BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC (EIN 51-0183476)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-09-25
IRS object ID: 201242699349300224
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-09-25T13:27:47-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	050456296	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LEFKOWITZ GARFINKEL ET AL PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	TEN WEYBOSSET STREET - SUITE 700	AddressLine1
City	PROVIDENCE	City
State	RI	State
ZIP Code	02903	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	510183476	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BLAC	NameControl
Phone	4017290080	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	42 PARK PLACE	AddressLine1
City	PAWTUCKET	City
State	RI	State
ZIP Code	02860	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RAYMOND J LAVOIE	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	4017290080	Phone
Date Signed	2012-09-18	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LYNN O'MARRA ESQUIRE	Name
PTIN	P00821716	PTIN
Phone	4014214800	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RAYMOND J LAVOIE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	42 PARK PLACE	AddressLine1
City	PAWTUCKET	City
State	RI	State
ZIP Code	02860	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	10766037	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.BLACKSTONECHC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1984	YearFormation
State Legal Domicile	RI	StateLegalDomicile
Activity Or Mission Description	BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC. (THE CENTER) OPERATES HEALTHCARE CENTERS IN CENTRAL FALLS AND PAWTUCKET, RHODE ISLAND. THE CENTER PROVIDES A BROAD RANGE OF HEALTH, DENTAL, AND SOCIAL SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	115	TotalNbrEmployees
Total Nbr Volunteers	45	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3976240	ContributionsGrantsPriorYear
Contributions Grants Current Year	3041644	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	7304477	ProgramServiceRevenuePriorYear
Program Service Revenue CY	7503981	ProgramServiceRevenueCY
Investment Income Prior Year	11000	InvestmentIncomePriorYear
Investment Income Current Year	910	InvestmentIncomeCurrentYear
Other Revenue Prior Year	43357	OtherRevenuePriorYear
Other Revenue Current Year	82701	OtherRevenueCurrentYear
Total Revenue Prior Year	11335074	TotalRevenuePriorYear
Total Revenue Current Year	10629236	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	6515196	SalariesEtcPriorYear
Salaries Etc Current Year	6693113	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	4168459	OtherExpensePriorYear
Other Expenses Current Year	3903950	OtherExpensesCurrentYear
Total Expenses Prior Year	10683655	TotalExpensesPriorYear
Total Expenses Current Year	10597063	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	651419	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	32173	RevenuesLessExpensesCY
Total Assets BOY	9742650	TotalAssetsBOY
Total Assets EOY	12000593	TotalAssetsEOY
Total Liabilities BOY	1167381	TotalLiabilitiesBOY
Total Liabilities EOY	3393151	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	8575269	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	8607442	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC. IS COMMITTED TO PROVIDING HIGH QUALITY, ACCESSIBLE, AFFORDABLE, COMPREHENSIVE HEALTH CARE AVAILABLE FOR THE RESIDENTS OF THE LOWER BLACKSTONE VALLEY. THE CENTER USES A MODEL OF PRIMARY CARE THAT STRESSES PREVENTION, EDUCATION, AND PATIENT EMPOWERMENT.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	8198860	Expense
Revenue	7520751	Revenue
Description	OPERATED A COMMUNITY HEALTHCARE CENTER WHICH SERVED APPROXIMATELY 55,000 ENCOUNTERS DURING THE YEAR ENDED DECEMBER 31, 2011.	Description
Total Program Service Expense	8198860	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	37	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	115	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	RI	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RAYMOND J LAVOIE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4017290080	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	42 PARK PLACE	AddressLine1
City	PAWTUCKET	City
State	RI	State
ZIP Code	02860	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
RONALD WINTER
CHAIRMAN	1.00	X	0	0	0
JOHN LEFRONCOIS
VICE CHAIRMAN	1.00	X	0	0	0
MICHELLE ENOS
TREASURER	1.00	X	0	0	0
JEAN KUGEL
SECRETARY	1.00	X	0	0	0
WARREN BREER
BOARD MEMBER	1.00	X	0	0	0
CARLOS DEBRITO
BOARD MEMBER	1.00	X	0	0	0
WILLIAM MCCUSKER
BOARD MEMBER	1.00	X	0	0	0
ELIZABETH MORAIS
BOARD MEMBER	1.00	X	0	0	0
RAYMOND J LAVOIE
EXECUTIVE DIRECTOR	40.00		170710	0	8223	X
JERALD C FINGERUT
MEDICAL DIRECTOR	40.00		202611	0	17296	X
WILLIAM RUSH
FINANCE DIRECTOR	40.00		95334	0	4229	X
KUNJBALA SHARMA
PHYSICIAN	40.00		154921	0	8188		X
KARLA KIKER
PHYSICIAN	40.00		146080	0	7765		X
HEATHER BUDD
CHIEF OPERATING OFFICER	40.00		129031	0	13122		X
LALITA BHATTACHARYA
DENTAL DIRECTOR	40.00		131059	0	13315		X
AMERICA FOSTER
PHYSICIAN	40.00		124953	0	22914		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1154699	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	95052	TotalOtherCompensation
Number Individuals GT100 K	12	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CASE CONSTRUCTION
225 WAMPANOAG TRAIL	EAST PROVIDENCE	RI	02915	CONSTRUCTION	1412442
NEXTGEN
18111 VON KARMAN AVENUE	IRVINE	CA	92612	EMR SOFTWARE SERVICES	629236
WOMEN'S CARE INC
407 EAST AVENUE SUITE 150	PAWTUCKET	RI	02860	OBSTETRICS	370305
ARCADIA SOLUTIONS
3500 AMERICAN BLVD WEST SUITE 350	BLOOMINGTON	MN	55431	REPORT WRITING & IT CONSULTATION	119453

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	4	NumberOfContractorsGT100K
Government Grants	3022689	GovernmentGrants
All Other Contributions	18955	AllOtherContributions
Total Contributions	3041644	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID	900099	5966615	5966615
SELF-PAY	900099	555553	555553
OTHER THIRD PARTY	900099	536432	536432
MEDICARE	900099	445381	445381

Field	Value	IRS element (for citing)
Total Program Service Revenue	7503981	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	910	TotalRevenueColumn
Exclusion	$910	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	10200	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	10567	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-367	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-367	TotalRevenueColumn
Exclusion	-$367	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	192532	GrossSalesOfInventory
Cost Of Goods Sold	126234	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	66298	TotalRevenueColumn
Exclusion	$66,298	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS INCOME	Description
Business Code	900099	BusinessCode
Total Revenue Column	16770	TotalRevenueColumn
Related Or Exempt Function Income	16770	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	16770	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	10629236	TotalRevenueColumn
Related Or Exempt Function Income	7520751	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$66,841	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	498403	Total
Program Services	219907	ProgramServices
Management And General	278496	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4707973	Total
Program Services	3808852	ProgramServices
Management And General	899121	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	236309	Total
Management And General	236309	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	874565	Total
Program Services	866250	ProgramServices
Management And General	8315	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	375863	Total
Program Services	284200	ProgramServices
Management And General	91663	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1776252	Total
Program Services	1459460	ProgramServices
Management And General	316792	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5698	Total
Management And General	5698	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	321122	Total
Program Services	273220	ProgramServices
Management And General	47902	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	149515	Total
Program Services	114431	ProgramServices
Management And General	35084	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	111397	Total
Program Services	66223	ProgramServices
Management And General	45174	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	784918	Total
Program Services	571482	ProgramServices
Management And General	213436	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	73109	Total
Management And General	73109	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBTS	356602	356602
REPAIRS AND MAINTENANCE	96295	82413	13882
TELEPHONE	87131	38198	48933
DUES AND SUBSCRIPTIONS	47241	9226	38015

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	94670	Total
Program Services	48396	ProgramServices
Management And General	46274	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	10597063	Total
Program Services	8198860	ProgramServices
Management And General	2398203	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2701	BOY
EOY	2896	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2256693	BOY
EOY	1761319	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	310651	BOY
EOY	263487	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	532656	BOY
EOY	924646	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7702	BOY
EOY	8797	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	149048	BOY
EOY	187353	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	11812165	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3155867	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6463207	BOY
EOY	8656298	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	82700	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	19992	BOY
EOY	113097	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	9742650	BOY
EOY	12000593	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1167381	BOY
EOY	2028994	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	1364157	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1167381	BOY
EOY	3393151	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8485269	BOY
EOY	8517442	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	90000	BOY
EOY	90000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	8575269	BOY
EOY	8607442	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9742650	BOY
EOY	12000593	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	32173	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2641278	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3399839	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3195598	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3976240	CurrentTaxYearMinus1Year
Current Tax Year	3041644	CurrentTaxYear
Total	16254599	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2641278	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3399839	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3195598	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3976240	CurrentTaxYearMinus1Year
Current Tax Year	3041644	CurrentTaxYear
Total	16254599	Total

Field	Value	IRS element (for citing)
Public Support Total170	16254599	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	210610	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	29132	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	12167	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	14999	CurrentTaxYearMinus1Year
Current Tax Year	11110	CurrentTaxYear
Total	278018	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	8189	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	84703	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7235	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8468	CurrentTaxYearMinus1Year
Current Tax Year	16770	CurrentTaxYear
Total	125365	Total

Field	Value	IRS element (for citing)
Total Support	16657982	TotalSupport
Public Support Pertcentage170	0.97580	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.93410	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
General Explanation	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	906566	OtherCostOrOtherBasis
Book Value	906566	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4381606	OtherCostOrOtherBasis
Depreciation	1269008	Depreciation
Book Value	3112598	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3372654	OtherCostOrOtherBasis
Depreciation	1880167	Depreciation
Book Value	1492487	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3151339	OtherCostOrOtherBasis
Depreciation	6692	Depreciation
Book Value	3144647	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8656298	TotalOfBookValueLandBuildings
Total Revenue	10629236	TotalRevenue
Total Expenses	10597063	TotalExpenses
Excess Or Deficit For Year	32173	ExcessOrDeficitForYear
Excess Or Deficit Per FS	32173	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	10766037	TotRevenueEtcAuditedFinclStmt
Other Revenues	136801	OtherRevenues
Revenue Not Rptd F990	136801	RevenueNotRptdF990
Revenue Subtotal	10629236	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	10629236	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10733864	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	136801	OtherExpensesIncluded
Expenses Not Rptd F990	136801	ExpensesNotRptdF990
Expenses Subtotal	10597063	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	10597063	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	ExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE OFFSET AGAINST RENTAL INCOME 10,567. COST OF GOODS SOLD INCLUDED IN REVENUE 126,234.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE OFFSET AGAINST RENTAL INCOME 10,567. COST OF GOODS SOLD INCLUDED IN REVENUE 126,234.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RAYMOND J LAVOIE
170710	0	0	0	0	0	6970	0	1253	0	178933	0	0	0
JERALD C FINGERUT
202611	0	0	0	0	0	8925	0	8371	0	219907	0	0	0
KUNJBALA SHARMA
154921	0	0	0	0	0	6935	0	1253	0	163109	0	0	0
KARLA KIKER
146080	0	0	0	0	0	6512	0	1253	0	153845	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	RI HEALTH AND EDUCATIONAL BUILDNG CORPORATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521300173	IssuerEIN
Date Issued	2011-08-02	DateIssued
Issue Price	6450000	IssuePrice
Description Of Purpose	CONSTRUCTION OF NEW MEDICAL BUILDING	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	6450000	TotalProceeds
Issuance Costs From Proceeds	75000	IssuanceCostsFromProceeds
Capital Expenditures	1333261	CapitalExpenditures
Other Spent Proceeds	30896	OtherSpentProceeds
Amount Unspent	5010843	AmountUnspent
Year Of Subst Completion	2012	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K SUPPLENTAL INFORMATION	Identifier
Explanation	OTHER UNSPENT PROCEEDS ARE NOT REFLECTED ON THE ORGANIZATION'S BOOKS AND RECORDS AS THE PROCEEDS ARE NOT UNDER ITS DIRECT CONTROL. AS OF DECEMEBER 31, 2011 ISSUANCE COSTS OF $30,896 HAVE BEEN DISBURSED AND THE BALANCE ALLOCATED TO THESE COSTS IS NOT REFLECTED ON THE ORGANIZATION'S BOOKS AND RECORDS PER THE ABOVE FOR OTHER UNSPENT PROCEEDS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART I, LINE 6:	VOLUNTEERS PLAYED AN INTEGRAL PART IN ALLOWING THE CENTER TO PARTICIPATE IN VARIOUS HEALTH FESTIVALS AND FAIRS THAT PROMOTE HEALTH, WELLNESS, AND SAFETY.
FORM 990, PART VI, SECTION B, LINE 11	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	IF WE BECOME AWARE OF A POTENTIAL CONFLICT OF INTEREST THROUGH SELF DISCLOSURE OR SOME OTHER MANNER, WE WOULD IMMEDIATELY FOLLOW-UP TO DETERMINE IF A CONFLICT TRULY EXISTS. IF A CONFLICT DOES EXIST WE WOULD TAKE APPROPRIATE ACTION THAT MAY INCLUDE TERMINATION, WHERE WARRANTED.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE DIRECTOR'S COMPENSATION IS APPROVED BY THE BOARD CHAIRMAN. TO ASSIST IN DETERMINING THE EXECUTIVE DIRECTOR'S COMPENSATION LEVEL, THE BOARD CHAIR 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 XII, LINE 2C:	THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANTS.