CHARTERCARE COMMUNITY BOARD: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CHARTERCARE COMMUNITY BOARD (EIN 26-4235815)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-17
IRS object ID
201532299349301953
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-17T09:48:44-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line160 South StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264235815EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARTERCARE HEALTH PARTNERSBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% ADOZINDA KANEInCareOfNm
Business Name ControlCHARBusinessNameControlTxt
Phone4014563312PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 CHALKSTONE AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL J RYANPersonNm
Person TitleCCHP DIRECTORPersonTitleTxt
Phone4014563322PhoneNum
Signature2015-08-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer Persondonald f anderson managerPreparerPersonNm
PTINP00237591PTIN
Phone4014563322PhoneNum
Preparation2015-08-13PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH BELCHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 CHALKSTONE AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$21,891,041GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHARTERCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTHE MISSION OF CHARTERCARE HEALTH PARTNERS IS TO PROVIDE HIGH QUALITY, PATIENT-FOCUSED, AND ACCESSIBLE CARE THROUGH COLLABORATION AMONG PARTNERS, MEDICAL STAFF AND EMPLOYEES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee263TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$64,100CYContributionsGrantsAmt
PY Program Service Revenue$22,617,271PYProgramServiceRevenueAmt
CY Program Service Revenue$21,733,128CYProgramServiceRevenueAmt
PY Investment Income$24PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$11,235PYOtherRevenueAmt
CY Other Revenue$93,813CYOtherRevenueAmt
PY Total Revenue$22,628,530PYTotalRevenueAmt
CY Total Revenue$21,891,041CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,051,107PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,153,018CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,701,928PYOtherExpensesAmt
CY Other Expenses$4,709,306CYOtherExpensesAmt
PY Total Expenses$22,753,035PYTotalExpensesAmt
CY Total Expenses$23,862,324CYTotalExpensesAmt
PY Revenues Less Expenses-$124,505PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,971,283CYRevenuesLessExpensesAmt
Total Assets BOY$5,666,068TotalAssetsBOYAmt
Total Assets EOY$10,348,809TotalAssetsEOYAmt
Total Liabilities BOY$5,666,068TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,916,992TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,431,817NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF CHARTERCARE HEALTH PARTNERS IS TO PROVIDE HIGH QUALITY, PATIENT-FOCUSED, AND ACCESSIBLE CARE THROUGH COLLABORATION AMONG PARTNERS, MEDICAL STAFF AND EMPLOYEES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$23,862,324ExpenseAmt
Revenue$21,746,664RevenueAmt
DescCHARTERCARE PROVIDES MANAGEMENT SERVICES TO ROGER WILLIAMS MEDICAL CENTER (RWMC), ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI), ELMHURST EXTENDED CARE FACILITIES, INC. (ELMHURST), ROGER WILLIAMS MEDICAL ASSOCIATES (RWMA) AND OTHER AFFILIATES. RWMC IS A 220 BED ACUTE CARE GENERAL HOSPITAL PROVIDING HEALTHCARE SERVICES IN PROVIDENCE AND SURROUNDING COMMUNITIES. SJHSRI IS A 359 BED ACCUTE CARE INTEGRATED HEALTHCARE DELIVERY SYSTEM ESTABLISHED TO PROVIDE HEALTHCARE SERVICES IN NORTH PROVIDENCE AND SURROUNDING COMMUNITIES. ELMHURST IS A 206 BED SKILLED NURSING HOME AND INTERMEDIATE CARE FACILITY AND PROVIDER OF OTHER ELDER CARE SERVICES.Desc
Total Program Service Expenses$23,862,324TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpYes (true)ActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee263EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonADOZINDA KANEPersonNm
Phone4014563322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HIGH SERVICE AVENUEAddressLine1
CityNORTH PROVIDENCECity
StateRIState
ZIP Code02904ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KENNETH H BELCHER
PRESIDENT AND CEO40.00.0Yes (X)Yes (X)$448,451$0$0
CHRISTOPHER N CHIHLAS MD
DIRECTOR1.00.0Yes (X)$0$0
PETER F DEBLASIO JR MD
DIRECTOR1.00.0Yes (X)
JOSEPH R DISTEFANO ESQ
DIRECTOR1.00.0Yes (X)
ELAINE C JONES MD
DIRECTOR1.00.0Yes (X)
DONALD C MCQUEEN
DIRECTOR1.00.0Yes (X)
CHARLES E MAYNARD
DIRECTOR1.00.0Yes (X)
MARSHALL RAUCCI JR
DIRECTOR1.00.0Yes (X)
REVEREND TIMOTHY REILLY
DIRECTOR1.00.0Yes (X)
DANIEL J RYAN CPA
VICE CHAIRMAN1.00.0Yes (X)Yes (X)
EDWIN J SANTOS
CHAIRMAN1.00.0Yes (X)Yes (X)
REV BRIAN J SHANLEY OP
DIRECTOR1.00.0Yes (X)
SHERI L SMITH PHD
DIRECTOR1.00.0Yes (X)
KEVIN P STILES
DIRECTOR1.00.0Yes (X)
MICHAEL CONKLIN JR
CFO/TREASURER40.00.0Yes (X)$375,709$27,582
KIMBERLY O'CONNELL
SENIOR VP40.00.0$266,065$30,970Yes (X)
SUSAN ABELY
CIO40.00.0$295,423$32,512Yes (X)
DARLEEN SOUZA
VP HUMAN RESOURCES40.00.0$222,094$23,747Yes (X)
JOANNE DOOLEY
VP CNO RWMC40.00.0$275,768$43,765Yes (X)
PATRICIA NADLE
CNO SJHSRI40.00.0$277,859$22,836Yes (X)
ROBERT OTIS BROWN
VP EXTERNAL AFFAIRS40.00.0$216,815$33,724Yes (X)
ADOZINDA KANE
EXECUTIVE DIRECTOR OF FINANCE40.00.0$282,517$32,909Yes (X)
RICHARD GAMACHE
VICE PRESIDENT40.00.0$207,679$30,185Yes (X)
DAVID RAGOSTA
DIRECTOR OF FINANCIAL PLANNING40.00.0$167,917$20,351Yes (X)
DEBORAH STAMP
CNO/VP OF PATIENT SERVICES40.00.0$167,435$19,597Yes (X)
JOEL GOLOSKIE
DIRECTOR OF COMPLIANCE40.00.0$165,853$21,288Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,369,585TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$339,466TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
FTI CONSULTING INC
777 SOUTH FLAGLER DR STE 1500WEST PALM BEACHFL33401CONSULTING$883,383
CAIN BROTHERS COMPANY LLC
360 MADISON AVENUENEW YORKNY10017INVESTMENT BANKING$310,228
PROVIDENCE CENTER INC
528 NORTH MAIN STREETPROVIDENCERI02904BEHAVIORAL HEALTH$202,992
MICROSOFT LICENSING GP
6100 Neil Road 100RENONV89511SOFTWARE$301,276
DELTA DENTAL OF RI
10 Charles St 3PROVIDENCERI02904DENTAL SERVICES$200,914
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
All Other Contributions$64,100AllOtherContributionsAmt
Total Contributions$64,100TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEE REVENUE561000$21,192,148$21,192,148
PROSPECT CHARTERCARE LLC561000$540,980$540,980
FieldValueIRS element (for citing)
Total Program Service Revenue$21,733,128TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PURCHASING DISCOUNTS$800$800
PURCHASING REBATES$12,736$12,736
CASH - SALE OF ASSETS TO JOINT VENTURE$80,277$80,277
FieldValueIRS element (for citing)
Other Revenue Total$93,813OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,891,041TotalRevenueColumnAmt
Related Or Exempt Func Income$21,746,664RelatedOrExemptFuncIncomeAmt
Exclusion$80,277ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,372,697TotalAmt
Program Services$2,372,697ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,160,990TotalAmt
Program Services$13,160,990ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,619,331TotalAmt
Program Services$3,619,331ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$21,213TotalAmt
Program Services$21,213ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$545,050TotalAmt
Program Services$545,050ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
LICENSE FEE$1,061,111$1,061,111
MANAGEMENT FEE$252,703$252,703
SUPPLIES$2,270,426$2,270,426
SERVICES$558,803$558,803

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,862,324TotalAmt
Program Services$23,862,324ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,851BOYAmt
EOY$250,974EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$22,329EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$322,935BOYAmt
EOY$418,871EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$726,456BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$9,656,635EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,601,824BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,666,068BOYAmt
EOY$10,348,809EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,929,473BOYAmt
EOY$2,440,556EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,736,595BOYAmt
EOY$2,476,436EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,666,068BOYAmt
EOY$4,916,992EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,431,817EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,431,817EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,666,068BOYAmt
EOY$10,348,809EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,971,283ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$7,403,100OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupportSupportAmt
ROGER WILLIAMS MEDICAL CENTER
05025895903Yes (true)$0
SAINT JOSEPH HEALTH SERVICES OF RI
05025902603Yes (true)$0
CHARTERCARE HEALTH PARTNERS FOUNDATION INC
26023666904Yes (true)$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$62,928OtherActivitiesAmt
Total Lobbying Expenditures$62,928TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B LINE 1FormAndLineReferenceDesc
Explanation1I: CHARTERCARE HIRED ADVOCACY SOLUTIONS TO REPRESENT OUR INTERESTS AND ACHIEVE OUR LEGISLATIVE GOALS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescPROSPECT CHARTERCARE LLCDesc
Book Value$9,656,635BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Program Rltd$9,656,635TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
RETIREMENT BENEFIT PAYABLE$0
ACCRUED RETIREMENT PLAN$0
ACCRUED COMPENSATION AND BENEFITS$2,476,436
FieldValueIRS element (for citing)
Total Liability$2,476,436TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH H BELCHER
PRESIDENT AND CEO$415,380$0$0$33,071$0$7,500$0$22,416$0$478,367$0$0
MICHAEL CONKLIN JR
CFO/TREASURER$350,732$24,977$5,000$22,582$403,291
KIMBERLY O'CONNELL
SENIOR VP$261,497$4,568$9,824$21,146$297,035
ROBERT OTIS BROWN
VP EXTERNAL AFFAIRS$216,815$10,950$22,774$250,539
ADOZINDA KANE
EXECUTIVE DIRECTOR OF FINANCE$255,091$27,426$10,000$22,909$315,426
SUSAN ABELY
CIO$263,398$32,025$9,694$22,818$327,935
DARLEEN SOUZA
VP HUMAN RESOURCES$212,108$9,986$6,510$17,237$245,841
JOANNE DOOLEY
VP CNO RWMC$240,403$35,365$26,466$17,299$319,533
PATRICIA NADLE
CNO SJHSRI$268,513$9,346$0$22,836$300,695
RICHARD GAMACHE
VICE PRESIDENT$182,884$24,795$7,500$22,685$237,864
DAVID RAGOSTA
DIRECTOR OF FINANCIAL PLANNING$167,917$5,083$15,268$188,268
DEBORAH STAMP
CNO/VP OF PATIENT SERVICES$167,435$19,597$187,032
JOEL GOLOSKIE
DIRECTOR OF COMPLIANCE$165,853$1,195$20,093$187,141

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1APATRICIA NADLE IS A CHARTERCARE HEALTH PARTNERS EMPLOYEE WHO IS THE CNO FOR ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND. SHE BEGAN HER EMPLOYMENT IN OCTOBER 2010 AND RESIDES AT ONE OF THE PROPERTIES OWNED BY THE ST. JOSEPH HEALTH SERVICES OF RI. SHE RECEIVES IN HER PAY CHECK A GROSS-UP AMOUNT IN ORDER FOR HER TO PAY THE RENT FOR THE PROPERTY. IN CALENDAR YEAR 2014, SHE RECEIVED A TOTAL GROSS-UP FOR RENT OF $22,632.
SCHEDULE J, PART I, LINE 3EMPLOYEE SALARIES FOR CALENDAR YEAR 2013 ARE DETERMINED UNDER THE COMPENSATION POLICIES OF CHARTERCARE HEALTH PARTNERS.
SCHEDULE J, PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS UNDER THE 457(F) PLAN: Susan Abely 18,625.39 Kenneth Belcher 20,282.77 Joanne Dooley 26,289.18 Adozinda Kane 27,426.18 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SPLIT DOLLAR LIFE INSURANCE PLAN AND INCLUDED THE FOLLOWING IMPUTED INCOME IN TAXABLE WAGES IN CALENDAR YEAR 2013: KENNETH BELCHER - $12,788 MICHAEL CONKLIN - $11,209 KIMBERLY O'CONNELL - $4,568 SUSAN ABELY - $4,208 DARLEEN SOUZA - $3,726

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A, LINE 2KENNETH BELCHER, MICHAEL CONKLIN, AND DONALD MCQUEEN HAVE A BUSINESS RELATIONSHIP. THEY ARE OFFICERS OR DIRECTORS OF CHARTERCARE HEALTH PARTNERS AND OFFICERS/DIRECTORS OF A RELATED FOR PROFIT ENTITY ROSEBANK CORPORATION. KENNETH BELCHER AND MICHAEL CONKLIN ARE ALSO OFFICERS OF RELATED FOR PROFIT ENTITIES ELMHURST HEALTH ASSOCIATES AND OUR LADY OF FATIMA ANCILLARY SERVICES.
PART VI, SECTION B, LINE 11THE COMPLETION OF THE FORM 990 BEGINS WITH AN OPENING MEETING ATTENDED BY CHARTERCARE'S CONTROLLER AND KPMG LLP, AN INDEPENDENT TAX CONSULTANT. THE MEETING CONSISTS OF A REVIEW OF THE ORGANIZATIONAL STRUCTURE, SIGNIFICANT CHANGES IN OPERATIONS OR PROGRAM ACTIVITIES FROM THE PRIOR YEAR, AND OVERVIEW OF CHANGES IN THE FORM 990. THE FINANCE DEPARTMENT GATHERS THE REQUIRED INFORMATION AND POPULATES THE FORM 990 IN CONJUNCTION WITH KPMG LLP. ONCE COMPLETED, THE DRAFT FORM 990 IS REVIEWED WITH SENIOR MANAGEMENT TO ENSURE INDIVIDUALS ARE PROVIDED TIME TO REVIEW AND APPROVE THE FORM 990 PRIOR TO THE DEADLINE. AFTER THE INTERNAL REVIEW IS COMPLETED, THE FORM 990 IS PROVIDED TO CHARTERCARE'S FINANCE COMMITTEE FOR THEIR REVIEW AND COMMENTS. A MEETING IS HELD TO REVIEW THE FORM 990 AND DISCUSS ANY QUESTIONS AND COMMENTS. UPON FINANCE COMMITTEE APPROVAL, A FINAL COPY OF THE FORM 990 IS DISTRIBUTED TO EACH VOTING BOARD MEMBER AND FILED WITH THE TAXING AUTHORITY.
PART VI, SECTION B, LINE 12THE CONFLICT OF INTEREST POLICY INCLUDED IN THE BY-LAWS IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR TRUSTEE OF THE CORPORATION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE OFFICERS, TRUSTEES, AND MEMBERS OF ANY COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. ON AN ANNUAL BASIS, EACH MEMBER OF THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND ALL RESPONSES ARE SUBMITTED AND REVIEWED BY LEGAL COUNSEL. ANY ACTUAL AND POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED WITH THE BOARD OF TRUSTEES.
PART VI, SECTION B, LINE 15EFFECTIVE JANUARY 1, 2012, CHARTERCARE HAD ITS OWN PAYROLL AND PAID THE SALARIES AND BENEFITS DIRECTLY. EACH EMPLOYEE DEVOTES A PORTION OF HIS OR HER TIME TO VARIOUS CHARTERCARE AFFILIATES. SALARY EXPENSES ARE THEN APPROPRIATELY ALLOCATED AND CHARGED TO CHARTERCARE'S RELATED ENTITIES. EFFECTIVE FOR THE CALENDAR YEAR BEGINNING JANUARY 2010, CCHP ESTABLISHED A CHARTERCARE COMPENSATION POLICY AND CHARTERCARE EXECUTIVE INCENTIVE PLAN. EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT: THE DEVELOPMENT AND ADMINISTRATION OF THE EXECUTIVE COMPENSATION PROGRAM ARE GUIDED BY CHARTERCARE'S MISSION, STRATEGIC PLANS, AND STATUS AS A CHARITABLE TAX-EXEMPT ORGANIZATION AND THE FIDUCIARY RESPONSIBILITY OF ENSURING THAT COMPENSATION AND BENEFITS PAID TO EMPLOYEES ARE WITHIN THE FINANCIAL RESOURCES AVAILABLE, ARE REASONABLE AND COMMENSURATE WITH THE PRODUCTIVITY, SERVICES AND VALUE RECEIVED. THE FIDUCIARY RESPONSIBILITY IS TO COMPENSATE EXECUTIVES REASONABLY AND COMPETITIVELY WITHIN THE FINANCIAL RESOURCES OF THE ORGANIZATION AND COMMENSURATE WITH FAIR VALUE FOR SERVICES RECEIVED, IN ACCORDANCE WITH BOARD GOVERNANCE BEST PRACTICES AND APPLICABLE LAWS AND REGULATIONS. THE BOARD OF DIRECTORS OF CHARTERCARE INTENDS THAT ITS ANNUAL SALARY AND INCENTIVE COMPENSATION DECISIONS WILL BE MADE IN SUCH A WAY AS TO QUALIFY UNDER THE REBUTTABLE PRESUMPTION OF REASONABLENESS AS DEFINED BY SECTION 4958 OF THE INTERNAL REVENUE CODE ON INTERMEDIATE SANCTIONS. CONSISTENT WITH THE STATED COMMITMENTS BY CHARTERCARE AND/OR ITS AFFILIATES, COMPENSATION AND BENEFITS POLICIES, PROCESSES AND GUIDELINES ARE DESIGNED AND ADMINISTERED IN SUCH A WAY AS TO COMPLY WITH ALL LAWS AND TO PROVIDE FAIR TREATMENT FOR ALL EMPLOYEES REGARDLESS OF RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, DISABILITY OR ANY OTHER CATEGORY PROTECTED BY LAW. FACTORS DETERMINING INDIVIDUAL EXECUTIVES' SALARIES INCLUDE: SPECIFIC SKILL SETS OF THE EXECUTIVES SUCH AS EDUCATION, EXPERIENCE, SPECIALTY SKILLS AND COMPETENCIES RELATED TO EACH EXECUTIVE POSITION; THE SALARY RELATIONSHIP WITH SIMILARLY SITUATED EXECUTIVES IN COMPARABLE ORGANIZATIONS AND THE FINANCIAL STATUS OF THE INSTITUTION. THE BOARD HAS DELEGATED RESPONSIBILITY OF EXECUTIVE COMPENSATION REVIEW TO THE EXECUTIVE COMMITTEE. BASE SALARY STRUCTURE AND SALARY ADMINISTRATION: CHARTERCARE AND/OR ITS AFFILIATES ESTABLISHED ITS EXECUTIVE SALARY STRUCTURE AND RANGES USING MARKET DATA FOR EXECUTIVE POSITIONS WITH COMPARABLE RESPONSIBILITIES AT LIKE ORGANIZATIONS UNDER LIKE CIRCUMSTANCES (THE "PEER GROUP"). CHARTERCARE AND/OR ITS AFFILIATES REGULARLY CONDUCTS A CUSTOM PEER GROUP STUDY CONDUCTED BY AN OUTSIDE FIRM AND OR ACCESSES COMPENSATION MARKET DATA FROM REPUTABLE, COMMERCIALLY-AVAILABLE SURVEYS PREPARED BY INDEPENDENT FIRMS. USING THE "MARKET PRICING" APPROACH, CHARTERCARE'S AND/OR ITS AFFILIATES EXECUTIVE SALARY RANGES ARE ESTABLISHED WITH SALARY RANGE MIDPOINTS POSITIONED APPROXIMATING THE 50TH PERCENTILE (MEDIAN) OF THE PEER GROUP MARKET DATA FOR BASE SALARIES. SINCE CHARTERCARE AND/OR ITS AFFILIATES SETS THE SALARY RANGE MIDPOINTS AT THE MARKET MEDIAN OF BASE SALARIES, IT STRIVES FOR INDIVIDUAL SALARIES TO BE MANAGED IN THE FOLLOWING MANNER: 1. NEWLY HIRED OR INEXPERIENCED EXECUTIVES WILL BE PAID BETWEEN THE MINIMUM AND MIDPOINT OF THEIR SALARY RANGES. 2. EXECUTIVES WHO CONSISTENTLY MEET THE EXPECTATIONS OF THEIR POSITION WILL BE PAID AT OR NEAR THE MIDPOINT OF THEIR SALARY RANGES. 3. EXECUTIVES WHO CONSISTENTLY EXCEED THE EXPECTATIONS OF THEIR POSITION WILL BE PAID BETWEEN THE MIDPOINT AND THE 75TH PERCENTILE OF THEIR SALARY RANGES. IN RARE CASES WHERE RECRUITMENT OF NEW EXECUTIVES DICTATES, AN EXECUTIVE MAY BE PAID BETWEEN THE 75TH PERCENTILE AND MAXIMUM OF HIS OR HER SALARY RANGE. IN SUCH CASES, JUSTIFICATION FOR ADDITIONAL INCENTIVE COMPENSATION PAYOUT SHALL BE REVIEWED IN ADVANCE BY THE BOARD AND MAINTAINED IN THE OFFICIAL RECORDS OF THE EXECUTIVE COMMITTEE OF CHARTERCARE FUNCTIONING AS THE COMPENSATION COMMITTEE. NO EXECUTIVE IS PAID ABOVE THE MAXIMUM OF THE PAY RANGE. GIVEN PRESENT STRATEGIC PLANS BY CHARTERCARE TO OPERATIONALIZE THE INTEGRATION OF ROGER WILLIAMS MEDICAL CENTER AND ST. JOSEPH HEALTH SERVICES AND EXPAND AND DIVERSIFY ITS SERVICES, THE ORGANIZATION RECOGNIZES THAT RETENTION AND RECRUITMENT OF PERSONNEL MAY NEED TO OCCUR IN THE BROADER HEALTH CARE SERVICES.
PART VI, SECTION C, LINE 19CHARTERCARE HEALTH PARTNERS AND AFFILIATES MAKE THEIR TAX RETURNS, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THEIR TAX RETURNS ARE ALSO AVAILABLE ON WWW.GUIDESTAR.ORG.
PART II, QUESTION 3 AND PART VI, QUESTION 16BWith the consent of the board of directors, CharterCARE Health Partners, the sole member of roger williams medical center and saint joseph health services of rhode island, agreed to contribute substantially all assets formerly belonging to the hospitals and ancillary entities to a joint venture with Prospect CharterCARE LLC. the transaction was approved by the rhode island attorney general and the rhode island department of health. chartercare health partners retains the ability to appoint 50% of the governing board of prospect chartercare llc to ensure that the charitable mission of both hospitals will continue. the board of directors believes that sufficient safeguards exist to ensure that their exempt status is protected both through the appointment provisions in the prospect chartercare llc joint venture agreement and conditions imposed by the rhode island attorney general and the rhode island commissioner of health. PART XI, LINE 9: OTHER CHANGES IN NET ASSETS capital contribution to prospect chartercare llc- $10,379,074. write down of assets <3,407,925> LONG-TERM DEBT ASSUMED BY prospect chartercare llc - $431,951. TOTAL: $7,403,100

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SJH ENERGY LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 HIGH SERVICE AVENUEAddressLine1
CityNORTH PROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
EIN208591473EIN
Primary ActivitiesPROCUREMENTPrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CCHPBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
CHARTERCARE HEALTH PARTNERS FOUNDATION
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904260236669FUNDRAISINGRI501(C)(3)7CCHPYes (true)
ROGER WILLIAMS REALTY CORPORATION
825 CHALKSTONE AVENUEPROVIDENCERI02908050423855RENTAL MGMTRI501(C)(3)11CCHPYes (true)
RWGH PHYSICIANS OFFICE BUILDING
825 CHALKSTONE AVENUEPROVIDENCERI02908050398588RENTAL MGMTRI501(C)(3)11CCHPYes (true)
ELMHURST EXTENDED CARE FACILITIES
50 MAUDE STREETPROVIDENCERI02908222723407NURSING HOMERI501(C)(3)3CCHPYes (true)
ROGER WILLIAMS MEDICAL ASSOCIATES
825 CHALKSTONE AVENUEPROVIDENCERI02908203346936PHY. PRACTICERI501(C)(3)11CCHPYes (true)
ST JOSEPH HEALTH SERVICES OF RI
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904050259026HEALTHCARERI501(C)(3)3CCHPYes (true)
ROGER WILLIAMS MEDICAL CENTER
825 CHALKSTONE AVENUEPROVIDENCERI02908050258959HEALTHCARERI501(C)(3)3CCHPYes (true)
ST JOSEPH HOSPITAL WORKERS COMP TRUST
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904056106574TRUSTRI501(C)(3)11SJHSRIYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PROSPECT CHARTERCARE LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 CITY PARKWAY WEST SUITE 800AddressLine1
CityORANGE CACity
StateCAState
ZIP Code92868ZIPCode
FieldValueIRS element (for citing)
EIN264235815EIN
Primary Activitieshealthcare mgmtPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$540,980ShareOfTotalIncomeAmt
Share Of EOY Assets$9,656,635ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.15000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
ELMHURST HEALTH ASSOCIATES
825 CHALKSTONE AVENUEPROVIDENCERI02908050437610LABORATORYRINAC Corp$0$01.00000false
ROSEBANK CORPORATION
825 CHALKSTONE AVENUEPROVIDENCERI02908050342046REAL ESTATERINAC Corp-$22,657$170,1091.00000false
OUR LADY OF FATIMA ANCILLARY SERVICES
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904050519862LABORATORYRINAC Corp$216,339$739,8431.00000false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ROGER WILLIAMS MEDICAL CENTER
L$10,511,305MANAGEMENT FEE
ST JOSEPH HEALTH SERVICES OF RI
L$10,532,498MANAGEMENT FEE
ELMHURST EXTENDED CARE
L$105,961MANAGEMENT FEE
ROGER WILLIAMS MEDICAL ASSOCIATES
L$42,384MANAGEMENT FEE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART VFormAndLineReferenceDesc
ExplanationROGER WILLIAMS MEDICAL CENTER, ST JOSEPH HEALTH SERVICES OF RI, ELMHURST EXTENDED CARE AND ROGER WILLIAMS MEDICAL ASSOCIATES PAY CHARTERCARE MANAGEMENT FEES TO PERFORM SERVICES ON THEIR BEHALF, SHARE FACILITIES AND EMPLOYEES, AND TO REIMBURSE FOR EXPENSES.ExplanationTxt

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