RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED (EIN 23-7404795)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-13
IRS object ID
201730449349300923
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-02-13T10:40:34-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN222428965PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CITRIN COOPERMAN & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1TEN WEYBOSSET STREET - SUITE 700AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237404795EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RHODE ISLAND HEALTH CENTER ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRHODBusinessNameControlTxt
Phone4012741771PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE ST NO 455AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANE HAYWARDPersonNm
Person TitlePRESIDENT & CHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone4012741771PhoneNum
Signature2017-02-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL E CRISCIONEPreparerPersonNm
PTINP01456801PTIN
Phone4014214800PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANE HAYWARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE ST NO 455AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,842,548GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RIHCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTHE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,962,620PYContributionsGrantsAmt
CY Contributions Grants$1,464,381CYContributionsGrantsAmt
PY Program Service Revenue$325,000PYProgramServiceRevenueAmt
CY Program Service Revenue$325,000CYProgramServiceRevenueAmt
PY Investment Income$21,706PYInvestmentIncomeAmt
CY Investment Income$6,620CYInvestmentIncomeAmt
PY Other Revenue$40,071PYOtherRevenueAmt
CY Other Revenue$46,547CYOtherRevenueAmt
PY Total Revenue$2,349,397PYTotalRevenueAmt
CY Total Revenue$1,842,548CYTotalRevenueAmt
PY Grants And Similar Paid$1,143,542PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$422,762CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$668,008PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$703,890CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$414,246PYOtherExpensesAmt
CY Other Expenses$489,020CYOtherExpensesAmt
PY Total Expenses$2,225,796PYTotalExpensesAmt
CY Total Expenses$1,615,672CYTotalExpensesAmt
PY Revenues Less Expenses$123,601PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$226,876CYRevenuesLessExpensesAmt
Total Assets BOY$1,178,753TotalAssetsBOYAmt
Total Assets EOY$1,260,549TotalAssetsEOYAmt
Total Liabilities BOY$216,133TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,469TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$962,620NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,202,080NetAssetsOrFundBalancesEOYAmt
MissionTHE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN, AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH-QUALITY, COMPREHENSIVE HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,357,706ExpenseAmt
Grant$422,762GrantAmt
Revenue$371,547RevenueAmt
DescTHE ASSOCIATION SUPPORTS THE PROGRAMS OF ITS TEN ORGANIZATIONAL MEMBERS THROUGH JOINT EDUCATIONAL PROGRAMS AND OTHER POOLED SERVICESDesc
Total Program Service Expenses$1,357,706TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANNAH DEANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4012741771PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1235 PROMENADE ST STE 455AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02908ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRENDA DOWLATSHAHI
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
MERRILL THOMAS
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
MICHAEL LICHTENSTEIN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
DENNIS ROY
TREASURER1.00Yes (X)Yes (X)$0$0$0
BARBARA BALDWIN
DIRECTOR1.00Yes (X)$0$0$0
PETER BANCROFT
DIRECTOR1.00Yes (X)$0$0$0
CHUCK JONES
DIRECTOR1.00Yes (X)$0$0$0
DALE KLATZKER
DIRECTOR1.00Yes (X)$0$0$0
RAYMOND LAVOIE
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM HOCHSTRASSER-WALSH
DIRECTOR1.00Yes (X)$0$0$0
ANDREA MARCOTTE FNP
DIRECTOR1.00Yes (X)$0$0$0
JANE HAYWARD
PRESIDENT & CEO35.00Yes (X)$155,032$0$6,109
MARY EVANS
COO35.00Yes (X)$119,971$0$16,592
FieldValueIRS element (for citing)
Total Reportable Comp From Org$275,003TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$22,701TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$1,464,381GovernmentGrantsAmt
Total Contributions$1,464,381TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE REVENUE624100$200,000$200,000
MEMBERSHIP DUES624100$125,000$125,000
FieldValueIRS element (for citing)
Total Program Service Revenue$325,000TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,620TotalRevenueColumnAmt
Exclusion$6,620ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISC NON-GRANT INCOME624100$24,187$24,187
ANNUAL MEETING INCOME624100$22,360$22,360
FieldValueIRS element (for citing)
Other Revenue Total$46,547OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,842,548TotalRevenueColumnAmt
Related Or Exempt Func Income$371,547RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,620ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$422,762TotalAmt
Program Services$422,762ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$304,233TotalAmt
Program Services$232,325ProgramServicesAmt
Management And General$71,908ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$305,577TotalAmt
Program Services$300,387ProgramServicesAmt
Management And General$5,190ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,875TotalAmt
Program Services$7,402ProgramServicesAmt
Management And General$3,473ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$33,335TotalAmt
Program Services$32,993ProgramServicesAmt
Management And General$342ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$49,870TotalAmt
Program Services$45,969ProgramServicesAmt
Management And General$3,901ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,875TotalAmt
Program Services$3,875ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,195TotalAmt
Program Services$11,311ProgramServicesAmt
Management And General$7,884ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$174,729TotalAmt
Program Services$149,229ProgramServicesAmt
Management And General$25,500ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,157TotalAmt
Management And General$7,157ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,013TotalAmt
Program Services$3,540ProgramServicesAmt
Management And General$1,473ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$87,709TotalAmt
Program Services$52,705ProgramServicesAmt
Management And General$35,004ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,270TotalAmt
Program Services$18,595ProgramServicesAmt
Management And General$9,675ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$49,196TotalAmt
Program Services$19,373ProgramServicesAmt
Management And General$29,823ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,214TotalAmt
Program Services$4,107ProgramServicesAmt
Management And General$4,107ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE$30,617$20,852$9,765
MISCELLANEOUS$21,461$5,666$15,795
BANK FEES$20,631$11,211$9,420
TELEPHONE$11,961$6,656$5,305

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$20,992TotalAmt
Program Services$8,748ProgramServicesAmt
Management And General$12,244ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,615,672TotalAmt
Program Services$1,357,706ProgramServicesAmt
Management And General$257,966ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$378,453BOYAmt
EOY$544,695EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$171,353BOYAmt
EOY$79,533EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,931BOYAmt
EOY$29,503EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,292BOYAmt
EOY$13,825EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$43,025LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$35,036LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,306BOYAmt
EOY$7,989EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$571,418BOYAmt
EOY$585,004EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,178,753BOYAmt
EOY$1,260,549EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$216,133BOYAmt
EOY$58,469EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$216,133BOYAmt
EOY$58,469EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$941,282BOYAmt
EOY$1,062,395EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,338BOYAmt
EOY$139,685EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$962,620BOYAmt
EOY$1,202,080EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,178,753BOYAmt
EOY$1,260,549EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$226,876ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,584NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$984,820CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$952,851CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,550,684CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,962,620CurrentTaxYearMinus1YearAmt
Current Tax Year$1,464,381CurrentTaxYearAmt
Total$6,915,356TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$984,820CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$952,851CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,550,684CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,962,620CurrentTaxYearMinus1YearAmt
Current Tax Year$1,464,381CurrentTaxYearAmt
Total$6,915,356TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$6,915,356PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,096CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,053CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,706CurrentTaxYearMinus1YearAmt
Current Tax Year$6,620CurrentTaxYearAmt
Total$39,387TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,821CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,048CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,692CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,071CurrentTaxYearMinus1YearAmt
Current Tax Year$46,547CurrentTaxYearAmt
Total$199,179TotalAmt
FieldValueIRS element (for citing)
Total Support$7,153,922TotalSupportAmt
Public Support CY1700.96670PublicSupportCY170Pct
Public Support PY1700.97230PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,025OtherCostOrOtherBasisAmt
Depreciation$35,036DepreciationAmt
Book Value$7,989BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,989TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMUTUAL FUND EQUITY SECURITIESDesc
Book Value$585,004BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$585,004TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,855,132TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$12,584NetUnrealizedGainsInvstAmt
Revenue Not Reported$12,584RevenueNotReportedAmt
Revenue Subtotal$1,842,548RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,842,548TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,615,672TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,615,672ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,615,672TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ASSOCIATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A NOT-FOR-PROFIT ENTITY, THE ASSOCIATION IS SUBJECT TO UNRELATED BUSINESS INCOME TAX (UBIT), IF APPLICABLE. IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, THE ASSOCIATION APPLIES THE "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION AND DERECOGNITION OF TAX POSITIONS FOR ITS FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITIONS AND HAS CONCLUDED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ASSOCIATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND IN THE STATE OF RHODE ISLAND.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMOS HOUSE
415 FRIENDSHIP STREETPROVIDENCERI02907050387218501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
CARE NEW ENGLAND
45 WILLARD AVENUEPROVIDENCERI02905050490997501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
CENTER FOR SOUTHEAST ASIANS
270 ELMWOOD AVENUEPROVIDENCERI02907222914654501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
COMMUNITY CARE ALLIANCE
245 MAIN STREETWOONSOCKETRI02895050259103501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
LATINO PUBLIC RADIO
1246 CRANSTON STREETCRANSTONRI02920205823948501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
NARRAGANSETT INDIAN HEALTH CENTER
4533 SOUTH COUNTY TRAILCHARLESTOWNRI02813050402864501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
THE PROVIDENCE CENTER
528 NORTH MAIN STREETPROVIDENCERI02904050316969501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
PROVIDENCE COMMUNITY LIBRARY
PO BOX 9267PROVIDENCERI02940364640304501(C)(3)$2,181OUTREACH AND ENROLLMENT SUPPORT PROGRAM
RHODE ISLAND PARENT INFORMATION NETWORK
1210 PONTIAC AVENUECRANSTONRI02920050457336501(C)(3)$71,875OUTREACH AND ENROLLMENT SUPPORT PROGRAM
UNITED WAY OF RHODE ISLAND
50 VALLEY STREETPROVIDENCERI02909050276059501(C)(3)$64,178OUTREACH AND ENROLLMENT SUPPORT PROGRAM
BLACKSTONE VALLEY COMMUNITY HEALTH CENTER
38 EAST AVENUEPAWTUCKETRI02860510183476501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
EAST BAY COMMUNITY ACTION PROGRAM
19 BROADWAYNEWPORTRI02840050310024501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
CRANSTON COMMUNITY ACTION PROGRAM
311 DORIC AVENUECRANSTONRI02910056018801501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
PROVIDENCE COMMUNITY HEALTH CENTERS
375 ALLENS AVEPROVIDENCERI02905050368134501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
THUNDERMIST HEALTH CENTER OF WOONSOCKET
450 CLINTON STREETWOONSOCKETRI02895050355097501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
WELLONE COMMUNITY HEALTH CENTER
36 BRIDGE WAYPASCOAGRI02859050258811501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
TRI-TOWN HEALTH CENTER
1126 HARTFORD AVENUEJOHNSTONRI02919050309695501(C)(3)$16,752OUTREACH AND ENROLLMENT SUPPORT PROGRAM
RI DEPARTMENT OF HEALTH-HEALTH PROFESSIONALS LOAN REPAYMENT PROGRAM
3 CAPITOL HILLPROVIDENCERI02908RI DEPART OF HEALTH$50,000HEALTH EDUCATION ASSISTANCE TO ELIGIBLE PROFESSIONALS
FieldValueIRS element (for citing)
Total501c3 Org18Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE ASSOCIATION RECEIVES FUNDING FROM THE RHODE ISLAND EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES, AND HEALTHSOURCE RI, TO DEVELOP AND MANAGE A COMPREHENSIVE NETWORK OF ASSISTOR AND NAVIGATOR ENTITIES THAT PROVIDE COMMUNITY-BASED OUTREACH, APPLICATION, AND ENROLLMENT ASSISTANCE TO INDIVIDUALS AND FAMILIES WISHING TO ENROLL IN HEALTH COVERAGE THROUGH AN OUTREACH AND ENROLLMENT SUPPORT PROGRAM (OESP). ALL FUNDS PAID TO THE ENTITIES ARE FOR THE PURPOSE OF CARRYING OUT OUTREACH AND ENROLLMENT ACTIVITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJANE HAYWARDPersonNm
TitlePRESIDENT & CEOTitleTxt
Base Compensation Filing Org$155,032BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$5,632DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$477NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$161,141TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6EACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THAT BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AEACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THE BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BEACH MEMBER CENTER HAS A REPRESENTATIVE ON THE BOARD. THAT BOARD ELECTS OFFICERS AND APPROVES THEIR SIGNIFICANT DECISIONS. UPON DISSOLUTION, FUNDS WOULD NOT BE RETURNED TO THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11A THOROUGH REVIEW OF THE FORM 990 IS CONDUCTED BY THE CEO & PRESIDENT, SR. DIRECTOR OF FINANCE & ACCOUNTING, AND MEMBERS OF THE FINANCE COMMITTEE. THEN THE ORGANIZATION'S FORM 990 IS DISTRIBUTED TO MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS ENLISTED THE ONGOING SERVICES OF AN EXPERT IN ALL COMPLIANCE ISSUES AS THEY RELATE TO ALL EMPLOYEES AND DIRECTORS, INCLUDING THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15ALL HIRING AND COMPENSATION ISSUES RELATED TO POSITIONS REFERENCED ARE REVIEWED AND APPROVED BY THE DIRECTORS (MEMBERS OF THE GOVERNING BODY). IN THE CASE OF THE CEO, THIS IS BASED ON THE RECOMMENDATIONS OF AN AD-HOC SUB-COMMITTEE OF THE BOARD WHO ACCUMULATED INFORMATION CONCERNING QUALIFICATIONS AND COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF ALL GOVERNING DOCUMENTS, POLICIES AND PROCEDURES AND FINANCIAL STATEMENTS ARE APPROVED BY THE GOVERNING BODY AND MAINTAINED IN A COMMON LOCATION AT 235 PROMENADE STREET, SUITE 455, PROVIDENCE, RI 02908. THIS LOCATION IS AVAILABLE TO MEMBERS OF THE GOVERNING BODY, EMPLOYEES AND MEMBERS OF THE PUBLIC BY APPOINTMENT.
FORM 990, PART IX, LINE 11GCONSULTANTS: PROGRAM SERVICE EXPENSES 149,229. MANAGEMENT AND GENERAL EXPENSES 25,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,729.
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE IN THE OVERSIGHT OF THE AUDIT.

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