RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- RHODE ISLAND HEALTH CENTER ASSOCIATION INCORPORATED (EIN 23-7404795)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-01-28
- IRS object ID
- 201410289349301101
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-01-28T15:53:32-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453994797 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LGC&D LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TEN WEYBOSSET STREET - SUITE 700 | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237404795 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHODE ISLAND HEALTH CENTER ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RHOD | NameControl |
| Phone | 4012741771 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET SUITE 455 NO | AddressLine1 |
| Address Line2 | 104 | AddressLine2 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JANE HAYWARD | Name |
| Title | PRESIDENT & CHIEF EXECUTIVE OFFICER | Title |
| Phone | 4012741771 | Phone |
| Date Signed | 2014-01-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LYNN O'MARRA ESQUIRE | Name |
| PTIN | P00821716 | PTIN |
| Phone | 4014214800 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JANE HAYWARD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET SUITE 455 NO | AddressLine1 |
| Address Line2 | 104 | AddressLine2 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1294702 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RIHCA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | THE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTH CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 9 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 984820 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 952851 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 274993 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 293750 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2096 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2053 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 36821 | OtherRevenuePriorYear |
| Other Revenue Current Year | 46048 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1298730 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1294702 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 446962 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 468261 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 596783 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 600130 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 328180 | OtherExpensePriorYear |
| Other Expenses Current Year | 284032 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1371925 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1352423 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -73195 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -57721 | RevenuesLessExpensesCY |
| Total Assets BOY | 1019113 | TotalAssetsBOY |
| Total Assets EOY | 964340 | TotalAssetsEOY |
| Total Liabilities BOY | 142383 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 145331 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 876730 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 819009 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE RHODE ISLAND HEALTH CENTER ASSOCIATION WORKS TO SUPPORT, SUSTAIN, AND STRENGTHEN COMMUNITY HEALTH CENTERS SO THEY CAN PROVIDE HIGH QUALITY, COMPREHENSIVE HEALTH CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1032919 | Expense |
| Grants | 468261 | Grants |
| Revenue | 339798 | Revenue |
| Description | CORE ASSOCIATION FOR PROGRAM, TECHNICAL, AND NON-FINANCIAL ASSISTANCE TO 11 COMMUNITY HEALTH CENTERS. ASSISTANCE INCLUDES STAFFING, COMPUTER TRAINING, AND SYSTEM DESIGN. | Description |
| Total Program Service Expense | 1032919 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 9 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | RI | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANN CHIODINI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4012741771 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| BRENDA DOWLATSHAHI | |||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |
| MERRILL THOMAS | |||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| MICHAEL LICHTENSTEIN | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| DENNIS ROY | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| PETER BANCROFT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PETER BAUTE MD | |||||||
| INTERIM DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DAVID BOURASSA MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM HOCHSTRASSER-WALSH | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CHUCK JONES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DALE KLATZKER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RAYMOND LAVOIE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JANE HAYWARD | |||||||
| PRESIDENT & CEO | 40.00 | X | 134387 | 0 | 4506 | ||
| MARY EVANS | |||||||
| EMPLOYEE | 40.00 | 102763 | 0 | 11501 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 237150 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 16007 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 952851 | GovernmentGrants |
| Total Contributions | 952851 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| SERVICE REVENUE | 624100 | 181250 | 181250 |
| MEMBERSHIP DUES | 624100 | 112500 | 112500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 293750 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2053 | TotalRevenueColumn |
| Exclusion | $2,053 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MISC NON-GRANT INCOME | 624100 | 30332 | 30332 |
| ANNUAL MEETING INCOME | 624100 | 15716 | 15716 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 46048 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1294702 | TotalRevenueColumn |
| Related Or Exempt Function Income | 339798 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,053 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 468261 | Total |
| Program Services | 468261 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140875 | Total |
| Program Services | 84912 | ProgramServices |
| Management And General | 55963 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 362595 | Total |
| Program Services | 275600 | ProgramServices |
| Management And General | 86995 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55494 | Total |
| Program Services | 33996 | ProgramServices |
| Management And General | 21498 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41166 | Total |
| Program Services | 29209 | ProgramServices |
| Management And General | 11957 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1413 | Total |
| Management And General | 1413 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16606 | Total |
| Program Services | 8932 | ProgramServices |
| Management And General | 7674 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40632 | Total |
| Program Services | 27465 | ProgramServices |
| Management And General | 13167 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8563 | Total |
| Management And General | 8563 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3417 | Total |
| Program Services | 3355 | ProgramServices |
| Management And General | 62 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68681 | Total |
| Program Services | 42640 | ProgramServices |
| Management And General | 26041 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13236 | Total |
| Program Services | 9100 | ProgramServices |
| Management And General | 4136 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51368 | Total |
| Program Services | 20000 | ProgramServices |
| Management And General | 31368 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6626 | Total |
| Program Services | 4113 | ProgramServices |
| Management And General | 2513 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | 22432 | 4328 | 18104 |
| MISCELLANEOUS | 11964 | 1682 | 10282 |
| TELEPHONE | 11023 | 7680 | 3343 |
| BANK FEES | 10375 | 5581 | 4794 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17696 | Total |
| Program Services | 6065 | ProgramServices |
| Management And General | 11631 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1352423 | Total |
| Program Services | 1032919 | ProgramServices |
| Management And General | 319504 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 344222 | BOY |
| EOY | 641869 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 200000 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128760 | BOY |
| EOY | 69526 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21545 | BOY |
| EOY | 36069 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7297 | BOY |
| EOY | 3909 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 33039 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 20072 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17289 | BOY |
| EOY | 12967 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1019113 | BOY |
| EOY | 964340 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142383 | BOY |
| EOY | 145331 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142383 | BOY |
| EOY | 145331 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 756236 | BOY |
| EOY | 753583 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120494 | BOY |
| EOY | 65426 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 876730 | BOY |
| EOY | 819009 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1019113 | BOY |
| EOY | 964340 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -57721 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1282460 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1299702 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1579925 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 984820 | CurrentTaxYearMinus1Year |
| Current Tax Year | 952851 | CurrentTaxYear |
| Total | 6099758 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1282460 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1299702 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1579925 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 984820 | CurrentTaxYearMinus1Year |
| Current Tax Year | 952851 | CurrentTaxYear |
| Total | 6099758 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 6099758 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16518 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2412 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3753 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2096 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2053 | CurrentTaxYear |
| Total | 26832 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4281 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 37294 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11475 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 36821 | CurrentTaxYearMinus1Year |
| Current Tax Year | 46048 | CurrentTaxYear |
| Total | 135919 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 6262509 | TotalSupport |
| Public Support Pertcentage170 | 0.97400 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.97970 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33039 | OtherCostOrOtherBasis |
| Depreciation | 20072 | Depreciation |
| Book Value | 12967 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12967 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 1294702 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 1294702 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1294702 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1352423 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1352423 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1352423 | TotalExpensesPerForm990 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC | |||||||
| 52 PARK PLACE | PAWTUCKET | RI | 02860 | 510183476 | 501(C)(3) | 102027 | FRC GRANT |
| EAST BAY COMMUNITY ACTION PROGRAM | |||||||
| 100 BULLOCK PT AVE | RIVERSIDE | RI | 02915 | 050310024 | 501(C)(3) | 32469 | FRC GRANT |
| CCAP FAMILY HEALTH SERVICES | |||||||
| 1090 CRANSTON STREET | CRANSTON | RI | 02920 | 056018801 | 501(C)(3) | 23201 | FRC GRANT |
| PROVIDENCE COMMUNITY HEALTH CENTERS | |||||||
| 375 ALLENS AVE | PROVIDENCE | RI | 02905 | 050368134 | 501(C)(3) | 159807 | FRC GRANT |
| THUNDERMIST HEALTH CENTER OF WOONSOCKET | |||||||
| 450 CLINTON STREET | WOONSOCKET | RI | 02895 | 050355097 | 501(C)(3) | 28836 | FRC GRANT |
| WOOD RIVER HEALTH CENTER | |||||||
| 823 MAIN STREET | HOPE VALLEY | RI | 02832 | 050378071 | 501(C)(3) | 15088 | FRC GRANT |
| TRI-TOWN HEALTH CENTER | |||||||
| 1126 HARTFORD AVENUE | JOHNSTON | RI | 02919 | 050309695 | 501(C)(3) | 17188 | FRC GRANT |
| MEMORIAL HOSPITAL OF RHODE ISLAND | |||||||
| 111 BREWSTER STREET | PAWTUCKET | RI | 02860 | 050259004 | 501(C)(3) | 9825 | FRC GRANT |
| RI HOSPITAL | |||||||
| 593 EDDY STREET | PROVIDENCE | RI | 02903 | 050258954 | 501(C)(3) | 6496 | FRC GRANT |
| ST JOSEPH'S HOSPITAL | |||||||
| 21 PEACES STREET | PROVIDENCE | RI | 02906 | 050259026 | 501(C)(3) | 7966 | FRC GRANT |
| WOMEN & INFANTS HOSPITAL | |||||||
| 101 DUDLEY STREET | PROVIDENCE | RI | 02905 | 050258937 | 501(C)(3) | 35436 | FRC GRANT |
| RI DEPARTMENT OF HEALTH-HEALTH PROFESSIONALS LOAN REPAYMENT PROGRAM | |||||||
| 3 CAPITOL HILL | PROVIDENCE | RI | 02908 | RI DEPART OF HEALTH | 25000 | HEALTH EDUCATION ASSISTANCE TO ELIGIBLE PROFESSIONALS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 12 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE I, PART I, LINE 2: | Identifier |
| Explanation | THE ASSOCIATION RECEIVES GRANTS FROM THE RHODE ISLAND DEPARTMENT OF HUMAN SERVICE TO PROVIDE SUPPORT FOR FAMILY COUNSELORS. THE COUNSELORS ARE THEN HIRED BY THE CENTERS TO ASSIST FAMILIES WITH ENROLLMENT IN MEDICAID, PROVIDE INFORMATION ABOUT THE FAMILY INDEPENDENCE PROGRAM AND CONDUCT PROGRAMS IN THE HEALTH CENTERS AND THEIR COMMUNITIES. ALL FUNDS PAID TO THE CENTERS ARE FOR THE SERVICES PROVIDED BY THE FAMILY RESOURCE CENTERS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | EACH 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 7A | EACH 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 7B | EACH 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 11 | A 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 PASSED OUT TO MEMBERS OF THE GOVERNING BODY AT A BOARD MEETING. AS REFLECTED IN THE MINUTES OF THIS MEETING, THE FORM 990 IS APPROVED FOR SUBMISSION BY SUCH MEMBERS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE 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 15 | ALL 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 19 | COPIES 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 104, PROVIDENCE, RI 02908. THIS LOCATION IS AVAILABLE TO MEMBERS OF THE GOVERNING BODY, EMPLOYEES AND MEMBERS OF THE PUBLIC BY APPOINTMENT. | |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE IN THE OVERSIGHT OF THE AUDIT. | OVERSIGHT OR SELECTION PROCESS: |
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