THE WESTERLY HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- THE WESTERLY HOSPITAL (EIN 05-0259100)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201232289349301983
- Schema version
- 2010v3.4
- 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 | 2012-08-15T16:22:07-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUM SHAPIRO & COMPANY PC CPA'S | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29 S MAIN STREET PO BOX 272000 | AddressLine1 |
| City | WEST HARTFORD | City |
| State | CT | State |
| ZIP Code | 061272000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050259100 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE WESTERLY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEST | NameControl |
| Phone | 4015966000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 WELLS STREET | AddressLine1 |
| City | WESTERLY | City |
| State | RI | State |
| ZIP Code | 028912934 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | W MARK RUSSO | Name |
| Title | SPECIAL MASTER | Title |
| Phone | 4015966000 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ELIZABETH SOLECKI | Name |
| Phone | 8605614000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CHARLES KINNEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 WELLS STREET | AddressLine1 |
| City | WESTERLY | City |
| State | RI | State |
| ZIP Code | 028912934 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 96842128 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WESTERLYHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1921 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | THE WESTERLY HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE TO ADULTS, CHILDREN, AND NEWBORNS IN THE WESTERLY, RHODE ISLAND COMMUNITY AND IN SURROUNDING TOWNS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 922 | TotalNbrEmployees |
| Total Nbr Volunteers | 265 | TotalNbrVolunteers |
| Total Gross UBI | 9865 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1212000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2406556 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 90848994 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 91484564 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 893619 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1574658 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1332824 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1300436 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 94287437 | TotalRevenuePriorYear |
| Total Revenue Current Year | 96766214 | 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 | 51358840 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 52154387 | 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 | 41362146 | OtherExpensePriorYear |
| Other Expenses Current Year | 45491498 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 92720986 | TotalExpensesPriorYear |
| Total Expenses Current Year | 97645885 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1566451 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -879671 | RevenuesLessExpensesCY |
| Total Assets BOY | 80297074 | TotalAssetsBOY |
| Total Assets EOY | 76275007 | TotalAssetsEOY |
| Total Liabilities BOY | 55944823 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 67564057 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 24352251 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8710950 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE WESTERLY HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE TO ADULTS, CHILDREN AND NEWBORNS IN THE WESTERLY, RHODE ISLAND COMMUNITY AND IN SURROUNDING TOWNS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 77110204 | Expense |
| Revenue | 91484564 | Revenue |
| Description | THE WESTERLY HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL PROVIDING MEDICAL CARE TO ADULTS, CHILDREN, AND NEWBORNS IN THE WESTERLY, RHODE ISLAND COMMUNITY AND SURROUNDING TOWNS. DURING THE FISCAL YEAR ENDED 09/30/2011 THE HOSPITAL ADMITTED 4,301 PATIENTS AND HAD 23,510 VISITS TO THE EMERGENCY ROOM.THERE WERE 546,123 AMBULATORY/OUTPATIENT VISITS, 514,057 LABORATORY PROCEDURES, 40,951 PATHOLOGY PROCEDURES, 599 DIAGNOSTIC CARDIAC CATHETERIZATIONS, 68,911 PHYSICAL THERAPY PROCEDURES, 21,101 OR AND AMBULATORY VISITS FOR TOTAL DAYS OF PATIENT CARE OF 16,716, THE AVERAGE DAILY CENSUS WAS 45.8.THE RADIOLOGY DEPARTMENT PERFORMED THE FOLLOWING:27,483 DIAGNOSTIC PROCEDURES 1,281 NUCLEAR MEDICINE PROCEDURES10,777 CT SCANS 9,146 ULTRASOUND PROCEDURES 2,704 MAGNETIC RESONANCE IMAGING (MRI) | Description |
| Total Program Service Expense | 77110204 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 67 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 922 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4013483711 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 WELLS STREET | AddressLine1 |
| City | WESTERLY | City |
| State | RI | State |
| ZIP Code | 028912934 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| FRED A ALLARDYCE | ||||||||
| THIRD VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| GEORGE BOURGANOS MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOHN P CASEY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DAVID D'ERAMO PHD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOHN T GORBY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MARTHA MCQ HOSP | ||||||||
| FIRST VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| ALLEN W LEADBETTER MD | ||||||||
| SECOND VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| LEONARD C EDWARDS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM G MCKENDREE | ||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| DAVID V DEVAULT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MARY JO ORSINGER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MAUREEN N FITZGERALD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD C HOLLIDAY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DAVID J NELSON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CHRISTOPHER LEHRACH MD | ||||||||
| DIRECTOR/ER PHYSICIAN | 40.00 | X | 404077 | 0 | 32418 | X | ||
| CHARLES KINNEY | ||||||||
| PRESIDENT/CEO | 40.00 | X | X | 328076 | 0 | 46603 | ||
| BARBARA J PERINO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JENNIFER SCHWINDT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JEANNE M LACHANCE | ||||||||
| TREASURER | 40.00 | X | 227683 | 0 | 42211 | |||
| MAUREEN L CARBONI | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |||
| MARGARET AUSTIN | ||||||||
| NURSING/CNO | 40.00 | 185143 | 0 | 33242 | X | |||
| WILLIAM CONLIN | ||||||||
| E/R PHYSICIAN | 40.00 | 263140 | 0 | 21285 | X | |||
| FRED JACCARINO | ||||||||
| E/R PHYSICIAN | 40.00 | 255178 | 0 | 21285 | X | |||
| WHITNEY FISHER | ||||||||
| E/R PHYSICIAN | 40.00 | 150010 | 0 | 16181 | X | |||
| KEVIN TORRES | ||||||||
| E/R PHYSICIAN | 40.00 | 290495 | 0 | 21285 | X | |||
| NANCY BARISANO | ||||||||
| IT DIRECTOR | 40.00 | 145488 | 0 | 638 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2249290 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 235148 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line1AddressOfContractor/AddressForeign/AddressLine1 | CityAddressOfContractor/AddressForeign/City | Province Or StateAddressOfContractor/AddressForeign/ProvinceOrState | CountryAddressOfContractor/AddressForeign/Country |
|---|---|---|---|---|---|---|---|---|---|
| CARDINAL HEALTH PHARMACY MANAGEMENT | |||||||||
| 21377 NETWORK PLACE | CHICAGO | IL | 60673 | PHARMACY SERVICES | 2047326 | ||||
| ARAMARK HEALTHCARE | |||||||||
| 40 ACCORD PARK DRIVE | NORWELL | MA | 02601 | BIOMED SERVICES | 1408666 | ||||
| CARPEDIA | |||||||||
| CONSULTING SERVICE | 1181400 | 75 NAVY STREET | OAKVILLE | ONTARIO | CA | ||||
| NURSEFINDERS | |||||||||
| PO BOX 910738 | DALLAS | TX | 753910738 | NURSING SERVICE | 771066 | ||||
| QUEST DIAGNOSTICS | |||||||||
| 12436 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LAB SERVICES | 651225 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Related Organizations | 1715000 | RelatedOrganizations |
| All Other Contributions | 691556 | AllOtherContributions |
| Total Contributions | 2406556 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REV. | 900099 | 87590990 | 87590990 |
| FREE BED INCOME | 900099 | 3796659 | 3796659 |
| LIFELINE | 900099 | 96915 | 96915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 91484564 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1378865 | TotalRevenueColumn |
| Exclusion | $1,378,865 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 494204 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 75914 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 418290 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 418290 | TotalRevenueColumn |
| Unrelated Business Revenue | 9865 | UnrelatedBusinessRevenue |
| Exclusion | $408,425 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 195793 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 195793 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 195793 | TotalRevenueColumn |
| Exclusion | $195,793 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| SETTLEMENT INCOME | 900099 | 325000 | $325,000 |
| OTHER INCOME | 900099 | 314784 | $314,784 |
| CAFETERIA SALES | 900099 | 211345 | $211,345 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31017 | TotalRevenueColumn |
| Exclusion | $31,017 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 882146 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 96766214 | TotalRevenueColumn |
| Related Or Exempt Function Income | 91484564 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 9865 | UnrelatedBusinessRevenue |
| Exclusion | $2,865,229 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 969601 | Total |
| Program Services | 736898 | ProgramServices |
| Management And General | 232703 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37126680 | Total |
| Program Services | 28216276 | ProgramServices |
| Management And General | 8910404 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3469191 | Total |
| Program Services | 2636585 | ProgramServices |
| Management And General | 832606 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7887147 | Total |
| Program Services | 5994231 | ProgramServices |
| Management And General | 1892916 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2701768 | Total |
| Program Services | 2053344 | ProgramServices |
| Management And General | 648424 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1227712 | Total |
| Program Services | 933061 | ProgramServices |
| Management And General | 294651 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210673 | Total |
| Program Services | 160111 | ProgramServices |
| Management And General | 50562 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 398572 | Total |
| Program Services | 302915 | ProgramServices |
| Management And General | 95657 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64601 | Total |
| Program Services | 49097 | ProgramServices |
| Management And General | 15504 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89108 | Total |
| Program Services | 67722 | ProgramServices |
| Management And General | 21386 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2103896 | Total |
| Program Services | 1598961 | ProgramServices |
| Management And General | 504935 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5081 | Total |
| Program Services | 3862 | ProgramServices |
| Management And General | 1219 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1383295 | Total |
| Program Services | 1051303 | ProgramServices |
| Management And General | 331992 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4685286 | Total |
| Program Services | 3560817 | ProgramServices |
| Management And General | 1124469 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1365030 | Total |
| Program Services | 1291318 | ProgramServices |
| Management And General | 73712 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 11104442 | 8439376 | 2665066 |
| PURCHASED SERVICES | 8275855 | 6289650 | 1986205 |
| BAD DEBTS | 6782130 | 6782130 | |
| LICENSING FEE | 4240522 | 4240522 | |
| DRUGS | 2511756 | 1908935 | 602821 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1043539 | Total |
| Program Services | 793090 | ProgramServices |
| Management And General | 250449 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97645885 | Total |
| Program Services | 77110204 | ProgramServices |
| Management And General | 20535681 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2274270 | BOY |
| EOY | 3083667 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7336470 | BOY |
| EOY | 8914587 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16356 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1611752 | BOY |
| EOY | 1556917 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1568252 | BOY |
| EOY | 1550853 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 116567219 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 80205711 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36501015 | BOY |
| EOY | 36361508 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21855856 | BOY |
| EOY | 15827019 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7556551 | BOY |
| EOY | 3874529 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1576552 | BOY |
| EOY | 5105927 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80297074 | BOY |
| EOY | 76275007 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9660439 | BOY |
| EOY | 16957031 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1469601 | BOY |
| EOY | 1344327 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8610000 | BOY |
| EOY | 7860000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5163197 | BOY |
| EOY | 4734858 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31041586 | BOY |
| EOY | 36667841 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55944823 | BOY |
| EOY | 67564057 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8468193 | BOY |
| EOY | -2318909 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3583415 | BOY |
| EOY | 2343893 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12300643 | BOY |
| EOY | 8685966 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24352251 | BOY |
| EOY | 8710950 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80297074 | BOY |
| EOY | 76275007 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -879671 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -14761630 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $2,847 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 2847 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20625747 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 816000 | InvestmentEarningsOrLosses |
| Other Expenditures | 6900000 | OtherExpenditures |
| End Of Year Balance | 14541747 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 19347393 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1278354 | InvestmentEarningsOrLosses |
| End Of Year Balance | 20625747 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20261776 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -4771 | InvestmentEarningsOrLosses |
| Other Expenditures | 909612 | OtherExpenditures |
| End Of Year Balance | 19347393 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.51270 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.33090 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.15640 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43905405 | OtherCostOrOtherBasis |
| Depreciation | 30724319 | Depreciation |
| Book Value | 13181086 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70184560 | OtherCostOrOtherBasis |
| Depreciation | 47794426 | Depreciation |
| Book Value | 22390134 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2477254 | OtherCostOrOtherBasis |
| Depreciation | 1686966 | Depreciation |
| Book Value | 790288 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 36361508 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FUNDS HELD IN TRUST | Description |
| Book Value | 3874529 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3874529 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED FINANCING COSTS | 186410 |
| OTHER LONG TERM ASSETS | 4817365 |
| DUE TO RELATED PARTY | 102152 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5105927 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 3RD PARTY PAYOR SETTLEMENTS | $724,933 |
| ACCRUED MINIMUM PENSION LIABILITY | $26,310,958 |
| LINE OF CREDIT | $4,966,766 |
| CAPITAL LEASE OBLIGATIONS | $3,039,506 |
| ASSET RETIREMENT OBLIGATION | $1,425,678 |
| OTHER LIABILITIES | $200,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 36667841 | TotalOfAmounts |
| Total Revenue | 96766214 | TotalRevenue |
| Total Expenses | 97645885 | TotalExpenses |
| Excess Or Deficit For Year | -879671 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -3560001 | NetUnrealizedGLOnInvestments |
| Other | -$11,201,629 | OtherAmount |
| Total Adjustments | -14761630 | TotalAdjustments |
| Excess Or Deficit Per FS | -15641301 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 82080497 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -3560001 | NetUnrealizedGainsInvestments |
| Other Revenues | -11201630 | OtherRevenues |
| Revenue Not Rptd F990 | -14761631 | RevenueNotRptdF990 |
| Revenue Subtotal | 96842128 | RevenueSubtotal |
| Other Revenues Not Included | -75914 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -75914 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 96766214 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 97721799 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 75914 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 75914 | ExpensesNotRptdF990 |
| Expenses Subtotal | 97645885 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 97645885 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE MISSION OF THE WESTERLY HOSPITAL. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CAPITAL TRANSACTIONS WITH AFFILIATES -4,957,194. CHANGES IN ACCRUED MINIMUM PENSION LIABILITY -6,244,436. ROUNDING 1. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CAPITAL TRANSACTIONS WITH AFFILIATES -4,957,194. CHANGES TO ACCRUED PENSION LIABILITY -6,244,436. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -75,914. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 75,914. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1157269 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 408117 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 749152 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9319533 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8335972 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 983561 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01010 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10476802 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8744089 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1732713 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01780 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17961 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6144 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11817 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 127430 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 119430 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24083 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 24083 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 169474 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14144 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 155330 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10646276 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8758233 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1888043 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01930 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,844,713 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 20993096 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 22433200 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1440104 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | 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 | THE WESTERLY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 WELLS STREET | AddressLine1 |
| City | WESTERLY | City |
| State | RI | State |
| ZIP Code | 02891 | 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 | THE WESTERLY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)
| ExplanationExplanation |
|---|
| PART III, LINE 8: COSTING METHODOLOGY - (TOTAL ALLOWABLE MEDICAL COST PLUS BAD DEBT COSTS) TIMES RATIO OF MEDICAL REVENUE TO TOTAL PATIENT REVENUE. |
| PART VI, LINE 2: THE HOSPITAL DID NOT PERFORM A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT IN FY 2011, BUT PLANS ARE UNDERWAY AND RESOURCES ALLOCATED FOR A FY 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. CURRENTLY, THE HOSPITAL USES A VARIETY OF INFORMATION GATHERING UPON WHICH TO ASSESS COMMUNITY NEED AS WELL AS PAST INFORMATION SUPPLIED THROUGH A VARIETY OF COMMUNITY RESOURCES. THE FOLLOWING DATA WERE USED TO DETERMINE COMMUNITY NEED IN FY 2011: HOSPITAL PATIENT DISCHARGE DATA WERE USED TO LOOK AT RECURRING DIAGNOSES AND REASONS FOR ADMISSIONS; DEPARTMENT OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH STATUS INDICATORS FOR WASHINGTON COUNTY, RI, WERE EXAMINED TO DETERMINE AREAS IN NEED OF IMPROVEMENT; HEALTHY PEOPLE 2020 WAS USED AS A RESOURCE TO ALIGN ONGOING COMMUNITY EDUCATION AND COMMUNITY BENEFIT PROGRAMS WITH NATIONAL HEALTH GOALS; AND ALL COMMUNITY HEALTH EDUCATION PROGRAM PARTICIPANTS WERE SURVEYED TO DETERMINE PRESENTATION TOPICS DESIRED BY THE COMMUNITY TO DETERMINE HEALTH EDUCATION PROGRAM TOPICS. IN FY 2011, AN ONLINE SURVEY WAS ALSO AVAILABLE ON HOSPITAL WEBSITE TO SOLICIT INFORMATION REGARDING HEALTH PROMOTION TOPICS TO INCLUDE IN THE HOSPITALS FREE HEALTHY FOR LIFE COMMUNITY EDUCATION PROGRAM. |
| PART VI, LINE 6: THE HOSPITAL CONTINUES TO PARTICIPATE IN LOCAL GROUPS CONCERNED WITH THE HEALTH AND WELFARE OF THE COMMUNITY IT SERVES AS RESOURCES AND STAFF TIME AFFORDS. WITH LIMITED RESOURCES, THE HOSPITAL CHOSE TO PARTICIPATE IN THE NEW WESTERLY PARENT ACADEMY (WPA) THAT FORMED IN FY 2011 WITH INITIAL MEETING IN THE SUMMER OF 2011. THIS NEW ACADEMY BOASTS BROAD REPRESENTATION WITHIN THE COMMUNITY FROM BANKING TO SCHOOLS TO LOCAL BUSINESSES AND HEALTH AGENCIES. THE ACADEMY IS COMMUNITY-DRIVEN INITIATIVE DESIGNED TO PROVIDE EDUCATIONAL RESOURCES, COURSE WORK AND OTHER OPPORTUNITIES TO BUILD THE SKILLS, KNOWLEDGE AND KNOW-HOW OF PARENTS AND FAMILIES TO BECOME FULL PARTNERS IN THEIR CHILDS EDUCATION. THE HOSPITAL IS A PARTNER IN THIS NEW COMMUNITY INITIATIVE PROVIDING HEALTH EDUCATION OPPORTUNITIES FOR PARENTS IN THE COMMUNITY. COURSES WILL BEGIN AT THE HOSPITAL IN FALL 2012. HOSPITAL COURSES WILL PROMOTE HEALTH-RELATED GOALS DETERMINED TO BE OF NEED AND INTEREST BY THE WPA. ALTHOUGH THE WESTERLY INFANT AND CHILD HEALTH PARTNERSHIP IS NO LONGER MEETING, THE HOSPITAL CONTINUES TO SUPPORT EFFORTS TO REDUCE TEEN PREGNANCY RATES IN WASHINGTON COUNTY BY ISSUING LETTERS OF SUPPORT FOR SOUTH COUNTY COMMUNITY ACTION WHICH IS SEEKING A GRANT TO INITIATE NEW PROGRAMS. THE HOSPITAL HAS VOWED TO SUPPORT AS IT CAN WITH LIMITED RESOURCES ANY PROGRAMS FOR TEENS AND FOR PARENTS TO HELP REDUCE THE TEEN PREGNANCY RATES IN THE COUNTY AND WILL CONTINUE TO PARTNER WITH ANY OTHER COMMUNITY STAKEHOLDERS INVOLVED WITH THIS INITIATIVE INCLUDING PUBLIC SCHOOLS AND LOCAL HEALTH AGENCIES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER LEHRACH MD | |||||||||||||
| 404077 | 0 | 0 | 0 | 0 | 0 | 10798 | 0 | 21620 | 0 | 436495 | 0 | 0 | 0 |
| CHARLES KINNEY | |||||||||||||
| 328076 | 0 | 0 | 0 | 0 | 0 | 29506 | 0 | 17097 | 0 | 374679 | 0 | 0 | 0 |
| JEANNE M LACHANCE | |||||||||||||
| 227683 | 0 | 0 | 0 | 0 | 0 | 20296 | 0 | 21915 | 0 | 269894 | 0 | 0 | 0 |
| MARGARET AUSTIN | |||||||||||||
| 185143 | 0 | 0 | 0 | 0 | 0 | 16547 | 0 | 16695 | 0 | 218385 | 0 | 0 | 0 |
| WILLIAM CONLIN | |||||||||||||
| 263140 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21285 | 0 | 284425 | 0 | 0 | 0 |
| FRED JACCARINO | |||||||||||||
| 255178 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21285 | 0 | 276463 | 0 | 0 | 0 |
| WHITNEY FISHER | |||||||||||||
| 150010 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16181 | 0 | 166191 | 0 | 0 | 0 |
| KEVIN TORRES | |||||||||||||
| 290495 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21285 | 0 | 311780 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON TRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BOARD MEMBERS B. PERINO AND D. DEVAULT ARE OFFICERS AT WASHINGTON TRUST | Relationship |
| Amount Of Transaction | 460251 | AmountOfTransaction |
| Description Of Transaction | THE ORGANIZATION HAS A LOAN OUTSTANDING TO WASHINGTON TRUST. INTEREST INCURRED ON THE LOAN DURING THE FISCAL YEAR WAS $460,251. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION IS CURRENTLY IN RECEIVERSHIP, AND THEREFORE, THERE IS NO BOARD OF DIRECTORS. THE 990 WAS REVIEWED BY THE INTERIM CFO BEFORE FILING. | |
| EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY. THEY ARE REQUIRED TO DISCLOSE ANY RELATIONSHIP THEY, THEIR BUSINESSES, OR THEIR FAMILY MEMBERS MAY HAVE WITH THE HOSPITAL. IF A DISCUSSION OR VOTE OCCURS ON A TRANSACTION WITH A POTENTIAL CONFLICT, THE BOARD MEMBER EXCUSES THEMSELVES FROM THE DISCUSSION AND VOTE. | FORM 990, PART VI, SECTION B, LINE 12C | |
| SUBCOMMITTEE OF THE GOVERNING BOARD MEETS TO DETERMINE ALL COMPENSATION ARRANGEMENTS OF THE TOP EXECUTIVE, OFFICERS AND KEY EMPLOYEES. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED LOSSES ON INVESTMENTS: -3,560,001. CAPITAL TRANSACTIONS WITH AFFILIATES -4,957,194. CHANGES IN ACCRUED MINIMUM PENSION LIABILITY -6,244,436. ROUNDING 1. TOTAL TO FORM 990, PART XI, LINE 5: -14,761,630. | FORM 990, PART XI, LINE 5: |
| MAUREEN L. CARBONI IS COMPENSATED AS AN EMPLOYEE OF THE WESTERLY HOSPITAL. SHE RECEIVES NO COMPENSATION FOR HER POSITION AS SECRETARY OF THE BOARD. | FORM 990, PART VII, SECTION A - COMPENSATION OF OFFICERS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| THE WESTERLY HOSPITAL FOUNDATION INC | ||||||||||
| 25 WELLS STREET | WESTERLY | RI | 028912934 | 050508064 | SUPPORT THE WESTERLY HOSPITAL | RI | 501(C)(3) | 509(A)(3) - TYPE I | N/A | 1 |
| WESTERLY HOSPITAL HEALTHCARE INC | ||||||||||
| 25 WELLS STREET | WESTERLY | RI | 028912934 | 222490227 | SUPPORT THE WESTERLY HOSPITAL AND AFFILIATES | RI | 501(C)(3) | 509(A)(3) - TYPE II | N/A | 0 |
| ATLANTIC MEDICAL GROUP INC | ||||||||||
| 25 WELLS STREET | WESTERLY | RI | 028912934 | 320250865 | SUPPORT THE WESTERLY HOSPITAL | RI | 501(C)(3) | 509(A)(3) - TYPE II | N/A | 0 |
| THE WESTERLY HOSPITAL AUXILIARY INC | ||||||||||
| 25 WELLS STREET | WESTERLY | RI | 028912934 | 222507181 | SUPPORT THE WESTERLY HOSPITAL | RI | 501(C)(3) | N/A | 0 | |
| NORTH STONINGTON HEALTH CENTER INC | ||||||||||
| 183 PROVIDENCE NEW LONDON TPKE | NORTH STONINGTON | CT | 06359 | 271833030 | OPERATE A HEALTH CENTER | CT | 501(C)(3) | N/A | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MASTUXET REALTY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 WELLS STREET | AddressLine1 |
| City | WESTERLY | City |
| State | RI | State |
| ZIP Code | 02891 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222501886 | EIN |
| Primary Activity | INACTIVE | PrimaryActivity |
| Legal Domicile State | RI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| THE WESTERLY HOSPITAL FOUNDATION | ||
| C | 1715000 | AMOUNT TRANSFERRED |
| THE WESTERLY HOSPITAL FOUNDATION | ||
| D | 679902 | AMOUNT LOANED |