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      <Desc>ACCOMPLISHMENTS DURING FY2018 INCLUDE: CTC HAS IMPLEMENTED A NEW 5 YEAR STRATEGIC PLAN. CTC ACCEPTED 17 NEW PEDIATRIC PRACTICES TO PARTICIPATE IN PCMHKIDS PRIMARY CARE TRANSFORMATION INTO PATIENT CENTER MEDICAL HOMES (PCMH).TO DATE, CTC HAS WORKED WITH 105 PRIMARY CARE PRACTICES, OVER 750 PRIMARY CARE PROVIDERS WHO COLLECTIVELY SERVE 650,000 RHODE ISLANDERS - 2/3 OF THE STATE POPULATION IS RECEIVING CARE IN A PCMH OR COMPREHENSIVE PRIMARY CARE PRACTICE.IN RECENT YEARS, CTC HAS EXPANDED ITS FOCUS TO INCREASE THE CAPACITY OF PRIMARY CARE PRACTICES TO PROVIDE BEHAVIORAL HEALTH SERVICES AND EXTEND OUTREACH TO HIGH-RISK PATIENTS THROUGH GEOGRAPHICALLY-BASED COMMUNITY HEALTH TEAMS.THIS YEAR, CTC IS WRAPPING UP A 3-YEAR PILOT PROGRAM FUNDED BY THE RHODE ISLAND FOUNDATION, TUFTS HEALTH PLAN AND STATE INNOVATION MODEL GRANT, WHERE CTC SOUGHT TO INTEGRATE BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE. THIS MODE REQUIRED PRACTICES TO ADD A BEHAVIORAL HEALTH CLINICIAN TO THE CARE TEAM AND TO IMPLEMENT UNIVERSAL SCREENING FOR DEPRESSION, ANXIETY AND SUBSTANCE USE DISORDER. RESULTS ARE IMPRESSIVE - DEMONSTRATING THAT PRACTICES WERE ABLE TO SUCCESSFULLY IMPLEMENT UNIVERSAL SCREENING TO TARGET THRESHOLD AND SIGNIFICANTLY LOWER TOTAL COST OF CARE. USING DATA FROM THE RI ALL-PAYER CLAIMS DATABASE, THE DATA SHOWS THAT THE CTC COMPREHENSIVE PRIMARY CARE PRACTICES HAD A GREATER REDUCTION FROM 2016 TO 2017 IN RISK-ADJUSTED TOTAL COST OF CARE THAN THE COMPARISON GROUP ($24 PER MEMBER PER MONTH). THOSE REDUCTIONS WERE EVEN GREATER FOR PRACTICES THAT IMPLEMENTED INTEGRATED BEHAVIORAL HEALTH INTO PRIMARY CARE ($62 PER MEMBER PER MONTH). THERE ARE ALSO VERY SIGNIFICANT COMPARATIVE REDUCTIONS FOR THE MEDICAID POPULATION.IN ADDITION, THIS YEAR, CTC HAS IMPLEMENTED A LARGE STATE GRANT ROLLING OUT 6 COMMUNITY HEALTH TEAMS AROUND THE STATE WORKING AS AN EXTENSION OF PRIMARY CARE TO REACH OUT TO HIGH RISK PATIENTS IN THE COMMUNITY AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND BEHAVIORAL HEALTH NEEDS.</Desc>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS GIANCOLA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE HANSEN</PersonNm>
        <TitleTxt>DIRECTOR (UP TO 5/18)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DALE KLATZKER PHD</PersonNm>
        <TitleTxt>DIRECTOR (UP TO 8/17)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AL KUROSE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN LAMBERT MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLAIRE LEVESQUE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH MASLAND</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH O'BRIEN BSRNMPA</PersonNm>
        <TitleTxt>DIRECTOR (AS OF 10/17)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN O'LEARY MD</PersonNm>
        <TitleTxt>DIRECTOR (AS OF 6/18)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER OTTIANO MD</PersonNm>
        <TitleTxt>DIRECTOR (AS OF 1/18)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AL PUERINI MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA HURWITZ</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>57040</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>176</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>94988</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>176</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UMASS MEDICAL SCHOOL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>55 LAKE AVENUE NORTH</AddressLine1Txt>
            <CityNm>WORCESTER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01655</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROJECT MANAGEMENT</ServicesDesc>
        <CompensationAmt>553651</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 KENYON AVENUE</AddressLine1Txt>
            <CityNm>WAKEFIELD</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02879</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FACILITATE OUTREACH &amp; MANAGEMENT</ServicesDesc>
        <CompensationAmt>464352</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE PROVIDENCE CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>528 NORTH MAIN STREET</AddressLine1Txt>
            <CityNm>PROVIDENCE</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02904</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SCREENING/INTERVENTION PROGRAM</ServicesDesc>
        <CompensationAmt>376392</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHCENTRIC ADVISORS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>235 PROMENADE STREET STE 500</AddressLine1Txt>
            <CityNm>PROVIDENCE</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02908</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADMIN &amp; PRACTICE FACILITATION PRACTICE S</ServicesDesc>
        <CompensationAmt>273810</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THUNDERMIST HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>25 JOHN CUMMINGS WAY</AddressLine1Txt>
            <CityNm>WOONSOCKET</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02895</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMMUNITY HEALTH TEAM SERVICES</ServicesDesc>
        <CompensationAmt>254872</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>14</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>3285589</AllOtherContributionsAmt>
      <TotalContributionsAmt>3285589</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2161280</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2161280</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2161280</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>630</TotalRevenueColumnAmt>
        <ExclusionAmt>630</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>26579</TotalRevenueColumnAmt>
        <ExclusionAmt>26579</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>26579</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>5474078</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2161280</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>27209</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>124651</TotalAmt>
        <ProgramServicesAmt>99721</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24930</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>82122</TotalAmt>
        <ProgramServicesAmt>65698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16424</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>11370</TotalAmt>
        <ProgramServicesAmt>9096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2274</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>17120</TotalAmt>
        <ProgramServicesAmt>13696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3424</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>17343</TotalAmt>
        <ManagementAndGeneralAmt>17343</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>52079</TotalAmt>
        <ManagementAndGeneralAmt>52079</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>529945</TotalAmt>
        <ProgramServicesAmt>492503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37442</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>32723</TotalAmt>
        <ProgramServicesAmt>23059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9664</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>27320</TotalAmt>
        <ProgramServicesAmt>21856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5464</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>6825</TotalAmt>
        <ManagementAndGeneralAmt>6825</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>11315</TotalAmt>
        <ProgramServicesAmt>7425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3890</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>9988</TotalAmt>
        <ProgramServicesAmt>1998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7990</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>GRANT EXPENSES</Desc>
        <TotalAmt>3107587</TotalAmt>
        <ProgramServicesAmt>3107587</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROJECT MANAGEMENT EXPE</Desc>
        <TotalAmt>595558</TotalAmt>
        <ProgramServicesAmt>522940</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72618</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNITY HEALTH TEAMS</Desc>
        <TotalAmt>442789</TotalAmt>
        <ProgramServicesAmt>442789</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EVENT EXPENSES</Desc>
        <TotalAmt>126823</TotalAmt>
        <ProgramServicesAmt>126823</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5195558</TotalAmt>
        <ProgramServicesAmt>4935191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>260367</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1328269</BOYAmt>
        <EOYAmt>1261978</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>216198</BOYAmt>
        <EOYAmt>1354287</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>31051</BOYAmt>
        <EOYAmt>7500</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>48329</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>17150</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5835</BOYAmt>
        <EOYAmt>31179</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>1581353</BOYAmt>
        <EOYAmt>2654944</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>338141</BOYAmt>
        <EOYAmt>1168662</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>35450</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>373591</BOYAmt>
        <EOYAmt>1168662</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>509283</BOYAmt>
        <EOYAmt>980716</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>698479</BOYAmt>
        <EOYAmt>505566</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1207762</BOYAmt>
        <EOYAmt>1486282</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1581353</BOYAmt>
        <EOYAmt>2654944</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>278520</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus2YearsAmt>604302</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1272934</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3285589</CurrentTaxYearAmt>
        <TotalAmt>5162825</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus2YearsAmt>3180197</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2230713</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2161280</CurrentTaxYearAmt>
        <TotalAmt>7572190</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus2YearsAmt>3784499</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3503647</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5446869</CurrentTaxYearAmt>
        <TotalAmt>12735015</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>12735015</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>1337</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1437</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>630</CurrentTaxYearAmt>
        <TotalAmt>3404</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus2YearsAmt>1337</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1437</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>630</CurrentTaxYearAmt>
        <TotalAmt>3404</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearAmt>26579</CurrentTaxYearAmt>
        <TotalAmt>26579</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus2YearsAmt>3785836</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3505084</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5474078</CurrentTaxYearAmt>
        <TotalAmt>12764998</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <First5Years509Ind>X</First5Years509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>48329</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>17150</DepreciationAmt>
        <BookValueAmt>31179</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>31179</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5474078</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5474078</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5474078</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5195558</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5195558</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5195558</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM INCOME TAXES AS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH THEIR TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVELS. THE ORGANIZATION ANNUALLY FILES IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THEY WERE FILED. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>LOUIS GIANCOLA</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>464352</TransactionAmt>
        <TransactionDesc>LOUIS GIANCOLA, DIRECTOR, IS EMPLOYED AS PRESIDENT/CEO AT SOUTH COUNTY HEALTH, INC., TO WHICH THE ORGANIZATION AWARDED A CONTRACT TO PROVIDE COMMUNITY HEALTH TEAM SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DEBORAH O'BRIEN BS RN MPA</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>376392</TransactionAmt>
        <TransactionDesc>DEBORAH O'BRIEN, MS, RN, MPA, DIRECTOR, IS THE PRESIDENT AND CHIEF OPERATING OFFICER OF THE PROVIDENCE CENTER, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR SBIRT PRACTICE SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JEFFREY BORKAN MD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>101151</TransactionAmt>
        <TransactionDesc>JEFFREY BORKAN BROWN, MD, DIRECTOR, IS THE ASSOCIATE DEAN FOR PRIMARY CARE POPULATION HEALTH AT BROWN UNIVERSITY, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR PRACTICE FACILITATION SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DEBORAH MASLAND</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>80356</TransactionAmt>
        <TransactionDesc>DEBORAH MASLAND, DIRECTOR, IS THE DIRECTOR OF EARLY CHILDHOOD PROGRAMS AT RHODE ISLAND PARENT INFORMATION NETWORK, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR SBIRT PRACTICE SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SARAH FESSLER MD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>156043</TransactionAmt>
        <TransactionDesc>SARAH FESSLER, MD, DIRECTOR, IS THE MEDICAL DIRECTOR OF EAST BAY COMMUNITY ACTION PROGRAM, TO WHICH THE ORGANIZATION AWARDED A CONTRACT FOR COMMUNITY HEALTH TEAM SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITORS AND REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS. REVISIONS, CORRECTIONS, ETC. ARE MADE AS NECESSARY. ONCE ALL ARE SATISFIED WITH THE FORM, IT IS FINALIZED AND A COPY IS SENT TO ALL BOARD MEMBERS AND IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THESE PEOPLE ARE ASKED TO REVIEW THE POLICY AND SIGN A STATEMENT INDICATING THAT THEY UNDERSTAND THE POLICY AND HAVE REPORTED ALL POTENTIAL CONFLICTS DURING THE PAST YEAR IN ACCORDANCE WITH THE POLICY AND WILL REPORT POTENTIAL CONFLICTS DURING THE COMING YEAR. ALL POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD TO DETERMINE IF A CONFLICT ACTUALLY EXISTS. IN THOSE INSTANCES WHERE THE POTENTIAL TRANSACTION IS A CONFLICT, THE BOARD EXAMINES THE TRANSACTION AND A VOTE IS TAKEN (WITH THOSE INVOLVED RECUSING THEMSELVES) AS TO WHETHER THE ORGANIZATION WILL ENTER INTO THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS), ITS CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING: PROGRAM SERVICE EXPENSES 492,503. MANAGEMENT AND GENERAL EXPENSES 36,140. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 528,643. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,302. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,302.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>