KENT COUNTY MEMORIAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
KENT COUNTY MEMORIAL HOSPITAL (EIN 05-0258896)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201242269349300224
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-13T09:05:31-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050258896EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KENT COUNTY MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKENTNameControl
Phone4016811150Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 TOLL GATE ROADAddressLine1
CityWARWICKCity
StateRIState
ZIP Code02886ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL A BEAUDOINName
TitleSENIOR VICE PRESIDENT-FINANCETitle
Date Signed2012-08-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameScott MarianiName
Phone9738989494Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSANDRA L COLETTANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1455 TOLL GATE ROADAddressLine1
CityWARWICKCity
StateRIState
ZIP Code02886ZIPCode
FieldValueIRS element (for citing)
Gross Receipts326333800GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.KENTRI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION IS DEVOTED TO CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE, OFFERING OUR ESSENTIAL SERVICES WITHOUT REGARD FOR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees2647TotalNbrEmployees
Total Nbr Volunteers280TotalNbrVolunteers
Total Gross UBI2129149TotalGrossUBI
Contributions Grants Prior Year1601841ContributionsGrantsPriorYear
Contributions Grants Current Year1440429ContributionsGrantsCurrentYear
Program Service Revenue Prior Year284332533ProgramServiceRevenuePriorYear
Program Service Revenue CY309772886ProgramServiceRevenueCY
Investment Income Prior Year1234907InvestmentIncomePriorYear
Investment Income Current Year1655735InvestmentIncomeCurrentYear
Other Revenue Prior Year4873607OtherRevenuePriorYear
Other Revenue Current Year491195OtherRevenueCurrentYear
Total Revenue Prior Year292042888TotalRevenuePriorYear
Total Revenue Current Year313360245TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY245740GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year152665600SalariesEtcPriorYear
Salaries Etc Current Year161232949SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year25500TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY15000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year837887TotalFundrsngExpCurrentYear
Other Expense Prior Year136236010OtherExpensePriorYear
Other Expenses Current Year146792679OtherExpensesCurrentYear
Total Expenses Prior Year288927110TotalExpensesPriorYear
Total Expenses Current Year308286368TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3115778RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5073877RevenuesLessExpensesCY
Total Assets BOY156633422TotalAssetsBOY
Total Assets EOY170485058TotalAssetsEOY
Total Liabilities BOY97909477TotalLiabilitiesBOY
Total Liabilities EOY122278534TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY58723945NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY48206524NetAssetsOrFundBalancesEOY
Mission DescriptionKENT COUNTY MEMORIAL HOSPITAL IS DEVOTED TO CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE, OFFERING OUR ESSENTIAL SERVICES WITHOUT REGARD FOR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense280487070Expense
Grants245740Grants
Revenue309772886Revenue
DescriptionEXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Description
Total Program Service Expense280487070TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096236NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2647NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAUL A BEAUDOINNamePerson
Telephone Number4017377000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1455 TOLL GATE ROADAddressLine1
CityWARWICKCity
StateRIState
ZIP Code02886ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ANDREW M ERICKSON
CHAIRMAN - DIRECTOR5.0XX000
ANDREA HOPKINS
VICE CHAIR - DIRECTOR1.0XX000
JOSEPH J MCGAIR ESQ
VICE CHAIRMAN - DIRECTOR1.0XX000
LAURA J HILDERLEY RN MS
SECRETARY - DIRECTOR1.0XX000
JONATHAN K FARNUM
TREASURER - DIRECTOR1.0XX000
STEPHEN A ROOKS
ASSISTANT SECRETARY - DIRECTOR1.0XX000
RAYMOND J BOLSTER II
ASSISTANT TREASURER - DIRECTOR1.0XX000
ALFRED A ARCAND MD
DIRECTOR - CHIEF OF MED. STAFF1.0X000
HERBERT BRENNAN DO
DIRECTOR1.0X000
JANICE CAIANIELLO RN
DIRECTOR55.0X102524027347
THOMAS J CELONA
DIRECTOR1.0X000
SANDRA L COLETTA
DIRECTOR - PRESIDENT AND CEO55.0XX705010086884
EDWARD J COONEY
DIRECTOR1.0X000
HONORABLE FRANCIS X FLAHERTY
DIRECTOR1.0X000
DUANE T GOLOMB MD
DIRECTOR - PRES. MEDICAL STAFF1.0X750000
MICHAEL A GRANDE
DIRECTOR1.0X000
JAMES M HAGERTY
DIRECTOR1.0X000
JAMES A HOPKINS
DIRECTOR1.0X000
JOHN J HYNES ESQ TERM 8111
NON-VOTING DIR. - PRES/CEO/CNE1.0X13429740307010
POLLY E LEONARD DO
DIRECTOR25.0X7792500
KENNETH L MACNAUGHT
DIRECTOR1.0X000
GERALD MCCLURE
DIRECTOR1.0X000
GEORGE W SHUSTER
DIRECTOR1.0X200000
JOSEPH W SPINALE DO
DIRECTOR25.0X10005505999
JAMES M VESEY
DIRECTOR1.0X000
MARIBETH WILLIAMSON
DIRECTOR1.0X000
JOSEPH A DIPIETRO
SENIOR VICE PRESIDENT/CAO55.0X4301870128653
PAUL A BEAUDOIN
SENIOR VICE PRESIDENT-FINANCE55.0X4278110104807
MICHAEL DACEY MD
SR VICE PRESIDENT MED AFFAIRS55.0X389916066615
RENE E FISCHER RN
SR VP - PATIENT CARE SERVICES55.0X286163064444
DAVID B CAMPBELL
SR VP- HUMAN RESOURCES55.0X246969089616
HELEN M REED
VICE PRESIDENT - REVENUE CYCLE55.0X360415079634
JAMES M BURKE
VICE PRESIDENT - FINANCE55.0X231305044530
JEAN M BUTLER
VP - PATIENT CARE SERVICES55.0X199565016253
FRANCES FALSEY
VP - PATIENT CARE SERVICES55.0X191806025765
PAUL MCKENNEY MD
ASSOCIATE MEDICAL DIRECTOR55.0X331589046174
JOHN ISAAC MD
PRESIDENT-AFFINITY PHYSICIANS55.0X1876620517
RICHARD J RENEHAN
EXEC DIR - AFFINITY PHYSICIANS55.0X10435400
OMPRAKASH H KOTHARI MD
MEDICAL DIRECTOR - LABORATORY55.0420282063021X
ROBERT DINWOODIE DO
MEDICAL DIR.-EMERGENCY ROOM55.0331068023178X
KENNETH R PHILLIPS MD
PHYSICIAN - INTENSIVIST55.0316611033637X
EHSUN R MIRZA MD
PHYSICIAN - INTENSIVIST55.0282103030847X
IMENDE A SUTHERLAND MD
MEDICAL DIRECTOR - REHAB UNIT55.0272295034636X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7348089TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1279567TotalOtherCompensation
Number Individuals GT100 K136NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP INC
680 SOUTH FOURTH STREETLOUISVILLEKY40202MEDICAL1698572
PURITY SERVICES
405 MYRTLE STREETNEW BEDFORDMA02746LAUNDRY1156819
MAYO MEDICAL LABORATORIES
PO BOX 4100ROCHESTERMN559034100LABORATORY671547
XIMEDICA LLC
55 DUPONT DRIVEPROVIDENCERI02907CONSULTING662280
XRA MEDICAL IMAGING
6725 POST ROADNORTH KINGSTOWNRI02852RADIOLOGY648507
FieldValueIRS element (for citing)
Number Of Contractors GT100 K34NumberOfContractorsGT100K
Membership Dues42450MembershipDues
Fundraising Events245740FundraisingEvents
Related Organizations1113750RelatedOrganizations
Government Grants38489GovernmentGrants
Total Contributions1440429TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE541900299788245299788245
OTHER HEALTHCARE RELATED REVENUE541900998464178554922129149
FieldValueIRS element (for citing)
Total Program Service Revenue309772886TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column679563TotalRevenueColumn
Exclusion$679,563ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real361953Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real247997Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real113956Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column113956TotalRevenueColumn
Exclusion$113,956ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13294528Securities
Other800Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12315422Securities
Other3734Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities979106Securities
Other-2934Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column976172TotalRevenueColumn
Exclusion$976,172ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events38904GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events245740CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses38904FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory502958GrossSalesOfInventory
Cost Of Goods Sold367498CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column135460TotalRevenueColumn
Exclusion$135,460ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
TELEPHONE900003197235$197,235
CAFETERIA90000344544$44,544
FieldValueIRS element (for citing)
Total Other Revenue241779TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column313360245TotalRevenueColumn
Related Or Exempt Function Income307643737RelatedOrExemptFunctionIncome
Unrelated Business Revenue2129149UnrelatedBusinessRevenue
Exclusion$2,146,930ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total245740Total
Program Services245740ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6819978Total
Program Services6137983ProgramServices
Management And General681995ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total118773025Total
Program Services106667401ProgramServices
Management And General11851933ManagementAndGeneral
Fundraising253691Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6714808Total
Program Services6043327ProgramServices
Management And General671481ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total20522999Total
Program Services18470697ProgramServices
Management And General2052302ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8402139Total
Program Services7561925ProgramServices
Management And General840214ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total531223Total
Program Services478101ProgramServices
Management And General53122ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22725Total
Program Services20453ProgramServices
Management And General2272ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total8115Total
Program Services7304ProgramServices
Management And General811ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total15000Total
Fundraising15000Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3358707Total
Program Services2784161ProgramServices
Management And General309351ManagementAndGeneral
Fundraising265195Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total677142Total
Program Services609428ProgramServices
Management And General67714ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total37088445Total
Program Services33376442ProgramServices
Management And General3708494ManagementAndGeneral
Fundraising3509Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9868617Total
Program Services8881755ProgramServices
Management And General986862ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2159215Total
Program Services1943294ProgramServices
Management And General215921ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total51340Total
Program Services46206ProgramServices
Management And General5134ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total755933Total
Program Services680340ProgramServices
Management And General75593ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8873736Total
Program Services7986362ProgramServices
Management And General887374ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8171895Total
Program Services7354706ProgramServices
Management And General817189ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES2511824822520451250227295525
PROV FOR UNCOLLECTIBLE ACCTS.241469552414695500
LICENSURE FEE134416471344164700
REPAIRS AND MAINTENANCE301127127101443011270
UTILITIES182729716445671827300

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7680168Total
Program Services6727681ProgramServices
Management And General747520ManagementAndGeneral
Fundraising204967Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total308286368Total
Program Services280487070ProgramServices
Management And General26961411ManagementAndGeneral
Fundraising837887Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5631179BOY
EOY6170279EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33968200BOY
EOY35652452EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY862067BOY
EOY2620530EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3404891BOY
EOY3580301EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1049734BOY
EOY1117117EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis211000990LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec142721498LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY69381958BOY
EOY68279492EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY41091027BOY
EOY46715805EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1244366BOY
EOY6349082EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY156633422BOY
EOY170485058EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33701440BOY
EOY38004210EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6157127BOY
EOY4298680EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY58050910BOY
EOY79975644EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY97909477BOY
EOY122278534EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY44632193BOY
EOY34728169EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2256957BOY
EOY2143486EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11834795BOY
EOY11334869EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58723945BOY
EOY48206524EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY156633422BOY
EOY170485058EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5073877ReconcilationRevenueExpenses
Reconcilation Other Changes-15591298ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$8,115OtherActivitiesAmount
Total Lobbying Expenditures IIB8115TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B; LINE 1IReturnReference
ExplanationTHE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $8,115. THE AHA PROVIDES BOTH ADVOCACY AND REPRESENTATION FOR ITS MEMBERS. AHA'S ADVOCACY IS GENERALLY ABOUT HOSPITALS AS THE CORNERSTONE OF THE COMMUNITY, PROTECTING THE HEALTHCARE SAFETY NET AND IMPROVING CARE, AFFORDABILITY AND COVERAGE. THE AHA'S ADVOCACY AGENDA CAN BE VIEWED AT THEIR WEBSITE: WWW.AHA.ORG.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance25866548BeginningOfYearBalance
Contributions2794Contributions
Investment Earnings Or Losses-284526InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures333968OtherExpenditures
Administrative Expenses70098AdministrativeExpenses
End Of Year Balance25180750EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance23976800BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses2234701InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures279440OtherExpenditures
Administrative Expenses65513AdministrativeExpenses
End Of Year Balance25866548EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance26324947BeginningOfYearBalance
Contributions200Contributions
Investment Earnings Or Losses745348InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures3046599OtherExpenditures
Administrative Expenses47096AdministrativeExpenses
End Of Year Balance23976800EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.46000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.54000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis90165OtherCostOrOtherBasis
Book Value90165BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1185781InvestmentCostOrOtherBasis
Other Cost Or Other Basis86799200OtherCostOrOtherBasis
Depreciation44578000Depreciation
Book Value43406981BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis117817886OtherCostOrOtherBasis
Depreciation95408269Depreciation
Book Value22409617BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5107958OtherCostOrOtherBasis
Depreciation2735229Depreciation
Book Value2372729BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings68279492TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (9 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN SUBSIDIARY1213958F
ENDOWMENT FUNDS10090270F
ENDOWMENT FUND - TRUST FUND13554689F
EF TRUST FUND - VALUATION653369F
INVESTMENT - PHO100452F
DEFERRED COMPENSATION FUND1070080F
EXECUTIVE LIFE INSURANCE6678760F
CASH AND CASH EQUIVALENTS1200403F
TRUSTEE HELD PROJECT FUNDS12153824F
FieldValueIRS element (for citing)
Total Of Book Value Program Related46715805TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYORS; CURRENT$2,827,844
DUE TO THIRD PARTY PAYORS; NON-CURRENT$5,063,286
LONG-TERM BENEFITS PAYABLE$1,338,633
OTHER LIABILITIES$401,000
ASSET RETIREMENT OBLIGATION$946,961
PENSION LIABILITY$34,083,037
DUE TO AFFILIATES; CURRENT$8,845,345
DUE TO AFFILIATES; NON-CURRENT$26,469,538
FieldValueIRS element (for citing)
Total Of Amounts79975644TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V, QUESTION 4THE 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 PROPERTY AND EQUIPMENT.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTESCHEDULE D, PART XTHE 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, 2011 AND SEPTEMBER 30, 2010; 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, 2011 AND CONCLUDED THAT THE ESTIMATED LIABILITY WAS NOT MATERIAL TO THE ORGANIZATION'S FINANCIAL STATEMENTS.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices1NumberOfOffices
Number Of Employees1NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedFINANCIAL VEHICLESpecificServicesProvided
Total Expenditures5444185TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees1SubtotalNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees1TotalNumberOfEmployees
Subtotal Amount Spent5444185SubtotalAmountSpent
Total Amount Spent5444185TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualSEASIDE CONSULTING INCNameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 34AddressLine1
CityJAMESTOWNCity
StateRIState
ZIP Code02835ZIPCode
FieldValueIRS element (for citing)
ActivityGRANT WRITINGActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts65000GrossReceipts
Amount Retained By Contractor15000AmountRetainedByContractor
Net To Organization50000NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts65000TotalGrossReceipts
Total Retained By Contractors15000TotalRetainedByContractors
Total Net To Organization50000TotalNetToOrganization

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event158161GrossReceiptsEvent1
Charitable Contributions Event137860CharitableContributionsEvent1
Gross Revenue Event120301GrossRevenueEvent1
Non Cash Prizes Event11260NonCashPrizesEvent1
Rent Facility Costs Event110000RentFacilityCostsEvent1
Other Direct Expenses Event19041OtherDirectExpensesEvent1
Name Of Event2FASHION SHOWNameOfEvent2
Gross Receipts Event210838GrossReceiptsEvent2
Charitable Contributions Event24571CharitableContributionsEvent2
Gross Revenue Event26267GrossRevenueEvent2
Other Direct Expenses Event26267OtherDirectExpensesEvent2
Total Number Of Other Events10TotalNumberOfOtherEvents
Gross Receipts Other Events215645GrossReceiptsOtherEvents
Charitable Contrib Other Events203309CharitableContribOtherEvents
Gross Revenue Other Events12336GrossRevenueOtherEvents
Other Direct Expenses Other Events12336OtherDirectExpensesOtherEvents
Gross Receipts Total284644GrossReceiptsTotal
Charitable Contributions Total245740CharitableContributionsTotal
Gross Revenue Total Events38904GrossRevenueTotalEvents
Non Cash Prizes Total Events1260NonCashPrizesTotalEvents
Rent Facility Costs Total Events10000RentFacilityCostsTotalEvents
Other Direct Expenses Total Events27644OtherDirectExpensesTotalEvents
Direct Expense Summary Events38904DirectExpenseSummaryEvents

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense15114826TotalCommunityBenefitExpense
Direct Offsetting Revenue8389987DirectOffsettingRevenue
Net Community Benefit Expense6724839NetCommunityBenefitExpense
Percent Of Total Expense0.02370PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense28843511TotalCommunityBenefitExpense
Direct Offsetting Revenue28508351DirectOffsettingRevenue
Net Community Benefit Expense335160NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense43958337TotalCommunityBenefitExpense
Direct Offsetting Revenue36898338DirectOffsettingRevenue
Net Community Benefit Expense7059999NetCommunityBenefitExpense
Percent Of Total Expense0.02490PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense213409TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense213409NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense6820391TotalCommunityBenefitExpense
Direct Offsetting Revenue4265478DirectOffsettingRevenue
Net Community Benefit Expense2554913NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense26439201TotalCommunityBenefitExpense
Direct Offsetting Revenue21107342DirectOffsettingRevenue
Net Community Benefit Expense5331859NetCommunityBenefitExpense
Percent Of Total Expense0.01880PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33473001TotalCommunityBenefitExpense
Direct Offsetting Revenue25372820DirectOffsettingRevenue
Net Community Benefit Expense8100181NetCommunityBenefitExpense
Percent Of Total Expense0.02860PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense77431338TotalCommunityBenefitExpense
Direct Offsetting Revenue62271158DirectOffsettingRevenue
Net Community Benefit Expense15160180NetCommunityBenefitExpense
Percent Of Total Expense0.05350PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$6,853,641BadDebtExpenseAmount
Amount Attributable To1219948AmountAttributableTo
Amount Reimbursed By Medicare61415870AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare73696478CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-12280608MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1KENT COUNTY MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1455 TOLL GATE ROADAddressLine1
CityWARWICKCity
StateRIState
ZIP Code02886ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1KENT COUNTY MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities24NumberOfOtherFacilities

Other Facilities OtherFacilities (24 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
AFFINITY - KENT SURGICAL
470 TOLL GATE ROADWARWICKRI02886PHYSICIAN PRACTICE
AFFINITY - WEST BAY
390 TOLL GATE ROADWARWICKRI02886PHYSICIAN PRACTICE
MRI ON CENTERVILLE ROAD
227 CENTERVILLE ROADWARWICKRI02886MRI FACILITY
KENT HOSPITAL OUTPATIENT LAB
982 TIOGUE AVENUECOVENTRYRI02816LAB
KENT HOSPITAL OUTPATIENT LAB
166 TOLL GATE ROADWARWICKRI02886LAB
KENT HOSPITAL OUTPATIENT LAB
227 CENTERVILLE ROADWARWICKRI02886VASCULAR LAB
AFFINITY - TROMBATORE
300 TOLL GATE ROADWARWICKRI02886PHYSICIAN PRACTICE
KENT HOSPITAL OUTPATIENT LAB
390 TOLL GATE ROADWARWICKRI02886LAB
DR SANTORO OFFICE
1681 CRANSTON STREETCRANSTONRI02920PHYSICIAN PRACTICE
KENT HOSPITAL OUTPATIENT LAB
1051 TEN ROD ROADNORTH KINGSTONRI02852LAB
KENT HOSPITAL OUTPATIENT LAB
905 PONTIAC AVENUECRANSTONRI02920LAB
KENT HOSPITAL OUTPATIENT LAB
1620 NOOSENECK HILL ROADCOVENTRYRI02816LAB
AFFINITY - PRIMARY CARE WARWICK
215 TOLL GATE ROADWARWICKRI02886PHYSICIAN PRACTICE
BAYSIDE FAMILY HEALTH CARE
308 CALLAHAN ROADNORTH KINGSTONRI02852PHYSICIAN & LAB
KENT HOSPITAL OUTPATIENT LAB
215 TOLL GATE ROADWARWICKRI02886LAB
KENT HOSPITAL OUTPATIENT LAB
250 CENTERVILL ROADWARWICKRI02886LAB
KENT HOSPITAL OUTPATIENT LAB
227 CENTERVILLE ROADWARWICKRI02886LAB
KENT HOSPITAL OUTPATIENT LAB
1407 SOUTH COUNTY TRAILEAST GREENWICHRI02818LAB
KENT HOSPITAL OUTPATIENT LAB
190 COMMERCE DRIVEWARWICKRI02886LAB
KENT HOSPITAL OUTPATIENT LAB
1087 WARWICK AVENUEWARWICKRI02886LAB
KENT HOSPITAL OUTPATIENT LAB
750 RESERVOIR AVENUECRANSTONRI02910LAB
KENT HOSPITAL OUTPATIENT LAB
1079 MAIN STREETWEST WARWICKRI02983LAB
DR REEDER OFFICE ( OP THERAPY)
1351 SOUTH COUNTY TRAILEAST GREENWICHRI02818PHYSICIAN PRACTICE & THERAPY
KENT HOSPITAL OUTPATIENT LAB
75 MINNESOTA AVENUEWARWICKRI02888LAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ELIGIBILITY FOR DISCOUNTED CARESCHEDULE H, PART I, LINE 3CNOT APPLICABLE.
COMMUNITY BENEFIT REPORTSCHEDULE H, PART I, LINE 6ANOT APPLICABLE.
SUBSIDIZED HEALTH SERVICESSCHEDULE H, PART I, LINE 7GNO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN (F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $24,146,955.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COSTSCHEDULE H, PART I, LINE 7A COST-TO-CHARGE RATIO WAS USED, THE SOURCE BEING THE MEDICARE COST REPORT FOR FY 2011, ADJUSTED FOR CERTAIN COSTS WHICH ARE PARTICULAR TO MEDICARE COST REPORTING, BUT NOT APPROPRIATE FOR PART 1, LINE 7. E.G. REMOVING THE REASONABLE COST EQUIVALENT FOR PHYSICIAN SERVICES IN W/S A-8-2 AND REMOVING THE RELATED PARTY COSTS (OTHER THAN HOME OFFICE). WORKSHEET 2, "RATIO OF PATIENT CARE COST-TO-CHARGES" WAS USED TO COMPLETE THE COST-TO-CHARGE RATIO USED IN PART 1, LINE 7.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART IIKENT COUNTY MEMORIAL HOSPITAL 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.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4BAD DEBT EXPENSE WAS CALCULATED USING THE ORGANIZATION'S BAD DEBT EXPENSE FROM ITS AUDITED FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES AND MULTIPLIED BY ITS COST TO CHARGE RATIO. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. EACH OF THE SYSTEM'S THREE HOSPITALS HAVE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. NET PATIENT SERVICE REVENUE THE HOSPITALS AND THE AGENCY HAVE INDIVIDUAL AGREEMENTS WITH MANY THIRD-PARTY PAYORS THAT PROVIDE PAYMENTS AT AMOUNTS DIFFERENT FROM THEIR ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER-DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO SUCH THINGS AS FUTURE AUDITS AND REVIEWS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN, OR AS YEARS ARE NO LONGER SUBJECT TO SUCH ADJUSTMENTS. 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.
MEDICARE SHORTFALLSCHEDULE H, PART III, LINE 8THE INPATIENT MEDICARE ALLOWABLE COSTS WERE DETERMINED FROM THE SUBMITTED FY 2011 MEDICARE COST REPORT, WORKSHEET D-1, LINE 49, LESS PARA-MED COSTS, WHICH ARE INCLUDED IN PART 1, LINE 7(F). WORKSHEET D-1, LINE 49, DOES NOT INCLUDE DIRECT GME COSTS. THE OUTPATIENT ALLOWABLE COSTS COME FROM WORKSHEET E, PART B. BAD DEBT IS COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. 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, RELIGION 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," AND 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 "DUAL 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, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF
DEBT COLLECTION POLICYSCHEDULE H, PART III, LINE 9BKENT COUNTY MEMORIAL HOSPITAL 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.
FACILITY POLICIES AND PRACTICESSCHEDULE H, PART VNOT APPLICABLE.
NEEDS ASSESSMENTSCHEDULE H, PART VI, QUESTION 2THE 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.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCESCHEDULE H, PART VI, QUESTION 3AS A NOT FOR-PROFIT ENTITY, KENT COUNTY MEMORIAL HOSPITAL'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.
COMMUNITY INFORMATIONSCHEDULE H, PART VI, QUESTION 4KENT HOSPITAL IS LOCATED IN THE CENTRAL PORTION OF THE STATE OF RHODE ISLAND. OUR SERVICE AREA REACHES APPROXIMATELY 300,000 PEOPLE IN THE PRIMARY SERVICE AREA OF WARWICK, COVENTRY, EAST GREENWICH, WEST GREENWICH AND WEST WARWICK (KENT COUNTY). CURRENT CENSUS DATA INDICATES SIGNIFICANT GROWTH IN THE HISPANIC POPULATION IN OUR REGION BUT THE POPULATION IN OUR HOME COMMUNITY OF WARWICK HAS SEEN A POPULATION DECREASE FROM PAST CENSUS DATA. THE POPULATION SERVED IS DIVIDED INTO THE FOLLOWING AGE CATEGORIES: AGES 0-17, 20.7%; AGES 18-34, 20%; AGES 35-54, 30.6%, AGES 55-64, 13.5% AND AGES 65+, 15.3%. THE EDUCATION LEVELS ACHIEVED AMONG THE POPULATION SERVED IS AS FOLLOWS: 10.3% FINISHED LESS THAN HIGH SCHOOL; 31.4% RECEIVED A HIGH SCHOOL DEGREE; 28.6% FINISHED SOME OF COLLEGE OR RECEIVED AN ASSOCIATE'S DEGREE AND 29.7% RECEIVED A BACHELOR'S DEGREE OR GREATER.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, QUESTION 5THE 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.
AFFILIATED HEALTH CARE SYSTEMSCHEDULE H, PART VI, QUESTION 6OUTLINED 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 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, RELIGION 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 AND KENT COUNTY 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 ITS BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS OF CARE NEW ENGLAND HEALTH SYSTEM. BOTH BOARDS ARE 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, RELIGION OR ABILITY TO PAY. MOREOVER, BUTLER HOSPITAL OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. WOMEN & INFANTS HOSPITAL OF RHODE ISLAND WOMEN & INFANTS CORPORATION 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, RELIGION OR ABILITY TO PAY. MOREOVER, WOMEN & INFANTS CORPORATION OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. 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 170(B)(1)(A)(VI). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION 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, RELIGION 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, RELIGION 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, RELIGION OR ABILITY TO PAY. PALOMAR GROUP, INC. PALOMAR GROUP, 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, RELIGION 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, RELIGION OR ABILITY TO PAY. HEALTH TOUCH, INC. HEALTH TOUCH, 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, RELIGION OR ABILITY TO PAY. AFFINITY PHYSICIANS, L.L.C. AND KENT ANCILLARY SERVICES, L.L.C. ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES OF KENT COUNTY MEMORIAL HOSPITAL. FOR-PROFIT CARE NEW ENGLAND HEALTH SYSTEM ENTITIES: W&I INDEMNITY LTD. AN ENTITY 100% OWNED BY WOMEN & INFANTS HOSPITAL OF RHODE ISLAND. THIS ENTITY IS A FINANCIAL VEHICLE AND FOREIGN CORPORATION LOCATED IN GRAND CAYMAN. TOLL GATE INDEMNITY LTD. AN ENTITY 100% OWNED BY KENT COUNTY MEMORIAL HOSPITAL. THIS ENTITY IS A FINANCIAL VEHICLE AND FOREIGN CORPORATION LOCATED IN GRAND CAYMAN.
STATE FILING OF COMMUNITY BENEFIT REPORTSCHEDULE H, PART VI, QUESTION 7NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN RHODE ISLAND. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF RHODE ISLAND.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1KENT HOSPITAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1455 TOLL GATE ROADAddressLine1
CityWARWICKCity
StateRIState
ZIP Code02886ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient050514640EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant245740AmountOfCashGrant
Purpose Of GrantGENERAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GRANT FUND MONITORINGSCHEDULE I, PART I; QUESTION 2GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
GRANTS AND OTHER ASSISTANCESCHEDULE I, PART II; COLUMN DTHE 2010 FORM 990 FOR KENT COUNTY MEMORIAL HOSPITAL INCLUDES THE KENT COUNTY MEMORIAL HOSPITAL AUXILIARY; A DIVISION OF KENT COUNTY MEMORIAL HOSPITAL. THE KENT COUNTY MEMORIAL HOSPITAL AUXILIARY'S BOOKS AND RECORDS ARE ACCOUNTED FOR ON THE CASH BASIS METHOD. THE AMOUNT OF $245,740 LISTED IN SCHEDULE I, PART II; COLUMN D IS THE AMOUNT OF CASH SUPPORT PROVIDED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2011.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SANDRA L COLETTA
4582190156000090791078646082380791894000
JOHN J HYNES ESQ TERM 8111
7962170280000026675702468270601830164998401943910
JOSEPH A DIPIETRO
28018707309107690909952802912505588400543560
PAUL A BEAUDOIN
29271408437505072207966202514505326180304070
MICHAEL DACEY MD
2620950765310512900528620137530456531000
RENE E FISCHER RN
223098060672023930430890213550350607000
DAVID B CAMPBELL
183714054563086920609020287140336585000
HELEN M REED
255109071574033732073000066340440049000
JAMES M BURKE
1698790506720107540184960260340275835000
JEAN M BUTLER
15965103878501129016253000215818000
FRANCES FALSEY
15298703812606930122790134860217571000
PAUL MCKENNEY MD
2331400677140307350222140239600377763000
JOHN ISAAC MD
96648000910140005170188179000
OMPRAKASH H KOTHARI MD
36851906015045748061115019060483303000
ROBERT DINWOODIE DO
3080240496501807902241707610354246000
KENNETH R PHILLIPS MD
266761020000478500199290137080350248000
EHSUN R MIRZA MD
244312020000357910125250183220312950000
IMENDE A SUTHERLAND MD
26541800068770208560137800306931000

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION INFORMATIONPART VII AND SCHEDULE JTAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2010 FORMS W-2 AND 1099 (IF APPLICABLE).
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 1ADURING THE ORGANIZATION'S FISCAL YEAR ENDED SEPTEMBER 30, 2011, DR. JOHN ISAAC BECAME AN EMPLOYEE OF THE ORGANIZATION THROUGH AFFINITY PHYSICIANS, L.L.C. KENT COUNTY MEMORIAL HOSPITAL IS THE SOLE MEMBER OF AFFINITY PHYSICIANS, L.L.C. AS PART OF THE TRANSITION, DR. ISAAC WAS REQUIRED TO PURCHASE A MEDICAL MALPRACTICE INSURANCE TAIL POLICY FOR THE TIME PRIOR TO HIS EMPLOYMENT. THIS WAS NOT ADDRESSED IN THE ORIGINAL EMPLOYMENT AGREEMENT BETWEEN THE PARTIES. THE AMOUNT OF THE TAIL POLICY WAS $34,000. AS A RESULT, THE ORGANIZATION GROSSED THIS NET AMOUNT UP FOR FEDERAL AND STATE TAX PURPOSES. THE GROSS-UP AMOUNT WAS $30,764. THUS A TOTAL OF $64,764 WAS INCLUDED ON DR. ISAAC'S 2010 FORM W-2. PAYMENTS MADE ON BEHALF OF CARE NEW ENGLAND HEALTH SYSTEM PRESIDENT/CEO TO LUNCHEON CLUB FOR MEMBERSHIP DUES AND BUSINESS RELATED EXPENSES IN ACCORDANCE WITH EMPLOYMENT CONTRACT. THE CARE NEW ENGLAND HEALTH SYSTEM PRESIDENT/CEO IS AN EMPLOYEE OF KENT COUNTY MEMORIAL HOSPITAL.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 4BTHE 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 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN J. HYNES, ESQ., $194,391; PAUL A BEAUDOIN, $30,407 AND JOSEPH A DIPIETRO, $54,356. 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 2010 FORM W-2, AS TAXABLE WAGES: SANDRA L. COLETTA, $62,280; JOHN J. HYNES, ESQ., $178,852; JOSEPH A. DIPIETRO, $52,010; PAUL A. BEAUDOIN, $54,648; MICHAEL DACEY, M.D., $32,018; RENE E. FISCHER, R.N., $25,939; DAVID B. CAMPBELL, $35,076 AND HELEN M. REED, $45,553.
COMPENSATION INFORMATIONSCHEDULE J, PART I; QUESTION 6A & 6BTHE 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 INFORMATIONSCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2010 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2010 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 INFORMATIONSCHEDULE J, PART II; COLUMN FTHE 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 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN J. HYNES, ESQ., $194,391; JOSEPH A. DIPIETRO, $54,356 AND PAUL A. BEAUDOIN, $30,407. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS AT-RISK NON-TAXABLE DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
WEST BAY SURGICAL ASSOCIATES INC
OFFICER, ISAAC178221MEDICAL SERVICESfalse
NANCY HAGERTY
DIRECTOR, SPOUSE60722HOSPITAL EMPLOYEEfalse
REBECCA GAUMITZ
DIRECTOR, CELONA34302HOSPITAL EMPLOYEEfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (56 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BENEFIT STATEMENTCORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSKENT COUNTY MEMORIAL HOSPITAL ("KENT") IS A GENERAL MEDICAL AND SURGICAL TEACHING HOSPITAL. KENT IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, KENT 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, KENT OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. KENT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. KENT OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. KENT MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF KENT RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF CARE NEW ENGLAND HEALTH SYSTEM. BOTH BOARDS ARE 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 KENT, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF KENT 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 ======= KENT 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. KENT IS A 359-BED, NON-PROFIT, ACUTE CARE HOSPITAL SERVING APPROXIMATELY 300,000 RESIDENTS OF WARWICK, WEST WARWICK, EAST GREENWICH, WEST GREENWICH, COVENTRY AND PARTS OF NORTH KINGSTOWN, EXETER AND CRANSTON, RHODE ISLAND. KENT IS LOCATED ON 57 ACRES IN THE TOLL GATE SECTION OF WARWICK (11 MILES SOUTH OF PROVIDENCE) AND IS THE SECOND LARGEST SINGLE-SITE HOSPITAL IN THE STATE. CHARTERED BY THE STATE OF RHODE ISLAND IN 1946, KENT OPENED WITH 90 BEDS IN 1951 AND EXPANDED IN 1960, 1973 AND 1981 TO KEEP PACE WITH COMMUNITY GROWTH. TODAY, KENT PROVIDES A FULL COMPLEMENT OF INPATIENT SERVICES INCLUDING CARDIOLOGY AND EXTENDED CORONARY CARE, INFECTIOUS DISEASE, PRIMARY CARE, ONCOLOGY, ORTHOPEDICS, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, REHABILITATION AND SURGERY. IN ADDITION, THE HOSPITAL OFFERS A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES INCLUDING CARDIAC CATHETERIZATION, CHEMOTHERAPY, DIAGNOSTIC IMAGING AND SURGERY. THE HOSPITAL ALSO OPERATES A WOMEN'S DIAGNOSTIC IMAGING CENTER AND A WOUND RECOVERY CENTER, AND PROVIDES LABORATORY AND PRIMARY CARE SERVICES AT VARIOUS SITES THROUGHOUT THE COMMUNITY. KENT HAS MORE THAN 2,300 EMPLOYEES, A MEDICAL STAFF OF MORE THAN 600, A VOLUNTEER CORPS OF 280 AND 350 AUXILIANS. KENT'S EMERGENCY SERVICES DEPARTMENT IS THE SECOND BUSIEST IN THE STATE WITH SOME 60,000 ANNUAL VISITS. IN 1985, AN EXPRESS TREATMENT UNIT OPENED TO REDUCE THE WAITING TIME FOR TREATMENT OF MINOR INJURIES AND ILLNESSES. 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. TODAY, VNA OF CARE NEW ENGLAND PROVIDES A BROAD SPECTRUM OF HOME HEALTH AND HOSPICE SERVICES. CARE NEW ENGLAND'S STRENGTHS ARE BASED ON COMPLEMENTARY PROGRAMS AND DISTINCTIVE COMPETENCIES OF OUR PARTNER HOSPITALS AND AGENCIES. BUTLER OFFERS EXPERTISE IN BEHAVIORAL HEALTH AND SUBSTANCE ABUSE. KENT PROVIDES A FULL CADRE OF PRIMARY AND SECONDARY ACUTE CARE SERVICES. WOMEN & INFANTS SPECIALIZES IN THE HEALTH NEEDS OF WOMEN AND NEWBORN CHILDREN. VNA OF CARE NEW ENGLAND PROVIDES A SPECTRUM OF HOME HEALTH, HOSPICE AND PRIVATE DUTY NURSING SERVICES. AND, OUR CARE NEW ENGLAND WELLNESS CENTER OFFERS AN ARRAY OF REHABILITATION, WELLNESS, FITNESS AND EDUCATIONAL PROGRAMS. AS A RESULT, CARE NEW ENGLAND IS WELL POSITIONED TO TRANSITION INTO THE NEW ERA OF HEALTHCARE DELIVERY WITH A HIGH QUALITY CONTINUUM OF CARE. CARE NEW ENGLAND IS DEDICATED TO THE ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH. BUTLER HOSPITAL SERVES AS THE PRINCIPAL TEACHING AFFILIATE FOR PSYCHIATRY AND HUMAN BEHAVIOR FOR BROWN MEDICAL SCHOOL, WOMEN & INFANTS IS BROWN'S PRIMARY AFFILIATE IN OBSTETRICS, GYNECOLOGY AND NEWBORN PEDIATRICS, AND KENT IS AFFILIATED WITH THE UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE. CARE NEW ENGLAND PROVIDES MEDICALLY NECESSARY CARE 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 WHO CARE NEW ENGLAND WAS NOT ABLE TO DETERMINE THEIR ELIGIBILITY ARE NOT REPORTED AS CHARITY CARE BUT REPORTED IN THE PROVISION FOR BAD DEBTS. ADDITIONALLY, CARE NEW ENGLAND SPONSORS CERTAIN OTHER PROGRAMS WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS INCLUDING COMMUNITY SERVICE PROGRAMS AND SERVICES FOR SCHOOL-AGED CHILDREN AND THE ELDERLY. CARE NEW ENGLAND ALSO ACTIVELY SPONSORS PROGRAMS ON HEALTH EDUCATION AND WELLNESS. 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 ======= KENT IS DEVOTED TO CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE, OFFERING OUR ESSENTIAL SERVICES WITHOUT REGARD FOR ABILITY TO PAY. VISION ===== KENT WILL BE ONE OF THE BEST REGIONAL HOSPITALS IN NEW ENGLAND, PREFERRED BY PATIENTS, STAFF AND PHYSICIANS FOR ITS QUALITY, SAFETY AND SERVICE. AWARDS & RECOGNITIONS ===================== IN A REPORT RELEASED BY HEALTHGRADES, KENT HAS RECEIVED A FIVE STAR RATING IN MATERNITY CARE FOR 2011. KENT IS ALSO RECOGNIZED AS A CERTIFIED STROKE CENTER AND IS THE RECIPIENT OF THE AMERICAN HEART/STROKE ASSOCIATION'S GET WITH THE GUIDELINES - GOLD ACHIEVEMENT AWARD. VALUES ====== AT KENT, WE PUT THE PATIENT AND THEIR FAMILIES AT THE CENTER OF ALL WE DO. IN OUR DAY-TO-DAY INTERACTIONS WITH PATIENTS AND EACH OTHER, OUR ACTIONS AND DECISIONS ARE GUIDED BY THE FOLLOWING CORE VALUES: - KINDNESS: WE TREAT EVERYONE WITH UNDERSTANDING AND CARING. - EXCELLENCE: WE DEMONSTRATE UNPARALLELED QUALITY IN ALL WE DO. - NEW IDEAS: WE ENCOURAGE LIFELONG LEARNING, CONTINUAL IMPROVEMENT AND INNOVATION. - TRUST: WE CAN BE COUNTED ON TO ALWAYS PLACE OUR PATIENTS' INTERESTS FIRST. - COLLABORATION: WE WORK IN PARTNERSHIPS WITH THOSE AROUND US, INCLUDING OUR PATIENTS. - ACCOUNTABILITY: WE HOLD OURSELVES ACCOUNTABLE FOR THE IMPACT OF OUR DECISIONS. - RESPECT: WE TREAT EACH PERSON WITH DIGNITY, RESPECTING THE DIVERSE NEEDS OF THOSE WE SERVE. - ETHICS: WE HOLD OURSELVES TO THE HIGHEST ETHICAL STANDARDS. WOMEN'S CARE CENTER =================== QUALIFIED STAFF --------------- KENT OFFERS THE COMMUNITY PRIVATE PRACTICE OBSTETRICIANS, MIDWIVES AND PEDIATRICIANS WHO BRING A WEALTH OF EXPERIENCE. KENT MATERNITY PATIENTS RECEIVE INDIVIDUALIZED CARE FROM OUR EXPERIENCED OB NURSING TEAM. LABOR & DELIVERY ---------------- THE WOMEN'S CARE CENTER INCLUDES SIX PRIVATE LABOR AND DELIVERY ROOMS AND A SURGICAL DELIVERY SUITE WITH ANESTHESIA SERVICES AND THE LATEST TECHNOLOGY IN FETAL MONITORING. IN ADDITION, COMPREHENSIVE DIAGNOSTIC AND TREATMENT RESOURCES FROM THE STATE'S LARGEST COMMUNITY HOSPITAL ARE IMMEDIATELY AVAILABLE.
COMMUNITY BENEFIT STATEMENT CONTINUEDCORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSPOSTPARTUM ---------- KENT OFFERS ALL SINGLE, LARGE AND COMFORTABLE POSTPARTUM ROOMS WITH PRIVATE SHOWERS. MOST ROOMS ARE ALSO SET ASIDE AS FAMILY ROOMS WITH A SLEEP SOFA AND MINI-DINING AREA. THE PEACE OF MIND OF OUR PATIENTS AND FAMILIES IS ALSO OF PRIME IMPORTANCE. THAT'S WHY KENT'S WOMEN'S CARE CENTER IS EQUIPPED WITH ADVANCED SECURITY TECHNOLOGY AND CONTINUOUS ATTENTION TO THE PRIVACY AND COMFORT OF PATIENTS AND FAMILY MEMBERS. SPECIAL CARE NURSERY -------------------- KENT IS PROUD TO BE THE SITE OF THE ONLY COMMUNITY HOSPITAL BASED SPECIAL CARE NURSERY IN RHODE ISLAND. A SKILLED NURSING TEAM IS UNDER THE MEDICAL DIRECTION OF A NEONATOLOGIST, A PHYSICIAN SPECIALIZING IN THE CARE OF NEWBORNS, WHO IS AVAILABLE AT ALL TIMES. THE SPECIAL CARE NURSERY IS OPERATED IN COLLABORATION WITH OUR CARE NEW ENGLAND PARTNER, WOMEN & INFANTS HOSPITAL, AND OFFERS COMPREHENSIVE AND INDIVIDUALIZED CARE FOR NEWBORNS NEEDING THIS ADDITIONAL LEVEL OF SERVICE. EDUCATION AND CHILDBIRTH CLASSES -------------------------------- OUR FAMILY-CENTERED CHILDBIRTH PROGRAM INCLUDES A HOST OF EDUCATION AND SUPPORT CLASSES FROM PRE-PREGNANCY TO POSTPARTUM, SUCH AS OUR POPULAR MOTHER'S CLUB. AND, WE MAKE SURE THAT PROSPECTIVE DADS, BROTHERS AND SISTERS AND OTHER FAMILY MEMBERS ARE INCLUDED ALONG THE WAY. CLASSES ARE SCHEDULED AT CONVENIENT TIMES AND LED BY EXPERIENCED, INFORMATIVE WOMEN'S CARE PROFESSIONALS. OUR CERTIFIED CHILDBIRTH EDUCATORS CAN EVEN ARRANGE INDIVIDUAL PROGRAMS. FOR WOMEN CHOOSING TO BREAST FEED, LACTATION SERVICES ARE AVAILABLE DURING PRENATAL EDUCATION AND AFTER THE BABY IS BORN. ANTENATAL TESTING SERVICES ARE ALSO OFFERED RIGHT IN THE WOMEN'S CARE CENTER IN A COMFORTABLE, WELL-EQUIPPED AREA STAFFED BY A KNOWLEDGEABLE AND RESPONSIVE STAFF. IN ADDITION TO OBSTETRICS AND GYNECOLOGICAL CARE, THE WOMEN'S CARE CENTER OFFERS SERVICES TO FEMALE AESTNETIC PATIENTS WITH THE SAME FOCUS ON PERSONALIZED, QUALITY NURSING CARE IN COMFORTABLE, MODERN SURROUNDINGS. EMERGENCY MEDICINE ================== STAFFED BY BOARD CERTIFIED PHYSICIANS AND EXPERIENCED EMERGENCY NURSES, KENT'S EMERGENCY DEPARTMENT (ED) IS THE SECOND LARGEST IN THE STATE. CARING FOR 60,000 PATIENTS ANNUALLY, THE ED OFFERS 24 HOUR A DAY COMPREHENSIVE, CRITICAL CARE FOR ALL TYPES OF MEDICAL PROBLEMS IN A STATE-OF-THE-ART FACILITY BACKED BY THE LATEST CLINICAL INFORMATION AND DIAGNOSTIC SYSTEMS. OUR EXPRESS CARE SERVICE OFFERS CONVENIENT ACCESS TO CARE FOR NON LIFE-THREATENING ILLNESSES AND INJURIES SEVEN DAYS A WEEK, 24 HOURS A DAY. THE KENT EMERGENCY DEPARTMENT OFFERS: ------------------------------------- - INCREASED SPACE AND CAPACITY TO RESPOND TO COMMUNITY GROWTH AND DEMAND - ENHANCED PATIENT CONFIDENTIALITY, COMFORT AND PRIVACY - IMPROVED PATIENT FLOW AND DECREASED WAITING TIMES - ENLARGED WAITING AREAS AND IMPROVED SPACE FOR FAMILIES TO VISIT WITH PATIENTS - NEW GRADE LEVEL AMBULANCE ENTRANCE WITH OVERHEAD SHELTER FOR MULTIPLE ARRIVING EMS UNITS - ENLARGED PATIENT CARE SPACES-45 DEDICATED HARD-WALLED TREATMENT BAYS - DEDICATED ISOLATION AND BEHAVIOR HEALTHCARE ROOMS - STATE-OF-THE-ART DECONTAMINATION FACILITY AND A MOBILE UNIT FOR ADDITIONAL CAPACITY - NEW SEPARATE WALK-IN ENTRANCE AND REGISTRATION AREAS - DEDICATED EMERGENCY PEDIATRIC UNIT; WAITING AREA AND TREATMENT ROOMS STAFFED BY EXPERIENCED PEDIATRIC SPECIALTY DOCTORS AND NURSES - DIGITAL RADIOLOGY TO ENHANCE DIAGNOSTIC SERVICES AND SPEED DIAGNOSES - A DESIGN THAT CAN ACCOMMODATE UP TO 90,000 PATIENTS ANNUALLY EXPANSION OF THE ED WAS GENEROUSLY SUPPORTED BY THE COMMUNITY THROUGH THE CAMPAIGN FOR KENT. INTENSIVE CARE UNIT =================== INTENSIVE MEDICAL-SURGICAL SERVICES ARE PROVIDED IN KENT'S 15-BED INTENSIVE CARE UNIT (ICU). THE ICU IS UNDER THE DIRECTION OF AN INTENSIVIST, A PHYSICIAN WHO IS BOARD-CERTIFIED IN THE SPECIALIZED CARE OF CRITICALLY ILL PATIENTS. THE UNIT IS STAFFED BY A MULTIDISCIPLINARY HEALTHCARE TEAM, WHICH INCLUDES A PHYSICIAN, NURSE, PHYSICAL THERAPIST, RESPIRATORY THERAPIST, SOCIAL WORKER, NUTRITIONIST AND PASTORAL CARE. PATIENTS BENEFIT FROM ADVANCED TECHNOLOGY AND A PERSONALIZED APPROACH TO MEET THE NEEDS OF EACH INDIVIDUAL AND THEIR FAMILIES. DUE TO THE SEVERITY OF THE PATIENT CONDITIONS ON THIS UNIT, SPECIAL VISITATION GUIDELINES ARE NECESSARY. CARDIOLOGY ========== KENT OFFERS A RESPECTED REGIONAL RESOURCE FOR THE DIAGNOSIS AND MEDICAL MANAGEMENT OF HEART DISEASE. THE EXPERIENCED CARDIOLOGISTS ON THE HOSPITAL MEDICAL STAFF HAVE ACCESS TO STATE-OF-THE-ART TECHNOLOGY INCLUDING NUCLEAR MEDICINE, STRESS TESTING, ECHOCARDIOGRAPHY, HOLTER MONITORING AND CARDIAC CATHETERIZATION. KENT'S CATHETERIZATION SERVICE PERFORMS APPROXIMATELY 600 OF THESE SPECIALIZED DIAGNOSTIC PROCEDURES ANNUALLY. A SEPARATE SPECIAL PROCEDURES FACILITY WAS EXPANDED IN 2002. THE LATTER UNIT PROVIDES ANGIOGRAPHIC AND INTERVENTIONAL PROCEDURES INCLUDING NON-CARDIAC VASCULAR STENTING; USING ADVANCED COMPUTERIZED TECHNOLOGY IN THE HANDS OF SPECIALIST PHYSICIANS IN THE FIELD. INPATIENT CARE IS PROVIDED IN A DEDICATED, 43-BED EXTENDED CORONARY CARE UNIT EQUIPPED WITH THE LATEST IN ADVANCED TELEMETRY MONITORING. THE UNIT IS STAFFED BY EXPERIENCED CARDIAC NURSES WHO WORK CLOSELY WITH THE PATIENT'S PRIMARY AND SPECIALTY PHYSICIANS. PSYCHIATRY ========== KENT'S 11-BED UNIT CARES FOR PATIENTS NEEDING MENTAL HEALTH SERVICES. THIS DEDICATED UNIT IS STAFFED BY BOARD-CERTIFIED PSYCHIATRISTS AND CERTIFIED PSYCHIATRIC NURSES BACKED BY THE FULL MEDICAL RESOURCES OF THE HOSPITAL.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTION 2JONATHAN K. FARNUM AND GEORGE W. SHUSTER - BUSINESS RELATIONSHIP; ANDREW M. ERICKSON AND MARIBETH WILLIAMSON - BUSINESS RELATIONSHIP; JONATHAN K. FARNUM, RAYMOND J. BOLSTER, II AND JAMES A. HOPKINS - BUSINESS RELATIONSHIP; AND ANDREA HOPKINS AND JAMES A. HOPKINS - FAMILY RELATIONSHIP.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTION 3THE 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 AND 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. THE ORGANIZATION ENGAGES REHABCARE GROUP, INC. TO BE AN AGENT OF THE ORGANIZATION AND DELEGATES CONTROL TO REHABCARE GROUP, INC. IN THE MANAGEMENT OF DAILY OPERATIONS OF ITS INPATIENT AND OUTPATIENT REHABILITATION DEPARTMENTS. THE REHABCARE GROUP, INC. 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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7CARE NEW ENGLAND HEALTH SYSTEM ("CNE") IS THE SOLE MEMBER OF THIS ORGANIZATION. 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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE IN THE CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CARE NEW ENGLAND HEALTH SYSTEM IS THE PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO THE FILING WITH THE IRS. IN ADDITION THE CARE NEW ENGLAND HEALTH SYSTEM FINANCE COMMITTEE ALSO PERFORMED A REVIEW OF THE FEDERAL FORM 990 PRIOR TO MAKING IT AVAILABLE 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 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 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 VICE PRESIDENT OF ACCOUNTING AND VARIOUS OTHER INDIVIDUALS 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, INCLUDING, BUT NOT LIMITED TO, THE INDIVIDUAL OUTLINED ABOVE, FOR HIS REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP AND OTHER INDIVIDUALS 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 AND VARIOUS OTHER INDIVIDUALS 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. FOLLOWING THE FINANCE COMMITTEE'S REVIEW THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 12THE 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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION B; QUESTION 15THE BOARD OF DIRECTORS OF KENT COUNTY MEMORIAL HOSPITAL ("KENT") HAS A COMMITTEE OF TRUSTEES KNOWN AS THE EXECUTIVE COMMITTEE ("THE COMMITTEE"). THIS COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR THE ORGANIZATION. THE COMMITTEE IS RESPONSIBLE FOR DISCHARGING THE BOARD'S RESPONSIBILITIES REGARDING THE TOTAL COMPENSATION PROGRAM FOR KENT EXECUTIVES. THE COMMITEE AT ALL TIMES CONDUCTS ITSELF FREE FROM EXECUTIVE MANAGEMENT IN ITS DECISION MAKING PROCESS. 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, # 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 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 REVIEWS 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.
DISCLOSURE INFORMATIONCORE FORM, PART VI, SECTION C; QUESTION 19THE 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.
COMPENSATION INFORMATION DISCLOSURECORE FORM, PART VII AND SCHEDULE JPART 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. IN ADDITION, JOHN J. HYNES, ESQ. IS A NON-VOTING MEMBER OF THE BOARD OF DIRECTORS AND ALSO RECEIVES A FORM W-2 FROM THIS ORGANIZATION. HE IS SHOWN AS WORKING ONE HOUR PER WEEK FOR THIS ORGANIZATION. HOWEVER, HE ALSO SERVES AS THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CARE NEW ENGLAND HEALTH SYSTEM ON A FULL TIME BASIS. MR. HYNES IS ALSO INCLUDED ON THE CARE NEW ENGLAND HEALTH SYSTEM FORM 990 AND IS SHOWN AS WORKING 55 HOURS PER WEEK.
OTHER CHANGES IN FUND BALANCECORE FORM, PART XI; LINE 5OTHER CHANGES IN FUND BALANCE INCLUDE: CHANGE IN NET UNREALIZED GAINS/(LOSSES) ON INVESTMENTS; ($749,048); PENSION AND POST RETIREMENT ADJUSTMENT; ($9,057,549); NET ASSETS RELEASED FROM RESTRICTIONS USED FOR EQUIPMENT PURCHASE; $405,652; TRANSFERS TO RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION; ($27,307); NET ASSETS RELEASED FROM TEMPORARY RESTRICTION; ($491,294); CHANGE IN NET UNREALIZED GAINS/(LOSSES) ON TEMPORARILY RESTRICTED INVESTMENTS; ($250,899); CHANGE IN NET UNREALIZED GAINS/(LOSSES) ON PERMANENTLY RESTRICTED INVESTMENTS; ($935,108); CHANGE IN VALUE OF TGI INVESTMENT; ($4,376,321); AND OTHER CHANGES IN FUND BALANCE; ($109,424).
AUDITED FINANCIAL STATEMENTSCORE FORM, PART XII; QUESTION 2THE 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, 2011 AND SEPTEMBER 30, 2010; 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.
FINANCIAL STATEMENTS AND REPORTINGCORE FORM, PART XII; QUESTION 3THE ORGANIZATION IS AN AFFILIATE IN THE CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES ("SYSTEM"). THE SYSTEM ENGAGES AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANDREW M ERICKSON TITLE:CHAIRMAN - DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANDREA HOPKINS TITLE:VICE CHAIR - DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH J MCGAIR ESQ TITLE:VICE CHAIRMAN - DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LAURA J HILDERLEY RN MS TITLE:SECRETARY - DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JONATHAN K FARNUM TITLE:TREASURER - DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHEN A ROOKS TITLE:ASSISTANT SECRETARY - DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RAYMOND J BOLSTER II TITLE:ASSISTANT TREASURER - DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALFRED A ARCAND MD TITLE:DIRECTOR - CHIEF OF MED. STAFF HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HERBERT BRENNAN DO TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JANICE CAIANIELLO RN TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:THOMAS J CELONA TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:SANDRA L COLETTA TITLE:DIRECTOR - PRESIDENT AND CEO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EDWARD J COONEY TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HONORABLE FRANCIS X FLAHERTY TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DUANE T GOLOMB MD TITLE:DIRECTOR - PRES. MEDICAL STAFF HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL A GRANDE TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES M HAGERTY TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES A HOPKINS TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN J HYNES ESQ TERM 8/1/11 TITLE:NON-VOTING DIR. - PRES/CEO/CNE HOURS:56
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:POLLY E LEONARD DO TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KENNETH L MACNAUGHT TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GERALD MCCLURE TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GEORGE W SHUSTER TITLE:DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH W SPINALE DO TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES M VESEY TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARIBETH WILLIAMSON TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOSEPH A DIPIETRO TITLE:SENIOR VICE PRESIDENT/CAO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAUL A BEAUDOIN TITLE:SENIOR VICE PRESIDENT-FINANCE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL DACEY MD TITLE:SR VICE PRESIDENT MED AFFAIRS HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RENE E FISCHER RN TITLE:SR VP - PATIENT CARE SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID B CAMPBELL TITLE:SR VP- HUMAN RESOURCES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HELEN M REED TITLE:VICE PRESIDENT - REVENUE CYCLE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES M BURKE TITLE:VICE PRESIDENT - FINANCE HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEAN M BUTLER TITLE:VP - PATIENT CARE SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:FRANCES FALSEY TITLE:VP - PATIENT CARE SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PAUL MCKENNEY MD TITLE:ASSOCIATE MEDICAL DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JOHN ISAAC MD TITLE:PRESIDENT-AFFINITY PHYSICIANS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RICHARD J RENEHAN TITLE:EXEC DIR - AFFINITY PHYSICIANS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:OMPRAKASH H KOTHARI MD TITLE:MEDICAL DIRECTOR - LABORATORY HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ROBERT DINWOODIE DO TITLE:MEDICAL DIR.-EMERGENCY ROOM HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KENNETH R PHILLIPS MD TITLE:PHYSICIAN - INTENSIVIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:EHSUN R MIRZA MD TITLE:PHYSICIAN - INTENSIVIST HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:IMENDE A SUTHERLAND MD TITLE:MEDICAL DIRECTOR - REHAB UNIT HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KENT ANCILLARY SERVICES LLC
455 TOLL GATE ROADWARWICKRI02886562420959HEALTHCARERI33882680KCMH
AFFINITY PHYSICIANS LLC
455 TOLL GATE ROADWARWICKRI02886272557996HEALTHCARERI21636331943383KCMH

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CARE NEW ENGLAND HEALTH SYSTEM
45 WILLARD AVENUEPROVIDENCERI02905050490997HEALTHCARERI501(C)(3)509(A)(3)NA
BUTLER HOSPITAL
345 BLACKSTONE BLVDPROVIDENCERI02906050258812HEALTHCARERI501(C)(3)HOSPITALCNE
WOMEN AND INFANTS CORPORATION
300 RICHMOND STREETPROVIDENCERI02903022885807HEALTHCARERI501(C)(3)509(A)(3)CNE
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
300 RICHMOND STREETPROVIDENCERI02903050258937HEALTHCARERI501(C)(3)509(A)(1)WIC
WOMEN AND INFANTS DEVELOPMENT FOUNDATION
300 RICHMOND STREETPROVIDENCERI02903222885815HEALTHCARERI501(C)(3)509(A)(3)WIC
PALOMAR GROUP INC
300 RICHMOND STREETPROVIDENCERI02903050462378PARKING FAC.RI501(C)(3)509(A)(2)WIC
WIH FACULTY PHYSICIANS INC
67 BRIGHAM STREETNEW BEDFORDMA02740043579432HEALTHCAREMA501(C)(3)509(A)(2)WIH
KENT HOSPITAL FOUNDATION
455 TOLL GATE ROADWARWICKRI02886050514640SUPPORT ORGRI501(C)(3)509(A)(3)KCMH
KENT COUNTY VNA DBA VNA OF CNE
51 HEALTH LANEWARWICKRI02886050242659HEALTHCARERI501(C)(3)170B1AVICNE
HEALTHTOUCH INC
51 HEALTH LANEWARWICKRI02886050514949HEALTHCARERI501(C)(3)509(A)(2)KCVNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNA
TOLL GATE INDEMNITY LTD
23 LIME TREE BAY AVE PO BOX 1051GRAND CAYMANCJKY1-11342028514FINANCIAL VEHICLECJKCMHC CORP.9529300284346181.00000
W & I INDEMNITY LTD
23 LIME TREE AVE PO BOX 1051GRAND CAYMANCJKY1-11980159342FINANCIAL VEHICLECJC CORP.N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
KENT HOSPITAL FOUNDATION
B245740
KENT HOSPITAL FOUNDATION
C1113750

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