2011-08-11T07:09:25-05:00 2010-09-30 KPMG LLP 60 South Street Boston MA 02111 990 2009-10-01 050259026 ST JOSEPH HEALTH SERVICES OF RI STJO 4014563000 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02904 MICHAEL CONKLIN JR 4014563322 2011-08-10 6179881000 2009 2016-02-24 21:20:13Z OUR LADY OF FATIMA HOSPITAL JOHN FOGARTY 200 HIGH SERVICE AVENUE PROVIDENCE RI 02904 154812848 false X WWW.SAINTJOSEPHRI.COM X 1946 RI THE MISSION OF ST. JOSEPH HEALTH SERVICES OF RI IS TO PRESERVE, RESTORE AND ENHANCE THE HEALTH OF INDIVIDUALS AND FAMILIES WE SERVE WITHIN OUR COMMUNITIES. 15 14 2011 22 0 0 431267 227797 174072998 153493564 249034 731375 985462 360112 175738761 154812848 0 0 0 0 94901055 100945939 0 0 0 83708816 74556973 178609871 175502912 -2871110 -20690064 97251509 82659255 105227107 106343523 -7975598 -23684268 THE MISSION OF ST. 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JOSEPH HEALTH SERVICES OF RI IS DEDICATED TO PROVIDE PATIENT CARE SERVICES, LABORATORY AND TEACHING SERVICES WITHIN THE COMMUNITY. *SEE SCHEDULE O* 138253137 true true false true false false false false true true false true false false false false false false false false true false false true false false false false false false false false false false false false true true true false false true 681 0 2011 true true true false false false false false false false false 15 14 false true true false false false false true true false false true true true true true true true true false X KATHLEEN MOORE 4014563322 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02904 REVEREND MONSIGNOR PAUL D THEROUX 1.0 X X 0 0 0 REV MONSIGNOR WILLIAM I VARSANYI 1.0 X X 0 0 0 KAREN DELPONTE ESQ 1.0 X 0 0 0 STEVEN COLAGIOVANNI MD 1.0 X 0 0 0 PETER DEBLASIO JR MD 1.0 X 0 0 0 REVEREND ROBERT FORCIER 1.0 X 0 0 0 JOSEPH P MAZZA MD 1.0 X 0 0 0 ELLEN MCCARTY 1.0 X 0 0 0 NANCY E ROGERS 1.0 X 0 0 0 JOSEPH SAMARTANO JR DDS 1.0 X 0 0 0 MATTHEW J SMITH 1.0 X 0 0 0 KENNETH BELCHER 1.0 X X 0 463267 94887 MOST REVEREND THOMAS J TOBIN 1.0 X X 0 0 0 MARY L BURKE 1.0 X 0 0 0 FREDERICK K BUTLER 1.0 X 0 0 0 JOSEPH DISTEFANO 1.0 X 0 0 0 MARSHALL RAUCCI JR 1.0 X 0 0 0 DANIEL J RYAN 1.0 X 0 0 0 D FAYE SANDERS 1.0 X 0 0 0 KEVIN P STILES 1.0 X 0 0 0 HONORABLE JOSEPH R WEISBERGER 1.0 X 0 0 0 JOHN FOGARTY 40.0 X 326658 0 16730 MICHAEL CONKLIN JR 40.0 X 0 0 0 KATHLEEN KENNY 40.0 X 294535 0 7949 CHRISTOPHER FERRARO 40.0 X 162009 0 16604 DARLENE SOUZA 40.0 X 156141 0 17396 DEBORAH DOUGLAS 40.0 X 164214 0 17422 CRYSTAL PILON 40.0 X 174700 0 16730 EDWARD SCHOTTLAND 40.0 X 290765 0 17840 MAGDI SALMON 40.0 X 319426 0 7457 CECILIA GMUER 40.0 X 318547 0 7949 DANIEL KANE 40.0 X 270069 0 7949 WJAHAT FAHEEM 40.0 X 253036 0 17540 RONALD GOBEIL 40.0 X 245029 0 7949 2975129 463267 254402 92 false true false RI BLOOD PO BOX 9399 PROVIDENCE RI 02940 LABORATORY SERVICES 965615 ASSOCIATES IN ANESTHESIA 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02908 ANESTHESIA SERVICES 713404 MAYO CLINIC PO BOX 9146 MINNEAPOLIS MN 554809146 LABORATORY SERVICES 621665 RICOH 2300 PARKLANE DRIVE NE ATLANTA GA 30345 COPIER RENTAL 388225 APPLIED MANAGEMENT GROUP 3 NEW ENGLAND EXECUTIVE PARK BURLINGTON MA 01803 378681 16 227797 227797 NET PATIENT REVENUE 621400 88023100 88023100 OTHER PROGRAM SERVICE REVENUE 541900 5551438 5551438 MEDICARE AND MEDICAID 624100 59460980 59460980 CAFETERIA 722320 458046 458046 153493564 619746 619746 81893 81893 0 360112 360112 360112 360112 29736 29736 0 0 0 0 154812848 153035518 1549533 0 0 0 0 1005431 0 1005431 0 0 76029271 59789294 16239977 1009420 758288 251132 16889956 12698727 4191229 6011861 4516181 1495680 1437608 1437608 1824355 1824355 174385 174385 16976 16976 0 0 7584732 5779232 1805500 89617 89617 953689 273531 680158 1244524 871167 373357 0 3027751 201989 2825762 17833 4323 13510 0 14214 10986 3228 1215287 1215287 0 6000812 4800649 1200163 7983733 7913618 70115 SUPPLIES 18677748 18499469 178279 BAD DEBT 10753170 10753170 HOSPITAL LICENSING FEE 7905678 7905678 FOOD 1020521 1020521 ALL OTHER EXPENSES 4614340 2439338 2175002 175502912 138253137 37249775 0 5482 3816 12005229 7327293 24460563 15620800 41147 3702 1940883 1911052 137485246 94493227 46118170 42992019 1077343 0 11602692 14800573 97251509 82659255 18116392 20069180 4848097 997046 18654957 18164855 4741859 3136546 58865802 63975896 105227107 106343523 X -17189019 -31263107 2707446 730284 6505975 6848555 -7975598 -23684268 97251509 82659255 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16976 16976 false false LOBBYING EXPENSE PART II-B LINE 1 ST. 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. 1195341 194756 219 8594 1381722 1169956 27015 -1630 1195341 1.00000 false false 1685039 1685039 70788619 43614212 27174407 64439650 50879015 13560635 571938 571938 42992019 TRUSTEE UNDER LOAN INDENTURE 1625446 BENEFICIAL INTEREST PERP TRUST 5662526 TRUSTEE FOR WORKERS COMP/PROF 361563 ENDOWMENT FUNDS 1234048 PREPAID EXPENSES 1911974 THIRD PARTY RECEIVABLE 2258274 OTHER ASSETS 1746742 14800573 0 ESTIMATED SETTLEMENTS TO 3RD PARTY 1426130 INSURANCE RESERVES 8515816 PENSION LIABILITY 51004155 ASSET RETIREMENT OBLIGATION 3029795 63975896 ENDOWMENT FUNDS PART V, LINE 4 THE ORGANIZATION'S ENDOWMENT CONSISTS OF SEVERAL INDIVIDUAL FUNDS ESTABLISHED BY DONORS FOR A VARIETY OF PURPOSES INCLUDING BUT NOT LIMITED TO SCHOLARSHIPS. 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X N/A N/A THE COSTING METHODOLOGY USED TO DERIVE THE AMOUNTS ARE FROM WORKSHEET 2 AND IS BASED ON PATIENT CARE COST TO CHARGES. N/A BAD 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. THE 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. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS IS BASED UPON THE MEDICARE COST REPORT USING RCC (RATIO OF COST CHARGE) METHODOLOGY. ST. 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. ST. 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. INFORMATION 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. ST. 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. IN 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. ST. 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. X X X X false true false false false false false false false KENNETH BELCHER 0 349591 0 105672 0 8004 0 24885 0 70002 0 558154 0 0 JOHN FOGARTY 326658 0 0 0 0 0 0 0 16730 0 343388 0 0 0 KATHLEEN KENNY 294535 0 0 0 0 0 0 0 7949 0 302484 0 0 0 MAGDI SALMON 319426 0 0 0 0 0 0 0 7457 0 326883 0 0 0 CECILIA GMUER 318547 0 0 0 0 0 0 0 7949 0 326496 0 0 0 DANIEL KANE 270069 0 0 0 0 0 0 0 7949 0 278018 0 0 0 CHRISTOPHER FERRARO 162009 0 0 0 0 0 0 0 16604 0 178613 0 0 0 DARLENE SOUZA 156141 0 0 0 0 0 0 0 17396 0 173537 0 0 0 DEBORAH DOUGLAS 164214 0 0 0 0 0 0 0 17422 0 181636 0 0 0 CRYSTAL PILON 174700 0 0 0 0 0 0 0 16730 0 191430 0 0 0 EDWARD SCHOTTLAND 290765 0 0 0 0 0 0 0 17840 0 308605 0 0 0 WJAHAT FAHEEM 253036 0 0 0 0 0 0 0 17540 0 270576 0 0 0 RONALD GOBEIL 245029 0 0 0 0 0 0 0 7949 0 252978 0 0 0 NONQUALIFIED SUPPLEMENTAL RETIREMENT 457(F) PLAN PART I LINE 4B KENNETH 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. ORGANIZATION'S MISSION AND PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART I LINE 1 AND PART III LINES 1 AND 4 ST. JOSEPH HOSPITAL WAS ESTABLISHED IN 1892 AS A 175-BED GENERAL HOSPITAL. IT OPERATED AS AN ACUTE CARE HOSPITAL UNTIL 1990, WHEN IT WAS CONVERTED TO A SPECIALTY HOSPITAL THAT HOSTS COMPREHENSIVE PSYCHIATRIC CARE, THE SOUTHERN NEW ENGLAND REHABILITATION CENTER AND THE CENTER FOR HEALTH AND HUMAN SERVICES, 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 NOT INCLUDED IN THIS NUMBER) IN 2010. THE CURRENT HEALTH CENTER OFFERS THE FOLLOWING 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 PROCESS FORM 990, PART VI, SECTION B, LINE 11A THE COMPLETION OF THE FORM 990 BEGINS WITH AN OPENING MEETING ATTENDED BY THE CONTROLLER OF CHARTERCARE AND KPMG LLP, AN INDEPENDENT TAX CONSULTANT. THE MEETING CONSISTS OF A REVIEW OF THE ORGANIZATIONAL STRUCTURE, SIGNIFICANT CHANGES IN OPERATIONS OR PROGRAM ACTIVITIES FROM THE PRIOR YEAR, AND OVERVIEW OF CHANGES IN THE FORM 990. THE FINANCE DEPARTMENT GATHERS THE REQUIRED INFORMATION AND POPULATES THE FORM 990 IN CONJUNCTION WITH KPMG LLP. ONCE COMPLETED, THE DRAFT FORM 990 IS REVIEWED WITH SENIOR MANAGEMENT TO ENSURE INDIVIDUALS ARE PROVIDED TIME TO REVIEW AND APPROVE THE FORM 990 PRIOR TO THE DEADLINE. AFTER THE INTERNAL REVIEW IS COMPLETED, THE FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND COMMENTS. A MEETING IS HELD TO REVIEW THE FORM 990 AND DISCUSS ANY QUESTIONS AND COMMENTS. UPON FINANCE COMMITTEE APPROVAL, A FINAL COPY OF THE FORM 990 IS DISTRIBUTED TO EACH VOTING BOARD MEMBER AND FILED WITH THE TAXING AUTHORITY. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12 THE CONFLICT OF INTEREST POLICY, IS TO THE PROTECT THE CORPORATIONS INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR AGREEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR TRUSTEE OF THE CORPORATION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE OFFICERS, TRUSTEES AND MEMBERS OF THE BOARD. ON AN ANNUAL BASIS, EACH MEMBER OF THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND ALL RESPONSES ARE SUBMITTED AND REVIEWED BY THE PRESIDENT OR THE CHAIRMAN WITH CONSULTATION FROM THE CORPORATE COMPLIANCE OFFICER. ANY ACTUAL AND POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED WITH THE BOARD OF TRUSTEES. COMPENSATION POLICY FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE, BEING INDEPENDENT, ACTED AS THE COMPENSATION COMMITTEE. IN 2009, A MARKET REVIEW WAS CONDUCTED BY A THIRD PARTY, FOR ALL SENIOR EXECUTIVES WITHIN THE SJHS SYSTEM. THIS INDEPENDENT THIRD PARTY IS DEEMED QUALIFIED TO PERFORM COMPENSATION STUDIES AND OPINIONS AND SERVES THEIR OPINION TO THE REASONABLENESS AND COMPARABILITY OF THE COMPENSATION AS DETERMINED IN ACCORDANCE WITH, AND THE PURPOSES OF, THE RULES GOVERNING INTERMEDIATE SANCTIONS UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE. THE EXECUTIVE COMPENSATION STUDY COMPLETED IN 2009 WAS BASED ONLY ON MARKET DATA FOR BASE SALARY AS SJHS DOES NOT HAVE AN INCENTIVE COMPONENT TO THEIR EXECUTIVE COMPENSATION PROGRAM. IN 2010, THERE WERE NO CHANGES. FOR KEY EMPLOYEES, THE HOSPITAL CONDUCTS ANNUAL BENCHMARKING STUDIES USING PUBLISHED COMPENSATION SURVEYS THROUGH A THIRD PARTY AND ADMINISTERS ITS COMPENSATION PROGRAMS AS OUTLINED IN OUR SJHS COMPENSATION GUIDE BASED ON INDUSTRY STANDARDS. PUBLIC DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 SJHSRI MAKES ITS TAX RETURN, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ITS TAX RETURN IS ALSO POSTED ON HTTP://WWW.GUIDESTAR.ORG. MANAGEMENT FUNCTIONS FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE JANUARY 2010, THE PRINCIPAL MANAGEMENT FUNCTIONS OF RWMC AND SJHSRI ARE CONDUCTED UNDER THE DIRECTION OF CHARTERCARE HEALTH PARTNERS OFFICERS AND KEY EMPLOYEES. CONSEQUENTLY THERE ARE NO KEY EMPLOYEES DISCLOSED FOR THE EXECUTIVE OR FINANCIAL MANAGEMENT FUNCTIONS AFTER JANUARY 2010. 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