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Get Starting Point A guide through the most important stories of the morning, delivered Monday through Friday. Enter Email Sign Up HEALTH CARE Advertisement Largest owner of R.I. community health centers to lay off 70 workers, citing Medicaid reimbursement rates Advertisement Providence Community Health Centers Chafee at One Warren Way in Providence. Matthew Healey for The Boston Globe The largest owner of community health centers in Rhode Island, serving nearly 100,000 patients, is laying off more than 70 employees, citing inadequate Medicaid reimbursement rates. Providence Community Health Centers, a nonprofit organization operating eight clinics across the greater Providence area, confirmed the layoffs to the Globe Thursday morning. The system provides affordable pediatric and adult primary health care services, dental care, and behavioral health care. 'These layoffs, while incredibly painful, are an absolute necessity for our long-term sustainability,' said Merrill Thomas, the president and chief executive of Providence Community Health Centers, also known as PCHC. Despite what he called a 'strong balance sheet, the layoffs were directed by PCHC's board, Thomas said, which has 'a fiduciary responsibility to PCHC and its patients.' 'These are difficult but necessary decisions to ensure we are here for the community for years to come,' Thomas said. The news comes as other health care organizations around the state and region are facing deteriorating financial situations. — ALEXA GAGOSZ PHILANTHROPY Bill Gates pledges his remaining fortune to the Gates Foundation, which will close in 20 years Bill Gates during a Bloomberg Television interview in London in 2024. Hollie Adams/Bloomberg Bill Gates says he will donate 99 percent of his remaining tech fortune to the Gates Foundation, which will now close in 2045, earlier than previously planned. Today, that would be worth an estimated $107 billion. The pledge is among the largest philanthropic gifts ever — outpacing the historic contributions of industrialists like John D. Rockefeller and Andrew Carnegie when adjusted for inflation. Only Berkshire Hathaway investor Warren Buffett's pledge to donate his fortune — currently estimated by Forbes at $160 billion — may be larger depending on stock market fluctuations. Gates's donation will be delivered over time and allow the foundation to spend an additional $200 billion over the next 20 years. The foundation already has an endowment of $77 billion built from donations from Gates, Melinda French Gates, and Buffett. 'It's kind of thrilling to have that much to be able to put into these causes,' Gates said in an interview with the Associated Press. His announcement Thursday signals both a promise of sustained support to those causes, particularly global health and education in the United States, and an eventual end to the foundation's immense worldwide influence. — ASSOCIATED PRESS Advertisement CORPORATE White men in the minority as US boardrooms enter new era White men no longer make up the majority of board seats at the largest US companies, a historic shift reflecting decades of pressure to diversify the upper ranks of corporate leadership. For the first time, women and non-white men hold just over half, or 50.2 percent, of the more than 5,500 board seats at S&P 500 companies, according to data compiled for Bloomberg by ISS-Corporate. That compares with five years ago when white men accounted for almost 60 percent of the directorships. The question now is whether the shift is a short-term blip or becomes an embedded adjustment in the makeup of the people who oversee companies. The milestone also comes as political and legal attacks on diversity, equity, and inclusion efforts are intensifying. — BLOOMBERG NEWS ARTIFICIAL INTELLIGENCE OpenAI CEO, other US tech leaders testify to Congress on AI competition with China Brad Smith (right), vice chair and president of Microsoft Corp., testified before a Senate Committee on Commerce, Science, and Transportation hearing with, from left, Sam Altman, cofounder and chief executive of OpenAI; Dr. Lisa Su, chief executive and chair of Advanced Micro Devices; and Michael Intrator, cofounder and chief executive of CoreWeave, on May 8 in Washington. Kevin Wolf/Associated Press OpenAI chief executive Sam Altman and executives from Microsoft and chipmaker Advanced Micro Devices testified on Capitol Hill about the biggest opportunities, risks, and needs facing an industry that lawmakers and technologists agree could fundamentally transform global business, culture, and geopolitics. The hearing comes as the race to control the future of artificial intelligence is heating up between companies and countries. Altman's OpenAI is in a furious race to develop the best artificial intelligence model against tech rivals like Alphabet and Meta, as well as against those developed by Chinese competitors. 'I believe this will be at least as big as the internet, maybe bigger,' Altman said in his opening remarks about AI's potential to transform society. 'For that to happen, investment in infrastructure is critical.' Altman urged senators to help usher in the 'dual revolutions' of artificial intelligence and energy production that 'will change the world we live in, I think, in incredibly positive ways.' The witnesses included Altman; Lisa Su, chief executive of semiconductor maker AMD; Michael Intrator, cofounder of AI cloud computing startup CoreWeave; and Brad Smith, vice chair and president of Microsoft. The four executives unanimously urged lawmakers to help streamline policy for AI-related projects and fund-raising. — ASSOCIATED PRESS Advertisement TECH Trump to end Biden-era program to bridge digital divide President Trump said he would end a program that provides billions to extend internet access in underserved communities, casting it as unfairly providing grants on the basis of race. 'I have spoken with my wonderful Secretary of Commerce, Howard Lutnick, and we agree that the Biden/Harris so-called 'Digital Equity Act' is totally UNCONSTITUTIONAL. No more woke handouts based on race!' Trump said in a social media post Thursday, referring to the law approved under the administration of his predecessor, former president Joe Biden. 'The Digital Equity Program is a RACIST and ILLEGAL $2.5 BILLION DOLLAR giveaway. I am ending this IMMEDIATELY, and saving Taxpayers BILLIONS OF DOLLARS!' he added. Trump's move is only the latest by his administration to target diversity, equity, or inclusion measures, which his conservative supporters argue discriminate against white Americans. — BLOOMBERG NEWS Advertisement