2024-11-06T10:31:01-06:00 2023-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2023-01-01 510183476 Blackstone Valley Community Health Care Inc BLAC 4017290080 39 East Avenue Pawtucket RI 02860 Craig McAnaugh Chief Financial Officer 4017290080 2024-11-05 1 1 Melissa Magoon CPA P01712842 6036697337 2024-11-05 2023 2024-10-15 13:58:12Z Craig McAnaugh 39 East Avenue Pawtucket RI 02860 31444059 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 10 287 52 0 0 9294665 7649198 22334011 23182877 94 428071 103442 40423 31732212 31300569 0 0 0 0 18787637 19049431 0 0 0 10457402 11361563 29245039 30410994 2487173 889575 29038364 29546081 7220342 6838484 21818022 22707597 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 26642594 23223300 Operated a community healthcare center which served approximately 87,733 encounters during the year ended December 31, 2023. 26642594 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 30 0 1 287 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 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 Raul Figueroa Vice Chair 0.05 0.00 X X 0 0 0 Norm DeGuilio Treasurer 0.05 0.01 X 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 Alba 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 Angela Pesare Director 0.05 0.00 X 0 0 0 Erica Carson Past Treasurer 0.05 0.00 X X 0 0 0 Raymond Lavoie Past Executive Director 40.00 1.00 X 304877 0 41332 Cristina Pacheco Chief Medical Officer 30.00 0.00 X 98920 0 14998 David Ragosta Chief Financial Officer 40.00 0.00 X 216202 0 13470 Michael Johnson Chief Information Officer 40.00 0.00 X 156898 0 22700 America Foster Assistant Medical Director 40.00 0.00 X 305108 0 48109 McKinzie Eggers Assistant Medical Director 40.00 0.00 X 253757 0 25099 Morgan Motia Accountable Entity Medical Director 36.00 0.00 X 231424 0 43120 Charlie Imonah Assistant Medical Director 40.00 0.00 X 191119 0 40670 Pedro Ochoa Dental Director 40.00 0.00 X 184319 0 39135 Katelyn Larsson Assistant Medical Director 40.00 0.00 X 162814 0 35062 2105438 0 323695 27 0 1 0 NextGen Healthcare PO Box 809390 Chicago IL 60680 Patient Services 907158 Betty's Cleaning Services 11 Winter Street Cumberland RI 02864 Janitorial Services 281184 Greg Facktor and Associates 316 N Rossmore Avenue Suite 505 Los Angeles CA 900042415 Consultants 262362 Affinity Physicians 455 Toll Gate Road Warwick RI 02886 Patient Services 246400 Pacific Interpreters PO Box 204313 Dallas TX 75320 Interpreter Services 162840 8 7462266 186932 7649198 Patient Services 621400 20298570 20298570 340B Pharmacy 621400 2288711 2288711 Contract Revenue 621400 564246 564246 Miscellaneous Income 621400 31350 31350 23182877 428071 428071 183913 143490 40423 40423 40423 31300569 23223300 0 428071 X 1222509 1222509 13746441 12619652 1126789 559198 525943 33255 2312567 2037736 274831 1208716 1028677 180039 37242 37242 3338964 2946568 392396 29520 25123 4397 281786 239815 41971 1310053 1234007 76046 134829 114746 20083 231624 197123 34501 1270707 1081435 189272 239305 203660 35645 Program Supplies 3570008 3570008 Miscellaneous 488643 415859 72784 Repairs & Maintenance 330123 280951 49172 Dues & Subscriptions 98759 84049 14710 30410994 26642594 3768400 0 X 10962566 15804704 58771 10089 949158 566077 5446318 2706245 330014 441858 148003 157366 27658924 19209380 9440776 8449544 29462 27160 1673296 1383038 29038364 29546081 2041549 1927425 66078 48354 4948772 4777603 163943 85102 7220342 6838484 X 21378769 22656164 439253 51433 21818022 22707597 29038364 29546081 889575 0 X X 0 1 X 1 1 1 X 4948144 9931595 6411190 9294665 7649198 38234792 4948144 9931595 6411190 9294665 7649198 38234792 38234792 139629 171769 189064 103536 468494 1072492 39307284 105001838 0.97270 0.98230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1750783 1750783 16310180 10283736 6026444 9566755 8925644 641111 31206 31206 8449544 Operating Lease Liability 27032 Finance Lease Liabilities 58070 85102 X 31444059 143490 143490 31300569 0 31300569 30554484 143490 143490 30410994 0 30410994 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 143,490. Part XII, Line 2d - Other Adjustments: Rental Expense Offset Against Rental Income 143,490. X X X 1 1 0 0 0 0 0 0 0 America Foster Assistant Medical Director 304694 0 0 0 414 0 18802 0 29307 0 353217 0 0 0 Raymond Lavoie Past Executive Director 199183 0 0 0 105694 0 13529 0 27803 0 346209 0 39924 0 McKinzie Eggers Assistant Medical Director 253613 0 0 0 144 0 12953 0 12146 0 278856 0 0 0 Morgan Motia Accountable Entity Medical Director 231262 0 0 0 162 0 14006 0 29114 0 274544 0 0 0 Charlie Imonah Assistant Medical Director 190990 0 0 0 129 0 11912 0 28758 0 231789 0 0 0 David Ragosta Chief Financial Officer 215428 0 0 0 774 0 11631 0 1839 0 229672 0 0 0 Pedro Ochoa Dental Director 184175 0 0 0 144 0 11408 0 27727 0 223454 0 0 0 Katelyn Larsson Assistant Medical Director 162721 0 0 0 93 0 9720 0 25342 0 197876 0 0 0 Michael Johnson Chief Information Officer 156785 0 0 0 113 0 9439 0 13261 0 179598 0 0 0 Part I, Lines 4a-b Raymond Lavoie, Past Executive Director, received a severance payment of $39,924 from the organization during 2023. Raymond Lavoie, Past Executive Director, participated in a 457f plan. A RI Health and Educational Building Corp 521300173 2018-02-15 5747759 To refinance 2011 bond 0 0 0 A 890842 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 A, line 3 Facktor Consulting was used to fill the Executive Director role while searching for a new Executive Director. 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 ensures 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 2,946,568. Management and general expenses 392,396. Fundraising expenses 0. Total expenses 3,338,964. 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 1220854 FMV BVCHC Support Corporation K 942996 FMV