THE PROVIDENCE CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE PROVIDENCE CENTER INC (EIN 05-0316969)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-25
IRS object ID
201401159349300110
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-04-25T10:29:14-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN050409384EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KAHN LITWIN RENZA & CO LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1951 NORTH MAIN STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050316969EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE PROVIDENCE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPROVNameControl
Phone4012764000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1528 NORTH MAIN STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDALE K KLATZKERName
TitlePRESIDENT/CEOTitle
Phone4012764000Phone
Date Signed2014-04-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDEBORAH A HOPKINSName
PTINP00167843PTIN
Phone4012742001Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDALE K KLATZKERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1528 NORTH MAIN STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42294938GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THEPROVIDENCECENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE PERSON-CENTERED, RECOVERY-FOCUSED TREATMENT AND SUPPORTIVE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees712TotalNbrEmployees
Total Nbr Volunteers42TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15727399ContributionsGrantsPriorYear
Contributions Grants Current Year19112221ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19661467ProgramServiceRevenuePriorYear
Program Service Revenue CY20246452ProgramServiceRevenueCY
Investment Income Prior Year64016InvestmentIncomePriorYear
Investment Income Current Year48159InvestmentIncomeCurrentYear
Other Revenue Prior Year2437971OtherRevenuePriorYear
Other Revenue Current Year2770238OtherRevenueCurrentYear
Total Revenue Prior Year37890853TotalRevenuePriorYear
Total Revenue Current Year42177070TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year27887388SalariesEtcPriorYear
Salaries Etc Current Year29919585SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year237765TotalFundrsngExpCurrentYear
Other Expense Prior Year9356675OtherExpensePriorYear
Other Expenses Current Year10851230OtherExpensesCurrentYear
Total Expenses Prior Year37244063TotalExpensesPriorYear
Total Expenses Current Year40770815TotalExpensesCurrentYear
Revenues Less Expenses Prior Year646790RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1406255RevenuesLessExpensesCY
Total Assets BOY15775326TotalAssetsBOY
Total Assets EOY15695206TotalAssetsEOY
Total Liabilities BOY8590945TotalLiabilitiesBOY
Total Liabilities EOY6995406TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7184381NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8699800NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense28193292Expense
Revenue17655762Revenue
DescriptionADULT 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 9,500 INDIVIDUALS IN FISCAL YEAR 2013 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 HELPS THEM TO LOCATE SAFE, AFFORDABLE HOUSING; DEVELOP INDEPENDENT LIVING SKILLS; SECURE AND MAINTAIN MEANINGFUL EMPLOYMENT; IDENTIFY HIGHER 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.EMERGENCY SERVICES AND CRISIS CARE ARE PROVIDED ON-SITE, IN THE COMMUNITY AND AT ROGER WILLIAMS MEDICAL CENTER AND OUR LADY OF FATIMA HOSPITAL 24 HOURS A DAY, SEVEN DAYS A WEEK. CHARTERCARE CONNECT, A PARTNERSHIP BETWEEN THE PROVIDENCE CENTER AND CHARTERCARE HEALTH PARTNERS, A HOSPITAL NETWORK OF ROGER WILLIAMS MEDICAL CENTER AND FATIMA HOSPITAL, ESTABLISHED THE PROVIDENCE CENTER AS THE SOLE PROVIDER OF EMERGENCY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AT BOTH FATIMA HOSPITAL AND ROGER WILLIAMS MEDICAL CENTER. THE CRISIS STABILIZATION UNIT PROVIDES SPECIALIZED CARE 24/7 TO PATIENTS EXPERIENCING AN ACUTE PSYCHIATRIC AND/OR SUBSTANCE ABUSE CRISIS. THE PROVIDENCE CENTER ALSO PROVIDES INPATIENT PSYCHIATRIC AND MEDICAL DETOXIFICATION SERVICES FOR INDIGENT RESIDENTS OF RHODE ISLAND. HOMELESS SERVICES PROVIDE HOMELESS INDIVIDUALS, INCLUDING SPECIALIZED SERVICES FOR VETERANS, IN RHODE ISLAND WITH PERMANENT SUPPORTED HOUSING, MENTAL HEALTH, SUBSTANCE USE AND MEDICAL SERVICES AND OTHER COMMUNITY SUPPORTS.RECOVERY SERVICES FOCUS ON PROVIDING THE CLIENT WITH THE SUPPORTS NECESSARY TO MAINTAIN SUCCESSFUL RECOVERY IN OUTPATIENT COUNSELING, INTENSIVE OUTPATIENT, PARTIAL HOSPITAL, AND RESIDENTIAL SETTINGS. SHORT AND LONG-TERM RESIDENTIAL PROGRAMS PROVIDE STABILIZATION, EDUCATION, INDIVIDUAL AND GROUP TREATMENT AND 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 PROGRAMS AND CULTURALLY SPECIFIC PROGRAMS FOR THE LATINO AND SOUTHEAST ASIAN COMMUNITIES ARE AVAILABLE. ANCHOR RECOVERY COMMUNITY CENTER OFFERS 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 ABUSE TREATMENT SERVICES - INCLUDING AN ON-SITE HEALTH CLINIC, WELLNESS AND NUTRITION PROGRAMS, MEDICAL NURSES ON COMMUNITY TREATMENT TEAMS, 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 AT PRAIRIE AVENUE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7471341Expense
Revenue2590690Revenue
DescriptionCHILDREN AND FAMILIES - THE PROVIDENCE CENTER PROVIDED A BROAD CONTINUUM OF CHILD AND FAMILY-CENTERED SERVICES FOR OVER 2,380 CHILDREN, ADOLESCENTS AND THEIR FAMILIES IN FISCAL YEAR 2013. 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, LOCATED ON THE CAMPUS OF THE COMMUNITY COLLEGE OF RHODE ISLAND. 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, THE 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 AND CRISIS STABILIZATION ARE PROVIDED ON-SITE AND IN THE COMMUNITY. PARTNERSHIPS WITH OTHER LOCAL COMMUNITY BASED PROVIDERS FACILITATE THE CONNECTION TO SERVICES FOR FAMILIES IN NEED.Description
FieldValueIRS element (for citing)
Total Program Service Expense35664633TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109676NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees712NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DENISE PATNODEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4015280128TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1528 NORTH MAIN STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JAMES BOTVIN
CHAIR1.00XX000
NANCY CHUDACOFF ESQ
VICE CHAIR1.00XX000
JOEL STARK
TREASURER1.00XX000
PATRICIA CAWLEY AFFLECK
SECRETARY1.00XX000
KYLE ADAMONIS
TRUSTEE (AS OF 3/13)1.00X000
LYNN ALLIENELLO
TRUSTEE (7/12-8/12)1.00X000
DONALD R BARBEAU
TRUSTEE1.00X000
SANDRA BLUE-SELLERS
TRUSTEE (AS OF 3/13)1.00X000
ALISON BOLOGNA
TRUSTEE (AS OF 10/12)1.00X000
FRANK CASALE
TRUSTEE (AS OF 3/13)1.00X000
MARGUERITE CHADWICK
TRUSTEE1.00X000
MALCOLM CHACE
TRUSTEE (AS OF 4/13)1.00X000
LINDA M COHEN ESQ
TRUSTEE1.00X000
WALTER R CRADDOCK ESQ CFP
TRUSTEE1.00X000
THOMAS DAY
TRUSTEE (AS OF 10/12)1.00X000
MARIANNE HOLMES
TRUSTEE (AS OF 9/12)1.00X000
LISA MORSILLI
TRUSTEE (9/12-10/12)1.00X000
CLAUDE-ANTHONY PIERRE MD
TRUSTEE (7/12-11/12)1.00X000
RENEE RULIN MD
TRUSTEE (AS OF 10/12)1.00X000
NICKI SAHLIN PHD
TRUSTEE1.00X000
ROBERT C WOOD SR
TRUSTEE1.00X000
ANA P NOVAIS
TRUSTEE1.00X000
JANA PLANKA
TRUSTEE1.00X000
MATTHEW STARK
TRUSTEE1.00X000
DALE K KLATZER PHD
PRESIDENT/CEO37.50X235702013096
DENISE PATNODE
CHIEF FINANCIAL OFFICER37.50X12848405548
MICHAEL A SILVER MD
CHIEF MEDICAL OFFICER37.50233982010832X
JAMES E GREER MD
CLINICAL DIRECTOR, CHILD AND FAMILY37.50215069012960X
KAZI M SALAHUDDIN MD
PEDIATRIC PSYCHIATRIST37.50194368013132X
JACK H BELKIN MD
PSYCHIATRIST37.50185214011868X
OMER CERMIK MD
PSYCHIATRIST37.5017673701462X
SYED KHURRAM RAZA MD
PSYCHIATRIST37.50173850013021X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1543406TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation81919TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PERFORMANCE ENVIRONMENTALBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 COURT STREETAddressLine1
CityNEW HAVENCity
StateCTState
ZIP Code06511ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesJANITORIAL SERVICESDescriptionOfServices
Compensation155401Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events240892FundraisingEvents
Government Grants18138847GovernmentGrants
All Other Contributions732482AllOtherContributions
Noncash Contributions36025NoncashContributions
Total Contributions19112221TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID6241001450027814500278
3RD PARTY REIMBURSEMENTS62140049803654980365
PATIENT FEES624100765809765809
FieldValueIRS element (for citing)
Total Program Service Revenue20246452TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column48159TotalRevenueColumn
Exclusion$48,159ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events74033GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events240892CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses117868FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-43835TotalRevenueColumn
Exclusion-$43,835ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCONSULTATION & OTHER INCOMEDescription
Business Code624100BusinessCode
Total Revenue Column2814073TotalRevenueColumn
Exclusion$2,814,073ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2814073TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42177070TotalRevenueColumn
Related Or Exempt Function Income20246452RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,818,397ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total644260Total
Program Services242969ProgramServices
Management And General401291ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23492285Total
Program Services20306508ProgramServices
Management And General3043644ManagementAndGeneral
Fundraising142133Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3916981Total
Program Services3455180ProgramServices
Management And General446402ManagementAndGeneral
Fundraising15399Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1866059Total
Program Services1596776ProgramServices
Management And General258514ManagementAndGeneral
Fundraising10769Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total70237Total
Program Services60652ProgramServices
Management And General9375ManagementAndGeneral
Fundraising210Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total94661Total
Program Services58650ProgramServices
Management And General35775ManagementAndGeneral
Fundraising236Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total36000Total
Program Services31769ProgramServices
Management And General4098ManagementAndGeneral
Fundraising133Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1129Total
Fundraising1129Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4794280Total
Program Services4662619ProgramServices
Management And General101201ManagementAndGeneral
Fundraising30460Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total74302Total
Program Services40600ProgramServices
Management And General28276ManagementAndGeneral
Fundraising5426Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total792473Total
Program Services621090ProgramServices
Management And General149422ManagementAndGeneral
Fundraising21961Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1964003Total
Program Services1849245ProgramServices
Management And General111318ManagementAndGeneral
Fundraising3440Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total284916Total
Program Services271530ProgramServices
Management And General13168ManagementAndGeneral
Fundraising218Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total127355Total
Program Services68139ProgramServices
Management And General58728ManagementAndGeneral
Fundraising488Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total205432Total
Program Services179048ProgramServices
Management And General25675ManagementAndGeneral
Fundraising709Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total496188Total
Program Services437875ProgramServices
Management And General56486ManagementAndGeneral
Fundraising1827Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total604859Total
Program Services537828ProgramServices
Management And General64637ManagementAndGeneral
Fundraising2394Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CLIENT ACTIV. & FOOD10714941069925152247
BOOKS, PUBS & DUES1217699182629320623
MAINTENANCE & EQUIPMENT606844927811274132
MISCELLANEOUS51448331261829131

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40770815Total
Program Services35664633ProgramServices
Management And General4868417ManagementAndGeneral
Fundraising237765Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY833182BOY
EOY1310265EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY274527BOY
EOY170422EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3759141BOY
EOY2680588EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2444232BOY
EOY2547418EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY346544BOY
EOY326810EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13319072LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5005557LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7738042BOY
EOY8313515EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY278479BOY
EOY295013EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY101179BOY
EOY51175EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15775326BOY
EOY15695206EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3876596BOY
EOY2831156EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4489723BOY
EOY4033039EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY224626BOY
EOY131211EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8590945BOY
EOY6995406EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6826354BOY
EOY8133650EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY258027BOY
EOY466150EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7184381BOY
EOY8699800EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15775326BOY
EOY15695206EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1406255ReconcilationRevenueExpenses
Reconciliation Unrealized Invest109164ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10032342CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9932253CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10867540CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15727399CurrentTaxYearMinus1Year
Current Tax Year19112221CurrentTaxYear
Total65671755Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17489755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17801049CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19175081CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19715649CurrentTaxYearMinus1Year
Current Tax Year20320485CurrentTaxYear
Total94502019Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1108751CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1108995CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1108995CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1108995CurrentTaxYearMinus1Year
Current Tax Year1108995CurrentTaxYear
Total5544731Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28630848CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28842297CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31151616CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36552043CurrentTaxYearMinus1Year
Current Tax Year40541701CurrentTaxYear
Total165718505Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7030CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9325CurrentTaxYearMinus1Year
Current Tax Year5590CurrentTaxYear
Total34445Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7030CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9325CurrentTaxYearMinus1Year
Current Tax Year5590CurrentTaxYear
Total34445Total
FieldValueIRS element (for citing)
Public Support Total509165684060PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years2194CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64016CurrentTaxYearMinus1Year
Current Tax Year48159CurrentTaxYear
Total114369Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years2194CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64016CurrentTaxYearMinus1Year
Current Tax Year48159CurrentTaxYear
Total114369Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1882715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1783533CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1990794CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2499007CurrentTaxYearMinus1Year
Current Tax Year2814073CurrentTaxYear
Total10970122Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30513563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30625830CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33144604CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39115066CurrentTaxYearMinus1Year
Current Tax Year43403933CurrentTaxYear
Total176802996Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93710PublicSupportPercentage509
Investment Income Percentage0.00060InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals36000FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals36000FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals40734815FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals40770815FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus336000CurrentYearMinus3
Current Year Minus236000CurrentYearMinus2
Current Year Minus136000CurrentYearMinus1
Current Year36000CurrentYear
Total144000Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationTHE PROVIDENCE CENTER PAYS CAPITOL CITY GROUP LTD OF PROVIDENCE, RI TO ADVOCATE ON THEIR BEHALF TO SECURE FEDERAL FUNDING FOR CAPITAL PROJECTS AND PROGRAM FUNDING. CAPITOL CITY GROUP ATTENDS MEETINGS OF THE APPROPRIATION COMMITTEES AT THE RI STATE HOUSE AND IN WASHINGTON, DC.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance111893BeginningOfYearBalance
Investment Earnings Or Losses2769InvestmentEarningsOrLosses
End Of Year Balance114662EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance84835BeginningOfYearBalance
Contributions25000Contributions
Investment Earnings Or Losses2058InvestmentEarningsOrLosses
End Of Year Balance111893EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance50000BeginningOfYearBalance
Contributions25000Contributions
Investment Earnings Or Losses9835InvestmentEarningsOrLosses
End Of Year Balance84835EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance25000BeginningOfYearBalance
Contributions25000Contributions
End Of Year Balance50000EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Contributions25000Contributions
End Of Year Balance25000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.87000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.13000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1142699OtherCostOrOtherBasis
Book Value1142699BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8347943OtherCostOrOtherBasis
Depreciation2571141Depreciation
Book Value5776802BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1115105OtherCostOrOtherBasis
Depreciation787921Depreciation
Book Value327184BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1922056OtherCostOrOtherBasis
Depreciation1248809Depreciation
Book Value673247BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis791269OtherCostOrOtherBasis
Depreciation397686Depreciation
Book Value393583BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8313515TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionUNREALIZED LOSS ON DERIVATIVEDescription
Amount$131,211Amount
FieldValueIRS element (for citing)
Total Of Amounts131211TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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 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 FOR 2010, 2011 AND 2012 ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES AND ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE ORGANIZATION CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CIRCLE OF STARSNameOfEvent1
Gross Receipts Event1187280GrossReceiptsEvent1
Charitable Contributions Event1149557CharitableContributionsEvent1
Gross Revenue Event137723GrossRevenueEvent1
Food And Beverage Event130310FoodAndBeverageEvent1
Entertainment Event1550EntertainmentEvent1
Other Direct Expenses Event135388OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2127645GrossReceiptsEvent2
Charitable Contributions Event291335CharitableContributionsEvent2
Gross Revenue Event236310GrossRevenueEvent2
Cash Prizes Event2775CashPrizesEvent2
Non Cash Prizes Event21350NonCashPrizesEvent2
Food And Beverage Event29545FoodAndBeverageEvent2
Other Direct Expenses Event239950OtherDirectExpensesEvent2
Gross Receipts Total314925GrossReceiptsTotal
Charitable Contributions Total240892CharitableContributionsTotal
Gross Revenue Total Events74033GrossRevenueTotalEvents
Cash Prizes Total Events775CashPrizesTotalEvents
Non Cash Prizes Total Events1350NonCashPrizesTotalEvents
Food And Beverage Total Events39855FoodAndBeverageTotalEvents
Entertainment Total Events550EntertainmentTotalEvents
Other Direct Expenses Total Events75338OtherDirectExpensesTotalEvents
Direct Expense Summary Events117868DirectExpenseSummaryEvents
Net Income Summary-43835NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DALE K KLATZER PHD
PRESIDENT/CEO2313290004373000130960248798000
MICHAEL A SILVER MD
CHIEF MEDICAL OFFICER2339820000000108320244814000
JAMES E GREER MD
CLINICAL DIRECTOR, CHILD AND FAMILY2150690000000129600228029000
KAZI M SALAHUDDIN MD
PEDIATRIC PSYCHIATRIST1943680000000131320207500000
JACK H BELKIN MD
PSYCHIATRIST1852140000000118680197082000
OMER CERMIK MD
PSYCHIATRIST176737000000014620178199000
SYED KHURRAM RAZA MD
PSYCHIATRIST1738500000000130210186871000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1RHODE ISLAND HEALTH & EDUCATIONAL BUILDING CORPBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521300173IssuerEIN
Date Issued2012-02-01DateIssued
Issue Price2600000IssuePrice
Description Of PurposeCAPITAL PROJECT FUNDINGDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds2600000TotalProceeds
Issuance Costs From Proceeds52000IssuanceCostsFromProceeds
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JAMES BOTVIN
BOARD MEMBER7088CEO'S CAR IS LEASED THROUGH COLONIAL TOYOTA WHICH IS A BUSINESS OWNED BY JAMES BOTVIN.0
DONALD BARBEAU
BOARD MEMBER45424ORGANIZATION PURCHASES COFFEE & RELATED SUPPLIES FROM COFFEE EXPRESS WHICH IS A BUSINESS OWNED BY DONALD BARBEAU.0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9902096NoncashContribsRptdF990
Method Of Determining RevenuesVALUE PER BROKERMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMISC ITEMS USED FOR PROGRAMS96302DONOR ESTIMATED FMV
XMISC AUCTION ITEMS6422098DONOR ESTIMATED FMV
XMISC ITEMS USED AT AUCTION35529DONOR ESTIMATED FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2BETWEEN 7/1/2012 AND 6/30/2013, SEVERAL NEW PROGRAMS WERE ADDED TO THE PROVIDENCE CENTER'S SERVICES: SYMMETRY AT DUNCAN LODGE - SYMMETRY AT DUNCAN LODGE IS A SAFE AND THERAPEUTIC SHORT TERM RESIDENTIAL PROGRAM FOR THE TREATMENT OF ALCOHOL, COCAINE, OPIATES, PRESCRIPTION DRUGS, SYNTHETIC DRUGS OR MARIJUANA ADDICTIONS AND CO-OCCURRING MENTAL HEALTH ISSUES. TREATMENT AT SYMMETRY IS DESIGNED TO QUICKLY STABILIZE CLIENTS, IMPLEMENT EFFECTIVE TREATMENT STRATEGIES, COORDINATE CARE AND DISCHARGE CLIENTS BACK TO THEIR LIVES, CONNECTED WITH THE SUPPORTS THAT WILL MAKE RECOVERY A REALITY. LENGTH OF STAY IS DETERMINED BY CLINICAL NEED. THE PROGRAM IS LOCATED ON THE CAMPUS OF BUTLER HOSPITAL. NCC/FCCP - THE NETWORK OF CARE (NCC) AND FAMILY CARE COMMUNITY PARTNERSHIP (FCCP) ARE COMMUNITY-BASED PROGRAMS THAT WORK WITH FAMILIES TO ENSURE THAT THEY RECEIVE COORDINATED, COMPREHENSIVE SERVICES DESIGNED TO ADDRESS THEIR BEHAVIORAL HEALTH, PRIMARY CARE AND LIFE NEEDS. FCCP IS A COLLABORATION BETWEEN THE PROVIDENCE CENTER, FAMILY SERVICE OF RHODE ISLAND, COMPREHENSIVE COMMUNITY ACTION PROGRAM, CHILDREN'S FRIEND & SERVICE, AND TIDES FAMILY SERVICES, THAT BRINGS TOGETHER COMMUNITY-BASED PROVIDERS, FAMILY MEMBERS AND FRIENDS TO BUILD A STRONGER, BRIGHTER FUTURE FOR CHILDREN AND FAMILIES AT RISK FOR ABUSE AND NEGLECT AND TO MEET THE NEEDS OF CHILDREN AND FAMILIES INVOLVED WITH THE DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES. NETWORK PARTNERS ARE COMMUNITIES FOR PEOPLE, COMMUNITY SOLUTIONS, INC., CHILD AND FAMILY, KEY PROGRAM, WHITMARSH HOUSE AND OCEAN TIDES. TPC AT PRAIRIE AVENUE - THE PROVIDENCE CENTER OPENED AN OUTPATIENT BEHAVIORAL HEALTH CLINIC AT PROVIDENCE COMMUNITY HEALTH CENTERS' NEWEST FACILITY AT PRAIRIE AVENUE. THE OUTPATIENT MENTAL HEALTH CLINIC IS STAFFED FULL TIME BY CLINICIANS, THERAPISTS AND A PSYCHIATRIST WHO FACILITATE THE CONNECTION BETWEEN BEHAVIORAL HEALTH AND PRIMARY MEDICAL CARE. THE CLINIC MAKES BEHAVIORAL HEALTH CARE ACCESSIBLE TO PCHC PATIENTS AND RESIDENTS OF SOUTH PROVIDENCE.
FORM 990, PART VI, SECTION A, LINE 2JOEL STARK IS THE FATHER OF MATTHEW STARK. JOEL HAS BEEN ON THE BOARD SINCE JUNE 2004. MATTHEW CAME ONTO TPC'S BOARD AS AN APPOINTMENT BY THE MAYOR OF PROVIDENCE IN JANUARY 2010. PRIOR TO MATTHEW'S ELECTION, THE DIRECTOR OF POLICY AND LEGISLATIVE AFFAIRS FOR THE CITY OF PROVIDENCE (GARRETT BLISS) HELD A SEAT ON THE BOARD. WHEN MR. BLISS RESIGNED HIS POSITION WITH THE CITY OF PROVIDENCE, MATTHEW STARK WAS HIRED TO FILL THE POSITION. THE MAYOR OF PROVIDENCE RECOMMENDED THAT MR. STARK REPLACE MR. BLISS ON THE BOARD. JOEL STARK HAS OFFERED TO RECUSE HIMSELF ON ANY VOTES OR ISSUES THAT MIGHT BE A CONFLICT OF INTEREST REGARDING MATTHEW STARK.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CON AN ANNUAL BASIS TRUSTEES ARE GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY AND, PER THE POLICY, ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT. FORMS ARE MAILED TO THE BOARD MEMBERS PRIOR TO THE FIRST MEETING OF THE FISCAL YEAR AND RETURNED TO THE ADMINISTRATIVE CHIEF OF STAFF. THE POLICY IS ALSO MADE ACCESSIBLE TO TRUSTEES ON THE PROVIDENCE CENTER'S SECURED BOARD WEB PAGE.
FORM 990, PART VI, SECTION B, LINE 15AANNUALLY THE BOARD CONDUCTS A PERFORMANCE REVIEW AND EVALUATION OF THE CHIEF EXECUTIVE OFFICER. THE REVIEW ALSO ESTABLISHES THE INDIVIDUAL'S COMPENSATION FOR THE FOLLOWING YEAR. THIS PROCESS INVOLVES THE EVALUATION OF THE INDIVIDUAL AND A REVIEW OF COMPENSATION OF COMPARABLE POSITIONS OBTAINED FROM COMPENSATION SURVEYS. THE BOARD'S DELIBERATION AND DECISION IS NOTED IN THE MINUTES OF THE MEETING. IN REGARD TO OTHER EMPLOYEES IN TOP MANAGEMENT POSITIONS OR KEY EMPLOYEES, SALARIES ARE DETERMINED BASED ON WHERE THEY FIT IN SALARY RANGES USING YEARS OF EXPERIENCE AND COMPARISON TO OTHERS IN THE SAME RANGE. SALARY RANGES ARE CREATED AND UPDATED USING COMPARISONS TO OTHER ORGANIZATIONS VIA SALARY SURVEYS, MARKET ANALYSIS AND OTHER ORGANIZATIONS' 990 COMPENSATION INFORMATION, IF APPLICABLE. THESE STAFF ARE ALSO SUBJECT TO THE REGULAR PERFORMANCE EVALUATION PROCESS TO DETERMINE MERIT INCREASES.
FORM 990, PART VI, SECTION C, LINE 19THE 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.
OTHER FEESFORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 300,856. MANAGEMENT AND GENERAL EXPENSES 101,201. FUNDRAISING EXPENSES 30,460. TOTAL EXPENSES 432,517. SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 4,361,763. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,361,763.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GRANDVIEW REALTY CORPORATION
528 NORTH MAIN STREETPROVIDENCERI02904050384362OWNS AND ADMINISTERS HUD SECTON 8 MORTGAGE PROJECT NO. 016-EH007-L8RI501(C)(3)LINE 9THE PROVIDENCE CENTER INC1
GRANDVIEW SECOND CORPORATION
528 NORTH MAIN STREETPROVIDENCERI02904222812929OWNS AND ADMINISTERS THE HUD SECTION 811 PROJECT NO. 016-HD009RI501(C)(3)LINE 9THE PROVIDENCE CENTER INC1
NASHUA STREET CORPORATION
528 NORTH MAIN STREETPROVIDENCERI02904050509674OWNS AND ADMINISTERS THE HUD SECTION 811 PROJECT NO. 016-HD026RI501(C)(3)LINE 9THE PROVIDENCE CENTER INC1
TPC SOCIAL VENTURES INC
528 NORTH MAIN STREETPROVIDENCERI02904050441980PROVIDE TRAINING AND EMPLOYMENT OPPORTUNITIES TO INDIVIDUALS W/ DISABILITIESRI501(C)(3)LINE 9THE PROVIDENCE CENTER INC1
WILSON STREET APARTMENTS
528 NORTH MAIN STREETPROVIDENCERI02904050520857OWNS AND ADMINISTERS THE HUD SECTION 811 PROJECT NO. 016-HD047RI501(C)(3)LINE 9THE PROVIDENCE CENTER INC1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CONTINUUM BEHAVIORAL HEALTH INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1528 NORTH MAIN STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
EIN462853067EIN
Primary ActivityINDEPENDENTLY LICENSED PROFESSIONALS PROVIDE THERAPY AND PSYCHIATRY SERVICE.PrimaryActivity
Legal Domicile StateRILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1THE PROVIDENCE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of EOY Assets9316ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1TPC SOCIAL VENTURES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionType
Amount Involved145000AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.