSTANCE USE TREATMENT SERVICES ARE ALSO PROVIDED FOR INMATES AT THE RHODE ISLAND DEPARTMENT OF CORRECTIONS. INTEGRATED PRIMARY AND BEHAVIORAL HEALTH CARE COMBINES ACCESS TO PRIMARY CARE, MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES - INCLUDING AN ON-SITE HEALTH CLINIC, WELLNESS AND NUTRITION PROGRAMS, MEDICAL NURSES ON COMMUNITY SUPPORT TEAMS, AND BEHAVIORAL HEALTH CONSULTANTS IN A PRIMARY CARE CLINIC - WITH THE GOAL OF HELPING CLIENTS REACH OPTIMAL HEALTH. PROVIDENCE COMMUNITY HEALTH CENTERS OPERATES A CLINIC ON-SITE AT THE PROVIDENCE CENTER, AND THE PROVIDENCE CENTER RUNS AN OUTPATIENT BEHAVIORAL HEALTH CLINIC AT PROVIDENCE COMMUNITY HEALTH CENTERS' LOCATION AT PRAIRIE AVENUE. TPC INTEGRATED HEALTH HOME TEAMS ALSO COLLABORATE WITH THUNDERMIST HEALTH CENTER (WAKEFIELD) AND BLACKSTONE VALLEY COMMUNITY HEALTH CENTER (PAWTUCKET AND CENTRAL FALLS). 8669658 2584358 CHILDREN AND FAMILIES - THE PROVIDENCE CENTER PROVIDED A BROAD CONTINUUM OF CHILD AND FAMILY-CENTERED SERVICES FOR OVER 2,900 CHILDREN, ADOLESCENTS AND THEIR FAMILIES IN FISCAL YEAR 2018. INDIVIDUAL, GROUP AND FAMILY COUNSELING FOR ALL AGES ARE AVAILABLE DURING THE DAY AND EVENING. THE EARLY CHILDHOOD INSTITUTE HELPS PRESCHOOL CHILDREN WHO HAVE BEHAVIORAL, SOCIAL OR EMOTIONAL DIFFICULTIES AND/OR DELAYS TO MEET THEIR INDIVIDUAL DEVELOPMENTAL AND PSYCHOLOGICAL NEEDS. INCLUSIVE PRESCHOOL AND PRE-KINDERGARTEN ARE ALSO OFFERED AT IMAGINE PRESCHOOL. PARTIAL HOSPITAL AND INTENSIVE OUTPATIENT PROGRAMS ASSIST ADOLESCENTS AND TEENS IN COPING WITH EMOTIONAL AND BEHAVIORAL ISSUES, THEREBY AVOIDING HOSPITALIZATION, PLACEMENT OUT OF HOMES OR SCHOOLS AND SERIOUS PROBLEMS IN THEIR SOCIAL AND FAMILY RELATIONSHIPS. THE PROVIDENCE CENTER SCHOOL OFFERS A UNIQUE LEARNING ENVIRONMENT FOR CHILDREN IN GRADES PRE-K THROUGH 12, WHO ARE EXPERIENCING ACUTE BEHAVIORAL AND EMOTIONAL SYMPTOMS, BY PROVIDING ACADEMIC ADVANCEMENT AND SYMPTOM MANAGEMENT TRAINING IN A SAFE, SUPPORTIVE AND STRUCTURED ENVIRONMENT. ANCHOR LEARNING ACADEMY, A RECOVERY HIGH SCHOOL, PROVIDES ACADEMIC INSTRUCTION AND CLINICAL SUPPORT TO HIGH SCHOOL STUDENTS WHO ARE IN RECOVERY FROM SUBSTANCE USE ISSUES. PROGRAMS ALSO ADDRESS THE COMPLEX CHALLENGES FOR ADOLESCENTS WHO HAVE BEEN COURT INVOLVED, HAVE A HISTORY OF OUT-OF-HOME PLACEMENT AND/OR EXHIBIT HIGH-RISK BEHAVIOR, WHILE OTHERS HELP TROUBLED TEENS LEARN HOW TO LIVE INDEPENDENTLY. EMERGENCY SERVICES ARE PROVIDED ON-SITE AND IN THE COMMUNITY. PARTNERSHIPS WITH OTHER LOCAL COMMUNITY BASED PROVIDERS FACILITATE THE CONNECTION TO COMPREHENSIVE SERVICES FOR FAMILIES IN NEED. THE SCHOOL COUNSELING AND SUPPORT PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP BETWEEN PROVIDENCE SCHOOLS AND THE PROVIDENCE CENTER THAT PUTS PROVIDENCE CENTER CLINICIANS IN EIGHT ELEMENTARY AND MIDDLE SCHOOLS IN PROVIDENCE TO PROVIDE A RANGE OF SERVICES TO STUDENTS AND FAMILIES AT NO COST TO THE DISTRICT. 46436199 1 0 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 72 0 1013 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 RI X STEPHEN BURKE 4014556275 528 NORTH MAIN STREET PROVIDENCE RI 02904 JAMES BOTVIN CHAIR 1.00 X X 0 0 0 NANCY FISHER CHUDACOFF ESQ VICE CHAIR 1.00 X X 0 0 0 JANA PLANKA TREASURER 1.00 X X 0 0 0 PATRICIA CAWLEY AFFLECK SECRETARY 1.00 X X 0 0 0 DONALD R BARBEAU CORPORATION TRUSTEE 1.00 X 0 0 0 ALISON BOLOGNA CORPORATION TRUSTEE (UP TO 5/18) 1.00 X 0 0 0 FRANK CASALE CORPORATION TRUSTEE 1.00 X 0 0 0 MALCOLM CHACE CORPORATION TRUSTEE 1.00 X 0 0 0 MARGUERITE CHADWICK CORPORATION TRUSTEE 1.00 X 0 0 0 LINDA M COHEN ESQ CORPORATION TRUSTEE 1.00 X 0 0 0 WALTER R CRADDOCK ESQ CFP CORPORATION TRUSTEE 1.00 X 0 0 0 THOMAS DAY CORPORATION TRUSTEE 1.00 X 0 0 0 JOSEPH IANNONI MEMBER TRUSTEE (CNE) 1.00 X 0 1050147 41869 DENNIS KEEFE MEMBER TRUSTEE (CNE) (UP TO 12/17) 1.00 X 0 1215815 44993 JAMES FANALE MD MEMBER TRUSTEE (CNE) (AS OF 1/18) 1.00 X 0 772450 39140 NICKI SAHLIN PHD CORPORATION TRUSTEE 1.00 X 0 0 0 JOEL STARK CORPORATION TRUSTEE 1.00 X 0 0 0 JAMES SULLIVAN MEMBER TRUSTEE (CNE) 1.00 X 0 321502 24742 DALE K KLATZKER PHD FORMER PRESIDENT/CEO (AS OF 3/17) 0.00 0.00 X 469997 0 7249 DEBORAH M O'BRIEN PRESIDENT/COO 37.50 X 214946 0 17319 DENISE PATNODE VICE PRESIDENT OF FINANCE (UP TO 8/17) 37.50 X 130158 0 6572 TODD SPENCER VICE PRESIDENT OF FINANCE (UP TO 12/17) 37.50 X 76011 0 6572 MICHAEL A SILVER MD CHIEF MEDICAL OFFICER 37.50 X 246427 0 13264 JAMES E GREER MD CLINICAL DIR., CHILD & FAMILY 37.50 X 229883 0 16872 KAZI M SALAHUDDIN MD PEDIATRIC PSYCHIATRIST 37.50 X 209163 0 13295 WARREN ONG MD PSYCHIATRIST 37.50 X 201113 0 17470 OMER CERMIK MD PSYCHIATRIST 37.50 X 199238 0 758 JACK H BELKIN MD PSYCHIATRIST 37.50 X 198300 0 10920 2175236 3359914 261035 28 1 1 0 STAND CORPORATION 105 PENNSYLVANIA AVENUE WARWICK RI 02888 CONSTRUCTION 576199 PHOENIX HOUSE 99 WAYLAND SQUARE 100 PROVIDENCE RI 02906 CLINICAL SERVICES 325110 AMOS HOUSE 460 PINE STREET PROVIDENCE RI 02907 FOOD SERVICE 221079 CERIDIAN PO BOX 10989 NEWARK NJ 07193 PAYROLL/TAX SERVICE 202787 NATIONAL MAINTENANCE 20 DUNNELL LANE PAWTUCKET RI 02860 LANDSCAPING/SNOW REMOVAL 162682 8 250034 9863263 575185 4931 10688482 CLIENT SERVICE INCOME 624100 33518527 33518527 RESIDENTIAL INCOME 624100 541751 541751 34060278 65773 65773 21465 250034 57538 -36073 -36073 CONSULTATION & OTHER INCOME 624100 4741174 4741174 4741174 49519634 34060278 0 4770874 642296 264396 377900 33255727 30104752 3060865 90110 1252514 1116915 131441 4158 4695251 4315028 369320 10903 2563032 2297474 258592 6966 75973 69828 5978 167 91250 82946 8078 226 1606447 1520286 81446 4715 38601 4620 29003 4978 894141 784035 99137 10969 2539765 2284033 255654 78 416349 410805 5075 469 289692 107400 176846 5446 338272 307457 29978 837 841240 764684 74474 2082 658842 597693 59201 1948 CLIENT ACTIV. & FOOD 1048077 1044742 3316 19 COSTS PASSED THROUGH FR 199996 181796 17705 495 MISCELLANEOUS 118370 94449 23902 19 BOOKS, PUBS & DUES 110021 31389 77296 1336 58597 51471 7036 90 51734453 46436199 5152243 146011 5630 5930 288617 888972 2149890 2147070 6970057 7240671 305720 137362 16815155 3797581 12519281 13017574 1993552 1750431 1080000 1080000 1200000 0 26512747 26268010 3499617 2666207 472067 10929 2056575 5918988 6028259 8596124 X 18123416 14997241 763389 995617 1597683 1679028 20484488 17671886 26512747 26268010 -2214819 -597783 0 X 0 1 X 1 1 1 X 15740489 9811526 11538466 10820122 10688482 58599085 24667317 29102861 38865370 34842890 34081743 161560181 1108995 1108995 1386244 1114143 1114143 5832520 41516801 40023382 51790080 46777155 45884368 225991786 16175 6290 34600 19450 18681 95196 0 16175 6290 34600 19450 18681 95196 225896590 50983 55775 62664 63620 65773 298815 50983 55775 62664 63620 65773 298815 2796792 5825187 13438569 7410061 4741174 34211783 44364576 45904344 65291313 54250836 50691315 260502384 0.86720 0.87110 0.00110 0.00110 X PART III, SHORT YEAR EXPLANATION: IN FY2016, THE ORGANIZATION CHANGED ITS FISCAL YEAR FROM JULY-JUNE TO THE OCT-SEPT TIMEFRAME. THE FIGURES REPORTED IN COLUMN (C) OF PART III - SUPPORT SCHEDULE FOR ORGANIZATIONS DESCRIBED IN SECTION 509(A)(2), REPRESENT SUPPORT FOR THE 15 MONTH PERIOD OF JULY 2015 THROUGH SEPTEMBER 2016. FOLLOWING IS A BREAKDOWN OF THE TOTALS BETWEEN THE TWO REPORTING PERIODS: JULY 2015 - JUNE 2016: LINE 1 - GIFTS, GRANTS, CONTRIBUTIONS, AND MEMBERSHIP FEES: $9,356,830; LINE 2 - GROSS RECEIPTS FROM ADMISSIONS, MERCHANDISE SOLD OR SERVICES PERFORMED, OR FACILITIES FURNISHED IN ANY ACTIVITY THAT IS RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE: $30,756,505; LINE 5 - THE VALUE OF SERVICES OR FACILITIES FURNISHED BY A GOVERNMENTAL UNIT TO THE ORGANIZATION WITHOUT CHARGE: $1,108,995; LINE 7A - AMOUNTS INCLUDED ON LINES 1, 2, AND 3 RECEIVED FROM DISQUALIFIED PERSONS: $14,600; LINE 1OA - GROSS INCOME FROM INTEREST, DIVIDENDS, PAYMENTS RECEIVED ON SECURITIES LOANS, RENTS, ROYALTIES AND INCOME FROM SIMILAR SOURCES: $60,928; LINE 12 - OTHER INCOME: $6,886,806. JULY 2016 - SEPTEMBER 2016: LINE 1 - GIFTS, GRANTS, CONTRIBUTIONS, AND MEMBERSHIP FEES: $2,181,636; LINE 2 - GROSS RECEIPTS FROM ADMISSIONS, MERCHANDISE SOLD OR SERVICES PERFORMED, OR FACILITIES FURNISHED IN ANY ACTIVITY THAT IS RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE: $8,108,865; LINE 5 - THE VALUE OF SERVICES OR FACILITIES FURNISHED BY A GOVERNMENTAL UNIT TO THE ORGANIZATION WITHOUT CHARGE: $277,249; LINE 7A - AMOUNTS INCLUDED ON LINES 1, 2, AND 3 RECEIVED FROM DISQUALIFIED PERSONS: $20,000; LINE 1OA - GROSS INCOME FROM INTEREST, DIVIDENDS, PAYMENTS RECEIVED ON SECURITIES LOANS, RENTS, ROYALTIES AND INCOME FROM SIMILAR SOURCES: $1,736; LINE 12 - OTHER INCOME: $6,551,763. 51734453 51734453 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 36000 250 36250 250000 250000 250000 250000 1000000 1500000 162517 8886 171403 148964 13553 162517 135291 13673 148964 131070 4221 135291 114662 16408 131070 0.58340 0.41660 1 0 1691382 1691382 11922413 2621672 9300741 1328666 454898 873768 666465 573635 92830 1206229 147376 1058853 13017574 1750431 F 1750431 INVESTMENT IN AFFILIATE 2483511 DUE TO AFFILIATE 3435477 5918988 X PART V, LINE 4: TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES AS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS 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 ENTITITES. THESE TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES AND ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. CIRCLE OF STARS 195099 185154 9945 25988 550 11913 GOLF TOURNAMENT 76400 64880 11520 6323 12764 271499 250034 21465 32311 550 24677 57538 -36073 X X X X X X 0 1 0 0 0 0 0 0 0 JOSEPH IANNONI MEMBER TRUSTEE (CNE) 0 982605 0 0 0 67542 0 13500 0 28369 0 1092016 0 274002 DENNIS KEEFE MEMBER TRUSTEE (CNE) (UP TO 12/17) 0 1099566 0 0 0 116249 0 24300 0 20693 0 1260808 0 0 JAMES FANALE MD MEMBER TRUSTEE (CNE) (AS OF 1/18) 0 612434 0 0 0 160016 0 13500 0 25640 0 811590 0 76700 JAMES SULLIVAN MEMBER TRUSTEE (CNE) 0 317494 0 0 0 4008 0 24038 0 704 0 346244 0 0 DALE K KLATZKER PHD FORMER PRESIDENT/CEO (AS OF 3/17) 465081 0 0 0 4916 0 0 0 7249 0 477246 0 341461 0 DEBORAH M O'BRIEN PRESIDENT/COO 214946 0 0 0 0 0 0 0 17319 0 232265 0 0 0 MICHAEL A SILVER MD CHIEF MEDICAL OFFICER 246427 0 0 0 0 0 0 0 13264 0 259691 0 0 0 JAMES E GREER MD CLINICAL DIR., CHILD & FAMILY 229883 0 0 0 0 0 0 0 16872 0 246755 0 0 0 KAZI M SALAHUDDIN MD PEDIATRIC PSYCHIATRIST 209163 0 0 0 0 0 0 0 13295 0 222458 0 0 0 WARREN ONG MD PSYCHIATRIST 201113 0 0 0 0 0 0 0 17470 0 218583 0 0 0 OMER CERMIK MD PSYCHIATRIST 199238 0 0 0 0 0 0 0 758 0 199996 0 0 0 JACK H BELKIN MD PSYCHIATRIST 198300 0 0 0 0 0 0 0 10920 0 209220 0 0 0 PART I, LINE 4B THE ORGANIZATION HAD TAX DEFERRED SAVINGS PLANS UNDER SECTIONS 457(B) AND 457(F) FOR THE FOLLOWING FORMER SENIOR MANAGER: DALE KLATZKER $341,461 WAS DISTRIBUTED DURING CALENDAR YEAR 2017. NO FURTHER FUNDING WILL BE MADE TO THESE PLANS ON HIS BEHALF. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITORS AND REVIEWED BY MANAGEMENT. ONCE ALL ARE SATISFIED WITH THE FORM, IT IS FINALIZED AND A COPY IS SENT TO ALL FINANCE COMMITTEE MEMBERS. AT THE SUBSEQUENT FINANCE COMMITTEE MEETING, THE MEMBERS ARE ASKED IF THEY HAVE ANY QUESTIONS OR COMMENTS AND A GENERAL REVIEW OF THE FORM IS PROVIDED BY MANAGEMENT. REVISIONS, CORRECTIONS, ETC. ARE MADE AS NECESSARY. SUBSEQUENT TO THIS MEETING THE FORM IS SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, TRUSTEES RECEIVE A COPY OF THE CARE NEW ENGLAND HEALTH SYSTEM CONFLICT OF INTEREST AND CONFIDENTIALITY POLICY. THE CNE CONFLICT OF INTEREST DISCLOSURE FORM IS CALLED THE RELATED PARTY QUESTIONNAIRE. TPC BOARD MEMBERS ARE REQUIRED TO COMPLETE, SIGN, AND RETURN THE FORM TO THE CNE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE CNE BOARD, INCLUDING THE COMPENSATION COMMITTEE, CONDUCTS A PERFORMANCE REVIEW, BASED ON RESULTS AGAINST GOALS, 360 FEEDBACK AND EVALUATION OF THE PRESIDENT AND COO BY THE CEO OF CNE. THE BOARD ESTABLISHES THE COMPENSATION ADJUSTMENTS USING THE SERVICES OF AN OUTSIDE COMPENSATION FIRM'S ASSESSMENT OF THE MARKET FOR THE POSITION. THE DIRECT REPORTS TO THE PRESIDENT AND COO ARE ALSO EVALUATED ANNUALLY BY THE PRESIDENT AND COMPENSATION IS REVIEWED/ADJUSTED BASED ON THE MARKET DATA IDENTIFIED BY THE OUTSIDE COMPENSATION FIRM. 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 FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION WILL MAIL COPIES UPON REQUEST OR PROVIDE COPIES TO THOSE WHO COME TO THE ADMINISTRATIVE OFFICE DURING NORMAL BUSINESS HOURS. GRANDVIEW REALTY CORPORATION 528 NORTH MAIN STREET PROVIDENCE RI 02904 050384362 OWNS AND ADMINISTERS HUD SECTION 8 MORTGAGE PROJECT NO. 016-EH007 RI 501(C)(3) LINE 10 THE PROVIDENCE CENTER INC 1 GRANDVIEW SECOND CORPORATION 528 NORTH MAIN STREET PROVIDENCE RI 02904 222812929 OWNS AND ADMINISTERS THE HUD SECTION 811 PROJECT NO. 016-HD009 RI 501(C)(3) LINE 10 THE PROVIDENCE CENTER INC 1 NASHUA STREET CORPORATION 528 NORTH MAIN STREET PROVIDENCE RI 02904 050509674 OWNS AND ADMINISTERS THE HUD SECTION 811 PROJECT NO. 016-HD026 RI 501(C)(3) LINE 10 THE PROVIDENCE CENTER INC 1 TPC SOCIAL VENTURES INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 050441980 PROVIDE TRNG & EMPLOYMT OPPORTUNITIES TO PEOPLE WITH MENTAL ILLNESS RI 501(C)(3) LINE 10 THE PROVIDENCE CENTER INC 1 WILSON STREET APARTMENTS 528 NORTH MAIN STREET PROVIDENCE RI 02904 050520857 OWNS AND ADMINISTERS THE HUD SECTION 811 PROJECT NO. 016-HD047 RI 501(C)(3) LINE 10 THE PROVIDENCE CENTER INC 1 STANDARD REALTY INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 222479719 INACTIVE RI 501(C)(3) LINE 10 THE PROVIDENCE CENTER INC 1 CARE NEW ENGLAND HEALTH SYSTEM 45 WILLARD AVENUE PROVIDENCE RI 02905 050490997 HEALTHCARE RI 501(C)(3) LINE 12C, III-FI N/A 0 WOMEN & INFANTS CORPORATION 300 RICHMOND STREET PROVIDENCE RI 02903 222885807 HEALTHCARE RI 501(C)(3) LINE 12C, III-FI CARE NEW ENGLAND 0 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 300 RICHMOND STREET PROVIDENCE RI 02903 050258937 HEALTHCARE RI 501(C)(3) LINE 3 WOMEN & INFANTS CORPORATION 0 WOMEN & INFANTS DEVELOPMENT FOUNDATION 300 RICHMOND STREET PROVIDENCE RI 02903 222885815 HEALTHCARE RI 501(C)(3) LINE 12C, III-FI WOMEN & INFANTS CORPORATION 0 WIH FACULTY PHYSICIANS INC 67 BRIGHAM STREET NEW BEDFORD MA 02740 043579432 HEALTHCARE MA 501(C)(3) LINE 10 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 0 KENT COUNTY MEMORIAL HOSPITAL 455 TOLL GATE ROAD WARWICK RI 02886 050258896 HEALTHCARE RI 501(C)(3) LINE 3 CARE NEW ENGLAND 0 KENT HOSPITAL FOUNDATION 455 TOLL GATE ROAD WARWICK RI 02886 050514640 SUPPORT ORGANIZATION RI 501(C)(3) LINE 12A, I KENT COUNTY MEMORIAL HOSPITAL 0 KENT COUNTY VNA DBA VNA OF CNE 51 HEALTH LANE WARWICK RI 02886 050242659 HEALTHCARE RI 501(C)(3) LINE 10 CARE NEW ENGLAND 0 HEALTHTOUCH INC 51 HEALTH LANE WARWICK RI 02886 050514949 HEALTHCARE RI 501(C)(3) LINE 10 KENT COUNTY VNA 0 BUTLER HOSPITAL 345 BLACKSTONE BOULEVARD PROVIDENCE RI 02906 050258812 HEALTHCARE RI 501(C)(3) LINE 3 CARE NEW ENGLAND 0 BUTLER HOSPITAL FOUNDATION 345 BLACKSTONE BOULEVARD PROVIDENCE RI 02906 454530540 SUPPORT ORGANIZATION RI 501(C)(3) LINE 12A, I BUTLER HOSPITAL 0 SOUTHEASTERN HEALTHCARE SYSTEM INC 111 BREWSTER STREET PAWTUCKET RI 02860 061476858 HEALTHCARE RI 501(C)(3) LINE 12B, II CARE NEW ENGLAND 0 THE MEMORIAL HOSPITAL 111 BREWSTER STREET PAWTUCKET RI 02860 050259004 HEALTHCARE RI 501(C)(3) LINE 3 SOUTHEASTERN HEALTHCARE SYSTEM 0 BLACKSTONE HEALTH INC 420 MAIN STREET PAWTUCKET RI 02860 050427007 HEALTHCARE RI 501(C)(3) LINE 7 SOUTHEASTERN HEALTHCARE SYSTEM 0 SHS VENTURES INC 111 BREWSTER STREET PAWTUCKET RI 02860 050510341 HEALTHCARE RI 501(C)(3) LINE 10 THE MEMORIAL HOSPITAL 0 VNA OF CARE NEW ENGLAND FOUNDATION 51 HEALTH LANE WARWICK RI 02886 462293974 SUPPORT ORGANIZATION RI 501(C)(3) LINE 12A, I KENT COUNTY VNA 0 THE MEMORIAL HOSPITAL FOUNDATION 111 BREWSTER STREET PAWTUCKET RI 02860 463246618 HEALTHCARE RI 501(C)(3) LINE 12A, I THE MEMORIAL HOSPITAL 0 CONTINUUM BEHAVIORAL HEALTH INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 462853067 INDEPENDENTLY LICENSED PROFESSIONALS PROVIDE THERAPY AND PSYCHIATRY SERVICE. RI THE PROVIDENCE CENTER INC C 2399299 393752 1.00000 1 TOLL GATE INDEMNITY LTD 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CJ KY1-11 342028514 FINANCIAL VEHICLE CJ N/A C 0 W & I INDEMNITY LTD 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CJ KY1-11 980159342 FINANCIAL VEHICLE CJ N/A C 0 BOULEVARD MEDICAL CONDO ASSOCIATION 111 BREWSTER STREET PAWTUCKET RI 02860 050497862 REAL ESTATE RI N/A C 0 PRIMARY CARE CENTER OF NEW ENGLAND INC 111 BREWSTER STREET PAWTUCKET RI 02860 050423957 HEALTHCARE SERVICES RI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 TPC SOCIAL VENTURES INC Q 170000 COST CONTINUUM BEHAVIORAL HEALTH INC Q 2471407 COST