2025-10-10T11:48:47-07:00 2025-06-30 990 2024-07-01 050258811 NORTHWEST COMMUNITY HEALTH CARE NORT 4015670800 PO Box 312 Pascoag RI 02859 Peter Bancroft President 4012855119 2025-10-10 1 2024 2025-03-06 01:10:19Z WellOne Primary Medical and Dental Care Peter Bancroft PO Box 312 Pascoag RI 02859 25221489 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 18,000 individuals regardless of ability to pay. 13 13 192 13 0 0 8363663 2866131 21457716 21559564 839675 753767 -1231 -12167 30659823 25167295 0 0 0 0 16437843 16553655 0 0 0 10510722 8619024 26948565 25172679 3711258 -5384 26270105 25974027 4489700 4199006 21780405 21775021 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 10313588 0 9297274 The organization provided primary medical and other patient support services to approximately 12,800 individuals regardless of ability to pay. 4031717 0 3498370 The organization provided dental services to approximately 6,500 individuals regardless of ability to pay. 1960067 0 1741552 The organization provided behavioral health services to approximately 1,600 individuals regardless of ability to pay. 5075861 0 7347138 The organization dispensed prescription drugs through a 340(B) pharmacy program for the benefit of the organization's more than 18,000 patients regardless of ability to pay. 5075861 0 7347138 21381233 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 1 192 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 284822 0 43712 Andrea Marcotte Vice President and Chief Medical Officer 40 0 X 262289 0 27602 Dayna O'Rourke Psychiatric and Family Nurse Practitioner 40 0 X 207460 0 52702 Mary Giovetti Physician 40 0 X 230409 0 25826 Diane Hopper Vice President & Chief Financial Officer 40 0 X 201441 0 52474 Leonard Mannarelli Physician 40 0 X 220994 0 21697 Deirdre Norton Vice President 40 0 X 192150 0 26157 Garrett Bowen Physician 32 0 X 199976 0 12521 Maryam Rayani Dentist and Dental Director 40 0 X 189721 0 11888 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 Gerry Goulet Director 0.5 0 X 0 0 0 Dennis Anderson Director and Chair 0.5 0 X X 0 0 0 Darya Kravitz Director and Vice Chair 0.5 0 X X 0 0 0 Joseph Casey Director and Assistant Secretary 0.5 0 X X 0 0 0 Crystal Leddy Director 0.5 0 X 0 0 0 Jane Hayward Director 0.5 0 X 0 0 0 Bethany Stockford Director 0.5 0 X 0 0 0 1989262 0 274579 38 0 1 0 CVS Health One CVS Drive Woonsocket RI 02895 Pharmacy Dispensing and Administration of 340(b) program 1279932 Walgreen CO 200 Wilmot Road Deerfield IL 60015 Dispensing fees & pharmacy program administration 117103 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 304717 4 0 0 0 0 2673267 192864 0 2866131 FQHC Services Other Than Behavioral Health 621000 20185703 20185703 0 0 FQHC Behavioral Health Services 621420 1373861 1373861 0 0 0 0 0 0 21559564 753767 0 0 753767 0 0 0 0 0 0 0 0 42027 0 54194 0 -12167 0 -12167 0 0 -12167 0 0 0 0 25167295 21559564 0 741600 0 0 0 0 0 0 0 0 962247 268467 693780 0 0 0 0 0 12816206 11178455 1637751 0 288468 229871 58597 0 1494954 1159821 335133 0 991780 823955 167825 0 0 0 0 0 10100 1220 8880 0 43050 0 43050 0 0 0 0 0 0 0 0 0 0 0 1576525 1523649 52876 0 17707 14637 3070 0 316596 184996 131600 0 370034 204545 165489 0 0 0 0 0 684900 616625 68275 0 0 0 0 0 0 0 0 0 5478 3789 1689 0 59469 59250 219 0 0 0 0 0 751984 645076 106908 0 132361 72595 59766 0 Dues and Licensure 66477 50205 16272 0 Bad Debts 125457 0 125457 0 Med & Dental Supplies, Labs & Drugs 4325148 4325148 0 0 Telecommunications 133738 18929 114809 0 0 0 0 0 25172679 21381233 3791446 0 622224 768506 13986636 13049403 59012 267913 718847 1296144 0 0 0 0 0 0 0 0 278489 487260 15336433 8322149 7676002 7014284 2499274 2799463 0 0 0 0 0 0 429621 291054 26270105 25974027 2442314 2328114 0 0 0 0 0 0 0 0 0 0 1609211 1572273 0 0 438175 298619 4489700 4199006 X 21445225 21585673 335180 189348 21780405 21775021 26270105 25974027 -5384 0 0 0 0 0 X 0 1 X 1 1 1 X 5059210 4237583 6899788 3363663 2866131 22426375 0 0 0 0 0 0 0 0 0 0 0 0 5059210 4237583 6899788 3363663 2866131 22426375 0 22426375 382895 -350963 289985 839675 753767 1915359 0 0 0 0 0 0 -83757 -8949 -5173 -1231 -12167 -111277 24230457 107958446 0.92554 0.95326 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 9844247 0 9844247 0 1513112 0 1513112 0 3311086 0 3311086 0 0 8322149 -8322149 7014284 0 Operating Lease Liabilities 298619 298619 X 25268936 0 0 0 101641 101641 25167295 0 0 0 25167295 25226872 0 0 0 54193 54193 25172679 0 0 0 25172679 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, 2025. Schedule D, Part XI, Line 2d Rental Income on Form 990 is reduced by Rental Expense of $54,193. 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 XII, Line 2d Rental Expense of $54,193 is netted against Rental Income on Form 990. Rental expense is included in total expenses on the audited financial statements. X X X X 1 0 0 0 0 0 0 1 0 Peter Bancroft President and CEO 242374 0 16800 0 25648 0 13436 0 32820 0 331078 0 0 0 Andrea Marcotte Vice President and Chief Medical Officer 262289 0 0 0 0 0 13222 0 15272 0 290783 0 0 0 Mary Giovetti Physician 230409 0 0 0 0 0 11609 0 15038 0 257056 0 0 0 Leonard Mannarelli Physician 151696 0 0 0 69298 0 7194 0 15023 0 243211 0 0 0 Dayna O'Rourke Psychiatric and Family Nurse Practitioner 205460 0 2000 0 0 0 10977 0 42617 0 261054 0 0 0 Diane Hopper Vice President & Chief Financial Officer 201441 0 0 0 0 0 10749 0 42546 0 254736 0 0 0 Garrett Bowen Physician 199976 0 0 0 0 0 0 0 12744 0 212720 0 0 0 Deirdre Norton Vice President 192150 0 0 0 0 0 9801 0 17248 0 219199 0 0 0 Maryam Rayani Dentist and Dental Director 184071 0 3464 0 2186 0 9588 0 3192 0 202501 0 0 0 Schedule J, Part I, Line 4 Leonard Mannarelli received a severance payment of $69,096. 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.