2023-10-31T12:28:53-05:00 2022-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2022-01-01 510183476 Blackstone Valley Community Health Care Inc BLAC 4017290080 39 East Avenue Pawtucket RI 02860 Sandra Pardus Interim Executive Director 4017290080 2023-10-30 1 Sandra Pardus 999009999 1 Melissa Magoon CPA P01712842 6036697337 2023-10-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Raymond J Lavoie 39 East Avenue Pawtucket RI 02860 31865665 0 X www.bvchc.org X 1990 RI Blackstone Valley Community Health Care is committed to providing high quality affordable care, regardless of the ability to pay, while improving the health status of the population in the lower Blackstone Valley, especially those with the most complex set of medical, behavioral and social needs. BVCHC is committed to building an integrated and accountable system of care, having a primary concern for the health outcomes of our patients, and evidenced by the progressive use of Health Information Technology and superior performance on outcome-based metrics. 10 10 272 63 0 0 6411190 9294665 22363222 22334011 129 94 44616 103442 28819157 31732212 0 0 0 0 17828982 18787637 0 0 0 9612180 10457402 27441162 29245039 1377995 2487173 26155639 29038364 6824790 7220342 19330849 21818022 X Blackstone Valley Community Health Care is committed to providing high quality affordable care, regardless of the ability to pay, while improving the health status of the population in the lower Blackstone Valley, especially those with the most complex set of medical, behavioral and social needs. BVCHC is committed to building an integrated and accountable system of care, having a primary concern for the health outcomes of our patients, and evidenced by the progressive use of Health Information Technology and superior performance on outcome-based metrics. 0 0 25691552 22437453 Operated a community healthcare center which served approximately 96,210 encounters during the year ended December 31, 2022. 25691552 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 27 0 1 272 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X David Ragosta 4017290080 39 East Avenue Pawtucket RI 02860 John Lefrancois Chair 0.05 0.01 X X 0 0 0 Norm deGuilio Vice Chair 0.05 0.01 X X 0 0 0 Erica Carson Treasurer 0.05 0.00 X X 0 0 0 Alba Figueroa Director 0.05 0.00 X 0 0 0 John T Gannon Director 0.05 0.00 X 0 0 0 Gabriel Martinez Director 0.05 0.00 X 0 0 0 Mario Bueno Director 0.05 0.00 X 0 0 0 Raul Figueroa Director 0.05 0.00 X 0 0 0 Melinda Gaudreau Director 0.05 0.00 X 0 0 0 Daniel Correia Director 0.05 0.00 X 0 0 0 Stella Carrera Past Director 0.05 0.00 X 0 0 0 Raymond Lavoie Executive Director 40.00 1.00 X 527994 0 51431 Cristina Pacheco Chief Medical Officer 40.00 0.00 X 261176 0 42793 David Ragosta Chief Financial Officer 40.00 0.00 X 201514 0 733 Joseph Porreca Past Chief Information Officer 40.00 0.00 X 84518 0 15332 Michael Johnson Chief Information Officer 40.00 0.00 X 139982 0 20999 Kunjbala Sharma Assistant Medical Director 40.00 0.00 X 184601 0 24158 America Foster Assistant Medical Director 40.00 0.00 X 238782 0 42665 Morgan Motia Accountable Entity Medical Director 36.00 0.00 X 200491 0 40094 Renee Bromley Chief Operations Officer 34.00 0.00 X 128819 0 31896 Lisa Manso HR Director 40.00 0.00 X 137848 0 36013 Pedro Ochoa Dental Director 40.00 0.00 X 168058 0 36739 McKinzie Eggers Family Medicine Physician 40.00 0.00 X 211138 0 13676 2484921 0 356529 30 0 1 0 NextGen Healthcare PO Box 809390 Chicago IL 60680 Patient Services 904609 Affinity Physicians 455 Toll Gate Road Warwick RI 02886 Patient Services 392100 Betty's Cleaning Services 11 Winter Street Cumberland RI 02864 Janitorial Services 314503 Pacific Interpreters PO Box 204313 Dallas TX 75320 Interpreter Services 181818 Cloudmed 18 Washington Street Canton MA 02021 Pharmacy Consulting Services 113674 5 8777166 517499 9294665 Patient Services 621400 18899900 18899900 340B Pharmacy 621400 2804558 2804558 Contract Revenue 621400 590931 590931 Miscellaneous Income 621400 38622 38622 22334011 94 94 236895 133453 103442 103442 103442 31732212 22437453 0 94 X 1836679 1836679 12909274 12446271 463003 569653 554109 15544 2444918 2194473 250445 1027113 878737 148376 29704 29704 3089965 2788409 301556 9164 7840 1324 415810 355742 60068 1305076 1233492 71584 114128 97641 16487 243660 208461 35199 1436526 1229007 207519 227814 194904 32910 Program Expenses 2804757 2804757 Miscellaneous 406833 348062 58771 Repairs & Maintenance 313967 268612 45355 Dues & Subscriptions 59998 51331 8667 29245039 25691552 3553487 0 X 8397640 10962566 116717 58771 912568 949158 4482704 5446318 612 330014 153450 148003 27379445 17938669 10236379 9440776 29462 1855569 1673296 26155639 29038364 1437521 2041549 68326 66078 5112219 4948772 206724 163943 6824790 7220342 X 19225376 21378769 105473 439253 19330849 21818022 26155639 29038364 2487173 0 X X 0 1 X 1 1 1 X 7113119 4948144 9931595 6411190 9294665 37698713 7113119 4948144 9931595 6411190 9294665 37698713 37698713 77128 139629 171769 189064 103536 681126 38379839 96923152 0.98230 0.98030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1750783 1750783 15617205 9528269 6088936 9512638 8379194 1133444 498819 31206 467613 9440776 Security Deposits -219 340B Pharmacy Receivable 152661 Due from Related Party 1520854 1673296 Operating Lease Liability 29390 Finance Lease Liabilities 134553 163943 X 31865665 133453 133453 31732212 0 31732212 29378492 133453 133453 29245039 0 29245039 Part X, Line 2: BVCHC and the Support Corporation are public charities under Section 501(c)(3) of the Internal Revenue Code. As public charities, the entities are exempt from state and federal income taxes on income earned in accordance with their tax exempt purposes. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the consolidated financial statements. Part XI, Line 2d - Other Adjustments: Rental Expense Offset Against Rental Income 133,453. Part XII, Line 2d - Other Adjustments: Rental Expense Offset Against Rental Income 133,453. X X X 0 1 0 0 0 0 0 0 1 0 Raymond Lavoie Executive Director 228864 0 0 0 299130 0 25059 0 26372 0 579425 0 295421 0 Cristina Pacheco Chief Medical Officer 260996 0 0 0 180 0 14869 0 27924 0 303969 0 0 0 America Foster Assistant Medical Director 238368 0 0 0 414 0 14822 0 27843 0 281447 0 0 0 Morgan Motia Accountable Entity Medical Director 200329 0 0 0 162 0 12449 0 27645 0 240585 0 0 0 McKinzie Eggers Family Medicine Physician 210994 0 0 0 144 0 2189 0 11487 0 224814 0 0 0 Kunjbala Sharma Assistant Medical Director 181526 0 0 0 3075 0 10923 0 13235 0 208759 0 0 0 Pedro Ochoa Dental Director 167929 0 0 0 129 0 10435 0 26304 0 204797 0 0 0 David Ragosta Chief Financial Officer 180769 0 20000 0 745 0 0 0 733 0 202247 0 0 0 Lisa Manso HR Director 137682 0 0 0 166 0 8691 0 27322 0 173861 0 0 0 Michael Johnson Chief Information Officer 139883 0 0 0 99 0 8424 0 12575 0 160981 0 0 0 Renee Bromley Chief Operations Officer 128598 0 0 0 221 0 8062 0 23834 0 160715 0 0 0 Part I, Line 4b Raymond Lavoie, Executive Director, participated in a 457f plan. Part I, Line 8 During 2022, the organization paid David Ragosta, Chief Financial Officer, a sign-on bonus. A RI Health and Educational Building Corp 521300173 2018-02-15 5747759 To refinance 2011 bond 0 0 0 A 709681 5747759 5747759 2012 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 0 Schedule K, Part IV, Arbitrage The Organization by its tax regulatory agreement dated August 2, 2011 is required to calculate any rebate due every five years subsequent to the date of the agreement. Form 990, Part VI, Section B, line 11b Internal management does a detailed line by line review of the Form 990 prior to it being filed. Any questions from this review are discussed and resolved with the preparer prior to being shared with the board. The Form 990 will only be released once all questions raised by internal staff and the board have been resolved. Form 990, Part VI, Section B, line 12c Board members and Leadership staff must disclose any conflicts of interest. The conflict of interest forms are filled out yearly and compiled by the compliance officer. The compliance officer insure that Board or staff recuse themselves from any discussion or decision making where there could be a perceived conflict of interest. Form 990, Part VI, Section B, line 15 The Executive Director's compensation is approved by the board. To assist in determining the Executive Director's compensation level, the board looks at job duties, job performance, accomplishments, new goals and objectives, and salary information of other health centers of similar size and scope. The Executive Director approves the compensation for all other officers. In determining the compensation level of each officer, the Executive Director will review job duties, job performance, accomplishments, new goals and objectives, and salary information of other health centers of similar size and scope. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy and financial statements are made available to the public upon request. Form 990, Part IX, line 11g Other Fees: Program service expenses 2,788,409. Management and general expenses 301,556. Fundraising expenses 0. Total expenses 3,089,965. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Blackstone Valley Community Health Care, Inc. 39 East Avenue Pawtucket, RI 02860 EIN: 51-0183476 Blackstone Valley Community Health Care, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XII, Line 2c The Board of Directors assumes responsibility for oversight of the audit of its financial statements and selection of independent accountants. BVCHC Support Corporation 39 East Avenue Pawtucket RI 02860 822269480 Support of Blackstone Valley Community Health Care, Inc. RI 501(c)(3) Line 12a Blackstone Valley Community Health Care Inc 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 BVCHC Support Corporation D 1520854 FMV BVCHC Support Corporation K 942996 FMV