Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 monetary support | |||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (A)
WOMEN & INFANTS CORPORATION |
050258937 | 03 | Yes | Yes | Yes | 0 | |||
| (B)
BUTLER HOSPITAL |
050258812 | 03 | Yes | Yes | Yes | 0 | |||
| (C)
KENT COUNTY MEMORIAL HOSPITAL |
050258896 | 03 | Yes | Yes | Yes | 0 | |||
| (D)
KENT COUNTY VISITING NURSE ASSOCIATION |
050242659 | 03 | Yes | Yes | Yes | 0 | |||
| (E)
SOUTHEASTERN HEALTHCARE SYSTEM INC |
061476858 | 0 | Yes | Yes | Yes | 0 | |||
| Total | 0 | ||||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (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.).. | ||||||




| Facts And Circumstances Test |
|---|
| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | CARE NEW ENGLAND HEALTH SYSTEM ============================== CARE NEW ENGLAND HEALTH SYSTEM ("CARE NEW ENGLAND") IS A NOT-FOR-PROFIT TAX-EXEMPT ORGANIZATION WITH ITS CENTRAL OFFICE IN PROVIDENCE, RHODE ISLAND. CARE NEW ENGLAND IS THE SOLE CORPORATE MEMBER OF VARIOUS HEALTHCARE RELATED ORGANIZATIONS, THE MAJORITY OF WHICH ARE TAX-EXEMPT ENTITIES. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED CARE NEW ENGLAND HEALTH SYSTEM AS BEING A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM BASED IN PROVIDENCE, RHODE ISLAND, CARE NEW ENGLAND AND ITS AFFILIATES STRIVE TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF THE SOUTHEASTERN NEW ENGLAND COMMUNITY. CARE NEW ENGLAND ENSURES THAT ITS SYSTEM 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. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICE. CARE NEW ENGLAND PROVIDES TREATMENT AND SERVICES TO APPROXIMATELY 212,000 INPATIENTS, OUTPATIENTS AND SAME DAY SURGERY PATIENTS, 97,000 EMERGENCY DEPARTMENT PATIENTS, AND DELIVERS APPROXIMATELY 9,500 BABIES ANNUALLY. CARE NEW ENGLAND EMPLOYS APPROXIMATELY 8,300 EMPLOYEES AND HAS MORE THAN 500 VOLUNTEERS. HISTORY ======= CARE NEW ENGLAND HEALTH SYSTEM WAS FORMED IN FEBRUARY 1996 BY FOUNDING MEMBERS BUTLER HOSPITAL, KENT 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. IN SEPTEMBER 2013, MEMORIAL HOSPITAL OF RHODE ISLAND BECAME THE FOURTH HOSPITAL IN THE CARE NEW ENGLAND SYSTEM, ADDING ACADEMIC AND CLINICAL EXCELLENCE IN THE AREA OF FAMILY MEDICINE AND PRIMARY CARE IN ADDITION TO A FULL CONSTELLATION OF ACUTE CARE SERVICES. THE CARE NEW ENGLAND HEALTH SYSTEM WAS FOUNDED ON THE VISION THAT WE CAN BUILD A BETTER SYSTEM OF HEALTHCARE FOR THE PEOPLE AND COMMUNITIES OF SOUTHEASTERN NEW ENGLAND. THE SYSTEM OFFERS THE LATEST ADVANCES IN MEDICINE, SPECIALTY-TRAINED DOCTORS, AND RESPECTED SERVICES AND CARE. AN INTEGRATED HEALTH SYSTEM THAT OFFERS A CONTINUUM OF QUALITY CARE, CARE NEW ENGLAND IS MOVING HEALTHCARE FORWARD AND REINVENTING THE WAY HEALTHCARE IS DELIVERED. THIS APPROACH PUTS A BROAD SPECTRUM OF CARE - ADDRESSING PRIMARY CARE, MEDICAL CARE, SURGERY, WOMEN'S HEALTH, CARDIOLOGY AND BEHAVIORAL HEALTH AND AN ARRAY OF SPECIALTY AND SUBSPECIALTY PROGRAMS - ALL UNDER ONE UMBRELLA SO THEY ARE EASILY ACCESSIBLE TO PATIENTS AND FAMILIES. CARE NEW ENGLAND IS COMPRISED OF SIX MEMBERS: BUTLER HOSPITAL, RHODE ISLAND'S ONLY PRIVATE, NONPROFIT PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITAL FOR ADULTS, ADOLESCENTS AND SENIORS; KENT HOSPITAL, THE SECOND LARGEST COMMUNITY HOSPITAL IN THE STATE, PROVIDING A FULL SPECTRUM OF PRIMARY AND SECONDARY ACUTE CARE SERVICES; WOMEN & INFANTS HOSPITAL OF RHODE ISLAND, ONE OF THE NATION'S BUSIEST OBSTETRICAL FACILITIES WITH ONE OF THE NATION'S LARGEST SINGLE-FAMILY ROOM NEONATAL INTENSIVE CARE UNITS, THE AREA'S ONLY TERTIARY LEVEL NEONATAL FACILITY, AND VARIOUS SPECIALTY SERVICES; MEMORIAL HOSPITAL, A COMMUNITY HOSPITAL BASED IN PAWTUCKET, RI, LENDING PRIMARY CARE EXPERTISE TO THE SYSTEM AND THE SYSTEM'S ONLY PATIENT CENTERED MEDICAL HOME MODEL OF CARE; THE VNA OF CARE NEW ENGLAND, WHICH PROVIDES A BROAD SPECTRUM OF HOME HEALTH, HOSPICE AND PRIVATE DUTY NURSING SERVICES FOR PATIENTS AND THEIR FAMILIES; AND THE CARE NEW ENGLAND WELLNESS CENTER, WHICH OFFERS AN ARRAY OF REHABILITATION, WELLNESS, FITNESS AND EDUCATIONAL PROGRAMS. THE SYSTEM INCLUDES A SOLID, DIVERSE COMBINATION OF PHYSICIAN SPECIALISTS AND GENERALISTS AND A STRONG COMMITMENT TO EDUCATION. BUTLER, MEMORIAL AND WOMEN & INFANTS HOSPITALS ARE MAJOR TEACHING AFFILIATES OF THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, WHILE KENT IS A TEACHING SITE FOR THE UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE. IN ADDITION, CARE NEW ENGLAND IS COMMITTED TO ADVANCE THE FIELD OF KNOWLEDGE IN MEDICINE THROUGH NATIONAL AND INTERNATIONALLY-FUNDED AND RECOGNIZED RESEARCH PROJECTS. 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, IT IS 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 FOR WHOM 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. CARE NEW ENGLAND HOSPITALS AND MEDICAL CENTERS ============================================== CARE NEW ENGLAND PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. CARE NEW ENGLAND INCLUDES THE FOLLOWING INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITALS: 1. BUTLER HOSPITAL ("BUTLER") 2. KENT HOSPITAL ("KENT") 3. MEMORIAL HOSPITAL OF RHODE ISLAND ("MEMORIAL") 4. WOMEN & INFANTS HOSPITAL ("WOMEN & INFANTS") PURSUANT TO ITS CHARITABLE PURPOSES, EACH CARE NEW ENGLAND HOSPITAL 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. NO PATIENTS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICE BY ANY CARE NEW ENGLAND INSTITUTION. IN ADDITION, EACH HOSPITAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF EACH RESTS WITH THE COMMON BOARD OF DIRECTORS OF CARE NEW ENGLAND. THE BOARD IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 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 EACH HOSPITAL, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF EACH HOSPITAL 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. MISSION ======= CARE NEW ENGLAND IS DEVOTED TO CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. VISION ===== CARE NEW ENGLAND WILL BUILD A BETTER SYSTEM OF HEALTHCARE FOR OUR COMMUNITY. CARE NEW ENGLAND WILL: - ATTAIN THE HIGHEST STANDARDS OF QUALITY - PROVIDE ACCESS TO ESSENTIAL HEALTH SERVICES REGARDLESS OF ABILITY TO PAY - DELIVER AN EXCEPTIONAL PATIENT EXPERIENCE - ADVANCE MEDICAL KNOWLEDGE THROUGH RESEARCH AND TEACHING - ADVOCATE FOR THOSE WE SERVE - ENHANCE WELLNESS AND PREVENTION - OPERATE IN A COST EFFECTIVE AND FINANCIALLY VIABLE MANNER. VALUES ====== CARE NEW ENGLAND PUTS THE PATIENTS AND THEIR FAMILIES AT THE CENTER OF ALL WE DO. IN OUR DAY-TO-DAY INTERACTIONS WITH PATIENTS AND EACH OTHER, OUR ACTIONS AND DECISIONS ARE GUIDED BY THE FOLLOWING CORE VALUES: - ACCOUNTABILITY - CARING - TEAMWORK |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | BUTLER HOSPITAL =============== BUTLER IS A LICENSED 117-BED NOT-FOR-PROFIT PSYCHIATRIC TREATMENT, TEACHING AND RESEARCH HOSPITAL. BUTLER WAS FOUNDED IN 1844 AND SERVES RHODE ISLAND AND SOUTHEASTERN NEW ENGLAND. BUTLER: - PROVIDES SPECIALIZED ASSESSMENTS AND INNOVATIVE TREATMENTS FOR ALL MAJOR PSYCHIATRIC ILLNESSES AND SUBSTANCE ABUSE. - FOCUSES ON THE SPECIAL NEEDS OF SENIORS BY OFFERING A STATE-OF-THE-ART PSYCHIATRIC SENIOR TREATMENT CENTER SPECIALIZING IN ALZHEIMER'S AND OTHER MEMORY DISORDERS. - OFFERS A PARTIAL HOSPITAL DAY PROGRAM THAT ENABLES PATIENTS TO RECEIVE PSYCHIATRIC AND SUBSTANCE ABUSE TREATMENT DURING THE DAY AND RETURN TO THE COMFORT OF THEIR OWN HOMES AT NIGHT. - CONDUCTS CUTTING-EDGE RESEARCH HELPING TO UNLOCK THE SECRETS OF BRAIN-BASED DISEASES. BUTLER SECURED APPROXIMATELY $11 MILLION IN GRANT FUNDING IN FISCAL YEAR 2013, SUPPORTING RESEARCH IN SUCH AREAS AS MOOD DISORDERS, OBSESSIVE COMPULSIVE DISORDER, ANXIETY DISORDERS, MEMORY DISORDERS, ADDICTIONS, PARKINSON'S DISEASE, AND PSYCHOSOCIAL INTERVENTIONS FOR FAMILIES. - WORKS TO INCREASE UNDERSTANDING OF MENTAL ILLNESS AND REDUCE STIGMA BY PROVIDING ONGOING. KENT HOSPITAL ============= KENT IS A LICENSED 359-BED NOT-FOR-PROFIT ACUTE CARE HOSPITAL. KENT WAS ESTABLISHED IN 1951 AND IS RHODE ISLAND'S SECOND LARGEST COMMUNITY HOSPITAL WITH THE SECOND BUSIEST EMERGENCY DEPARTMENT, KENT: - OFFERS A FULL SPECTRUM OF IN- AND OUTPATIENT HEALTH SERVICES FOR ALL AGES. - KENT'S EMERGENCY SERVICES DEPARTMENT SERVES SOME 70,000 ANNUAL VISITS. THIS VOLUME RANKS KENT'S EMERGENCY DEPARTMENT AMONG THE TOP 10-PERCENT NATIONALLY. - OFFERS ADVANCED TECHNOLOGY, INSTALLING SUCH ADVANCES AS HIGH-SPEED, MULTI-SLICE CT SCANNERS AND DIGITAL RADIOLOGY EQUIPMENT. - OFFERS SUCH SPECIALTY SERVICES AS A MULTIDISCIPLINARY WOUND RECOVERY CENTER AND A CANCER PROGRAM ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS. - COLLABORATES WITH WOMEN & INFANTS HOSPITAL TO OPERATE THE STATE'S ONLY LEVEL II SPECIAL CARE NURSERY AND TO OFFER EXPERT BREAST CANCER DIAGNOSES AND TREATMENT AT THE BREAST HEALTH CENTER AT KENT. - TRAINS PHYSICIANS THROUGH ITS EMERGENCY MEDICINE AND FAMILY PRACTICE RESIDENCY PROGRAMS AFFILIATED WITH THE UNIVERSITY OF NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE, ONE OF THE COUNTRY'S LEADING OSTEOPATHIC MEDICAL SCHOOLS. - HELPS STROKE PATIENTS IN ITS STROKE CENTER, WHICH EARNED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR PRIMARY STROKE CENTERS. - PURSUES EXCELLENCE. THE WOMEN'S DIAGNOSTIC IMAGING CENTER HAS BEEN DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY. - EMPLOYS INNOVATIVE APPROACHES TO RECRUITING AND RETAINING NURSES, INCLUDING A UNIQUE COLLABORATION WITH SALVE REGINA UNIVERSITY TO BRING BACCALAUREATE CLASSES ON-SITE FOR KENT NURSES. MEMORIAL HOSPITAL OF RHODE ISLAND ================================= MEMORIAL'S MAIN CAMPUS IS IN PAWTUCKET, RI, AND IT OPERATES PRIMARY CARE AND OTHER SERVICES IN OFF-SITE LOCATIONS IN PAWTUCKET AND CENTRAL FALLS, RI, AND PLAINVILLE, MASSACHUSETTS. MEMORIAL ALSO HAS STATE-OF-THE-ART CANCER, ENDOSCOPY, REHABILITATION, AND CARDIOVASCULAR TREATMENT FACILITIES IN PAWTUCKET. - AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL, MEMORIAL HAS GROWN INTO THE SECOND LARGEST TEACHING HOSPITAL IN THE STATE, WITH THE MAJORITY OF THE FULL-TIME MEDICAL STAFF AFFILIATED WITH THE MEDICAL SCHOOL, AND DOZENS OF RESIDENTS IN VARIOUS SPECIALTIES WORKING AT THE HOSPITAL. - HOME TO ALPERT MEDICAL SCHOOL'S FAMILY MEDICINE AND INTERNAL MEDICINE RESIDENCY PROGRAMS, WHICH HAS SPEARHEADED MEMORIAL'S MEDICAL RESEARCH ENDEAVORS AND MORE THAN 50 RESEARCH PROJECTS SUPPORTED BY MORE THAN $2.5 MILLION IN FEDERAL FUNDS. - MEMORIAL IS ALSO ON THE FOREFRONT IN THE FIELD OF FAMILY MEDICINE, WHICH EMPHASIZES THE ROLE OF THE PRIMARY CARE PHYSICIAN AS ORCHESTRATOR OF CARE AND TREATMENT FOR THE ENTIRE FAMILY. - OFFERS COMPREHENSIVE SERVICES IN ACUTE CARE AND EMERGENCY MEDICINE, CANCER CARE, CARDIOVASCULAR CENTER, DIAGNOSTIC IMAGING, FAMILY MEDICINE, GASTROENTEROLOGY, GERIATRIC SERVICES, INFECTIOUS DISEASES, INTERNAL MEDICINE, LABORATORY, NEURODEVELOPMENT CENTER, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, PAIN MANAGEMENT, PEDIATRICS, PODIATRY, PULMONARY CENTER, SLEEP CENTER, STROKE CENTER, TRAVEL CLINIC, URGENT CARE CENTER. - ACTIVE IN THE COMMUNITY, MEMORIAL IS A LEADING, INNOVATIVE HEALTHCARE RESOURCE WITH A TRADITION OF TREATING PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS COMMITTED TO PROVIDING MODERN FACILITIES THAT PROVIDE STATE-OF-THE-ART CARE FOR ALL. - IN ADDITION TO CHARITY CARE, MEMORIAL HOSPITAL ALSO PROVIDES NUMEROUS SERVICES TO THE COMMUNITY AT NO CHARGE, INCLUDING: - LANGUAGE INTERPRETATION - PHYSICIAN REFERRAL - COMMUNITY HEALTH SCREENINGS - HEALTH AND WELLNESS EDUCATION - SUPPORT GROUPS WOMEN & INFANTS HOSPITAL ======================== WOMEN & INFANTS INCLUDES 167-ADULT BEDS, 80-NEONATAL INTENSIVE CARE UNIT BEDS AND 60-NEWBORN BASSINETS. A NATIONAL CENTER OF EXCELLENCE IN WOMEN'S HEALTH, WHERE MORE THAN 73% OF RHODE ISLAND'S BABIES ARE DELIVERED EACH YEAR. WOMEN & INFANTS: - IS THE PREMIER HEALTH RESOURCE IN THE REGION FOR NEWBORNS AND WOMEN AND THE REGION'S ONLY PERINATAL CENTER. - IS ONE OF THE LEADING SPECIALTY HOSPITALS IN THE NATION AND A U.S. NEWS BEST HOSPITAL IN GYNECOLOGY. - OPENED THE NATION'S LARGEST SINGLE-FAMILY ROOM NEONATAL INTENSIVE CARE UNIT IN 2009. THE UNIT TENDED TO APPROXIMATELY 1,200 BABIES LAST YEAR. APPROXIMATELY 14% OF THOSE BABIES WERE BROUGHT TO WOMEN & INFANTS FROM OTHER HOSPITALS. - OFFERS THE SERVICES OF A GENERAL AND GYNECOLOGICAL SURGICAL PROGRAM WITH MORE THAN 7,413 PROCEDURES PERFORMED IN FISCAL YEAR 2014. - CULTIVATES AND EXPANDS COMPREHENSIVE PRIMARY AND SPECIALIZED CARE SERVICES FOR WOMEN THROUGH THE WOMEN'S PRIMARY CARE CENTER. TOGETHER WITH THE DIVISION OF AMBULATORY CARE'S URGENT CARE SERVICES, THE CENTER SEES APPROXIMATELY 30,000 WOMEN EACH YEAR. - FOCUSES ON THE NEEDS OF WOMEN AT EVERY STAGE OF LIFE WITH SUCH SPECIALIZED PROGRAMS AS THE CENTER FOR REPRODUCTION AND INFERTILITY, THE PROGRAM IN WOMEN'S ONCOLOGY AND ITS BREAST HEALTH CENTER, THE CENTER FOR WOMEN'S BEHAVIORAL HEALTH, AND THE CENTER FOR WOMEN'S GASTROINTESTINAL DISORDERS. - COMMANDS A REPUTATION AS ONE OF THE LARGEST AND MOST PRESTIGIOUS RESEARCH FACILITIES IN HIGH-RISK AND NORMAL OBSTETRICS, GYNECOLOGY AND NEWBORN PEDIATRICS IN THE NATION AND SECURED APPROXIMATELY $13 MILLION IN RESEARCH DOLLARS IN FISCAL YEAR 2013, SUPPORTING CUTTING-EDGE RESEARCH INTO SUCH AREAS AS PELVIC FLOOR DISORDERS, OVARIAN CANCER BIOMARKERS, ADOLESCENT PREGNANCY, POSTPARTUM DEPRESSION, COLIC, AND PRENATAL EXPOSURE TO DRUGS AND ALCOHOL. - PROVIDES UNIQUE SERVICES THROUGH "PROJECT LINK" FOR PREGNANT WOMEN STRUGGLING WITH SUBSTANCE ABUSE. - TAILORS CLINICAL SERVICES AND RESEARCH IN VARIOUS PSYCHOLOGICAL AND SOCIAL ASPECTS OF PEDIATRICS - FROM COLIC TO DRUG EXPOSURE - IN THE BROWN CENTER FOR THE STUDY OF CHILDREN AT RISK. - WOMEN & INFANTS SERVES AS THE LEAD PARTNER WITH BROWN UNIVERSITY ON THE NATIONAL CHILDREN'S STUDY, A GROUNDBREAKING PROJECT. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | CHARLES R. REPPUCCI, ESQ. AND ROBERT G. FLANDERS, JR., ESQ. - BUSINESS RELATIONSHIP. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS THE PARENT ENTITY OF THE CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED 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 PROVIDING 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 FINANCE DEPARTMENT LEADERSHIP 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 INDIVIDUALS OUTLINED ABOVE, FOR THEIR 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 PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS. |
| 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. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE BOARD OF DIRECTORS OF CARE NEW ENGLAND HEALTH SYSTEM ("CNE") HAS A COMMITTEE OF DIRECTORS KNOWN AS THE CNE COMPENSATION COMMITTEE ("THE COMMITTEE"). THE COMMITTEE IS RESPONSIBLE FOR DISCHARGING THE BOARD'S RESPONSIBILITIES REGARDING THE TOTAL COMPENSATION PROGRAM FOR CNE'S EXECUTIVES. THE COMMITTEE AT ALL TIMES CONDUCTS ITSELF FREE FROM EXECUTIVE MANAGEMENT IN ITS DECISION MAKING PROCESS. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/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 7 DIRECTORS, ALL OF WHOM ARE INDEPENDENT AND WHO MEET FOR ALL COMPENSATION RELATED MATTERS FOR THE CARE NEW ENGLAND HEALTH SYSTEM AND ITS OPERATING UNITS. THE CNE PRESIDENT/CHIEF EXECUTIVE OFFICER PARTICIPATES IN COMPENSATION COMMITTEE MEETINGS, EXCEPT AS THE COMMITTEE'S DELIBERATIONS CONCERN THE CNE PRESIDENT/CHIEF EXECUTIVE OFFICER. 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 REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OR BY THE CARE NEW ENGLAND HEALTH SYSTEM 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. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT PRIMARILY FOR THE THREE INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITALS WITHIN THE SYSTEM; BUTLER HOSPITAL, KENT COUNTY MEMORIAL HOSPITAL AND WOMEN & INFANTS HOSPITAL OF RHODE ISLAND. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'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. |
| 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 OR PART-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS THE PARENT ENTITY OF CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART VII AND SCHEDULE J | PATRICIA R. RECUPERO, JD, M.D., PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR BUTLER HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION FOR THE PERIOD 10/1/2013 - 7/1/2014 WAS TRANSFERRED TO THIS ORGANIZATION, ON 7/2/2014 WHERE SHE SERVED AS THE SENIOR VICE PRESIDENT FOR EDUCATION AND TRAINING THROUGH THE ORGANIZATION'S YEAR END OF 9/30/2014. LAWRENCE H. PRICE, M.D., MEDICAL DIRECTOR FOR BUTLER HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION FOR THE PERIOD OF 10/1/2013 - 7/1/2014 BECAME THE PRESIDENT AND CHIEF OPERATING OFFICER OF BUTLER HOSPITAL ON 7/2/2014 THROUGH THE ORGANIZATION'S YEAR END OF 9/30/2014. SANDRA L. COLETTA, PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR KENT COUNTY MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION FOR THE PERIOD 10/1/2013 - 7/1/2014 WAS TRANSFERRED TO THIS ORGANIZATION, ON 7/2/2014 WHERE SHE SERVED AS THE CHIEF OPERATING OFFICER THROUGH THE ORGANIZATION'S YEAR END OF 9/30/2014. MICHAEL DACEY, M.D., SENIOR VICE PRESIDENT MEDICAL AFFAIRS FOR KENT COUNTY MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION FOR THE PERIOD 10/1/2013 - 7/1/2014 BECAME THE PRESIDENT AND CHIEF OPERATING OFFICER OF KENT COUNTY MEMORIAL HOSPITAL ON 7/2/2014 THROUGH THE ORGANIZATION'S YEAR END OF 9/30/2014. CONSTANCE A. HOWES, JD, FACHE, PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR WOMEN & INFANTS HOSPITAL OF RHODE ISLAND; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION WAS TRANSFERRED TO THIS ORGANIZATION, ON 10/1/2013 WHERE SHE SERVED AS THE EXECUTIVE VICE PRESIDENT OF WOMEN'S HEALTH THROUGH THE ORGANIZATION'S YEAR END OF 9/30/2014. MARK R. MARCANTANO SERVED AS THE PRESIDENT AND CHIEF OPERATING OFFICER FOR WOMEN & INFANTS HOSPITAL OF RHODE ISLAND; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION STARTING 10/1/2013 THROUGH THE ORGANIZATION'S YEAR END OF 9/30/2014. JAMES M. BURKE, VICE PRESIDENT ACCOUNTING FOR THIS ORGANIZATION FOR THE PERIOD 10/1/2013 - 5/1/2014 WAS TRANSFERRED TO KENT COUNTY MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANZIATION, ON 5/2/2014 WHERE HE SERVED AS THE VICE PRESIDENT OF FINANCE THROUGH THE ORGANIZATION'S YEAR END OF 9/30/2014. |
| CORE FORM, PART X; LINE 20 | IN 2010, the health system issued rihebc 2010 series fixed rate bonds of $12,000,000. The bonds have mandatory sinking fund redemptions ranging from $472,599 in 2014 to $813,065 in 2030, with a final payment of $417,695 in 2031. These bonds were issued direct purchase tax exempt bank qualified bonds. The bonds bear a fixed interest rate of 3.65% through december, 2017 with 3 year optional tenders through december, 2030. The bonds bear interest on a per annum basis with semi-annual payments based on a 20 year amortization. The proceeds from the bonds are being used by kent to finance (i) the renovation, equipping and furnishing of existing hospital space to house a ten (10) bed short stay unit: (ii) the construction, equipping and furnishing of a 30,000 square foot ambulatory surgical center with a connection to kent's existing hospital building and (iii) cost of issuance. Cne, butler, kent, wic and wih are jointly and severable liable for repayment. Unspent bond proceeds of $660,026 are included in trustee-held funds in the consolidated balance sheet at September 30, 2014. The obligated group members are joint and severally liable for the repayment of the cne series 2010 bonds. The outstanding balance on the bonds was $10,474,254 on September 30, 2014. The bond proceeds received by kent county memorial hospital under the 2010 bond represents the amount allocated through the cne financing program and are classified as a "due to cne" on kent county memorial hospital's financial statements. The outstanding balance due to cne by kent county memorial hospital as of september 30, 2014 is $10,474,254. In 2011, the health system issued rihebc 2011 series fixed rate bonds of $16,000,000. The bonds have mandatory sinking fund redemptions ranging from $649,668 in 2014 to $1,044,574 in 2031. These bonds were issued as unrated private placement tax exempt bonds. The bonds bear a fixed interest rate of 2.99% through july 31, 2018. The bonds bear interest on a per annum basis with semi-annual payments based on a 20 year amortization. The proceeds from the bonds are being used to finance (i) the construction, equipping and furnishing of a 32,000 square foot addition of butler's existing hospital facility; (ii) refinancing of the bank of rhode island mortgage held by wic; (iii) refinancing of certain capital leases; (iv) purchase of capital equipment; (v) capitalized interest and (vi) cost of issuance. Cne, butler, kent, wic and wih are jointly and severable liable for repayment. The obligated group members are joint and severally liable for the repayment of the cne series 2011 bonds. The outstanding balance on the bond was $14,149,854 on September 30, 2014. The bond proceeds received by the hospitals under the 2011 series bonds represent the amount allocated through the cne financing programs and are classified as a "due to cne" on the hospital's individual financial statements. The outstanding balance due to cne by hospital as of September 30, 2014 is as follows: series 2011 Butler $ 9,993,334 WIH $ 4,156,520 ------------- Total $14,149,854 In 2014, the health system issued rihebc 2013 series fixed rate bonds of $87,385,000. The bonds have mandatory sinking fund redemptions ranging from $2,010,000 in 2015 to $8,230,000 in 2033. UNSPENT BOND PROCEEDS OF $11,468,724 ARE INCLUDED IN TRUSTEE-HELF FUNDS IN THE CONSOLIDATED BALANCE SHEET AT SEPTEMBER 30, 2014. THE HEALTH SYSTEM IS REQUIRED TO COMPLY WITH CERTAIN DEBT COVENANTS UNDER THE BOND AGREEMENTS, INCLUDING MINIMUM DEBT SERVICE COVERAGE RATIO OF 1.20 TO 1 AND DAYS CASH ON HAND OF 45. THE HEALTH SYSTEM HAS BEEN, AND REMAINS, COMPLIANT WITH THESE TERMS. THE PROCEEDS OF THE SERIES 2013 BONDS WERE USED TO (I) REFUND THE OUTSTANDING CNE 2008 SERIES A BONDS, AND (II) REFUND THE OUTSTANDING MEMORIAL 2003 SERIES BONDS AND ACCRUED INTEREST, AND (III) ESTABLISH A DEBT SERVICE RESERVE FUND, AND (IV) TERMINATE THE INTEREST RATE SWAP AGREEMENT WITH DEUTSCHE BANK, AND (V) FUND A PORTION OF ROUTINE CAPITAL EXPENDITURES/IMPROVEMENTS, AND (VI) PAY CERTAIN EXPENSES RELATED TO THE ISSUANCE OF THE 2013 SERIES BONDS. The outstanding balance on the bond was $83,110,000 on September 30, 2014. The bond proceeds received by the hospitals under the 2013 series bonds represent the amount allocated through the cne financing programs and are classified as a "due to cne" on the hospital's individual financial statements. The outstanding balance due to cne by hospital as of September 30, 2014 is as follows: series 2013 Butler $ 4,644,983 Kent $16,186,751 WIH $22,752,197 MEMORIAL $ 9,213,952 CNE $30,312,117 ------------- Total $83,110,000 In 2014, the Health System issued RIHEBC 2014 Series A variable rate bonds of $42,810,000. The bonds have mandatory sinking fund redemptions ranging from $20,000 in 2029 to $3,400,000 in 2041. Unspent bond proceeds of $7,455,582 are included in trustee-held funds in the consolidated balance sheet at September 30, 2014. The Health System is required to comply with certain debt covenants under the bond agreements, including a minimum debt service coverage ratio of 1.20 to 1 and days cash on hand of 45. The Health System has been, and remains, compliant with these terms. THE PROCEEDS FROM THE CNE 2014 SERIES A BONDS WERE USED TO (I) REFUND THE OUTSTANDING CNE 2008 SERIES B BONDS, AND (II) TERMINATE THE INTEREST RATE SWAP AGREEMENT WITH MORGAN STANLEY, (III) FUND A PORTION OF ROUTINE CAPITAL EXPENDITURES/IMPROVEMENTS, AND (IV) PAY CERTAIN EXPENSES RELATED TO THE ISSUANCE OF THE 2014 SERIES A BONDS. The outstanding balance on the bond was $42,810,000 on September 30, 2014. The bond proceeds received by the hospitals under the 2014 series bonds represent the amount allocated through the cne financing programs and are classified as a "due to cne" on the hospital's individual financial statements. The outstanding balance due to cne by hospital as of September 30, 2014 is as follows: series 2014 Butler $ 13,069 WIH $30,637,648 MEMORIAL $ 461,538 CNE $11,697,745 ------------- Total $42,810,000 |
| CORE FORM, PART XI; LINE 9 | OTHER CHANGES IN FUND BALANCE INCLUDE: - NONOPERATING EXPENDITURES; ($2,459,280) - PENSION AND POST RETIREMENT ADJUSTMENT; ($1,562,102); AND - NET TRANSFER; $11,509. |
| CORE FORM, PART XII; QUESTION 2 | THE TAXPAYER IS THE PARENT ENTITY OF CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATES; A TAX-EXEMPT, INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND SEPTEMBER 30, 2013; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| CORE FORM, PART XII; QUESTION 3 | THE ORGANIZATION IS THE PARENT ENTITY OF 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. |
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