2017-08-14T12:33:19-05:00 2016-09-30 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2015-10-01 050258937 WOMEN & INFANTS HOSPITAL OF RI % KATHY TOPOR WOME 4019217602 101 DUDLEY STREET PROVIDENCE RI 02905 JOSEPH IANNONI CFO 4019217602 2017-08-09 true Scott J Mariani P00642486 9738989494 2015 2021-01-29 14:40:06Z MARK R MARCANTANO 101 DUDLEY STREET PROVIDENCE RI 02905 511146509 false X WWW.WOMENANDINFANTS.ORG X 1884 RI THE ORGANIZATION IS A TEACHING HOSPITAL COMMITTED TO CONTINUALLY IMPROVE THE HEALTH & WELL-BEING OF WOMEN & INFANTS & PROVIDE ESSENTIAL SERVICES REGARDLESS OF ABILITY TO PAY. 24 16 2854 579 0 2644413 10040636 462705946 499029999 1519151 -1104547 1344000 1012102 468213510 508978190 49300 26554 0 0 253173669 255163247 0 0 0 208622614 232879039 461845583 488068840 6367927 20909350 346057578 310217336 159388207 89879060 186669371 220338276 X WOMEN & INFANTS HOSPITAL OF RHODE ISLAND, A TEACHING HOSPITAL OF THE WARREN ALPERT SCHOOL OF MEDICINE AT BROWN UNIVERSITY, IS COMMITTED TO IMPROVING THE HEALTH AND WELL BEING OF WOMEN AND INFANTS AND TO PROVIDING ESSENTIAL SERVICES REGARDLESS OF ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 439264612 26554 499029999 THE HOSPITAL IS THE REGIONAL CENTER FOR WOMEN AND INFANTS HEALTHCARE IN RHODE ISLAND AND ENVIRONS, PROVIDING CARE IN THE AREAS OF OBSTETRICS, NEONATAL INTENSIVE CARE, REPRODUCTIVE ENDOCRINOLOGY, MATERNAL FETAL MEDICINE AND GYNECOLOGY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 439264612 true true true true false false false false false true true false true false true false false true false true true false false false true false true true true false true false false false false false false true false false false false false true true true true false false true 0 0 2854 true false true CJ false false false true true false false false false X 24 16 true true false false true true true true true false false true true true true true true true true false MA X KATHY TOPOR 4019217602 171 SERVICE AVENUE BLDG 2 WARWICK RI 02886 X CHARLES R REPPUCCI ESQ CHAIRMAN - DIRECTOR 1.0 0.0 X X 0 0 0 CYNTHIA B PATTERSON VICE CHAIR/SEC - DIRECTOR 1.0 0.0 X X 0 0 0 DOUGLAS JACOBS TREASURER - DIRECTOR 1.0 0.0 X X 0 0 0 DENISE M ARCAND MD DIRECTOR 55.0 0.0 X 0 164036 26594 JAMES BOTVIN DIRECTOR 1.0 0.0 X 0 0 0 MARIO BUENO DIRECTOR 1.0 0.0 X 0 0 0 ALLEN H CICCHITELLI DIRECTOR 1.0 0.0 X 0 0 0 SHARON CONRAD-WELLS DIRECTOR 1.0 0.0 X 0 0 0 ESTHER EMARD DIRECTOR 1.0 0.0 X 0 0 0 ROBERT G FLANDERS JR ESQ DIRECTOR 1.0 0.0 X 0 0 0 GARY E FURTADO DIRECTOR 1.0 0.0 X 0 0 0 JOHN R GALVIN DIRECTOR 1.0 0.0 X 0 0 0 MICHELLE GANGE MD DIRECTOR 10.0 0.0 X 0 4250 0 KENT W GLADDING DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM M KAPOS DIRECTOR 1.0 0.0 X 0 0 0 DENNIS D KEEFE DIRECTOR - PRESIDENT/CEO/CNE 55.0 0.0 X X 0 1036066 46415 DIANE LIPSCOMBE PHD DIRECTOR 1.0 0.0 X 0 0 0 SUSANNA MAGEE MD DIRECTOR 55.0 0.0 X 0 197840 20616 LOUIS J MARINO MD DIRECTOR 55.0 0.0 X 0 295837 47775 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 ROBERT G PADULA DIRECTOR 1.0 0.0 X 0 0 0 GEORGE W SHUSTER DIRECTOR 1.0 0.0 X 0 2236 0 MARIBETH WILLIAMSON DIRECTOR 1.0 0.0 X 0 0 0 ALYSSA V BOSS ESQ ASST SEC/SVP & GENERAL COUNSEL 55.0 0.0 X 0 374167 71978 F JOSEPH IANNONI ASST. TREAS./SVP/CFO/CNE 55.0 0.0 X 0 480583 83987 MARK R MARCANTANO PRESIDENT/COO 55.0 0.0 X 673215 0 97328 CONSTANCE A HOWES JD FACHE EXECUTIVE VP WOMEN'S HEALTH 55.0 0.0 X 621538 0 33128 RAYMOND O POWRIE MD SENIOR VICE PRESIDENT-QUALITY 55.0 0.0 X 593747 0 30674 GAIL COSTA SR VP - PLANNING CNE 55.0 0.0 X 0 313103 44280 ROBERT M INSOFT SR VP-QUAL&CLIN EFF(EFF 11/1) 55.0 0.0 X 333297 0 35641 ANGELLEEN R PETERS-LEWIS SR VP - PATIENT CARE SERVICES 55.0 0.0 X 270081 0 33818 MATTHEW J QUIN SR VP-PAT CARE (EFF 11/9/15) 55.0 0.0 X 174485 0 37146 CORNELIUS O GRANAI MD VICE PRESIDENT 55.0 0.0 X 562524 0 23599 MAYBELLE A KERNAN VP MKTG & PUBLIC RELATIONS 55.0 0.0 X 0 246049 46713 PAUL F HEFFERNAN VP - HUMAN RESOURCES 55.0 0.0 X 0 226039 38541 ROBERT W PACHECO VP - FINANCE (TERM 1/15/16) 55.0 0.0 X 0 207294 35253 DAVID DUNCAN VP-PROP&INSTR SUPP(EFF 8/3/15) 55.0 0.0 X 0 86014 14361 MICHAEL CULLEN VP - FINANCE (EFF 4/1/16) 55.0 0.0 X 0 0 0 MAUREEN G PHIPPS MD CHIEF OF OB/GYN 55.0 0.0 X 615774 0 24577 PAUL DISILVESTRO MD PHYSICIAN 55.0 0.0 X 524976 0 40793 WILLIAM D LAWRENCE MD PHYSICIAN 55.0 0.0 X 491089 0 25127 GARY G WHARTON MD MEDICAL DIR SURGICAL SERVICES 55.0 0.0 X 486701 0 29043 ROBERT D LEGARE MD MEDICAL ONCOLOGIST 55.0 0.0 X 486098 0 40522 JOHN M SUTHERLAND III FORMER OFFICER 0.0 0.0 X 0 583359 6800 KAREN A DAVIE FORMER OFFICEr 0.0 0.0 X 0 333898 42030 JOSEPH RODA FORMER OFFICER 0.0 0.0 X 0 130134 31663 5833525 4680905 1008402 398 true true false 0 X 319258 9721378 11882 10040636 NET PATIENT SERVICE REVENUE 541900 449860720 449860720 OTHER HEALTHCARE RELATED REVENUE 541900 49169279 49169279 499029999 338907 338907 0 0 390433 474308 -83875 0 -83875 -83875 1414787 28668 -1414787 -28668 -1443454 -1443454 225945 319258 250556 -24611 -24611 0 0 CAFETERIA REVENUE 900099 793341 793341 PARKING REVENUE 452000 136411 136411 GIFT SHOP REVENUE 812930 50000 50000 140836 140836 1120588 508978190 499029999 -92445 26554 26554 0 0 0 4316208 3884587 431621 0 187586971 168828274 18758697 5405882 4865294 540588 44607496 40146746 4460750 13246690 11922021 1324669 0 0 0 0 0 0 4077552 3669797 407755 0 115409 103868 11541 3549971 3194974 354997 9354 8419 935 0 11895549 10705994 1189555 472988 425689 47299 0 0 2003229 1802906 200323 0 12713570 11442213 1271357 12508471 11257624 1250847 PURCHASED SERVICES 93970147 84573132 9397015 0 MEDICAL SUPPLIES 50491512 45442361 5049151 0 LICENSURE FEE 23469196 21122276 2346920 0 RESEARCH EXPENSES 10255037 9229533 1025504 0 7347054 6612350 734704 488068840 439264612 48804228 0 X 4950 5250 84065646 58061477 308476 148303 63379777 56856493 0 0 0 0 62826 32836 3111439 3035429 1984481 1389205 355222916 227747317 138027012 127475599 0 0 0 0 43613508 49962736 0 0 11499463 13250008 346057578 310217336 50998618 42682667 0 0 3276540 5430557 0 0 0 0 0 0 0 0 0 0 105113049 41765836 159388207 89879060 X 171938193 197764817 10481686 11491383 4249492 11082076 186669371 220338276 346057578 310217336 X 20909350 3294462 9465093 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 false false false false false false false false true 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, PAYS DUES TO VARIOUS MEMBERSHIP ORGANIZATIONS ON BEHALF OF THE TAX-EXEMPT HOSPITALS WITHIN THE SYSTEM; INCLUDING THIS ORGANIZATION. THIS AMOUNT CAN BE REVIEWED ON THE FORM 990 FILED BY CARE NEW ENGLAND HEALTH SYSTEM. 8337523 6627046 1383088 706688 93164 15547805 9119930 -514432 267975 8337523 8907591 0 589791 377452 9119930 8426166 106415 846615 423810 47795 8907591 7333101 7500 1234048 106522 41961 8426166 1.00000 false false 3244245 3244245 197610302 99685100 97925202 20833189 12181077 8652112 133311836 115874406 17437430 223344 6734 216610 127475599 ENDOWMENT FUNDS 15517705 F BOARD DESIGNATED FUNDS 23293064 F SELF-INSURANCE FUNDS 10584798 F TRUSTEE-HELD FUNDS 2842 F OTHER ASSETS - LT 564327 F 49962736 0 DUE TO AFFILIATES 1758116 ESTIMATED 3RD PARTY PAYOR STLM 16283027 PENSION PAYABLE 16584102 OTHER LIABILITIES - LT 580042 RESERVE FOR LOSSES 6560549 41765836 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, 2016 AND SEPTEMBER 30, 2015; 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, 2016 AND CONCLUDED THAT THE ESTIMATED LIABILITY WAS NOT MATERIAL TO THE ORGANIZATION'S FINANCIAL STATEMENTS. Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 13872941 1 1 1 1 13872941 13872941 true false true false false false SIGNATURE EVENT 503530 313980 189550 58026 131524 TICKLED PINK 29935 29935 29901 24645 1 11738 5278 6460 3097 3363 545203 319258 225945 91024 159532 250556 -24611 101 DUDLEY STREET PROVIDENCE RI 02905 true true X true X true X true true true false false 5292605 3014514 2278091 0.00470 157286053 120604657 36681396 0.07520 418921 173199 245722 0.00050 162997579 123792370 39205209 0.08040 1115414 445937 669476 0.00140 20595902 48054 20547848 0.04210 9544775 9083739 461036 0.00090 26554 26554 0.00010 31282645 9577730 21704914 0.04450 194280224 133370100 60910123 0.12490 true 10542149 3289150 25352065 23200839 2151226 X true true 1 1 WOMEN & INFANTS HOSPITAL OF RI 101 DUDLEY STREET PROVIDENCE RI 02905 WWW.WOMENANDINFANTS.ORG HOS00126 X X X X X 1 WOMEN & INFANTS HOSPITAL OF RI 1 false false true X X X X X X X X 15 true true true true X WWW.WOMENANDINFANTS.ORG X WWW.CARENEWENGLAND.ORG X true 15 true WWW.WOMENANDINFANTS.ORG false true X 200. 300. X X X true true X X X true X WWW.WOMENANDINFANTS.ORG X WWW.WOMENANDINFANTS.ORG X WWW.WOMENANDINFANTS.ORG X X X X true X false X X X X true X false false SCH H, PART V, SEC B, Q'S 3J,7D,13B,13H,15E,16I,18D,19D,20E,21C,21D,23&24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 5 The COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) included wide participation of public health experts and representatives of medically underserved, low income, and minority populations. The RI Department of Health (DOH) and Health Equity Zone (HEZ) partners were included throughout the process to collect insights and proved access to underserved populations. Partner Forums which included more than 40 participants were held in Providence and Pawtucket. Input from these forums was used to develop priorities for the plan. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B Care New England Health System (CNE) participated in a statewide Community Health Needs Assessment, led by the Hospital Association of Rhode Island (HARI), and its member hospitals (Our Lady of Fatima Hospital, Roger Williams Medical Center, Landmark Medical Center, South County Hospital and The Westerly Hospital). HARI CHNA partners jointly conducted a prioritization to identify key statewide community health needs. Care New England Health System's hospitals: Butler Hospital, Kent Hospital, Memorial Hospital of Rhode Island, and Women & Infants Hospital identified system priorities and developed a system-wide Implementation Plan which aligned with the prioritized statewide health issues. Each hospital also CONDUCTED its own Needs Assessment. SCHEDULE H, PART V, SECTION B, QUESTION 7b The organization is an affiliate within Care New England Health System; a tax-exempt integrated healthcare delivery system ("system"). Due to character limitationS, the website listed in Part V, Section B, Question 7b, is the home page for the system. The CHNA can be accessed at the following page included in the systems Website: http://www.carenewengland.org/about/upload/women-Infants-hospital-final-20 16.pdf SCHEDULE H, PART V, SECTION B, QUESTION 11 The HARI CHNA Steering Committee correlated quantitative and qualitative data from the 2016 CHNA and compared with findings from the 2013 CHNA and RI DOH Community Health Improvement Plan to define statewide health priorities. In line with the 2013 CHNA and the RI DOH, the following community health issues were identified as priorities across the state. - Behavioral Health; - Chronic Disease: Diabetes & Heart Disease; AND - Maternal & Child Health. Care New England adopted the following priorities and assigned executive sponsors for each of the statewide goals. Behavioral Health - Prevent opioid use addiction and opioid addiction in conjunction with other substances; AND - Decrease morbidity and mortality from opioid use and opioid use with other substances. Chronic Disease: Diabetes - Reduce the number of new cases of diabetes; AND - Decrease morbidity and mortality from type 2 diabetes and diabetes-related conditions. Maternal and Child Health - Increase health pregnancies and improve birth outcomes for at-risk mothers and babies; AND - Reduce the disparity in prenatal care, preterm births, low birthweight, and infant mortality among at-risk black/African American families. SCHEDULE H, PART V, SECTION B, QUESTION 22D The facility has a longstanding policy of providing uninsured patients a 30% discount from charges. This percentage was an approximation of the average payment rates for nongovernmental payors across the system. Additional discounts are provided for advance or prompt payments. 27 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 1 BLACKSTONE PLACE PROVIDENCE RI 02903 MEDICAL WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 70 ELM STREET PROVIDENCE RI 02905 HOSPITAL LABORATORY WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 11 WELLS STREET WESTERLY RI 02891 PHYSICIAN PRACTICE WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 2 DUDLEY STREET PROVIDENCE RI 02905 MEDICAL OFFICE BUILDING WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 90 PLAIN STREET PROVIDENCE RI 02903 PHYSICIAN PRACTICE WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 79 PLAIN STREET PROVIDENCE RI 02903 MEDICAL WOMEN & INFANTS HOSPITAL OF RHODE ISLAND ONE RANDALL SQUARE PROVIDENCE RI 02904 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 373 NEW BOSTON ROAD FALL RIVER MA 02724 MEDICAL/PHYSICIAN OFFICES WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 695 EDDY STREET PROVIDENCE RI 02903 MEDICAL, UROGYNECOLOGY & LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 235 PLAIN STREET PROVIDENCE RI 02905 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 407 EAST AVENUE PAWTUCKET RI 02860 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 1050 MAIN STREET UNIT A B EAST GREENWICH RI 02818 MEDICAL OFFICE BUILDING & HEALTH EDUCATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 2168 DIAMOND HILL ROAD WOONSOCKET RI 02895 MEDICAL OFFICE BUILDING & HEALTH EDUCATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 18 IMPERIAL PLACE SUITE 2G PROVIDENCE RI 02903 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 49 SOUTH COUNTY COMMONS WAY WAKEFIELD RI 02879 MEDICAL OFFICE BUILDING & HEALTH EDUCATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 1407 SOUTH COUNTY TRAIL EAST GREENWICH RI 02818 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 11 WELLS STREET WESTERLY RI 02891 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 2358 SOUTH COUNTY TRAIL 2 EAST GREENWICH RI 02818 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 38 AMARAL STREET EAST PROVIDENCE RI 02915 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 1637 MINERAL SPRING AVENUE NORTH PROVIDENCE RI 02904 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 215 TOLL GATE ROAD WARWICK RI 02886 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 725 RESERVOIR AVENUE CRANSTON RI 02920 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 2220 GAR HIGHWAY SWANSEA MA 02777 MEDICAL OFFICE BUILDING WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 333 VALLEY ROAD MIDDLETOWN RI 02842 ALTERNATIVE CARE OFFICE WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 200 TOLL GATE ROAD SUITE 101 WARWICK RI 02886 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 2213 MENDON ROAD WOONSOCKET RI 02895 LAB DRAWING STATION WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 6 WHIPPLE STREET NORTH ATTLEBORO MA 02760 MEDICAL OFFICE BUILDING & HEALTH EDUCATION SCHEDULE H, PART I, LINE 3C NOT APPLICABLE. SCHEDULE H, PART I, LINE 6A NOT APPLICABLE. SCHEDULE H, PART I, LINE 7G No costs relating to subsidized healthcare services are attributable to any physician clinics. SCHEDULE H, PART I, LINE 7 WORKSHEET 2, "RATIO OF PATIENT CARE COST-TO-CHARGES" WAS USED TO COMPLETE THE COST-TO-CHARGE RATIO USED IN PART 1, LINE 7, utilizing datA from the financiaL STATEMENTS AND MEDICARE COST REPORT FOR FY 2016. SCHEDULE H, PART II Women & infants hospital of rhode island has direct involvement in numerous community building activities that promote and improve the health status and general betterment of the communities served by the hospital. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. SCHEDULE H, PART III, SECTION A, LINE 4 PROVISION FOR BAD DEBT WAS CALCULATED USING THE ORGANIZATION'S BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (PROVISION FOR BAD DEBT) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. Allowance for Doubtful Accounts Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Health System analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Health System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Health System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay a portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. CHARITY CARE THE HEALTH SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THEIR CHARITY CARE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE THE HEALTH SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT REVENUE. SCHEDULE H, PART III, SECTION B; QUESTION 8 The inpatient medicare allowable costs were determined from the submitted fy 2016 medicare cost report, worksheet d-1, line 49. Worksheet d-1, line 49 does not include direct gme costs. The outpatient allowable costs come from worksheet e, part b. medicare underpayments and Bad debt is community benefit and associated costs are includable on the form 990, schedule h, part i. the organization did not include medicare underpayments (shortfall) and bad debt in the calculation of their community benefit percentage. however, The organization feels that medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin or ability to pay and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable", a regulation promulgated by the department of the treasury provides some guidance and states that "[t]he term charitable is used in 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "remove[d]" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. The organization believes that medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. The american hospital association ("aha") feels that medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position. As outlined in the aha letter to the irs dated august 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the aha felt that the irs should incorporate the full value of the community benefit that hospitals provide by counting medicare underpayments (shortfall) as quantifiable community benefit for the following reasons. - providing care for the elderly and serving medicare patients is an essential part of the community benefit standard. - medicare, like medicaid, does not pay the full cost of care. Recently, medicare reimburses hospitals only 92 cents for every dollar they spend to take care of medicare patients. The medicare payment advisory commission ("medpac") in its march 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - many medicare beneficiaries, like their medicaid counterparts, are poor. More than 46 percent of medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those medicare beneficiaries are also eligible for medicaid -- so called eligibles." There is every compelling public policy reason to treat medicare and medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, schedule h, part i. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the aha and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. Like medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with income below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary SCHEDULE H, PART III, SECTION C; QUESTION 9B Women & infants hospital of rhode island does not pursue collection for those patients who qualify for 100% financial assistance, but our normal collection policy would apply for patients receiving partial financial assistance (discounted by reason of income/assets on the fpg between 200% and 300%) or facing extreme hardships. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN FORM 990, SCHEDULE H, PART V, SECTION B, CARE NEW ENGLAND HEALTH SYSTEM CONDUCTS A REVIEW OF KEY MARKET FACTORS FOR WOMEN & INFANTS HOSPITAL OF RI ANNUALLY WHICH INCLUDES: THE ORGANIZATION CONTINUALLY REVIEWS AND EVALUATES CURRENT AND PROPOSED PROGRAMS TO ENSURE THAT PROGRAMS OFFERING THE MOST BENEFIT WILL CONTINUE TO BE SUPPORTED BY THE HOSPITAL. THE HOSPITAL ALIGNS ITS COMMUNITY PROGRAMS IN SUPPORT OF THE RHODE ISLAND DEPARTMENT OF HEALTH HEALTHY PEOPLE 2010 INITIATIVES: OBJECTIVE 2: OVERWEIGHT AND OBESITY, OBJECTIVE 3: TOBACCO USE, OBJECTIVE 9: IMMUNIZATION AND OBJECTIVE 10: ACCESS TO HEALTHCARE. THESE WILL BE UPDATED WITH NEW STATEWIDE GUIDELINES DUE OUT LATER THIS YEAR. PLEASE REFER TO SCHEDULE O FOR A DETAILED COMMUNITY BENEFIT STATEMENT. SCHEDULE H, PART VI, QUESTION 3 As a not for-profit entity, women & infants hospital of rhode island's first consideration in the admission and placement or treatment of any patient is the patient's medical needs. Some patients hesitate to obtain necessary care because of their financial concerns. A notice of financial aid appears on all statements sent to patients. Also, it is prominently posted in the patient assessment department, admission areas, outpatient care areas and on the organization's website. Also, the notice is available in the three most common languages used by the patient population in accordance with the applicable "standards for culturally and linguistically appropriate services in healthcare" (standards 4 and 7, based on title vi of the civil rights act of 1964). Uninsured and underinsured patients are counseled at the point of service or during the billing process about any federal, state or local programs that they may be eligible for, and assistance with applications is also provided. SCHEDULE H, PART VI, QUESTION 4 Women & Infants HOSPITAL OF RHODE ISLAND'S primary service area consists OF A SUBURBAN POPULATION IN PROVIDENCE, RHODE ISLAND WITH A TOTAL POPULATION OF 178,042. THE AVERAGE HOUSEHOLD INCOME IS $36,925 AND 26.3 PERCENT OF THE POPULATION HAS INCOME BELOW THE POVERTY LEVEL. TWENTY FOUR HOSPITALS SERVE THE PRIMARY SERVICE AREA AND A SIGNIFICANT PERCENT OF HOSPITAL DISCHARGES ARE MEDICARE, MEDICAID AND UNINSURED PATIENTS. AS OF THE 2010 AMERICAN COMMUNTIY SURVEY CONDUCTED BY THE U.S. CENSUS BUREAU, PROVIDENCE CONSISTED OF THE FOLLOWING GROUPS: 37.6% OF THE POPULATION WERE CAUCASIAN, 38.1% OF THE POPULATION WERE HISPANICS AND LATINOS OF ANY RACE AND 13.1% WERE BLACK OR AFRICAN AMERICANS. SCHEDULE H, PART VI; QUESTION 5 The organization and the entire care new england health system promote the health of the community on a daily basis throughout the year. The system coordinates and offers numerous community benefit programs, activities and support groups to the community. Please refer to schedule o for a detailed community benefit statement. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE CARE NEW ENGLAND HEALTH SYSTEM. NOT FOR-PROFIT CARE NEW ENGLAND HEALTH SYSTEM ENTITIES: CARE NEW ENGLAND HEALTH SYSTEM CARE NEW ENGLAND HEALTH SYSTEM IS THE TAX-EXEMPT PARENT OF THE CARE NEW ENGLAND HEALTH SYSTEM ("CNE"). THIS TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THIS ORGANIZATION IS THE SOLE MEMBER OR STOCKHOLDER OF EACH AFFILIATED ENTITY. CNE IS AN INTEGRATED SYSTEM OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF RHODE ISLAND. CARE NEW ENGLAND HEALTH SYSTEM IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AS THE PARENT ORGANIZATION, CARE NEW ENGLAND HEALTH SYSTEM STRIVES TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF HEALTHCARE SERVICES TO THE RESIDENTS OF RHODE ISLAND AND SURROUNDING COMMUNITIES. CARE NEW ENGLAND HEALTH SYSTEM ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. CNE'S ACTIVE HOSPITALS INCLUDE BUTLER HOSPITAL, WOMEN & INFANTS HOSPITAL OF RHODE ISLAND, KENT COUNTY MEMORIAL HOSPITAL AND THE MEMORIAL HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH THE COMMON BOARD OF DIRECTORS OF CARE NEW ENGLAND HEALTH SYSTEM. THE BOARD IS COMPRISED OF A MAJORITY 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. BUTLER HOSPITAL BUTLER HOSPITAL IS A 117-BED NON-PROFIT PRIVATE, NON-PROFIT PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITAL FOR ADULTS, ADOLESCENTS, CHILDREN, AND SENIORS LOCATED IN PROVIDENCE, RHODE ISLAND. BUTLER HOSPITAL IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, BUTLER HOSPITAL OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. KENT COUNTY MEMORIAL HOSPITAL KENT COUNTY MEMORIAL HOSPITAL IS A 359-BED NON-PROFIT ACUTE CARE HOSPITAL LOCATED IN WARWICK, RHODE ISLAND. KENT COUNTY MEMORIAL HOSPITAL IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, KENT COUNTY MEMORIAL HOSPITAL OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. WOMEN & INFANTS HOSPITAL OF RHODE ISLAND WOMEN & INFANTS HOSPITAL OF RHODE ISLAND IS A 247-BED AND 60-BASSINET NON-PROFIT SPECIALTY HOSPITAL FOR WOMEN AND NEWBORNS LOCATED IN PROVIDENCE, RHODE ISLAND. WOMEN & INFANTS CORPORATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, WOMEN & INFANTS CORPORATION OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. BUTLER HOSPITAL FOUNDATION BUTLER HOSPITAL FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF BUTLER HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. KENT COUNTY VISITING NURSE ASSOCIATION KENT COUNTY VISITING NURSE ASSOCIATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. KENT HOSPITAL FOUNDATION KENT HOSPITAL FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF KENT COUNTY MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. WOMEN & INFANTS DEVELOPMENT FOUNDATION WOMEN & INFANTS DEVELOPMENT FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF WOMEN & INFANTS HOSPITAL OF RHODE ISLAND; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE MEMORIAL HOSPITAL FOUNDATION THE MEMORIAL HOSPITAL FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. VNA OF CARE NEW ENGLAND FOUNDATION VNA OF CARE NEW ENGLAND FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS KENT COUNTY VISITING NURSE ASSOCIATION THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF KENT COUNTY VISITING NURSE ASSOCIATION; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. WOMEN & INFANTS CORPORATION WOMEN & INFANTS CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION IS THE PARENT ENTITY OF WOMEN & INFANTS HOSPITAL OF RHODE ISLAND AND ITS AFFILIATES, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. WIH FACULTY PHYSICIANS, INC. WIH FACULTY PHYSICIANS, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. HEALTHTOUCH, INC. HEALTHTOUCH, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL SCHEDULE H, PART VI, QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN RHODE ISLAND. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF RHODE ISLAND. true march of dimes 1275 mamaroneck ave white plains NY 10605 131846366 501(C)(3) 10000 PROGRAM SUPPORT 1 0 SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X true true false false false true true true false DENISE M ARCAND MD DIRECTOR 0 144044 0 0 0 19992 0 9972 0 16622 0 190630 0 0 DENNIS D KEEFE DIRECTOR - PRESIDENT/CEO/CNE 0 895572 0 0 0 140494 0 21200 0 25215 0 1082481 0 89500 SUSANNA MAGEE MD DIRECTOR 0 174840 0 23000 0 0 0 0 0 20616 0 218456 0 0 LOUIS J MARINO MD DIRECTOR 0 295006 0 0 0 831 0 23850 0 23925 0 343612 0 0 ALYSSA V BOSS ESQ ASST SEC/SVP & GENERAL COUNSEL 0 321342 0 29721 0 23104 0 52634 0 19344 0 446145 0 0 F JOSEPH IANNONI ASST. TREAS./SVP/CFO/CNE 0 446331 0 0 0 34252 0 60751 0 23236 0 564570 0 0 MARK R MARCANTANO PRESIDENT/COO 611451 0 50000 0 11764 0 76301 0 21027 0 770543 0 0 0 CONSTANCE A HOWES JD FACHE EXECUTIVE VP WOMEN'S HEALTH 575589 0 0 0 45949 0 29150 0 3978 0 654666 0 0 0 RAYMOND O POWRIE MD SENIOR VICE PRESIDENT-QUALITY 472666 0 94454 0 26627 0 18140 0 12534 0 624421 0 0 0 GAIL COSTA SR VP - PLANNING CNE 0 278252 0 101 0 34750 0 29150 0 15130 0 357383 0 0 ROBERT M INSOFT SR VP-QUAL&CLIN EFF(EFF 11/1) 328893 0 0 0 4404 0 12250 0 23391 0 368938 0 0 0 ANGELLEEN R PETERS-LEWIS SR VP - PATIENT CARE SERVICES 266492 0 0 0 3589 0 10600 0 23218 0 303899 0 0 0 MATTHEW J QUIN SR VP-PAT CARE (EFF 11/9/15) 173770 0 0 0 715 0 9165 0 27981 0 211631 0 0 0 CORNELIUS O GRANAI MD VICE PRESIDENT 539723 0 0 0 22801 0 0 0 23599 0 586123 0 0 0 MAYBELLE A KERNAN VP MKTG & PUBLIC RELATIONS 0 216974 0 0 0 29075 0 26695 0 20018 0 292762 0 0 PAUL F HEFFERNAN VP - HUMAN RESOURCES 0 200513 0 0 0 25526 0 17983 0 20558 0 264580 0 0 ROBERT W PACHECO VP - FINANCE (TERM 1/15/16) 0 192249 0 11500 0 3545 0 18739 0 16514 0 242547 0 0 MAUREEN G PHIPPS MD CHIEF OF OB/GYN 594750 0 0 0 21024 0 0 0 24577 0 640351 0 0 0 PAUL DISILVESTRO MD PHYSICIAN 493074 0 19459 0 12443 0 19622 0 21171 0 565769 0 0 0 WILLIAM D LAWRENCE MD PHYSICIAN 464563 0 0 0 26526 0 0 0 25127 0 516216 0 0 0 GARY G WHARTON MD MEDICAL DIR SURGICAL SERVICES 447540 0 18333 0 20828 0 17951 0 11092 0 515744 0 0 0 ROBERT D LEGARE MD MEDICAL ONCOLOGIST 461108 0 12852 0 12138 0 19483 0 21039 0 526620 0 0 0 JOHN M SUTHERLAND III FORMER OFFICER 0 0 0 0 0 583359 0 0 0 6800 0 590159 0 0 KAREN A DAVIE FORMER OFFICEr 0 249448 0 14441 0 70009 0 23850 0 18180 0 375928 0 0 JOSEPH RODA FORMER OFFICER 0 127313 0 0 0 2821 0 12118 0 19545 0 161797 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 2015 FORMS W-2 AND FORMS 1099 (IF APPLICABLE). SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2015 WHICH WAS INCLUDED IN HIS 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN M. SUTHERLAND, III, $478,860. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN 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 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DENNIS D. KEEFE, $92,633. 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 THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2015 FORM W-2, AS TAXABLE WAGES: Alyssa V. Boss, Esq., $34,634; MARK R. MARCANTANO, $57,751; and F. Joseph Iannoni, $47,501. 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 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 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 AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DENNIS D. KEEFE, $89,500. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS AT-RISK NON-TAXABLE DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C. JAMES A O'BRIEN FAMILY MEMBER OF TRUSTEE 352229 W&IHRI EMPLOYEE false CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Women & infants hospital of rhode island ("women & infants") is a not for-profit licensed comprehensive newborn children and women hospital. Women & infants is recognized by the irs as an internal revenue code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, women & infants provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, women & infants operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Women & infants provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Women & infants operates a specialty emergency department for women with acute obstetric or gynecologic issues which is open 24 hours a day, 7 days a week, 365 days per year; 3. Women & infants maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of women & infants rests with the board of directors of care new england health system and 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 women & infants, as shown through the factors outlined above and other information contained herein, clearly demonstrate that the hospital provides substantial community benefit and that the use and control of women & infants is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. History ======= Women & infants is an affiliate within the care new england health system ("care new england"). Care new england is the tax-exempt parent of the health system. This tax-exempt integrated healthcare delivery system consists of a group of affiliated healthcare organizations. Women & infants is a not for-profit licensed comprehensive newborn children and women hospital with 167 adult beds (45 medical/surgical and 122 obstetrics), 80 neonatal intensive care unit beds and 60 newborn bassinets. During fiscal year 2016, women & infants recorded 20,102 admissions of patients for 78,173 PATIENT DAYS, 28,623 emergency room visits. WOMEN & INFANTS is the ninth largest stand-alone obstetrical service in the nation with 8,885 DELIVERIES IN FISCAL YEAR 2016, 956,182 LABORATORY TESTS AND 65,319 DIAGNOSTIC IMAGING PROCEDURES. Women & infants offers the services of a general and gynecological surgical program with 7,2652 procedures performed in fiscal year 2016. Women & infants annually employs approximately 2,500 full-time, part-time and per diem employees. 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. 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. 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 ("cne"); 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. Cne became the parent organization and sole member of shs as a result of this acquisition. Cne and shs believe that the acquisition will greatly improve comprehensive healthcare services. The care new england health system was founded on 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 respected 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 primary care, medical care, surgery, women's health, cardiology and behavioral health and an array of specialty and subspecialty programs - all under one umbrella so they are easily accessible to patients and families. Care new england is comprised of six members: 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; memorial hospital, a community hospital based in Pawtucket, RI, lending primary care expertise to the system and the system's only patient centered medical home model of care; 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 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 care new england wellness center, which offers an array of rehabilitation, wellness, fitness and educational programs. The system includes a solid, diverse combination of physician specialists and generalists and a strong commitment to education. Butler 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 to advance the field of knowledge in medicine through national and internationally-funded and recognized research projects. Care new england provides medically necessary healthcare 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, they are 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 for whom 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. 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 ======= Women & infants, a major teaching affiliate of the warren alpert medical school of brown university, is committed to improving the health and well-being of women and infants and to providing essential services regardless of ability to pay. Vision ====== Women & infants will be the recognized leader in healthcare for women and infants. Values ====== As a member of the care new england health system, we put our patients and their families at the center of all we do. In our day-to-day interactions with patients, families, and each other, our actions and decisions are guided by the following core values: - accountability, - caring, and - teamwork. Awards & recognitions ====================== Women & infants has received the following awards and recognitions: - 2015 - Named a Designated Baby-Friendly USA Hospital - 2015 and 2016 - Received Women's Choice Award, Best Breast Centers - 2015 and 2016 - Received Women's Choice Award, America's Best Hospitals for Obstetrics - 2015 and 2016 - Received Women's Choice Award, America's Best Hospitals for Cancer Care - 2015 - NAMED AMONG TOP 5 OBSTETRICS AND GYNECOLOGY RESIDENCY PROGRAMS IN THE NORTHEAST BY DOXIMITY - 2014 - NAMED AMONG THE TOP 10 OBSTETRICS AND GYNECOLOGY RESIDENCY PROGRAMS IN THE COUNTY BY DOXIMITY - 2014 - NA CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - 2011 - ranked a best hospital in gynecology in u.s. news best hospitals metro area rankings - 2011 - ranked a best hospital in cancer in u.s. news best hospitals metro area rankings - 2011 - named a u.s. news best children's hospitals in neonatology - 2010 - named a u.s. news best hospital in gynecology - 2002 - named one of the top ten places in the u.s. to deliver a baby by fit pregnancy magazine - 2001 - named one of the best hospitals in gynecology in the america's best hospitals in u.s. news & world report - 2000 - named one of the best hospitals in gynecology in the america's best hospitals in u.s. news & world report Centers of excellence ===================== Women & infants has the following centers of excellence: - a center of excellence for reproductive health resources, optum health - A CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY (COEMIG) BY THE SURGICAL REVIEW CORPORATION, AN AFFILIATE OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS (AAGL) - a breast imaging center of excellence, american college of radiography - a center of biomedical research excellence, national institutes of health - a neonatal resource services center of excellence - a member of the national cancer institute's gynecologic oncology group - a brown university/women & infants national center of excellence in women's health by the u.s. department of health and human services Women & infants is an accomplished teaching hospital ===================================================== We are: - the major affiliated teaching hospital for activities unique to women and newborns at the warren alpert medical school of brown university. An educational leader, women & infants offers nationally accredited fellowships in gynecologic oncology, maternal-fetal medicine, urogynecology and reconstructive pelvic surgery, neonatal-perinatal medicine, pediatrics and perinatal pathology, gynecologic pathology and cytopathology, breast disease, and reproductive endocrinology and infertility. 2015 Honors, Awards and Accreditation ------------------------------------- - Women & Infants received prestigious international recognition as a Baby-Friendly Designated birth facility. Women & Infants is the second-largest hospital in the nation to achieve this designation, and Rhode Island now ranks number one in the country in the percentage of babies born at Baby-Friendly hospitals. Baby-Friendly USA, Inc. is the U.S. authority for the implementation of the Baby-Friendly Hospital Initiative, a global program sponsored by the World Health Organization and the United Nations Children's Fund. The initiative encourages and recognizes hospitals and birthing centers that offer an optimal level of care for breastfeeding mothers and promote the best, evidence-based feeding practices for all babies. - 39 physicians from Women & Infants were named to 2015-2016 Best Doctors in America list. Only five percent of doctors in America earn this prestigious honor, decided by impartial peer review. - Women & Infants has been recognized as a 2014 Top Performer on Key Quality Measures by The Joint Commission, the leading accreditor of healthcare organizations in the U.S. Women & Infants was recognized as part of The Joint Commission's 2015 annual report "America's Hospitals: Improving Quality and Safety," for attaining and sustaining excellence in accountability measure performance for perinatal care. Women & Infants is one of only two hospitals in Rhode Island and 1,043 hospitals out of more than 3,300 eligible hospitals in the U.S. to achieve the 2014 Top Performer distinction. - Women & Infants was awarded three Women's Choice Awards in 2015 for obstetrics, breast health and cancer care. These evidence-based designations identify the country's best healthcare institutions based on robust criteria that consider patient satisfaction, clinical excellence, and what women say they want from a hospital. - The Obstetrics and Gynecology Residency Program at The Warren Alpert Medical School of Brown University and Women & Infants has been ranked in the top five programs in the Northeast. Doximity, the largest physician network, announced in 2015 the first-ever regional residency program rankings. - The Center for Reproduction and Infertility at Women & Infants earned the status of a Nursing Center of Excellence from the Nurses' Professional Group of the American Society of Reproductive Medicine (ASRM). This designation will be active for the next three years. The Nursing Center of Excellence status indicates that at least 50 percent of the registered nurses and/or nurse practitioners in the Center for Reproduction and Infertility are experienced in reproductive endocrinology nursing and have completed the additional training in this area through the ASRM eLearn Reproduction and Infertility Nursing Certificate Course. Research highlights from 2015 ----------------------------- - A researcher with the Breast Health Center at Women & Infants presented the results of a study showing that women with Stage 2 or 3 triple-negative breast cancer (TNBC) who have a pathologic complete response (pCR) to chemotherapy before surgery are more likely to survive compared to those who had more than minimal residual invasive cancer during surgery at the prestigious San Antonio Breast Cancer Symposium. The presentation built upon research that William Sikov, M.D., presented at the 2013 Symposium. At that time, his work demonstrated that adding either of two drugs - carboplatin or bevacizumab - to standard chemotherapy that many women with TNBC receive before surgery were more likely to have no residual cancer detected at surgery. - Women & Infants received a nearly $5 million grant from the NIH to support an Institutional Development Award (IDeA) Center of Biomedical Research Excellence (COBRE) for Perinatal Biology. Of the more than 100 COBREs across the country, Women & Infants is the only one specifically focused on developmental research. The IDeA program builds research capacities in states that historically have had low levels of NIH funding by supporting basic, clinical, and translational research; faculty development; and infrastructure improvements. - The Patient-Centered Outcomes Research Institute Board of Governors awarded more than $2.7 million in contracted funding to Katina Robison, M.D., a gynecologic oncologist with the Program in Women's Oncology at Women & Infants for the study "Cancer of the Uterus and Treatment of Stress Incontinence (CUTI)." The study, which also includes a recruitment site at the University of Alabama, is focused on improving the quality of life for women who undergo surgery for endometrial cancer by screening for and offering treatment of existing stress urinary incontinence at the same time as their cancer surgery. - The Department of Obstetrics and Gynecology was successful in submitting and receiving a competitive third grant cycle for The National Institute of Child Health & Human Development (NICHD)-funded Women's Reproductive Health Research (WRHR) program. - The Hassenfeld Child Health Innovation Institute was established with a focus on discovering and applying strategies to improve the lives of children and their families in Rhode Island, nationally and globally. This is a collaboration of Brown University, Hasbro Children's Hospital and Women & infants, and was launched with a $12.5-million gift from the family of Alan Hassenfeld. CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Program Highlights from 2016 ---------------------------- - To better meet the needs of the growing population of middle-aged women, Women & Infants introduced The Menopause Program. The multidisciplinary team of providers includes obstetrician/gynecologists, internal medicine providers, cardiologists, behavioral health specialists, and endocrinologists. The Menopause Program offers evaluation and treatment of vasomotor symptoms such as hot flashes and night sweats, as well as vulvovaginal problems such as vaginal dryness, pain, burning and painful intercourse. The multidisciplinary team also provides preventative care services for midlife women, including breast health, bone health, emotional and psychological health, and cardiovascular screening. - Women & Infants has created the Women's Intimacy and Sexual Health (WISH) Center to offer help and hope to women suffering with the side effects of cancer or cancer treatment. Part of the Program in Women's Oncology and Breast Health Center at Women & Infants, WISH is made up of various specialists who can help patients enjoy intimate moments again. These include breast and gynecologic health specialists, medical oncologists, nurse practitioners, sex therapists and physical therapists specializing in pelvic floor issues. - Women & Infants established a new women's cardiovascular program as part of Care New England Cardiovascular Care. Women's Heart Health of Women & Infants, located at 90 Plain Street in Providence, is designed to meet the cardiac needs of women, while helping them to take the right steps in preventing all aspects of heart disease. The service is codirected by Heather Hurlburt, M.D., FACC, and Alice Kim, M.D., FACC. Dr. Hurlburt, who also serves as director of non-invasive imaging at Kent Hospital, is board certified in internal medicine and cardiology. She has special expertise in cardiac imaging and women's heart health and completed training in advanced imaging modalities, including cardiac CT and trans-esophageal echocardiography. Dr. Hurlburt is a member of the cardiovascular division at Brigham and Women's Hospital. Leadership Highlights from 2015 ------------------------------- - Ruben Alvero, M.D., FACOG, FACS, was appointed director of the Division of Reproductive Endocrinology and Infertility in the Department of Obstetrics and Gynecology at Women & Infants and the Alpert Medical School. - Renee Eger, M.D., was named medical director for the Obstetrics and Gynecology Care Center (OGCC) of Women & Infants. The OGCC offers a full array of health services for women of all ages, including primary and preventive health care for women of reproductive age, as well as obstetrical services and routine and specialty gynecologic services for women of all ages. - Shannon Marie Erisman, Ph.D., a clinical assistant professor of psychiatry and human behavior at the Alpert Medical School and staff psychologist for the Women's Partial Program at Butler Hospital. - Gary Frishman, M.D., associate director of the Division of Reproductive Endocrinology and Infertility and residency program director at Women & Infants, and professor of obstetrics and gynecology at the Alpert Medical School, was elected secretary/treasurer of the American Association of Gynecologic Laparoscopists (AAGL). With more than 7,700 members from 100 countries, the AAGL is the leading organization in the world dedicated to the promotion of minimally invasive gynecologic surgery. After his term as secretary/treasurer, Dr. Frishman will then ascend to vice president, and then president of the association the following year. - Brenna L. Hughes, M.D., chief of the Women's Infectious Diseases Consultative Service at Women & Infants and an associate professor of obstetrics and gynecology at the Alpert Medical School, accepted an invitation to become a member of the Immunization Expert Work Group of the ACOG. The Immunization Expert Work Group serves as an advisory group of ACOG's Committee on Obstetric Practice, Committee on Gynecologic Practice, and Committee on Adolescent HealthCare. - Raymond O. Powrie, M.D., was named chief of the Department of Medicine at Women & Infants. Dr. Powrie earned his medical degree from the University of Alberta, Faculty of Medicine in Edmonton, Canada, where he also completed his residency in internal medicine. He completed his fellowship in obstetric and consultative medicine at Women & Infants. Board-certified in internal medicine, Dr. Powrie is a professor of medicine and obstetrics and gynecology at the Alpert Medical School and an instructor for the Faculty of Medicine at Harvard Medical School. Dr. Powrie is a member of the American College of Physicians and the Royal College of Physicians and Surgeons of Canada, as well as a member of the executive committee for the International Society of Obstetric Medicine. - Charles Rardin, M.D., a urogynecologist in the Division of Urogynecology and Reconstructive Pelvic Surgery and director of the Robotic Surgery Program for Women at Women & Infants, director of Minimally Invasive Surgery at Care New England, and associate professor of obstetrics and gynecology at the Alpert Medical School, was named vice president of the AUGS. This appointment starts a four-year process that will culminate in Dr. Rardin being named president of AUGS in 2017. Women & infants believes in the community ========================================= - the hospital organizes an entire calendar of community programs that includes classes in childbirth, parenting, reproductive health, human sexuality, breast health and women's health across all ages. In addition, the hospital is engaged with the following organizations in a variety of ways including supporting community education and awareness programs, providing space for meetings or conferences, and participating on various boards and committees working to improve the health of the community: Alpert medical school of brown university American cancer society American heart association Children's friend and service Chipsa Day one E.w. flynn model elementary school Healthy mothers, healthy babies Kidscount March of dimes Meeting street school National association of social workers Partnership to reduce cancer Progresso latino Providence ronald mcdonald house Rhode island association for cardiac children Rhode island department of health Rhode island department of health office of minority health Rhode island department of children, youth, and families (dcyf) Rhode island blood center Rhode island osteoporosis coalition Rhode island parenting information network Rhode island network of care for behavioral health Rhode island council on alcoholism and other drug addiction Rhode island state nurses association Women's health council United way Urban league - outreach education benefited the community last year through 24,120 programs in local schools, community centers and similar sites. - the hospital provided almost $10 million last year in uncompensated care to women and families in need. - staff from women & infants' family van, a mobile health clinic, provides much-needed services for the underserved and underinsured across the state. The program offers a translation communicator that enables staff to communicate and converse in 22 languages. Services provided: Women & Infants offers a full range of obstetrics and gynecology specialty services for women of all ages, and has one of the nations largest single-family room neonatal intensive care units for babies born prematurely or sick. Women & Infants services include behavioral health, breast health, cancer care, cardiology, child and family development, diagnostic imaging, emergency care, fertility, gastroenterology, high-risk obstetrics, imaging, infectious disease, laboratory services, obstetric and consultative medicine, obstetrics, pediatrics, pelvic floor disorders physical therapy, primary care, reproductive endocrinology, surgical services, and urogynecology. As a major teaching and research facility affiliated with The Warren Alpert Medical School of Brown University, Women & Infants conducts cutting-edge research on a wide variety of healthcare concerns, including pre-term delivery, gynecologic cancers, infertility, neonatology, postpartum depression, and uterine prolapse. It is one of the largest and most prestigious research facilities in high risk and normal obstetrics, gynecology and newborn pediatrics in the nation. OTHER EDUCATIONAL AFFILIATIONS AND PROGRAMS In addition to its affiliation with The Warren Alpert Medical School of Brown University, Women & Infants also has formal and informal educational affiliations with Boston College, Bristol Community College, Community College of Rhode Island, Drexel University, Frontier School of Midwifery and Family Nursing, Georgetown University, Kaplan University, New England Institute of Technology, Northeastern University, Philadelphia University, Providence College, Regis College, Rhode Island Colle 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 2 CHARLES R. REPPUCCI, ESQ. AND ROBERT G. FLANDERS, JR., ESQ. - BUSINESS RELATIONSHIP. CORE FORM, PART VI, SECTION A; QUESTION 3 THE ORGANIZATION ENGAGES SODEXO HEALTH CARE ("SODEXO") TO BE AN AGENT OF THE ORGANIZATION AND DELEGATES CONTROL TO SODEXO IN THE MANAGEMENT OF DAILY OPERATIONS OF ITS FOOD & NUTRITION DEPARTMENT. THE SODEXO MANAGEMENT EMPLOYEE FUNCTIONS AND IS RECOGNIZED AS A DEPARTMENT MANAGER WHO PERFORMS IN ACCORDANCE WITH THE ORGANIZATION'S DEPARTMENT MANAGEMENT PRACTICES AND IN ACCORDANCE WITH ITS WRITTEN POLICIES AND PROCEDURES. THE POSITION REPORTS TO AN OFFICER/KEY EMPLOYEE OF THE ORGANIZATION. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 WOMEN & INFANTS CORPORATION ("WIC") IS THE SOLE MEMBER OF THIS ORGANIZATION. CARE NEW ENGLAND HEALTH SYSTEM ("CNE") IS THE SOLE MEMBER OF WIC. CNE 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"). IN ADDITION THE CARE NEW ENGLAND HEALTH SYSTEM FINANCE COMMITTEE ALSO PERFORMED A REVIEW OF THE FEDERAL FORM 990 PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF ITS BOARD OF DIRECTORS. 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 PRESENTATION OF THE FEDERAL FORM 990 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 EXECUTIVES AND KEY PHYSICIANS IN CONJUNCTION WITH WOMEN & INFANTS HOSPITAL OF RI PRESIDENT AND CHIEF OPERATING 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 OPERATING OFFICER WHICH ARE MADE IN CONJUNCTION WITH THE CARE NEW ENGLAND HEALTH SYSTEM CHIEF EXECUTIVE OFFICER. 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 WOMEN & INFANTS HOSPITAL OF RI SENIOR MANAGEMENT TEAM, INCLUDING, BUT NOT LIMITED TO, WOMEN & INFANTS HOSPITAL OF RI PRESIDENT/CHIEF OPERATING OFFICER AND CHIEF FINANCIAL 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 OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE CNE COMPENSATION COMMITTEE. IN ADDITION, THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY WOMEN & INFANTS HOSPITAL OF RI PRESIDENT/CHIEF OPERATING 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 BEEN ALLOCATED A PORTION OF TAX-EXEMPT BONDS (THROUGH ITS TAX-EXEMPT PARENT CARE NEW ENGLAND HEALTH SYSTEM) TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. THE ORGANIZATION HAS REFLECTED THIS AMOUNT AS A DUE TO AFFILIATE LIABILITY ON ITS BALANCE SHEET. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE SYSTEM'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 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 AND 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. JOSEPH RODA, FORMER INTERIM VICE PRESIDENT - HUMAN RESOURCES OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN CARE NEW ENGLAND HEALTH SYSTEM AS THE ASSOCIATE VICE PRESIDENT - HUMAN RESOURCES OF CARE NEW ENGLAND HEALTH SYSTEM; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. MICHAEL CULLEN, VICE PRESIDENT FINANCE OF THE ORGANIZATION, WAS HIRED ON 4/1/2016. MR. CULLEN WAS NOT EMPLOYED BY THE ORGANIZATION DURING THE CALENDAR YEAR 2015 AND THEREFORE HAS NO REPORTABLE COMPENSATION. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN 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 2016A; and - 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 XI; LINE 9 OTHER CHANGES IN FUND BALANCE INCLUDE: - PENSION AND POST RETIREMENT ADJUSTMENT; ($1,627,710); - NET ASSETS RELEASED FROM RESTRICTIONS AND USED FOR PROPERTY AND EQUIPMENT PURCHASES; $1,480,243; - NET TRANSFERS TO RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS; $12,736,490; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION; ($395,605); - DISTRIBUTION EXPENSES released from PERMANENTLY RESTRICTED; ($305,369); - NON-OPERATING INCOME LIMITED USE, PERMANENTLY RESTRICTED; $66,812; AND - NET ASSETS RELEASED FROM RESTRICTION, TEMPORARILY RESTRICTED - ($2,489,768). CORE FORM, PART XII; QUESTION 2 THIS ORGANIZATION IS AN AFFILIATE WITHIN CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT, INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT 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, 2016 AND SEPTEMBER 30, 2015; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING 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. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS THE PARENT ENTITY OF THE CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES ("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. W & I ANCILLARY SERVICES LLC 300 RICHMOND STREET PROVIDENCE RI 02903 200222992 HEALTHCARE RI 0 0 WIHRI W & I HEALTH CARE ALLIANCE LLC 300 RICHMOND STREET PROVIDENCE RI 02903 452676488 HEALTHCARE RI 14293193 8875594 WIHRI CARE NEW ENGLAND HEALTH SYSTEM 45 WILLARD AVENUE PROVIDENCE RI 02905 050490997 HEALTHCARE RI 501(C)(3) 509(A)(3) NA false BUTLER HOSPITAL 345 BLACKSTONE BLVD PROVIDENCE RI 02906 050258812 HEALTHCARE RI 501(C)(3) HOSPITAL CNE false WOMEN & INFANTS CORPORATION 300 RICHMOND STREET PROVIDENCE RI 02903 022885807 HEALTHCARE RI 501(C)(3) 509(A)(3) CNE false WOMEN & INFANTS DEVELOPMENT FOUNDATION 300 RICHMOND STREET PROVIDENCE RI 02903 222885815 HEALTHCARE RI 501(C)(3) 509(A)(3) WIC false WIH FACULTY PHYSICIANS INC 67 BRIGHAM STREET NEW BEDFORD MA 02740 043579432 HEALTHCARE MA 501(C)(3) 509(A)(2) WIH true KENT COUNTY MEMORIAL HOSPITAL 455 TOLL GATE ROAD WARWICK RI 02886 050258896 HEALTHCARE RI 501(C)(3) HOSPITAL CNE false KENT HOSPITAL FOUNDATION 455 TOLL GATE ROAD WARWICK RI 02886 050514640 SUPPORT ORG RI 501(C)(3) 509(A)(3) KCMH false KENT COUNTY VNA DBA VNA OF CNE 51 HEALTH LANE WARWICK RI 02886 050242659 HEALTHCARE RI 501(C)(3) 509(A)(1) CNE false HEALTHTOUCH INC 51 HEALTH LANE WARWICK RI 02886 050514949 HEALTHCARE RI 501(C)(3) 509(A)(2) KCVNA false BUTLER HOSPITAL FOUNDATION 345 BLACKSTONE BOULEVARD PROVIDENCE RI 02906 454530540 SUPPORT ORG RI 501(C)(3) 509(A)(3) BH false SOUTHEASTERN HEALTHCARE SYSTEM INC 111 BREWSTER STREET PAWTUCKET RI 02860 061476858 HEALTHCARE RI 501(C)(3) 509(A)(3) CNE false THE MEMORIAL HOSPITAL 111 BREWSTER STREET PAWTUCKET RI 02860 050259004 HEALTHCARE RI 501(C)(3) HOSPITAL SEHCS false BLACKSTONE HEALTH INC 420 MAIN STREET PAWTUCKET RI 02860 050457007 HEALTHCARE RI 501(C)(3) 509(A)(1) SEHCS false SHS VENTURES INC 111 BREWSTER STREET PAWTUCKET RI 02860 050510341 HEALTHCARE RI 501(C)(3) 509(A)(2) TMH false VNA OF CARE NEW ENGLAND FOUNDATION 51 HEALTH LANE WARWICK RI 02886 462293974 SUPPORT ORG RI 501(C)(3) 509(A)(3) KCVNA false THE MEMORIAL HOSPITAL FOUNDATION 111 BREWSTER STREET PAWTUCKET RI 02860 463246618 HEALTHCARE RI 501(C)(3) 509(A)(3) TMH false GRANDVIEW REALTY CORPORATION 528 NORTH MAIN STREET PROVIDENCE RI 02904 050384362 TITLE HLDG. RI 501(C)(3) 509(A)(2) TPC false GRANDVIEW SECOND CORPORATION 528 NORTH MAIN STREET PROVIDENCE RI 02904 222812929 TITLE HLDG. RI 501(C)(3) 509(A)(2) TPC false NASHUA STREET CORPORATION 528 NORTH MAIN STREET PROVIDENCE RI 02904 050509674 TITLE HLDG. RI 501(C)(3) 509(A)(2) TPC false TPC SOCIAL VENTURES INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 050441980 TRAINING RI 501(C)(3) 509(A)(2) TPC false WILSON STREET APARTMENTS 528 NORTH MAIN STREET PROVIDENCE RI 02904 050520857 TITLE HLDG. RI 501(C)(3) 509(A)(2) TPC false THE PROVIDENCE CENTER INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 050316969 HEALTHCARE RI 501(C)(3) 509(A)(2) CNE false STANDARD REALTY INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 222479719 INACTIVE RI 501(C)(3) 509(A)(2) TPC false TOLL GATE INDEMNITY LTD 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN CJ KY1-11 342028514 FINANCIAL VEHICLE CJ N/A C CORP. false W & I INDEMNITY LTD 23 LIME TREE AVE PO BOX 1051 GRAND CAYMAN CJ KY1-11 980159342 FINANCIAL VEHICLE CJ WIH C CORP. true BOULEVARD MEDICAL CONDO ASSOCIATION 111 BREWSTER STREET PAWTUCKET RI 02860 050497862 REAL ESTATE RI N/A C CORP. false PRIMARY CARE CENTER OF NEW ENGLAND INC 111 BREWSTER STREET PAWTUCKET RI 02860 050423957 HEALTHCARE SVCS. RI N/A C CORP. false CONTINUUM BEHAVIORAL HEALTH INC 528 NORTH MAIN STREET PROVIDENCE RI 02904 462853067 HEALTHCARE SVCS. RI NA C CORP. false false false true true true false false false false true true false true true true true false true true WIH FACULTY PHYSICIANS INC D, O 1282432 COST CARE NEW ENGLAND HEALTH SYSTEM D 483727 COST CARE NEW ENGLAND HEALTH SYSTEM M 57229182 COST 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 THE MEMORIAL HOSPITAL; 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. 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.