KENT COUNTY VISITING NURSE ASSOCIATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
KENT COUNTY VISITING NURSE ASSOCIATION (EIN 05-0242659)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201122279349302657
Schema version
2009v1.7
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)
Timestamp2011-08-15T12:12:34-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAD BORBIDGE PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1197 LOUDON ROAD STE 350AddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050242659EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KENT COUNTY VISITING NURSE ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKENTNameControl
Phone4017376050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line151 HEALTH LANEAddressLine1
CityWARWICKCity
StateRIState
ZIP Code02886ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNancy RobertsName
TitlePresident & Chief Executive OfficerTitle
Phone4017376050Phone
Date Signed2011-08-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDimitrios Panacopoulos CPAName
Phone6032240849Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1VNA OF CARE NEW ENGLANDBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonNancy RobertsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line151 HEALTH LANEAddressLine1
CityWARWICKCity
StateRIState
ZIP Code02886ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13729471GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.cnehomehealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1908YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionThe agency provides Quality Health Care Programs and Resourses to benefit the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees229TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year193400ContributionsGrantsPriorYear
Contributions Grants Current Year166415ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13260222ProgramServiceRevenuePriorYear
Program Service Revenue CY13539134ProgramServiceRevenueCY
Investment Income Prior Year-14399InvestmentIncomePriorYear
Investment Income Current Year23922InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year13439223TotalRevenuePriorYear
Total Revenue Current Year13729471TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10361471SalariesEtcPriorYear
Salaries Etc Current Year10902097SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year15536TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year28873TotalFundrsngExpCurrentYear
Other Expense Prior Year2447092OtherExpensePriorYear
Other Expenses Current Year2339715OtherExpensesCurrentYear
Total Expenses Prior Year12824099TotalExpensesPriorYear
Total Expenses Current Year13241812TotalExpensesCurrentYear
Revenues Less Expenses Prior Year615124RevenuesLessExpensesPriorYear
Revenues Less Expenses CY487659RevenuesLessExpensesCY
Total Assets BOY3891995TotalAssetsBOY
Total Assets EOY4215793TotalAssetsEOY
Total Liabilities BOY10843769TotalLiabilitiesBOY
Total Liabilities EOY11159046TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-6951774NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-6943253NetAssetsOrFundBalancesEOY
Mission DescriptionThe agency provides Quality Health Care Programs and Resourses to benefit the community.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10743819Expense
Revenue13539134Revenue
Descriptionthe agency provides medical home health services to residents of the state of rhode island and surrounding areas. these medical services include skilled nuring, rehabilitative, hospice and pediatric care to low income and indigent patients.Description
Total Program Service Expense10743819TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees229NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Kathleen toporBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4017376050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line151 Health LaneAddressLine1
CityWarwickCity
StateRIState
ZIP Code02886ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerKey EmployeeKeyEmployee
Bruce Ruttenberg
ChairpersonX000
Austin Donnelly
directorX000
Howard Ostrowsky
Treasurer/ChairpersonX000
Randy Wyrofsky
Assistant TreasurerX000
Robert Baute
DirectorX04210001.00
Paul Alexander
DirectorX000
Frank Delmonico
SecretaryX000
Mary Anna Donahue
DirectorX000
Kent Gladding
DirectorX000
Suzanne Gilstein
Vice ChairpersonX000
Gary Grande
DirectorX000
Ester Emard
directorX000
Michael Goldenberg
directorX000
nancy roberts
ceo34463502020035.00X
kathleen topor
cfo17481801309330.00X
karen beauchesne
vp clinical ops19516501545737.50X
FieldValueIRS element (for citing)
Total Reportable Comp From Org714618TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs42100TotalReportableCompFrmRltdOrgs
Total Other Compensation48750TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns5825FederatedCampaigns
Government Grants92197GovernmentGrants
All Other Contributions68393AllOtherContributions
Total Contributions166415TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
Descriptionhome health careDescription
Business Code621610BusinessCode
Total Revenue Column13539134TotalRevenueColumn
Related Or Exempt Function Income13539134RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13539134TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column268TotalRevenueColumn
Exclusion$268ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities23654Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities23654Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column23654TotalRevenueColumn
Exclusion$23,654ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13729471TotalRevenueColumn
Related Or Exempt Function Income13539134RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$23,922ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total763368Total
Program Services210622ProgramServices
Management And General552746ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7547391Total
Program Services6757555ProgramServices
Management And General789836ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total393642Total
Program Services331440ProgramServices
Management And General62202ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1551123Total
Program Services1357484ProgramServices
Management And General193639ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total646573Total
Program Services536904ProgramServices
Management And General109669ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18000Total
Management And General18000ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1612Total
Management And General1612ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1036212Total
Program Services522113ProgramServices
Management And General514099ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52408Total
Management And General52408ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total29504Total
Management And General29504ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total47923Total
Program Services15903ProgramServices
Management And General32020ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7001Total
Management And General7001ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total231679Total
Program Services195070ProgramServices
Management And General36609ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total163724Total
Program Services137853ProgramServices
Management And General25871ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Program supplies416742416742
Printing and publicatio913947923312161
Bad debts7300373003
Telephone55489467218768
Postage and shipping43623367306893

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total71401Total
Program Services26446ProgramServices
Management And General16082ManagementAndGeneral
Fundraising28873Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13241812Total
Program Services10743819ProgramServices
Management And General2469120ManagementAndGeneral
Fundraising28873Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY384847BOY
EOY749373EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY155481BOY
EOY117695EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1705906BOY
EOY1548765EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18407BOY
EOY15051EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2291273LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1418063LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY928585BOY
EOY873210EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY307036BOY
EOY307286EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY391733BOY
EOY604413EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3891995BOY
EOY4215793EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4065781BOY
EOY4699749EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY291635BOY
EOY273673EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6185796BOY
EOY5831919EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY300557BOY
EOY353705EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10843769BOY
EOY11159046EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-6951774BOY
EOY-6943253EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-6951774BOY
EOY-6943253EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3891995BOY
EOY4215793EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years361002CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years691459CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years333243CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year193400CurrentTaxYearMinus1Year
Current Tax Year166415CurrentTaxYear
Total1745519Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13618547CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14976186CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11688447CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13260222CurrentTaxYearMinus1Year
Current Tax Year13539134CurrentTaxYear
Total67082536Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13979549CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15667645CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12021690CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13453622CurrentTaxYearMinus1Year
Current Tax Year13705549CurrentTaxYear
Total68828055Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50968828055PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years710CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1612CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year2111CurrentTaxYearMinus1Year
Current Tax Year268CurrentTaxYear
Total4701Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years710CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1612CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year2111CurrentTaxYearMinus1Year
Current Tax Year268CurrentTaxYear
Total4701Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13980259CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15669257CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12021690CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13455733CurrentTaxYearMinus1Year
Current Tax Year13705817CurrentTaxYear
Total68832756Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99990PublicSupportPercentage509
Prior Year Support Percentage0.99970PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00030PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis455304OtherCostOrOtherBasis
Depreciation256492Depreciation
Book Value198812BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1835969OtherCostOrOtherBasis
Depreciation1161571Depreciation
Book Value674398BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings873210TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
assets limited as to use376380
due from related parties228033
FieldValueIRS element (for citing)
Total Book Value Other Assets604413TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
Descriptiondue to related partiesDescription
Amount$353,705Amount
FieldValueIRS element (for citing)
Total Of Amounts353705TotalOfAmounts
Total Revenue13729471TotalRevenue
Total Expenses13241812TotalExpenses
Excess Or Deficit For Year487659ExcessOrDeficitForYear
Other-$479,138OtherAmount
Total Adjustments-479138TotalAdjustments
Excess Or Deficit Per FS8521ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13700598TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal13700598RevenueSubtotal
Other Revenues Not Included28873OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt28873RevenueNotRptdOnFinStmt
Total Revenue Per Form99013729471TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13212939TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13212939ExpensesSubtotal
Other Expenses Not Included28873OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt28873ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013241812TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:Net assets released from restriction: 22000. change in minimum pension liability: -501138.
Part XII, Line 4b - Other Adjustments:fundraising expense: 28873.
Part XIII, Line 4b - Other Adjustments:fundraising expense: 28873.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1W&I PhilanthropyBusinessNameLine1
FieldValueIRS element (for citing)
ActivitySupportActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts71851GrossReceipts
Amount Retained By Contractor19905AmountRetainedByContractor
Net To Organization51946NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts71851TotalGrossReceipts
Total Retained By Contractors19905TotalRetainedByContractors
Total Net To Organization51946TotalNetToOrganization
Licensed StatesRILicensedStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 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
nancy roberts
224501072560047574000202000364835000
kathleen topor
1365500377000568000130930187911000
karen beauchesne
1523060420500809000154570210622000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 7ReturnReference
Explanationbonus (system base performance) and long term incentive planExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6The Corporation shall have one Member, which shall be Care New England Health System, a Rhode Island non-profit corporation.
Form 990, Part VI, Section A, line 7aElected directors must be approved by the Member prior to taking office.
Form 990, Part VI, Section A, line 7bThe following matters shall be reserved to the Member: (1) adoption or approval of amendments to the Corporations Articles of Incorporation or Bylaws; (2) removal of the corporations directors, provided that removal of a corporation director by the member during such directors initial term may only be made upon a recommendation of the corporation supported by a vote of two-thirds of all the corporations directors; (3) appointment and removal of the chief executive officer of the corporation after consultation with the corporations board of directors; (4) approval of the capital and operating budgets of the corporation; (5) approval of capital expenditures exceeding the capital budget of the corporation by more than $100,000 in the aggregate; (6) approval of incurrence of debt by the corporation in excess of $100,000; (7) the dissolution, merger, consolidation, transfer of substantially all the assets of, or other material business combination of the corporation with one ore more entities; (8) appointment of the independent auditors for the corporation; (9) approval of plans by the corporation for implementing the members strategic and long-range plans; (10) approval of managed care contracts for the corporation and power to impose managed care contracts that bind the corporation, provided that in determining whether to approve or impose managed care contracts, the member shall consider as relevant factors the clinical and financial reasonableness and actuarial soundness of such contracts; and provided further that the member shall not require the corporation to breach or repudiate any existing managed care contracts; (11) approval of exclusive contracts and non-compete arrangements of the corporation and the imposition of exclusive contracts and non-complete arrangements on the corporation; (12) the right to notice from the corporation of any corporation proposal to establish or terminate a major clinical program and after receipt of such notice, the right to veto such establishment or termination of a major clinical program of the corporation.
Form 990, Part VI, Section B, line 11Prior to filing, management will review a draft of the 990 with the Finance Committee (a sub-committee of the Board of Directors) and subsequent to the meeting an email with the 990 will be sent to all Board Members.
Form 990, Part VI, Section B, line 12cThrough Care New England Internal Audit Department
Form 990, Part VI, Section B, line 15System Outside Consultants.
Form 990, Part VI, Section C, line 19information upon request and issued during annual meeting.
Form 990. Part XI, line 2c.No change from prior year.
Schedule G, Part I, Line 2b, Column (v)Contracted fundraiser to raise funds to support oraganization's charitable activities.Explanation of Fundraising Payments

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
WIH Faculty Physicians Inc
67 Brigham StreetNew BedfordMA02740043579432Health CareMA501(c)(3)509(A)(2)N/A
Butler Hospital
345 Blackstone BoulevardProvidenceRI02906050258812HospitalRI501(c)(3)Line 3N/A
Care New England Health System
45 Willard Avenue 3rd FloorProvidenceRI02905050490997Holding CompanyRI501(c)(3)509(a)(3)N/A
Kent County Memorial Hospital
455 Toll Gate RoadWarwickRI02886050258896HospitalRI501(c)(3)Line 3N/A
healthtouch inc
51 Health LaneWarwickRI02886050514949Health CareRI501(c)(3)509(A)(2)N/A
Kent Hospital Foundation
455 Toll Gate RoadWarwickRI02886050514640Type 1 Supporting OrganizationRI501(c)(3)509(a)(3)N/A
Palomar Group Inc
300 Richmond Street 1st FloorprovidenceRI02903050462378Parking facilitiesRI501(c)(3)509(A)(2)N/A
Women & Infants Hospital of Rhode Island
300 Richmond Street 1st FloorprovidenceRI02903050258937HospitalRI501(c)(3)Line 3N/A
Women & Infants Corporation
300 Richmond Street 1st FloorprovidenceRI02903222885807Support for HospitalRI501(c)(3)509(a)(3)N/A
Women & Infants Development Foundation
300 Richmond Street 1st FloorprovidenceRI02903222885815Type 3 Supporting OrganizationRI501(c)(3)509(a)(3)N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Kent Ancillary Services LLC
455 Toll Gate RoadWarwickRI02886562420959Health CareRIN/Arelated00
W&I Ancillary Services LLC
300 Richmond Street 1st FloorProvidenceRI02903200222992Health CareRIN/Arelated00
Affinity Physicians LLC
455 Toll Gate RoadwarwickRI02886272557996health CareRIN/Arelated00

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountry
Kent County Health Services LLC
455 Toll Gate RoadWarwickRI02886050427808Health Care - PHORIN/AC
Toll Gate Indemnity LTD
455 Toll Gate RoadWarwickRI02886342028514InsuranceN/ACCJ
Perinatal & Gynecological Services Inc
120 Dudley Street Level 0ProvidenceRI02905050435935Health CareRIN/AC
Women & Infants Physician Hospital Organization
120 Dudley Street Level 0ProvidenceRI02905050430731Health CareRIN/AC
W&I Indemnity Ltd
300 Richmond Street 1st FloorProvidenceRI02903980159342InsuranceN/ACCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
healthtouch inc
N70533
healthtouch inc
N20829

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