2012-08-15T14:15:57-07:00 2011-09-30 990 2010-10-01 050259004 MEMORIAL HOSPITAL MEMO 4017292000 111 Brewster Street Pawtucket RI 028604499 Arthur Deblois 4017292000 2012-08-15 2010 2016-02-24 21:20:13Z Arthur DeBlois III 111 Brewster Street Pawtucket RI 02860 200512627 0 X www.mhri.org X 1901 RI Our mission is primary care and preventive medicine, providing advanced diagnosis and treatment with a focus on teaching and research. 17 17 2418 171 0 0 6925155 7486800 173280023 169468374 1785995 3500122 927532 916445 182918705 181371741 0 0 0 0 112172988 114049334 0 0 27351 72586816 72311225 184759804 186360559 -1841099 -4988818 114145854 101761596 81760941 89347255 32384913 12414341 Our mission is primary care and preventive medicine, providing advanced diagnosis and treatment with a focus on teaching and research. An essential resource in achieving our mission is the medical expertise provided by our competent and caring professional staff. We strive to achieve the timely and efficient delivery of care in a compassionate atmosphere. 0 0 166646977 0 0 Health Care & ManagementFunds received were used to provide funding for the exempt purpose of general patient care. The Memorial Hospital is an acute care, not -for-profit teaching community health institution and research facility serving the Blackstone Valley community of Rhode Island and Massachusetts. Memorial, which is located in Pawtucket, Rhode Island, is a teaching affiliate of the Warren Alpert Medical School of Brown University and the chief site for the medical schools primary care academic program housed in the Center for Primary Care. Memorials goals are to provide quality multi-disiplinary services, to see patients regardless of race, color, national origin, socioeconomic status or place of residence and to act as an educational resource for patients, physicians, nurses and the community. Memorial provides care to patients that meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because Memorial does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. Memorial provided 30,098patient days of service in the year ended September 30, 2011. Memorial had 6,373 admissions with an ALOS of 4.72 days. Memorial operates a Level 2 trauma center ER, which serves patients regardless of ability to pay. For the year ended September 30, 2011, Memorial provided its patients with 32,195 ER visits. Primarily through the Department of Family Medicine, Memorial attempts to integrate patient care within the context of the patients family, and, whenever possible and appropriate, care for the family as a unit. Memorial also seeks to cooperate with community organizations in the management of patient care. The Department of Family Medicine follows patients in whatever setting they present, whether home, nursing home or tertiary care center. To help accomplish this goal, Memorial has a Homecare Department which works with the Department of Medicine, Nursing, Social Services, Physical Therapy, Utilization Review, Medical/Surgical Supply and Pharmacy to ensure that patients leaving the inpatient services receive continuous and appropriate care after leaving Memorial. Memorial has well developed programs in Occupational Health, Physical Therapy and Medical Rehabiliation. Memorial's research is internationally recognized. Many of the materials and procedures developed are being used all over the country. Two of the many widely recognized programs at Memorial are the Osteoarthritis Initiative and the Women's Health Initiative. Memorial's research efforts are guided by the goal of working to address unmet health needs in the community. Memorial's Department of Family Medicine accepts approximately 13 residents per year for a total of 39 residents in the training program. This program is nationally competitive, matching with high qualit residents in spite of the decreasing interest of medical students in primary care specialties. The Department of Family Medicine has developed a model teaching community health center at two centers which serve a large number of medically indegent patients in the Blackstone Valley. These models of community based education, research and patient care serve as training sites for residents who desire a career in rural or urban community health centers. 0 0 0 166646977 1 0 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 72 0 1 2418 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X Arthur DeBlois III 4017292000 111 Brewster Street Pawtucket RI 028604499 Robert Andrade 0.25 X X 0 0 0 Robert MacKenzie 0.25 X X 0 0 0 Paul Mooney 0.25 X 0 0 0 John J Partridge 0.25 X 0 0 0 Virginia Roberts 0.25 X 0 0 0 Karl Sherry 0.25 X 0 0 0 Donna Brady 0.25 X 0 0 0 Arthur Deblois III 0.25 X X 0 0 0 Alfred Degen 0.25 X 0 0 0 William Kapos 0.25 X X 0 0 0 Gary E Furtado 0.25 X 0 0 0 William J Hunt 0.25 X X 0 0 0 Patrick J Murray 0.25 X X 0 0 0 Greg Scown 0.25 X 0 0 0 James Hahn 0.25 X 0 0 0 Edna Poulin 0.25 X X 0 0 0 Francis R Dietz 60 X X X 601254 0 15262 Michael J Ryan 50 X 192001 0 35197 Elizabeth Girard 50 X X 170739 0 19292 Michelle MacDonald Gallagher 50 X 265000 0 38156 Martin Tursky 50 X X 418405 0 38138 Jeffrey Borkan MD 40 X 284665 0 21125 Andrew Artenstein MD 40 X 297962 0 21339 Brian Wiley MD 40 X 302454 0 12420 Noubar Kessimian MD 40 X 271250 0 20909 John Riedel MD 40 X 276996 0 21002 3080726 0 242840 116 1 1 0 Aramark Healthcare Food Lockbox 25271 Network Pl Chicago IL 606731252 Dietary Services 730830 Quest Diagnostics 3924 Collection Center Drive Chicago IL 606930039 Laboratory Services 599760 Brown University PO Box 1939 Providence RI 02912 Physicians 637446 University Surgical Associates 593 Eddy Street Apt 431 Providence RI 02903 Surgical Physician Services 685000 BWPO Medicine PO Box 3684 Boston MA 022413684 Physician Services ( E/R and Cardiology) 606400 17 0 0 0 0 6004390 1482410 0 7486800 Patient Service Revenue 622000 169468374 169468374 0 0 0 0 0 0 169468374 786691 0 0 786691 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21847666 6651 19140886 0 2706780 6651 2713431 0 0 2713431 0 Cafeteria Revenue 561499 900266 0 0 900266 Pharmacy Sales to Employees 561499 16179 0 0 16179 0 0 0 0 916445 181371741 169468374 0 4416567 0 0 0 0 0 0 0 0 1647399 0 1647399 0 0 0 0 0 82288468 72956870 9306191 25407 5309427 4708786 600641 0 19253092 17075043 2178049 0 5550948 4921261 627743 1944 0 0 0 0 249051 0 249051 0 193200 0 193200 0 0 0 0 0 0 0 0 0 0 0 10448725 8499535 1949190 0 16462 14600 1862 0 19807135 19318073 489062 0 0 0 0 0 0 0 0 0 2868009 2204766 663243 0 365004 353173 11831 0 0 0 0 0 0 0 0 0 1143902 1143902 0 0 0 0 0 0 4162282 3691415 470867 0 2130626 1574492 556134 0 Provision for Bad Debts 16352769 16352769 0 0 Licensing Fee 7549028 7549028 0 0 Physician and Grants 5211461 5211461 0 0 Equipment Rental & Maintenance 583469 517463 66006 0 Dues 529124 182839 346285 0 700978 371501 329477 0 186360559 166646977 19686231 27351 337609 789126 0 0 202392 56325 33857809 34280331 0 0 0 0 0 0 802038 737772 843458 876596 113383400 80372399 33908209 33011001 0 0 41493988 30107963 0 0 0 0 2700351 1902482 114145854 101761596 24669860 22237145 0 0 0 0 12693483 11106099 0 0 0 0 0 0 0 0 44397598 56004011 81760941 89347255 X 21656473 1647034 1015273 1297954 9713167 9469353 32384913 12414341 114145854 101761596 X -4988818 -14981754 X 0 1 1 X 1 1 X 0 0 0 0 0 0 0 0 1 11808 11808 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 Memorial is a member of the Hospital Association of Rhode Island (HARI). The hospital pays annual memebership dues to HARI. HARI lobbies on behalf of all it's members. 9713167 23 -243837 0 0 0 9469353 9361014 34 352119 0 0 0 9713167 9438660 0 -77646 0 0 0 9361014 0 1 0 1 0 1822002 0 1822002 48450143 0 29564898 18885245 0 0 0 0 60748088 0 49325139 11422949 2363167 0 1482362 880805 33011001 0 0 Stocks 14901893 F Bonds 6882912 F Other 8323158 F 30107963 0 Minimum Pension Liability 48295374 Line of Credit 5000000 Current Portion of Long-term Debt 1587385 Insurance Claims Reserve 977468 Accrued Interest Payable 143784 56004011 181371741 186360559 -4988818 -2757125 0 0 0 0 -2757125 -7745943 178637053 -2757125 0 0 0 -2757125 181394178 -22437 0 -22437 181371741 186382996 0 0 0 22437 22437 186360559 0 0 0 186360559 SchD_P05_S00_L04 Schedule D, Part V, Line 4 Memorial's Endowment Funds are intended primarily for providing charity care. SchD_P13_S00_L02d Schedule D, Part XIII, Line 2d Assets released from restrictions for general operations 1 1 1 X 0 1 1 1 0 0 10551760 5757941 4793819 28525420 25544349 2981071 0 0 0 0 0 39077180 31302290 7774890 0 20750 0 20750 21651453 6024995 15626458 0 0 0 6608396 6004390 604006 0 0 0 0 0 28280599 12029385 16251214 0 0 0 67357779 43331675 24026104 0 1 7136177 3280028 38889609 37769047 1120562 X 1 1 1 1 Memorial Hospital of Rhode Island

111 Brewster Street Pawtucket RI 02860

X X X X X X Memorial Hospital of Rhode Island 1 0 1 1 21780 0 1 X X X 1 1 X X X X X X 1 X 1 X X X X X SchH_P01_S00_L03c Schedule H, Part I, Line 3c The hospital provides free care to all patients whose income is at, or falls below 200% of the current Federal Poverty Guidelines (Patient Rights Policy #25). For patients whose income does not qualify for free care, the hospital provides a 40% discount for all services not covered by insurance if paid within six months of service, or determination that health insurance will not cover service. This discount is not dependent on income level or asset testing. SchH_P01_S00_L07 Schedule H, Part I, Line 7 The cost of services were calculated by multiplying the charges for those services by the ratio of cost to charges as determined in the 2011 Medicare Cost Report. SchH_P01_S00_L072f Schedule H, Part I, Line 7, Column f N/A SchH_P01_S00_L07g Schedule H, Part I, Line 7g N/A SchH_P03_S0A_L04 Schedule H, Part III, Section A, Line 4 Following is the text of the footnote describing bad debt expense: "In addition to the cost of charity care and other community service programs, the Hospital provided $16,371,134 and $15,657,416 for uncollectible patient accounts during the years ended September 30, 2011 and 2010, respectively". The ratio of cost to charges of .4359 was used to determine the bad debt cost reported on line 2. SchH_P03_S0B_L08 Schedule H, Part III, Section B, Line 8 The Medicare cost report was used as the source of the Medicare cost used on line 6. The result is a surplus on line 7. SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b The hospital's Credit and Collection policy (Patient Rights Policy # 23) states that "The hospital will at all times provide essensial care and treatment regardless of the ability of the patient to pay for the service". "The Patient Accounts Department will investigate the financial ability of each patient to pay for services and will provide financial counseling in order to ensure that the patient obtains any eligible medical coverage through their employer, the federal government, the Department of Human Services, or the hospital's Community Free Care". SchH_P05_S0B_L13 Schedule H, Part V, Section B, Line 13 The Patient Accounts Department will investigate the financial ability of each patient tp pay for services and will provide financial couseling in order to ensure that the patient obtains any eligible coverage through their employer, the federal government, the Department of Human Services, or the hospital's Community Free Care. SchH_P06_S00_L02 Schedule H, Part VI, Line 2 The hospital has an ongoing strategic planning process which assesses the needs of the community and the hospital's plans for meeting those needs. This planning process includes evaluation of data provided by the Hospital Association of RI, the RI Department of Health and other agencies on healthcare trends in the community. The input of the City of Pawtucket as well as other community stakeholders is continuously sought. The plan is reviewed at a joint leadership retreat which includes leaders of the medical staff, administration and the Board of Trustees. The hospital has a strong community Board of Trustees which insures that the needs of the community are represented in the governance of the hospital. SchH_P06_S00_L03 Schedule H, Part VI, Line 3 The following procedures are followed to inform patients of their eligibility for assistance: Notification of Free Care is posted at every registration area throughout the MHRI system. The notice is posted in English, Spanish and Portuguese and has the telephone number of the Financial Counselor. The Notice of Charity Care is printed on the patient's billing statement. The Emergency Department Clinicians are edudated in regard to proper refferal process. If the patient states they are uninsured and need to seek Charity Care through discussion with the clinician, then they will be reffered to the Family Care Center at Memorial Hospital. We pre-screen all self-pay Emergency Department patients for Community Free Services. If they pass the screening they are sent o the Financial Councelor for assistance in filling out any necesssary forms. The hospital staffs a Financial Assistance Councelor in our Family Care Center to qualify patients for Medical Assistance or Free Care. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 The Following Cities and towns in the state of RI are within the primary service area of the hospital: Pawtucket, Central Falls, Cumberland, East Providence, Riverside, Rumford and Lincoln. In addition, the hospital serves the following cities and towns in Massachusetts: Attleboro, Seekonk, North Attleboro and Plainville. The majority of the patients served during the current fiscal year were from the city of Pawtucket (59%) followed by Central Falls (16%). The city of Pawtucket has a population of approximately 71M and is the forth largest city in the state. Pawtucket was a major center of manufacture of cotton textiles during the American Industrial Revolution. Slater Mill, built in 1793 by Samuel Slater in downtown Pawtucket, was the first fully mechanized cotton spinning mill in America. The textile business in Pawtucket declined during the 1930s with many manufacturers closing or moving their facilities. As of September 2011 the city's unemployment rate was 12.1%. According to the 2010 census, the median income for a household in the city was $31,775, and the median income for a family was $39,038. Males had a median income of $31,129 versus $23,391 for females. The per capita income for the city was $17,008. About 14.9% of families and 16.8% of the population were below the poverty line, including 24.5% of those under age 18 and 15.2% of those age 65 or over. The racial makeup of the city is 75.39% White, 7.31% African American, 10.75% from other races, and 5.34% from two or more races. Hispanic of any race were 13.9% of the population. 20.6% of Pawtucket residents are French or French-Canadian descent, and 11.6% of Portuguese descent. The hospital operates the Notre Dame Ambulatory Center in Central Falls, RI. Central Falls has a population of 19,042, and represents approximately 16% of the hospital's discharges. The median income for a household in the city was $22,628, and the median income for a family was $26,844. About 25.9% of families and 29% of the poulation are below the poverty line, including 40.8% of those under age 18 and 29.3% of those age 65 or over. The unemployment rate was 14.6% in September 2011. The racial makeup of Central Falls is 51.16% White, 5.82% African American, 28.35% from other races, and 7.38% from two or more races. Hispanic or Latino of any race are 47.77% of the population. SchH_P06_S00_L05 Schedule H, Part VI, Line 5 The mission of Memorial Hospital is primary care and preventative medicine, providing advanced diagnosis and treatment with a focus on teaching and research. In order to achieve it's mission, the hospital sponsors several activities throughout the year. in FY 2011, the hospital sponsored the foloowing activities: Summer Food Safety, Blood Drive, Look Good - Feel Better, AARP Safety Driving, Hearing Screening, Emerald Bay Manor, Cholesterol/Glucose Screening, Annual Health Fair, Healthy Kids Fair, Leon Mathieu Center Fair, Progeso Latino Fair, PAWSOX, Pawtucket Rotary, College Crusade, and several fund raising "walks". Emergency Preparedness Activities- Memorial Hspital works with state and local partners in the planning and execution of disaster readiness and public health emergency activities. On a state level, MHRI is a member of the Hospital Association of Rhode Island (HARI) and participates in monthly hospital preparedness meetings with other acute care hospitals, community health centers, and the RI Department of Health. Additionally, local emergency management representatives from the five cities and towns that make up the hospital's catchment area participate in hospital Emergency Management Committe Meetings, held monthly. Local partners in conjunction with police, fire, and emergency medical services participate in hospital preparedness trainings such as evacuation, infant abduction, and severe weather scenario drills, Local partners have also worked in partnership with the hospital to support events such as hazardous material release, severe weather events, and mass vaccinations. SchH_P06_S00_L06 Schedule H, Part VI, Line 6 Other information- Memorial Hospital of Rhode Island is a 294-bed acute care, not-for-profit, teaching, community health institution providing health care to a population of approximately 300,000 residents in Pawtucket and the surrounding Blackstone Valley region of Rhode Island as well as portions of southeastern Massachusetts. The Hospital offers a comprehensive array of medical, surgical, pediatric, obstetric and ancillary services. In addition, the Hospital has developed specialized expertise in areas such as Oncology, Rehabilitative Medicine, Critical Care Medicine, Cardiology, Pulmonary Medicine, Endocrinology, Hematology, Geriatric Medicine, Infectious Disease and Primary Care. Altogether, there are 34 medical and surgical specialties represented by the physicians on the Active Staff of the Hospital. The mission of Memorial Hospital of Rhode Island is primary care and preventative medicine, providing advanced diagnosis and treatment with a focus on teaching and research. An essential resource in achieving this mission is the medical expertise provided by the Hospital's competent and caring professional staff. The Hospital strives to achieve the timely and efficient delivery of care in a compassionate atmosphere. The vision of the Hospital is to excel as a primary health care network and community teaching hospital requiring it to: * Continuously improve the quality, maximize the value, and expand access to patient services; * Build a learning organization by creating an environment and structure that fosters role development; * Support research efforts and translate research findings into standards that measure and improve patient care for high volume and/or underserved vulnerable populations within its community. Inpatient services are provided in 227 medical/surgical beds, an 18-bed intensive/coronary care unit, a 17-bed rehabilitative medicine unit, a 22-bed pediatric unit and a 13-bed obstetrics/gynecology unit. Comprehensive outpatient services are provided at the Pawtucket campus by the Center for Primary Care and Prevention, the Ambulatory Care Center ( outpatient specialty care and numerous clinics ), a 24-hour Emergency Department, a Hospital-based ambulatory surgery center, an endoscopy department, rehabilitation services, a cardiac catheterization and testing lab, radiology and phlebotomy services and a multitude of physician offices/clinics providing specialty care. Primary care, urgent care, ambulatory surgery, pain management, physical and occupational therapy, and occupational health services are also provided at the Notre Dame Ambulatory Center in Central Falls, Rhode Island. This center is located on the campus of the former Notre Dame Hospital. This facility became part of the Hospital in October 1989 and was converted to a comprehensive ambulatory care center. Memorial Hospital serves as the second largest teaching hospital in the state of Rhode Island. The Hospital is formally affiliated with Brown University School of Medicine. Through this affiliation which commenced in 1969, the Hospital has been able to strengthen its commitment to provide education and research programs within the community health institution milieu. The Hospital is one of eight charter hospitals included in the Brown University program. A top priority of the Hospital has always been the integration of medical students and medical residents into the health care delivery system. The interaction with medical students and residents helps keep all members of the Hospital's community abreast of the latest developments in medicine. The Hospital sponsors medical residency programs in the following areas: Family Medicine ( 39 residents ), Internal Medicine ( 30 residents ), Pathology ( 1 resident ) and Podiatry ( 2 residents ). Additionally, fellowships in Hematology ( 1 fellow ), Infectious Diseases ( 1 fellow ), Pulmonary Medicine ( 2 fellows ), Maternal and Child Health ( 2 fellows ) and Pediatric Neuropsychiatry ( 1 fellow ) are sponsored by the Hospital. Training programs in Nursing, Lab Technology, Nurse Anesthesiology, Physician Assistants, Pharmacy and Physical Therapy are also based at the Hospital. The Brown Medical School Residency in Family Medicine at the Hospital is considered to be one of the top programs in the country in this primary care discipline. The preventative medicine focus of the department is evidenced by various on-going research projects. Preventative medicine serves an integral role in the discipline of Family Medicine and, accordingly, it remains a key component of the Hospital's Family Medicine residency program. Memorial Hospital is also home to the Brown Medical School Primary Care Internal Medicine Residency Program. As a result of the partnership agreement between the Hospital and the Brown University School of Medicine, the Hospital is designated as the University's Center for Primary Care and Prevention. This center serves as the focal point for university-wide collaboration efforts in primary care, research, education and practice. The Hospital's Department of Medicine has many faculty who hold appointments at the Brown University School of Medicine and work on a full-time basis to educate medical students and house staff physicians. The Hospital's active medical staff also includes a large group of clinicians in private practice who volunteer their services to medical education. Together, these faculty create a complementary staff of expert physicians and scientists. Research Research is also a core value of Memorial Hospital. The research interests of the staff at the Hospital cover a wide area of medical disciplines. There is, however, one major thrust at the Hospital which is common to all of the research programs operating at the Hospital. This common thrust is to make the Hospital a leader in primary care and preventative medicine. There are over one hundred and thirty ( 130 ) active research studies at the hospital funded by nearly $6.5 million in annualized grant revenue. These studies are funded through a variety of federal, state and private grants. X X X X 0 0 0 0 0 0 0 0 0 Francis R Dietz 601254 0 0 0 0 0 0 0 15262 0 616516 0 3305666 0 Michael J Ryan 192001 0 0 0 0 0 0 0 35197 0 227198 0 225559 0 Elizabeth Girard 170739 0 0 0 0 0 0 0 19292 0 190031 0 199553 0 Michelle MacDonald Gallagher 265000 0 0 0 0 0 0 0 38156 0 303156 0 300210 0 Martin Tursky 418405 0 0 0 0 0 0 0 38138 0 456543 0 402784 0 Jeffrey Borkan MD 284665 0 0 0 0 0 0 0 21125 0 305790 0 296651 0 Andrew Artenstein MD 297962 0 0 0 0 0 0 0 21339 0 319301 0 291404 0 Brian Wiley MD 302454 0 0 0 0 0 0 0 12420 0 314874 0 307950 0 Noubar Kessimian MD 271250 0 0 0 0 0 0 0 20909 0 292159 0 283463 0 John Riedel MD 276996 0 0 0 0 0 0 0 21002 0 297998 0 0 0 Rhode Island Health and Educational Building Corp 521300173 762243EY5 2003-12-24 25358159 Capital Renovations and Equipment Purchases 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b Once the independent audit is complete, the Controller of the organization gathers all the necessary information from various employees, departments and governing members. Several schedules are prepared to tie out different line items of the Form 990. The Controller then utilizes an on-line software to complete the 990. The software used ensures that all required fields and supplemental schedules are attached. The software verifies when the Form is complete and there are no errors. The draft 990 is then printed and submitted to the President for review. Copies are made and presented to each board member for their review. All disscussion of the 990 is documented in the minutes. The President informs the Controller of any changes or additions to the Form that result from the board review. The Controller makes all necessary changes and resubmits to the President for signature. Once signed, the 990 is electronically submitted to the IRS. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c Every Board member, volunteer and employee is required to complete a Conflict of Interest Form on an annual basis. Any conflicts of interest must be disclosed. Signatures are required on all forms. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The organization has an Executive Committee which also acts as a Compensation Committee for the compensation of the CEO. In order to determine compensation, surveys are conducted for area CEOs. The committee also utilizes 990s from other hospitals in the state of RI. The compensation is approved by the Board of Directors, and a written employment contract is signed. The CEOs salary is reviewed each year, and is usually increased by a percentage no higher than the employees of receive from the hospital. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The Annual Reports for the hospital are posted on the organization's website. It is noted on the website that the hospital has a Conflict of Interest Policy and that copies are available upon request. The phone numbers of the Public Relations Department are posted on the website as well. The PR Department has been instructed tho direct any requests for Audited Financial Statements and or 990s to the Controller's office. Both are made available in hardcopy or electronically. F990_P11_S00_L05 Form 990, Part XI, Line 5 The Additional Minimum Pension Liability accounts for the majority of the decrease in Other Changes in Net Assets in the amount of $12,124,629. Unrealized losses account for the rest. RS Realty Company 111 Brewster Street Pawtucket RI 02860 050343043 Provide rental property for affiliated subsidiarys and employees RI 501(c)2 N/A Southeastern Healthcare System Inc 111 Brewster Street Pawtucket RI 02860 061476858 Develop and maintain an integrated healthcare system RI 501(c)3 11 Type II N/A SHS Ventures Inc 111 Brewster Street Pawtucket RI 02860 050510341 Provide Primary Healthcare Services RI 501(c)3 9 N/A Blackstone Health Inc 111 Brewster Street Pawtucket RI 02860 050427007 Provide a continuum of care RI 501(c)3 9 N/A Primary Care Centers of New England Inc 111 Brewster Street Pawtucket RI 02860 050423957 Provide Support Staff to affiliates RI N/A C 1 Memorial Physician Hospital Organization Inc 111 Brewster Street Pawtucket RI 02860 050462438 Health Service Contracting RI N/A C 0.5 0 1 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 RS Realty Company j 57600 Checks written RS Realty Company i 37500 checks received SHS Ventures Inc b 300000 checks written SHS Ventures Inc k 42782 Amount invoiced for percentage of collections SHS Ventures Inc j 159840 rental agreement Southeastern Healthcare System Inc k 60000 checks received Blackstone Health Inc k 36000 checks received Blackstone Health Inc c 100000 check received RS Realty Company c 100000 check received Primary Care Centers of New England Inc l 371800 actual cost of salaries and related benefits expensed as purchased services in outpatient areas of PT, OT, Lab, and Radiology N/A