ROGER WILLIAMS MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ROGER WILLIAMS MEDICAL CENTER (EIN 05-0258959)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201232279349303438
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)
Timestamp2012-08-14T16:11:32-05:00Timestamp
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)
EIN050258959EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROGER WILLIAMS MEDICAL CENTERBusinessNameLine1
Business Name Line2F/K/A ROGER WILLIAMS HOSPITALBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlROGENameControl
Phone4014563312Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 CHALKSTONE AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code029083547ZIPCode

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 Line1825 CHALKSTONE AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code029083547ZIPCode
FieldValueIRS element (for citing)
Gross Receipts165669084GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RWMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1904YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionROGER WILLIAMS MEDICAL CENTER IS A 220-BED, ACUTE CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body0NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1544TotalNbrEmployees
Total Nbr Volunteers40TotalNbrVolunteers
Total Gross UBI1266766TotalGrossUBI
Net Unrelated Business Txbl Income-856128NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6747586ContributionsGrantsPriorYear
Contributions Grants Current Year6060572ContributionsGrantsCurrentYear
Program Service Revenue Prior Year153372789ProgramServiceRevenuePriorYear
Program Service Revenue CY156873506ProgramServiceRevenueCY
Investment Income Prior Year808540InvestmentIncomePriorYear
Investment Income Current Year2038868InvestmentIncomeCurrentYear
Other Revenue Prior Year1890964OtherRevenuePriorYear
Other Revenue Current Year637195OtherRevenueCurrentYear
Total Revenue Prior Year162819879TotalRevenuePriorYear
Total Revenue Current Year165610141TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13599GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year77937081SalariesEtcPriorYear
Salaries Etc Current Year79250923SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year25254TotalFundrsngExpCurrentYear
Other Expense Prior Year84821064OtherExpensePriorYear
Other Expenses Current Year84774587OtherExpensesCurrentYear
Total Expenses Prior Year162771744TotalExpensesPriorYear
Total Expenses Current Year164025510TotalExpensesCurrentYear
Revenues Less Expenses Prior Year48135RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1584631RevenuesLessExpensesCY
Total Assets BOY97841509TotalAssetsBOY
Total Assets EOY94424050TotalAssetsEOY
Total Liabilities BOY58262147TotalLiabilitiesBOY
Total Liabilities EOY55564126TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY39579362NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY38859924NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionROGER WILLIAMS MEDICAL CENTER IS A 220-BED, ACUTE CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense123559315Expense
Revenue150439975Revenue
DescriptionPATIENT HEALTHCARE SERVICES - ROGER WILLIAMS MEDICAL CENTER PROVIDES MEDICAL CARE TO PATIENTS, A MULTI-DISCIPLINARY APPROACH TO THE TREATMENT OF CANCER, SURGICAL SERVICES, DERMATOLOGY, DIAGNOSTIC IMAGING, LABORATORY SERVICES, GASTROENTEROLOGY, EMERGENCY ROOM FACILITIES AND OTHER ANCILLARY SERVICES PRIMARILY TO THE RHODE ISLAND COMMUNITY. *SEE SCHEDULE O*Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5429274Expense
Revenue5429274Revenue
DescriptionDIRECT RESEARCH - ROGER WILLIAMS MEDICAL CENTER IS HOME TO DOZENS OF SCIENTISTS, RESEARCHERS, AND INVESTIGATORS ACTIVELY INVOLVED IN A VARIETY OF MEDICAL RESEARCH ACTIVITIES. RESEARCH PROGRAMS ARE SUPPORTED BY FEDERAL FUNDS, EXTERNAL INSTITUTION GRANTS, AND OTHER SOURCES. AWARDS RECEIVED BY ROGER WILLIAMS MEDICAL CENTER AND ITS FACULTY INCLUDE PEER-REVIEWED GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHERS. CURRENT RESEARCH INCLUDES A MULTITUDE OF BASIC AND CLINICAL STUDIES IN CANCER, WHICH IS A PRIMARY INTEREST OF THE HOSPITAL. CURRENTLY, THERE ARE ONGOING TRIALS FOR A VARIETY OF CANCERS INCLUDING HEAD, NECK, BREAST, PROSTATE, GI, HEMATOLOGICAL MALIGNANCIES, AND OTHERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8494861Expense
DescriptionFREE CARE - PER THE MEDICAL CENTER'S PUBLIC NOTICE, ROGER WILLIAMS MEDICAL CENTER IS PROUD OF ITS COMMITMENT TO PROVIDE QUALITY CARE TO ALL INDIVIDUALS WHO NEED IT. THE MEDICAL CENTER PROVIDES FINANCIAL AID TO PATIENTS WITHOUT INSURANCE AND WHO MAY NOT BE ABLE TO PAY FOR THE CARE PROVIDED. *SEE SCHEDULE O*Description
FieldValueIRS element (for citing)
Total Of Other Program Service Rev1700395TotalOfOtherProgramServiceRev
Total Program Service Expense137483450TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundstrueDonorAdvisedFunds
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 AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096111NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1544NumberOfEmployees
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKATHLEEN MOORENamePerson
Telephone Number4014563312TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 HIGH SERVICE AVEAddressLine1
CityNORTH PROVIDENCECity
StateRIState
ZIP Code02940ZIPCode
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 H BELCHER
PRESIDENT & CEO CCHP0.0X372674098964
MICHAEL CONKLIN JR
CFO/TREASURER CCHP0.0X019180120295
DOMENIC DECRISTOFANO
EXEC DIR FACILITIES MANAGEMENT0.0153045043029X
KIMBERLY O'CONNELL
VP LEGAL COUNSEL0.0214497049498X
JOANNE DOOLEY
VP CNO0.0207561040407X
SUSAN CERRONE-ABELY
VP CIO0.0197605057782X
CHERYL PERRY
CHIEF HUMAN RESOURCES OFFICER40.0156037039858X
HANDE TUNCER
PHYSICIAN40.021874207572X
RITESH RATHORE
PHYSICIAN40.0278188026108X
ALEX ETIENNE
PHYSICIAN40.0293783024370X
JOHN STOUKIDES
PHYSICIAN40.0237326026537X
AHMAD AL-HOMSI
PHYSICIAN40.0443086020168X
RUTH E SCOTT RN
TRUSTEE40.0105567020717X
ADOZINDA KANE
FORMER CFO/TREASURER0.0243526078239X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3121637TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs191801TotalReportableCompFrmRltdOrgs
Total Other Compensation553544TotalOtherCompensation
Number Individuals GT100 K83NumberIndividualsGT100K
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
UNIVERSITY MEDICAL GROUP
825 CHALKSTONE AVEPROVIDENCERI02908ACADEMIC ADMIN4336049
PATRIOT MEDICAL TECHNOLOGIES
7100 COMMERCE WAY STE 280BRENTWOODTN37027CLINICAL ENGINEERING939672
SODEXHO
PO BOX 360170PITTSBURGHPA15251FOOD SERVICE936962
MAYO CLINIC
PO BOX 9146MINNEAPOLISMN55480LABORATORY SERVICES715115
UNIVERSITY PATHOLOGIST
300 CENTERVILLE RD STE 215WARWICKRI02886LABORATORY SERVICES599581
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Fundraising Events144456FundraisingEvents
Government Grants3619964GovernmentGrants
All Other Contributions2296152AllOtherContributions
Total Contributions6060572TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT CARE SERVICES6214009256698892566988
MEDICARE AND MEDICAID PAYMENTS6241005911715359117153
CAFETERIA722320433629$433,629
LAB REVENUE621400475573634889701266766
FieldValueIRS element (for citing)
Total Program Service Revenue156873506TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1158172TotalRevenueColumn
Exclusion$1,158,172ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities880696Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities880696Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column880696TotalRevenueColumn
Exclusion$880,696ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events144456CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses58943FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-58943TotalRevenueColumn
Exclusion-$58,943ExclusionAmount
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

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column696138TotalRevenueColumn
Related Or Exempt Function Income696138RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue696138TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column165610141TotalRevenueColumn
Related Or Exempt Function Income155869249RelatedOrExemptFunctionIncome
Unrelated Business Revenue1266766UnrelatedBusinessRevenue
Exclusion$2,413,554ExclusionAmount

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)
Total388684Total
Management And General388684ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total65294439Total
Program Services53046720ProgramServices
Management And General12247719ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1014615Total
Program Services716318ProgramServices
Management And General298297ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7962672Total
Program Services5621646ProgramServices
Management And General2341026ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4590513Total
Program Services3240902ProgramServices
Management And General1349611ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1401220Total
Management And General1401220ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total126375Total
Management And General126375ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2602Total
Management And General2602ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total26557Total
Management And General26557ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5092036Total
Program Services4758094ProgramServices
Management And General333942ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total145065Total
Program Services8125ProgramServices
Management And General136940ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1138531Total
Program Services581203ProgramServices
Management And General557328ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1349727Total
Program Services952907ProgramServices
Management And General396820ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3617360Total
Program Services2553856ProgramServices
Management And General1063504ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total304322Total
Program Services257282ProgramServices
Management And General47040ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total69889Total
Program Services44961ProgramServices
Management And General24928ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1029092Total
Management And General1029092ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5260718Total
Program Services3714067ProgramServices
Management And General1546651ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2217753Total
Program Services2115010ProgramServices
Management And General102743ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES317480313167737070661
RESEARCH54292745429274
LICENSE FEE74022487402248
BAD DEBT EXPENSE98028839802883
MAINTENANCE21134599912171122242

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6497445Total
Program Services4569367ProgramServices
Management And General1902824ManagementAndGeneral
Fundraising25254Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total164025510Total
Program Services137483450ProgramServices
Management And General26516806ManagementAndGeneral
Fundraising25254Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10691531BOY
EOY12411338EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY401322BOY
EOY384368EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13819189BOY
EOY13870947EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3270397BOY
EOY3079744EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2583509BOY
EOY3153224EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis91735291LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec63960323LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30654691BOY
EOY27774968EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28170474BOY
EOY26353864EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3930290BOY
EOY3472391EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4320106BOY
EOY3923206EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY97841509BOY
EOY94424050EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21010750BOY
EOY19107749EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY605013BOY
EOY1245137EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12655000BOY
EOY12150000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5256607BOY
EOY3725520EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY18734777BOY
EOY19335720EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY58262147BOY
EOY55564126EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15525907BOY
EOY16397505EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15954758BOY
EOY14558368EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8098697BOY
EOY7904051EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39579362BOY
EOY38859924EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY97841509BOY
EOY94424050EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1584631ReconcilationRevenueExpenses
Reconcilation Other Changes-2304069ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

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$2,602OtherActivitiesAmount
Total Lobbying Expenditures IIB2602TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING EXPENSEIdentifier
Return ReferencePART II-B LINE 1iReturnReference
ExplanationROGER WILLIAMS MEDICAL CENTER PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND HOSPITAL ASSOCIATION OF RHODE ISLAND. THE PORTION OF DUES ALLOCATED TO LOBBYING EFFORTS FOR THE YEAR ENDED 9/30/11 WAS $2,602.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number DA Fs Held13NumberDAFsHeld
Number Funds Held76NumberFundsHeld
Donor Advised Contributions281400DonorAdvisedContributions
Contrib To Funds And Other Accounts410078ContribToFundsAndOtherAccounts
Aggregate DAF Value500598AggregateDAFValue
Aggregate Fund Value2045412AggregateFundValue
Disclosed Orgs Legal ControltrueDisclosedOrgsLegalControl
Disclosed For Charitable PurposestrueDisclosedForCharitablePurposes
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance22951379BeginningOfYearBalance
Investment Earnings Or Losses-789094InvestmentEarningsOrLosses
Other Expenditures832860OtherExpenditures
End Of Year Balance21329425EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance20342768BeginningOfYearBalance
Contributions1402063Contributions
Investment Earnings Or Losses2149146InvestmentEarningsOrLosses
Other Expenditures942598OtherExpenditures
End Of Year Balance22951379EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20928580BeginningOfYearBalance
Investment Earnings Or Losses305176InvestmentEarningsOrLosses
Other Expenditures890998OtherExpenditures
End Of Year Balance20342758EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.80000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.20000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis85661OtherCostOrOtherBasis
Book Value85661BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis47274477OtherCostOrOtherBasis
Depreciation28091678Depreciation
Book Value19182799BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis27325OtherCostOrOtherBasis
Depreciation27325Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis44317840OtherCostOrOtherBasis
Depreciation35841320Depreciation
Book Value8476520BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis29988OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value29988BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27774968TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ANTICIPATED THIRD PARTY SETTLEMENTS$11,741,287
DEFERRED GAIN ON JOINT VENTURE$2,290,144
ASSET RETIREMENT OBLIGATION$684,345
ACC'D INSURANCE DEDUCTIBLE$4,606,252
NATIONAL GRID LOAN$13,692
FieldValueIRS element (for citing)
Total Of Amounts19335720TotalOfAmounts
Total Revenue165610141TotalRevenue
Total Expenses164025510TotalExpenses
Excess Or Deficit For Year1584631ExcessOrDeficitForYear
Net Unrealized GL On Investments-2109423NetUnrealizedGLOnInvestments
Other-$194,646OtherAmount
Total Adjustments-2304069TotalAdjustments
Excess Or Deficit Per FS-719438ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt163365015TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2109423NetUnrealizedGainsInvestments
Other Revenues-194646OtherRevenues
Revenue Not Rptd F990-2304069RevenueNotRptdF990
Revenue Subtotal165669084RevenueSubtotal
Other Revenues Not Included-58943OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-58943RevenueNotRptdOnFinStmt
Total Revenue Per Form990165610141TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt164084453TotExpensesEtcAuditedFinclStmt
Other Expenses Included58943OtherExpensesIncluded
Expenses Not Rptd F99058943ExpensesNotRptdF990
Expenses Subtotal164025510ExpensesSubtotal
Total Expenses Per Form990164025510TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSPART V, LINE 4THE ANNUAL INVESTMENT COMMITTEE APPROVED ENDOWMENT DISTRIBUTIONS ARE USED TO SUPPORT THE HEALTHCARE OPERATIONS OF THE HOSPITAL AND INCLUDE, BUT ARE NOT LIMITED TO, FREE CARE AND THE PURCHASES OF NEW MEDICAL EQUIPMENT. FIN 48 (ASC 740) FOOTNOTE PART X, LINE 2 ROGER WILLIAMS MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. ROGER WILLIAMS MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT 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. ROGER WILLIAMS MEDICAL CENTER DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX PORTION IN EITHER 2011 OR 2010.
OTHER ADJUSTMENT TO NET ASSETSPART XI, LINE 8CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS ($194,646)
OTHER REVENUE INCLUDED IN AUDITED FINANCIAL STATEMENTS BUT NOT ON RETURNPART XII, LINE 2DCHANGE IN MARKET VALUE OF PERPETUAL TRUSTS ($194,646)
OTHER REVENUE INCLUDED ON RETURN NOT IN AUDITED FINANCIAL STATEMENTSPART XII, LINE 4BFUNDRAISING EVENT EXPENSES ($58,943)
OTHER EXPENSES INCLUDED IN AUDITED FINANCIAL STATEMENTS BUT NOT ON RETURNPART XIII, LINE 2DFUNDRAISING EVENT EXPENSES $58,943

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SARCOMA SYMPNameOfEvent1
Gross Receipts Event1144456GrossReceiptsEvent1
Charitable Contributions Event1144456CharitableContributionsEvent1
Rent Facility Costs Event134808RentFacilityCostsEvent1
Entertainment Event12750EntertainmentEvent1
Other Direct Expenses Event121385OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total144456GrossReceiptsTotal
Charitable Contributions Total144456CharitableContributionsTotal
Rent Facility Costs Total Events34808RentFacilityCostsTotalEvents
Entertainment Total Events2750EntertainmentTotalEvents
Other Direct Expenses Total Events21385OtherDirectExpensesTotalEvents
Direct Expense Summary Events58943DirectExpenseSummaryEvents
Net Income Summary-58943NetIncomeSummary

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 Expense7694277TotalCommunityBenefitExpense
Direct Offsetting Revenue5053093DirectOffsettingRevenue
Net Community Benefit Expense2641184NetCommunityBenefitExpense
Percent Of Total Expense0.01710PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense19272314TotalCommunityBenefitExpense
Direct Offsetting Revenue18002383DirectOffsettingRevenue
Net Community Benefit Expense1269931NetCommunityBenefitExpense
Percent Of Total Expense0.00820PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense26966591TotalCommunityBenefitExpense
Direct Offsetting Revenue23055476DirectOffsettingRevenue
Net Community Benefit Expense3911115NetCommunityBenefitExpense
Percent Of Total Expense0.02530PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense43472TotalCommunityBenefitExpense
Net Community Benefit Expense43472NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense9917674TotalCommunityBenefitExpense
Direct Offsetting Revenue4190781DirectOffsettingRevenue
Net Community Benefit Expense5726893NetCommunityBenefitExpense
Percent Of Total Expense0.03710PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense6779134TotalCommunityBenefitExpense
Direct Offsetting Revenue5103369DirectOffsettingRevenue
Net Community Benefit Expense1675765NetCommunityBenefitExpense
Percent Of Total Expense0.01090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense16740280TotalCommunityBenefitExpense
Direct Offsetting Revenue9294150DirectOffsettingRevenue
Net Community Benefit Expense7446130NetCommunityBenefitExpense
Percent Of Total Expense0.04830PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense43706871TotalCommunityBenefitExpense
Direct Offsetting Revenue32349626DirectOffsettingRevenue
Net Community Benefit Expense11357245NetCommunityBenefitExpense
Percent Of Total Expense0.07360PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,782,360BadDebtExpenseAmount
Amount Attributable To2761123AmountAttributableTo
Amount Reimbursed By Medicare38986069AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare37103428CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1882641MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
ROGER WILLIAMS
RADIATION THERAPY
(RWRT) RADIATION THERAPY0.49000
RHODE ISLAND PET
SERVICES LLC
PET SCANS0.05000
FieldValueIRS element (for citing)
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 Line1ROGER WILLIAMS MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1825 CHALKSTONE AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02908ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
OtherHOME HEALTHOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ROGER WILLIAMS MEDICAL CENTERBusinessNameLine1
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 Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CANCER CENTER
50 MAUDE STREETPROVIDENCERI02908CANCER CENTER
WOUNDSMOHS CLINIC
825 CHALKSTONE AVENUEPROVIDENCERI02908GENERAL MEDICAL
ROGER WILLIAMS SLEEP LAB
1539 ATWOOD AVENUE STE 302JOHNSTONRI02908SLEEP LAB
OP BEHAVORIAL CLINIC
825 CHALKSTONE AVENUEPROVIDENCERI02908BEHAVORIAL
HEMATOLOGYONCOLOGY CLINIC
50 MAUDE STREETPROVIDENCERI02908GENERAL MEDICAL
SURGICAL ONCOLOGY CLINIC
50 MAUDE STREETPROVIDENCERI02908GENERAL MEDICAL
WOMEN'S HEALTH CLINIC
50 MAUDE STREETPROVIDENCERI02908GENERAL MEDICAL
ROGER WILLIAMS RADIATION THERAPY
50 MAUDE STREETPROVIDENCERI02908RADIATION THERAPY

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 LINE 7 COLUMN (F) IS $9,802,883. 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 4THE MEDICAL CENTER GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR BAD DEBTS ARE MADE BY MEANS OF A PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN FEDERAL AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT). THE AMOUNT REPORTED ON PART III IS THE ACTUAL BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS SCALED TO COST. THE COSTING METHODOLOGY IS THE SAME UTILIZED IN PART I, LINE 7. THE HOSPITAL QUALIFIES PATIENTS BASED ON THE MEDICARE PROGRAM 120 DAY RULE WHICH ENTAILS EACH PATIENT ACCOUNT RECEIVING THREE BILLING STATEMENTS. IF NO PAYMENT IS RECEIVED, THE PATIENT ACCOUNT IS PLACED WITH A COLLECTOR 120 DAYS AFTER THE INITIAL STATEMENT IS MAILED.
EXPLANATION OF SHORTFALL AS COMMUNITY 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 9BROGER WILLIAMS MEDICAL CENTER PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. OUR COLLECTION PROCESS PROVIDES PATIENTS WITH FOUR PROGRESSIVE BILLING NOTICES. ALL STATEMENTS INCLUDE A NOTICE OF AVAILABLE FINANCIAL AID. UNRESOLVED DEBTS ARE TRANSFERRED TO BAD DEBT (WITH NO PAYMENT ACTIVITY) AT DAY 120. AN OUTSIDE COLLECTION AGENCY IS USED FOR ADDITIONAL COLLECTION ACTIVITY. CLIENTS THAT QUALIFY FOR DISCOUNT/FREE-CARE WRITE-OFFS (BASED ON 200-300% OF FEDERAL POVERTY GUIDELINES AND LIMITED ASSETS) HAVE BALANCES REDUCED/WRITTEN-OFF BASED ON INFORMATION DOCUMENTED IN THE APPLICATION PROCESS. ANY BALANCES NOT COVERED BY THE FREE CARE PROCESS ARE BILLED FOLLOWING OUR STANDARD COLLECTION PROCESS.
ROGER WILLIAMS MEDICAL CENTER (1)AMOUNTS BILLED TO INDIVIDUALS WITH NO INSURANCE, PART V, SEC. B, LINE 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.
ROGER WILLIAMS MEDICAL CENTER (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 2ROGER WILLIAMS MEDICAL CENTER (RWMC), AS AN AFFILIATE OF CHARTERCARE HEALTH PARTNERS, HAS BEEN AN ACTIVE MEMBER OF THE HOSPITAL ASSOCIATION OF RHODE ISLAND AND AN ACTIVE PARTICIPANT IN A VARIETY OF COMMITTEES ASSOCIATED WITH THE PROVISION OF HEALTH CARE SERVICES LEAD BY THE RHODE ISLAND DEPARTMENT OF HEALTH. TOGETHER WITH ITS COMMUNITY PARTNERS IN THE PREVIOUSLY MENTIONED FORUMS, RWMC IS HIGHLY ACTIVE IN IDENTIFYING THE CURRENT AND FUTURE NEEDS OF THE POPULATIONS ITS SERVES THROUGH DEMOGRAPHIC TRENDING AND ACTUAL UTILIZATION OF HEALTHCARE SERVICES. RWMC, AS PART OF CCHP, HAS COMMISSIONED A COMMUNITY ADVISORY COMMITTEE TO ASSIST IN THE IDENTIFICATION OF COMMUNITY NEEDS AND HOW THE ORGANIZATION CAN BEST SERVE THOSE NEEDS. THE COMMITTEE IS COMPOSED OF BUSINESS LEADERS, LOCAL STAKEHOLDERS AND COMMUNITY REPRESENTATIVES WHO WISH TO SEE THE ORGANIZATION CONTINUE TO PROVIDE THE HIGHEST QUALITY SERVICES TO ITS COMMUNITIES. RWMC, AS PART OF CCHP, HAS ALSO BEEN GATHERING INFORMATION FROM LOCAL PROVIDERS AS HOW TO BEST COMPLIMENT THERE SERVICES FOR THE LOCAL CONSTITUENTS. TOGETHER WITH THE LOCAL PROVIDERS INCLUDING MEDICAL STAFF, NURSING HOMES, COMPLIMENTARY SERVICE PROVIDERS AND PATIENTS, THE ORGANIZATION IS CRAFTING THE DELIVERY OF SERVICES IN A MANNER THAT ALLOWS FOR EASY ACCESS AND HIGH QUALITY SERVICES IN LOCATIONS THAT BEST FIT THE COMMUNITY NEED.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VI, LINE 3INFORMATION ON THE ROGER WILLIAMS MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM IS COMMUNICATED TO THE PATIENT AT THE POINT OF REGISTRATION THROUGH SIGNAGE WITHIN THE HOSPITAL AND ON THE HOSPITAL'S WEBSITE HTTP//RWMC.ORG. FURTHERMORE, THE HOSPITAL HAS PATIENT FINANCIAL COUNSELORS' ONSITE TO EDUCATE PATIENTS ON THE FINANCIAL PROGRAMS THAT ARE AVAILABLE.
COMMUNITY INFORMATIONPART VI, LINE 4ROGER WILLIAMS MEDICAL CENTER (RWMC) IS PART OF CHARTERCARE HEALTH PARTNERS CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. CCHP WAS FORMED IN JANUARY OF 2010 BY THE AFFILIATION OF RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI). THE INDIVIDUAL HOSPITALS OF CCHP ARE DEEPLY ROOTED IN THEIR COMMUNITIES, EACH WITH A LONG TRADITION OF PROVIDING HIGH QUALITY CARE AND SERVICES. SERVING THE GREATER PART OF NORTHERN RHODE ISLAND, RWMC CARES FOR OVER 200,000 PATIENTS ON AN ANNUAL BASIS AND PROVIDES A VAST ARRAY OF SERVICES SPECIALIZING IN GERIATRICS, CANCER CARE, BEHAVIORAL MEDICAL, GASTROENTEROLOGY, ORTHOPEDICS AND NEUROSURGERY. WITH THE FULL RANGE OF MEDICAL, PREVENTATIVE, DIAGNOSTIC AND SPECIALTY SERVICES FOR ADULTS AND SELECT PEDIATRICS PATIENTS, THE LOCAL COMMUNITIES HAVE SOUGHT SERVICES FOR OVER THE LAST 100 YEARS. CCHP PROVIDES SERVICES TO A VAST NUMBER OF CITIES AND TOWNS STRETCHED ACROSS THE CENTRAL AND NORTHWESTERN CORRIDOR OF RHODE ISLAND. THE CITIES AND TOWNS WHICH COMPOSE CCHP'S EFFECTIVE MARKET AREA (DEFINED AS THE GEOGRAPHIC AREA THAT REPRESENTS 95% OF CCHP'S ADMISSIONS) HAS A CENSUS OF APPROXIMATELY 890,000 LIVES AS OF THE 2005 CENSUS PROJECTIONS. THE TOP TEN CITIES AND TOWNS THAT REPRESENT CCHP'S EFFECTIVE MARKET AREA INCLUDE: PROVIDENCE (CENSUS OF 175,966 AND AVERAGE HOUSE HOLD INCOME OF$26,867), JOHNSTON (CENSUS OF 28,654 AND AVERAGE HOUSE HOLD INCOME OF $43,514), CRANSTON (CENSUS OF 80,285 AND AVERAGE HOUSE HOLD INCOME OF $44,108), WARWICK (CENSUS OF 85,803 AND AVERAGE HOUSE HOLD INCOME OF $46,483), NORTH PROVIDENCE (CENSUS OF 32,861 AND AVERAGE HOUSE HOLD INCOME OF $39,721), SMITHFIELD (CENSUS OF 12,277 AND AVERAGE HOUSE HOLD INCOME OF $55,621 ), PAWTUCKET (CENSUS OF 73,203 AND AVERAGE HOUSE HOLD INCOME OF $31,775), GREENVILLE (CENSUS OF 8,834 AND AVERAGE HOUSE HOLD INCOME OF $55,621), EAST PROVIDENCE (CENSUS OF 25,364 AND AVERAGE HOUSE HOLD INCOME OF $39,108), WOONSOCKET (CENSUS OF 42,848 AND AVERAGE HOUSE HOLD INCOME OF $30,819). A MAJORITY OF THE CITIES AND TOWNS IDENTIFIED ABOVE FALL UNDER THE STATUS OF MEDICALLY UNDERSERVED AREAS AS SPECIFIED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE UNEMPLOYMENT RATE IN RHODE ISLAND FLUCTUATES AROUND 11.0% AND THE PERCENTAGE OF UNINSURED RANGES FROM 14% TO 21%. IN 2011, RWMC ACCUMULATED $9.8M IN BAD DEBT CHARGES AND ACCOUNTED FOR $8.5M IN WRITE OFFS (AT CHARGES). THE EFFECTIVE MARKET AREA COVERED BY CCHP IS ALSO SERVED BY LANDMARK MEDICAL CENTER IN WOONSOCKET (214 LICENSED BEDS), MEMORIAL HOSPITAL IN PAWTUCKET (294 LICENSED BEDS), RHODE ISLAND HOSPITAL IN PROVIDENCE (OVER 600 LICENSED BEDS), AND THE MIRIAM HOSPITAL IN EAST PROVIDENCE (247 LICENSED BEDS).
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5IN ADDITION TO ITS ACTIVITIES IN DELIVERING HEALTH CARE SERVICES TO THE COMMUNITY AS DESCRIBED ELSEWHERE IN THIS FILING, ROGER WILLIAMS MEDICAL CENTER (RWMC) FURTHERS ITS EXEMPT PURPOSES THROUGH THE FOLLOWING MEANS: A) RWMC IS MANAGED BY A COMMUNITY BOARD OF TRUSTEES, ON WHICH A SUBSTANTIAL MAJORITY OF TRUSTEES ARE RESIDENTS OF THE HOSPITAL'S EFFECTIVE MARKET AREA AND WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. B) WITH THE EXCEPTION OF CERTAIN DEPARTMENTS WHICH, IN THE INTERESTS OF EFFICIENCY, QUALITY AND PROPER ADMINISTRATION, ARE TRADITIONALLY RESERVED TO A SINGLE PHYSICIAN GROUP HAVING AN EXCLUSIVE ARRANGEMENT WITH RESPECT TO THE DEPARTMENT (IE RADIOLOGY, ANESTHESIA, AND PATHOLOGY), RWMC MAINTAINS AND OPEN MEDICAL STAFF THAT EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIAN APPLICANTS WHO EXHIBIT THE PROPER TRAINING AND EXPERTISE TO SERVE THE HOSPITAL'S PATIENTS. C) THE ORGANIZATION TRADITIONALLY APPLIES ALL SURPLUS FUNDS TO ENSURING FINANCIALLY PRUDENT AVAILABLE FUNDS, CAPITAL MAINTENANCE AND IMPROVEMENTS, AND THE ADDITION OF SERVICES THAT BENEFIT THE COMMUNITY. RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND AFFILIATED IN JANUARY 2010 UNDER CHARTERCARE HEALTH PARTNERS. THE AFFILIATION PARTNERS BELIEVE THAT BY COMBINING THEIR COMPLEMENTARY STRENGTHS, THEY CAN SIGNIFICANTLY IMPROVE THEIR ABILITY TO MEET THE HEALTHCARE NEEDS OF THE REGION THROUGH MORE COORDINATION, IMPROVED EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. THE PARTIES RECOGNIZED THAT WHETHER THEY AFFILIATED OR NOT, CHANGE WILL AND MUST OCCUR IN THEIR ORGANIZATIONS IN LIGHT OF EMERGING CHANGES IN HEALTHCARE DELIVERY, AND CHANGES IN PUBLIC AND PRIVATE SYSTEMS FOR PAYING FOR HEALTH CARE. THE AFFILIATION BETTER POSITIONED THE TWO ORGANIZATIONS TO ADDRESS THE CHALLENGES AND TO MEET THE NEEDS OF THEIR COMMUNITIES.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6ROGER WILLIAMS MEDICAL CENTER (RWMC) IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. THE AFFILIATION OF RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) IN JANUARY 2010 TO FORM CCHP, ALLOWED BOTH HERITAGE HOSPITALS THE ABILITY TO COMBINE THEIR COMPLEMENTARY STRENGTHS, AND ALLOW THEM TO SIGNIFICANTLY IMPROVE THEIR ABILITY TO MEET THE HEALTHCARE NEEDS OF THE REGION THROUGH MORE COORDINATION, IMPROVED EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. RWMC'S AFFILIATION ALSO ALLOWS THEM TO WORK CLOSELY WITH SJHSRI IN THE CREATION OF DEFINED STATE RECOGNIZED CENTERS OF EXCELLENCE IN GERIATRICS, CANCER CARE, GASTROENTEROLOGY AND BEHAVIORAL MEDICINE. THE AFFILIATION OF THE TWO HERITAGE HOSPITALS HAS ALLOWED THEM TO INTEGRATE THE MENTIONED EXISTING SERVICES BETWEEN THE TWO HOSPITALS IN A MANNER THAT BEST SERVES THE EVER EVOLVING COMMUNITIES NEEDS AND IN A MORE INTEGRATED AND MORE EFFICIENT MANNER. IN ADDITION TO SHARING POLICIES AND PROCEDURES FOR BEST OPERATIONAL AND MANAGEMENT PRACTICES, SYSTEM HOSPITALS PARTICIPATE IN A CHARTERCARE QUALITY COMMITTEE. THE CHARTERCARE QUALITY COMMITTEE OVERSEES WORK DONE BY THE HOSPITAL QUALITY COMMITTEES AND HELPS PROMOTE THE WEALTH OF PERFORMANCE IMPROVEMENT AND QUALITY INITIATIVES IN EACH OF THE TWO HOSPITALS (OUR LADY OF FATIMA HOSPITAL AND ROGER WILLIAMS MEDICAL CENTER), ELMHURST EXTENDED CARE (AN EDEN ALTERNATIVE NURSING HOME), ROGER WILLIAMS HOME CARE AND THE SJHSRI CENTER OF HEALTH AND HUMAN SERVICES. THE QUALITIES COMMITTEES THAT OVERSEE CLINICAL PRACTICES WITHIN THE SYSTEM HAVE COMMUNITY REPRESENTATIVES OF THE BOARD OF TRUSTEE AS WELL AS REPRESENTATIVES FROM THE MEDICAL STAFF, NURSING, ADMINISTRATION AND THE QUALITY DEPARTMENTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 H BELCHER
37142800012460350000639640471638000
MICHAEL CONKLIN JR
0191801000000020295021209600
HANDE TUNCER
218742000000075720226314000
RITESH RATHORE
2781880000000261080304296000
ALEX ETIENNE
27878301500000000243700318153000
JOHN STOUKIDES
2373260000000265370263863000
AHMAD AL-HOMSI
42883601425000000201680463254000
RUTH E SCOTT RN
1055670000000207170126284000
DOMENIC DECRISTOFANO
15304500000156750273540196074000
KIMBERLY O'CONNELL
21412800036901900003049802639950163360
JOANNE DOOLEY
20756100000199500204570247968000
SUSAN CERRONE-ABELY
1969250006800190000387820255387000
CHERYL PERRY
1558660001710152000246580195895000
ADOZINDA KANE
2428380006880245130537260321765000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 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.
NONQUALIIFED 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 KIMBERLY O'CONNELL - $16,336 JOANNE DOOLEY - $0 DOMENIC DECRISTOFANO - $0 SUSAN CERRONE-ABELY - $0 ADOZINDA KANE - $0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSPART III, LINE 4A-4DROGER WILLIAMS MEDICAL CENTER SERVICES AND ACCOMPLISHMENTS FOR 2011 IN 1878, ROGER WILLIAMS MEDICAL CENTER (RWMC) WAS FOUNDED AS THE HOMEOPATHIC HOSPITAL OF RHODE ISLAND. TODAY, RWMC IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. CCHP WAS FORMED IN JANUARY OF 2010 BY THE AFFILIATION OF TWO HOSPITALS; RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI), AND ELMHURST EXTENDED CARE, A 194-BED NURSING HOME. THE INDIVIDUAL HOSPITALS OF CCHP ARE DEEPLY ROOTED IN THEIR COMMUNITIES, EACH WITH A LONG TRADITION OF PROVIDING HIGH QUALITY CARE AND SERVICES. SERVING THE GREATER PART OF NORTHERN RHODE ISLAND, RWMC AND SJHSRI CARES FOR MORE THAN 190,000 PATIENTS ON AN ANNUAL BASIS AND PROVIDES A VAST ARRAY OF SERVICES SPECIALIZING IN GERIATRICS, CANCER CARE, BEHAVIORAL MEDICAL, GASTROENTEROLOGY, ORTHOPEDICS AND NEUROSURGERY. WITH THE FULL RANGE OF MEDICAL, PREVENTATIVE, DIAGNOSTIC AND SPECIALTY SERVICES FOR ADULTS AND SELECT PEDIATRICS PATIENTS, ROGER WILLIAMS HAS BEEN THERE TO SERVE ITS LOCAL COMMUNITY FOR MORE THAN 130 YEARS. RWMC IS A MODERN URBAN MEDICAL CENTER AND TEACHING AFFILIATE OF BOSTON UNIVERSITY SCHOOL OF MEDICINE. IT IS RECOGNIZED NATIONALLY FOR INNOVATIVE PROGRAMS IN HEALTH CARE, EDUCATION AND RESEARCH. WITH 220 ACUTE CARE BEDS, RWMC COMBINES A SOPHISTICATED TEACHING AND RESEARCH CENTER WITH THE WARMTH AND INDIVIDUALIZED CARE OF A COMMUNITY HOSPITAL. THE HOSPITAL IS HOME TO EXCELLENT CANCER, SURGICAL AND GERIATRICS PROGRAMS, COMPREHENSIVE DIAGNOSTIC AND IMAGING SERVICES, WORLD CLASS GASTROENTEROLOGY SERVICES, AND AN INNOVATIVE ADDICTION MEDICINE TREATMENT CENTER, WHICH OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT TREATMENT PROGRAMS. RWMC FEATURES AN ORTHOPEDIC AND NEUROSPINE CENTER, THE ONLY ACUTE CARE UNIT IN THE STATE DEDICATED ENTIRELY TO PATIENTS WITH ORTHOPEDIC NEEDS AND A DERMATOLOGY AND WOUND CARE PROGRAM. RWMC IS ALSO HOME TO INNOVATIVE SURGERIES AND WAS THE FIRST HOSPITAL IN THE STATE TO USE COMPUTER-AIDED NAVIGATION FOR BOTH KNEE AND HIP REPLACEMENTS. THE FOLLOWING ARE SELECTED HIGHLIGHTS FOR 2011 FROM SOME OF OUR PRIMARY SERVICE OFFERINGS: CANCER CARE RWMC IS HOME TO THE MOST COMPLETE CONTINUUM OF CANCER CARE IN THE STATE, INCLUDING RHODE ISLAND'S ONLY BONE MARROW TRANSPLANT UNIT. THE CENTRALIZED LOCATION OF THE MEDICAL CENTER'S MULTI-DISCIPLINARY APPROACH TO CANCER CARE AND ALLOWS PATIENTS, FAMILIES, PHYSICIANS AND STAFF TO MOVE SEAMLESSLY FROM ONE LOCATION TO ANOTHER, WHICH HAS IMPROVED CONTINUITY OF CARE AND PHYSICIAN COLLABORATION. SOME SELECTED HIGHLIGHTS IN CANCER CARE IN 2011: - ROGER WILLIAMS BECAME THE FIRST HOSPITAL IN NEW ENGLAND TO OFFER A NEW CANCER TREATMENT THAT USES A SERIES OF ELECTRICAL PULSES TO DESTROY TUMORS ON SENSITIVE ORGANS LIKE THE PANCREAS AND LIVER. THIS NEW TREATMENT TECHNOLOGY IS KNOWN AS THE NANOKNIFE SYSTEM. - ALL INPATIENT CHEMOTHERAPY IN THE CHARTERCARE SYSTEM WAS CONSOLIDATED TO THE ROGER WILLIAMS' CANCER CENTER. - ROGER WILLIAMS MEDICAL CENTER, IN PARTNERSHIP WITH THE KRISTEN ANN CARR FUND, HOSTED MORE THAN 140 OF THE COUNTRY'S LEADING CANCER EXPERTS AT THE FIRST-EVER NEW ENGLAND SARCOMA SYMPOSIUM. - ON NOVEMBER 18, ROGER WILLIAMS HOSTED MORE THAN 25 GENERAL AND FELLOWSHIP-TRAINED SURGEONS FROM AROUND THE COUNTRY FOR THE "ADVANCED LAPAROSCOPIC LIVER RESECTION & DISTAL PANCREATECTOMY MASTER CLASS."
ELDER CAREAS A CENTER FOR GERIATRICS, THE MEDICAL CENTER PROVIDES A NETWORK OF HEALTH CARE SERVICES FOR ELDERS. THE NETWORK INCLUDES ACUTE AND SUB-ACUTE CARE, GERIATRIC ASSESSMENT, AND HOME-BASED NURSING, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. EDUCATION AND TRAINING OF RWMC HOSPITAL STAFF IN ADVANCED ELDER CARE CONTINUES, THANKS TO A PARTNERSHIP WITH THE RHODE ISLAND GERIATRIC EDUCATION CENTER AT THE UNIVERSITY OF RHODE ISLAND. IN 2010, THE CENTER WAS AWARDED FIVE MORE YEARS OF FUNDING FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION WHICH MEANS THE EDUCATION AND TRAINING THAT HAS BEEN UNDERWAY AT RWMC SINCE DECEMBER 2009 WILL BE CONTINUE TO GROW. ADDITIONALLY, IN YEARS 3 THROUGH 5 OF THE FUNDING, THE TRAINING WILL BE EXPANDED TO INCLUDE SJHSRI. SOME ELDER CARE HIGHLIGHTS FROM RWMC IN 2011: - ROGER WILLIAMS MEDICAL CENTER WAS RE-CREDENTIALED AS A NICHE HOSPITAL, CONFIRMING THE HOSPITAL'S COMMITMENT TO PROVIDING EXCELLENT CARE TO OLDER PATIENTS. ROGER WILLIAMS FIRST RECEIVED NICHE ACCREDITATION ON ONE OF ITS NURSING UNITS IN FEBRUARY 2006. NICHE (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS) IS A NATIONAL LEADER IN IMPROVING GERIATRIC CARE IN HOSPITALS. SINCE ITS DESIGNATION AS A NICHE HOSPITAL, ROGER WILLIAMS HAS TAKEN A NUMBER OF PROACTIVE STEPS TO IMPROVE ELDER CARE. THE HOSPITAL HAS ADOPTED CLINICAL BEST PRACTICES TO ADDRESS ISSUES LIKE MEMORY LOSS, MEDICATION PROBLEMS, FALLS, AND VISION AND HEARING LOSS THAT CAN HINDER THE RECOVERY OF PATIENTS. - ROGER WILLIAMS IS NOW OFFERING A PALLIATIVE CARE CONSULT SERVICE TO ASSIST PHYSICIANS, PATIENTS, AND FAMILIES IN MAKING QUALITY-OF-LIFE DECISIONS FOR THOSE WITH LIFE THREATENING ILLNESSES. THE SERVICE IS DELIVERED BY DR. JENNIFER RITZAU AND DR. JOHN STOUKIDES, DIRECTOR OF GERIATRICS AT ROGER WILLIAMS. BOTH DOCTORS ARE BOARD-CERTIFIED IN HOSPICE AND PALLIATIVE CARE. THIS SERVICE PROVIDES ASSISTANCE WITH SYMPTOM MANAGEMENT, FAMILY MEETINGS, AND HOSPICE REFERRAL, ALL DONE IN COLLABORATION WITH REFERRING PHYSICIANS AND HOSPITAL STAFF. INNOVATION, RECOGNITION AND EVENTS IN 2011 - ROGER WILLIAMS WAS NAMED A BLUE DISTINCTION CENTER FOR BOTH SPINE SURGERY AND KNEE AND HIP REPLACEMENT FROM BLUE CROSS & BLUE SHIELD OF RHODE ISLAND FOR DEMONSTRATING BETTER OVERALL QUALITY OF CARE AND PATIENT RESULTS IN THESE SPECIALTIES. THE GOAL OF BLUE DISTINCTION IS TO IDENTIFY MEDICAL FACILITIES THAT DELIVER BETTER OVERALL QUALITY AND MEDICAL OUTCOMES FOR A SPECIFIC AREA OF SPECIALTY CARE, HELPING PATIENTS AND DOCTORS TO MAKE MORE INFORMED HOSPITAL CHOICES. - IN OCTOBER, ROGER WILLIAMS WAS ACCREDITED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION. DURING THIS VISIT, THE STROKE PROGRAM AT ROGER WILLIAMS WAS THOROUGHLY REVIEWED BY A JOINT COMMISSION SURVEYOR TO ENSURE THAT THE APPROPRIATE STANDARDS OF CARE FOR STROKE PATIENTS ARE BEING MET. IN THAT PROCESS, THE SURVEYOR INTERVIEWED STAFF AND REVIEWED THE DELIVERY OF CARE, PATIENT EDUCATION, COMMUNITY EDUCATION, AND OUR CLINICAL RECORDS RELATED TO STROKE TREATMENT. - THANKS IN PART TO A GRANT FROM THE CHAMPLIN FOUNDATION, THE RADIOLOGY DEPARTMENT AT ROGER WILLIAMS IS NOW ONLINE WITH A COMPUTED RADIOGRAPHY SYSTEM. THIS SYSTEM GENERATES DIGITAL IMAGES FOR MEDICAL ASSESSMENT WITHIN THREE MINUTES, ALLOWING RADIOLOGISTS TO EXPEDITE DIAGNOSIS AND TREATMENT PLANS FOR PATIENTS. - THE ENDOSCOPY DEPARTMENT HOSTED ITS 10TH ANNUAL EDUCATIONAL COURSE ENTITLED "BASICS & BEYOND IN ENDOSCOPY" TO PROVIDE GI ENDOSCOPY NURSES WITH PRACTICAL INFORMATION ABOUT NEW TECHNOLOGIES. FREE CARE PER THE HOSPITAL'S PUBLIC NOTICE, RWMC IS PROUD OF ITS COMMITMENT TO PROVIDE QUALITY CARE TO ALL INDIVIDUALS WHO NEED IT. THE HOSPITAL PROVIDES FINANCIAL AID TO PATIENTS WITHOUT INSURANCE AND WHO MAY NOT BE ABLE TO PAY FOR THE CARE PROVIDED. RWMC WILL PROVIDE FULL CHARITY CARE TO UNINSURED BASED ON INCOME LIMITS AND FAMILY SIZE. FURTHERMORE, RWMC OFFERS PARTIAL CHARITY CARE BASED ON A SLIDING SCALE. FOR FY 2011, ROGER WILLIAMS MEDICAL CENTER RECORDED $8,494,861 IN CHARITY CARE CHARGES. THE DIRECT COSTS ASSOCIATED WITH PROVIDING THE CARE TO THE PATIENTS WAS $3,277,671.
SERVICE TO THE COMMUNITYROGER WILLIAMS MEDICAL CENTER HAS A LONG HISTORY AS A LEADER IN SUPPORTING OUR COMMUNITY THROUGH PARTNERSHIPS, EDUCATION, OUTREACH, CHARITY, AND VOLUNTEERISM. THE FOLLOWING IS A BRIEF OVERVIEW OF THE PROGRAMS AND PROJECTS THAT THE STAFF AND VOLUNTEERS WERE INVOLVED WITH IN 2011: COMMUNITY OUTREACH PROGRAMS 2011 MEDICAL EDUCATION - HOSTED MONTHLY WEIGHT LOSS SEMINARS WITH AN AVERAGE ATTENDANCE OF 60 PEOPLE - PERIPHERAL ARTERIAL DISEASE SCREENING AND EDUCATIONAL EVENT ATTENDED BY 25 PEOPLE - PARTICIPATED IN RI ANNUAL CANCER SUMMIT, 300 ATTENDEES - PHYSICIAN LECTURE AT SAL MANCINI SENIOR CENTER, 75 ATTENDEES - HIPPA COMPLIANCE LECTURE AT ATRIA, 28 ATTENDEES - BEREAVEMENT & LOSS LECTURE AT ATRIA, 32 ATTENDEES - CANCER CENTER PARTNERED WITH THE GLORIA GEMMA BREAST CANCER RESOURCE FOUNDATION TO HOST MONTHLY VISITS FROM THE GEMMA BUS, WHICH PROVIDES A VARIETY OF THERAPIES FOR CANCER PATIENT, THEIR LOVED ONES, AND CAREGIVERS - CANCER CENTER HOSTED MONTHLY "ASK THE PHARMACIST" SESSION - DIABETES EDUCATIONAL EVENT, 50 ATTENDEES HEALTH FAIRS AND FREE SCREENINGS: THE OUTREACH TEAM AT THE MEDICAL CENTER PROVIDED FREE SCREENINGS, PRESENTATIONS, AND EDUCATION TO THOUSANDS OF RHODE ISLANDERS IN 2011 AT VARIOUS SITES AROUND THE STATE. FREE HEALTH SCREENINGS AND EDUCATION WERE PROVIDED ON A VARIETY OF TOPICS, INCLUDING: SCREENINGS FOR CHOLESTEROL/GLUCOSE, ORAL HEALTH, LUNG FUNCTION, BLOOD PRESSURE, BREAST CANCER, PROSTATE AND CANCER. EDUCATION AND INFORMATION WAS PROVIDED ON A VARIETY OF HEALTH AND WELLNESS TOPICS. AMONG THE HEALTH FAIRS, PRESENTATIONS, AND SCREENINGS ATTENDED OR OFFERED WERE: - CCRI WELLNESS FAIR: SCREENINGS AND INFORMATION PROVIDED TO 300 INDIVIDUALS. - HOSTED FOUR BLOOD DRIVES IN 2011 WITH AVERAGE OF 20 DONORS PER DRIVE - INTERVENTIONAL RADIOLOGY HEALTH FAIR, 25 ATTENDEES - RIALA CONFERENCE, MORE THAN 300 ATTENDEES - SENIOR LIVING EXPO, MORE THAN 400 ATTENDEES - NORTH PROVIDENCE SENIOR CENTER, WELLNESS FAIR, 150 ATTENDEES - PROSTATE CANCER SCREENING, 62 ATTENDEES - HEALTH FAIR AT CAPITAL RIDGE ASSISTED LIVING, 100 ATTENDEES - HEALTH FAIR AT TYCO, 85 ATTENDEES - STROKE/BLOOD PRESSURES AT DAVINCI CENTER, 50 ATTENDEES - SPONSORED AND PARTICIPATED IN THE RALLY FOR RECOVERY, TO RAISE AWARENESS ABOUT MENTAL ILLNESS AND ADDICTION COMMUNITY PARTNERSHIPS RWMC ACTIVELY COLLABORATES WITH SCHOOLS, FELLOW HEALTH CARE PROVIDERS AND OTHERS TO MAXIMIZE OUR CONTRIBUTIONS TO THE COMMUNITY. OUR 2011 ACTIVITIES INCLUDED: FUNDRAISING: IN 2011, RWMC ALONG WITH ITS OTHER CCHP-AFFILIATED EMPLOYEES, HELPED RAISE FUNDS FOR A NUMBER OF CHARITABLE CAUSES INCLUDING: - ROGER WILLIAMS WAS A SPONSOR OF THE "WALK FROM OBESITY" TO RAISE AWARENESS OF THE DANGERS OF OBESITY. - "TOUR DU CURE": ROGER WILLIAMS SET A RECORD FOR THE MOST MEMBERS ON A TEAM IN THIS BICYCLE RIDE BENEFIT TO FIGHT DIABETES. - "DAFFODIL DAYS": RAISED MONEY FOR THE AMERICAN CANCER SOCIETY. - OTHERS: RWMC SPONSORED, FIELDED TEAMS AND RAISED MONEY FOR THE AIDS WALK, ALZHEIMER'S WALK, AND BREAST CANCER WALK. SUPPORT GROUPS: RWMC IS HOME TO A NUMBER OF ONGOING SUPPORT GROUPS FOR INDIVIDUALS DIAGNOSED WITH OBESITY, CANCER, ADDICTIONS, AND OTHER ILLNESSES. VOLUNTEERISM - MARTIN LUTHER KING (MLK) DAY: THE MEDICAL CENTER'S EMPLOYEES VOLUNTEERED AS PART OF OUR MLK DAY EVENT FOR HABITAT FOR HUMANITY, HELPING TO BUILD HOUSES FOR LOW-INCOME FAMILIES IN PAWTUCKET AND PROVIDENCE. - BLOOD DRIVES: RWMC COLLECTED MORE THAN 80 PINTS OF BLOOD IN 2011 AT ITS QUARTERLY BLOOD DRIVES. - FOOD DRIVES: RWMC COLLECTED ITEMS FOR THE RHODE ISLAND FOOD BANK AT A HOLIDAY FOOD DRIVE. - PARTNERED WITH CITY OF PROVIDENCE ON TREE PLANTING EFFORT TO BEAUTIFY THE NEIGHBORHOOD. RESEARCH RWMC IS HOME TO DOZENS OF SCIENTISTS, RESEARCHERS, AND INVESTIGATORS ACTIVELY INVOLVED IN A VARIETY OF MEDICAL RESEARCH ACTIVITIES. RESEARCH PROGRAMS ARE SUPPORTED BY FEDERAL FUNDS, EXTERNAL INSTITUTION GRANTS, AND OTHER SOURCES. AWARDS RECEIVED BY THE MEDICAL CENTER AND ITS FACULTY INCLUDE PEER-REVIEWED GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHERS. CURRENT RESEARCH INCLUDES A MULTITUDE OF BASIC AND CLINICAL STUDIES IN CANCER, WHICH IS A PRIMARY INTEREST OF THE FACULTY. CURRENTLY, THERE ARE ONGOING TRIALS FOR A VARIETY OF CANCERS INCLUDING HEAD, NECK, BREAST, PROSTATE, GI, HEMATOLOGICAL MALIGNANCIES, AND OTHERS. IN 2011, ROGER WILLIAMS RECEIVED ALMOST $5 MILLION IN GRANT FUNDING. IN 2010, THE NATIONAL INSTITUTES OF HEALTH AND THE NATIONAL CENTER FOR RESEARCH RESOURCES AWARDED THE RENEWAL OF ITS COBRE GRANT ON "NEW APPROACHES TO TISSUE REPAIR" UNDER THE DIRECTION OF DR. VINCENT FALANGA AS THE PRINCIPAL INVESTIGATOR. THE AWARD FOR YEAR THREE IS $2,369,994, WHICH WILL ENABLE DR. FALANGA AND HIS TEAM TO CONTINUE ITS FOCUS ON STEM CELL DIFFERENTIATION, AND THE ROLE OF STEM CELLS IN THE REPAIR OF MULTIPLE ORGAN SYSTEMS.
DELEGATE CONTROL OVER MANAGEMENTPART VI, SECTION A, LINE 3EFFECTIVE JANUARY 4, 2010, THE PRINCIPAL MANAGEMENT FUNCTIONS OF RWMC AND SJHSRI ARE CONDUCTED UNDER THE DIRECTION OF CHARTERCARE HEALTH PARTNER'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES. CONSEQUENTLY, THERE ARE NO KEY EMPLOYEES DISCLOSED FOR THE EXECUTIVE OR FINANCIAL MANAGEMENT FUNCTIONS AFTER JANUARY 2010.
FORM 990 REVIEW PROCESSPART VI, SECTION B, LINE 11ATHE COMPLETION OF THE FORM 990 BEGINS WITH AN OPENING MEETING ATTENDED BY THE CONTROLLER OF CCHP 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 POLICYPART VI, SECTION B, LINE 12THE CONFLICT OF INTEREST POLICY INCLUDED IN THE BY-LAWS IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR TRUSTEE OF THE CORPORATION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE OFFICERS, TRUSTEES AND MEMBERS OF ANY COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. ON AN ANNUAL BASIS, EACH MEMBER OF THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND ALL RESPONSES ARE SUBMITTED AND REVIEWED BY LEGAL COUNSEL. ANY ACTUAL AND POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED WITH THE BOARD OF TRUSTEES.
COMPENSATION POLICYPART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION PHILOSOPHY: THE EXECUTIVE MANAGEMENT MEMBERS OF ROGER WILLIAMS MEDICAL CENTER (RWMC) ARE ACCOUNTABLE FOR ENSURING THAT THE MISSION, VISION, AND VALUES ARE CARRIED OUT AT THE HIGHEST LEVELS OF QUALITY, SERVICE AND EFFICIENCY WITHIN THE COMMUNITIES SERVED. THE PROCESS TO DETERMINE ANNUAL EXECUTIVE COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE COMMITTEE IS COMPRISED OF INDIVIDUALS WHO ARE INDEPENDENT OF RWMC MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO OR UNDER THE CONTROL OF ANY INDIVIDUAL, WHO'S COMPENSATION ARRANGEMENT IS BEING REVIEWED, HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH RWMC AND ARE NOT PAID FOR THEIR SERVICES AS BOARD MEMBERS. THE COMMITTEE MAY RETAIN AN INDEPENDENT CONSULTANT TO CONDUCT AN ANNUAL COMPENSATION ANALYSIS AND OR TO PROVIDE ADVISORY SERVICES RELATED TO COMPENSATION. TO ATTRACT AND RETAIN THE HIGHEST CALIBER OF HEALTHCARE PROFESSIONALS NEEDED TO SUSTAIN THE QUALITY OF THE INSTITUTION; COMPENSATION MUST BE COMPETITIVE WITH THAT PROVIDED BY THE ORGANIZATIONS WITH WHICH THE INSTITUTION COMPETES WITHIN THE JOB MARKET. RWMC BENCHMARKS EXECUTIVE POSITIONS AGAINST ORGANIZATIONS OF COMPARABLE SIZE AND MISSION ON BOTH A NATIONAL AND REGIONAL LEVEL. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EXPERIENCE AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. IT IS THE OBLIGATION OF THE COMMITTEE TO ASSESS THE PERFORMANCE OF RWMC'S CEO, DETERMINE HIS/HER COMPENSATION AND REPORT IT'S FINDING IN THE REGARD TO THE BOARD. THE COMMITTEE IS ALSO RESPONSIBLE FOR REVIEWING THE PERFORMANCE ASSESSMENTS AND COMPENSATION RECOMMENDATIONS FOR THE EXECUTIVE MANAGEMENT MEMBERS. COMPENSATION DECISIONS ARE MADE IN A MANNER THAT IS CONSISTENT WITH THE EXECUTIVE COMPENSATION GUIDELINES AS PUT FORWARD: EXECUTIVE LEVEL COMPENSATION ADMINISTRATION GUIDELINE: EXECUTIVE PAY SHOULD BE COMMENSURATE WITH THE INDIVIDUAL'S SKILLS, KNOWLEDGE AND EXPERIENCE AS IT RELATES TO THEIR POSITION. THE MINIMUM AND 1ST QUARTILE OF THE COMPETITIVE MARKET COMPOSITE MAY BE APPROPRIATE FOR NEWLY HIRED INDIVIDUALS WITH LIMITED EXPERIENCE IN A COMPARABLE POSITION. FULLY EXPERIENCED INDIVIDUALS WITH A DEMONSTRATED RECORD OF CONSISTENTLY MEETING PERFORMANCE EXPECTATIONS FOR THE POSITION SHOULD GENERALLY BE PAID WITHIN 90% TO 110% OF THE MIDPOINT. HIGHLY EXPERIENCED INDIVIDUALS WITH A DEMONSTRATED RECORD OF CONSISTENTLY EXCEEDING PERFORMANCE EXPECTATIONS IN ALL AREAS OF ACCOUNTABILITY, OR AN INDIVIDUAL WITH SPECIAL SKILLS AND EXPERTISE BEYOND THOSE NORMALLY ASSOCIATED WITH THE POSITION TYPICALLY HAVE A PAY TARGET BETWEEN MIDPOINT AND THE 3RD QUARTILE OF THE COMPETITIVE MARKET COMPOSITE. THE MAXIMUM OF THE MARKET COMPOSITE REPRESENTS THE HIGHEST SALARY LEVEL, WHICH RWMC BELIEVES IS APPROPRIATE FOR THE POSITION. AN INDIVIDUAL WHOSE SALARY IS NEAR THE MAXIMUM OF THE MARKET COMPOSITE WILL BE ELIGIBLE FOR SALARY INCREASE OF NO MORE THAN THE AMOUNT REQUIRED TO REACH THE MAXIMUM MARKET PAY LEVEL.
PUBLIC DISCLOSUREPART VI, LINE 19ROGER WILLIAMS MEDICAL CENTER MAKES ITS TAX RETURN, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ITS TAX RETURN IS ALSO POSTED ON HTTP://WWW.GUIDESTAR.ORG.
COMPENSATIONPART VII, SECTION AROGER WILLIAMS MEDICAL CENTER DOES NOT COMPENSATE TRUSTEES FOR THEIR SERVICES ON THE BOARD. RUTH SCOTT EARNED COMPENSATION IN HER ROLE AS DIRECTOR OF CLINICAL SERVICES.
OTHER CHANGES IN NET ASSETSPART XI, LINE 5CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS ($194,646) UNREALIZED GAINS OR (LOSSES) ON INVESTMENTS ($2,109,423) TOTAL ($2,304,069)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KENNETH H BELCHER TITLE:PRESIDENT & 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:DOMENIC DECRISTOFANO TITLE:EXEC DIR FACILITIES MANAGEMENT HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KIMBERLY O'CONNELL TITLE:VP LEGAL COUNSEL HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOANNE DOOLEY TITLE:VP CNO HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SUSAN CERRONE-ABELY TITLE:VP CIO HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHERYL PERRY TITLE:CHIEF HUMAN RESOURCES OFFICER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ADOZINDA KANE TITLE:FORMER CFO/TREASURER 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
ROGER WILLIAMS MEDICAL ASSOCIATES
825 CHALKSTONE AVENUEPROVIDENCERI02908203346936PHY PRACTICERI501(C)(3)11ACCHP
ROGER WILLIAMS REALTY CORPORATION
825 CHALKSTONE AVENUEPROVIDENCERI02908050423855RENTAL MGMNTRI501(C)(3)11ACCHP
RWGH PHYSICIANS OFFICE BUILDING
825 CHALKSTONE AVENUEPROVIDENCERI02908050398588BLDG MGMNTRI501(C)(3)11ACCHP
ELMHURST EXTENDED CARE FACILITIES INC
50 MAUDE STREETPROVIDENCERI02908222723407HEALTHCARERI501(C)(3)3CCHP
ST JOSEPH HEALTH SERVICES OF RI
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904050259026HEALTHCARERI501(C)(3)3CCHP
ST JOSEPH HOSPITAL WORKERS COM TRUST
200 HIGH SERVICE AVENORTH PROVIDENCERI02904056106574TRUSTRI501(C)(3)11DCCHP
CHARTERCARE HEALTH PARTNERS
825 CHALKSTONE AVENUEPROVIDENCERI02908264235815MANAGEMENTRI501(C)(3)11ANA
CHARTERCARE HEATLH PARTNERS FOUNDATION
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904260236669FUNDRAISINGRI501(C)(3)7CCHP

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
OUR LADY OF FATIMA ANCILLARY SERVICES
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904050519862HEALTHCARERINAC Corp000.00000
ELMHURST HEALTH ASSOCIATES INC
825 CHALKSTONE AVEPROVIDENCERI02908050437610HEALTHCARERINAC Corp000.00000
ROSEBANK CORP
825 CHALKSTONE AVENUEPROVIDENCERI02908050342046REAL ESTATERINAC Corp000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
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

Comments

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