Civic Intelligence

Roger Williams Medical Associates Inc

EIN 20-3346936 • 501(c)3

Profile

Roger williams medical associates' mission as a community healthcare provider is to arrange for the provision of healthcare services in the communities served by chartercare health partners system.

825 Chalkstone AvenueSuite02908-3547

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2014

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2014

Net Margin

4th percentile

-76%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

97th percentile

$506,981

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 19.2% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

95th percentile

205%

Faster revenue growth than 95% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2011 to 2014

Assets

Down

$0

Down $327,225 (-100%) from 2013

Liabilities

Down

$0

Down $2,744,036 (-100%) from 2013

Net Assets

Up

$0

Up $2,416,811 (+100%) from 2013

Revenue

$2,636,591

No earlier filing loaded for comparison.

Expenses

Up

$4,645,338

Up $1,215,524 (+35%) from 2013

Net Income

-$2,008,747

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$2.0M$0-$2.0M-$4.0MAssets 2010: $169,234Liabilities 2010: $581,377Net Assets 2010: -$412,1432010Assets 2011: $171,451Liabilities 2011: $719,435Net Assets 2011: -$547,9842011Assets 2012: $327,761Liabilities 2012: $976,450Net Assets 2012: -$648,6892012Assets 2013: $327,225Liabilities 2013: $2,744,036Net Assets 2013: -$2,416,8112013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0M-$4.0MExpenses 2010: $204,4562010Revenue 2011: $92,874Expenses 2011: $228,715Net Income 2011: -$135,8412011Expenses 2012: $1,083,8042012Expenses 2013: $3,429,8142013Revenue 2014: $2,636,591Expenses 2014: $4,645,338Net Income 2014: -$2,008,7472014

Highlighted filing

2014

Revenue$2,636,591
Expenses$4,645,338
Net Income-$2,008,747

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Aug 13, 2015
Return Version
2013v4.0
Gross Receipts
$2,636,591
Mission and Program Overview

Mission

Roger williams medical associates' mission as a community healthcare provider is to arrange for the provision of healthcare services in the communities served by chartercare health partners system.

Balance Sheet Detail
LineBeginningEndChange
Assets
Prepaid Expenses and Deferred Charges$134,710$0▼ $134,710
Accounts Receivable$122,437$0▼ $122,437
Land, Buildings, and Equipment, Net$35,793--
Cash and Non-Interest-Bearing Accounts$28,285$0▼ $28,285
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$327,225$0▼ $327,225
Other Assets Total$6,000$0▼ $6,000
Liabilities
Other Liabilities$2,297,989$0▼ $2,297,989
Accounts Payable and Accrued Expenses$446,047$0▼ $446,047
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$2,744,036$0▼ $2,744,036
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-2,416,811$0▲ $2,416,811
Total Net Assets Fund Balance$-2,416,811$0▲ $2,416,811
Total Liabilities and Net Assets / Fund Balance$327,225$0▼ $327,225
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kenneth H BelcherPresident and CEO CchpFT$505,656$1,325$506,981
Michael Conklin JrCFO/treasurer CchpFT$246,300$25,790$272,090
Adozinda KaneSecretaryFT$210,073$25,753$235,826
Susan AbelyVP/CIOFT$185,775$25,685$211,460
Diane Dubois-hallPhysician--$947$947

Board Members and Trustees

NameTitle
Gregory AllenPhysician
Ralph Santorophysician
Raymond ChaquettePhysician
Vincent ArmenioPhysician
KIMBERLY O'CONNELL ESQSenior VP
Darleen SouzaVP Human Resources
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,524,424
Investment Income
$0
Other Revenue
$112,167
Change in Net Assets
$-2,008,747
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,070,734
Other Expenses$1,574,604
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,070,734--$3,070,734
Other Expenses$1,356,698--$1,356,698
Fees for Services Management$195,101--$195,101
Depreciation Depletion$18,732--$18,732
Fees for Services Accounting$4,000--$4,000
Interest$73--$73
Total Functional Expenses$4,645,338$0$0$4,645,338
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Part VI, Section A, Line 2

Kenneth belcher and michael conklin have a business relationship. They are officers/directors of roger williams medical associates, inc. And officers/directors of related for profit entities rosebank corporation, elmhurst health associates and our lady of fatima ancillary services.

Part VI, Section A, Line 3

The principle management function of roger williams medical associates is 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 function.

Part VI, Section A, Line 6-7B

Chartercare health partners is the sole member of roger williams medical associates, inc.. Chartercare health partners as the sole member reserves the power to amend the articles and bylaws of the entity, appoint or remove a member of the board of trustees, enter into contracts, effect any dissolution, affiliation, merger, or reorganization, and has the exclusive power to appoint or remove the ceo, cfo and the coo (if any).

Part VI, Section B, Line 11

The completion of the form 990 begins with an opening meeting attendied by chartercare's controller 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 for 990 in conjunction with kpmg llp. Once completed, the draft 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 chartercare's board members for their review and comments. The form 990 has also been provided to the management of prospect chartercare llc, the entity acquiring all assets in the reorganization.

Part VI, Section B, Line 12C

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 or interest, an interested person must disclose the existnce 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

Part VI, Section B, Line 15

Executive salaries and benefits are paid by chartercare health partners and employees are paid by roger willams medical associates. Employee salaries are established under the compensation policies of the organization's management company chartercare health partners.

Part VI, Section C, Line 19

Roger williams medical associates makes its tax return, governing documents, conflict of interest policy, and financial statements available to the public upon request. Its tax return is also available on www.guidestar.org.

Filing and Contact Details

Filer

EIN
20-3346936
In Care Of
% ADOZINDA KANE
Phone
4014563312

Signing Officer

Name
Daniel J Ryan
Title
Cchp Director
Phone
4014563312
Signed
2015-08-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kenneth Belcher
Formed
2005
Legal Domicile
Ri
Voting Board Members
3
Independent Board Members
0
Employees
44

Preparer

Preparer
donald anderson
Phone
4014563312
Supplemental Narrative

Additional Explanations

Other Changes in Net Assets, Part XI, Line 9

With the consent the board of directors, CharterCARE Health Partners, the sole member of Roger Williams Medical Associates, agrees to contribute substantially all assets to a joint venture Prospect CharterCARE LLC. The assets of Roger Williams Medical Associates, a supporting organization to Roger Williams Medical Center, and subsidiary of Roger Williams Medical Center, were included in the assets contributed to the joint venture under an agreement reached with the approval of the Rhode Island Attorney General and the Rhode Island Department of Health. Roger Williams Medical Associates, a Rhode Island corporation will be dissolved. BOOK VALUE OF ASSETS TRANSFERED TO PROSPECT CHARTERCARE LLC - 4,425,558. BOOK VALUE OF ASSETS TRANSFERED TO PROSPECT CHARTERCARE LLC - 4,425,558.

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