ROGER WILLIAMS MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ROGER WILLIAMS MEDICAL CENTER (EIN 05-0258959)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-14
IRS object ID: 201332269349301438
Schema version: 2011v1.5
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	2013-08-14T14:42:48-04:00	Timestamp
Tax Period End Date	2012-09-30	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	2011-10-01	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
City	PROVIDENCE	City
State	RI	State
ZIP Code	029083547	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL CONKLIN JR	Name
Title	TREASURER	Title
Date Signed	2013-08-09	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6179881000	Phone

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	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	173760123	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	0	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	1774	TotalNbrEmployees
Total Nbr Volunteers	32	TotalNbrVolunteers
Total Gross UBI	1332807	TotalGrossUBI
Net Unrelated Business Txbl Income	-375823	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6060572	ContributionsGrantsPriorYear
Contributions Grants Current Year	6246866	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	156873506	ProgramServiceRevenuePriorYear
Program Service Revenue CY	162130741	ProgramServiceRevenueCY
Investment Income Prior Year	2038868	InvestmentIncomePriorYear
Investment Income Current Year	1566219	InvestmentIncomeCurrentYear
Other Revenue Prior Year	637195	OtherRevenuePriorYear
Other Revenue Current Year	3810864	OtherRevenueCurrentYear
Total Revenue Prior Year	165610141	TotalRevenuePriorYear
Total Revenue Current Year	173754690	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	79250923	SalariesEtcPriorYear
Salaries Etc Current Year	73085627	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	84774587	OtherExpensePriorYear
Other Expenses Current Year	99102194	OtherExpensesCurrentYear
Total Expenses Prior Year	164025510	TotalExpensesPriorYear
Total Expenses Current Year	172187821	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1584631	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1566869	RevenuesLessExpensesCY
Total Assets BOY	94424050	TotalAssetsBOY
Total Assets EOY	102769481	TotalAssetsEOY
Total Liabilities BOY	55564126	TotalLiabilitiesBOY
Total Liabilities EOY	59339179	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	38859924	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	43430302	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	129765692	Expense
Revenue	160197146	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	5658882	Expense
Revenue	5658882	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	11167113	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	146591687	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
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	121	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	1774	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	0	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per WeekAverageHoursPerWeek	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
KENNETH H BELCHER
PRESIDENT & CEO CCHP	X	427365	0	24830
MICHAEL CONKLIN JR
CFO/TREASURER CCHP	X	0	328308	19049	0.0
KIMBERLY O'CONNELL ESQ
SENIOR VP	X	252747	0	38441	0.0
DOMENIC DECRISTOFANO
EXEC DIR FACILITIES MANAGEMENT		168816	0	24101	0.0	X
JOANNE DOOLEY
VP CNO RWMC		219840	0	37514	0.0	X
SUSAN CERRONE-ABELY
VP CIO		240213	0	23211		X
DARLEEN SOUZA
VP HUMAN RESOURCES		0	190922	19027	0.0	X
BHARTI RATHORE
PHYSICIAN		210977	0	3898	40.0		X
RITESH RATHORE
PHYSICIAN		289344	0	25654	40.0		X
ALEX ETIENNE
PHYSICIAN		305135	0	24356	40.0		X
JOHN STOUKIDES
PHYSICIAN		245819	0	25549	40.0		X
AHMAD AL-HOMSI
PHYSICIAN		530584	0	6210	40.0		X
RUTH E SCOTT RN
FORMER TRUSTEE		92952	0	20085	40.0			X
ADOZINDA KANE
FORMER CFO/TREASURER		242233	0	24485	0.0			X
CHERYL PERRY
CHIEF HUMAN RESOURCES OFFICER		156651	0	9901	40.0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3382676	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	519230	TotalReportableCompFrmRltdOrgs
Total Other Compensation	326311	TotalOtherCompensation
Number Individuals GT100 K	69	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	4333463
NEW ENGLAND ANTHESIOLOGIST
PO BOX 6064	PROVIDENCE	RI	02940	ANESTHESIOLOGY	360000
SODEXHO
PO BOX 360170	PITTSBURGH	PA	15251	FOOD SERVICE	866678
ANGELICA CORPORATION
482 PAWTUCKET AVE	PAWTUCKET	RI	02860	LINEN SERVICES	539426
UNIVERSITY PATHOLOGIST
300 CENTERVILLE RD STE 215	WARWICK	RI	02886	LABORATORY SERVICES	654089

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	13	NumberOfContractorsGT100K
Government Grants	4479430	GovernmentGrants
All Other Contributions	1767436	AllOtherContributions
Total Contributions	6246866	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	95695621	95695621
MEDICARE AND MEDICAID PAYMENTS	624100	60957326	60957326
CAFETERIA	722320	420815		$420,815
LAB REVENUE	621400	5056979	3724172		1332807

Field	Value	IRS element (for citing)
Total Program Service Revenue	162130741	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1477668	TotalRevenueColumn
Exclusion	$1,477,668	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	85577	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	85577	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	85577	TotalRevenueColumn
Exclusion	$85,577	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	70254	Securities
Other	23730	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	5433	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	70254	Securities
Other	18297	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	88551	TotalRevenueColumn
Exclusion	$88,551	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	512474	512474
MEANINGFUL USE RECEIPTS	900099	2605289	2605289
PURCHASING REBATES	900099	607524	607524

Field	Value	IRS element (for citing)
Total Other Revenue	3725287	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	173754690	TotalRevenueColumn
Related Or Exempt Function Income	164102406	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1332807	UnrelatedBusinessRevenue
Exclusion	$2,072,611	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	1064284	Total
Management And General	1064284	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	56330646	Total
Program Services	50538738	ProgramServices
Management And General	5791908	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	854888	Total
Program Services	621504	ProgramServices
Management And General	233384	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10158321	Total
Program Services	7385099	ProgramServices
Management And General	2773222	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4677488	Total
Program Services	3400534	ProgramServices
Management And General	1276954	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	6140033	Total
Management And General	6140033	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	314000	Total
Management And General	314000	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	157320	Total
Management And General	157320	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	2726	Total
Management And General	2726	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	27765	Total
Management And General	27765	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	13395752	Total
Program Services	11673138	ProgramServices
Management And General	1722614	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	230070	Total
Program Services	6102	ProgramServices
Management And General	223968	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1482518	Total
Program Services	564738	ProgramServices
Management And General	917780	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1227014	Total
Program Services	892039	ProgramServices
Management And General	334975	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3710906	Total
Program Services	2697829	ProgramServices
Management And General	1013077	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	253516	Total
Program Services	234467	ProgramServices
Management And General	19049	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	47060	Total
Program Services	29619	ProgramServices
Management And General	17441	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	919594	Total
Program Services	919594	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4770931	Total
Program Services	3468467	ProgramServices
Management And General	1302464	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2002343	Total
Program Services	1985219	ProgramServices
Management And General	17124	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	33027986	32991832	36154
RESEARCH	6029492	6029492
LICENSE FEE	7058592	7058592
BAD DEBT EXPENSE	9844043	9844043

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8460533	Total
Program Services	6250641	ProgramServices
Management And General	2209892	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	172187821	Total
Program Services	146591687	ProgramServices
Management And General	25596134	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	12411338	BOY
EOY	12265154	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	384368	BOY
EOY	2402763	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	13870947	BOY
EOY	15838045	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	363521	BOY
EOY	432397	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	3079744	BOY
EOY	3184326	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3153224	BOY
EOY	1743895	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	95209847	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	68620279	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	27774968	BOY
EOY	26589568	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	26353864	BOY
EOY	29132945	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	3472391	BOY
EOY	3101714	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	3559685	BOY
EOY	8078674	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	94424050	BOY
EOY	102769481	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19107749	BOY
EOY	18982192	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	1245137	BOY
EOY	1503029	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	12150000	BOY
EOY	11615000	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	3725520	BOY
EOY	2934667	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	19335720	BOY
EOY	24304291	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	55564126	BOY
EOY	59339179	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16397505	BOY
EOY	18881358	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14558368	BOY
EOY	16210060	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7904051	BOY
EOY	8338884	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	38859924	BOY
EOY	43430302	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	94424050	BOY
EOY	102769481	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1566869	ReconcilationRevenueExpenses
Reconcilation Other Changes	3003509	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	$2,726	OtherActivitiesAmount
Total Lobbying Expenditures IIB	2726	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 9/30/12 WAS $2,726.	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	21329425	BeginningOfYearBalance
Investment Earnings Or Losses	3082476	InvestmentEarningsOrLosses
Other Expenditures	738229	OtherExpenditures
End Of Year Balance	23673672	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	20342768	BeginningOfYearBalance
Contributions	1402063	Contributions
Investment Earnings Or Losses	2149146	InvestmentEarningsOrLosses
Other Expenditures	942598	OtherExpenditures
End Of Year Balance	22951379	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

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	0.24000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.18000	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)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	85661	OtherCostOrOtherBasis
Book Value	85661	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	48190778	OtherCostOrOtherBasis
Depreciation	30139956	Depreciation
Book Value	18050822	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	27325	OtherCostOrOtherBasis
Depreciation	27325	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	46446290	OtherCostOrOtherBasis
Depreciation	38452998	Depreciation
Book Value	7993292	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	459793	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	459793	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	26589568	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
AMTS DUE FROM RELATED PARTIES	2698435
INSURANCE RECEIVABLE	4953952
OTHER ASSETS	426287

Field	Value	IRS element (for citing)
Total Book Value Other Assets	8078674	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
ANTICIPATED THIRD PARTY SETTLE	$11,276,996
DEFERRED GAIN ON JOINT VENTURE	$2,190,667
ASSET RETIREMENT OBLIGATION	$699,890
ACC'D INSURANCE DEDUCTIBLE	$9,017,086
AMOUNTS DUE TO RELATED PARTIES	$1,119,652

Field	Value	IRS element (for citing)
Total Of Amounts	24304291	TotalOfAmounts
Total Revenue	173754690	TotalRevenue
Total Expenses	172187821	TotalExpenses
Excess Or Deficit For Year	1566869	ExcessOrDeficitForYear
Net Unrealized GL On Investments	2568676	NetUnrealizedGLOnInvestments
Other	$434,833	OtherAmount
Total Adjustments	3003509	TotalAdjustments
Excess Or Deficit Per FS	4570378	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	176758199	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2568676	NetUnrealizedGainsInvestments
Other Revenues	434833	OtherRevenues
Revenue Not Rptd F990	3003509	RevenueNotRptdF990
Revenue Subtotal	173754690	RevenueSubtotal
Total Revenue Per Form990	173754690	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	172187821	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	172187821	ExpensesSubtotal
Total Expenses Per Form990	172187821	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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.
OTHER ADJUSTMENT TO NET ASSETS	PART XI, LINE 8	CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS $434,833
OTHER REVENUE INCLUDED IN AUDITED FINANCIAL STATEMENTS BUT NOT ON RETURN	PART XII, LINE 2D	CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS $434,833
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 2012 OR 2011.

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	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8112093	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3196972	DirectOffsettingRevenue
Net Community Benefit Expense	4915121	NetCommunityBenefitExpense
Percent Of Total Expense	0.03030	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21706689	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18149157	DirectOffsettingRevenue
Net Community Benefit Expense	3557532	NetCommunityBenefitExpense
Percent Of Total Expense	0.02190	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29818782	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21346129	DirectOffsettingRevenue
Net Community Benefit Expense	8472653	NetCommunityBenefitExpense
Percent Of Total Expense	0.05220	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9008709	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4093261	DirectOffsettingRevenue
Net Community Benefit Expense	4915448	NetCommunityBenefitExpense
Percent Of Total Expense	0.03030	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7185006	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4925208	DirectOffsettingRevenue
Net Community Benefit Expense	2259798	NetCommunityBenefitExpense
Percent Of Total Expense	0.01390	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16193715	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9018469	DirectOffsettingRevenue
Net Community Benefit Expense	7175246	NetCommunityBenefitExpense
Percent Of Total Expense	0.04420	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46012497	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30364598	DirectOffsettingRevenue
Net Community Benefit Expense	15647899	NetCommunityBenefitExpense
Percent Of Total Expense	0.09640	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$3,646,219	BadDebtExpenseAmount
Amount Attributable To	2626108	AmountAttributableTo
Amount Reimbursed By Medicare	39822316	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	41135554	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1313238	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

RHODE ISLAND PET

SERVICES LLC
PET SCANS	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 WILLIAMS 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	false	CHNAConducted
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 $9,844,043. 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.
BAD DEBT EXPENSE	PART III, LINE 4	THE MEDICAL CENTER GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR BAD DEBTS ARE MADE BY MEANS OF A PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN FEDERAL AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT). 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.
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)	AMOUNTS BILLED TO INDIVIDUALS WITH NO INSURANCE, PART V, SEC. B, LINE 19D	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 21	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 (RWMC), AS AN AFFILIATE OF CHARTERCARE HEALTH PARTNERS, HAS BEEN AN ACTIVE MEMBER OF THE HOSPITAL ASSOCIATION OF RHODE ISLAND AND AN ACTIVE PARTICIPANT IN A VARIETY OF COMMITTEES ASSOCIATED WITH THE PROVISION OF HEALTH CARE SERVICES LEAD BY THE RHODE ISLAND DEPARTMENT OF HEALTH. TOGETHER WITH ITS COMMUNITY PARTNERS IN THE PREVIOUSLY MENTIONED FORUMS, RWMC IS HIGHLY ACTIVE IN IDENTIFYING THE CURRENT AND FUTURE NEEDS OF THE POPULATIONS ITS SERVES THROUGH DEMOGRAPHIC TRENDING AND ACTUAL UTILIZATION OF HEALTHCARE SERVICES. RWMC, AS PART OF CCHP, HAS COMMISSIONED A COMMUNITY ADVISORY COMMITTEE TO ASSIST IN THE IDENTIFICATION OF COMMUNITY NEEDS AND HOW THE ORGANIZATION CAN BEST SERVE THOSE NEEDS. THE COMMITTEE IS COMPOSED OF BUSINESS LEADERS, LOCAL STAKEHOLDERS AND COMMUNITY REPRESENTATIVES WHO WISH TO SEE THE ORGANIZATION CONTINUE TO PROVIDE THE HIGHEST QUALITY SERVICES TO ITS COMMUNITIES. RWMC, AS PART OF CCHP, HAS ALSO BEEN GATHERING INFORMATION FROM LOCAL PROVIDERS AS HOW TO BEST COMPLIMENT THERE SERVICES FOR THE LOCAL CONSTITUENTS. TOGETHER WITH THE LOCAL PROVIDERS INCLUDING MEDICAL STAFF, NURSING HOMES, COMPLIMENTARY SERVICE PROVIDERS AND PATIENTS, THE ORGANIZATION IS CRAFTING THE DELIVERY OF SERVICES IN A MANNER THAT ALLOWS FOR EASY ACCESS AND HIGH QUALITY SERVICES IN LOCATIONS THAT BEST FIT THE COMMUNITY NEED.
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 (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 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 CARES FOR OVER 200,000 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, THE LOCAL COMMUNITIES HAVE SOUGHT SERVICES FOR OVER THE LAST 100 YEARS. CCHP PROVIDES SERVICES TO A VAST NUMBER OF CITIES AND TOWNS STRETCHED ACROSS THE CENTRAL AND NORTHWESTERN CORRIDOR OF RHODE ISLAND. THE CITIES AND TOWNS WHICH COMPOSE CCHP'S EFFECTIVE MARKET AREA (DEFINED AS THE GEOGRAPHIC AREA THAT REPRESENTS 95% OF CCHP'S ADMISSIONS) HAS A CENSUS OF APPROXIMATELY 890,000 LIVES AS OF THE 2005 CENSUS PROJECTIONS. THE TOP TEN CITIES AND TOWNS THAT REPRESENT CCHP'S EFFECTIVE MARKET AREA INCLUDE: PROVIDENCE (CENSUS OF 175,966 AND AVERAGE HOUSE HOLD INCOME OF$26,867), JOHNSTON (CENSUS OF 28,654 AND AVERAGE HOUSE HOLD INCOME OF $43,514), CRANSTON (CENSUS OF 80,285 AND AVERAGE HOUSE HOLD INCOME OF $44,108), WARWICK (CENSUS OF 85,803 AND AVERAGE HOUSE HOLD INCOME OF $46,483), NORTH PROVIDENCE (CENSUS OF 32,861 AND AVERAGE HOUSE HOLD INCOME OF $39,721), SMITHFIELD (CENSUS OF 12,277 AND AVERAGE HOUSE HOLD INCOME OF $55,621 ), PAWTUCKET (CENSUS OF 73,203 AND AVERAGE HOUSE HOLD INCOME OF $31,775), GREENVILLE (CENSUS OF 8,834 AND AVERAGE HOUSE HOLD INCOME OF $55,621), EAST PROVIDENCE (CENSUS OF 25,364 AND AVERAGE HOUSE HOLD INCOME OF $39,108), WOONSOCKET (CENSUS OF 42,848 AND AVERAGE HOUSE HOLD INCOME OF $30,819). A MAJORITY OF THE CITIES AND TOWNS IDENTIFIED ABOVE FALL UNDER THE STATUS OF MEDICALLY UNDERSERVED AREAS AS SPECIFIED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE UNEMPLOYMENT RATE IN RHODE ISLAND FLUCTUATES AROUND 11.0% AND THE PERCENTAGE OF UNINSURED RANGES FROM 14% TO 21%. IN 2011, RWMC ACCUMULATED $9.8M IN BAD DEBT CHARGES AND ACCOUNTED FOR $8.5M IN WRITE OFFS (AT CHARGES). THE EFFECTIVE MARKET AREA COVERED BY CCHP IS ALSO SERVED BY LANDMARK MEDICAL CENTER IN WOONSOCKET (214 LICENSED BEDS), MEMORIAL HOSPITAL IN PAWTUCKET (294 LICENSED BEDS), RHODE ISLAND HOSPITAL IN PROVIDENCE (OVER 600 LICENSED BEDS), AND THE MIRIAM HOSPITAL IN EAST PROVIDENCE (247 LICENSED BEDS).
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.

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 (15 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
KENNETH H BELCHER
422159	0	0	0	5206	0	6812	0	18018	0	452195	0	0	0
MICHAEL CONKLIN JR
0	328124	0	0	0	184	0	0	0	19049	0	347357	0	0
BHARTI RATHORE
195977	0	15000	0	0	0	2753	0	1145	0	214875	0	0	0
RITESH RATHORE
289344	0	0	0	0	0	7213	0	18441	0	314998	0	0	0
ALEX ETIENNE
305135	0	0	0	0	0	6167	0	18189	0	329491	0	0	0
JOHN STOUKIDES
245819	0	0	0	0	0	7241	0	18308	0	271368	0	0	0
AHMAD AL-HOMSI
512584	0	18000	0	0	0	3289	0	2921	0	536794	0	0	0
DOMENIC DECRISTOFANO
10092	0	0	0	158724	0	6117	0	17984	0	192917	0	158724	0
KIMBERLY O'CONNELL ESQ
233145	0	0	0	19602	0	21523	0	16918	0	291188	0	19394	0
JOANNE DOOLEY
219840	0	0	0	0	0	23913	0	13601	0	257354	0	0	0
SUSAN CERRONE-ABELY
239830	0	0	0	383	0	4932	0	18279	0	263424	0	0	0
CHERYL PERRY
156651	0	0	0	0	0	2837	0	7064	0	166552	0	0	0
RUTH E SCOTT RN
92952	0	0	0	0	0	2403	0	17682	0	113037	0	0	0
ADOZINDA KANE
242233	0	0	0	0	0	6132	0	18353	0	266718	0	0	0
DARLEEN SOUZA
0	190875	0	0	0	47	0	2793	0	16234	0	209949	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 - $0 KIMBERLY O'CONNELL - $19,394 JOANNE DOOLEY - $0 DOMENIC DECRISTOFANO - $158,724 SUSAN CERRONE-ABELY - $0 ADOZINDA KANE - $0 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SPLIT DOLLAR LIFE INSURANCE PLAN AND INCLUDED THE FOLLOWING IMPUTED INCOME IN TAXABLE WAGES IN CALENDAR YEAR 2011: KENNETH BELCHER - $5,206 MICHAEL CONKLIN - $184 KIMBERLY O'CONNELL - $208 SUSAN CERRONE-ABELY - $383 DARLEEN SOUZA - $47

Schedule L IRS990ScheduleL

Loan Table LoanTable (5 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
K BELCHER
SPLIT DOLLAR PREMIUM	X	$174,542	193935	false	true	true
S ABELY
SPLIT DOLLAR PREMIUM	X	$96,863	103320	false	true	true
K O'CONNELL
SPLIT DOLLAR PREMIUM	X	$52,598	56104	false	true	true
M CONKLIN
SPLIT DOLLAR PREMIUM	X	$30,688	61375	false	true	true
D SOUZA
SPLIT DOLLAR PREMIUM	X	$8,832	17663	false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	432397	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 (20 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTS	PART III, LINE 4A-4D	ROGER WILLIAMS MEDICAL CENTER: SERVICES AND ACCOMPLISHMENTS FOR 2012 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 RECOGNIZED PROGRAMS FOR CANCER, GERIATRICS, SURGICAL SERVICES, COMPREHENSIVE DIAGNOSTIC AND IMAGING, GASTROENTEROLOGY SERVICES, AND AN INNOVATIVE ADDICTION MEDICINE TREATMENT CENTER, WHICH OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT TREATMENT PROGRAMS. RWMC FEATURES A DEDICATED CENTER FOR ORTHOPEDIC AND NEUROSPINE PATIENTS 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 2012 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 2012: - 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, ACCORDING TO THE ACOS. - THE ROGER WILLIAMS BLOOD AND MARROW TRANSPLANT PROGRAM WAS AWARDED RENEWED ACCREDITATION FROM THE FOUNDATION FOR THE ACCREDITATION OF CELLULAR THERAPY (FACT) FOR DEMONSTRATING COMPLIANCE WITH THE FACT-JACIE INTERNATIONAL STANDARDS FOR THE FULL SCOPE OF BONE MARROW TRANSPLANT PROGRAMMING. - ROGER WILLIAMS BECAME ONE OF THE FIRST PROGRAMS IN THE NATION TO HAVE ACCREDITATION AWARDED FOR A COMPLEX GENERAL SURGICAL ONCOLOGY FELLOWSHIP. THIS ACCREDITATION ALLOWS FELLOWS IN THE PROGRAM TO BECOME BOARD-ELIGIBLE AND ULTIMATELY BOARD-CERTIFIED IN COMPLEX GENERAL SURGICAL ONCOLOGY. - ROGER WILLIAMS MEDICAL CENTER OPENED A DEDICATED HEMATOLOGY-ONCOLOGY UNIT, CONTAINING NUMEROUS FEATURES TO IMPROVE PATIENT CARE.
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. - IN 2012, ROGER WILLIAMS WAS RE-CREDENTIALED AS A NICHE (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS) HOSPITAL. NICHE, A PROGRAM OF THE HARTFORD INSTITUTE FOR GERIATRIC NURSING, IS A NATIONAL LEADER IN IMPROVING GERIATRIC CARE IN HOSPITALS. ROGER WILLIAMS RECEIVED ORIGINAL CERTIFICATION IN 2006. - IN 2012, OUR SYSTEM-WIDE FOCUS ON ELDER CARE ADVANCED TO BOTH CHARTERCARE EMERGENCY DEPARTMENTS, AS THE HOSPITALS PREPARED TO LAUNCH THE STATE'S FIRST SENIOR-FRIENDLY EMERGENCY DEPARTMENTS. EACH FACILITY HAS UNDERGONE RENOVATIONS TO MAKE THE ENVIRONMENT MORE AMENABLE TO OLDER PATIENTS AND STAFF HAS BEEN TRAINED IN GERIATRIC CARE. THE PROJECTS ARE DESIGNED TO IMPROVE PATIENT FLOW AND PRIVACY, WHILE MAKING THE DEPARTMENT MORE ELDER-FRIENDLY. THE SENIOR-FRIENDLY EMERGENCY DEPARTMENTS AT BOTH HOSPITALS WILL BE OFFICIALLY OPENED IN MARCH 2013. - ELMHURST EXTENDED CARE -- THE NURSING HOME AFFILIATE OF ROGER WILLIAMS -- DELIVERS INNOVATIVE CARE UTILIZING THE EDEN ALTERNATIVE PHILOSOPHY, WHICH SEEKS TO RESTORE CHOICE TO ELDERS WHILE ERADICATING THE PLAGUES OF BOREDOM, LONELINESS, AND DEPRESSION. IN 2012, ELMHURST EXTENDED CARE BECAME THE FIRST LONG-TERM CARE FACILITY IN THE COUNTRY TO ACHIEVE MILESTONE 2, A SET OF SPECIFIC PERSONAL, ORGANIZATIONAL AND PHYSICAL TRANSFORMATIONS PRESCRIBED BY THE EDEN ALTERNATIVE TO IMPROVE THE QUALITY OF LIFE AND CARE OF ELDERS. INNOVATION, RECOGNITION AND EVENTS IN 2012 - ROGER WILLIAMS MEDICAL CENTER WAS RE-CREDENTIALED AS A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY AND SURGICAL REVIEW CORPORATION. THE DESIGNATION RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC SURGERY. ROGER WILLIAMS HAS BEEN CERTIFIED AS A CENTER OF EXCELLENCE SINCE 2005. - THE INSTITUTIONAL REVIEW COMMITTEE (IRC) OF THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) HAS GRANTED ROGER WILLIAMS MEDICAL CENTER'S INSTITUTIONAL GME PROGRAM CONTINUED ACCREDITATION FOR A PERIOD OF FIVE YEARS. THE IRC COMMENDED THE INSTITUTION FOR "ITS DEMONSTRATED SUBSTANTIAL COMPLIANCE WITH THE ACGME'S INSTITUTIONAL REQUIREMENTS WITHOUT CITATIONS", MEANING THAT ROGER WILLIAMS MET ALL OF THE ORGANIZATION'S STRINGENT REQUIREMENTS FOR OPERATING AND OVERSEEING GME PROGRAMS AT THE INSTITUTION. - THE ROGER WILLIAMS' LABORATORY HAD A SUCCESSFUL UNANNOUNCED COLLEGE OF AMERICAN PATHOLOGISTS INSPECTION ON OCTOBER 11 BY A TEAM FROM MERRIMACK VALLEY HOSPITAL. MINOR DEFICIENCIES WERE SITED ACCOMPANIED WITH WELCOMED RECOMMENDATIONS. THE COLLEGE OF AMERICAN PATHOLOGISTS UTILIZES A PEER REVIEW INSPECTION PROCESS INCORPORATING A COLLEGIAL AND EDUCATIONAL APPROACH. - THE BLOOD TRANSFUSION SERVICE UNDERWENT A VOLUNTARY INTENSIVE ON-SITE ASSESSMENT LED BY A SPECIALLY TRAINED AABB ASSESSOR. ACCREDITED ORGANIZATIONS ARE RECOGNIZED AS LEADERS AND AS PIVOTAL VOICE IN THE DIALOGUE THROUGH WHICH CONSENSUS-BASED, VOLUNTARY STANDARDS ARE DEVELOPED AND IMPLEMENTED. - THE ROGER WILLIAMS' CONTINUING MEDICAL EDUCATION (CME) PROGRAM WAS GRANTED FOUR YEAR ACCREDITATION BY THE RHODE ISLAND MEDICAL SOCIETY. THE MEDICAL SOCIETY, WHICH ADMINISTERS CME UNDER THE AUSPICES OF THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION, PERFORMED AN EXTENSIVE REVIEW OF OUR PROGRAM AND DETERMINED THAT ROGER WILLIAMS MEETS NATIONAL STANDARDS FOR ISSUING CME CREDITS FOR OUR EDUCATION PROGRAMS. - IN THE AUGUST ISSUE OF PROVIDENCE BUSINESS NEWS, CHARTERCARE HEALTH PARTNERS WAS RECOGNIZED AS ONE OF THE HEALTHIEST EMPLOYERS IN RHODE ISLAND. CHARTERCARE AND ITS AFFILIATES WERE RECOGNIZED FOR INITIATIVES LIKE YOGA, PILATES, ZUMBA, WALKING PROGRAMS, HEALTHY EATING OPTIONS, LUNCH-AND-LEARN SESSIONS, SMOKING CESSATION, AND SLEEP IMPROVEMENT PROGRAMS, AS WELL AS SUN SAFETY, BODY COMPOSITION AND WELLNESS CLINICS. BOTH ROGER WILLIAMS AND FATIMA HOSPITALS ARE ALSO HOME TO A REGULAR FARMER'S MARKET, WHERE FRESH FRUIT AND PRODUCE IS AVAILABLE. - ROGER WILLIAMS WAS NAMED A RECIPIENT OF A HAI WATCHDOG AWARD, CREATED BY KIMBERLY-CLARK HEALTH CARE, TO RECOGNIZE THE EFFORTS OF DEDICATED HEALTHCARE PROFESSIONALS HELPING TO PREVENT HEALTHCARE-ASSOCIATED INFECTIONS (HAIS). IN RECOGNITION OF OUR WORK TO REDUCE HAI RATES, ROGER WILLIAMS RECEIVED A GRANT TO FURTHER EDUCATIONAL EFFORTS. - ROGER WILLIAMS MEDICAL CENTER WAS RECOGNIZED WITH A GOLD, SILVER AND BRONZE AWARD AT THE RECENT 2012 ICU COLLABORATIVE OUTCOMES CONGRESS. - CHARTERCARE HEALTH PARTNERS BECAME THE FIRST INSTITUTION IN RHODE ISLAND TO UTILIZE THE STATE'S NEW 'OSHEAN BEACON 2.0' NETWORK, WHICH BRINGS OUR FACILITIES TOGETHER VIA HIGH-SPEED, REDUNDANT CONNECTIVITY. THE NEW NETWORK WAS FUNDED BY A FEDERAL STIMULUS GRANT OF $21.7 MILLION, WHICH WAS SUPPLEMENTED BY $10.7 MILLION IN PRIVATE FUNDS. IN ADDITION TO CONNECTING OUR CHARTERCARE FACILITIES, THIS NETWORK WILL FACILITATE COMMUNICATIONS AMONG ALL THE STATE'S HEALTHCARE, HIGHER EDUCATION, K-12 SCHOOL AND LIBRARY COMMUNITIES. 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. FOR FY 2012, ROGER WILLIAMS MEDICAL CENTER RECORDED $11,167,113.00 IN CHARITY CARE CHARGES.
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 FOLLOWING IS A BRIEF OVERVIEW OF THE PROGRAMS AND PROJECTS THAT THE STAFF AND VOLUNTEERS WERE INVOLVED WITH IN 2012: COMMUNITY OUTREACH PROGRAMS 2012 MEDICAL EDUCATION - THE BARIATRIC WEIGHT LOSS PROGRAM HOSTED MONTHLY WEIGHT LOSS SEMINARS WITH AN AVERAGE ATTENDANCE OF 60 PEOPLE. " THE INTERVENTIONAL RADIOLOGY DEPARTMENT HOSTED A HEALTH FAIR ATTENDED BY APPROXIMATELY 75 PEOPLE. TOPICS DISCUSSED INCLUDED PERIPHERAL ARTERIAL DISEASE, CANCER, BACK PAIN, AND UTERINE FIBROIDS. - THE DIVISION OF GASTROENTEROLOGY HOSTED ITS 11TH ANNUAL ENDOSCOPY NURSES CONFERENCE, AN EDUCATIONAL EVENT FOR NURSES FROM AROUND NEW ENGLAND. - CHARTERCARE PARTNERED WITH THE PROVIDENCE CENTER AND PHOENIX CENTER TO SPONSOR A FOUR PART PROFESSIONAL DEVELOPMENT SERIES FOR BEHAVIORAL HEALTH PROFESSIONALS. ISSUES DISCUSSED INCLUDING DEPRESSION AND LOSS WITH THE ELDERLY, ALCOHOL AND ADDICTIONS, AND A PRIMER ON NEW DRUGS AVAILABLE ON THE STREET. - ROGER WILLIAMS HOSTED A PHYSICIAN LECTURE ON RHEUMATOLOGY AT ST. AIDAN'S CHURCH WITH 125 ATTENDEES. - THE CANCER CENTER PARTNERED WITH THE GLORIA GEMMA BREAST CANCER RESOURCE FOUNDATION TO HOST MONTHLY VISITS FROM THE GEMMA BUS, WHICH PROVIDES A VARIETY OF THERAPIES FOR CANCER PATIENT, THEIR LOVED ONES, AND CAREGIVERS. - THE CANCER CENTER HOSTED MONTHLY "ASK THE PHARMACIST" SESSIONS FOR PATIENTS. THE OUTREACH TEAM AT THE MEDICAL CENTER PROVIDED FREE SCREENINGS, PRESENTATIONS, AND EDUCATION TO THOUSANDS OF RHODE ISLANDERS IN 2012 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: - CCRI WELLNESS FAIR: SCREENINGS AND INFORMATION PROVIDED TO 400 INDIVIDUALS - CANCER SURVIVORS DAY: ATTENDED BY 25 SURVIVORS AND LOVED ONES. - HOSTED SIX BLOOD DRIVES IN 2012 WITH AVERAGE OF 20 DONORS PER DRIVE - RIALA CONFERENCE, MORE THAN 300 ATTENDEES - SENIOR LIVING EXPO, MORE THAN 300 ATTENDEES - JOHNSTON SENIOR CENTER HEALTH FAIR, 75 ATTENDEES - SAL MANCINI RESOURCE & ACTIVITY CENTER, WELLNESS FAIR, 125 ATTENDEES - PROSTATE CANCER SCREENING, 60 ATTENDEES - SPONSORED AND PARTICIPATED IN THE RALLY FOR RECOVERY, TO RAISE AWARENESS ABOUT MENTAL ILLNESS AND ADDICTION COMMUNITY PARTNERSHIPS RWMC ACTIVELY COLLABORATES WITH SCHOOLS, FELLOW HEALTH CARE PROVIDERS AND OTHERS TO MAXIMIZE OUR CONTRIBUTIONS TO THE COMMUNITY. OUR 2011 ACTIVITIES INCLUDED: FUNDRAISING: IN 2012, RWMC ALONG WITH ITS OTHER CCHP-AFFILIATED EMPLOYEES, HELPED RAISE FUNDS FOR A NUMBER OF CHARITABLE CAUSES INCLUDING: - 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 2012 "LIVER LIFE WALK." - "TOUR DU CURE": ROGER WILLIAMS PARTICIPATED IN THIS BICYCLE RIDE, WHICH RAISES MONEY TO FIGHT DIABETES. - "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 80 PINTS OF BLOOD IN 2012 AT ITS QUARTERLY BLOOD DRIVES. - CLOTHING DRIVE: RWMC COLLECTED COATS, MITTENS, AND OTHER GENTLY USED ITEMS FOR THE RHODE ISLAND FURNITURE BANK. - PARTNERED WITH CITY OF PROVIDENCE ON TREE PLANTING EFFORT TO BEAUTIFY THE NEIGHBORHOOD. RESEARCH RWMC IS HOME TO DOZENS OF 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 THE 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 FACULTY. CURRENTLY, THERE ARE ONGOING TRIALS FOR A VARIETY OF CANCERS INCLUDING HEAD, NECK, BREAST, PROSTATE, GI, HEMATOLOGICAL MALIGNANCIES, AND OTHERS. IN 2012, ROGER WILLIAMS RECEIVED IN EXCESS OF $5.3 MILLION IN GRANT FUNDING. IN 2010, THE NATIONAL INSTITUTES OF HEALTH AND THE NATIONAL CENTER FOR RESEARCH RESOURCES AWARDED THE RENEWAL OF ITS COBRE GRANT ON "NEW APPROACHES TO TISSUE REPAIR" UNDER THE DIRECTION OF DR. VINCENT FALANGA AS THE PRINCIPAL INVESTIGATOR. THE AWARD FOR YEAR THREE IS $2,369,994, WHICH WILL ENABLE DR. FALANGA AND HIS TEAM TO CONTINUE ITS FOCUS ON STEM CELL DIFFERENTIATION, AND THE ROLE OF STEM CELLS IN THE REPAIR OF MULTIPLE ORGAN SYSTEMS.
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 ARTICLES AND BYLAWS OF THE ENTITY, APPOINT OR REMOVE A MEMBER OF THE BOARD OF TRUSTEES, ENTER INTO CONTRACTS, EFFECT ANY DISSOLUTION, AFFILIATION, 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 INDEPTNDENT 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. ITS 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 5	CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS $434,833 UNREALIZED GAINS OR (LOSSES) ON INVESTMENTS $2,568,676 ----------- TOTAL $3,003,509
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KENNETH H BELCHER TITLE:PRESIDENT & CEO CCHP HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MICHAEL CONKLIN JR TITLE:CFO/TREASURER CCHP HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KIMBERLY O'CONNELL, ESQ. TITLE:SENIOR VP HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DOMENIC DECRISTOFANO TITLE:EXEC DIR FACILITIES MANAGEMENT HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOANNE DOOLEY TITLE:VP CNO RWMC HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SUSAN CERRONE-ABELY TITLE:VP CIO HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DARLEEN SOUZA TITLE:VP HUMAN RESOURCES HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ADOZINDA KANE TITLE:FORMER CFO/TREASURER HOURS:40

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	CCHP	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	Percentage OwnershipPercentageOwnership
OUR LADY OF FATIMA ANCILLARY SERVICES
200 HIGH SERVICE AVENUE	NORTH PROVIDENCE	RI	02904	050519862	HEALTHCARE	RI	CCHP	C Corp	0	0	0.00000
ELMHURST HEALTH ASSOCIATES INC
825 CHALKSTONE AVE	PROVIDENCE	RI	02908	050437610	HEALTHCARE	RI	CCHP	C Corp	0	0	0.00000
ROSEBANK CORP
825 CHALKSTONE AVENUE	PROVIDENCE	RI	02908	050342046	REAL ESTATE	RI	CCHP	C Corp	0	0	0.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
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