2011-07-11T14:46:56-07:00 2010-09-30 990 2009-10-01 050259004 MEMORIAL HOSPITAL MEMO 4017292000 111 Brewster Street Pawtucket RI 028604499 Francis Dietz 4017292000 2011-06-15 2009 2016-02-24 21:20:13Z Francis R Dietz 111 Brewster Street Pawtucket RI 02860 203028934 0 X www.mhri.org X 1901 RI Our mission is primary care and preventive medicine, providing advanced diagnosis and treatment with a focus on teaching and research. 17 16 2418 147 0 0 4798052 6925155 168450851 173280023 -2377629 1785995 1000427 927532 171871701 182918705 0 0 0 0 110216401 112172988 0 0 10692 68511037 72586816 178727438 184759804 -6855737 -1841099 119109206 114145854 85410796 81760941 33698410 32384913 Our mission is primary care and preventive medicine, providing advanced diagnosis and treatment with a focus on teaching and research. An essential resource in achieving our mission is the medical expertise provided by our competent and caring professional staff. We strive to achieve the timely and efficient delivery of care in a compassionate atmosphere. 0 0 161252496 0 0 Health Care Delivery & Management Funds received were used to provide funding for the exempt purpose of general patient care. The Memorial Hospital is an acute care, not-for-profit teaching community health institution and research facility serving the Blackstone Valley community of Rhode Island and Massachusetts. Memorial, which is located in Pawtucket, Rhode Island, is a teaching affiliate of the Warren Alpert Medical School of Brown University and the chief site for the medical schools primary care academic program housed in the Center for Primary Care. Memorials goals are to provide quality multi-disiplinary services, to see patients regardless of race, color, national origin, socioeconomic status or place of residence and to act as an educational resource for patients, physicians, nurses and the community. Memorial provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less thanits established rates. Because Memorial does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. Memorial provided 30,679 patient days of service in the year ended September 30, 2010. Memorial had 6,572 admissions with an ALOS of 4.49 days. Memorial operates a Level 2 trauma center ER, which serves patients regardless of ability to pay. For the year ended September 30, 2010, Memorial provided its patients with 32,866 ER visits. Primarily through the Department of Family Medicine, Memorial attempts to integrate patient care within the context of the patients family, and, whenever possible and appropriate, care for the family as a unit. Memorial also seeks to cooperate with community organizations in the management of patient care. The Department of Family Medicine follows patients in whatever setting they present, whether home, nursing home or tertiary care center. To help accomplish this goal, Memorial has a Homecare Department which works with the Department of Medicine, Nursing, Social Services, Physical Therapy, Utilization Review, Medical/Surgical Supply and Pharmacy to ensure that patients leaving the inpatient services receive continuous and appropriate care after leaving Memorial. Memorial has well developed programs in Occupational Health, Physical Therapy and Medical Rehabilitation. Memorial's research is internationally recognized. Many of the materials and procedures developedare being used all over the country. Two of the many widely recognized programs at Memorial are the Osteoarthritis Initiative and the Women's Health Initiative. Memorials research efforts are guided by the goal of working to address unmet health needs in the community. Memorials Department of Family Medicine accepts approximately 13 residents per year for a total of 39 residents in the training program. This program is nationally competitive, matching with high quality residents in spite of the decreasing interest of medical students in primary care specialties. The Department of Family Medicine has developed model teaching community health center at two centers which serve a large number of medically indegent patients in the Blackstone Valley. These models of community based education, research and patient care serve as training sites for residents who desire a career in rural or urban community health centers. 0 0 0 161252496 1 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 58 0 1 2418 1 0 0 0 0 0 0 0 0 0 0 0 17 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X Francis R Dietz 4017292000 111 Brewster Street Pawtucket RI 028604499 Robert Andrade 0.25 X X 0 0 0 Robert MacKenzie 0.25 X X 0 0 0 Paul Mooney 0.25 X 0 0 0 John J Partridge 0.25 X 0 0 0 Virginia Roberts 0.25 X 0 0 0 Karl Sherry 0.25 X 0 0 0 Donna Brady 0.25 X 0 0 0 Arthur Deblois III 0.25 X 0 0 0 Alfred Degen 0.25 X 0 0 0 William Kapos 0.25 X X 0 0 0 Gary E Furtado 0.25 X 0 0 0 William J Hunt 0.25 X X 0 0 0 Patrick J Murray 0.25 X X 0 0 0 Greg Scown 0.25 X 0 0 0 James Hahn 0.25 X 0 0 0 Edna Poulin 0.25 X 0 0 0 Francis R Dietz 60 X 3292064 0 13602 Michael J Ryan 50 X 192001 0 33558 Elizabeth Girard 50 X 179001 0 20552 Michelle MacDonald Gallagher 50 X 265000 0 35210 Martin Tursky 50 X 367790 0 34994 Jeffrey Borkan MD 40 X 277684 0 18967 Andrew Artenstein MD 40 X 272500 0 18904 Vera A Depalo MD 40 X 290194 0 10488 Brian Wiley MD 40 X 297375 0 10575 Noubar Kessimian MD 40 X 264654 0 18809 5698263 0 215659 108 0 1 0 Aramark Corporation PO Box 651009 Charlotte NC 282651009 Dietary Services 779206 Quest Diagnostics 3924 Collection Center Drive Chicago IL 606930039 Laboratory Services 717921 Brown University PO Box 1939 Providence RI 02912 Physicians 568011 University Surgical Associates 593 Eddy Street Apt 431 Providence RI 02903 Surgical Physician Services 565000 BWPO Medicine PO Box 3684 Boston MA 022413684 Physician Services ( E/R and Cardiology) 467500 14 0 0 0 0 5123296 1801859 0 6925155 Patient Service Revenue 622000 173280023 173280023 0 0 0 0 0 0 173280023 958476 0 0 958476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20933348 4400 20110229 0 823119 4400 827519 0 0 827519 0 Cafeteria Revenue 561499 908819 0 0 908819 Pharmacy Sales to employees 561499 18713 0 0 18713 0 0 0 0 927532 182918705 173280023 0 2713527 0 0 0 0 0 0 0 0 4433772 0 4433772 0 0 0 0 0 78810718 70746305 8054591 9822 5348836 4802108 546728 0 18130512 16277205 1853188 119 5449150 4891494 556905 751 0 0 0 0 223954 0 223954 0 191700 0 191700 0 0 0 0 0 0 0 0 0 0 0 10531008 8581531 1949477 0 31246 28052 3194 0 12258624 9395473 2863151 0 0 0 0 0 0 0 0 0 2736041 2077829 658212 0 328174 294630 33544 0 0 0 0 0 0 0 0 0 1287152 1287152 0 0 0 0 0 0 4064590 3625112 439478 0 2515677 1866385 649292 0 Provision for Bad Debts 15636574 15636574 0 0 Licensing fee 7178101 7178101 0 0 Non Medical Supplies 2685392 2237858 447534 0 Pharmaceutcals and IVs 7218391 7216907 1484 0 Physician and Grant Activity 4730117 4730117 0 0 970075 379663 590412 0 184759804 161252496 23496616 10692 588412 337609 0 0 403319 202392 35678288 33857809 0 0 0 0 0 0 752440 802038 1081771 843458 110262272 76354063 34324599 33908209 0 0 42956852 41493988 0 0 3323525 2700351 119109206 114145854 24042519 24669860 0 0 0 0 14275868 12693483 0 0 0 0 0 0 0 0 47092409 44397598 85410796 81760941 X 23646082 21656473 691314 1015273 9361014 9713167 33698410 32384913 119109206 114145854 X 0 1 1 X 1 1 X 9361014 34 352119 0 0 0 9713167 9438660 0 -77646 0 0 0 9361014 0 1 0 1 0 1822002 0 1822002 47316113 0 28391035 18925078 0 0 0 0 59562485 0 46508118 13054367 1561672 0 1454910 106762 33908209 0 0 Stocks 17081951 F Bonds 8406937 F Other 15855100 F Dividend Receivable 150000 F 41493988 Deferred Financing Costs 234078 Estimated Third Party Receivable 2466273 2700351 0 Current Portion of Long-Term Debt 1582385 Line of Credit 5000000 Accrued Interest Payable 159384 Insurance Claims Reserve 981582 Minimum Pension Liability 36591747 Other Liabilities - Deferred Compensation 82500 44397598 182918705 184759804 -1841099 1169187 0 0 0 0 1169187 -671912 184196780 1169188 0 0 0 1169188 183027592 -108887 0 -108887 182918705 184868691 0 0 0 108887 108887 184759804 0 0 0 184759804 SchD_P05_S00_L04 Schedule D, Part V, Line 4 The permenantly restricted endowments are maintained to earn income. The income is transfered to operations to provide beds for unisured persons. SchD_P10_S00_L00 Schedule D, Part X The adoption of FIN48 had no impat on the financial statements of The Memorial Hospital. SchD_P13_S00_L02d Schedule D, Part XIII, Line 2d Assets released from restrictions for general operations 1 1 1 X 0 1 1 1 0 0 9950480 8489049 1461431 0.008 28322590 25786108 2536482 0.014 0 0 38273070 34275157 3997913 0.022 47929 1021 46908 0 20585288 6073162 14512126 0.079 5449161 4877567 571594 0.003 0 0 26082378 10951750 15130628 0.082 0 0 64355448 45226907 19128541 0.104 11700 0 0 0 11700 0 0 0 1 7276001 3667105 39768017 37640317 2127700 X 1 1 Memorial Hospital of Rhode Island

111 Brewster Street Pawtucket RI 02860

X X X X X X The hospital provides free care to all patients whose income is at, or falls below 200% of the current Federal Poverty Guidelines (Patient Rights policy # 25). For patients whose income does not quality for free care, the hospital provides a 40% discount for all services not covered by insurance if paid within six months of service, or determination that health insurance will not cover service. This discount is not dependent on income level or asset testing. The cost of services were calculated by multiplying the charges for those services by the ratio of cost to charges as determined in the 2010 Medicare Cost Report. N/A N/A Following is the text of the footnote describing bad debt expense: "In addition to the cost of charity care and other community service programs, the Hospital provided $15,657,416 and $12,688,221 for uncollectible patient accounts during the years ended September 30, 2010 and 2009, respectively." The ratio of cost to charges of .4647 was used to determine the bad debt cost reported on line 2. To estimate the amount of Bad Debt cost attributable to patients eligible for Free Care, we used the percent of Bad Debt write-offs for patients who at registration gave as their employer Unemployed, Self Employed, Disabled, or Temporary Staffing. This equaled 50.4% of Bad Debt write-offs. This methodology is most likely understating the percent, as it does not include employed persons making under 200% of the poverty guidelines. The Medicare cost report was used as the source of the Medicare cost used on line 6. The result is a surplus on line 7. The hospital's Credit and Collection policy (Patient Rights policy # 23) states that "The Hospital will at all times provide essential care and treatment regardless of the ability of the patient to pay for the service". "The Patient Accounts Department will investigate the financial ability of each patient to pay for services and will provide financial counseling in order to ensure that the patient obtains any eligible medical coverage through their employer, the federal government, the Department of Human Services, or the hospital's Community Free Care". The hospital has an on going strategic planning process which assesses the needs of the community and the hospital's plans for meeting those needs. This planning process includes evaluation of data provided by the Hospital Association of Rhode Island, the Rhode Island Department of Health and other agencies on healthcare trends in the community. The input of the City of Pawtucket as well as other community stakeholders is continuously sought. The plan is reviewed at a joint leadership retreat which includes leaders of the medical staff, administration and the Board of Trustees. The hospital has a strong community Board of Trustees which insures that the needs of the community are represented in the governance of the hospital. Patient education of eligibility for assistance- The following procedures are followed to inform patients of their eligibility for assistance: Notification of Free Care is posted at every registration area throughout the MHRI system . The notice is in English, Spanish and Portuguese and has the telephone number of the Financial Counselor. The Notice of Charity Care is printed on the patient's billing statement The Emergency Department Clinicians are educated in regard to proper referral process. If the patient states they are uninsured and need to seek Charity Care through discussion with the clinician, then they will be referred to the Family Care Center at Memorial Hospital. We pre-screen all self-pay Emergency Department patients for Community Free Services. If they pass the screening they are sent to the Financial Counselor for assistance in filling out any necessary forms. The hospital staffs a Financial Assistance Councilor in our Family Care Center to qualify patients for Medical Assistance or Free Care. 4) Community Information The primary service area of the hospital is as follows: Primary Service Area ( "PSA" ) - Memorial Hospital of Rhode Island Patient Zip Code Patient City/Town Patient State Discharge Count* ( 10/1/09-9/30/10 ) 02860, 02861 Pawtucket RI 3,177 02863 Central Falls RI 849 02864 Cumberland RI 507 02914, 02915, 02916 East Providence, Riverside, Rumford RI 463 02865 Lincoln RI 160 02703 Attleboro MA 151 02771 Seekonk MA 104 02760 North Attleboro MA 47 02762 Plainville MA 5 Total PSA 5,463 * = data excludes newborns The City of Pawtucket has a population of 71,148. It is the fourth largest city in the state. Pawtucket was a major center of manufacture of cotton textiles during the American Industrial Revolution. Slater Mill, built in 1793 by Samuel Slater in downtown Pawtucket, was the first fully mechanized cotton spinning mill in America. The textile business in Pawtucket declined during the 1930s with many manufacturers closing or moving their facilities. As of November, 2010 the city's unemployment rate was 12% According to the 2010 census, the median income for a household in the city was $31,775, and the median income for a family was $39,038. Males had a median income of $31,129 versus $23,391 for females. The per capita income for the city was $17,008. About 14.9% of families and 16.8% of the population were below the poverty line, including 24.5% of those under age 18 and 15.2% of those age 65 or over The racial makeup of the city is 75.39% White, 7.31% African American, 10.75% from other races, and 5.34% from two or more races. Hispanic of any race were 13.90% of the population. 20.6% of Pawtucket residents are French or French-Canadian descent, and 11.6% of Portuguese descent. The hospital operates the Notre Dame Ambulatory Center in Central Falls, RI. Central Falls has a population of 18,928. The median income for a household in the city was $22,628, and the median income for a family was $26,844. About 25.9% of families and 29.0% of the population are below the poverty line, including 40.8% of those under age 18 and 29.3% of those age 65 or over. The unemployment rate was 14.2% in November, 2010. The racial makeup of Central Falls is 57.16% White, 5.82% African American, 28.35% from other races, and 7.38% from two or more races. Hispanic or Latino of any race are 47.77% of the population. MHRI H1N1 Vaccination Point of Distribution- Memorial Hospital of Rhode Island (MHRI) in collaboration with the Pawtucket Emergency Management Agency conducted the H1N1 Vaccination Point of Distribution (POD) on January 9, 2010. The intent of the POD was to vaccinate healthcare workers (HCW's) and first responders in Memorial's healthcare service region which included Pawtucket, Central Falls, Lincoln, and Cumberland. The Pawtucket EMA Director Robert Howe was on site and organized notification and flow of the first responders. Captain James Coyne from the Cumberland Police Department was also on site and assisted with the coordination and flow of first responders. The hours of operation were blast communicated to all HSR healthcare facilities, physician offices and municipalities via fax and e-mail. MHRI also posted an H1N1 information phone number on their web site. Signage for the Vaccination POD was easily identifiable and flow was managed with the assistance of our municipal partners. At the conclusion of the exercise a total of 1078 doses of H1N1 flu vaccine were administered * MHRI in collaboration with their community partners provided the necessary opportunity for all HCWs and Municipalities to receive their H1N1 vaccine when available via the RI Department of Health. * The Pawtucket EMA and The Cumberland Police Department were instrumental in preparing for and operationalizing the H1N1 POD at MHRI * Performing the POD function on the MHRI Campus allowed us the flexibility to accommodate all of our community partners and support the process without interrupting our daily flow of patient care. * Emergency Preparedness Activities- Memorial Hospital of RI works with state and local partners in the planning and execution of disaster readiness and public health emergency activities. On a state level, MHRI is a member of the Hospital Association of Rhode Island (HARI) and participates in monthly hospital preparedness meetings with other acute care hospitals, community health centers, and the RI Department of Health. Additionally, local emergency management representatives from the five cities and towns that make up the hospital's catchment area participate in hospital Emergency Management Committee meetings, held monthly. Local partners in conjunction with police, fire, and emergency medical services participate in hospital preparedness trainings such as evacuation, infant abduction, and severe weather scenario drills. Local partners have also worked in partnership with the hospital to support events such as a hazardous material release, severe weather events, and mass vaccinations 6) Other information- Memorial Hospital of Rhode Island is a 294-bed acute care, not-for-profit, teaching, community health institution providing health care to a population of approximately 300,000 residents in Pawtucket and the surrounding Blackstone Valley region of Rhode Island as well as portions of southeastern Massachusetts. The Hospital offers a comprehensive array of medical, surgical, pediatric, obstetric and ancillary services. In addition, the Hospital has developed specialized expertise in areas such as Oncology, Rehabilitative Medicine, Critical Care Medicine, Cardiology, Pulmonary Medicine, Endocrinology, Hematology, Geriatric Medicine, Infectious Disease and Primary Care. Altogether, there are 34 medical and surgical specialties represented by the physicians on the Active Staff of the Hospital. The mission of Memorial Hospital of Rhode Island is primary care and preventative medicine, providing advanced diagnosis and treatment with a focus on teaching and research. An essential resource in achieving this mission is the medical expertise provided by the Hospital's competent and caring professional staff. The Hospital strives to achieve the timely and efficient delivery of care in a compassionate atmosphere. The vision of the Hospital is to excel as a primary health care network and community teaching hospital requiring it to: * Continuously improve the quality, maximize the value, and expand access to patient services; * Build a learning organization by creating an environment and structure that fosters role development; * Support research efforts and translate research findings into standards that measure and improve patient care for high volume and/or underserved vulnerable populations within its community. Inpatient services are provided in 227 medical/surgical beds, an 18-bed intensive/coronary care unit, a 17-bed rehabilitative medicine unit, a 22-bed pediatric unit and a 13-bed obstetrics/gynecology unit. Comprehensive outpatient services are provided at the Pawtucket campus by the Center for Primary Care and Prevention, the Ambulatory Care Center ( outpatient specialty care and numerous clinics ), a 24-hour Emergency Department, a Hospital-based ambulatory surgery center, an endoscopy department, rehabilitation services, a cardiac catheterization and testing lab, radiology and phlebotomy services and a multitude of physician offices/clinics providing specialty care. Primary care, urgent care, ambulatory surgery, pain management, physical and occupational therapy, and occupational health services are also provided at the Notre Dame Ambulatory Center in Central Falls, Rhode Island. This center is located on the campus of the former Notre Dame Hospital. This facility became part of the Hospital in October 1989 and was converted to a comprehensive ambulatory care center. Memorial Hospital serves as the second largest teaching hospital in the state of Rhode Island. The Hospital is formally affiliated with Brown University School of Medicine. Through this affiliation which commenced in 1969, the Hospital has been able to strengthen its commitment to provide education and research programs within the community health institution milieu. The Hospital is one of eight charter hospitals included in the Brown University program. A top priority of the Hospital has always been the integration of medical students and medical residents into the health care delivery system. The interaction with medical students and residents helps keep all members of the Hospital's community abreast of the latest developments in medicine. The Hospital sponsors medical residency programs in the following areas: Family Medicine ( 39 residents ), Internal Medicine ( 30 residents ), Pathology ( 1 resident ) and Podiatry ( 2 residents ). Additionally, fellowships in Hematology ( 1 fellow ), Infectious Diseases ( 1 fellow ), Pulmonary Medicine ( 2 fellows ), Maternal and Child Health ( 2 fellows ) and Pediatric Neuropsychiatry ( 1 fellow ) are sponsored by the Hospital. Training programs in Nursing, Lab Technology, Nurse Anesthesiology, Physician Assistants, Pharmacy and Physical Therapy are also based at the Hospital. The Brown Medical School Residency in Family Medicine at the Hospital is considered to be one of the top programs in the country in this primary care discipline. The preventative medicine focus of the department is evidenced by various on-going research projects. Preventative medicine serves an integral role in the discipline of Family Medicine and, accordingly, it remains a key component of the Hospital's Family Medicine residency program. Memorial Hospital is also home to the Brown Medical School Primary Care Internal Medicine Residency Program. As a result of the partnership agreement between the Hospital and the Brown University School of Medicine, the Hospital is designated as the University's Center for Primary Care and Prevention. This center serves as the focal point for university-wide collaboration efforts in primary care, research, education and practice. The Hospital's Department of Medicine has many faculty who hold appointments at the Brown University School of Medicine and work on a full-time basis to educate medical students and house staff physicians. The Hospital's active medical staff also includes a large group of clinicians in private practice who volunteer their services to medical education. Together, these faculty create a complementary staff of expert physicians and scientists. Research Research is also a core value of Memorial Hospital. The research interests of the staff at the Hospital cover a wide area of medical disciplines. There is, however, one major thrust at the Hospital which is common to all of the research programs operating at the Hospital. This common thrust is to make the Hospital a leader in primary care and preventative medicine. There are over one hundred and thirty ( 130 ) active research studies at the hospital funded by nearly $6.5 million in annualized grant revenue. These studies are funded through a variety of federal, state and private grants X X X X 0 0 0 0 0 0 0 0 0 Francis R Dietz 647544 0 0 0 0 0 2644520 0 13602 0 3305666 0 732843 0 Michael J Ryan 192001 0 0 0 0 0 0 0 33558 0 225559 0 216755 0 Elizabeth Girard 179001 0 0 0 0 0 0 0 20552 0 199553 0 204069 0 Michelle MacDonald Gallagher 265000 0 0 0 0 0 0 0 35210 0 300210 0 291165 0 Martin Tursky 367790 0 0 0 0 0 0 0 34994 0 402784 0 0 0 Jeffrey Borkan MD 277684 0 0 0 0 0 0 0 18967 0 296651 0 289542 0 Andrew Artenstein MD 272500 0 0 0 0 0 0 0 18904 0 291404 0 283795 0 Vera A Depalo MD 290194 0 0 0 0 0 0 0 10488 0 300682 0 282227 0 Brian Wiley MD 297375 0 0 0 0 0 0 0 10575 0 307950 0 298545 0 Noubar Kessimian MD 264654 0 0 0 0 0 0 0 18809 0 283463 0 0 0 Rhode Island Health and Educational Building Corp 521300173 762243EY5 2003-12-24 25358159 Capital Renovations and Equipment Purchases 0 0 26560716 0 0 0 331810 26560716 2004 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 Once the independent audit is complete, the Controller of the organization gathers all the necessary information from various employees, departments and governing members. Several schedules are prepared to tie out different line items of the 990. The Controller then utilizes an on-line software to complete the 990. The software used ensures that all required fields are complete and all related schedules are attached. The software verifies when the Form is complete and there are no errors. The draft 990 is then printed and submitted to the President for review. Copies are made and presented to each of the board members for their review. All discussion of the 990 is documented in the minutes. The President informs the Controller of any changes or additions to the Form that result from the Board review. The Controller makes all necessary changes and resubmits to the President for signature. Once signed, the 990 is electronically submitted to the IRS. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Every board memeber, volunteer and employee is required to complete a Conflict of Interest Form on an annual basis. Any conflicts of interest must be disclosed. Signatures are required on all forms. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The organization has an Executive Committee which also acts as a Compensation Committee for the compensation of the CEO. In order to determine compensation, surveys are conducted for area CEOs. THe committee also utilizes 990s from other hospitals in the state of RI. The compensation is approved by the Board of Directors, and a written employment contract is signed. The CEOs salary is reviewed each year, and is usually increased by a percentage no higher than the employees of the hospital. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The Annual Reports for the hospital are posted on the organization's website. It is also noted on the website that the hospital has a Conflict of Interest Policy and that copies are available upon request. The phone numbers of the Public Relations Department are posted on the website as well. The PR Department has been instructed to direct any requests for Audited Financial Statements and or 990s to the Controller's office. RS Realty Company 111 Brewster Street Pawtucket RI 02860 050343043 Provide rental property for affiliated subsidiarys and employees RI 501(c)2 N/A Southeastern Healthcare System Inc 111 Brewster Street Pawtucket RI 02860 061476858 Develop and maintain an integrated healthcare system RI 501(c)3 11 Type II N/A SHS Ventures Inc 111 Brewster Street Pawtucket RI 02860 050510341 Provide Primary Healthcare Services RI 501(c)3 9 N/A Blackstone Health Inc 111 Brewster Street Pawtucket RI 02860 050427007 Provide a continuum of care RI 501(c)3 9 N/A Primary Care Centers of New England Inc 111 Brewster Street Pawtucket RI 02860 050423957 Provide Support Staff to affiliates RI N/A C -767 553176 1 Memorial Physician Hospital Organization Inc 111 Brewster Street Pawtucket RI 02860 050462438 Health Service Contracting RI N/A C 14919 253565 0.5 0 1 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 RS Realty Company j 57600 RS Realty Company i 37500 SHS Ventures Inc b 360000 SHS Ventures Inc k 43654 SHS Ventures Inc j 159840 Southeastern Healthcare System Inc k 60000 Blackstone Health Inc k 36000 RS Realty Company c 150000 Schedule H is still in process of being prepared. An additional extension to August 15th has beed filed and is pending approval.