2015-08-17T12:21:29-05:00 2014-09-30 KPMG LLP 60 South Street Boston MA 02111 990 2013-10-01 050259026 ST JOSEPH HEALTH SERVICES OF RI % KATHLEEN MOORE STJO 4014563312 200 HIGH SERVICE AVENUE Suite NORTH PROVIDENCE RI 02904 DANIEL J RYAN CCHP DIRECTOR 4014563322 2015-08-13 DONALD F ANDERSON P00237591 4014563322 2013 2016-04-25 22:37:26Z KENNETH BELCHER 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02904 131342944 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. X 13 13 1446 50 0 0 448375 344981 140750185 106852782 490049 78803 2127272 24066378 143815881 131342944 0 0 0 0 80873097 79552016 0 0 0 66736950 42658346 147610047 122210362 -3794166 9132582 77002711 8623980 126904477 88083393 -49901766 -79459413 X THE MISSION OF ST. JOSEPH HEALTH SERVICES OF RI IS TO PRESERVE,RESTORE AND ENHANCE THE HEALTH OF INDIVIDUALS AND FAMILIES WE SERVE WITHIN OUR COMMUNITIES. false true 121343053 130950201 PATIENT HEALTHCARE SERVICES - ST. JOSEPH HEALTH SERVICES OF RI IS DEDICATED TO PROVIDING PATIENT CARE SERVICES, LABORATORY AND TEACHING SERVICES WITHIN THE COMMUNITY. *SEE SCHEDULE O* FREE CARE - PER ST. JOSEPH'S PUBLIC NOTICE, ST. JOSEPH HEALTH SERVICES OF RI IS PROUD OF ITS COMMITMENT TO PROVIDE QUALITY CARE TO ALL INDIVIDUALS WHO NEED IT. ST. JOSEPH HEALH SERVICES OF RI PROVIDES FINANCIAL AID TO PATIENTS WITHOUT INSURANCE AND WHO MAY NOT BE ABLE TO PAY FOR THE CARE PROVIDED. *SEE SCHEDULE O* 121343053 true true false true false false false false true false false false true true false false false false false false false false false false false true true false false true false false false false false false false false false false false true true true true true false false 107 0 1446 true true true false false false false false false false false false X 13 13 true true false false true true true 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 KENNETH H BELCHER PRESIDENT AND CEO CCHP 0.0 40.0 X X 448451 29916 CHRISTOPHER CHIHLAS DIRECTOR 1.0 0.0 X PETER F DEBLASIO JR MD DIRECTOR 1.0 0.0 X ELAINE C JONES MD DIRECTOR 1.0 0.0 X DONALD C MCQUEEN DIRECTOR 1.0 0.0 X CHARLES E MAYNARD DIRECTOR 1.0 0.0 X MARSHALL RAUCCI JR DIRECTOR 1.0 0.0 X REVEREND TIMOTHY REILLY DIRECTOR 1.0 0.0 X DANIEL J RYAN CPA VICE CHAIRMAN 1.0 0.0 X EDWIN J SANTOS CHAIRMAN 1.0 0.0 X REV BRIAN J SHANLEY OP DIRECTOR 1.0 0.0 X SHERI L SMITH PHD DIRECTOR 1.0 0.0 X MICHAEL CONKLIN JR CFO/TREASURER CCHP 0.0 40.0 X 375709 27582 KIMBERLY O'CONNELL ESQ SENIOR VP 0.0 40.0 X 266065 30970 PATRICIA NADLE CNO 0.0 40.0 X 0 277859 22836 SUSAN ABELY VP CIO 0.0 40.0 X 295423 32512 DARLEEN SOUZA VP HUMAN RESOURCES 0.0 40.0 X 222094 23747 DANIEL KANE DENTIST 40.0 0.0 X 276976 11747 MAUREEN L HARKAVY PHYSICIAN 40.0 0.0 X 361512 19539 WAJAHAT FAHEEM PHYSICIAN 40.0 0.0 X 414162 33766 richard miller physician 40.0 0.0 X 310979 17591 remuel briones physician 40.0 0.0 X 227490 18973 1591119 1885601 269179 5 false true false AMEIRSOURCE 1300 Morris Drive CHESTERBROOK PA 19087 MEDICATION 3288864 CLAFIN CO 455 Warwick Industrial Dr WARWICK RI 02886 MEDICAL SUPPLIES 2372775 BEACON MUTUAL INSURANCE CO 1 BEACON CENTER WARWICK RI 02886 INSURANCE 1248389 AFCO 14 WALL STREET NEW YORK NY 10005 INSURANCE 1026794 SODEXO INC AND AFFILIATES PO BOX 9146 MINNEAPOLIS MN 554809146 FOOD SERVICES 1013555 53 344981 344981 NET PATIENT REVENUE 621400 106852782 106852782 106852782 78803 78803 0 0 0 0 0 0 0 0 0 OTHER REVENUE 900099 3833588 3833588 CASH REC. FROM SALE TO JOINT VENTURE 900099 20232790 20232790 24066378 131342944 130950201 0 78803 0 0 0 0 1868978 1868978 0 74063707 74063707 0 3619331 3619331 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 614606 614606 0 3918700 3918700 0 MEDICAL SUPPLIES 27680139 27680139 OTHER SUPPLIES AND SERVICES 2376388 2376388 HOSPITAL LICENSING FEE 5538099 5538099 MANAGEMENT FEE 252703 252703 2277711 2277711 122210362 121343053 867309 0 655 0 7364844 1094518 2675 0 14745257 41335 266367 0 0 0 129398 555744 1668626 0 665440 165816 31936536 0 0 0 0 0 0 0 0 20222913 6766567 77002711 8623980 17494279 461952 0 0 6402 0 16531868 0 0 0 0 0 1293510 0 0 0 91578418 87621441 126904477 88083393 X -58501685 -81242554 1101168 0 7498751 1783141 -49901766 -79459413 77002711 8623980 X 9132582 -38690229 X X false true X true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2339 2339 false false PART II-B, LINE 1I ST. JOSEPH HEALTH SERVICES OF RI PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION OF RHODE ISLAND. THE PORTION OF DUES ALLOCATED TO LOBBYING EFFORTS FOR THE YEAR ENDED 9/30/2014 WAS $2,339. 1251348 7211 44120 704 1301975 1479931 10990 138 109630 130081 1251348 1412982 82754 245 16050 1479931 1407395 14982 199 9594 1412982 OTHER ASSETS 461815 MALPRACTICE INSUR. RECEIVABLE 4617340 INSURANCE RESERVE 1687412 6766567 0 ESTIMATED SETTLEMENTS TO 3RD P 1080564 INSURANCE RESERVES 10129937 PENSION LIABILITY 76410940 87621441 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. DISTRIBUTIONS ARE MADE IN ACCORDANCE WITH SPECIFIC DONOR RESTRICTED GUIDELINES. true true true X true X true true true false true true 2527133 1476396 1050737 20060394 16045514 4014880 22587527 17521910 5065617 2121279 1375379 745900 2121279 1375379 745900 24708806 18897289 5811517 false 2894394 2049231 23422505 29892700 -6470195 1 1 St Joseph Health Services of RI 200 High Service Avenue North Providence RI RI 02904 X X X ST JOSEPH HEALTH SERVICES OF RI true X X X X X X X X X true true true X X X X X X X X true true true true true X X X true true X X X X X true X true X X X X X true X false true 12 PEDIATRIC DENTAL 21 PEACE STREET PROVIDENCE RI 02907 DENTAL ST JOSEPH ADULT PRIMARY CARE CLINIC 21 PEACE STREET PROVIDENCE RI 02907 PRIMARY CARE ST JOSEPH OUTPATIENT REHABILITATION 1637 MINERAL SPRING AVENUE NORTH PROVIDENCE RI 02094 GENERAL MEDICAL & SURGICAL ST JOSEPH WALK-IN CLINIC 21 PEACE STREET PROVIDENCE RI 02907 GENERAL MEDICAL & SURGICAL ST JOSEPH OBGYN CLINIC 21 PEACE STREET PROVIDENCE RI 02907 GENERAL MEDICAL & SURGICAL ST JOSEPH PEDIATRIC CLINIC 21 PEACE STREET PROVIDENCE RI 02907 GENERAL MEDICAL & SURGICAL ST JOSEPH OUTPATIENT REHABILITATION 21 PEACE STREET PROVIDENCE RI 02907 GENERAL MEDICAL & SURGICAL APPLE VALLEY RADIOLOGY & PHLEBOTOMY 466 PUTNAM PIKE GREENVILLE RI 02828 RADIOLOGY & PHLEBOTOMY LAB JOHNSTON DENTAL 1524 ATWOOD AVENUE SUITE 125 JOHNSTON RI 02904 DENTAL PEDIATRIC DENTAL 40 BROAD STREET PAWTUCKET RI 02860 DENTAL FATIMA HEALTH CENTER 40 BROAD STREET PAWTUCKET RI 02860 HEALTH CENTER WOUND CARE CLINIC 2 WAKE ROBIN LINCOLN RI 02884 WOUND CARE CLINIC PART I, LINE 7(F) PART I, LINE 7 THE COSTING METHODOLOGY USED TO DERIVE THE AMOUNTS ARE FROM WORKSHEET 2 AND IS BASED ON PATIENT CARE COST TO CHARGES. METHODOLOGY TO DETERMINE BAD DEBT AT COST PART III, LINE 2 THE AMOUNT REPORTED ON PART III LINE 2 IS THE ACTUAL BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS SCALED TO COST. THE COSTING METHODOLOGY IS THE SAME UTILIZED IN PART I, LINE 7. THE HOSPITAL QUALIFIES PATIENTS BASED ON THE MEDICARE PROGRAM 120 DAY RULE WHICH ENTAILS EACH PATIENT ACCOUNT RECEIVING THREE BILLING STATEMENTS. IF NO PAYMENT IS RECEIVED, THE PATIENT ACCOUNT IS PLACED WITH A COLLECTOR 120 DAYS AFTER THE INITIAL STATEMENT IS MAILED. BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY PART III, LINE 3 SJHSRI INTERNALLY TRACKS THE ACCOUNTS TRANSFERRED TO BAD DEBT AND IS ABLE TO DISTINGUISH THE PATIENTS WITH NO INSURANCE COVERAGE. OF THE ACCOUNTS WITH NO COVERAGE, THE BUSINESS OFFICE PROVIDES AN ESTIMATED PERCENTAGE OF THE ACCOUNTS THAT WOULD QUALITY FOR CHARITY IF THEY COMPLETED THE FREE CARE APPLICATION. PART III, LINE 4 SJHSRL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CHARITY CARE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. BECAUSE SJHSRI DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, SJHSRI ANALYZES ITS PAST HISTORY AND IDENTIFIES ITS REVENUE TRENDS FOR EACH OF ITS MAJOR PAYORS TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE ASSOCIATED PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, SJHSRI ANALYZES CONTRACTUALLY DUE A.'1LOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), SJHSRI RECORDS A SIGNIFICANT ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF APPLICABLE) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SJHSRI DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITEOFFS FROM THIRD-PARTY PAYORS IN EITHER 2013 OR 2012. PART III, LINE 8 NONE OF THE MEDICARE SHORTFALL HAS BEEN TREATED AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS IS BASED UPON THE MEDICARE COST REPORT USING RCC (RATIO OF COST CHARGE) METHODOLOGY. PART III, LINE 9B ST JOSEPH HEALTH SERVICES OF RI PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. OUR COLLECTION PROCESS PROVIDES PATIENTS WITH FOUR PROGRESSIVE BILLING NOTICES. ALL STATEMENTS INCLUDE A NOTICE OF AVAILABLE FINANCIAL AID. UNRESOLVED DEBTS ARE TRANSFERRED TO BAD DEBT (WITH NO PAYMENT ACTIVITY) AT DAY 120. AN OUTSIDE COLLECTION AGENCY IS USED FOR ADDITIONAL COLLECTION ACTIVITY. CLIENTS THAT QUALIFY FOR DISCOUNT/FREE-CARE WRITE-OFFS (BASED ON 200-300% OF FEDERAL POVERTY GUIDELINES AND LIMITED ASSETS) HAVE BALANCES REDUCED/WRITTEN-OFF BASED ON INFORMATION DOCUMENTED IN THE APPLICATION PROCESS. ANY BALANCES NOT COVERED BY THE FREE CARE PROCESS ARE BILLED FOLLOWING OUR STANDARD COLLECTION PROCESS. INPUT FROM PERSONS WHO REPRESENT INTERESTS OF THE COMMUNITY PART V, SECTION B, QUESTION 3 ST. JOSEPH HEALTH SERVICES OF RI AND ITS CHNA PARTNERS SOUGHT COMMUNITY INPUT THROUGH INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS, FOCUS GROUPS WITH HEALTHCARE PROVIDERS, AND INCLUSION OF PARTNER HOSPITAL REPRESENTATIVES AS WELL AS PUBLIC HEALTH OFFICIALS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. CHNA CONDUCTED WITH ONE OR MORE HOSPITAL FACILITIES PART V, SECTION B, QUESTION 4 ST. JOSEPH HEALTH SERVICES OF RI PARTICIPATED IN A STATEWIDE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI), AND ITS MEMBER HOSPITALS: BUTLER HOSPITAL, KENT HOSPITAL, LANDMARK MEDICAL CENTER, MEMORIAL HOSPITAL, OUR LADY OF FATIMA HOSPITAL (ST. JOSEPH'S HEALTH SERVICES OF RI), PROVIDENCE VA MEDICAL CENTER, SOUTH COUNTY HOSPITAL, THE WESTERLY HOSPITAL, AND WOMEN AND INFANTS HOSPITAL. AMOUNTS BILLED TO INDIVIDUALS WITH NO INSURANCE, PART V, SEC. B, LINE 20D PATIENTS WHO DO NOT HAVE INSURANCE ARE BILLED BASED ON THE HOSPITAL CHARGE MASTER. PATIENTS WHO QUALIFY FOR FULL OR PARTIAL FREE CARE WILL BE DISCOUNTED APPROPRIATELY. GROSS CHARGE FOR SERVICES, PART V, SECTION B, LINE 22 THE HOSPITAL BILLS A LIMITED NUMBER OF PATIENTS WITH ADEQUATE FINANCIAL RESOURCES THE GROSS CHARGE RATE FOR UNINSURED MEDICARE SERVICES. PART VI, LINE 2 ST. JOSEPH HEALTH SERVICES OF RI PARTICIPATED IN A STATEWIDE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI), AND ITS MEMBER HOSPITALS. THE ASSESSMENT WAS CONDUCTED IN A TIMELINE TO COMPLY WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT, AS WELL AS TO FURTHER THE HOSPITAL'S COMMITMENT TO COMMUNITY HEALTH AND POPULATION HEALTH MANAGEMENT. THE FINDINGS FROM THE ASSESSMENT WILL BE UTILIZED BY OUR LADY OF FATIMA HOSPITAL TO GUIDE ITS COMMUNITY BENEFIT INITIATIVES AND TO ENGAGE PARTNERS TO ADDRESS THE IDENTIFIED HEALTH NEEDS. THE PURPOSE OF THE CHNA WAS TO GATHER INFORMATION ABOUT LOCAL HEALTH NEEDS AND HEALTH BEHAVIORS IN AN EFFORT TO ENSURE HOSPITAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND COMMUNITY BENEFIT ACTIVITIES ARE ALIGNED WITH COMMUNITY NEED. THE ASSESSMENT EXAMINED A VARIETY OF COMMUNITY, HOUSEHOLD AND HEALTH STATISTICS TO PORTRAY A FULL PICTURE OF THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH IN THE OUR LADY OF FATIMA HOSPITAL SERVICE AREA. THE FINDINGS FROM THE CHNA WERE UTILIZED BY OUR LADY OF FATIMA HOSPITAL TO PRIORITIZE PUBLIC HEALTH ISSUES AND DEVELOP A COMMUNITY HEALTH IMPLEMENTATION STRATEGY. OUR LADY OF FATIMA HOSPITAL IS COMMITTED TO THE PEOPLE IT SERVES AND THE COMMUNITIES THEY LIVE IN. HEALTHY COMMUNITIES LEAD TO LOWER HEALTH CARE COSTS, ROBUST COMMUNITY PARTNERSHIPS, AND AN OVERALL ENHANCED QUALITY OF LIFE. PART VI, LINE 3 INFORMATION ON THE ST. JOSEPH HEALTH SERVICES OF RI FINANCIAL ASSISTANCE PROGRAM IS COMMUNICATED TO THE PATIENT AT THE POINT OF REGISTRATION THROUGH SIGNAGE WITHIN THE HOSPITAL AND ON THE HOSPITAL'S WEBSITE HTTP://WWW.FATIMAHOSPITAL.COM. FURTHERMORE, THE HOSPITAL HAS PATIENT FINANCIAL COUNSELORS' ONSITE TO EDUCATE PATIENTS ON THE FINANCIAL PROGRAMS THAT ARE AVAILABLE. PART VI, LINE 4 St. Joseph Health Services of RI defines its service area as northwest Providence and the surrounding communities of North Providence, Johnston, Cranston, Smithfield, Lincoln and bordering communities to those cities and towns. PART VI, LINE 5 IN ADDITION TO ITS ACTIVITIES IN DELIVERING HEALTH CARE SERVICES TO THE COMMUNITY AS DESCRIBED ELSEWHERE IN THIS FILING, ST. JOSEPH HEALTH SERVICES OF RI (SJHSRI) FURTHERS ITS EXEMPT PURPOSES THROUGH THE FOLLOWING MEANS: A) SJHSRI IS MANAGED BY A COMMUNITY BOARD OF TRUSTEES, ON WHICH A SUBSTANTIAL MAJORITY OF TRUSTEES ARE RESIDENTS OF THE HOSPITAL'S EFFECTIVE MARKET AREA AND WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. B) WITH THE EXCEPTION OF CERTAIN DEPARTMENTS WHICH, IN THE INTERESTS OF EFFICIENCY, QUALITY AND PROPER ADMINISTRATION, ARE TRADITIONALLY RESERVED TO A SINGLE PHYSICIAN GROUP HAVING AN EXCLUSIVE ARRANGEMENT WITH RESPECT TO THE DEPARTMENT (IE RADIOLOGY, ANESTHESIA, AND PATHOLOGY), SJHSRI MAINTAINS AN OPEN MEDICAL STAFF THAT EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIAN APPLICANTS WHO EXHIBIT THE PROPER TRAINING AND EXPERTISE TO SERVE THE HOSPITAL'S PATIENTS. C) THE ORGANIZATION TRADITIONALLY APPLIES ALL SURPLUS FUNDS TO ENSURING FINANCIALLY PRUDENT AVAILABLE FUNDS, CAPITAL MAINTENANCE AND IMPROVEMENTS, AND THE ADDITION OF SERVICES THAT BENEFIT THE COMMUNITY. RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND AFFILIATED IN JANUARY 2010 UNDER CHARTERCARE HEALTH PARTNERS. THE AFFILIATION PARTNERS BELIEVE THAT BY COMBINING THEIR COMPLEMENTARY STRENGTHS, THEY CAN SIGNIFICANTLY IMPROVE THEIR ABILITY TO MEET THE HEALTHCARE NEEDS OF THE REGION THROUGH MORE COORDINATION, IMPROVED EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. THE PARTIES RECOGNIZED THAT WHETHER THEY AFFILIATED OR NOT, CHANGE WILL AND MUST OCCUR IN THEIR ORGANIZATIONS IN LIGHT OF EMERGING CHANGES IN HEALTHCARE DELIVERY, AND CHANGES IN PUBLIC AND PRIVATE SYSTEMS FOR PAYING FOR HEALTH CARE. THE AFFILIATION BETTER POSITIONED THE TWO ORGANIZATIONS TO ADDRESS THE CHALLENGES AND TO MEET THE NEEDS OF THEIR COMMUNITIES. PART VI, LINE 6 ST. JOSEPH HEALTH SERVICES OF RI (SJHSRI) IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. THE AFFILIATION OF ROGER WILLIAMS MEDICAL CENTER (RWMC) AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) IN JANUARY 2010 TO FORM CCHP, ALLOWED BOTH HERITAGE HOSPITALS THE ABILITY TO COMBINE THEIR COMPLEMENTARY STRENGTHS, AND ALLOW THEM TO SIGNIFICANTLY IMPROVE THEIR ABILITY TO MEET THE HEALTHCARE NEEDS OF THE REGION THROUGH MORE COORDINATION, IMPROVED EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. SJHSRI'S AFFILIATION ALSO ALLOWS THEM TO WORK CLOSELY WITH RWMC IN THE CREATION OF DEFINED STATE RECOGNIZED CENTERS OF EXCELLENCE IN GERIATRICS, CANCER CARE, GASTROENTEROLOGY AND BEHAVIORAL MEDICINE. THE AFFILIATION OF THE TWO HERITAGE HOSPITALS HAS ALLOWED THEM TO INTEGRATE THE MENTIONED EXISTING SERVICES BETWEEN THE TWO HOSPITALS IN A MANNER THAT BEST SERVES THE EVER EVOLVING COMMUNITIES NEEDS AND IN A MORE INTEGRATED AND MORE EFFICIENT MANNER. IN ADDITION TO SHARING POLICIES AND PROCEDURES FOR BEST OPERATIONAL AND MANAGEMENT PRACTICES, SYSTEM HOSPITALS PARTICIPATE IN A CHARTERCARE QUALITY COMMITTEE. THE CHARTERCARE QUALITY COMMITTEE OVERSEES WORK DONE BY THE HOSPITAL QUALITY COMMITTEES AND HELPS PROMOTE THE WEALTH OF PERFORMANCE IMPROVEMENT AND QUALITY INITIATIVES IN EACH OF THE TWO HOSPITALS (OUR LADY OF FATIMA HOSPITAL AND ROGER WILLIAMS MEDICAL CENTER), ELMHURST EXTENDED CARE (AN EDEN ALTERNATIVE NURSING HOME), ROGER WILLIAMS HOME CARE AND THE SJHSRI CENTER OF HEALTH AND HUMAN SERVICES. THE QUALITIES COMMITTEES THAT OVERSEE CLINICAL PRACTICES WITHIN THE SYSTEM HAVE COMMUNITY REPRESENTATIVES OF THE BOARD OF TRUSTEE AS WELL AS REPRESENTATIVES FROM THE MEDICAL STAFF, NURSING, ADMINISTRATION AND THE QUALITY DEPARTMENTS. STATE FILING OF COMMUNITY BENEFIT REPORT RHODE ISLAND X X true true X X X X X true true false false false false false false false KENNETH H BELCHER PRESIDENT AND CEO CCHP 415380 33071 7500 22416 478367 MICHAEL CONKLIN JR CFO/TREASURER CCHP 350732 24977 5000 22582 403291 DANIEL KANE DENTIST 276976 8163 11747 296886 MAUREEN L HARKAVY PHYSICIAN 361512 7500 12039 381051 WAJAHAT FAHEEM PHYSICIAN 414162 7500 26266 447928 PATRICIA NADLE CNO 0 268513 0 0 9346 0 0 0 22836 0 300695 SUSAN ABELY VP CIO 263398 32025 9694 22818 327935 DARLEEN SOUZA VP HUMAN RESOURCES 212108 9986 6510 17237 245841 KIMBERLY O'CONNELL ESQ SENIOR VP 261497 4568 9824 21146 297035 richard miller physician 310979 5000 12591 328570 remuel briones physician 227490 1063 17910 246463 PART I, LINE 1A PATRICIA NADLE IS A CHARTERCARE HEALTH PARTNERS EMPLOYEE WHO IS THE CNO FOR ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND. SHE BEGAN HER EMPLOYMENT IN OCTOBER 2010 AND RESIDES AT ONE OF THE PROPERTIES OWNED BY THE ST. JOSEPH HEALTH SERVICES OF RI. SHE RECEIVES IN HER PAY CHECK A GROSS-UP AMOUNT IN ORDER FOR HER TO PAY THE RENT FOR THE PROPERTY. IN CALENDAR YEAR 2014, SHE RECEIVED A TOTAL GROSS-UP FOR RENT OF $22,632. PART I, LINE 3 EXECUTIVE SALARIES AND BENEFITS ARE PAID BY CHARTERCARE HEALTH PARTNERS BEGINNING JANUARY 2012. EMPLOYEE SALARIES ARE ESTABLISHED UNDER THE COMPENSATION POLICIES OF THE ORGANIZATION'S MANAGEMENT COMPANY - CHARTERCARE HEALTH PARTNERS. PART I, LINE 4A PART I, LINE 4B HE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS UNDER THE 457(F) PLAN: Susan Abely 18,625.39 Kenneth Belcher 20,282.77 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SPLIT DOLLAR LIFE INSURANCE PLAN AND INCLUDED THE FOLLOWING IMPUTED INCOME IN TAXABLE WAGES IN CALENDAR YEAR 2013: KENNETH BELCHER - $12,788 MICHAEL CONKLIN - $11,209 KIMBERLY O'CONNELL - $4,568 SUSAN ABELY - $4,208 DARLEEN SOUZA - $3,726 disposed assets 2014-06-12 55487657 book value 371747940 propset chartercare llc 600 CITY PARKWAY WEST SUITE 800 ORANGE CA 92868 false true false false distribution of assets On May xx, 2014 by consent the board of directors of CharterCARE Health Partners, the sole member of Saint Joseph Health Services of Rhode Island, agree to contribute substantially all assets to a joint venture Prospect CharterCARE LLC. The assets of Saint Joseph Health Services of Rhode Island were included in the assets contributed to the joint venture under an agreement reached with the approval of the Rhode Island Attorney General and the Rhode Island Department of Health. UNDER THE TERMS OF AGREEMENT REACHED BY CHARTERCARE HEALTH PARTNERS AND PROSPECT CHARTERCARE LLC, IT IS ANTICIPATED THAT ALL EMPLOYEES WILL CONTINUE IN THEIR POSITION UNDER the NEW MANAGEMENT of PROSPECT CHARTERCARE LLC. Assets Trasnsfered to Prospect Chartercare LLC $38,60,229. FORM 990, PART I LINE 1 AND PART III, LINE 4A ST. JOSEPH HOSPITAL WAS ESTABLISHED IN 1892 AS A 175-BED GENERAL HOSPITAL. IT OPERATED AS AN ACUTE CARE HOSPITAL UNTIL 1990, WHEN IT WAS CONVERTED TO A SPECIALTY HOSPITAL THAT HOSTS COMPREHENSIVE PSYCHIATRIC CARE, THE SOUTHERN NEW ENGLAND REHABILITATION CENTER AND THE CENTER FOR HEALTH AND HUMAN SERVICES, AN AWARD-WINNING CLINIC PROVIDING PRIMARY CARE TO THE POOR AND DISADVANTAGED OF SOUTH PROVIDENCE. OUR LADY OF FATIMA HOSPITAL WAS OPENED IN 1954 AS A 175-BED ACUTE CARE HOSPITAL, AND ADDED AN ADDITIONAL 100 BEDS IN 1960. THE HOSPITAL IS A NON-PROFIT, GENERAL ACUTE CARE FACILITY OPERATING UNDER THE SPONSORSHIP OF THE DIOCESE OF PROVIDENCE. TODAY, ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. CCHP WAS FORMED IN JANUARY OF 2010 BY THE AFFILIATION OF TWO HOSPITALS: ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND AND ROGER WILLIAMS MEDICAL CENTER. THE INDIVIDUAL HOSPITALS OF CCHP ARE DEEPLY ROOTED IN THEIR COMMUNITIES, EACH WITH A LONG TRADITION OF PROVIDING HIGH QUALITY CARE AND SERVICES. ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) OFFERS TREATMENT IN 28 MEDICAL AND 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. THE FOLLOWING ARE SELECTED HIGHLIGHTS FROM SJHSRI: -THIRTY NINE PHYSICIANS AFFILIATED WITH ST. JOSEPH PARENT COMPANY CHARTERCARE HEALTH PARTNERS WERE RECOGNIZED IN RHODE ISLAND MONTHLY AS "TOP DOCTORS" AS VOTED BY THEIR PEERS. -FATIMA HOSPITAL AND ROGER WILLIAMS MEDICAL CENTER OFFICIALLY OPENED THE STATE'S FIRST SENIOR-FRIENDLY EMERGENCY DEPARTMENTS ON MARCH 25. BOTH EMERGENCY DEPARTMENTS HAVE UNDERGONE PHYSICAL RENOVATIONS AND MODIFICATIONS, WHILE PROVIDING ENHANCED TRAINING AND ASSESSMENT TOOLS FOR STAFF. -FATIMA HOSPITAL WAS DESIGNATED AS A BLUE DISTINCTION CENTER FOR SPINE SURGERY BY BLUE CROSS & BLUE SHIELD OF RHODE ISLAND FOR DEMONSTRATING BETTER OVERALL QUALITY OF CARE AND PATIENT RESULTS IN THIS SPECIALTY. BLUE DISTINCTION CENTERS FOR SPINE SURGERY HAVE DEMONSTRATED THEIR COMMITMENT TO QUALITY CARE, RESULTING IN BETTER OVERALL OUTCOMES FOR SPINE SURGERY PATIENTS. -FATIMA HOSPITAL WAS ONE OF ONLY 11 HOSPITAL ACROSS THE COUNTRY CHOSEN FOR THE SOCIETY OF HOSPITAL MEDICINE'S GLYCEMIC CONTROL AND INNOVATIVE CARE COORDINATION PROGRAM. THE PROGRAM'S GOAL IS TO HELP SITES IMPROVE DIABETES CARE PROCESSES, INTERDISCIPLINARY TEAM STRATEGIES, ORDER SETS AND PROTOCOLS AND TRANSITIONS OF CARE. FATIMA IS A JOINT COMMISSION-CERTIFIED SITE FOR ADVANCED DIABETES CARE. COLLABORATION WITH NATIONALLY RECOGNIZED MENTORS PROVIDED BY THE SOCIETY OF HOSPITAL MEDICINE PROGRAM AND THE ACCOMPANYING DATA ANALYSIS WILL ASSIST THE DIABETES TEAM IN ACHIEVING THE GOALS SET FOR CONTINUED JOINT COMMISSION CERTIFICATION, IN ADDITION TO INSURING CONSISTENT, BEST PRACTICE CARE FOR OUR DIABETIC PATIENTS. -THE LABORATORY AT FATIMA HOSPITAL UNDERWENT A SUCCESSFUL INSPECTION BY THE COLLEGE OF AMERICAN PATHOLOGISTS ON JUNE 25. THE ON-SITE LABORATORY INSPECTION WAS CONDUCTED BY A GROUP OF LABORATORY PROFESSIONALS FROM CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. THE ONE DAY INSPECTION IS BASED ON AN EDUCATIONAL PEER REVIEW PROCESS USING NUMEROUS LABORATORY STANDARDS. -ST. JOSEPH SERVICES PARENT COMPANY -- CHARTERCARE HEALTH PARTNERS -- WAS AGAIN RECOGNIZED BY PROVIDENCE BUSINESS NEWS AS ONE OF RHODE ISLAND'S "HEALTHIEST EMPLOYERS." THE HEALTHIEST COMPANIES WERE CHOSEN BASED ON SCORES IN SIX WELLNESS CATEGORIES. -ON DECEMBER 18, PHASE 3 OF THE LABORATORY CONSOLIDATION PROJECT WITH THE IMPLEMENTATION OF "TOTAL LABORATORY AUTOMATION" WAS COMPLETED. THIS COMPLETES THE TRANSITION OF THE CORE LAB IN CHEMISTRY/HEMATOLOGY TO FATIMA. PHASE 3 OF THE CONSOLIDATION INCLUDED WORK FLOW REDESIGN, EQUIPMENT STANDARDIZATION, AND AUTOMATION TO ALLOW FOR IMPROVED QUALITY, A REDUCTION IN TURNAROUND TIMES, AND IMPROVED PRODUCTIVITY. -ONE HUNDRED PERCENT OF THE 2013 GRADUATING CLASS OF THE ST. JOSEPH SCHOOL OF NURSING PASSED THE NATIONAL LICENSURE EXAM (NCLEX-RN.) OUR GRADUATES COLLECTIVELY REGISTERED THE HIGHEST PASS RATE IN THE STATE, OUTPERFORMING THE GRADUATES OF ALL OTHER NURSING PROGRAMS INCLUDING CCRI, URI, RIC, SALVE REGINA, AND NEIT. 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. SJHSRI WILL PROVIDE FULL CHARITY CARE TO UNINSURED BASED ON INCOME LIMITS AND FAMILY SIZE. FURTHERMORE, SJHSRI OFFERS PARTIAL CHARITY CARE BASED ON A SLIDING SCALE. THE CENTER FOR HEALTH & HUMAN SERVICES ONE OF THE MOST SIGNIFICANT WAYS IN WHICH SJHSRI GIVES BACK TO THE COMMUNITY IS THROUGH ITS CONTINUED OPERATION OF THE CENTER FOR HEALTH & HUMAN SERVICES, LOCATED IN SOUTH PROVIDENCE. THE CENTER OPERATES A NUMBER OF SERVICES, WHICH MIGHT OTHERWISE BE UNAVAILABLE TO INDIVIDUALS AND FAMILIES IN THE COMMUNITY. THE SERVICES ARE AVAILABLE TO A RANGE OF PEOPLE, FROM INFANTS TO ADULTS. FORM 990, PART I LINE 1 AND PART III, LINE 4A AMONG THE SERVICES OFFERED AT THE CENTER: -PEDIATRIC DENTAL CENTER: THE CENTER OPERATES A HIGHLY SUCCESSFUL PEDIATRIC DENTAL CLINIC SERVICING LOW INCOME AND IMMIGRANT CHILDREN IN PROVIDENCE. THE CENTER HAS EXPANDED BY OPERATING A SATELLITE CENTER IN PAWTUCKET AND JOHNSTON. ALL THREE CENTERS OFFER A FULL RANGE OF PREVENTATIVE AND RESTORATIVE DENTAL SERVICES AND SCHOOL-BASED DENTAL PROGRAMS. THE CENTER HAS RECEIVED NATIONAL RECOGNITION AND ACCLAIM FOR ITS HIGH QUALITY SERVICES. PEDIATRIC CLINIC: PROVIDES PRIMARY CARE SERVICES FROM BIRTH TO ADOLESCENCE, INCLUDING WELL/SICK VISITS, CHECK-UPS, IMMUNIZATIONS, VISION/HEARING SCREENINGS, HEALTH/NUTRITION EDUCATION AND CHRONIC ILLNESSES LIKE ASTHMA AND DIABETES. MORE THAN 200 EMPLOYEES PARTICIPATED IN PATIENT SAFETY DAY, LEARNING MORE ABOUT A VARIETY OF SAFETY INITIATIVES INCLUDING SAFE MEDICATION PRACTICE, INFECTION CONTROL, AND STROKE RECOGNITION AND RESPONSE. -WOMEN, INFANTS & CHILDREN: PROVIDES HEALTH FOOD & NUTRITION ADVICE TO CHILDREN, PREGNANT WOMEN AND NEW MOTHERS INCLUDING BREASTFEEDING ADVICE AND SUPPORT AS WELL AS REFERRALS TO DOCTORS AND DENTISTS. -LEAD AND 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 AND DIABETES, IMMUNIZATIONS, AND MEDICAL EDUCATION. -WALK-IN CLINIC: PROVIDES TREATMENT FOR NON-EMERGENT CONDITIONS AND ILLNESSES SUCH AS COMMON COLD SYMPTOMS, INFECTIONS, EARACHES, FEVERS, SCHOOL AND WORK PHYSICALS, AND IMMUNIZATIONS. -SOCIAL SERVICES: PROVIDES MENTAL HEALTH AND PSYCHOSOCIAL ASSESSMENTS, AS WELL AS INDIVIDUAL AND GROUP COUNSELING, CASE MANAGEMENT AND ADVOCACY SERVICES, CRISIS INTERVENTION, PARENTING & HEALTH EDUCATION. -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. 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 . PART VI, SECTION A, LINE 2 KENNETH BELCHER AND MICHAEL CONKLIN HAVE A BUSINESS RELATIONSHIP. THEY ARE OFFICERS/DIRECTORS OF ST. JOSEPH HEALTH SERVICES OF RI AND OFFICERS/DIRECTORS OF RELATED FOR PROFIT ENTITIES ROSEBANK CORPORATION, ELMHURST HEALTH ASSOCIATES AND OUR LADY OF FATIMA ANCILLARY SERVICES. PART VI, SECTION A, LINE 3 EFFECTIVE JANUARY 4, 2010, THE PRINCIPAL MANAGEMENT FUNCTIONS OF RWMC AND SJHSRI ARE CONDUCTED UNDER THE DIRECTION OF CHARTERCARE HEALTH PARTNER'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES. CONSEQUENTLY, THERE ARE NO KEY EMPLOYEES DISCLOSED FOR THE EXECUTIVE OR FINANCIAL MANAGEMENT FUNCTIONS AFTER JANUARY 2010. PART VI, SECTION A, LINES 6-7B CHARTERCARE HEALTH PARTNERS IS THE SOLE MEMBER OF ST. JOSEPH HEALTH SERVICES OF RI. CHARTERCARE HEALTH PARTNERS AS THE SOLE MEMBER RESERVES THE POWER TO AMEND THE ARETICLES AND BYLAWS OF THE ENTITY, APPOINT OR REMOVE A MEMBER OF THE BOARD OF TRUSTEES, ENTER INTO CONTRACTS, AND EFFECT ANY DISSOLUTION, ALLILIATION, MERGER, OR REORGANIZATION, AND HAS THE EXCLUSIVE POWER TO APPOINT OR REMOVE THE CEO, CFO AND THE COO (IF ANY). PART VI, SECTION B, LINE 11A THE COMPLETION OF THE FORM 990 BEGINS WITH AN OPENING MEETING ATTENDIED BY CHARTERCARE'S CONTROLLER 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 FOR 990 IN CONJUNCTION WITH KPMG LLP. ONCE COMPLETED, THE DRAFT 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 CHARTERCARE'S BOARD MEMBERS FOR THEIR REVIEW AND COMMENTS. THE FORM 990 HAS ALSO BEEN PROVIDED TO THE MANAGEMENT OF PROSPECT CHARTERCARE LLC, THE ENTITY ACQUIRING ALL ASSETS IN THE REORGANIZATION. PART VI, SECTION B, LINE 12 THE CONFLICT OF INTEREST POLICY INCLUDED IN THE BY-LAWS IS TO PROTECT THE COPRORATION'S INTEREST WHEN IT IS COTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR TRUSTEE OF THE CORPORATION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE OFFICERS, TRUSTEES AND MEMBERS OF ANY COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. ON AN ANNUAL BASIS, EACH MEMBER OF THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND ALL RESPONSES ARE SUBMITTED AND REVIEWED BY LEGAL COUNSEL. ANY ACTUAL AND POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED WITH THE BOARD OF TRUSTEES. PART VI, SECTION B, LINE 15 EXECUTIVE COMPENATION PHILOSOPHY: THE EXECUTIVE MANAGEMNT MEMBERS OF ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) ARE ACCOUNTABLE FOR ENSURING THAT THE MISSION, VISION, AND VALUES ARE CARRIED OUT AT THE HIGHEST LEVELS OF QUALITY, SERVICE AND EFFICIENCY WITHIN THE COMMUNITIES SERVED. THE PROCESS TO DETERMINE ANNUAL EXECUTIVE COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE COMMITTEE IS COMPRISED OF INDIVIDUALS WHO ARE INDEPENDENT OF SJHSRI MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO OR UNDER THE CONTROL OF ANY INDIVIDUAL, WHO'S COMPENSATION ARRANGEMENT IS BEING REVIEWED, HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH SJHSRI AND ARE NOT PAID FOR THEIR SERVICES AS BOARD MEMBERS. THE COMMITTEE MAY RETAIN AN INDEPENDENT CONSULTANT TO CONDUCT AN ANNUAL COMPENSATION ANALYSIS AND OR TO PROVIDE ADVISORY SERVICES RELATED TO COMPENSATION. TO ATTRACT AND RETAIN THE HIGHEST CALIBER OF HEATLHCARE PROGESSIONALS NEEDED TO SUSTAIN THE QUALITY OF THE INSTITUTION; COMPENSATION MUST BE COMPETITIVE WITH THAT PROVIDED BY THE ORGANIZATIONS WITH WHICH THE INSTITUTION COMPETES WITHIN THE JOB MARKET. SJHSRI BENCHMARKS EXECUTIVE POSITIONS AGAINST ORGANIZATIONS OF COMPARABLE SIZE AND MISSION ON BOTH A NATIONAL AND REGIONAL LEVEL. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EXPERIENCE AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. IT IS THE OBLIGATION OF THE COMMITTEE TO ASSESS THE PERFORMANCE OF SJHSRI'S CEO, DETERMINE HIS/HER COMPENSATION AND REPORT IT'S FINDING IN THE REGARD TO THE BOARD. THE COMMITTEE IS ALSO RESPONSIBLE FOR REVIEWING THE PERFORMANCE ASSESSMENTS AND COMPENSATION RECOMMENDATIONS FOR THE EXECUTIVE MANAGEMENT MEMBERS. COMPENSATION DECISIONS ARE MADE IN A MANNER THAT IS CONSISTENT WITH THE EXECUTIVE COMPENSATION GUIDELINES AS PUT FORWARD: EXECUTIVE LEVEL COMPENSATION ADMINSTRATION GUIDELINE: EXECUTIVE PAY SHOULD BE COMMENSURATE WITH THE INDIVIDUAL'S SKILLS, KNOWLEDGE AND EXPERIENCE AS IT RELATES TO THEIR POSITION. THE MINIMUM AND 1ST QUARTILE OF THE COMPETITIVE MARKET COMPOSITE MAY BE APPROPRIATE FOR NEWLY HIRED INDIVIDUALS WITH LIMITED EXPERIENCE IN A COMPARABLE POSITION. FULLY EXPERIENCED INDIVIDUALS WITH A DEMONSTRATED RECORD OF CONSISTENTLY MEETING PERFORMANCE EXPECTATIONS FOR THE POSITION SHOULD GENERALLY BE PAID WITHIN 90% TO 110% OF THE MIDPOINT. HIGHLY EXPERIENCED INDIVIDUALS WITH A DEMOSTRATED RECORD OF CONSISTENLY EXCEEDING PERFORMANCE EXPECTATIONS IN ALL AREAS OF ACCOUNTABILITY, OR AN INDIVIDUAL WITH SPECIAL SKILLS AND EXPERTISE BEYOND THOSE NORMALLY ASSOCIATED WITH THE POSITION TYPICALLY HAVE A PAY TARGET BETWEEN MIDPOINT AND THE 3RD QUARTILE OF THE COMPETITIVE MARKET COMPOSITE. THE MAXIMUM OF THE MARKET COMPOSITE REPRESENTS THE HIGHEST SALARY LEVEL WHICH SJHSRI BELIEVES IS APPROPRIATE FOR THE POSITION. AN INDIVIDUAL WHOSE SALRY IS NEAR THE MAXIMUM OF THE MARKET COMPOSITE WILL BE ELIGIBLE FOR SALARY INCREASE OF NO MORE THAN THE AMOUNT REQUIRED TO REACH THE MAXIMUM MARKET PAY LEVEL. PART VI, LINE 19 ST. JOSEPH HEALTH SERVICES OF RI MAKES ITS TAX RETURN, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE TAX RETURN IS ALSO POSTED ON HTTP://WWW.GUIDESTAR.ORG. PART XI, LINE 9 AND PART III, LINE 3, PART VI LINE 16B With the consent the board of directors of CharterCARE Health Partners, the sole member of Roger Williams Medical Center, agree to contribute substantially all assets to a joint venture Prospect CharterCARE LLC. The assets of Roger Williams Medical Center were included in the assets contributed to the joint venture under an agreement reached with the approval of the Rhode Island Attorney General and the Rhode Island Department of Health. Assets Transferred to Prospect Chartercare LLC 38,690,229. CHARTERCARE HEALTH PARTNERS FOUNDATION 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02908 260236669 FUNDRAISING RI 501(C)(3) 7 CCHP false ROGER WILLIAMS MEDICAL CENTER 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050258959 HEALTHCARE RI 501(C)(3) 3 CCHP false ROGER WILLIAMS REALTY CORPORATION 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050423855 RENTAL MGMT RI 501(C)(3) 11 CCHP false RWGH PHYSICIANS OFFICE BUILDING 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050398588 BLDG MGMT RI 501(C)(3) 11 CCHP false ELMHURST EXTENDED CARE FACILITIES INC 50 MAUDE STREET PROVIDENCE RI 02908 222723407 NURSING HOME RI 501(C)(3) 3 CCHP false ROGER WILLIAMS MEDICAL ASSOCIATES 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 203346936 PHY PRACTICE RI 501(C)(3) 11 CCHP false CHARTERCARE HEALTH PARNERS 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 264235815 MANAGEMENT RI 501(C)(3) 11 NA false ST JOSEPH HOSPITAL WORKERS COMP TRUST 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02904 056106574 TRUST RI 501(C)(3) 11 SJHSRI true ELMHURST HEALTH ASSOCIATES 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050437610 LABORATORY RI CCHP C Corp OUR LADY OF FATIMA ANCILLARY SERVICES 200 HIGH SERVICE AVENUE NORTH PROVIDENCE RI 02908 050519862 LABORATORY RI CCHP C Corp ROSEBANK CORPORATION 825 CHALKSTONE AVENUE PROVIDENCE RI 02908 050342046 REAL ESTATE RI CCHP C Corp true false false false false false false true true false true true true false true true true true