2023-11-03T16:25:26-05:00 2022-12-31 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2022-01-01 050368134 THE PROVIDENCE COMMUNITY HEALTH CENTERS INC PROV 4014440400 375 ALLENS AVENUE PROVIDENCE RI 029055010 MERRILL THOMAS CHIEF EXECUTIVE OFFICER 4014440400 2023-11-01 1 MERRILL THOMAS XXX-XX-XXXX 1 CHARLES J WEBB CPA P01584539 5083669100 2023-11-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MERRILL THOMAS 375 ALLENS AVENUE PROVIDENCE RI 02905 108425579 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. 14 14 853 14 0 0 15806369 22763178 69917001 79992937 496111 612610 2439626 2507681 88659107 105876406 1885218 0 0 0 57503071 64248720 0 0 0 25645198 32456629 85033487 96705349 3625620 9171057 92213963 129084289 35023569 61958802 57190394 67125487 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 58909777 61638930 PATIENT SERVICEPROVISION OF PRIMARY HEALTH CARE TO RESIDENTS IN PROVIDENCE ALSO PROVIDING SPECIALIZED CARE AT 10 SITES IN PROVIDENCE. IN FY22, WE SERVED OVER 62,500 PATIENTS WITH OVER 285,000 PATIENT VISITS. 6153177 4599185 DENTALPCHC DENTAL OFFERS COMPREHENSIVE DENTAL CARE INCLUDING: EXAMINATIONS, RADIOGRAPHS, CLEANINGS, FLUORIDE TREATMENTS, SEALANTS, FILLINGS AND EXTRACTIONS. PCHC DENTAL CLINIC PROVIDES DENTAL SERVICES TO CHILDREN UNDER THE AGE OF 19 AND PREGNANT WOMEN; ADULT SERVICES INCLUDE PREVENTATIVE AND RESTORATIVE TREATMENTS. IN FY22, WE SERVED 10,500 PATIENTS WITH 21,600 PATIENT VISITS. 9514204 16263354 PHARMACY - 340B340B PROGRAM IS ESSENTIAL TO HELPING PROVIDERS STRETCH LIMITED RESOURCES TO BETTER SERVE VULNERABLE COMMUNITIES AND TO MANAGE RISING PRESCRIPTION DRUG COSTS. 340B CONTRACTS WITH WALMART, CVS, WALGREENS, AND OTHER LOCAL PHARMACIES TO PROVIDE PRESCRIPTIONS AT REDUCED PRICING TO PCHC PATIENTS. IN FY22 THERE WERE 47,492 PATIENTS UTILIZING CONTRACT PHARMACY AND 359,568 PRESCRIPTIONS SENT TO CONTRACT PHARMACY. 74577158 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 63 0 1 853 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 RI X KEVIN CABRAL CHIEF FINANCIAL OFFIC 4014440400 375 ALLENS AVENUE PROVIDENCE RI 02905 CARL BROWN BOARD CHAIR 1.00 X X 0 0 0 AMBER BICHUN BOARD TREASURER/VICE CHAIR 1.00 0.10 X X 0 0 0 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 WENDY THOMAS BOARD MEMBER 1.00 X 0 0 0 MARY FRANCIS BISHOP BOARD MEMBER 1.00 X 0 0 0 CHRISTINA ZANFAGNA BOARD MEMBER 1.00 X 0 0 0 MICHELLE ROSARIO BOARD MEMBER 1.00 X 0 0 0 RICHARD HEMPHILL BOARD MEMBER 1.00 X 0 0 0 JOSEPH NAGLE BOARD MEMBER 1.00 X 0 0 0 RUSSELL CORCORAN BOARD MEMBER 1.00 X 0 0 0 JOSEPH ESPAT BOARD MEMBER 1.00 X 0 0 0 ALTHEA GRAVES BOARD MEMBER 1.00 X 0 0 0 MERRILL R THOMAS CEO 40.00 1.00 X 619221 0 26739 KEVIN CABRAL VP & CFO 40.00 1.00 X 284122 0 19625 ANDREW D SAAL VP AND CMO 40.00 X 459006 0 34524 KIMBERLY A O'CONNELL VP & CTO 40.00 X 345950 0 32616 CHERYL PERRY VP & CHRO 40.00 X 292445 0 17076 JAY DECOSTA VP & CIO 40.00 X 219752 0 33507 RAYMOND G PARRIS EXECUTIVE DIRECTOR 40.00 X 272665 0 13593 SUSANA CONKLIN VP & CHIEF OF STAFF 40.00 X 249121 0 26816 NADINE HEWAMUDALIGE MEDICAL DIRECTOR 40.00 X 324014 0 34801 JONATHAN GATES CMO OF ACCOUNTABLE ENTITY 40.00 X 303120 0 37577 ALTUG KOYMEN MD OB/GYN 40.00 X 365465 0 24487 EMILY WHITE MD OB/GYN 40.00 X 287080 0 27071 STANLEY BLOCK EMERITUS CMO 35.00 X 346884 0 26635 4368845 0 355067 137 0 1 0 CASE CONSTRUCTION CO 225 WAMPANOAG TRL EAST PROVIDENCE RI 02915 CONSTRUCTION CONTRACTOR 1738529 ATG GROUP 95 HATHAWAY CENTER SUITE 28 PROVIDENCE RI 02907 IT SERVICE MANAGEMENT 754625 RIBI SECURITY 14 INTERNATIONAL WAY WARWICK RI 02886 SECURITY AGENCY 674654 THE GREYSMITH COMPANIES 125 WHIPPLE STREET PROVIDENCE RI 02908 EMPLOYMENT AGENCY 437025 MAXIM HEALTHCARE STAFFING SERVICES 7227 LEE DEFOREST DRIVE COLUMBIA MD 21046 EMPLOYMENT AGENCY 215308 48 85780 609015 15042175 7026208 22763178 PATIENT SERVICE REVENUE 621110 79992937 79992937 79992937 487255 487255 2446786 179091 2500522 0 -53736 179091 125355 125355 47800 85780 48651 -851 -851 RENTAL INCOME 900002 2333499 2333499 MISCELLANEOUS 621110 175033 175033 2508532 105876406 82501469 0 611759 3023482 3023482 49058948 41137865 7921083 1978311 1583688 394623 6615662 5140351 1475311 3572317 2730065 842252 250845 250845 176750 176750 2966012 1113750 1852262 21560 21560 889312 495720 393592 5705100 4089490 1615610 338722 33833 304889 1480618 807425 673193 2761850 1806509 955341 673685 446074 227611 MEDICAL SUPPLIES AND SE 7140163 7140163 LICENSES & FEES 4007994 4007994 DATA PROCESSING 3097050 2381403 715647 BAD DEBT 1088877 1088877 1858091 573951 1284140 96705349 74577158 22128191 0 6931757 11530369 351066 177290 16938647 16847076 1937370 2906055 9999583 9852462 667122 622861 65190813 20798034 39756555 44392779 11197512 10401894 4434351 32353503 92213963 129084289 6586575 6813714 8576685 8157727 15840007 15126004 4020302 31861357 35023569 61958802 X 56263367 67125487 927027 0 57190394 67125487 92213963 129084289 X 9171057 -1195177 1959213 X X 0 1 X 1 1 1 X 9862370 12742364 20367282 15806369 22763178 81541563 9862370 12742364 20367282 15806369 22763178 81541563 81541563 620892 621856 360721 340408 487255 2431132 148355 522228 2118079 2490522 2508532 7787716 91760411 321875240 0.88860 0.89690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4250018 4250018 48726155 12163733 36562422 11063767 8505808 2557959 1150873 128493 1022380 44392779 RESTRICTED CASH 1484466 DEFERRED RENTAL REVENUE 210762 RIGHT-OF-USE ASSET - OPERATING 14032398 RIGHT-OF-USE ASSET - FINANCE 15379431 ACCUMULATED UNREALIZED GAIN ON INTEREST RATE SWAP CONTRACTS 1246446 32353503 DUE TO AFFILIATES 587500 OPERATING LEASE LIABILITY 15278990 FINANCE LEASE LIABILITY 15994867 31861357 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 HEALTH CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE. GOLF TOURNAMENT 133580 85780 47800 1823 13396 19944 13488 133580 85780 47800 1823 13396 19944 13488 48651 -851 X X 0 0 0 0 0 0 0 0 0 MERRILL R THOMAS CEO 619221 0 0 0 0 0 10788 0 15951 0 645960 0 0 0 ANDREW D SAAL VP AND CMO 459006 0 0 0 0 0 12197 0 22327 0 493530 0 0 0 ALTUG KOYMEN MD OB/GYN 365465 0 0 0 0 0 10329 0 14158 0 389952 0 0 0 KIMBERLY A O'CONNELL VP & CTO 345950 0 0 0 0 0 12793 0 19823 0 378566 0 0 0 STANLEY BLOCK EMERITUS CMO 346884 0 0 0 0 0 18660 0 7975 0 373519 0 0 0 NADINE HEWAMUDALIGE MEDICAL DIRECTOR 324014 0 0 0 0 0 12474 0 22327 0 358815 0 0 0 JONATHAN GATES CMO OF ACCOUNTABLE ENTITY 303120 0 0 0 0 0 15250 0 22327 0 340697 0 0 0 EMILY WHITE MD OB/GYN 287080 0 0 0 0 0 11120 0 15951 0 314151 0 0 0 CHERYL PERRY VP & CHRO 292445 0 0 0 0 0 9101 0 7975 0 309521 0 0 0 KEVIN CABRAL VP & CFO 284122 0 0 0 0 0 11650 0 7975 0 303747 0 0 0 RAYMOND G PARRIS EXECUTIVE DIRECTOR 272665 0 0 0 0 0 13593 0 0 0 286258 0 0 0 SUSANA CONKLIN VP & CHIEF OF STAFF 249121 0 0 0 0 0 12658 0 14158 0 275937 0 0 0 JAY DECOSTA VP & CIO 219752 0 0 0 0 0 11180 0 22327 0 253259 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 3957273 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 PRESIDENT & CEO SPLIT-DOLLAR LIFE INSURANCE PLAN X 968685 2906055 0 1 1 2906055 MERRILL THOMAS CEO 1857573 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 MERRILL THOMAS CEO 28525000 BOARD MEMBER OF FUNDING SOURCE. THE CEO OF THE HEALTH CENTER SERVES ON THE BOD OF NHPRI, WHICH PROVIDES THIRD PARTY REVENUE TO THE HEALTH CENTER. 0 MERRILL THOMAS CEO 347694 BOARD MEMBER OF FUNDING SOURCE, HEALTH CHOICE CARE. 0 MERRILL THOMAS CEO 821700 BOARD MEMBER OF FUNDING SOURCE. THE HEALTH CENTER RECEIVES GRANT FUNDING FROM RHODE ISLAND HEALTH CENTER ASSOCIATION. 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, UNIONIZED EMPLOYEES IS DETERMINED BASED UPON THE RESULTS OF BARGAINING UNIT NEGOTIATIONS. COMPENSATION FOR HOURLY NON-UNION, NON-EXEMPT AND SALARY NON-EXEMPT EMPLOYEES IS DETERMINED BASED UPON THE RESULTS OF MARKET STUDIES. 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 GAIN ON CARRYING VALUE OF INTEREST RATE SWAP 1,959,213. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PCHC BEAMAN AND SMITH MILL MASTER TENANT LLC 375 ALLENS AVE PROVIDENCE RI 02905 461430610 TO LEASE PROPERTY FROM PCHC BEAMAN AND SMITH MILL, LLC. RI 1742728 12365656 THE PROVIDENCE COMMUNITY HEALTH CENTERS INC PCHC ATWOOD INC 375 ALLENS AVE PROVIDENCE RI 02905 863765025 SUPPORT PROVIDENCE COMMUNITY HEALTH CENTER RI 501(C)(3) LINE 12A, I THE PROVIDENCE COMMUNITY HEALTH CENTERS INC 1 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 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 B & S MILL INC C 609015 FMV PCHC ATWOOD INC K 668364 FMV