THE WESTERLY HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- THE WESTERLY HOSPITAL (EIN 05-0259100)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201122279349303077
- Schema version
- 2009v1.7
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T13:27:17-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | 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 | 2009-10-01 | 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 | JEANNE LACHANCE | Name |
| Title | TREASURER | Title |
| Phone | 4015966000 | Phone |
| Date Signed | 2011-08-15 | 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 | 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 | 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 | 94373193 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 906 | TotalNbrEmployees |
| Total Nbr Volunteers | 310 | TotalNbrVolunteers |
| Total Gross UBI | 5064 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 598900 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1212000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 88184391 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 90848994 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 472785 | InvestmentIncomePriorYear |
| Investment Income Current Year | 893619 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 869761 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1332824 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 90125837 | TotalRevenuePriorYear |
| Total Revenue Current Year | 94287437 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 47966491 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 51358840 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 41678665 | OtherExpensePriorYear |
| Other Expenses Current Year | 41362146 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 89645156 | TotalExpensesPriorYear |
| Total Expenses Current Year | 92720986 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 480681 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1566451 | RevenuesLessExpensesCY |
| Total Assets BOY | 80704506 | TotalAssetsBOY |
| Total Assets EOY | 80297074 | TotalAssetsEOY |
| Total Liabilities BOY | 50546582 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 55944823 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 30157924 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 24352251 | NetAssetsOrFundBalancesEOY |
| 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 | 73056724 | Expense |
| Revenue | 90848994 | 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 09/30/2010 THE HOSPITAL ADMITTED 4,543 PATIENTS AND HAD 24,900 VISITS TO THE EMERGENCY ROOM.THERE WERE 534,225 AMBULATORY/OUTPATIENT VISITS, 486,651 LABORATORY PROCEDURES, 42,001 PATHOLOGY PROCEDURES, 204 DIAGNOSTIC CARDIAC CATHETERIZATIONS, 61,715 PHYSICAL THERAPY PROCEDURES, 15,437 OR AND AMBULATORY VISITS FOR TOTAL DAYS OF PATIENT CARE OF 17,667, THE AVERAGE DAILY CENSUS WAS 46.4.THE RADIOLOGY DEPARTMENT PERFORMED THE FOLLOWING:35,778 DIAGNOSTIC PROCEDURES 1,768 NUCLEAR MEDICINE PROCEDURES13,485 CT SCANS 9,561 ULTRASOUND PROCEDURES 2,805 MAGNETIC RESONANCE IMAGING (MRI) | Description |
| Total Program Service Expense | 73056724 | 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 |
| 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 | 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 | 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 | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 85 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 906 | 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 |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | 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 | 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 | JEANNE LACHANCE CFO | 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 (25 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 | ||||||||
| SECOND VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| DAVID R BAILEY | ||||||||
| 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 | ||||||||
| ASSISTANT SECRETARY | 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 R RIVERA MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CHRISTOPHER LEHRACH MD | ||||||||
| DIRECTOR/ER PHYSICIAN | 40.00 | X | 304532 | 0 | 48852 | X | ||
| CHARLES KINNEY | ||||||||
| PRESIDENT/CEO | 40.00 | X | X | 284615 | 0 | 40334 | ||
| BARBARA J PERINO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JEANE M LACHANCE | ||||||||
| TREASURER | 40.00 | X | 193730 | 0 | 35842 | |||
| MAUREEN L CARBONI | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | |||
| MARGARET AUSTIN | ||||||||
| NURSING/CNO | 40.00 | 161770 | 0 | 28284 | X | |||
| WILLIAM CONLIN | ||||||||
| E/R PHYSICIAN | 40.00 | 235963 | 0 | 39312 | X | |||
| FRED JACCARINO | ||||||||
| E/R PHYSICIAN | 40.00 | 215988 | 0 | 38996 | X | |||
| ALEXANDRA THRAN | ||||||||
| E/R PHYSICIAN | 36.00 | 191965 | 0 | 29957 | X | |||
| KEVIN TORRES | ||||||||
| E/R PHYSICIAN | 40.00 | 236551 | 0 | 40303 | X | |||
| NANCY BARISANO | ||||||||
| IT DIRECTOR | 40.00 | 140717 | 0 | 13172 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1965831 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 315052 | TotalOtherCompensation |
| Number Individuals GT100 K | 20 | 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 |
|---|---|---|---|---|---|
| CARDINAL HEALTH PHARMACY MANAGEMENT | |||||
| 21377 NETWORK PLACE | CHICAGO | IL | 60673 | PHARMACY SERVICES | 2323980 |
| ARAMARK HEALTHCARE | |||||
| 40 ACCORD PARK DRIVE | NORWELL | MA | 02601 | BIOMED SERVICES | 1053386 |
| GASTROENTEROLOGY ASSOCIATES | |||||
| 45 WELLS STREET SUITE 102 | WESTERLY | RI | 02891 | MEDICAL SERVICE | 600000 |
| RHODE ISLAND BLOOD CENTER | |||||
| PO BOX 9399 | PROVIDENCE | RI | 02940 | LAB SERVICES | 491255 |
| QUEST DIAGNOSTICS | |||||
| 12436 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | LAB SERVICES | 376783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Related Organizations | 1212000 | RelatedOrganizations |
| Total Contributions | 1212000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REV. | 900099 | 90460251 | 90460251 |
| FREE BED INCOME | 900099 | 301296 | 301296 |
| LIFELINE | 900099 | 87447 | 87447 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 90848994 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 436914 | TotalRevenueColumn |
| Exclusion | $436,914 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 553468 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 85756 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 467712 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 467712 | TotalRevenueColumn |
| Unrelated Business Revenue | 5064 | UnrelatedBusinessRevenue |
| Exclusion | $462,648 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 456705 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 456705 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 456705 | TotalRevenueColumn |
| Exclusion | $456,705 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| SETTLEMENT INCOME | 900099 | 325000 | $325,000 |
| CAFETERIA SALES | 900099 | 199383 | $199,383 |
| OTHER INCOME | 900099 | 175582 | $175,582 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 165147 | TotalRevenueColumn |
| Exclusion | $165,147 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 865112 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 94287437 | TotalRevenueColumn |
| Related Or Exempt Function Income | 90848994 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 5064 | UnrelatedBusinessRevenue |
| Exclusion | $2,221,379 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1292320 | Total |
| Program Services | 982163 | ProgramServices |
| Management And General | 310157 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38056995 | Total |
| Program Services | 28923316 | ProgramServices |
| Management And General | 9133679 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3002476 | Total |
| Program Services | 2281882 | ProgramServices |
| Management And General | 720594 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6252165 | Total |
| Program Services | 4751646 | ProgramServices |
| Management And General | 1500519 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2754884 | Total |
| Program Services | 2093712 | ProgramServices |
| Management And General | 661172 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1339659 | Total |
| Program Services | 1018141 | ProgramServices |
| Management And General | 321518 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147445 | Total |
| Program Services | 112058 | ProgramServices |
| Management And General | 35387 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 439295 | Total |
| Program Services | 333864 | ProgramServices |
| Management And General | 105431 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154947 | Total |
| Program Services | 117760 | ProgramServices |
| Management And General | 37187 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103472 | Total |
| Program Services | 78639 | ProgramServices |
| Management And General | 24833 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2097306 | Total |
| Program Services | 1593953 | ProgramServices |
| Management And General | 503353 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16106 | Total |
| Program Services | 12241 | ProgramServices |
| Management And General | 3865 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1278015 | Total |
| Program Services | 971292 | ProgramServices |
| Management And General | 306723 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4578666 | Total |
| Program Services | 3479786 | ProgramServices |
| Management And General | 1098880 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1312088 | Total |
| Program Services | 1241235 | ProgramServices |
| Management And General | 70853 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 8300401 | 6308304 | 1992097 |
| PURCHASED SERVICES | 7632680 | 5800837 | 1831843 |
| BAD DEBTS | 5962284 | 5962284 | |
| LICENSING FEE | 3807403 | 3807403 | |
| DRUGS | 3017001 | 2292921 | 724080 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1175378 | Total |
| Program Services | 893287 | ProgramServices |
| Management And General | 282091 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92720986 | Total |
| Program Services | 73056724 | ProgramServices |
| Management And General | 19664262 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2561630 | BOY |
| EOY | 2274270 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7459592 | BOY |
| EOY | 7336470 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101307 | BOY |
| EOY | 16356 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1469759 | BOY |
| EOY | 1611752 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1093687 | BOY |
| EOY | 1568252 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 112015583 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 75514568 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38296354 | BOY |
| EOY | 36501015 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20582181 | BOY |
| EOY | 21855856 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7290244 | BOY |
| EOY | 7556551 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1849752 | BOY |
| EOY | 1576552 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80704506 | BOY |
| EOY | 80297074 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10230795 | BOY |
| EOY | 9660439 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118545 | BOY |
| EOY | 1469601 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9315000 | BOY |
| EOY | 8610000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5378935 | BOY |
| EOY | 5163197 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25503307 | BOY |
| EOY | 31041586 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50546582 | BOY |
| EOY | 55944823 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14734401 | BOY |
| EOY | 8468193 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3461402 | BOY |
| EOY | 3583415 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11962121 | BOY |
| EOY | 12300643 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30157924 | BOY |
| EOY | 24352251 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80704506 | BOY |
| EOY | 80297074 | 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 | 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 | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $2,827 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2827 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | DRAFTING LEGISLATION, GUIDANCE ON LEGISLATION, MEETING WTIH LEGISLATORS REGARDING LEGISLATION. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| 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 Minus1 Year CurrentYearMinus1Year
| 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 | 0.59970 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.23000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.17030 | 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 | 29598540 | Depreciation |
| Book Value | 14306865 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 63694907 | OtherCostOrOtherBasis |
| Depreciation | 42939502 | Depreciation |
| Book Value | 20755405 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4415271 | OtherCostOrOtherBasis |
| Depreciation | 2976526 | Depreciation |
| Book Value | 1438745 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 36501015 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FUNDS HELD IN TRUST | Description |
| Book Value | 7556551 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 7556551 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 3RD PARTY PAYOR SETTLEMENTS | $872,367 |
| ACCRUED MINIMUM PENSION LIABILITY | $20,456,320 |
| LINE OF CREDIT | $4,566,767 |
| CAPITAL LEASE OBLIGATIONS | $3,733,262 |
| ASSET RETIREMENT OBLIGATION | $1,412,870 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 31041586 | TotalOfAmounts |
| Total Revenue | 94287437 | TotalRevenue |
| Total Expenses | 92720986 | TotalExpenses |
| Excess Or Deficit For Year | 1566451 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 733525 | NetUnrealizedGLOnInvestments |
| Other | -$8,105,649 | OtherAmount |
| Total Adjustments | -7372124 | TotalAdjustments |
| Excess Or Deficit Per FS | -5805673 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 87001189 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 733525 | NetUnrealizedGainsInvestments |
| Other Revenues | -8105640 | OtherRevenues |
| Revenue Not Rptd F990 | -7372115 | RevenueNotRptdF990 |
| Revenue Subtotal | 94373304 | RevenueSubtotal |
| Other Revenues Not Included | -85867 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -85867 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 94287437 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 92806853 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 85867 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 85867 | ExpensesNotRptdF990 |
| Expenses Subtotal | 92720986 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 92720986 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE MISSION OF THE WESTERLY HOSPITAL. |
| Part XI, Line 8 - Other Adjustments: | CAPITAL TRANSACTIONS WITH AFFILIATES: -4915327. CHANGES IN ACCRUED MINIMUM PENSION LIABILITY: -3190322. | |
| Part XII, Line 2d - Other Adjustments: | CHANGE IN MINIMUM PENSION LIABILITY: -3190322. CAPITAL TRANSACTIONS WITH AFFILIATES: -4915318. | |
| Part XII, Line 4b - Other Adjustments: | RENTAL EXPENSES: -85867. | |
| Part XIII, Line 2d - Other Adjustments: | RENTAL EXPENSES: 85867. |
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 | 1338219 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 544681 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 793538 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00860 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8495803 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8221982 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 273821 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9834022 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8766663 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1067359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01160 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14795 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 720 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14075 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 100460 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 92460 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29131 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 29131 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 144386 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8720 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 135666 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9978408 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8775383 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1203025 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01310 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 43690 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 43690 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 3398 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3398 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 47088 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 47088 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,222,739 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 22295968 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 21953902 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 342066 | 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 |
Form990 Schedule H Part V Form990ScheduleHPartV
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 VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Shortfall As Community Benefit | Part III, Line 8: COSTING METHODOLOGY - (TOTAL ALLOWABLE MEDICAL COST PLUS BAD DEBT COSTS) TIMES RATIO OF MEDICAL REVENUE TO TOTAL PATIENT REVENUE. | ShortfallAsCommunityBenefit |
| Number Of Facility Type Expln | Part V: | NumberOfFacilityTypeExpln |
| Needs Assessment | Part VI, Line 2: The hospital community benefits team looked at a variety of information to determine where to focus efforts to improve the health of the community: hospital admissions diagnoses; a primary care provider survey; community health education evaluation and survey; participation in the Westerly Infant and Child Health Partnership; and Department of Health and Human Services community health status indicators for Washington County, RI. These examinations helped to guide community education topics, sponsorships of community organizations and other health-related organizations, new program development (e.g., Tobacco Cessation program and StrongWomen), ongoing clinical education offerings, and community outreach activities. | NeedsAssessment |
| Community Building Activities | Part VI, Line 5: Coalition Building: Westerly Infant and Child Partnership (Teen Pregnancy)The Westerly Hospital is committed to community engagement around health issues affecting the community members it serves. In FY 2009-2010, for example, the hospital participated in a community wide coalition -- the Westerly Infant and Child Health Partnership to examine three issues that affect women and children (and by extension the entire community) in Westerly, RI. The issues looked at were food insufficiency, delayed prenatal care, and teen pregnancy. The Partnership comprised area health services, the public schools, social service agencies, clergy, parents, mental health agencies, and concerned citizens. The Partnership conducted a community assessment (key informant interviews, focus groups, and surveys) around the three issues. The data revealed rates of teen pregnancy in Westerly higher than state averages, record numbers of families seeking help from local food pantries, but decreasing rates of delayed prenatal care. As a leader in the community, the Westerly Hospital hosted the release of the Partnership report to the community, inviting physicians, parents, clergy, legislators and school officials to the hospital to hear the Partnership's findings and to help increase awareness of the issues facing the community. Hospital staff continues to be involved in ongoing discussions related to teen pregnancy reduction because children of teen parents are more at risk for poor health, learning/behavioral problems in school, living in poverty, and becoming teen parents themselves, all of which have social and economic consequences for communities with high teen pregnancy rates. The hospital recognizes that it has a role to play in raising awareness of teen pregnancy and in supporting educational efforts for parents around adolescent sexuality and communication. Although the original Partnership has disbanded, the hospital will continue to partner with other community stakeholders, including the public schools, to address the teen pregnancy issue. | CommunityBuildingActivities |
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 (9 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 | |||||||||||||
| 304532 | 0 | 0 | 0 | 0 | 0 | 30963 | 0 | 17889 | 0 | 353384 | 0 | 0 | 0 |
| CHARLES KINNEY | |||||||||||||
| 284615 | 0 | 0 | 0 | 0 | 0 | 26686 | 0 | 13648 | 0 | 324949 | 0 | 0 | 0 |
| JEANE M LACHANCE | |||||||||||||
| 193730 | 0 | 0 | 0 | 0 | 0 | 18455 | 0 | 17387 | 0 | 229572 | 0 | 0 | 0 |
| MARGARET AUSTIN | |||||||||||||
| 161770 | 0 | 0 | 0 | 0 | 0 | 15101 | 0 | 13183 | 0 | 190054 | 0 | 0 | 0 |
| WILLIAM CONLIN | |||||||||||||
| 235963 | 0 | 0 | 0 | 0 | 0 | 21791 | 0 | 17521 | 0 | 275275 | 0 | 0 | 0 |
| FRED JACCARINO | |||||||||||||
| 215988 | 0 | 0 | 0 | 0 | 0 | 21487 | 0 | 17509 | 0 | 254984 | 0 | 0 | 0 |
| ALEXANDRA THRAN | |||||||||||||
| 191965 | 0 | 0 | 0 | 0 | 0 | 12797 | 0 | 17160 | 0 | 221922 | 0 | 0 | 0 |
| KEVIN TORRES | |||||||||||||
| 236551 | 0 | 0 | 0 | 0 | 0 | 22744 | 0 | 17559 | 0 | 276854 | 0 | 0 | 0 |
| NANCY BARISANO | |||||||||||||
| 140717 | 0 | 0 | 0 | 0 | 0 | 12082 | 0 | 1090 | 0 | 153889 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | THE FORM 990 WAS REVIEWED BY THE PRESIDENT AND TREASURER OF THE ORGANIZATION, AND A COPY OF THE FORM 990 WAS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD FOR REVIEW BEFORE FILING. |
| Form 990, Part VI, Section B, line 12c | 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 15 | SUBCOMMITTEE OF THE GOVERNING BOARD MEETS TO DETERMINE ALL COMPENSATION ARRANGEMENTS OF THE TOP EXECUTIVE, OFFICERS AND KEY EMPLOYEES. |
| Form 990, Part VI, Section C, line 19 | THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST. |
| FORM 990, PART VII, SECTION A - COMPENSATION OF OFFICERS: | MAUREEN L. CARBONI IS COMPENSATED AS AN EMPLOYEE OF THE WESTERLY HOSPITAL. SHE RECEIVES NO COMPENSATION FOR HER POSITION AS SECRETARY OF THE BOARD. |
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 |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| COMMUNITY HEALTH OF WESTERLY 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 |
| 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 |
| THE WESTERLY HOSPITAL AUXILIARY INC | |||||||||
| 25 WELLS STREET | WESTERLY | RI | 028912934 | 222507181 | SUPPORT THE WESTERLY HOSPITAL | RI | 501(C)(3) | N/A | |
| 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 | |
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 | 0 | 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 (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| COMMUNITY HEALTH OF WESTERLY | |
| B | 1241707 |
| THE WESTERLY HOSPITAL FOUNDATION | |
| C | 1212000 |
| ATLANTIC MEDICAL GROUP INC | |
| B | 3673612 |
| ATLANTIC MEDICAL GROUP INC | |
| D | 350000 |
| NORTH STONINGTON HEALTH CENTER INC | |
| D | 365080 |
| COMMUNITY HEALTH OF WESTERLY | |
| D | 154509 |
| THE WESTERLY HOSPITAL FOUNDATION | |
| D | 401683 |