Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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 | 1,621,932 | 1,675,731 | 1,766,290 | 1,739,280 | 1,807,547 | 8,610,780 |
| 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 | 1,621,932 | 1,675,731 | 1,766,290 | 1,739,280 | 1,807,547 | 8,610,780 |
| 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.) | 8,610,780 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 1,621,932 | 1,675,731 | 1,766,290 | 1,739,280 | 1,807,547 | 8,610,780 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,095 | 4,451 | 7,754 | 6,481 | 7,604 | 28,385 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 2,095 | 4,451 | 7,754 | 6,481 | 7,604 | 28,385 |
| 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 1,624,027 | 1,680,182 | 1,774,044 | 1,745,761 | 1,815,151 | 8,639,165 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE DIRECTOR OF OPERATIONS DOES AN INITIAL REVIEW OF THE DRAFT FORM 990 TO ENSURE ACCURACY. IF REVISIONS ARE REQUIRED, THE FORM 990 IS RETURNED TO THE ENGAGED ACCOUNTING FIRM FOR CORRECTIONS. A FINAL DRAFT OF THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW. BOARD MEMBERS APPROVE OR REJECT THE FORM 990 EITHER BY EMAIL OR VOTE AT THE ANNUAL MEETING. A MAJORITY APPROVAL VOTE OF THE MEMBERS OF THE BOARD OF DIRECTORS SHALL CONSTITUTE A QUORUM FILE OF THE FORM 990 WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | NPIC REQUIRES OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO DISCLOSE ANNUALLY ANY CONFLICT OF INTEREST THAT COULD GIVE RISE TO CONFLICTS. OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE WHICH INCLUDES A SIGNED WRITTEN STATEMENT AFFIRMING THEIR UNDERSTANDING AND COMPLIANCE OF THE REQUIRED DISCLOSURE OF KNOWN OR POTENTIAL CONFLICTS OF INTEREST. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL REVIEW THESE FORMS AND DECIDE THE OUTCOME OF ANY DECLARED CONFLICTS. THIS COMMITTEE WILL REPORT THEIR FINDINGS TO THE BOARD OF DIRECTORS WHO WILL DOCUMENT THE OUTCOME IN THEIR MINUTES TO THEIR MEETINGS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PRESIDENT'S COMPENSATION PROCESS: EVALUATION CRITERIA: THE PRESIDENT RECEIVES A FORMAL EVALUATION OF HIS/HER PERFORMANCE BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE EVALUATION IS PART OF THE BOARD'S ANNUAL GOVERNANCE WORK BUT MAY BE INITIATED AT ANY TIME BY THE BOARD OR AT THE REQUEST OF THE PRESIDENT. THE EVALUATION IS CARRIED OUT BY THE COMPENSATION AND EVALUATION COMMITTEE AND FOCUSES ON THE FOLLOWING CRITERIA TO EVALUATE PERFORMANCE REPORT AND REPORT ITS RECOMMENDATION TO THE BOARD: 1. ACCOMPLISHMENT OF THE ORGANIZATION'S MISSION, OBJECTIVES AND STRATEGIC RESULTS FOR WHICH THE PRESIDENT IS RESPONSIBLE. 2. INSURING THAT THE BOARD IS WELL INFORMED ON ISSUES AFFECTING THE CONTINUING RELEVANCE OF THE MISSION AND THE PERFORMANCE AND REPUTATION OF THE ORGANIZATION. 3. THE BOARD AND PRESIDENT WILL AGREE IN ADVANCE ON THE SPECIFIC PERFORMANCE INDICATORS. EVIDENCE OF PERFORMANCE - THE BOARD AND PRESIDENT WILL AGREE IN ADVANCE ON HOW INFORMATION ON THE ABOVE CRITERIA WILL BE PROVIDED. THE MEANS OF GATHERING THIS INFORMATION OR DEMONSTRATING ACCOMPLISHMENT WILL INCLUDE: 1. REPORTS FROM THE PRESIDENT ON PROGRESS TOWARDS THE MISSION AND OBJECTIVES OF THE ORGANIZATION AND CURRENT STRATEGIC GOALS. 2. INDEPENDENT VERIFICATION AND OTHER INFORMATION IS GATHERED BY THE COMMITTEE IN RELATION TO THE DETERMINATION OF AN APPROPRIATE LEVEL OF COMPENSATION. FINDINGS AND RECOMMENDATIONS - THE COMMITTEE WILL REPORT TO THE BOARD THE RESULTS OF THEIR ASSESSMENT AND MAKE A RECOMMENDATION REGARDING ADJUSTMENTS IN THE SALARY OR OTHER CONDITIONS OF EMPLOYMENT OF THE PRESIDENT. THE BOARD WILL REVIEW ITS EVALUATION WITH THE PRESIDENT AND REPORT THE OUTCOME IN THEIR BOARD OF DIRECTORS' MINUTES TO THEIR MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 15B | KEY EMPLOYEE COMPENSATION PROCESS KEY EMPLOYEE COMPENSATION IS DETERMINED BASED ON JOB RESPONSIBILITIES AND INDIVIDUAL PERFORMANCE AND EXTERNAL JOB MARKET DATA. COMPENSATION IS LINKED TO CORE COMPETENCIES AND GOAL ACHIEVEMENT. THE FOLLOWING PROCESS IS USED TO DETERMINE APPROPRIATE LEVELS OF COMPENSATION: JOB DESCRIPTION - EACH JOB HAS A WRITTEN JOB DESCRIPTION LISTING THE JOB SUMMARY, EDUCATION REQUIREMENT, EXPERIENCE, JOB SPECIFICATIONS, ADA REQUIREMENTS, AND AGE COMPETENCY FOR THE POSITION IF APPLICABLE. JOB EVALUATION - EACH JOB IS GIVEN A NUMERICAL SCORE DETERMINED BY THE TOTAL POINTS ASSIGNED TO ELEVEN FACTORS: EDUCATION, EXPERIENCE, EXERCISE OF JUDGMENT, RESPONSIBILITY, ACCOUNTABILITY, CONTACT WITH OTHERS, CONFIDENTIAL INFORMATION, DIRECTION OF OTHERS, WORKING CONDITION, SOCIAL/PSYCHOLOGIAL CONDITIONS, AND EFFORT. JOB GRADES - THE PROCESS OF JOB CONTENT EVALUATION ESTABLISHES GROUPS OF JOBS OF SIMILAR VALUE INTO JOB GRADES. PAY RANGES ARE ESTABLISHED FOR EACH JOB GRADE ACCORDING TO THE STRUCTURE CLASSIFICATION AND SERVE AS THE BASIS FOR ALL PAY DECISIONS. EACH JOB GRADE IS COMPOSED OF A MINIMUM START RATE, MIDPOINT, AND MAXIMUM. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NPIC BYLAWS AND CONFLICT OF INTEREST POLICY ARE POSTED ON THE COMPANY WEBSITE. A COPY OF THE AUDITED FINANCIAL STATEMENTS MAY BE REQUESTED VIA THE COMPANY WEBSITE. |
| FORM 990, PART VII | LEASED EMPLOYEES - THE ORGANIZATION LEASES ALL OF ITS EMPLOYEES FROM WOMEN & INFANTS HOSPITAL OF RHODE ISLAND. ALL OF THE EMPLOYEES WORK FOR NATIONAL PERINATAL INFORMATION CENTER. THE FEES PAID FOR THE LEASED EMPLOYEES IS THE ACTUAL AMOUNTS PAID TO THE EMPLOYEES AS COMPENSATION AND BENEFITS AS LISTED IN PART IX, LINES 5 AND 24A. |
| FORM 990, PART XI | RESPONSIBILITY FOR AUDIT: THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS, CHAIRED BY THE TREASURER, REVIEWS THE FINANCIAL GUIDELINES, RESPONDS TO THE AUDITOR'S COMMUNICATION REGARDING AUDIT ACTIVITIES, PROVIDES A DETAILED REVIEW OF THE AUDIT REPORT TO BRING FORTH ANY ISSUES THAT MAY ARISE, AND ASSISTS THE BOARD WITH THE CHOOSING OF AN AUDITOR. |
| Software ID: | |
| Software Version: |