Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
WOMEN & INFANTS HOSPITAL OF RI
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
101 DUDLEY STREET
 
Room/suite
City or town, state or country, and ZIP + 4
PROVIDENCE, RI02905
D Employer identification number

05-0258937
E Telephone number

G Gross receipts $ 427,190,086
F Name and address of principal officer:
CONSTANCE A HOWES JD FACHE
101 DUDLEY STREET
PROVIDENCE,RI02905
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.WOMENANDINFANTS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1884
M State of legal domicile: RI
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION IS A TEACHING HOSPITAL COMMITTED TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF WOMEN AND INFANTS AND PROVIDE ESSENTIAL SERVICES REGARDLESS OF ABILITY TO PAY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 19
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 10
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 3,267
6 Total number of volunteers (estimate if necessary) .... 6 450
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 24,012,903 2,588,598
9 Program service revenue (Part VIII, line 2g) ......... 349,744,265 415,541,717
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 880,836 2,657,958
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 33,004,454 770,588
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 407,642,458 421,558,861
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,173,314 1,278,567
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 252,334,147 254,916,395
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet696,783    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 146,107,923 156,012,675
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 399,615,384 412,207,637
19 Revenue less expenses. Subtract line 18 from line 12...... 8,027,074 9,351,224
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 315,905,776 314,277,389
21 Total liabilities (Part X, line 26)............ 159,900,266 160,424,480
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 156,005,510 153,852,909
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: WOMEN & INFANTS HOSPITAL OF RHODE ISLAND, A TEACHING HOSPITAL OF THE WARREN ALPERT SCHOOL OF MEDICINE AT BROWN UNIVERSITY, IS COMMITTED TO IMPROVING THE HEALTH AND WELL BEING OF WOMEN AND INFANTS AND TO PROVIDING ESSENTIAL SERVICES REGARDLESS OF ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 374,582,715 including grants of $ 664,960 ) (Revenue $ 415,541,717 )
THE HOSPITAL IS THE REGIONAL CENTER FOR WOMEN AND INFANTS HEALTHCARE IN RHODE ISLAND AND ENVIRONS, PROVIDING CARE IN THE AREAS OF OBSTETRICS, NEONATAL INTENSIVE CARE, REPRODUCTIVE ENDOCRINOLOGY, MATERNAL FETAL MEDICINE AND GYNECOLOGY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 374,582,715
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
379
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
3,267
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
19
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
ROBERT PACHECO
101 DUDLEY STREET
PROVIDENCE,RI02905
(401) 455-6453
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DOUGLAS L JACOBS
CHAIRMAN - DIRECTOR
5.0 X   X       0 0 0
(2) ROBERT G FLANDERS JR ESQ
VICE CHAIRMAN - DIRECTOR
1.0 X   X       0 0 0
(3) KATHERINE F MCKENZIE
VICE CHAIR - DIRECTOR
1.0 X   X       0 0 0
(4) CYNTHIA S REED
VICE CHAIR - DIRECTOR
1.0 X   X       0 0 0
(5) ROGER N BEGIN
SECRETARY - DIRECTOR
1.0 X   X       0 0 0
(6) JOHN R GALVIN
TREASURER - DIRECTOR
1.0 X   X       0 0 0
(7) KATHLEEN COTE BOWLING MD
DIRECTOR
25.0 X           79,001 0 0
(8) JOANNA CAIN MD
DIRECTOR (TERM 12/27/10)
0.0 X           633,789 0 12,618
(9) DAVID CARCIERI MD
DIRECTOR
1.0 X           6,240 0 0
(10) LISA G CHURCHVILLE
DIRECTOR
1.0 X           0 0 0
(11) SHARON CONARD WELLS
DIRECTOR
1.0 X           0 0 0
(12) MARGARET D FARRELL ESQ
DIRECTOR
1.0 X           0 0 0
(13) WILLIAM F HATFIELD
DIRECTOR
1.0 X           0 0 0
(14) CONSTANCE A HOWES JD FACHE
DIRECTOR - PRES/CEO/WIH
55.0 X   X       809,459 0 123,342
(15) LINDA R MCGOLDRICK
DIRECTOR
1.0 X           0 0 0
(16) JAMES F PADBURY MD
DIRECTOR
55.0 X           559,589 0 81,433
(17) MAUREEN PHIPPS MD MPH
DIRECTOR
55.0 X           306,185 0 19,160
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) GINA RAIMONDO
DIRECTOR
1.0 X           0 0 0
(19) SATINA L SIENA MD
DIRECTOR - PRESIDENT MED STAFF
1.0 X           5,300 0 0
(20) ANNE SZOSTAK
DIRECTOR
1.0 X           0 0 0
(21) MARK MARCANTANO
EXECUTIVE VICE PRESIDENT/COO
55.0     X       469,783 0 11,705
(22) JOHN M SUTHERLAND III
PRESIDENT - W&I INDEMNITY LTD.
1.0     X       605,702 0 118,291
(23) DEBRA M PAUL CPA MBA
SR. VP & CFO/ASST. TREASURER
55.0     X       497,337 0 26,941
(24) RAYMOND POWRIE MD
SENIOR VICE PRESIDENT-QUALITY
55.0     X       456,618 0 10,482
(25) GAIL COSTA
SR VP - PLANNING CNE
1.0     X       396,714 0 110,946
(26) KAREN DAVIE
SR. VP - PHILANTHROPY & GOV.
55.0     X       364,001 0 36,818
(27) PAULA GILLETTE TERM 1010-0111
SR. VP - PATIENT CARE SERVICES
55.0     X       304,780 0 9,147
(28) SUSAN E MAXWELL TERM 0311-0811
SR. VP - PATIENT CARE SERVICES
55.0     X       147,210 0 536
(29) JAMES GILMORE EFF 61411
SR. VP - PATIENT SUPPORT SVCS
55.0     X       0 0 0
(30) CORNELIUS GRANNAI MD
VICE PRESIDENT
55.0     X       592,387 0 14,773
(31) THOMAS R COURAGE ESQ
VICE PRESIDENT/ASST. SECRETARY
1.0     X       504,627 0 110,253
(32) MAYBELLE KERNAN
VP MKTG & PUBLIC RELATIONS
1.0     X       351,007 0 52,885
(33) ELIAS NEUJAHR
VP-PHYS SERVICES (10/1-5/13)
55.0     X       207,986 0 9,847
(34) THOMAS HUGHES
VP - PATIENT SUPPORT SERVICES
55.0     X       188,802 0 3,619
(35) PAUL HEFFERNAN
VICE PRESIDENT-HR (2/14-9/30)
55.0     X       0 0 0
(36) JOSEPH RODA
INTERIM VP - HR (10/1-2/13)
55.0     X       170,519 0 619
(37) WILLIAM LAWRENCE MD
CHIEF OF PATHOLOGY
55.0         X   520,949 0 11,555
(38) KAREN ROSENE MONTELLA MD
PHYSICIAN
55.0         X   493,173 0 1,188
(39) PAUL DISILVESTRO MD
PHYSICIAN
55.0         X   470,039 0 9,501
(40) RICHARD MOORE MD
PHYSICIAN
55.0         X   469,653 0 9,457
(41) KATHERINE WENSTROM MD
DIRECTOR - MATERNAL FETAL MED
55.0         X   452,908 0 919
(42) PATRICE DIMARIO
FORMER SR. VP PATIENT SUPPORT
0.0           X 370,742 0 57,660
(43) JANET SCHIPPER
FORMER OFFICER
0.0           X 220,458 0 8,990
(44) DANIEL MICHAUD
FORMER VP - HR
0.0           X 162,942 0 6,602
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 10,817,900 0 859,287
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet287
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
PURITY SERVICES
405 MYRTLE STREET
NEW BEDFORD,MA02746
LAUNDRY 1,028,426
MAYO COLLABORATIVE SERVICES
PO BOX 4100
ROCHESTER,MN55903
LABORATORY 725,790
UNIVERSITY SURGICAL ASSOCIATES
200 METRO CENTER
WARWICK,RI02886
PROFESSIONAL 706,446
NOW DELIVERY
PO BOX 6945
PROVIDENCE,RI02940
LAB COURIER 703,096
ROBERTS CARROLL FELDSTEIN PEIRCE
10 WEYBOSSET STREET
PROVIDENCE,RI02903
LEGAL 640,105
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet23
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 287,997
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
2,300,601
g Noncash contributions included in lines 1a-1f:$ 28,863
h Total. Add lines 1a-1f.......MediumBullet 2,588,598
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541,900 373,434,433 373,434,433    
b OTHER HEALTHCARE RELATED REVENUE 541,900 42,107,284 42,107,284    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 415,541,717
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 2,330,338     2,330,338
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 5,759,093 67,340
b Less: cost or other basis and sales expenses 5,497,458 1,355
c Gain or (loss) 261,635 65,985
d Net gain or (loss)..........MediumBullet 327,620     327,620
8a Gross income from fundraising events (not including
$ 287,997
of contributions reported on line 1c). See Part IV, line 18 ...
a 132,412
b Less: direct expenses ...b 132,412
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA REVENUE 722,210 665,726     665,726
b PARKING REVENUE 812,930 52,462     52,462
c GIFT SHOP REVENUE 452,000 50,703     50,703
d All other revenue .... 1,697     1,697
e Total. Add lines 11a–11d ......MediumBullet 770,588
12 Total revenue. See Instructions....MediumBullet 421,558,861 415,541,717   3,428,546
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 664,960 664,960
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 613,607 613,607
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 8,410,452 7,569,407 841,045 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 181,723,171 163,064,546 18,118,283 540,342
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 11,365,102 10,228,592 1,136,510  
9 Other employee benefits ....... 40,310,940 36,279,846 4,031,094  
10 Payroll taxes ........... 13,106,730 11,796,057 1,310,673  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 857,641 771,877 85,764  
c Accounting ........... 29,064 26,158 2,906  
d Lobbying ........... 65,117 58,605 6,512  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 3,115,029 2,803,526 311,503  
12 Advertising and promotion .... 847,151 726,988 80,776 39,387
13 Office expenses ....... 32,145,241 28,906,656 3,211,851 26,734
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 6,360,972 5,724,875 636,097  
17 Travel ............ 376,923 339,231 37,692  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 421,662 376,788 41,865 3,009
20 Interest ........... 576,117 518,505 57,612  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 14,563,320 13,106,988 1,456,332  
23 Insurance .............. 14,288,481 12,859,633 1,428,848  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PURCHASED SERVICES 37,728,033 33,955,230 3,772,803 0
b RESEARCH EXPENSES 17,698,440 17,698,440 0 0
c LICENSURE FEE 17,270,751 17,270,751 0 0
d PROVISION FOR BAD DEBT 5,981,693 5,981,693 0 0
e OTHER EXPENSES 3,687,040 3,239,756 359,973 87,311
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 412,207,637 374,582,715 36,928,139 696,783
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 39,303,617 2 21,252,075
3 Pledges and grants receivable, net ......... 2,032,438 3 1,722,145
4 Accounts receivable, net ......... 40,115,463 4 52,625,190
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 9,807,198 7 12,895,223
8 Inventories for sale or use .............. 403,170 8 490,089
9 Prepaid expenses and deferred charges ............ 2,110,279 9 1,899,683
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 341,527,786
b Less: accumulated depreciation. ..... 10b 185,643,185 156,489,507 10c 155,884,601
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 .. 60,676,373 13 60,640,599
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 4,967,731 15 6,867,784
16 Total assets. Add lines 1 through 15 (must equal line 34)... 315,905,776 16 314,277,389
Liabilities 17 Accounts payable and accrued expenses . 42,452,311 17 36,666,176
18 Grants payable ..........   18  
19 Deferred revenue .......... 0 19 2,231,681
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 5,700,029 23 2,918,980
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 111,747,926 25 118,607,643
26 Total liabilities. Add lines 17 through 25..... 159,900,266 26 160,424,480
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 125,746,286 27 125,225,147
28 Temporarily restricted net assets ..... 26,207,031 28 24,492,709
29 Permanently restricted net assets ..... 4,052,193 29 4,135,053
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 156,005,510 33 153,852,909
34 Total liabilities and net assets/fund balances ..... 315,905,776 34 314,277,389
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
421,558,861
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
412,207,637
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
9,351,224
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
156,005,510
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-11,503,825
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
153,852,909
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
65,117
j
Total. lines 1c through 1i ...................................
65,117
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $55,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION ("AHA") WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $10,117. THE AHA PROVIDES BOTH ADVOCACY AND REPRESENTATION FOR ITS MEMBERS. AHA'S ADVOCACY IS GENERALLY ABOUT HOSPITALS AS THE CORNERSTONE OF THE COMMUNITY, PROTECTING THE HEALTHCARE SAFETY NET AND IMPROVING CARE, AFFORDABILITY AND COVERAGE. THE AHA'S ADVOCACY AGENDA CAN BE VIEWED AT THEIR WEBSITE: WWW.AHA.ORG.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 7,883,846 7,156,790 6,785,603
b Contributions ........ 82,356 61,410 91,305
c Investment earnings or losses ... -108,444 702,455 306,023
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
480,959    
f Administrative expenses .... 43,698 36,809 26,141
g End of year balance ...... 7,333,101 7,883,846 7,156,790
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet100.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   3,254,245 3,254,245
b Buildings ................   189,965,534 81,804,622 108,160,912
c Leasehold improvements ............   10,619,059 3,944,124 6,674,935
d Equipment ................   137,265,818 99,894,439 37,371,379
e Other .................   423,130 0 423,130
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 155,884,601
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) ENDOWMENT FUNDS 7,333,101 F
(2) BOARD DESIGNATED FUNDS 21,942,179 F
(3) SELF-INSURANCE FUNDS 23,314,332 F
(4) TRUSTEE-HELD FUNDS 1,687,946 F
(5) OTHER ASSETS - LT 1,113,087 F
(6) AUCTION RATE SECURITIES 5,249,954 F



Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet 60,640,599
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
DUE TO AFFILIATES 58,260,636
ESTIMATED 3RD PARTY PAYOR STLMENT 23,153,979
PENSION PAYABLE 15,711,774
OTHER LIABILITIES - LT 1,624,854
RESERVE FOR LOSSES 18,945,539
GRANT RESERVE 910,861



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 118,607,643
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 THE HOSPITAL'S ENDOWMENTS CONSIST OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE PURPOSES INCLUDE GENERAL PURPOSE, HEALTHCARE SERVICES, INDIGENT CARE AND HEALTH EDUCATION.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE OF CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT, INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS CARE NEW ENGLAND HEALTH SYSTEM. AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CARE NEW ENGLAND HEALTH SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND SEPTEMBER 30, 2010; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CERTAIN CONSOLIDATING SCHEDULES. THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN FOOTNOTE DISCLOSURE RELATED TO THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. THE ORGANIZATION COMPLETED AN ASSESSMENT OF THE ESTIMATED LIABILITY FOR UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2011 AND CONCLUDED THAT THE ESTIMATED LIABILITY WAS NOT MATERIAL TO THE ORGANIZATION'S FINANCIAL STATEMENTS.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total
expenditures for region/investments
in region
Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 8,682,298
East Asia and the Pacific 2 7 Grantmaking   242,054
Middle East and North Africa 1 2 Grantmaking   20,160
South America 2 4 Grantmaking   53,760
North America 3 6 Grantmaking   33,040
Europe (Including Iceland and Greenland) 7 14 Grantmaking   266,553
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 16 34 9,297,865
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 16 34 9,297,865
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
East Asia/Pacific SUBCONTRACT 240,094 CHECK      
North America SUBCONTRACT 9,240 CHECK     FMV
South America SUBCONTRACT 45,080 CHECK      
South America SUBCONTRACT 8,680 CHECK      
Europe/Iceland/Greenland SUBCONTRACT 62,120 CHECK      
North America SUBCONTRACT 17,360 CHECK      
North America SUBCONTRACT 6,440 CHECK      
Europe/Iceland/Greenland SUBCONTRACT 37,800 CHECK      
Europe/Iceland/Greenland SUBCONTRACT 21,280 CHECK      
Europe/Iceland/Greenland SUBCONTRACT 48,753 CHECK      
Europe/Iceland/Greenland SUBCONTRACT 71,400 CHECK      
Europe/Iceland/Greenland SUBCONTRACT 8,960 CHECK      
Europe/Iceland/Greenland SUBCONTRACT 16,240 CHECK      
Middle East/North Africa SUBCONTRACT 20,160 CHECK      
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
14
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS OUTSIDE THE US SCHEDULE F, PART I; QUESTION 2 FOR INTERNATIONAL SUBCONTRACTS: (1) ANNUAL REQUESTS ARE MADE FOR AUDIT CERTIFICATION; (2) ANNUAL REQUESTS ARE MADE FOR MOST UP-TO-DATE POLICIES AND PROCEDURES MANUAL; AND (3) INVOICES ARE REVIEWED AND APPROVED BY PRINCIPAL INVESTIGATOR'S OFFICE AS WELL AS BY THE GRANT MANAGEMENT OFFICE.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

SIGNATURE EVENT
(event type)
(b) Event #2

TICKLED PINK
(event type)
(c) Other Events

1
(total number)
(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 343,348 56,096 20,965 420,409
2 Less: Charitable
contributions . . .
248,874 21,922 17,201 287,997
3 Gross income (line 1
minus line 2) . . .
94,474 34,174 3,764 132,412
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . . 52,822 14,087 665 67,574
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 41,652 20,087 3,099 64,838
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 132,412
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow  
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
 
No
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
    7,801,544 3,929,905 3,871,639 0.950 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    111,562,387 98,585,229 12,977,158 3.190 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     676,273 175,603 500,670 0.120 %
dTotal Charity Care and
Means-Tested Government Programs .....
    120,040,204 102,690,737 17,349,467 4.260 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    1,468,969 0 1,468,969 0.360 %
f Health professions education
(from Worksheet 5) ..
    18,928,349 154,128 18,774,221 4.620 %
g Subsidized health services
(from Worksheet 6) ..
    193,952 52,810 141,142 0.030 %
h Research (from Worksheet 7)     16,296,715 14,021,161 2,275,554 0.560 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
    41,307   41,307 0.010 %
jTotal Other Benefits ...     36,929,292 14,228,099 22,701,193 5.580 %
kTotal. Add lines 7d and 7j. ..     156,969,496 116,918,836 40,050,660 9.840 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     34,235 0 34,235 0.010 %
4 Environmental improvements            
5 Leadership development and training for community members     31,231 0 31,231 0.010 %
6 Coalition building     750 0 750 0 %
7 Community health improvement advocacy     10,263 0 10,263 0 %
8 Workforce development     298,873 0 298,873 0.070 %
9 Other            
10 Total     375,352 0 375,352 0.090 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
2,325,251
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
546,434
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
6,496,045
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
7,813,491
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-1,317,446
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
101 DUDLEY STREET
PROVIDENCE,RI02905
X X   X   X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?44
Name and address Type of Facility (Describe)
1 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
2 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
3 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
4 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
5 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
6 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
7 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
8 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
9 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
10 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
11 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
12 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
13 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
14 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
15 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
16 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
17 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
18 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
19 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
20 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
21 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
22 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
23 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
24 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
25 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
26 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
27 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
28 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
29 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
30 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
31 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
32 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
33 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
34 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
35 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
36 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
37 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
38 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
39 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
40 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
41 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
42 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
43 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
44 WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
1 BLACKSTONE PLACE
PROVIDENCE,RI02903
MEDICAL
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
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 financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities 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.).
6 Affiliated health care system. 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.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
Eligibility for Discounted Care Schedule H, Part I, Line 3c Not applicable.
Community Benefit Report Schedule H, Part I, Line 6a Not applicable.
Subsidized Health Services Schedule H, Part I, Line 7g No costs relating to subsidized healthcare services are attributable to any physician clinics.
Percent of Total Expense Schedule H, Part I, Line 7, Column (F) The bad debt expense included on form 990, Part IX, Line 25, Column (a), but subtracted for purposes of calculating the percentage in this column is $5,981,693.
Financial Assistance and Certain Other Community Benefits at Cost Schedule H, Part I, Line 7 A cost-to-charge ratio was used, the source being the Medicare Cost Report for FY 2011, adjusted for certain costs which are particular to Medicare cost reporting, but not appropriate for Part 1, Line 7. E.g. removing the Reasonable Cost Equivalent for physician services in W/S A-8-2, adjusting pension expense to GAAP, and adjustments for useful lives of certain software, removing the related party costs (other than home office). Worksheet 2, "Ratio of Patient Care Cost-to-Charges" was used to complete the cost-to-charge ratio used in Part 1, line 7.
Community Building Activities Schedule H, Part II Women & Infants Hospital of Rhode Island has direct involvement in numerous community building activities that promote and improve the health status and general betterment of the communities served by the hospital. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals.
Bad Debt Expense Schedule H, Part III, Section A, Line 4 Bad debt expense was calculated using the organization's bad debt expense from its audited financial statements, net of accounts written off at charges and multiplied by its cost to charge ratio. The organization and its affiliates prepare and issue audited consolidated financial statements. The system's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied across all hospital affiliates. The attached text was obtained from the footnotes to the audited financial statements of the organization. Net Patient Service Revenue The Hospitals and the Agency have individual agreements with many third-party payors that provide payments at amounts different from their established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per-diem payments. Net patient service revenue is reported at estimated net realizable amounts from patients, third-party payors, and others for services rendered, and includes estimated retroactive revenue adjustments due to such things as future audits and reviews. Retroactive adjustments are considered in the recognition of revenue on an estimated basis in the period the related services are rendered, and such amounts are adjusted in future periods as adjustments become known, or as years are no longer subject to such adjustments. Charity care The Health System provides care to patients who meet certain criteria under their charity care policies without charge or at amounts less than established rates. Because the Health System does not pursue collection of amounts determined to qualify as charity care, they are not reported as net patient revenue.
Medicare Shortfall Schedule H, Part III, Line 8 The inpatient Medicare allowable costs were determined from the submitted FY 2011 Medicare Cost Report, Worksheet D-1, Line 49, less para-med costs, which are included in Part I, Line 7(f). Worksheet D-1, Line 49 does not include direct GME costs. The outpatient allowable costs come from Worksheet E, Part B. Bad debt is community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The organization feels that Medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on the Form 990, Schedule H, Part I. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under Internal Revenue Code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable", a regulation promulgated by the Department of the Treasury provides some guidance and states that "[t]he term charitable is used in 501(c)(3) in its generally accepted legal sense," and provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note: it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. Charity care standard In 1956, the IRS issued Revenue Ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community, and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the IRS issued Revenue Ruling 69-545, which "remove[d]" from Revenue Ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." Under the standard developed in Revenue Ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by Treas. Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. The organization believes that Medicare underpayments and bad debt are community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the Form 990, Schedule H, Part I. This organization agrees with the AHA position. As outlined in the AHA letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons. - providing care for the elderly and serving Medicare patients is an essential part of the Community Benefit Standard. - Medicare, like Medicaid, does not pay the full cost of care. Recently, Medicare reimburses hospitals only 92 cents for every dollar they spend to take care of Medicare patients. The Medicare Payment Advisory Commission ("MEDPAC") in its March 2007 report to Congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 46 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the Federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called "dual eligibles." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on Form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the Form 990, Schedule H, Part I. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - A significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with income below 200% of the Federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of
Debt Collection Policy Schedule H, Part III, Line 9b Women & Infants Hospital of Rhode Island does not pursue collection for those patients who qualify for 100% financial assistance, but our normal collection policy would apply for patients receiving partial financial assistance (discounted by reason of income/assets on the FPG between 200% and 300%) or facing extreme hardships.
Facility Policies and Practices Schedule H, Part V Not applicable.
Needs Assessment Schedule H, Part VI, Question 2 The organization continually reviews and evaluates current and proposed programs to ensure that programs offering the most benefit will continue to be supported by the hospital. The hospital aligns its community programs in support of the Rhode Island Department of Health Healthy People 2010 Initiatives: Objective 5: Responsible Sexual Behavior, Objective 6: Mental Health, Objective 7: Injury and Violence, Objective 9: Immunization and Objective 10: Access to Healthcare. Please refer to Schedule O for a detailed community benefit statement.
Patient Education of Eligibility for Assistance Schedule H, Part VI, Question 3 As a not for-profit entity, Women & Infants Hospital of Rhode Island 's first consideration in the admission and placement or treatment of any patient is the patient's medical needs. Some patients hesitate to obtain necessary care because of their financial concerns. A notice of financial aid appears on all statements sent to patients. Also, it is prominently posted in the patient assessment department, admission areas, outpatient care areas and on the organization's website. Also, the notice is available in the three most common languages used by the patient population in accordance with the applicable "standards for culturally and linguistically appropriate services in healthcare" (Standards 4 and 7, based on Title VI of the Civil Rights Act of 1964). Uninsured and underinsured patients are counseled at the point of service or during the billing process about any Federal, State or Local Programs that they may be eligible for, and assistance with applications is also provided.
Community information Schedule H, Part VI, Question 4 Women & Infants Hospital of Rhode Island 's primary service area consists of a suburban population in Providence, Rhode Island with a total population of 178,042. The average household income is $36,925 and 26.3 percent of the population has income below the poverty level. Twenty four hospitals serve the primary service area and a significant percent of hospital discharges are Medicare, Medicaid and uninsured patients. As of the 2008 American Community Survey conducted by the U.S. Census Bureau, Providence consisted of the following groups: 49.8% of the population were Caucasian, 38.1% of the population were Hispanics and Latinos of any race and 16% were Black or African American.
Promotion of Community Health Schedule H, Part VI, Question 5 The organization and the entire Care New England Health System promote the health of the community on a daily basis throughout the year. The system coordinates and offers numerous community benefit programs, activities and support groups to the community. Please refer to schedule O for a detailed community benefit statement.
Affiliated Health Care System Schedule H, Part VI, Question 6 Outlined below is a summary of the entities which comprise the Care New England Health System. Not for-profit Care New England Health System entities: Care New England Health System Care New England Health System is the tax-exempt parent of the Care New England Health System ("CNE"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. This organization is the sole member or stockholder of each affiliated entity. CNE is an integrated system of healthcare providers throughout the state of Rhode Island. Care New England Health System is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). As the parent organization, Care New England Health System strives to continually develop and operate a multi-hospital healthcare system which provides substantial community benefit through the provision of a comprehensive spectrum of healthcare services to the residents of Rhode Island and surrounding communities. Care New England Health System ensures that its system provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. No individuals are denied necessary medical care, treatment or services. CNE's active hospitals include Butler Hospital, Women & Infants Hospital of Rhode Island and Kent County Memorial Hospital. Each of these hospitals operates consistently with the following criteria outlined in IRS Revenue Ruling 69-545: 1. Each provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients; 2. Each operates an active emergency room for all persons; which is open 24 hours a day, 7 days a week, 365 days per year; 3. Each maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of each rests with its board of directors and the board of directors of Care New England Health System. Both boards are comprised of a majority of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. Butler Hospital Butler Hospital is a 117-bed non-profit private, non-profit psychiatric and substance abuse hospital for adults, adolescents, children, and seniors located in Providence, Rhode Island. Butler Hospital is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, Butler Hospital operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Kent County Memorial Hospital Women & Infants Corporation is a 359-bed non-profit acute care hospital located in Warwick, Rhode Island. Kent County Memorial Hospital is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, the organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, Kent County Memorial Hospital operates consistently with the criteria outlined in IRS Revenue Ruling 69-545. Kent County Visiting Nurse Association Kent County Visiting Nurse Association is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 170(b)(1)(A)(vi). The organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Kent Hospital Foundation Kent Hospital Foundation is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). Through fundraising activities the organization supports the charitable purposes, programs and services of Kent County Memorial Hospital; a related internal Revenue Code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Women & Infants Development Foundation Women & Infants Development Foundation is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). Through fundraising activities the organization supports the charitable purposes, programs and services of Women & Infants Hospital of Rhode Island; a related internal Revenue Code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Women & Infants Corporation Women & Infants Corporation is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization is the parent entity of Women & Infants Hospital of Rhode Island and its affiliates, which provide medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Palomar Group, Inc. Palomar Group, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(2). The organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. WIH Faculty Physicians, Inc. WIH Faculty Physicians, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(2). The organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Health Touch, Inc. Health Touch, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(2). The organization provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Women and & Infants Ancillary Services, L.L.C. and Women & Infants Health Care Alliance, L.L.C. are single member limited liability companies of Women & Infants Hospital of Rhode Island. For-Profit Care New England Health System Entities: W&I Indemnity Ltd. An entity 100% owned by Women & Infants Hospital of Rhode Island. This entity is a financial vehicle and foreign corporation located in Grand Cayman. Toll Gate Indemnity Ltd. An entity 100% owned by Kent County Memorial Hospital. This entity This entity is a financial vehicle and foreign corporation located in Grand Cayman.
State Filing of Community Benefit Report Schedule H, Part VI, Question 7 Not applicable. The entity and related provider organizations are located in Rhode Island. No community benefit report is filed with the state of Rhode Island.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number
05-0258937
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) BROWN UNIVERSITYCONTROLLERS OFC BOX J
PROVIDENCE,RI02912
05-0258809 501(C)(3) 664,960       PROGRAM SUPPORT






















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
1
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
GRANT FUND MONITORING SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
Yes
 
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JOANNA CAIN MD (i)
(ii)
524,042
0
90,000
0
19,747
0
0
0
12,618
0
646,407
0
0
0
(2) CONSTANCE A HOWES JD FACHE (i)
(ii)
515,582
0
177,000
0
116,877
0
111,963
0
11,379
0
932,801
0
60,640
0
(3) JAMES F PADBURY MD (i)
(ii)
395,517
0
70,000
0
94,072
0
69,884
0
11,549
0
641,022
0
75,128
0
(4) MAUREEN PHIPPS MD MPH (i)
(ii)
259,588
0
28,893
0
17,704
0
0
0
19,160
0
325,345
0
0
0
(5) MARK MARCANTANO (i)
(ii)
352,151
0
105,400
0
12,232
0
0
0
11,705
0
481,488
0
0
0
(6) JOHN M SUTHERLAND III (i)
(ii)
410,595
0
121,000
0
74,107
0
96,085
0
22,206
0
723,993
0
44,821
0
(7) DEBRA M PAUL CPA MBA (i)
(ii)
311,662
0
93,000
0
92,675
0
22,673
0
4,268
0
524,278
0
0
0
(8) RAYMOND POWRIE MD (i)
(ii)
333,846
0
100,000
0
22,772
0
0
0
10,482
0
467,100
0
0
0
(9) GAIL COSTA (i)
(ii)
239,642
0
73,000
0
84,072
0
96,661
0
14,285
0
507,660
0
51,807
0
(10) KAREN DAVIE (i)
(ii)
205,554
0
66,300
0
92,147
0
22,191
0
14,627
0
400,819
0
0
0
(11) PAULA GILLETTE TERM 1010-0111 (i)
(ii)
215,193
0
68,300
0
21,287
0
0
0
9,147
0
313,927
0
0
0
(12) CORNELIUS GRANNAI MD (i)
(ii)
544,180
0
28,000
0
20,207
0
0
0
14,773
0
607,160
0
0
0
(13) THOMAS R COURAGE ESQ (i)
(ii)
308,808
0
93,000
0
102,819
0
92,150
0
18,103
0
614,880
0
65,512
0
(14) MAYBELLE KERNAN (i)
(ii)
212,697
0
67,000
0
71,310
0
44,286
0
8,599
0
403,892
0
48,277
0
(15) ELIAS NEUJAHR (i)
(ii)
160,682
0
47,000
0
304
0
0
0
9,847
0
217,833
0
0
0
(16) THOMAS HUGHES (i)
(ii)
152,531
0
32,453
0
3,818
0
0
0
3,619
0
192,421
0
0
0
(17) JOSEPH RODA (i)
(ii)
137,100
0
28,049
0
5,370
0
0
0
619
0
171,138
0
0
0
(18) WILLIAM LAWRENCE MD (i)
(ii)
428,590
0
73,000
0
19,359
0
0
0
11,555
0
532,504
0
0
0
(19) KAREN ROSENE MONTELLA MD (i)
(ii)
424,520
0
47,251
0
21,402
0
0
0
1,188
0
494,361
0
0
0
(20) PAUL DISILVESTRO MD (i)
(ii)
402,546
0
49,756
0
17,737
0
0
0
9,501
0
479,540
0
0
0
(21) RICHARD MOORE MD (i)
(ii)
444,694
0
23,249
0
1,710
0
0
0
9,457
0
479,110
0
0
0
(22) KATHERINE WENSTROM MD (i)
(ii)
413,186
0
21,540
0
18,182
0
0
0
919
0
453,827
0
0
0
(23) PATRICE DIMARIO (i)
(ii)
143,051
0
55,330
0
172,361
0
45,401
0
12,259
0
428,402
0
49,482
0
(24) JANET SCHIPPER (i)
(ii)
202,751
0
14,120
0
3,587
0
0
0
8,990
0
229,448
0
0
0
(25) DANIEL MICHAUD (i)
(ii)
137,979
0
0
0
24,963
0
0
0
6,602
0
169,544
0
0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
COMPENSATION INFORMATION PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2010 FORMS W-2 AND 1099 (IF APPLICABLE).
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4A PATRICE DIMARIO, FORMER SENIOR VICE PRESIDENT OF PATIENT SUPPORT SERVICES, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $80,980. THIS AMOUNT WAS INCLUDED IN HER 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CONSTANCE A. HOWES, J.D., FACHE, $60,640; JAMES F. PADBURY, M.D., $75,128; JOHN M. SUTHERLAND, III, $44,821; GAIL COSTA, $51,807; THOMAS R. COURAGE, ESQ., $65,512; MAYBELLE KERNAN, $48,277 AND PATRICE DIMARIO, $49,482. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A LONG-TERM INCENTIVE PLAN WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THE UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THE INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE WAGES: CONSTANCE A. HOWES, J.D., FACHE, $79,792; JAMES F. PADBURY, M.D., $69,884; JOHN M. SUTHERLAND, III, $55,852; GAIL COSTA, $47,960; THOMAS R. COURAGE, ESQ., $60,695 AND MAYBELLE KERNAN, $44,286.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 6A & 6B THE EXECUTIVE COMPENSATION PACKAGE FOR VARIOUS INDIVIDUALS REPORTED ON THIS FORM 990 CONSISTS OF BOTH A FIXED SALARY AND ADDITIONAL AT-RISK COMPENSATION THAT IS BASED ON SEVERAL QUALITATIVE AND QUANTITATIVE COMPONENTS. THE AT-RISK COMPENSATION IS COMPRISED OF BOTH SHORT-TERM AND LONG-TERM FACTORS AS FOLLOWS. THE SHORT-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACHIEVEMENT OF CRITICAL STRETCH GOALS THAT RECOGNIZE PERFORMANCE ABOVE EXPECTATIONS. THESE GOALS ARE MEASURED FOR EACH FISCAL PERIOD IN THE FOLLOWING CRITICAL AREAS: QUALITY, FINANCIAL AND PATIENT SATISFACTION. THE LONG-TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACCOMPLISHMENT OF CRITICAL MULTI-YEAR SYSTEM PERFORMANCE OBJECTIVES. AWARDS ARE EARNED BY MEASURING SYSTEM PERFORMANCE OVER THREE-YEAR OVERLAPPING PERFORMANCE PERIODS AND ARE MEASURED IN REFERENCE TO GOALS IN THE FOLLOWING CRITICAL AREAS: NET INCOME FROM OPERATIONS, MARKET SHARE, PATIENT SATISFACTION AND STRATEGIC OBJECTIVE.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2010 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
COMPENSATION INFORMATION SCHEDULE J, PART II; COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A LONG TERM INCENTIVE PLAN BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2010 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CONSTANCE A. HOWES, J.D., FACHE, $60,640; JAMES F. PADBURY, M.D., $75,128; JOHN M. SUTHERLAND, III, $44,821; GAIL COSTA, $51,807; THOMAS R. COURAGE, ESQ., $65,512; MAYBELLE KERNAN, $48,277 AND PATRICE DIMARIO, $49,482. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS AT-RISK NON-TAXABLE DEFERRED COMPENSATION IN SCHEDULE J, PART II, COLUMN C.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ROBERTS CARROLL FELDSTEIN PEIRC PLEASE REFER TO PART V 640,105 PROFESSIONAL SERVICES   No
(2) JAMES A O'BRIEN DIRECTOR, GALVIN 339,658 HOSPITAL EMPLOYEE   No
(3) DELTA DENTAL PLEASE REFER TO PART V 2,261,180 INSURANCE   No
(4) BANK OF AMERICA PLEASE REFER TO PART V 1,113,629 MORTGAGE & LEASE PAYMENTS   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV THE SPOUSE OF CONSTANCE A. HOWES, J.D., FACHE IS A PARTNER IN THE LAW FIRM OF ROBERTS, CARROLL, FELDSTEIN & PEIRCE. THIS ORGANIZATION UTILIZED THE SERVICES OF THIS FIRM DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2011. TOTAL FEES PAID BY THE ORGANIZATION TO THIS FIRM TOTALED $640,105. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARMS-LENGTH NEGOTIATIONS. A DIRECTOR OF THIS ORGANIZATION, CYNTHIA S. REED, IS AN OFFICER OR KEY EMPLOYEE OF DELTA DENTAL. THIS ORGANIZATION UTILIZED DELTA DENTAL FOR ITS DENTAL INSURANCE PLAN FOR EMPLOYEES DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2011. TOTAL DENTAL INSURANCE PREMIUMS PAID BY THE ORGANIZATION TO THIS COMPANY TOTALED $2,261,180. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARMS-LENGTH NEGOTIATIONS. A DIRECTOR OF THIS ORGANIZATION, WILLIAM F. HATFIELD, IS AN OFFICER OR KEY EMPLOYEE OF BANK OF AMERICA. THIS ORGANIZATION UTILIZED BANK OF AMERICA FOR CERTAIN MORTGAGES AND CAPITAL LEASES DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2011. TOTAL MORTGAGE PAYMENTS (INCLUDING PRINCIPAL AND INTEREST) MADE BY THE ORGANIZATION TO THIS COMPANY TOTALED $386,567 AND TOTAL CAPITAL LEASE PAYMENTS MADE BY THE ORGANIZATION TO THIS COMPANY TOTALED $727,062. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARMS-LENGTH NEGOTIATIONS.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
Types of Property
(a)
Check if applicable
(b)
Number of Contributions or items contributed
(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 2 28,863 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
NON-CASH GIFTS SCHEDULE M, PART I; QUESTION 32A THE HOSPITAL USES THE SERVICES OF MERRILL LYNCH FOR DONATIONS OF STOCK. ANY COMMISSIONS PAID REGARDING THESE SERVICES WERE FAIR MARKET VALUE ON AN ARMS-LENGTH BASIS.
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Identifier Return Reference Explanation
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS WOMEN & INFANTS HOSPITAL OF RHODE ISLAND ("WOMEN & INFANTS") IS A NOT FOR-PROFIT LICENSED COMPREHENSIVE NEWBORN CHILDREN AND WOMEN HOSPITAL. WOMEN & INFANTS IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, WOMEN & INFANTS PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, RELIGION, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, WOMEN & INFANTS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. WOMEN & INFANTS PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. WOMEN & INFANTS OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. WOMEN & INFANTS MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF WOMEN & INFANTS RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF CARE NEW ENGLAND HEALTH SYSTEM. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. THE OPERATIONS OF WOMEN & INFANTS, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF WOMEN & INFANTS IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. HISTORY ======= WOMEN & INFANTS IS AN AFFILIATE WITHIN THE CARE NEW ENGLAND HEALTH SYSTEM ("CARE NEW ENGLAND"). CARE NEW ENGLAND IS THE TAX-EXEMPT PARENT OF THE HEALTH SYSTEM. THIS TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. WOMEN & INFANTS IS A NOT FOR-PROFIT LICENSED COMPREHENSIVE NEWBORN CHILDREN AND WOMEN HOSPITAL WITH 167 ADULT BEDS (45 MEDICAL/SURGICAL AND 122 OBSTETRICS), 80 NEONATAL INTENSIVE CARE UNIT BEDS, 60 NEWBORN BASSINETS AND 10 OPERATING ROOMS. DURING FISCAL YEAR 2010, WOMEN & INFANTS RECORDED 21,363 DISCHARGES OF PATIENTS FOR INPATIENT SERVICES, 142,577 OUTPATIENT VISITS, 37,871 EMERGENCY ROOM VISITS AND 201,811 TOTAL VISITS AND DISCHARGES. WOMEN & INFANTS RECORDED 8,528 DELIVERIES IN FISCAL YEAR 2010, INCLUDING 128 BABIES WHO WERE DELIVERED IN THE HOSPITAL'S ALTERNATIVE BIRTHING CENTER. WOMEN & INFANTS ANNUALLY EMPLOYS APPROXIMATELY 3,000 FULL-TIME, PART-TIME AND PER DIEM EMPLOYEES. CARE NEW ENGLAND HEALTH SYSTEM WAS FORMED IN FEBRUARY 1996 BY FOUNDING MEMBERS BUTLER HOSPITAL, KENT COUNTY MEMORIAL HOSPITAL AND WOMEN & INFANTS HOSPITAL OF RHODE ISLAND. THESE THREE HOSPITALS ARE ALL INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS. IN JUNE 1999, KENT COUNTY VISITING NURSE ASSOCIATION BECAME A MEMBER OF THE CARE NEW ENGLAND FAMILY, AND LATER THAT YEAR ANNOUNCED ITS NAME CHANGE TO VNA OF CARE NEW ENGLAND. IN 2000, HEALTHTOUCH, INC., A PRIVATE DUTY NURSING SERVICE, JOINED THE DIVISION. TODAY, VNA OF CARE NEW ENGLAND PROVIDES A BROAD SPECTRUM OF HOME HEALTH AND HOSPICE SERVICES. CARE NEW ENGLAND'S STRENGTHS ARE BASED ON COMPLEMENTARY PROGRAMS AND DISTINCTIVE COMPETENCIES OF OUR PARTNER HOSPITALS AND AGENCIES. BUTLER HOSPITAL OFFERS EXPERTISE IN BEHAVIORAL HEALTH AND SUBSTANCE ABUSE. KENT PROVIDES A FULL CADRE OF PRIMARY AND SECONDARY ACUTE CARE SERVICES. WOMEN & INFANTS SPECIALIZES IN THE HEALTH NEEDS OF WOMEN AND NEWBORN CHILDREN. VNA OF CARE NEW ENGLAND PROVIDES A SPECTRUM OF HOME HEALTH, HOSPICE AND PRIVATE DUTY NURSING SERVICES. CARE NEW ENGLAND WELLNESS CENTER OFFERS AN ARRAY OF REHABILITATION, WELLNESS, FITNESS AND EDUCATIONAL PROGRAMS. AS A RESULT, CARE NEW ENGLAND IS WELL POSITIONED TO TRANSITION INTO THE NEW ERA OF HEALTHCARE DELIVERY WITH A HIGH QUALITY CONTINUUM OF CARE. CARE NEW ENGLAND IS DEDICATED TO THE ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH. BUTLER HOSPITAL SERVES AS THE PRINCIPAL TEACHING AFFILIATE FOR PSYCHIATRY AND HUMAN BEHAVIOR FOR THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. WOMEN & INFANTS IS BROWN UNIVERSITY'S PRIMARY AFFILIATE IN OBSTETRICS, GYNECOLOGY AND NEWBORN PEDIATRICS, AND KENT IS AFFILIATED WITH THE UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE. CARE NEW ENGLAND PROVIDES MEDICALLY NECESSARY HEALTHCARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. BECAUSE CARE NEW ENGLAND DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. CHARITY CARE INCLUDES SERVICES TO UNINSURED PATIENTS WHO CARE NEW ENGLAND HAS DETERMINED QUALIFY FOR CHARITY CARE UNDER CARE NEW ENGLAND POLICIES. SERVICES TO UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR CHARITY CARE OR WHO CARE NEW ENGLAND WAS NOT ABLE TO DETERMINE THEIR ELIGIBILITY ARE NOT REPORTED AS CHARITY CARE BUT REPORTED IN THE PROVISION FOR BAD DEBTS. ADDITIONALLY, CARE NEW ENGLAND SPONSORS CERTAIN OTHER PROGRAMS WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS INCLUDING COMMUNITY SERVICE PROGRAMS AND SERVICES FOR SCHOOL-AGED CHILDREN AND THE ELDERLY. CARE NEW ENGLAND ALSO ACTIVELY SPONSORS PROGRAMS ON HEALTH EDUCATION AND WELLNESS. CARE NEW ENGLAND MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE BASED ON ESTABLISHED RATES FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY AND COMMUNITY SERVICE POLICIES. MISSION ======= WOMEN & INFANTS, A TEACHING HOSPITAL OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, IS COMMITTED TO IMPROVING THE HEALTH AND WELL BEING OF WOMEN AND INFANTS AND TO PROVIDING ESSENTIAL SERVICES REGARDLESS OF ABILITY TO PAY. VISION ====== WOMEN & INFANTS WILL BE THE RECOGNIZED LEADER IN HEALTHCARE FOR WOMEN AND INFANTS. VALUES ====== AS A MEMBER OF THE CARE NEW ENGLAND HEALTH SYSTEM, WE PUT OUR PATIENTS AND THEIR FAMILIES AT THE CENTER OF ALL WE DO. IN OUR DAY-TO-DAY INTERACTIONS WITH PATIENTS, FAMILIES, AND EACH OTHER, OUR ACTIONS AND DECISIONS ARE GUIDED BY THE FOLLOWING CORE VALUES: - COMPASSION: WE TREAT EVERYONE WITH UNDERSTANDING AND CARING. - NEW IDEAS: WE ENCOURAGE LIFELONG LEARNING, CONTINUAL IMPROVEMENT, AND INNOVATION. - EXCELLENCE: WE DEMONSTRATE UNPARALLELED QUALITY IN ALL WE DO. - COLLABORATION: WE WORK IN PARTNERSHIP WITH THOSE AROUND US, INCLUDING OUR PATIENTS AND THEIR FAMILIES. - ACCOUNTABILITY: WE HOLD OURSELVES ACCOUNTABLE FOR THE IMPACT OF OUR DECISIONS. - RESPECT: WE TREAT EACH PERSON WITH DIGNITY, RESPECTING THE DIVERSE NEEDS OF THOSE WE SERVE. - ETHICS: WE HOLD OURSELVES TO THE HIGHEST ETHICAL STANDARDS. AWARDS & RECOGNITIONS ====================== WOMEN & INFANTS HAS RECEIVED THE FOLLOWING AWARDS AND RECOGNITIONS: - 2011 - RANKED NUMBER ONE IN THE PROVIDENCE METRO AREA IN U.S. NEWS BEST HOSPITALS METRO AREA RANKINGS - 2011 - RANKED A BEST HOSPITAL IN GYNECOLOGY IN U.S. NEWS BEST HOSPITALS METRO AREA RANKINGS - 2011 - RANKED A BEST HOSPITAL IN CANCER IN U.S. NEWS BEST HOSPITALS METRO AREA RANKINGS - 2011 - NAMED A U.S. NEWS BEST CHILDREN'S HOSPITALS IN NEONATOLOGY - 2010 - NAMED A U.S. NEWS BEST HOSPITAL IN GYNECOLOGY - 2002 - NAMED ONE OF THE TOP TEN PLACES IN THE U.S. TO DELIVER A BABY BY FIT PREGNANCY MAGAZINE - 2001 - NAMED ONE OF THE BEST HOSPITALS IN GYNECOLOGY IN THE AMERICA'S BEST HOSPITALS IN U.S. NEWS & WORLD REPORT - 2000 - NAMED ONE OF THE BEST HOSPITALS IN GYNECOLOGY IN THE AMERICA'S BEST HOSPITALS IN U.S. NEWS & WORLD REPORT CENTERS OF EXCELLENCE ======================= WOMEN & INFANTS HAS THE FOLLOWING CENTERS OF EXCELLENCE: - A CENTER OF EXCELLENCE FOR REPRODUCTIVE HEALTH RESOURCES, OPTUM HEALTH - A BREAST CENTER OF EXCELLENCE, AMERICAN COLLEGE OF RADIOGRAPHY - A CENTER FOR INVITRO MATURATION EXCELLENCE, SAGE IN VITRO FERTILIZATION - A CENTER OF BIOMEDICAL RESEARCH EXCELLENCE, NATIONAL INSTITUTES OF HEALTH - A NEONATAL RESOURCE SERVICES CENTER OF EXCELLENCE - A MEMBER OF THE NATIONAL CANCER INSTITUTE'S GYNECOLOGIC ONCOLOGY GROUP - A BROWN UNIVERSITY/WOMEN & INFANTS NATIONAL CENTER OF EXCELLENCE IN WOMEN'S HEALTH BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS WOMEN & INFANTS IS AN ACCOMPLISHED TEACHING HOSPITAL. WE ARE ============================================================ - THE PRIMARY TEACHING AFFILIATE IN OBSTETRICS, GYNECOLOGY AND NEWBORN PEDIATRICS FOR THE DEPARTMENTS OF OBSTETRICS AND GYNECOLOGY AND PEDIATRICS AT THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. - AN EDUCATIONAL LEADER: WOMEN & INFANTS OFFERS NATIONALLY-ACCREDITED FELLOWSHIPS IN MATERNAL-FETAL MEDICINE, GYNECOLOGIC ONCOLOGY, BREAST SURGERY, REPRODUCTIVE ENDOCRINOLOGY, UROGYNECOLOGY, NEONATOLOGY AND SPECIAL FELLOWSHIPS IN BREAST CYTOLOGY AND OBSTETRIC MEDICINE. THIS INCLUDES THE NATION'S ONLY FELLOWSHIP THAT COMBINES ADVANCED STUDY IN GYNECOLOGIC ONCOLOGY WITH BREAST CARE. - SCHOLARS AND LEADERS: BARBARA O'BRIEN, MD, A FACULTY PHYSICIAN IN THE DIVISION OF MATERNAL-FETAL MEDICINE, WAS ACCEPTED INTO THE SCHOLARS AND LEADERS PROGRAM OF THE ASSOCIATION OF PROFESSORS OF OBSTETRICS AND GYNECOLOGY IN 2010. THE AWARD WILL PROVIDE HER WITH THE NECESSARY TOOLS TO ACCOMPLISH OUTSTANDING TEACHING AND EDUCATIONAL RESEARCH, HELPING HER BECOME A BETTER EDUCATOR AND DESIGN CURRICULUM STANDARDS FOR STUDENTS, RESIDENTS AND FELLOWS. SHE JOINS EIGHT PRIOR SCHOLARS FROM WOMEN & INFANTS/BROWN UNIVERSITY. WOMEN & INFANTS IS THE PREMIER PLACE FOR MOTHERS AND NEWBORNS ============================================================= - MORE THAN 73% OF ALL NEWBORNS IN RHODE ISLAND ARE DELIVERED AT WOMEN & INFANTS. - WOMEN CAN CHOOSE TO GIVE BIRTH EITHER IN ONE OF 19 PRIVATE LABOR/DELIVERY/RECOVERY ROOMS OR IN THE HOSPITAL'S ALTERNATIVE BIRTHING CENTER (ABC), ONE OF ONLY THREE SUCH CENTERS IN NEW ENGLAND. - AN OBSTETRIC TRIAGE UNIT PROVIDES IMMEDIATE, EXPERT EVALUATION OF LABORING WOMEN AND HOUSES THE HOSPITAL'S FETAL EVALUATION UNIT. WOMEN & INFANTS LEADS THE NATION IN SPECIAL CARE FOR NEWBORNS ============================================================= - THE HOSPITAL HOUSES THE LARGEST SINGLE-FAMILY ROOM NEONATAL INTENSIVE CARE UNIT (NICU) IN THE NATION. PATIENTS, STAFF AND FAMILY SATISFACTION HAS BEEN EXTRAORDINARY IN THE NEW NICU. - THE NEW, TWO-STORY NICU GIVES EACH FAMILY ITS OWN ROOM, WITH DEDICATED SPACE ON EACH FLOOR FOR FAMILIES AND STAFF. EACH CHILD AND FAMILY NOW HAS AN APPROPRIATE ENVIRONMENT FOR INDIVIDUALIZED CARE AND PRIVACY. - THE NICU IS THE LARGEST IN SOUTHEASTERN NEW ENGLAND WITH MORE THAN 1,200 ADMISSIONS LAST YEAR. MORE THAN 165 OF THOSE WERE HIGH-RISK BABIES WHO WERE BROUGHT TO THE HOSPITAL BY OUR SPECIAL CARE TEAM FROM OTHER HOSPITALS IN THE REGION FOR SURGERY OR SPECIALIZED CARE AND EVALUATION. - PATIENTS AND FAMILIES IN THE NICU HAVE ACCESS TO ALL THE PEDIATRIC AND SURGICAL SPECIALISTS AT HASBRO CHILDREN'S HOSPITAL THROUGH THE LARGER DEPARTMENT OF PEDIATRICS AT THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. - THE BROWN CENTER FOR THE STUDY OF CHILDREN AT RISK PROVIDES CLINICAL SERVICES, RESEARCH AND TRAINING IN THE PSYCHOLOGICAL, BEHAVIORAL, EMOTIONAL AND SOCIAL ASPECTS OF INFANTS AND CHILDREN UP TO SIX YEARS OF AGE. SERVICES INCLUDE A COLIC CLINIC, PSYCHOSOCIAL AND OCCUPATIONAL THERAPY IN THE NICU/SPECIAL CARE NURSERY, A BEHAVIOR AND DEVELOPMENT CLINIC FOR TODDLERS THROUGH PRESCHOOLERS, AND THE HEALTHY EARLY RELATIONSHIPS (HER) PROGRAM. - THE DEPARTMENT OF PEDIATRICS AT WOMEN & INFANTS AND THE BROWN CENTER FOR CHILDREN ARE CONDUCTING A LONG-TERM, PROSPECTIVE STUDY OF THE IMPACT OF THE SINGLE-FAMILY ROOM NICU ON INFANT OUTCOMES. RESEARCHERS BELIEVE THE STUDY OF THE NEW NICU WILL SET THE STANDARD FOR CARE OF PREMATURE AND HIGH-RISK INFANTS LONG INTO THE FUTURE. - THE NICU IN 2010 WAS NAMED A CENTER OF EXCELLENCE FOR THE FOURTH CONSECUTIVE YEAR BY UNITED HEALTH AND OPTUMHEALTH NEONATAL RESOURCE SERVICES. WOMEN & INFANTS OFFERS INCOMPARABLE SPECIAL CARE IN PREGNANCY ============================================================= - THROUGH ITS DIVISIONS OF MATERNAL-FETAL MEDICINE AND OBSTETRIC MEDICINE, WOMEN & INFANTS OFFERS CLINICAL AND EDUCATIONAL SERVICES FOR WOMEN WITH BOTH MATERNAL AND FETAL COMPLICATIONS IN PREGNANCY. - WITH HASBRO CHILDREN'S HOSPITAL, WOMEN & INFANTS OFFERS ONE OF ONLY TWO FETAL SURGERY SITES IN THE NATION. - THE REPRODUCTIVE GENETICS SERVICE WITHIN THE DIVISION OF MATERNAL-FETAL MEDICINE OFFERS SEAMLESS GENETIC COUNSELING SERVICES FOR MEN AND WOMEN PLANNING TO HAVE A CHILD OR WOMEN WHO ARE ALREADY PREGNANT. THE SERVICE, ONE OF ONLY A FEW OF ITS KIND IN THE NATION TO HAVE TWO PHYSICIANS ON STAFF WITH TRAINING IN BOTH MATERNAL-FETAL MEDICINE AND CLINICAL GENETICS, WORKS IN CONCERT WITH THE HOSPITAL'S PRENATAL DIAGNOSIS CENTER. - EDWARD CHIEN, MD, A RESEARCHER IN WOMEN & INFANTS' DIVISION OF MATERNAL-FETAL MEDICINE, EARNED A $3.7-MILLION NIH GRANT IN 2010 TO HELP ESTABLISH A TOOL THAT CAN DIFFERENTIATE BETWEEN A SMALL, HEALTHY FETUS AND A FETUS THAT IS SMALL DUE TO PATHOLOGIC CAUSES. IMPROVING THE TOOLS CURRENTLY AVAILABLE SHOULD SAVE THE HEALTH CARE SYSTEM RESOURCES SPENT MONITORING WOMEN WHO ARE CARRYING SMALL BUT OTHERWISE HEALTHY FETUSES. - THE PRENATAL DIAGNOSIS CENTER, OPERATED THROUGH THE DIVISION OF MATERNAL-FETAL MEDICINE, CARES FOR MORE WOMEN WITH HIGH-RISK PREGNANCIES THAN ANY OTHER FACILITY IN THE NORTHEAST. THE FACILITY OFFERS CERTIFIED GENETIC COUNSELORS, FETAL ULTRASONOGRAPHY AND MATERNAL-FETAL MEDICINE SPECIALISTS ALL IN ONE LOCATION. - THE HOSPITAL'S ANTENATAL CARE UNIT, THE ONLY ONE IN THE REGION, PROVIDES SPECIALIZED TREATMENT FOR WOMEN WHOSE PREGNANCY-RELATED COMPLICATIONS NEED CLOSE MONITORING OR INPATIENT HOSPITAL CARE. THE 30-BED UNIT IS LOCATED IN THE SOUTH PAVILION AND FEATURES LARGER ROOMS, PRIVATE BATHROOMS AND AN AMENITIES SUITE WITH A WASHER AND DRYER, A PROFESSIONAL HAIRDRESSING SINK, MASSAGE TABLES AND EXERCISE EQUIPMENT. - PROJECT LINK IS DEDICATED TO THE ASSESSMENT, TREATMENT AND COUNSELING OF PREGNANT WOMEN AND NEWBORNS AFFECTED BY SUBSTANCE ABUSE. WOMEN & INFANTS OFFERS THE BEST RESOURCE FOR COUPLES CHALLENGED BY INFERTILITY ================================================================== - THE HOSPITAL'S CENTER FOR REPRODUCTION AND INFERTILITY OFFERS A SUCCESSFUL REPRODUCTIVE TECHNOLOGY PROGRAM. HUNDREDS OF INFERTILE COUPLES EACH YEAR BENEFIT FROM THE DIAGNOSIS AND TREATMENT OF INFERTILITY THROUGH IVF (IN VITRO FERTILIZATION), IVM (IN VITRO MATURATION), OVULATION INDUCTION, REPRODUCTIVE SURGERY, DONOR SPERM PROGRAM, FROZEN EMBRYO TRANSFER, ICSI (INTRACYTOPLASMIC SPERM INJECTION), AND PGD (PREIMPLANTATION GENETIC DIAGNOSIS). - WOMEN & INFANTS RESEARCHERS IN 2010 WERE PART OF A DISCOVERY THAT COULD LEAD TO NEW INSIGHTS ABOUT HOW EGGS DEVELOP AND ULTIMATELY INFORM JUDGMENTS ABOUT HOW THE EMBRYOS THEY PRODUCE WILL FARE. THE IDEA IS TO EXAMINE THE GENETIC MATERIAL THE EGG CELLS DISCARDED WHEN THEY WERE FIRST FORMING TO SEE WHICH GENES THEY WERE EXPRESSING. - RESEARCHERS FROM WOMEN & INFANTS WERE ALSO INVOLVED IN THE 2010 UNVEILING OF AN ARTIFICIAL HUMAN OVARY, WHICH CAN BE USED AS A SIMULATOR IN FUTURE FERTILITY RESEARCH. - WOMEN & INFANTS WAS DESIGNATED A CENTER FOR IVM EXCELLENCE BY ITS PARTNER, SAGE IN VITRO FERTILIZATION, A COOPERSURGICAL COMPANY. THIS RECOGNIZES THE HIGH LEVEL OF TRAINING WOMEN & INFANTS DOCTORS AND EMBRYOLOGISTS RECEIVE IN THIS SPECIALIZED TECHNIQUE. THIS CENTER TRAINS DOCTORS FROM AROUND THE WORLD IN THIS TECHNIQUE. - WOMEN & INFANTS' EGG DONATION PROGRAM PROVIDES AN ADDITIONAL FERTILITY OPTION FOR WOMEN WHO LACK OVARIES, HAVE DIMINISHED OVARIAN FUNCTION, OR HAVE A GENETIC DISEASE OR A FAMILY HISTORY OF GENETIC DISEASE. - REPRODUCTIVE ENDOCRINOLOGISTS SEE PATIENTS ON WOMEN & INFANTS' MAIN PROVIDENCE CAMPUS, AT TUFTS MEDICAL CENTER IN BOSTON, AND AT A NUMBER OF OFFICE SITES THROUGHOUT NEW ENGLAND. - THE CENTER FOR REPRODUCTION AND INFERTILITY HAS ACHIEVED SOME OF THE BEST NATIONAL OUTCOMES FOR REDUCING THE INCIDENCE OF HIGH ORDER MULTIPLES THAT OCCUR AS A RESULT OF INFERTILITY TREATMENT.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS WOMEN & INFANTS FEATURES PREMIER RESOURCES FOR WOMEN WITH CANCER ================================================================ - WOMEN & INFANTS' PROGRAM IN WOMEN'S ONCOLOGY IS THE REGION'S LARGEST CANCER PROGRAM DEDICATED TO WOMEN. THE PROGRAM INCLUDES A PROSPECTIVE, MULTIDISCIPLINARY TUMOR BOARD PROCESS AND IS THE HUB OF AN INTERNATIONAL TELEMEDICINE PROGRAM THAT ENABLES THE HOSPITAL TO SHARE ITS EXPERTISE WITH COLLEAGUES THROUGHOUT THE WORLD. - THE HOSPITAL'S CANCER PROGRAM IS APPROVED, WITH COMMENDATION, BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. THE PROGRAM IS ALSO A TEACHING HOSPITAL CANCER PROGRAM AS APPROVED BY THE SAME ORGANIZATION. - THE PROGRAM IN WOMEN'S ONCOLOGY OFFERS A COMPREHENSIVE CANCER RISK ASSESSMENT AND PREVENTION PROGRAM THAT ADDRESSES CONCERNS INDIVIDUALS OR FAMILIES MAY HAVE REGARDING THEIR GENETIC RISK OF DEVELOPING CANCER. THE PROGRAM IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS. - WOMEN & INFANTS' PROGRAM IN WOMEN'S ONCOLOGY IS A FULL MEMBER OF THE NATIONAL CANCER INSTITUTE'S GYNECOLOGIC ONCOLOGY GROUP (GOG). - WOMEN & INFANTS OFFERS CUTTING-EDGE TREATMENT FOR WOMEN WITH CANCER - INCLUDING INTRAPERITONEAL (IP) THERAPY, A MORE INTENSE CHEMOTHERAPY TREATMENT FOR WOMEN WITH ADVANCED OVARIAN CANCER - AND ROBOTIC SURGERY, A LESS INVASIVE, LESS PAINFUL TECHNIQUE FOR WOMEN WITH GYNECOLOGIC CANCER. - THE BREAST HEALTH CENTER IS A SPECIALIZED SERVICE OFFERING EDUCATION, SUPPORT, DIAGNOSIS AND CONTEMPORARY TREATMENT FOR ALL BREAST HEALTH PROBLEMS. - IN 2010, THE BREAST HEALTH CENTER HELPED BRING SPECIALIZED CARE CLOSER TO HOME FOR SOME RHODE ISLAND WOMEN WHEN THE HOSPITAL JOINED WITH KENT HOSPITAL IN WARWICK TO OPEN THE BREAST HEALTH CENTER AT KENT. - THE CENTER FOR BIOMARKERS AND EMERGING TECHNOLOGIES (CBET) IS DEVELOPING NEW METHODS FOR SCREENING FOR WOMEN'S CANCERS AND CREATING NEW POSSIBILITIES FOR THE FUTURE. IN 2010, ONE OF CBET'S INITIAL DISCOVERIES - A NOVEL BLOOD TEST FOR THE BIOMARKERS HE4 AND CA125 - WAS INTRODUCED. WOMEN & INFANTS' DIVISION OF MEDICAL SCREENING AND SPECIAL TESTING IS ONE OF ONLY A FEW LABORATORIES IN THE COUNTRY CURRENTLY OFFERING THIS TEST. WOMEN & INFANTS IS THE ANSWER FOR WOMEN AT EVERY STAGE OF LIFE ============================================================== - COMPREHENSIVE PRIMARY AND SPECIALIZED CARE SERVICES FOR WOMEN ARE PROVIDED THROUGH THE WOMEN'S PRIMARY CARE CENTER. IN COMBINATION WITH THE DIVISION OF AMBULATORY CARE'S URGENT CARE SERVICES, THE CENTER SEES APPROXIMATELY 39,000 PATIENTS ANNUALLY. - THE RHODE ISLAND NETWORK FOR PELVIC FLOOR DISORDERS AT WOMEN & INFANTS BRINGS TOGETHER LEADING RESEARCHERS AND CLINICIANS IN UROGYNECOLOGY AS WELL AS COLORECTAL AND UROLOGIC SURGERY TO OFFER A NATIONAL MODEL FOR COLLABORATIVE CARE FOR WOMEN WITH PELVIC FLOOR DISORDERS. THE USE OF ROBOTICALLY-ASSISTED LAPAROSCOPIC SURGERY ALLOWS WOMEN & INFANTS TO OFFER UNIQUE SOLUTIONS FOR PELVIC FLOOR PROBLEMS AND INCONTINENCE. - WOMEN & INFANTS' CENTER FOR SEXUALITY, INTIMACY AND FERTILITY, THE FIRST OF ITS KIND IN THE REGION, IS COLLABORATION BETWEEN THE WOMEN'S PRIMARY CARE CENTER, THE PROGRAM IN WOMEN'S ONCOLOGY AND THE CENTER FOR REPRODUCTION AND INFERTILITY. IT SERVES AS A RESOURCE FOR WOMEN WHO HAVE UNDERGONE TREATMENT FOR CANCER AND ARE EXPERIENCING ITS DETRIMENTAL EFFECT ON THEIR SEX LIVES OR WOMEN WHO MAY WANT TO BEAR CHILDREN AFTER TREATMENT. - THE HOSPITAL OPERATES THE CONTRACEPTIVE CONSULT CLINIC TO EVALUATE, ADVISE AND RECOMMEND CONTRACEPTIVE OPTIONS FOR WOMEN WITH COMPLEX MEDICAL CONDITIONS AND/OR A HISTORY OF CONTRACEPTIVE FAILURE. - WOMEN & INFANTS IS THE FIRST HOSPITAL IN RHODE ISLAND TO OFFER IMAGING-DIRECTED CYTOLOGY, A BREAKTHROUGH PROCESS THAT ACHIEVES A HIGHER LEVEL OF CERTAINTY IN CERVICAL CANCER SCREENING. - THE DIVISION OF UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY IS RECOGNIZED FOR ITS RESEARCH AND SUCCESS IN TREATING THE FULL RANGE OF WOMEN'S UROGYNECOLOGIC PROBLEMS, MOST NOTABLY URINARY INCONTINENCE, WITH SURGICAL, MEDICAL AND/OR PHARMACOLOGICAL INTERVENTIONS. - WOMEN & INFANTS' DEPARTMENT OF MEDICINE PROVIDES A BROAD SPECTRUM OF WOMEN'S HEALTH SERVICES, INCLUDING ECHOCARDIOLOGY, PULMONARY FUNCTION TESTING AND AN ASTHMA CLINIC. THE DIVISION OF OBSTETRIC & CONSULTATIVE MEDICINE PROVIDES CONSULTATION FOR MEDICAL COMPLICATIONS OF PREGNANCY AND PREOPERATIVE CONSULTATION, AS WELL AS INTERNAL MEDICINE. - THE CENTER FOR WOMEN'S GASTROINTESTINAL DISORDERS PROVIDES GASTROENTEROLOGY CONSULTATION TO WOMEN, INCLUDING MANAGEMENT OF HYPEREMESIS AND INFLAMMATORY BOWEL DISEASE IN PREGNANCY AND COLORECTAL CANCER SCREENING. ENDOSCOPY SERVICES FOR WOMEN ARE ALSO OFFERED, AND THE PROGRAM HELPS COORDINATE THE STATE-WIDE PERINATAL HEPATITIS PREVENTION PROGRAM, WHICH IDENTIFIES WOMEN WHO HAVE HEPATITIS B OR C AND PROVIDES CLINICAL CARE THROUGHOUT PREGNANCY TO PREVENT TRANSMISSION OF THE VIRUS TO THE BABY. - THE CENTER FOR WOMEN'S BEHAVIORAL HEALTH OFFERS INPATIENT AND OUTPATIENT PSYCHIATRIC CARE IN SUCH AREAS AS STRESS MANAGEMENT, PMS, AND PANIC DISORDERS. TREATMENT FOR POSTPARTUM DEPRESSION AND ANXIETY IN PREGNANCY IS OFFERED THROUGH THE HOSPITAL'S DAY PROGRAM. - A HOSPITAL-WIDE DOMESTIC VIOLENCE TASK FORCE EDUCATES PROVIDERS AND IDENTIFIES PATIENTS WHO MAY BE VICTIMS OF PARTNER ABUSE. - THE CENTERS FOR HEALTH EDUCATION, THE FIRST COMPREHENSIVE RESOURCES OF THEIR KIND IN THE AREA, OFFER FREE LENDING LIBRARIES, COMPUTERIZED DATABASES AND A BROAD SPECTRUM OF EDUCATIONAL PROGRAMS AND SUPPORT GROUPS FOR WOMEN AND THEIR FAMILIES. THE CENTERS ARE PART OF THE HOSPITAL'S MEDICAL OFFICE BUILDINGS - LOCATED IN PROVIDENCE, EAST GREENWICH, WOONSOCKET, SOUTH KINGSTOWN, SWANSEA, AND NORTH ATTLEBORO - THAT ALSO OFFER APPOINTMENTS WITH WOMEN & INFANTS PHYSICIANS. WOMEN & INFANTS SPONSORS GROUNDBREAKING RESEARCH ================================================ - WOMEN & INFANTS ALSO HOSTS MULTIPLE CLINICAL RESEARCH ENTERPRISES AND IS A MAJOR SITE OF NATIONAL CANCER INSTITUTE'S GYNECOLOGIC ONCOLOGY GROUP, THE NEONATAL NETWORK AND MATERNAL FETAL NETWORK UNIT (NICHD), THE ONCOFERTILITY NETWORK (NICHD), THE CENTER FOR BIOMARKER AND EMERGING TECHNOLOGY AND NUMEROUS OTHER RESEARCH INITIATIVES THAT PLACE THE HOSPITAL IN THE TOP RESEARCH FUNDING IN OBSTETRICS AND GYNECOLOGY, NEONATOLOGY, WOMEN'S HEALTH, AND BIOMARKER DEVELOPMENT. - WOMEN & INFANTS SERVES AS THE LEAD PARTNER WITH BROWN UNIVERSITY ON THE NATIONAL CHILDREN'S STUDY, A GROUNDBREAKING PROJECT AIMED AT IMPROVING CHILD HEALTH. A MAJOR NATIONAL COMMITMENT HAS BEEN MADE BY THE FEDERAL GOVERNMENT AND THE NATIONAL INSTITUTES OF HEALTH (NIH) TO STUDY 100,000 LIVES FROM PRECONCEPTION THROUGH BIRTH AND UNTIL THE CHILDREN REACH 21 YEARS OF AGE. ACROSS THE NATION, 100 COUNTIES WERE IDENTIFIED TO PARTICIPATE IN THE STUDY BY ENROLLING 1,000 PATIENTS. WOMEN & INFANTS AND BROWN UNIVERSITY WON SUPPORT TOTALING ALMOST $24 MILLION TO BEGIN RECRUITING FAMILIES FROM PROVIDENCE COUNTY, RI, AND BRISTOL COUNTY, MA. - VINITA GOYAL, MD, MPH, A MEMBER OF THE MEDICAL TEAM IN WOMEN & INFANTS' DIVISION OF AMBULATORY CARE AND WOMEN'S PRIMARY CARE CENTER, WAS NAMED THE HOSPITAL'S NEWEST WOMEN'S REPRODUCTIVE HEALTH RESEARCH (WRHR) SCHOLAR, THROUGH A CAREER DEVELOPMENT PROGRAM INITIATED BY THE EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT (NICHD), IN COLLABORATION WITH THE NATIONAL INSTITUTES OF HEALTH AND THE NATIONAL CANCER INSTITUTE. DR. GOYAL IS PURSUING RESEARCH INTO THE ACCESSIBILITY OF CONTRACEPTION FOR FEMALE VETERANS IN THE UNITED STATES. - IN 2010, WOMEN & INFANTS RECEIVED A $2.1 MILLION GRANT FROM THE NIH TO CONTINUE WORK UNDER THE CENTER OF BIOMEDICAL RESEARCH EXCELLENCE (COBRE) FOR PERINATAL BIOLOGY. OF THE 108 COBRES ACROSS THE COUNTRY, WOMEN & INFANTS IS THE ONLY ONE SPECIFICALLY FOCUSED ON DEVELOPMENTAL RESEARCH. ITS RESEARCHERS ARE STUDYING EMBRYO, PLACENTA AND HEART DEVELOPMENT, THE SUSCEPTIBILITY TO INFECTION IN NEWBORNS, AND THE EFFECTS OF INTRAUTERINE DEVELOPMENT ON LATER OUTCOMES. - THE KILGUSS RESEARCH INSTITUTE IS LOCATED IN THE HEART OF PROVIDENCE'S JEWELRY DISTRICT. IT IS HOME TO THE COBRE AND OTHER WOMEN & INFANTS' AND BROWN UNIVERSITY'S RESEARCHERS AND THEIR STAFF WHO PROBE ANSWERS IN DEVELOPMENTAL BIOLOGY, CANCER BIOLOGY, AND DEVELOPMENTAL IMMUNOLOGY. - THREE NEW STRAINS OF TRANSGENIC MICE HAVE BEEN DEVELOPED AND ARE BEING USED TO BETTER UNDERSTAND THE ROLE OF STEM CELLS IN CARDIAC REPAIR AND REGENERATION. THESE UNIQUE NEW RESOURCES ARE ALSO BEING USED TO STUDY WAYS TO PROTECT AND PREVENT INJURY TO THE DEVELOPING LUNGS IN PREMATURE INFANTS, CHANGES IN DNA DURING "FETAL PROGRAMMING" IN RESPONSE TO ADVERSE INTRAUTERINE LIFE, THE MOLECULAR PATHOGENESIS OF YEAST INFECTIONS IN PRETERM INFANTS, AND THE ROLE OF OXYGEN-REGULATED GENES IN EARLY EMBRYOGENESIS AND IMPLANTATION.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - A RESEARCH TEAM FROM WOMEN & INFANTS RECEIVED THE 2010 COLLABORATIVE RESEARCH AWARD FROM THE RHODE ISLAND SCIENCE AND TECHNOLOGY ADVISORY COUNCIL (STAC) FOR THE PROJECT ENTITLED "NEW STRATEGIES FOR PREVENTING BRAIN DAMAGE IN PREMATURE INFANTS." - THE HOSPITAL'S GEORGE ANDERSON OUTCOMES MEASUREMENT UNIT AND THE DIVISION OF RESEARCH IN THE DEPARTMENT OF OBSTETRICS & GYNECOLOGY EMPHASIZE OUTCOMES-BASED RESEARCH. THIS PROVIDES NEEDED INFRASTRUCTURE AND ENHANCES OPPORTUNITIES FOR RESEARCH SUCCESS IN CLINICAL RESEARCH. - WOMEN & INFANTS WAS NAMED ONE OF FIVE COORDINATING CENTERS IN THE COUNTRY TO OVERSEE A FIVE-YEAR EXTENSION OF THE NATIONAL CANCER INSTITUTE'S OVARIAN CANCER PREVENTION AND EARLY DETECTION STUDY, WHICH IS EXAMINING WAYS WOMEN AT HIGH RISK FOR DEVELOPING OVARIAN CANCER CAN LOWER THEIR RISK AND DETECT THE CANCER EARLIER. THE BUSIEST CENTERS FROM THE SCREENING TRIAL WERE TAPPED TO CONTINUE THE RESEARCH, TESTIMONY TO THE QUALITY OF RESEARCH BEING DONE AT WOMEN & INFANTS. - THE HOSPITAL PARTICIPATES IN A NUMBER OF INTERNATIONAL, NATIONAL AND LOCAL STUDIES, INCLUDING ONE THAT IDENTIFIED A NEW BLOOD TEST THAT COULD HELP DOCTORS FIND CANCER CELLS EARLY AND PLAN BETTER TREATMENT FOR OVARIAN CANCER, AND OTHERS INTO A NEW MEDICATION FOR URGE INCONTINENCE, THE PRESENCE OF IMAGES OF CANCER IN DREAMS, AND THE PREVALENCE OF HPV AMONG LOCAL SOUTHEAST ASIAN WOMEN. WOMEN & INFANTS BELIEVES IN THE COMMUNITY ========================================= - THE HOSPITAL ORGANIZES AN ENTIRE CALENDAR OF COMMUNITY PROGRAMS THAT INCLUDES CLASSES IN CHILDBIRTH, PARENTING, REPRODUCTIVE HEALTH, HUMAN SEXUALITY, BREAST HEALTH AND WOMEN'S HEALTH ACROSS ALL AGES. IN ADDITION, THE HOSPITAL IS ENGAGED WITH THE FOLLOWING ORGANIZATIONS IN A VARIETY OF WAYS INCLUDING SUPPORTING COMMUNITY EDUCATION AND AWARENESS PROGRAMS, PROVIDING SPACE FOR MEETINGS OR CONFERENCES, AND PARTICIPATING ON VARIOUS BOARDS AND COMMITTEES WORKING TO IMPROVE THE HEALTH OF THE COMMUNITY: Alpert Medical School of Brown University American Cancer Society American Heart Association Children's Friend and Service CHIPSA Day One E.W. Flynn Model Elementary School Healthy Mothers, Healthy Babies Kidscount March of Dimes Meeting Street School National Association of Social Workers Partnership to Reduce Cancer Progresso Latino Providence Ronald McDonald House Rhode Island Association for Cardiac Children Rhode Island Department of Health Rhode Island Department of Health Office of Minority Health Rhode Island Department of Children, Youth, and Families (DCYF) Rhode Island Blood Center Rhode Island Osteoporosis Coalition Rhode Island Parenting Information Network Rhode Island Network of Care for Behavioral Health Rhode Island Council on Alcoholism and Other Drug Addiction Rhode Island State Nurses Association Women's Health Council United Way Urban League - OUTREACH EDUCATION BENEFITED THE COMMUNITY LAST YEAR THROUGH 24,120 PROGRAMS IN LOCAL SCHOOLS, COMMUNITY CENTERS AND SIMILAR SITES. - THE HOSPITAL PROVIDED ALMOST $27 MILLION LAST YEAR IN UNCOMPENSATED CARE TO WOMEN AND FAMILIES IN NEED. - STAFF FROM WOMEN & INFANTS' FAMILY VAN, A MOBILE HEALTH CLINIC, PROVIDES MUCH-NEEDED SERVICES FOR THE UNDERSERVED AND UNDERINSURED ACROSS THE STATE. THE PROGRAM OFFERS A TRANSLATION COMMUNICATOR THAT ENABLES STAFF TO COMMUNICATE AND CONVERSE IN 22 LANGUAGES. - WOMEN & INFANTS RESEARCHERS AND LATINO PUBLIC RADIO JOINED WITH STATE AND NATIONAL LEADERS TO ADDRESS NOVEL APPROACHES TO IMPROVING HEALTH LITERACY IN 2010. RESULTS OF THE HOSPITAL'S ESCUCHE (EVALUATING THE SPANISH RADIO COMMUNITY'S UNDERSTANDING OF CLINICAL RESEARCH AND HEALTH TOPICS) STUDY, FUNDED BY A NATIONAL INSTITUTES OF HEALTH PARTNERS IN RESEARCH PROGRAM GRANT, REVEALED THAT A HEALTH AND SCIENCE CURRICULUM HELPED IMPROVE LITERACY FOR PARTICIPANTS. THE COMMUNITY BELIEVES IN WOMEN & INFANTS ========================================= - APPROXIMATELY 450 IN-HOSPITAL VOLUNTEERS PROVIDED MORE THAN 31,500 HOURS OF SERVICE IN FISCAL YEAR 2010. - A GROUP OF 107 COMMUNITY-BASED VOLUNTEERS FROM OPERATION WARM HEAD START, A COMMITTED GROUP OF KNITTERS WORKING IN THEIR HOMES, SUPPLY BABY HATS FOR EVERY BABY BORN AT WOMEN & INFANTS. - WOMEN & INFANTS' AUXILIARY COMMITTEE WORKS WITH THE DEVELOPMENT FOUNDATION BOARD OF DIRECTORS TO SUPPORT THE HOSPITAL'S MISSION BY RAISING FUNDS FOR PATIENT PROGRAMS AND SERVICES THROUGH TARGETED INITIATIVES AND ENTERPRISES SUCH AS THE GIFT SHOP, BABY PHOTO PROGRAM, THE AU BON PAIN BAKERY CAF AS WELL AS THE NURSING MOMS, ETC., STORE WHICH SERVES THE NEEDS OF BREASTFEEDING MOTHERS AND NEWBORNS. - THOUSANDS OF DONORS ENTHUSIASTICALLY SUPPORT WOMEN & INFANTS EACH YEAR THROUGH GIFTS TO THE HOSPITAL'S ANNUAL FUND AND ENDOWMENT, AS WELL AS THROUGH PHONE-A-THONS, CELEBRITY LUNCHEONS AND OTHER VARIOUS EVENTS. GIFTS ARE USED TO ENHANCE PATIENT CARE, SUPPORT EDUCATION AND TRAINING, FUND CAPITAL AND EQUIPMENT NEEDS, AND ENSURE WOMEN & INFANTS' FINANCIAL SECURITY THROUGH THE GENERAL ENDOWMENT FUND. - VARIOUS COMMUNITY ORGANIZATIONS AND CORPORATIONS CHOOSE TO SUPPORT WOMEN & INFANTS' PROGRAMS. IN 2010, SUPPORT CAME FROM SUCH SOURCES AS: COVIDIEN, WITH FUNDING FOR THE HOSPITAL'S LA VAN PROGRAM TO TRANSPORT LOW-INCOME PATIENTS TO THE WOMEN'S PRIMARY CARE CENTER FOR ROUTINE PRENATAL VISITS; WHOLE FOODS THREE RHODE ISLAND MARKETS AND FAT BASTARD WINES, GENERATING FUNDS FOR THE INTEGRATIVE CARE PROGRAM IN THE PROGRAM IN WOMEN'S ONCOLOGY; AND RI PINK HEALS, RAISING MONIES FOR THE BREAST HEALTH CENTER. - THE INAUGURAL RHODE ISLAND SWIM ACROSS AMERICA FUNDRAISER GENERATED MORE THAN $250,000 FOR CANCER RESEARCH BEING CONDUCTED BY THE WOMEN & INFANTS PROGRAM IN WOMEN'S ONCOLOGY. ALMOST 200 SWIMMERS PARTICIPATED IN THE SEPTEMBER SWIM. THIS WAS ONE OF THE LARGEST, MOST SUCCESSFUL TURN-OUTS FOR AN INAUGURAL EVENT.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 2 ROBERT G. FLANDERS, JR., ESQ. AND MARGARET D. FARRELL, ESQ. - BUSINESS RELATIONSHIP
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 3 THE ORGANIZATION ENGAGES SODEXO HEALTH CARE ("SODEXO") TO BE AN AGENT OF THE ORGANIZATION AND DELEGATES CONTROL TO SODEXO IN THE MANAGEMENT OF DAILY OPERATIONS OF ITS FOOD & NUTRITION DEPARTMENT. THE SODEXO MANAGEMENT EMPLOYEE FUNCTIONS AND IS RECOGNIZED AS A DEPARTMENT MANAGER WHO PERFORMS IN ACCORDANCE WITH THE ORGANIZATION'S DEPARTMENT MANAGEMENT PRACTICES AND IN ACCORDANCE WITH ITS WRITTEN POLICIES AND PROCEDURES. THE POSITION REPORTS TO AN OFFICER/KEY EMPLOYEE OF THE ORGANIZATION.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 WOMEN & INFANTS CORPORATION ("WIC") IS THE SOLE MEMBER OF THIS ORGANIZATION. CARE NEW ENGLAND HEALTH SYSTEM ("CNE") IS THE SOLE MEMBER OF WIC. CNE HAS THE ULTIMATE AUTHORITY TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE IN THE CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CARE NEW ENGLAND HEALTH SYSTEM IS THE PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF DIRECTORS) PRIOR TO THE FILING WITH THE IRS. IN ADDITION THE CARE NEW ENGLAND HEALTH SYSTEM FINANCE COMMITTEE ALSO PERFORMED A REVIEW OF THE FEDERAL FORM 990 PRIOR TO MAKING IT AVAILABLE TO EACH VOTING MEMBER OF ITS BOARD OF DIRECTORS. THE CARE NEW ENGLAND HEALTH SYSTEM BOARD OF DIRECTORS HAS DELEGATED TO THE FINANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION AND FILING PROCESS FOR THE TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S ASSOCIATE VICE PRESIDENT OF ACCOUNTING AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP, INCLUDING, BUT NOT LIMITED TO, THE INDIVIDUAL OUTLINED ABOVE, FOR HIS REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CARE NEW ENGLAND HEALTH SYSTEM FINANCE COMMITTEE. FOLLOWING THE FINANCE COMMITTEE'S REVIEW THE FINAL FEDERAL FORM 990 WAS MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY AND REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THAT POLICY. THE POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE FORM CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES BE CIRCULATED TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY. IF A DIRECTOR DISCLOSES AN INTEREST THAT COULD GIVE RISE TO A CONFLICT, THE DIRECTOR'S POTENTIAL CONFLICT IS REFERRED TO THE BOARD OR THE COMMITTEE, WHICH EVALUATES THE CONFLICT AND ITS POTENTIAL IMPACT ON THE DIRECTOR'S PARTICIPATION ON THE BOARD OR ON CERTAIN ISSUES THAT MAY COME BEFORE THE BOARD. AFTER CONSULTATION WITH COUNSEL, THE COMMITTEE WILL TAKE ACTION, IF APPROPRIATE AND NECESSARY, TO ADDRESS ANY SUCH CONFLICT IN A MANNER CONSISTENT WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE BOARD OF DIRECTORS OF WOMEN & INFANTS HOSPITAL OF RHODE ISLAND ("WIH") HAS A COMMITTEE OF DIRECTORS KNOWN AS THE WIH COMPENSATION COMMITTEE ("THE COMMITTEE"). THE COMMITTEE IS RESPONSIBLE FOR DISCHARGING THE BOARD'S RESPONSIBILITIES REGARDING THE TOTAL COMPENSATION PROGRAM FOR WIH EXECUTIVES AND KEY PHYSICIANS IN CONJUNCTION WITH THE WIH PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE COMMITTEE AT ALL TIMES CONDUCTS ITSELF FREE FROM EXECUTIVE MANAGEMENT IN ITS DECISION MAKING PROCESS EXCEPT WITH RESPECT TO DECISIONS RELATING TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER WHICH ARE MADE IN CONJUNCTION WITH THE CARE NEW ENGLAND CHIEF EXECUTIVE OFFICER. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS; EACH OF WHOM ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE ALSO REVIEWED BY THE CARE NEW ENGLAND HEALTH SYSTEM COMPENSATION COMMITTEE. IN ADDITION, THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE WOMEN & INFANTS HOSPITAL OF RHODE ISLAND PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS BEEN ALLOCATED A PORTION OF TAX-EXEMPT BONDS (THROUGH ITS TAX-EXEMPT PARENT CARE NEW ENGLAND HEALTH SYSTEM) TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. THE ORGANIZATION HAS REFLECTED THIS AMOUNT AS A DUE TO AFFILIATE LIABILITY ON ITS BALANCE SHEET. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE SYSTEM'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF RHODE ISLAND SECRETARY OF STATE.
COMPENSATION INFORMATION DISCLOSURE CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME AND PART-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. IN ADDITION, CERTAIN INDIVIDUALS NOT INCLUDED IN THIS FORM 990 RECEIVED A FORM W-2 FROM THIS ORGANIZATION AND ARE REPORTED ON THE FORM 990 OF CARE NEW ENGLAND HEALTH SYSTEM; THE INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT PARENT OF THE SYSTEM BECAUSE THEY SERVE ON A FULL-TIME BASIS WORKING ON CARE NEW ENGLAND HEALTH SYSTEM MATTERS AND ARE NOT OFFICERS, DIRECTORS, KEY EMPLOYEES OR THE NEXT FIVE HIGHEST PAID EMPLOYEES OF THIS ORGANIZATION. IN ADDITION, CERTAIN INDIVIDUALS ARE REPORTED ON THIS FORM 990 AND RECEIVE A FORM W-2 FROM THIS ORGANIZATION. HOWEVER, THEY ALSO WORK ON A FULL TIME BASIS FOR CARE NEW ENGLAND HEALTH SYSTEM AND ARE ALSO INCLUDED ON THAT RESPECTIVE FORM 990 ANNUALLY. ACCORDINGLY, JOHN M. SUTHERLAND, III; GAIL COSTA; THOMAS R. COURAGE, ESQ. AND MAYBELLE KERNAN ARE EACH SHOWN WORKING ONE AND 55 HOURS PER WEEK ON THIS FORM 990 AND THE CARE NEW ENGLAND HEALTH SYSTEM FORM 990; RESPECTIVELY.
OTHER CHANGES IN FUND BALANCE CORE FORM, PART XI; LINE 5 OTHER CHANGES IN FUND BALANCE INCLUDE: NONOPERATING EXPENDITURES; ($696,783); NET PAYMENTS ON INTEREST RATE SWAPS; ($1,702,116); CHANGE IN NET UNREALIZED LOSSES ON INVESTMENTS; ($1,152,645); PENSION AND POST RETIREMENT ADJUSTMENT; ($4,367,310); NET ASSETS RELEASED FROM RESTRICTIONS AND USED FOR PROPERTY AND EQUIPMENT PURCHASES; $2,277,464; TRANSFERS TO RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS; (85,638); TRANSFER TO DEFERRED REVENUE; ($1,834,250); AND NET ASSETS RELEASED FROM RESTRICTION; ($3,942,547).
AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THIS ORGANIZATION IS AN AFFILIATE OF CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT, INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS CARE NEW ENGLAND HEALTH SYSTEM. AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF CARE NEW ENGLAND HEALTH SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND SEPTEMBER 30, 2010; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. CARE NEW ENGLAND HEALTH SYSTEM'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
FINANCIAL STATEMENTS AND REPORTING CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE IN THE CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES ("SYSTEM"). THE SYSTEM ENGAGES AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT.
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DOUGLAS L JACOBS TITLE:CHAIRMAN - DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT G FLANDERS JR ESQ TITLE:VICE CHAIRMAN - DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHERINE F MCKENZIE TITLE:VICE CHAIR - DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CYNTHIA S REED TITLE:VICE CHAIR - DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROGER N BEGIN TITLE:SECRETARY - DIRECTOR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN R GALVIN TITLE:TREASURER - DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHLEEN COTE BOWLING MD TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOANNA CAIN MD TITLE:DIRECTOR (TERM 12/27/10) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DAVID CARCIERI MD TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LISA G CHURCHVILLE TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SHARON CONARD WELLS TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARGARET D FARRELL ESQ TITLE:DIRECTOR HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM F HATFIELD TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CONSTANCE A HOWES JD FACHE TITLE:DIRECTOR - PRES/CEO/WIH HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LINDA R MCGOLDRICK TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES F PADBURY MD TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MAUREEN PHIPPS MD MPH TITLE:DIRECTOR HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GINA RAIMONDO TITLE:DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SATINA L SIENA MD TITLE:DIRECTOR - PRESIDENT MED STAFF HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANNE SZOSTAK TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARK MARCANTANO TITLE:EXECUTIVE VICE PRESIDENT/COO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN M SUTHERLAND III TITLE:PRESIDENT - W&I INDEMNITY LTD. HOURS:55
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEBRA M PAUL CPA MBA TITLE:SR. VP & CFO/ASST. TREASURER HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAYMOND POWRIE MD TITLE:SENIOR VICE PRESIDENT-QUALITY HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GAIL COSTA TITLE:SR VP - PLANNING CNE HOURS:55
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KAREN DAVIE TITLE:SR. VP - PHILANTHROPY & GOV. HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAULA GILLETTE (TERM 10/10-01/11) TITLE:SR. VP - PATIENT CARE SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SUSAN E MAXWELL (TERM 03/11-08/11) TITLE:SR. VP - PATIENT CARE SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES GILMORE (EFF. 6/14/11) TITLE:SR. VP - PATIENT SUPPORT SVCS HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CORNELIUS GRANNAI MD TITLE:VICE PRESIDENT HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS R COURAGE ESQ TITLE:VICE PRESIDENT/ASST. SECRETARY HOURS:57
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MAYBELLE KERNAN TITLE:VP MKTG & PUBLIC RELATIONS HOURS:55
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ELIAS NEUJAHR TITLE:VP-PHYS SERVICES (10/1-5/13) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THOMAS HUGHES TITLE:VP - PATIENT SUPPORT SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL HEFFERNAN TITLE:VICE PRESIDENT-HR (2/14-9/30) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH RODA TITLE:INTERIM VP - HR (10/1-2/13) HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM LAWRENCE MD TITLE:CHIEF OF PATHOLOGY HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KAREN ROSENE MONTELLA MD TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAUL DISILVESTRO MD TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD MOORE MD TITLE:PHYSICIAN HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATHERINE WENSTROM MD TITLE:DIRECTOR - MATERNAL FETAL MED HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICE DIMARIO TITLE:FORMER SR. VP PATIENT SUPPORT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JANET SCHIPPER TITLE:FORMER OFFICER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DANIEL MICHAUD TITLE:FORMER VP - HR HOURS:
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
WOMEN & INFANTS HOSPITAL OF RI
 
Employer identification number

05-0258937
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) W & I ANCILLARY SERVICES LLC
300 RICHMOND STREET
PROVIDENCE,RI02903
20-0222992
HEALTHCARE RI 0 0 WIHRI
 
(2) W & I HEALTH CARE ALLIANCE LLC
300 RICHMOND STREET
PROVIDENCE,RI02903
45-2676488
HEALTHCARE RI 0 0 WIHRI
 








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) CARE NEW ENGLAND HEALTH SYSTEM

45 WILLARD AVENUE

PROVIDENCE,RI02905
05-0490997
HEALTHCARE RI 501(C)(3) 509(A)(3) NA
 
 
 
(2) BUTLER HOSPITAL

345 BLACKSTONE BLVD

PROVIDENCE,RI02906
05-0258812
HEALTHCARE RI 501(C)(3) HOSPITAL CNE
 
 
 
(3) WOMEN AND INFANTS CORPORATION

300 RICHMOND STREET

PROVIDENCE,RI02903
02-2885807
HEALTHCARE RI 501(C)(3) 509(A)(3) CNE
 
 
 
(4) WOMEN AND INFANTS DEVELOPMENT FOUNDATION

300 RICHMOND STREET

PROVIDENCE,RI02903
22-2885815
HEALTHCARE RI 501(C)(3) 509(A)(3) WIC
 
 
 
(5) PALOMAR GROUP INC

300 RICHMOND STREET

PROVIDENCE,RI02903
05-0462378
PARKING FAC. RI 501(C)(3) 509(A)(2) WIC
 
 
 
(6) WIH FACULTY PHYSICIANS INC

67 BRIGHAM STREET

NEW BEDFORD,MA02740
04-3579432
HEALTHCARE MA 501(C)(3) 509(A)(2) WIH
 
 
 
(7) KENT COUNTY MEMORIAL HOSPITAL

455 TOLL GATE ROAD

WARWICK,RI02886
05-0258896
HEALTHCARE RI 501(C)(3) HOSPITAL CNE
 
 
 
(8) KENT HOSPITAL FOUNDATION

455 TOLL GATE ROAD

WARWICK,RI02886
05-0514640
SUPPORT ORG RI 501(C)(3) 509(A)(3) KCMH
 
 
 
(9) KENT COUNTY VNA DBA VNA OF CNE

51 HEALTH LANE

WARWICK,RI02886
05-0242659
HEALTHCARE RI 501(C)(3) 170B1AIII CNE
 
 
 
(10) HEALTHTOUCH INC

51 HEALTH LANE

WARWICK,RI02886
05-0514949
HEALTHCARE RI 501(C)(3) 509(A)(2) KCVNA
 
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) TOLL GATE INDEMNITY LTD
23 LIME TREE BAY AVE PO BOX 1051
GRAND CAYMAN   KY1-11
CJ
34-2028514
FINANCIAL VEHICLE CJ N/A
C CORP.      
(2) W & I INDEMNITY LTD
23 LIME TREE AVE PO BOX 1051
GRAND CAYMAN   KY1-11
CJ
98-0159342
FINANCIAL VEHICLE CJ WIH
 
C CORP. 17,909,965 95,691,443 100.000 %










Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) WIH FACULTY PHYSICIANS INC

E, O 2,093,604  
(1)
(2)

(3)

(4)

(5)

(6)

Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: