ST JOSEPH HEALTH SERVICES OF RI: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HEALTH SERVICES OF RI (EIN 05-0259026)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-13
- IRS object ID
- 201442259349300824
- Schema version
- 2012v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-13T08:10:49-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 South Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050259026 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HEALTH SERVICES OF RI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % KATHLEEN MOORE | InCareOfName |
| Name Control | STJO | NameControl |
| Phone | 4014563312 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HIGH SERVICE AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | NORTH PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02904 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL CONKLIN JR | Name |
| Title | CFO/TREASURER | Title |
| Date Signed | 2014-08-07 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6179881000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KENNETH BELCHER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HIGH SERVICE AVENUE | AddressLine1 |
| City | NORTH PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 143815881 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SAINTJOSEPHRI.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1946 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1602 | TotalNbrEmployees |
| Total Nbr Volunteers | 35 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 283550 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 448375 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 143703182 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 140750185 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 417051 | InvestmentIncomePriorYear |
| Investment Income Current Year | 490049 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2989557 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2127272 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 147393340 | TotalRevenuePriorYear |
| Total Revenue Current Year | 143815881 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 82971703 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 80873097 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 69107644 | OtherExpensePriorYear |
| Other Expenses Current Year | 66736950 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 152079347 | TotalExpensesPriorYear |
| Total Expenses Current Year | 147610047 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4686007 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3794166 | RevenuesLessExpensesCY |
| Total Assets BOY | 87918744 | TotalAssetsBOY |
| Total Assets EOY | 77002711 | TotalAssetsEOY |
| Total Liabilities BOY | 154113252 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 126904477 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -66194508 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -49901766 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 97127836 | Expense |
| Revenue | 142506534 | Revenue |
| Description | 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* | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12089802 | Expense |
| Revenue | 0 | Revenue |
| Description | 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* | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 109217638 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 116 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1602 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KATHLEEN MOORE | NamePerson |
| Telephone Number | 4014563322 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 HIGH SERVICE AVENUE | AddressLine1 |
| City | NORTH PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02904 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH BELCHER | ||||||||||
| PRESIDENT AND CEO CCHP | 0.0 | 40.0 | X | X | 0 | 428652 | 25282 | |||
| JOSEPH SAMARTANO JR DDS | ||||||||||
| TRUSTEE | 1.0 | X | 119041 | 0 | 19270 | |||||
| ELLEN MCCARTY PHD | ||||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||||
| JOSEPH P MAZZA MD | ||||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||||
| LESLIE MARTINEAU | ||||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||||
| NANCY ROGERS | ||||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||||
| REV PAUL D THEROUX | ||||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||||
| REV WILLIAM I VARSANYI | ||||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||||
| REVEREND ROBERT FORCIER | ||||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||||
| ROBERTO ORTIZ MD | ||||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||||
| STEVEN COLAGIOVANNI MD | ||||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||||
| MICHAEL CONKLIN JR | ||||||||||
| CFO/TREASURER CCHP | 0.0 | 40.0 | X | 0 | 328671 | 24393 | ||||
| KIMBERLY O'CONNELL | ||||||||||
| SENIOR VP | 0.0 | 40.0 | X | 0 | 266785 | 22713 | ||||
| PATRICIA NADLE | ||||||||||
| CNO | 40.0 | 250758 | 0 | 19296 | X | |||||
| SUSAN CERRONE-ABELY | ||||||||||
| VP CIO | 0.0 | 40.0 | 0 | 242888 | 24719 | X | ||||
| DARLEEN SOUZA | ||||||||||
| VP HUMAN RESOURCES | 40.0 | 0 | 201342 | 19849 | X | |||||
| DANIEL KANE | ||||||||||
| DENTIST | 40.0 | 295103 | 0 | 18653 | X | |||||
| MAUREEN L HARKAVY | ||||||||||
| PHYSICIAN | 40.0 | 310545 | 0 | 13759 | X | |||||
| WAJAHAT FAHEEM | ||||||||||
| PHYSICIAN | 40.0 | 338676 | 0 | 28096 | X | |||||
| TODD H CARRANZA | ||||||||||
| PHYSICIAN | 40.0 | 342880 | 0 | 9391 | X | |||||
| MAGDI L SALMON | ||||||||||
| PHYSICIAN | 40.0 | 236500 | 0 | 9817 | X | |||||
| JOHN M FOGARTY | ||||||||||
| FORMER COO | 0.0 | 152304 | 0 | 0 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2045807 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1468338 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 235238 | TotalOtherCompensation |
| Number Individuals GT100 K | 43 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CLAFLIN CO | |||||
| PO BOX 7830 | WARWICK | RI | 028877830 | MEDICAL SUPPLIES | 2119131 |
| SODEXO INC AFFILIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 15251 | FOOD SERVICE | 1175330 |
| UNIVERSITY PATHOLOGISTS | |||||
| 300 CENTERVILLE ROAD STE 215 | WARWICK | RI | 02886 | LABORATORY SERVICES | 724200 |
| ASSOCIATES IN ANESTHESIA | |||||
| 200 HIGH SERVICE AVENUE | NORTH PROVIDENCE | RI | 02904 | MEDICAL SERVICES | 694290 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | LABORATORY SERVICES | 633250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 32 | NumberOfContractorsGT100K |
| Government Grants | 61931 | GovernmentGrants |
| All Other Contributions | 386444 | AllOtherContributions |
| Total Contributions | 448375 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621400 | 136516901 | 136516901 |
| OTHER PROGRAM SERVICE REVENUE | 541900 | 3909844 | 3909844 |
| CAFETERIA | 722320 | 323440 | 323440 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 140750185 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 369346 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $369,346 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 75703 | TotalRevenueColumn |
| Exclusion | $75,703 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 370923 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 370923 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 370923 | TotalRevenueColumn |
| Exclusion | $370,923 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 45000 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 45000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45000 | TotalRevenueColumn |
| Exclusion | $45,000 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 0 | GrossIncomeFundraisingEvents |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 0 | GrossIncomeGaming |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEANINGFUL USE RECEIPTS | 900099 | 1642552 | 1642552 | 0 |
| TRANSFER FROM CCHP FOUNDATION | 900099 | 113797 | 113797 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1756349 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 143815881 | TotalRevenueColumn |
| Related Or Exempt Function Income | 142506534 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $860,972 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1577081 | Total |
| Management And General | 1577081 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57620875 | Total |
| Program Services | 51446534 | ProgramServices |
| Management And General | 6174341 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 855409 | Total |
| Program Services | 639590 | ProgramServices |
| Management And General | 215819 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16545082 | Total |
| Program Services | 12368086 | ProgramServices |
| Management And General | 4176996 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4274650 | Total |
| Program Services | 3196159 | ProgramServices |
| Management And General | 1078491 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10162165 | Total |
| Management And General | 10162165 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1022920 | Total |
| Management And General | 1022920 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303554 | Total |
| Management And General | 303554 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2116 | Total |
| Program Services | 2116 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6995552 | Total |
| Program Services | 5359176 | ProgramServices |
| Management And General | 1636376 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78254 | Total |
| Management And General | 78254 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 999594 | Total |
| Program Services | 355674 | ProgramServices |
| Management And General | 643920 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2000681 | Total |
| Program Services | 1635206 | ProgramServices |
| Management And General | 365475 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2465453 | Total |
| Program Services | 437224 | ProgramServices |
| Management And General | 2028229 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26272 | Total |
| Program Services | 24227 | ProgramServices |
| Management And General | 2045 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42390 | Total |
| Program Services | 33744 | ProgramServices |
| Management And General | 8646 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1045574 | Total |
| Program Services | 1045574 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5775430 | Total |
| Program Services | 4620344 | ProgramServices |
| Management And General | 1155086 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -117352 | Total |
| Program Services | -117352 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 13990608 | 14108530 | -117922 | 0 |
| BAD DEBT EXPENSE | 11137334 | 11137334 | ||
| HOSPITAL LICENSING FEE | 7153847 | 7153847 | ||
| FOOD | 727324 | 727324 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2925234 | Total |
| Program Services | 2198148 | ProgramServices |
| Management And General | 727086 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147610047 | Total |
| Program Services | 109217638 | ProgramServices |
| Management And General | 38392409 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 655 | BOY |
| EOY | 655 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5250579 | BOY |
| EOY | 7364844 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3225 | BOY |
| EOY | 2675 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15230073 | BOY |
| EOY | 14745257 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177576 | BOY |
| EOY | 266367 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178121 | BOY |
| EOY | 129398 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1535001 | BOY |
| EOY | 1668626 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 546466 | BOY |
| EOY | 665440 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 142058837 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 110122301 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35574946 | BOY |
| EOY | 31936536 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29422102 | BOY |
| EOY | 20222913 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87918744 | BOY |
| EOY | 77002711 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16785654 | BOY |
| EOY | 17494279 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 677814 | BOY |
| EOY | 6402 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17108210 | BOY |
| EOY | 16531868 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1194008 | BOY |
| EOY | 1293510 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118347566 | BOY |
| EOY | 91578418 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154113252 | BOY |
| EOY | 126904477 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -74311981 | BOY |
| EOY | -58501685 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 842349 | BOY |
| EOY | 1101168 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7275124 | BOY |
| EOY | 7498751 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -66194508 | BOY |
| EOY | -49901766 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87918744 | BOY |
| EOY | 77002711 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3794166 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 39880 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 20047028 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $2,116 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2116 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING EXPENSE | Identifier |
| Return Reference | PART II-B, LINE 1I | ReturnReference |
| Explanation | 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 9/30/2013 WAS $2,116. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1251348 | BeginningOfYearBalance |
| Contributions | 7211 | Contributions |
| Investment Earnings Or Losses | 44120 | InvestmentEarningsOrLosses |
| Other Expenditures | 704 | OtherExpenditures |
| End Of Year Balance | 1301975 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1479931 | BeginningOfYearBalance |
| Contributions | 10990 | Contributions |
| Investment Earnings Or Losses | 138 | InvestmentEarningsOrLosses |
| Other Expenditures | 109630 | OtherExpenditures |
| Administrative Expenses | 130081 | AdministrativeExpenses |
| End Of Year Balance | 1251348 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1412982 | BeginningOfYearBalance |
| Contributions | 82754 | Contributions |
| Investment Earnings Or Losses | 245 | InvestmentEarningsOrLosses |
| Administrative Expenses | 16050 | AdministrativeExpenses |
| End Of Year Balance | 1479931 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1407395 | BeginningOfYearBalance |
| Contributions | 14982 | Contributions |
| Investment Earnings Or Losses | 199 | InvestmentEarningsOrLosses |
| Administrative Expenses | 9594 | AdministrativeExpenses |
| End Of Year Balance | 1412982 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1341680 | BeginningOfYearBalance |
| Contributions | 45250 | Contributions |
| Investment Earnings Or Losses | 29065 | InvestmentEarningsOrLosses |
| Administrative Expenses | 8600 | AdministrativeExpenses |
| End Of Year Balance | 1407395 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.92000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.08000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 624770 | OtherCostOrOtherBasis |
| Book Value | 624770 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 71565443 | OtherCostOrOtherBasis |
| Depreciation | 50676327 | Depreciation |
| Book Value | 20889116 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1105332 | OtherCostOrOtherBasis |
| Depreciation | 301801 | Depreciation |
| Book Value | 803531 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 68446315 | OtherCostOrOtherBasis |
| Depreciation | 59144173 | Depreciation |
| Book Value | 9302142 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 316977 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 316977 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 31936536 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| TRUSTEE UNDER LOAN INDENTURE | 2734955 |
| BENEFICIAL INTEREST PERP TRUST | 6299046 |
| TRUSTEE FOR WORKERS COMP/PROF | 743475 |
| ENDOWMENT FUNDS | 1301400 |
| OTHER ASSETS | 2208604 |
| MALPRACTICE INSUR. RECEIVABLE | 6225191 |
| DUE TO/FROM RELATED PARTIES | 710242 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 20222913 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ESTIMATED SETTLEMENTS TO 3RD PARTY | $2,987,204 |
| INSURANCE RESERVES | $10,529,305 |
| PENSION LIABILITY | $73,115,483 |
| ASSET RETIREMENT OBLIGATION | $3,527,549 |
| DUE TO/FROM RELATED PARTIES | $1,380,669 |
| OTHER LIABILITIES | $38,208 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 91578418 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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. DISTRIBUTIONS ARE MADE IN ACCORDANCE WITH SPECIFIC DONOR RESTRICTED GUIDELINES. |
| FIN 48 (ASC 740) FOOTNOTE | PART X, LINE 2 | ST. JOSEPH HEALTH SERVICES OF RI IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)3 OF THE INTERNAL REVENUE CODE AND IS GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. ST. JOSEPH HEALTH SERVICES OF RI RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. SJSHRI DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITION IN EITHER 2013 OR 2012. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6930527 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3367948 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3562579 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02610 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20889050 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17564844 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3324206 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02440 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27819577 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20932792 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6886785 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05050 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2916216 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1533736 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1382480 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2916216 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1533736 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1382480 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30735793 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22466528 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8269265 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06060 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $3,589,106 | BadDebtExpenseAmount |
| Amount Attributable To | 2848244 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 33293995 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 41010876 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7716881 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Health Services of RI | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 High Service Avenue | AddressLine1 |
| City | North Providence RI | City |
| State | RI | State |
| ZIP Code | 02904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HEALTH SERVICES OF RI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PERCENT OF TOTAL EXPENSE | PART I, LINE 7(F) | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR LINE 7 COLUMN(F) IS $11,137,334. 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. |
| BAD DEBT EXPENSE | 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. SJHSRL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 77.31 % OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30,2012 TO 72.45% OF SELF-PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30,2013. SJHSRL'S SELF-PAY WRITEOFFS FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012 AMOUNTED TO $10,475,214 AND $9,297,845, RESPECTIVELY. SJHSRI DID NOT CHANGE ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, RESPECTIVELY. 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. |
| EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT | 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. |
| COLLECTION PRACTICES FOR QUALIFIED PATIENTS | 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. |
| ST. JOSEPH HEALTH SERVICES OF RI (1) | 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. URL FOR CHNA PART V, SECTION B, LINE 5A HTTP://WWW.FATIMAHOSPITAL.COM/FOR-PATIENTS/FATIMA%20CHNA%202013.PDF 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. |
| ST. JOSEPH HEALTH SERVICES OF RI (1) | 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. |
| COMMUNITY HEALTH NEEDS ASSESSMENT | 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 CHNA WAS CONDUCTED FROM SEPTEMBER 2012 TO MAY 2013. 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. |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | 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. |
| COMMUNITY INFORMATION | 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. |
| PROMOTION OF COMMUNITY HEALTH | 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. |
| AFFILIATED HEALTH CARE SYSTEM | 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH BELCHER | ||||||||||||||
| PRESIDENT AND CEO CCHP | 0 | 401895 | 0 | 0 | 0 | 26757 | 0 | 6406 | 0 | 18876 | 0 | 453934 | 0 | 0 |
| MICHAEL CONKLIN JR | ||||||||||||||
| CFO/TREASURER CCHP | 0 | 328435 | 0 | 0 | 0 | 236 | 0 | 4900 | 0 | 19493 | 0 | 353064 | 0 | 0 |
| JOHN M FOGARTY | ||||||||||||||
| FORMER COO | 0 | 0 | 0 | 0 | 152304 | 0 | 0 | 0 | 0 | 0 | 152304 | 0 | 0 | 0 |
| DANIEL KANE | ||||||||||||||
| DENTIST | 295103 | 0 | 0 | 0 | 0 | 0 | 9093 | 0 | 9560 | 0 | 313756 | 0 | 0 | 0 |
| MAUREEN L HARKAVY | ||||||||||||||
| PHYSICIAN | 310545 | 0 | 0 | 0 | 0 | 0 | 4298 | 0 | 9461 | 0 | 324304 | 0 | 0 | 0 |
| WAJAHAT FAHEEM | ||||||||||||||
| PHYSICIAN | 338676 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 20746 | 0 | 366772 | 0 | 0 | 0 |
| TODD H CARRANZA | ||||||||||||||
| PHYSICIAN | 342880 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9391 | 0 | 352271 | 0 | 0 | 0 |
| MAGDI L SALMON | ||||||||||||||
| PHYSICIAN | 236500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9817 | 0 | 246317 | 0 | 0 | 0 |
| PATRICIA NADLE | ||||||||||||||
| CNO | 248730 | 0 | 0 | 0 | 2028 | 0 | 0 | 0 | 19296 | 0 | 270054 | 0 | 0 | 0 |
| SUSAN CERRONE-ABELY | ||||||||||||||
| VP CIO | 0 | 218589 | 0 | 0 | 0 | 24299 | 0 | 5441 | 0 | 19278 | 0 | 267607 | 0 | 0 |
| DARLEEN SOUZA | ||||||||||||||
| VP HUMAN RESOURCES | 0 | 197316 | 0 | 0 | 0 | 4026 | 0 | 5277 | 0 | 14572 | 0 | 221191 | 0 | 0 |
| KIMBERLY O'CONNELL | ||||||||||||||
| SENIOR VP | 0 | 244844 | 0 | 0 | 0 | 21941 | 0 | 5106 | 0 | 17607 | 0 | 289498 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GROSS-UP PAYMENT AND HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE | 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 RENTS ONE OF THE PROPERTIES OWNED BY THE ST. JOSEPH HEALTH SERVICES OF RI. SHE RECEIVES IN HER PAY CHECK A GROSS-UP IN ORDER FOR HER TO PAY THE RENT FOR THE PROPERTY. IN CALENDAR YEAR 2012, SHE RECEIVED A TOTAL GROSS-UP FOR RENT OF $22,315. |
| ESTABLISH COMPENSATION | 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. |
| SEVERANCE PAYMENT | PART I, LINE 4A | JOHN M FOGARTY RECEIVED A SEVERANCE PAYMENT OF $152,304. |
| NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN | PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS UNDER THE 457(F) PLAN: KENNETH BELCHER - $21,809 MICHAEL CONKLIN - $0 KIMBERLY O'CONNELL - $19,388 SUSAN CERRONE-ABELY - $15,329 THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SPLIT DOLLAR LIFE INSURANCE PLAN AND INCLUDED THE FOLLOWING IMPUTED INCOME IN TAXABLE WAGES IN CALENDAR YEAR 2012: KENNETH BELCHER - $4,947 MICHAEL CONKLIN - $236 KIMBERLY O'CONNELL - $129 SUSAN CERRONE-ABELY - $239 DARLEEN SOUZA - $64 |
Schedule L IRS990ScheduleL
Loan Table LoanTable (6 entries)
| Relationship With OrganizationRelationshipWithOrganization | Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|---|
| K BELCHER | |||||||
| OFFICER | SPLIT DOLLAR PREMIUM | X | $19,394 | 58181 | false | true | true |
| S ABELY | |||||||
| KEY EMPLOYEE | SPLIT DOLLAR PREMIUM | X | $6,458 | 19373 | false | true | true |
| K O'CONNELL | |||||||
| OFFICER | SPLIT DOLLAR PREMIUM | X | $3,507 | 10520 | false | true | true |
| M CONKLIN | |||||||
| OFFICER | SPLIT DOLLAR PREMIUM | X | $30,688 | 92063 | false | true | true |
| D SOUZA | |||||||
| KEY EMPLOYEE | SPLIT DOLLAR PREMIUM | X | $8,832 | 26495 | false | true | true |
| P NADLE | |||||||
| KEY EMPLOYEE | SPLIT DOLLAR PREMIUM | X | $19,912 | 59735 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 266367 | TotalBalanceDue |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOANS TO INTERESTED PERSONS | Identifier |
| Return Reference | PART II | ReturnReference |
| Explanation | CHARTERCARE HEALTH PARTNERS HAS DEVELOPED A COMPENSATION AND BENEFIT PROGRAM TO RETAIN EXPERIENCED HEALTHCARE PROFESSIONALS. UNDER THE PROGRAM CERTAIN EMPLOYEES HAVE BEEN ENROLLED IN A SPLIT DOLLAR LIFE INSURANCE PROGRAM THAT PROVIDES PRE AND POST EMPLOYMENT LIFE INSURANCE BENEFITS. THE LIFE INSURANCE PREMIUMS FOR THIS POLICY HAVE BEEN PAID BY THE HOSPITAL AND IN RETURN THE HOSPITAL HAS RECEIVED A COLLATERAL INTEREST IN THE PROCEEDS OF THE POLICY. UPON THE DEATH OR TERMINATION OF EMPLOYMENT OF THE INSURED, THE HOSPITAL WILL BE REPAID THE AMOUNTS THAT HAVE BEEN ADVANCED. THE AMOUNTS REPORTED AS LOANS REPRESENT THE AGGREGATE PREMIUMS THAT HAVE BEEN PAID TO DATE. INTEREST HAS BEEN COMPUTED ON THESE ADVANCES AND INCLUDED IN TAXABLE COMPENSATION PAID TO EACH EMPLOYEE AS REFLECTED IN FORM W-2. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION AND PROGRAM SERVICE ACCOMPLISHMENTS | 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 2013 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. FOR NEARLY A YEAR, 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 2013-2014 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. -THE ST. JOSEPH SCHOOL OF NURSING HELD GRADUATION CEREMONIES FOR ITS 111TH CLASS ON MAY 17 WITH 26 DIPLOMAS AND PINS PRESENTED TO THE GRADUATING CLASS OF 2013. -IN 2013, SIX STUDENTS GRADUATED FROM THE SCHOOL OF MEDICAL TECHNOLOGY AT FATIMA HOSPITAL, COMPLETING A YEAR-LONG LABORATORY INTERNSHIP PROGRAM. THE SCHOOL IS A MEMBER INSTITUTION OF THE BOARD OF RHODE ISLAND SCHOOLS OF ALLIED HEALTH, A CONSORTIUM OF THREE COLLEGE/UNIVERSITY CLINICAL LABORATORY SCIENCE PROGRAMS AND TWO SCHOOLS OF MEDICAL TECHNOLOGY IN THE STATE. 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. IN 2013, TOTAL HEALTH CENTER VISITS (INCLUDING SATELLITE OFFICES) WERE 25,501. |
| ORGANIZATION'S MISSION AND PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED) | 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. IN 2013, VISITS TO THE PEDIATRIC DENTAL CENTER, INCLUDING SATELLITE OFFICES, TOTALED 44,230. -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 IN 2013. 2013 COMMUNITY EDUCATION/HEALTH FAIRS/SCREENINGS -MARCH 7: 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. -MAY 8: FATIMA HOSPTIAL HOSTED A COMMUNITY HEALTH FAIR FOCUSED ON STROKE SIGNS AND PREVENTION. MORE THAN 200 PEOPLE ATTENDED. -JUNE 19: THE DIABETES OUTREACH TEAM AT FATIMA HOSTED A GUIDED SUPERMARKET TOUR TO INFORM PARTICIPANTS OF BETTER FOOD SHOPPING HABITS WHEN DIAGNOSED WITH DIABETES. 21 PEOPLE PARTICIPATED. -AUGUST 6: FATIMA HOSPITAL AND ROGER WILLIAMS MEDICAL CENTER PARTICIPATED IN THE FIRST-EVER NATIONAL NIGHT OUT, HOSTED BY THE NORTH PROVIDENCE POLICE DEPARTMENT. MORE THAN 500 PEOPLE ATTENDED AND HAD THE OPPORTUNITY TO PARTAKE IN OUR SCREENING/PREVENTION PROJECTS INCLUDING SKIN CANCER SCREENING, SMOKING CESSATION/PREVENTION, DENTAL HYGIENE, AND STROKE CARE. -SEPTEMBER 27: SOUTHERN NEW ENGLAND REHABILITATION CENTER HOSTED A CONFERENCE FOCUSED ON BRAIN INJURY WITH MORE THAN 100 PARTICIPANTS. -MONTH OF OCTOBER: CHARTERCARE HOME HEALTH SERVICES CONDUCTED 30 FLU CLINICS AT VARIOUS ASSISTED LIVINGS : TOTAL 1407 FLU SHOTS GIVEN -OCTOBER 2: 43 MEN WERE SCREENED AT THE ANNUAL PROSTATE CANCER SCREENING. -OCTOBER 7: SOUTHERN NEW ENGLAND REHABILITATION CENTER HELD AN EVENT TO CELEBRATE THE PROGRESS OF REHABILITATION PATIENTS WITH 25 PARTICIPANTS. -OCTOBER 17: FATIMA HOSTED PROGRAM ON PALLIATIVE CARE AND END-OF-LIFE DECISIONS THAT WAS ATTENDED BY 75 PARTICIPANTS. -OCTOBER 19: ST. JOSEPH HEALTH CENTER HOSTED A HEALTH FAIR TO PROVIDE FREE SCREENINGS AND INFORMATION ABOUT A VARIETY OF TOPICS INCLUDING THE SERVICES OFFERED AT THE CENTER'S CLINICS. MORE THAN 200 PEOPLE ATTENDED. -THE WEEK OF OCTOBER 21: FATIMA HOSPITAL HELD A WEEK LONG PROMOTION OF BREAST HEALTH AWARENESS IN THE BREAST CARE CENTER WHICH INCLUDED FREE MAMMOGRAMS, STAFF AVAILABLE TO ANSWER QUESTIONS, AND A VISIT FROM THE GLORIA GEMMA BREAST BUS. -NOVEMBER 2: THE DIABETES EDUCATION TEAM FROM FATIMA HOSPITAL, ALONG WITH DOZENS OF OTHER MEDICAL PROFESSIONALS FROM THE COMMUNITY, DELIVERED SCREENINGS, INFORMATION AND EDUCATIONAL LECTURES RELATED TO DIABETES ON NOVEMBER 2 AT RHODE ISLAND COLLEGE. THIS WAS THE 5TH ANNUAL DIABETES FAIR HOSTED BY FATIMA, A REGIONAL LEADER IN DIABETES CARE. LESS THAN A YEAR AGO, FATIMA BECAME THE FIRST HOSPITAL IN NEW ENGLAND CERTIFIED BY THE JOINT COMMISSION FOR ADVANCED INPATIENT DIABETES CARE. -NOVEMBER 4: OUR LADY OF FATIMA HOSPITAL TEAMED WITH THE AMERICAN CANCER SOCIETY TO HOST A SESSION OF LOOK GOODFEEL BETTER. LGFB IS A HANDS-ON WORKSHOP LEAD BY TRAINED VOLUNTEER COSMETOLOGISTS TO HELP WOMEN UNDERGOING CANCER TREATMENT WITH COSMETICS, SKIN CARE AND HEAD COVERING OPTIONS. -NOVEMBER 23: BONE DAY INCLUDED AN INFORMATIONAL BOOTH WHERE PARTICIPANTS LEARNED ABOUT OSTEOPOROSIS AND THE IMPORTANCE OF STRONG BONES. -DECEMBER 13: MORE THAN 700 CHILDREN GOT IN THE HOLIDAY SPIRIT AT THE 31ST ANNUAL CHRISTMAS PARTY AT THE ST. JOSEPH CENTER FOR HEALTH AND HUMAN SERVICES. THIS EVENT, FOR FAMILIES THAT RECEIVE MEDICAL AND DENTAL CARE AT THE CENTER, INCLUDES GIFTS FROM SANTA, ENTERTAINMENT, CRAFTS AND REFRESHMENTS. COMMUNITY SUPPORT FATIMA HOSPITAL OFFERS SUPPORT GROUPS FOR INDIVIDUALS FACING A VARIETY OF MEDICAL CHALLENGE FROM STROKE TO DIABETES. COMMUNITY PARTNERSHIPS SJHSRI ACTIVELY COLLABORATES WITH SCHOOLS, FELLOW HEALTH CARE PROVIDERS AND OTHERS TO MAXIMIZE OUR CONTRIBUTIONS TO THE COMMUNITY. IN 2013, ST. JOSEPH HEALTH SERVICES ALONG WITH ITS OTHER CCHP-AFFILIATED EMPLOYEES, HELPED RAISE FUNDS FOR A NUMBER OF CHARITABLE CAUSES INCLUDING: -MARTIN LUTHER KING (MLK) DAY: ST. JOSEPH EMPLOYEES VOLUNTEERED AS PART OF OUR MLK DAY EVENT FOR HABITAT FOR HUMANITY, HELPING TO BUILD HOUSES FOR LOW-INCOME FAMILIES IN PAWTUCKET AND PROVIDENCE. -CLOTHING DRIVE: ST. JOSEPH HEALTH SERVICES COLLECTED COATS, MITTENS, AND OTHER GENTLY USED ITEMS FOR THE RHODE ISLAND FURNITURE BANK. -"DAFFODIL DAYS": RAISED MONEY FOR THE AMERICAN CANCER SOCIETY. -THE REHAB RIDERS, A TEAM OF FATIMA EMPLOYEES AND THEIR FRIENDS, AGAIN TOOK PART IN THE MS 150 MILE BIKE RIDE. THE TEAM HAS RAISED OVER $50,000 SINCE ITS FORMATION. -BLOOD DRIVES: ST. JOSEPH'S EMPLOYEES DONATED BLOOD AT QUARTERLY BLOOD DRIVES HELD AT FATIMA HOSPITAL. -SCHOOL OF NURSING RAISED MONEY FOR THANKSGIVING BASKETS FOR THE NEEDY. -SCHOOL OF NURSING RAISED MONEY FOR THANKSGIVING BASKETS FOR THE NEEDY. -SCHOOL OF NURSING RAISED MONEY FOR THANKSGIVING BASKETS FOR THE NEEDY. -CLOTHING DRIVE: ST. JOSEPH HEALTH SERVICES COLLECTED COATS, MITTENS, AND OTHER GENTLY USED ITEMS FOR THE RHODE ISLAND FURNITURE BANK. -"DAFFODIL DAYS": RAISED MONEY FOR THE AMERICAN CANCER SOCIETY. -THE REHAB RIDERS, A TEAM OF FATIMA EMPLOYEES AND THEIR FRIENDS, AGAIN TOOK PART IN THE MS 150 MILE BIKE RIDE. THE TEAM HAS RAISED OVER $50,000 SINCE ITS FORMATION. -BLOOD DRIVES: ST. JOSEPH'S EMPLOYEES DONATED BLOOD AT QUARTERLY BLOOD DRIVES HELD AT FATIMA HOSPITAL. -SCHOOL OF NURSING RAISED MONEY FOR THANKSGIVING BASKETS FOR THE NEEDY. |
| BUSINESS RELATIONSHIPS | 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. |
| MANAGEMENT FUNCTIONS | 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. |
| MEMBERS OF THE ORGANIZATION | 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). |
| REVIEW PROCESS | PART VI, SECTION B, LINE 11A | THE COMPLETION OF THE FORM 990 BEGINS WITH AN OPENING MEETING ATTENDED BY THE CONTROLLER OF CCHP AND KPMG LLP, AN INDEPENDENT TAX CONSULTANT. THE MEETING CONSISTS OF A REVIEW OF THE ORGANIZATIONAL STRUCTURE, SIGNAIFICANT CHANGES IN OPERATIONS OR PROGRAM ACTIVITITES 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 MANAGEMNT 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 | 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. |
| COMPENSATION POLICY | 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. |
| PUBLIC DISCLOSURE | 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. |
| OTHER CHANGES IN NET ASSETS | PART XI, LINE 5 | ADJUSTMENT TO PENSION LIABILITY $ 19,846,971 CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS $ 200,911 UNRESTRICTED NET ASSET TRANSFER $ (854) -------------- TOTAL $ 20,047,028 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ELMHURST HEALTH ASSOCIATES | |||||||||||
| 825 CHALKSTONE AVENUE | PROVIDENCE | RI | 02908 | 050437610 | LABORATORY | RI | CCHP | C Corp | 0 | 0 | false |
| OUR LADY OF FATIMA ANCILLARY SERVICES | |||||||||||
| 200 HIGH SERVICE AVENUE | NORTH PROVIDENCE | RI | 02908 | 050519862 | LABORATORY | RI | CCHP | C Corp | 0 | 0 | false |
| ROSEBANK CORPORATION | |||||||||||
| 825 CHALKSTONE AVENUE | PROVIDENCE | RI | 02908 | 050342046 | REAL ESTATE | RI | CCHP | C Corp | 0 | 0 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |