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        <EOY>96268871</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>46501136</BOY>
        <EOY>44626563</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>2038403</BOY>
        <EOY>2256957</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>11100375</BOY>
        <EOY>11834795</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>59639914</BOY>
        <EOY>58718315</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>147011984</BOY>
        <EOY>154987186</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>8035</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>8035</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING ACTIVITY</Identifier>
        <ReturnReference>SCHEDULE C PART II-B, LINE I</ReturnReference>
        <Explanation>THE HOSPITAL PAID $8,035 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AS THE PORTION OF MEMBERSHIP DUES ALLOCATED TO LOBBYING. 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 CARE SAFETY NET AND IMPROVING CARE, AFFORDABILITY AND COVERAGE. THE AHA'S 2010 ADVOCACY CAN BE VIEWED AT THEIR WEBSITE WWW.AHA.ORG.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>23976800</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>2234701</InvestmentEarningsOrLosses>
        <OtherExpenditures>279440</OtherExpenditures>
        <AdministrativeExpenses>65513</AdministrativeExpenses>
        <EndOfYearBalance>25866548</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>26324947</BeginningOfYearBalance>
        <Contributions>200</Contributions>
        <InvestmentEarningsOrLosses>745348</InvestmentEarningsOrLosses>
        <OtherExpenditures>3046599</OtherExpenditures>
        <AdministrativeExpenses>47096</AdministrativeExpenses>
        <EndOfYearBalance>23976800</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>0.46000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.54000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>90165</OtherCostOrOtherBasis>
        <BookValue>90165</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>1185781</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>85988676</OtherCostOrOtherBasis>
        <Depreciation>41715801</Depreciation>
        <BookValue>45458656</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>111867194</OtherCostOrOtherBasis>
        <Depreciation>89754822</Depreciation>
        <BookValue>22112372</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4299758</OtherCostOrOtherBasis>
        <Depreciation>2578993</Depreciation>
        <BookValue>1720765</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>69381958</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>LONG-TERM BENEFITS PAYABLE</Description>
        <Amount>2396079</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>1199676</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASES PAYABLE</Description>
        <Amount>6157127</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATION</Description>
        <Amount>909734</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PENSION LIABILITY</Description>
        <Amount>24816162</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>16485885</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>51964663</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>ENDOWMENT FUNDS USES</Identifier>
        <ReturnReference>Sch D, Part V, Line 4</ReturnReference>
        <Explanation>THE HOSPITAL'S ENDOWMENTS CONSIST OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE PURPOSES INCLUDE GENERAL PURPOSE, HEALTHCARE SERVICES, INDIGENT CARE, HEALTH EDUCATION AND PROPERTY AND EQUIPMENT.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48/ASC 740</Identifier>
        <ReturnReference>Sch D Part XIV</ReturnReference>
        <Explanation>The Hospital's financial statements do not contain footnote disclosure related to the Hospital's liability for uncertain tax positions under FIN 48. The Hospital 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 Hospital's financial statements.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AcctsActvsOutUSTable>
        <Region>Central America and the Caribbean</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Financial Vehicle</SpecificServicesProvided>
        <TotalExpenditures>3989046</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <TotalAmountSpent>3989046</TotalAmountSpent>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>true</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfIndividual>Seaside Philanthropy</NameOfIndividual>
        <Activity>Grant Writing</Activity>
        <FundraiserControlOfFunds>false</FundraiserControlOfFunds>
        <GrossReceipts>111350</GrossReceipts>
        <AmountRetainedByContractor>25500</AmountRetainedByContractor>
        <NetToOrganization>85850</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalGrossReceipts>111350</TotalGrossReceipts>
      <TotalRetainedByContractors>25500</TotalRetainedByContractors>
      <TotalNetToOrganization>85850</TotalNetToOrganization>
      <EventsInformation>
        <NameOfEvent1>Golf Tournament</NameOfEvent1>
        <GrossReceiptsEvent1>63286</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>11551</CharitableContributionsEvent1>
        <GrossRevenueEvent1>51735</GrossRevenueEvent1>
        <NonCashPrizesEvent1>6561</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>10710</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>8350</FoodAndBeverageEvent1>
        <OtherDirectExpensesEvent1>1658</OtherDirectExpensesEvent1>
        <NameOfEvent2>Martini Challen</NameOfEvent2>
        <GrossReceiptsEvent2>8439</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>250</CharitableContributionsEvent2>
        <GrossRevenueEvent2>8189</GrossRevenueEvent2>
        <NonCashPrizesEvent2>309</NonCashPrizesEvent2>
        <FoodAndBeverageEvent2>4216</FoodAndBeverageEvent2>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>71725</GrossReceiptsTotal>
        <CharitableContributionsTotal>11801</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>59924</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>6870</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>10710</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>12566</FoodAndBeverageTotalEvents>
        <OtherDirectExpensesTotalEvents>1658</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>31804</DirectExpenseSummaryEvents>
        <NetIncomeSummary>28120</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>15253127</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9150651</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6102476</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02330</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>25892347</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>24325139</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1567208</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00600</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>41145474</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>33475790</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7669684</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02930</PercentOfTotalExpense>
      </TotalCharityCare>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>5284748</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3110403</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2174345</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00830</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>15672145</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10639380</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5032765</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01920</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>20956893</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13749783</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7207110</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02750</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>62102367</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>47225573</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14876794</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05680</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>7831686</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>56519532</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>69033005</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-12513473</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>455 TOLL GATE ROAD</AddressLine1>
          <City>WARWICK</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Bayside Family Health Care</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>308 Callahan Road</AddressLine1>
          <City>North Kingstown</City>
          <State>RI</State>
          <ZIPCode>02852</ZIPCode>
        </Address>
        <Other>PHYSICIAN &amp; LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>227 Centerville Road</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1087 Warwick Ave</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>166 Toll Gate Road</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>190 Commerce Drive</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1079 Main Street</AddressLine1>
          <City>West Warwick</City>
          <State>RI</State>
          <ZIPCode>02983</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1405 South County Trail</AddressLine1>
          <City>East Greenwich</City>
          <State>RI</State>
          <ZIPCode>02818</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>905 Pontiac Avenue</AddressLine1>
          <City>Cranston</City>
          <State>RI</State>
          <ZIPCode>02920</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>215 Toll Gate Road</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>DR SANTORO OFFICE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1681 CRANSTON STREET</AddressLine1>
          <City>CRANSTON</City>
          <State>RI</State>
          <ZIPCode>02920</ZIPCode>
        </Address>
        <Other>PHYSICIAN PRACTICE</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>DR REEDER OFFICE ( OP THERAPY)</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1351 SOUTH COUNTY TRAIL</AddressLine1>
          <City>EAST GREENWICH</City>
          <State>RI</State>
          <ZIPCode>02818</ZIPCode>
        </Address>
        <Other>PHYSICIAN PRACTICE &amp; THERAPY</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>KENT HOSPITAL OUTPATIENT LAB</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>750 RESERVOIR AVENUE</AddressLine1>
          <City>CRANSTON</City>
          <State>RI</State>
          <ZIPCode>02910</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1620 Nooseneck Hill Road</AddressLine1>
          <City>Coventry</City>
          <State>RI</State>
          <ZIPCode>02816</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>390 Toll Gate Road</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1051 Ten Rod Road</AddressLine1>
          <City>North Kingstown</City>
          <State>RI</State>
          <ZIPCode>02852</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>250 Centerville Road</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Kent Hospital Outpatient Lab</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>982 Tiogue Ave</AddressLine1>
          <City>Coventry</City>
          <State>RI</State>
          <ZIPCode>02816</ZIPCode>
        </Address>
        <Other>LAB</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <IncomeBasedCriteria>If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's financial assistance policy. N/A - Kent County Memorial Hospital uses the FPG to determine eligibility for free care.</IncomeBasedCriteria>
        <AnnualCommunityBenefitExpln>N/A</AnnualCommunityBenefitExpln>
        <CostingMethodUsed>Provide an explanation of the costing methodology used to calculate the amounts reported in the table. Worksheet 2, "Ratio of Patient Care Cost-to-Charges" was used to complete the cost-to-charge ratio used in Part 1, line 7. The source of Worksheet 2 was the Medicare Cost Report for FY 2010, adjusted for certain costs which are particular to Medicare cost reporting, i.e., removing the Reasonable Cost Equivalent for physician services in W/S A-8-2, removing the related party costs (other than home office), allowing the full pension expense, etc.</CostingMethodUsed>
        <SubsidizedHealthServicesExpln>If applicable, describe whether the organization included as subsidized health services any costs attributable to a physician clinic, and report such costs the organization included. Kent County Memorial Hospital included shortfalls from direct programs costs and allocated overhead, less any reimbursement for its psychiatric and hospitalists services. Kent County Memorial Hospital did not include any cost attributable to a physician clinic.</SubsidizedHealthServicesExpln>
        <PercentOfTotalExpenseExpln>If applicable, enter the bad debt expense included on Form 990, IX, line 25, column (a), but subtracted for purposes of calculating the percentage in this column. $26,706,478</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>The organization's financial statements do not include a bad debt expense footnote. Line 4 - (a) Provide the rationale and the costing methodology used to determine the amount reported in Part III, Lines 2 and 3. Same as answer above for Part 1, line 7 above. Line 4 - (b) Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expenses. While a patient's individual financial circumstances may result in some or all of the services rendered being charged off as free service, any remaining balance which the Hospital determines the patient is capable of paying is due in full. A Community Benefit discount is offered for uninsured patients, as well as prompt pay or advance pay discounts. All payment received are applied to patient's accounts. The account becomes bad debt when all efforts to collect have been exhausted. The Hospital uses any and all actions that are available to them under state and federal regulations to collect the amounts owed by the patients. This might include, but not be limited to, the use of outside collection agencies and collection attorneys. The total bad debt expense for FY 2010 was determined per GAAP Allowance Method wherein an estimate is made for bad debt expense by way of a provision for uncollectible accounts receivables (Allowance for Doubtful Accounts) based on historic collection experience. Line 4 - (c) Describe the method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's financial assistance policy. Sufficient information is not available to make this determination. However, it is likely that a significant portion of our bad debt would qualify for charity care. Line 4 - (d) Describe the rationale, if any, for including any portion of bad debt as community benefit. N/A</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Line 8 -(a) Describe the costing methodology used to determine the Medicare allowable costs reported in the organizations' Medicare Cost Report, as reflected in the amount reported in Part III, line 6. The Inpatient Medicare allowable costs were determined from the submitted FY 2010 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. Line 8 - (b) Describe, if applicable, the extent to which any shortfall reported in Part III, line 7, should be treated as a community benefit, and the rationale for the organization's position. Kent County Memorial Hospital is a tax-exempt, charitable organization which looks to serve their various patient populations and improve their health status. The Hospital provides essential services to their patients regardless of the patient's ability to pay or their particular health care coverage. The Medicare patients in our community depend on the Hospital to serve their medical needs regardless of whether the Medicare program covers the cost of providing such service. Since Kent County Memorial Hospital constantly works to operate as cost efficient as possible, we feel strongly that the Medicare shortfall should be included as a community benefit.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>If the organization has a written bad debt collection policy and answered "Yes" to Part III, line 9b, describe the collection practices set forth in the policy that apply to patients who it knows qualify for financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. Kent 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 extreme hardships.</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>Part V, Supplemental Facility Information: N/A</NumberOfFacilityTypeExpln>
        <NeedsAssessment>Part VI, Line 2: Needs assessment. Describe how the organization assesses the health care needs of the community it serves. Kent 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. The hospital aligns its community programs in support of the Rhode Island Department of Health Healthy People 2010 Initiatives and will be updating that with new statewide guidelines due out later this year. Objective 2: Overweight and Obesity Objective 3: Tobacco Use Objective 9: Immunization Objective 10: Access to Health Care Healthy People 2010 Ten Leading Health Indicators: Objective 1: Physical Activity Objective 2: Overweight and Obesity Objective 3: Tobacco Use Objective 4: Substance Abuse Objective 5: Responsible Sexual Behavior Objective 6: Mental Health Objective 7: Injury and Violence Objective 8: Environmental Quality Objective 9: Immunization Objective 10: Access to Health Care</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. A Notice of Financial Aid appears on all statements sent to patients. It is also prominently posted in the Patient Assessment Department, admission areas, outpatient care areas and on our web site. Also, the notice is available in the three most common languages used by our patient population in accordance with the applicable "Standards for Culturally and Linguistically Appropriate Services in Health Care" (Standards 4 &amp; 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.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: Community Information. Describe the Community the Organization serves, taking into account the geographic and demographic constituents it serves. Kent Hospital serves approximately 300,000 people across central and southern Rhode Island. This includes an immediate population of approximately 167,000 in its primary service area of Kent County - Warwick, Coventry, East Greenwich, West Greenwich and West Warwick with the remainder coming from other nearby communities considered to be our secondary service area. The service region consists of 15.3% of the population over the age of 65, 20.7% of the population under the age of 18, 8.5% of the population is of a minority racial background, almost a 50/50 split between genders, 41.7% of the population have a high school diploma or less. The average income of the service area is slightly below $78,000.</CommunityInformation>
        <OtherInformation>Part VI, Line 6: Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.) Kent Hospital is truly a community-based hospital. As the second largest hospital in the state, Kent is currently celebrating 60 years of service to our community and the state. Our medical staff is comprised of approximately 600 physicians and is an open medical staff. Our Board of Trustees is a community board comprised of community leaders, businessmen and women and other residents. In addition, Kent has an extensive membership of incorporators, all of whom represent the hospital and its mission statewide. Programs Aligned with Healthy People 2010 Objective 2: Overweight and Obesity Objective 3: Tobacco Use Objective 9: Immunization Objective 10: Access to Health Care Uncompensated Care Kent Hospital provides uncompensated care to people in the community in need of a wide spectrum of health care. Community Partnerships The hospital is engaged with the following organizations in a variety of ways including supporting community education and awareness programs, providing meeting and conference and office space, and participation on various Boards and committees working to improve the health of the community. Alcoholics Anonymous Alzheimer's Association of America American Cancer Society American Heart Association/ Stroke Association American Parkinson's Disease Association Chambers of Commerce memberships Department of Health Department of Children, Youth and Families (DCYF) Food Four Paws Program Gloria Gemma Breast Cancer Foundation Leukemia and Lymphoma Society March of Dimes MS Society Overeaters Anonymous Rhode Island Blood Center Warwick Mentoring Program Rhode Island Parenting Information Network Recovery Room - Nursing Support Group National Association of Social Workers Rhode Island Council on Alcoholism and Other Drug Addiction Rhode Island State Nurses Association United Way Research and Academic Education As a teaching facility, Kent Hospital provides graduate medical osteopathic education programs in internal medicine, family medicine and emergency medicine. In addition, Kent has implemented a new fellowship program in hyperbaric medicine. As a major teaching affiliate of the University of New England College of Osteopathic Medicine (UNECOM) in Maine, Kent will graduate its first class this summer. In addition to the residency, Kent hosts medical student rotations from UNECOM. Public and Professional Education Programs Kent Hospital is committed to ongoing public and professional education programs. Certainly, there is considerable depth of offering for all clinical staff to maintain their CME needs. Opportunities for physicians, nurses and outside professional staff exist on a continuous basis with lectures, seminars, tutorials and much more. Public education is also provided in many areas. Whether providing free breast and skin cancer screenings, support groups for cancer survivors and other populations, Kent's staff and community-based colleagues collaborate to provide our region with access to important programs and services that will educate on improved healthy lifestyles, health management and wellness practices. Having just opened The Breast Health Center at Kent - a unique collaboration between Kent and Women &amp; Infants Hospital, this facility provides the best possible access to healthcare for women in our service area without having to drive to Providence or even Boston. Further, we serve as a survivorship sponsor for both the American Cancer Society's Relay For Life of Warwick and the Making Strides Against Breast Cancer Walk, which sees more than 13,000 participants each year. Kent is proud of its nutrition and obesity efforts as well. Through the Kent Kids Choose to Be Healthy Program, dietary/nutrition staff have embarked on a pilot program with Warwick-based schools to bring the message of healthy eating, making good nutrition decisions and making it fun to our local students, teachers and families. We are proud to partner with external organizations to offer meeting space for community meetings, support meetings, and other educational opportunities as outlined throughout. Support Groups In addition to providing meeting space to many substance abuse support groups in the community, the hospital provides the following free support groups: Breast Cancer Survivors support group Alcoholics Anonymous Overeaters Anonymous Surgical Weight Loss support group Interpreter Services Employees and volunteers of the hospital who are skilled in languages other than English are called upon to provide interpreter services for patients and their significant others. This service is provided by the hospital free of charge. When interpreters are not available within the hospital, Kent Hospital provides these services through the AT&amp;T Language Line Service, also free to the community. Surplus funds for Kent County Memorial Hospital are reinvested and used in carrying out the mission of patient care (and research if applicable). Part VI, Line 7: If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. The mission of the Care New England Health System is to continually improve the health and well-being of the people and communities of southeastern New England. Comprised of three hospitals - Butler, Kent and Women &amp; Infants - as well as the VNA of Care New England, the distinctive programs, staff and talents of each member combine to ensure a high-quality continuum of care for the communities served. With a primary focus on patients and their families, Care New England provides a solid, diverse combination of physician specialists and generalists who are committed to the mission of building a better system of health care. To do this, the system aims to attain the highest standards of quality; provide access to essential health services regardless of ability to pay; deliver an exceptional patient experience; advance medical knowledge through research and teaching; advocate for those patients served; enhance wellness and prevention; and operate in a cost-effective and financially viable manner. Members of the Care New England Health System include: Butler Hospital - Rhode Island's only private, nonprofit psychiatric and substance abuse hospital for adults, adolescents, children and seniors. Kent Hospital - A general medicine hospital providing a full spectrum of primary and secondary acute care services with a medical staff representing more than 30 specialties. Women &amp; Infants Hospital - The nation's seventh busiest obstetrical facility, operating the nation's largest single-family room neonatal intensive care unit and the area's only tertiary level neonatal facility, and providing such specialized services as oncology, urogynecology and infertility treatment. VNA of Care New England - A unique service providing a broad spectrum of home health, hospice and private duty nursing care for new mothers, the elderly and the terminally ill. As stated in the mission for VNA of Care New England, the VNA is dedicated to providing quality health care and developing programs and resources to benefit the community. These Community Benefits are not reported in this hospital's return, and VNA is not a hospital and therefore never gets onto a Schedule H. Part VI, Line 8: If applicable, identify all states with which the organization, or a related organization, files a community benefit report. N/A</OtherInformation>
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        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>59643</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19351</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8361</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>325567</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>IMENDE SUTHERLAND MD</NamePerson>
        <BaseCompensationFilingOrg>239306</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>5200</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>26000</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19065</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6268</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>295839</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CLIFF FIELDS DO</NamePerson>
        <BaseCompensationFilingOrg>223825</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>39096</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>16477</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14681</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>294079</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARYANN GLYNN</NamePerson>
        <BaseCompensationFilingOrg>2223</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>120489</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2022</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3079</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>127813</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <Explanation>1) Based on Calendar Year 2009 Forms W-2 and 1099 data. 2) Deferred Compensation is subject to forfeiture by the individual based on the provisions of the plan. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, QUESTION 1A PAYMENTS MADE ON BEHALF OF CARE NEW ENGLAND CEO TO LUNCHEON CLUB FOR MEMBERSHIP DUES AND BUSINESS RELATED EXPENSES IN ACCORDANCE WITH EMPLOYMENT CONTRACT.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT</Identifier>
        <ReturnReference>SCHEDULE J, PART I, QUESTION 4A</ReturnReference>
        <Explanation>PAYMENTS OF $106,673 WERE MADE TO MARYANN GLYNN DURING 2009 AS PART OF SEVERANCE ARRANGEMENT ASSOCIATED WITH HER TERMINATION AS VICE PRESIDENT OF PATIENT CARE SERVICES. MARYANN GLYNN WAS INCLUDED IN PART VII SECTION A AS A FORMER OFFICER OF THE HOSPITAL.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, QUESTION 4B</ReturnReference>
        <Explanation>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, PART II. SERP SPLIT DOLLAR LIFE INSURANCE: JOHN HYNES $17,101</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMP. FOR INDIVIDUALS IS EARNED BASED ON BOTH S-T &amp; L-T INCENTIVE PROGRAMS</Identifier>
        <ReturnReference>SCHEDULE J, QUESTIONS 6A &amp; 6B</ReturnReference>
        <Explanation>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</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>NANCY HAGERTY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE of J. HAGERTY BD MEM</Relationship>
        <AmountOfTransaction>58392</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT AT KENT HOSPITAL</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF RELATIONSHIPS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 2</ReturnReference>
        <Explanation>ANDREA HOPKINS AND JAMES HOPKINS - FAMILY RELATIONSHIP - IN-LAWS JONATHAN FARNUM AND GEORGE SHUSTER - BUSINESS RELATIONSHIP - CRANSTON PRINT WORKS JONATHAN FARNUM, RAYMOND BOLSTER &amp; JAMES HOPKINS - BUSINESS RELATIONSHIP - CENTERVILLE BANK ANDREW ERICKSON AND MARIBETH WILLIAMSON - BUSINESS RELATIONSHIP - AMICA INSURANCE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DELEGATE CONTROL OVER MANAGEMENT DUTIES</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 3</ReturnReference>
        <Explanation>THE HOSPITAL ENGAGES SODEXO HEALTH CARE TO BE AN AGENT OF THE HOSPITAL AND DELEGATES CONTROL TO SODEXO IN THE MANAGEMENT OF DAILY OPERATIONS OF ITS FOOD &amp; NUTRITION DEPARTMENT. THE SODEXO MANAGEMENT EMPLOYEE FUNCTIONS AND IS RECOGNIZED AS A DEPARTMENT MANAGER WHO PERFORMS IN ACCORDANCE WITH THE HOSPITAL'S DEPARTMENT MANAGEMENT PRACTICES AND IN ACCORDANCE WITH ITS WRITTEN POLICIES AND PROCEDURES. THE POSITION REPORTS TO AN OFFICER/KEY EMPLOYEE OF THE HOSPITAL. THE HOSPITAL ENGAGED REHABCARE GROUP, INC. TO BE AN AGENT OF THE HOSPITAL AND DELEGATES CONTROL TO REHABCARE IN THE MANAGEMENT OF DAILY OPERATIONS OF ITS INPATIENT AND OUTPATIENT REHABILITATION DEPARTMENTS. THE REHABCARE MANAGEMENT EMPLOYEE FUNCTIONS AND IS RECOGNIZED AS A DEPARTMENT MANAGER WHO PERFORMS IN ACCORDANCE WITH THE HOSPITAL'S DEPARTMENT MANAGEMENT PRACTICES AND IN ACCORDANCE WITH ITS WRITTEN POLICIES AND PROCEDURES. THE POSITION REPORTS TO AN OFFICER/KEY EMPLOYEE OF THE HOSPITAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CORPORATE GOVERNANCE</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 6</ReturnReference>
        <Explanation>CARE NEW ENGLAND HAS CORPORATE GOVERNANCE OVER KENT HOSPITAL AND IS THE SOLE CORPORATE MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ARTICLE II OF KENT HOSPITAL BYLAWS, BOARD OF TRUSTEES</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 7A</ReturnReference>
        <Explanation>SECTION 1. COMPOSITION AND ELECTION OF BOARD OF TRUSTEES. THE BOARD OF TRUSTEES SHALL CONSIST OF THE PRESIDENT AND THE PRESIDENT OF THE MEDICAL STAFF, EX OFFICIOS, AND NOT LESS THAN EIGHT (8) NOR MORE THAN TWENTY-THREE (23) ELECTED TRUSTEES, ONE (1) TO BE ELECTED BY THE INDIVIDUAL MEMBERS, AT THE ANNUAL MEETING OF THE CORPORATION IN EACH YEAR AND THE REMAINDER TO BE ELECTED BY THE CORPORATE MEMBER. BEGINNING ON THE DATE OF THE ANNUAL MEETING OF THE CORPORATION HELD IN JANUARY 2007, THE ELECTED TRUSTEES SHALL BE DIVIDED INTO THREE (3) CLASSES, EACH OF WHICH WILL INCLUDE ONE (1) OF THE THREE (3) MEMBERS TO BE ELECTED BY THE INDIVIDUAL MEMBERS AND THE REMAINDER OF WHICH WILL BE DIVIDED IN WHATEVER MANNER WILL BEST APPROXIMATE ONE THIRD OF THE TRUSTEES TO BE ELECTED BY THE CORPORATE MEMBER AND BEST ALLOW TRUSTEES WHOSE TERMS DO NOT EXPIRE AT SAID ANNUAL MEETING TO CONTINUE THEIR CURRENT TERM UNTIL ITS EXPIRATION; THE FIRST SUCH CLASS TO SERVE A TERM ENDING ON THE DATE OF THE ANNUAL MEETING OF THE CORPORATION HELD IN JANUARY 2008, THE SECOND CLASS TO SERVE A TERM ENDING ON THE DATE OF THE ANNUAL MEETING OF THE CORPORATION HELD IN JANUARY 2009, AND THE THIRD CLASS TO SERVE A TERM ENDING ON THE DATE OF THE ANNUAL MEETING OF THE CORPORATION HELD IN JANUARY 2010. THEREAFTER, ELECTED TRUSTEES SHALL BE ELECTED FOR A THREE (3) YEAR TERM. HELD IN JANUARY 2009, AND THE THIRD CLASS TO SERVE A TERM ENDING ON THE DATE OF THE ANNUAL MEETING OF THE CORPORATION HELD IN JANUARY 2010. THEREAFTER, ELECTED TRUSTEES SHALL BE ELECTED FOR A THREE (3) YEAR TERM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ARTICLE II OF KENT HOSPITAL BYLAWS, RIGHTS OF CORPORATE MEMBER</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 7B</ReturnReference>
        <Explanation>SECTION 2.01. RESERVED POWERS. NOTWITHSTANDING THE FOREGOING PARAGRAPH, THE AUTHORITY OF THE BOARD OF TRUSTEES OF THE CORPORATION TO EXERCISE THE FOLLOWING POWERS IS CONDITIONED UPON OBTAINING THE PRIOR OR SUBSEQUENT APPROVAL OF THE CORPORATE MEMBER: (A) APPROVAL OR MODIFICATION OF THE VISION STATEMENT, MISSIONS, OBJECTIVES OR ANY STRATEGIC PLAN OF THE CORPORATION, THE HOSPITAL OR ANY ENTITY THAT DIRECTLY OR INDIRECTLY THROUGH ONE OR MORE INTERMEDIARIES, IS CONTROLLED BY THE CORPORATION ("AFFILIATE"); (B) MERGER, CONSOLIDATION, COMBINATION OR AFFILIATION OF THE CORPORATION OR ANY AFFILIATE WITH OR INTO ANY OTHER ENTITY; (C) SALE, PLEDGE, ENCUMBRANCE, DONATION, ABANDONMENT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE REAL PROPERTY OR ASSETS OF THE CORPORATION OR ANY AFFILIATE; (D) ACQUISITION BY THE CORPORATION OR ANY AFFILIATE OF ANOTHER ORGANIZATION WHETHER THROUGH MERGER, CONSOLIDATION, COMBINATION, STOCK OR ASSET TRANSFER OR ANY OTHER MEANS; (E) ANY OTHER CHANGE IN CONTROL OF THE CORPORATE MEMBER OF ANY AFFILIATE; (F) APPROVAL OF THE OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION AND ANY AFFILIATE; (G) ESTABLISHMENT, TERMINATION OR RELOCATION (OTHER THAN TO A DIFFERENT LOCATION ON THE SAME CAMPUS) OF ANY MAJOR CLINICAL SERVICES AT THE HOSPITAL OR ANY OTHER AFFILIATE; (H) INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS, MORTGAGE, OR PLEDGES BY OR THE MAKING OF ANY LOANS OR ANY ADVANCES TO OR INVESTMENTS IN ANY PERSON OR ENTITY IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000) BY THE CORPORATION OR ANY AFFILIATE; (I) INCURRENCE OF ANY UNBUDGETED EXPENDITURE IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000) BY THE CORPORATION OR ANY AFFILIATE; (J) ENTERING INTO ANY CONTRACTS OR AGREEMENTS FOR THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OR ACQUISITION OF REAL PROPERTY IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000) BY THE CORPORATION OR ANY AFFILIATE; (K) FILING WITH REGULATORY AUTHORITIES BY THE CORPORATION OR ANY AFFILIATE OF ANY APPLICATION FOR A CERTIFICATE OF NEED OR ANY LONG AND SHORT RANGE PLANS; (L) VOLUNTARILY FILING FOR BANKRUPTCY OR RECEIVERSHIP OR ANY SIMILAR PROCEEDING UNDER ANY FEDERAL OR STATE LAW ON THE PART OF THE CORPORATION OR ANY AFFILIATE; (M) FORMING OR DISSOLVING ANY AFFILIATE; (N) APPROVING OR CONSENTING TO ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR CHARTER OR BYLAWS OF THE CORPORATION OR ANY AFFILIATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 11A</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED AND REVIEWED BY OUR PUBLIC ACCOUNTING FIRM, ERNST &amp; YOUNG. DURING THAT PROCESS IT IS PROVIDED TO CERTAIN MEMBERS OF MANAGEMENT FOR REVIEW. THE VICE PRESIDENT OF FINANCE AND THE CORPORATE FINANCE OFFICER 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 15A &amp; 15B</ReturnReference>
        <Explanation>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 &amp; CEO ('THE CEO") PARTICIPATES IN COMPENSATION COMMITTEE MEETINGS, EXCEPT AS THE COMMITTEE'S DELIBERATIONS CONCERN THE KENT PRESIDENT &amp; 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 OBJECTIVS 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY &amp; FIN STMTS TO GEN PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 19</ReturnReference>
        <Explanation>KENT HOSPITAL'S CORPORATE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY MAIL UPON WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART X</ReturnReference>
        <Explanation>A reclassification in prior year net assets in Part X has been made to conform to the current year presentation of temporary restricted net assets.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FINANCIAL STATEMENTS</Identifier>
        <ReturnReference>FORM 990, PART XI</ReturnReference>
        <Explanation>KENT COUNTY MEMORIAL HOSPITAL'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CARE NEW ENGLAND HEALTH SYSTEM &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS WORKED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A</ReturnReference>
        <Explanation>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. THE FOLLOWING TRUSTEES ARE ALSO TRUSTEES OR DIRECTORS OF CARE NEW ENGLAND HEALTH SYSTEM AND/OR KENT HOSPITAL FOUNDATION: 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FUNDRAISING EXPENSES</Identifier>
        <ReturnReference>SCHEDULE B</ReturnReference>
        <Explanation>CONTRIBUTIONS RELATED TO FUNDRAISING EXPENSES REPORTED ON THE RETURN ARE RECORDED ON THE KENT HOSPITAL FOUNDATION RETURN (EIN: 05-0514640).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DISTINGUISHING PYMTS FOR PROF. FUNDRAISING SVCS FROM EXP PYMT OR REIMB</Identifier>
        <ReturnReference>SCHEDULE G, PART I, COL V</ReturnReference>
        <Explanation>SEASIDE PHILANTHROPY IS AN ARRANGEMENT WHERE WE CONTRACT WITH AN INDIVIDUAL TO DO GRANT WRITING AT $100/HOUR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KENT ANCILLIARY SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>455 TOLL GATE ROAD</AddressLine1>
          <City>WARWICK</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </AddressUS>
        <EIN>562420959</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>RI</LegalDomicileState>
        <TotalIncome>2963456</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>KCMH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Affinity Physicians LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>455 TOLL GATE ROAD</AddressLine1>
          <City>Warwick</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </AddressUS>
        <EIN>272557996</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>RI</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>KCMH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Butler Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>345 Blackstone Boulevard</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02906</ZIPCode>
        </AddressUS>
        <EIN>050258812</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>RI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Women &amp; Infants Hospital of Rhode Island</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 Richmond Street</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EIN>050258937</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>WIC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Care New England Health System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>45 Willard Avenue</AddressLine1>
          <City>Providence</City>
          <State>RI</State>
          <ZIPCode>02905</ZIPCode>
        </AddressUS>
        <EIN>050490997</EIN>
        <PrimaryActivities>HOLDING CO</PrimaryActivities>
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        <PublicCharityStatus>11-TYPE III</PublicCharityStatus>
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        </DirectControllingEntityName>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTHTOUCH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>51 HEALTH LANE</AddressLine1>
          <City>WARWICK</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </AddressUS>
        <EIN>050514949</EIN>
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        <LegalDomicileState>RI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KCVNA</BusinessNameLine1>
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          <BusinessNameLine1>KENT HOSPITAL FOUNDATION</BusinessNameLine1>
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          <City>WARWICK</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </AddressUS>
        <EIN>050514640</EIN>
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          <BusinessNameLine1>KCMH</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KENT COUNTY VISITING NURSE ASSOC</BusinessNameLine1>
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          <AddressLine1>51 HEALTH LANE</AddressLine1>
          <City>WARWICK</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </AddressUS>
        <EIN>050242659</EIN>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PALOMAR GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>300 RICHMOND STREET</AddressLine1>
          <City>PROVIDENCE</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EIN>050462378</EIN>
        <PrimaryActivities>PARKING FAC</PrimaryActivities>
        <LegalDomicileState>RI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>WIC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WIH FACULTY PHYSICIANS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>67 BRIGHAM STREET</AddressLine1>
          <City>NEW BEDFORD</City>
          <State>MA</State>
          <ZIPCode>02740</ZIPCode>
        </AddressUS>
        <EIN>043579432</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>WIH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WOMEN &amp; INFANTS CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 RICHMOND STREET</AddressLine1>
          <City>PROVIDENCE</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EIN>022885807</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>RI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE III</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WOMEN &amp; INFANTS DEVELOPMENT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 RICHMOND STREET</AddressLine1>
          <City>PROVIDENCE</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EIN>222885815</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>RI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE III</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>WIC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TOLL GATE INDEMNITY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>455 TOLL GATE ROAD</AddressLine1>
          <City>WARWICK</City>
          <State>RI</State>
          <ZIPCode>02886</ZIPCode>
        </AddressUS>
        <EIN>342028514</EIN>
        <PrimaryActivity>FINANCIAL VEHICLE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>KCMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>6360277</ShareOfTotalIncome>
        <ShareOfEOYAssets>29075481</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>W&amp;I INDEMNITY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>300 RICHMOND STREET</AddressLine1>
          <City>PROVIDENCE</City>
          <State>RI</State>
          <ZIPCode>02903</ZIPCode>
        </AddressUS>
        <EIN>980159342</EIN>
        <PrimaryActivity>FINANCIAL VEHICLE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BUTLER HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>-807801</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BUTLER HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BUTLER HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>153403</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA OF CARE NEW ENGLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>1461071</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA OF CARE NEW ENGLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>-151373</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VNA OF CARE NEW ENGLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WOMEN &amp; INFANTS HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WOMEN &amp; INFANTS HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WOMEN &amp; INFANTS HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KENT HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1317821</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>