2018-08-09T16:04:53-05:00 2017-09-30 222428965 CITRIN COOPERMAN & COMPANY LLP TEN WEYBOSSET STREET - SUITE 700 PROVIDENCE RI 02903 990 2016-10-01 222885807 WOMEN & INFANTS CORPORATION WOME 4012741122 101 DUDLEY STREET PROVIDENCE RI 02905 JOSEPH IANNONI ASSISTANT TREASURER 4012741122 2018-08-03 1 MARTHA HULTZMAN P00107728 4014214800 2016 2022-09-23 18:48:47Z DENNIS D KEEFE 101 DUDLEY STREET PROVIDENCE RI 02905 5287445 0 X WWW.WOMENANDINFANTS.ORG X 1987 RI THE MISSION OF WOMEN & INFANTS CORPORATION IS TO SUPPORT THE WOMEN & INFANTS HOSPITAL OF RHODE ISLAND AND OTHER ORGANIZATIONS AFFILIATED WITH THE CORPORATION. 30 20 0 0 0 0 18526 18418 0 0 75665 4664023 605004 605004 699195 5287445 0 12258895 0 0 0 0 0 0 0 446550 368916 446550 12627811 252645 -7340366 81487220 79245230 86390 0 81400830 79245230 X THE MISSION OF WOMEN & INFANTS CORPORATION IS TO SUPPORT THE WOMEN & INFANTS HOSPITAL OF RHODE ISLAND AND OTHER ORGANIZATIONS AFFILIATED WITH THE CORPORATION. THE HOSPITAL, A TEACHING HOSPITAL OF THE WARREN ALPERT SCHOOL OF BROWN UNIVERSITY, IS COMMITTED TO IMPROVING HEALTH AND WELL BEING OF WOMEN AND INFANTS AND TO PROVIDE ESSENTIAL SERVICES REGARDLESS OF ABILITY TO PAY. 0 0 12338715 12258895 605004 THE CORPORATION SUPPORTS WOMEN & INFANTS HOSPITAL OF RHODE ISLAND AND OTHER ORGANIZATIONS AFFILIATED WITH THE CORPORATION IN A HEALTH SYSTEM OF PUBLICALLY RELATED SUPPORTED CHARITIES. 12338715 1 0 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 30 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X KATHY TOPOR CO CNE ACCOUNTING DEPT 4019217602 171 SERVICE AVENUE BUILDING 2 WARWICK RI 02886 X GEORGE W SHUSTER DIRECTOR 1.00 8.00 X 0 2597 0 CHARLES R REPPUCCI ESQ CHAIRMAN - DIRECTOR 1.00 8.00 X X 0 0 0 CYNTHIA B PATTERSON VICE CHAIRMAN / SECRETARY / DIRECTOR 1.00 8.00 X X 0 0 0 DOUGLAS L JACOBS TREASURER - DIRECTOR 1.00 8.00 X X 0 0 0 DENNIS D KEEFE DIRECTOR/PRESIDENT/CEO 1.00 69.00 X X 0 1274257 47966 DENISE ARCAND MDRES0217 DIRECTOR 1.00 63.00 X 0 697325 27802 JAMES BOTVIN DIRECTOR 1.00 8.00 X 0 0 0 SUSAN KELLY MD DIRECTOR 1.00 63.00 X 0 300143 32471 MARIO BUENO DIRECTOR 1.00 8.00 X 0 0 0 EMILY COPE HARRISON MD DIRECTOR 1.00 8.00 X 0 0 0 ALLEN H CICCHITELLI DIRECTOR 1.00 9.00 X 0 0 0 SHARON CONRAD-WELLS DIRECTOR 1.00 8.00 X 0 0 0 ESTHER EMARD DIRECTOR 1.00 8.00 X 0 0 0 ROBERT G FLANDERS JR ESQ DIRECTOR 1.00 8.00 X 0 0 0 GARY E FURTADO DIRECTOR 1.00 8.00 X 0 0 0 JOHN R GALVIN DIRECTOR 1.00 8.00 X 0 0 0 MICHELE GANGE MDRES1116 DIRECTOR 1.00 8.00 X 0 34000 0 KENT W GLADDING DIRECTOR 1.00 9.00 X 0 0 0 WILLIAM M KAPOS DIRECTOR 1.00 8.00 X 0 0 0 DIANE LIPSCOMBE PHD DIRECTOR 1.00 8.00 X 0 0 0 SUSANNA MAGEE MDRES0316 DIRECTOR 1.00 63.00 X 0 107278 961 JOSEPH J MCGAIR ESQ DIRECTOR 1.00 8.00 X 0 0 0 PATRICK J MURRAY JR DIRECTOR 1.00 8.00 X 0 0 0 ROBERT G PADULARES0216 DIRECTOR 1.00 9.00 X 0 0 0 JASON B BOUDJOUK MD DIRECTOR 1.00 8.00 X 0 703 0 MARIBETH WILLIAMSON DIRECTOR 1.00 9.00 X 0 0 0 LOUIS MARINO MD DIRECTOR 1.00 64.00 X 0 286983 47651 LISA D BOYLE MD DIRECTOR 1.00 8.00 X 0 0 0 ALYSSA V BOSS ESQ ASSISTANT SECRETARY 1.00 63.00 X 0 410306 79299 JOSEPH IANNONI ASSISTANT TREASURER 1.00 63.00 X 0 547548 215783 JOHN M SUTHERLAND III FORMER - SVP/CFO/CNE 0.00 0.00 X 0 168565 3825 0 3829705 455758 0 1 1 0 0 18418 18418 1052776 1052776 605004 0 605004 605004 605004 3611247 0 3611247 3611247 3611247 5287445 605004 0 4664023 12258895 12258895 289096 289096 73000 73000 6820 6820 12627811 12338715 289096 0 -1 8736192 9255825 0 42562 5824629 4972539 858909 852090 71892119 69094754 81487220 79245230 17266 0 69124 0 86390 0 X 81400830 79245230 81400830 79245230 81487220 79245230 -7340366 5184766 0 X X 0 1 X 1 0 X X 1 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 050258937 3 1 12338715 0 1 12338715 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3; SECTION E, LINE 3A; SECTION E, L WOMEN & INFANTS CORPORATION (WIC) IS THE SOLE MEMBER OF WOMEN & INFANTS HOSPITAL (WIH). CARE NEW ENGLAND HEALTH SYSTEM (CNE) IS THE SOLE MEMBER OF WIC. CNE HAS THE ULTIMATE AUTHORITY TO ELECT THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. X X BEAUTIFICATION 0 71335643 1219026 9848565 13576084 289096 68538054 64711161 295524 6585388 256430 71335643 65763762 2959877 -3763614 248864 64711161 49717797 12812755 3463733 4540 225983 65763762 38000655 8400948 3751959 223355 212410 49717797 1.00000 0 0 852090 852090 4972539 4972539 0 852090 BOARD DESIGNATED FUNDS 68633402 F OTHER ASSETS - LT 461352 F 69094754 PART V, LINE 4: THE ORGANIZATION'S BOARD DESIGNATED ENDOWMENT FUND IS DESIGNATED FOR THE SUPPORT OF WOMEN & INFANTS HOSPITAL. SCHEDULE D DESCRIPTION OF ART SCHEDULE D PART III: THE ART WORK HAS BEEN DONATED TO THE ORGANIZATION OR PURCHASED WITH FUNDS THAT WERE SPECIFICALLY DONATED FOR THE PURCHASE OF ART WORK. THE ART WORK IS DISPLAYED AROUND WOMEN & INFANTS HOSPITAL OF RHODE ISLAND FOR THE ENJOYMENT OF PATIENTS, VISITORS AND EMPLOYEES. SCHEDULE D, PART X, LINE 2: TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE THE ORGANIZATION IS AN AFFILIATE OF 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 BIG FOUR 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, 2017 AND SEPTEMBER 30, 2016, 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, 2017 AND CONCLUDED THAT THE ESTIMATED LIABILITY WAS NOT MATERIAL TO THE ORGANIZATION'S FINANCIAL STATEMENTS. 1 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 300 RICHMOND STREET PROVIDENCE RI 02903 050258937 501(C)(3) 12258895 HOSPITAL SUPPORT PART I, LINE 2: SUPPORTED ORGANIZATION 1 1 0 0 0 0 1 1 0 DENNIS D KEEFE DIRECTOR/PRESIDENT/CEO 0 898135 0 200000 0 176122 0 23850 0 24116 0 1322223 0 0 DENISE ARCAND MDRES0217 DIRECTOR 0 148893 0 8094 0 540338 0 10758 0 17044 0 725127 0 0 SUSAN KELLY MD DIRECTOR 0 280521 0 0 0 19622 0 21200 0 11271 0 332614 0 0 LOUIS MARINO MD DIRECTOR 0 286353 0 0 0 630 0 23850 0 23801 0 334634 0 0 ALYSSA V BOSS ESQ ASSISTANT SECRETARY 0 342778 0 33027 0 34501 0 55356 0 23943 0 489605 0 0 JOSEPH IANNONI ASSISTANT TREASURER 0 504710 0 0 0 42838 0 192251 0 23532 0 763331 0 0 JOHN M SUTHERLAND III FORMER - SVP/CFO/CNE 0 0 0 0 0 168565 0 0 0 3825 0 172390 0 0 PART I, LINES 4A-B OTHER COMPENSATION IN COLUMN B(III) FOR JOHN M. SUTHERLAND III INCLUDES A SEVERANCE PAYMENT OF $168,565. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE WAGES: ALYSSA BOSS, ESQ. $37,351; JOSEPH IANNONI $179,001. PART I, LINE 6 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. PART I, LINE 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2016 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2016 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. FORM 990, PART VII & SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2016 FORMS W-2 AND 1099 (IF APPLICABLE). AS NOTED ON PART VII, WOMEN & INFANTS CORPORATION, THE REPORTING ORGANIZATION, HAS NO EMPLOYEES. THEREFORE, THE ORGANIZATION IS REPORTING PAY AND POLICIES OF WOMEN & INFANTS HOSPITAL OF RHODE ISLAND AND CARE NEW ENGLAND HEALTH SYSTEM AFFILIATES. FORM 990, PART VI, SECTION A, LINE 6 CARE NEW ENGLAND HEALTH SYSTEM HAS CORPORATE GOVERNANCE OVER WOMEN & INFANTS CORPORATION AND IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A CARE NEW ENGLAND HEALTH SYSTEM, AS THE SOLE CORPORATE MEMBER, CAN ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B CARE NEW ENGLAND HEALTH SYSTEM, AS THE SOLE CORPORATE MEMBER, HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL 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 VARIOUS INDIVIDUALS RELATED TO THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. DURING THAT PROCESS THE FEDERAL FORM 990 IS PROVIDED TO CERTAIN MEMBERS OF MANAGEMENT FOR REVIEW. A COMPLETE AND ACCURATE COPY OF THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C WOMEN & INFANTS CORPORATION HAS ADOPTED AND FOLLOWS CARE NEW ENGLAND HEALTH SYSTEM'S CONFLICT OF INTEREST POLICY. 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 A DIRECTOR DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE DIRECTOR'S POTENTIAL CONFLICT IS REFERRED TO THE BOARD OR THE COMMITTEE, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE DIRECTOR'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES THAT MAY COME BEFORE THE BOARD. AFTER CONSULTATION WITH COUNSEL, THE COMMITTEE WILL TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 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 EXECUTIVES AND KEY PHYSICIANS IN CONJUNCTION WITH THE WIH PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE COMMITTEE AT ALL TIMES CONDUCTS ITSELF FREE FROM EXECUTIVE MANAGEMENT IN ITS DECISION MAKING PROCESS EXCEPT WITH RESPECT TO DECISIONS RELATING TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER WHICH ARE MADE IN CONJUNCTION WITH THE CARE NEW ENGLAND HEALTH SYSTEM CHIEF EXECUTIVE OFFICER. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE 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 DEMOGRAPHICS MARKET DATA, INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, NUMBER 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 WERE 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 ALSO REVIEWED BY THE CARE NEW ENGLAND HEALTH SYSTEM COMPENSATION COMMITTEE. IN ADDITION, THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 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 PERFOMANCE FEEDBACK MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 WOMEN & INFANTS CORPORATION'S CORPORATE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY MAIL UPON WRITTEN REQUEST. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME OR PART-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE OF 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 THE TOP LINE OF PART VII, COLUMN B OF THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS 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 ONE HOUR. THE HOURS REFLECTED ON THE BOTTOM LINE OF PART VII, COLUMN B 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. FORM 990, PART XII, LINE 2: AUDITED FINANCIAL STATEMENTS THE ORGANIZATION IS AN AFFILIATE OF 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 BIG FOUR 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, 2017 AND SEPTEMBER 30, 2016, RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATED SCHEDULES BY ENTITY. AN UNQUALIFIED 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. BUTLER HOSPITAL 345 BLACKSTONE BLVD PROVIDENCE RI 02906 050258812 HEALTHCARE RI 501(C)(3) HOSPITAL CNE 0 CARE NEW ENGLAND HEALTH SYSTEM 45 WILLARD AVENUE PROVIDENCE RI 02905 050490997 HEALTHCARE RI 501(C)(3) 509(A)(3) N/A 0 HEALTHTOUCH INC 51 HEALTH LANE WARWICK RI 02886 050514949 HEALTHCARE RI 501(C)(3) 509(A)(2) KCVNA 0 KENT HOSPITAL FOUNDATION 455 TOLL GATE ROAD WARWICK RI 02886 050514640 SUPPORT ORG RI 501(C)(3) 509(A)(3) KCMH 0 KENT COUNTY MEMORIAL HOSPITAL 455 TOLL GATE ROAD WARWICK RI 02886 050258896 HEALTHCARE RI 501(C)(3) HOSPITAL CNE 0 KENT COUNTY VNA DBA VNA OF CNE 51 HEALTH LANE WARWICK RI 02886 050242659 HEALTHCARE RI 501(C)(3) 509(A)(2) CNE 0 WIH FACULTY PHYSICIANS INC 67 BRIGHAM STREET NEW BEDFORD MA 02740 043579432 HEALTHCARE MA 501(C)(3) 509(A)(2) WIH 0 WOMAN & INFANTS DEVELOPMENT FOUNDATION 300 RICHMOND STREET PROVIDENCE RI 02903 222885815 HEALTHCARE RI 501(C)(3) 509(A)(3) WIC 1 WOMAN & INFANTS HOSPITAL OF RHODE ISLAND 300 RICHMOND STREET PROVIDENCE RI 02903 050258937 HEALTHCARE RI 501(C)(3) HOSPITAL WIC 1 BUTLER HOSPITAL FOUNDATION 345 BLACKSTONE BLVD PROVIDENCE RI 02906 454530540 SUPPORT ORG RI 501(C)(3) 509(A)(2) BH 0 SOUTHEASTERN HEALTHCARE SYSTEM INC 111 BREWSTER STREET PAWTUCKET RI 02860 061476858 HEALTHCARE RI 501(C)(3) 509(A)(3) CNE 0 THE MEMORIAL HOSPITAL 111 BREWSTER STREET PAWTUCKET RI 02860 050259004 HEALTHCARE RI 501(C)(3) HOSPITAL SEHCS 0 BLACKSTONE HEALTH INC 420 MAIN STREET PAWTUCKET RI 02860 050457007 HEALTHCARE RI 501(C)(3) 509(A)(1) SEHCS 0 SHS VENTURES INC 111 BREWSTER STREET PAWTUCKET RI 02860 050510341 HEALTHCARE RI 501(C)(3) 509(A)(2) TMH 0 THE MEMORIAL HOSPITAL FOUNDATION 111 BREWSTER STREET PAWTUCKET RI 02860 463246618 HEALTHCARE RI 501(C)(3) 509(A)(3) TMH 0 VNA OF CARE NEW ENGLAND FOUNDATION 51 HEALTH LANE WARWICK RI 02860 462293974 SUPPORT ORG RI 501(C)(3) 509(A)(3) KCVNA 0 GRANDVIEW REALTY CORPORATION 528 NORTH MAIN STREET PROVIDENCE RI 02904 050384362 TITLE HOLDING RI 501(C)(3) 509(A)(2) TPC 0 GRANDVIEW SECOND CORPORATION 528 NORTH MAIN STREET PROVIDENCE RI 02904 222812929 TITLE HOLDING RI 501(C)(3) 509(A)(2) TPC 0 NASHUA STREET CORPORATION 528 NORTH MAIN STREET PROVIDENCE RI 02904 050509674 TITLE HOLDING RI 501(C)(3) 509(A)(2) TPC 0 TPC SOCIAL VENTURES INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 050441980 TRAINING RI 501(C)(3) 509(A)(2) TPC 0 WILSON STREET APARTMENTS 528 NORTH MAIN STREET PROVIDENCE RI 02904 050520857 TITLE HOLDING RI 501(C)(3) 509(A)(2) TPC 0 THE PROVIDENCE CENTER INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 050316969 HEALTHCARE RI 501(C)(3) 509(A)(2) CNE 0 STANDARD REALTY 528 NORTH MAIN STREET PROVIDENCE RI 02904 222479719 INACTIVE RI 501(C)(3) 509(A)(2) TPC 0 W & I INDEMNITY LTD 23 LIME TREE BAY AVE PO BOX 1051 K GRAND CAYMAN CAYMAN ISLANDS CJ 980159342 FINANCIAL VEHICLE CJ WIH C 0 TOLL GATE INDEMNITY LTD 23 LIME TREE BAY AVE PO BOX 1051 K GRAND CAYMAN CAYMAN ISLANDS CJ 342028514 FINANCIAL VEHICLE CJ KCMH C 0 BOULEVARD MEDICAL CONDO ASSOCIATION 111 BREWSTER STREET PAWTUCKET RI 02860 050497862 REAL ESTATE RI N/A C 0 PRIMARY CARE CENTER OF NEW ENGLAND INC 111 BREWSTER STREET PAWTUCKET RI 02860 050423957 HEALTHCARE SERVICES RI N/A C 0 CONTINUUM BEHAVIORAL HEALTH INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 462853067 HEALTHCARE SERVICES RI N/A C 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND (RENT) A 605004 COST WOMEN & INFANTS HOSPITAL OF RHODE ISLAND (ACCOUNTING SERVICES) L 73000 COST