ST JOSEPH HEALTH SERVICES OF RI: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HEALTH SERVICES OF RI (EIN 05-0259026)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201102239349300005
Schema version
2009v1.7
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)
Timestamp2011-08-11T07:09:25-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050259026EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL CONKLIN JRName
TitleCFOTitle
Phone4014563322Phone
Date Signed2011-08-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6179881000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1OUR LADY OF FATIMA HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN FOGARTYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 HIGH SERVICE AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Gross Receipts154812848GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.SAINTJOSEPHRI.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1946YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF ST. JOSEPH HEALTH SERVICES OF RI IS TO PRESERVE, RESTORE AND ENHANCE THE HEALTH OF INDIVIDUALS AND FAMILIES WE SERVE WITHIN OUR COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2011TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year431267ContributionsGrantsPriorYear
Contributions Grants Current Year227797ContributionsGrantsCurrentYear
Program Service Revenue Prior Year174072998ProgramServiceRevenuePriorYear
Program Service Revenue CY153493564ProgramServiceRevenueCY
Investment Income Prior Year249034InvestmentIncomePriorYear
Investment Income Current Year731375InvestmentIncomeCurrentYear
Other Revenue Prior Year985462OtherRevenuePriorYear
Other Revenue Current Year360112OtherRevenueCurrentYear
Total Revenue Prior Year175738761TotalRevenuePriorYear
Total Revenue Current Year154812848TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year94901055SalariesEtcPriorYear
Salaries Etc Current Year100945939SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year83708816OtherExpensePriorYear
Other Expenses Current Year74556973OtherExpensesCurrentYear
Total Expenses Prior Year178609871TotalExpensesPriorYear
Total Expenses Current Year175502912TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2871110RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-20690064RevenuesLessExpensesCY
Total Assets BOY97251509TotalAssetsBOY
Total Assets EOY82659255TotalAssetsEOY
Total Liabilities BOY105227107TotalLiabilitiesBOY
Total Liabilities EOY106343523TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7975598NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-23684268NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF ST. JOSEPH HEALTH SERVICES OF RI IS TO PRESERVE, RESTORE AND ENHANCE THE HEALTH OF INDIVIDUALS AND FAMILIES WE SERVE WITHIN OUR COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense138253137Expense
Revenue153035518Revenue
DescriptionST. JOSEPH HEALTH SERVICES OF RI IS DEDICATED TO PROVIDE PATIENT CARE SERVICES, LABORATORY AND TEACHING SERVICES WITHIN THE COMMUNITY. *SEE SCHEDULE O*Description
Total Program Service Expense138253137TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096681NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2011NumberOfEmployees
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
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKATHLEEN MOORENamePerson
Telephone Number4014563322TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
REVEREND MONSIGNOR PAUL D THEROUX
CHAIRMAN1.0XX000
REV MONSIGNOR WILLIAM I VARSANYI
SECRETARY1.0XX000
KAREN DELPONTE ESQ
TRUSTEE1.0X000
STEVEN COLAGIOVANNI MD
TRUSTEE1.0X000
PETER DEBLASIO JR MD
TRUSTEE1.0X000
REVEREND ROBERT FORCIER
TRUSTEE1.0X000
JOSEPH P MAZZA MD
TRUSTEE1.0X000
ELLEN MCCARTY
TRUSTEE1.0X000
NANCY E ROGERS
TRUSTEE1.0X000
JOSEPH SAMARTANO JR DDS
TRUSTEE1.0X000
MATTHEW J SMITH
TRUSTEE1.0X000
KENNETH BELCHER
CEO OF CHARTERCARE1.0XX046326794887
MOST REVEREND THOMAS J TOBIN
CHAIRMAN AND TREASURER1.0XX000
MARY L BURKE
TRUSTEE1.0X000
FREDERICK K BUTLER
TRUSTEE1.0X000
JOSEPH DISTEFANO
TRUSTEE1.0X000
MARSHALL RAUCCI JR
TRUSTEE1.0X000
DANIEL J RYAN
TRUSTEE1.0X000
D FAYE SANDERS
TRUSTEE1.0X000
KEVIN P STILES
TRUSTEE1.0X000
HONORABLE JOSEPH R WEISBERGER
TRUSTEE1.0X000
JOHN FOGARTY
PRESIDENT AND CEO40.0X326658016730
MICHAEL CONKLIN JR
CFO/TREASURER SEP 201040.0X000
KATHLEEN KENNY
CFO/VP OF FINANCE OCT-JAN 201040.029453507949X
CHRISTOPHER FERRARO
CFO/TREASURER FEB-AUG 201040.0162009016604X
DARLENE SOUZA
VP OF HUMAN RESOURCES40.0156141017396X
DEBORAH DOUGLAS
CNO40.0164214017422X
CRYSTAL PILON
CIO40.0174700016730X
EDWARD SCHOTTLAND
COO40.0290765017840X
MAGDI SALMON
HOUSE MEDICAL OFFICER40.031942607457X
CECILIA GMUER
PATHOLOGIST40.031854707949X
DANIEL KANE
DENTIST40.027006907949X
WJAHAT FAHEEM
PHYSICIAN40.0253036017540X
RONALD GOBEIL
PHYSICIAN40.024502907949X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2975129TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs463267TotalReportableCompFrmRltdOrgs
Total Other Compensation254402TotalOtherCompensation
Number Individuals GT100 K92NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
RI BLOOD
PO BOX 9399PROVIDENCERI02940LABORATORY SERVICES965615
ASSOCIATES IN ANESTHESIA
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02908ANESTHESIA SERVICES713404
MAYO CLINIC
PO BOX 9146MINNEAPOLISMN554809146LABORATORY SERVICES621665
RICOH
2300 PARKLANE DRIVE NEATLANTAGA30345COPIER RENTAL388225
APPLIED MANAGEMENT GROUP
3 NEW ENGLAND EXECUTIVE PARKBURLINGTONMA01803378681
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
All Other Contributions227797AllOtherContributions
Total Contributions227797TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT REVENUE6214008802310088023100
OTHER PROGRAM SERVICE REVENUE54190055514385551438
MEDICARE AND MEDICAID6241005946098059460980
CAFETERIA722320458046$458,046
FieldValueIRS element (for citing)
Total Program Service Revenue153493564TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column619746TotalRevenueColumn
Exclusion$619,746ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real360112Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real360112Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column360112TotalRevenueColumn
Exclusion$360,112ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column29736TotalRevenueColumn
Exclusion$29,736ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column154812848TotalRevenueColumn
Related Or Exempt Function Income153035518RelatedOrExemptFunctionIncome
Exclusion$1,549,533ExclusionAmount

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)
Total1005431Total
Program Services0ProgramServices
Management And General1005431ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total76029271Total
Program Services59789294ProgramServices
Management And General16239977ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1009420Total
Program Services758288ProgramServices
Management And General251132ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16889956Total
Program Services12698727ProgramServices
Management And General4191229ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6011861Total
Program Services4516181ProgramServices
Management And General1495680ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1437608Total
Management And General1437608ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1824355Total
Management And General1824355ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total174385Total
Management And General174385ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total16976Total
Program Services16976ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7584732Total
Program Services5779232ProgramServices
Management And General1805500ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total89617Total
Management And General89617ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total953689Total
Program Services273531ProgramServices
Management And General680158ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1244524Total
Program Services871167ProgramServices
Management And General373357ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3027751Total
Program Services201989ProgramServices
Management And General2825762ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total17833Total
Program Services4323ProgramServices
Management And General13510ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14214Total
Program Services10986ProgramServices
Management And General3228ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1215287Total
Management And General1215287ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6000812Total
Program Services4800649ProgramServices
Management And General1200163ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7983733Total
Program Services7913618ProgramServices
Management And General70115ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1867774818499469178279
BAD DEBT1075317010753170
HOSPITAL LICENSING FEE79056787905678
FOOD10205211020521
ALL OTHER EXPENSES461434024393382175002

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total175502912Total
Program Services138253137ProgramServices
Management And General37249775ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5482BOY
EOY3816EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12005229BOY
EOY7327293EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY24460563BOY
EOY15620800EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY41147BOY
EOY3702EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1940883BOY
EOY1911052EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis137485246LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec94493227LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY46118170BOY
EOY42992019EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1077343BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11602692BOY
EOY14800573EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY97251509BOY
EOY82659255EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18116392BOY
EOY20069180EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4848097BOY
EOY997046EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18654957BOY
EOY18164855EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4741859BOY
EOY3136546EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY58865802BOY
EOY63975896EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY105227107BOY
EOY106343523EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-17189019BOY
EOY-31263107EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2707446BOY
EOY730284EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6505975BOY
EOY6848555EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7975598BOY
EOY-23684268EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY97251509BOY
EOY82659255EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

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

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING EXPENSEIdentifier
Return ReferencePART II-B LINE 1ReturnReference
ExplanationST. JOSEPH HEALTH SERVICES OF RI PAYS DUES TO THE HOSPITAL ASSOCIATION OF RHODE ISLAND AND CONSULTING SERVICES. THE PORTION OF DUES ALLOCATED TO LOBBYING EFFORTS FOR THE YEAR ENDED 9/30/2010 WAS $16,976.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1195341BeginningOfYearBalance
Contributions194756Contributions
Investment Earnings Or Losses219InvestmentEarningsOrLosses
Administrative Expenses8594AdministrativeExpenses
End Of Year Balance1381722EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1169956BeginningOfYearBalance
Contributions27015Contributions
Investment Earnings Or Losses-1630InvestmentEarningsOrLosses
End Of Year Balance1195341EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1685039OtherCostOrOtherBasis
Book Value1685039BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis70788619OtherCostOrOtherBasis
Depreciation43614212Depreciation
Book Value27174407BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64439650OtherCostOrOtherBasis
Depreciation50879015Depreciation
Book Value13560635BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis571938OtherCostOrOtherBasis
Book Value571938BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings42992019TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
TRUSTEE UNDER LOAN INDENTURE1625446
BENEFICIAL INTEREST PERP TRUST5662526
TRUSTEE FOR WORKERS COMP/PROF361563
ENDOWMENT FUNDS1234048
PREPAID EXPENSES1911974
THIRD PARTY RECEIVABLE2258274
OTHER ASSETS1746742
FieldValueIRS element (for citing)
Total Book Value Other Assets14800573TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ESTIMATED SETTLEMENTS TO 3RD PARTY$1,426,130
INSURANCE RESERVES$8,515,816
PENSION LIABILITY$51,004,155
ASSET RETIREMENT OBLIGATION$3,029,795
FieldValueIRS element (for citing)
Total Of Amounts63975896TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierENDOWMENT FUNDSIdentifier
Return ReferencePART V, LINE 4ReturnReference
ExplanationTHE ORGANIZATION'S ENDOWMENT CONSISTS OF SEVERAL INDIVIDUAL FUNDS ESTABLISHED BY DONORS FOR A VARIETY OF PURPOSES INCLUDING BUT NOT LIMITED TO SCHOLARSHIPS. DISTRIBUTIONS ARE MADE IN ACCORDANCE WITH SPECIFIC DONOR RESTRICTED GUIDELINES.Explanation

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 Expense6142030TotalCommunityBenefitExpense
Direct Offsetting Revenue2891374DirectOffsettingRevenue
Net Community Benefit Expense3250656NetCommunityBenefitExpense
Percent Of Total Expense0.01970PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense25803329TotalCommunityBenefitExpense
Direct Offsetting Revenue24415422DirectOffsettingRevenue
Net Community Benefit Expense1387907NetCommunityBenefitExpense
Percent Of Total Expense0.00840PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense31945359TotalCommunityBenefitExpense
Direct Offsetting Revenue27306796DirectOffsettingRevenue
Net Community Benefit Expense4638563NetCommunityBenefitExpense
Percent Of Total Expense0.02810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense36743TotalCommunityBenefitExpense
Net Community Benefit Expense36743NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3217549TotalCommunityBenefitExpense
Direct Offsetting Revenue1138317DirectOffsettingRevenue
Net Community Benefit Expense2079232NetCommunityBenefitExpense
Percent Of Total Expense0.01180PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3254292TotalCommunityBenefitExpense
Direct Offsetting Revenue1138317DirectOffsettingRevenue
Net Community Benefit Expense2115975NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense35199651TotalCommunityBenefitExpense
Direct Offsetting Revenue28445113DirectOffsettingRevenue
Net Community Benefit Expense6754538NetCommunityBenefitExpense
Percent Of Total Expense0.04010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,748,026BadDebtExpenseAmount
Amount Reimbursed By Medicare38742080AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare50381871CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11639791MedicareSurplusOrShortfall
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (6 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
ST JOSEPH HEALTH SERVICES OF RI
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904XXX
ST JOSEPH OUTPATIENT REHABILITATION
1637 MINERAL SPRING AVENUENORTH PROVIDENCERI02904X
ST JOSEPH HOSPITAL FOR SPECIALTY CARE
21 PEACE STREETPROVIDENCERI02907X
FATIMA HEALTH CENTER
40 BROAD STREETPAWTUCKETRI02860X
GREENVALE REHABST JOSEPH LAB&RADIOLOGY
466 PUTNAM PIKEGREENVILLERI02828X
PEDIATRIC DENTAL ASSOCIATION
1524 ATWOOD AVE SUITE 125JOHNSTONRI02929X

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaN/AIncomeBasedCriteria
Annual Community Benefit ExplnN/AAnnualCommunityBenefitExpln
Costing Method UsedTHE COSTING METHODOLOGY USED TO DERIVE THE AMOUNTS ARE FROM WORKSHEET 2 AND IS BASED ON PATIENT CARE COST TO CHARGES.CostingMethodUsed
Subsidized Health Services ExplnN/ASubsidizedHealthServicesExpln
Percent Of Total Expense ExplnBAD DEBT EXPENSES IN THE AMOUNT OF $10,810,416 ARE INCLUDED IN PART IX, LINE 25, COLUMN (A) BUT IS REMOVED IN CALCULATING THE PERCENTAGE FOR COLUMN F.PercentOfTotalExpenseExpln
Bad Debt FootnoteTHE AMOUNT REPORTED ON PART III LINE 4 IS 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 3 BILLING STATEMENTS. IF NO PAYMENT IS RECEIVED, THE PATIENT ACCOUNT IS PLACED WITH A COLLECTOR 120 DAYS AFTER THE INITIAL STATEMENT IS MAILED.BadDebtFootnote
Shortfall As Community BenefitTHE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS IS BASED UPON THE MEDICARE COST REPORT USING RCC (RATIO OF COST CHARGE) METHODOLOGY.ShortfallAsCommunityBenefit
Debt Collection PolicyST. JOSEPH HEALTH SERVICES OF RHODE ISLAND PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY ALL OR A PORTION OF THE INCURRED CHARGES. CHARITY CARE IS BASED ON THE ESTABLISHED POLICY OF THE HOSPITAL AND FOLLOWS STATE REQUIREMENTS THAT UTILIZE POVERTY INCOME LEVELS.DebtCollectionPolicy
Needs AssessmentST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI), AS AN AFFILIATE OF CHARTERCARE HEALTH PARTNERS (CCHP), HAS BEEN AN ACTIVE MEMBER OF THE HOSPITAL ASSOCIATION OF RHODE ISLAND AND AN ACTIVE PARTICIPANT IN A VARIETY OF COMMITTEES ASSOCIATED WITH THE PROVISION OF HEALTH CARE SERVICES LEAD BY THE RHODE ISLAND DEPARTMENT OF HEALTH. TOGETHER WITH ITS COMMUNITY PARTNERS IN THE PREVIOUSLY MENTIONED FORUMS, SJHSRI IS HIGHLY ACTIVE IN IDENTIFYING THE CURRENT AND FUTURE NEEDS OF THE POPULATIONS ITS SERVES THROUGH DEMOGRAPHIC TRENDING AND ACTUAL UTILIZATION OF HEALTHCARE SERVICES. SJHSRI, AS PART OF CCHP, HAS COMMISSIONED A COMMUNITY ADVISORY COMMITTEE TO ASSIST IN THE IDENTIFICATION OF COMMUNITY NEEDS AND HOW THE ORGANIZATION CAN BEST SERVE THOSE NEEDS. THE COMMITTEE IS COMPOSED OF BUSINESS LEADERS, LOCAL STAKEHOLDERS AND COMMUNITY REPRESENTATIVES WHO WISH TO SEE THE ORGANIZATION CONTINUE TO PROVIDE THE HIGHEST QUALITY SERVICES TO ITS COMMUNITIES. SJHSRI, AS PART OF CCHP, HAS ALSO BEEN GATHERING INFORMATION FROM LOCAL PROVIDERS AS HOW TO BEST COMPLIMENT THERE SERVICES TO THE LOCAL CONSTITUENTS. TOGETHER WITH THE LOCAL PROVIDERS INCLUDING MEDICAL STAFF, NURSING HOMES, COMPLIMENTARY SERVICE PROVIDERS AND PATIENTS, WE ARE 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.NeedsAssessment
Patient Education AssistanceINFORMATION ON THE ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND FINANCIAL ASSISTANCE PROGRAM IS COMMUNICATED TO THE PATIENT AT THE POINT OF REGISTRATION THROUGH SIGNAGE WITHIN THE HOSPITAL AND ON THE HOSPITAL'S WEBSITE HTTP://WWW.FATIMAHOSPITAL.ORG. FURTHERMORE, THE HOSPITAL HAS PATIENT FINANCIAL COUNSELORS' ONSITE TO EDUCATE PATIENTS ON THE FINANCIAL PROGRAMS THAT ARE AVAILABLE.PatientEducationAssistance
Community InformationST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. CCHP WAS FORMED IN JANUARY OF 2010 BY THE AFFILIATION OF SJHSRI AND ROGER WILLIAMS MEDICAL CENTER (RWMC). THE INDIVIDUAL HOSPITALS OF CCHP ARE DEEPLY ROOTED IN THEIR COMMUNITIES, EACH WITH A LONG TRADITION OF PROVIDING HIGH QUALITY CARE AND SERVICES. SERVING THE GREATER PART OF NORTHERN RHODE ISLAND, CCHP CARES FOR 297,068 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, DIAGNOSTICS AND SPECIALTY SERVICES FOR ADULTS AND SELECT PEDIATRICS SERVICES, 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) HAVE 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 (MUA) AS SPECIFIED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE UNEMPLOYMENT RATE IN RHODE ISLAND FLUCTUATES AROUND 11.5% AND THE PERCENTAGE OF UNINSURED IS ROUGHLY 14%. IN 2010, CCHP ACCUMULATED $10.8M IN BAD DEBT AND ACCOUNTED FOR $7.4M IN WRITE- OFFS. THE EFFECTIVE MARKET AREA COVERED BY CCHP IS ALSO SERVED BY LANDMARK MEDICAL CENTER IN WOONSOCKET (214 LICENSED BEDS), MEMORIAL HOSPITAL IN PAWTUCKET (294 LICENSED BEDS), RHODE ISLAND HOSPITAL IN PROVIDENCE (OVER 600 LICENSED BEDS), AND THE MIRIAM HOSPITAL IN EAST PROVIDENCE (247 LICENSED BEDS). SJHSRI ALSO MAINTAINS A CENTER OF HEALTH AND HUMANS SERVICES IN SOUTH PROVIDENCE, WHICH FALLS IN THE HEART OF THE PROVIDENCE MUA. SINCE 1991, SJHSRI HAS PROVIDED A WEALTH OF PRIMARY CARE CLINICS AND PEDIATRIC DENTAL SERVICES AT THIS LOCATION WHICH ANNUALLY ACCOUNTS FOR MORE THAN 50,000 VISITS.CommunityInformation
Community Building ActivitiesIN ADDITION TO ITS ACTIVITIES IN DELIVERING HEALTH CARE SERVICES TO THE COMMUNITY AS DESCRIBED ELSEWHERE IN THIS FILING, ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) FURTHERS ITS EXEMPT PURPOSES THROUGH THE FOLLOWING MEANS: A) SJHSRI IS MANAGED BY A COMMUNITY BOARD OF TRUSTEES, ON WHICH A SUBSTANTIAL MAJORITY OF TRUSTEES ARE RESIDENTS OF THE HOSPITAL'S EFFECTIVE MARKET AREA AND WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. B) WITH THE EXCEPTION OF CERTAIN DEPARTMENTS WHICH, IN THE INTERESTS OF EFFICIENCY, QUALITY AND PROPER ADMINISTRATION, ARE TRADITIONALLY RESERVED TO A SINGLE PHYSICIAN GROUP HAVING AN EXCLUSIVE ARRANGEMENT WITH RESPECT TO THE DEPARTMENT (IE RADIOLOGY, ANESTHESIA, AND PATHOLOGY), SJHSRI MAINTAINS AN OPEN MEDICAL STAFF THAT EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIAN APPLICANTS WHO EXHIBIT THE PROPER TRAINING AND EXPERTISE TO SERVE THE HOSPITAL'S PATIENTS. C) THE ORGANIZATION TRADITIONALLY APPLIES ALL SURPLUS FUNDS TO ENSURING FINANCIALLY PRUDENT AVAILABLE FUNDS, CAPITAL MAINTENANCE AND IMPROVEMENTS, AND THE ADDITION OF SERVICES THAT BENEFIT THE COMMUNITY. IN ADDITION TO THE ITEMS MENTIONED ABOVE, SJHSRI ENTERED INTO A MEMO OF UNDERSTANDING (MOU) WITH ROGER WILLIAMS MEDICAL CENTER IN FEBRUARY OF 2008 TO AFFILIATE THE TWO INSTITUTIONS. AFTER CAREFUL APPROVAL BY THE RHODE ISLAND DEPARTMENT OF HEALTH AND THE RHODE ISLAND ATTORNEY GENERAL, THE TWO ORGANIZATIONS 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, IMPROVE 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.CommunityBuildingActivities
Affiliated Health Care SystemST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. THE AFFILIATION OF SJHSRI AND ROGER WILLIAMS MEDICAL CENTER (RWMC) 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, IMPROVE EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. SJHSRI'S AFFILIATION ALSO ALLOWS THEM TO WORK CLOSELY WITH RWMC IN THE CREATION OF DEFINED STATE RECOGNIZED CENTERS OF EXCELLENCE IN GERIATRICS, CANCER CARE, GASTROENTEROLOGY AND BEHAVIORAL MEDICINE. THE AFFILIATION OF THE TWO HERITAGE HOSPITALS HAS ALLOWED THEM TO INTEGRATE THE MENTIONED EXISTING SERVICES BETWEEN THE TWO HOSPITALS IN A MANNER THAT BEST SERVES THE EVER EVOLVING COMMUNITIES NEEDS AND IN A MORE INTEGRATED AND MORE EFFICIENT MANNER. IN ADDITION TO SHARING POLICIES AND PROCEDURES FOR BEST OPERATIONAL AND MANAGEMENT PRACTICES, SYSTEM HOSPITALS PARTICIPATE IN A CHARTERCARE QUALITY COMMITTEE. THE CHARTERCARE QUALITY COMMITTEE OVERSEES WORK DONE BY THE HOSPITAL QUALITY COMMITTEES AND HELPS PROMOTE THE WEALTH OF PERFORMANCE IMPROVEMENT AND QUALITY INITIATIVES IN EACH OF THE TWO HOSPITALS (OUR LADY OF FATIMA HOSPITAL AND ROGER WILLIAMS MEDICAL CENTER), ELMHURST EXTENDED CARE (AN EDEN ALTERNATIVE NURSING HOME), ROGER WILLIAMS HOME CARE AND THE SJHSRI CENTER OF HEALTH AND HUMAN SERVICES. THE QUALITIES COMMITTEES THAT OVERSEE CLINICAL PRACTICES WITHIN THE SYSTEM HAVE COMMUNITY REPRESENTATIVES OF THE BOARD OF TRUSTEE AS WELL AS REPRESENTATIVES FROM THE MEDICAL STAFF, NURSING, ADMINISTRATION AND THE QUALITY DEPARTMENTS.AffiliatedHealthCareSystem

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
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 (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KENNETH BELCHER
0349591010567208004024885070002055815400
JOHN FOGARTY
3266580000000167300343388000
KATHLEEN KENNY
294535000000079490302484000
MAGDI SALMON
319426000000074570326883000
CECILIA GMUER
318547000000079490326496000
DANIEL KANE
270069000000079490278018000
CHRISTOPHER FERRARO
1620090000000166040178613000
DARLENE SOUZA
1561410000000173960173537000
DEBORAH DOUGLAS
1642140000000174220181636000
CRYSTAL PILON
1747000000000167300191430000
EDWARD SCHOTTLAND
2907650000000178400308605000
WJAHAT FAHEEM
2530360000000175400270576000
RONALD GOBEIL
245029000000079490252978000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNONQUALIFIED SUPPLEMENTAL RETIREMENT 457(F) PLANIdentifier
Return ReferencePART I LINE 4BReturnReference
ExplanationKENNETH BELCHER RECEIVES COMPENSATION FROM ROGER WILLIAMS MEDICAL CENTER, A RELATED ORGANIZATION, AND PARTICIPATED IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN UNDER SECTION 457(F). HE RECEIVED $0 IN DISTRIBUTION FROM THE PLAN DURING THE CALENDAR YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSION AND PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART I LINE 1 AND PART III LINES 1 AND 4ST. JOSEPH HOSPITAL WAS ESTABLISHED IN 1892 AS A 175-BED GENERAL HOSPITAL. IT OPERATED AS AN ACUTE CARE HOSPITAL UNTIL 1990, WHEN IT WAS CONVERTED TO A SPECIALTY HOSPITAL THAT HOSTS COMPREHENSIVE PSYCHIATRIC CARE, THE SOUTHERN NEW ENGLAND REHABILITATION CENTER AND THE CENTER FOR HEALTH AND HUMAN SERVICES, AN AWARD WINNING CLINIC PROVIDING PRIMARY CARE TO THE POOR AND DISADVANTAGED OF SOUTH PROVIDENCE. OUR LADY OF FATIMA HOSPITAL (FATIMA) WAS OPENED IN 1954 AS A 175-BED ACUTE CARE HOSPITAL, AND ADDED AN ADDITIONAL 100 BEDS IN 1960. THE HOSPITAL TODAY IS A NON-PROFIT, GENERAL ACUTE CARE FACILITY OPERATING UNDER THE SPONSORSHIP OF THE DIOCESE OF PROVIDENCE. IT OFFERS TREATMENT IN 28 MEDICAL SURGICAL SPECIALTIES AND HAS A NATIONALLY RECOGNIZED AMBULATORY CARE CENTER AND ONE OF THE STATE'S BUSIEST SURGICAL PROGRAMS. THE HOSPITAL HAS ACKNOWLEDGED EXCELLENCE IN SEVERAL SURGICAL SUBSPECIALTIES INCLUDING NEUROSURGERY, ORTHOPEDICS AND UROLOGY. FATIMA ALSO OPERATES THE STATE'S ONLY HOSPITAL-BASED SCHOOL OF NURSING, AND ALSO RUNS SCHOOLS OF MEDICAL TECHNOLOGY, CYTO-TECHNOLOGY AND HISTO-TECHNOLOGY. TODAY ST JOSEPH HEALTH SERVICES OF RI (SJHSRI) IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVICES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. CCHP WAS FORMED IN JANUARY OF 2010 BY THE AFFILIATION OF TWO HOSPITALS SJHSRI AND ROGER WILLIAMS MEDICAL CENTER, AND ELMHURST EXTENDED CARE FACILITIES, INC (ELMHURST), A 192 BED NURSING HOME. THE FOLLOWING ARE SELECTED HIGHLIGHTS FROM SOME OF OUR PRIMARY SERVICE OFFERINGS: THE VASCULAR LABORATORY WAS GRANTED ACCREDITATION THROUGH SEPTEMBER 30, 2013 BY THE INTER-SOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES (ICAVL). THE LABORATORY WAS ACCREDITED IN THE FOLLOWING TESTING AREAS: EXTRA-CRANIAL CEREBROVASCULAR TESTING, PERIPHERAL VENOUS TESTING AND PERIPHERAL ARTERIAL TESTING. THE PURPOSE OF THE ICAVL IS TO ENSURE HIGH QUALITY PATIENT CARE AND TO PROMOTE HEALTH CARE BY PROVIDING A MECHANISM TO ENCOURAGE AND RECOGNIZE THE PROVISION OF QUALITY NONINVASIVE VASCULAR DIAGNOSTIC TESTING. SJHSRI IS NOW PARTICIPATING IN A STATEWIDE PATIENT SAFETY ORGANIZATION TO GIVE STAFF THE DATA AND TOOLS NECESSARY TO IMPROVE PATIENT SAFETY. THE GOAL IS TO ENHANCE THE REPORTING PROCESS, WHICH ALLOWS STAFF TO REPORT MEANINGFUL INFORMATION BACK TO USERS TO INCREASE AWARENESS OF PREVENTABLE MEDICAL ERRORS. AS PART OF THIS INITIATIVE, FATIMA IS UTILIZING THE GE MERS (MEDICAL EVENT REPORTING SYSTEM) SOFTWARE PRODUCT TO HELP WITH THE COLLECTION OF DATA. SJHSRI HAS STARTED ON THE JOURNEY FOR CERTIFICATION AS A NICHE PROGRAM, A NURSING-LED NATIONAL GERIATRIC PROGRAM IN MORE THAN 200 HOSPITALS IN 40 STATES. THE GOAL OF A NICHE NURSING UNIT IS TO EDUCATE THE STAFF SO THEY CAN BETTER PROVIDE PATIENT-CENTERED CARE FOR OLDER ADULTS. THE SOUTHERN NEW ENGLAND REHABILITATION CENTER (SNERC) MOVED FROM THE ST. JOSEPH CAMPUS TO FATIMA HOSPITAL. NOW, THE CARE THAT THE SNERC STAFF HAS BEEN PROVIDING SINCE 1995 IS AVAILABLE TO PATIENTS AT FATIMA. SJHSRI EMBARKED ON A QUALITY IMPROVEMENT JOURNEY FOR STROKE PATIENTS THROUGH SUCCESSFUL PARTICIPATION IN THE "GET WITH THE GUIDELINES" PROGRAM, WHICH ENSURES THAT HOSPITALS CONSISTENTLY CARE FOR CARDIAC AND STROKE PATIENTS FOLLOWING THE MOST UP-TO-DATE GUIDELINES AND RECOMMENDATIONS FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION. AN AORTIC STENT GRAFT, A MINIMALLY INVASIVE PROCEDURE FOR PATIENTS WITH AN AORTIC ANEURYSM, WAS PERFORMED FOR THE FIRST TIME EVER IN THE OPERATING ROOMS OF FATIMA HOSPITAL. FREE CARE: PER THE HOSPITAL'S PUBLIC NOTICE, SJHSRI IS PROUD OF ITS COMMITMENT TO PROVIDE QUALITY CARE TO ALL INDIVIDUALS WHO NEED IT. THE HOSPITAL PROVIDES FINANCIAL AID TO PATIENTS WITHOUT INSURANCE AND WHO MAY NOT BE ABLE TO PAY FOR THE CARE PROVIDED. ST. JOSEPH WILL PROVIDE FULL CHARITY CARE TO UNINSURED BASED ON INCOME LIMITS AND FAMILY SIZE. FURTHERMORE, THE HOSPITAL OFFERS PARTIAL CHARITY CARE BASED ON A SLIDING SCALE. FOR FY 2010, ST. JOSEPH HEALTH SERVICES RECORDED $7,438,000 IN CHARITY CARE CHARGES. THE DIRECT COSTS ASSOCIATED WITH PROVIDING THE CARE TO THE PATIENTS WAS $2,578,792. ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND: SERVICE TO THE COMMUNITY SJHSRI 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 2010. COMMUNITY OUTREACH PROGRAMS AND PARTNERSHIPS: COMMUNITY EDUCATION: OVER 100 HEALTH CARE PROFESSIONALS ATTENDED THE 17TH ANNUAL SOUTHERN NEW ENGLAND REHABILITATION CENTER CONFERENCE, "BRAIN TUMOR REHABILITATION: CHANGING OUTCOMES, CHANGING LIVES," AT THE CROWNE PLAZA HOTEL. MORE THAN 160 PEOPLE ATTENDED THE 2ND ANNUAL DIABETES HEALTH FAIR AT FATIMA HOSPITAL ON NOVEMBER 15. THE DAY INCLUDED LECTURES, FREE SCREENINGS, AND HOST OF INFORMATIONAL TABLES. IN 2010, FATIMA HOSPITAL HOSTED ITS FIRST-EVER FOUR WEEK MINI MEDICAL SCHOOL, FOCUSING ON THE TOPIC OF "JOINT PAIN." IT WAS ATTENDED BY MORE THAN 40 PEOPLE PER SESSION. THE FATIMA HOSPITAL EMERGENCY DEPARTMENT IS PILOTING A VOLUNTEER PARTNERSHIP PROGRAM WITH THE MET SCHOOL. STUDENTS FROM THE MET HAVE BEEN ORIENTED AND ARE NOW VOLUNTEERING IN THE ED ON TUESDAYS AND THURSDAYS. COMMUNITY SUPPORT: SJHSRI IS OFFERING SUPPORT GROUPS FOR INDIVIDUALS FACING A VARIETY OF MEDICAL CHALLENGES FROM STROKE TO DIABETES. FUNDRAISING: IN 2010, SJHSRU AND ITS STAFF HELPED RAISE FUNDS FOR A NUMBER OF CHARITABLE CAUSES INCLUDING: "LIGHT THE NIGHT WALK": THE WALK, CHAIRED BY PRESIDENT AND CEO KENNETH BELCHER FOR THE 2ND STRAIGHT YEAR, RAISED MORE THAN $100,000 FOR THE LOCAL CHAPTER OF THE LEUKEMIA AND LYMPHOMA SOCIETY. THIS YEAR, SJHSRI JOINED WITH RWMC AND ELMHURST IN ENTERING A COMBINED CHARTERCARE HEALTH PARTNERS TEAM. "DAFFODIL DAYS": RAISED MONEY FOR THE AMERICAN CANCER SOCIETY. VOLUNTEERISM: MARTIN LUTHER KING DAY (ML): EMPLOYEES VOLUNTEERED ON MARTIN LUTHER KING DAY FOR HABITAT FOR HUMANITY TO HELP BUILD HOUSES FOR LOW-INCOME FAMILIES IN PAWTUCKET AND PROVIDENCE. BLOOD DRIVES: EMPLOYEES DONATED BLOOD AT THE QUARTERLY BLOOD DRIVES IN 2010. IN-HOUSE VOLUNTEER PROGRAMS: SJHSRI VOLUNTEER OPPORTUNITIES FOR THOSE LOOKING TO LEARN NEW SKILLS, PROVIDE COMMUNITY SERVICE, OR STAY ACTIVE. SERVICE OFFERINGS PROFILE: MEDICAL/SURGICAL ROUTINE SERVICES: AS OF YEAR END, THE HOSPITAL HAD COMMITTED 201 BEDS TO ACUTE CARE SERVICES. CURRENT SERVICES INCLUDE VIRTUALLY ALL SPECIALTIES. AS SPACE BECOMES AVAILABLE THROUGH DECREASING LENGTHS OF STAY, NEW SERVICE AREAS HAVE BEEN ESTABLISHED SUCH AS GERIATRIC AND ADULT PSYCHIATRIC SERVICES. SURGICAL SERVICES: THE SHIFT FROM INPATIENT TO OUTPATIENT SURGICAL PROCEDURES HAS CONTINUED. TECHNOLOGICAL CHANGES IN OPERATIVE PROCEDURES HAVE REDUCED HOSPITAL STAYS AND COSTS. THE HOSPITAL OFFERS A FULL RANGE OF SURGICAL SERVICES, INCLUDING ENDOSCOPY. OVER THE PAST YEAR, THE MAIN OPERATING ROOM PERFORMED 3,409 PROCEDURES. THE AMBULATORY CARE CENTER PERFORMED 2,220 PROCEDURES. ENDOSCOPY PROCEDURES WERE 6,095. LABORATORY SERVICES: SJHSRI PROVIDES A FULL RANGE OF TESTING WITH EXTENSIVE LABORATORY SERVICES WITH ONLY VERY LIMITED TYPES OF TESTING DONE OFFSITE. SATELLITES HAVE BEEN ESTABLISHED IN VARIOUS COMMUNITIES THAT HAVE DEMONSTRATED NEED AND FOR THE CONVENIENCE OF THE PATIENTS. PYSCHIATRIC SERVICES: THE SCOPE OF SERVICES INCLUDES MENTAL HEALTH, ADULT AND GERIATRIC. THESE SERVICES WERE EXPANDED DUE TO THE TREMENDOUS DEMAND. PATIENT MIX INCLUDES A HIGH PERCENTAGE OF LOW INCOME AND ELDERLY PATIENTS. ALTHOUGH SERVICE VOLUME WAS DOWN 9% FROM THE PREVIOUS YEAR THE UNIT REMAINS COMMITTED TO PROVIDING QUALITY SERVICE TO OUR PATIENT POPULATION. REHABILITATIVE SERVICES: IN 2010, THE SOUTHERN NEW ENGLAND REHABILITATION CENTER MOVED TO THE FATIMA HOSPITAL CAMPUS. SERVICES CONTINUE TO BE AVAILABLE TO OUTPATIENTS AT THE PEACE STREET CAMPUS. EMERGENCY ROOM SERVICES: CONSISTENT UTILIZATION CONTINUES TO JUSTIFY THE NEED AND IMPORTANCE OF THIS COMMUNITY-BASED SERVICE. IN 2010, 29,757 PATIENTS WERE TREATED IN THE EMERGENCY ROOM. AS PART OF A NETWORK AGREEMENT, AT PEAK TIMES DURING THE YEAR, THE FACILITY ACCEPTS THE OVERFLOW FROM OTHER EMERGENCY ROOMS WHOSE RESOURCES HAD BEEN EXCEEDED BY SUDDEN INFLUXES OF CASES. THE CENTER FOR HEALTH & HUMAN SERVICES: AS AN INNER CITY HOSPITAL, SJHSRI CONTINUES ITS LEADERSHIP ROLE IN THE PROVISION OF PRIMARY CARE. THE CENTER WAS CITED AS A "MODEL" FOR BIO-PSYCHOSOCIAL CARE BY THE CATHOLIC HOSPITAL ASSOCIATION. IN 1998, THE CENTER RECEIVED THE OUTSTANDING PHILANTHROPIC SERVICE ORGANIZATION AWARD FROM THE RI CHAPTER OF THE NATIONAL SOCIETY OF FUND RAISING EXECUTIVES. THE AWARD IS PRESENTED TO AN ORGANIZATION WHICH HAD DEMONSTRATED A SIGNIFICANT COMMITMENT TO THE COMMUNITY OVER AND ABOVE NORMAL COMMUNITY STANDARDS. VARIOUS SPECIALTY CLINICS HAVE BEEN ORGANIZED INTO A "HEALTH CENTER" WHICH PROVIDES A MENU OF SERVICES TO MEET PRIMARY HEALTHCARE NEEDS.
TOTAL HEALTH CENTER VISITS WERE 38,171 (PEDIATRIC DENTAL VISITS ARE NOTINCLUDED IN THIS NUMBER) IN 2010. THE CURRENT HEALTH CENTER OFFERS THEFOLLOWING SERVICES: PEDIATRIC DENTAL CENTER - THE CENTER OPERATES A HIGHLY SUCCESSFUL PEDIATRIC DENTAL CENTER SERVICING LOW INCOME AND IMMIGRANT CHILDREN IN PROVIDENCE. THE CENTER HAS EXPANDED BY OPERATING A SATELLITE CENTER IN PAWTUCKET. BOTH CENTERS OFFER A FULL RANGE OF PREVENTATIVE AND RESTORATIVE DENTAL SERVICES AND SCHOOL-BASED DENTAL PROGRAMS. THE CENTER HAS RECEIVED NATIONAL RECOGNITION & REGIONALLY ACCLAIMED FOR ITS SERVICES. IN 2010, VISITS TOTALED 34,673. DIABETES RESOURCE CENTER - PROVIDES DIABETES CASE MANAGEMENT, EDUCATION AND PRIMARY CARE REFERRALS FOR ADULTS WITH DIABETES WHO ARE UNINSURED, UNDERINSURED OR HOMELESS. OPERATES A SATELLITE CENTER IN PAWTUCKET. SOCIAL SERVICES - PROVIDES MENTAL HEALTH & PSYCHOSOCIAL ASSESSMENTS, INDIVIDUAL OR GROUP COUNSELING, CASE MANAGEMENT & ADVOCACY SERVICES, CRISIS INTERVENTION, PARENTING & HEALTH EDUCATION. WOMEN, INFANTS & CHILDREN - PROVIDES HEALTHY FOOD & NUTRITION ADVICE TO CHILDREN UP TO AGE 5, PREGNANT WOMEN AND NEW MOTHERS INCLUDING BREASTFEEDING ADVICE & SUPPORT AS WELL AS REFERRALS TO DOCTORS AND DENTISTS. PEDIATRIC CLINIC - PROVIDES PRIMARY CARE SERVICES FOR CHILDREN FROM BIRTH TO ADOLESCENCE, INCLUDING WELL/SICK VISITS, CHECK-UPS, IMMUNIZATIONS, VISION/HEARING SCREENINGS, HEALTH/NUTRITION EDUCATION AND CHRONIC ILLNESSES SUCH AS ASTHMA AND DIABETES. OPERATED A SATELLITE CENTER IN PAWTUCKET. WOMEN'S CANCER SCREENING PROGRAM - PROVIDES PELVIC AND BREAST EXAMS, MAMMOGRAMS AND PAP TESTS. PRENATAL/GYNECOLOGICAL CLINIC - PROVIDES PREGNANCY TESTS, PRENATAL CARE, NUTRITIONAL EDUCATION, BREAST FEEDING COUNSELING AND PARENTING EDUCATION. SATELLITE CENTER IN PAWTUCKET OFFERS PRENATAL AND OB/GYN SERVICES. LEAD & IMMUNIZATION CLINICS - PROVIDES LEAD TESTING AND TREATMENT FOR CHILDREN DIAGNOSED WITH LEAD POISONING AS WELL AS IMMUNIZATIONS TO ANY CHILD (UP TO AGE 19) LIVING IN RHODE ISLAND, REGARDLESS OF INSURANCE STATUS. ADULT PRIMARY CARE CLINIC - PROVIDES ANNUAL PHYSICALS, SICK VISITS, CARE FOR CHRONIC ILLNESSES, INCLUDING ASTHMA & DIABETES, IMMUNIZATIONS AND MEDICATION EDUCATION. WALK-IN CLINIC - PROVIDES TREATMENT FOR NON-EMERGENT CONDITIONS AND ILLNESSES SUCH AS COMMON COLD SYMPTOMS, INFECTIONS, EARACHES, FEVERS, SCHOOL & WORK PHYSICALS AND IMMUNIZATIONS. THIS CLINIC IS THE MOST HEAVILY UTILIZED AT THE HEALTH CENTER, WITH A 12% SHARE OF TOTAL VISITS. RADIOLOGICAL SERVICES: THE HOSPITAL OFFERS STATE OF THE ART, DIVERSE SERVICES IN RADIOLOGICAL SERVICES, INCLUDING RADIOLOGY TESTING (INCLUDES MRI, CT SCAN,DIAGNOSTIC ULTRASOUND, MAMMOGRAPHY & ANGIOGRAPHY). A TOTAL OF 48,004 PROCEDURES WERE PERFORMED IN 2010; WOUND CARE: THIS DEPARTMENT PERFORMED 6,469 PROCEDURES IN 2010. PHARMACY: SJHSRI STAFFS AND OPERATES A FULL SERVICE, 24 HOUR/DAY PHARMACY. IT ALSO PROVIDES CLASSROOM INSTRUCTION FOR THE HOSPITAL'S TECHNICAL SCHOOLS AND THE UNIVERSITY OF RI AT NO CHARGE. OUTPATIENT ONCOLOGY SERVICES: THIS PROGRAM CONTINUES TO DEMONSTRATE THE COMMUNITY NEED. PROCEDURES TOTALED 5,381. OTHER SERVICES INCLUDE: HYPERBARIC MEDICINE: 6,640 VISITS LABORATORY TESTS: 604,372 TESTS PHYSICAL/OCCUPATIONAL/SPEECH THERAPY: 35,673 VISITS OTHER ANCILLARY SERVICES - INCLUDED ARE: CARDIOLOGY TESTING, ECHOCARDIOLOGY TESTING, STRESS TESTING, NEUROPHYSIOLOGY, HYPERBARIC MEDICINE, RESPIRATORY THERAPY, PULMONARY FUNCTION, PHYSICAL MEDICINE, OCCUPATIONAL/VOCATIONAL THERAPY, SPEECH THERAPY, PERIPHERAL VASCULAR LAB, HEMODIALYSIS, NEURO-PSYCHIATRIC THERAPY, SLEEP DISORDER CLINIC, OUTPATIENT NUTRITIONAL COUNSELING TECHNICAL SCHOOLS: SJHSRI OPERATES SCHOOLS OF TECHNICAL TRAINING THAT ARE UTILIZED BY OTHER INSTITUTIONS AS WELL AS PROVIDING CLINICAL EXPERIENCE AND TRAINING. THIS IS DONE AT MINIMAL OR NO CHARGE TO THE INSTITUTIONS (I.E. RI COLLEGE, SALVE REGINA, ETC.). TUITIONS AT HOSPITAL SCHOOLS ARE INTENDED TO BE AFFORDABLE TO THE STUDENT AND TO COVER THE COSTS OF OPERATIONS. SJHSRI'S NURSING SCHOOL MAINTAINS A FINANCIAL AID SERVICE TO HELP NEEDY STUDENTS OBTAIN FINANCIAL AID. THE SCHOOLS ARE AN IMPORTANT PART OF PROVIDING QUALIFIED TECHNICAL PROFESSIONALS. THE FOLLOWING SCHOOLS ARE OFFERED BY SJHSRI: SCHOOL OF NURSING - WITH OVER 100 STUDENTS IN THE PROGRAM, ST. JOSEPH IS HOME TO THE ONLY HOSPITAL-BASED NURSING SCHOOL IN RHODE ISLAND. SCHOOL OF MEDICAL TECHNOLOGY IN ADDITION, SJHSRI PROVIDES THE CLINICAL SETTING FOR OTHER PROFESSIONALS SUCH AS NURSING, SOCIAL WORKERS, RESPIRATORY THERAPISTS, RADIOLOGY TECHS AND REHAB SPECIALISTS. TEACHING PARTNERSHIPS: ST. JOSEPH PEDIATRIC DENTAL CLINIC IS A TEACHING AFFILIATE OF THE LUTHERAN MEDICAL SCHOOL IN NEW YORK. NON-REIMBURSED CHARGES: FOR THE YEAR, THE HOSPITAL ONLY REALIZED CHARITY CARE, NON-REIMBURSED AND DISCOUNTED SERVICES OF $18 MILLION, WHICH INCLUDES NON-REIMBURSED COSTS FOR TO ENROLLEES OF PUBLIC PROGRAMS. COMMUNITY SERVICE: THERE ARE MANY SERVICES PROVIDED AT BELOW OR NO CHARGE TO PATIENTS OR THE GENERAL COMMUNITY. ANY INCIDENTAL REVENUE FROM NON-PATIENTS WOULD SHOW AS PART OF PART VIII. CONTRIBUTIONS IN THE FORM OF PAYMENTS, DONATIONS OR OTHER FINANCIAL SUPPORT TO OTHER COMMUNITY ORGANIZATIONS INCLUDE THE FOLLOWING: SOUTH PROVIDENCE DEVELOPMENT CORPORATION - AN INDEPENDENT NON-PROFIT SOUTH PROVIDENCE BASED COMMUNITY ORGANIZATION WHOSE GOALS ARE TO FOSTER MINORITY JOB DEVELOPMENT IN THIS AREA. DESCRIPTIONS OF SERVICES FOR WHICH THE HOSPITAL DOES NOT CHARGE OR PROVIDE AT LESS THAN COST: SUPPORT GROUPS (I.E. CANCER, STROKE, ELDER CARE OSTEOPOROSIS, ETC.) ASSISTING PATIENTS IN SECURING ELIGIBILITY FOR SERVICES (I.E. HEALTH CENTER SOCIAL SERVICES) FREE TRANSPORTATION SERVICES TO HEALTH CARE FACILITIES (TAXI) PHYSICIAN REFERRAL SERVICES - NO CHARGE COMMUNITY HEALTH CARE SCREENING SERVICES - NO CHARGE (I.E. BLOOD GLUCOSE, BLOOD PRESSURE, PROSTATE CANCER, DENTAL, ETC.) LECTURES/CONFERENCES/WORKSHOPS PROVIDED TO AND IN THE COMMUNITY - NO CHARGE HEALTH CENTER INSTRUCTION ACTIVITIES - NO CHARGE (I.E. CPR, FIRST AID, CHILD BIRTH, BREAST FEEDING, SAFETY EDUCATION, DIABETES ETC.) HEALTH FAIRS - NO CHARGE HOSPITAL SUPPORTED SCHOOLS - SCHOOL OF NURSING, SCHOOL OF MEDICAL TECHNOLOGY, SCHOOL OF CYTOTECHNOLOGY CLINICAL SETTINGS IN SCHOOLS/COLLEGES FREE FLU & IMMUNIZATION CLINICS WORK WITH OTHER ORGANIZATIONS (I.E. AMERICAN HEART ASSOC, AMERICAN CANCER SOCIETY, ETC.) USE OF HOSPITAL FACILITIES FOR COMMUNITY ORGANIZATION MEETINGS HOST BLOOD DRIVES - SEVERAL TIMES A YEAR FOR RI BLOOD CENTER NEIGHBORHOOD SAFETY - PARTICIPATES IN STATE-WIDE EMERGENCY PREPAREDNESS PROGRAM, EMERGENCY RESPONSE CAPABILITIES INTERACTION WITH PUBLIC SCHOOLS - HEALTH FAIRS, IMMUNIZATION DENTAL (PROVIDENCE/PAWTUCKET SMILES PROGRAMS) MEDIA PRESENTATIONS - ADVERTISING FOR ASSISTED LIVING, PROVIDENCE VISITOR OTHER COMMUNITY PROGRAMS: CHILDREN'S CHRISTMAS PARTY - USE HOSPITAL STAFF & FACILITIES TO COORDINATE THIS PROGRAM FOR NEEDY INNER CITY CHILDREN. TOYS AND CLOTHES ARE DISTRIBUTED FREE OF COST AT THE HOSPITAL'S PROVIDENCE CAMPUS TO OVER 600 CHILDREN EACH YEAR. UNITED WAY - SPONSOR EMPLOYEE DRIVE FOR ANNUAL APPEAL PUBLIC INFORMATION/NEIGHBORHOOD INVOLVEMENT - THE HOSPITAL HAS MADE A CONCERTED EFFORT TO KEEP ITS COMMUNITY ABREAST OF CHANGES AT THE HOSPITAL AND TO ELICIT INPUT FROM THE COMMUNITY. CROSSROADS RI - PROVIDES LAB TESTS AND SUPPLIES FREE OF CHARGE. PATIENT SATISFACTION SURVEYS - TO MEASURE PATIENT SATISFACTION AND TO BE ABLE TO BETTER SERVE THE PUBLIC. SIGNIFICANT CHANGES TO THE ORGANIZATION'S DOCUMENTS FORM 990, PART VI, SECTION A, LINE 4 CCHP WAS FORMED IN JANUARY OF 2010 BY THE AFFILIATION OF ROGER WILLIAMS MEDICAL CENTER (RWMC), ROGER WILLIAMS HOSPITAL (RWH), ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) AND ELMHURST EXTENDED CARE FACILITIES, INC. (ELMHURST). ON THE CCHP EFFECTIVE FORMATION DATE, RWMC WAS DISSOLVED AS A CORPORATE ENTITY AND RWH WAS RENAMED RWMC. THE CCHP HOSPITALS AS WELL AS THE NURSING HOME ARE DEEPLY ROOTED IN THEIR COMMUNITIES, EACH WITH A LONG TRADITION OF PROVIDING HIGH QUALITY CARE AND SERVICES. SERVING THE GREATER PART OF NORTHERN RHODE ISLAND, CCHP CARES FOR 190,554 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.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11ATHE COMPLETION OF THE FORM 990 BEGINS WITH AN OPENING MEETING ATTENDED BY THE CONTROLLER OF CHARTERCARE AND KPMG LLP, AN INDEPENDENT TAX CONSULTANT. THE MEETING CONSISTS OF A REVIEW OF THE ORGANIZATIONAL STRUCTURE, SIGNIFICANT CHANGES IN OPERATIONS OR PROGRAM ACTIVITIES FROM THE PRIOR YEAR, AND OVERVIEW OF CHANGES IN THE FORM 990. THE FINANCE DEPARTMENT GATHERS THE REQUIRED INFORMATION AND POPULATES THE FORM 990 IN CONJUNCTION WITH KPMG LLP. ONCE COMPLETED, THE DRAFT FORM 990 IS REVIEWED WITH SENIOR MANAGEMENT TO ENSURE INDIVIDUALS ARE PROVIDED TIME TO REVIEW AND APPROVE THE FORM 990 PRIOR TO THE DEADLINE. AFTER THE INTERNAL REVIEW IS COMPLETED, THE FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND COMMENTS. A MEETING IS HELD TO REVIEW THE FORM 990 AND DISCUSS ANY QUESTIONS AND COMMENTS. UPON FINANCE COMMITTEE APPROVAL, A FINAL COPY OF THE FORM 990 IS DISTRIBUTED TO EACH VOTING BOARD MEMBER AND FILED WITH THE TAXING AUTHORITY.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12THE CONFLICT OF INTEREST POLICY, IS TO THE PROTECT THE CORPORATIONS INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR AGREEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR TRUSTEE OF THE CORPORATION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE OFFICERS, TRUSTEES AND MEMBERS OF THE BOARD. ON AN ANNUAL BASIS, EACH MEMBER OF THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND ALL RESPONSES ARE SUBMITTED AND REVIEWED BY THE PRESIDENT OR THE CHAIRMAN WITH CONSULTATION FROM THE CORPORATE COMPLIANCE OFFICER. ANY ACTUAL AND POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED WITH THE BOARD OF TRUSTEES.
COMPENSATION POLICYFORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE, BEING INDEPENDENT, ACTED AS THE COMPENSATION COMMITTEE. IN 2009, A MARKET REVIEW WAS CONDUCTED BY A THIRD PARTY, FOR ALL SENIOR EXECUTIVES WITHIN THE SJHS SYSTEM. THIS INDEPENDENT THIRD PARTY IS DEEMED QUALIFIED TO PERFORM COMPENSATION STUDIES AND OPINIONS AND SERVES THEIR OPINION TO THE REASONABLENESS AND COMPARABILITY OF THE COMPENSATION AS DETERMINED IN ACCORDANCE WITH, AND THE PURPOSES OF, THE RULES GOVERNING INTERMEDIATE SANCTIONS UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. THE EXECUTIVE COMPENSATION STUDY COMPLETED IN 2009 WAS BASED ONLY ON MARKET DATA FOR BASE SALARY AS SJHS DOES NOT HAVE AN INCENTIVE COMPONENT TO THEIR EXECUTIVE COMPENSATION PROGRAM. IN 2010, THERE WERE NO CHANGES. FOR KEY EMPLOYEES, THE HOSPITAL CONDUCTS ANNUAL BENCHMARKING STUDIES USING PUBLISHED COMPENSATION SURVEYS THROUGH A THIRD PARTY AND ADMINISTERS ITS COMPENSATION PROGRAMS AS OUTLINED IN OUR SJHS COMPENSATION GUIDE BASED ON INDUSTRY STANDARDS.
PUBLIC DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19SJHSRI MAKES ITS TAX RETURN, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ITS TAX RETURN IS ALSO POSTED ON HTTP://WWW.GUIDESTAR.ORG.
MANAGEMENT FUNCTIONSFORM 990, PART VI, SECTION A, LINE 3EFFECTIVE JANUARY 2010, THE PRINCIPAL MANAGEMENT FUNCTIONS OF RWMC AND SJHSRI ARE CONDUCTED UNDER THE DIRECTION OF CHARTERCARE HEALTH PARTNERS OFFICERS AND KEY EMPLOYEES. CONSEQUENTLY THERE ARE NO KEY EMPLOYEES DISCLOSED FOR THE EXECUTIVE OR FINANCIAL MANAGEMENT FUNCTIONS AFTER JANUARY 2010.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SJ ENERGY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 HIGH SERVICE AVENUEAddressLine1
CityNORTH PROVIDENCECity
StateRIState
ZIP Code02908ZIPCode
FieldValueIRS element (for citing)
EIN208591473EIN
Primary ActivitiesPROCUREMENTPrimaryActivities
Legal Domicile StateRILegalDomicileState
Total Income-500TotalIncome
EOY Assets308223EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

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
ST JOSEPH HEALTH SERVICES FOUNDATION
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02908260236669FUNDRAISINGRI501(C)(3)7NA
ROGER WILLIAMS MEDICAL CENTER
825 CHALKSTONE AVENUEPROVIDENCERI02908050258959HEALTHCARERI501(C)(3)3NA
ROGER WILLIAMS REALTY CORPORATION
825 CHALKSTONE AVENUEPROVIDENCERI02908050423855REAL ESTATERI501(C)(3)3NA
RWGH PHYSICIANS OFFICE BUILDING
825 CHALKSTONE AVENUEPROVIDENCERI02908050398588HEALTHCARERI501(C)(3)3NA
ELMHURST EXTENDED CARE
50 MAUDE STREETPROVIDENCERI02908222723407HEALTHCARERI501(C)(3)3NA
ROGER WILLIAMS MEDICAL ASSOCIATES
825 CHALKSTONE AVENUEPROVIDENCERI02908203346936HEALTHCARERI501(C)(3)3NA
CHARTERCARE HEALTH PARNERS
825 CHALKSTONE AVENUEPROVIDENCERI02908264235815HEALTHCARERI501(C)(3)3NA
ST JOSEPH HOSPITAL WORKERS COMP TRUST
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02904056106574TRUSTRI501(C)(3)11DNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
ELMHURST HEALTH ASSOCIATES
825 CHALKSTONE AVENUEPROVIDENCERI02908050437610LABORATORYRINAC Corp
OUR LADY OF FATIMA ANCILLARY SERVICES
200 HIGH SERVICE AVENUENORTH PROVIDENCERI02908050519862LABORATORYRINAC Corp
ROSEBANK CORPORATION
825 CHALKSTONE AVENUEPROVIDENCERI02908050342046REAL ESTATERINAC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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