2017-05-10T12:44:56-05:00 2016-06-30 042571780 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBOROUGH MA 01581 990 2015-07-01 050378071 WOOD RIVER HEALTH SERVICES INC WOOD 4015392461 823 MAIN STREET HOPE VALLEY RI 028321920 MICHAEL LICHTENSTEIN PRESIDENT & CEO 4015392461 2017-05-05 1 MATTHEW HUTT CPA P01070603 5083669100 2017-05-04 2015 2021-01-29 14:40:06Z MICHAEL LICHTENSTEIN 823 MAIN STREET HOPE VALLEY RI 028321920 6617463 0 X WWW.WOODRIVERHEALTHSERVICES.ORG X 1978 RI TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY ASSURING ACCESS TO AFFORDABLE HIGH QUALITY HEALTHCARE, COORDINATED SERVICES, AND HEALTH RELATED INFORMATION. 12 12 72 14 0 0 1721756 2374390 3915969 4210766 1901 2571 31393 29736 5671019 6617463 0 0 0 0 3534005 3800791 0 0 0 1489282 1978325 5023287 5779116 647732 838347 2898367 3992925 710607 966818 2187760 3026107 TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY ASSURING ACCESS TO AFFORDABLE HIGH QUALITY HEALTHCARE, COORDINATED SERVICES, AND HEALTH RELATED INFORMATION. 0 0 4451590 4210766 PRIMARY MEDICAL - WOOD RIVER HEALTH SERVICES, INC. PROVIDES A FULL RANGE OF MEDICAL SERVICES TO THE COMMUNITY. THESE SERVICES INCLUDE PRIMARY AND URGENT CARE, INCLUDING ROUTINE PHYSICAL EXAMS, SHORT-TERM AND LONG-TERM ILLNESSES, IMMUNIZATIONS, CHRONIC DISEASE MANAGEMENT AND BEHAVIORAL HEALTH SERVICES. DISCIPLINES REPRESENTED ARE INTERNAL MEDICINE, AND FAMILY PRACTICE. PRIMARY DENTAL SERVICES INCLUDE PREVENTATIVE, RESTORATIVE AND URGENT CARE SERVICES.ADDITIONAL SERVICES TO THE COMMUNITY INCLUDE CARE MANAGEMENT AND COMMUNITY OUTREACH SERVICES. 4451590 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 21 0 1 72 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 RI X X MICHAEL LICHTENSTEIN 4013879648 823 MAIN STREET HOPE VALLEY RI 028321920 DANIEL MAKIN CHAIR 2.00 X X 0 0 0 ROBIN DEVIN VICE CHAIR 2.00 X X 0 0 0 FRANCIS HOPKINS TREASURER 2.00 X X 0 0 0 TRICIA BARBER SECRETARY 2.00 X X 0 0 0 JANNELL BRUNO BOARD MEMBER 1.00 X 0 0 0 GREGORY KENNEY BOARD MEMBER 1.00 X 0 0 0 JOHN PAYNE BOARD MEMBER 1.00 X 0 0 0 ERIC SORENSEN BOARD MEMBER 1.00 X 0 0 0 JONATHAN URE BOARD MEMBER 1.00 X 0 0 0 LISA NELSON BOARD MEMBER 1.00 X 0 0 0 REGAN PENNYPACKER BOARD MEMBER 1.00 X 0 0 0 SANDRA ARNOLD BOARD MEMBER 1.00 X 0 0 0 MICHAEL LICHTENSTEIN PRESIDENT & CEO 40.00 X 134387 0 9165 LYNDA GREENE DIRECTOR OF QUALITY IMPROV 40.00 X 80721 0 138 L EILEEN GELZHISER DIRECTOR OF FINANCE AND IN 40.00 X 74308 0 9161 CHRISTOPHER CAMPAGNARI MEDICAL DIRECTOR 40.00 X 195890 0 985 JOHN BERGERON INTERNAL MEDICINE 40.00 X 183689 0 1268 LISA MENARD MANLOVE FAMILY PHYSICIAN 36.00 X 133286 0 4232 TIFFANIE WALDECK LEAD DENTIST 40.00 X 115697 0 6090 ROBERTA BOATRIGHT STAFF DENTIST 40.00 X 112558 0 3711 1030536 0 34750 6 0 1 0 AZ CORPORATION 46 NORWICH WESTERLY ROAD NORTH STONINGTON CT 06359 RENOVATION 417228 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 EHR SYSTEM 242998 2 74000 1804657 495733 201455 2374390 NET PATIENT SERVICE RE 624100 4210766 4210766 4210766 2571 2571 13104 0 13104 13104 13104 MISCELLANEOUS 900099 16632 16632 16632 6617463 4210766 0 32307 697230 479599 217631 2629649 2168193 461456 207640 175586 32054 266272 221006 45266 8542 8542 37517 37517 314168 127608 186560 779 779 249806 157329 92477 120219 90024 30195 37217 17627 19590 11483 11483 233954 204717 29237 15186 15186 SUPPLIES 365345 332978 32367 BAD DEBT 217801 217801 CONTRACT FEES AND SERVI 184547 184547 EQUIPMENT 104047 13008 91039 77714 61567 16147 5779116 4451590 1327526 0 472366 1277004 710413 789418 25217 171524 543585 350459 55284 36870 3961036 2593386 1071924 1367650 19578 0 2898367 3992925 558944 966818 151663 0 710607 966818 X 2021576 2920040 166184 106067 2187760 3026107 2898367 3992925 838347 0 X X 0 1 X 1 1 1 X 2039870 1623563 1554545 1721756 2374390 9314124 2039870 1623563 1554545 1721756 2374390 9314124 9314124 13467 14966 13170 14623 15675 71901 2092 9252 4214 18671 16632 50861 9436886 17372628 0.98700 0.98780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 64119 64119 2214932 1411481 803451 1339370 1114822 224548 342615 67083 275532 1367650 X 6628212 10749 10749 6617463 0 6617463 5789865 10749 10749 5779116 0 5779116 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 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 IN THE FINANCIAL STATEMENTS AT JUNE 30, 2016. X X X 0 0 0 0 0 0 0 0 0 CHRISTOPHER CAMPAGNARI MEDICAL DIRECTOR 195890 0 0 0 0 0 0 0 985 0 196875 0 0 0 JOHN BERGERON INTERNAL MEDICINE 183689 0 0 0 0 0 0 0 1268 0 184957 0 0 0 X 46 201455 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT WORKS WITH THE HEALTH CENTER'S EXTERNAL AUDITORS TO PREPARE THE FINANCIAL INFORMATION AND COMPILE THE DISCLOSURES REQUIRED FOR THE FORM 990. UPON ITS COMPLETION, THE FINANCE COMMITTEE AND BOARD OF DIRECTORS REVIEW THE FORM 990 PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST SIGN OFF AT THE BOARD MEETING AND DISCLOSE ANY CONFLICTS OF INTEREST OR RELATED PARTY TRANSACTIONS. ANY KEY EMPLOYEES THAT ARE INVOLVED IN RELATED PARTY TRANSACTIONS WILL BE DISCUSSED AND VOTED ON BY THE BOARD TO AUTHORIZE OR APPROVE A SIGNIFICANT RELATED PARTY TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 GUIDESTAR'S ONLINE NONPROFIT SEARCH SITE WAS USED TO COLLECT, REVIEW, AND COMPARE SALARY INFORMATION ON LOCAL COMMUNITY HEALTH CENTER PERSONNEL RELATED TO EXECUTIVE AND CLINICAL POSITIONS. THIS DATA IS OBTAINED THROUGH A REVIEW OF THE IRS FORM 990. SALARY SURVEY RESULTS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER HEALTH CENTER SALARY & BENEFITS REPORTS ARE ALSO UTILIZED FOR THIS REVIEW. OTHER INDUSTRY SPECIFIC DATA SOURCES ARE UTILIZED TO DETERMINE APPROPRIATE COMPENSATION. THE CHAIR OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR FACILITATING THE REVIEW AND RECOMMENDATIONS FOR THE PRESIDENT AND CEO'S COMPENSATION. THE BOARD OF DIRECTORS MAKES THE FINAL DETERMINATION. CLINICAL AND OTHER STAFF SALARIES ARE SET WITHIN THE COMPETITIVE RANGES AND INCLUDED IN THE ANNUAL BUDGETING PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE HEALTH CENTER'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. THE HEALTH CENTER'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE OVERSIGHT PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.