2013-08-14T14:42:48-04:00 2012-09-30 KPMG LLP 60 South Street Boston MA 02111 990 2011-10-01 050258959 ROGER WILLIAMS MEDICAL CENTER F/K/A ROGER WILLIAMS HOSPITAL % KATHLEEN MOORE ROGE 4014563312 825 CHALKSTONE AVENUE PROVIDENCE RI 029083547 MICHAEL CONKLIN JR 2013-08-09 6179881000 2011 2016-02-24 21:20:13Z KENNETH BELCHER 825 CHALKSTONE AVENUE PROVIDENCE RI 029083547 173760123 false X WWW.RWMC.ORG X 1904 RI ROGER WILLIAMS MEDICAL CENTER IS A 220-BED, ACUTE CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES. 0 0 1774 32 1332807 -375823 6060572 6246866 156873506 162130741 2038868 1566219 637195 3810864 165610141 173754690 0 0 0 0 79250923 73085627 0 0 0 84774587 99102194 164025510 172187821 1584631 1566869 94424050 102769481 55564126 59339179 38859924 43430302 X ROGER WILLIAMS MEDICAL CENTER IS A 220-BED, ACUTE CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES. false false 129765692 160197146 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* 5658882 5658882 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. 11167113 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. 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THE PORTION OF DUES ALLOCATED TO LOBBYING EFFORTS FOR THE YEAR ENDED 9/30/12 WAS $2,726. 21329425 3082476 738229 23673672 22951379 -789094 832860 21329425 20342768 1402063 2149146 942598 22951379 20928580 305176 890998 20342758 0.24000 0.18000 0.58000 false false 0 85661 85661 0 48190778 30139956 18050822 0 27325 27325 0 0 46446290 38452998 7993292 0 459793 0 459793 26589568 AMTS DUE FROM RELATED PARTIES 2698435 INSURANCE RECEIVABLE 4953952 OTHER ASSETS 426287 8078674 0 ANTICIPATED THIRD PARTY SETTLE 11276996 DEFERRED GAIN ON JOINT VENTURE 2190667 ASSET RETIREMENT OBLIGATION 699890 ACC'D INSURANCE DEDUCTIBLE 9017086 AMOUNTS DUE TO RELATED PARTIES 1119652 24304291 173754690 172187821 1566869 2568676 434833 3003509 4570378 176758199 2568676 434833 3003509 173754690 173754690 172187821 172187821 172187821 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. 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RADIATION THERAPY 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. X X X X X false true false false false false false false false 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 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 K BELCHER SPLIT DOLLAR PREMIUM X 174542 193935 false true true S ABELY SPLIT DOLLAR PREMIUM X 96863 103320 false true true K O'CONNELL SPLIT DOLLAR PREMIUM X 52598 56104 false true true M CONKLIN SPLIT DOLLAR PREMIUM X 30688 61375 false true true D SOUZA SPLIT DOLLAR PREMIUM X 8832 17663 false true true 432397 LOANS TO INTERESTED PERSONS PART II 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. 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 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 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 false true true true false false false true false true true true true false true true true true