2024-10-28T12:27:38-07:00 2024-06-30 990 2023-07-01 050258811 NORTHWEST COMMUNITY HEALTH CARE NORT 4015670800 PO Box 312 Pascoag RI 02859 Peter Bancroft President 4012855119 2024-10-28 1 2023 2024-10-15 13:58:12Z WellOne Primary Medical and Dental Care Peter Bancroft PO Box 312 Pascoag RI 02859 30705452 0 X www.welloneri.org X 1929 RI The organization is a federally qualified health center that provides primary medical, dental, behavioral health, pharmacy and related patient support services to more than 16,000 individuals regardless of ability to pay. 13 13 194 15 0 0 6899788 8363663 22441503 21457716 289985 839675 -5173 -1231 29626103 30659823 0 0 0 0 15630861 16437843 0 0 0 11386184 10510722 27017045 26948565 2609058 3711258 22684612 26270105 4615465 4489700 18069147 21780405 The mission of the organization is to provide primary medical, dental, behavioral health, pharmacy and related support services to the residents of the Rhode Island communities that it serves regardless of ability to pay. The emphasis is to promote the highest health status for the individual and family as well as for the community. 0 0 9465123 0 7922860 The organization provided primary medical and other patient support services to more than 11,000 individuals regardless of ability to pay. 4344617 0 2966743 The organization provided dental services to more than 6,000 individuals regardless of ability to pay. 2350382 0 1800760 The organization provided behavioral health services to approximately 1,300 individuals regardless of ability to pay. 6797862 0 10055779 The organization dispensed prescription drugs through a 340(B) pharmacy program for the benefit of the organization's 16,000 patients regardless of ability to pay. 6797862 0 10055779 22957984 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 194 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 RI X Diane Hopper 4012855137 PO Box 312 Pascoag RI 02859 Peter Bancroft President and CEO 40 0 X 273922 0 39850 Andrea Marcotte Vice President and Chief Medical Officer 40 0 X 258006 0 22624 Dayna O'Rourke Psychiatric and Family Nurse Practitioner 40 0 X 210898 0 44390 Mary Giovetti Physician 40 0 X 226677 0 27411 Diane Hopper Vice President & Chief Financial Officer 40 0 X 203239 0 44113 Leonard Mannarelli Physician 40 0 X 208930 0 22032 Deirdre Norton Vice President 40 0 X 191533 0 20062 Maryam Rayani Dentist and Dental Director 40 0 X 188673 0 9786 Ryan Heney Physician and Medical Director 20 0 X 181442 0 6844 David DeJesus Director 0.5 0 X 0 0 0 Margaret Dudley Director 0.5 0 X 0 0 0 David Ferrara Director and Secretary 0.5 0 X X 0 0 0 Joan Hilton Director 0.5 0 X 0 0 0 Sarah Nottage Director and Treasurer 0.5 0 X X 0 0 0 Christine Vallee Director 0.5 0 X 0 0 0 Crystal Leddy Director 0.5 0 X 0 0 0 Gerry Goulet Director and Chair 0.5 0 X X 0 0 0 Dennis Anderson Director and Vice Chair 0.5 0 X X 0 0 0 Darya Kravitz Director 0.5 0 X 0 0 0 Joseph Casey Director and Assistant Secretary 0.5 0 X X 0 0 0 Roberta Lacey Director 0.5 0 X 0 0 0 Suzanne Esten Director 0.5 0 X 0 0 0 1943320 0 237112 31 0 1 0 CVS Health One CVS Drive Woonsocket RI 02895 Pharmacy Dispensing and Administration of 340(b) program 3725894 Walgreen CO 200 Wilmot Road Deerfield IL 60015 Dispensing fees & pharmacy program administration 130021 Tom Rapoza 328 Church Street Pascoag RI 02859 Housekeeping and Maintenance 125584 NextGen Healthcare Inc 18111 Von Karman Ave Suite 600 Irvine CA 92612 Information Technology 285410 4 0 0 0 0 3340918 5022745 0 8363663 FQHC Services (excluding behavioral health) 621000 20178636 20178636 0 0 Behavioral Health Services 621420 1279080 1279080 0 0 0 0 0 0 21457716 839675 0 0 839675 0 0 0 0 0 0 0 0 44398 0 45629 0 -1231 0 -1231 0 0 -1231 0 0 0 0 30659823 21457716 0 838444 X 0 0 0 0 0 0 0 0 966226 264641 701585 0 0 0 0 0 12565783 10784845 1780938 0 334999 263585 71414 0 1599089 1251447 347642 0 971746 793474 178272 0 0 0 0 0 5747 5397 350 0 41900 0 41900 0 0 0 0 0 0 0 0 0 0 0 4117805 4064693 53112 0 39345 34794 4551 0 417819 273918 143901 0 377915 193114 184801 0 0 0 0 0 738363 630198 108165 0 0 0 0 0 0 0 0 0 11752 11095 657 0 76813 65882 10931 0 0 0 0 0 791927 667316 124611 0 127617 70184 57433 0 Dues and Licensure 51428 37618 13810 0 Bad Debts 54000 0 54000 0 Telecommunications 126768 14260 112508 0 Medical Supplies, Labs & Prescription Drugs 3531523 3531523 0 0 0 0 26948565 22957984 3990581 0 1464392 622224 9244045 13986636 305933 59012 406689 718847 0 0 0 0 265947 278489 15588080 7912078 8051968 7676002 2381392 2499274 0 0 0 564246 429621 22684612 26270105 2097940 2442314 0 0 0 0 0 1946275 1609211 0 571250 438175 4615465 4489700 X 16841191 21445225 1227956 335180 18069147 21780405 22684612 26270105 3711258 0 0 0 0 0 X 0 1 X 1 1 1 X 3938687 5059210 4237583 6899788 3363663 23498931 0 0 0 0 0 0 3938687 5059210 4237583 6899788 3363663 23498931 0 23498931 148915 382895 -350963 289985 839675 1310507 0 0 0 0 0 0 -59248 -83757 -8949 -5173 -1231 -158358 24651080 101560702 0.95326 0.98338 X Schedule A, Part II, Line 10 Amounts on this line include net operating results from rental of real estate (diagnostic laboratory, martial arts center, medical specialty clinics) not occupied by the organization but rented or sublicensed to parties that advance the organization's mission of promoting the highest health status for the community. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 667988 667988 0 9745147 0 9745147 0 1513112 0 1513112 0 3661833 0 3661833 0 0 7912078 -7912078 7676002 0 Operating Lease Liabilities 438175 438175 X 26269244 0 0 0 609421 609421 25659823 0 5000000 5000000 30659823 26994194 0 0 0 45629 45629 26948565 0 0 0 26948565 Schedule D, Part X, Line 2 The Organization has determined that there are no uncertain tax positions which qualify for either recognition or disclosure in the financial statements at June 30, 2024. Schedule D, Part XI, Line 2d Rental Income on Form 990 is reduced by Rental Expense of $45,629. Rental income included in Total Revenue, Gains and Other Support in the audited financial statements is reported at the gross amount. Grants are recorded as revenue in the year that the grants are awarded on Form 990. Grants are recorded as revenue in the audited financial statements when such grants are expended for their permissible use and thereby are released from donor restrictions. Schedule D, Part XI, Line 4b Total revenue on Form 990 includes a one-time grant of $5,000,000. This grant is reported below loss from operations in the audited financial statements. Schedule D, Part XII, Line 2d Rental Expense of $45,629 is netted against Rental Income on Form 990. Rental expense is included in total expenses on the audited financial statements. X X X X 0 0 0 0 0 0 0 1 0 Peter Bancroft President and CEO 234408 0 16100 0 23415 0 10479 0 31916 0 316318 0 0 0 Andrea Marcotte Vice President and Chief Medical Officer 255506 0 2500 0 0 0 10323 0 13193 0 281522 0 0 0 Dayna O'Rourke Psychiatric and Family Nurse Practitioner 207898 0 3000 0 0 0 8922 0 36360 0 256180 0 0 0 Mary Giovetti Physician 225677 0 1000 0 0 0 9205 0 19026 0 254908 0 0 0 Diane Hopper Vice President & Chief Financial Officer 200739 0 2500 0 0 0 8646 0 36360 0 248245 0 0 0 Leonard Mannarelli Physician 207618 0 1000 0 312 0 8460 0 14464 0 231854 0 0 0 Deirdre Norton Vice President 189033 0 2500 0 0 0 7671 0 13283 0 212487 0 0 0 Maryam Rayani Dentist and Dental Director 181268 0 5013 0 2392 0 7586 0 3092 0 199351 0 0 0 Ryan Heney Physician and Medical Director 159958 0 20150 0 1334 0 5804 0 1040 0 188286 0 0 0 Schedule J, Part I, Line 7 The organization provides for supplemental compensation in addition to base salary in the form of performance incentive payments. These payments are awarded based on an employee's attainment of various pre-established performance criteria. The awarding of any such payments to the CEO are determined by the Board of Directors. The CEO or other members of the management team determine the performance incentive payments for other employees. Form 990, Part VI, Section B, Line 11b A draft copy of Form 990 is distributed to all board members. The members are given the opportunity to review the document and to receive answers to questions they might have regarding same document before the document is submitted to the IRS. Form 990, Part VI, Section B, Line 12c Board members are required to disclose conflicts of interest annually through the completion of a disclosure form. Members are also required to disclose potential conflicts that may arise during the course of a meeting. If the board makes the determination that a conflict exists, the member in question may be asked to recuse his/herself from any discussion and votes regarding the matter in question. Form 990, Part VI, Section B, Line 15 The compensation and benefits of the CEO are determined by the board of directors on an annual basis. In order to inform this process, board members are provided with a myriad of comparability data from similar organizations including a review of Form 990s of other community health centers in the region and salary and benefit surveys conducted by independent organizations. The CEO establishes the compensation and benefits of other officers and key employees and utilizes the same independent data to inform this process. The compensation and benefits of other officers is shared with the board on an annual basis. The comparability study was last performed in 2023. Form 990, Part VI, Section C, Line 19 No requests were received from the public to review these documents during the year. Form 990, Part IX, Line 11g This line includes 340(b) contract pharmacy dispensing and administrative fees of $3,885,263 and assorted other clinical and nonclinical services of $232,542.