2013-08-13T15:58:11-05:00 2012-09-30 453994797 LGC&D LLP TEN WEYBOSSET STREET - SUITE 700 PROVIDENCE RI 02903 990 2011-10-01 050514640 KENT HOSPITAL FOUNDATION KENT 4016811150 455 TOLL GATE ROAD WARWICK RI 02886 PAUL BEAUDOIN 4016811150 2013-07-24 1 LYNN O'MARRA ESQUIRE P00821716 4014214800 2011 2016-02-24 21:20:13Z PAUL BEAUDOIN 455 TOLL GATE ROAD WARWICK RI 02886 3689351 0 X KENTRI.ORG/WAYSTOGIVE/FOUNDATION X 2000 RI TO SERVE THE HEALTH CARE NEEDS OF OUR REGION THROUGH KENT COUNTY MEMORIAL HOSPITAL BY ENCOURAGING AND FACILITATING PHILANTHROPIC GENEROSITY AND SPIRIT OF VOLUNTEERISM. 24 18 0 66 0 0 3480397 3169537 0 0 2488 25576 113815 68437 3596700 3263550 1113750 930706 0 0 0 0 0 0 0 4435 2358 1118185 933064 2478515 2330486 4733108 7344544 465333 667051 4267775 6677493 X THE MISSION OF THE KENT HOSPITAL FOUNDATION IS TO SERVE THE HEALTH CARE NEEDS OF OUR REGION THROUGH KENT COUNTY MEMORIAL HOSPITAL BY ENCOURAGING AND FACILITATING PHILANTHROPIC GENEROSITY AND SPIRIT OF VOLUNTEERISM. THE KENT HOSPITAL FOUNDATION SERVES AS THE PHILANTHROPIC ARM OF KENT COUNTY MEMORIAL HOSPITAL BY ACCEPTING, ACKNOWLEDGING AND RECOGNIZING CHARITABLE CONTRIBUTIONS FROM INDIVIDUALS, BUSINESSES, FOUNDATIONS AND GOVERNMENTAL SOURCES THAT SUPPORT THE HOSPITAL'S MISSION AND WORK IN THE COMMUNITY. 0 0 933064 930706 CULTIVATE FUNDS DEVELOPMENT ON BEHALF OF KENT COUNTY MEMORIAL HOSPITAL. 933064 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 X 24 18 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X PAUL A BEAUDOIN 4017377000 455 TOLL GATE ROAD WARWICK RI 02886 X JAMES A HOPKINS 1.00 X X 0 0 0 JONATHAN K FARNUM 1.00 X X 0 0 0 GERARD R GOULET 1.00 X X 0 0 0 RAYMOND J BOLSTER II 1.00 X X 0 0 0 REID S APPLEBY JR MD 1.00 X 0 0 0 ROBERT E BAUTE MD 1.00 X 0 0 0 JANICE M CAIANIELLO RN 55.00 X 0 108048 22349 THOMAS J CELONA 1.00 X 0 0 0 SANDRA L COLETTA 55.00 X 0 831551 184361 EDWARD J COONEY 1.00 X 0 0 0 MICHAEL J DACEY MD 55.00 X 0 454101 91423 CANDACE L DYER MD 55.00 X 0 370392 1915 ANDREW M ERICKSON 1.00 X 0 0 0 LAURA J HILDERLEY MS RN 1.00 X 0 0 0 ANDREA M HOPKINS 1.00 X 0 0 0 JOHN J HYNES ESQ 1.00 X 0 2088769 78515 KENNETH L MACNAUGHT 1.00 X 0 0 0 GERALD G MCCLURE 1.00 X 0 0 0 STEPHEN A ROOKS 1.00 X 0 0 0 GEORGE W SHUSTER 1.00 X 0 2189 0 JOSEPH W SPINALE DO FACC FACP 55.00 X 0 176296 17832 JAMES M VESEY 1.00 X 0 0 0 MARIBETH Q WILLIAMSON 1.00 X 0 0 0 VINCENT J YAKAVONIS MD 1.00 X 0 2098 0 PAUL A BEAUDOIN 55.00 X 0 418067 94987 ELIZABETH ZIMA 55.00 X 0 108898 24632 0 4560409 516014 0 0 1 0 0 21718 3147819 1888 3169537 12319 12319 362628 349371 13257 13257 13257 129507 21718 68186 61321 61321 15360 8244 7116 7116 3263550 0 0 94013 930706 930706 OTHER - *SEE SCHED O 2358 2358 933064 933064 0 0 2344234 2636509 2388874 4708035 4733108 7344544 147351 125029 317982 542022 465333 667051 X 543418 619152 3487098 5814369 237259 243972 4267775 6677493 4733108 7344544 X 2330486 79232 X X 0 1 1 X 0 X X X 0 0 0 KENT COUNTY MEMORIAL HOSPITAL 050258896 3 1 1 1 930706 1 930706 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2388874 2945664 106059 728949 3612 4708036 1939843 1566260 -5842 1106952 4435 2388874 1550305 1640754 33649 1282443 2422 1939843 2084487 1455590 14793 2002706 1859 1550305 0.93000 0.07000 0 0 0 DUE TO KENT COUNTY MEMORIAL HOSPITAL 542022 542022 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE FOUNDATION'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 PROPERTY AND EQUIPMENT. TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X, LINE 2: THE ORGANIZATION IS AN AFFILIATE OF CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES, A TAX-EXEMPT, INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS CARE NEW ENGLAND HEALTH SYSTEM. AN INDEPENDENT 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, 2012 AND SEPTEMBER 30, 2011, 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, 2012 AND CONCLUDED THAT THE ESTIMATED LIABILITY WAS NOT MATERIAL TO THE ORGANIZATION'S FINANCIAL STATEMENTS. GALA 151225 21718 129507 30910 4500 32776 151225 21718 129507 30910 4500 32776 68186 61321 15360 6440 1804 1 0.75000 15360 6440 1804 8244 7116 RI 1 0 0 0 ELIZABETH ZIMA 455 TOLL GATE ROAD WARWICK RI 02886 0 ELIZABETH ZIMA 0 GAMING RECORDS AND BOOKEEPER. X 0 1 KENT COUNTY MEMORIAL HOSPITAL 455 TOLL GATE ROAD WARWICK RI 02886 050258896 501(C)(3) 930706 HOSPITAL SUPPORT 1 X X X X 0 1 0 0 0 1 1 1 0 SANDRA L COLETTA 0 512074 0 148400 0 171077 0 172496 0 11865 0 1015912 0 0 MICHAEL J DACEY MD 0 315419 0 76414 0 62268 0 79572 0 11851 0 545524 0 0 CANDACE L DYER MD 0 332269 0 13664 0 24459 0 0 0 1915 0 372307 0 0 JOHN J HYNES ESQ 0 836844 0 242250 0 1009675 0 26950 0 51565 0 2167284 0 712624 JOSEPH W SPINALE DO FACC FACP 0 78210 0 0 0 98086 0 0 0 17832 0 194128 0 0 PAUL A BEAUDOIN 0 291796 0 69000 0 57271 0 74275 0 20712 0 513054 0 39053 SUPPLEMENTAL INFORMATION PART III COMPENSATION INFORMATION PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2011 FORMS W-2 AND 1099 (IF APPLICABLE). COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4B: THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN J. HYNES, ESQ., $712,624 AND PAUL A. BEAUDOIN, $39,053. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, AS TAXABLE WAGES: SANDRA L. COLETTA, $156,571; PAUL A. BEAUDOIN, $55,900 AND MICHAEL J. DACEY, M.D., $62,422. SCHEDULE J, PART I, LINES 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. COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 7: CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 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. COMPENSATION INFORMATION SCHEDULE J, PART II, COLUMN F: THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN J. HYNES, ESQ., $712,624 AND PAUL A. BEAUDOIN, $39,053. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS AT-RISK NON-TAXABLE DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C. FORM 990, PART VI, SECTION A, LINE 2 JONATHAN K. FARNUM AND GEORGE W. SHUSTER - BUSINESS RELATIONSHIP; ANDREW M. ERICKSON AND MARIBETH Q. WILLIAMSON - BUSINESS RELATIONSHIP; JONATHAN K. FARNUM, JAMES A. HOPKINS, ANDREA M. HOPKINS AND RAYMOND J. BOLSTER, II - BUSINESS RELATIONSHIP; JAMES A. HOPKINS AND ANDREA M. HOPKINS - FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 KENT COUNTY MEMORIAL HOSPITAL ("KCMH") IS THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A KCMH HAS THE ULTIMATE AUTHORITY TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B KCMH DETERMINES PROGRAM OBJECTIVES OF THIS ORGANIZATION AND APPROVES CHANGES TO THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED AND REVIEWED BY A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION. DURING THAT PROCESS THE FORM 990 IS PROVIDED TO CERTAIN MEMBERS OF MANAGEMENT FOR REVIEW. A COMPLETE AND ACCURATE COPY OF THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THAT POLICY. THE POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. IF A DIRECTOR DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE DIRECTOR'S POTENTIAL CONFLICT IS REFERRED TO THE BOARD OR THE COMMITTEE, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE DIRECTOR'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES THAT MAY COME BEFORE THE BOARD. AFTER CONSULTATION WITH COUNSEL, THE COMMITTEE WILL TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF CARE NEW ENGLAND HEALTH SYSTEM ("CNE") HAS A COMMITTEE OF DIRECTORS KNOWN AS THE CNE COMPENSATION COMMITTEE ("THE COMMITTEE"). THE COMMITTEE IS RESPONSIBLE FOR DISCHARGING THE BOARD'S RESPONSIBILITIES REGARDING THE TOTAL COMPENSATION PROGRAM FOR EXECUTIVES AND KEY PHYSICIANS IN CONJUNCTION WITH THE KENT COUNTY MEMORIAL HOSPITAL PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE COMMITTEE AT ALL TIMES CONDUCTS ITSELF FREE FROM EXECUTIVE MANAGEMENT IN ITS DECISION MAKING PROCESS EXCEPT WITH RESPECT TO DECISIONS RELATING TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER WHICH ARE MADE IN CONJUNCTION WITH THE CARE NEW ENGLAND HEALTH SYSTEM CHIEF EXECUTIVE OFFICER. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT AND CEO. 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 WHO 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, NUMBER OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WERE REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT AND CEO. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE ALSO REVIEWED BY THE CARE NEW ENGLAND HEALTH SYSTEM COMPENSATION COMMITTEE. IN ADDITION, THE KENT COUNTY MEMORIAL HOSPITAL PRESIDENT AND CEO, WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT, ALSO REVIEW THE COMPENSATION AND BENEFITS OF OTHER PEOPLE INCLUDED IN THIS FORM 990 IN CONJUNCTION WITH EACH 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. FORM 990, PART VI, SECTION C, LINE 19 KENT HOSPITAL FOUNDATION'S CORPORATE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY MAIL UPON WRITTEN REQUEST. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE OF CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("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, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON 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. PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME OR PART-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 79,232. AUDITED FINANCIAL STATEMENTS FORM 990, PART XII, LINE 2: THE ORGANIZATION IS AN AFFILIATE OF CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES, A TAX-EXEMPT, INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS CARE NEW ENGLAND HEALTH SYSTEM. AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CARE NEW ENGLAND HEALTH SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED SEPTEMBER 30, 2012 AND SEPTEMBER 30, 2011, RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATED SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. CARE NEW ENGLAND HEALTH SYSTEM'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. FORM 990, PART IX, LINE 24: ADDITIONAL FUNDRAISING EXPENSES ARE REPORTED ON KENT COUNTY MEMORIAL HOSPITAL, EIN: 05-0258896. BUTLER HOSPITAL 345 BLACKSTONE BLVD PROVIDENCE RI 02906 050258812 HEALTHCARE RI 501(C)(3) HOSPITAL CNE 0 CARE NEW ENGLAND HEALTH SYSTEM 45 WILLARD AVENUE PROVIDENCE RI 02905 050490997 HEALTHCARE RI 501(C)(3) 509(A)(3) N/A 0 HEALTHTOUCH INC 51 HEALTH LANE WARWICK RI 02886 050514949 HEALTHCARE RI 501(C)(3) 509(A)(2) KCVNA 0 KENT COUNTY MEMORIAL HOSPITAL 455 TOLL GATE ROAD WARWICK RI 02886 050258896 HEALTHCARE RI 501(C)(3) HOSPITAL CNE 0 KENT COUNTY VISITING NURSE ASSOCIATION DBA VNA OF CNE 51 HEALTH LANE WARWICK RI 02886 050242659 HEALTHCARE RI 501(C)(3) 170B1AVI CNE 0 PALOMAR GROUP INC 300 RICHMOND STREET PROVIDENCE RI 02903 050462378 PARKING FACILITY RI 501(C)(3) 509(A)(2) WIC 0 WIH FACULTY PHYSICIANS INC 67 BRIGHAM STREET NEW BEDFORD MA 02740 043579432 HEALTHCARE MA 501(C)(3) 509(A)(2) WIH 0 WOMEN & INFANTS CORPORATION 300 RICHMOND STREET PROVIDENCE RI 02903 022885807 HEALTHCARE RI 501(C)(3) 509(A)(3) CNE 0 WOMEN & INFANTS DEVELOPMENT FOUNDATION 300 RICHMOND STREET PROVIDENCE RI 02903 222885815 HEALTHCARE RI 501(C)(3) 509(A)(3) WIC 0 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND 300 RICHMOND STREET PROVIDENCE RI 02903 050258937 HEALTHCARE RI 501(C)(3) 509(A)(1) WIC 0 BUTLER HOSPITAL FOUNDATION 345 BLACKSTONE BLVD PROVIDENCE RI 02906 454530540 SUPPORT ORG RI 501(C)(3) 509(A)(3) BH 0 TOLL GATE INDEMNITY LTD 23 LIME TREE BAY AVENUE PO BOX 105 GRAND CAYMAN CJ 342028514 FINANCIAL VEHICLE CJ KCMH C W & I INDEMNITY LTD 23 LIME TREE BAY AVENUE PO BOX 105 GRAND CAYMAN CJ 980159342 FINANCIAL VEHICLE CJ WIH C 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 KENT COUNTY MEMORIAL HOSPITAL B 930706 COST KENT COUNTY MEMORIAL HOSPITAL C 276000 COST