Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
825 CHALKSTONE AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
PROVIDENCE, RI029083547
D Employer identification number

05-0258959
E Telephone number

G Gross receipts $ 165,669,084
F Name and address of principal officer:
KENNETH BELCHER
825 CHALKSTONE AVENUE
PROVIDENCE,RI029083547
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.RWMC.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1904
M State of legal domicile: RI
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: ROGER WILLIAMS MEDICAL CENTER IS A 220-BED, ACUTE CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 0
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 0
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 1,544
6 Total number of volunteers (estimate if necessary) .... 6 40
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 1,266,766
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -856,128
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 6,747,586 6,060,572
9 Program service revenue (Part VIII, line 2g) ......... 153,372,789 156,873,506
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 808,540 2,038,868
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,890,964 637,195
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 162,819,879 165,610,141
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 13,599 0
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 77,937,081 79,250,923
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet25,254    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 84,821,064 84,774,587
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 162,771,744 164,025,510
19 Revenue less expenses. Subtract line 18 from line 12...... 48,135 1,584,631
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 97,841,509 94,424,050
21 Total liabilities (Part X, line 26)............ 58,262,147 55,564,126
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 39,579,362 38,859,924
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: ROGER WILLIAMS MEDICAL CENTER IS A 220-BED, ACUTE CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES IN PROVIDENCE, RHODE ISLAND AND SURROUNDING COMMUNITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 123,559,315 including grants of $   ) (Revenue $ 150,439,975 )
PATIENT HEALTHCARE SERVICES - ROGER WILLIAMS MEDICAL CENTER PROVIDES MEDICAL CARE TO PATIENTS, A MULTI-DISCIPLINARY APPROACH TO THE TREATMENT OF CANCER, SURGICAL SERVICES, DERMATOLOGY, DIAGNOSTIC IMAGING, LABORATORY SERVICES, GASTROENTEROLOGY, EMERGENCY ROOM FACILITIES AND OTHER ANCILLARY SERVICES PRIMARILY TO THE RHODE ISLAND COMMUNITY. *SEE SCHEDULE O*
4b (Code:   ) (Expenses $ 5,429,274 including grants of $   ) (Revenue $ 5,429,274 )
DIRECT RESEARCH - ROGER WILLIAMS MEDICAL CENTER IS HOME TO DOZENS OF SCIENTISTS, RESEARCHERS, AND INVESTIGATORS ACTIVELY INVOLVED IN A VARIETY OF MEDICAL RESEARCH ACTIVITIES. RESEARCH PROGRAMS ARE SUPPORTED BY FEDERAL FUNDS, EXTERNAL INSTITUTION GRANTS, AND OTHER SOURCES. AWARDS RECEIVED BY ROGER WILLIAMS MEDICAL CENTER AND ITS FACULTY INCLUDE PEER-REVIEWED GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHERS. CURRENT RESEARCH INCLUDES A MULTITUDE OF BASIC AND CLINICAL STUDIES IN CANCER, WHICH IS A PRIMARY INTEREST OF THE HOSPITAL. CURRENTLY, THERE ARE ONGOING TRIALS FOR A VARIETY OF CANCERS INCLUDING HEAD, NECK, BREAST, PROSTATE, GI, HEMATOLOGICAL MALIGNANCIES, AND OTHERS.
4c (Code:   ) (Expenses $ 8,494,861 including grants of $   ) (Revenue $   )
FREE CARE - PER THE MEDICAL CENTER'S PUBLIC NOTICE, ROGER WILLIAMS MEDICAL CENTER IS PROUD OF ITS COMMITMENT TO PROVIDE QUALITY CARE TO ALL INDIVIDUALS WHO NEED IT. THE MEDICAL CENTER PROVIDES FINANCIAL AID TO PATIENTS WITHOUT INSURANCE AND WHO MAY NOT BE ABLE TO PAY FOR THE CARE PROVIDED. *SEE SCHEDULE O*
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $ 1,700,395 )
4e Total program service expensesMediumBullet$ 137,483,450
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2...........
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
111
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,544
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
0
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
 
No
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
KATHLEEN MOORE
200 HIGH SERVICE AVE
NORTH PROVIDENCE,RI02940
(401) 456-3312
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) KENNETH H BELCHER
PRESIDENT & CEO CCHP
 0.0     X       372,674 0 98,964
(2) MICHAEL CONKLIN JR
CFO/TREASURER CCHP
 0.0     X       0 191,801 20,295
(3) DOMENIC DECRISTOFANO
EXEC DIR FACILITIES MANAGEMENT
 0.0       X     153,045 0 43,029
(4) KIMBERLY O'CONNELL
VP LEGAL COUNSEL
 0.0       X     214,497 0 49,498
(5) JOANNE DOOLEY
VP CNO
 0.0       X     207,561 0 40,407
(6) SUSAN CERRONE-ABELY
VP CIO
 0.0       X     197,605 0 57,782
(7) CHERYL PERRY
CHIEF HUMAN RESOURCES OFFICER
 40.0       X     156,037 0 39,858
(8) HANDE TUNCER
PHYSICIAN
 40.0         X   218,742 0 7,572
(9) RITESH RATHORE
PHYSICIAN
 40.0         X   278,188 0 26,108
(10) ALEX ETIENNE
PHYSICIAN
 40.0         X   293,783 0 24,370
(11) JOHN STOUKIDES
PHYSICIAN
 40.0         X   237,326 0 26,537
(12) AHMAD AL-HOMSI
PHYSICIAN
 40.0         X   443,086 0 20,168
(13) RUTH E SCOTT RN
TRUSTEE
 40.0           X 105,567 0 20,717
(14) ADOZINDA KANE
FORMER CFO/TREASURER
 0.0           X 243,526 0 78,239






Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,121,637 191,801 553,544
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet83
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UNIVERSITY MEDICAL GROUP
825 CHALKSTONE AVE
PROVIDENCE,RI02908 		ACADEMIC ADMIN 4,336,049
PATRIOT MEDICAL TECHNOLOGIES
7100 COMMERCE WAY STE 280
BRENTWOOD,TN37027 		CLINICAL ENGINEERING 939,672
SODEXHO
PO BOX 360170
PITTSBURGH,PA15251 		FOOD SERVICE 936,962
MAYO CLINIC
PO BOX 9146
MINNEAPOLIS,MN55480 		LABORATORY SERVICES 715,115
UNIVERSITY PATHOLOGIST
300 CENTERVILLE RD STE 215
WARWICK,RI02886 		LABORATORY SERVICES 599,581
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet13
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 144,456
d Related organizations...1d  
e Government grants (contributions)1e 3,619,964
f All other contributions, gifts, grants, and
similar amounts not included above1f 		2,296,152
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 6,060,572
Program Service Revenue Business Code
2a PATIENT CARE SERVICES 621,400 92,566,988 92,566,988    
b MEDICARE AND MEDICAID PAYMENTS 624,100 59,117,153 59,117,153    
c CAFETERIA 722,320 433,629     433,629
d LAB REVENUE 621,400 4,755,736 3,488,970 1,266,766  
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 156,873,506
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,158,172     1,158,172
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 0 0
b Less: rental expenses    
c Rental income or (loss) 0 0
d Net rental income or (loss).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 880,696 0
b Less: cost or other basis and sales expenses    
c Gain or (loss) 880,696 0
d Net gain or (loss)..........MediumBullet 880,696     880,696
8a Gross income from fundraising events (not including
$ 144,456
of contributions reported on line 1c). See Part IV, line 18 ...
a 0
b Less: direct expenses ...b 58,943
c Net income or (loss) from fundraising events..MediumBullet -58,943   -58,943
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 0
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a MISCELLANEOUS 900,099 696,138 696,138    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 696,138
12 Total revenue. See Instructions....MediumBullet 165,610,141 155,869,249 1,266,766 2,413,554
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 388,684   388,684  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 65,294,439 53,046,720 12,247,719  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 1,014,615 716,318 298,297  
9 Other employee benefits ....... 7,962,672 5,621,646 2,341,026  
10 Payroll taxes ........... 4,590,513 3,240,902 1,349,611  
11 Fees for services (non-employees):        
a Management ...... 1,401,220   1,401,220  
b Legal ......... 0      
c Accounting ........... 126,375   126,375  
d Lobbying ........... 2,602   2,602  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 26,557   26,557  
g Other .......... 5,092,036 4,758,094 333,942  
12 Advertising and promotion .... 145,065 8,125 136,940  
13 Office expenses ....... 1,138,531 581,203 557,328  
14 Information technology ...... 1,349,727 952,907 396,820  
15 Royalties .. 0      
16 Occupancy ........... 3,617,360 2,553,856 1,063,504  
17 Travel ............ 304,322 257,282 47,040  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 69,889 44,961 24,928  
20 Interest ........... 1,029,092   1,029,092  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 5,260,718 3,714,067 1,546,651  
23 Insurance .............. 2,217,753 2,115,010 102,743  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MEDICAL SUPPLIES 31,748,031 31,677,370 70,661  
b RESEARCH 5,429,274 5,429,274    
c LICENSE FEE 7,402,248 7,402,248    
d BAD DEBT EXPENSE 9,802,883 9,802,883    
e MAINTENANCE 2,113,459 991,217 1,122,242  
f All other expenses 6,497,445 4,569,367 1,902,824 25,254
25 Total functional expenses. Add lines 1 through 24f 164,025,510 137,483,450 26,516,806 25,254
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 10,691,531 2 12,411,338
3 Pledges and grants receivable, net ......... 401,322 3 384,368
4 Accounts receivable, net ......... 13,819,189 4 13,870,947
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 3,270,397 8 3,079,744
9 Prepaid expenses and deferred charges ............ 2,583,509 9 3,153,224
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 91,735,291
b Less: accumulated depreciation. ..... 10b 63,960,323 30,654,691 10c 27,774,968
11 Investments—publicly traded securities .......... 28,170,474 11 26,353,864
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 .. 3,930,290 13 3,472,391
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 4,320,106 15 3,923,206
16 Total assets. Add lines 1 through 15 (must equal line 34)... 97,841,509 16 94,424,050
Liabilities 17 Accounts payable and accrued expenses . 21,010,750 17 19,107,749
18 Grants payable ..........   18  
19 Deferred revenue .......... 605,013 19 1,245,137
20 Tax-exempt bond liabilities .......... 12,655,000 20 12,150,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 5,256,607 23 3,725,520
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 18,734,777 25 19,335,720
26 Total liabilities. Add lines 17 through 25..... 58,262,147 26 55,564,126
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 15,525,907 27 16,397,505
28 Temporarily restricted net assets ..... 15,954,758 28 14,558,368
29 Permanently restricted net assets ..... 8,098,697 29 7,904,051
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 39,579,362 33 38,859,924
34 Total liabilities and net assets/fund balances ..... 97,841,509 34 94,424,050
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
165,610,141
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
164,025,510
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
1,584,631
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
39,579,362
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-2,304,069
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
38,859,924
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Employer identification number

05-0258959
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Employer identification number

05-0258959
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL 		Employer identification number

05-0258959
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL 		Employer identification number

05-0258959
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL 		Employer identification number

05-0258959
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Employer identification number

05-0258959
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
2,602
j
Total. lines 1c through 1i ...................................
2,602
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
LOBBYING EXPENSE PART II-B LINE 1i ROGER WILLIAMS MEDICAL CENTER PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND HOSPITAL ASSOCIATION OF RHODE ISLAND. THE PORTION OF DUES ALLOCATED TO LOBBYING EFFORTS FOR THE YEAR ENDED 9/30/11 WAS $2,602.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Employer identification number

05-0258959
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....... 13 76
2 Aggregate contributions to (during year) ... 281,400 410,078
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year ....... 500,598 2,045,412
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 22,951,379 20,342,768 20,928,580
b Contributions ........   1,402,063  
c Investment earnings or losses ... -789,094 2,149,146 305,176
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		832,860 942,598 890,998
f Administrative expenses ....      
g End of year balance ...... 21,329,425 22,951,379 20,342,758
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet80.000 %
b
Permanent endowment: SchDMd Bullet20.000 %
c
Term endowment: SchDMd Bullet0 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 0 85,661 85,661
b Buildings ................ 0 47,274,477 28,091,678 19,182,799
c Leasehold improvements ............ 0 27,325 27,325 0
d Equipment ................ 0 44,317,840 35,841,320 8,476,520
e Other ................. 0 29,988 0 29,988
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 27,774,968
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
ANTICIPATED THIRD PARTY SETTLEMENTS 11,741,287
DEFERRED GAIN ON JOINT VENTURE 2,290,144
ASSET RETIREMENT OBLIGATION 684,345
ACC'D INSURANCE DEDUCTIBLE 4,606,252
NATIONAL GRID LOAN 13,692




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 19,335,720
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 165,610,141
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 164,025,510
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 1,584,631
4 Net unrealized gains (losses) on investments .......................... 4 -2,109,423
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -194,646
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -2,304,069
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -719,438
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 163,365,015
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -2,109,423
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d -194,646
e Add lines 2a through 2d ..................... 2e -2,304,069
3 Subtract line 2e from line 1..................... 3 165,669,084
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b -58,943
c Add lines 4a and 4b....................... 4c -58,943
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 165,610,141
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 164,084,453
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 58,943
e Add lines 2a through 2d...................... 2e 58,943
3 Subtract line 2e from line 1..................... 3 164,025,510
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 164,025,510
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS PART V, LINE 4 THE ANNUAL INVESTMENT COMMITTEE APPROVED ENDOWMENT DISTRIBUTIONS ARE USED TO SUPPORT THE HEALTHCARE OPERATIONS OF THE HOSPITAL AND INCLUDE, BUT ARE NOT LIMITED TO, FREE CARE AND THE PURCHASES OF NEW MEDICAL EQUIPMENT. FIN 48 (ASC 740) FOOTNOTE PART X, LINE 2 ROGER WILLIAMS MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. ROGER WILLIAMS MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. ROGER WILLIAMS MEDICAL CENTER DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX PORTION IN EITHER 2011 OR 2010.
OTHER ADJUSTMENT TO NET ASSETS PART XI, LINE 8 CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS ($194,646)
OTHER REVENUE INCLUDED IN AUDITED FINANCIAL STATEMENTS BUT NOT ON RETURN PART XII, LINE 2D CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS ($194,646)
OTHER REVENUE INCLUDED ON RETURN NOT IN AUDITED FINANCIAL STATEMENTS PART XII, LINE 4B FUNDRAISING EVENT EXPENSES ($58,943)
OTHER EXPENSES INCLUDED IN AUDITED FINANCIAL STATEMENTS BUT NOT ON RETURN PART XIII, LINE 2D FUNDRAISING EVENT EXPENSES $58,943
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Employer identification number

05-0258959
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

SARCOMA SYMP
(event type) 		(b) Event #2

 
(event type) 		(c) Other Events

0
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 144,456     144,456
2 Less: Charitable
contributions . . . 		144,456     144,456
3 Gross income (line 1
minus line 2) . . . 		       
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . . 34,808     34,808
7 Food and beverages . .        
8 Entertainment . . . 2,750     2,750
9 Other direct expenses . 21,385     21,385
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 58,943
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -58,943
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Employer identification number

05-0258959
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
 
No
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    7,694,277 5,053,093 2,641,184 1.710 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    19,272,314 18,002,383 1,269,931 0.820 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    26,966,591 23,055,476 3,911,115 2.530 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    43,472   43,472 0.030 %
f Health professions education
(from Worksheet 5) .. 		    9,917,674 4,190,781 5,726,893 3.710 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)     6,779,134 5,103,369 1,675,765 1.090 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		           
jTotal Other Benefits ...     16,740,280 9,294,150 7,446,130 4.830 %
kTotal. Add lines 7d and 7j. ..     43,706,871 32,349,626 11,357,245 7.360 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense (at cost).....
2
3,782,360
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
2,761,123
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
38,986,069
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
37,103,428
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
1,882,641
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1ROGER WILLIAMS
  		       
2RADIATION THERAPY
  		(RWRT) RADIATION THERAPY 49.000 %    
3RHODE ISLAND PET
  		       
4SERVICES LLC
  		PET SCANS 5.000 %    
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 ROGER WILLIAMS MEDICAL CENTER
825 CHALKSTONE AVENUE
PROVIDENCE,RI02908 		X X   X   X X   HOME HEALTH
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:ROGER WILLIAMS MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1   No
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for free care: 200.%
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.%
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14 Yes  
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16 Yes  
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21 Yes  
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?8
Name and address Type of Facility (Describe)
1 CANCER CENTER
50 MAUDE STREET
PROVIDENCE,RI02908 		CANCER CENTER
2 CANCER CENTER
50 MAUDE STREET
PROVIDENCE,RI02908 		CANCER CENTER
3 CANCER CENTER
50 MAUDE STREET
PROVIDENCE,RI02908 		CANCER CENTER
4 CANCER CENTER
50 MAUDE STREET
PROVIDENCE,RI02908 		CANCER CENTER
5 CANCER CENTER
50 MAUDE STREET
PROVIDENCE,RI02908 		CANCER CENTER
6 CANCER CENTER
50 MAUDE STREET
PROVIDENCE,RI02908 		CANCER CENTER
7 CANCER CENTER
50 MAUDE STREET
PROVIDENCE,RI02908 		CANCER CENTER
8 CANCER CENTER
50 MAUDE STREET
PROVIDENCE,RI02908 		CANCER CENTER
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
PERCENT OF TOTAL EXPENSE PART I, LINE 7(F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE FOR LINE 7 COLUMN (F) IS $9,802,883. PART I, LINE 7 THE COSTING METHODOLOGY USED TO DERIVE THE AMOUNTS ARE FROM WORKSHEET 2 AND IS BASED ON PATIENT CARE COST TO CHARGES.
BAD DEBT EXPENSE PART III, LINE 4 THE MEDICAL CENTER GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR BAD DEBTS ARE MADE BY MEANS OF A PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TRENDS IN FEDERAL AND OTHER COLLECTION INDICATORS. SERVICES RENDERED TO INDIVIDUALS WHEN PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT). THE AMOUNT REPORTED ON PART III IS THE ACTUAL BAD DEBT EXPENSE REPORTED ON THE FINANCIAL STATEMENTS SCALED TO COST. THE COSTING METHODOLOGY IS THE SAME UTILIZED IN PART I, LINE 7. THE HOSPITAL QUALIFIES PATIENTS BASED ON THE MEDICARE PROGRAM 120 DAY RULE WHICH ENTAILS EACH PATIENT ACCOUNT RECEIVING THREE BILLING STATEMENTS. IF NO PAYMENT IS RECEIVED, THE PATIENT ACCOUNT IS PLACED WITH A COLLECTOR 120 DAYS AFTER THE INITIAL STATEMENT IS MAILED.
EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS IS BASED UPON THE MEDICARE COST REPORT USING RCC (RATIO OF COST CHARGE) METHODOLOGY.
COLLECTION PRACTICES FOR QUALIFIED PATIENTS PART III, LINE 9B ROGER WILLIAMS MEDICAL CENTER PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. OUR COLLECTION PROCESS PROVIDES PATIENTS WITH FOUR PROGRESSIVE BILLING NOTICES. ALL STATEMENTS INCLUDE A NOTICE OF AVAILABLE FINANCIAL AID. UNRESOLVED DEBTS ARE TRANSFERRED TO BAD DEBT (WITH NO PAYMENT ACTIVITY) AT DAY 120. AN OUTSIDE COLLECTION AGENCY IS USED FOR ADDITIONAL COLLECTION ACTIVITY. CLIENTS THAT QUALIFY FOR DISCOUNT/FREE-CARE WRITE-OFFS (BASED ON 200-300% OF FEDERAL POVERTY GUIDELINES AND LIMITED ASSETS) HAVE BALANCES REDUCED/WRITTEN-OFF BASED ON INFORMATION DOCUMENTED IN THE APPLICATION PROCESS. ANY BALANCES NOT COVERED BY THE FREE CARE PROCESS ARE BILLED FOLLOWING OUR STANDARD COLLECTION PROCESS.
ROGER WILLIAMS MEDICAL CENTER (1) AMOUNTS BILLED TO INDIVIDUALS WITH NO INSURANCE, PART V, SEC. B, LINE 19D PATIENTS WHO DO NOT HAVE INSURANCE ARE BILLED BASED ON THE HOSPITAL CHARGE MASTER. PATIENTS WHO QUALIFY FOR FULL OR PARTIAL FREE CARE WILL BE DISCOUNTED APPROPRIATELY.
ROGER WILLIAMS MEDICAL CENTER (1) GROSS CHARGE FOR SERVICES, PART V, SECTION B, LINE 21 THE HOSPITAL BILLS A LIMITED NUMBER OF PATIENTS WITH ADEQUATE FINANCIAL RESOURCES THE GROSS CHARGE RATE FOR UNINSURED MEDICARE SERVICES.
COMMUNITY HEALTH NEEDS ASSESSMENT PART VI, LINE 2 ROGER WILLIAMS MEDICAL CENTER (RWMC), AS AN AFFILIATE OF CHARTERCARE HEALTH PARTNERS, HAS BEEN AN ACTIVE MEMBER OF THE HOSPITAL ASSOCIATION OF RHODE ISLAND AND AN ACTIVE PARTICIPANT IN A VARIETY OF COMMITTEES ASSOCIATED WITH THE PROVISION OF HEALTH CARE SERVICES LEAD BY THE RHODE ISLAND DEPARTMENT OF HEALTH. TOGETHER WITH ITS COMMUNITY PARTNERS IN THE PREVIOUSLY MENTIONED FORUMS, RWMC IS HIGHLY ACTIVE IN IDENTIFYING THE CURRENT AND FUTURE NEEDS OF THE POPULATIONS ITS SERVES THROUGH DEMOGRAPHIC TRENDING AND ACTUAL UTILIZATION OF HEALTHCARE SERVICES. RWMC, AS PART OF CCHP, HAS COMMISSIONED A COMMUNITY ADVISORY COMMITTEE TO ASSIST IN THE IDENTIFICATION OF COMMUNITY NEEDS AND HOW THE ORGANIZATION CAN BEST SERVE THOSE NEEDS. THE COMMITTEE IS COMPOSED OF BUSINESS LEADERS, LOCAL STAKEHOLDERS AND COMMUNITY REPRESENTATIVES WHO WISH TO SEE THE ORGANIZATION CONTINUE TO PROVIDE THE HIGHEST QUALITY SERVICES TO ITS COMMUNITIES. RWMC, AS PART OF CCHP, HAS ALSO BEEN GATHERING INFORMATION FROM LOCAL PROVIDERS AS HOW TO BEST COMPLIMENT THERE SERVICES FOR THE LOCAL CONSTITUENTS. TOGETHER WITH THE LOCAL PROVIDERS INCLUDING MEDICAL STAFF, NURSING HOMES, COMPLIMENTARY SERVICE PROVIDERS AND PATIENTS, THE ORGANIZATION IS CRAFTING THE DELIVERY OF SERVICES IN A MANNER THAT ALLOWS FOR EASY ACCESS AND HIGH QUALITY SERVICES IN LOCATIONS THAT BEST FIT THE COMMUNITY NEED.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 INFORMATION ON THE ROGER WILLIAMS MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM IS COMMUNICATED TO THE PATIENT AT THE POINT OF REGISTRATION THROUGH SIGNAGE WITHIN THE HOSPITAL AND ON THE HOSPITAL'S WEBSITE HTTP//RWMC.ORG. FURTHERMORE, THE HOSPITAL HAS PATIENT FINANCIAL COUNSELORS' ONSITE TO EDUCATE PATIENTS ON THE FINANCIAL PROGRAMS THAT ARE AVAILABLE.
COMMUNITY INFORMATION PART VI, LINE 4 ROGER WILLIAMS MEDICAL CENTER (RWMC) IS PART OF CHARTERCARE HEALTH PARTNERS CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. CCHP WAS FORMED IN JANUARY OF 2010 BY THE AFFILIATION OF RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI). THE INDIVIDUAL HOSPITALS OF CCHP ARE DEEPLY ROOTED IN THEIR COMMUNITIES, EACH WITH A LONG TRADITION OF PROVIDING HIGH QUALITY CARE AND SERVICES. SERVING THE GREATER PART OF NORTHERN RHODE ISLAND, RWMC CARES FOR OVER 200,000 PATIENTS ON AN ANNUAL BASIS AND PROVIDES A VAST ARRAY OF SERVICES SPECIALIZING IN GERIATRICS, CANCER CARE, BEHAVIORAL MEDICAL, GASTROENTEROLOGY, ORTHOPEDICS AND NEUROSURGERY. WITH THE FULL RANGE OF MEDICAL, PREVENTATIVE, DIAGNOSTIC AND SPECIALTY SERVICES FOR ADULTS AND SELECT PEDIATRICS PATIENTS, THE LOCAL COMMUNITIES HAVE SOUGHT SERVICES FOR OVER THE LAST 100 YEARS. CCHP PROVIDES SERVICES TO A VAST NUMBER OF CITIES AND TOWNS STRETCHED ACROSS THE CENTRAL AND NORTHWESTERN CORRIDOR OF RHODE ISLAND. THE CITIES AND TOWNS WHICH COMPOSE CCHP'S EFFECTIVE MARKET AREA (DEFINED AS THE GEOGRAPHIC AREA THAT REPRESENTS 95% OF CCHP'S ADMISSIONS) HAS A CENSUS OF APPROXIMATELY 890,000 LIVES AS OF THE 2005 CENSUS PROJECTIONS. THE TOP TEN CITIES AND TOWNS THAT REPRESENT CCHP'S EFFECTIVE MARKET AREA INCLUDE: PROVIDENCE (CENSUS OF 175,966 AND AVERAGE HOUSE HOLD INCOME OF$26,867), JOHNSTON (CENSUS OF 28,654 AND AVERAGE HOUSE HOLD INCOME OF $43,514), CRANSTON (CENSUS OF 80,285 AND AVERAGE HOUSE HOLD INCOME OF $44,108), WARWICK (CENSUS OF 85,803 AND AVERAGE HOUSE HOLD INCOME OF $46,483), NORTH PROVIDENCE (CENSUS OF 32,861 AND AVERAGE HOUSE HOLD INCOME OF $39,721), SMITHFIELD (CENSUS OF 12,277 AND AVERAGE HOUSE HOLD INCOME OF $55,621 ), PAWTUCKET (CENSUS OF 73,203 AND AVERAGE HOUSE HOLD INCOME OF $31,775), GREENVILLE (CENSUS OF 8,834 AND AVERAGE HOUSE HOLD INCOME OF $55,621), EAST PROVIDENCE (CENSUS OF 25,364 AND AVERAGE HOUSE HOLD INCOME OF $39,108), WOONSOCKET (CENSUS OF 42,848 AND AVERAGE HOUSE HOLD INCOME OF $30,819). A MAJORITY OF THE CITIES AND TOWNS IDENTIFIED ABOVE FALL UNDER THE STATUS OF MEDICALLY UNDERSERVED AREAS AS SPECIFIED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE UNEMPLOYMENT RATE IN RHODE ISLAND FLUCTUATES AROUND 11.0% AND THE PERCENTAGE OF UNINSURED RANGES FROM 14% TO 21%. IN 2011, RWMC ACCUMULATED $9.8M IN BAD DEBT CHARGES AND ACCOUNTED FOR $8.5M IN WRITE OFFS (AT CHARGES). THE EFFECTIVE MARKET AREA COVERED BY CCHP IS ALSO SERVED BY LANDMARK MEDICAL CENTER IN WOONSOCKET (214 LICENSED BEDS), MEMORIAL HOSPITAL IN PAWTUCKET (294 LICENSED BEDS), RHODE ISLAND HOSPITAL IN PROVIDENCE (OVER 600 LICENSED BEDS), AND THE MIRIAM HOSPITAL IN EAST PROVIDENCE (247 LICENSED BEDS).
PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 IN ADDITION TO ITS ACTIVITIES IN DELIVERING HEALTH CARE SERVICES TO THE COMMUNITY AS DESCRIBED ELSEWHERE IN THIS FILING, ROGER WILLIAMS MEDICAL CENTER (RWMC) FURTHERS ITS EXEMPT PURPOSES THROUGH THE FOLLOWING MEANS: A) RWMC IS MANAGED BY A COMMUNITY BOARD OF TRUSTEES, ON WHICH A SUBSTANTIAL MAJORITY OF TRUSTEES ARE RESIDENTS OF THE HOSPITAL'S EFFECTIVE MARKET AREA AND WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. B) WITH THE EXCEPTION OF CERTAIN DEPARTMENTS WHICH, IN THE INTERESTS OF EFFICIENCY, QUALITY AND PROPER ADMINISTRATION, ARE TRADITIONALLY RESERVED TO A SINGLE PHYSICIAN GROUP HAVING AN EXCLUSIVE ARRANGEMENT WITH RESPECT TO THE DEPARTMENT (IE RADIOLOGY, ANESTHESIA, AND PATHOLOGY), RWMC MAINTAINS AND OPEN MEDICAL STAFF THAT EXTENDS PRIVILEGES TO ALL QUALIFIED PHYSICIAN APPLICANTS WHO EXHIBIT THE PROPER TRAINING AND EXPERTISE TO SERVE THE HOSPITAL'S PATIENTS. C) THE ORGANIZATION TRADITIONALLY APPLIES ALL SURPLUS FUNDS TO ENSURING FINANCIALLY PRUDENT AVAILABLE FUNDS, CAPITAL MAINTENANCE AND IMPROVEMENTS, AND THE ADDITION OF SERVICES THAT BENEFIT THE COMMUNITY. RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND AFFILIATED IN JANUARY 2010 UNDER CHARTERCARE HEALTH PARTNERS. THE AFFILIATION PARTNERS BELIEVE THAT BY COMBINING THEIR COMPLEMENTARY STRENGTHS, THEY CAN SIGNIFICANTLY IMPROVE THEIR ABILITY TO MEET THE HEALTHCARE NEEDS OF THE REGION THROUGH MORE COORDINATION, IMPROVED EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. THE PARTIES RECOGNIZED THAT WHETHER THEY AFFILIATED OR NOT, CHANGE WILL AND MUST OCCUR IN THEIR ORGANIZATIONS IN LIGHT OF EMERGING CHANGES IN HEALTHCARE DELIVERY, AND CHANGES IN PUBLIC AND PRIVATE SYSTEMS FOR PAYING FOR HEALTH CARE. THE AFFILIATION BETTER POSITIONED THE TWO ORGANIZATIONS TO ADDRESS THE CHALLENGES AND TO MEET THE NEEDS OF THEIR COMMUNITIES.
AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 ROGER WILLIAMS MEDICAL CENTER (RWMC) IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. THE AFFILIATION OF RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI) IN JANUARY 2010 TO FORM CCHP, ALLOWED BOTH HERITAGE HOSPITALS THE ABILITY TO COMBINE THEIR COMPLEMENTARY STRENGTHS, AND ALLOW THEM TO SIGNIFICANTLY IMPROVE THEIR ABILITY TO MEET THE HEALTHCARE NEEDS OF THE REGION THROUGH MORE COORDINATION, IMPROVED EFFICIENCY, REDUCED FRAGMENTATION OF CARE, AND IMPROVED ACCESS FOR THE POOR AND UNDERSERVED PEOPLE IN CHARTERCARE'S EFFECTIVE MARKET AREA AND BEYOND. RWMC'S AFFILIATION ALSO ALLOWS THEM TO WORK CLOSELY WITH SJHSRI IN THE CREATION OF DEFINED STATE RECOGNIZED CENTERS OF EXCELLENCE IN GERIATRICS, CANCER CARE, GASTROENTEROLOGY AND BEHAVIORAL MEDICINE. THE AFFILIATION OF THE TWO HERITAGE HOSPITALS HAS ALLOWED THEM TO INTEGRATE THE MENTIONED EXISTING SERVICES BETWEEN THE TWO HOSPITALS IN A MANNER THAT BEST SERVES THE EVER EVOLVING COMMUNITIES NEEDS AND IN A MORE INTEGRATED AND MORE EFFICIENT MANNER. IN ADDITION TO SHARING POLICIES AND PROCEDURES FOR BEST OPERATIONAL AND MANAGEMENT PRACTICES, SYSTEM HOSPITALS PARTICIPATE IN A CHARTERCARE QUALITY COMMITTEE. THE CHARTERCARE QUALITY COMMITTEE OVERSEES WORK DONE BY THE HOSPITAL QUALITY COMMITTEES AND HELPS PROMOTE THE WEALTH OF PERFORMANCE IMPROVEMENT AND QUALITY INITIATIVES IN EACH OF THE TWO HOSPITALS (OUR LADY OF FATIMA HOSPITAL AND ROGER WILLIAMS MEDICAL CENTER), ELMHURST EXTENDED CARE (AN EDEN ALTERNATIVE NURSING HOME), ROGER WILLIAMS HOME CARE AND THE SJHSRI CENTER OF HEALTH AND HUMAN SERVICES. THE QUALITIES COMMITTEES THAT OVERSEE CLINICAL PRACTICES WITHIN THE SYSTEM HAVE COMMUNITY REPRESENTATIVES OF THE BOARD OF TRUSTEE AS WELL AS REPRESENTATIVES FROM THE MEDICAL STAFF, NURSING, ADMINISTRATION AND THE QUALITY DEPARTMENTS.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Employer identification number

05-0258959
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) KENNETH H BELCHER (i)
(ii)		 371,428
0 		0
0 		1,246
0 		35,000
0 		63,964
0 		471,638
0 		0
0
(2) MICHAEL CONKLIN JR (i)
(ii)		 0
191,801 		0
0 		0
0 		0
0 		0
20,295 		0
212,096 		0
0
(3) HANDE TUNCER (i)
(ii)		 218,742
0 		0
0 		0
0 		0
0 		7,572
0 		226,314
0 		0
0
(4) RITESH RATHORE (i)
(ii)		 278,188
0 		0
0 		0
0 		0
0 		26,108
0 		304,296
0 		0
0
(5) ALEX ETIENNE (i)
(ii)		 278,783
0 		15,000
0 		0
0 		0
0 		24,370
0 		318,153
0 		0
0
(6) JOHN STOUKIDES (i)
(ii)		 237,326
0 		0
0 		0
0 		0
0 		26,537
0 		263,863
0 		0
0
(7) AHMAD AL-HOMSI (i)
(ii)		 428,836
0 		14,250
0 		0
0 		0
0 		20,168
0 		463,254
0 		0
0
(8) RUTH E SCOTT RN (i)
(ii)		 105,567
0 		0
0 		0
0 		0
0 		20,717
0 		126,284
0 		0
0
(9) DOMENIC DECRISTOFANO (i)
(ii)		 153,045
0 		0
0 		0
0 		15,675
0 		27,354
0 		196,074
0 		0
0
(10) KIMBERLY O'CONNELL (i)
(ii)		 214,128
0 		0
0 		369
0 		19,000
0 		30,498
0 		263,995
0 		16,336
0
(11) JOANNE DOOLEY (i)
(ii)		 207,561
0 		0
0 		0
0 		19,950
0 		20,457
0 		247,968
0 		0
0
(12) SUSAN CERRONE-ABELY (i)
(ii)		 196,925
0 		0
0 		680
0 		19,000
0 		38,782
0 		255,387
0 		0
0
(13) CHERYL PERRY (i)
(ii)		 155,866
0 		0
0 		171
0 		15,200
0 		24,658
0 		195,895
0 		0
0
(14) ADOZINDA KANE (i)
(ii)		 242,838
0 		0
0 		688
0 		24,513
0 		53,726
0 		321,765
0 		0
0


Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
ESTABLISH COMPENSATION PART I, LINE 3 EXECUTIVE SALARIES AND BENEFITS ARE PAID BY CHARTERCARE HEALTH PARTNERS THROUGH ROGER WILLIAMS MEDICAL CENTER AND ST. JOSEPH HEALTH SERVICES OF RI. EMPLOYEE SALARIES ARE ESTABLISHED UNDER THE COMPENSATION POLICIES OF THE ORGANIZATION'S MANAGEMENT COMPANY CHARTERCARE HEALTH PARTNERS.
NONQUALIIFED SUPPLEMENTAL RETIREMENT PLAN PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NONQUALIFIED SUPPLEMENTAL RETIREMENT PLAN ESTABLISHED UNDER ROGER WILLIAMS MEDICAL CENTER AND RECEIVED THE FOLLOWING DISTRIBUTIONS UNDER THE 457(F) PLAN: KENNETH BELCHER - $0 KIMBERLY O'CONNELL - $16,336 JOANNE DOOLEY - $0 DOMENIC DECRISTOFANO - $0 SUSAN CERRONE-ABELY - $0 ADOZINDA KANE - $0
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Employer identification number

05-0258959
Identifier Return Reference Explanation
PROGRAM SERVICE ACCOMPLISHMENTS PART III, LINE 4A-4D ROGER WILLIAMS MEDICAL CENTER SERVICES AND ACCOMPLISHMENTS FOR 2011 IN 1878, ROGER WILLIAMS MEDICAL CENTER (RWMC) WAS FOUNDED AS THE HOMEOPATHIC HOSPITAL OF RHODE ISLAND. TODAY, RWMC IS PART OF CHARTERCARE HEALTH PARTNERS (CCHP), A COMMUNITY HEALTH SYSTEM THAT SERVES THE CENTRAL AND NORTHWESTERN SEGMENTS OF RHODE ISLAND. CCHP WAS FORMED IN JANUARY OF 2010 BY THE AFFILIATION OF TWO HOSPITALS; RWMC AND ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (SJHSRI), AND ELMHURST EXTENDED CARE, A 194-BED NURSING HOME. THE INDIVIDUAL HOSPITALS OF CCHP ARE DEEPLY ROOTED IN THEIR COMMUNITIES, EACH WITH A LONG TRADITION OF PROVIDING HIGH QUALITY CARE AND SERVICES. SERVING THE GREATER PART OF NORTHERN RHODE ISLAND, RWMC AND SJHSRI CARES FOR MORE THAN 190,000 PATIENTS ON AN ANNUAL BASIS AND PROVIDES A VAST ARRAY OF SERVICES SPECIALIZING IN GERIATRICS, CANCER CARE, BEHAVIORAL MEDICAL, GASTROENTEROLOGY, ORTHOPEDICS AND NEUROSURGERY. WITH THE FULL RANGE OF MEDICAL, PREVENTATIVE, DIAGNOSTIC AND SPECIALTY SERVICES FOR ADULTS AND SELECT PEDIATRICS PATIENTS, ROGER WILLIAMS HAS BEEN THERE TO SERVE ITS LOCAL COMMUNITY FOR MORE THAN 130 YEARS. RWMC IS A MODERN URBAN MEDICAL CENTER AND TEACHING AFFILIATE OF BOSTON UNIVERSITY SCHOOL OF MEDICINE. IT IS RECOGNIZED NATIONALLY FOR INNOVATIVE PROGRAMS IN HEALTH CARE, EDUCATION AND RESEARCH. WITH 220 ACUTE CARE BEDS, RWMC COMBINES A SOPHISTICATED TEACHING AND RESEARCH CENTER WITH THE WARMTH AND INDIVIDUALIZED CARE OF A COMMUNITY HOSPITAL. THE HOSPITAL IS HOME TO EXCELLENT CANCER, SURGICAL AND GERIATRICS PROGRAMS, COMPREHENSIVE DIAGNOSTIC AND IMAGING SERVICES, WORLD CLASS GASTROENTEROLOGY SERVICES, AND AN INNOVATIVE ADDICTION MEDICINE TREATMENT CENTER, WHICH OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT TREATMENT PROGRAMS. RWMC FEATURES AN ORTHOPEDIC AND NEUROSPINE CENTER, THE ONLY ACUTE CARE UNIT IN THE STATE DEDICATED ENTIRELY TO PATIENTS WITH ORTHOPEDIC NEEDS AND A DERMATOLOGY AND WOUND CARE PROGRAM. RWMC IS ALSO HOME TO INNOVATIVE SURGERIES AND WAS THE FIRST HOSPITAL IN THE STATE TO USE COMPUTER-AIDED NAVIGATION FOR BOTH KNEE AND HIP REPLACEMENTS. THE FOLLOWING ARE SELECTED HIGHLIGHTS FOR 2011 FROM SOME OF OUR PRIMARY SERVICE OFFERINGS: CANCER CARE RWMC IS HOME TO THE MOST COMPLETE CONTINUUM OF CANCER CARE IN THE STATE, INCLUDING RHODE ISLAND'S ONLY BONE MARROW TRANSPLANT UNIT. THE CENTRALIZED LOCATION OF THE MEDICAL CENTER'S MULTI-DISCIPLINARY APPROACH TO CANCER CARE AND ALLOWS PATIENTS, FAMILIES, PHYSICIANS AND STAFF TO MOVE SEAMLESSLY FROM ONE LOCATION TO ANOTHER, WHICH HAS IMPROVED CONTINUITY OF CARE AND PHYSICIAN COLLABORATION. SOME SELECTED HIGHLIGHTS IN CANCER CARE IN 2011: - ROGER WILLIAMS BECAME THE FIRST HOSPITAL IN NEW ENGLAND TO OFFER A NEW CANCER TREATMENT THAT USES A SERIES OF ELECTRICAL PULSES TO DESTROY TUMORS ON SENSITIVE ORGANS LIKE THE PANCREAS AND LIVER. THIS NEW TREATMENT TECHNOLOGY IS KNOWN AS THE NANOKNIFE SYSTEM. - ALL INPATIENT CHEMOTHERAPY IN THE CHARTERCARE SYSTEM WAS CONSOLIDATED TO THE ROGER WILLIAMS' CANCER CENTER. - ROGER WILLIAMS MEDICAL CENTER, IN PARTNERSHIP WITH THE KRISTEN ANN CARR FUND, HOSTED MORE THAN 140 OF THE COUNTRY'S LEADING CANCER EXPERTS AT THE FIRST-EVER NEW ENGLAND SARCOMA SYMPOSIUM. - ON NOVEMBER 18, ROGER WILLIAMS HOSTED MORE THAN 25 GENERAL AND FELLOWSHIP-TRAINED SURGEONS FROM AROUND THE COUNTRY FOR THE "ADVANCED LAPAROSCOPIC LIVER RESECTION & DISTAL PANCREATECTOMY MASTER CLASS."
ELDER CARE   AS A CENTER FOR GERIATRICS, THE MEDICAL CENTER PROVIDES A NETWORK OF HEALTH CARE SERVICES FOR ELDERS. THE NETWORK INCLUDES ACUTE AND SUB-ACUTE CARE, GERIATRIC ASSESSMENT, AND HOME-BASED NURSING, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. EDUCATION AND TRAINING OF RWMC HOSPITAL STAFF IN ADVANCED ELDER CARE CONTINUES, THANKS TO A PARTNERSHIP WITH THE RHODE ISLAND GERIATRIC EDUCATION CENTER AT THE UNIVERSITY OF RHODE ISLAND. IN 2010, THE CENTER WAS AWARDED FIVE MORE YEARS OF FUNDING FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION WHICH MEANS THE EDUCATION AND TRAINING THAT HAS BEEN UNDERWAY AT RWMC SINCE DECEMBER 2009 WILL BE CONTINUE TO GROW. ADDITIONALLY, IN YEARS 3 THROUGH 5 OF THE FUNDING, THE TRAINING WILL BE EXPANDED TO INCLUDE SJHSRI. SOME ELDER CARE HIGHLIGHTS FROM RWMC IN 2011: - ROGER WILLIAMS MEDICAL CENTER WAS RE-CREDENTIALED AS A NICHE HOSPITAL, CONFIRMING THE HOSPITAL'S COMMITMENT TO PROVIDING EXCELLENT CARE TO OLDER PATIENTS. ROGER WILLIAMS FIRST RECEIVED NICHE ACCREDITATION ON ONE OF ITS NURSING UNITS IN FEBRUARY 2006. NICHE (NURSES IMPROVING CARE FOR HEALTH SYSTEM ELDERS) IS A NATIONAL LEADER IN IMPROVING GERIATRIC CARE IN HOSPITALS. SINCE ITS DESIGNATION AS A NICHE HOSPITAL, ROGER WILLIAMS HAS TAKEN A NUMBER OF PROACTIVE STEPS TO IMPROVE ELDER CARE. THE HOSPITAL HAS ADOPTED CLINICAL BEST PRACTICES TO ADDRESS ISSUES LIKE MEMORY LOSS, MEDICATION PROBLEMS, FALLS, AND VISION AND HEARING LOSS THAT CAN HINDER THE RECOVERY OF PATIENTS. - ROGER WILLIAMS IS NOW OFFERING A PALLIATIVE CARE CONSULT SERVICE TO ASSIST PHYSICIANS, PATIENTS, AND FAMILIES IN MAKING QUALITY-OF-LIFE DECISIONS FOR THOSE WITH LIFE THREATENING ILLNESSES. THE SERVICE IS DELIVERED BY DR. JENNIFER RITZAU AND DR. JOHN STOUKIDES, DIRECTOR OF GERIATRICS AT ROGER WILLIAMS. BOTH DOCTORS ARE BOARD-CERTIFIED IN HOSPICE AND PALLIATIVE CARE. THIS SERVICE PROVIDES ASSISTANCE WITH SYMPTOM MANAGEMENT, FAMILY MEETINGS, AND HOSPICE REFERRAL, ALL DONE IN COLLABORATION WITH REFERRING PHYSICIANS AND HOSPITAL STAFF. INNOVATION, RECOGNITION AND EVENTS IN 2011 - ROGER WILLIAMS WAS NAMED A BLUE DISTINCTION CENTER FOR BOTH SPINE SURGERY AND KNEE AND HIP REPLACEMENT FROM BLUE CROSS & BLUE SHIELD OF RHODE ISLAND FOR DEMONSTRATING BETTER OVERALL QUALITY OF CARE AND PATIENT RESULTS IN THESE SPECIALTIES. THE GOAL OF BLUE DISTINCTION IS TO IDENTIFY MEDICAL FACILITIES THAT DELIVER BETTER OVERALL QUALITY AND MEDICAL OUTCOMES FOR A SPECIFIC AREA OF SPECIALTY CARE, HELPING PATIENTS AND DOCTORS TO MAKE MORE INFORMED HOSPITAL CHOICES. - IN OCTOBER, ROGER WILLIAMS WAS ACCREDITED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION. DURING THIS VISIT, THE STROKE PROGRAM AT ROGER WILLIAMS WAS THOROUGHLY REVIEWED BY A JOINT COMMISSION SURVEYOR TO ENSURE THAT THE APPROPRIATE STANDARDS OF CARE FOR STROKE PATIENTS ARE BEING MET. IN THAT PROCESS, THE SURVEYOR INTERVIEWED STAFF AND REVIEWED THE DELIVERY OF CARE, PATIENT EDUCATION, COMMUNITY EDUCATION, AND OUR CLINICAL RECORDS RELATED TO STROKE TREATMENT. - THANKS IN PART TO A GRANT FROM THE CHAMPLIN FOUNDATION, THE RADIOLOGY DEPARTMENT AT ROGER WILLIAMS IS NOW ONLINE WITH A COMPUTED RADIOGRAPHY SYSTEM. THIS SYSTEM GENERATES DIGITAL IMAGES FOR MEDICAL ASSESSMENT WITHIN THREE MINUTES, ALLOWING RADIOLOGISTS TO EXPEDITE DIAGNOSIS AND TREATMENT PLANS FOR PATIENTS. - THE ENDOSCOPY DEPARTMENT HOSTED ITS 10TH ANNUAL EDUCATIONAL COURSE ENTITLED "BASICS & BEYOND IN ENDOSCOPY" TO PROVIDE GI ENDOSCOPY NURSES WITH PRACTICAL INFORMATION ABOUT NEW TECHNOLOGIES. FREE CARE PER THE HOSPITAL'S PUBLIC NOTICE, RWMC IS PROUD OF ITS COMMITMENT TO PROVIDE QUALITY CARE TO ALL INDIVIDUALS WHO NEED IT. THE HOSPITAL PROVIDES FINANCIAL AID TO PATIENTS WITHOUT INSURANCE AND WHO MAY NOT BE ABLE TO PAY FOR THE CARE PROVIDED. RWMC WILL PROVIDE FULL CHARITY CARE TO UNINSURED BASED ON INCOME LIMITS AND FAMILY SIZE. FURTHERMORE, RWMC OFFERS PARTIAL CHARITY CARE BASED ON A SLIDING SCALE. FOR FY 2011, ROGER WILLIAMS MEDICAL CENTER RECORDED $8,494,861 IN CHARITY CARE CHARGES. THE DIRECT COSTS ASSOCIATED WITH PROVIDING THE CARE TO THE PATIENTS WAS $3,277,671.
SERVICE TO THE COMMUNITY   ROGER WILLIAMS MEDICAL CENTER HAS A LONG HISTORY AS A LEADER IN SUPPORTING OUR COMMUNITY THROUGH PARTNERSHIPS, EDUCATION, OUTREACH, CHARITY, AND VOLUNTEERISM. THE FOLLOWING IS A BRIEF OVERVIEW OF THE PROGRAMS AND PROJECTS THAT THE STAFF AND VOLUNTEERS WERE INVOLVED WITH IN 2011: COMMUNITY OUTREACH PROGRAMS 2011 MEDICAL EDUCATION - HOSTED MONTHLY WEIGHT LOSS SEMINARS WITH AN AVERAGE ATTENDANCE OF 60 PEOPLE - PERIPHERAL ARTERIAL DISEASE SCREENING AND EDUCATIONAL EVENT ATTENDED BY 25 PEOPLE - PARTICIPATED IN RI ANNUAL CANCER SUMMIT, 300 ATTENDEES - PHYSICIAN LECTURE AT SAL MANCINI SENIOR CENTER, 75 ATTENDEES - HIPPA COMPLIANCE LECTURE AT ATRIA, 28 ATTENDEES - BEREAVEMENT & LOSS LECTURE AT ATRIA, 32 ATTENDEES - CANCER CENTER PARTNERED WITH THE GLORIA GEMMA BREAST CANCER RESOURCE FOUNDATION TO HOST MONTHLY VISITS FROM THE GEMMA BUS, WHICH PROVIDES A VARIETY OF THERAPIES FOR CANCER PATIENT, THEIR LOVED ONES, AND CAREGIVERS - CANCER CENTER HOSTED MONTHLY "ASK THE PHARMACIST" SESSION - DIABETES EDUCATIONAL EVENT, 50 ATTENDEES HEALTH FAIRS AND FREE SCREENINGS: THE OUTREACH TEAM AT THE MEDICAL CENTER PROVIDED FREE SCREENINGS, PRESENTATIONS, AND EDUCATION TO THOUSANDS OF RHODE ISLANDERS IN 2011 AT VARIOUS SITES AROUND THE STATE. FREE HEALTH SCREENINGS AND EDUCATION WERE PROVIDED ON A VARIETY OF TOPICS, INCLUDING: SCREENINGS FOR CHOLESTEROL/GLUCOSE, ORAL HEALTH, LUNG FUNCTION, BLOOD PRESSURE, BREAST CANCER, PROSTATE AND CANCER. EDUCATION AND INFORMATION WAS PROVIDED ON A VARIETY OF HEALTH AND WELLNESS TOPICS. AMONG THE HEALTH FAIRS, PRESENTATIONS, AND SCREENINGS ATTENDED OR OFFERED WERE: - CCRI WELLNESS FAIR: SCREENINGS AND INFORMATION PROVIDED TO 300 INDIVIDUALS. - HOSTED FOUR BLOOD DRIVES IN 2011 WITH AVERAGE OF 20 DONORS PER DRIVE - INTERVENTIONAL RADIOLOGY HEALTH FAIR, 25 ATTENDEES - RIALA CONFERENCE, MORE THAN 300 ATTENDEES - SENIOR LIVING EXPO, MORE THAN 400 ATTENDEES - NORTH PROVIDENCE SENIOR CENTER, WELLNESS FAIR, 150 ATTENDEES - PROSTATE CANCER SCREENING, 62 ATTENDEES - HEALTH FAIR AT CAPITAL RIDGE ASSISTED LIVING, 100 ATTENDEES - HEALTH FAIR AT TYCO, 85 ATTENDEES - STROKE/BLOOD PRESSURES AT DAVINCI CENTER, 50 ATTENDEES - SPONSORED AND PARTICIPATED IN THE RALLY FOR RECOVERY, TO RAISE AWARENESS ABOUT MENTAL ILLNESS AND ADDICTION COMMUNITY PARTNERSHIPS RWMC ACTIVELY COLLABORATES WITH SCHOOLS, FELLOW HEALTH CARE PROVIDERS AND OTHERS TO MAXIMIZE OUR CONTRIBUTIONS TO THE COMMUNITY. OUR 2011 ACTIVITIES INCLUDED: FUNDRAISING: IN 2011, RWMC ALONG WITH ITS OTHER CCHP-AFFILIATED EMPLOYEES, HELPED RAISE FUNDS FOR A NUMBER OF CHARITABLE CAUSES INCLUDING: - ROGER WILLIAMS WAS A SPONSOR OF THE "WALK FROM OBESITY" TO RAISE AWARENESS OF THE DANGERS OF OBESITY. - "TOUR DU CURE": ROGER WILLIAMS SET A RECORD FOR THE MOST MEMBERS ON A TEAM IN THIS BICYCLE RIDE BENEFIT TO FIGHT DIABETES. - "DAFFODIL DAYS": RAISED MONEY FOR THE AMERICAN CANCER SOCIETY. - OTHERS: RWMC SPONSORED, FIELDED TEAMS AND RAISED MONEY FOR THE AIDS WALK, ALZHEIMER'S WALK, AND BREAST CANCER WALK. SUPPORT GROUPS: RWMC IS HOME TO A NUMBER OF ONGOING SUPPORT GROUPS FOR INDIVIDUALS DIAGNOSED WITH OBESITY, CANCER, ADDICTIONS, AND OTHER ILLNESSES. VOLUNTEERISM - MARTIN LUTHER KING (MLK) DAY: THE MEDICAL CENTER'S EMPLOYEES VOLUNTEERED AS PART OF OUR MLK DAY EVENT FOR HABITAT FOR HUMANITY, HELPING TO BUILD HOUSES FOR LOW-INCOME FAMILIES IN PAWTUCKET AND PROVIDENCE. - BLOOD DRIVES: RWMC COLLECTED MORE THAN 80 PINTS OF BLOOD IN 2011 AT ITS QUARTERLY BLOOD DRIVES. - FOOD DRIVES: RWMC COLLECTED ITEMS FOR THE RHODE ISLAND FOOD BANK AT A HOLIDAY FOOD DRIVE. - PARTNERED WITH CITY OF PROVIDENCE ON TREE PLANTING EFFORT TO BEAUTIFY THE NEIGHBORHOOD. RESEARCH RWMC IS HOME TO DOZENS OF SCIENTISTS, RESEARCHERS, AND INVESTIGATORS ACTIVELY INVOLVED IN A VARIETY OF MEDICAL RESEARCH ACTIVITIES. RESEARCH PROGRAMS ARE SUPPORTED BY FEDERAL FUNDS, EXTERNAL INSTITUTION GRANTS, AND OTHER SOURCES. AWARDS RECEIVED BY THE MEDICAL CENTER AND ITS FACULTY INCLUDE PEER-REVIEWED GRANTS FROM THE NATIONAL INSTITUTES OF HEALTH AND OTHERS. CURRENT RESEARCH INCLUDES A MULTITUDE OF BASIC AND CLINICAL STUDIES IN CANCER, WHICH IS A PRIMARY INTEREST OF THE FACULTY. CURRENTLY, THERE ARE ONGOING TRIALS FOR A VARIETY OF CANCERS INCLUDING HEAD, NECK, BREAST, PROSTATE, GI, HEMATOLOGICAL MALIGNANCIES, AND OTHERS. IN 2011, ROGER WILLIAMS RECEIVED ALMOST $5 MILLION IN GRANT FUNDING. IN 2010, THE NATIONAL INSTITUTES OF HEALTH AND THE NATIONAL CENTER FOR RESEARCH RESOURCES AWARDED THE RENEWAL OF ITS COBRE GRANT ON "NEW APPROACHES TO TISSUE REPAIR" UNDER THE DIRECTION OF DR. VINCENT FALANGA AS THE PRINCIPAL INVESTIGATOR. THE AWARD FOR YEAR THREE IS $2,369,994, WHICH WILL ENABLE DR. FALANGA AND HIS TEAM TO CONTINUE ITS FOCUS ON STEM CELL DIFFERENTIATION, AND THE ROLE OF STEM CELLS IN THE REPAIR OF MULTIPLE ORGAN SYSTEMS.
DELEGATE CONTROL OVER MANAGEMENT PART VI, SECTION A, LINE 3 EFFECTIVE JANUARY 4, 2010, THE PRINCIPAL MANAGEMENT FUNCTIONS OF RWMC AND SJHSRI ARE CONDUCTED UNDER THE DIRECTION OF CHARTERCARE HEALTH PARTNER'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES. CONSEQUENTLY, THERE ARE NO KEY EMPLOYEES DISCLOSED FOR THE EXECUTIVE OR FINANCIAL MANAGEMENT FUNCTIONS AFTER JANUARY 2010.
FORM 990 REVIEW PROCESS PART VI, SECTION B, LINE 11A THE COMPLETION OF THE FORM 990 BEGINS WITH AN OPENING MEETING ATTENDED BY THE CONTROLLER OF CCHP AND KPMG LLP, AN INDEPENDENT TAX CONSULTANT. THE MEETING CONSISTS OF A REVIEW OF THE ORGANIZATIONAL STRUCTURE, SIGNIFICANT CHANGES IN OPERATIONS OR PROGRAM ACTIVITIES FROM THE PRIOR YEAR, AND OVERVIEW OF CHANGES IN THE FORM 990. THE FINANCE DEPARTMENT GATHERS THE REQUIRED INFORMATION AND POPULATES THE FORM 990 IN CONJUNCTION WITH KPMG LLP. ONCE COMPLETED, THE DRAFT FORM 990 IS REVIEWED WITH SENIOR MANAGEMENT TO ENSURE INDIVIDUALS ARE PROVIDED TIME TO REVIEW AND APPROVE THE FORM 990 PRIOR TO THE DEADLINE. AFTER THE INTERNAL REVIEW IS COMPLETED, THE FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND COMMENTS. A MEETING IS HELD TO REVIEW THE FORM 990 AND DISCUSS ANY QUESTIONS AND COMMENTS. UPON FINANCE COMMITTEE APPROVAL, A FINAL COPY OF THE FORM 990 IS DISTRIBUTED TO EACH VOTING BOARD MEMBER AND FILED WITH THE TAXING AUTHORITY.
CONFLICT OF INTEREST POLICY PART VI, SECTION B, LINE 12 THE CONFLICT OF INTEREST POLICY INCLUDED IN THE BY-LAWS IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF AN OFFICER OR TRUSTEE OF THE CORPORATION. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE OFFICERS, TRUSTEES AND MEMBERS OF ANY COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. ON AN ANNUAL BASIS, EACH MEMBER OF THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND ALL RESPONSES ARE SUBMITTED AND REVIEWED BY LEGAL COUNSEL. ANY ACTUAL AND POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED WITH THE BOARD OF TRUSTEES.
COMPENSATION POLICY PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION PHILOSOPHY: THE EXECUTIVE MANAGEMENT MEMBERS OF ROGER WILLIAMS MEDICAL CENTER (RWMC) ARE ACCOUNTABLE FOR ENSURING THAT THE MISSION, VISION, AND VALUES ARE CARRIED OUT AT THE HIGHEST LEVELS OF QUALITY, SERVICE AND EFFICIENCY WITHIN THE COMMUNITIES SERVED. THE PROCESS TO DETERMINE ANNUAL EXECUTIVE COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE COMMITTEE IS COMPRISED OF INDIVIDUALS WHO ARE INDEPENDENT OF RWMC MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO OR UNDER THE CONTROL OF ANY INDIVIDUAL, WHO'S COMPENSATION ARRANGEMENT IS BEING REVIEWED, HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH RWMC AND ARE NOT PAID FOR THEIR SERVICES AS BOARD MEMBERS. THE COMMITTEE MAY RETAIN AN INDEPENDENT CONSULTANT TO CONDUCT AN ANNUAL COMPENSATION ANALYSIS AND OR TO PROVIDE ADVISORY SERVICES RELATED TO COMPENSATION. TO ATTRACT AND RETAIN THE HIGHEST CALIBER OF HEALTHCARE PROFESSIONALS NEEDED TO SUSTAIN THE QUALITY OF THE INSTITUTION; COMPENSATION MUST BE COMPETITIVE WITH THAT PROVIDED BY THE ORGANIZATIONS WITH WHICH THE INSTITUTION COMPETES WITHIN THE JOB MARKET. RWMC BENCHMARKS EXECUTIVE POSITIONS AGAINST ORGANIZATIONS OF COMPARABLE SIZE AND MISSION ON BOTH A NATIONAL AND REGIONAL LEVEL. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EXPERIENCE AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. IT IS THE OBLIGATION OF THE COMMITTEE TO ASSESS THE PERFORMANCE OF RWMC'S CEO, DETERMINE HIS/HER COMPENSATION AND REPORT IT'S FINDING IN THE REGARD TO THE BOARD. THE COMMITTEE IS ALSO RESPONSIBLE FOR REVIEWING THE PERFORMANCE ASSESSMENTS AND COMPENSATION RECOMMENDATIONS FOR THE EXECUTIVE MANAGEMENT MEMBERS. COMPENSATION DECISIONS ARE MADE IN A MANNER THAT IS CONSISTENT WITH THE EXECUTIVE COMPENSATION GUIDELINES AS PUT FORWARD: EXECUTIVE LEVEL COMPENSATION ADMINISTRATION GUIDELINE: EXECUTIVE PAY SHOULD BE COMMENSURATE WITH THE INDIVIDUAL'S SKILLS, KNOWLEDGE AND EXPERIENCE AS IT RELATES TO THEIR POSITION. THE MINIMUM AND 1ST QUARTILE OF THE COMPETITIVE MARKET COMPOSITE MAY BE APPROPRIATE FOR NEWLY HIRED INDIVIDUALS WITH LIMITED EXPERIENCE IN A COMPARABLE POSITION. FULLY EXPERIENCED INDIVIDUALS WITH A DEMONSTRATED RECORD OF CONSISTENTLY MEETING PERFORMANCE EXPECTATIONS FOR THE POSITION SHOULD GENERALLY BE PAID WITHIN 90% TO 110% OF THE MIDPOINT. HIGHLY EXPERIENCED INDIVIDUALS WITH A DEMONSTRATED RECORD OF CONSISTENTLY EXCEEDING PERFORMANCE EXPECTATIONS IN ALL AREAS OF ACCOUNTABILITY, OR AN INDIVIDUAL WITH SPECIAL SKILLS AND EXPERTISE BEYOND THOSE NORMALLY ASSOCIATED WITH THE POSITION TYPICALLY HAVE A PAY TARGET BETWEEN MIDPOINT AND THE 3RD QUARTILE OF THE COMPETITIVE MARKET COMPOSITE. THE MAXIMUM OF THE MARKET COMPOSITE REPRESENTS THE HIGHEST SALARY LEVEL, WHICH RWMC BELIEVES IS APPROPRIATE FOR THE POSITION. AN INDIVIDUAL WHOSE SALARY IS NEAR THE MAXIMUM OF THE MARKET COMPOSITE WILL BE ELIGIBLE FOR SALARY INCREASE OF NO MORE THAN THE AMOUNT REQUIRED TO REACH THE MAXIMUM MARKET PAY LEVEL.
PUBLIC DISCLOSURE PART VI, LINE 19 ROGER WILLIAMS MEDICAL CENTER MAKES ITS TAX RETURN, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ITS TAX RETURN IS ALSO POSTED ON HTTP://WWW.GUIDESTAR.ORG.
COMPENSATION PART VII, SECTION A ROGER WILLIAMS MEDICAL CENTER DOES NOT COMPENSATE TRUSTEES FOR THEIR SERVICES ON THE BOARD. RUTH SCOTT EARNED COMPENSATION IN HER ROLE AS DIRECTOR OF CLINICAL SERVICES.
OTHER CHANGES IN NET ASSETS PART XI, LINE 5 CHANGE IN MARKET VALUE OF PERPETUAL TRUSTS ($194,646) UNREALIZED GAINS OR (LOSSES) ON INVESTMENTS ($2,109,423) TOTAL ($2,304,069)
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KENNETH H BELCHER TITLE:PRESIDENT & CEO CCHP HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL CONKLIN JR TITLE:CFO/TREASURER CCHP HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DOMENIC DECRISTOFANO TITLE:EXEC DIR FACILITIES MANAGEMENT HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KIMBERLY O'CONNELL TITLE:VP LEGAL COUNSEL HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOANNE DOOLEY TITLE:VP CNO HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN CERRONE-ABELY TITLE:VP CIO HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHERYL PERRY TITLE:CHIEF HUMAN RESOURCES OFFICER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ADOZINDA KANE TITLE:FORMER CFO/TREASURER HOURS:40
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ROGER WILLIAMS MEDICAL CENTER
F/K/A ROGER WILLIAMS HOSPITAL
Employer identification number

05-0258959
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ROGER WILLIAMS MEDICAL ASSOCIATES

825 CHALKSTONE AVENUE

PROVIDENCE,RI02908
20-3346936 		PHY PRACTICE RI 501(C)(3) 11A CCHP
 
 
 
(2) ROGER WILLIAMS REALTY CORPORATION

825 CHALKSTONE AVENUE

PROVIDENCE,RI02908
05-0423855 		RENTAL MGMNT RI 501(C)(3) 11A CCHP
 
 
 
(3) RWGH PHYSICIANS OFFICE BUILDING

825 CHALKSTONE AVENUE

PROVIDENCE,RI02908
05-0398588 		BLDG MGMNT RI 501(C)(3) 11A CCHP
 
 
 
(4) ELMHURST EXTENDED CARE FACILITIES INC

50 MAUDE STREET

PROVIDENCE,RI02908
22-2723407 		HEALTHCARE RI 501(C)(3) 3 CCHP
 
 
 
(5) ST JOSEPH HEALTH SERVICES OF RI

200 HIGH SERVICE AVENUE

NORTH PROVIDENCE,RI02904
05-0259026 		HEALTHCARE RI 501(C)(3) 3 CCHP
 
 
 
(6) ST JOSEPH HOSPITAL WORKERS COM TRUST

200 HIGH SERVICE AVE

NORTH PROVIDENCE,RI02904
05-6106574 		TRUST RI 501(C)(3) 11D CCHP
 
 
 
(7) CHARTERCARE HEALTH PARTNERS

825 CHALKSTONE AVENUE

PROVIDENCE,RI02908
26-4235815 		MANAGEMENT RI 501(C)(3) 11A NA
 
 
 
(8) CHARTERCARE HEATLH PARTNERS FOUNDATION

200 HIGH SERVICE AVENUE

NORTH PROVIDENCE,RI02904
26-0236669 		FUNDRAISING RI 501(C)(3) 7 CCHP
 
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) OUR LADY OF FATIMA ANCILLARY SERVICES
200 HIGH SERVICE AVENUE
NORTH PROVIDENCE,RI02904
05-0519862 		HEALTHCARE RI NA
  		C Corp 0 0 0 %
(2) ELMHURST HEALTH ASSOCIATES INC
825 CHALKSTONE AVE
PROVIDENCE,RI02908
05-0437610 		HEALTHCARE RI NA
  		C Corp 0 0 0 %
(3) ROSEBANK CORP
825 CHALKSTONE AVENUE
PROVIDENCE,RI02908
05-0342046 		REAL ESTATE RI NA
  		C Corp 0 0 0 %








Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
Yes
 
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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