2020-08-15T11:12:51-05:00 2019-09-30 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2018-10-01 050259004 THE MEMORIAL HOSPITAL % KATHY TOPOR MEMO 4019217602 171 SERVICE AVE BLDG 2 1ST Fl Suite WARWICK RI 02886 JOSEPH IANNONI CFO 4019217602 2020-08-04 true Scott J Mariani P00642486 9738989494 65.124.179.67 22006220202285000013 2020-08-15 P DE00A54A4379D0F3E64291B1B4F8F903C988FC46 37E8050833CFAADA9214AD63907D3FD2C74FA6F2 2018 2020-09-23 17:36:50Z X MEMORIAL HOSPITAL OF RHODE ISLAND JAMES E FANALE MD 171 SERVICE AVE BLDG 2 WARWICK RI 02886 4667962 false X WWW.MHRI.ORG X 1901 RI UNTIL THE ORGANIZATION'S CLOSURE, OUR MISSION WAS PRIMARY CARE AND PREVENTATIVE MEDICINE, PROVIDING ADVANCED DIAGNOSIS AND TREATMENT WITH A FOCUS ON TEACHING AND RESEARCH. 19 14 701 0 0 0 513974 307457 33853142 2024273 723906 1318068 726185 1018164 35817207 4667962 0 0 0 0 13397584 896948 0 0 0 63539538 5029217 76937122 5926165 -41119915 -1258203 50432667 46863270 135913967 130200220 -85481300 -83336950 X UNTIL THE ORGANIZATION CLOSED ON JANUARY 1, 2018, OUR MISSION WAS PRIMARY CARE AND PREVENTATIVE MEDICINE, PROVIDING ADVANCED DIAGNOSIS AND TREATMENT WITH A FOCUS ON TEACHING AND RESEARCH. AN ESSENTIAL RESOURCE IN ACHIEVING OUR MISSION WAS THE MEDICAL EXPERTISE PROVIDED BY OUR COMPETENT AND CARING PROFESSIONAL STAFF. WE STRIVED TO ACHIEVE THE TIMELY AND EFFICIENT DELIVERY OF CARE IN A COMPASSIONATE ATMOSPHERE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 5333554 0 2024273 THE ORGANIZATION CEASED ALL OPERATIONS AS OF JANUARY 1, 2018, AND WAS COMMITTED IN PROVIDING VARIOUS MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 5333554 true true false true false false false false false true true false true true true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true false false false true 0 0 701 true false false false false false true true false false false false false false X 19 14 false true false false true true true true true false false true true true true true true true true true false X KATHY TOPOR 4019217602 171 SERVICE AVE BLDG 2 1ST FLOOR WARWICK RI 02886 X CHARLES R REPPUCCI ESQ CHAIRMAN - DIRECTOR 1.0 0.0 X X 0 0 0 GARY E FURTADO VICE CHAIR - DIRECTOR 1.0 0.0 X X 0 0 0 MARIBETH Q WILLIAMSON VICE CHAIR - DIRECTOR 1.0 0.0 X X 0 0 0 JAMES A BOTVIN SECRETARY - DIRECTOR 1.0 0.0 X X 0 0 0 DOUGLAS L JACOBS TREASURER - DIRECTOR 1.0 0.0 X X 0 0 0 JASON B BOUDJOUK MD DIRECTOR 2.0 0.0 X 0 29541 0 LISA D BOYLE MD DIRECTOR 2.0 0.0 X 0 31762 0 MARIO Y BUENO DIRECTOR 1.0 0.0 X 0 0 0 ALLEN H CICCHITELLI DIRECTOR 1.0 0.0 X 0 0 0 SHARON CONARD-WELLS DIRECTOR 1.0 0.0 X 0 0 0 JAMES E FANALE MD DIRECTOR - PRESIDENT/CEO/CNE 55.0 0.0 X X 0 1097460 37896 KENT W GLADDING DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM M KAPOS DIRECTOR 1.0 0.0 X 0 0 0 SUSAN M KELLY MD DIRECTOR - KENT UNIT CHIEF 55.0 0.0 X 0 332889 36236 DIANE LIPSCOMBE PHD DIRECTOR 1.0 0.0 X 0 0 0 JOSEPH J MCGAIR ESQ DIRECTOR 1.0 0.0 X 0 0 0 PATRICK J MURRAY JR DIRECTOR 1.0 0.0 X 0 0 0 CYNTHIA B PATTERSON DIRECTOR 1.0 0.0 X 0 0 0 GEORGE W SHUSTER DIRECTOR 1.0 0.0 X 0 0 0 F JOSEPH IANNONI ASST. TREAS./EVP/CFO/CNE 55.0 0.0 X 0 913433 41055 JAMES M BURKE VP, FINANCE MED/SURG HOSP 55.0 0.0 X 0 232605 20280 BRIAN WILLIS DIRECTOR PLANT SERVICES 55.0 0.0 X 110970 0 18871 DIANA WANTOCH RISK MANAGER (TERMED) 55.0 0.0 X 103716 0 10883 ALYSSA V BOSS ESQ FORMER OFFICER 0.0 0.0 X 0 808375 41531 DENNIS D KEEFE FORMER OFFICER 0.0 0.0 X 0 497406 294 214686 3943471 207046 2 true true false 0 307457 307457 NET PATIENT SERVICE REVENUE 541900 262164 262164 OTHER HEALTHCARE RELATED REVENUE 541900 1762109 1762109 2024273 -208712 -208712 0 0 1018164 1018164 0 1018164 1018164 132435 1394345 132435 1394345 1526780 1526780 0 0 0 0 0 0 0 0 0 0 4667962 2024273 2336232 0 0 0 0 0 0 776052 698446 77606 0 0 120896 108806 12090 0 2475 2228 247 0 0 0 0 0 0 243233 218909 24324 800 720 80 0 1290767 1161690 129077 4074 3667 407 0 0 817 736 81 0 331744 298570 33174 0 RESEARCH EXPENSES 1552810 1397529 155281 0 RESTRUCTING COSTS 958287 862459 95828 0 PURCHASED SERVICES 598883 538994 59889 0 OTHER EXPENSES 45327 40800 4527 0 5926165 5333554 592611 0 X 0 0 -1552 -1557 0 0 0 0 0 0 0 0 0 0 0 0 571415 2203 37959252 31223990 5527025 6735262 0 0 0 0 11920379 12197101 24345364 24345364 8070036 3584897 50432667 46863270 1421304 2620228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134492663 127579992 135913967 130200220 X -97861996 -96085824 12380696 12748874 0 0 -85481300 -83336950 50432667 46863270 X -1258203 -107162 3509715 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false false SCHEDULE C, PART II-B; LINE 1I CARE NEW ENGLAND HEALTH SYSTEM, THE TAX-EXEMPT PARENT OF CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES, INCURS VARIOUS LOBBYING EXPENSES ON BEHALF OF THE SYSTEM; INCLUDING THIS ORGANIZATION. PLEASE REFER TO THE FORM 990 FILED BY CARE NEW ENGLAND HEALTH SYSTEM (FEIN: 05-0490997). 10973048 199337 11172385 10911555 61493 10973048 10510575 400980 10911555 10189073 321502 10510575 10654446 0 465373 10189073 1.00000 false false 1290000 1290000 17011349 12653029 4358320 17400547 17271496 129051 2257356 1299465 957891 6735262 BOARD DESIGNATED FUNDS 1019726 F DONOR SPECIFIC FUNDS 5000 F FOR PERMANENT ENDOWMENT 3164214 F EXTERNALLY ADMINISTERED TRUSTS 8008161 F 12197101 OTHER ASSETS 3584897 3584897 0 INSURANCE CLAIM RESERVE 5716941 DUE TO AFFILIATES; NON-CURRENT 110116736 EST AMTS DUE TO THIRD PARTY PAYABLE 10774197 OTHER LIABILITIES 972118 127579992 SCHEDULE D, PART V, QUESTION 4 THE HOSPITAL'S ENDOWMENTS CONSIST OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE PURPOSES INCLUDE GENERAL PURPOSE, HEALTHCARE SERVICES, INDIGENT CARE, HEALTH EDUCATION AND FOR USE IN FURTHERING THE TAX-EXEMPT CHARITABLE PURPOSE OF THIS ORGANIZATION. SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS CARE NEW ENGLAND HEALTH SYSTEM. AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CARE NEW ENGLAND HEALTH SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND SEPTEMBER 30, 2018; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CERTAIN CONSOLIDATING SCHEDULES. THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN FOOTNOTE DISCLOSURE RELATED TO THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. THE ORGANIZATION COMPLETED AN ASSESSMENT OF THE ESTIMATED LIABILITY FOR UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2019 AND CONCLUDED THAT THE ESTIMATED LIABILITY WAS NOT MATERIAL TO THE ORGANIZATION'S FINANCIAL STATEMENTS. X X X X true true false false false true true true false JAMES E FANALE MD DIRECTOR - PRESIDENT/CEO/CNE 0 794740 0 175000 0 127720 0 13750 0 24146 0 1135356 0 0 SUSAN M KELLY MD DIRECTOR - KENT UNIT CHIEF 0 310006 0 2000 0 20883 0 24750 0 11486 0 369125 0 0 F JOSEPH IANNONI ASST. TREAS./EVP/CFO/CNE 0 520781 0 177540 0 215112 0 13750 0 27305 0 954488 0 0 JAMES M BURKE VP, FINANCE MED/SURG HOSP 0 219298 0 11000 0 2307 0 17325 0 2955 0 252885 0 0 ALYSSA V BOSS ESQ FORMER OFFICER 0 207100 0 75000 0 526275 0 15125 0 26406 0 849906 0 41390 DENNIS D KEEFE FORMER OFFICER 0 75296 0 200000 0 222110 0 0 0 294 0 497700 0 0 PART VII AND SCHEDULE J IN ACCORDANCE WITH INTERNAL REVENUE SERVICE FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, THE COMPENSATION REPORTED IN CORE FORM, PART VII AND SCHEDULE J, PART II OF THIS FORM 990 IS DERIVED FROM 2018 FORMS W-2 AND FORMS 1099 (IF APPLICABLE). SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2018 WHICH WAS INCLUDED IN THE INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DIANA WANTOCH, $23,539 AND ALYSSA V. BOSS, ESQ., $311,950. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN THE INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES E. FANALE, M.D., $83,000; F. JOSEPH IANNONI, $180,080; ALYSSA V. BOSS, ESQ., $204,375 AND DENNIS D. KEEFE, $71,894. SCHEDULE J, PART I; QUESTION 6A & 6B THE EXECUTIVE COMPENSATION PACKAGE FOR VARIOUS INDIVIDUALS REPORTED ON THIS FORM 990 CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS. THE AT-RISK COMPENSATION IS COMPRISED OF BOTH SHORT-TERM AND LONG-TERM FACTORS AS FOLLOWS. THE SHORT-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACHIEVEMENT OF CRITICAL STRETCH GOALS THAT RECOGNIZE PERFORMANCE ABOVE EXPECTATIONS. THESE GOALS ARE MEASURED FOR EACH FISCAL PERIOD IN THE FOLLOWING CRITICAL AREAS: QUALITY, FINANCIAL AND PATIENT SATISFACTION. THE LONG-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACCOMPLISHMENT OF CRITICAL MULTI-YEAR SYSTEM PERFORMANCE OBJECTIVES. AWARDS ARE EARNED BY MEASURING SYSTEM PERFORMANCE OVER THREE-YEAR OVERLAPPING PERFORMANCE PERIODS AND ARE MEASURED IN REFERENCE TO GOALS IN THE FOLLOWING CRITICAL AREAS: NET INCOME FROM OPERATIONS, MARKET SHARE, PATIENT SATISFACTION AND STRATEGIC OBJECTIVE. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II, COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON HER 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ALYSSA V. BOSS, ESQ., $41,390. THIS AMOUNT WAS REPORTED ON PRIOR YEAR FORMS 990 AS AT-RISK NON-TAXABLE DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS MEMORIAL HOSPITAL OF RHODE ISLAND ("MEMORIAL") IS A NOT FOR-PROFIT COMMUNITY HOSPITAL WHICH CLOSED ON MAY 1, 2018. MEMORIAL IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MEMORIAL PROVIDED MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF AGE, SEX, RACE, COLOR, RELIGION, NATIONAL ORIGIN, ETHNICITY, CULTURE, LANGUAGE, DISABILITY, MARITAL STATUS, EDUCATION, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, INCOME, OR ABILITY TO PAY BILL. MOREOVER, PRIOR TO ITS CLOSURE ON MAY 1, 2018, MEMORIAL OPERATED CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. MEMORIAL PROVIDED MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. MEMORIAL OPERATED AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS, WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MEMORIAL MAINTAINED AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF MEMORIAL RESTS WITH THE BOARD OF DIRECTORS OF CARE NEW ENGLAND HEALTH SYSTEM WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE OPERATIONS OF MEMORIAL, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATED THAT THE HOSPITAL PROVIDED SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF MEMORIAL WAS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURED TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR WAS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. *In accordance with Rhode Island Department of Healths ("RIDOH") regulatory processes and measures, Care New Englands ("CNE") Memorial Hospital of Rhode Island ("MHRI") filed a reverse certificate of need application with RIDOH to close MHRIs Emergency Department and cease primary care services. Following the approval from RIDOH regarding the Emergency Department in JANUARY of 2018, CNE recognizes the significant impact this decision has, and will continue to have, on residents and hospital employees. CNE remains committed to ensuring access to community-based, outpatient care that meets the future health care needs in the Blackstone Valley. HISTORY ======= AS OF SEPTEMBER 3, 2013, SOUTHEASTERN HEALTHCARE SYSTEM, INC. ("SHS"), AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION LOCATED IN RHODE ISLAND AND SOUTHEASTERN MASSACHUSETTS, BECAME A SUBSIDIARY OF CARE NEW ENGLAND HEALTH SYSTEM ("CARE NEW ENGLAND"), AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND THE PARENT ENTITY OF A RHODE ISLAND BASED TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. SHS IS THE SOLE CORPORATE MEMBER OF MEMORIAL. CARE NEW ENGLAND BECAME THE PARENT ORGANIZATION AND SOLE MEMBER OF SHS AS A RESULT OF THIS ACQUISITION. CARE NEW ENGLAND AND SHS BELIEVE THAT THE ACQUISITION WILL GREATLY IMPROVE COMPREHENSIVE HEALTHCARE SERVICES. FOUNDED IN 1901, MEMORIAL HAD GROWN STEADILY FROM A 30-BED INSTITUTION TO A 13-ACRE TEACHING INSTITUTION WITH 294 BEDS AND TWO SATELLITE PRIMARY CARE CENTER FACILITIES IN RHODE ISLAND AND NEARBY MASSACHUSETTS. MEMORIAL HAD COME TO EMBODY A MYRIAD OF INTERNATIONALLY-RENOWNED RESEARCH STUDIES, ACTIVE CARDIOLOGY, CANCER AND PULMONARY PROGRAMS, AND AN IN AND OUT-PATIENT REHABILITATION CENTER. MEMORIAL HAD ALSO FOSTERED A HEALTHY RELATIONSHIP WITH THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, SERVED AS A MAJOR TEACHING AFFILIATE FOR BOTH INTERNAL AND FAMILY MEDICINE, AS WELL AS SERVING AS A TRAINING LOCATION FOR ALPERT MEDICAL SCHOOL'S PODIATRY RESIDENTS. THE FAMILY MEDICINE PROGRAM WAS THE ONLY ONE OF ITS KIND IN THE STATE TO OFFER A PRIMARY CARE MEDICAL HOME, INTEGRATING THE BROAD RANGE OF PREVENTIVE COUNSELING AND DIAGNOSTIC AND TREATMENT SERVICES IN ONE SETTING. THESE ELEMENTS COMBINED FOR A DYNAMIC ATMOSPHERE IN WHICH MEMORIAL REACHED BEYOND THE BOUNDARIES OF CONVENTIONAL MEDICINE TO DEVELOP BOLD NEW PROGRAMS AND SERVICES THAT WERE DESIGNED TO HELP PEOPLE STAY HEALTHY BEFORE, DURING AND AFTER HOSPITALIZATION. THE COMMITMENT TO THE COMMUNITY HAS HELPED FUEL MEMORIAL'S DYNAMIC GROWTH THROUGH THE DECADES, FROM THE CONSTRUCTION OF A PRIVATE WING FOR 23 PATIENTS CONSTRUCTED IN 1918 FOR JUST $50,975 TO THE OPENING OF THE SPECTACULAR $12.6 MILLION SAYLES BUILDING IN 1987. CARE NEW ENGLAND HEALTH SYSTEM WAS FORMED IN FEBRUARY 1996 BY FOUNDING MEMBERS BUTLER HOSPITAL, KENT COUNTY MEMORIAL HOSPITAL AND WOMEN & INFANTS HOSPITAL OF RHODE ISLAND. THESE THREE HOSPITALS ARE ALL INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS. AS OUTLINED EARLIER, SHS, WHICH INCLUDES MEMORIAL, JOINED CARE NEW ENGLAND IN SEPTEMBER OF 2013. IN JUNE 1999, KENT COUNTY VISITING NURSE ASSOCIATION BECAME A MEMBER OF THE CARE NEW ENGLAND FAMILY, AND LATER THAT YEAR ANNOUNCED ITS NAME CHANGE TO VNA OF CARE NEW ENGLAND. IN 2000, HEALTHTOUCH, INC., A PRIVATE DUTY NURSING SERVICE, JOINED THE DIVISION. TODAY, VNA OF CARE NEW ENGLAND PROVIDES A BROAD SPECTRUM OF HOME HEALTH AND HOSPICE SERVICES. THE CARE NEW ENGLAND HEALTH SYSTEM WAS FOUNDED IN 1996 BY MEMBERS COMMITTED TO THE VISION THAT WE CAN BUILD A BETTER SYSTEM OF HEALTHCARE FOR THE PEOPLE AND COMMUNITIES OF SOUTHEASTERN NEW ENGLAND. THE SYSTEM OFFERS THE LATEST ADVANCES IN MEDICINE, SPECIALTY-TRAINED DOCTORS, AND RENOWNED SERVICES AND CARE. AN INTEGRATED HEALTH SYSTEM THAT OFFERS A CONTINUUM OF QUALITY CARE, CARE NEW ENGLAND IS MOVING HEALTHCARE FORWARD AND REINVENTING THE WAY HEALTHCARE IS DELIVERED. THIS APPROACH PUTS A BROAD SPECTRUM OF CARE - ADDRESSING CANCER, CARDIAC REHABILITATION, HYPERBARIC MEDICINE, PARKINSON'S DISEASE, MATERNAL-FETAL MEDICINE AND FETAL SURGERY, ADVANCED LAPAROSCOPIC AND ROBOTIC SURGERY, STROKE AND ADDICTION TREATMENT - ALL UNDER ONE UMBRELLA SO THEY ARE EASILY ACCESSIBLE TO PATIENTS AND FAMILIES. CARE NEW ENGLAND INCLUDES: BUTLER HOSPITAL, RHODE ISLAND'S ONLY PRIVATE, NONPROFIT PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITAL FOR ADULTS, ADOLESCENTS, CHILDREN AND SENIORS; KENT COUNTY MEMORIAL HOSPITAL, THE LARGEST COMMUNITY HOSPITAL IN THE STATE, PROVIDING A FULL SPECTRUM OF PRIMARY AND SECONDARY ACUTE CARE SERVICES; WOMEN & INFANTS HOSPITAL OF RHODE ISLAND, ONE OF THE NATION'S BUSIEST OBSTETRICAL FACILITIES WITH ONE OF THE NATION'S LARGEST SINGLE-FAMILY ROOM NEONATAL INTENSIVE CARE UNITS, THE AREA'S ONLY TERTIARY LEVEL NEONATAL FACILITY, AND VARIOUS SPECIALTY SERVICES; THE MEMORIAL HOSPITAL OF RHODE ISLAND, UNTIL ITS CLOSURE ON MAY 1, 2018, WAS ONE OF THE STATES MOST PROGRESSIVE PROPONENTS OF PRIMARY CARE AND THE INTEGRATION OF SPECIALTY SERVICES; THE VNA OF CARE NEW ENGLAND, WHICH PROVIDES A BROAD SPECTRUM OF HOME HEALTH, HOSPICE AND PRIVATE DUTY NURSING SERVICES FOR NEW MOTHERS, THE ELDERLY AND THE TERMINALLY ILL; AND THE PROVIDENCE CENTER, PROVIDING OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES IN PATIENTS' HOMES, SCHOOLS AND NEIGHBORHOODS. THE SYSTEM INCLUDES A SOLID, DIVERSE COMBINATION OF PHYSICIAN SPECIALISTS AND GENERALISTS AND A STRONG COMMITMENT TO EDUCATION. BUTLER, MEMORIAL AND WOMEN & INFANTS HOSPITALS ARE MAJOR TEACHING AFFILIATES OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, WHILE KENT IS A TEACHING SITE FOR THE UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE. IN ADDITION, CARE NEW ENGLAND IS COMMITTED, THROUGH NATIONAL AND INTERNATIONALLY-FUNDED AND RECOGNIZED RESEARCH PROJECTS, TO FINDING ANSWERS TO MANY OF TODAY'S MEDICAL QUESTIONS. CARE NEW ENGLAND PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. BECAUSE CARE NEW ENGLAND DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, IT IS NOT REPORTED AS REVENUE. CHARITY CARE INCLUDES SERVICES TO UNINSURED PATIENTS WHO CARE NEW ENGLAND HAS DETERMINED QUALIFY FOR CHARITY CARE UNDER CARE NEW ENGLAND POLICIES. SERVICES TO UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR CHARITY CARE OR WHO CARE NEW ENGLAND WAS NOT ABLE TO DETERMINE THEIR ELIGIBILITY ARE NOT REPORTED AS CHARITY CARE BUT REPORTED IN THE PROVISION FOR BAD DEBTS. ADDITIONALLY, CARE NEW ENGLAND SPONSORS CERTAIN OTHER PROGRAMS WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS INCLUDING COMMUNITY SERVICE PROGRAMS AND SERVICES FOR SCHOOL-AGED CHILDREN AND THE ELDERLY. CARE NEW ENGLAND ALSO ACTIVELY SPONSORS PROGRAMS ON HEALTH EDUCATION AND WELLNESS. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CARE NEW ENGLAND MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE BASED ON ESTABLISHED RATES FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY AND COMMUNITY SERVICE POLICIES. MISSION ======= MEMORIAL'S MISSION WAS TO BE YOUR PARTNER IN HEALTH. VISION ====== MEMORIAL'S VISION WAS TO CREATE A COMMUNITY OF HEALTHIER PEOPLE. VALUES ====== MEMORIAL'S ORGANIZATIONAL VALUES EMPHASIZED INDIVIDUAL CONTRIBUTIONS AND TEAM APPROACH THAT FOSTER: - ACCOUNTABILITY, - CARING, AND - TEAMWORK. OVERVIEW ======== MEMORIAL'S MAIN CAMPUS IS IN PAWTUCKET, RHODE ISLAND, AND IT OPERATED PRIMARY CARE AND OTHER SERVICES IN OFF-SITE LOCATIONS IN PAWTUCKET AND CENTRAL FALLS, RI AND PLAINVILLE, MASSACHUSETTS. MEMORIAL ALSO HAD A STATE-OF-THE-ART CANCER AND CARDIOVASCULAR TREATMENT FACILITY IN PAWTUCKET, RI. THE MOST TELLING INDICATION OF THE HOSPITAL'S DEDICATION TO EDUCATION WAS EMBODIED IN ITS AFFILIATION WITH THE ALPERT MEDICAL SCHOOL. CREATED IN 1969, THE RELATIONSHIP HAS BROUGHT THOUSANDS OF THE BEST YOUNG MEDICAL STUDENTS, INTERNS, RESIDENTS AND RESEARCH FELLOWS IN THE COUNTRY THROUGH THE HOSPITAL'S DOORS FOR STUDY AND PRACTICE. MEMORIAL HAD GROWN INTO THE SECOND LARGEST TEACHING HOSPITAL IN THE STATE, WITH THE MAJORITY OF THE FULL-TIME MEDICAL STAFF AFFILIATED WITH THE MEDICAL SCHOOL, AND DOZENS OF RESIDENTS IN VARIOUS SPECIALTIES WORKING AT THE HOSPITAL. MEMORIAL WAS HOME TO ALPERT MEDICAL SCHOOL'S FAMILY MEDICINE AND INTERNAL MEDICINE RESIDENCY PROGRAMS, THROUGH WHICH STAFF PHYSICIANS TEACH MEDICAL RESIDENTS ABOUT REHABILITATION AND RESTORATIVE CARE. THIS INFUSION INVIGORATED MEMORIAL'S MEDICAL RESEARCH ENDEAVORS. MORE THAN 50 RESEARCH PROJECTS WERE SUPPORTED BY MORE THAN $2.5 MILLION IN FEDERAL FUNDS, RANKS THE HOSPITAL AMONG THE TOP RESEARCH HOSPITALS IN RHODE ISLAND. MEMORIAL WAS ALSO ON THE FOREFRONT IN THE FIELD OF FAMILY MEDICINE, WHICH EMPHASIZED THE ROLE OF THE PRIMARY CARE PHYSICIAN AS THE ORCHESTRATOR OF CARE AND TREATMENT FOR MEMBERS OF AN ENTIRE FAMILY. THESE DOCTORS PROVIDED PREVENTIVE HEALTHCARE ASSESSMENTS AND COUNSELING FOR FAMILIES IN ADDITION TO THEIR TRADITIONAL DIAGNOSTIC AND TREATMENT SERVICES. ALPERT MEDICAL SCHOOL'S FAMILY MEDICINE TEACHING PROGRAM WAS ANCHORED AT MEMORIAL HOSPITAL, AND RESIDENTS WOULD UNDERGO RIGOROUS TRAINING IN A WIDE VARIETY OF MEDICAL AREAS, INCLUDING PEDIATRICS, GERONTOLOGY, SURGERY, EMERGENCY MEDICINE, OBSTETRICS, GYNECOLOGY, INTERNAL AND BEHAVIORAL MEDICINE. THROUGHOUT THE THREE-YEAR PROGRAM, RESIDENTS WORKED DIRECTLY WITH FAMILIES IN NEIGHBORHOOD HEALTH CENTERS, PRIVATE PHYSICIAN OFFICES AND AS STAFF MEMBERS OF MEMORIAL'S CENTER FOR PRIMARY CARE AND PREVENTION. IN THAT CAPACITY, THEY PROVIDED FAMILY PLANNING SERVICES, ASSESS LEARNING DISABILITIES, PROVIDED FAMILY CRISIS INTERVENTION AND OFFERED A FULL SCOPE OF TRADITIONAL MEDICAL SERVICES. COMPREHENSIVE SERVICES ====================== MEMORIAL WAS HOME TO SOPHISTICATED TECHNOLOGY AND EXPERIENCED HIGHLY SKILLED TECHNOLOGISTS, NURSES, AND PHYSICIANS. MEMORIAL PROVIDED ADVANCED HEALTHCARE IN AN ENVIRONMENT OF CARING, COMPASSION AND DEDICATION TO EXCELLENCE. THE HOSPITAL PROVIDED THE FOLLOWING SERVICES: - AMBULATORY CENTER - ANESTHESIOLOGY - AUDIOLOGY & HEARING SERVICES - CANCER CENTER - CARDIAC REHABILITATION - CARDIOVASCULAR CENTER - COMPREHENSIVE CONCUSSION MANAGEMENT CENTER - CRITICAL CARE MEDICINE - DERMATOLOGY - DIABETES - DIAGNOSTIC IMAGING - EMERGENCY SERVICES - ENDOCRINOLOGY - ENDOSCOPY CENTER - FAMILY MEDICINE - GASTROENTEROLOGY - GERIATRIC SERVICES - GYNECOLOGY - HEMATOLOGY/ONCOLOGY - HOSPITALIST SERVICE - INFECTIOUS DISEASES - INTERNAL MEDICINE - LABORATORY SERVICES (OUTPATIENT) - NEW ENGLAND PEDIATRIC CENTER OF NEURODEVELOPMENT - NEUROLOGY - NEUROSURGERY - NUTRITION SERVICES - OCCUPATIONAL THERAPY (OUTPATIENT) - ORTHOPAEDICS AND SPORTS MEDICINE - PAIN MANAGEMENT CENTER - PASTORAL CARE PROGRAM - PEDIATRIC PRIMARY CARE CENTER - PEDIATRIC SPECIALTY CLINICS - PEDIATRICS - PHYSICAL THERAPY (OUTPATIENT) - PODIATRY FOR ADULTS AND CHILDREN - PULMONARY CENTER - REHABILITATION (IN AND OUTPATIENT) - SLEEP CENTER - SOCIAL SERVICES - SPASTICITY - SPEECH THERAPY (OUTPATIENT) - STROKE CENTER - SURGICAL SERVICES - TONE MANAGEMENT - TRAVEL CLINIC - URGENT CARE CENTER COMMUNITY SERVICE ================= PRIOR TO ITS CLOSURE ON MAY 1, 2018, THE MEMORIAL HOSPITAL OF RHODE ISLAND, A VIBRANT, NOT-FOR-PROFIT HEALTH, TEACHING AND RESEARCH CENTER BUILT ON A FOUNDATION OF PHILANTHROPY THAT SPANS GENERATIONS AND IS KNOWN THROUGHOUT THE BLACKSTONE VALLEY, EAST BAY REGIONS OF RHODE ISLAND AND IN BRISTOL COUNTY, MASSACHUSETTS. IT WAS A LEADING AND INNOVATIVE HEALTHCARE RESOURCE WITH A TRADITION OF TREATING PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND WAS COMMITTED TO PROVIDING MODERN FACILITIES THAT PROVIDE STATE-OF-THE-ART CARE FOR ALL. IN ADDITION TO CHARITY CARE, MEMORIAL HOSPITAL ALSO PROVIDED NUMEROUS SERVICES TO THE COMMUNITY AT NO CHARGE, INCLUDING LANGUAGE INTERPRETATION, PHYSICIAN REFERRAL, COMMUNITY HEALTH SCREENINGS, HEALTH AND WELLNESS EDUCATION, AND SUPPORT GROUPS. THESE SERVICES ARE POSSIBLE BECAUSE THE HOSPITAL CONSTANTLY STRIVES TO INVEST IN ITS FACILITIES, EQUIPMENT AND PERSONNEL. CORE FORM, PART V, QUESTION 1A & CORE FORM, PART VII; SECTION B THE ORGANIZATION IS AN AFFILIATE WITHIN CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FORM 990 REFLECTS NO TOP FIVE INDEPENDENT CONTRACTORS FOR SERVICES AND REPORTS THAT NO FORMS 1099 WERE FILED WITH THE INTERNAL REVENUE SERVICE ("IRS"). CARE NEW ENGLAND HEALTH SYSTEM, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PAYS ALL OUTSTANDING ACCOUNTS PAYABLE INVOICES ON BEHALF OF THIS ORGANIZATION. IN CONJUNCTION WITH THIS SERVICE, CARE NEW ENGLAND HEALTH SYSTEM ALSO PREPARES AND ISSUES FORMS 1099 TO THESE VENDORS RECEIVING PAYMENTS WHERE APPLICABLE AND FILES THESE FORMS 1099 WITH THE IRS. CARE NEW ENGLAND HEALTH SYSTEM ALLOCATES THESE PAYMENTS TO THE ORGANIZATION VIA AN INTERCOMPANY ACCOUNT. CORE FORM, PART VI, SECTION A; QUESTION 3 THE HOSPITAL ENGAGES SODEXHO MANAGEMENT, INC. TO BE AN AGENT OF THE HOSPITAL AND DELEGATES CONTROL TO SODEXHO IN THE MANAGEMENT OF DAILY OPERATIONS OF ITS FOOD AND NUTRITION DEPARTMENT. THE SODEXHO MANAGEMENT EMPLOYEE FUNCTIONS AND IS RECOGNIZED AS A DEPARTMENT MANAGER WHO PERFORMS IN ACCORDANCE WITH THE HOSPITAL'S DEPARTMENT MANAGEMENT PRACTICES AND IN ACCORDANCE WITH ITS WRITTEN POLICIES AND PROCEDURES. THE POSITION REPORTS TO AN OFFICER/KEY EMPLOYEE OF THE HOSPITAL. CORE FORM, PART VI, SECTION A; QUESTIONS 6 AND 7 CARE NEW ENGLAND HEALTH SYSTEM ("CNE"), AS THE PARENT ENTITY OF THIS TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, HAS THE ULTIMATE AUTHORITY TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CARE NEW ENGLAND HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE CARE NEW ENGLAND HEALTH SYSTEM BOARD OF DIRECTORS HAS DELEGATED TO THE FINANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR THE TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE DEPARTMENT LEADERSHIP ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO A FEDERAL FORM 990 PRESENTATION TO THE MEMBERS OF THE CARE NEW ENGLAND HEALTH SYSTEM FINANCE COMMITTEE. THEREAFTER, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THE POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. IF AN INDIVIDUAL DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE INDIVIDUAL'S POTENTIAL CONFLICT IS REFERRED TO THE BOARD OF DIRECTORS, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE INDIVIDUAL'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES THAT MAY COME BEFORE THE BOARD. AFTER CONSULTATION WITH THE ORGANIZATION'S GENERAL COUNSEL, THE BOARD WILL TAKE ANY NECESSARY MITIGATING ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. CORE FORM, PART VI, SECTION B; QUESTION 15 THE BOARD OF DIRECTORS OF CARE NEW ENGLAND HEALTH SYSTEM ("CNE") HAS A COMMITTEE OF DIRECTORS KNOWN AS THE CNE COMPENSATION COMMITTEE ("THE COMMITTEE"). THE COMMITTEE IS RESPONSIBLE FOR DISCHARGING THE BOARD'S RESPONSIBILITIES REGARDING THE TOTAL COMPENSATION PROGRAM FOR CNE'S EXECUTIVES. THE COMMITTEE AT ALL TIMES CONDUCTS ITSELF FREE FROM EXECUTIVE MANAGEMENT IN ITS DECISION MAKING PROCESS. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THIS ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING, THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS; EACH OF WHOM ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE CNE COMPENSATION COMMITTEE OR BY THE CARE NEW ENGLAND HEALTH SYSTEM PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF RHODE ISLAND SECRETARY OF STATE. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME OR PART-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN THE CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART X; LINE 25 THE ORGANIZATION IS AN AFFILIATE WITHIN CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM HAS A NUMBER OF OUTSTANDING LONG-TERM OBLIGATED GROUP DEBT LIABILITIES, INCLUDING THE FOLLOWING BOND ISSUANCES: - RHODE ISLAND HEALTH AND EDUCATIONAL BUILDING CORPORATION BONDS SERIES 2016B. THE BONDS OUTLINED ABOVE AND VARIOUS OTHER LONG-TERM BORROWINGS ARE ALLOCATED BY CARE NEW ENGLAND HEALTH SYSTEM; THE TAX-EXEMPT PARENT OF THE SYSTEM, TO THE FOLLOWING SYSTEM MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES. THE BALANCE SHEET OF THESE RESPECTIVE MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES REFLECTS A OBLIGATED GROUP LIABILITY. ACCORDINGLY, THIS CARE NEW ENGLAND HEALTH SYSTEM OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: - BUTLER HOSPITAL, EIN: 05-0258812 - KENT COUNTY MEMORIAL HOSPITAL, EIN: 05-0258896 - SHS VENTURES, INC., EIN: 05-0510341 - THE MEMORIAL HOSPITAL, EIN: 05-0259004 - THE PROVIDENCE CENTER, INC., EIN: 05-0316969 - VNA OF CARE NEW ENGLAND, EIN: 05-0242659 - WOMEN AND INFANTS CORPORATION, EIN: 02-2885807 - WOMEN & INFANTS HOSPITAL OF RHODE ISLAND, EIN: 05-0258937 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 OF CARE NEW ENGLAND HEALTH SYSTEM, EIN: 05-0490997. CORE FORM, PART X; LINES 27-29 ON OCTOBER 1, 2018, THE SYSTEM ADOPTED ASU 2016-14, PRESENTATION OF FINANCIAL STATEMENTS FOR NOT-FOR-PROFIT ENTITIES, WHICH MAKES TARGETED CHANGES TO THE NOT-FOR-PROFIT FINANCIAL REPORTING MODEL. THE NEW ASU MARKS THE COMPLETION OF THE FIRST PHASE OF A LARGER PROJECT AIMED AT IMPROVING NOT-FOR-PROFIT FINANCIAL REPORTING. UNDER THE NEW ASU, NET ASSET REPORTING HAS BEEN STREAMLINED AND CLARIFIED. THE EXISTING THREE CATEGORY CLASSIFICATION OF NET ASSETS HAS BEEN REPLACED WITH A SIMPLIFIED MODEL THAT COMBINES TEMPORARILY RESTRICTED AND PERMANENTLY RESTRICTED INTO A SINGLE CATEGORY CALLED "NET ASSETS WITH DONOR RESTRICTIONS." THE GUIDANCE FOR CLASSIFYING DEFICIENCIES IN ENDOWMENT FUNDS AND ON ACCOUNTING FOR THE LAPSING OF RESTRICTIONS ON GIFTS TO ACQUIRE PROPERTY, PLANT, AND EQUIPMENT HAVE ALSO BEEN SIMPLIFIED AND CLARIFIED. NEW DISCLOSURES HAVE BEEN INCORPORATED TO HIGHLIGHT RESTRICTIONS ON THE USE OF RESOURCES THAT MAKE OTHERWISE LIQUID ASSETS UNAVAILABLE FOR MEETING NEAR-TERM FINANCIAL REQUIREMENTS. THE ASU ALSO IMPOSES SEVERAL NEW REQUIREMENTS RELATED TO REPORTING EXPENSES. CORE FORM, PART XI; LINE 9 OTHER CHANGES IN FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM PERMANENTLY RESTRICTED - $199,337; - TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTION - ($513); - NON-INVESTMENT INCOME - $549; AND - CUMULATIVE EFFECT OF ACCOUNTING CHANGE - $3,310,342. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS CARE NEW ENGLAND HEALTH SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CARE NEW ENGLAND HEALTH SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND SEPTEMBER 30, 2018; RESPECTIVELY. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. CARE NEW ENGLAND HEALTH SYSTEM'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. 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RI NA C CORP. false false false false false false false false false false true true false true true true true false true true SCHEDULE R, PART V AS OUTLINED IN SCHEDULE O, CARE NEW ENGLAND HEALTH SYSTEM IS THE TAX-EXEMPT PARENT OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THIS ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SYSTEM ALSO INCLUDES BUTLER HOSPITAL, KENT COUNTY MEMORIAL HOSPITAL AND WOMEN & INFANTS HOSPITAL OF RHODE ISLAND; WHICH ARE ALL RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITALS. CARE NEW ENGLAND HEALTH SYSTEM ROUTINELY PAYS EXPENSES FOR ALL AFFILIATES WITHIN THE CARE NEW ENGLAND HEALTH SYSTEM IN THE ORDINARY COURSE OF BUSINESS; INCLUDING THIS ORGANIZATION. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.