2018-08-10T10:58:50-05:00 2017-09-30 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2016-10-01 050316969 THE PROVIDENCE CENTER INC PROV 4012764000 528 NORTH MAIN STREET PROVIDENCE RI 02904 DEBORAH M O'BRIEN PRESIDENT/COO 4012764000 2018-08-10 1 DEBORAH A HOPKINS P00167843 4012742001 2016 2022-09-23 18:48:47Z DEBORAH M O'BRIEN 528 NORTH MAIN STREET PROVIDENCE RI 02904 53136693 0 X WWW.THEPROVIDENCECENTER.ORG X 1971 RI TO PROVIDE PERSON-CENTERED, RECOVERY-FOCUSED TREATMENT AND SUPPORTIVE SERVICES. 17 14 1018 15 0 0 2181636 10820122 8108865 34816593 151467 63620 6551763 7369751 16993731 53070086 0 0 0 0 9467652 42951150 0 0 229304 2149617 9572875 11617269 52524025 5376462 546061 24538690 26512747 5346670 6028259 19192020 20484488 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 38621072 32052022 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 11,200 INDIVIDUALS IN FISCAL YEAR 2017 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. 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. THE RECOVERY NAVIGATION PROGRAM PROVIDES INTOXICATED PEOPLE A SAFE AND SUPPORTIVE PLACE TO STABILIZE.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. 8472446 2764571 CHILDREN AND FAMILIES - THE PROVIDENCE CENTER PROVIDED A BROAD CONTINUUM OF CHILD AND FAMILY-CENTERED SERVICES FOR OVER 2,500 CHILDREN, ADOLESCENTS AND THEIR FAMILIES IN FISCAL YEAR 2017. 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 SEVEN ELEMENTARY AND MIDDLE SCHOOLS IN PROVIDENCE TO PROVIDE A RANGE OF SERVICES TO STUDENTS AND FAMILIES AT NO COST TO THE DISTRICT. 47093518 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 62 0 1018 1 0 0 0 0 0 1 1 0 0 0 0 X 17 14 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 RI X TODD SPENCER 4014435803 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 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 547548 215783 DENNIS KEEFE MEMBER TRUSTEE (CNE) 1.00 X 0 1274257 47966 NICKI SAHLIN PHD CORPORATION TRUSTEE 1.00 X 0 0 0 LISA SHEA MD MEMBER TRUSTEE (CNE)(10/16-7/17) 1.00 X 0 350759 32250 JOEL STARK CORPORATION TRUSTEE 1.00 X 0 0 0 JAMES SULLIVAN MEMBER TRUSTEE (CNE)(AS OF 8/17) 1.00 X 0 329749 23945 DALE K KLATZER PHD PRESIDENT/CEO (10/16-3/17) 37.50 X 399181 0 133656 DENISE PATNODE CHIEF FINANCIAL OFFICER 37.50 X 142733 0 6915 DEBORAH M O'BRIEN VP/COO; PRESIDENT/COO (AS OF 4/17) 37.50 X 182999 0 18288 MICHAEL A SILVER MD CHIEF MEDICAL OFFICER 37.50 X 240360 0 13182 JAMES E GREER MD CLINICAL DIRECTOR, CHILD A 37.50 X 230736 0 18330 KAZI M SALAHUDDIN MD PEDIATRIC PSYCHIATRIST 37.50 X 204820 0 13326 WARREN ONG MD PSYCHIATRIST 37.50 X 199816 0 18329 OMER CERMIK MD PSYCHIATRIST 37.50 X 198327 0 758 JACK H BELKIN MD PSYCHIATRIST 37.50 X 193549 0 13674 1992521 2502313 556402 25 0 1 0 STAND CORPORATION 105 PENNSYLVANIA AVENUE WARWICK RI 02888 CONSTRUCTION 492498 PHOENIX HOUSE 99 WAYLAND SQUARE 100 PROVIDENCE RI 02906 CLINICAL SERVICES 426650 VICTORY HEATING & MECH SVC 115 MENDON STREET BELLINGHAM MA 02019 HVAC CONTRACTING 231905 AMOS HOUSE 460 PINE STREET PROVIDENCE RI 02907 FOOD SERVICE 227168 CERIDIAN PO BOX 10989 NEWARK NJ 07193 PAYROLL/TAX SERVICE 192951 10 232286 10142921 444915 10035 10820122 MEDICAID/MEDICARE/MANAGED MEDICAI 624100 32982636 32982636 3RD PARTY REIMBURSEMENTS 621400 1126962 1126962 PATIENT FEES 624100 706995 706995 34816593 63620 63620 26297 232286 66607 -40310 -40310 CONSULTATION & OTHER INCOME 624100 7410061 7410061 7410061 53070086 34816593 0 7433371 945085 393434 551651 33995951 31048832 2796666 150453 761119 671764 86235 3120 4544732 4109711 422431 12590 2704263 2385775 306990 11498 140859 127552 12952 355 84341 76228 7897 216 1520463 1325280 188613 6570 83261 41692 36724 4845 1080641 909815 142856 27970 2458895 2264187 191667 3041 427162 414363 12514 285 285936 130337 154449 1150 338978 305754 32362 862 897024 810737 83986 2301 723140 651904 68954 2282 CLIENT ACTIV. & FOOD 1135201 1130580 4506 115 COSTS PASSED THROUGH FR 200000 180762 18725 513 BOOKS, PUBS & DUES 103496 56671 45813 1012 MAINTENANCE & EQUIPMENT 48263 44250 3906 107 45215 13890 31306 19 52524025 47093518 5201203 229304 4785 5630 390782 288617 2250839 2149890 7399883 6970057 483224 305720 15506074 2986793 12458023 12519281 471154 1993552 1080000 1080000 0 1200000 24538690 26512747 3617030 3499617 691935 472067 1037705 2056575 5346670 6028259 X 18172594 18123416 919426 763389 100000 1597683 19192020 20484488 24538690 26512747 546061 -658195 1404602 0 X 0 1 X 1 1 1 X 19112221 15740489 9811526 11538466 10820122 67022824 20320485 24667317 29102861 38865370 34842890 147798923 1108995 1108995 1108995 1386244 1114143 5827372 40541701 41516801 40023382 51790080 46777155 220649119 5590 16175 6290 34600 19450 82105 0 5590 16175 6290 34600 19450 82105 220567014 48159 50983 55775 62664 63620 281201 48159 50983 55775 62664 63620 281201 2814073 2796792 5825187 13438569 7410061 32284682 43403933 44364576 45904344 65291313 54250836 253215002 0.87110 0.88350 0.00110 0.00120 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 (D) 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. 0 0 0 52524025 52524025 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 36000 36000 250 72250 250000 250000 250000 250000 1000000 1500000 148964 13553 162517 135291 13673 148964 131070 4221 135291 114662 16408 131070 111893 2769 114662 0.61530 0.38470 1 0 1691382 1691382 11430205 2025974 9404231 1118498 312707 805791 670109 514691 155418 595880 133421 462459 12519281 1993552 F 1993552 INVESTMENT IN AFFILIATE 1799043 DUE TO AFFILIATE 257532 2056575 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 ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH AUTHORITATIVE GUIDANCE. A REQUIREMENT OF THE AUTHORITATIVE GUIDANCE IS THAT DEFERRED TAX ASSETS AND LIABILITIES ARE RECORDED FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING AND TAX BASES OF ASSETS AND LIABILITIES USING THE CURRENT ENACTED TAX RATE TO BE IN EFFECT WHEN THE TAXES ARE ACTUALLY PAID OR RECOVERED. THE ORGANIZATION FOLLOWS AUTHORITATIVE GUIDANCE WHICH REQUIRES THE EVALUATION OF EXISTING TAX POSITIONS. MANAGEMENT HAS ANALYZED ALL OPEN TAX YEARS, AS DEFINED BY THE STATUTE OF LIMITATIONS, FOR ALL MAJOR JURISDICTIONS, WHICH INCLUDES FEDERAL AND CERTAIN STATES. OPEN TAX YEARS ARE THOSE THAT ARE OPEN FOR EXAMINATION BY TAXING AUTHORITIES. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. CIRCLE OF STARS 167053 161418 5635 23484 550 15248 GOLF TOURNAMENT 91530 70868 20662 400 6407 20518 258583 232286 26297 400 29891 550 35766 66607 -40310 X X X X X X 0 1 0 0 0 0 0 0 0 JOSEPH IANNONI MEMBER TRUSTEE (CNE) 0 504710 0 0 0 42838 0 192251 0 23532 0 763331 0 0 DENNIS KEEFE MEMBER TRUSTEE (CNE) 0 898135 0 200000 0 176122 0 23850 0 24116 0 1322223 0 0 LISA SHEA MD MEMBER TRUSTEE (CNE)(10/16-7/17) 0 349924 0 0 0 835 0 23850 0 8400 0 383009 0 0 JAMES SULLIVAN MEMBER TRUSTEE (CNE)(AS OF 8/17) 0 324745 0 0 0 5004 0 21038 0 2907 0 353694 0 0 DALE K KLATZER PHD PRESIDENT/CEO (10/16-3/17) 393818 0 0 0 5363 0 115000 0 18656 0 532837 0 0 0 DEBORAH M O'BRIEN VP/COO; PRESIDENT/COO (AS OF 4/17) 182999 0 0 0 0 0 0 0 18288 0 201287 0 0 0 MICHAEL A SILVER MD CHIEF MEDICAL OFFICER 240360 0 0 0 0 0 0 0 13182 0 253542 0 0 0 JAMES E GREER MD CLINICAL DIRECTOR, CHILD A 230736 0 0 0 0 0 0 0 18330 0 249066 0 0 0 KAZI M SALAHUDDIN MD PEDIATRIC PSYCHIATRIST 204820 0 0 0 0 0 0 0 13326 0 218146 0 0 0 WARREN ONG MD PSYCHIATRIST 199816 0 0 0 0 0 0 0 18329 0 218145 0 0 0 OMER CERMIK MD PSYCHIATRIST 198327 0 0 0 0 0 0 0 758 0 199085 0 0 0 JACK H BELKIN MD PSYCHIATRIST 193549 0 0 0 0 0 0 0 13674 0 207223 0 0 0 PART I, LINE 4B THE ORGANIZATION HAS TAX DEFERRED SAVINGS PLANS UNDER SECTIONS 457(B) AND 457(F) FOR THE FOLLOWING SENIOR MANAGER: DALE KLATZKER $115,000 WAS FUNDED DURING CALENDAR YEAR 2016. THE CONTRIBUTION IS BASED ON PERFORMANCE, AND IS CONDITIONAL UPON CONTINUED EMPLOYMENT. 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 (CNE) HEALTH SYSTEM CONFLICT OF INTEREST AND CONFIDENTIALITY POLICY. THE CNE CONFLICT OF INTEREST DISCLOSURE FORM IS CALLED THE RELATED PARTY QUESTIONNAIRE. THE PROVIDENCE CENTER BOARD MEMBERS ARE REQUIRED TO COMPLETE, SIGN, AND RETURN TO THE PROVIDENCE CENTER ADMINISTRATIVE CHIEF OF STAFF THE CARE NEW ENGLAND HEALTH SYSTEM RELATED PARTY QUESTIONNAIRE. THE PROVIDENCE CENTER ADMINISTRATIVE CHIEF OF STAFF THEN FORWARDS THE FORMS 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 4122506 847445 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 SOCIAL VENTURES INC Q 150000 COST CONTINUUM BEHAVIORAL HEALTH INC Q 3629319 COST