ROGER WILLIAMS MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ROGER WILLIAMS MEDICAL CENTER (EIN 05-0258959)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201442259349300809
Schema version
2012v2.3
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)
Timestamp2014-08-13T07:45:31-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line160 South StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050258959EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROGER WILLIAMS MEDICAL CENTERBusinessNameLine1
Business Name Line2F/K/A ROGER WILLIAMS HOSPITALBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% KATHLEEN MOOREInCareOfName
Name ControlROGENameControl
Phone4014563312Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 CHALKSTONE AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityPROVIDENCECity
StateRIState
ZIP Code029083547ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL CONKLIN JRName
TitleCFO/TREASURERTitle
Date Signed2014-08-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6179881000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENNETH BELCHERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1825 CHALKSTONE AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code029083547ZIPCode
FieldValueIRS element (for citing)
Gross Receipts174125888GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RWMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1904YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionROGER WILLIAMS MEDICAL CENTER IS A 220-BED, ACUTE CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1336TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI815473TotalGrossUBI
Net Unrelated Business Txbl Income-454107NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6246866ContributionsGrantsPriorYear
Contributions Grants Current Year5145526ContributionsGrantsCurrentYear
Program Service Revenue Prior Year162130741ProgramServiceRevenuePriorYear
Program Service Revenue CY163573390ProgramServiceRevenueCY
Investment Income Prior Year1566219InvestmentIncomePriorYear
Investment Income Current Year2487593InvestmentIncomeCurrentYear
Other Revenue Prior Year3810864OtherRevenuePriorYear
Other Revenue Current Year2919379OtherRevenueCurrentYear
Total Revenue Prior Year173754690TotalRevenuePriorYear
Total Revenue Current Year174125888TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year73085627SalariesEtcPriorYear
Salaries Etc Current Year73238649SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year99102194OtherExpensePriorYear
Other Expenses Current Year102653612OtherExpensesCurrentYear
Total Expenses Prior Year172187821TotalExpensesPriorYear
Total Expenses Current Year175892261TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1566869RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1766373RevenuesLessExpensesCY
Total Assets BOY102769481TotalAssetsBOY
Total Assets EOY100109462TotalAssetsEOY
Total Liabilities BOY59339179TotalLiabilitiesBOY
Total Liabilities EOY57203258TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY43430302NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY42906204NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionROGER WILLIAMS MEDICAL CENTER IS A 220-BED, ACUTE CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense133809179Expense
Revenue160937939Revenue
DescriptionPATIENT HEALTHCARE SERVICES - ROGER WILLIAMS MEDICAL CENTER PROVIDES MEDICAL CARE TO PATIENTS, A MULTI-DISCIPLINARY APPROACH TO THE TREATMENT OF CANCER, SURGICAL SERVICES, DERMATOLOGY, DIAGNOSTIC IMAGING, LABORATORY SERVICES, GASTROENTEROLOGY, EMERGENCY ROOM FACILITIES AND OTHER ANCILLARY SERVICES PRIMARILY TO THE RHODE ISLAND COMMUNITY. *SEE SCHEDULE O*Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5438008Expense
Revenue5438008Revenue
DescriptionDIRECT RESEARCH - ROGER WILLIAMS MEDICAL CENTER IS HOME TO SCIENTISTS, RESEARCHERS, AND INVESTIGATORS ACTIVELY INVOLVED IN A VARIETY OF MEDICAL RESEARCH ACTIVITIES. RESEARCH PROGRAMS ARE SUPPORTED BY FEDERAL FUNDS, EXTERNAL INSTITUTION GRANTS, AND OTHER SOURCES. AWARDS RECEIVED BY ROGER WILLIAMS MEDICAL CENTER AND ITS FACULTY INCLUDE PEER-REVIEWED GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHERS. CURRENT RESEARCH INCLUDES A MULTITUDE OF BASIC AND CLINICAL STUDIES IN CANCER, WHICH IS A PRIMARY INTEREST OF THE HOSPITAL. CURRENTLY, THERE ARE ONGOING TRIALS FOR A VARIETY OF CANCERS INCLUDING HEAD, NECK, BREAST, PROSTATE, GI, HEMATOLOGICAL MALIGNANCIES, AND OTHERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense10289973Expense
DescriptionFREE CARE - PER THE MEDICAL CENTER'S PUBLIC NOTICE, ROGER WILLIAMS MEDICAL CENTER IS PROUD OF ITS COMMITMENT TO PROVIDE QUALITY CARE TO ALL INDIVIDUALS WHO NEED IT. THE MEDICAL CENTER PROVIDES FINANCIAL AID TO PATIENTS WITHOUT INSURANCE AND WHO MAY NOT BE ABLE TO PAY FOR THE CARE PROVIDED. *SEE SCHEDULE O*Description
FieldValueIRS element (for citing)
Total Program Service Expense149537160TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096100NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1336NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKATHLEEN MOORENamePerson
Telephone Number4014563322TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KENNETH H BELCHER
PRESIDENT & CEO CCHP0.040.0XX042865225282
CYNTHIA M ALVES
DIRECTOR1.0X000
MARK BRAUN
DIRECTOR1.0X000
DOUGLAS HUGHES
DIRECTOR1.0X000
WILLIAM LOEHNING
DIRECTOR1.0X000
ABBY MAIZEL
DIRECTOR1.0X000
LOUIS MARIORENZI
DIRECTOR1.0X000
CHARLES MAYNARD
DIRECTOR1.0X000
JAMES MELFI
DIRECTOR1.0X000
REV KENNETH SICARD
DIRECTOR1.0X000
SHERRI SMITH
DIRECTOR1.0X000
GARY PANNONE ESQ
DIRECTOR1.0X000
MICHAEL CONKLIN JR
CFO/TREASURER CCHP0.040.0X032867124393
DOMENIC DECRISTOFANO
EXEC DIR FACILITIES MANAGEMENT0.040.0X15872405168
KIMBERLY O'CONNELL ESQ
SENIOR VP0.040.0X026678522713
JOANNE DOOLEY
VP CNO RWMC40.0024368838251X
SUSAN CERRONE-ABELY
VP CIO40.0024288824719X
DARLEEN SOUZA
VP HUMAN RESOURCES40.0020134219849X
BHARTI RATHORE
SENIOR VP40.025066107180X
RITESH RATHORE
PHYSICIAN40.0326742026756X
ALEX ETIENNE
PHYSICIAN40.0343617025410X
JOHN STOUKIDES
PHYSICIAN40.0235003026737X
AHMAD AL-HOMSI
PHYSICIAN40.0530730012419X
ADOZINDA KANE
FORMER CFO/TREASURER40.0026467824334X
CHERYL PERRY
CHIEF HUMAN RESOURCES OFFICER40.0016743710640X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1845477TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2144141TotalReportableCompFrmRltdOrgs
Total Other Compensation293851TotalOtherCompensation
Number Individuals GT100 K58NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIVERSITY MEDICAL GROUP
825 CHALKSTONE AVEPROVIDENCERI02908ACADEMIC ADMIN5591685
NEW ENGLAND ANTHESIOLOGIST
PO BOX 6064PROVIDENCERI02940ANTHESIOLOGY360000
SODEXHO
PO BOX 360170PITTSBURGHPA15251FOOD SERVICE937461
ANGELICA CORPORATION
482 PAWTUCKET AVEPAWTUCKETRI02860LINEN SERVICES458884
UNIVERSITY PATHOLOGIST
300 CENTERVILLE RD STE 215WARWICKRI02886LABORATORY SERVICES654488
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Government Grants3380970GovernmentGrants
All Other Contributions1764556AllOtherContributions
Total Contributions5145526TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT CARE SERVICES621400113306446113306446
MEDICARE AND MEDICAID PAYMENTS6241004529682545296825
CAFETERIA722320418086$418,086
LAB REVENUE62140045520333736560815473
FieldValueIRS element (for citing)
Total Program Service Revenue163573390TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1724894TotalRevenueColumn
Exclusion$1,724,894ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real114140Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real114140Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column114140TotalRevenueColumn
Exclusion$114,140ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities749268Securities
Other13431Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities749268Securities
Other13431Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column762699TotalRevenueColumn
Exclusion$762,699ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming0GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS900099613527613527
MEANINGFUL USE RECEIPTS90009918067631806763
PURCHASING REBATES900099384949384949
FieldValueIRS element (for citing)
Total Other Revenue2805239TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column174125888TotalRevenueColumn
Related Or Exempt Function Income165145070RelatedOrExemptFunctionIncome
Unrelated Business Revenue815473UnrelatedBusinessRevenue
Exclusion$3,019,819ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1842662Total
Management And General1842662ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54673851Total
Program Services51692266ProgramServices
Management And General2981585ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1189858Total
Program Services920950ProgramServices
Management And General268908ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11336195Total
Program Services8774215ProgramServices
Management And General2561980ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4196083Total
Program Services3247768ProgramServices
Management And General948315ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total9272934Total
Management And General9272934ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total275474Total
Management And General275474ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total199478Total
Management And General199478ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2460Total
Management And General2460ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total30961Total
Management And General30961ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10244155Total
Program Services9899648ProgramServices
Management And General344507ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total295519Total
Program Services228732ProgramServices
Management And General66787ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2579853Total
Program Services1027217ProgramServices
Management And General1552636ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1182427Total
Program Services26641ProgramServices
Management And General1155786ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3313836Total
Program Services2564909ProgramServices
Management And General748927ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total480505Total
Program Services346375ProgramServices
Management And General134130ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total100915Total
Program Services94922ProgramServices
Management And General5993ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total811978Total
Management And General811978ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4403412Total
Program Services3408241ProgramServices
Management And General995171ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2824123Total
Program Services2806999ProgramServices
Management And General17124ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES3330803233258649493830
BAD DEBT1117425811174258
RESEARCH58176595817659
LICENSE FEE71185447118544

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9217089Total
Program Services7129167ProgramServices
Management And General2087922ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total175892261Total
Program Services149537160ProgramServices
Management And General26355101ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12265154BOY
EOY8477223EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2402763BOY
EOY2019301EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15838045BOY
EOY16668664EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY432397BOY
EOY501276EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3184326BOY
EOY3364706EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1743895BOY
EOY1674379EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis99003719LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec72828667LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26589568BOY
EOY26175052EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY29132945BOY
EOY30718006EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3101714BOY
EOY2841603EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8078674BOY
EOY7669252EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY102769481BOY
EOY100109462EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18982192BOY
EOY21625479EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1503029BOY
EOY1448563EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11615000BOY
EOY11360000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2934667BOY
EOY2874431EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24304291BOY
EOY19894785EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY59339179BOY
EOY57203258EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18881358BOY
EOY18038993EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16210060BOY
EOY16386092EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8338884BOY
EOY8481119EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43430302BOY
EOY42906204EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY102769481BOY
EOY100109462EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1766373ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1100040ReconciliationUnrealizedInvest
Reconcilation Other Changes142235ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,460OtherActivitiesAmount
Total Lobbying Expenditures IIB2460TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING EXPENSEIdentifier
Return ReferencePART II-B LINE 1iReturnReference
ExplanationROGER WILLIAMS MEDICAL CENTER PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION OF RHODE ISLAND. THE PORTION OF DUES ALLOCATED TO LOBBYING EFFORTS FOR THE YEAR ENDED 9/30/13 WAS $2,460.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance23673672BeginningOfYearBalance
Investment Earnings Or Losses2686861InvestmentEarningsOrLosses
Other Expenditures1244050OtherExpenditures
End Of Year Balance25116483EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance21329425BeginningOfYearBalance
Investment Earnings Or Losses3082476InvestmentEarningsOrLosses
Other Expenditures738229OtherExpenditures
End Of Year Balance23673672EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance22951379BeginningOfYearBalance
Investment Earnings Or Losses-789094InvestmentEarningsOrLosses
Other Expenditures832860OtherExpenditures
End Of Year Balance21329425EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20342758BeginningOfYearBalance
Contributions1402065Contributions
Investment Earnings Or Losses2154273InvestmentEarningsOrLosses
Other Expenditures947717OtherExpenditures
End Of Year Balance22951379EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20928580BeginningOfYearBalance
Investment Earnings Or Losses305176InvestmentEarningsOrLosses
Other Expenditures890998OtherExpenditures
End Of Year Balance20342758EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.25000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.17000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.58000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis85661OtherCostOrOtherBasis
Book Value85661BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49763966OtherCostOrOtherBasis
Depreciation32056640Depreciation
Book Value17707326BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis27325OtherCostOrOtherBasis
Depreciation27325Depreciation

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis48887072OtherCostOrOtherBasis
Depreciation40744702Depreciation
Book Value8142370BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis239695OtherCostOrOtherBasis
Book Value239695BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26175052TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
AMTS DUE FROM RELATED PARTIES2625963
INSURANCE RECEIVABLE3990219
OTHER ASSETS1053070
FieldValueIRS element (for citing)
Total Book Value Other Assets7669252TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ANTICIPATED THIRD PARTY SETTLE$7,763,679
DEFERRED GAIN ON JOINT VENTURE$2,095,356
ASSET RETIREMENT OBLIGATION$711,975
ACC'D INSURANCE DEDUCTIBLE$7,567,814
AMOUNTS DUE TO RELATED PARTIES$1,755,961
FieldValueIRS element (for citing)
Total Of Amounts19894785TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt164193905TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1100040NetUnrealizedGainsInvestments
Other Revenues142235OtherRevenues
Revenue Not Rptd F9901242275RevenueNotRptdF990
Revenue Subtotal162951630RevenueSubtotal
Investment Expenses Not Included11174258InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt11174258RevenueNotRptdOnFinStmt
Total Revenue Per Form990174125888TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt164718003TotExpensesEtcAuditedFinclStmt
Expenses Subtotal164718003ExpensesSubtotal
Investment Expenses Not Included211174258InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt11174258ExpensesNotRptdOnFinStmt
Total Expenses Per Form990175892261TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSPART V, LINE 4THE ANNUAL INVESTMENT COMMITTEE APPROVED ENDOWMENT DISTRIBUTIONS ARE USED TO SUPPORT THE HEALTHCARE OPERATIONS OF THE HOSPITAL AND INCLUDE, BUT ARE NOT LIMITED TO, FREE CARE AND THE PURCHASES OF NEW MEDICAL EQUIPMENT.
PART X, LINE 2FIN 48 (ASC 740) FOOTNOTEROGER WILLIAMS MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501( C)(3) OF THE INTERNAL REVENUE CODE AND IS GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. ROGER WILLIAMS MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. ROGER WILLIAMS MEDICAL CENTER DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITION IN EITHER 2013 OR 2012.
OTHER REVENUE INCLUDED IN AUDITED FINANCIAL STATEMENTS BUT NOT ON RETURNPART XI, LINE 2DCHANGE IN MARKET VALUE OF PERPETUAL TRUSTS $142,235
OTHER REVENUE ON RETURN NOT INCULDED IN AUDITED FINANCIAL STATEMENTSPARTXI, LINE 4BRECLASS OF BAD DEBT $11,174,258
OTHER EXPENSE ON RETURN NOT INCLUDED IN AUDITED FINANCIAL STATEMENTSPART XII, LINE 4BRECLASS OF BAD DEBT $11,174,258

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7181405TotalCommunityBenefitExpense
Direct Offsetting Revenue2362845DirectOffsettingRevenue
Net Community Benefit Expense4818560NetCommunityBenefitExpense
Percent Of Total Expense0.02930PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20133780TotalCommunityBenefitExpense
Direct Offsetting Revenue14060421DirectOffsettingRevenue
Net Community Benefit Expense6073359NetCommunityBenefitExpense
Percent Of Total Expense0.03690PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense27315185TotalCommunityBenefitExpense
Direct Offsetting Revenue16423266DirectOffsettingRevenue
Net Community Benefit Expense10891919NetCommunityBenefitExpense
Percent Of Total Expense0.06620PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8931584TotalCommunityBenefitExpense
Direct Offsetting Revenue4267021DirectOffsettingRevenue
Net Community Benefit Expense4664563NetCommunityBenefitExpense
Percent Of Total Expense0.02830PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense6385304TotalCommunityBenefitExpense
Direct Offsetting Revenue4511369DirectOffsettingRevenue
Net Community Benefit Expense1873935NetCommunityBenefitExpense
Percent Of Total Expense0.01140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense15316888TotalCommunityBenefitExpense
Direct Offsetting Revenue8778390DirectOffsettingRevenue
Net Community Benefit Expense6538498NetCommunityBenefitExpense
Percent Of Total Expense0.03970PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense42632073TotalCommunityBenefitExpense
Direct Offsetting Revenue25201656DirectOffsettingRevenue
Net Community Benefit Expense17430417NetCommunityBenefitExpense
Percent Of Total Expense0.10590PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,931,861BadDebtExpenseAmount
Amount Attributable To2857922AmountAttributableTo
Amount Reimbursed By Medicare42344316AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare41805673CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall538643MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
ROGER WILLIAMS
(RWRT) RADIATION THERAPY0.49000
RADIATION THERAPY
PET SCANS
RHODE ISLAND PET
SERVICES LLC
0.05000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Roger Willliams Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1825 Chalkstone AvenueAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02908ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
OtherHome HealthOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ROGER WILLIAMS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CANCER CENTER
50 MAUDE STREETPROVIDENCERI02908CANCER CENTER
WOUNDSMOHS CLINIC
825 CHALKSTONE AVENUEPROVIDENCERI02908GENERAL MEDICAL
ROGER WILLIAMS SLEEP LAB
1539 ATWOOD AVENUE STE 302JOHNSTONRI02908SLEEP LAB
OP BEHAVORIAL CLINIC
825 CHALKSTONE AVENUEPROVIDENCERI02908BEHAVORIAL
HEMATOLOGYONCOLOGY CLINIC
50 MAUDE STREETPROVIDENCERI02908GENERAL MEDICAL
SURGICAL ONCOLOGY CLINIC
50 MAUDE STREETPROVIDENCERI02908GENERAL MEDICAL
WOMEN'S HEALTH CLINIC
50 MAUDE STREETPROVIDENCERI02908GENERAL MEDICAL
ROGER WILLIAMS RADIATION THERAPY
50 MAUDE STREETPROVIDENCERI02908RADIATION THERAPY

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSEPART I, LINE 7(F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR LINE 7 COLUMN (F) IS $11,174,258. PART I, LINE 7 THE COSTING METHODOLOGY USED TO DERIVE THE AMOUNTS ARE FROM WORKSHEET 2 AND IS BASED ON PATIENT CARE COST TO CHARGES.
METHODOLOGY TO DETERMINE BAD DEBT AT COSTPART III, LINE 2THE AMOUNT REPORTED ON PART III IS THE ACTUAL BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS SCALED TO COST. THE COSTING METHODOLOGY IS THE SAME UTILIZED IN PART I, LINE 7. THE HOSPITAL QUALIFIES PATIENTS BASED ON THE MEDICARE PROGRAM 120 DAY RULE WHICH ENTAILS EACH PATIENT ACCOUNT RECEIVING THREE BILLING STATEMENTS. IF NO PAYMENT IS RECEIVED, THE PATIENT ACCOUNT IS PLACED WITH A COLLECTOR 120 DAYS AFTER THE INITIAL STATEMENT IS MAILED. BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY PART III, LINE 3 RWMC INTERNALLY TRACKS THE ACCOUNTS TRANSFERRED TO BAD DEBT AND IS ABLE TO DISTINGUISH THE PATIENTS WITH NO INSURANCE COVERAGE. OF THE ACCOUNTS WITH NO COVERAGE, THE BUSINESS OFFICE PROVIDES AN ESTIMATED PERCENTAGE OF THE ACCOUNTS THAT WOULD QUALITY FOR CHARITY IF THEY COMPLETED THE FREE CARE APPLICATION. BAD DEBT EXPENSE PART III, LINE 4 THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY CARE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES ITS REVENUE TRENDS FOR EACH OF ITS MAJOR PAYORS TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE ASSOCIATED PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PATTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF APPLICABLE) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 82.17% OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2012 TO 78.19% OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 20L3. THE MEDICAL CENTER'S SELF-PAY WRITE-OFFS FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012 AMOUNTED TO $10,931,602 AND $9,405,847, RESPECTIVELY. THE MEDICAL CENTER DID NOT CHANGE ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, RESPECTIVELY. THE MEDICAL CENTER DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS IN EITHER 2013 OR 2102.
EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITPART III, LINE 8NONE OF THE MEDICARE SHORTFALL HAS BEEN TREATED AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS IS BASED UPON THE MEDICARE COST REPORT USING RCC (RATIO OF COST CHARGE) METHODOLOGY.
COLLECTION PRACTICES FOR QUALIFIED PATIENTSPART III, LINE 9BROGER WILLIAMS MEDICAL CENTER PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. OUR COLLECTION PROCESS PROVIDES PATIENTS WITH FOUR PROGRESSIVE BILLING NOTICES. ALL STATEMENTS INCLUDE A NOTICE OF AVAILABLE FINANCIAL AID. UNRESOLVED DEBTS ARE TRANSFERRED TO BAD DEBT (WITH NO PAYMENT ACTIVITY) AT DAY 120. AN OUTSIDE COLLECTION AGENCY IS USED FOR ADDITIONAL COLLECTION ACTIVITY. CLIENTS THAT QUALIFY FOR DISCOUNT/FREE-CARE WRITE-OFFS (BASED ON 200-300% OF FEDERAL POVERTY GUIDELINES AND LIMITED ASSETS) HAVE BALANCES REDUCED/WRITTEN-OFF BASED ON INFORMATION DOCUMENTED IN THE APPLICATION PROCESS. ANY BALANCES NOT COVERED BY THE FREE CARE PROCESS ARE BILLED FOLLOWING OUR STANDARD COLLECTION PROCESS.
ROGER WILLIAMS MEDICAL CENTER (1)INPUT FROM PERSONS WHO REPRESENT INTERESTS OF THE COMMUNITYPART V, SECTION B, QUESTION 3 ROGER WILLIAMS MEDICAL CENTER AND ITS CHNA PARTNERS SOUGHT COMMUNITY INPUT THROUGH INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS, FOCUS GROUPS WITH HEALTHCARE PROVIDERS, AND INCLUSION OF PARTNER HOSPITAL REPRESENTATIVES AS WELL AS PUBLIC HEALTH OFFICIALS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. CHNA CONDUCTED WITH ONE OR MORE HOSPITAL FACILITIES PART V, SECTION B, QUESTION 3 ROGER WILLIAMS MEDICAL CENTER PARTICIPATED IN A STATEWIDE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI), AND ITS MEMBER HOSPITALS: BUTLER HOSPITAL, KENT HOSPITAL, LANDMARK MEDICAL CENTER, MEMORIAL HOSPITAL, OUR LADY OF FATIMA HOSPITAL (ST. JOSEPH'S HEALTH SERVICES OF RI), PROVIDENCE VA MEDICAL CENTER, SOUTH COUNTY HOSPITAL, THE WESTERLY HOSPITAL, AND WOMEN AND INFANTS HOSPITAL. URL FOR CHNA PART V, SECTION B, LINE 5A HTTP://WWW.RWMC.ORG/FOR-PATIENTS/RWMC%20CHNA%20FINAL%20REPORT%202013.PDF AMOUNTS BILLED TO INDIVIDUALS WITH NO INSURANCE, PART V, SEC. B, LINE 20D PATIENTS WHO DO NOT HAVE INSURANCE ARE BILLED BASED ON THE HOSPITAL CHARGE MASTER. PATIENTS WHO QUALIFY FOR FULL OR PARTIAL FREE CARE WILL BE DISCOUNTED APPROPRIATELY.
ROGER WILLIAMS MEDICAL CENTER (1)GROSS CHARGE FOR SERVICES, PART V, SECTION B, LINE 22THE HOSPITAL BILLS A LIMITED NUMBER OF PATIENTS WITH ADEQUATE FINANCIAL RESOURCES THE GROSS CHARGE RATE FOR UNINSURED MEDICARE SERVICES.
COMMUNITY HEALTH NEEDS ASSESSMENTPART VI, LINE 2ROGER WILLIAMS MEDICAL CENTER PARTICIPATED IN A STATEWIDE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI), AND ITS MEMBER HOSPITALS. THE CHNA WAS CONDUCTED FROM SEPTEMBER 2012 TO MAY 2013. THE ASSESSMENT WAS CONDUCTED IN A TIMELINE TO COMPLY WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT, AS WELL AS TO FURTHER THE HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH AND POPULATION HEALTH MANAGEMENT. THE FINDINGS FROM THE ASSESSMENT WILL BE UTILIZED BY ROGER WILLIAMS MEDICAL CENTER TO GUIDE ITS COMMUNITY BENEFIT INITIATIVES AND TO ENGAGE PARTNERS TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THE PURPOSE OF THE CHNA WAS TO GATHER INFORMATION ABOUT LOCAL HEALTH NEEDS AND HEALTH BEHAVIORS IN AN EFFORT TO ENSURE HOSPITAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND COMMUNITY BENEFIT ACTIVITIES ARE ALIGNED WITH COMMUNITY NEED. THE ASSESSMENT EXAMINED A VARIETY OF COMMUNITY, HOUSEHOLD AND HEALTH STATISTICS TO PORTRAY A FULL PICTURE OF THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH IN THE ROGER WILLIAMS MEDICAL CENTER SERVICE AREA. THE FINDINGS FROM THE CHNA WERE UTILIZED BY ROGER WILLIAMS MEDICAL CENTER TO PRIORITIZE PUBLIC HEALTH ISSUES AND DEVELOP A COMMUNITY HEALTH IMPLEMENTATION STRATEGY. ROGER WILLIAMS MEDICAL CENTER IS COMMITTED TO THE PEOPLE IT SERVES AND THE COMMUNITIES THEY LIVE IN. HEALTHY COMMUNITIES LEAD TO LOWER HEALTH CARE COSTS, ROBUST COMMUNITY PARTNERSHIPS, AND AN OVERALL ENHANCED QUALITY OF LIFE.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VI, LINE 3INFORMATION ON THE ROGER WILLIAMS MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM IS COMMUNICATED TO THE PATIENT AT THE POINT OF REGISTRATION THROUGH SIGNAGE WITHIN THE HOSPITAL AND ON THE HOSPITAL'S WEBSITE HTTP//RWMC.ORG. FURTHERMORE, THE HOSPITAL HAS PATIENT FINANCIAL COUNSELORS' ONSITE TO EDUCATE PATIENTS ON THE FINANCIAL PROGRAMS THAT ARE AVAILABLE.
COMMUNITY INFORMATIONPART VI, LINE 4ROGER WILLIAMS MEDICAL CENTER DEFINES ITS SERVICE AREA AS PROVIDENCE, NORTH PROVIDENCE, CRANSTON, LINCOLN, PAWTUCKET, EAST PROVIDENCE. IN THE MIDST OF ONE OF THE CITY'S OLDEST NEIGHBORHOODS, ROGER WILLIAMS MEDICAL CENTER IS A COMMUNITY-OWNED AND GOVERNED HEALTH CARE ORGANIZATION THAT PROVIDES SOME OF THE MOST ADVANCED SPECIALTY CARE AVAILABLE TODAY. THAT CARE IS ADMINISTERED ACROSS A VARIETY OF SETTINGS, BOTH ON AND OFF OF OUR CAMPUS: - IN THE EMERGENCY ROOM - IN OUR LABORATORY AND DIAGNOSTIC IMAGING CENTERS - IN THE HOSPITAL SETTING THROUGH INPATIENT AND OUTPATIENT SERVICES - AT YOUR RESIDENCE THROUGH OUR HOME CARE PROGRAMS - IN COMMUNITY PHYSICIAN OFFICES THROUGH OUR STATEWIDE CONTINUCARE PROGRAM - IN LONG-TERM CARE FACILITIES THROUGH OUR AFFILIATION WITH ELMHURST EXTENDED CARE - IN LOCAL NEIGHBORHOODS, BUSINESSES AND SCHOOLS THROUGH OUR COMMUNITY OUTREACH OVER THE YEARS, THE QUALITY OF OUR CARE HAS EARNED US MANY DISTINCTIONS. ONE OF THE MOST RECENT AND NOTEWORTHY IS OUR FORMAL AFFILIATION WITH BOSTON UNIVERSITY SCHOOL OF MEDICINE. THAT DESIGNATION GIVES US THE PRIVILEGE AND HONOR OF TEACHING FUTURE GENERATIONS OF PHYSICIANS IN THE LATEST MEDICAL PRACTICES. OUR ACADEMIC AFFILIATION ALSO ENSURES THAT INDIVIDUALS AND FAMILIES IN RHODE ISLAND HAVE ACCESS TO THE MOST UP-TO-DATE MEDICAL KNOWLEDGE, DIAGNOSTIC AND TREATMENT PROCEDURES. PARTICULARLY IN THE AREA OF CANCER CARE, OUR ACADEMIC RESEARCH EFFORTS, OUR EXPERTISE AND OUR MEDICAL PRACTITIONERS ARE ON A PAR WITH THE BEST IN THE COUNTRY. IN ALL SPECIALTIES, OUR COMMITMENT TO ADVANCING MEDICAL RESEARCH, APPLYING WHAT WE LEARN IN THE PATIENT SETTING, ADHERING TO THE STRICTEST PROTOCOLS, AND MEASURING CLINICAL OUTCOMES ENSURE THAT AS A PATIENT HERE, YOU RECEIVE THE HIGHEST STANDARD OF MEDICAL CARE.
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5IN ADDITION TO ITS ACTIVITIES IN DELIVERING HEALTH CARE SERVICES TO THE COMMUNITY AS DESCRIBED ELSEWHERE IN THIS FILING, ROGER WILLIAMS MEDICAL CENTER (RWMC) FURTHERS ITS EXEMPT PURPOSES THROUGH THE FOLLOWING MEANS: A) RWMC IS MANAGED BY A COMMUNITY BOARD OF TRUSTEES, ON WHICH A SUBSTANTIAL MAJORITY OF TRUSTEES ARE RESIDENTS OF THE HOSPITAL'S EFFECTIVE MARKET AREA AND WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. B) WITH THE EXCEPTION OF CERTAIN DEPARTMENTS WHICH, IN THE INTERESTS OF EFFICIENCY, QUALITY AND PROPER ADMINISTRATION, ARE TRADITIONALLY RESERVED TO A SINGLE PHYSICIAN GROUP HAVING AN EXCLUSIVE ARRANGEMENT WITH RESPECT TO THE DEPARTMENT (IE RADIOLOGY, ANESTHESIA, AND PATHOLOGY), RWMC MAINTAINS AND OPEN MEDICAL STAFF THAT EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIAN APPLICANTS WHO EXHIBIT THE PROPER TRAINING AND EXPERTISE TO SERVE THE HOSPITAL'S PATIENTS. C) THE ORGANIZATION TRADITIONALLY APPLIES ALL SURPLUS FUNDS TO ENSURING FINANCIALLY PRUDENT AVAILABLE FUNDS, CAPITAL MAINTENANCE AND IMPROVEMENTS, AND THE ADDITION OF SERVICES THAT BENEFIT THE COMMUNITY. RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND AFFILIATED IN JANUARY 2010 UNDER CHARTERCARE HEALTH PARTNERS. THE AFFILIATION PARTNERS BELIEVE THAT BY COMBINING THEIR COMPLEMENTARY STRENGTHS, THEY CAN SIGNIFICANTLY IMPROVE THEIR ABILITY TO MEET THE HEALTHCARE NEEDS OF THE REGION THROUGH MORE COORDINATION, IMPROVED EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. THE PARTIES RECOGNIZED THAT WHETHER THEY AFFILIATED OR NOT, CHANGE WILL AND MUST OCCUR IN THEIR ORGANIZATIONS IN LIGHT OF EMERGING CHANGES IN HEALTHCARE DELIVERY, AND CHANGES IN PUBLIC AND PRIVATE SYSTEMS FOR PAYING FOR HEALTH CARE. THE AFFILIATION BETTER POSITIONED THE TWO ORGANIZATIONS TO ADDRESS THE CHALLENGES AND TO MEET THE NEEDS OF THEIR COMMUNITIES.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6ROGER WILLIAMS MEDICAL CENTER (RWMC) IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. THE AFFILIATION OF RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) IN JANUARY 2010 TO FORM CCHP, ALLOWED BOTH HERITAGE HOSPITALS THE ABILITY TO COMBINE THEIR COMPLEMENTARY STRENGTHS, AND ALLOW THEM TO SIGNIFICANTLY IMPROVE THEIR ABILITY TO MEET THE HEALTHCARE NEEDS OF THE REGION THROUGH MORE COORDINATION, IMPROVED EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. RWMC'S AFFILIATION ALSO ALLOWS THEM TO WORK CLOSELY WITH SJHSRI IN THE CREATION OF DEFINED STATE RECOGNIZED CENTERS OF EXCELLENCE IN GERIATRICS, CANCER CARE, GASTROENTEROLOGY AND BEHAVIORAL MEDICINE. THE AFFILIATION OF THE TWO HERITAGE HOSPITALS HAS ALLOWED THEM TO INTEGRATE THE MENTIONED EXISTING SERVICES BETWEEN THE TWO HOSPITALS IN A MANNER THAT BEST SERVES THE EVER EVOLVING COMMUNITIES NEEDS AND IN A MORE INTEGRATED AND MORE EFFICIENT MANNER. IN ADDITION TO SHARING POLICIES AND PROCEDURES FOR BEST OPERATIONAL AND MANAGEMENT PRACTICES, SYSTEM HOSPITALS PARTICIPATE IN A CHARTERCARE QUALITY COMMITTEE. THE CHARTERCARE QUALITY COMMITTEE OVERSEES WORK DONE BY THE HOSPITAL QUALITY COMMITTEES AND HELPS PROMOTE THE WEALTH OF PERFORMANCE IMPROVEMENT AND QUALITY INITIATIVES IN EACH OF THE TWO HOSPITALS (OUR LADY OF FATIMA HOSPITAL AND ROGER WILLIAMS MEDICAL CENTER), ELMHURST EXTENDED CARE (AN EDEN ALTERNATIVE NURSING HOME), ROGER WILLIAMS HOME CARE AND THE SJHSRI CENTER OF HEALTH AND HUMAN SERVICES. THE QUALITIES COMMITTEES THAT OVERSEE CLINICAL PRACTICES WITHIN THE SYSTEM HAVE COMMUNITY REPRESENTATIVES OF THE BOARD OF TRUSTEE AS WELL AS REPRESENTATIVES FROM THE MEDICAL STAFF, NURSING, ADMINISTRATION AND THE QUALITY DEPARTMENTS. STATE FILING OF COMMUNITY BENEFIT REPORT RHODE ISLAND

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KENNETH H BELCHER
PRESIDENT & CEO CCHP04018950002675706406018876045393400
MICHAEL CONKLIN JR
CFO/TREASURER CCHP032843500023604900019493035306400
BHARTI RATHORE
SENIOR VP250661000003169040110257841000
RITESH RATHORE
PHYSICIAN31558800011154072920194640353498000
ALEX ETIENNE
PHYSICIAN3361170007500062420191680369027000
JOHN STOUKIDES
PHYSICIAN2350030000074500192870261740000
AHMAD AL-HOMSI
PHYSICIAN5154990001523106397060220543149000
DOMENIC DECRISTOFANO
EXEC DIR FACILITIES MANAGEMENT000015872405168000163892000
KIMBERLY O'CONNELL ESQ
SENIOR VP02448440002194105106017607028949800
JOANNE DOOLEY
VP CNO RWMC02436880000023617014634028193900
SUSAN CERRONE-ABELY
VP CIO02185890002429905441019278026760700
DARLEEN SOUZA
VP HUMAN RESOURCES019731600040260527701457202211910
ADOZINDA KANE
FORMER CFO/TREASURER02420450002263304966019368028901200
CHERYL PERRY
CHIEF HUMAN RESOURCES OFFICER01666500007870237508265017807700

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ESTABLISH COMPENSATIONPART I, LINE 3EXECUTIVE SALARIES AND BENEFITS ARE PAID BY CHARTERCARE HEALTH PARTNERS BEGINNING JANUARY 2012. EMPLOYEE SALARIES ARE ESTABLISHED UNDER THE COMPENSATION POLICIES OF THE ORGANIZATION'S MANAGEMENT COMPANY - CHARTERCARE HEALTH PARTNERS.
NONQUALIIFED SUPPLEMENTAL RETIREMENT PLANPART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS UNDER THE 457(F) PLAN: KENNETH BELCHER - $21,809 MICHAEL CONKLIN - $0 KIMBERLY O'CONNELL - $19,388 JOANNE DOOLEY - $23,601 SUSAN CERRONE-ABELY - $15,329 ADOZINDA KANE - $22,633 CHERYL PERRY - $10,597 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SPLIT DOLLAR LIFE INSURANCE PLAN AND INCLUDED THE FOLLOWING IMPUTED INCOME IN TAXABLE WAGES IN CALENDAR YEAR 2012: KENNETH BELCHER - $4,947 MICHAEL CONKLIN - $236 KIMBERLY O'CONNELL - $129 SUSAN CERRONE-ABELY - $239 DARLEEN SOUZA - $64

Schedule L IRS990ScheduleL

Loan Table LoanTable (5 entries)

Relationship With OrganizationRelationshipWithOrganizationPurpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
K BELCHER
OFFICERSPLIT DOLLAR PREMIUMX$174,542213329falsetruetrue
S ABELY
KEY EMPLOYEESPLIT DOLLAR PREMIUMX$96,863109778falsetruetrue
K O'CONNELL
OFFICERSPLIT DOLLAR PREMIUMX$52,59859611falsetruetrue
M CONKLIN
OFFICERSPLIT DOLLAR PREMIUMX$30,68892063falsetruetrue
D SOUZA
KEY EMPLOYEESPLIT DOLLAR PREMIUMX$8,83226495falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due501276TotalBalanceDue

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierLOANS TO INTERESTED PERSONSIdentifier
Return ReferencePART IIReturnReference
ExplanationCHARTERCARE HEALTH PARTNERS HAS DEVELOPED A COMPENSATION AND BENEFIT PROGRAM TO RETAIN EXPERIENCED HEALTHCARE PROFESSIONALS. UNDER THE PROGRAM CERTAIN EMPLOYEES HAVE BEEN ENROLLED IN A SPLIT DOLLAR LIFE INSURANCE PROGRAM THAT PROVIDES PRE AND POST EMPLOYMENT LIFE INSURANCE BENEFITS. THE LIFE INSURANCE PREMIUMS FOR THIS POLICY HAVE BEEN PAID BY THE HOSPITAL AND IN RETURN THE HOSPITAL HAS RECEIVED A COLLATERAL INTEREST IN THE PROCEEDS OF THE POLICY. UPON THE DEATH OR TERMINATION OF EMPLOYMENT OF THE INSURED, THE HOSPITAL WILL BE REPAID THE AMOUNTS THAT HAVE BEEN ADVANCED. THE AMOUNTS REPORTED AS LOANS REPRESENT THE AGGREGATE PREMIUMS THAT HAVE BEEN PAID TO DATE. INTEREST HAS BEEN COMPUTED ON THESE ADVANCES AND INCLUDED IN TAXABLE COMPENSATION PAID TO EACH EMPLOYEE AS REFLECTED IN FORM W-2.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSPART III, LINE 4A-4DIN 1878, ROGER WILLIAMS MEDICAL CENTER (RWMC) WAS FOUNDED AS THE HOMEOPATHIC HOSPITAL OF RHODE ISLAND. TODAY, RWMC IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. CCHP WAS FORMED IN JANUARY OF 2010 BY THE AFFILIATION OF TWO HOSPITALS; RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI). THE INDIVIDUAL HOSPITALS OF CCHP ARE DEEPLY ROOTED IN THEIR COMMUNITIES, EACH WITH A LONG TRADITION OF PROVIDING HIGH QUALITY CARE AND SERVICES. SERVING THE GREATER PART OF NORTHERN RHODE ISLAND, RWMC AND SJHSRI CARES FOR MORE THAN 190,000 PATIENTS ON AN ANNUAL BASIS AND PROVIDES A VAST ARRAY OF SERVICES SPECIALIZING IN GERIATRICS, CANCER CARE, BEHAVIORAL MEDICAL, GASTROENTEROLOGY, ORTHOPEDICS AND NEUROSURGERY. WITH THE FULL RANGE OF MEDICAL, PREVENTATIVE, DIAGNOSTIC AND SPECIALTY SERVICES FOR ADULTS AND SELECT PEDIATRICS PATIENTS, ROGER WILLIAMS HAS BEEN THERE TO SERVE ITS LOCAL COMMUNITY FOR MORE THAN 130 YEARS. RWMC IS A MODERN URBAN MEDICAL CENTER AND TEACHING AFFILIATE OF BOSTON UNIVERSITY SCHOOL OF MEDICINE. IT IS RECOGNIZED NATIONALLY FOR INNOVATIVE PROGRAMS IN HEALTH CARE, EDUCATION AND RESEARCH. WITH 220 ACUTE CARE BEDS, RWMC COMBINES A SOPHISTICATED TEACHING AND RESEARCH CENTER WITH THE WARMTH AND INDIVIDUALIZED CARE OF A COMMUNITY HOSPITAL. THE HOSPITAL IS HOME TO EXCELLENT CANCER, SURGICAL AND GERIATRICS PROGRAMS, COMPREHENSIVE DIAGNOSTIC AND IMAGING SERVICES, WORLD CLASS GASTROENTEROLOGY SERVICES, AND AN INNOVATIVE ADDICTION MEDICINE TREATMENT CENTER, WHICH OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT TREATMENT PROGRAMS. RWMC FEATURES AN ORTHOPEDIC AND NEUROSPINE CENTER, THE ONLY ACUTE CARE UNIT IN THE STATE DEDICATED ENTIRELY TO PATIENTS WITH ORTHOPEDIC NEEDS AND A DERMATOLOGY AND WOUND CARE PROGRAM. RWMC IS ALSO HOME TO INNOVATIVE SURGERIES AND WAS THE FIRST HOSPITAL IN THE STATE TO USE COMPUTER-AIDED NAVIGATION FOR BOTH KNEE AND HIP REPLACEMENTS. SINCE 2011, ROGER WILLIAMS HAS BEEN DESIGNATED AS A BLUE DISTINCTION CENTER FOR BOTH SPINE SURGERY AND KNEE AND HIP REPLACEMENT FROM BLUE CROSS & BLUE SHIELD OF RHODE ISLAND FOR DEMONSTRATING BETTER OVERALL QUALITY OF CARE AND PATIENT RESULTS IN THESE SPECIALTIES. THE FOLLOWING ARE SELECTED HIGHLIGHTS FOR 2013 FROM SOME OF OUR PRIMARY SERVICE OFFERINGS: CANCER CARE RWMC IS HOME TO THE MOST COMPLETE CONTINUUM OF CANCER CARE IN THE STATE, INCLUDING RHODE ISLAND'S ONLY BLOOD & MARROW TRANSPLANT UNIT. ONE CENTRALIZED LOCATION REINFORCES THE MEDICAL CENTER'S MULTI-DISCIPLINARY APPROACH TO CANCER CARE AND ALLOWS PATIENTS, FAMILIES, PHYSICIANS AND STAFF TO MOVE SEAMLESSLY FROM ONE LOCATION TO ANOTHER. ALL OF THIS HAS SERVED TO IMPROVE CONTINUITY OF CARE AND PHYSICIAN COLLABORATION. SOME SELECTED HIGHLIGHTS IN CANCER CARE IN 2013: -THE CANCER PROGRAM AT ROGER WILLIAMS WAS GRANTED A THREE-YEAR ACCREDITATION WITH COMMENDATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. THE DESIGNATION MEANS THAT ROGER WILLIAMS "HAS DEDICATED ITSELF TO PROVIDING THE BEST IN THE DIAGNOSIS AND TREATMENT OF CANCER" AND THAT THE PROGRAM MEETS ESTABLISHED NATIONAL STANDARDS. -THE BREAST HEALTH PROGRAM AT ROGER WILLIAMS RECEIVED FULL ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. ACCREDITATION IS GRANTED ONLY TO THOSE CENTERS THAT UNDERGO A RIGOROUS EVALUATION AND REVIEW OF PERFORMANCE AND COMPLIANCE WITH 27 EVIDENCE-BASED STANDARDS OF CARE COVERING 17 COMPONENTS OF CARE. -THE DIVISION OF HEMATOLOGY ONCOLOGY AT ROGER WILLIAMS CANCER CENTER RECEIVED REACCREDITATION BY THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM, AN AFFILIATE OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO). THE QOPI CERTIFICATION PROGRAM PROVIDES A THREE-YEAR CERTIFICATION FOR OUTPATIENT HEMATOLOGY-ONCOLOGY PRACTICES THAT MEET THE HIGHEST STANDARDS FOR QUALITY CANCER CARE. IN 2010, ROGER WILLIAMS WAS ONE OF THE FIRST 40 SITES IN THE COUNTRY TO RECEIVE THIS CERTIFICATION. ELDER CARE AS A CENTER FOR GERIATRICS, THE MEDICAL CENTER PROVIDES A NETWORK OF HEALTH CARE SERVICES FOR ELDERS. THE NETWORK INCLUDES ACUTE AND SUB-ACUTE CARE, GERIATRIC ASSESSMENT, AND HOME-BASED NURSING, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. LONG-TERM NURSING CARE IS PROVIDED THROUGH ELMHURST EXTENDED CARE, LOCATED ON RWMC'S NORTH CAMPUS. EDUCATION AND TRAINING OF RWMC HOSPITAL STAFF IN ADVANCED ELDER CARE CONTINUES, THANKS TO A PARTNERSHIP WITH THE RHODE ISLAND GERIATRIC EDUCATION CENTER AT THE UNIVERSITY OF RHODE ISLAND. IN 2010, THE CENTER WAS AWARDED FIVE MORE YEARS OF FUNDING FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION WHICH MEANS THE EDUCATION AND TRAINING THAT HAS BEEN UNDERWAY AT RWMC SINCE DECEMBER 2009 WILL BE CONTINUE TO GROW. IN 2012, THE TRAINING WAS EXPANDED TO INCLUDE SJHSRI. -WITH AN EYE ON THE HEALTH NEEDS OF RHODE ISLAND'S AGING POPULATION, ROGER WILLIAMS MEDICAL CENTER AND ITS AFFILIATE FATIMA HOSPITAL OFFICIALLY OPENED THE STATE'S FIRST SENIOR-FRIENDLY EMERGENCY DEPARTMENTS ON MARCH 25. FOR NEARLY A YEAR, BOTH EMERGENCY DEPARTMENTS HAVE UNDERGONE PHYSICAL RENOVATIONS AND MODIFICATIONS, WHILE PROVIDING ENHANCED TRAINING AND ASSESSMENT TOOLS FOR STAFF. -ELMHURST EXTENDED CARE WAS RECOGNIZED AS A 2013 RECIPIENT OF THE BRONZE COMMITMENT TO QUALITY AWARD FOR ITS DEDICATION TO IMPROVING THE LIVES OF ELDERS THROUGH IMPROVED QUALITY CARE. THE AWARD IS ONE OF THREE DISTINCTIONS POSSIBLE THROUGH THE NATIONAL QUALITY AWARD PROGRAM, PRESENTED BY THE AMERICAN HEALTH CARE ASSOCIATION AND NATIONAL CENTER FOR ASSISTED LIVING.
PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)PART III, LINE 4A-4DINNOVATION, RECOGNITION AND EVENTS IN 2013 -ROGER WILLIAMS MEDICAL CENTER WAS RE-DESIGNATED AS A BLUE DISTINCTION CENTER FOR BOTH SPINE SURGERY AND KNEE AND HIP REPLACEMENT FROM BLUE CROSS & BLUE SHIELD OF RHODE ISLAND FOR DEMONSTRATING BETTER OVERALL QUALITY OF CARE AND PATIENT RESULTS IN THESE SPECIALTIES. ROGER WILLIAMS RECEIVED INITIAL DESIGNATION IN THESE SPECIALTIES IN 2011. -THIRTY NINE PHYSICIANS AFFILIATED WITH ROGER WILLIAMS' PARENT COMPANY CHARTERCARE HEALTH PARTNERS WERE RECOGNIZED IN RHODE ISLAND MONTHLY AS "TOP DOCTORS" AS VOTED BY THEIR PEERS. -THE TRANSITIONAL CARE PAVILION OPENED AT ELMHURST EXTENDED CARE. THE UNIT, A STATE-OF-THE-ART, 12-BED, SHORT-TERM SUB-ACUTE UNIT, SPECIALIZES IN CARING FOR AND PREPARING POST-OPERATIVE PATIENTS FOR A RETURN TO THEIR HOME. -FOLLOWING A RIGOROUS ON-SITE REVIEW ON SEPTEMBER 24, ROGER WILLIAMS MEDICAL CENTER WAS RE-CERTIFIED AS A PRIMARY STROKE CENTER. THE RE-CERTIFICATION FROM THE JOINT COMMISSION RECOGNIZES ROGER WILLIAMS' DEDICATION TO FOSTERING BETTER OUTCOMES FOR PATIENTS. EARLIER THIS YEAR, ROGER WILLIAMS WAS ALSO RECOGNIZED WITH THE GET WITH THE GUIDELINES-STROKE SILVER QUALITY ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION. -IN 2013, THE CARDIAC CATHETERIZATION LABORATORY OPENED IN A NEW SUITE IN THE RADIOLOGY DEPARTMENT. THE LABORATORY HAS BEEN FOCUSED ON INSERTING OR REPAIRING DEVICES LIKE PACEMAKERS AND GENERATORS. IN JANUARY 2014, THE LABORATORY WILL ADD DIAGNOSTIC CATHETERIZATION TO ITS LIST OF OFFERINGS. THE LAB HAS ADDED A HEMODYNAMIC SYSTEM AND WILL HAVE THE ABILITY TO INSERT CATHETERS INTO VEINS AND ARTERIES TO VISUALIZE BLOCKAGE AND PRESSURE. -ROGER WILLIAMS IS NOW ONE OF JUST THREE HOSPITALS IN THE COUNTRY OFFERING SEDATION-FREE COLONOSCOPIES NAVIGATED BY COMPUTER GUIDANCE. ROGER WILLIAMS RECENTLY JOINED NYU LANGONE MEDICAL CENTER AND NEW YORK-PRESBYTERIAN HOSPITAL/COLUMBIA UNIVERSITY AS A CLINICAL SITE FOR AN FDA-APPROVED PROCEDURE FOR PATIENTS WHO PREFER A COLONOSCOPY WITHOUT SEDATION. THIS PROCEDURE IS IDEAL FOR PATIENTS WHO CAN'T TOLERATE OR CHOOSE NOT TO EXPERIENCE SEDATION. -ROGER WILLIAMS ONCE AGAIN JOINED WITH LEADING HOSPITALS LIKE BETH ISRAEL DEACONESS MEDICAL CENTER AND YALE NEW HAVEN HOSPITAL AS PART OF THIS YEAR'S BOSTON INTERNATIONAL LIVE ENDOSCOPY CONFERENCE. THIS UNIQUE LIVE ENDOSCOPY COURSE, DESIGNED FOR GASTROENTEROLOGISTS, SURGICAL ENDOSCOPISTS, GASTROENTEROLOGY FELLOWS, AND GI NURSES, TOOK PLACE FROM OCTOBER 31--NOVEMBER 2 WITH SIMULTANEOUS LIVE SATELLITE TRANSMISSIONS FEATURING CASES PERFORMED BY AN OUTSTANDING NATIONAL AND INTERNATIONAL FACULTY. CASES WERE TRANSMITTED LIVE FROM EIGHT HOSPITALS INCLUDING ROGER WILLIAMS. -ENDOBRONCHIAL ULTRASOUND (EBUS), A RELATIVELY NEW PROCEDURE USED IN THE DIAGNOSIS OF LUNG CANCER, INFECTIONS, AND OTHER DISEASES CAUSING ENLARGED LYMPH NODES IN THE CHEST, BECAME AVAILABLE AT ROGER WILLIAMS IN 2013. -ROGER WILLIAMS MEDICAL CENTER HOSTED THE 2014 RALLY4RECOVERY NATIONAL RALLY KICKOFF EVENT AND PARTICIPATED IN THE RALLY IN SEPTEMBER 21 IN PROVIDENCE. THE RALLY IS A NATIONAL EVENT DESIGNED TO BRING AWARENESS AND ATTENTION TO ISSUES OF ADDICTION. -CHARTERCARE HEALTH PARTNERS WAS AGAIN RECOGNIZED BY PROVIDENCE BUSINESS NEWS AS ONE OF RHODE ISLAND'S "HEALTHIEST EMPLOYERS." THE HEALTHIEST COMPANIES WERE CHOSEN BASED ON SCORES IN SIX WELLNESS CATEGORIES. FREE CARE PER THE HOSPITAL'S PUBLIC NOTICE, RWMC IS PROUD OF ITS COMMITMENT TO PROVIDE QUALITY CARE TO ALL INDIVIDUALS WHO NEED IT. THE HOSPITAL PROVIDES FINANCIAL AID TO PATIENTS WITHOUT INSURANCE AND WHO MAY NOT BE ABLE TO PAY FOR THE CARE PROVIDED. RWMC WILL PROVIDE FULL CHARITY CARE TO UNINSURED BASED ON INCOME LIMITS AND FAMILY SIZE. FURTHERMORE, RWMC OFFERS PARTIAL CHARITY CARE BASED ON A SLIDING SCALE. SERVICE TO THE COMMUNITY ROGER WILLIAMS MEDICAL CENTER HAS A LONG HISTORY AS A LEADER IN SUPPORTING OUR COMMUNITY THROUGH PARTNERSHIPS, EDUCATION, OUTREACH, CHARITY, AND VOLUNTEERISM. THE OUTREACH TEAM AT THE MEDICAL CENTER PROVIDED FREE SCREENINGS, PRESENTATIONS, AND EDUCATION TO THOUSANDS OF RHODE ISLANDERS IN 2013 AT VARIOUS SITES AROUND THE STATE. FREE HEALTH SCREENINGS AND EDUCATION WERE PROVIDED ON A VARIETY OF TOPICS, INCLUDING: SCREENINGS FOR CHOLESTEROL/GLUCOSE, ORAL HEALTH, LUNG FUNCTION, BLOOD PRESSURE, BREAST CANCER, PROSTATE AND CANCER. EDUCATION AND INFORMATION WAS PROVIDED ON A VARIETY OF HEALTH AND WELLNESS TOPICS. AMONG THE HEALTH FAIRS, PRESENTATIONS, AND SCREENINGS ATTENDED OR OFFERED WERE: 2013 COMMUNITY OUTREACH PROGRAMS -THE BARIATRIC WEIGHT LOSS PROGRAM HOSTED MONTHLY WEIGHT LOSS SEMINARS WITH AN AVERAGE ATTENDANCE OF 60 PEOPLE. -MARCH 27: THE ROGER WILLIAMS GASTROENTEROLOGY TEAM BROUGHT A DAY OF EDUCATION TO THE HOSPITAL IN RECOGNITION OF COLORECTAL CANCER AWARENESS MONTH. 75 PARTICIPANTS -APRIL 10: CCRI WARWICK HEALTH FAIR: 150 PARTICIPANTS -MAY 2: RHODE ISLAND ASSISTED LIVING TRADE SHOW: 150-200 PARTICIPANTS -MAY 8: FATIMA COMMUNITY HEALTH FAIR: 40 PARTICIPANTS -MAY 29: "OWN THE BONE" PROGRAM - ROGER WILLIAMS PHYSICIANS LED THIS PROGRAM FOCUSED ON OSTEOPOROSIS AND NEW TECHNOLOGIES IN HIP REPLACEMENT. -COMPUTER-ASSISTED SURGERY, MINIMALLY INVASIVE KNEE SURGERY, AND TRIATHLON KNEE SYSTEM SEMINAR -MAY 29: MANCINI SR. CENTER HEALTH FAIR: 100-125 PARTICIPANTS - JUNE 6:MANCINI CENTER: RICHARD GAMACHE, VP/ELDER CARE, SPOKE ABOUT THE SENIOR ED PROJECT: 35 PARTICIPANTS -JUNE 13: NORTHWEST LINKS NETWORKING GROUP: RICHARD GAMACHE, VP/ELDER CARE, SPOKE ABOUT THE SENIOR ED PROJECT: 30 PARTICIPANTS -AUGUST 6: ROGER WILLIAMS AND FATIMA HOSPITAL PARTICIPATED IN THE FIRST-EVER NATIONAL NIGHT OUT, HOSTED BY THE NORTH PROVIDENCE POLICE DEPARTMENT. MORE THAN 500 PEOPLE ATTENDED AND HAD THE OPPORTUNITY TO PARTAKE IN OUR SCREENING/PREVENTION PROJECTS INCLUDING SKIN CANCER SCREENING, SMOKING CESSATION/PREVENTION, DENTAL HYGIENE, AND STROKE CARE. -SEPT. 19: RI REHAB HEALTH FAIR: 50 PARTICIPANTS -SEPT. 20: RI HEALTH CARE ASSOCIATION TRADE SHOW: 200-250 PARTICIPANTS -MONTH OF OCTOBER: CHARTERCARE HOME HEALTH SERVICES CONDUCTED 30 FLU CLINICS AT VARIOUS ASSISTED LIVINGS : TOTAL 1407 FLU SHOTS GIVEN -NOVEMBER 7: LINCOLN SENIOR CENTER HEALTH FAIR: 75 PARTICIPANTS -NOV. 25: PROVIDENCE ROTARY CLUB: RICHARD GAMACHE, VP/ELDER CARE, SPOKE ABOUT THE SENIOR ED PROJECT: 75 PARTICIPANTS FUNDRAISING RWMC ACTIVELY COLLABORATES WITH SCHOOLS, FELLOW HEALTH CARE PROVIDERS AND OTHERS TO MAXIMIZE OUR CONTRIBUTIONS TO THE COMMUNITY. IN 2013, RWMC ALONG WITH ITS OTHER CCHP-AFFILIATED EMPLOYEES, HELPED RAISE FUNDS FOR A NUMBER OF CHARITABLE CAUSES INCLUDING: -ROGER WILLIAMS' EMPLOYEES CORREY MAHER AND BRUCE FOSTER OF TEAM HOPE POWERED THEIR WAY FROM PROVIDENCE TO WASHINGTON, DC OVER THE COURSE OF ONE WEEKEND. THE DUO RAISED $10,000 FOR CANCER PROGRAMS AT ROGER WILLIAMS AND THE AMERICAN CANCER SOCIETY. -ROGER WILLIAMS WAS A SPONSOR OF THE "WALK FROM OBESITY" TO RAISE AWARENESS OF THE DANGERS OF OBESITY. -CHARTERCARE HEALTH PARTNERS WAS A SPONSOR OF THE AMERICAN LIVER FOUNDATION'S 2013 "LIVER LIFE WALK." -"DAFFODIL DAYS": RAISED MONEY FOR THE AMERICAN CANCER SOCIETY. -OTHERS: RWMC SPONSORED, FIELDED TEAMS AND RAISED MONEY FOR THE AIDS WALK, ALZHEIMER'S WALK, AND BREAST CANCER WALK. SUPPORT GROUPS: RWMC IS HOME TO A NUMBER OF ONGOING SUPPORT GROUPS FOR INDIVIDUALS DIAGNOSED WITH OBESITY, CANCER, ADDICTIONS, AND OTHER ILLNESSES. VOLUNTEERISM -MARTIN LUTHER KING (MLK) DAY: THE MEDICAL CENTER'S EMPLOYEES VOLUNTEERED AS PART OF OUR MLK DAY EVENT FOR HABITAT FOR HUMANITY, HELPING TO BUILD HOUSES FOR LOW-INCOME FAMILIES IN PAWTUCKET AND PROVIDENCE. -BLOOD DRIVES: RWMC COLLECTED MORE THAN 65 PINTS OF BLOOD IN 2013 AT ITS QUARTERLY BLOOD DRIVES. -CLOTHING DRIVE: RWMC COLLECTED COATS, MITTENS, AND OTHER GENTLY USED ITEMS FOR THE RHODE ISLAND FURNITURE BANK. RESEARCH ROGER WILLIAMS MEDICAL CENTER IS HOME TO A GROUP OF DEDICATED SCIENTISTS, RESEARCHERS, AND INVESTIGATORS ACTIVELY INVOLVED IN A VARIETY OF MEDICAL RESEARCH ACTIVITIES. IN 2013, ROGER WILLIAMS RECEIVED IN EXCESS OF $2.9 MILLION IN GRANT FUNDING, WHICH IS MAINLY SUPPORTED WITH FUNDS RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH AND THE DEPARTMENT OF DEFENSE. OUR RESEARCH INCLUDES A MULTITUDE OF BASIC AND CLINICAL STUDIES IN CANCER, WHICH IS A PRIMARY INTEREST OF THE FACULTY. THERE ARE ONGOING TRIALS FOR A VARIETY OF CANCERS INCLUDING HEAD, NECK, BREAST, GI, HEMATOLOGICAL MALIGNANCIES, MELANOMA, IMMUNOTHERAPY, AS WELL AS NON-CLINICAL DIABETES, CARDIAC, AND HIV RESEARCH PROJECTS.
BUSINESS RELATIONSHIPSPART VI, SECTION A, LINE 2KENNETH BELCHER AND MICHAEL CONKLIN HAVE A BUSINESS RELATIONSHIP. THEY ARE OFFICERS/DIRECTORS OF ROGER WILLIAMS MEDICAL CENTER AND OFFICERS/DIRECTORS OF RELATED FOR PROFIT ENTITIES ROSEBANK CORPORATION, ELMHURST HEALTH ASSOCIATES, AND OUR LADY OF FATIMA ANCILLARY SERVICES.
DELEGATE CONTROL OVER MANAGEMENTPART VI, SECTION A, LINE 3EFFECTIVE JANUARY 4, 2010, THE PRINCIPAL MANAGEMENT FUNCTIONS OF RWMC AND SJHSRI ARE CONDUCTED UNDER THE DIRECTION OF CHARTERCARE HEALTH PARTNER'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES. CONSEQUENTLY, THERE ARE NO KEY EMPLOYEES DISCLOSED FOR THE EXECUTIVE OR FINANCIAL MANAGEMENT FUNCTIONS AFTER JANUARY 2010.
MEMBERS OF THE ORGANIZATIONPART VI, SECTION A, LINES 6-7BCHARTERCARE HEALTH PARTNERS IS THE SOLE MEMBER OF ROGER WILLIAMS MEDICAL CENTER. CHARTERCARE HEALTH PARTNERS AS THE SOLE MEMBER RESERVES THE POWER TO AMEND THE ARETICLES AND BYLAWS OF THE ENTITY, APPOINT OR REMOVE A MEMBER OF THE BOARD OF TRUSTEES, ENTER INTO CONTRACTS, AND EFFECT ANY DISSOLUTION, ALLILIATION, MERGER, OR REORGANIZATION, AND HAS THE EXCLUSIVE POWER TO APPOINT OR REMOVE THE CEO, CFO AND THE COO (IF ANY).
FORM 990 REVIEW PROCESSPART VI, SECTION B, LINE 11ATHE COMPLETION OF THE FORM 990 BEGINS WITH AN OPENING MEETING ATTENDED BY THE CONTROLLER OF CCHP AND KPMG LLP, AN INDEPENDENT TAX CONSULTANT. THE MEETING CONSISTS OF A REVIEW OF THE ORGANIZATIONAL STRUCTURE, SIGNAIFICANT CHANGES IN OPERATIONS OR PROGRAM ACTIVITITES 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 MANAGEMNT 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 THE 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.
CONFLICT OF INTEREST POLICYPART VI, SECTION B, LINE 12THE CONFLICT OF INTEREST POLICY INCLUDED IN THE BY-LAWS IS TO PROTECT THE COPRORATION'S INTEREST WHEN IT IS COTEMPLATING 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.
COMPENSATION POLICYPART VI, SECTION B, LINE 12EXECUTIVE COMPENATION PHILOSOPHY: THE EXECUTIVE MANAGEMNT MEMBERS OF ROGER WILIAMS MEDICAL CENTER (RWMC) ARE ACCOUNTABLE FOR ENSURING THAT THE MISSION, VISION, AND VALUES ARE CARRIED OUT AT THE HIGHEST LEVELS OF QUALITY, SERVICE AND EFFICIENCY WITHIN THE COMMUNITIES SERVED. THE PROCESS TO DETERMINE ANNUAL EXECUTIVE COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE COMMITTEE IS COMPRISED OF INDIVIDUALS WHO ARE INDEPENDENT OF RWMC MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO OR UNDER THE CONTROL OF ANY INDIVIDUAL, WHO'S COMPENSATION ARRANGEMENT IS BEING REVIEWED, HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH RWMC AND ARE NOT PAID FOR THEIR SERVICES AS BOARD MEMBERS. THE COMMITTEE MAY RETAIN AN INDEPENDENT CONSULTANT TO CONDUCT AN ANNUAL COMPENSATION ANALYSIS AND OR TO PROVIDE ADVISORY SERVICES RELATED TO COMPENSATION. TO ATTRACT AND RETAIN THE HIGHEST CALIBER OF HEATLHCARE PROGESSIONALS NEEDED TO SUSTAIN THE QUALITY OF THE INSTITUTION; COMPENSATION MUST BE COMPETITIVE WITH THAT PROVIDED BY THE ORGANIZATIONS WITH WHICH THE INSTITUTION COMPETES WITHIN THE JOB MARKET. RWMC BENCHMARKS EXECUTIVE POSITIONS AGAINST ORGANIZATIONS OF COMPARABLE SIZE AND MISSION ON BOTH A NATIONAL AND REGIONAL LEVEL. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EXPERIENCE AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. IT IS THE OBLIGATION OF THE COMMITTEE TO ASSESS THE PERFORMANCE OF RWMC'S CEO, DETERMINE HIS/HER COMPENSATION AND REPORT IT'S FINDING IN THE REGARD TO THE BOARD. THE COMMITTEE IS ALSO RESPONSIBLE FOR REVIEWING THE PERFORMANCE ASSESSMENTS AND COMPENSATION RECOMMENDATIONS FOR THE EXECUTIVE MANAGEMENT MEMBERS. COMPENSATION DECISIONS ARE MADE IN A MANNER THAT IS CONSISTENT WITH THE EXECUTIVE COMPENSATION GUIDELINES AS PUT FORWARD: EXECUTIVE LEVEL COMPENSATION ADMINSTRATION GUIDELINE: EXECUTIVE PAY SHOULD BE COMMENSURATE WITH THE INDIVIDUAL'S SKILLS, KNOWLEDGE AND EXPERIENCE AS IT RELATES TO THEIR POSITION. THE MINIMUM AND 1ST QUARTILE OF THE COMPETITIVE MARKET COMPOSITE MAY BE APPROPRIATE FOR NEWLY HIRED INDIVIDUALS WITH LIMITED EXPERIENCE IN A COMPARABLE POSITION. FULLY EXPERIENCED INDIVIDUALS WITH A DEMONSTRATED RECORD OF CONSISTENTLY MEETING PERFORMANCE EXPECTATIONS FOR THE POSITION SHOULD GENERALLY BE PAID WITHIN 90% TO 110% OF THE MIDPOINT. HIGHLY EXPERIENCED INDIVIDUALS WITH A DEMOSTRATED RECORD OF CONSISTENLY EXCEEDING PERFORMANCE EXPECTATIONS IN ALL AREAS OF ACCOUNTABILITY, OR AN INDIVIDUAL WITH SPECIAL SKILLS AND EXPERTISE BEYOND THOSE NORMALLY ASSOCIATED WITH THE POSITION TYPICALLY HAVE A PAY TARGET BETWEEN MIDPOINT AND THE 3RD QUARTILE OF THE COMPETITIVE MARKET COMPOSITE. THE MAXIMUM OF THE MARKET COMPOSITE REPRESENTS THE HIGHEST SALARY LEVEL WHICH RWMC BELIEVES IS APPROPRIATE FOR THE POSITION. AN INDIVIDUAL WHOSE SALRY IS NEAR THE MAXIMUM OF THE MARKET COMPOSITE WILL BE ELIGIBLE FOR SALARY INCREASE OF NO MORE THAN THE AMOUNT REQUIRED TO REACH THE MAXIMUM MARKET PAY LEVEL.
PUBLIC DISCLOSUREPART VI, LINE 19ROGER WILLIAMS MEDICAL CENTER MAKES ITS TAX RETURN, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE TAX RETURN IS ALSO POSTED ON HTTP://WWW.GUIDESTAR.ORG.
COMPENSATIONPART VII, SECTION AROGER WILLIAMS MEDICAL CENTER DOES NOT COMPENSATE TRUSTEES FOR THEIR SERVICES ON THE BOARD. RUTH SCOTT EARNED COMPENSATION IN HER ROLE AS DIRECTOR OF CLINCIAL SERVICES.
OTHER CHANGES IN NET ASSETSPART XI, LINE 9CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS $142,235

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ROGER WILLIAMS MEDICAL ASSOCIATES
825 CHALKSTONE AVENUEPROVIDENCERI02908203346936PHY PRACTICERI501(C)(3)11CCHPfalse
ROGER WILLIAMS REALTY CORPORATION
825 CHALKSTONE AVENUEPROVIDENCERI02908050423855RENTAL MGMNTRI501(C)(3)11CCHPfalse
RWGH PHYSICIANS OFFICE BUILDING
825 CHALKSTONE AVENUEPROVIDENCERI02908050398588BLDG MGMNTRI501(C)(3)11CCHPfalse
ELMHURST EXTENDED CARE FACILITIES INC
50 MAUDE STREETPROVIDENCERI02908222723407HEALTHCARERI501(C)(3)3CCHPfalse
ST JOSEPH HEALTH SERVICES OF RI
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904050259026HEALTHCARERI501(C)(3)3CCHPfalse
ST JOSEPH HOSPITAL WORKERS COM TRUST
200 HIGH SERVICE AVENORTH PROVIDENCERI02904056106574TRUSTRI501(C)(3)11SJHSRIfalse
CHARTERCARE HEALTH PARTNERS
825 CHALKSTONE AVENUEPROVIDENCERI02908264235815MANAGEMENTRI501(C)(3)11NAfalse
CHARTERCARE HEATLH PARTNERS FOUNDATION
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904260236669FUNDRAISINGRI501(C)(3)7CCHPfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsControlled OrgControlledOrg
OUR LADY OF FATIMA ANCILLARY SERVICES
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904050519862HEALTHCARERICCHPC Corp00false
ELMHURST HEALTH ASSOCIATES INC
825 CHALKSTONE AVEPROVIDENCERI02908050437610HEALTHCARERICCHPC Corp00false
ROSEBANK CORP
825 CHALKSTONE AVENUEPROVIDENCERI02908050342046REAL ESTATERICCHPC Corp00false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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