2011-08-15T16:04:09-05:00 2010-09-30 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2009-10-01 050514640 KENT HOSPITAL FOUNDATION KENT 4017378885 455 TOLL GATE ROAD WARWICK RI 02886 PAUL A BEAUDOIN 2011-08-09 8642425740 2009 2016-02-24 21:20:13Z Paul Beaudoin 455 TOLL GATE ROAD WARWICK RI 02886 1541746 false X N/A X 2000 RI TO SERVE THE HEALTH CARE NEEDS OF OUR REGION THROUGH KENT HOSPITAL BY ENCOURAGING AND FACILITATING PHILANTHROPIC GENEROSITY AND SPIRIT OF VOLUNTEERISM. 19 15 0 60 0 0 1639190 1536931 0 0 24427 4815 31828 0 1695445 1541746 1738292 1317821 0 0 0 0 0 0 0 1759 2422 1740051 1320243 -44606 221503 1972000 2258919 404243 469659 1567757 1789260 The mission of the Kent Hospital Foundation is to serve the health care needs of our region through Kent Hospital by encouraging and facilitating philanthropic generosity and spirit of volunteerism. The Kent Hospital Foundation serves as the philanthropic arm of Kent Hospital by accepting, acknowledging and recognizing charitable contributions from individuals, businesses, foundations and governmental source that support the Hospital's mission and work in the community. false false 1320243 1317821 Cultivate funds development on behalf of Kent County Memorial Hospital. 1320243 true true false false false false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false true true false false false false 19 15 true false false false true true true true true false false true true true true true true true true false X JAMES M BURKE 4017378885 455 TOLL GATE ROAD WARWICK RI 02886 X ROBERT BAUTE MD 1.0 X 0 42100 0 JANICE CAIANELLO RN 1.0 X 0 98429 24964 THOMAS CELONA 1.0 X 0 0 0 SANDRA COLETTA 1.0 X 0 553197 49188 EDWARD COONEY 1.0 X 0 0 0 MICHAEL DACEY MD 1.0 X 0 287662 43634 ANDREW ERICKSON 1.0 X 0 0 0 JONATHAN FARNUM 1.0 X 0 0 0 GERALD GOULET 1.0 X 0 0 0 LAURA HILDERLY RN MS 1.0 X 0 0 0 ANDREA HOPKINS 1.0 X 0 0 0 JAMES HOPKINS 1.0 X 0 0 0 JOHN HYNES 1.0 X 0 1282943 270700 KENNETH MACNAUGHT 1.0 X 0 0 0 GERALD MCCLURE 1.0 X 0 0 0 ROBERT PARE 1.0 X 0 0 0 GEORGE SCHUSTER 1.0 X 0 0 0 JAMES VESEY 1.0 X 0 0 0 THOMAS VEST MD 1.0 X 0 0 0 MARIBETH WILLIAMSON 1.0 X 0 0 0 VINCENT YAKAVONIS MD 1.0 X 0 0 0 PAUL BEAUDOIN 60.0 X 0 396813 90251 ELIZABETH ZIMA 60.0 X 0 86677 4907 0 2747821 483644 0 false true false NONE 0 232558 1304373 1536931 0 4815 4815 0 0 0 0 0 0 0 1541746 4815 1317821 1317821 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fundraising expense 2422 2422 * ADDITIONAL FUNDRAISING EXPENSES ARE REPORTED ON KENT COUNTY MEMORIAL HOSPITAL EIN: 05-0258896 1320243 1320243 0 0 421695 319076 1550305 1939843 1972000 2258919 190607 169057 213636 300602 404243 469659 X 541842 544235 812824 1023400 213091 221625 1567757 1789260 1972000 2258919 X false true true X false X X X false false false Kent County Memorial Hospital 050258896 03 true true true 1317821 1 1317821 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1550305 1640754 33649 1282443 2422 1939843 2084487 1455590 14793 2002706 1859 1550305 0.87000 0.13000 0.00000 false false 0 DUE TO KENT COUNTY MEMORIAL HOSP 300602 300602 SUPPLEMENTAL INFORMATION Sch D, Part V, line 4 ENDOWMENT FUNDS USES THE FOUNDATION'S ENDOWMENTS CONSIST OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE PURPOSES INCLUDE GENERAL PURPOSE, HEALTHCARE SERVICES, INDIGENT CARE, HEALTH EDUCATION AND PROPERTY AND EQUIPMENT. FIN 48/ASC 740 Sch D Part XIV The Foundation's financial statements do not contain footnote disclosure related to the Foundation's liability for uncertain tax positions under FIN 48. The Foundation completed an assessment of the estimated liability for uncertain tax positions at September 30, 2010 and concluded that the estimated liability was not material to the Foundation's financial statements. true Kent County Memorial Hospital 455 Toll Gate Road Warwick RI 02886 050258896 501(c)(3) 1317821 Hospital support 1 X X X X false true false false false true true false false SANDRA COLETTA 0 374325 0 124000 0 54872 0 47625 0 1563 0 602385 0 0 MICHAEL DACEY MD 0 227626 0 0 0 60036 0 37373 0 6261 0 331296 0 0 JOHN HYNES 0 750269 0 438583 0 94091 0 259940 0 10760 0 1553643 0 163583 PAUL BEAUDOIN 0 268629 0 88923 0 39261 0 79649 0 10602 0 487064 0 18098 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, QUESTION 4b THE FOLLOWING INDIVIDUAL PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE TOTAL 2009 CONTRIBUTION TO THE NONQUALIFIED PLAN IS REPORTED BELOW AND IS ALSO REPORTED AS OTHER REPORTABLE COMPENSATION IN THE INDIVIDUAL'S 2009 COMPENSATION AS SHOWN IN SCHEDULE J-1. SERP SPLIT DOLLAR LIFE INSURANCE: JOHN HYNES $17,101 COMP FOR INDIVIDUALS IS EARNED BASED ON BOTH S-T & L-T INCENTIVE PROGRAMS SCHEDULE J, QUESTIONS 6A & 6B 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: o QUALITY o FINANCIAL o 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: o NET INCOME FROM OPERATIONS o MARKET SHARE o PATIENT SATISFACTION o STRATEGIC OBJECTIVE DESCRIPTION OF RELATIONSHIPS Form 990, Part VI, Question 2 ANDREA HOPKINS AND JAMES HOPKINS - FAMILY RELATIONSHIP - IN-LAWS JONATHAN FARNUM AND GEORGE SHUSTER - BUSINESS RELATIONSHIP - CRANSTON PRINT WORKS JONATHAN FARNUM AND JAMES HOPKINS - BUSINESS RELATIONSHIP - CENTERVILLE BANK ANDREW ERICKSON AND MARIBETH WILLIAMSON - BUSINESS RELATIONSHIP - AMICA INSURANCE CORPORATE GOVERNANCE FORM 990, PART VI, QUESTION 6 THE SOLE MEMBER OF THE FOUNDATION IS KENT COUNTY MEMORIAL HOSPITAL. MEMBERS WHO ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY FORM 990, PART VI, QUESTION 7A THE GOVERNING BODY OF THE FOUNDATION IS ELECTED BY ITS SOLE MEMBER. DECISIONS OF GOVERNING BODY SUBJECT TO MEMBER APPROVAL FORM 990, PART VI, QUESTION 7B THE SOLE MEMBER DETERMINES PROGRAM OBJECTIVES OF THE FOUNDATION AND APPROVES CHANGES TO THE BYLAWS OF THE FOUNDATION. FORM 990 REVIEW PROCESS FORM 990, PART VI, QUESTION 11A THE FORM 990 IS PREPARED AND REVIEWED BY OUR PUBLIC ACCOUNTING FIRM, ERNST & YOUNG. DURING THAT PROCESS IT IS PROVIDED TO CERTAIN MEMBERS OF MANAGEMENT FOR REVIEW. THE VICE PRESIDENT OF FINANCE AND THE CORPORATE FINANCE OFFICER, FROM KENT COUNTY MEMORIAL HOSPITAL, CONDUCT THE INITIAL MANAGEMENT REVIEW. THE COMPLETED FORM 990 AND RESPECTIVE SCHEDULES (A THRU R) IS PRESENTED BY THE VICE PRESIDENT OF FINANCE TO THE FINANCE COMMITTEE FOR REVIEW AND COMMENT. A COMPLETE AND ACCURATE COPY OF THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM WITH THE INTERNAL REVENUE SERVICE. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C POTENTIAL CONFLICTS OF INTEREST INVOLVING DIRECTORS, OFFICERS, AND MEMBERS OF COMMITTEES ARE IDENTIFIED AND ADDRESSED IN ORDER TO ASSURE THAT THE CORPORATION IS TREATED FAIRLY IN ALL ITS BUSINESS DEALINGS. INDIVIDUALS HAVING CONFLICTS MUST DISCLOSE TO THE BOARD OR COMMITTEE PRIOR TO CONSIDERATION OF A TRANSACTION OR ARRANGEMENT THAT A CONFLICT WILL EXIST. APPROVAL OF ANY TRANSACTIONS OR ARRANGEMENTS THAT INVOLVES A CONFLICT REQUIRES A CONSENSUS OF DISINTERESTED PERSONS BY VOTE. THE BOARD TAKES DISCIPLINARY AND/OR CORRECTIVE ACTION AS NECESSARY TO PROTECT THE INTERESTS OF THE CORPORATION. MINUTES ARE MAINTAINED. ANNUALLY, A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO EACH DIRECTOR, OFFICER AND COMMITTEE MEMBER AND EACH PERSON ACKNOWLEDGES IN WRITING RECEIPT, UNDERSTANDING AND COMPLIANCE WITH THE POLICY. ONGOING ACTUAL AND/OR POTENTIAL CONFLICTS ARE IDENTIFIED AND DISCLOSED TO THE BOARD AT LEAST ANNUALLY. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A AND 15B DETERMINATION OF COMPENSATION FOR CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES THE BOARD OF TRUSTEES OF KENT HOSPITAL (KENT) HAS A COMMITTEE OF TRUSTEES KNOWN AS THE EXECUTIVE COMMITTEE ("THE COMMITTEE"). THIS COMMITTEE SERVES AS THE COMPENSATION COMMITTEE FOR THE HOSPITAL. THE COMMITTEE IS RESPONSIBLE FOR DISCHARGING THE BOARD'S RESPONSIBILITIES REGARDING THE TOTAL COMPENSATION PROGRAM FOR KENT EXECUTIVES. THE COMMITTEE AT ALL TIMES CONDUCTS ITSELF FREE FROM EXECUTIVE MANAGEMENT IN ITS DECISION MAKING PROCESS. MEMBERSHIP AND MEETINGS THE COMMITTEE WILL BE COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, ALL OF WHOM SHALL BE AN OUTSIDER. THE KENT PRESIDENT & CEO ('THE CEO") PARTICIPATES IN COMPENSATION COMMITTEE MEETINGS, EXCEPT AS THE COMMITTEE'S DELIBERATIONS CONCERN THE KENT PRESIDENT & CEO. OUTSIDE ADVISORS THE COMMITTEE SHALL HAVE THE SOLE AUTHORITY TO RETAIN OR TERMINATE ANY OUTSIDE ADVISOR SUCH AS LEGAL COUNCEL, ANY COMPENSATION CONSULTING FIRM OR ANY OTHER ADVISOR, INCLUDING THE AUTHORITY TO APPROVE THE ADVISOR'S FEES AND OTHER TERMS OF RETENTION. OVERALL RESPONSIBILITY THE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE BOARD TO ASSURE TOTAL COMPENSATION FOR THE EXECUTIVES IS REASONABLE PER IRS SECTION 4958 (INTERMEDIATE SANCTION). SPECIFICALLY, THE COMMITTEE IS ACCOUNTABLE AND ULTIMATELY RESPONSIBLE TO THE BOARD FOR THE FOLLOWING: - ESTABLISH AND OVERSEE KENT EXECUTIVE COMPENSATION AND BENEFITS STRATEGY. - IDENTIFY AND RETAIN APPROPRIATE OUTSIDE ADVISORS INCLUDING LEGAL COUNSEL, COMPENSATION CONSULTANTS AND OTHERS WHO ARE RESPONSIBLE FOR PROVIDING THE COMMITTEE WITH OBJECTIVE ADVICE. - ANNUALLY REVIEW AND APPROVE KENT GOALS AND OBJECTIVES FOR THE CEO; EVALUATE THE CEO'S PERFORMANCE REGARDING THESE GOALS; RECOMMEND BASE SALARY; AND THE ANNUAL INCENTIVE AWARD BASED ON KENT AND INDIVIUAL PERFORMANCE. - ANNUALLY REVIEW THE CEO'S COMPENSATION RECOMMENDATIONS FOR KENT EXECUTIVE POSITIONS REPORTING TO THE CEO. - PERIODICALLY REVIEW AND APPROVE OTHER IMPORTANT COMPENSATION ELEMENTS FOR THE CEO AND OTHER EXECUTIVES INCLUDING EMPLOYMENT CONTRACT AND TERM, PERQUISITES, RETIREMENT PROGRAMS, AND THE LIKE. - REVIEW AND APPROVE OBJECTIVES AND GOALS FOR NEW AND CHANGES TO EXISTING COMPENSATION PLANS. - REVIEW THIS CHARTER PERIODICALLY TO ENSURE IT IS IN COMPLIANCE WITH ALL REGULATIONS, AND RECOMMEND APPROPRIATE CHANGES TO THE BOARD. MINUTES/DOCUMENTATION THE COMMITTEE KEEPS WRITTEN MINUTES AND OTHER RELEVANT RECORDS OF EACH MEETING. THE MINUTES ARE SUBJECT TO APPROVAL BY THE COMMITTEE MEMBERS AND, ONCE APPROVED, WILL BE MAINTAINED WITH THE RECORDS OF KENT. CARE NEW ENGLAND HEALTH SYSTEM (CNE) EMPLOYEES ARE SUBJECT TO REVIEW BY THE BOARD OF DIRECTORS OF CNE. CNE HAS A COMMITTEE OF DIRECTORS KNOWN AS THE CNE COMPENSATION COMMITTEE RESPONSIBLE FOR DISCHARGING THE BOARD'S RESPONSIBILITIES FOR THE TOTAL COMPENSATION PROGRAM FOR CNE EXECUTIVES. YEAR IN WHICH PROCESS WAS LAST UNDERTAKEN - ANNUALLY. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 KENT HOSPITAL FOUNDATION'S CORPORATE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY MAIL UPON WRITTEN REQUEST. HOURS WORKED FOR RELATED ORGANIZATION FORM 990, PART VII, SECTION A JOHN HYNES SPLITS HIS TIME OF 60 HOURS PER WEEK BETWEEN KENT COUNTY MEMORIAL HOSPITAL, CARE NEW ENGLAND HEALTH SYSTEMS, AND KENT HOSPITAL FOUNDATION. PAUL BEAUDOIN SPENDS PART OF HIS 60 HOUR WEEK AS ASSISTANT TREASURER OF KENT HOSPITAL FOUNDATION. SANDRA COLETTA AND MICHAEL DACEY SPEND PART OF THEIR 60 HOUR WEEK AS A TRUSTEE OF KENT HOSPITAL FOUNDATION. ELIZABETH ZIMA SPENDS PART OF HER 60 HOUR WEEK AS ASSISTANT SECRETARY OF KENT HOSPITAL FOUNDATION. THE FOLLOWING TRUSTEES ARE ALSO TRUSTEES OR DIRECTORS OF CARE NEW ENGLAND HEALTH SYSTEM AND/OR KENT COUNTY MEMORIAL HOSPITAL: JANICE CAIANIELLO, THOMAS CELONA, EDWARD COONEY, ANDREW ERICKSON, JONATHAN FARNUM, LAURA HILDERLEY, ANDREA HOPKINS, JAMES HOPKINS, KENNETH MACNAUGHT, GERALD MCCLURE, GEORGE SHUSTER, JAMES VESEY, MARIBETH WILLIAMSON. PART OF THEIR TOTAL TIME OF 1 TO 5 HOURS IS SPENT IN SUCH CAPACITIES WITH THE RELATED ENTITIES. FINANCIAL STATEMENTS FORM 990, PART XI KENT HOSPITAL FOUNDATION'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CARE NEW ENGLAND HEALTH SYSTEM & AFFILIATES ("CNE") CONSOLIDATED FINANCIAL STATEMENTS. THE CNE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT, AND THE CONSOLIDATED AUDIT IS REVIEWED BY THE CARE NEW ENGLAND AUDIT COMMITTEE. Butler Hospital 345 Blackstone Boulevard Providence RI 02906 050258812 Hospital RI 501(c)(3) 3 NA Care New England Health System 45 Willard Avenue Providence RI 02905 050490997 Holding Co RI 501(c)(3) 11-TYPE III NA Healthtouch Inc 51 Health Lane Warwick RI 02886 050514949 Health Care RI 501(c)(3) 9 KCVNA Kent County Memorial Hospital 455 Toll Gate Road Warwick RI 02886 050258896 Hospital RI 501(c)(3) 3 NA Kent County Visiting Nurse Association 51 Health Lane Warwick RI 02886 050242659 Visiting Nurs RI 501(c)(3) 7 NA Palomar Group Inc 300 Richmond Street Providence RI 02903 050462378 Parking Facil RI 501(c)(3) 9 WIC WIH Faculty Physicians Inc 67 Brigham Street New Bedford MA 02740 043579432 Health Care MA 501(c)(3) 9 WIH Women & Infants Corporation 300 Richmond Street Providence RI 02903 022885807 SUPPORT RI 501(c)(3) 11-TYPE III NA Women & Infants Development Foundation 300 Richmond Street Providence RI 02903 222885815 SUPPORT RI 501(c)(3) 11-TYPE III WIC Women & Infants Hospital of Rhode Island 300 Richmond Street Providence RI 02903 050258937 Hospital RI 501(c)(3) 3 WIC Toll Gate Indemnity LTD 455 Toll Gate Road Warwick RI 02886 342028514 Insurance CJ NA C corp W&I Indemnity LTD 300 Richmond Street Providence RI 02903 980159342 Insurance CJ NA C corp false false false false false false false false false false false false false false false false true false Kent County Memorial Hospital Q 1317821