Form 990 for tax year 2022
Filed by NORTHWEST COMMUNITY HEALTH CARE.
Totals
- Total revenue
- $29,626,103
- Total expenses
- $27,017,045
- Contributions and grants received
- $6,899,788
- Grants paid
- $0
- Program service revenue
- $22,441,503
- Investment income
- $289,985
- Other revenue
- -$5,173
- Total assets, end of year
- $22,684,612
- Total liabilities, end of year
- $4,615,465
- Net assets or fund balances, end of year
- $18,069,147
- Program services expenses (Part IX)
- $23,186,508
- Management and general expenses
- $3,830,537
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $23,186,508
Program services were 85.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1a · Federated campaigns
$0
-
1b · Membership dues
$0
-
1c · Fundraising events
$0
-
1d · Related organizations
$0
-
1e · Government grants (contributions)
$6,431,574
-
1f · All other contributions, gifts and grants
$468,214
-
1g · Noncash contributions included above
$0
-
2a · Program service revenue: FQHC Services (excluding behavioral health)
total $21,125,762 · related or exempt $21,125,762 · unrelated business $0 · excluded $0
-
2b · Program service revenue: Behavioral health services
total $1,315,741 · related or exempt $1,315,741 · unrelated business $0 · excluded $0
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $289,985 · related or exempt $0 · unrelated business $0 · excluded $289,985
-
4 · Income from investment of tax-exempt bond proceeds
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
5 · Royalties
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
6a · Gross rents
real property $44,030 · personal property $0
-
6b · Less rental expenses
real property $49,203 · personal property $0
-
6c · Rental income or loss
real property -$5,173 · personal property $0
-
6d · Net rental income or loss
total -$5,173 · related or exempt $0 · unrelated business $0 · excluded -$5,173
-
7c · Gain or loss
securities $0 · other assets $0
-
8a · Fundraising events: contributions included on line 1c
$0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0 · program services $0
-
2 · Grants to domestic individuals
total $0 · program services $0
-
3 · Grants to foreign organizations and individuals
total $0 · program services $0
-
4 · Benefits paid to or for members
total $0 · program services $0
-
5 · Compensation of officers, directors and key employees
total $949,415 · program services $261,624 · management and general $687,791 · fundraising $0
-
6 · Compensation of disqualified persons
total $0 · program services $0 · management and general $0 · fundraising $0
-
7 · Other salaries and wages
total $11,921,757 · program services $10,202,085 · management and general $1,719,672 · fundraising $0
-
8 · Pension plan contributions
total $396,704 · program services $317,232 · management and general $79,472 · fundraising $0
-
9 · Other employee benefits
total $1,446,312 · program services $1,105,381 · management and general $340,931 · fundraising $0
-
10 · Payroll taxes
total $916,673 · program services $745,216 · management and general $171,457 · fundraising $0
-
11a · Fees: management
total $0 · program services $0 · management and general $0 · fundraising $0
-
11b · Fees: legal
total $5,148 · program services $3,288 · management and general $1,860 · fundraising $0
-
11c · Fees: accounting
total $82,750 · program services $0 · management and general $82,750 · fundraising $0
-
11d · Fees: lobbying
total $0 · program services $0 · management and general $0 · fundraising $0
-
11e · Fees: professional fundraising services
total $0 · fundraising $0
-
11f · Fees: investment management
total $0 · program services $0 · management and general $0 · fundraising $0
-
11g · Fees: other
total $4,675,249 · program services $4,570,250 · management and general $104,999 · fundraising $0
-
12 · Advertising and promotion
total $112,667 · program services $106,234 · management and general $6,433 · fundraising $0
-
13 · Office expenses
total $436,027 · program services $316,763 · management and general $119,264 · fundraising $0
-
14 · Information technology
total $424,403 · program services $221,160 · management and general $203,243 · fundraising $0
-
15 · Royalties
total $0 · program services $0 · management and general $0 · fundraising $0
-
16 · Occupancy
total $696,715 · program services $608,298 · management and general $88,417 · fundraising $0
-
17 · Travel
total $0 · program services $0 · management and general $0 · fundraising $0
-
18 · Travel or entertainment for public officials
total $0 · program services $0 · management and general $0 · fundraising $0
-
19 · Conferences, conventions and meetings
total $13,435 · program services $13,030 · management and general $405 · fundraising $0
-
20 · Interest
total $96,072 · program services $88,843 · management and general $7,229 · fundraising $0
-
21 · Payments to affiliates
total $0 · program services $0 · management and general $0 · fundraising $0
-
22 · Depreciation, depletion and amortization
total $760,688 · program services $644,425 · management and general $116,263 · fundraising $0
-
23 · Insurance
total $116,597 · program services $81,621 · management and general $34,976 · fundraising $0
-
24a · Other expenses: Dues and licensure
total $38,477 · program services $29,387 · management and general $9,090 · fundraising $0
-
24b · Other expenses: Telecommunications
total $144,919 · program services $125,943 · management and general $18,976 · fundraising $0
-
24c · Other expenses: Bad debts
total $37,309 · program services $0 · management and general $37,309 · fundraising $0
-
24d · Other expenses: Medical supplies, labs & prescription drugs
total $3,745,728 · program services $3,745,728 · management and general $0 · fundraising $0
-
24e · All other expenses
total $0 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,852,148 · end of year $1,464,392
-
2 · Savings and temporary cash investments
beginning of year $5,843,625 · end of year $9,244,045
-
3 · Pledges and grants receivable
beginning of year $662,723 · end of year $305,933
-
4 · Accounts receivable
beginning of year $869,667 · end of year $406,689
-
5 · Loans and receivables from officers and key people
beginning of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0
-
7 · Other notes and loans receivable
beginning of year $0
-
8 · Inventories for sale or use
beginning of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $409,370 · end of year $265,947
-
10a · Land, buildings and equipment: cost or other basis
$15,326,022
-
10b · Land, buildings and equipment: accumulated depreciation
$7,274,054
-
10c · Land, buildings and equipment, net
beginning of year $8,415,307 · end of year $8,051,968
-
11 · Investments: publicly traded securities
beginning of year $2,173,928 · end of year $2,381,392
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $0
-
14 · Intangible assets
beginning of year $0
-
15 · Other assets
beginning of year $0 · end of year $564,246
-
17 · Accounts payable and accrued expenses
beginning of year $2,075,867 · end of year $2,097,940
-
18 · Grants payable
beginning of year $0
-
19 · Deferred revenue
beginning of year $0
-
20 · Tax-exempt bond liabilities
beginning of year $0
-
21 · Escrow or custodial account liability
beginning of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0
-
23 · Secured mortgages and notes payable
beginning of year $2,690,812 · end of year $1,946,275
-
24 · Unsecured notes and loans payable
beginning of year $0
-
25 · Other liabilities
beginning of year $0 · end of year $571,250
-
27 · Net assets without donor restrictions
beginning of year $14,635,629 · end of year $16,841,191
-
28 · Net assets with donor restrictions
beginning of year $824,460 · end of year $1,227,956
Mission and programs · 2022
Mission
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.
Activities or mission (Part I)
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.
-
The organization provided primary medical and other patient support services to more than 11,000 individuals regardless of ability to pay.
Expenses $8,950,867 · Revenue $9,243,054
-
The organization provided dental services to more than 6,000 individuals regardless of ability to pay.
Expenses $4,650,742 · Revenue $3,472,759
-
The organization provided behavioral health services to approximately 1,300 individuals regardless of ability to pay.
Expenses $2,350,727 · Revenue $1,864,929
-
The organization dispensed approximately 99,000 prescriptions through a 340(B) pharmacy program for the benefit of the organization's 16,000 patients.
Expenses $7,234,172 · Revenue $10,526,731
As filed on the 2022 return.
Listed in Part VII
-
Peter Bancroft
President and CEO
- Total calculated
- $311,867
- From this org
- $266,122
- From related orgs
- $0
- Other
- $45,745
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $224,495
- Bonus
- $15,750
- Other
- $25,877
- Deferred
- $12,378
- Nontaxable benefits
- $35,912
- Filer's total
- $314,412
-
Andrea Marcotte
Vice President and Chief Medical Officer
- Total calculated
- $275,735
- From this org
- $253,632
- From related orgs
- $0
- Other
- $22,103
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $238,973
- Bonus
- $14,659
- Other
- $0
- Deferred
- $10,250
- Nontaxable benefits
- $12,745
- Filer's total
- $276,627
-
Ryan Heney
Physician and Medical Director
- Total calculated
- $260,922
- From this org
- $250,672
- From related orgs
- $0
- Other
- $10,250
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $235,185
- Bonus
- $13,095
- Other
- $2,392
- Deferred
- $10,250
- Nontaxable benefits
- $892
- Filer's total
- $261,814
-
Mary Giovetti
Physician
- Total calculated
- $258,733
- From this org
- $214,294
- From related orgs
- $0
- Other
- $44,439
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $208,094
- Bonus
- $6,200
- Other
- $0
- Deferred
- $11,071
- Nontaxable benefits
- $34,188
- Filer's total
- $259,553
-
Dayna O'Rourke
Psychiatric and Family Nurse Practitioner
- Total calculated
- $245,058
- From this org
- $201,011
- From related orgs
- $0
- Other
- $44,047
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $197,811
- Bonus
- $3,200
- Other
- $0
- Deferred
- $10,679
- Nontaxable benefits
- $34,259
- Filer's total
- $245,949
-
Diane Hopper
Vice President & Chief Financial Officer
- Total calculated
- $239,502
- From this org
- $195,944
- From related orgs
- $0
- Other
- $43,558
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $181,188
- Bonus
- $11,021
- Other
- $3,735
- Deferred
- $10,191
- Nontaxable benefits
- $34,259
- Filer's total
- $240,394
-
Leonard Mannarelli
Physician
- Total calculated
- $228,647
- From this org
- $205,718
- From related orgs
- $0
- Other
- $22,929
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $199,206
- Bonus
- $6,200
- Other
- $312
- Deferred
- $10,414
- Nontaxable benefits
- $13,407
- Filer's total
- $229,539
-
Deirdre Norton
Vice President
- Total calculated
- $208,061
- From this org
- $187,919
- From related orgs
- $0
- Other
- $20,142
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $177,871
- Bonus
- $10,048
- Other
- $0
- Deferred
- $9,289
- Nontaxable benefits
- $11,745
- Filer's total
- $208,953
-
Maryam Rayani
Dentist and Dental Director
- Total calculated
- $196,291
- From this org
- $184,870
- From related orgs
- $0
- Other
- $11,421
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $176,807
- Bonus
- $5,671
- Other
- $2,392
- Deferred
- $9,341
- Nontaxable benefits
- $2,972
- Filer's total
- $197,183
-
David DeJesus
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Margaret Dudley
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
David Ferrara
Director and Secretary
- Total calculated
- $0
- Hours/week
- 0.5
-
Joan Hilton
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Sarah Nottage
Director and Treasurer
- Total calculated
- $0
- Hours/week
- 0.5
-
Christine Vallee
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Crystal Leddy
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Gerry Goulet
Director and Chair
- Total calculated
- $0
- Hours/week
- 0.5
-
Dennis Anderson
Director and Vice Chair
- Total calculated
- $0
- Hours/week
- 0.5
-
Darya Kravitz
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Joseph Casey
Director and Assistant Secretary
- Total calculated
- $0
- Hours/week
- 0.5
-
Scott Pollard
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Roberta Lacey
Director
- Total calculated
- $0
- Hours/week
- 0.5
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Form 990 of other organizations
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 23 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202332969349301373
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