STRATEGY STUDIO / PUBLIC DATA EXPLORER

NEWPORT HOSPITAL FOUNDATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
NEWPORT HOSPITAL FOUNDATION INC (EIN 22-2535533)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201102249349301605
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-12T08:36:28-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line160 South StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222535533EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Newport Hospital FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEWPNameControl
Phone4018466400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Friendship StreetAddressLine1
CityNewportCity
StateRIState
ZIP Code02840ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMary A WakefieldName
TitleCFOTitle
Date Signed2011-08-12DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts10218105GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SitenoneWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionNewport Hospital Foundation coordinates the fundraising for integrated health care services for the advancement and well-being of the community in furtherance of the purpose of Newport Health Care Corporation. See Schedule OActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year929018ContributionsGrantsPriorYear
Contributions Grants Current Year3372803ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1432194InvestmentIncomePriorYear
Investment Income Current Year6769702InvestmentIncomeCurrentYear
Other Revenue Prior Year-83239OtherRevenuePriorYear
Other Revenue Current Year-113951OtherRevenueCurrentYear
Total Revenue Prior Year2277973TotalRevenuePriorYear
Total Revenue Current Year10028554TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year93300GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year613005TotalFundrsngExpCurrentYear
Other Expense Prior Year1716964OtherExpensePriorYear
Other Expenses Current Year1045999OtherExpensesCurrentYear
Total Expenses Prior Year1810264TotalExpensesPriorYear
Total Expenses Current Year1045999TotalExpensesCurrentYear
Revenues Less Expenses Prior Year467709RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8982555RevenuesLessExpensesCY
Total Assets BOY128658393TotalAssetsBOY
Total Assets EOY140206172TotalAssetsEOY
Total Liabilities BOY551287TotalLiabilitiesBOY
Total Liabilities EOY126866TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY128107106NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY140079306NetAssetsOrFundBalancesEOY
Mission DescriptionNewport Hospital Foundation coordinates the fundraising for integrated health care services for the advancement and well-being of the community in furtherance of the purpose of Newport Health Care Corporation. See Schedule OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionNewport Hospital Foundation supports, encourages, and coordinates the development of comprehensive, integrated health care services for the advancement and well-being of the community through fundraising and fund management in furtherance of the purpose of Newport Health Care Corporation. The Newport Hospital Foundation, in coordination with Lifespan, encourages, promotes and organizes the fundraising efforts of Newport Health Care Corporation and Affiliates.Description
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMary A WakefieldNamePerson
Telephone Number4014447914TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1167 Point StreetAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02903ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeFormerFormer
Suzette D Schochet
Trustee4.00XX000
Stephen P Massed
Trustee7.00XX000
Rita B Gewirz
Trustee2.25X000
Peter M DiBari
Trustee1.50X000
Mary A Wakefield
CFO1.00X070361593428
Mark Cummings
Senior VP Development9.00037597966061X
M Lynne Francis
Trustee1.00X000
Louis A Fazzano
Chairman0.X000
Kathleen H Ross
Trustee2.50X000
John H Ellis
Vice Chairman2.00X000
James A Purviance
Trustee4.00X000
David S Gordon
Trustee3.60X000
Christopher Luttman MD
Trustee1.00X000
Christine A Gill MD
Vice Chairman1.00XX000
Charles L Stengel MD
Trustee3.00X000
Bruce G Tucker
Trustee6.00X000
August Cordeiro
President & CEO3.00XX032330664136
Arthur J Sampson
President & CEO0.046971577334X
Alan R Feinberg DMD
Trustee3.00X000
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1872615TotalReportableCompFrmRltdOrgs
Total Other Compensation300959TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events390250FundraisingEvents
All Other Contributions2982553AllOtherContributions
Total Contributions3372803TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2186519TotalRevenueColumn
Exclusion$2,186,519ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4583183Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4583183Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4583183TotalRevenueColumn
Exclusion$4,583,183ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events75600GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events390250CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses189551FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-113951TotalRevenueColumn
Exclusion-$113,951ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10028554TotalRevenueColumn
Exclusion$6,655,751ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
Investment fees387443387443
Development expenses613005613005
Administrative expenses4555145551

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1045999Total
Program Services0ProgramServices
Management And General432994ManagementAndGeneral
Fundraising613005Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY460472BOY
EOY201464EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY376204BOY
EOY382487EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31764LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31764LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY81092225BOY
EOY86057077EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY45176740BOY
EOY44404241EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1552752BOY
EOY9160903EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY128658393BOY
EOY140206172EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY79010BOY
EOY63676EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY472277BOY
EOY63190EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY551287BOY
EOY126866EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY126943423BOY
EOY138870712EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1163683BOY
EOY1208594EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY128107106BOY
EOY140079306EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY128658393BOY
EOY140206172EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1280614CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year929018CurrentTaxYearMinus1Year
Current Tax Year3448403CurrentTaxYear
Total5658035Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years1280614CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year929018CurrentTaxYearMinus1Year
Current Tax Year3448403CurrentTaxYear
Total5658035Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1705658035PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years5990773CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1348955CurrentTaxYearMinus1Year
Current Tax Year6382259CurrentTaxYear
Total13721987Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support19380022TotalSupport
Public Support Pertcentage1700.29200PublicSupportPertcentage170
Public Support Pertcent Prior Year0.23140PublicSupportPertcentPriorYear
Ten Percent Test Current YearXTenPercentTestCurrentYear
Facts And Circumstances TestPart II, Line 17a--Effective December 12, 2007, the Newport Hospital Foundation's public charity status was modified to 509(a)(1) and 170(b)(1)(A)(vi). The Foundation's other income for 2007, 2008 and 2009 is comprised of dividend and interest income, and gains on sales of securities. Newport Hospital Foundation satisfies the "Facts and Circumstances" test to remain a 509(a)(1) publicly-supported entity based on the following:(1) The Foundation is at least 10% publicly supported(2) The Foundation is organized and operated to attract new and additional public support through a continuous and bona fide program for the solicitation of funds, with opportunities in the following areas:- The Noreen Stonor Drexel Birthing Center- The Vanderbilt Rehabilitation Center - Medical, surgical and diagnostic equipment acquisition- Charity care- Physician recruitment and workforce development- Emergency medicine- Community health education and preventive medicine(3) The mission of the Foundation is to support Newport Health Care Corporation and Newport Hospital, which serves a broad base of the community.FactsAndCircumstancesTest

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance126821717BeginningOfYearBalance
Contributions3448403Contributions
Investment Earnings Or Losses12786767InvestmentEarningsOrLosses
Other Expenditures4434667OtherExpenditures
End Of Year Balance138622220EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance128945445BeginningOfYearBalance
Contributions87286Contributions
Investment Earnings Or Losses-1295587InvestmentEarningsOrLosses
Other Expenditures915427OtherExpenditures
End Of Year Balance126821717EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.99000BoardDesignatedEOYBalance
Term Endowment EOY Balance0.01000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31764OtherCostOrOtherBasis
Depreciation31764Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Securities44404241TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Invest in NHCC Medical Associates, Inc.1000000
Cash & Short Term Investments8160903
FieldValueIRS element (for citing)
Total Book Value Other Assets9160903TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionIntercompany payableDescription
Amount$63,190Amount
FieldValueIRS element (for citing)
Total Of Amounts63190TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Transfers to affiliates $3555886
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.The Foundation's endowment consists of many funds established for a variety of purposes, including board designated and donor-restriced funds.The endowment is intended to provide funds to support health care as well as encourage and coordinate development of comprehensive health services through fund management and philanthropy. The endowment supports the development of comprehensive, integrated health care services for the advancement and well-being of the community in furtherance of the purpose of the Newport Health Care Corporation.The largest board designated endowment held by the Foundation is used to support the facilities and operations of Newport Hospital.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Newport Hospital GalaNameOfEvent1
Gross Receipts Event1465850GrossReceiptsEvent1
Charitable Contributions Event1390250CharitableContributionsEvent1
Gross Revenue Event175600GrossRevenueEvent1
Rent Facility Costs Event19300RentFacilityCostsEvent1
Other Direct Expenses Event1180251OtherDirectExpensesEvent1
Gross Receipts Total465850GrossReceiptsTotal
Charitable Contributions Total390250CharitableContributionsTotal
Gross Revenue Total Events75600GrossRevenueTotalEvents
Rent Facility Costs Total Events9300RentFacilityCostsTotalEvents
Other Direct Expenses Total Events180251OtherDirectExpensesTotalEvents
Direct Expense Summary Events189551DirectExpenseSummaryEvents
Net Income Summary-113951NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mary A Wakefield
44296616835192298790181441079704367165
Mark Cummings
2531587926043561480441801744204023238
August Cordeiro
2236936387535738461361800038744223687
Arthur J Sampson
29721810400168496618171551754704945555

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part I, Line 7Part I, Line 7: Non-Fixed payments not listed aboveThe Lifespan Annual Incentive Compensation Plan provides a financial award opportunity for designated members of management, based on quantified objectives that are approved in advance by the Compensation Committee of the Lifespan Board of Directors. A specified level of financial performance must be met before any award is earned. The objectives vary from year to year and generally include various aspects of financial measures in addition to non-financial performance measures. For certain participants in the Annual Incentive Compensation Plan, the award opportunity is divided into two pools. The first pool represents 80% of any earned incentive award, based on the achievement of the team performance objectives. The remaining 20% pool is distributed on an individual basis to participants at the discretion of the CEO, in each case subject to approval by the Compensation Committee of the Lifespan Corporation Board of Directors.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.Tax indemnification and gross-up payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, column B (iii).Social Club Dues:The job responsibilities of certain executives include development of relationships with business leaders and donors. Those relationships are facilitated by the ability to meet in private sessions during which focused business discussions take place. The Hope and University Clubs, which require individual memberships, are places in Providence where businessmen and women, civic, community and social leaders can gather in a business-like atmosphere. The cost of membership is considered by Lifespan to be reasonable and necessary and thus a qualified business expense not taxable to the employee. IRS regulations regarding documentation requirements are followed for any payments made for meetings held at the respective club, including the business purpose and nature of the business benefit derived; the nature of the business discussion or activity; and the identity and business relationship of attendees.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableLifespan and all of its affiliates, including Newport Hospital Foundation, currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification LLC), a disclosure dissemination agent for issuers of the tax-exempt bonds which electronically posts and transmits Lifespan's financial information to repositories and investors alike. Newport Hospital Foundation is included in the audited consolidated financial statements of NHCC and Affiliates. Newport Hospital Foundation's articles of incorporation, bylaws, and conflict of interest policy are available upon request from the office of the Lifespan Chief Financial Officer, either in person or by mail.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe preparation and filing of the Form 990 and supporting schedules is the responsibility of the Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit for initial review by the Director of Finance. Once the draft Form 990 is complete, the Director of Finance forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Director of Finance answers questions as they arise and provides additional information as needed. Any recommended changes are incorporated into the return. The draft Form 990 is then provided to the Chief Financial Officer for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form is included in the advance material sent to the Affiliate's Board of Trustees for the next Board meeting, at which the Chief Financial Officer discusses the highlights of the Form. All questions and concerns of the members of the Board are addressed by the Chief Financial Officer and incorporated into the Form 990 as appropriate. The Chief Financial Officer is authorized to file the Form 990.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe bylaws of Newport Hospital Foundation (the Affiliate), including the bylaws of NHCC, confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination and support of the system. Powers reserved to Lifespan include: to elect and remove trustees and to approve the election of and to remove certain officers. At each annual meeting of the Affiliate Board of Trustees, a list is compiled of the names of those persons selected to serve as Trustees of the Affiliate so that it can be approved and submitted to Lifespan for ratification and election.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLifespan Corporation is the sole corporate member of Newport Health Care Corporation ("NHCC") which in turn is the sole corporate member of Newport Hospital Foundation.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtMary A. Wakefield is an officer of Lifespan Corporation. The following officer, former officer and key employee, respectively, of Newport Hospital Foundation are employed by Lifespan: August Cordeiro, Arthur J. Sampson and Mark Cummings.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivitiesPrimaryActivitiesLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
RI Sound Enterprises Insurance Co Ltd
65 Front StreetHamilton, HM 12BDOffshore Insurance CaptiveBDNA
RIH Ventures
Parking Facilities / Phlebotomy ServicesNA593 Eddy StreetProvidenceRI02903050448686RI501(c)311
The Miriam Hospital Foundation
Philanthropic ActivitiesNA167 Point StreetProvidenceRI02903050377502RI501(c)37
The Miriam Hospital
Health Care ServicesNA164 Summit AvenueProvidenceRI02906050258905RI501(c)33
Rhode Island Hospital Foundation
Philanthropic ActivitiesNA167 Point StreetProvidenceRI02903050468736RI501(c)37
Rhode Island Hospital
Health Care ServicesNA593 Eddy StreetProvidenceRI02903050258954RI501(c)33
NHCC Medical Associates
Health Care ServicesNA11 Friendship StreetNewportRI02840050472268RI501(c)311
Newport Hospital
Health Care ServicesNA11 Friendship StreetNewportRI02840050258914RI501(c)33
Newport Health Property Management Inc
Property ManagementNA11 Friendship StreetNewportRI02840222335539RI501(c)311
Newport Health Care Corporation
Holding Company / Mgmnt ServicesNA11 Friendship StreetNewportRI02840222535537RI501(c)37
Lifespan of Massachusetts Inc
Holding CompanyNAc/o EAPD 111 Huntington AvenueBostonMA02199043408517RI501(c) 311
Lifespan Foundation
Philanthropic ActivitiesNA167 Point StreetProvidenceRI02903050493219RI501(c)37
Lifespan Diversified Services
Holding Company / Mgmnt ServicesNA167 Point StreetProvidenceRI02903050258935RI501(c)311
Lifespan Corporation
Holding Company / Mgmnt ServicesNA167 Point StreetProvidenceRI02903222861978RI501(c)311
Hospital Properties Inc
Property ManagementNA593 Eddy StreetProvidenceRI02903222869743RI501(c)4
Emma Pendleton Bradley Hospital
Pediatric Psychiatric Health Care ServicesNA1011 Veterans Memorial ParkwayEast ProvidenceRI02915050258806RI501(c)33
Bradley Hospital Foundation
Philanthropic ActivitiesNA167 Point StreetProvidenceRI02903050500688RI501(c)37

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
VNA Technicare Inc
622 George Washington HighwayLincolnRI02865050472710DME SalesRINAC corp
Lifespan Risk Services Inc
167 Point StreetProvidenceRI02903050459767Risk MgmntRINAC corp
Lifespan MSO Inc
167 Point StreetProvidenceRI02903050508717Mgmnt ServicesRINAC corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg