2018-05-08T10:46:36-05:00 2017-12-31 042571780 ALEXANDER ARONSON FINNING & CO PC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2017-01-01 050368134 THE PROVIDENCE COMMUNITY HEALTH CENTERS INC PROV 4014440400 375 ALLENS AVENUE PROVIDENCE RI 029055010 MERRILL THOMAS CHIEF EXECUTIVE OFFICER 4014440400 2018-05-03 1 CHARLES J WEBB CPA P01584539 5083669100 2018-05-03 2017 2022-09-23 18:48:47Z MERRILL THOMAS 375 ALLENS AVENUE PROVIDENCE RI 02905 56675479 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 15 506 24 0 0 7997796 10335851 40635536 44877051 589321 595314 171351 176792 49394004 55985008 0 0 0 0 33390836 38170078 0 0 0 13314370 14849908 46705206 53019986 2688798 2965022 61113754 63702805 21945112 21250324 39168642 42452481 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 40712028 45005415 PROVISION OF PRIMARY HEALTH CARE TO RESIDENTS IN PROVIDENCE ALSO PROVIDING DENTAL, PHARMACY, AND SPECIALIZED CARE AT 10 SITES IN PROVIDENCE IN FY17 SERVED OVER 51,575 PATIENTS WITH OVER 218,000 PATIENT VISITS. 40712028 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 35 0 1 506 1 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 MEMBER 1.00 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 DR HUGH F LENA BOARD MEMBER 1.00 X 0 0 0 LOURDES MORALES BOARD MEMBER 1.00 X 0 0 0 DR GLENN RAWSON BOARD SECRETARY 1.00 X 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 392104 0 22510 ANDREW D SAAL VP AND CMO 40.00 X 287089 0 18474 CHRIS CAMILLO COO 40.00 X 160031 0 23870 GREGORY YOUNG CFO 40.00 X 207522 0 21255 DILEK CERMIK MD OB/GYN 35.00 X 517999 0 21826 EMILY WHITE MD OB/GYN 35.00 X 399101 0 11560 ALTUG KOYMEN MD OB/GYN 35.00 X 362989 0 20392 ANNE MURRAY MD OB/GYN 35.00 X 266045 0 20352 JESSICA SALAK MD OB/GYN 35.00 X 258676 0 14421 2851556 0 174660 91 0 1 0 RANDSTAD 15 BROAD STREET SUITE 612 BOSTON MA 02109 EMPLOYMENT AGENCY 290732 THE GREYSMITH COMPANIES 125 WHIPPLE ST PROVIDENCE RI 02908 EMPLOYMENT AGENCY 133915 CITY PERSONNEL INC 170 BROADWAY PROVIDENCE RI 02903 EMPLOYMENT AGENCY 111571 COMPLETE STAFFING SOLUTIONS 640 GEORGE WASHINGTON HWY STE 102 LINCOLN RI 02865 EMPLOYMENT AGENCY 106106 4 8698683 1637168 10335851 PATIENT SERVICE REVENUE 621110 44877051 44877051 44877051 596517 596517 643161 644364 -1203 -1203 -1203 94535 46107 48428 48428 MISCELLANEOUS 900099 111119 111119 RENTAL INCOME 900099 17245 17245 128364 55985008 45005415 0 643742 1132855 61113 1071742 29079933 23686673 5393260 1217614 989226 228388 4756552 3804555 951997 1983124 1569894 413230 245273 245273 135590 135590 1314728 372955 941773 8012 8012 755643 477778 277865 2208682 1586070 622612 190847 22362 168485 777009 267944 509065 1485828 1194476 291352 353381 256318 97063 MEDICAL SUPPLIES AND SE 2462543 2462543 0 DATA PROCESSING 1395451 1395451 0 BAD DEBT 1176730 1176730 0 LICENSES & FEES 1065107 1065107 0 1275084 322833 952251 53019986 40712028 12307958 0 6059600 8678589 2069066 180737 6809411 6025045 10299913 10173210 266999 307174 40357776 11640988 26575280 28716788 3690607 5760740 3498365 3498365 1844513 362157 61113754 63702805 3581115 3685452 10433778 10083840 7443676 7259717 486543 221315 21945112 21250324 X 39153642 42252406 15000 200075 39168642 42452481 61113754 63702805 X 2965022 67243 251574 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1971176 1971176 31140257 6503610 24636647 7130079 5043894 2086185 116264 93484 22780 28716788 INVESTMENTS IN AFFILIATES 3498365 F 3498365 DEFERRED LEASE PAYABLE 235613 ACCUMULATED UNREALIZED GAIN ON INTEREST RATE SWAP CONTRACT -14298 221315 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, 2017. GOLF TOURNAMENT 94535 94535 3530 16680 15901 9996 94535 94535 3530 16680 15901 9996 46107 48428 X X 0 0 0 0 0 0 0 0 0 MERRILL R THOMAS CEO 392104 0 0 0 0 0 11490 0 11020 0 414614 0 0 0 ANDREW D SAAL VP AND CMO 287089 0 0 0 0 0 2450 0 16024 0 305563 0 0 0 CHRIS CAMILLO COO 160031 0 0 0 0 0 8442 0 15428 0 183901 0 0 0 GREGORY YOUNG CFO 207522 0 0 0 0 0 10235 0 11020 0 228777 0 0 0 DILEK CERMIK MD OB/GYN 517999 0 0 0 0 0 5802 0 16024 0 539825 0 0 0 EMILY WHITE MD OB/GYN 399101 0 0 0 0 0 6050 0 5510 0 410661 0 0 0 ALTUG KOYMEN MD OB/GYN 362989 0 0 0 0 0 8865 0 11527 0 383381 0 0 0 ANNE MURRAY MD OB/GYN 266045 0 0 0 0 0 9332 0 11020 0 286397 0 0 0 JESSICA SALAK MD OB/GYN 258676 0 0 0 0 0 8911 0 5510 0 273097 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 15576543 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 987522 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 GAIN ON CARRYING VALUE OF INTEREST RATE SWAP 251,574. 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 -7710 266716 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