MEMORIAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HOSPITAL (EIN 05-0259004)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-07-11
- IRS object ID
- 201101939349300015
- Schema version
- 2009v1.2
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-07-11T14:46:56-07:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050259004 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEMO | NameControl |
| Phone | 4017292000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Brewster Street | AddressLine1 |
| City | Pawtucket | City |
| State | RI | State |
| ZIP Code | 028604499 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Francis Dietz | Name |
| Title | President | Title |
| Phone | 4017292000 | Phone |
| Date Signed | 2011-06-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Francis R Dietz | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Brewster Street | AddressLine1 |
| City | Pawtucket | City |
| State | RI | State |
| ZIP Code | 02860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 203028934 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.mhri.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1901 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | Our mission is primary care and preventive medicine, providing advanced diagnosis and treatment with a focus on teaching and research. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2418 | TotalNbrEmployees |
| Total Nbr Volunteers | 147 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4798052 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6925155 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 168450851 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 173280023 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -2377629 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1785995 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1000427 | OtherRevenuePriorYear |
| Other Revenue Current Year | 927532 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 171871701 | TotalRevenuePriorYear |
| Total Revenue Current Year | 182918705 | 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 | 110216401 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 112172988 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 10692 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 68511037 | OtherExpensePriorYear |
| Other Expenses Current Year | 72586816 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 178727438 | TotalExpensesPriorYear |
| Total Expenses Current Year | 184759804 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6855737 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1841099 | RevenuesLessExpensesCY |
| Total Assets BOY | 119109206 | TotalAssetsBOY |
| Total Assets EOY | 114145854 | TotalAssetsEOY |
| Total Liabilities BOY | 85410796 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 81760941 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 33698410 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 32384913 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 161252496 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | Health Care Delivery & Management Funds 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 who meet certain criteria under its charity care policy without charge or at amounts less thanits established rates. Because Memorial does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. Memorial provided 30,679 patient days of service in the year ended September 30, 2010. Memorial had 6,572 admissions with an ALOS of 4.49 days. Memorial operates a Level 2 trauma center ER, which serves patients regardless of ability to pay. For the year ended September 30, 2010, Memorial provided its patients with 32,866 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 Rehabilitation. Memorial's research is internationally recognized. Many of the materials and procedures developedare 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. Memorials research efforts are guided by the goal of working to address unmet health needs in the community. Memorials 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 quality residents in spite of the decreasing interest of medical students in primary care specialties. The Department of Family Medicine has developed 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. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 161252496 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 0 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 58 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2418 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | 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 | 1 | 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 | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Francis R Dietz | NamePerson |
| Telephone Number | 4017292000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Brewster Street | AddressLine1 |
| City | Pawtucket | City |
| State | RI | State |
| ZIP Code | 028604499 | 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 | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Robert Andrade | |||||||
| Vice Chairman | 0.25 | X | X | 0 | 0 | 0 | |
| Robert MacKenzie | |||||||
| Assistant Secretary | 0.25 | X | X | 0 | 0 | 0 | |
| Paul Mooney | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| John J Partridge | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| Virginia Roberts | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| Karl Sherry | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| Donna Brady | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| Arthur Deblois III | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| Alfred Degen | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| William Kapos | |||||||
| Treasurer | 0.25 | X | X | 0 | 0 | 0 | |
| Gary E Furtado | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| William J Hunt | |||||||
| Chairman | 0.25 | X | X | 0 | 0 | 0 | |
| Patrick J Murray | |||||||
| Assistant Treasurer | 0.25 | X | X | 0 | 0 | 0 | |
| Greg Scown | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| James Hahn | |||||||
| Trustee | 0.25 | X | 0 | 0 | 0 | ||
| Edna Poulin | |||||||
| Secretary | 0.25 | X | 0 | 0 | 0 | ||
| Francis R Dietz | |||||||
| President | 60 | X | 3292064 | 0 | 13602 | ||
| Michael J Ryan | |||||||
| Sr Vice Pres Finance | 50 | X | 192001 | 0 | 33558 | ||
| Elizabeth Girard | |||||||
| Sr. Vice President | 50 | X | 179001 | 0 | 20552 | ||
| Michelle MacDonald Gallagher | |||||||
| Sr VP Clinical Oper. | 50 | X | 265000 | 0 | 35210 | ||
| Martin Tursky | |||||||
| Chief Operating Officer | 50 | X | 367790 | 0 | 34994 | ||
| Jeffrey Borkan MD | |||||||
| Chief of Family Med | 40 | 277684 | 0 | 18967 | X | ||
| Andrew Artenstein MD | |||||||
| Physician in Chief | 40 | 272500 | 0 | 18904 | X | ||
| Vera A Depalo MD | |||||||
| Associate Chief | 40 | 290194 | 0 | 10488 | X | ||
| Brian Wiley MD | |||||||
| Emergency Physician | 40 | 297375 | 0 | 10575 | X | ||
| Noubar Kessimian MD | |||||||
| Pathology in Chief | 40 | 264654 | 0 | 18809 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5698263 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 215659 | TotalOtherCompensation |
| Number Individuals GT100 K | 108 | 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 Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|
| Aramark Corporation | ||||||
| PO Box 651009 | Charlotte | NC | 282651009 | Dietary Services | 779206 | |
| Quest Diagnostics | ||||||
| 3924 Collection Center Drive | Chicago | IL | 606930039 | Laboratory Services | 717921 | |
| Brown University | ||||||
| PO Box 1939 | Providence | RI | 02912 | Physicians | 568011 | |
| University Surgical Associates | ||||||
| 593 Eddy Street | Providence | RI | 02903 | Surgical Physician Services | 565000 | Apt 431 |
| BWPO Medicine | ||||||
| PO Box 3684 | Boston | MA | 022413684 | Physician Services ( E/R and Cardiology) | 467500 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 5123296 | GovernmentGrants |
| All Other Contributions | 1801859 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 6925155 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Revenue | Description |
| Business Code | 622000 | BusinessCode |
| Total Revenue Column | 173280023 | TotalRevenueColumn |
| Related Or Exempt Function Income | 173280023 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 173280023 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 958476 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $958,476 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20933348 | Securities |
| Other | 4400 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 20110229 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 823119 | Securities |
| Other | 4400 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 827519 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $827,519 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Cafeteria Revenue | 561499 | 908819 | 0 | 0 | $908,819 |
| Pharmacy Sales to employees | 561499 | 18713 | 0 | 0 | $18,713 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 927532 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 182918705 | TotalRevenueColumn |
| Related Or Exempt Function Income | 173280023 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,713,527 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4433772 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 4433772 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78810718 | Total |
| Program Services | 70746305 | ProgramServices |
| Management And General | 8054591 | ManagementAndGeneral |
| Fundraising | 9822 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5348836 | Total |
| Program Services | 4802108 | ProgramServices |
| Management And General | 546728 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18130512 | Total |
| Program Services | 16277205 | ProgramServices |
| Management And General | 1853188 | ManagementAndGeneral |
| Fundraising | 119 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5449150 | Total |
| Program Services | 4891494 | ProgramServices |
| Management And General | 556905 | ManagementAndGeneral |
| Fundraising | 751 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223954 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 223954 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191700 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 191700 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10531008 | Total |
| Program Services | 8581531 | ProgramServices |
| Management And General | 1949477 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31246 | Total |
| Program Services | 28052 | ProgramServices |
| Management And General | 3194 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12258624 | Total |
| Program Services | 9395473 | ProgramServices |
| Management And General | 2863151 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2736041 | Total |
| Program Services | 2077829 | ProgramServices |
| Management And General | 658212 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 328174 | Total |
| Program Services | 294630 | ProgramServices |
| Management And General | 33544 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1287152 | Total |
| Program Services | 1287152 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4064590 | Total |
| Program Services | 3625112 | ProgramServices |
| Management And General | 439478 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2515677 | Total |
| Program Services | 1866385 | ProgramServices |
| Management And General | 649292 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Provision for Bad Debts | 15636574 | 15636574 | 0 | 0 |
| Licensing fee | 7178101 | 7178101 | 0 | 0 |
| Non Medical Supplies | 2685392 | 2237858 | 447534 | 0 |
| Pharmaceutcals and IVs | 7218391 | 7216907 | 1484 | 0 |
| Physician and Grant Activity | 4730117 | 4730117 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 970075 | Total |
| Program Services | 379663 | ProgramServices |
| Management And General | 590412 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184759804 | Total |
| Program Services | 161252496 | ProgramServices |
| Management And General | 23496616 | ManagementAndGeneral |
| Fundraising | 10692 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 588412 | BOY |
| EOY | 337609 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 403319 | BOY |
| EOY | 202392 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35678288 | BOY |
| EOY | 33857809 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 752440 | BOY |
| EOY | 802038 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1081771 | BOY |
| EOY | 843458 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 110262272 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 76354063 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34324599 | BOY |
| EOY | 33908209 | 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 | 42956852 | BOY |
| EOY | 41493988 | 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 | 3323525 | BOY |
| EOY | 2700351 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119109206 | BOY |
| EOY | 114145854 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24042519 | BOY |
| EOY | 24669860 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14275868 | BOY |
| EOY | 12693483 | 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 | 0 | BOY |
| EOY | 0 | 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 | 47092409 | BOY |
| EOY | 44397598 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85410796 | BOY |
| EOY | 81760941 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23646082 | BOY |
| EOY | 21656473 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 691314 | BOY |
| EOY | 1015273 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9361014 | BOY |
| EOY | 9713167 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33698410 | BOY |
| EOY | 32384913 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119109206 | BOY |
| EOY | 114145854 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9361014 | BeginningOfYearBalance |
| Contributions | 34 | Contributions |
| Investment Earnings Or Losses | 352119 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 9713167 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9438660 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | -77646 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 9361014 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1822002 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Book Value | 1822002 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 47316113 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 28391035 | Depreciation |
| Book Value | 18925078 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 59562485 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 46508118 | Depreciation |
| Book Value | 13054367 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1561672 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 1454910 | Depreciation |
| Book Value | 106762 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 33908209 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Stocks | 17081951 | F |
| Bonds | 8406937 | F |
| Other | 15855100 | F |
| Dividend Receivable | 150000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 41493988 | TotalOfBookValueSecurities |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Deferred Financing Costs | 234078 |
| Estimated Third Party Receivable | 2466273 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2700351 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Current Portion of Long-Term Debt | $1,582,385 |
| Line of Credit | $5,000,000 |
| Accrued Interest Payable | $159,384 |
| Insurance Claims Reserve | $981,582 |
| Minimum Pension Liability | $36,591,747 |
| Other Liabilities - Deferred Compensation | $82,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 44397598 | TotalOfAmounts |
| Total Revenue | 182918705 | TotalRevenue |
| Total Expenses | 184759804 | TotalExpenses |
| Excess Or Deficit For Year | -1841099 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1169187 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | $0 | OtherAmount |
| Total Adjustments | 1169187 | TotalAdjustments |
| Excess Or Deficit Per FS | -671912 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 184196780 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1169188 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 1169188 | RevenueNotRptdF990 |
| Revenue Subtotal | 183027592 | RevenueSubtotal |
| Investment Expenses Not Included | -108887 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 0 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -108887 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 182918705 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 184868691 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 108887 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 108887 | ExpensesNotRptdF990 |
| Expenses Subtotal | 184759804 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 184759804 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P05_S00_L04 | Schedule D, Part V, Line 4 | The permenantly restricted endowments are maintained to earn income. The income is transfered to operations to provide beds for unisured persons. |
| SchD_P10_S00_L00 | Schedule D, Part X | The adoption of FIN48 had no impat on the financial statements of The Memorial Hospital. |
| SchD_P13_S00_L02d | Schedule D, Part XIII, Line 2d | Assets released from restrictions for general operations |
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 | 0 | FPGReferenceDiscountedCare |
| 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 | 9950480 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8489049 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1461431 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.008 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28322590 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25786108 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2536482 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.014 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 38273070 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34275157 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3997913 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.022 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 47929 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1021 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 46908 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20585288 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6073162 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14512126 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.079 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5449161 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4877567 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 571594 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.003 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 26082378 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10951750 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15130628 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.082 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 64355448 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 45226907 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19128541 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.104 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 11700 | TotalCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 11700 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,276,001 | BadDebtExpenseAmount |
| Amount Attributable To | 3667105 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 39768017 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 37640317 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2127700 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Memorial Hospital of Rhode Island | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Brewster Street | AddressLine1 |
| City | Pawtucket | City |
| State | RI | State |
| ZIP Code | 02860 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | 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 quality 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. | IncomeBasedCriteria |
| Costing Method Used | The cost of services were calculated by multiplying the charges for those services by the ratio of cost to charges as determined in the 2010 Medicare Cost Report. | CostingMethodUsed |
| Subsidized Health Services Expln | N/A | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | N/A | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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 $15,657,416 and $12,688,221 for uncollectible patient accounts during the years ended September 30, 2010 and 2009, respectively." The ratio of cost to charges of .4647 was used to determine the bad debt cost reported on line 2. To estimate the amount of Bad Debt cost attributable to patients eligible for Free Care, we used the percent of Bad Debt write-offs for patients who at registration gave as their employer Unemployed, Self Employed, Disabled, or Temporary Staffing. This equaled 50.4% of Bad Debt write-offs. This methodology is most likely understating the percent, as it does not include employed persons making under 200% of the poverty guidelines. | BadDebtFootnote |
| Shortfall As Community Benefit | 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | The hospital's Credit and Collection policy (Patient Rights policy # 23) states that "The Hospital will at all times provide essential 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". | DebtCollectionPolicy |
| Needs Assessment | The hospital has an on going 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 Rhode Island, the Rhode Island 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. | NeedsAssessment |
| Patient Education Assistance | Patient education of eligibility for assistance- 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 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 educated in regard to proper referral process. If the patient states they are uninsured and need to seek Charity Care through discussion with the clinician, then they will be referred 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 to the Financial Counselor for assistance in filling out any necessary forms. The hospital staffs a Financial Assistance Councilor in our Family Care Center to qualify patients for Medical Assistance or Free Care. | PatientEducationAssistance |
| Community Information | 4) Community Information The primary service area of the hospital is as follows: Primary Service Area ( "PSA" ) - Memorial Hospital of Rhode Island Patient Zip Code Patient City/Town Patient State Discharge Count* ( 10/1/09-9/30/10 ) 02860, 02861 Pawtucket RI 3,177 02863 Central Falls RI 849 02864 Cumberland RI 507 02914, 02915, 02916 East Providence, Riverside, Rumford RI 463 02865 Lincoln RI 160 02703 Attleboro MA 151 02771 Seekonk MA 104 02760 North Attleboro MA 47 02762 Plainville MA 5 Total PSA 5,463 * = data excludes newborns The City of Pawtucket has a population of 71,148. It is the fourth 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 November, 2010 the city's unemployment rate was 12% 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 13.90% 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 18,928. 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 29.0% of the population 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 14.2% in November, 2010. The racial makeup of Central Falls is 57.16% 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. | CommunityInformation |
| Community Building Activities | MHRI H1N1 Vaccination Point of Distribution- Memorial Hospital of Rhode Island (MHRI) in collaboration with the Pawtucket Emergency Management Agency conducted the H1N1 Vaccination Point of Distribution (POD) on January 9, 2010. The intent of the POD was to vaccinate healthcare workers (HCW's) and first responders in Memorial's healthcare service region which included Pawtucket, Central Falls, Lincoln, and Cumberland. The Pawtucket EMA Director Robert Howe was on site and organized notification and flow of the first responders. Captain James Coyne from the Cumberland Police Department was also on site and assisted with the coordination and flow of first responders. The hours of operation were blast communicated to all HSR healthcare facilities, physician offices and municipalities via fax and e-mail. MHRI also posted an H1N1 information phone number on their web site. Signage for the Vaccination POD was easily identifiable and flow was managed with the assistance of our municipal partners. At the conclusion of the exercise a total of 1078 doses of H1N1 flu vaccine were administered * MHRI in collaboration with their community partners provided the necessary opportunity for all HCWs and Municipalities to receive their H1N1 vaccine when available via the RI Department of Health. * The Pawtucket EMA and The Cumberland Police Department were instrumental in preparing for and operationalizing the H1N1 POD at MHRI * Performing the POD function on the MHRI Campus allowed us the flexibility to accommodate all of our community partners and support the process without interrupting our daily flow of patient care. * Emergency Preparedness Activities- Memorial Hospital of RI 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 Committee 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 a hazardous material release, severe weather events, and mass vaccinations | CommunityBuildingActivities |
| Other Information | 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 | OtherInformation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Francis R Dietz | |||||||||||||
| 647544 | 0 | 0 | 0 | 0 | 0 | 2644520 | 0 | 13602 | 0 | 3305666 | 0 | 732843 | 0 |
| Michael J Ryan | |||||||||||||
| 192001 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 33558 | 0 | 225559 | 0 | 216755 | 0 |
| Elizabeth Girard | |||||||||||||
| 179001 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 20552 | 0 | 199553 | 0 | 204069 | 0 |
| Michelle MacDonald Gallagher | |||||||||||||
| 265000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 35210 | 0 | 300210 | 0 | 291165 | 0 |
| Martin Tursky | |||||||||||||
| 367790 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 34994 | 0 | 402784 | 0 | 0 | 0 |
| Jeffrey Borkan MD | |||||||||||||
| 277684 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18967 | 0 | 296651 | 0 | 289542 | 0 |
| Andrew Artenstein MD | |||||||||||||
| 272500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18904 | 0 | 291404 | 0 | 283795 | 0 |
| Vera A Depalo MD | |||||||||||||
| 290194 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10488 | 0 | 300682 | 0 | 282227 | 0 |
| Brian Wiley MD | |||||||||||||
| 297375 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10575 | 0 | 307950 | 0 | 298545 | 0 |
| Noubar Kessimian MD | |||||||||||||
| 264654 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18809 | 0 | 283463 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rhode Island Health and Educational Building Corp | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521300173 | IssuerEIN |
| CUSIP Number | 762243EY5 | CUSIPNumber |
| Date Issued | 2003-12-24 | DateIssued |
| Issue Price | 25358159 | IssuePrice |
| Description Of Purpose | Capital Renovations and Equipment Purchases | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 26560716 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Amount Defeased | 0 | AmountDefeased |
| Amount Unspent | 0 | AmountUnspent |
| Issuance Costs From Proceeds | 331810 | IssuanceCostsFromProceeds |
| Capital Expenditures | 26560716 | CapitalExpenditures |
| Year Of Subst Completion | 2004 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Total Private Business Use | 0 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0B_L11 | Form 990, Part VI, Section B, Line 11 | 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 990. The Controller then utilizes an on-line software to complete the 990. The software used ensures that all required fields are complete and all related 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 of the board members for their review. All discussion 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 memeber, 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 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 also 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 to direct any requests for Audited Financial Statements and or 990s to the Controller's office. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Public Charity StatusPublicCharityStatus |
|---|---|---|---|---|---|---|---|---|---|
| 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 | N/A | 11 Type II |
| SHS Ventures Inc | |||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 050510341 | Provide Primary Healthcare Services | RI | 501(c)3 | N/A | 9 |
| Blackstone Health Inc | |||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 050427007 | Provide a continuum of care | RI | 501(c)3 | N/A | 9 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary Care Centers of New England Inc | |||||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 050423957 | Provide Support Staff to affiliates | RI | N/A | C | -767 | 553176 | 1 |
| Memorial Physician Hospital Organization Inc | |||||||||||
| 111 Brewster Street | Pawtucket | RI | 02860 | 050462438 | Health Service Contracting | RI | N/A | C | 14919 | 253565 | 0.5 |
| 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 | 0 | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | 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 (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| RS Realty Company | |
| j | 57600 |
| RS Realty Company | |
| i | 37500 |
| SHS Ventures Inc | |
| b | 360000 |
| SHS Ventures Inc | |
| k | 43654 |
| SHS Ventures Inc | |
| j | 159840 |
| Southeastern Healthcare System Inc | |
| k | 60000 |
| Blackstone Health Inc | |
| k | 36000 |
| RS Realty Company | |
| c | 150000 |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Schedule H is still in process of being prepared. An additional extension to August 15th has beed filed and is pending approval. | Explanation |