2019-07-17T07:33:47-05:00 2018-12-31 042571780 ALEXANDER ARONSON FINNING & CO PC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2018-01-01 050368134 THE PROVIDENCE COMMUNITY HEALTH CENTERS INC PROV 4014440400 375 ALLENS AVENUE PROVIDENCE RI 029055010 MERRILL THOMAS CHIEF EXECUTIVE OFFICER 4014440400 2019-07-10 1 CHARLES J WEBB CPA P01584539 5083669100 2019-07-10 64.238.141.162 2019-07-10 09:44:53 ED P BD77D79559D70CF3614B5CF1A348E214CBBCA4B4 6CDDA8B025427A5532164877518CA44A369A04DA 2018 2019-02-21 02:37:17Z MERRILL THOMAS 375 ALLENS AVENUE PROVIDENCE RI 02905 62815223 0 X WWW.PROVIDENCECHC.ORG X 1976 RI PROVIDE NEIGHBORHOOD-BASED HIGH QUALITY AND ACCESSIBLE PRIMARY MEDICAL CARE TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF PROVIDENCE AND SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. 15 15 557 38 0 12486 10335851 9862370 44877051 50809203 595314 665162 176792 229690 55985008 61566425 0 0 0 0 38170078 42037912 0 0 0 14849908 16546744 53019986 58584656 2965022 2981769 63702805 66080196 21250324 21416858 42452481 44663338 PROVIDE NEIGHBORHOOD-BASED HIGH QUALITY AND ACCESSIBLE PRIMARY MEDICAL CARE TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF PROVIDENCE AND SURROUNDING COMMUNITIES REGARDLESS OF THEIR ABILITY TO PAY. 0 0 45173691 50957558 PROVISION OF PRIMARY HEALTH CARE TO RESIDENTS IN PROVIDENCE ALSO PROVIDING DENTAL, PHARMACY, AND SPECIALIZED CARE AT 10 SITES IN PROVIDENCE IN FY18 SERVED OVER 54,000 PATIENTS WITH OVER 234,000 PATIENT VISITS. 45173691 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 54 0 1 557 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 RI X GREG YOUNG CHIEF FINANCIAL OFFICER 4014440400 375 ALLENS AVENUE PROVIDENCE RI 02905 CASSANDRA L FEENEY BOARD SECRETARY 1.00 X X 0 0 0 MICHAEL CANCILLIERE BOARD MEMBER 1.00 X 0 0 0 EMILLIAN EGBUCHE BOARD MEMBER 1.00 X 0 0 0 ELENA NICOLELLA BOARD CHAIR 1.00 X X 0 0 0 CARL BROWN BOARD MEMBER 1.00 X 0 0 0 LOURDES MORALES BOARD MEMBER 1.00 X 0 0 0 DR GLENN RAWSON BOARD MEMBER 1.00 X 0 0 0 CHRISTINA ZANFAGNA BOARD MEMBER 1.00 X 0 0 0 WENDY THOMAS VICE PRESIDENT 1.00 X X 0 0 0 CAROL HARTLEY BOARD TREASURER 1.00 X X 0 0 0 BYRON MONGE BOARD MEMBER 1.00 X 0 0 0 KEN BELCHER BOARD MEMBER 1.00 X 0 0 0 DR LUISA F CALACALA BOARD MEMBER 1.00 X 0 0 0 PATRICIA CHIVERS BOARD MEMBER 1.00 X 0 0 0 MARY FRANCIS BISHOP BOARD MEMBER 1.00 X 0 0 0 MERRILL R THOMAS CEO 40.00 X 423593 0 14101 ANDREW D SAAL VP AND CMO 40.00 X 329264 0 18196 CHRISTOPHER CAMILLO VP & COO 40.00 X 187336 0 19737 GREGORY YOUNG VP & CFO 40.00 X 244102 0 14101 DILEK CERMIK MD OB/GYN 35.00 X 428420 0 18196 EMILY WHITE MD OB/GYN 35.00 X 349108 0 9424 ALTUG KOYMEN MD OB/GYN 35.00 X 320475 0 12999 ANNE MURRAY MD OB/GYN 35.00 X 271650 0 14101 STANLEY H BLOCK EMERITUS CMO 35.00 X 263113 0 7051 2817061 0 127906 73 0 1 0 COMPLETE STAFFING SOLUTIONS 640 GEORGE WASHINGTON HWY STE 102 LINCOLN RI 02865 EMPLOYMENT AGENCY 267575 RANDSTAD 15 BROAD STREET SUITE 612 BOSTON MA 02109 EMPLOYMENT AGENCY 252065 CITY PERSONNEL INC 170 BROADWAY PROVIDENCE RI 02903 EMPLOYMENT AGENCY 127905 MAXIM HEALTHCARE SERVICES INC 1 CEDAR STREET PROVIDENCE RI 02903 EMPLOYMENT AGENCY 102325 4 7666697 2195673 9862370 PATIENT SERVICE REVENUE 621110 50809203 50809203 50809203 620892 620892 1078986 1034716 44270 44270 44270 295417 214082 81335 81335 MISCELLANEOUS 900099 90513 90513 RENTAL INCOME 900099 57842 57842 148355 61566425 50957558 0 746497 1250430 69492 1180938 31446346 25478702 5967644 1314084 1066998 247086 5849358 4699557 1149801 2177694 1738099 439595 173685 173685 115042 115042 1908168 703574 1204594 13873 13873 704531 437873 266658 2130073 1543761 586312 251060 28559 222501 671729 205419 466310 1547573 1258140 289433 351850 259776 92074 MEDICAL SUPPLIES AND SE 3508435 3508435 DATA PROCESSING 1612775 1612775 LICENSES & FEES 1597804 1597804 BAD DEBT 553184 553184 1406962 411543 995419 58584656 45173691 13410965 0 8678589 4368389 180737 198746 6025045 9865635 10173210 10042678 307174 247249 43810266 13188563 28716788 30621703 5760740 5741838 3498365 3498365 362157 1495593 63702805 66080196 3685452 3846954 10083840 9722462 7259717 7078141 221315 769301 21250324 21416858 X 42252406 44617618 200075 45720 42452481 44663338 63702805 66080196 X 2981769 -253944 -516968 X X 0 1 X 1 1 1 X 3570582 3570582 32414388 7370548 25043840 7709032 5716491 1992541 116264 101524 14740 30621703 INVESTMENTS IN AFFILIATES 3498365 F 3498365 DEFERRED LEASE PAYABLE 266631 ACCUMULATED UNREALIZED GAIN ON INTEREST RATE SWAP CONTRACT 502670 769301 X PART X, LINE 2: THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATING FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE THE HEALTH CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATING FINANCIAL STATEMENTS AT DECEMBER 31, 2018. GOLF TOURNAMENT 84495 84495 4242 16690 16655 8788 GALA 210922 210922 4522 63535 16217 17293 66140 295417 295417 8764 80225 32872 17293 74928 214082 81335 X X 0 0 0 0 0 0 0 0 0 MERRILL R THOMAS CEO 423593 0 0 0 0 0 7198 0 6903 0 437694 0 0 0 ANDREW D SAAL VP AND CMO 329264 0 0 0 0 0 2413 0 15783 0 347460 0 0 0 CHRISTOPHER CAMILLO VP & COO 187336 0 0 0 0 0 6980 0 12757 0 207073 0 0 0 GREGORY YOUNG VP & CFO 244102 0 0 0 0 0 6790 0 7311 0 258203 0 0 0 DILEK CERMIK MD OB/GYN 428420 0 0 0 0 0 4837 0 13359 0 446616 0 0 0 EMILY WHITE MD OB/GYN 349108 0 0 0 0 0 4932 0 4492 0 358532 0 0 0 ALTUG KOYMEN MD OB/GYN 320475 0 0 0 0 0 5651 0 7348 0 333474 0 0 0 ANNE MURRAY MD OB/GYN 271650 0 0 0 0 0 6466 0 7635 0 285751 0 0 0 STANLEY H BLOCK EMERITUS CMO 263113 0 0 0 0 0 4357 0 2694 0 270164 0 0 0 A RHODE ISLAND HEALTH AND EDUCATION BUILDING CORPORATION 521300173 2010-12-23 12115000 TO CONSTRUCT NEW FACILITIES AND PAY DOWN EXISTING DEBT. 0 0 0 A 12115000 242300 11872700 2011 0 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 1 CITIZENS BANK 2.245000000000 0 0 0 0 1 A 1 MERRILL THOMAS CEO 17847661 BOARD MEMBER OF FUNDING SOURCE. THE CEO OF THE HEALTH CENTER SERVES ON THE BOARD OF DIRECTORS OF NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND, WHICH PROVIDES THIRD PARTY REVENUE TO THE HEALTH CENTER. 0 MERRILL THOMAS CEO 1079226 BOARD MEMBER OF VENDOR. THE CEO OF THE HEALTH CENTER SERVES ON THE BOD OF HCN, WHICH PROVIDES TECHNOLOGY SOLUTIONS TO THE HEALTH CENTER. 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY MANAGEMENT AND A COPY IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C PROVIDENCE COMMUNITY HEALTH CENTERS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REVIEWING THE POLICY ANNUALLY AT THE ANNUAL BOARD OF DIRECTORS MEETING, VERIFYING THAT ALL MANAGEMENT AND BOARD MEMBERS HAVE FILLED OUT THE CONFLICT OF INTEREST FORMS AND ARE FOLLOWING THE SPECIFIED GUIDELINES. FORM 990, PART VI, SECTION B, LINE 15 PROVIDENCE COMMUNITY HEALTH CENTERS UTILIZES THE BOARD OF DIRECTORS TO REVIEW AND DETERMINE THE CHIEF EXECUTIVE OFFICER'S SALARY. THE BOARD OF DIRECTORS THEN VOTES FOR APPROVAL ONCE THE SALARY AMOUNT IS DETERMINED. COMPENSATION FOR HOURLY NON-EXEMPT AND SALARIED EXEMPT EMPLOYEES ARE DETERMINED BASED UPON THE RESULTS OF BARGAINING UNIT NEGOTIATIONS. FORM 990, PART VI, SECTION C, LINE 19 PROVIDENCE COMMUNITY HEALTH CENTERS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED LOSS ON CARRYING VALUE OF INTEREST RATE SWAP -516,968. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. PCHC BEAMAN AND SMITH MILL LLC 375 ALLENS AVENUE PROVIDENCE RI 02905 800858375 TO HOLD AND DEVELOP REAL ESTATE. RI B&S MILL INC EXCLUDED 512-514 -7129 258580 0 0 0.01000 PCHC BEAMAN AND SMITH MILL MASTER TENANT LLC 375 ALLENS AVENUE PROVIDENCE RI 02905 461430610 TO LEASE PROPERTY FROM PCHC BEAMAN AND SMITH MILL, LLC. RI B&S MILL INC EXCLUDED 512-514 0 0 B&S MILL INC 375 ALLENS AVENUE PROVIDENCE RI 02905 461527210 TO SERVE AS THE MANAGER OF PCHC B&S MILL, LLC AND PCHC B&S MILL MT, LLC RI THE PROVIDENCE COMMUNITY HEALTH CENTERS INC C 1.00000 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 PCHC BEAMAN AND SMITH MILL MT LLC K 735372 RENTAL INCOME