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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-13T07:45:31-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 South Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050258959 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROGER WILLIAMS MEDICAL CENTER | BusinessNameLine1 |
| Business Name Line2 | F/K/A ROGER WILLIAMS HOSPITAL | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % KATHLEEN MOORE | InCareOfName |
| Name Control | ROGE | NameControl |
| Phone | 4014563312 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 CHALKSTONE AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 029083547 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL CONKLIN JR | Name |
| Title | CFO/TREASURER | Title |
| Date Signed | 2014-08-07 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6179881000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KENNETH BELCHER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 CHALKSTONE AVENUE | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 029083547 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 174125888 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RWMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1904 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | ROGER 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 Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1336 | TotalNbrEmployees |
| Total Nbr Volunteers | 35 | TotalNbrVolunteers |
| Total Gross UBI | 815473 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -454107 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6246866 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5145526 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 162130741 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 163573390 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1566219 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2487593 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3810864 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2919379 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 173754690 | TotalRevenuePriorYear |
| Total Revenue Current Year | 174125888 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 73085627 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 73238649 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 99102194 | OtherExpensePriorYear |
| Other Expenses Current Year | 102653612 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 172187821 | TotalExpensesPriorYear |
| Total Expenses Current Year | 175892261 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1566869 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1766373 | RevenuesLessExpensesCY |
| Total Assets BOY | 102769481 | TotalAssetsBOY |
| Total Assets EOY | 100109462 | TotalAssetsEOY |
| Total Liabilities BOY | 59339179 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 57203258 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 43430302 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 42906204 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ROGER 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 133809179 | Expense |
| Revenue | 160937939 | Revenue |
| Description | PATIENT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5438008 | Expense |
| Revenue | 5438008 | Revenue |
| Description | DIRECT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10289973 | Expense |
| Description | FREE 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 149537160 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 100 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1336 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KATHLEEN MOORE | NamePerson |
| Telephone Number | 4014563322 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HIGH SERVICE AVENUE | AddressLine1 |
| City | NORTH PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02904 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH H BELCHER | ||||||||||
| PRESIDENT & CEO CCHP | 0.0 | 40.0 | X | X | 0 | 428652 | 25282 | |||
| CYNTHIA M ALVES | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| MARK BRAUN | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| DOUGLAS HUGHES | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| WILLIAM LOEHNING | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| ABBY MAIZEL | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| LOUIS MARIORENZI | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| CHARLES MAYNARD | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| JAMES MELFI | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| REV KENNETH SICARD | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| SHERRI SMITH | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| GARY PANNONE ESQ | ||||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||||
| MICHAEL CONKLIN JR | ||||||||||
| CFO/TREASURER CCHP | 0.0 | 40.0 | X | 0 | 328671 | 24393 | ||||
| DOMENIC DECRISTOFANO | ||||||||||
| EXEC DIR FACILITIES MANAGEMENT | 0.0 | 40.0 | X | 158724 | 0 | 5168 | ||||
| KIMBERLY O'CONNELL ESQ | ||||||||||
| SENIOR VP | 0.0 | 40.0 | X | 0 | 266785 | 22713 | ||||
| JOANNE DOOLEY | ||||||||||
| VP CNO RWMC | 40.0 | 0 | 243688 | 38251 | X | |||||
| SUSAN CERRONE-ABELY | ||||||||||
| VP CIO | 40.0 | 0 | 242888 | 24719 | X | |||||
| DARLEEN SOUZA | ||||||||||
| VP HUMAN RESOURCES | 40.0 | 0 | 201342 | 19849 | X | |||||
| BHARTI RATHORE | ||||||||||
| SENIOR VP | 40.0 | 250661 | 0 | 7180 | X | |||||
| RITESH RATHORE | ||||||||||
| PHYSICIAN | 40.0 | 326742 | 0 | 26756 | X | |||||
| ALEX ETIENNE | ||||||||||
| PHYSICIAN | 40.0 | 343617 | 0 | 25410 | X | |||||
| JOHN STOUKIDES | ||||||||||
| PHYSICIAN | 40.0 | 235003 | 0 | 26737 | X | |||||
| AHMAD AL-HOMSI | ||||||||||
| PHYSICIAN | 40.0 | 530730 | 0 | 12419 | X | |||||
| ADOZINDA KANE | ||||||||||
| FORMER CFO/TREASURER | 40.0 | 0 | 264678 | 24334 | X | |||||
| CHERYL PERRY | ||||||||||
| CHIEF HUMAN RESOURCES OFFICER | 40.0 | 0 | 167437 | 10640 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1845477 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2144141 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 293851 | TotalOtherCompensation |
| Number Individuals GT100 K | 58 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNIVERSITY MEDICAL GROUP | |||||
| 825 CHALKSTONE AVE | PROVIDENCE | RI | 02908 | ACADEMIC ADMIN | 5591685 |
| NEW ENGLAND ANTHESIOLOGIST | |||||
| PO BOX 6064 | PROVIDENCE | RI | 02940 | ANTHESIOLOGY | 360000 |
| SODEXHO | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | FOOD SERVICE | 937461 |
| ANGELICA CORPORATION | |||||
| 482 PAWTUCKET AVE | PAWTUCKET | RI | 02860 | LINEN SERVICES | 458884 |
| UNIVERSITY PATHOLOGIST | |||||
| 300 CENTERVILLE RD STE 215 | WARWICK | RI | 02886 | LABORATORY SERVICES | 654488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 21 | NumberOfContractorsGT100K |
| Government Grants | 3380970 | GovernmentGrants |
| All Other Contributions | 1764556 | AllOtherContributions |
| Total Contributions | 5145526 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| PATIENT CARE SERVICES | 621400 | 113306446 | 113306446 | ||
| MEDICARE AND MEDICAID PAYMENTS | 624100 | 45296825 | 45296825 | ||
| CAFETERIA | 722320 | 418086 | $418,086 | ||
| LAB REVENUE | 621400 | 4552033 | 3736560 | 815473 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 163573390 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1724894 | TotalRevenueColumn |
| Exclusion | $1,724,894 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 114140 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 114140 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 114140 | TotalRevenueColumn |
| Exclusion | $114,140 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 749268 | Securities |
| Other | 13431 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 749268 | Securities |
| Other | 13431 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 762699 | TotalRevenueColumn |
| Exclusion | $762,699 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 0 | GrossIncomeFundraisingEvents |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 0 | GrossIncomeGaming |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MISCELLANEOUS | 900099 | 613527 | 613527 |
| MEANINGFUL USE RECEIPTS | 900099 | 1806763 | 1806763 |
| PURCHASING REBATES | 900099 | 384949 | 384949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2805239 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 174125888 | TotalRevenueColumn |
| Related Or Exempt Function Income | 165145070 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 815473 | UnrelatedBusinessRevenue |
| Exclusion | $3,019,819 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1842662 | Total |
| Management And General | 1842662 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54673851 | Total |
| Program Services | 51692266 | ProgramServices |
| Management And General | 2981585 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1189858 | Total |
| Program Services | 920950 | ProgramServices |
| Management And General | 268908 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11336195 | Total |
| Program Services | 8774215 | ProgramServices |
| Management And General | 2561980 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4196083 | Total |
| Program Services | 3247768 | ProgramServices |
| Management And General | 948315 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9272934 | Total |
| Management And General | 9272934 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275474 | Total |
| Management And General | 275474 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199478 | Total |
| Management And General | 199478 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2460 | Total |
| Management And General | 2460 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30961 | Total |
| Management And General | 30961 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10244155 | Total |
| Program Services | 9899648 | ProgramServices |
| Management And General | 344507 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 295519 | Total |
| Program Services | 228732 | ProgramServices |
| Management And General | 66787 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2579853 | Total |
| Program Services | 1027217 | ProgramServices |
| Management And General | 1552636 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1182427 | Total |
| Program Services | 26641 | ProgramServices |
| Management And General | 1155786 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3313836 | Total |
| Program Services | 2564909 | ProgramServices |
| Management And General | 748927 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 480505 | Total |
| Program Services | 346375 | ProgramServices |
| Management And General | 134130 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100915 | Total |
| Program Services | 94922 | ProgramServices |
| Management And General | 5993 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 811978 | Total |
| Management And General | 811978 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4403412 | Total |
| Program Services | 3408241 | ProgramServices |
| Management And General | 995171 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2824123 | Total |
| Program Services | 2806999 | ProgramServices |
| Management And General | 17124 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 33308032 | 33258649 | 49383 | 0 |
| BAD DEBT | 11174258 | 11174258 | ||
| RESEARCH | 5817659 | 5817659 | ||
| LICENSE FEE | 7118544 | 7118544 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9217089 | Total |
| Program Services | 7129167 | ProgramServices |
| Management And General | 2087922 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175892261 | Total |
| Program Services | 149537160 | ProgramServices |
| Management And General | 26355101 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12265154 | BOY |
| EOY | 8477223 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2402763 | BOY |
| EOY | 2019301 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15838045 | BOY |
| EOY | 16668664 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 432397 | BOY |
| EOY | 501276 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3184326 | BOY |
| EOY | 3364706 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1743895 | BOY |
| EOY | 1674379 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 99003719 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 72828667 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26589568 | BOY |
| EOY | 26175052 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29132945 | BOY |
| EOY | 30718006 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3101714 | BOY |
| EOY | 2841603 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8078674 | BOY |
| EOY | 7669252 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102769481 | BOY |
| EOY | 100109462 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18982192 | BOY |
| EOY | 21625479 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1503029 | BOY |
| EOY | 1448563 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11615000 | BOY |
| EOY | 11360000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2934667 | BOY |
| EOY | 2874431 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24304291 | BOY |
| EOY | 19894785 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59339179 | BOY |
| EOY | 57203258 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18881358 | BOY |
| EOY | 18038993 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16210060 | BOY |
| EOY | 16386092 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8338884 | BOY |
| EOY | 8481119 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43430302 | BOY |
| EOY | 42906204 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102769481 | BOY |
| EOY | 100109462 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1766373 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1100040 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 142235 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $2,460 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2460 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING EXPENSE | Identifier |
| Return Reference | PART II-B LINE 1i | ReturnReference |
| Explanation | ROGER 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 23673672 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 2686861 | InvestmentEarningsOrLosses |
| Other Expenditures | 1244050 | OtherExpenditures |
| End Of Year Balance | 25116483 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 21329425 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 3082476 | InvestmentEarningsOrLosses |
| Other Expenditures | 738229 | OtherExpenditures |
| End Of Year Balance | 23673672 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22951379 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -789094 | InvestmentEarningsOrLosses |
| Other Expenditures | 832860 | OtherExpenditures |
| End Of Year Balance | 21329425 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20342758 | BeginningOfYearBalance |
| Contributions | 1402065 | Contributions |
| Investment Earnings Or Losses | 2154273 | InvestmentEarningsOrLosses |
| Other Expenditures | 947717 | OtherExpenditures |
| End Of Year Balance | 22951379 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20928580 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 305176 | InvestmentEarningsOrLosses |
| Other Expenditures | 890998 | OtherExpenditures |
| End Of Year Balance | 20342758 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.25000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.17000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.58000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 85661 | OtherCostOrOtherBasis |
| Book Value | 85661 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 49763966 | OtherCostOrOtherBasis |
| Depreciation | 32056640 | Depreciation |
| Book Value | 17707326 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27325 | OtherCostOrOtherBasis |
| Depreciation | 27325 | Depreciation |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 48887072 | OtherCostOrOtherBasis |
| Depreciation | 40744702 | Depreciation |
| Book Value | 8142370 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 239695 | OtherCostOrOtherBasis |
| Book Value | 239695 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26175052 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| AMTS DUE FROM RELATED PARTIES | 2625963 |
| INSURANCE RECEIVABLE | 3990219 |
| OTHER ASSETS | 1053070 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 7669252 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 19894785 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 164193905 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1100040 | NetUnrealizedGainsInvestments |
| Other Revenues | 142235 | OtherRevenues |
| Revenue Not Rptd F990 | 1242275 | RevenueNotRptdF990 |
| Revenue Subtotal | 162951630 | RevenueSubtotal |
| Investment Expenses Not Included | 11174258 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 11174258 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 174125888 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 164718003 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 164718003 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 11174258 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 11174258 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 175892261 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ENDOWMENT FUNDS | PART V, LINE 4 | THE 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 2 | FIN 48 (ASC 740) FOOTNOTE | ROGER 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 RETURN | PART XI, LINE 2D | CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS $142,235 |
| OTHER REVENUE ON RETURN NOT INCULDED IN AUDITED FINANCIAL STATEMENTS | PARTXI, LINE 4B | RECLASS OF BAD DEBT $11,174,258 |
| OTHER EXPENSE ON RETURN NOT INCLUDED IN AUDITED FINANCIAL STATEMENTS | PART XII, LINE 4B | RECLASS OF BAD DEBT $11,174,258 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7181405 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2362845 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4818560 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02930 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20133780 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14060421 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6073359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03690 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27315185 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16423266 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10891919 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06620 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8931584 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4267021 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4664563 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02830 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6385304 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4511369 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1873935 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15316888 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8778390 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6538498 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03970 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42632073 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25201656 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17430417 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10590 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $3,931,861 | BadDebtExpenseAmount |
| Amount Attributable To | 2857922 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 42344316 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 41805673 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 538643 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership |
|---|---|
| ROGER WILLIAMS | |
| (RWRT) RADIATION THERAPY | 0.49000 |
| RADIATION THERAPY | |
| PET SCANS | |
| RHODE ISLAND PET | |
| SERVICES LLC | |
| 0.05000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Roger Willliams Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 Chalkstone Avenue | AddressLine1 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
| Other | Home Health | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROGER WILLIAMS MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 8 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (8 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| CANCER CENTER | ||||
| 50 MAUDE STREET | PROVIDENCE | RI | 02908 | CANCER CENTER |
| WOUNDSMOHS CLINIC | ||||
| 825 CHALKSTONE AVENUE | PROVIDENCE | RI | 02908 | GENERAL MEDICAL |
| ROGER WILLIAMS SLEEP LAB | ||||
| 1539 ATWOOD AVENUE STE 302 | JOHNSTON | RI | 02908 | SLEEP LAB |
| OP BEHAVORIAL CLINIC | ||||
| 825 CHALKSTONE AVENUE | PROVIDENCE | RI | 02908 | BEHAVORIAL |
| HEMATOLOGYONCOLOGY CLINIC | ||||
| 50 MAUDE STREET | PROVIDENCE | RI | 02908 | GENERAL MEDICAL |
| SURGICAL ONCOLOGY CLINIC | ||||
| 50 MAUDE STREET | PROVIDENCE | RI | 02908 | GENERAL MEDICAL |
| WOMEN'S HEALTH CLINIC | ||||
| 50 MAUDE STREET | PROVIDENCE | RI | 02908 | GENERAL MEDICAL |
| ROGER WILLIAMS RADIATION THERAPY | ||||
| 50 MAUDE STREET | PROVIDENCE | RI | 02908 | RADIATION THERAPY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PERCENT OF TOTAL EXPENSE | PART 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 COST | PART III, LINE 2 | THE 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 BENEFIT | PART III, LINE 8 | NONE 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 PATIENTS | PART III, LINE 9B | ROGER 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 COMMUNITY | PART 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 22 | THE HOSPITAL BILLS A LIMITED NUMBER OF PATIENTS WITH ADEQUATE FINANCIAL RESOURCES THE GROSS CHARGE RATE FOR UNINSURED MEDICARE SERVICES. |
| COMMUNITY HEALTH NEEDS ASSESSMENT | PART VI, LINE 2 | 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. 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 ASSISTANCE | PART VI, LINE 3 | INFORMATION 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 INFORMATION | PART VI, LINE 4 | ROGER 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 HEALTH | PART VI, LINE 5 | IN 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 SYSTEM | PART VI, LINE 6 | ROGER 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH H BELCHER | ||||||||||||||
| PRESIDENT & CEO CCHP | 0 | 401895 | 0 | 0 | 0 | 26757 | 0 | 6406 | 0 | 18876 | 0 | 453934 | 0 | 0 |
| MICHAEL CONKLIN JR | ||||||||||||||
| CFO/TREASURER CCHP | 0 | 328435 | 0 | 0 | 0 | 236 | 0 | 4900 | 0 | 19493 | 0 | 353064 | 0 | 0 |
| BHARTI RATHORE | ||||||||||||||
| SENIOR VP | 250661 | 0 | 0 | 0 | 0 | 0 | 3169 | 0 | 4011 | 0 | 257841 | 0 | 0 | 0 |
| RITESH RATHORE | ||||||||||||||
| PHYSICIAN | 315588 | 0 | 0 | 0 | 11154 | 0 | 7292 | 0 | 19464 | 0 | 353498 | 0 | 0 | 0 |
| ALEX ETIENNE | ||||||||||||||
| PHYSICIAN | 336117 | 0 | 0 | 0 | 7500 | 0 | 6242 | 0 | 19168 | 0 | 369027 | 0 | 0 | 0 |
| JOHN STOUKIDES | ||||||||||||||
| PHYSICIAN | 235003 | 0 | 0 | 0 | 0 | 0 | 7450 | 0 | 19287 | 0 | 261740 | 0 | 0 | 0 |
| AHMAD AL-HOMSI | ||||||||||||||
| PHYSICIAN | 515499 | 0 | 0 | 0 | 15231 | 0 | 6397 | 0 | 6022 | 0 | 543149 | 0 | 0 | 0 |
| DOMENIC DECRISTOFANO | ||||||||||||||
| EXEC DIR FACILITIES MANAGEMENT | 0 | 0 | 0 | 0 | 158724 | 0 | 5168 | 0 | 0 | 0 | 163892 | 0 | 0 | 0 |
| KIMBERLY O'CONNELL ESQ | ||||||||||||||
| SENIOR VP | 0 | 244844 | 0 | 0 | 0 | 21941 | 0 | 5106 | 0 | 17607 | 0 | 289498 | 0 | 0 |
| JOANNE DOOLEY | ||||||||||||||
| VP CNO RWMC | 0 | 243688 | 0 | 0 | 0 | 0 | 0 | 23617 | 0 | 14634 | 0 | 281939 | 0 | 0 |
| SUSAN CERRONE-ABELY | ||||||||||||||
| VP CIO | 0 | 218589 | 0 | 0 | 0 | 24299 | 0 | 5441 | 0 | 19278 | 0 | 267607 | 0 | 0 |
| DARLEEN SOUZA | ||||||||||||||
| VP HUMAN RESOURCES | 0 | 197316 | 0 | 0 | 0 | 4026 | 0 | 5277 | 0 | 14572 | 0 | 221191 | 0 | |
| ADOZINDA KANE | ||||||||||||||
| FORMER CFO/TREASURER | 0 | 242045 | 0 | 0 | 0 | 22633 | 0 | 4966 | 0 | 19368 | 0 | 289012 | 0 | 0 |
| CHERYL PERRY | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | 0 | 166650 | 0 | 0 | 0 | 787 | 0 | 2375 | 0 | 8265 | 0 | 178077 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ESTABLISH COMPENSATION | PART I, LINE 3 | EXECUTIVE 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 PLAN | PART I, LINE 4B | THE 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 OrganizationRelationshipWithOrganization | Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|---|
| K BELCHER | |||||||
| OFFICER | SPLIT DOLLAR PREMIUM | X | $174,542 | 213329 | false | true | true |
| S ABELY | |||||||
| KEY EMPLOYEE | SPLIT DOLLAR PREMIUM | X | $96,863 | 109778 | false | true | true |
| K O'CONNELL | |||||||
| OFFICER | SPLIT DOLLAR PREMIUM | X | $52,598 | 59611 | false | true | true |
| M CONKLIN | |||||||
| OFFICER | SPLIT DOLLAR PREMIUM | X | $30,688 | 92063 | false | true | true |
| D SOUZA | |||||||
| KEY EMPLOYEE | SPLIT DOLLAR PREMIUM | X | $8,832 | 26495 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 501276 | TotalBalanceDue |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOANS TO INTERESTED PERSONS | Identifier |
| Return Reference | PART II | ReturnReference |
| Explanation | CHARTERCARE 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)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE ACCOMPLISHMENTS | PART III, LINE 4A-4D | IN 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-4D | INNOVATION, 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 RELATIONSHIPS | PART VI, SECTION A, LINE 2 | KENNETH 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 MANAGEMENT | PART VI, SECTION A, LINE 3 | EFFECTIVE 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 ORGANIZATION | PART VI, SECTION A, LINES 6-7B | CHARTERCARE 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 PROCESS | PART VI, SECTION B, LINE 11A | THE 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 POLICY | PART VI, SECTION B, LINE 12 | THE 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 POLICY | PART VI, SECTION B, LINE 12 | EXECUTIVE 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 DISCLOSURE | PART VI, LINE 19 | ROGER 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. |
| COMPENSATION | PART VII, SECTION A | ROGER 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 ASSETS | PART XI, LINE 9 | CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS $142,235 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ROGER WILLIAMS MEDICAL ASSOCIATES | ||||||||||
| 825 CHALKSTONE AVENUE | PROVIDENCE | RI | 02908 | 203346936 | PHY PRACTICE | RI | 501(C)(3) | 11 | CCHP | false |
| ROGER WILLIAMS REALTY CORPORATION | ||||||||||
| 825 CHALKSTONE AVENUE | PROVIDENCE | RI | 02908 | 050423855 | RENTAL MGMNT | RI | 501(C)(3) | 11 | CCHP | false |
| RWGH PHYSICIANS OFFICE BUILDING | ||||||||||
| 825 CHALKSTONE AVENUE | PROVIDENCE | RI | 02908 | 050398588 | BLDG MGMNT | RI | 501(C)(3) | 11 | CCHP | false |
| ELMHURST EXTENDED CARE FACILITIES INC | ||||||||||
| 50 MAUDE STREET | PROVIDENCE | RI | 02908 | 222723407 | HEALTHCARE | RI | 501(C)(3) | 3 | CCHP | false |
| ST JOSEPH HEALTH SERVICES OF RI | ||||||||||
| 200 HIGH SERVICE AVENUE | NORTH PROVIDENCE | RI | 02904 | 050259026 | HEALTHCARE | RI | 501(C)(3) | 3 | CCHP | false |
| ST JOSEPH HOSPITAL WORKERS COM TRUST | ||||||||||
| 200 HIGH SERVICE AVE | NORTH PROVIDENCE | RI | 02904 | 056106574 | TRUST | RI | 501(C)(3) | 11 | SJHSRI | false |
| CHARTERCARE HEALTH PARTNERS | ||||||||||
| 825 CHALKSTONE AVENUE | PROVIDENCE | RI | 02908 | 264235815 | MANAGEMENT | RI | 501(C)(3) | 11 | NA | false |
| CHARTERCARE HEATLH PARTNERS FOUNDATION | ||||||||||
| 200 HIGH SERVICE AVENUE | NORTH PROVIDENCE | RI | 02904 | 260236669 | FUNDRAISING | RI | 501(C)(3) | 7 | CCHP | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OUR LADY OF FATIMA ANCILLARY SERVICES | |||||||||||
| 200 HIGH SERVICE AVENUE | NORTH PROVIDENCE | RI | 02904 | 050519862 | HEALTHCARE | RI | CCHP | C Corp | 0 | 0 | false |
| ELMHURST HEALTH ASSOCIATES INC | |||||||||||
| 825 CHALKSTONE AVE | PROVIDENCE | RI | 02908 | 050437610 | HEALTHCARE | RI | CCHP | C Corp | 0 | 0 | false |
| ROSEBANK CORP | |||||||||||
| 825 CHALKSTONE AVENUE | PROVIDENCE | RI | 02908 | 050342046 | REAL ESTATE | RI | CCHP | C Corp | 0 | 0 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
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