Title 23
Health and Safety

Chapter 17.14
The Hospital Conversions Act

R.I. Gen. Laws § 23-17.14-4

§ 23-17.14-4. Definitions.

For purposes of this chapter:

(1) “Acquiree” means the person or persons that lose(s) any ownership or control in the new hospital as a result of a conversion, as the terms “conversion”, “new hospital”, and “person(s)” are defined within this chapter.

(2) “Acquiror” means the person or persons that gain(s) an ownership or control in the new hospital as a result of a conversion, as the terms “conversion”, “new hospital”, and “person(s)” are defined within this chapter.

(3) “Affected community” means any city or town within the state wherein an existing hospital is physically located and/or those cities and towns whose inhabitants are regularly served by the existing hospital.

(4) “Charity care” is defined as healthcare services provided by a hospital without charge to a patient and for which the hospital does not and has not expected payment.

(5) “Community benefit” means the provision of hospital services that meet the ongoing needs of the community for primary and emergency care in a manner that enables families and members of the community to maintain relationships with persons who are hospitalized or are receiving hospital services, and shall also include, but not be limited to charity care and uncompensated care.

(6) “Conversion” means any transfer by a person or persons of an ownership or membership interest or authority in a hospital, or the assets of a hospital, whether by purchase, merger, consolidation, lease, gift, joint venture, sale, or other disposition that results in a change of ownership or control or possession of twenty percent (20%) or greater of the members or voting rights or interests of the hospital or of the assets of the hospital or pursuant to which, by virtue of the transfer, a person, together with all persons affiliated with the person, holds or owns, in the aggregate, twenty percent (20%) or greater of the membership or voting rights or interests of the hospital or of the assets of the hospital, or the removal, addition, or substitution of a partner that results in a new partner gaining or acquiring a controlling interest in the hospital, or any change in membership that results in a new person gaining or acquiring a controlling vote in the hospital.

(7) “Current conflict of interest forms” means conflict of interest forms signed within one year prior to the date the application is submitted on a form acceptable to the department of the attorney general, setting forth any possible conflict of interest for all officers, directors, members of the board, trustees, senior management, chairpersons or department chairpersons and medical directors, or the transacting parties and their families.

(8) “Department” means the department of health and the department of the attorney general.

(9) “Director” means the director of the department of health.

(10) “Existing hospital” means the acquiree hospital as it exists prior to the acquisition.

(11) “For-profit corporation” means a legal entity formed for the purpose of transacting business that has as any one of its purposes pecuniary profit.

(12) “Hospital” means a person or governmental entity licensed in accordance with chapter 17 of this title to establish, maintain, and operate a hospital.

(13) “Incumbent or recently incumbent” means those individuals holding the position at the time the application was submitted and any individual who held a similar position within one year prior to the application’s acceptance.

(14) “New hospital” means the acquiree hospital as it exists after the completion of a conversion.

(15) “Not-for-profit corporation” means a legal entity formed for some charitable or benevolent purpose and not-for-profit which has been exempted from taxation pursuant to Internal Revenue Code § 501(c)(3), 26 U.S.C. § 501(c)(3).

(16) “Person” means any individual, trust or estate, partnership, corporation (including associations, joint stock companies, and insurance companies), state or political subdivision, or instrumentality of the state.

(17) “Senior managers” or “senior management” means executives and senior level managers of a transacting party.

(18) “Transacting parties” means the acquiree and the acquiror.

(19) “Uncompensated care” means a combination of free care, which the hospital provides at no cost to the patient; bad debt, which the hospital bills for but does not collect; and less than full Medicaid reimbursement amounts.

History of Section.
P.L. 1997, ch. 372, § 1; P.L. 2012, ch. 258, § 1; P.L. 2012, ch. 259, § 1; P.L. 2022, ch. 401, § 1, effective June 30, 2022; P.L. 2022, ch. 441, § 1, effective June 30, 2022.