MEMORIAL HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HOSPITAL (EIN 05-0259004)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-15
- IRS object ID
- 201322279349302417
- Schema version
- 2011v1.2
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-15T09:55:29-07:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050259004 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEMO | NameControl |
| Phone | 4017292000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Brewster Street | AddressLine1 |
| City | Pawtucket | City |
| State | RI | State |
| ZIP Code | 028604499 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Arthur Deblois | Name |
| Title | President | Title |
| Phone | 4017292000 | Phone |
| Date Signed | 2013-08-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Arthur DeBlois III | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Brewster Street | AddressLine1 |
| City | Pawtucket | City |
| State | RI | State |
| ZIP Code | 02860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 192492178 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mhri.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1901 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | Our mission is primary care and preventive medicine, providing advanced diagnosis and treatment with a focus on teaching and research. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2296 | TotalNbrEmployees |
| Total Nbr Volunteers | 192 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 7486800 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6741668 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 169468374 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 164562569 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3500122 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1695187 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 916445 | OtherRevenuePriorYear |
| Other Revenue Current Year | 934931 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 181371741 | TotalRevenuePriorYear |
| Total Revenue Current Year | 173934355 | 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 | 114049334 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 116518297 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 27351 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 72311225 | OtherExpensePriorYear |
| Other Expenses Current Year | 70566696 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 186360559 | TotalExpensesPriorYear |
| Total Expenses Current Year | 187084993 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4988818 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -13150638 | RevenuesLessExpensesCY |
| Total Assets BOY | 101761596 | TotalAssetsBOY |
| Total Assets EOY | 83812240 | TotalAssetsEOY |
| Total Liabilities BOY | 89347255 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 99298742 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12414341 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -15486502 | NetAssetsOrFundBalancesEOY |
| Mission Description | Our mission is primary care and preventive medicine, providing advanced diagnosis and treatment with a focus on teaching and research. An essential resource in achieving our mission is the medical expertise provided by our competent and caring professional staff. We strive to achieve the timely and efficient delivery of care in a compassionate atmosphere. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 167090276 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | Healthcare & Management Funds received were used to provide funding for the exempt purpose of general patient care. The Memorial Hospital is an acute care not-for-profit teaching community health institution and research facility serving the Blackstone Valley community of Rhode Island and Massachusetts. Memorial, which is located in Pawtucket, Rhode Island is a teaching affiliate of the Warren Alpert School of Brown University and the chief site for the medical school's primary care academic program housed in the Center of Primary Care. Memorial's goarls are to provide quality multi-disciplinary services, to see patients regardless of race, color, national origin, socioeconomic status or place of residence and to act as ana educational resource for patients, physicians, nurses and the community. Memorial provides care to patients that meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because Memorial does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. Memorial provided 27,731 patient days of service int he year ending September 30, 2012. Memorial had 5,749 admissions with and ALOS of 4.82 days. Memorial operates a Level 2 trauma center ER, which serves patients regardless of ability to pay. For the year ending September 30, 2012 Memorial provided (continued on Schedule O, Statement 2). | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 167090276 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 72 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2296 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | RI | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Arthur DeBlois III | NamePerson |
| Telephone Number | 4017292000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Brewster Street | AddressLine1 |
| City | Pawtucket | City |
| State | RI | State |
| ZIP Code | 028604499 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Robert Andrade | ||||||||
| Chairman | 0.25 | X | X | 0 | 0 | 0 | ||
| Paul Mooney | ||||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | |||
| John J Partridge | ||||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | |||
| Virginia Roberts | ||||||||
| Vice Chairman | 0.25 | X | X | 0 | 0 | 0 | ||
| Karl Sherry | ||||||||
| Asst Secretary | 0.25 | X | X | 0 | 0 | 0 | ||
| Arthur Deblois III | ||||||||
| President | 60 | X | X | 147693 | 0 | 2486 | ||
| Alfred Degen | ||||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | |||
| William Kapos | ||||||||
| Treasurer | 0.25 | X | X | 0 | 0 | 0 | ||
| Gary E Furtado | ||||||||
| Trustee | 0.25 | X | X | 0 | 0 | 0 | ||
| William J Hunt | ||||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | |||
| Patrick J Murray | ||||||||
| Assistant Treasurer | 0.25 | X | X | 0 | 0 | 0 | ||
| Greg Scown | ||||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | |||
| Edna Poulin | ||||||||
| Secretary | 0.25 | X | X | 0 | 0 | 0 | ||
| Francis R Dietz | ||||||||
| Former President | 40 | X | X | 185900 | 0 | 0 | X | |
| Martin Tursky | ||||||||
| Former President | 60 | X | X | 231000 | 0 | 31514 | X | |
| Augusto Rojas Jr | ||||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | |||
| Deborah Cylke | ||||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | |||
| Irene Schmitt | ||||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | |||
| Michael J Ryan | ||||||||
| Sr Vice Pres Finance | 50 | X | 201663 | 0 | 42426 | |||
| Michelle MacDonald Gallagher | ||||||||
| Sr VP Clinical Oper. | 50 | X | 266121 | 0 | 44582 | |||
| Thomas Gough | ||||||||
| Sr Vice President of Admin | 50 | X | 187676 | 0 | 39556 | |||
| Jeffrey Borkan MD | ||||||||
| Chief of Family Med | 40 | 284542 | 0 | 23290 | X | |||
| Brian Wiley MD | ||||||||
| Emergency Physician | 40 | 298393 | 0 | 13832 | X | |||
| Noubar Kessimian MD | ||||||||
| Pathology in Chief | 40 | 271500 | 0 | 23028 | X | |||
| John Riedel MD | ||||||||
| Emergency Physician | 40 | 283441 | 0 | 23268 | X | |||
| Michael Pepi MD | ||||||||
| Chief of OB and GYN | 40 | 275001 | 0 | 23099 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2632930 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 267081 | TotalOtherCompensation |
| Number Individuals GT100 K | 116 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | Address Line2AddressOfContractor/AddressUS/AddressLine2 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|
| Aramark Healthcare | ||||||
| Food Lockbox | 25271 Network Pl | Chicago | IL | 606731252 | Dietary Services | 1007842 |
| Brown University | ||||||
| PO Box 1939 | Providence | RI | 02912 | Physicians | 809999 | |
| BWPO Medicine | ||||||
| PO Box 3684 | Boston | MA | 022413684 | Physician Services ( E/R and Cardiology) | 1383544 | |
| Aramark Corporation | ||||||
| 24863 Network Place | Chicago | IL | 60673 | Environmental Services | 532462 | |
| ARUP | ||||||
| PO Box 27964 | Salt Lake City | UT | 84127 | Laboratory Services | 548805 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 109 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 5231802 | GovernmentGrants |
| All Other Contributions | 1509866 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 6741668 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Revenue | Description |
| Business Code | 622000 | BusinessCode |
| Total Revenue Column | 164562569 | TotalRevenueColumn |
| Related Or Exempt Function Income | 164562569 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 164562569 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 95596 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $95,596 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20152114 | Securities |
| Other | 5300 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 18557823 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1594291 | Securities |
| Other | 5300 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1599591 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,599,591 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Cafeteria Revenue | 561499 | 920912 | 0 | 0 | $920,912 |
| Pharmacy Sales to Employees | 561499 | 14019 | 0 | 0 | $14,019 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 934931 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 173934355 | TotalRevenueColumn |
| Related Or Exempt Function Income | 164562569 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,630,118 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 846477 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 846477 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83277076 | Total |
| Program Services | 73833640 | ProgramServices |
| Management And General | 9418029 | ManagementAndGeneral |
| Fundraising | 25407 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6919642 | Total |
| Program Services | 6136842 | ProgramServices |
| Management And General | 782800 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19877732 | Total |
| Program Services | 17629020 | ProgramServices |
| Management And General | 2248712 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5597370 | Total |
| Program Services | 4962431 | ProgramServices |
| Management And General | 632995 | ManagementAndGeneral |
| Fundraising | 1944 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 456362 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 456362 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209615 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 209615 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11003351 | Total |
| Program Services | 8499535 | ProgramServices |
| Management And General | 2503816 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17400 | Total |
| Program Services | 15432 | ProgramServices |
| Management And General | 1968 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19507969 | Total |
| Program Services | 19018907 | ProgramServices |
| Management And General | 489062 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2367400 | Total |
| Program Services | 1705794 | ProgramServices |
| Management And General | 661606 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335419 | Total |
| Program Services | 323588 | ProgramServices |
| Management And General | 11831 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 909945 | Total |
| Program Services | 909945 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3938536 | Total |
| Program Services | 3492980 | ProgramServices |
| Management And General | 445556 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2080791 | Total |
| Program Services | 1524657 | ProgramServices |
| Management And General | 556134 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Provision for Bad Debt | 15130585 | 15130585 | 0 | 0 |
| Licensing Fee | 7568922 | 7568922 | 0 | 0 |
| Physician and Grants | 5119966 | 5119966 | 0 | 0 |
| Equipment Rental & Maintenance | 556903 | 493902 | 63001 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1363532 | Total |
| Program Services | 724130 | ProgramServices |
| Management And General | 639402 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187084993 | Total |
| Program Services | 167090276 | ProgramServices |
| Management And General | 19967366 | ManagementAndGeneral |
| Fundraising | 27351 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789126 | BOY |
| EOY | 311840 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56325 | BOY |
| EOY | 7180 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34280331 | BOY |
| EOY | 31162448 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | 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 | 737772 | BOY |
| EOY | 688676 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 876596 | BOY |
| EOY | 932265 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 114858407 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 84273682 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33011001 | BOY |
| EOY | 30584725 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30107963 | BOY |
| EOY | 19268109 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1902482 | BOY |
| EOY | 856997 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101761596 | BOY |
| EOY | 83812240 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22237145 | BOY |
| EOY | 21479468 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11106099 | BOY |
| EOY | 9518714 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56004011 | BOY |
| EOY | 68300560 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89347255 | BOY |
| EOY | 99298742 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1647034 | BOY |
| EOY | -27288950 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1297954 | BOY |
| EOY | 1562926 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9469353 | BOY |
| EOY | 10239522 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12414341 | BOY |
| EOY | -15486502 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101761596 | BOY |
| EOY | 83812240 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -13150638 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -14750205 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,377 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3377 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchC_P2B_S00_L01 | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | Memorial Hospital is a member of the Hospital Association of Rhode Island (HARI). The Hospital pays annual membership dues to HARI. HARI lobbies on behalf of all its members. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9469353 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 770168 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 10239521 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9713167 | BeginningOfYearBalance |
| Contributions | 23 | Contributions |
| Investment Earnings Or Losses | -243837 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 9469353 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9361014 | BeginningOfYearBalance |
| Contributions | 34 | Contributions |
| Investment Earnings Or Losses | 352119 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 9713167 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9438660 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | -77646 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 9361014 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1787586 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Book Value | 1787586 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 48497884 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 30113735 | Depreciation |
| Book Value | 18384149 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 61387961 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 52658948 | Depreciation |
| Book Value | 8729013 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3184976 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 1500999 | Depreciation |
| Book Value | 1683977 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30584725 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Stocks | 7921615 | F |
| Bonds | 1423396 | F |
| Other | 9923098 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 19268109 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Minimum Pension Liability | $64,921,724 |
| Current Portion of Long Term Debt | $1,587,385 |
| Insurance Claim Reserve | $1,663,316 |
| Accrued Interest Payable | $128,135 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 68300560 | TotalOfAmounts |
| Total Revenue | 173934355 | TotalRevenue |
| Total Expenses | 187084993 | TotalExpenses |
| Excess Or Deficit For Year | -13150638 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1401425 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | $0 | OtherAmount |
| Total Adjustments | 1401425 | TotalAdjustments |
| Excess Or Deficit Per FS | -11749213 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 175361111 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1401425 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 1401425 | RevenueNotRptdF990 |
| Revenue Subtotal | 173959686 | RevenueSubtotal |
| Investment Expenses Not Included | -25331 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 0 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -25331 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 173934355 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 187110324 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 25331 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 25331 | ExpensesNotRptdF990 |
| Expenses Subtotal | 187084993 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 187084993 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P05_S00_L04 | Schedule D, Part V, Line 4 | Memorial's Endowment Funds are intended primarily for providing charity care. |
| SchD_P13_S00_L02d | Schedule D, Part XIII, Line 2d | Assets released from restrictions for general operations. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 12969918 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8330543 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4639375 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 44319509 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33823630 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10495879 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 57289427 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42154173 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15135254 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 18606 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18606 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 24772994 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6388036 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18384958 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 5826835 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5202696 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 624139 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 30618435 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11590732 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19027703 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 87907862 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 53744905 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 34162957 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,089,036 | BadDebtExpenseAmount |
| Amount Attributable To | 5776072 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 34890575 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 36450969 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1560394 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| 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 | The Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Brewster Street | AddressLine1 |
| City | Pawtucket | City |
| State | RI | State |
| ZIP Code | 02860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L03c | Schedule H, Part I, Line 3c | The Hospital provides free care to all patients whose income is at or falls below 200% of the current Federal Poverty Guidelines (Patient Rights Policy #25). For all patients whose income does not qualify for free care the hospital provides a 40% discount for all services not covered by insurance if paid within six months of service or determination that health insurance will not cover service. This discount is not dependent on icome level or asset testing. |
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | The cost of services were calculated by multiplying the charges for those services by the ratio of cost to charges as determined in the 2012 Medicare Cost Report. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | Following is the text of the footnote describing bad debt expense: "In addition to the cost of charity care and other community service programs, the Hospital provided $15,147,513 and $16,371,134 for uncollectible patient accounts during the years ended September 30, 2012 and 2011 respectively. The ratio of cost to charges of .4680 was used to determine the bad debt cost reported on line 2. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | The Medicare Cost Report was used as the source of the Medicare cost used on line 6. The result is a surplus on line 7. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | The Hospital's Credit and Collectrion policy (Patient Rights Policy #23) states that "The Hospital will at all times provide essential care and treatment regardless of the ability of the patient to pay for the service." The Patient Accounts Department will investigate the financial ability of each patient to pay for services and will provide financial counseling in order to ensure that the patient obtains any eligible medical coverage through their employer, the Federal Government, the Department of Human Services, or the Hospital's Community Free Care". |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | The Hospital has an ongoing strategic planning process which assesses the needs of the community and the Hospital's plans for meeting those needs. This planning process includes evaluation of data provided by the Hospital Association of RI, the RI Dept of Health and othe agencies on healthcare trends in the community. The input of the City of Pawtucket as well as other community stakeholders is continuously sought. The plan is reviewed at a joint leadership retreat which includes leaders of the medical staff, administration and the Board of Trustees. The Hospital has a strong community Board of Trustees which insures that the needs of the community are represented in the governance of the Hospital. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | The following procedures are followed to inform patients of their eligibility for assistance. Notification of Free Care is posted at every registration area throughout the MHRI system. The notice is posted in English, Spanish and Portuguese and has the telephone number of the Financial Counselor. The Notice of Charity Care is printed on the patient's billing statement. The Emergency Department Clinicians are educated in regard to proper referral process. If the patient states that they are uninsured and need toseek Charity Care through discussion with the clinician then they will be referred to the Family Care Center at Memorial Hospital. We pre-screen all self pay Emergency Department patients for Community Free Services. If they pass the screening they are sent to the financial counselor for assistance in filling out any necessary forms. The hospital staffs a Financial Assistance Counselor in our Family Care Center t qualify patients for medical assistance or free care. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | The following cities and towns in the State of RI are within the primary service area of the hospital: Pawtucket, Central Falls, Cumberland, East Providence, Riverside, Rumford and Lincoln. In addition the hospital serves the following cities and towns in Massachusetts: Attleboro, Seekonk, North Attleboro and Plainville. The majority of the patients served during the current fiscal year were from the city of Pawtucket (59%) followed by Central Falls (16%). The city of Pawtucket has a population of approximately 71,000 and is the fourth largest city in the state. Pawtucket was a major center of manufacture of cotton textiles during the American Industrial Revolution. Slater Mill built in 1793 by Samuel Slaterin downtown Pawtucket was the first fully mechanized cotton spinning mill in America. The textile business in Pawtucket declined during the 1930's with many manufacturers closing or moving their facilities. As of September 2012 the city's unemployment rate was 10%. According to the 2010 census the median income for a household in the city was $31,775 and the median income for a family was $39,038. Males had a median income of $31,129 versus $23,391 for females. The per capita income for the city was $17,008. About 14.9% of families and 16.8% of the population were below the poverty line including 24.5% of those under age 18 and 15.2% of those 65 or over. The racial makeup of the city is 75.39% white, 7.31% African American, 10.75% from other races and 5.34% from two or more races. Hispanic of any race were 13.9% of the population, 20.6% of Pawtucket residents are French or French-Canadian descent and 11.6% of Portuguese descent. The hospital operates the Notre Dame Ambulatory Center in Central Falls, RI. Central Falls has a population of 19,042 and represents approximately 16% of the hospital's discharges. The median income for a household in the city was $22,628 and the median income for a family was $26,844. About 25.9% of families and 29% of the population are below the poverty line including 40.8% of those under age 18 and 29.3% of those age 65 or over. The unemployment rate was 14.6% in September 2011. The racial makeup of Central Falls is 51.16% white, 5.82% African American, 28.35% from other races and 7.38% from two or more races. Hispanic or Latino of any race are 47.77% of the population. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Arthur Deblois III | |||||||||||||
| 147693 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2486 | 0 | 150179 | 0 | 0 | 0 |
| Francis R Dietz | |||||||||||||
| 185900 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 185900 | 0 | 616516 | 0 |
| Martin Tursky | |||||||||||||
| 231000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 31514 | 0 | 262514 | 0 | 456543 | 0 |
| Michael J Ryan | |||||||||||||
| 201663 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 42426 | 0 | 244089 | 0 | 227198 | 0 |
| Michelle MacDonald Gallagher | |||||||||||||
| 266121 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 44582 | 0 | 310703 | 0 | 303156 | 0 |
| Thomas Gough | |||||||||||||
| 187676 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 39556 | 0 | 227232 | 0 | 0 | 0 |
| Jeffrey Borkan MD | |||||||||||||
| 284542 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 23290 | 0 | 307832 | 0 | 305790 | 0 |
| Brian Wiley MD | |||||||||||||
| 298393 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13832 | 0 | 312225 | 0 | 314874 | 0 |
| Noubar Kessimian MD | |||||||||||||
| 271500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 23028 | 0 | 294528 | 0 | 292159 | 0 |
| John Riedel MD | |||||||||||||
| 283441 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 23268 | 0 | 306709 | 0 | 297998 | 0 |
| Michael Pepi MD | |||||||||||||
| 275001 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 23099 | 0 | 298100 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rhode Island Health and Educational Building Corp | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521300173 | IssuerEIN |
| CUSIP Number | 762243EY5 | CUSIPNumber |
| Date Issued | 2003-12-24 | DateIssued |
| Issue Price | 25358159 | IssuePrice |
| Description Of Purpose | Capital Renovations and Equipment Purchases | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 0 | TotalProceeds |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Total Private Business Use | 0 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | Once the independent audit is complete, the Controller of the organization gathers all the necessary information from various employees, departments and governing members. Several schedules are prepared to tie out different line items of the Form 990. The Controller then ulilizes an on-line software to complete the 990. The software used ensures that all required fields and supplemental schedules are attached. The software verifies when the form is complete and there are no errors. The draft 990 is then printed and submitted to the President for review. Copies are made and presented to each board member for their review. All discussion of the 990 is documented in the minutes. The President informs the Controller of any changes or additions to the Form that result from the Board review. The Controller makes all necessary changes and resubmits to the President for signature. Once signed the 990 is electronically submitted to the IRS. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | Every Board member, volunteer and employee is required to complete a Conflict of Interest Form on an annual basis. Any conflicts of interest must be disclosed. Signatures are required on all forms. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | The organization has an Executive Committee which also acts as a Compensation Committee for the compensation of the CEO. In order to determine compensation, surveys are conducted for area CEO's. The committee also utilizes 990's from other hospitals in the state of RI. The compensation is then approved by the Board of Directors and a written employement contract is signed. The CEO's salary is reviewed each year and is usually increased by a percentage no higher than the employees receive from the hospital. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The Annual Reports for the hospital are posted on the orgaqnization's website. It is noted ont eh website that the hospital has a Conflict of Interest Policy and that the copies are available upon request. The phone numbers of the Public Relations Department are posted on the website as well. The PR Department has been instructed to direct any requests for Audited Financial Statements and or 990's to the Controller's office. Both are made available in hardcopy or electronically. |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | The Additional Minimum Pension Liability accounts for the majority of the decrease in Other Changes in Net Assets in the amount of $15,846,329. Unrealized gains account for the rest. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Public Charity StatusPublicCharityStatus |
|---|---|---|---|---|---|---|---|---|---|
| RS Realty Company | |||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 050343043 | Provide rental property for affiliated subsidiarys and employees | RI | 501(c)2 | N/A | |
| Southeastern Healthcare System Inc | |||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 061476858 | Develop and maintain an integrated healthcare system | RI | 501(c)3 | N/A | 11 Type II |
| SHS Ventures Inc | |||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 050510341 | Provide Primary Healthcare Services | RI | 501(c)3 | N/A | 9 |
| Blackstone Health Inc | |||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 050427007 | Provide a continuum of care | RI | 501(c)3 | N/A | 9 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|
| Primary Care Centers of New England Inc | |||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 050423957 | Provide Support Staff to affiliates | RI | N/A | C | 1 |
| Memorial Physician Hospital Organization Inc | |||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 050462438 | Health Service Contracting | RI | N/A | C | 0.5 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RS Realty Company | ||
| j | 57600 | Checks written |
| RS Realty Company | ||
| i | 57600 | checks received |
| SHS Ventures Inc | ||
| b | 300000 | cheks written |
| SHS Ventures Inc | ||
| k | 38991 | amount invoices for percentage of collections |
| SHS Ventures Inc | ||
| j | 104790 | rental agreement |
| Southeastern Healthcare System Inc | ||
| k | 60000 | checks received |
| Blackstone Health Inc | ||
| k | 37080 | checks received |
| Primary Care Centers of New England Inc | ||
| l | 348819 | actual cost of salaries and related benefits expensed as purchased services in outpatient areas of PT, OT Lab and Radiology. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | An extension was filed because Schedule H and Schedule of Community Bebefits would not be completed by May 15th. | Explanation |