ST JOSEPH HEALTH SERVICES OF RI: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HEALTH SERVICES OF RI (EIN 05-0259026)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201202289349300615
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T06:57:15-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line160 South StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050259026EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HEALTH SERVICES OF RIBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone4014563000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL CONKLIN JRName
TitleCFO/TREASURERTitle
Date Signed2012-08-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6179881000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 HIGH SERVICE AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Gross Receipts152232368GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SAINTJOSEPHRI.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1946YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF ST. JOSEPH HEALTH SERVICES OF RI IS TO PRESERVE, RESTORE AND ENHANCE THE HEALTH OF INDIVIDUALS AND FAMILIES WE SERVE WITHIN OUR COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body0NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1956TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year227797ContributionsGrantsPriorYear
Contributions Grants Current Year812245ContributionsGrantsCurrentYear
Program Service Revenue Prior Year153493564ProgramServiceRevenuePriorYear
Program Service Revenue CY150530342ProgramServiceRevenueCY
Investment Income Prior Year731375InvestmentIncomePriorYear
Investment Income Current Year541804InvestmentIncomeCurrentYear
Other Revenue Prior Year360112OtherRevenuePriorYear
Other Revenue Current Year347977OtherRevenueCurrentYear
Total Revenue Prior Year154812848TotalRevenuePriorYear
Total Revenue Current Year152232368TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year100945939SalariesEtcPriorYear
Salaries Etc Current Year93746163SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year74556973OtherExpensePriorYear
Other Expenses Current Year69531759OtherExpensesCurrentYear
Total Expenses Prior Year175502912TotalExpensesPriorYear
Total Expenses Current Year163277922TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-20690064RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-11045554RevenuesLessExpensesCY
Total Assets BOY82659255TotalAssetsBOY
Total Assets EOY75587982TotalAssetsEOY
Total Liabilities BOY106343523TotalLiabilitiesBOY
Total Liabilities EOY127998909TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-23684268NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-52410927NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF ST. JOSEPH HEALTH SERVICES OF RI IS TO PRESERVE, RESTORE AND ENHANCE THE HEALTH OF INDIVIDUALS AND FAMILIES WE SERVE WITHIN OUR COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense122241577Expense
Revenue150119531Revenue
DescriptionST. JOSEPH HEALTH SERVICES OF RI IS DEDICATED TO PROVIDE PATIENT CARE SERVICES, LABORATORY AND TEACHING SERVICES WITHIN THE COMMUNITY. *SEE SCHEDULE O*Description
Total Program Service Expense122241577TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096107NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1956NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members0NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKATHLEEN MOORENamePerson
Telephone Number4014563322TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 HIGH SERVICE AVENUEAddressLine1
CityNORTH PROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KENNETH BELCHER
PRESIDENT AND CEO CCHP0.0X037267498964
MICHAEL CONKLIN JR
CFO/TREASURER CCHP0.0X191801020295
JOHN M FOGARTY
COO SJHSRI40.0X456178032545
KATHLEEN KENNY
CFO/VP OF FINANCE OCT-JAN 201040.0336716012568X
CHRISTOPHER FERRARO
CFO/TREASURER FEB-AUG 201040.0188612025046X
DARLENE SOUZA
VP HUMAN RESOURCES40.0175046022759X
CRYSTAL PILON
FORMER SJHSRI CIO40.0184642022740X
DANIEL KANE
DENTIST40.0268099016354X
MARK A SHANNON
PHYSICIAN40.0309783031494X
MAUREEN L HARKAVY
PHYSICIAN40.0266210010056X
RONALD GOBEIL
PHYSICIAN40.033681409546X
CECILIA GMUER
PATHOLOGIST40.0319022021908X
JOSEPH SAMARTANO JR DDS
FORMER TRUSTEE0.0106956019467X
DEBORAH DOUGLAS
CNO40.0107941010499X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3247820TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs372674TotalReportableCompFrmRltdOrgs
Total Other Compensation354241TotalOtherCompensation
Number Individuals GT100 K59NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO
PO BOX 360170PITTSBURGHPA15251FOOD SERVICE421721
RI BLOOD CENTER
PO BOX 9399PROVIDENCERI02940LABORATORY SERVICES409592
UNIVERSITY PATHOLOGIST
300 CENTERVILLE RD STE 215WARWICKRI02886LABORATORY SERVICES387065
MAYO CLINIC
PO BOX 9146MINNEAPOLISMN55480LABORATORY SERVICES307184
DIVERSIFIED CLINICAL SERVICES
5220 BELFORT ROAD STE 200JACKSONVILLEFL32256MEDICAL SERVICES301222
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants106905GovernmentGrants
All Other Contributions705340AllOtherContributions
Total Contributions812245TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT REVENUE6214009285960692859606
OTHER PROGRAM SERVICE REVENUE54190033136423313642
MEDICARE AND MEDICAID6241005394628353946283
CAFETERIA722320410811$410,811
FieldValueIRS element (for citing)
Total Program Service Revenue150530342TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column459411TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$459,411ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column81893TotalRevenueColumn
Exclusion$81,893ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real347977Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real347977Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column347977TotalRevenueColumn
Exclusion$347,977ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other500Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column500TotalRevenueColumn
Exclusion$500ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column152232368TotalRevenueColumn
Related Or Exempt Function Income150119531RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,300,592ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total651273Total
Management And General651273ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total70146016Total
Program Services58047174ProgramServices
Management And General12098842ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1093069Total
Program Services818794ProgramServices
Management And General274275ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15698413Total
Program Services11757551ProgramServices
Management And General3940862ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6157392Total
Program Services4612368ProgramServices
Management And General1545024ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1816186Total
Management And General1816186ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1227350Total
Management And General1227350ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total197509Total
Management And General197509ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total16976Total
Program Services16976ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8818722Total
Program Services6135848ProgramServices
Management And General2682874ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total42536Total
Management And General42536ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1040325Total
Program Services288680ProgramServices
Management And General751645ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2050647Total
Program Services1578998ProgramServices
Management And General471649ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2950096Total
Program Services376948ProgramServices
Management And General2573148ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21739Total
Program Services20535ProgramServices
Management And General1204ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18772Total
Program Services11674ProgramServices
Management And General7098ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1126348Total
Management And General1126348ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7467559Total
Program Services5974047ProgramServices
Management And General1493512ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2368673Total
Program Services2328845ProgramServices
Management And General39828ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1845700918327881129128
BAD DEBT92937269293726
HOSPITAL LICENSING FEE83609278360927
FOOD943918943918
ALL OTHER EXPENSES331274117076141605127

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total163277922Total
Program Services122241577ProgramServices
Management And General41036345ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3816BOY
EOY1120EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7327293BOY
EOY5727828EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15620800BOY
EOY15583649EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3702BOY
EOY232452EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1911052BOY
EOY1654851EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis137904714LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec99036703LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42992019BOY
EOY38868011EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14800573BOY
EOY13520071EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY82659255BOY
EOY75587982EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20069180BOY
EOY21549550EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY997046BOY
EOY997046EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18164855BOY
EOY17649754EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3136546BOY
EOY2287307EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY63975896BOY
EOY85515252EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY106343523BOY
EOY127998909EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-31263107BOY
EOY-60277437EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY730284BOY
EOY1107496EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6848555BOY
EOY6759014EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-23684268BOY
EOY-52410927EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY82659255BOY
EOY75587982EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-11045554ReconcilationRevenueExpenses
Reconcilation Other Changes-17681105ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$16,976OtherActivitiesAmount
Total Lobbying Expenditures IIB16976TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING EXPENSEIdentifier
Return ReferencePART II-B, LINE 1IReturnReference
ExplanationST. JOSEPH HEALTH SERVICES OF RI PAYS DUES TO THE HOSPITAL ASSOCIATION OF RHODE ISLAND AND CONSULTING SERVICES. THE PORTION OF DUES ALLOCATED TO LOBBYING EFFORTS FOR THE YEAR ENDED 9/30/2011 WAS $16,976.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1412982BeginningOfYearBalance
Contributions82754Contributions
Investment Earnings Or Losses245InvestmentEarningsOrLosses
Administrative Expenses16050AdministrativeExpenses
End Of Year Balance1479931EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1407395BeginningOfYearBalance
Contributions14982Contributions
Investment Earnings Or Losses199InvestmentEarningsOrLosses
Administrative Expenses9594AdministrativeExpenses
End Of Year Balance1412982EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1341680BeginningOfYearBalance
Contributions45250Contributions
Investment Earnings Or Losses29065InvestmentEarningsOrLosses
Administrative Expenses8600AdministrativeExpenses
End Of Year Balance1407395EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis624770OtherCostOrOtherBasis
Book Value624770BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis70979715OtherCostOrOtherBasis
Depreciation45182564Depreciation
Book Value25797151BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1090554OtherCostOrOtherBasis
Depreciation477262Depreciation
Book Value613292BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis65106550OtherCostOrOtherBasis
Depreciation53376877Depreciation
Book Value11729673BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis103125OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value103125BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings38868011TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
TRUSTEE UNDER LOAN INDENTURE1584471
BENEFICIAL INTEREST PERP TRUST5460375
TRUSTEE FOR WORKERS COMP/PROF305338
ENDOWMENT FUNDS1430603
PREPAID EXPENSES2648655
OTHER ASSETS2090629
FieldValueIRS element (for citing)
Total Book Value Other Assets13520071TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ESTIMATED SETTLEMENTS TO 3RD PARTY$2,635,533
INSURANCE RESERVES$7,535,110
PENSION LIABILITY$72,228,987
ASSET RETIREMENT OBLIGATION$3,115,622
FieldValueIRS element (for citing)
Total Of Amounts85515252TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSPART V, LINE 4THE ORGANIZATION'S ENDOWMENT CONSISTS OF SEVERAL INDIVIDUAL FUNDS ESTABLIS ESTABLISHED BY DONORS FOR A VARIETY OF PURPOSES INCLUDING BUT NOT LIMITED TO SCHOLARSHIPS. DISTRIBUTIONS ARE MADE IN ACCORDANCE WITH SPECIFIC DONOR RESTRICTED GUIDELINES.
FIN 48 (ASC 740) FOOTNOTEPART X, LINE 2ST JOSEPH HEALTH SERVICES OF RI 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. ST JOSEPH HEALTH SERVICES OF RI RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF 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 JUDGMENT OCCURS. SJHSRI DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX PORTION IN EITHER 2011 OR 2010.

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense8002328TotalCommunityBenefitExpense
Direct Offsetting Revenue2674688DirectOffsettingRevenue
Net Community Benefit Expense5327640NetCommunityBenefitExpense
Percent Of Total Expense0.03460PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24010238TotalCommunityBenefitExpense
Direct Offsetting Revenue18165258DirectOffsettingRevenue
Net Community Benefit Expense5844980NetCommunityBenefitExpense
Percent Of Total Expense0.03800PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense32012566TotalCommunityBenefitExpense
Direct Offsetting Revenue20839946DirectOffsettingRevenue
Net Community Benefit Expense11172620NetCommunityBenefitExpense
Percent Of Total Expense0.07260PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense87532TotalCommunityBenefitExpense
Net Community Benefit Expense87532NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3038462TotalCommunityBenefitExpense
Direct Offsetting Revenue1074856DirectOffsettingRevenue
Net Community Benefit Expense1963606NetCommunityBenefitExpense
Percent Of Total Expense0.01280PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3125994TotalCommunityBenefitExpense
Direct Offsetting Revenue1074856DirectOffsettingRevenue
Net Community Benefit Expense2051138NetCommunityBenefitExpense
Percent Of Total Expense0.01340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense35138560TotalCommunityBenefitExpense
Direct Offsetting Revenue21914802DirectOffsettingRevenue
Net Community Benefit Expense13223758NetCommunityBenefitExpense
Percent Of Total Expense0.08600PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,245,892BadDebtExpenseAmount
Amount Attributable To2401960AmountAttributableTo
Amount Reimbursed By Medicare38318177AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare47363343CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-9045166MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HEALTH SERVICES OF RIBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1200 HIGH SERVICE AVENUEAddressLine1
CityNORTH PROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPH HEALTH SERVICES OF RIBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities13NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PEDIATRIC DENTAL
21 PEACE STREETPROVIDENCERI02907DENTAL
ST JOSEPH ADULT PRIMARY CARE CLINIC
21 PEACE STREETPROVIDENCERI02907PRIMARY CARE
ST JOSEPH OUTPATIENT REHABILITATION
1637 MINERAL SPRING AVENUENORTH PROVIDENCERI02094GENERAL MEDICAL & SURGICAL
ST JOSEPH WALK-IN CLINIC
21 PEACE STREETPROVIDENCERI02907GENERAL MEDICAL & SURGICAL
ST JOSEPH OBGYN CLINIC
21 PEACE STREETPROVIDENCERI02907GENERAL MEDICAL & SURGICAL
ST JOSEPH PEDIATRIC CLINIC
21 PEACE STREETPROVIDENCERI02907GENERAL MEDICAL & SURGICAL
ST JOSEPH OUTPATIENT REHABILITATION
21 PEACE STREETPROVIDENCERI02907GENERAL MEDICAL & SURGICAL
APPLE VALLEY RADIOLOGY & PHLEBOTOMY
466 PUTNAM PIKEGREENVILLERI02828RADIOLOGY & PHLEBOTOMY LAB
JOHNSTON DENTAL
1524 ATWOOD AVENUE SUITE 125JOHNSTONRI02904DENTAL
PEDIATRIC DENTAL
40 BROAD STREETPAWTUCKETRI02860DENTAL
FATIMA HEALTH CENTER
40 BROAD STREETPAWTUCKETRI02860HEALTH CENTER
WOUND CARE CLINIC
2 WAKE ROBINLINCOLNRI02884WOUND CARE CLINIC
SOUTERN NE REHABILITATION
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904GENERAL MEDICAL & SURGICAL

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSEPART I, LINE 7(F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR LIN 7 COLUMN(F) IS $ 9,293,726. 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 EXPENSEPART III, LINE 4SJHSRI 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 LINE 4 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 BENEFITPART III, LINE 8THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS IS BASED UPON THE MEDICARE COST REPORT USING RCC (RATIO OF COST CHARGE) METHODOLOGY.
COLLECTION PRACTICES FOR QUALIFIED PATIENTSPART III, LINE 9BST JOSEPH HEALTH SERVICES OF RI 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.
ST. JOSEPH HEALTH SERVICES OF RI (1)AMOUNTS BILLED TO INDIVIDUALS WITH NO INSURANCE, PART V, SEC. B, LINE 19DPATIENTS 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.
ST. JOSEPH HEALTH SERVICES OF RI (1)GROSS CHARGE FOR SERVICES, PART V, SECTION B, LINE 21THE HOSPITAL BILLS A LIMITED NUMBER OF PATIENTS WITH ADEQUATE FINANCIAL RESOURCES THE GROSS CHARGE RATE FOR UNINSURED MEDICARE SERVICES.
COMMUNITY HEALTH NEEDS ASSESSMENTPART VI, LINE 2ST. JOSEPH HEALTH SERVICES OF RI (SJHSRI), AS AN AFFILIATE OF CHARTERCARE HEALTH PARTNERS (CCHP), 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, SJHSRI IS HIGHLY ACTIVE IN IDENTIFYING THE CURRENT AND FUTURE NEEDS OF THE POPULATIONS ITS SERVES THROUGH DEMOGRAPHIC TRENDING AND ACTUAL UTILIZATION OF HEALTHCARE SERVICES. SJHSRI, 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. SJHSRI, 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 ASSISTANCEPART VI, LINE 3INFORMATION ON THE ST. JOSEPH HEALTH SERVICES OF RI 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://WWW.FATIMAHOSPITAL.COM. FURTHERMORE, THE HOSPITAL HAS PATIENT FINANCIAL COUNSELORS' ONSITE TO EDUCATE PATIENTS ON THE FINANCIAL PROGRAMS THAT ARE AVAILABLE.
COMMUNITY INFORMATIONPART VI, LINE 4ST. JOSEPH HEALTH SERVICES OF RI (SJHSRI) 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, CCHP 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, SJHSRI ACCUMULATED $9.2M IN BAD DEBT 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). SJHSRI ALSO MAINTAINS A CENTER OF HEALTH AND HUMAN SERVICES IN SOUTH PROVIDENCE, WHICH FALLS IN THE HEART OF THE PROVIDENCE MUA. SINCE 1991, SJHSRI HAS PROVIDED A WEALTH OF PRIMARY CARE CLINICS AND PEDIATRIC DENTAL SERVICES AT THIS LOCATION WHICH ANNUALLY ACCOUNTS FOR MORE THAN 50,000 VISITS.
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5IN ADDITION TO ITS ACTIVITIES IN DELIVERING HEALTH CARE SERVICES TO THE COMMUNITY AS DESCRIBED ELSEWHERE IN THIS FILING, ST. JOSEPH HEALTH SERVICES OF RI (SJHSRI) FURTHERS ITS EXEMPT PURPOSES THROUGH THE FOLLOWING MEANS: A) SJHSRI 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), SJHSRI MAINTAINS AN OPEN MEDICAL STAFF THAT EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIAN APPLICANTS WHO EXHIBIT THE PROPER TRAINING AND EXPERTISE TO SERVE THE HOSPITAL'S PATIENTS. C) THE ORGANIZATION TRADITIONALLY APPLIES ALL SURPLUS FUNDS TO ENSURING FINANCIALLY PRUDENT AVAILABLE FUNDS, CAPITAL MAINTENANCE AND IMPROVEMENTS, AND THE ADDITION OF SERVICES THAT BENEFIT THE COMMUNITY. RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND AFFILIATED IN JANUARY 2010 UNDER CHARTERCARE HEALTH PARTNERS. THE AFFILIATION PARTNERS BELIEVE THAT BY COMBINING THEIR COMPLEMENTARY STRENGTHS, THEY CAN SIGNIFICANTLY IMPROVE THEIR ABILITY TO MEET THE HEALTHCARE NEEDS OF THE REGION THROUGH MORE COORDINATION, IMPROVED EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. THE PARTIES RECOGNIZED THAT WHETHER THEY AFFILIATED OR NOT, CHANGE WILL AND MUST OCCUR IN THEIR ORGANIZATIONS IN LIGHT OF EMERGING CHANGES IN HEALTHCARE DELIVERY, AND CHANGES IN PUBLIC AND PRIVATE SYSTEMS FOR PAYING FOR HEALTH CARE. THE AFFILIATION BETTER POSITIONED THE TWO ORGANIZATIONS TO ADDRESS THE CHALLENGES AND TO MEET THE NEEDS OF THEIR COMMUNITIES.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6ST. JOSEPH HEALTH SERVICES OF RI (SJHSRI) IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. THE AFFILIATION OF ROGER WILLIAMS MEDICAL CENTER (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. SJHSRI'S AFFILIATION ALSO ALLOWS THEM TO WORK CLOSELY WITH RWMC 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

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

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KENNETH BELCHER
03714280001246035000063964047163800
MICHAEL CONKLIN JR
1918010000000202950212096000
DANIEL KANE
24509902300000000163540284453000
MARK A SHANNON
3097830000000314940341277000
MAUREEN L HARKAVY
2662100000000100560276266000
RONALD GOBEIL
336814000000095460346360000
JOHN M FOGARTY
284431000171747000325450488723000
CECILIA GMUER
3190220000000219080340930000
KATHLEEN KENNY
3367160000000125680349284000
CHRISTOPHER FERRARO
1886120000000250460213658000
DARLENE SOUZA
1750460000000227590197805000
CRYSTAL PILON
1846420000000227400207382000
JOSEPH SAMARTANO JR DDS
1069560000000194670126423000
DEBORAH DOUGLAS
1079410000000104990118440000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ESTABLISH COMPENSATIONPART I, LINE 3EXECUTIVE SALARIES AND BENEFITS ARE PAID BY CHARTERCARE HEALTH PARTNERS THROUGH ROGER WILLIAMS MEDICAL CENTER AND ST. JOSEPH HEALTH SERVICES OF RI. EMPLOYEE SALARIES ARE ESTABLISHED UNDER THE COMPENSATION POLICIES OF THE ORGANIZATION'S MANAGEMENT COMPANY CHARTERCARE HEALTH PARTNERS.
SEVERANCE PAYMENTPART I, LINE 4AJOHN M. FOGARTY RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $171,747.
NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANPART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN ESTABLISHED UNDER ROGER WILLIAMS MEDICAL CENTER AND RECEIVED THE FOLLOWING DISTRIBUTIONS UNDER THE 457(F) PLAN: KENNETH BELCHER - $0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSION AND PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART I LINE 1 AND PART III, LINE 4AST. JOSEPH HOSPITAL WAS ESTABLISHED IN 1892 AS A 175-BED GENERAL HOSPITAL. IT OPERATED AS AN ACUTE CARE HOSPITAL UNTIL 1990, WHEN IT WAS CONVERTED TO A SPECIALTY HOSPITAL THAT HOSTS COMPREHENSIVE PSYCHIATRIC CARE, THE SOUTHERN NEW ENGLAND REHABILITATION CENTER AND THE CENTER FOR HEALTH AND HUMAN SERVICES, A CLINIC PROVIDING PRIMARY CARE TO THE POOR AND DISADVANTAGED OF SOUTH PROVIDENCE. OUR LADY OF FATIMA HOSPITAL WAS OPENED IN 1954 AS A 175-BED ACUTE CARE HOSPITAL, AND ADDED AN ADDITIONAL 100 BEDS IN 1960. THE HOSPITAL IS A NON-PROFIT, GENERAL ACUTE CARE FACILITY OPERATING UNDER THE SPONSORSHIP OF THE DIOCESE OF PROVIDENCE. ST. JOSEPH HOSPITAL AND OUR LADY OF FATIMA HOSPITAL BECAME ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND. IN 2009 ALL PSYCHIATRIC CARE WAS MOVED FROM ST. JOSEPH HOSPITAL TO OUR LADY OF FATIMA HOSPITAL. IN 2010, THE SOUTHERN NEW ENGLAND REHABILIATION CENTER FOLLOWED SUITE. TODAY, ST. JOSPEH HEALTH SERVICES OF RHODE ISLAND 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: ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND, ROGER WILLIAMS MEDICAL CENTER AND A 194-BED NURSING HOME CALLED ELMHURST EXTENDED CARE. THE INDIVIDUAL HOSPITALS OF CCHP ARE DEEPLY ROOTED IN THEIR COMMUNITIES, EACH WITH A LONG TRADITION OF PROVIDING HIGH QUALITY CARE AND SERVICES. ST. JOSEPH HEALTH SERVICES OFFERS TREATMENT IN 28 MEDICAL AND SURGICAL SPECIALTIES AND HAS A STATE OF THE ART AMBULATORY CARE CENTER AND ONE OF THE STATE'S BUSIEST SURGICAL PROGRAMS. THE HOSPITAL HAS ACKNOWLEDGED EXCELLENCE IN SEVERAL SURGICAL SUBSPECIALTIES INCLUDING NEUROSURGERY, ORTHOPEDICS AND UROLOGY. FATIMA ALSO OPERATES THE STATE'S ONLY HOSPITAL-BASED SCHOOL OF NURSING, AND A SCHOOL OF MEDICAL TECHNOLOGY. THE FOLLOWING ARE SELECTED 2011 HIGHLIGHTS FROM SOME OF OUR PRIMARY SERVICE OFFERINGS: - IN 2011, FATIMA HOSPITAL RECEIVED THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER (COC). FATIMA RECEIVED THREE AREAS OF COMMENDATION FOR OUTSTANDING PERFORMANCE: PREVENTION AND EARLY DETECTION, CANCER-RELATED QUALITY IMPROVEMENTS, AND REPORTING STRUCTURES RELATED TO THE LABORATORY. APPLYING FOR AND MAINTAINING COC ACCREDITATION IS A VOLUNTARY COMMITMENT BY A CANCER PROGRAM THAT ENSURES ITS PATIENTS WILL HAVE ACCESS TO THE FULL SCOPE OF SERVICES REQUIRED TO DIAGNOSE, TREAT, REHABILITATE, AND SUPPORT PATIENTS WITH CANCER AND THEIR FAMILIES. - FATIMA HOSPITAL AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND UNDERWENT SUCCESSFUL JOINT COMMISSION SURVEYS. - FATIMA HOSPITAL OPENED A NEWLY-RENOVATED NURSING UNIT CALLED CARE ONE DESIGNED TO PROVIDE MORE PRIVACY AND PERSONALIZED CARE FOR SURGICAL PATIENTS, WHILE GIVING FAMILIES MORE INPUT INTO THE CARE OF THEIR LOVED ONES. CARE ONE INCLUDES 15 LARGER PRIVATE ROOMS WHERE THE TEAM PROVIDES CARE FOR PATIENTS FOLLOWING ORTHOPEDIC AND OTHER TYPES OF SURGERY. THE LARGER ROOMS PROVIDE INCREASED COMFORT FOR PATIENTS AND VISITORS, WHILE ALLOWING DOCTORS, NURSES, AND SUPPORT SERVICES LIKE REHABILITATION, BETTER ACCESS TO PEOPLE FOLLOWING SURGERY. - THE VASCULAR LABORATORY AT FATIMA HOSPITAL WAS GRANTED ACCREDITATION THROUGH SEPTEMBER 30, 2013 BY THE INTER-SOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES. THE LABORATORY WAS ACCREDITED IN THE FOLLOWING TESTING AREAS: EXTRA-CRANIAL CEREBROVASCULAR TESTING, PERIPHERAL VENOUS TESTING AND PERIPHERAL ARTERIAL TESTING. - THE ST. JOSEPH SCHOOL OF NURSING ENROLLED ITS LARGEST CLASS IN RECENT MEMORY, WITH MORE THAN 60 STUDENTS. ENROLLMENT HAS GROWN STEADILY OVER THE LAST DECADE, FROM 20 STUDENTS IN 2002 TO 46 LAST YEAR. THE SCHOOL HAS MADE ADJUSTMENTS TO ATTRACT MORE STUDENTS FROM SCHEDULING CHANGES, CLASSROOM ADJUSTMENTS, AND THE ADDITION OF MORE FACULTY. - THE LABORATORY AT FATIMA HOSPITAL UNDERWENT A SUCCESSFUL SURVEY BY THE COLLEGE OF AMERICAN PATHOLOGISTS. THIS IS A BI-ANNUAL UNANNOUNCED SURVEY CONDUCTED BY A PEER GROUP INSPECTION TEAM. THE NINE-MEMBER INSPECTION TEAM WAS FROM NEW ENGLAND BAPTIST HOSPITAL. - IN SEPTEMBER, MORE THAN 240 EMPLOYEES PARTICIPATED IN PATIENT SAFETY DAY, LEARNING MORE ABOUT A VARIETY OF SAFETY INITIATIVES INCLUDING SAFE MEDICATION PRACTICE, INFECTION CONTROL, AND STROKE RECOGNITION AND RESPONSE. FREE CARE PER THE HOSPITAL'S PUBLIC NOTICE, ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND 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. ST. JOSEPH WILL PROVIDE FULL CHARITY CARE TO UNINSURED BASED ON INCOME LIMITS AND FAMILY SIZE. FURTHERMORE, THE HOSPITAL OFFERS PARTIAL CHARITY CARE BASED ON A SLIDING SCALE. FOR FY 2011, ST. JOSEPH HEALTH SERVICES RECORDED $11,115,943 IN CHARITY CARE CHARGES. THE DIRECT COSTS ASSOCIATED WITH PROVIDING THE CARE TO THE PATIENTS WAS $3,875,969.
ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND: SERVICE TO THE COMMUNITYST. JOSEPH HEALTH SERVICES OF RHODE ISLAND 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 OF ST. JOSEPH WERE INVOLVED WITH IN 2010. COMMUNITY OUTREACH PROGRAMS AND PARTNERSHIPS: COMMUNITY EDUCATION/HEALTH FAIRS/SCREENINGS - IN SEPTEMBER, OVER 100 HEALTH CARE PROFESSIONALS ATTENDED THE 18TH ANNUAL SOUTHERN NEW ENGLAND REHABILITATION CENTER (SNERC) HELD ITS ANNUAL EDUCATIONAL CONFERENCE. THIS YEAR'S TOPIC WAS "STROKE." - IN 2011, FATIMA HOSPITAL HOSTED A FOUR WEEK MINI MEDICAL SCHOOL EDUCATIONAL PROGRAM FOCUSED ON THE TOPIC OF "JOINT PAIN." IT WAS ATTENDED BY MORE THAN 40 PEOPLE PER SESSION. - THE FATIMA DIABETES MANAGEMENT TEAM CONTINUES TO FIND INNOVATIVE WAYS TO EDUCATE PEOPLE WITH DIABETES. IN JUNE, THE TEAM LED TWO DOZEN INDIVIDUALS WITH DIABETES THROUGH A TOUR OF DAVE'S MARKETPLACE TO EDUCATE THEM ON HEALTHY FOOD CHOICES FOR DIABETICS. - MORE THAN 150 PEOPLE ATTENDED FATIMA HOSPITAL'S ANNUAL DIABETES FAIR AND WERE PROVIDED WITH ADDITIONAL TOOLS TO SUCCESSFULLY MANAGE DIABETES. LED BY CERTIFIED DIABETES EDUCATORS, THE FAIR FEATURED LECTURES, SCREENINGS, AND OTHER INFORMATION FOR THOSE WITH DIABETES. THIS WAS THE 4TH ANNUAL FAIR. - FREE CHOLESTEROL SCREENINGS AT FATIMA HOSPITAL - ANNUAL DIABETES FAIR AT SALVATORE MANCINI RESOURCE AND ACTIVITY CENTER, MORE THAN 100 ATTENDEES - BREAST CANCER SURVIVORS TEA AT FATIMA HOSPITAL - BREAST CANCER PRESENTATION AT SALVATORE MANCINI CENTER - OLF HOSTED LOOK GOOD, FEEL BETTER PROGRAM WITH ACS - CLOTHING AND BOOK DRIVE TO BENEFIT ST. JOSEPH CLINICS - CHRISTMAS TOY DRIVE, 500 CHILDREN COMMUNITY SUPPORT - FATIMA HOSPITAL IS OFFERING SUPPORT GROUPS FOR INDIVIDUALS FACING A VARIETY OF MEDICAL CHALLENGES FROM STROKE TO DIABETES. FUNDRAISING/VOLUNTEERISM - MARTIN LUTHER KING (MLK) DAY: ST. JOSEPH HEALTH SERVICES' 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. - "DAFFODIL DAYS": RAISED MONEY FOR THE AMERICAN CANCER SOCIETY. - BLOOD DRIVES: ST. JOSEPH'S EMPLOYEES DONATED BLOOD AT QUARTERLY BLOOD DRIVES HELD AT FATIMA HOSPITAL. - PARTNERED WITH CITY OF PROVIDENCE ON TREE PLANTING EFFORT TO BEAUTIFY THE NEIGHBORHOOD.
PROGRAM SERVICESPART III, LINE 4DMEDICAL/SURGICAL ROUTINE SERVICES AS OF YEAR END, THE HOSPITAL HAD COMMITTED 201 BEDS TO ACUTE CARE SERVICES. CURRENT SERVICES INCLUDE VIRTUALLY ALL SPECIALTIES. AS SPACE BECOMES AVAILABLE THROUGH DECREASING LENGTHS OF STAY, NEW SERVICE AREAS HAVE BEEN ESTABLISHED SUCH AS GERIATRIC AND ADULT PSYCHIATRIC SERVICES. SURGICAL SERVICES THE SHIFT FROM INPATIENT TO OUTPATIENT SURGICAL PROCEDURES HAS CONTINUED. TECHNOLOGICAL CHANGES IN OPERATIVE PROCEDURES HAVE REDUCED HOSPITAL STAYS AND COSTS. THE HOSPITAL OFFERS A FULL RANGE OF SURGICAL SERVICES, INCLUDING ENDOSCOPY. OVER THE PAST YEAR, THE MAIN OPERATING ROOM PERFORMED 6,009 PROCEDURES. THE AMBULATORY CARE CENTER PERFORMED 1,132 PROCEDURES. ENDOSCOPY PROCEDURES WERE 6,309. LABORATORY SERVICES THE HOSPITAL PROVIDES A FULL RANGE OF TESTING WITH EXTENSIVE LABORATORY SERVICES WITH ONLY VERY LIMITED TYPES OF TESTING DONE OFFSITE. SATELLITES HAVE BEEN ESTABLISHED IN VARIOUS COMMUNITIES THAT HAVE DEMONSTRATED NEED AND FOR THE CONVENIENCE OF THE PATIENTS. PYSCHIATRIC SERVICES THE SCOPE OF SERVICES INCLUDES MENTAL HEALTH, ADULT AND GERIATRIC. THESE SERVICES WERE EXPANDED DUE TO THE TREMENDOUS DEMAND. PATIENT MIX INCLUDES A HIGH PERCENTAGE OF LOW INCOME AND ELDERLY PATIENTS. ALTHOUGH SERVICE VOLUME WAS DOWN 9% FROM THE PREVIOUS YEAR THE UNIT REMAINS COMMITTED TO PROVIDING QUALITY SERVICE TO OUR PATIENT POPULATION. REHABILITATIVE SERVICES THROUGH A MANAGEMENT PARTNERSHIP WITH RHODE ISLAND HOSPITAL, AN 18 BED UNIT IS CURRENTLY STAFFED. THE CENTER HAS ESTABLISHED ITSELF AND CONTINUES TO BE A REGIONAL LEADER IN THIS FIELD. PATIENT DAYS HAVE DECLINED BY 3% FROM THE PREVIOUS YEAR. EMERGENCY ROOM SERVICES CONSISTENT UTILIZATION CONTINUES TO JUSTIFY THE NEED AND IMPORTANCE OF THIS COMMUNITY-BASED SERVICE. IN 2011, 27,281 PATIENTS WERE TREATED IN THE EMERGENCY ROOM. AS PART OF A NETWORK AGREEMENT, AT PEAK TIMES DURING THE YEAR, THE FACILITY ACCEPTS THE OVERFLOW FROM OTHER EMERGENCY ROOMS WHOSE RESOURCES HAD BEEN EXCEEDED BY SUDDEN INFLUXES OF CASES. THE CENTER FOR HEALTH & HUMAN SERVICES AS AN INNER CITY HOSPITAL, SJHSRI CONTINUES ITS LEADERSHIP ROLE IN THE PROVISION OF PRIMARY CARE. VARIOUS SPECIALTY CLINICS HAVE BEEN ORGANIZED INTO A "HEALTH CENTER" WHICH PROVIDES A MENU OF SERVICES TO MEETING PRIMARY HEALTHCARE NEEDS. TOTAL HEALTH CENTER VISITS WERE 31,000 IN 2011. THE CURRENT HEALTH CENTER OFFERS THE FOLLOWING SERVICES: - PEDIATRIC DENTAL CENTER - THE CENTER OPERATES A HIGH SUCCESSFUL PEDIATRIC DENTAL CENTER SERVICING LOW INCOME AND IMMIGRANT CHILDREN IN PROVIDENCE. THE CENTER HAS EXPANDED BY OPERATING A SATELLITE CENTER IN PAWTUCKET AND JOHNSTON. ALL THREE CENTERS OFFER A FULL RANGE OF PREVENTATIVE AND RESTRORATIVE DENTAL SERVICES AND SCHOOL-BASED DENTAL PROGRAMS. THE CENTER HAS RECEIVED NATIONAL RECOGNITION & REGIONALLY ACCLAIMED FOR ITS SERVICES. IN 2011, VISITS WERE 44,000. - DIABETES RESOURCE CENTER - PROVIDES DIABETES CASE MANAGEMENT, EDUCATION AND PRIMARY CARE REFERRALS FOR ADULTS WITH DIABETES WHO ARE UNINSURED, UNDERINSURED OR HOMELESS. OPERATES A SATELLITE CENTER IN PAWTUCKET. - SOCIAL SERVICES - PROVIDES MENTAL HEALTH AND PSYCHOSOCIAL ASSESSMENTS, INDIVIDUAL OR GROUP COUNSELING, CASE MANAGEMENT & ADVOCACY SERVICES, CRISIS INTERVENTION, PARENTING & HEALTH EDUCATION. - WOMEN, INFANTS & CHILDREN - PROVIDES HEALTHY FOOD & NUTRITION ADVICE TO CHILDREN UP TO AGE 5, PREGNANT WOMEN AND NEW MOTHERS INCLUDING BREASTFEEDING ADVICE & SUPPORT AS WELL AS REFERRALS TO DOCTORS AND DENTISTS. - PEDIATRIC CLINIC - PROVIDES PRIMARY CARE SERVICES FROM BIRTH TO ADOLESCENCE, INCLUDING WELL/SICK VISITS, CHECK-UPS, IMMUNIZATIONS, VISION/HEARING SCREENINGS, HEALTH/NUTRITION EDUCATION AND CHRONIC ILLNESSES SUCH AS ASTHMA AND DIABETES. OPERATES A SATELLITE CENTER IN PAWTUCKET. - LEAD & IMMUNIZATION CLINICS - PROVIDES LEAD TESTING AND TREATMENT FOR CHILDREN DIAGNOSED WITH LEAD POISONING AS WELL AS IMMUNIZATIONS TO ANY CHILD (UP TO AGE 19) LIVING IN RHODE ISLAND, REGARDLESS OF INSURANCE STATUS. - ADULT PRIMARY CARE CLINIC - PROVIDES ANNUAL PHYSICALS, SICK VISITS, CARE FOR CHRONIC ILLNESSES, INCLUDING ASTHMA & DIABETES, IMMUNIZATIONS AND MEDICATION EDUCATION. - WALK-IN CLINIC - PROVIDES TREATMENT FOR NON-EMERGENT CONDITIONS AND ILLNESSES SUCH AS COMMON COLD SYMPTOMS, INFECTIONS, EARACHES, FEVERS, SCHOOL & WORK PHYSICALS AND IMMUNIZATIONS. THIS CLINIC IS THE MOST HEAVILY UTILIZED AT THE HEALTH CENTER, WITH A 12% SHARE OF TOTAL VISITS.
RADIOLOGICAL SERVICESTHE HOSPITAL OFFERS STATE OF THE ART, DIVERSE SERVICES IN RADIOLOGICAL SERVICES, INCLUDING RADIOLOGY TESTING (INCLUDES MAMMOGRAPHY & ANGIOGRAPHY) - 46,931 PROCEDURES; MRI - 2,299 PROCEDURES; DIAGNOSTIC ULTRASOUND - 6,464 PROCEDURES; CT SCAN - 11,953 PROCEDURES. THE HOSPITAL ALSO OFFERS DIGITAL MAMMOGRAPHY SERVICES TO PATIENTS THROUGH THE BREAST CENTER. WOUND CARE & HYPERBARIC PROGRAM THIS DEPARTMENT HAD MORE THAN 9,000 VISITS AND ALMOST 750 NEW PATIENTS IN 2011. THE PROGRAM HAD A HEALING RATE OF 89% IN LESS THAN 38 DAYS VERSUS A NATIONAL AVERAGE FO 86% IN 41 DAYS. PHARMACY THE HOSPITAL STAFFS AND OPERATES A FULL SERVICES, 24 HOUR/DAY PHARMACY. IT ALSO PROVIDES CLASSROOM INSTRUCTION FOR THE HOSPITAL'S TECHNICAL SCHOOLS AND THE UNIVERSITY OF RHODE ISLAND AT NO CHARGE. OUTPATIENT ONCOLOGY SERVICES THIS PROGRAM CONTINUES TO DEMONSTRATE THE COMMUNITY NEED. PROCEDURES TOTALED 6,374. OTHER ANCILLARY SERVICES - INCLUDE: CARDIOLOGY TESTING, OCCUPATIONAL/VOCATIONAL THERAPY, ECHOCARDIOLOGY TESTING, SPEECH THERAPY, STRESS TESTING, PERIPHERAL VASCULAR LAB, NEUROPHYSIOLOGY, HEMODIALYSIS, HYPERBARIC MEDICINE, NEURO PSYCHIATRIC THERAPY, RESPIRATORY THERAPY, OUTPATIENT NUTRITIONAL COUNSELING, PULMONARY FUNCTION, PHYSICAL MEDICINE TECHNICAL SCHOOLS SJHSRI OPERATES SCHOOLS OF TECHNICAL TRAINING THAT ARE UTILIZED BY OTHER INSTITUTIONS AS WELL AS PROVIDING CLINICAL EXPERIENCE AND TRAINING. THIS IS DONE AT MINIMAL OR NO CHARGE TO THE INSTITUTIONS (I.E. RI COLLEGE, SALVE REGINA, ETC.). TUITIONS AT HOSPITAL SCHOOLS ARE INTENDED TO BE AFFORDABLE TO THE STUDENT AND TO COVER THE COSTS OF OPERATIONS. SJHSRI'S NURSING SCHOOL MAINTAINS A FINANCIAL AID SERVICE TO HELP NEEDY STUDENTS OBTAIN FINANCIAL AID. THE SCHOOLS ARE AN IMPORTANT PART OF PROVIDING QUALIFIED TECHNICAL PROFESSIONALS. THE FOLLOWING SCHOOLS ARE OFFERED BY SJHSRI: - SCHOOL OF NURSING - WITH APPROXIMATELY 100 STUDENTS IN THE PROGRAM, ST. JOSEPH IS HOME TO THE ONLY HOSPITAL-BASED NURSING SCHOOL IN RHODE ISLAND. - SCHOOL OF MEDICAL TECHNOLOGY - IN ADDITION, SJHSRI PROVIDES THE CLINICAL SETTING FOR OTHER PROFESSIONALS SUCH AS NURSING, SOCIAL WORKERS, RESPIRATORY THERAPISTS, RADIOLOGY TECHS AND REHAB SPECIALISTS. TEACHING PARTNERSHIPS - ST. JOSEPH PEDIATRIC DENTAL CLINIC IS A TEACHING AFFILIATE OF THE LUTHERAN MEDICAL SCHOOL IN NEW YORK. NON-REIMBURSED CHARGES - FOR THE YEAR, THE HOSPITAL REALIZED CHARITY CARE, NON-REIMBURSED AND DISCOUNTED SERVICES OF $18 MILLION, WHICH INCLUDES NON-REIMBURSED COSTS FOR TO ENROLLEES OF PUBLIC PROGRAMS. COMMUNITY SERVICE THERE ARE MANY SERVICES PROVIDED AT BELOW OR NO CHARGE TO PATIENTS OR THE GENERAL COMMUNITY. ANY INCIDENTAL REVENUE FROM NON-PATIENTS WOULD SHOW AS PART OF LINE 93(B) OF PART VII. CONTRIBUTIONS IN THE FORM OF PAYMENTS, DONATIONS OR OTHER FINANCIAL SUPPORT TO OTHER COMMUNITY ORGANIZATIONS INCLUDE THE FOLLOWING: OTHER DONATIONS INCLUDE: SALVATORE MANCINI SENIOR CENTER, SHRINERS OF RHODE ISLAND, ST. ANTOINE RESIDENCE, NORTH CENTRAL CHAMBER OF COMMERCE AND SCALABRINI VILLA. DESCRIPTIONS OF SERVICES FOR WHICH THE HOSPITAL DOES NOT CHARGE OR PROVIDE AT LESS THAN COST: - SUPPORT GROUPS (I.E. CANCER, STROKE, ELDER CARE OSTEOPOROSIS, ETC.) ASSISTING PATIENTS IN SECURING ELIGIBILITY FOR SERVICES (I.E. HEALTH CENTER SOCIAL SERVICES) - FREE TRANSPORTATION SERVICES TO HEALTH CARE FACILITIES (TAXI) - PHYSICIAN REFERRAL SERVICES - NO CHARGE - COMMUNITY HEALTH CARE SCREENING SERVICES - NO CHARGE (I.E. BLOOD GLUCOSE, BLOOD PRESSURE, PROSTATE CANCER, DENTAL, ETC.) - LECTURES/CONFERENCES/WORKSHOPS PROVIDED TO AND IN THE COMMUNITY - NO CHARGE - HEALTH CENTER INSTRUCTION ACTIVITIES - NO CHARGE (I.E. CPR, FIRST AID, - CHILD BIRTH, BREAST FEEDING, SAFETY EDUCATION, DIABETES ETC.) - HEALTH FAIRS - NO CHARGE HOSPITAL SUPPORTED SCHOOLS - SCHOOL OF NURSING, SCHOOL OF MEDICAL TECHNOLOGY, SCHOOL OF CYTOTECHNOLOGY CLINICAL SETTINGS IN SCHOOLS/COLLEGES - FREE FLU & IMMUNIZATION CLINICS - WORK WITH OTHER ORGANIZATIONS (I.E. AMERICAN HEART ASSOC, AMERICAN CANCER SOCIETY, ETC.) USE OF HOSPITAL FACILITIES FOR COMMUNITY ORGANIZATION MEETINGS - HOST BLOOD DRIVES - SEVERAL TIMES A YEAR FOR RI BLOOD CENTER - NEIGHBORHOOD SAFETY - PARTICIPATES IN STATE-WIDE EMERGENCY PREPAREDNESS PROGRAM, EMERGENCY RESPONSE CAPABILITIES INTERACTION WITH PUBLIC SCHOOLS - HEALTH FAIRS, IMMUNIZATION DENTAL (PROVIDENCE/PAWTUCKET SMILES PROGRAMS) - CHILDREN'S CHRISTMAS PARTY - USE HOSPITAL STAFF & FACILITIES TO COORDINATE THIS PROGRAM FOR NEEDY INNER CITY CHILDREN. TOYS AND CLOTHES ARE DISTRIBUTED FREE OF COST AT THE HOSPITAL'S PROVIDENCE CAMPUS TO OVER 600 CHILDREN EACH YEAR. PUBLIC INFORMATION/NEIGHBORHOOD INVOLVEMENT - THE HOSPITAL HAS MADE A CONCERTED EFFORT TO KEEP ITS COMMUNITY ABREAST OF CHANGES AT THE HOSPITAL AND TO ELICIT INPUT FROM THE COMMUNITY. CROSSROADS RI - PROVIDES LAB TESTS AND SUPPLIES FREE OF CHARGE. PATIENT SATISFACTION SURVEYS - TO MEASURE PATIENT SATISFACTION AND ENHANCE THE CARE AND SERVICES WE PROVIDE TO PATIENTS AND THE COMMUNITY.
MANAGEMENT FUNCTIONSFORM 990, PART VI, SECTION A, LINE 3EFFECTIVE JANUARY 2010, THE PRINCIPAL MANAGEMENT FUNCTIONS OF RWMC AND SJHSRI ARE CONDUCTED UNDER THE DIRECTION OF CHARTERCARE HEALTH PARTNERS OFFICERS, TRUSTEES, AND KEY EMPLOYEES. CONSEQUENTLY THERE ARE NO KEY EMPLOYEES FOR THE EXECUTIVE OR FINANCIAL MANAGEMENT FUNCTIONS AFTER JANUARY 2010.
REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 10THE COMPLETION OF THE FORM 990 BEGINS WITH AN OPENING MEETING ATTENDED BY THE CONTROLLER OF CHARTERCARE AND KPMG LLP, AN INDEPENDENT TAX CONSULTANT. THE MEETING CONSISTS OF A REVIEW OF THE ORGANIZATIONAL STRUCTURE, SIGNIFICANT CHANGES IN OPERATIONS OR PROGRAM ACTIVITIES 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 MANAGEMENT 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 INTERESTFORM 990, PART VI, SECTION B, LINE 12THE CONFLICT OF INTEREST POLICY, IS TO THE PROTECT THE CORPORATIONS INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR AGREEMENT 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 THE BOARD. 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 THE PRESIDENT OR THE CHAIRMAN WITH CONSULTATION FROM THE CORPORATE COMPLIANCE OFFICER. ANY ACTUAL AND POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED WITH THE BOARD OF TRUSTEES.
COMPENSATION POLICYFORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE, BEING INDEPENDENT, ACTED AS THE COMPENSATION COMMITTEE. IN 2009, A MARKET REVIEW WAS CONDUCTED BY A THIRD PARTY, FOR ALL SENIOR EXECUTIVES WITHIN THE SJHS SYSTEM. THIS INDEPENDENT THIRD PARTY IS DEEMED QUALIFIED TO PERFORM COMPENSATION STUDIES AND OPINIONS AND SERVES THEIR OPINION TO THE REASONABLENESS AND COMPARABILITY OF THE COMPENSATION AS DETERMINED IN ACCORDANCE WITH, AND THE PURPOSES OF, THE RULES GOVERNING INTERMEDIATE SANCTIONS UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. THE EXECUTIVE COMPENSATION STUDY COMPLETED IN 2009 WAS BASED ONLY ON MARKET DATA FOR BASE SALARY AS SJHS DOES NOT HAVE AN INCENTIVE COMPONENT TO THEIR EXECUTIVE COMPENSATION PROGRAM. IN 2010, THERE WERE NO CHANGES. FOR KEY EMPLOYEES, THE HOSPITAL CONDUCTS ANNUAL BENCHMARKING STUDIES USING PUBLISHED COMPENSATION SURVEYS THROUGH A THIRD PARTY AND ADMINISTERS ITS COMPENSATION PROGRAMS AS OUTLINED IN OUR SJHS COMPENSATION GUIDE BASED ON INDUSTRY STANDARDS.
PUBLIC DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19SJHSRI 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 OF EMPLOYEEFORM 990, PART VII, SECTION A, LINE 12SAINT JOSEPH HEALTH SERVICES OF RHODE ISLAND DOES NOT COMPENSATE TRUSTEES FOR THEIR SERVICES ON THE BOARD. JOSEPH SAMARTANO JR. EARNED COMPENSATION IN HIS ROLE AS DOCTOR OF DENTAL SURGERY.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5NET TRANSFER OF ASSETS FROM FOUNDATION ........................($70,972) CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS ...................($242,370) ADJUSTMENT TO PENSION LIABILITY .......................... ($17,367,763) TOTAL .................................................... ($17,681,105)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KENNETH BELCHER TITLE:PRESIDENT AND CEO CCHP HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL CONKLIN JR TITLE:CFO/TREASURER CCHP HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH SAMARTANO JR DDS TITLE:FORMER TRUSTEE HOURS:40

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CHARTERCARE HEALTH PARTNERS FOUNDATION
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02908260236669FUNDRAISINGRI501(C)(3)7CCHP
ROGER WILLIAMS MEDICAL CENTER
825 CHALKSTONE AVENUEPROVIDENCERI02908050258959HEALTHCARERI501(C)(3)3CCHP
ROGER WILLIAMS REALTY CORPORATION
825 CHALKSTONE AVENUEPROVIDENCERI02908050423855RENTAL MGMTRI501(C)(3)11ACCHP
RWGH PHYSICIANS OFFICE BUILDING
825 CHALKSTONE AVENUEPROVIDENCERI02908050398588RENTAL MGMTRI501(C)(3)11ACCHP
ELMHURST EXTENDED CARE
50 MAUDE STREETPROVIDENCERI02908222723407NURSING HOMERI501(C)(3)3CCHP
ROGER WILLIAMS MEDICAL ASSOCIATES
825 CHALKSTONE AVENUEPROVIDENCERI02908203346936HEALTHCARERI501(C)(3)11ACCHP
CHARTERCARE HEALTH PARNERS
825 CHALKSTONE AVENUEPROVIDENCERI02908264235815HEALTHCARERI501(C)(3)11ANA
ST JOSEPH HOSPITAL WORKERS COMP TRUST
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904056106574TRUSTRI501(C)(3)11DSJHSRI

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN NE REHABILITATION PARTNERSHIPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 HIGH SERVICE AVENUEAddressLine1
CityNORTH PROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
EIN050482868EIN
Primary ActivityMANAGEMENTPrimaryActivity
Legal Domicile StateRILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income117815ShareOfTotalIncome
Share Of EOY Assets337809ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
ELMHURST HEALTH ASSOCIATES
825 CHALKSTONE AVENUEPROVIDENCERI02908050437610LABORATORYRINAC Corp000.00000
OUR LADY OF FATIMA ANCILLARY SERVICES
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02908050519862LABORATORYRINAC Corp000.00000
ROSEBANK CORPORATION
825 CHALKSTONE AVENUEPROVIDENCERI02908050342046REAL ESTATERINAC Corp000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SOUTHERN NE REHABILITATION PARTNERSHIP
K212412
SOUTHERN NE REHABILITATION PARTNERSHIP
N86971
SOUTHERN NE REHABILITATION PARTNERSHIP
P83238
SOUTHERN NE REHABILITATION PARTNERSHIP
Q703920
SOUTHERN NE REHABILITATION PARTNERSHIP
R170153

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH RELATED ORGANIZATIONSIdentifier
Return ReferencePART V, LINE 2ReturnReference
ExplanationPURSUANT TO THE PROVISIONS OF THE MANAGEMENT SERVICES AGREEMENT BETWEEN SOUTHERN NEW ENGLAND REHABILITATION PARTNERSHIP AND ST. JOSEPH HEALTH SERVICES OF RI, ST. JOSEPH PAYS THE PARTNERSHIP A MONTHLY MANAGEMENT FEE. THE MANAGEMENT FEE WAS $58,660 PER MONTH IN 2011 AND 2010. IN ADDITION, ST. JOSEPH CHARGED THE PARTNERSHIP FOR DIRECT CLERICAL MANAGEMENT COSTS OF $212,412 IN FISCAL YEAR 2011. ST. JOSEPH'S MAINTAINS DIRECTOR AND OFFICER'S INSURANCE, AUTO INSURANCE, MALPRACTICE INSURANCE, WORKERS' COMPENSATION INSURANCE, AND HEALTH INSURANCE FOR THE PARTNERSHIP. THE COST OF INSURANCE FOR FISCAL YEAR 2011 OF $83,238 WAS PASSED THROUGH TO THE PARTNERSHIP. AT SEPTEMBER 30, 2011 ACCOUNTS PAYABLE INCLUDED $86,971 DUE TO ST. JOSEPH FOR REIMBURSEMENT OF SALARY AND BENEFIT COTS OF THE MEDICAL DIRECTOR AND CLINICAL MANAGEMENT EXPENSES. DURING 2010, THE PARTNERSHIP ELECTED TO DISTRIBUTE $340,305 AT A RATIO OF 50% TO ST. JOSEPH HEALTH SERVICES OF RI. THE DISTRIBUTION WAS PAID IN DECEMBER 2010.Explanation

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.