BUTLER HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- BUTLER HOSPITAL (EIN 05-0258812)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-12
- IRS object ID
- 201112289349301821
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-12T14:19:44-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 BEATTIE PL STE 800 | AddressLine1 |
| City | GREENVILLE | City |
| State | SC | State |
| ZIP Code | 29601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050258812 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUTLER HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BUTL | NameControl |
| Phone | 4014556275 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 BLACKSTONE BOULEVARD | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02906 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BONNIE BAKER | Name |
| Title | VP Finance/CFO | Title |
| Date Signed | 2011-08-11 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8642425740 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Patricia Recupero | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 Blackstone Boulevard | AddressLine1 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02906 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 97876540 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.butler.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1844 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE TREATMENT OF PSYCHIATRIC ILLNESS IN AN ATMOSPHERE OF DIGNITY AND RESPECT AND TO CONTRIBUTE KNOWLEDGE THROUGH EDUCATION AND RESEARCH WHILE CONTINUOUSLY IMPROVING SERVICES TO PATIENTS AND THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1063 | TotalNbrEmployees |
| Total Nbr Volunteers | 150 | TotalNbrVolunteers |
| Total Gross UBI | 262790 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 203357 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1208240 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 734144 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 84983332 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 91304728 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 485224 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1185389 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 652786 | OtherRevenuePriorYear |
| Other Revenue Current Year | 754208 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 87329582 | TotalRevenuePriorYear |
| Total Revenue Current Year | 93978469 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 450000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 450000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 63525847 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 68010054 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 408237 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 20653935 | OtherExpensePriorYear |
| Other Expenses Current Year | 22758374 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 84629782 | TotalExpensesPriorYear |
| Total Expenses Current Year | 91218428 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2699800 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2760041 | RevenuesLessExpensesCY |
| Total Assets BOY | 74792923 | TotalAssetsBOY |
| Total Assets EOY | 76663287 | TotalAssetsEOY |
| Total Liabilities BOY | 37016766 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 36754343 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 37776157 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 39908944 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE TREATMENT OF PSYCHIATRIC ILLNESS IN AN ATMOSPHERE OF DIGNITY AND RESPECT AND TO CONTRIBUTE KNOWLEDGE THROUGH EDUCATION AND RESEARCH WHILE CONTINUOUSLY IMPROVING THE WAYS THE HOSPITAL SERVICES ITS PATIENTS AND THE COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 76755892 | Expense |
| Grants | 450000 | Grants |
| Revenue | 90336114 | Revenue |
| Description | BUTLER HOSPITAL OVERVIEW BUTLER HOSPITAL IS THE ONLY PRIVATE, NONPROFIT ADULT, ADOLESCENT AND CHILD PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITAL SERVING RHODE ISLAND AND SOUTHEASTERN NEW ENGLAND. FOUNDED IN 1844, IT WAS THE FIRST HOSPITAL IN RHODE ISLAND AND HAS EARNED A REPUTATION AS THE LEADING PROVIDER OF INNOVATIVE PSYCHIATRIC TREATMENTS. A MEMBER OF THE CARE NEW ENGLAND HEALTH SYSTEM AND AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, THE HOSPITAL IS ALSO RECOGNIZED WORLDWIDE AS A PIONEER IN CONDUCTING CUTTING-EDGE RESEARCH. PSYCHIATRIC TREATMENT PROGRAMS AND SERVICES BUTLER HOSPITAL PROVIDES ASSESSMENT AND TREATMENT FOR ALL MAJOR PSYCHIATRIC ILLNESSES AND SUBSTANCE ABUSE. ACUTE INPATIENT CARE IS PROVIDED ON SEVEN DISTINCT PATIENT CARE UNITS: ADDICTIONS, CHILDREN'S INTENSIVE TREATMENT, ADOLESCENT, ADULT INTENSIVE TREATMENT, TWO ADULT GENERAL TREATMENT UNITS, AND A UNIT FOR SENIORS WITH DEMENTIAS AND RELATED BEHAVIORAL PROBLEMS. IN ADDITION, THE HOSPITAL HAS A PARTIAL HOSPITAL DAY PROGRAM THAT ALLOWS PATIENTS TO RECEIVE INTENSIVE CARE DURING THE DAY AND TO RETURN TO THEIR HOMES AT NIGHT. HOSPITAL PROGRAMS AND SERVICES ALCOHOL AND DRUG TREATMENT ADOLESCENT CHILD AND ADOLESCENT INTENSIVE TREATMENT UNIT (CAITU) DEVELOPMENTAL DISABILITIES EATING DISORDERS ELECTROCONVULSIVE THERAPY INPATIENT TREATMENT PROGRAMS MEMORY DISORDERS MOOD DISORDERS MOVEMENT DISORDERS NEUROLOGY NEUROIMAGING CENTER NEUROPSYCHIATRY NEUROPSYCHOLOGY OBSESSIVE COMPULSIVE DISORDER ONLINE MENTAL HEALTH SCREENINGS PARTIAL HOSPITAL TREATMENT PROGRAMS PASTORAL CARE PATIENT ASSESSMENT SERVICES (PAS) PATIENT/FAMILY EDUCATION CENTER PATIENT SUPPORT GROUPS POST TRAUMATIC STRESS DISORDER PSYCHOLOGY PSYCHOLOGICAL ASSESSMENTS PSYCHOTIC DISORDERS SENIOR TREATMENT WOMEN'S DIALECTICAL BEHAVIOR THERAPY WOMEN'S PARTIAL HOSPITAL PROGRAM RESEARCH PHYSICIAN-SCIENTISTS AT BUTLER CONDUCT ONGOING RESEARCH THAT IS ADVANCING NEW DIAGNOSTIC CAPABILITIES AND INNOVATIVE TREATMENTS FOR SERIOUS MENTAL ILLNESSES, CURRENT RESEARCH PROJECTS ARE STUDYING THE FOLLOWING: DEPRESSION AND OTHER MOOD DISORDERS EXERCISE AND MENTAL HEALTH MARITAL AND FAMILY MENTAL HEALTH ALZHEIMER'S DISEASE AND RELATED MEMORY DISORDERS OBSESSIVE COMPULSIVE DISORDER ALCOHOL, DRUG, AND NICOTINE ADDICTIONS DEEP BRAIN STIMULATION (DBS) TRANSCRANIAL MAGNETIC STIMULATION (TMS) TEACHING PROGRAMS BROWN RESIDENCY TRAINING BROWN PSYCHOLOGY INTERNSHIPS BROWN MEDICAL SCHOOL CORE PSYCHIATRY SEMINARS BUTLER HOSPITAL/CCRI NURSING PROGRAM OCCUPATIONAL THERAPY INTERNSHIPS PHARMACY INTERNSHIPS PROFESSIONAL CONTINUING EDUCATION PROGRAMS PUBLIC INFORMATION PROGRAMS PROFESSIONAL LECTURE SERIES SOCIAL WORK INTERNSHIPS AND DOCTORAL PROGRAMS STATISTICS FY 2010: PATIENT ASSESSMENT EVALUATION: 9,316 INPATIENT DAYS: 54,296 INPATIENT DISCHARGES: 7,024 PARTIAL HOSPITAL DISCHARGES: 2,667 INPATIENT AVERAGE LENGTH OF STAY: 7.7 AMBULATORY VISITS: 15,853 UNCOMPENSATED PATIENT CARE: $4.8 MILLION | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 0 | 0 | 968614 | RENTAL INCOME |
| 0 | 0 | 1887 | EMPLOYEE PHARMACY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 970501 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 76755892 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | true | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 111 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1063 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BONNIE BAKER VP FINANCECFO | NamePerson |
| Telephone Number | 4014556275 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 BLACKSTONE BOULEVARD | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02906 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Charles R Reppucci | |||||||
| Chair | 4.0 | X | 0 | 0 | 0 | ||
| Allen H Cicchitelli | |||||||
| Vice Chair | 4.0 | X | 0 | 0 | 0 | ||
| Stanley M Aronson MD | |||||||
| Vice Chair | 3.0 | X | 0 | 0 | 0 | ||
| Robert G Padula | |||||||
| Treasurer | 3.0 | X | 0 | 0 | 0 | ||
| Dean T Holt | |||||||
| Assistant Treasurer | 2.0 | X | 0 | 0 | 0 | ||
| Kekin A Shah | |||||||
| Secretary | 2.0 | X | 0 | 0 | 0 | ||
| Phyllis C Field | |||||||
| Assistant Secretary | 3.0 | X | 0 | 0 | 0 | ||
| William J Allen | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Earl D Chambers | |||||||
| Trustee | 3.0 | X | 0 | 0 | 0 | ||
| Robert E DeBlois | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Margaret D Farrell | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Michael Follick PhD | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Rabbi Leslie Y Gutterman | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Dennis B Langley | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Diane Lipscombe PhD | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Lewis P Lipsitt PhD | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| John J McNamee | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Mary B Olenn | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Arthur S Robbins | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Gary R St Peter | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Michael Matone | |||||||
| Trustee | 2.0 | X | 0 | 0 | 0 | ||
| Patricia R Recupero MD JD | |||||||
| President/CEO | 60.0 | X | 826086 | 0 | 289694 | X | |
| Michael A Fiori MD | |||||||
| President, Medical Staff | 15.0 | X | 80665 | 0 | 1510 | X | |
| Bonnie Baker CPA | |||||||
| Vice President/CFO | 60.0 | 518068 | 0 | 116210 | X | ||
| Walter Dias | |||||||
| Vice President/COO | 60.0 | 475351 | 0 | 95288 | X | ||
| Linda Damon RN ARNP | |||||||
| Vice President/CNO | 60.0 | 289341 | 0 | 82748 | X | ||
| Steven Rasmussen MD | |||||||
| Medical Director | 60.0 | 484222 | 0 | 81551 | X | ||
| Lawrence Price MD | |||||||
| Clinical Director | 60.0 | 379885 | 0 | 20162 | X | ||
| Julie Forrest MD | |||||||
| Psychiatrist | 60.0 | 337736 | 0 | 2230 | X | ||
| Alvaro Olivares MD | |||||||
| Unit Chief | 60.0 | 310757 | 0 | 21268 | X | ||
| Ghulam Surti MD | |||||||
| Unit Chief | 60.0 | 304254 | 0 | 17465 | X | ||
| Dawn Picotte MD | |||||||
| Psychiatrist | 60.0 | 293485 | 0 | 19143 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4299850 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 747269 | TotalOtherCompensation |
| Number Individuals GT100 K | 104 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Brown University | |||||
| 24 Charlesfied St Box T | PROVIDENCE | RI | 02912 | PROG ADMIN & GRANT | 1913984 |
| Quest Diagnostics Incorporated | |||||
| 12436 Collections Center Dr | CHICAGO | IL | 60693 | Lab Services | 304106 |
| Sodexo Inc Affiliates | |||||
| PO Box 18049 | WOBURN | MA | 01813 | CONTRACT FOOD SVCS | 297338 |
| Miriam Hospital | |||||
| 164 Summit Avenue | PROVIDENCE | RI | 02906 | MEDICAL & LAB SVCS | 269508 |
| Warzycha Construction Co Inc | |||||
| 51 Enfield Street | PAWTUCKET | RI | 02861 | Construction SVCS | 266868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
| Federated Campaigns | 16321 | FederatedCampaigns |
| Membership Dues | 7474 | MembershipDues |
| Fundraising Events | 76934 | FundraisingEvents |
| Government Grants | 98772 | GovernmentGrants |
| All Other Contributions | 534643 | AllOtherContributions |
| Noncash Contributions | 14721 | NoncashContributions |
| Total Contributions | 734144 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT REVENUE | 900099 | 63737786 | 63737786 |
| OTHER PATIENT CARE | 900099 | 13911279 | 13911279 |
| RENTAL INCOME OR (LOSS) | 531120 | 968614 | 968614 |
| RESEARCH REVENUE | 541900 | 12687049 | 12687049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 91304728 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1020168 | TotalRevenueColumn |
| Exclusion | $1,020,168 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 797436 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 540119 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 257317 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 257317 | TotalRevenueColumn |
| Unrelated Business Revenue | 257317 | UnrelatedBusinessRevenue |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3296665 | Securities |
| Other | 181453 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3312897 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -16232 | Securities |
| Other | 181453 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 165221 | TotalRevenueColumn |
| Exclusion | $165,221 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 39585 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 76934 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 45055 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5470 | TotalRevenueColumn |
| Exclusion | -$5,470 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA SALES | 722210 | 417564 | $417,564 | |
| GIFT SHOP SALES | 453220 | 76695 | $76,695 | |
| VENDOR SALES | 900099 | 6215 | $742 | 5473 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1887 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1887 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 502361 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 93978469 | TotalRevenueColumn |
| Related Or Exempt Function Income | 91306615 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 262790 | UnrelatedBusinessRevenue |
| Exclusion | $1,674,920 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450000 | Total |
| Program Services | 450000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3340734 | Total |
| Program Services | 1020037 | ProgramServices |
| Management And General | 2320697 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51309628 | Total |
| Program Services | 45908870 | ProgramServices |
| Management And General | 5097534 | ManagementAndGeneral |
| Fundraising | 303224 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1510811 | Total |
| Program Services | 1356690 | ProgramServices |
| Management And General | 146061 | ManagementAndGeneral |
| Fundraising | 8060 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8321071 | Total |
| Program Services | 7472218 | ProgramServices |
| Management And General | 804460 | ManagementAndGeneral |
| Fundraising | 44393 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3527810 | Total |
| Program Services | 3167929 | ProgramServices |
| Management And General | 341060 | ManagementAndGeneral |
| Fundraising | 18821 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 323968 | Total |
| Program Services | 217059 | ProgramServices |
| Management And General | 106909 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 266169 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 266169 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31645 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 31645 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7743 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 7743 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155202 | Total |
| Program Services | 831 | ProgramServices |
| Management And General | 154371 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 400869 | Total |
| Program Services | 221958 | ProgramServices |
| Management And General | 172611 | ManagementAndGeneral |
| Fundraising | 6300 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1651973 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1651973 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61425 | Total |
| Program Services | 61425 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47242 | Total |
| Program Services | 33716 | ProgramServices |
| Management And General | 12835 | ManagementAndGeneral |
| Fundraising | 691 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179412 | Total |
| Program Services | 122383 | ProgramServices |
| Management And General | 57029 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2683861 | Total |
| Program Services | 2080053 | ProgramServices |
| Management And General | 603808 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1849475 | Total |
| Program Services | 1506916 | ProgramServices |
| Management And General | 342559 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| RESEARCH | 4485066 | 4485066 | 0 | 0 |
| PURCHASED SERVICES | 2155771 | 1180989 | 974782 | 0 |
| BAD DEBT EXPENSE | 1826396 | 1826396 | 0 | 0 |
| MEDICAL SUPPLIES AND DRUGS | 1550853 | 1550853 | 0 | 0 |
| FOOD COSTS | 1037861 | 695367 | 342494 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4043443 | Total |
| Program Services | 3397136 | ProgramServices |
| Management And General | 619559 | ManagementAndGeneral |
| Fundraising | 26748 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91218428 | Total |
| Program Services | 76755892 | ProgramServices |
| Management And General | 14054299 | ManagementAndGeneral |
| Fundraising | 408237 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35465 | BOY |
| EOY | 9737 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19809104 | BOY |
| EOY | 19394506 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1450133 | BOY |
| EOY | 1444420 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5375115 | BOY |
| EOY | 6040850 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 218603 | BOY |
| EOY | 246448 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3559374 | BOY |
| EOY | 3812567 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 63214187 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 41041443 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22447526 | BOY |
| EOY | 22172744 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17203268 | BOY |
| EOY | 19488986 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2815386 | BOY |
| EOY | 2454147 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1878949 | BOY |
| EOY | 1598882 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74792923 | BOY |
| EOY | 76663287 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16623337 | BOY |
| EOY | 15218368 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87131 | BOY |
| EOY | 246142 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4633668 | BOY |
| EOY | 4499169 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5668882 | BOY |
| EOY | 5527234 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10003748 | BOY |
| EOY | 11263430 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37016766 | BOY |
| EOY | 36754343 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19347270 | BOY |
| EOY | 20287343 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16088520 | BOY |
| EOY | 17198544 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2340367 | BOY |
| EOY | 2423057 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37776157 | BOY |
| EOY | 39908944 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74792923 | BOY |
| EOY | 76663287 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $7,743 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 7743 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITY EXPLANATION | Identifier |
| Return Reference | FORM 990, SCHEDULE C, PART II-B, LINE 1I, OTHER ACTIVITIES | ReturnReference |
| Explanation | THE HOSPITAL PAID $3,491 TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AS THE PORTION OF MEMBERSHIP DUES ALLOCATED TO LOBBYING. THE AHA PROVIDES BOTH ADVOCACY AND REPRESENTATION FOR ITS MEMBERS. AHA'S ADVOCACY IS GENERALLY ABOUT HOSPITALS AS THE CORNERSTONE OF THE COMMUNITY, PROTECTING THE HEALTH CARE SAFETY NET AND IMPROVING CARE, AFFORDABILITY AND COVERAGE. THE AHA'S ADVOCACY AGENDA CAN BE VIEWED AT THEIR WEBSITE: WWW.AHA.ORG THE HOSPITAL PAID $2,625 TO THE NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS (NAPHS) AS THE PORTION OF MEMBERSHIP DUES ALLOCATED TO LOBBYING. THE NAPHS PROVIDES BOTH ADVOCACY AND REPRESENTATION FOR ITS MEMBERS. THE NAPHS ADVOCATES FOR BEHAVIORAL HEALTH AND REPRESENTS PROVIDER SYSTEMS THAT ARE COMMITTED TO THE DELIVERY OF RESPONSIVE, ACCOUNTABLE, AND CLINICALLY EFFECTIVE TREATMENT AND PREVENTION PROGRAMS FOR CHILDREN, ADOLESCENTS, ADULTS, AND OLDER ADULTS WITH MENTAL AND SUBSTANCE ABUSE DISORDERS. THE NAPHS'S ADVOCACY AGENDA CAN BE VIEWED AT THEIR WEBSITE: WWW.NAPHS.ORG THE HOSPITAL PAID $1,627 TO THE RI COUNCIL OF COMMUNITY MENTAL HEALTH ORGANIZATIONS, INC (RICCMHO) AS THE PORTION OF MEMBERSHIP DUES ALLOCATED TO LOBBYING. THE RICCMHO PROVIDES ADVOCACY & REPRESENTATION TO ITS MEMBERS. THE PURPOSE OF RICCMHO'S ADVOCACY IS TO BROADEN THE BASE OF MENTAL HEALTH AMBASSADORS IN THE RHODE ISLAND COMMUNITY. RICCMHO'S ADVOCACY AGENDA CAN BE VIEWED AT THEIR WEBSITE: WWW.RICCMHO.ORG | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Collect Used For Preservation | X | CollectUsedForPreservation |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 17008598 | BeginningOfYearBalance |
| Contributions | 225771 | Contributions |
| Investment Earnings Or Losses | 1775372 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 756932 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 18252809 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 18436605 | BeginningOfYearBalance |
| Contributions | 192208 | Contributions |
| Investment Earnings Or Losses | -816844 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 803371 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 17008598 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.20230 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.12020 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.67750 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 4132336 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 40193985 | OtherCostOrOtherBasis |
| Depreciation | 27985233 | Depreciation |
| Book Value | 16341088 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 154202 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 15046664 | OtherCostOrOtherBasis |
| Depreciation | 10902054 | Depreciation |
| Book Value | 4298812 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 309738 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 3377262 | OtherCostOrOtherBasis |
| Depreciation | 2154156 | Depreciation |
| Book Value | 1532844 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22172744 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 25000 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Interest | $985 |
| OTHER LIABILITIES | $1,830,686 |
| Pension Liability | $7,846,648 |
| Asset Retirement Obligation | $674,141 |
| Due to Affiliates | $885,970 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11263430 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | WORKS OF ART | Identifier |
| Explanation | FORM 990, SCHEDULE D, PART III, LINE 1A BUTLER HOSPITAL HOLDS VARIOUS WORKS OF ART THAT WERE DONATED TO THE ORGANIZATION IN THE EARLY TO MID-1900'S. AT THE TIME OF THE DONATION, THE WORKS OF ART WERE ADDED TO THE HOSPITAL'S COLLECTIONS AND WERE HELD FOR PUBLIC EXHIBITION AND FOR PRESERVATION FOR FUTURE GENERATIONS. IN ACCORDANCE WITH STATEMENT OF FINANCIAL ACCOUNTING STANDARDS NO. 116, ACCOUNTING FOR CONTRIBUTIONS RECEIVED AND CONTRIBUTIONS MADE, THE HOSPITAL DOES NOT RECOGNIZE OR CAPITALIZE ITS COLLECTIONS FOR FINANCIAL STATEMENT PURPOSES. THE VALUE OF THE HOSPITAL'S COLLECTIONS IS NOT CONSIDERED MATERIAL TO THE HOSPITAL'S FINANCIAL STATEMENTS, THEREFORE THE EXISTENCE OF THESE COLLECTIONS IS NOT SEPARATELY DISCLOSED IN THE FOOTNOTES TO THE HOSPITAL'S FINANCIAL STATEMENTS. IN FISCAL 2009, THE HOSPITAL'S TRUSTEES VOTED TO SELL TWO OF THE HOSPITAL'S WORKS OF ART. THESE TWO WORKS OF ART REPRESENTED APPROXIMATELY 90 PERCENT OF THE VALUE OF THE HOSPITAL'S COLLECTION. IN APRIL, 2009, THE HOSPITAL ENTERED INTO A MEMORANDUM OF UNDERSTANDING TO SELL THESE TWO WORKS OF ART TO A NEW YORK GALLERY FOR $500,000. IN JANUARY 2010, THE SALE OF THE FIRST WORK OF ART WAS COMPLETED, RESULTING IN $181,453 GAIN ON SALE OF ASSETS INCLUDED IN FORM 990, PART VIII, LINE 7. ALSO IN FISCAL 2010, THE HOSPITAL RECEIVED $200,000 FROM THIS GALLERY AS A DEPOSIT TOWARDS THE SECOND WORK OF ART. THE REFUNDABLE DEPOSIT WAS RECORDED AS DEFERRED REVENUE IN THE HOSPITAL'S BALANCE SHEET AS OF SEPTEMBER 30, 2010. THE REMAINING BALANCE THAT IS DUE FROM THE GALLERY TOWARDS THE PURCHASE OF THE SECOND WORK OF ART WAS RECEIVED IN OCTOBER, 2010. WORKS OF ART FORM 990, SCHEDULE D, PART III, LINE 4 BUTLER HOSPITAL HOLDS VARIOUS WORKS OF ART THAT WERE DONATED TO THE ORGANIZATION IN THE EARLY TO MID-1900'S. THE WORKS OF ART INCLUDE WATERCOLORS ON PAPER AND OILS ON CANVAS BY VARIOUS ARTISTS. THE COLLECTION ALSO INCLUDES A SIMON WILLARD CLOCK. THE DONATED ITEMS WERE ADDED TO THE HOSPITAL'S COLLECTIONS AND ARE HELD FOR CHARITABLE PURPOSES, FURTHERING THE ORGANIZATION'S EXEMPT PURPOSES. THE MOST SIGNIFICANT USES OF THE HOSPITAL'S COLLECTIONS ARE PUBLIC EXHIBITION AND THE PRESERVATION FOR FUTURE GENERATIONS. MANY OF THE OILS ON CANVAS ARE PORTRAITS OF THE ORIGINAL FOUNDERS OF THE HOSPITAL AND ARE THEREFORE, ALSO HISTORICALLY RELEVANT TO THE ORGANIZATION. INTENDED USE OF ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V, LINE 4 THE HOSPITAL'S ENDOWMENTS CONSIST OF NUMEROUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THESE PURPOSES INCLUDE GENERAL PURPOSES, HEALTHCARE SERVICES, HEALTHCARE RESEARCH, INDIGENT CARE, HEALTH AND EDUCATION AND MAINTENANCE OF PROPERTY AND EQUIPMENT. FIN 48/ASC 740 FORM 990, SCHEDULE D, PART X, LINE 2 CARE NEW ENGLAND HEALTH SYSTEM'S (CNE'S) FINANCIAL STATEMENTS DO NOT CONTAIN FOOTNOTE DISCLOSURE RELATED TO LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48/ASC 740. CNE COMPLETED AN ASSESSMENT OF THE ESTIMATED LIABILITY FOR UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2010 AND CONCLUDED THAT THE ESTIMATED LIABILITY WAS NOT MATERIAL TO CNE'S FINANCIAL STATEMENTS. | Explanation |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | true | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | North America | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | RSRCH STUDY CONSULTING | SpecificServicesProvided |
| Total Expenditures | 10000 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Total Amount Spent | 10000 | TotalAmountSpent |
Form990 Schedule F Part IV Form990ScheduleFPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS OUTSIDE THE US | Identifier |
| Return Reference | FORM 990, SCHEDULE F, PART I, LINE 2 | ReturnReference |
| Explanation | THE HOSPITAL OBTAINS AN INDEPENDENT CONTRACTOR AGREEMENT FOR ALL CONSULTANTS WORKING ON RESEARCH STUDIES. THE INDEPENDENT CONTRACTOR AGREEMENT DESCRIBES WORK TO BE PERFORMED BY THE CONSULTANT AND THE PAYMENT TERMS. THE PRINCIPAL INVESTIGATOR OF THE STUDY, A BUTLER HOSPITAL EMPLOYEE, MONITORS THE WORK PERFORMED BY THE CONSULTANT PER THE TERMS OF THE INDEPENDENT CONTRACTOR AGREEMENT. UPON SATISFACTORY COMPLETION OF THE WORK PERFORMED, THE PRINCIPAL INVESTIGATOR APPROVES PAYMENT TO THE CONSULTANT BY GENERATING A REQUEST FOR PAYMENT AND SUBMITTING THE REQUEST TO THE ACCOUNTS PAYABLE DEPARTMENT OF THE HOSPITAL. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 100350 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 66345 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 34005 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 0 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 12164 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 10090 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 8903 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 0 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 3309 | OtherDirectExpensesEvent1 |
| Name Of Event2 | SILENT AUCTION | NameOfEvent2 |
| Gross Receipts Event2 | 16169 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 10589 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 5580 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 0 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 0 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 0 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 0 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 0 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 10589 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 0 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 0 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 0 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 0 | CashPrizesOtherEvents |
| Non Cash Prizes Other Events | 0 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 0 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 0 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 0 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 0 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 116519 | GrossReceiptsTotal |
| Charitable Contributions Total | 76934 | CharitableContributionsTotal |
| Gross Revenue Total Events | 39585 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 0 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 12164 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 10090 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 8903 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 0 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 13898 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 45055 | DirectExpenseSummaryEvents |
| Net Income Summary | -5470 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1407660 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8828 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1398832 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01560 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1407660 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8828 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1398832 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01560 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 314475 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 314475 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2502491 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 736802 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1765689 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01980 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10104410 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7308261 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2796149 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03130 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13460566 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11465394 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1995172 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02230 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5667 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1185 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4482 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26387609 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19511642 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6875967 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07700 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27795269 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19520470 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8274799 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09260 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,037,290 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 13239187 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16322506 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3083319 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUTLER HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 BLACKSTONE BOULEVARD | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02906 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | IF APPLICABLE, DESCRIBE THE INCOME-BASED CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. N/A - BUTLER HOSPITAL USES THE FPG TO DETERMINE ELIGIBILITY FOR FREE CARE. | IncomeBasedCriteria |
| Annual Community Benefit Expln | NOT APPLICABLE - BUTLER HOSPITAL DOES NOT PREPARE AN ANNUAL COMMUNITY BENEFIT REPORT. | AnnualCommunityBenefitExpln |
| Costing Method Used | PROVIDE AN EXPLANATION OF THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. WORKSHEET 2, "RATIO OF PATIENT CARE COST-TO-CHARGES" WAS USED TO COMPLETE THE COST-TO-CHARGE RATIO USED IN PART 1, LINE 7. THE SOURCE OF WORKSHEET 2 WAS THE MEDICARE COST REPORT FOR FY 2010, ADJUSTED FOR CERTAIN COSTS WHICH ARE PARTICULAR TO MEDICARE COST REPORTING, I.E., REMOVING THE REASONABLE COST EQUIVALENT FOR PHYSICIAN SERVICES IN WORKSHEET A-8-2, REMOVING THE RELATED PARTY COSTS (OTHER THAN HOME OFFICE), ALLOWING THE FULL PENSION EXPENSE, ETC. | CostingMethodUsed |
| Subsidized Health Services Expln | IF APPLICABLE, DESCRIBE WHETHER THE ORGANIZATION INCLUDED AS SUBSIDIZED HEALTH SERVICES ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC, AND REPORT SUCH COSTS THE ORGANIZATION INCLUDED. BUTLER HOSPITAL INCLUDED SHORTFALLS FROM DIRECT PROGRAMS COSTS AND ALLOCATED OVERHEAD, LESS ANY REIMBURSEMENT, FOR PHYSICIAN SERVICES AND OUTPATIENT CLINICS. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | IF APPLICABLE, ENTER THE BAD DEBT EXPENSE INCLUDED ON FORM 990, IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. $1,826,396. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A BAD DEBT EXPENSE FOOTNOTE. LINE 4 - (A) PROVIDE THE RATIONALE AND THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 2 AND 3. SAME AS ANSWER ABOVE FOR PART 1, LINE 7 ABOVE. LINE 4 - (B) DESCRIBE HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSES. WHILE A PATIENT'S INDIVIDUAL FINANCIAL CIRCUMSTANCES MAY RESULT IN SOME OR ALL OF THE SERVICES RENDERED BEING CHARGED OFF AS FREE SERVICE, ANY REMAINING BALANCE WHICH THE HOSPITAL DETERMINES THE PATIENT IS CAPABLE OF PAYING IS DUE IN FULL. A COMMUNITY BENEFIT DISCOUNT IS OFFERED FOR UNINSURED PATIENTS, AS WELL AS PROMPT PAY OR ADVANCE PAY DISCOUNTS. ALL PAYMENT RECEIVED ARE APPLIED TO PATIENT'S ACCOUNTS. THE ACCOUNT BECOMES BAD DEBT WHEN ALL EFFORTS TO COLLECT HAVE BEEN EXHAUSTED. THE HOSPITAL USES ANY AND ALL ACTIONS THAT ARE AVAILABLE TO THEM UNDER STATE AND FEDERAL REGULATIONS TO COLLECT THE AMOUNTS OWED BY THE PATIENTS. THIS MIGHT INCLUDE, BUT NOT BE LIMITED TO, THE USE OF OUTSIDE COLLECTION AGENCIES AND COLLECTION ATTORNEYS. THE TOTAL BAD DEBT EXPENSE FOR FY 2010 WAS DETERMINED PER GAAP ALLOWANCE METHOD WHEREIN AN ESTIMATE IS MADE FOR BAD DEBT EXPENSE BY WAY OF A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLES (ALLOWANCE FOR DOUBTFUL ACCOUNTS) BASED ON HISTORIC COLLECTION EXPERIENCE. LINE 4 - (C) DESCRIBE THE METHOD THE ORGANIZATION USES TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. SUFFICIENT INFORMATION IS NOT AVAILABLE TO MAKE THIS DETERMINATION. HOWEVER, IT IS LIKELY THAT A SIGNIFICANT PORTION OF OUR BAD DEBT WOULD QUALIFY FOR CHARITY CARE. LINE 4 - (D) DESCRIBE THE RATIONALE, IF ANY, FOR INCLUDING ANY PORTION OF BAD DEBT AS COMMUNITY BENEFIT. N/A | BadDebtFootnote |
| Shortfall As Community Benefit | LINE 8 -(A) DESCRIBE THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATIONS' MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6. THE INPATIENT MEDICARE ALLOWABLE COSTS WERE DETERMINED FROM THE SUBMITTED FY 2010 MEDICARE COST REPORT, WORKSHEET D-1, LINE 49, LESS PARA-MED COSTS, WHICH ARE INCLUDED IN PART 1, LINE 7(F). WORKSHEET D-1, LINE 49, DOES NOT INCLUDE DIRECT GME COSTS. THE OUTPATIENT ALLOWABLE COSTS COME FROM WORKSHEET E, PART B. (B) BUTLER HOSPITAL IS A TAX-EXEMPT, CHARITABLE ORGANIZATION WHICH LOOKS TO SERVE THEIR VARIOUS PATIENT POPULATIONS AND IMPROVE THEIR HEALTH STATUS. BUTLER PROVIDES ESSENTIAL SERVICES TO THEIR PATIENTS REGARDLESS OF THE PATIENT'S ABILITY TO PAY OR THEIR PARTICULAR HEALTH CARE COVERAGE. THE MEDICARE PATIENTS IN OUR COMMUNITY DEPEND ON BUTLER HOSPITAL TO SERVE THEIR MEDICAL NEEDS REGARDLESS OF WHETHER THE MEDICARE PROGRAM COVERS THE COST OF PROVIDING SUCH SERVICE. SINCE BUTLER HOSPITAL CONSTANTLY WORKS TO OPERATE AS COST EFFICIENT AS POSSIBLE, WE FEEL STRONGLY THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | IF THE ORGANIZATION HAS A WRITTEN BAD DEBT COLLECTION POLICY AND ANSWERED "YES" TO PART III, LINE 9B, DESCRIBE THE COLLECTION PRACTICES SET FORTH IN THE POLICY THAT APPLY TO PATIENTS WHO IT KNOWS QUALIFY FOR FINANCIAL ASSISTANCE, WHETHER OR NOT SUCH PRACTICES APPLY SPECIFICALLY TO SUCH PATIENTS OR MORE BROADLY TO ALSO COVER OTHER TYPES OF PATIENTS. BUTLER HOSPITAL DOES NOT PURSUE COLLECTION FOR THOSE PATIENTS WHO QUALIFY FOR 100% FINANCIAL ASSISTANCE, BUT OUR NORMAL COLLECTION POLICY WOULD APPLY FOR PATIENTS RECEIVING PARTIAL FINANCIAL ASSISTANCE (DISCOUNTED BY REASON OF INCOME/ASSETS ON THE FPG BETWEEN 200% AND 300%) OR EXTREME MEDICAL EXPENSES. | DebtCollectionPolicy |
| Number Of Facility Type Expln | NOT APPLICABLE | NumberOfFacilityTypeExpln |
| Needs Assessment | PART VI, LINE 2: ALL COMMUNITY BENEFIT PROGRAMS UNDERTAKEN BY THE HOSPITAL ARE ALIGNED WITH THE MISSION OF THE HOSPITAL: TO IMPROVE THE HEALTH STATUS AND WELL-BEING OF INDIVIDUALS AND FAMILIES IN ITS SERVICE AREA. RECOGNIZING THAT COMMUNITY NEEDS MAY OUTPACE RESOURCES, THE HOSPITAL CONTINUALLY REVIEWS AND EVALUATES CURRENT AND PROPOSED PROGRAMS TO ENSURE THAT PROGRAMS OFFERING THE MOST BENEFIT WILL CONTINUE TO BE SUPPORTED BY THE HOSPITAL. THE HOSPITAL ALIGNS ITS COMMUNITY PROGRAMS IN SUPPORT OF THE RHODE ISLAND DEPARTMENT OF HEALTH HEALTHY PEOPLE 2010 INITIATIVES: OBJECTIVE 1: PHYSICAL ACTIVITY OBJECTIVE 3: TOBACCO OBJECTIVE 4: SUBSTANCE ABUSE OBJECTIVE 6: MENTAL HEALTH | NeedsAssessment |
| Patient Education Assistance | PART VI, LINE 3: A NOTICE OF FINANCIAL AID APPEARS ON ALL STATEMENTS SENT TO PATIENTS. ALSO, IT IS PROMINENTLY POSTED IN THE PATIENT ASSESSMENT DEPARTMENT, ADMISSION AREAS, OUTPATIENT CARE AREAS AND ON OUR WEB SITE. ALSO, THE NOTICE IS AVAILABLE IN THE THREE MOST COMMON LANGUAGES USED BY OUR PATIENT POPULATION IN ACCORDANCE WITH THE APPLICABLE "STANDARDS FOR CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES IN HEALTH CARE" (STANDARDS 4 & 7, BASED ON TITLE VI OF THE CIVIL RIGHTS ACT OF 1964) | PatientEducationAssistance |
| Community Information | PART VI, LINE 4: 2010 DEMOGRAPHIC SNAPSHOT OF RHODE ISLAND LEVEL OF GEOGRAPH: ZIP CODE DEMOGRAPHIC CHARACTERISTICS: RHODE ISLAND USA ------------ ----------- TOTAL POPULATION IN 2000 1,048,319 281,421,906 TOTAL POPULATION IN 2010 1,045,594 309,038,974 TOTAL POPULATION IN 2015 1,033,488 321,675,005 % CHANGE -1.2% 4.1% AVERAGE HOUSEHOLD INCOME $72,584 $71,071 % 2010 2015 CHANGE ------- ------- ------ TOTAL MALE POPULATION 506,414 501,119 -1.0% TOTAL FEMAL POPULATION 539,180 532,369 -1.3% FEMALES, CHILD BEARING AGE (15-44) 213,087 200,034 -6.1% % UNEMPLOYMENT 7.0% %USA UNEMPLOYMENT 8.4% POPULATION DISTRIBUTION AGE DISTRIBUTION -------------------------------------------- USA % OF % OF % OF 2010 TOTAL 2015 TOTAL TOTAL ------- ----- ------- ----- ----- 0-14 183,763 17.6% 177,791 17.2% 20.1% 15-17 42,457 4.1% 38,533 3.7% 4.2% 18-24 110,814 10.6% 105,712 10.2% 9.7% 25-34 130,402 12.5% 130,835 12.7% 13.3% 35-54 301,632 28.8% 276,737 26.8% 28.1% 55-64 125,925 12.0% 140,093 13.6% 11.5% 65+ 150,601 14.4% 163,787 15.8% 13.2% _________ ______ _________ ______ ______ TOTAL 1,045,594 100.0% 1,033,488 100.0% 100.0% ========= ====== ========= ====== ====== HOUSEHOLD INCOME DISTRIBUTION INCOME DISTRIBUTION ---------------------------- USA % OF % OF HH COUNT TOTAL TOTAL ------- ----- ----- <$15K 52,347 12.8% 12.1% $15 - 25K 41,348 10.1% 10.2% $25 - 50K 92,574 22.6% 25.5% $50 - 75K 77,426 18.9% 19.5% $75 - 100K 57,253 14.0% 12.5% OVER 100K 88,625 21.6% 20.1% _______ ______ ______ 409,573 100.0% 100.0% ======= ====== ====== EDUCATION LEVEL EDUCATION LEVEL DISTRIBUTION ---------------------------- USA POP % OF % OF AGE 25+ TOTAL TOTAL ------ ----- ----- LESS THAN HIGH SCHOOL 49,578 7.0% 6.4% SOME HIGH SCHOOL 68,264 9.6% 8.9% HIGH SCHOOL DEGREE 200,741 28.3% 29.0% SOME COLLEGE/ASSOC. DEGREE 178,038 25.1% 28.2% BACHELOR'S DEGREE OR GREATER 211,939 29.9% 27.5% _________ ______ ______ TOTAL 708,560 100.0% 100.0% ========= ====== ====== RACE/ETHNICITY RACE/ETHICITY DISTRIBUTION ---------------------------- USA 2010 % OF % OF POPULATION TOTAL TOTAL ---------- ----- ----- WHITE NON-HISPANIC 808,098 77.3% 64.7% BLACK NON-HISPANIC 47,627 4.6% 12.1% HISPANIC 124,842 11.9% 15.8% ASIAN & PACIFIC IS NON-HISPANIC 27,288 2.6% 4.5% ALL OTHERS 37,739 3.6% 2.9% _________ ______ ______ TOTAL 1,045,594 100.0% 100.0% ========= ====== ====== 2010 DEMOGRAPHIC SNAPSHOT OF SOUTHEAST MA COUNTIES LEVEL OF GEOGRAPH: ZIP CODE DEMOGRAPHIC CHARACTERISTICS: SE MA COUNTIES USA ------------ ------------ TOTAL POPULATION IN 2000 1,229,681 281,421,906 TOTAL POPULATION IN 2010 1,260,246 309,038,974 TOTAL POPULATION IN 2015 1,263,124 321,675,005 % CHANGE 0 .2% 4.1% AVERAGE HOUSEHOLD INCOME $79,516 $71,071 % 2010 2015 CHANGE ------- ------- ------ TOTAL MALE POPULATION 609,294 611,170 0.3% TOTAL FEMAL POPULATION 650,952 651,954 0.2% FEMALES, CHILD BEARING AGE (15-44) 243,821 232,255 -4.7% % UNEMPLOYMENT 6.3% %USA UNEMPLOYMENT 6.4% POPULATION DISTRIBUTION AGE DISTRIBUTION -------------------------------------------- USA % OF % OF % OF 2010 TOTAL 2015 TOTAL TOTAL ------- ----- ------- ----- ----- 0-14 222,942 17.6% 214,436 17.0% 20.1% 15-17 53,977 4.3% 50,252 4.0% 4.2% 18-24 111,667 8.9% 116,200 9.2% 9.7% 25-34 152,128 12.1% 151,524 12.0% 13.3% 35-54 363,378 28.8% 334,503 26.5% 28.1% 55-64 158,282 12.6% 173,374 13.7% 11.5% 65+ 197,872 15.7% 222,835 17.6% 13.2% ________ ______ _________ ______ ______ TOTAL 1,260,246 100.0% 1,263,124 100.0% 100.0% ========= ====== ========= ====== ====== HOUSEHOLD INCOME DISTRIBUTION INCOME DISTRIBUTION ---------------------------- USA % OF % OF HH COUNT TOTAL TOTAL ------- ----- ----- <$15K 50,007 10.3% 12.1% $15 - 25K 43,639 9.0% 10.2% $25 - 50K 100,431 20.7% 25.5% $50 - 75K 91,612 18.9% 19.5% $75 - 100K 73,301 15.1% 12.5% OVER 100K 125,747 25.9% 20.1% _______ ______ ______ 484,737 100.0% 100.0% ======= ====== ====== EDUCATION LEVEL EDUCATION LEVEL DISTRIBUTION ---------------------------- USA POP % OF % OF AGE 25+ TOTAL TOTAL ------ ----- ----- LESS THAN HIGH SCHOOL 45,716 5.2% 6.4% SOME HIGH SCHOOL 65,748 7.5% 8.9% HIGH SCHOOL DEGREE 260,441 29.9% 29.0% SOME COLLEGE/ASSOC. DEGREE 237,447 27.2% 28.2% BACHELOR'S DEGREE OR GREATER 262,308 30.1% 27.5% _________ ______ ______ TOTAL 871,660 100.0% 100.0% ========= ====== ====== RACE/ETHNICITY RACE/ETHICITY DISTRIBUTION ---------------------------- USA 2010 % OF % OF POPULATION TOTAL TOTAL ---------- ----- ----- WHITE NON-HISPANIC 1,087,342 86.3% 64.7% BLACK NON-HISPANIC 47,035 3.7% 12.1% HISPANIC 47,728 3.8% 15.8% ASIAN & PACIFIC IS NON-HISPANIC 17,521 1.4% 4.5% ALL OTHERS 60,620 4.8% 2.9% _________ ______ ______ TOTAL 1,260,246 100.0% 100.0% ========= ====== ====== | CommunityInformation |
| Community Building Activities | NOT APPLICABLE | CommunityBuildingActivities |
| Other Information | PART VI, LINE 6: BUTLER HOSPITAL IS A MEMBER OF CARE NEW ENGLAND HEALTH SYSTEM & AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. OUR MEDICAL STAFF IS COMPRISED OF APPROXIMATELY 100 PHYSICIANS. OUR BOARD OF TRUSTEES IS A COMMUNITY BOARD COMPRISED OF COMMUNITY LEADERS, BUSINESSMEN AND WOMEN AND OTHERS THROUGHOUT THE STATE. IN ADDITION, 200 MEMBERS OF THE COMMUNITY ARE MEMBERS OF THE HOSPITAL'S CORPORATION, ALL OF WHOM REPRESENT THE HOSPITAL AND ITS MISSION STATEWIDE. SURPLUS FUNDS FOR BUTLER HOSPITAL ARE REINVESTED AND USED IN CARRYING OUT THE MISSION OF PATIENT CARE AND RESEARCH. THE ORGANIZATION PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES THROUGH THE FOLLOWING INITIATIVES. PROGRAMS ALIGNED WITH HEALTHY PEOPLE 2010 BUTLER HOSPITAL HAS PROGRAMS THAT ADDRESS THE FOLLOWING COMMUNITY INITIATIVES SET BY THE RHODE ISLAND DEPARTMENT OF HEALTH HEALTHY PEOPLE 2010: OBJECTIVE 1: PHYSICAL ACTIVITY OBJECTIVE 3: TOBACCO OBJECTIVE 4: SUBSTANCE ABUSE OBJECTIVE 6: MENTAL HEALTH UNCOMPENSATED CARE BUTLER HOSPITAL PROVIDES UNCOMPENSATED CARE TO PEOPLE IN THE COMMUNITY IN NEED OF SPECIALIZED PSYCHIATRIC SERVICES. COMMUNITY PARTNERSHIPS THE HOSPITAL IS ENGAGED WITH THE FOLLOWING ORGANIZATIONS IN A VARIETY OF WAYS INCLUDING SUPPORTING COMMUNITY EDUCATION AND AWARENESS PROGRAMS, PROVIDING MEETING AND CONFERENCE AND OFFICE SPACE, AND PARTICIPATION ON VARIOUS BOARDS AND COMMITTEES WORKING TO IMPROVE THE HEALTH OF THE COMMUNITY. AL ANON ALCOHOLICS ANONYMOUS ALPERT SCHOOL OF MEDICINE OF BROWN UNIVERSITY ALZHEIMER'S ASSOCIATION OF AMERICA AMERICAN PARKINSON'S DISEASE ASSOCIATION BLACKSTONE PARKS CONSERVANCY DEPARTMENT OF HEALTH DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES (DCYF) GAMBLERS ANONYMOUS IVY LEAGUE PSYCHIATRIC HOSPITALS MANIC DEPRESSIVE AND DEPRESSIVE ASSOCIATION OF RHODE ISLAND MENTAL HEALTH ASSOCIATION OF RHODE ISLAND DEPARTMENT OF BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES, AND HOSPITALS (BHDDH) NATIONAL ALLIANCE FOR THE MENTALLY ILL, RHODE ISLAND NATIONAL ASSOCIATION OF PSYCHIATRIC HEALTH SYSTEMS NARCOTICS ANONYMOUS NORTHERN RHODE ISLAND COMMUNITY SERVICES RHODE ISLAND BLOOD CENTER RHODE ISLAND PARENTING INFORMATION NETWORK RHODE ISLAND NETWORK OF CARE FOR BEHAVIORAL HEALTH RECOVERY ROOM - NURSING SUPPORT GROUP NATIONAL ASSOCIATION OF SOCIAL WORKERS RHODE ISLAND COUNCIL ON ALCOHOLISM AND OTHER DRUG ADDICTION RHODE ISLAND COUNCIL OF COMMUNITY MENTAL HEALTH CENTERS RHODE ISLAND STATE NURSES ASSOCIATION UNITED WAY RESEARCH AND ACADEMIC EDUCATION AS A MAJOR TEACHING AND RESEARCH FACILITY AFFILIATED WITH THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY, BUTLER HOSPITAL CONDUCTS CUTTING -EDGE RESEARCH ON BRAIN-BASED DISEASES. THE GOAL OF THE RESEARCH IS TO DISCOVER THE UNDERLYING CAUSES OF DEPRESSION, ADDICTIONS, MEMORY AND MOVEMENT DISORDERS AND IDENTIFY NEW TREATMENTS WHICH WILL BENEFIT PEOPLE SUFFERING FROM THESE ILLNESSES. AS THE FLAGSHIP HOSPITAL FOR DEPARTMENT OF PSYCHIATRY AND HUMAN BEHAVIOR FOR THE WARREN ALPERT MEDICAL SCHOOL OF BROWN, BUTLER HOSPITAL PROVIDES EDUCATION AND TRAINING FOR MEDICAL STUDENTS AND PSYCHIATRIC AND PSYCHOLOGY RESIDENTS. ADDITIONALLY, THE HOSPITAL PROVIDES CLINICAL EDUCATION FOR NURSING, PHARMACISTS AND OCCUPATIONAL THERAPY STUDENTS FROM SCHOOLS IN NEW ENGLAND AND ALL OVER THE UNITED STATES. PUBLIC AND PROFESSIONAL EDUCATION PROGRAMS BUTLER HOSPITAL BELIEVES COMMUNITY EDUCATION AND INFORMATION IS CRITICAL TO REDUCING STIGMA AND IMPROVING TREATMENT OUTCOMES THROUGH EARLY RECOGNITION OF A POSSIBLE PROBLEM. ANNUALLY, THE HOSPITAL SPONSORS 10-12 PUBLIC AND PROFESSIONAL EDUCATION PROGRAMS ON SUCH TOPICS AS MEMORY AND AGING, PARKINSON'S DISEASE, AND MOOD AND EATING DISORDERS. IN ADDITION, THE HOSPITAL IS A YEARLY SPONSOR OF THE ANNUAL MAY IS MENTAL HEALTH MONTH PROGRAMS OFFERED BY THE MENTAL HEALTH ASSOCIATION OF RHODE ISLAND. THE HOSPITAL ALSO PARTICIPATES IN ONGOING HEALTH EDUCATION ACTIVITIES OFFERED BY ITS CARE NEW ENGLAND PARTNERS. PATIENT FAMILY EDUCATION CENTER & ON-LINE MENTAL HEALTH SCREENINGS THE BUTLER HOSPITAL PATIENT/FAMILY EDUCATION CENTER PROVIDES FREE INFORMATION ON BEHAVIORAL DISORDERS, SUBSTANCE ABUSE, AND OTHER MEDICAL ISSUES. COMPUTER SEARCHES ARE PROVIDED ON REQUEST. DEVELOPED IN ASSOCIATION WITH THE ALLIANCE FOR THE MENTALLY ILL AND THE MANIC DEPRESSIVE AND DEPRESSIVE ILLNESS ASSOCIATION, THE CENTER IS THE LARGEST HOSPITAL-BASED INFORMATION CENTER OF ITS TYPE IN THE AREA. IN ADDITION, THE HOSPITAL SUPPORTS AN ON-LINE MENTAL HEALTH SCREENING FOR DEPRESSION, BIPOLAR DISORDER, GENERALIZED ANXIETY DISORDER, POST-TRAUMATIC STRESS DISORDER, AND SUBSTANCE ABUSE. OVER 1,580 PEOPLE TOOK THE SCREENING ON 2010. THE HOSPITAL ALSO SUPPORTS THE RHODE ISLAND NETWORK OF CARE FOR BEHAVIORAL HEALTH (RHODEISLAND.NETWORKOFCARE.ORG), A WEBSITE THAT OFFERS THE PUBLIC ONE-STOP RESOURCE FOR MENTAL HEALTH INFORMATION AND SUPPORT. SUPPORT GROUP IN ADDITION TO PROVIDING MEETING SPACE TO MANY MENTAL HEALTH AND SUBSTANCE ABUSE SUPPORT GROUPS IN THE COMMUNITY, THE HOSPITAL PROVIDES THE FOLLOWING FREE SUPPORT GROUPS: - MONTHLY SUPPORT GROUPS FOR PEOPLE WITH OCD AS WELL AS FOR PATIENTS, AND FAMILIES AND FRIENDS OF PEOPLE WITH OCD - WEEKLY SELF-HELP GROUP FOR PATIENTS AND FORMER PATIENTS OF BUTLER'S ALCOHOL & DRUG TREATMENT PROGRAM - MONTHLY SUPPORT GROUP FOR PEOPLE SUFFERING FROM COMPULSIVE HOARDING INTERPRETER SERVICES EMPLOYEES AND VOLUNTEERS OF THE HOSPITAL WHO ARE SKILLED IN LANGUAGES OTHER THAN ENGLISH ARE CALLED UPON TO PROVIDE INTERPRETER SERVICES FOR PATIENTS AND THEIR SIGNIFICANT OTHERS. THIS SERVICE IS PROVIDED BY THE HOSPITAL FREE OF CHARGE. WHEN INTERPRETERS ARE NOT AVAILABLE WITHIN THE HOSPITAL, BUTLER HOSPITAL PROVIDES THESE SERVICES THROUGH THE AT&T LANGUAGE LINE SERVICE, ALSO FREE TO THE COMMUNITY. WITHIN THE HOSPITAL, BUTLER HOSPITAL PROVIDES THESE SERVICES THROUGH THE AT&T LANGUAGE LINE SERVICE, ALSO FREE TO THE COMMUNITY. | OtherInformation |
| Affiliated Health Care System | PART VI, LINE 7: THE MISSION OF THE CARE NEW ENGLAND HEALTH SYSTEM IS TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES OF SOUTHEASTERN NEW ENGLAND. COMPRISED OF THREE HOSPITALS - BUTLER HOSPITAL, KENT COUNTY MEMORIAL HOSPITAL AND WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND - AS WELL AS THE VNA OF CARE NEW ENGLAND, THE DISTINCTIVE PROGRAMS, STAFF AND TALENTS OF EACH MEMBER COMBINE TO ENSURE A HIGH-QUALITY CONTINUUM OF CARE FOR THE COMMUNITIES SERVED. WITH PRIMARY FOCUS ON PATIENTS AND THEIR FAMILIES, CARE NEW ENGLAND PROVIDES A SOLID, DIVERSE COMBINATION OF PHYSICIAN SPECIALISTS AND GENERALISTS WHO ARE COMMITTED TO THE MISSION OF BUILDING A BETTER SYSTEM OF HEALTH CARE. TO DO THIS, THE SYSTEM AIMS TO 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 PATIENTS SERVED; ENHANCE WELLNESS AND PREVENTION; AND OPERATE IN A COST-EFFECTIVE AND FINANCIALLY VIABLE MANNER. MEMBERS OF THE CARE NEW ENGLAND HEALTH SYSTEM INCLUDE: BUTLER HOSPITAL - RHODE ISLAND'S ONLY PRIVATE, NONPROFIT PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITAL FOR ADULTS, ADOLESCENTS, CHILDREN AND SENIORS. KENT COUNTY MEMORIAL HOSPITAL - A GENERAL MEDICINE HOSPITAL PROVIDING A FULL SPECTRUM OF PRIMARY AND SECONDARY ACUTE CARE SERVICES WITH A MEDICAL STAFF REPRESENTING MORE THAN 30 SPECIALTIES. WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND - THE NATION'S SEVENTH BUSIEST OBSTETRICAL FACILITY, OPERATING THE NATION'S LARGEST SINGLE-FAMILY ROOM NEONATAL INTENSIVE CARE UNIT AND THE AREA'S ONLY TERTIARY LEVEL NEONATAL FACILITY, AND PROVIDING SUCH SPECIALIZED SERVICES AS ONCOLOGY, UROGYNECOLOGY AND INFERTILITY TREATMENT. VNA OF CARE NEW ENGLAND - A UNIQUE SERVICE PROVIDING A BROAD SPECTRUM OF HOME HEALTH, HOSPICE AND PRIVATE DUTY NURSING FOR NEW MOTHERS, THE ELDERLY AND THE TERMINALLY ILL. AS STATED IN THE MISSION FOR VNA OF CARE NEW ENGLAND, THE VNA IS DEDICATED TO PROVIDING QUALITY HEALTH CARE AND DEVELOPING PROGRAMS AND RESOURCES TO BENEFIT THE COMMUNITY. THESE COMMUNITY BENEFITS ARE NOT REPORTED IN THIS HOSPITAL'S RETURN AND VNA ISN'T A HOSPITAL AND THEREFORE NEVER GETS ONTO A SCHEDULE H. FORM 990, SCHEDULE H, PART VI, QUESTION 8 IDENTIFY ALL STATES WITH WHICH THE ORGANIZATION, OR A RELATED ORGANIZATION, FILES A COMMUNTIY BENEFIT REPORT. NOT APPLICABLE | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN UNIVERSITY DEPARTMENT OF PSYCHIATRY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 42 CHARLSFIELD STREET BOX G | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02912 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 050258809 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 450000 | AmountOfCashGrant |
| Purpose Of Grant | RESEARCH & EDUCATION | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS | Identifier |
| Return Reference | FORM 990, SCHEDULE I | ReturnReference |
| Explanation | THE HOSPITAL'S CHIEF EXECUTIVE OFFICER AND CLINICAL DIRECTOR PARTICIPATE IN MONTHLY MANAGEMENT MEETINGS OF BROWN UNIVERSITY'S DEPARTMENT OF PSYCHIATRY. MONTHLY MANAGEMENT MEETING DISCUSSIONS INCLUDE SETTING THE PRIORITIES FOR THE SPENDING OF CONTRIBUTED FUNDS. IN ADDITION, ON AN ANNUAL BASIS, BROWN UNIVERSITY'S DEPARTMENT OF PSYCHIATRY PROVIDES ITS OPERATING BUDGET AND ACTUAL EXPENSES TO BUTLER HOSPITAL. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Patricia R Recupero MD JD | |||||||||||||
| 401962 | 0 | 402101 | 0 | 22023 | 0 | 266704 | 0 | 22990 | 0 | 1115780 | 0 | 256851 | 0 |
| Bonnie Baker CPA | |||||||||||||
| 271654 | 0 | 223751 | 0 | 22663 | 0 | 95061 | 0 | 21149 | 0 | 634278 | 0 | 146254 | 0 |
| Walter Dias | |||||||||||||
| 264878 | 0 | 203065 | 0 | 7408 | 0 | 90523 | 0 | 4765 | 0 | 570639 | 0 | 138106 | 0 |
| Linda Damon RN ARNP | |||||||||||||
| 226112 | 0 | 60804 | 0 | 2425 | 0 | 70712 | 0 | 12036 | 0 | 372089 | 0 | 75418 | 0 |
| Steven Rasmussen MD | |||||||||||||
| 346093 | 0 | 140651 | 0 | -2522 | 0 | 62371 | 0 | 19180 | 0 | 565773 | 0 | 159809 | 0 |
| Lawrence Price MD | |||||||||||||
| 303514 | 0 | 73803 | 0 | 2568 | 0 | 18145 | 0 | 2017 | 0 | 400047 | 0 | 0 | 0 |
| Julie Forrest MD | |||||||||||||
| 185902 | 0 | 149971 | 0 | 1863 | 0 | 0 | 0 | 2230 | 0 | 339966 | 0 | 0 | 0 |
| Alvaro Olivares MD | |||||||||||||
| 262996 | 0 | 54000 | 0 | -6239 | 0 | 3861 | 0 | 17407 | 0 | 332025 | 0 | 0 | 0 |
| Ghulam Surti MD | |||||||||||||
| 223270 | 0 | 87335 | 0 | -6351 | 0 | 0 | 0 | 17465 | 0 | 321719 | 0 | 0 | 0 |
| Dawn Picotte MD | |||||||||||||
| 258924 | 0 | 28665 | 0 | 5896 | 0 | 1063 | 0 | 18080 | 0 | 312628 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL COMPENSATION INFORMATION | Identifier |
| Explanation | HEALTH OR SOCIAL CLUB DUES FORM 990, SCHEDULE J, PART I, QUESTION 1A & 1B A WRITTEN POLICY IS NOT NEEDED AS THE PAYMENTS MADE TO SOCIAL CLUB FOR DUES ARE MADE IN ACCORDANCE WITH EMPLOYMENT CONTRACTS. FORM 990, SCHEDULE J, PART I, LINE 4B PATRICIA R. RECUPERO, M.D., J.D., PRESIDENT/CEO OF THE HOSPITAL, PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE TOTAL 2009 CONTRIBUTION TO THE NONQUALIFIED PLAN WAS $132,386 AND IS REPORTED AS RETIREMENT AND OTHER DEFERRED COMPENSATION IN DR. RECUPERO'S 2009 COMPENSATION. SHORT TERM INCENTIVE PROGRAM/LONG TERM INCENTIVE PROGRAM FORM 990, SCHEDULE J, PART I, LINES 6A & 6B COMPENSATION FOR CERTAIN INDIVIDUALS IS EARNED AND ACCRUED BASED ON BOTH SHORT-TERM AND LONG-TERM INCENTIVE PROGRAMS. THE SHORT TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACHIEVEMENT OF CRITICAL STRETCH GOALS THAT RECOGNIZE PERFORMANCE ABOVE EXPECTATIONS. THE GOALS ARE MEASURED FOR EACH FISCAL PERIOD IN THE FOLLOWING CRITICAL AREAS: QUALITY; FINANCIAL; PATIENT SATISFACTION. THE LONG TERM INCENTIVE PROGRAM PROVIDES AN OPPORTUNITY FOR PROGRAM PARTICIPANTS TO EARN AN INCENTIVE AWARD BASED ON THE ACCOMPLISHMENT OF CRITICAL MULTI-YEAR SYSTEM PERFORMANCE OBJECTIVES. AWARDS ARE EARNED BY MEASURING SYSTEM PERFORMANCE OVER A THREE-YEAR OVERLAPPING PERFORMANCE PERIODS AND ARE MEASURED IN REFERENCE TO GOALS IN THE FOLLOWING CRITICAL AREAS: NET INCOME FROM OPERATIONS; MARKET SHARE; PATIENT SATISFACTION; STRATEGIC OBJECTIVES. COMPENSATION INFORMATION FORM 990, PART VII AND SCHEDULE J 1) BASED ON CALENDAR YEAR 2009 W-2 FORM DATA 2) DEFERRED COMPENSATION IS SUBJECT TO FORFEITURE BY THE INDIVIDUAL BASED ON THE PROVISIONS OF THE PLAN. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KEKIN A SHAH | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | TRUSTEE / SECRETARY | Relationship |
| Amount Of Transaction | 171646 | AmountOfTransaction |
| Description Of Transaction | SEE SCHEDULE O | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| DESCRIPTION OF MANAGEMENT ARRANGEMENT | FORM 990, PART VI, QUESTION 3 THE HOSPITAL ENGAGES SODEXHO MANAGEMENT, INC. TO BE AN AGENT OF THE HOSPITAL AND DELEGATES CONTROL TO SODEXHO IN THE MANAGEMENT OF DAILY OPERATIONS OF ITS FOOD & NUTRITION DEPARTMENT. THE SODEXHO MANAGEMENT EMPLOYEE FUNCTIONS AND IS RECOGNIZED AS A DEPARTMENT MANAGER WHO PERFORMS IN ACCORDANCE WITH THE HOSPITAL'S DEPARTMENT MANAGEMENT PRACTICES AND IN ACCORDANCE WITH ITS WRITTEN POLICIES AND PROCEDURES. THE POSITION REPORTS TO AN OFFICER/KEY EMPLOYEE OF THE HOSPITAL. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 CARE NEW ENGLAND HAS CORPORATE GOVERNANCE OVER BUTLER HOSPITAL AND IS THE SOLE CORPORATE MEMBER. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A COMPOSITION AND ELECTION OF BOARD OF TRUSTEES. THE BOARD OF TRUSTEES SHALL CONSIST OF THE PRESIDENT AND THE PRESIDENT OF THE MEDICAL STAFF, EXOFFICIOS, AND NOT LESS THAN EIGHT (8) NOR MORE THAN TWENTY-THREE (23) ELECTED TRUSTEES, ONE (1) TO BE ELECTED BY THE INDIVIDUAL MEMBERS, AT THE ANNUAL MEETING OF THE CORPORATION IN EACH YEAR AND THE REMAINDER TO BE ELECTED BY THE CORPORATE MEMBER. BEGINNING ON THE DATE OF THE ANNUAL MEETING OF THE CORPORATION HELD IN JANUARY 2007, THE ELECTED TRUSTEES SHALL BE DIVIDED INTO THREE (3) CLASSES, EACH OF WHICH WILL INCLUDE ONE (1) OF THE THREE (3) MEMBERS TO BE ELECTED BY THE INDIVIDUAL MEMBERS AND THE REMAINDER OF WHICH WILL BE DIVIDED IN WHATEVER MANNER WILL BEST APPROXIMATE ONE THIRD OF THE TRUSTEES TO BE ELECTED BY THE CORPORATE MEMBER AND BEST ALLOW TRUSTEES WHOSE TERMS DO NOT EXPIRE AT SAID ANNUAL MEETING TO CONTINUE THEIR CURRENT TERM UNTIL ITS EXPIRATION; THE FIRST SUCH CLASS TO SERVE A TERM ENDING ON THE DATE OF THE ANNUAL MEETING OF THE CORPORATION HELD IN JANUARY 2008, THE SECOND CLASS TO SERVE A TERM ENDING ON THE DATE OF THE ANNUAL MEETING OF THE CORPORATION HELD IN JANUARY 2009, AND THE THIRD CLASS TO SERVE A TERM ENDING ON THE DATE OF THE ANNUAL MEETING OF THE CORPORATION HELD IN JANUARY 2010. THEREAFTER, ELECTED TRUSTEES SHALL BE ELECTED FOR A THREE (3) YEAR TERM. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B RESERVED POWERS. NOT WITHSTANDING THE FOREGOING PARAGRAPH, THE AUTHORITY OF THE BOARD OF TRUSTEES OF THE CORPORATION TO EXERCISE THE FOLLOWING POWERS IS CONDITIONED UPON OBTAINING THE PRIOR OR SUBSEQUENT APPROVAL OF THE CORPORATE MEMBER: (A) APPROVAL OR MODIFICATION OF THE VISION STATEMENT, MISSIONS, OBJECTIVES OR ANY STRATEGIC PLAN OF THE CORPORATION, THE HOSPITAL OR ANY ENTITY THAT DIRECTLY OR INDIRECTLY THROUGH ONE OR MORE INTERMEDIARIES, IS CONTROLLED BY THE CORPORATION ("AFFILIATE"); (B) MERGER, CONSOLIDATION, COMBINATION OR AFFILIATION OF THE CORPORATION OR ANY AFFILIATE WITH OR INTO ANY OTHER ENTITY; (C) SALE, PLEDGE, ENCUMBRANCE, DONATION, ABANDONMENT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE REAL PROPERTY OR ASSETS OF THE CORPORATION OR ANY AFFILIATE; (D) ACQUISITION BY THE CORPORATION OR ANY AFFILIATE OF ANOTHER ORGANIZATION WHETHER THROUGH MERGER, CONSOLIDATION, COMBINATION, STOCK OR ASSET TRANSFER OR ANY OTHER MEANS; (E) ANY OTHER CHANGE IN CONTROL OF THE CORPORATE MEMBER OF ANY AFFILIATE; (F) APPROVAL OF THE OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION AND ANY AFFILIATE; (G) ESTABLISHMENT, TERMINATION OR RELOCATION (OTHER THAN TO A DIFFERENT LOCATION ON THE SAME CAMPUS) OF ANY MAJOR CLINICAL SERVICES AT THE HOSPITAL OR ANY OTHER AFFILIATE; (H) INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS, MORTGAGE, OR PLEDGES BY OR THE MAKING OF ANY LOANS OR ANY ADVANCES TO OR INVESTMENTS IN ANY PERSON OR ENTITY IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000) BY THE CORPORATION OR ANY AFFILIATE; (I) INCURRENCE OF ANY UNBUDGETED EXPENDITURE IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000) BY THE CORPORATION OR ANY AFFILIATE; (J) ENTERING INTO ANY CONTRACTS OR AGREEMENTS FOR THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OR ACQUISITION OF REAL PROPERTY IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000) BY THE CORPORATION OR ANY AFFILIATE; (K) FILING WITH REGULATORY AUTHORITIES BY THE CORPORATION OR ANY AFFILIATE OF ANY APPLICATION FOR A CERTIFICATE OF NEED OR ANY LONG AND SHORT RANGE PLANS; (L) VOLUNTARILY FILING FOR BANKRUPTCY OR RECEIVERSHIP OR ANY SIMILAR PROCEEDING UNDER ANY FEDERAL OR STATE LAW ON THE PART OF THE CORPORATION OR ANY AFFILIATE; (M) FORMING OR DISSOLVING ANY AFFILIATE; (N) APPROVING OR CONSENTING TO ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR CHARTER OR BYLAWS OF THE CORPORATION OR ANY AFFILIATE. |
| DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, QUESTION 11A THE FORM 990 IS PREPARED AND REVIEWED BY OUR PUBLIC ACCOUNTING FIRM, ERNST & YOUNG. DURING THAT PROCESS IT IS PROVIDED TO CERTAIN MEMBERS OF MANAGEMENT FOR REVIEW. THE ASSOCIATE VICE PRESIDENT OF FINANCE AND THE CHIEF FINANCIAL OFFICER CONDUCT THE MANAGEMENT REVIEW. A COMPLETE AND ACCURATE COPY OF THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM WITH THE INTERNAL REVENUE SERVICE. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C POTENTIAL CONFLICTS OF INTEREST INVOLVING DIRECTORS, OFFICERS, AND MEMBERS OF COMMITTEES ARE IDENTIFIED AND ADDRESSED IN ORDER TO ASSURE THAT THE CORPORATION IS TREATED FAIRLY IN ALL ITS BUSINESS DEALINGS. INDIVIDUALS HAVING CONFLICTS MUST DISCLOSE TO THE BOARD OR COMMITTEE PRIOR TO CONSIDERATION OF A TRANSACTION OR ARRANGEMENT THAT A CONFLICT WILL EXIST. APPROVAL OF ANY TRANSACTIONS OR ARRANGEMENTS THAT INVOLVE A CONFLICT REQUIRES A CONSENSUS OF DISINTERESTED PERSONS BY VOTE. THE BOARD TAKES DISCIPLINARY AND/OR CORRECTIVE ACTION AS NECESSARY TO PROTECT THE INTERESTS OF THE CORPORATION. MINUTES ARE MAINTAINED. ANNUALLY, A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO EACH DIRECTOR, OFFICER AND COMMITTEE MEMBER AND EACH PERSON ACKNOWLEDGES IN WRITING RECEIPT, UNDERSTANDING AND COMPLIANCE WITH THE POLICY. ONGOING ACTUAL AND/OR POTENTIAL CONFLICTS ARE IDENTIFIED AND DISCLOSED TO THE BOARD AT LEAST ANNUALLY. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A THE BOARD OF DIRECTORS OF CARE NEW ENGLAND HEALTH ("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. MEMBERSHIP AND MEETINGS THE COMMITTEE WILL BE COMPRISED OF AT LEAST 7 DIRECTORS, ALL OF WHOM SHALL BE OUTSIDERS, AT LEAST ONE MEMBER OF THE BOARD FROM EACH OF THE OPERATING ENTITIES (KENT HOSPITAL, WOMEN & INFANTS HOSPITAL, BUTLER HOSPITAL, AND THE VNA) AS WELL AS FROM THE CNE BOARD SERVE ON THE COMMITTEE. THE CNE PRESIDENT & CEO ("THE CEO") PARTICIPATES IN COMPENSATION COMMITTEE MEETINGS, EXCEPT AS THE COMMITTEE'S DELIBERATIONS CONCERN THE CNE PRESIDENT & CEO. OUTSIDE ADVISORS THE COMMITTEE SHALL HAVE THE SOLE AUTHORITY TO RETAIN OR TERMINATE ANY OUTSIDE ADVISOR SUCH AS LEGAL COUNSEL, ANY COMPENSATION CONSULTING FIRM OR ANY OTHER ADVISOR, INCLUDING THE AUTHORITY TO APPROVE THE ADVISOR'S FEES AND OTHER TERMS OF RETENTION. OVERALL RESPONSIBILITY THE COMMITTEE HAS BEEN DELEGATED AUTHORITY BY THE BOARD TO ASSURE TOTAL COMPENSATION FOR THE EXECUTIVES IS REASONABLE PER IRS SECTION 4958 (INTERMEDIATE SANCTIONS). SPECIFICALLY, THE COMMITTEE IS ACCOUNTABLE AND ULTIMATELY RESPONSIBLE TO THE BOARD FOR THE FOLLOWING: - ESTABLISH AND OVERSEE CNE'S EXECUTIVE COMPENSATION AND BENEFITS STRATEGY. - IDENTIFY AND RETAIN APPROPRIATE OUTSIDE ADVISORS INCLUDING LEGAL COUNSEL, COMPENSATION CONSULTANTS AND OTHERS WHO ARE RESPONSIBLE FOR PROVIDING THE COMMITTEE WITH OBJECTIVE ADVICE. - ANNUALLY REVIEW AND APPROVE CNE GOALS AND OBJECTIVES FOR THE CEO; EVALUATE THE CEO'S PERFORMANCE REGARDING THESE GOALS; SET BASE SALARY; DETERMINE THE ANNUAL INCENTIVE AND LONG-TERM INCENTIVE AWARDS BASED ON CNE AND INDIVIDUAL PERFORMANCE. - ANNUALLY REVIEW THE CEO'S RECOMMENDATIONS FOR BASE SALARY, ANNUAL AND LONG-TERM INCENTIVE AWARDS, ETC. FOR THE OPERATING ENTITY PRESIDENT & CEO'S, WHICH ARE MADE IN CONSULTATION WITH EACH OPERATING ENTITIES' BOARD. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15B THE BUTLER HOSPITAL COMPENSATION COMMITTEE IS COMPRISED OF: THE CHAIRMAN OF THE BOARD APPROXIMATELY THREE INDEPENDENT TRUSTEES ALSO IN ATTENDANCE FOR A PORTION OF THE COMPENSATION COMMITTEE MEETINGS ARE: THE CNE CEO THE BUTLER HOSPITAL CEO THE CNE CHIEF HR OFFICER THE COMMITTEE MEETS IN OCTOBER - NOVEMBER OF EACH YEAR TO REVIEW NATIONAL EXECUTIVE COMPENSATION DATA. IT MAY ENGAGE A CONSULTANT IN THIS PROCESS. THE COMMITTEE REVIEWS THE GOALS AND PERFORMANCE OF THE CEO AND MAKES RECOMMENDATIONS TO THE SYSTEM CEO REGARDING SALARY ADJUSTMENTS AND INCENTIVE PLANS. THE COMMITTEE REVIEWS THE GOALS AND PERFORMANCES OF THE BUTLER HOSPITAL VP'S AND MAKES RECOMMENDATIONS REGARDING SALARY ADJUSTMENTS AND INCENTIVE PLANS. THE COMMITTEE ALSO PARTICIPATES IN THE DEVELOPMENT OF INCENTIVE GOALS FOR THE COMING YEAR. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 BUTLER HOSPITAL'S CORPORATE DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY MAIL UPON WRITTEN REQUEST. BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS FORM 990, SCHEDULE L, PART IV DESCRIPTION OF TRANSACTION: HIS COMPANY, SHANIX INC., SELLS, INSTALLS AND SERVICES SECURITY SYSTEMS FOR BUTLER AND WOMEN & INFANSTS HOSPITAL. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARRIAGE HOUSE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 BLACKSTONE BOULEVARD | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02906 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208277056 | EIN |
| Primary Activities | RENTAL ESTATE | PrimaryActivities |
| Legal Domicile State | RI | LegalDomicileState |
| Total Income | 772653 | TotalIncome |
| EOY Assets | 3758853 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUTLER HOSP | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| KENT COUNTY MEMORIAL HOSPITAL | |||||||||
| 455 TOLL GATE ROAD | WARWICK | RI | 02886 | 050258896 | HOSPITAL | RI | 501(C)(3) | 3 | NA |
| CARE NEW ENGLAND HEALTH SYSTEM | |||||||||
| 45 WILLARD AVENUE | PROVIDENCE | RI | 02905 | 050490997 | HOLDING CO | RI | 501(C)(3) | 11-TYPE III | NA |
| HEALTHTOUCH INC | |||||||||
| 51 HEALTH LANE | WARWICK | RI | 02886 | 050514949 | HEALTH CARE | RI | 501(C)(3) | 9 | KCVNA |
| KENT HOSPITAL FOUNDATION | |||||||||
| 455 TOLL GATE ROAD | WARWICK | RI | 02886 | 050514640 | SUPPORT ORG | RI | 501(C)(3) | 11-TYPE I | KCMH |
| KENT COUNTY VISITING NURSE ASSOC | |||||||||
| 51 HEALTH LANE | WARWICK | RI | 02886 | 050242659 | VISIT NURSE | RI | 501(C)(3) | 7 | NA |
| PALOMAR GROUP INC | |||||||||
| 300 RICHMOND STREET | PROVIDENCE | RI | 02903 | 050462378 | PARKING FAC | RI | 501(C)(3) | 9 | WIC |
| WIH FACULTY PHYSICIANS INC | |||||||||
| 67 BRIGHAM STREET | NEW BEDFORD | MA | 02740 | 043579432 | HEALTH CARE | MA | 501(C)(3) | 9 | WIH |
| WOMEN & INFANTS CORPORATION | |||||||||
| 300 RICHMOND STREET | PROVIDENCE | RI | 02903 | 022885807 | SUPPORT ORG | RI | 501(C)(3) | 11-TYPE III | NA |
| WOMEN & INFANTS DEVELOPMENT FOUNDATION | |||||||||
| 300 RICHMOND STREET | PROVIDENCE | RI | 02903 | 222885815 | SUPPORT ORG | RI | 501(C)(3) | 11-TYPE III | WIC |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND | |||||||||
| 300 RICHMOND STREET | PROVIDENCE | RI | 02903 | 050258937 | HOSPITAL | RI | 501(C)(3) | 3 | WIC |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| TOLL GATE INDEMNITY LTD | ||||||||
| 455 TOLL GATE ROAD | WARWICK | RI | 02886 | 342028514 | FINANCIAL VEHICLE | CJ | KCMH | C |
| W&I INDEMNITY LTD | ||||||||
| 300 RICHMOND STREET | PROVIDENCE | RI | 02903 | 980159342 | FINANCIAL VEHICLE | CJ | WIHRI | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Kent County Memorial Hospital | |
| n | 807801 |
| Kent County Memorial Hospital | |
| o | 153403 |
| Kent County Memorial Hospital | |
| p | 9159372 |
| Kent County VNA dba VNA of Care New England | |
| o | 12983 |
| Women & Infants Hospital of Rhode Island | |
| n | 477323 |
| Women & Infants Hospital of Rhode Island | |
| o | 498699 |
| Women & Infants Hospital of Rhode Island | |
| p | 52560 |