2012-08-15T06:57:15-05:00 2011-09-30 KPMG LLP 60 South Street Boston MA 02111 990 2010-10-01 050259026 ST JOSEPH HEALTH SERVICES OF RI STJO 4014563000 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02904 MICHAEL CONKLIN JR 2012-08-14 6179881000 2010 2016-02-24 21:20:13Z KENNETH BELCHER 200 HIGH SERVICE AVENUE PROVIDENCE RI 02904 152232368 false X WWW.SAINTJOSEPHRI.COM X 1946 RI THE 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. 0 0 1956 25 0 0 227797 812245 153493564 150530342 731375 541804 360112 347977 154812848 152232368 0 0 0 0 100945939 93746163 0 0 0 74556973 69531759 175502912 163277922 -20690064 -11045554 82659255 75587982 106343523 127998909 -23684268 -52410927 X THE 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. false false 122241577 150119531 ST. 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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. 1412982 82754 245 16050 1479931 1407395 14982 199 9594 1412982 1341680 45250 29065 8600 1407395 0.00000 1.00000 0.00000 false false 624770 624770 70979715 45182564 25797151 1090554 477262 613292 65106550 53376877 11729673 103125 0 103125 38868011 TRUSTEE UNDER LOAN INDENTURE 1584471 BENEFICIAL INTEREST PERP TRUST 5460375 TRUSTEE FOR WORKERS COMP/PROF 305338 ENDOWMENT FUNDS 1430603 PREPAID EXPENSES 2648655 OTHER ASSETS 2090629 13520071 0 ESTIMATED SETTLEMENTS TO 3RD PARTY 2635533 INSURANCE RESERVES 7535110 PENSION LIABILITY 72228987 ASSET RETIREMENT OBLIGATION 3115622 85515252 ENDOWMENT FUNDS PART V, LINE 4 THE 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) FOOTNOTE PART X, LINE 2 ST 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. 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200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02904

GENERAL MEDICAL & SURGICAL 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 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 EXPENSE PART III, LINE 4 SJHSRI 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 BENEFIT PART III, LINE 8 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 ST 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 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. ST. JOSEPH HEALTH SERVICES OF RI (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 ST. 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 ASSISTANCE PART VI, LINE 3 INFORMATION 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 INFORMATION PART VI, LINE 4 ST. 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 HEALTH PART VI, LINE 5 IN 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 SYSTEM PART VI, LINE 6 ST. 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. X X X X X true true false false false false false false false KENNETH BELCHER 0 371428 0 0 0 1246 0 35000 0 63964 0 471638 0 0 MICHAEL CONKLIN JR 191801 0 0 0 0 0 0 0 20295 0 212096 0 0 0 DANIEL KANE 245099 0 23000 0 0 0 0 0 16354 0 284453 0 0 0 MARK A SHANNON 309783 0 0 0 0 0 0 0 31494 0 341277 0 0 0 MAUREEN L HARKAVY 266210 0 0 0 0 0 0 0 10056 0 276266 0 0 0 RONALD GOBEIL 336814 0 0 0 0 0 0 0 9546 0 346360 0 0 0 JOHN M FOGARTY 284431 0 0 0 171747 0 0 0 32545 0 488723 0 0 0 CECILIA GMUER 319022 0 0 0 0 0 0 0 21908 0 340930 0 0 0 KATHLEEN KENNY 336716 0 0 0 0 0 0 0 12568 0 349284 0 0 0 CHRISTOPHER FERRARO 188612 0 0 0 0 0 0 0 25046 0 213658 0 0 0 DARLENE SOUZA 175046 0 0 0 0 0 0 0 22759 0 197805 0 0 0 CRYSTAL PILON 184642 0 0 0 0 0 0 0 22740 0 207382 0 0 0 JOSEPH SAMARTANO JR DDS 106956 0 0 0 0 0 0 0 19467 0 126423 0 0 0 DEBORAH DOUGLAS 107941 0 0 0 0 0 0 0 10499 0 118440 0 0 0 ESTABLISH COMPENSATION PART I, LINE 3 EXECUTIVE 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 PAYMENT PART I, LINE 4A JOHN M. FOGARTY RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $171,747. NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN PART I, LINE 4B THE 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 ORGANIZATION'S MISSION AND PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART I LINE 1 AND PART III, LINE 4A ST. 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 COMMUNITY ST. 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 SERVICES PART III, LINE 4D MEDICAL/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 SERVICES THE 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 FUNCTIONS FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE 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 PROCESS FORM 990, PART VI, SECTION B, LINE 10 THE 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 INTEREST FORM 990, PART VI, SECTION B, LINE 12 THE 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 POLICY FORM 990, PART VI, SECTION B, LINE 15 THE 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 DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 SJHSRI 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 EMPLOYEE FORM 990, PART VII, SECTION A, LINE 12 SAINT 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 ASSETS FORM 990, PART XI, LINE 5 NET 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 ORGANIZATION FORM 990 PART VII NAME:KENNETH BELCHER TITLE:PRESIDENT AND 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:JOSEPH SAMARTANO JR DDS TITLE:FORMER TRUSTEE HOURS:40 CHARTERCARE HEALTH PARTNERS FOUNDATION 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02908 260236669 FUNDRAISING RI 501(C)(3) 7 CCHP ROGER WILLIAMS MEDICAL CENTER 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050258959 HEALTHCARE RI 501(C)(3) 3 CCHP ROGER WILLIAMS REALTY CORPORATION 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050423855 RENTAL MGMT RI 501(C)(3) 11A CCHP RWGH PHYSICIANS OFFICE BUILDING 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050398588 RENTAL MGMT RI 501(C)(3) 11A CCHP ELMHURST EXTENDED CARE 50 MAUDE STREET PROVIDENCE RI 02908 222723407 NURSING HOME RI 501(C)(3) 3 CCHP ROGER WILLIAMS MEDICAL ASSOCIATES 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 203346936 HEALTHCARE RI 501(C)(3) 11A CCHP CHARTERCARE HEALTH PARNERS 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 264235815 HEALTHCARE RI 501(C)(3) 11A NA ST JOSEPH HOSPITAL WORKERS COMP TRUST 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02904 056106574 TRUST RI 501(C)(3) 11D SJHSRI SOUTHERN NE REHABILITATION PARTNERSHIP 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02904 050482868 MANAGEMENT RI NA RELATED 117815 337809 false 0 true 0.50000 ELMHURST HEALTH ASSOCIATES 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050437610 LABORATORY RI NA C Corp 0 0 0.00000 OUR LADY OF FATIMA ANCILLARY SERVICES 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02908 050519862 LABORATORY RI NA C Corp 0 0 0.00000 ROSEBANK CORPORATION 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050342046 REAL ESTATE RI NA C Corp 0 0 0.00000 true false false false false false false true true false true true true true true true true true SOUTHERN NE REHABILITATION PARTNERSHIP K 212412 SOUTHERN NE REHABILITATION PARTNERSHIP N 86971 SOUTHERN NE REHABILITATION PARTNERSHIP P 83238 SOUTHERN NE REHABILITATION PARTNERSHIP Q 703920 SOUTHERN NE REHABILITATION PARTNERSHIP R 170153 TRANSACTIONS WITH RELATED ORGANIZATIONS PART V, LINE 2 PURSUANT 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.