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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-12T14:19:44-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line175 BEATTIE PL STE 800AddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050258812EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BUTLER HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBUTLNameControl
Phone4014556275Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1345 BLACKSTONE BOULEVARDAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02906ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBONNIE BAKERName
TitleVP Finance/CFOTitle
Date Signed2011-08-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8642425740Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPatricia RecuperoNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1345 Blackstone BoulevardAddressLine1
CityProvidenceCity
StateRIState
ZIP Code02906ZIPCode
FieldValueIRS element (for citing)
Gross Receipts97876540GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.butler.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1844YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE 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 Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees1063TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI262790TotalGrossUBI
Net Unrelated Business Txbl Income203357NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1208240ContributionsGrantsPriorYear
Contributions Grants Current Year734144ContributionsGrantsCurrentYear
Program Service Revenue Prior Year84983332ProgramServiceRevenuePriorYear
Program Service Revenue CY91304728ProgramServiceRevenueCY
Investment Income Prior Year485224InvestmentIncomePriorYear
Investment Income Current Year1185389InvestmentIncomeCurrentYear
Other Revenue Prior Year652786OtherRevenuePriorYear
Other Revenue Current Year754208OtherRevenueCurrentYear
Total Revenue Prior Year87329582TotalRevenuePriorYear
Total Revenue Current Year93978469TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year450000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY450000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year63525847SalariesEtcPriorYear
Salaries Etc Current Year68010054SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year408237TotalFundrsngExpCurrentYear
Other Expense Prior Year20653935OtherExpensePriorYear
Other Expenses Current Year22758374OtherExpensesCurrentYear
Total Expenses Prior Year84629782TotalExpensesPriorYear
Total Expenses Current Year91218428TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2699800RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2760041RevenuesLessExpensesCY
Total Assets BOY74792923TotalAssetsBOY
Total Assets EOY76663287TotalAssetsEOY
Total Liabilities BOY37016766TotalLiabilitiesBOY
Total Liabilities EOY36754343TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37776157NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39908944NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense76755892Expense
Grants450000Grants
Revenue90336114Revenue
DescriptionBUTLER 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 MILLIONDescription

Activity Other ActivityOther (2 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
00968614RENTAL INCOME
001887EMPLOYEE PHARMACY
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev970501TotalOfOtherProgramServiceRev
Total Program Service Expense76755892TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096111NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1063NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBONNIE BAKER VP FINANCECFONamePerson
Telephone Number4014556275TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1345 BLACKSTONE BOULEVARDAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02906ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Charles R Reppucci
Chair4.0X000
Allen H Cicchitelli
Vice Chair4.0X000
Stanley M Aronson MD
Vice Chair3.0X000
Robert G Padula
Treasurer3.0X000
Dean T Holt
Assistant Treasurer2.0X000
Kekin A Shah
Secretary2.0X000
Phyllis C Field
Assistant Secretary3.0X000
William J Allen
Trustee2.0X000
Earl D Chambers
Trustee3.0X000
Robert E DeBlois
Trustee2.0X000
Margaret D Farrell
Trustee2.0X000
Michael Follick PhD
Trustee2.0X000
Rabbi Leslie Y Gutterman
Trustee2.0X000
Dennis B Langley
Trustee2.0X000
Diane Lipscombe PhD
Trustee2.0X000
Lewis P Lipsitt PhD
Trustee2.0X000
John J McNamee
Trustee2.0X000
Mary B Olenn
Trustee2.0X000
Arthur S Robbins
Trustee2.0X000
Gary R St Peter
Trustee2.0X000
Michael Matone
Trustee2.0X000
Patricia R Recupero MD JD
President/CEO60.0X8260860289694X
Michael A Fiori MD
President, Medical Staff15.0X8066501510X
Bonnie Baker CPA
Vice President/CFO60.05180680116210X
Walter Dias
Vice President/COO60.0475351095288X
Linda Damon RN ARNP
Vice President/CNO60.0289341082748X
Steven Rasmussen MD
Medical Director60.0484222081551X
Lawrence Price MD
Clinical Director60.0379885020162X
Julie Forrest MD
Psychiatrist60.033773602230X
Alvaro Olivares MD
Unit Chief60.0310757021268X
Ghulam Surti MD
Unit Chief60.0304254017465X
Dawn Picotte MD
Psychiatrist60.0293485019143X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4299850TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation747269TotalOtherCompensation
Number Individuals GT100 K104NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Brown University
24 Charlesfied St Box TPROVIDENCERI02912PROG ADMIN & GRANT1913984
Quest Diagnostics Incorporated
12436 Collections Center DrCHICAGOIL60693Lab Services304106
Sodexo Inc Affiliates
PO Box 18049WOBURNMA01813CONTRACT FOOD SVCS297338
Miriam Hospital
164 Summit AvenuePROVIDENCERI02906MEDICAL & LAB SVCS269508
Warzycha Construction Co Inc
51 Enfield StreetPAWTUCKETRI02861Construction SVCS266868
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Federated Campaigns16321FederatedCampaigns
Membership Dues7474MembershipDues
Fundraising Events76934FundraisingEvents
Government Grants98772GovernmentGrants
All Other Contributions534643AllOtherContributions
Noncash Contributions14721NoncashContributions
Total Contributions734144TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE9000996373778663737786
OTHER PATIENT CARE9000991391127913911279
RENTAL INCOME OR (LOSS)531120968614968614
RESEARCH REVENUE5419001268704912687049
FieldValueIRS element (for citing)
Total Program Service Revenue91304728TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1020168TotalRevenueColumn
Exclusion$1,020,168ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real797436Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real540119Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real257317Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column257317TotalRevenueColumn
Unrelated Business Revenue257317UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3296665Securities
Other181453Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3312897Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-16232Securities
Other181453Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column165221TotalRevenueColumn
Exclusion$165,221ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events39585GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events76934CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses45055FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-5470TotalRevenueColumn
Exclusion-$5,470ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA SALES722210417564$417,564
GIFT SHOP SALES45322076695$76,695
VENDOR SALES9000996215$7425473

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1887TotalRevenueColumn
Related Or Exempt Function Income1887RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue502361TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column93978469TotalRevenueColumn
Related Or Exempt Function Income91306615RelatedOrExemptFunctionIncome
Unrelated Business Revenue262790UnrelatedBusinessRevenue
Exclusion$1,674,920ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total450000Total
Program Services450000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3340734Total
Program Services1020037ProgramServices
Management And General2320697ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total51309628Total
Program Services45908870ProgramServices
Management And General5097534ManagementAndGeneral
Fundraising303224Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1510811Total
Program Services1356690ProgramServices
Management And General146061ManagementAndGeneral
Fundraising8060Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8321071Total
Program Services7472218ProgramServices
Management And General804460ManagementAndGeneral
Fundraising44393Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3527810Total
Program Services3167929ProgramServices
Management And General341060ManagementAndGeneral
Fundraising18821Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total323968Total
Program Services217059ProgramServices
Management And General106909ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total266169Total
Program Services0ProgramServices
Management And General266169ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31645Total
Program Services0ProgramServices
Management And General31645ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total7743Total
Program Services0ProgramServices
Management And General7743ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total155202Total
Program Services831ProgramServices
Management And General154371ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total400869Total
Program Services221958ProgramServices
Management And General172611ManagementAndGeneral
Fundraising6300Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1651973Total
Program Services0ProgramServices
Management And General1651973ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total61425Total
Program Services61425ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total47242Total
Program Services33716ProgramServices
Management And General12835ManagementAndGeneral
Fundraising691Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total179412Total
Program Services122383ProgramServices
Management And General57029ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2683861Total
Program Services2080053ProgramServices
Management And General603808ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1849475Total
Program Services1506916ProgramServices
Management And General342559ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
RESEARCH4485066448506600
PURCHASED SERVICES215577111809899747820
BAD DEBT EXPENSE1826396182639600
MEDICAL SUPPLIES AND DRUGS1550853155085300
FOOD COSTS10378616953673424940

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4043443Total
Program Services3397136ProgramServices
Management And General619559ManagementAndGeneral
Fundraising26748Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total91218428Total
Program Services76755892ProgramServices
Management And General14054299ManagementAndGeneral
Fundraising408237Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY35465BOY
EOY9737EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY19809104BOY
EOY19394506EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1450133BOY
EOY1444420EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5375115BOY
EOY6040850EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY218603BOY
EOY246448EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3559374BOY
EOY3812567EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis63214187LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec41041443LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22447526BOY
EOY22172744EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY17203268BOY
EOY19488986EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2815386BOY
EOY2454147EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1878949BOY
EOY1598882EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY74792923BOY
EOY76663287EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16623337BOY
EOY15218368EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY87131BOY
EOY246142EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4633668BOY
EOY4499169EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5668882BOY
EOY5527234EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10003748BOY
EOY11263430EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37016766BOY
EOY36754343EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19347270BOY
EOY20287343EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16088520BOY
EOY17198544EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2340367BOY
EOY2423057EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37776157BOY
EOY39908944EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY74792923BOY
EOY76663287EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$7,743OtherActivitiesAmount
Total Lobbying Expenditures IIB7743TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITY EXPLANATIONIdentifier
Return ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1I, OTHER ACTIVITIESReturnReference
ExplanationTHE 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.ORGExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Collect Used For PreservationXCollectUsedForPreservation
Solicited Assets For SalefalseSolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance17008598BeginningOfYearBalance
Contributions225771Contributions
Investment Earnings Or Losses1775372InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures756932OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance18252809EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance18436605BeginningOfYearBalance
Contributions192208Contributions
Investment Earnings Or Losses-816844InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures803371OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance17008598EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.20230BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.12020PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.67750TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis4132336InvestmentCostOrOtherBasis
Other Cost Or Other Basis40193985OtherCostOrOtherBasis
Depreciation27985233Depreciation
Book Value16341088BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis154202InvestmentCostOrOtherBasis
Other Cost Or Other Basis15046664OtherCostOrOtherBasis
Depreciation10902054Depreciation
Book Value4298812BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis309738InvestmentCostOrOtherBasis
Other Cost Or Other Basis3377262OtherCostOrOtherBasis
Depreciation2154156Depreciation
Book Value1532844BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22172744TotalOfBookValueLandBuildings
Federal Income Tax Liability25000FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Accrued Interest$985
OTHER LIABILITIES$1,830,686
Pension Liability$7,846,648
Asset Retirement Obligation$674,141
Due to Affiliates$885,970
FieldValueIRS element (for citing)
Total Of Amounts11263430TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierWORKS OF ARTIdentifier
ExplanationFORM 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

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionNorth AmericaRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedRSRCH STUDY CONSULTINGSpecificServicesProvided
Total Expenditures10000TotalExpenditures
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Total Amount Spent10000TotalAmountSpent

Form990 Schedule F Part IV Form990ScheduleFPartIV

FieldValueIRS element (for citing)
IdentifierORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS OUTSIDE THE USIdentifier
Return ReferenceFORM 990, SCHEDULE F, PART I, LINE 2ReturnReference
ExplanationTHE 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

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1100350GrossReceiptsEvent1
Charitable Contributions Event166345CharitableContributionsEvent1
Gross Revenue Event134005GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event112164NonCashPrizesEvent1
Rent Facility Costs Event110090RentFacilityCostsEvent1
Food And Beverage Event18903FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event13309OtherDirectExpensesEvent1
Name Of Event2SILENT AUCTIONNameOfEvent2
Gross Receipts Event216169GrossReceiptsEvent2
Charitable Contributions Event210589CharitableContributionsEvent2
Gross Revenue Event25580GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event20RentFacilityCostsEvent2
Food And Beverage Event20FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event210589OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Other Events0GrossReceiptsOtherEvents
Charitable Contrib Other Events0CharitableContribOtherEvents
Gross Revenue Other Events0GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events0OtherDirectExpensesOtherEvents
Gross Receipts Total116519GrossReceiptsTotal
Charitable Contributions Total76934CharitableContributionsTotal
Gross Revenue Total Events39585GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events12164NonCashPrizesTotalEvents
Rent Facility Costs Total Events10090RentFacilityCostsTotalEvents
Food And Beverage Total Events8903FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events13898OtherDirectExpensesTotalEvents
Direct Expense Summary Events45055DirectExpenseSummaryEvents
Net Income Summary-5470NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1407660TotalCommunityBenefitExpense
Direct Offsetting Revenue8828DirectOffsettingRevenue
Net Community Benefit Expense1398832NetCommunityBenefitExpense
Percent Of Total Expense0.01560PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1407660TotalCommunityBenefitExpense
Direct Offsetting Revenue8828DirectOffsettingRevenue
Net Community Benefit Expense1398832NetCommunityBenefitExpense
Percent Of Total Expense0.01560PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense314475TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense314475NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2502491TotalCommunityBenefitExpense
Direct Offsetting Revenue736802DirectOffsettingRevenue
Net Community Benefit Expense1765689NetCommunityBenefitExpense
Percent Of Total Expense0.01980PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense10104410TotalCommunityBenefitExpense
Direct Offsetting Revenue7308261DirectOffsettingRevenue
Net Community Benefit Expense2796149NetCommunityBenefitExpense
Percent Of Total Expense0.03130PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense13460566TotalCommunityBenefitExpense
Direct Offsetting Revenue11465394DirectOffsettingRevenue
Net Community Benefit Expense1995172NetCommunityBenefitExpense
Percent Of Total Expense0.02230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense5667TotalCommunityBenefitExpense
Direct Offsetting Revenue1185DirectOffsettingRevenue
Net Community Benefit Expense4482NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense26387609TotalCommunityBenefitExpense
Direct Offsetting Revenue19511642DirectOffsettingRevenue
Net Community Benefit Expense6875967NetCommunityBenefitExpense
Percent Of Total Expense0.07700PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27795269TotalCommunityBenefitExpense
Direct Offsetting Revenue19520470DirectOffsettingRevenue
Net Community Benefit Expense8274799NetCommunityBenefitExpense
Percent Of Total Expense0.09260PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,037,290BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare13239187AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare16322506CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3083319MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1BUTLER HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1345 BLACKSTONE BOULEVARDAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02906ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaIF 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 ExplnNOT APPLICABLE - BUTLER HOSPITAL DOES NOT PREPARE AN ANNUAL COMMUNITY BENEFIT REPORT.AnnualCommunityBenefitExpln
Costing Method UsedPROVIDE 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 ExplnIF 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 ExplnIF 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 FootnoteTHE 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/ABadDebtFootnote
Shortfall As Community BenefitLINE 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 PolicyIF 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 ExplnNOT APPLICABLENumberOfFacilityTypeExpln
Needs AssessmentPART 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 HEALTHNeedsAssessment
Patient Education AssistancePART 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 InformationPART 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 ActivitiesNOT APPLICABLECommunityBuildingActivities
Other InformationPART 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 SystemPART 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 APPLICABLEAffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1BROWN UNIVERSITY DEPARTMENT OF PSYCHIATRYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line142 CHARLSFIELD STREET BOX GAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02912ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient050258809EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant450000AmountOfCashGrant
Purpose Of GrantRESEARCH & EDUCATIONPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceFORM 990, SCHEDULE IReturnReference
ExplanationTHE 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

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Patricia R Recupero MD JD
401962040210102202302667040229900111578002568510
Bonnie Baker CPA
2716540223751022663095061021149063427801462540
Walter Dias
26487802030650740809052304765057063901381060
Linda Damon RN ARNP
2261120608040242507071201203603720890754180
Steven Rasmussen MD
34609301406510-2522062371019180056577301598090
Lawrence Price MD
30351407380302568018145020170400047000
Julie Forrest MD
18590201499710186300022300339966000
Alvaro Olivares MD
2629960540000-6239038610174070332025000
Ghulam Surti MD
2232700873350-6351000174650321719000
Dawn Picotte MD
25892402866505896010630180800312628000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL COMPENSATION INFORMATIONIdentifier
ExplanationHEALTH 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

FieldValueIRS element (for citing)
Name PersonKEKIN A SHAHNamePerson
FieldValueIRS element (for citing)
RelationshipTRUSTEE / SECRETARYRelationship
Amount Of Transaction171646AmountOfTransaction
Description Of TransactionSEE SCHEDULE ODescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanation
DESCRIPTION OF MANAGEMENT ARRANGEMENTFORM 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 990FORM 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

FieldValueIRS element (for citing)
Business Name Line1CARRIAGE HOUSE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1345 BLACKSTONE BOULEVARDAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02906ZIPCode
FieldValueIRS element (for citing)
EIN208277056EIN
Primary ActivitiesRENTAL ESTATEPrimaryActivities
Legal Domicile StateRILegalDomicileState
Total Income772653TotalIncome
EOY Assets3758853EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BUTLER HOSPBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KENT COUNTY MEMORIAL HOSPITAL
455 TOLL GATE ROADWARWICKRI02886050258896HOSPITALRI501(C)(3)3NA
CARE NEW ENGLAND HEALTH SYSTEM
45 WILLARD AVENUEPROVIDENCERI02905050490997HOLDING CORI501(C)(3)11-TYPE IIINA
HEALTHTOUCH INC
51 HEALTH LANEWARWICKRI02886050514949HEALTH CARERI501(C)(3)9KCVNA
KENT HOSPITAL FOUNDATION
455 TOLL GATE ROADWARWICKRI02886050514640SUPPORT ORGRI501(C)(3)11-TYPE IKCMH
KENT COUNTY VISITING NURSE ASSOC
51 HEALTH LANEWARWICKRI02886050242659VISIT NURSERI501(C)(3)7NA
PALOMAR GROUP INC
300 RICHMOND STREETPROVIDENCERI02903050462378PARKING FACRI501(C)(3)9WIC
WIH FACULTY PHYSICIANS INC
67 BRIGHAM STREETNEW BEDFORDMA02740043579432HEALTH CAREMA501(C)(3)9WIH
WOMEN & INFANTS CORPORATION
300 RICHMOND STREETPROVIDENCERI02903022885807SUPPORT ORGRI501(C)(3)11-TYPE IIINA
WOMEN & INFANTS DEVELOPMENT FOUNDATION
300 RICHMOND STREETPROVIDENCERI02903222885815SUPPORT ORGRI501(C)(3)11-TYPE IIIWIC
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND
300 RICHMOND STREETPROVIDENCERI02903050258937HOSPITALRI501(C)(3)3WIC

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
TOLL GATE INDEMNITY LTD
455 TOLL GATE ROADWARWICKRI02886342028514FINANCIAL VEHICLECJKCMHC
W&I INDEMNITY LTD
300 RICHMOND STREETPROVIDENCERI02903980159342FINANCIAL VEHICLECJWIHRIC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Kent County Memorial Hospital
n807801
Kent County Memorial Hospital
o153403
Kent County Memorial Hospital
p9159372
Kent County VNA dba VNA of Care New England
o12983
Women & Infants Hospital of Rhode Island
n477323
Women & Infants Hospital of Rhode Island
o498699
Women & Infants Hospital of Rhode Island
p52560